Due to Flu vaccine administration, General Medicine outpatient practice will be closed on November 9th (Thursday) and 17th (Friday). Additionally, as a substitute doctor will only be available, appointments will be limited on November 24th (Friday), 27th (Monday) and 28th (Tuesday). We will not be accepting any walk-ins on these dates. Patients with Psychiatry appointments will be seen as scheduled. We apologize for the inconvenience. Your kind cooperation is highly appreciated.
• Recommendation for vaccination: Routine annual vaccination is recommended for all persons aged 6 months and above who do not have contraindications.
• Composition of influenza virus vaccines for use in the 2017-2018 northern hemisphere influenza season will contain the following:
- A/Singapore/GP1908/2015 (H1N1)pdm09-like virus
- A/Hong Kong/4801/2014 (H3N2)-like virus
- B/Texas/2/2013-like virus
- B/Phuket/3073/2013-like virus
• Timing of vaccination: Vaccination should occur before onset of influenza activity in the community.
• Travelers: Travelers who wish to reduce the risk for influenza infection should consider influenza vaccination, preferably 2 weeks before departure.
Please contact our office for details and appointments. Special arrangements can be made for large groups or companies that require all employees to be vaccinated. We are scheduled to receive the first batch of influenza vaccinations during October 2017.
In an effort to measure and assess our performance against set standards, Dr Andrew Kissane has taken part in clinical governance activities, including an audit cycle. We are conducting this practice at the American Clinic Tokyo and have audited the outcomes we are achieving for patients. The data has been published in an audit poster at the Royal College of Psychiatrists International Congress 2017 held in Edinburgh.
For more information, please follow the links below: https://www.psynary.com/ http://www.tokyomentalhealth.com
At its June 21-22 meeting, the CDC’s Advisory Committee on Immunization Practices (ACIP) recommended against use of live attenuated influenza vaccine (LAIV; FluMist) for the 2017-2018 flu season because of the vaccine’s reduced efficacy.
Therefore, the American Clinic Tokyo will not import or offer FluMist this season. We hope this willl change and look forward to be able to provide more options in the future.
Seasonal influenza vaccines will be administered as usual. We are supposed to receive the vaccines for the 2017-2018 season in October so please schedule with us when you can.
Urinary tract infections (UTIs) happen when bacteria get into the urethra and travel up into the bladder. They are among the most common infections in people, and antibiotic treatment is usually helpful in treating an infection.
If the infection stays just in the bladder, it is a called “cystitis.” Common symptoms include, pain or burning when urinating, urinary frequency or urgency, blood in the urine. Treatment will usually require a 3-5 day course of antibiotics.
But if the infection travels up past the bladder and into the kidneys, it is called “pyelonephritis.” Common symptoms include, fever, flank pain, nausea and vomiting. Treatment will usually require a 7-14 day course of antibiotics.
More information can be found here: https://www.uptodate.com/contents/urinary-tract-infections-in-adolescents-and-adults-beyond-the-basics
If you have any questions, feel free to call us at 03-6441-0969 and talk with one of our nurses.
The Japanese National Tourism Organization has prepared a guide for travelers in Japan. You can search medical facilities by area or keyword. The page is also available in Korean and Chinese.
Oral contraceptive (levonorgestrel) NorLevo® has been released for prescription in Japan on April 2016. It is better known as Plan B (morning after pill) in the United States. This is a single pill you take by mouth. It must be taken within 72 hours (3 days) after unprotected sex or birth control failure to help prevent pregnancy. The sooner you take it, the better it will work for you.
When used as directed, oral contraceptives are generally safe and effective. But it shouldn’t be used as regular birth control, because it’s not as effective. Some may experience side effects, such as: Nausea, Abdominal cramps, Fatigue, Headache, Dizziness, Breast tenderness, Vomiting, and a period that is lighter, heavier, early, or late. It is contraindicated during pregnancy as the indication is for emergency contraception only. This pill will not protect you against HIV/AIDS or other sexually transmitted infections (STIs).
You will know it worked when you get your next period, which should come at the expected time. If your period is more than a week late, it is possible you may be pregnant. You should get a pregnancy test and follow up with your doctor. If you have any questions, feel free to call us at 03-6441-0969 and talk with one of our nurses.
Pick up your free copy at our clinic.