Do I need a fourth jab? DR ELLIE CANNON answers your health queries – What We Know!

Along with all over-75s, anyone who is considered severely immunosuppressed should be eligible for a second booster, at least three months on from their last dose. (File image)

I’m aged 73 and have rheumatoid arthritis, which is managed with a drug, Rituximab, which I’m given through an injection every year. I used to be additionally handled for breast most cancers ten years in the past, and have had no recurrence. My hospital advisor has advised me that I would like a second Covid booster – it’ll be my fourth jab – and that whereas ready, I ought to isolate, to be on the secure facet. My GP, nonetheless, says I don’t want one other jab but and I don’t want to fret. Who do I consider?

All through the coronavirus pandemic, the principles and laws have been made at a excessive stage throughout the Division of Well being or NHS England, and GPs are merely implementing their directions. 

That is the case once we supply individuals vaccinations and once we supply remedy for Covid, as we are able to now, as an example.

Laptop searches alert us to who’s or isn’t eligible for this stuff.

The identical course of was used for shielding recommendation. If a affected person’s information contained particulars of a situation that put them at excessive danger, they have been mechanically despatched a letter, texts or emails advising them to isolate.

Together with all over-75s, anybody who is taken into account severely immunosuppressed ought to be eligible for a second booster, a minimum of three months on from their final dose. 

This would come with individuals having remedies for rheumatoid arthritis often called biologics, or steroids, each of which suppress the immune system.

Together with all over-75s, anybody who is taken into account severely immunosuppressed ought to be eligible for a second booster, a minimum of three months on from their final dose. (File picture)

Hospital consultants who oversee this sort of remedy are supposed to jot down to the GP on behalf of their affected person and allow them to know the scenario. 

However this doesn’t at all times occur. It implies that GP information might not be totally updated with the proper key phrases that ought to instigate the vaccination invitation.

Often, in every surgical procedure there’s somebody throughout the administrative crew who would look into this, and it will be price making an attempt to talk to them.

An alternative choice can be to name 119, the place recommendation is obtainable on particular vaccination choices.

I went by the menopause a minimum of ten years in the past with out taking HRT. I’m now 61. Wouldn’t it be helpful for me to start out taking it now, to provide my bones some safety?

Nobody has to go on HRT – some kinds of that are in brief provide for the time being. The selection to take treatment relies on what a lady desires, and her signs.

HRT could be prescribed at any age from the perimenopause on, with no higher age restrict. It’s used to regulate issues reminiscent of sizzling flushes, vaginal dryness and the psychological well being adjustments related to the menopause.

It’s also used to guard towards the bone-thinning illness osteoporosis, notably in girls who’ve had an early menopause. Oestrogen helps to keep up bone energy and density and forestall fractures.

No one has to go on HRT – some types of which are in short supply at the moment. The choice to take medication depends on what a woman wants, and her symptoms

Nobody has to go on HRT – some kinds of that are in brief provide for the time being. The selection to take treatment relies on what a lady desires, and her signs

There are numerous components that may increase the danger of osteoporosis, together with being a low weight, smoking, alcoholism and use of steroid medicines. Having a mom who has had a hip fracture or osteoporosis additionally raises the danger.

Medical doctors can decide whether or not bone safety is required utilizing a DEXA bone scan, which seems on the hip bones and backbone to diagnose osteoporosis or the stage earlier than it, often called osteopenia.

If an issue is seen, now we have particular medicines. For milder points we might use calcium and Vitamin D dietary supplements.

Weight-bearing train reminiscent of dancing or strolling is necessary to guard bones for post-menopausal girls, too.

I’m ready to have my gallbladder eliminated as a consequence of gallstones. The hospital cancelled my surgical procedure appointments twice, after which I caught Covid and needed to cancel. The hospital says I’ve to attend seven weeks earlier than it should even e book me again in, after which it’ll in all probability be weeks and even months earlier than the op. I’m in a lot discomfort that I can barely eat. What can I do?

A lot of my sufferers are ready for operations for the time being. 

Covid has triggered a backlog, and now it’s simply delay upon delay ad infinitum.

DO YOU HAVE A QUESTION FOR DR ELLIE?

E-mail [email protected] or write to Well being, The Mail on Sunday, 2 Derry Road, London, W8 5TT.

Dr Ellie can solely reply in a common context and can’t reply to particular person instances, or give private replies.

In case you have a well being concern, at all times seek the advice of your individual GP.

Gallstones are stable lumps of ldl cholesterol that may type within the gallbladder – just a little pouch throughout the liver which incorporates bile, a substance that helps digest fat.

The stones could cause the gallbladder to develop into infected, or they’ll get caught within the small tube exiting the gallbladder often called the bile duct, inflicting great ache.

They’ll additionally set off infections requiring hospitalisation.

If gallstones are a persistent drawback, the gallbladder needs to be eliminated. 

This may be accomplished with keyhole surgical procedure and it’s normally very profitable.

However some individuals don’t need an operation and as an alternative attempt to management their signs by dropping pounds and sustaining a low-fat eating regimen. 

Each these measures forestall gallstones from forming.

Avoiding fats implies that bile will not be wanted for digestion, and it principally helps to provide the gallbladder a relaxation.

Fasting ought to be averted for anybody with gallstones, since it’s recognized to make the scenario worse.

Ache reduction, whereas ready for the op, can also be necessary. Your GP ought to have the ability to supply one thing fairly robust.

It’s all surprisingly quiet now we’re not doomed

Apocalyptic warnings? Covid infections are continuing on their downward trend, having peaked in late March

Apocalyptic warnings? Covid infections are persevering with on their downward pattern, having peaked in late March

What goes up should come down. 

However in terms of Covid charges, there are lots of within the science group who appear thinking about making noise solely when the previous is occurring.

Infections are persevering with on their downward pattern, having peaked in late March. 

This fall started prior to colleges closing for Easter and has been sustained.

And earlier than you say it’s simply because we’re not testing, the figures are being taken from the An infection Survey reported by the Workplace for Nationwide Statistics, so not affected by individuals swabbing locally.

Hospitalisations and deaths, which have been mercifully small, have been falling too.

There have been apocalyptic warnings when the final Covid restrictions have been dropped, however it seems as if it was the precise name.

It’s humorous how those self same voices of doom are silent now that issues are going effectively. It’s virtually as if some individuals don’t need the pandemic to finish.

Pet medicines aren’t for people

A few weeks in the past I warned readers to not swap HRT prescriptions with different girls, after I learn tales about some doing this due to the present shortages.

However now I’ve found one thing much more worrying: individuals taking treatment which is meant for his or her pets. 

I even obtained a baffling letter from a reader asking whether or not she may take a drug designed for horses to deal with her chest an infection.

The reply is completely not – it’s extremely harmful.

Even when a medication for animals can also be used for people, will probably be in a distinct formulation and dose. 

And, most significantly, the precise compound is not going to have been examined on people to test for potential unintended effects.

Should you’re ever unsure about treatment, please go to a neighborhood pharmacist or ask your GP for recommendation.