Latest Influenza Vaccine Available now
Protects against Flu 2020 and H1N1 Viruses
Make a Vaccination Appointment at Tel : 6694 1661
* Limited Stocks / While stocks last

Flu Subsidy Scheme eligible for Singaporeans & PRs (Pay subsidized rate of $10 for Consultation and Treatment) & Merdeka Generation /Pioneer Generation seniors (Pay subsidized rate of $5) for patients diagnosed with Acute Respiratory Infections (ARIs). Please make your appointment at Tel: 6694 1661.

AIPC is part of MOH's Swab & Go Home programme. Our clinic can carry out the COVID-19 Swab test for anyone who meets the MOH medical criteria.

AIPC is part of the National Influenza Sentinel Surveillance programme with MOH. If you have a fever of > 38 degrees with a cough, our clinic is able to test for COVID-19. For children below 12 years old with clinical diagnosis of HFMD (eg fever, oral ulcers, rash), our clinic can test for Hand Foot & Mouth Disease (The tests are for surveillance purposes only).

Up to $400 per Medisave Account per year can be used for Vaccinations under the National Adult Immunisation Schedule - Influenza, Pneumococcal (PCV13/PPSV), Human Papillomavirus (HPV2/HPV4), Hepatitis B, Tetanus, Diphtheria & Pertussis (Tdap), Measles, Mumps & Rubella (MMR) and Varicella.

Fight against Dengue!

AMDA International Peace Clinic, in collaboration with NEA will be giving away a FREE bottle of Mosquito Repellent each to AMDA clinic patients. While stocks last! Make your appointment at Tel: 6694 1661.

What is Rheumatoid Arthritis?

Rheumatoid arthritis is a disease of the joints, usually the smaller joints of the body. Many people believe wrongly that this is always a disabling, severe condition. In fact, it may be mild and can be well controlled using modern medicine. It is not infectious, but no one is able to say what triggers it. There is no cure for this condition, but all patients can be treated.

WHAT ARE THE SYMPTOMS OF RHEUMATOID ARTHRITIS?

Rheumatoid Arthritis symptoms will vary a great deal from person to person, as well as from day to day. However, some of the common symptoms include:

· Stiffness and tenderness of the small joints, especially of the wrist, hands and feet (the base of the fingers, thumbs or toes can be affected; less commonly it can affect the larger joints such as the knee, shoulder, ankle and neck)

· Tiredness

· Morning stiffness

In summary, the main symptoms are pain, stiffness and swelling of the small joints.

HOW IS RHEUMATOID ARTHRITIS DIAGNOSED?

After being suspected by the doctor upon examination, rheumatoid arthritis can usually be diagnosed by tests, including x- rays of the hands and special blood tests.

HOW COMMON IS THE PROBLEM?

About 2 persons in 100 suffer to some extent from rheumatoid arthritis. It is more common in females. Most sufferers are between 40 and 60 years of age, but the disease can affect people in any age group, even in juveniles (Juvenile Rheumatoid Arthritis or JRA). However, the majority of patients have little or no long- term problems and only 1 patient in 10 is severely affected.

WHAT ARE THE RISKS OF RHEUMATOID ARTHRITIS?

In severe cases the swollen and deformed joints may become partly or completely dislocated, causing considerable discomfort and problems with walking if the knee or foot joints are affected. The tendons may become so weak that they can snap. A special problem is the neck, which can become unstable so that manipulative procedures can be dangerous and cause paralysis.

WHAT IS THE TREATMENT FOR RHEUMATOID ARTHRITIS?

EXERCISE

It is important to keep fit. Walking and swimming are to be encouraged. Many local councils and physiotherapists offer swimming and other forms of hydrotherapy in heated pools. Home exercise routines to prevent muscle weakening can be provided by your physiotherapist or doctor.

REST

Rest is important and depends on how you feel. It must be sensibly balanced with exercise. If an exercise causes pain, it should be altered or reduced.

JOINT MOVEMENT

Each joint affected should be put through a daily full range of motion to keep it mobile and to reduce stiffness. Protect any weakened joints or tendons by lifting gently and smoothly rather than in a jerking motion.

HEAT AND COLD

For stiff joints a hot-water bottle, warm water or a heat lamp can help. For morning stiffness an electric blanket or a warm shower can be helpful. Sometimes cold packs or water are appropriate, for example over a hot, tender joint.

