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Welcome Dr. Chané Britz

Welcome Dr. Chané Britz 854 471 BeckmanDev

ARTICLE SUPPLIED BY

KILIAN, NIENABER & ASSOCIATES

It is with great excitement that we welcome our newest General Practitioner to the Drs Kilian, Nienaber & Associates’ practice.

 

Dr Chané Britz completed her studies in 2017 at the University of the Free State. There she met her husband, also a doctor, and the rest, as they say, is history. They now have a beautiful little boy, and enjoy every moment of exploring life with him.

 

After completing her MBChB Dr Britz went on to do her diploma in Anaesthetics before changing gears to focus on family practice.

 

She has a passion for people and have a special interest in women’s and children’s health.

Saying Thank You to our Doctors

Saying Thank You to our Doctors 854 471 BeckmanDev

ARTICLE SUPPLIED BY

KILIAN, NIENABER & ASSOCIATES

In recognition of the critical role that our doctors play in keeping our community healthy, particularly in the difficult circumstances of the COVID-19 pandemic, Solidarity showed their support of our GPs and staff. #doktersdag #doctorsday.
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Hypertension | A study by Dr. JM Mensah

Hypertension | A study by Dr. JM Mensah 854 471 BeckmanDev

ARTICLE SUPPLIED BY

DR. JULIET MENSAH

In South Africa 1 in 4 men, and 1 in 5 women, will be diagnosed with hypertension. High blood pressure, or hypertension, is one of the most severe risks factors for death from heart diseases and strokes – responsible for 13% of all deaths globally. In addition, 1 in 3 adult South Africans currently live with high blood pressure, and it is responsible for 1 in every 2 strokes – and 2 in every 5 heart attacks.

 

High blood pressure rarely displays any symptoms or visible signs to warn that blood pressure is high. That is why more than 50% of people with high blood pressure are unaware of their condition. In some cases, typically with very high blood pressure, symptoms such as headaches, visual disturbances, nose bleeds, nausea, vomiting, facial flushing and sleepiness may be experienced.

 

So, what are the different types of hypertension? There are two main types of high blood pressure: primary and secondary high blood pressure.

> Primary or essential, high blood pressure is the most common type of high blood pressure. Most people who get this kind of blood pressure develop over time as you get older.

> Secondary high blood pressure is caused by another medical condition or the use of certain medicines. It usually gets better after you treat that condition or stop taking the medications that are causing it. Other causes include airway obstruction during sleep, diseases and tumours of the adrenal glands, hormone abnormalities, thyroid disease, and too much salt or alcohol in the diet.

 

There are additional Hypertension Types, including; Isolated systolic hypertension, Malignant hypertension and Resistant hypertension.

 

If you are worried that you may be experiencing hypertension symptoms, or you are concerned about your blood pressure, e-mail Dr. Mensah at drmensahinc@gmail.com or leave a message via our website query form.

 

You can view Dr. Juliet Mensah’s recent HYPERTENSION STUDY by clicking here, or view Hypertension Guidelines here.

Welcome Dr. Janneman Potgieter

Welcome Dr. Janneman Potgieter 854 471 BeckmanDev

ARTICLE SUPPLIED BY

KILIAN, NIENABER & ASSOCIATES

It is with great excitement that we welcome our newest General Practitioner to the Drs Kilian, Nienaber & Associates’ practice.

Dr. Janneman Potgieter grew up in Centurion and graduated in 2015. In 2019 he began practicing as a General Medical Practitioner.

He is married and has a 4-month-old daughter.  He loves to travel and has a passion for his patients and the community.

He believes prevention is better than cure and that collaboration between patient and doctor is beneficial  towards a healthy future.

Welcome Dr. Potgieter!

Mask Acne | When one pandemic leads to another

Mask Acne | When one pandemic leads to another 854 471 BeckmanDev

COVID-19 brought with it many frustrations and challenges. When the hard lockdown was finally lifted and we were able to venture into the world again many people encountered a new enemy: mask acne. People who thought they conquered this monster years ago, now found themselves battling like in their teenage-years again. But strangely, those few who were lucky enough to skip that dreaded phase of puberty now faced the same beast. So what is causing this dilemma? Are we being punished for behaving like our younger selves, living in our pyjamas on the couch while gulping down junk food?

