24 New Familes & Family Health Managing long Covid


Long Covid symptoms may affect up to one in 10 persons following SARS-CoV-2 infection. Symptoms vary between individuals, both in severity and duration. Data suggests that post-viral symptoms may be the result of persisting immune- system activation. Te exact pattern of immune activation may vary, and this variation may explain why those with long Covid experience different symptoms. Myeloid cells may be involved in some cases of long Covid, while the complement system, which involves a cascade of proteins that are activated during inflammation, may be involved in others. Subtypes


emerging, each


of long Covid are associated with


specific proteins, with five overlap- ping subtypes described: fatigue, anxiety and depression, cognitive impairment, cardio-respiratory and gastrointestinal. Protein markers may hold a key to future diagnostic tests and treatments. A multi- disciplinary


approach to care their management plan. is


ideal, with the person at the heart of


Inves-


tigations may include blood tests, a CT chest


DR ANGELA JONES scan, a 12-lead ECG


10TH SEPTEMBER 2024 FAMILY VALUES DISTRIBUTED WITH No ‘one size fits all’ for long Covid diagnosis


and treatment: a patient- centred, bespoke, multi- disciplinary approach is


best for improved patient wellbeing and outcomes


A cause of chronic rib pain - slipping rib syndrome


Slipping rib syndrome (SRS) is also known as rib-tip syndrome, painful rib syndrome, clicking rib and inter- chondral subluxation. It’s associ- ated with hypermobility where the affected rib slips under the supe- rior adjacent rib — during this movement, the intercostal nerve is trapped, triggering the


symp-


toms. Its main clinical character- istics


include persistent rib cage


and echo, and lung function tests. Lifestyle changes are advisable, including smoking cessation and getting dietary advice, as well as tailored cardio-pulmonary rehabil- itation. Psychological therapy often completes a holistic approach to a person’s wellbeing and recovery. If you are experiencing symptoms that may suggest long Covid, please seek further medical advice from your NHS GP. Alternatively, you may wish to seek additional support from Dr Angela Jones and her team now.


For more info, email Dr Angela Jones’s secretary at


laurastacey.lsh@gmail.com to book an appointment at Syon Clinic in Isleworth


discomfort, sharp pain in the lower ribs on one or both sides, along with a possible burning sensation and radiating symptoms to the anterior ribs or to the back. While still rela- tively unfamiliar to most health- care providers, recent publications demonstrate that SRS accounts for approximately 5% of all musculo- skeletal chest pain in primary care. It can be the result of a previous blunt rib cage injury but often can be congenital anomaly or of unknown origin. Given the vagueness of symp-


toms, variety of location distribution and lack of radiological evidence, patients can sometimes undergo various investigations and experi- ence symptoms for several months before they’re diagnosed. An initial diagnosis can be made


with clinical examination and confirmed with a dynamic ultra- sound. Conservative treatment options include rest, analgesia, anti-inflammatory medication and avoidance of strenuous exercising. Injection of local anaesthetic with


Your health, your eyes


Mr Danny Mitry is an internationally renowned, highly accomplished consultant ophthalmic surgeon in London with extensive sub-speciality expertise


It’s easy to neglect your eyes — because they often don’t hurt when there’s a problem. A good ophthalmologist will spot many general health problems and early signs of eye conditions before you’re aware of any symptoms, many of which can be treated. Some people are more at risk of eye problems, such as those over the age of 60, diabetics and those with a family history of eye disease. Mr Mitry is a consultant surgeon


ophthalmic in London


with extensive sub-speciality expertise. His clinical interests are cataract surgery, refractive lens exchange with multifocal lenses, retinal surgery and general


MR DANNY MITRY


ophthalmology. He’s an acclaimed, highly experienced ophthalmolo- gist and ophthalmic surgeon who’s performed thousands of eye oper- ations with an exceptional level of success and patient satisfaction. He’s also an accomplished academic ophthalmologist who’s published more than 50 research articles in leading ophthalmic journals. He was awarded a PhD from the University of Edinburgh for his extensive work on the causes and outcomes of retinal detachment surgery. Mr Mitry has given many lectures nationally and has been an invited lecturer in Europe and the US. He graduated with honours in surgery from Trinity College Dublin and completed his residency training at the world-re- nowned Moorfields Eye Hospital in London. He’s a consultant at the London Clinic Eye Centre in Harley Street and the Royal Free Hospital in Hampstead, London.


steroids can be a diagnostic and symptomatic relief option. If more conservative measures fail, surgery for the stabilisation of the rib can provide, in selected patients, a definitive solution.


MR NIKOLAOS PANAGIOTOPOULOS Get in touch: Mr Nikolaos Panagiotopoulos is a


London-based consultant thoracic surgeon with an interest in minimally invasive and robotic assisted thoracic surgery. Contact for appointments: T: 07501 789354 or E: nick@chestsurgeon.co.uk. Visit: chestsurgeon.co.uk


Why should you be checked for liver disease?


Te Liver Physicians are two leading doctors in the field of liver diseases


Liver disease can develop without symptoms. Complications such as cirrhosis of the liver can be avoided by early detection and treatment. It’s important to have screening blood tests and imaging for liver disease if you’re at risk, such as from excessive alcohol intake or weight gain, high cholesterol, or diabetes resulting in a fatty liver. Dr Ameet Dhar and Dr Nowlan


Selvapatt are leading Consultant Hepatologists providing the latest liver care with excellent feed- back. Tey’re consultants at Impe- rial College Healthcare NHS Trust, where Dr Dhar is also Head of Speci- ality for Liver Services. Together they provide comprehensive


and mitryvision.com


T: 020 3826 8370 E: secretary@ mitryvision.com


The London Clinic Eye Centre, 119 Harley Street, London W1G 6AU


personalised care with an expertise in liver disease including cirrhosis, liver transplants, and alcohol, fatty liver, metabolic liver and autoim- mune liver diseases. Tey provide inpatient and outpatient care, with access to the latest investigations to diagnose the cause and severity of liver disease including fibroscan. Teir private practice is based


at One Welbeck, the Wellington Hospital,


and Healthcare. The Liver Physicians


T: 020 3983 8331 E: secretary@liverphysicians.co.uk


Imperial Private DR AMEET DHAR PHD FRCP


DR NOWLAN SELVAPATT PHD MRCP


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