Primary care including all areas of internal medicine
Regularly surveillance of, and therapy for the following chronic diseases:
- Coronary artery disease
- Diabetes type 2
Asthma/COLD
Treatment and surveillance of chronically ill patients as part of the DMP (Disease management programs) supported by health insurance.
Regularly surveillance of, and therapy for the following chronic diseases:
- Coronary artery disease
- Diabetes type 2
- Asthma/COLD
Vaccination
Regular vaccination against:
- diphtheria/tetanus/polio/pertussis: every 10 years.
- measles, mumps, rubella (measles – from 2020 vaccination is necessary and required for everybody working with children and working within any health care system).
- pneumococcus (pneumonia): recommended for all people above 60 years and for patients with diseases including asthma, chronic bronchitis, and age decreased immune system (above 50 years).
- influenza: from September until March on an annual basis and advisory for all.
Vaccinations for travel:
tick-borne encephalitis, rabies, typhus, hepatitis A and B
https://www.rki.de/DE/Content/Kommissionen/STIKO/stiko_node.html
Psychosomatic Treatment
Anamnesis and treatment for:
- burn-out syndrome
- depression
- stress reactions; eg work based harrassment or mourning
Diagnoses
- Ultrasound of the abdomen
(eg gallstones, inflammation of the gall bladder, appendicitis, diseases of the liver or kidney, chronic inflammatory bowel disease)
- Ultrasound of the thyroid
(eg hypofunction or hyperactivity due to Hashimoto or Graves disease)
- Ultrasound of the venous system of the legs
( to diagnose a deep vein thrombosis)
- Analysis of the blood
(for diabetes, stomach conditions, problems with the liver, pancreas, intestine, colon, kidneys; fat metabolism disorder, acute infections, lab checks concerning the thyroid during pregnancy or regarding fertility.
- ECG
(eg rhythm disorders, prior to taking specific medication, preceding surgery)
- stress-ECG (eg coronary artery disease)
- 24h-blood pressure measurement (eg hypertension assessment or for surveillance under antihypertensive medication)
- pulmonary function test (spirometry)
( eg asthma,COLD assessment or for surveillance under medication)
Prevention
Health-Check 35+ (anamnesis, physical investigation)
To advise in the prevention of:
- coronary artery disease
- diabetes mellitus type 2
- fat metabolism disorder
- kidney disease
once until the age of 35
every three years from the age of 35
Prevention/detection of skin cancer
Individual health care services
(In German“ IGEL services”, which are not paid by the statutory health insurance)
- additional echocardiography within the check-up 35+
- additional ultrasound of the abdomen within the check up 35+
- additional lab checks
- advice on health care directive (living will)
Diagnoses
- Ultrasound of the abdomen
(eg gallstones, inflammation of the gall bladder, appendicitis, diseases of the liver or kidney, chronic inflammatory bowel disease)
- Ultrasound of the thyroid
(eg hypofunction or hyperactivity due to Hashimoto or Graves disease)
- Ultrasound of the venous system of the legs
( to diagnose a deep vein thrombosis)
- Analysis of the blood
(for diabetes, stomach conditions, problems with the liver, pancreas, intestine, colon, kidneys; fat metabolism disorder, acute infections, lab checks concerning the thyroid during pregnancy or regarding fertility.
- ECG
(eg rhythm disorders, prior to taking specific medication, preceding surgery)
- stress-ECG (eg coronary artery disease)
- 24h-blood pressure measurement (eg hypertension assessment or for surveillance under antihypertensive medication)
- pulmonary function test (spirometry)
( eg asthma,COLD assessment or for surveillance under medication)