The good news is, probably not. While the unhealthy lifestyle that many adopted while isolated from society isn’t helping, the main culprit is a condition called acne mechanica. Acne is caused by the pores on the skin getting blocked by oil and other debris. This is caused by a combination of factors:

  • excessive oil production
  • abnormal shedding of skin cells
  • inflammation
  • acne-causing bacteria, called acnes
  • hormonal changes

Acne mechanica is caused when the skin is in contact with fabric or another barrier for extended periods of time. It traps heat and debris, causing the pores to clog more easily. The constant friction irritates the skin, causing inflammation that leads to pimples and cysts. In the past sport’s equipment was often to blame, but now mandatory mask-wearing has made it a common phenomenon.

Unfortunately, we can’t just dispose of this little life-saving device. It will remain a part of our lives for the foreseeable future. Luckily there are many options to manage the situation:

Keep your mask clean: It is easy to throw your mask in the car and reuse it every day, but this does not do your skin any favours. Using a clean mask every day is the best way to limit the amount of debris that your skin is exposed to.

Follow a good skincare routine: Since excessive debris on the skin is the main cause of acne mechanica, the first thing to do is to cleanse your face every morning and evening. The right products will remove impurities, reduce inflammation and will normalise the skin’s oil production. Although excessive oil contributes to acne, it doesn’t mean that dry skin is immune against developing acne. Stripping the skin of all its natural oils damages the skin’s protective barrier and makes it more prone to inflammation. It may also stimulate the skin to produce more oil. A good moisturiser should restore the skin barrier without adding more oil.

Don’t over-exfoliate: It may sound like exfoliating is the answer to clearer skin, but it may make matters worse. It also causes irritation and inflammation, and may remove too much of the skin’s natural oils. Using a gentle cleanser and toner twice a day is sufficient.

Chemical peels: This is a procedure that removes dead skin cells and other impurities that may clog the pores. It also causes controlled inflammation that stimulates the skin to regenerate, leaving you with healthier, more radiant skin. This can be performed by aesthetic doctors and aestheticians.

Prescription skin products: Most treatments take several weeks to be effective. This is a frustrating process. An aesthetic doctor can prescribe products with higher concentrations of the active ingredients like salicylic acid and lactic acid that is usually found in skincare products. This is a great way to kick-start your journey to a clearer complexion.

Medication: It is often necessary to use topical or oral medication together with skincare products to manage acne. These medications are aimed at reducing inflammation, controlling the colonisation of acne-causing bacteria and reducing oil-production. In some cases a combination of treatments are utilised to give the best effect. Antibiotics can be used to decrease bacteria on the skin. In female patients oral contraceptives can also be beneficial.

If you noticed a deterioration in your complexion since wearing a mask, or if you have acne in general, go and see your doctor for assistance. There are options available to suit every lifestyle and budget. Your mask should be for protection, not to cover-up your acne.

Warnings Against Using Ivermectin to Treat COVID-19

Warnings Against Using Ivermectin to Treat COVID-19 854 471 BeckmanDev

ARTICLE SUPPLIED BY

KILIAN, NIENABER & ASSOCIATES

According to Medscape, the US Food and Drug Administration (FDA) has issued guidance warning consumers against using the antiparasitic drug ivermectin (in its various brands) to treat or prevent COVID-19.

The agency says it issued the guidance on Friday in light of growing interest in the drug as a COVID-19 treatment and multiple reports of patients hospitalised or needing medical support “after self-medicating with Ivermectin intended for horses.”

Ivermectin, which is not an antiviral, has not been approved by the FDA for treating or preventing COVID-19, the guidance emphasised.

The guidance points out that the concentrations of ivermectin for cows and horses can be highly toxic to humans. If you have a prescription for Ivermectin for medically-approved use, get it from a legitimate source and take it exactly as prescribed,” the guidance says. “Taking large doses of this drug is dangerous and can cause serious harm.”

Adverse Effects

Interactions with other drugs, such as blood thinners, are also potentially dangerous even at the levels specified in approved uses, the FDA says.

“You can also overdose on ivermectin,” the FDA warns, adding that ivermectin can cause nausea, vomiting, diarrhea, hypotension, allergic reactions, dizziness, ataxia, seizures, coma, and even death.

