Our Performance Against Set Standards

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.

ACT audit RCPsych Int Congress 2017    Audit RCPsych Int Congress 2017

For more information, please follow the links below:

https://www.psynary.com/

http://www.tokyomentalhealth.com

Urinary tract infections: Treat with antibiotics as soon as possible

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 03-4405-6210 and talk with one of our nurses.

Morning-after-pill NorLevo® and oral contraceptives in Japan

Oral contraceptive (levonorgestrel) NorLevo® was released for prescription in Japan in April 2016. It is better known as Plan B (morning after pill) in the United States. This pill 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 used for emergency contraception only and not during pregnancy. Please note that his 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 questions, call us at 03-4405-6210 and talk with one of our nurses.

2016-2017 Influenza Vaccines available now

It’s this time of the year again. The flu vaccine has arrived and we are ready to vaccinate. Please consider placing an appointment with us when you are ready.

CDC’s Advisory Committee on Immunization Practices (ACIP) voted that live attenuated influenza vaccine (LAIV), also known as the “nasal spray” flu vaccine, should not be used during the 2016-2017 flu season. Therefore, we will not be administering FLUMIST this year. We apologize for the inconvenience.