DIET

There is no special diet. No specific food has caused arthritis and no specific diet will cure it. However, a nourishing and well-balanced diet including adequate fibre will promote health and a sense of well-being. Maintain a normal weight to lessen the burden on your joints.

RHEUMATOID ARTHRITIS MEDICATION

There are many effective pain-killing and anti-inflammatory drugs available to treat rheumatoid arthritis. The basic drug is likely to be aspirin in high doses, but it can cause ringing in the ears and other unpleasant effects. Your doctor may have to experiment for a time before finding the best drugs for you.

SURGERY

Occasionally surgery may help if a particular joint is severely inflamed by removing the inflamed lining called the synovium. In later stages it may be possible to replace a badly damaged joint with an artificial joint.

SUPPORT

Excellent leaflets and practical help are available from the Arthritis Foundation in your city. These include information about and access to a wide range of inexpensive equipment and tools that can assist your daily living.

Groups at Higher Risk for Severe Illness in a COVID-19 Infection

Comorbidities & Underlying Health Conditions in COVID-19 Patients with Complications

· Hypertension

· Diabetes mellitus

· Cerebrovascular disease

· Cardiovascular disease

· Chronic lung disease (COPD)

· Chronic Kidney disease

· Asthma

· Dementia

· Chronic Neurological Disorder

· Cancer

· Rheumatological Disorder

· Obesity

· Smoking

· Chronic Hematologic disease / Haemoglobin Disorders

· Liver disease / Hepatitis B Infection

· Malnutrition

· Immunodeficiency / Immunocompromised eg HIV AIDS

· People aged 65 and older

(Ref: https://www.nature.com/articles/s41430-020-0642-3.pdf, Dailymail.co.uk, https://pubmed.ncbi.nlm.nih.gov/32320003/, Comorbidity and its impact on 1590 patients with Covid-19 in China: A Nationwide Analysis https://erj.ersjournals.com/content/early/2020/03/17/13993003.00547-2020

Reduce your risk of getting sick with COVID-19

Make sure your vaccinations are up-to-date. People older than 65 years, and those with many underlying conditions, such as those who are immunocompromised or with significant liver disease, are recommended to receive vaccinations against influenza (Flu 2020) and pneumococcal disease (PCV).
Do not delay getting medical care for your underlying condition because of COVID-19. AMDA International Peace Clinic has contingency MOH infection prevention protocols to protect you from getting COVID-19 if you need care for your underlying condition.
Continue your medications and do not change your treatment plan without talking to your doctor.
Make sure that you have at least a two-week supply of your chronic disease medications.
Call AMDA @ Tel: 6694 1661 for a medical appointment if you have any concerns about your underlying medical conditions or if you get sick. AMDA is a PHPC-accredited medical clinic. Under the MOH Swab & Go Home programme, our doctors can do a COVID-19 PCR Swab test if you meet the MOH medical crtieria.

Singapore is free from vaccine-preventable diseases like poliomyelitis, diphtheria, tetanus and pertussis (whooping cough) because of our successful immunisation progamme.

National Adult Immunisation Schedule (NAIS) Singapore @ AMDA International Peace Clinic. Make your vaccination appointment at Tel: 6694 1661.

Health Assessment & Screening Packages

Health Assessment

Health Screening Packages

Back Pain and Your Brain: William S. Marras at TEDxOhioStateUniversity

Ph.D., CPE. William S. Marras holds the Honda Endowed Chair in the Department of Integrated Systems Engineering at the Ohio State University. He serves as the director of the Biodynamics Laboratory and is in the process of developing the Spine Research Institute at The Ohio State University. Dr. Marras also holds joint appointments in the Departments of Orthopaedic Surgery, Physical Medicine & Rehabilitation, as well as Biomedical Engineering.

His research is centered on musculoskeletal causal pathway investigations including occupational biomechanical epidemiologic studies, laboratory biomechanics studies, mathematical modeling, and clinical studies of the spine. His findings have been published in over 200 peer reviewed journal articles and numerous books and book chapters including a recent book entitled "The Working Back: A Systems View." Professor Marras was the past Chair of the Board on Human Systems Integration at the National Research Council (NRC). He is currently Editor-in-Chief of Human Factors, Deputy Editor of Spine, and has been elected to the National Academy of Engineering (the National Academies).

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