The FDA has not reviewed data to support use of ivermectin to treat or prevent COVID-19, but research is beginning.

An article published on in JAMA found that ivermectin, tested in a randomised trial of 476 patients, did not significantly shorten duration of symptoms for adults with mild COVID-19 who received a 5-day course of ivermectin compared with placebo (median time to resolution of symptoms, 10 vs 12 days; hazard ratio for resolution of symptoms, 1.07).

As for adverse effects, the most commonly reported in the JAMA study was headache, reported by 104 patients (52%) in the ivermectin group and 111 (56%) in the placebo group. The most common serious adverse event was multi-organ failure, which occurred in four patients (two in each group).

“The findings do not support the use of ivermectin for treatment of mild COVID-19, although larger trials may be needed to understand the effects of ivermectin on other clinically relevant outcomes,” the authors write.

Excitement about the drug has grown after some smaller studies have shown positive results for the drug related to COVID-19.

However, the National Institutes of Health (NIH) says, “[M]ost of these studies had incomplete information and significant methodological limitations.”

The NIH’s COVID-19 Treatment Guidelines, in guidance last updated February 11, said there is insufficient evidence to recommend either for or against the use of ivermectin for the treatment of COVID-19.

That recommendation was upgraded from guidance in August that recommend against ivermectin’s use in treating or preventing COVID-19, as Medscape Medical News has reported.

“Results from adequately powered, well-designed, and well-conducted clinical trials are needed to provide more specific, evidence-based guidance on the role of ivermectin in the treatment of COVID-19,” the NIH panel writes.

Protecting your Skin | AtHealth Aesthetic Medicine

Protecting your Skin | AtHealth Aesthetic Medicine 854 471 BeckmanDev
The best way to preserve the youthful appearance of your skin is to wear sunscreen every day, even when you spend most of your time indoors. The UV-exposure through windows, especially while driving, is enough to damage the skin over time.
UV radiation causes free radicals to be released in the skin. This breaks down the elastin and collagen that gives the skin its plumpness. This loss of volume causes sagging of the skin and the development of wrinkles. Recurrent sun exposure also causes hyperpigmentation (dark spots).
Direct damage to the DNA of skin cells leads to the formation of actinic keratosis (scaly, dark patches) and different types of skin cancer. These are not only detrimental to your appearance, but can be dangerous.
Many skincare products contain some form of sunscreen, but this is not sufficient to provide optimal protection. You need a separate sunscreen as well with a SPF of at least 50. It should be applied regularly during the day.
There is a wide range of sunscreens available that caters for every skin type. The correct sunscreen will not only protect your skin, but can act as a supplementary treatment for existing skin problems. If you need advice on the correct sunscreen for you, speak to your doctor about the available options.

Dinner is served! Vista Clinic and Aspen share the love

Dinner is served! Vista Clinic and Aspen share the love 854 471 BeckmanDev

ARTICLE SUPPLIED BY

KILIAN, NIENABER & ASSOCIATES

Dinner is served – for the hard working Doctors of @health GP practice in Centurion recently.
As a token of appreciation, Vista Clinic and Aspen sponsored meals to the GP’s and their families. One less thing to worry about!
While our doctors took care of patients, Vista, Aspen and the Spur took care of dinner.
Our gratitude goes to Dr Hantie Nienaber, Dr Anso Kilian, Dr Andries Nienaber, Dr Tjol Henning, Dr Michelle Jonker and Dr Elaine Strauss for the great work that they are doing at this time.
Thank you to Vista Clinic for recognising the long hours our team put in to help those families struggling as a result of the COVID-19 pandemic, and thank you to Thunder Ridge Spur for delivering the dinner to our GP families.
Cornel Nienaber
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Festive Season Dental Health

A healthy smile is the best gift you can give yourself this Christmas

A healthy smile is the best gift you can give yourself this Christmas 854 471 BeckmanDev

ARTICLE SUPPLIED BY

DENTIST @HEALTH

We did it! We finally dragged ourselves into December 2020. Which probably means you’re preparing to throw yourself into a joyous and socially distanced festive celebration with your loved ones, friends and colleagues.

 

Eating and drinking will, no doubt, play a big role in your holiday fun. It may be easy to over-indulge during this time of year, but take a moment to think about the impact this will have on your oral health.

 

Our teeth are really susceptible to damage and wear at this time, and it’s not just because of the types of food and drink we consume, but also how much and how often we indulge. Here are a few tips for maintaining oral health during the festive period.

 

Avoid sugars as much as possible

Whether it’s a Quality Street® selection box, soetkoekies or another slice of Christmas fruit cake, snacking on sugar is our biggest enemy during Christmas because your mouth will be constantly exposed to acid attacks without a chance to recover.

 

It’s a good idea to keep sugar consumption to mealtimes, meaning you can still enjoy your favourite treats while reducing the number of times during the day that your teeth are vulnerable to sugar.

 

Another option is sugar-free or low-in-sugar alternatives, while cheese and nuts are also fantastic festive snack options.

 

Moderate alcohol intake

Data published by the World Health Organisation shows that South African consumers of alcohol are some of the heaviest drinkers globally, despite relatively high levels of abstinence in the population. And, alarmingly, the majority of South African alcohol consumers are also classified as heavy, or binge drinkers, with 59% of the drinking population consuming more than 60 grams or more of pure alcohol on at least one occasion over a 30 day period.

 

Most alcohol is packed full of sugar and can be extremely acidic. When consumed in large amounts it causes erosion of tooth enamel, eventually leading to pain and sensitivity. We are more likely to forget to brush our teeth after drinking heavily which leaves the sugar and acid to do its nasty work all night.

 

Keeping your drinking moderated and assign a few alcohol-free days during the festive break.

 

Keep on brushing and flossing

It is important to stick to your normal oral health routine by brushing twice a day for two minutes with a good fluoride toothpaste. The best time to do so is last thing at night and at any other time during the day.

 

Likewise, a dental check-up either before the holidays, or afterwards in the new year can also be a really good idea to catch any problems and make sure they don’t go unnoticed.

 

Drink plenty of water

It’s always a good idea to stay hydrated as an important contributor to the health of our mouth and our general health too. Drinking water directly after eating has been shown to help remove acids from the mouth, thereby reducing the effects of dental decay and erosion.

 

For more information, or to make a booking with our dental health team, click here.

 

 


@Health Medical Centre and its tenants do not accept any responsibility for any loss or damage suffered by the reader as a result of the information provided. For any health concerns or further information, it is always important to seek advice from your @Health Medical Centre healthcare professional.

How to help a victim of a lightning strike

How to help a victim of a lightning strike 854 471 BeckmanDev

ARTICLE SUPPLIED BY

KILIAN, NIENABER & ASSOCIATES

Most Gautengers would agree that the sights, sounds and smells of an afternoon thunderstorm is one of the best things about living on the highveld (when not wreaking havoc, of course).

 

But every year a number of people get struck by lightning. It can burn hotter than the sun, scar your body, and even blow off your clothes. It’s always worth knowing how to avoid getting struck and what to do if someone near you gets hit.

 

Contrary to popular belief, lightning strikes don’t always result in death. In fact, about 90% of people who are struck actually survive. Still, the victims rarely walk away unscathed, and much of the damage can be permanent.

 

If someone is struck by lightning, it is important that they receive medical attention immediately. Some deaths can be prevented if the victim is attended to quickly. Remember, lightning victims do not carry an electrical charge after getting struck and are therefore safe to handle.

 

First, have someone call emergency services or your local ambulance service. Check to see that the victim is breathing and has a pulse, and continue to monitor the victim until help arrives. Cardiac arrest is the immediate cause of death in lightning fatalities. If necessary, begin CPR. Only move the victim to another place if they are still in danger. If you are able, you can assess the victim and treat them for signs of shock, hypothermia, fractures, or burns.

 

How do you avoid the chances of being struck in the first place? Check the weather forecasts ahead of time and stay indoors during a storm. But if you’re stuck outside, avoid isolated trees, poles, and open fields, and run as fast as you can towards safety.

 

You’re best off in a developed building or a hard-topped metal vehicle. Stay calm and remember: “When the Mzansi thunder roars, go indoors!”

 

 


@Health Medical Centre and its tenants do not accept any responsibility for any loss or damage suffered by the reader as a result of the information provided. For any health concerns or further information, it is always important to seek advice from your @Health Medical Centre healthcare professional.