Doctorcall
How could flu effect your business this winter?

Hopefully yours won’t be so badly affected, but many organisations will experience significant disruptions and costs due to lost productivity during the winter months. Billions of pounds are lost to UK businesses each year due to sickness absence, and especially flu.

A Doctorcall flu vaccination programme is an effective way to reduce the risk of flu in the workplace. For those unable to attend, Doctorcall Flu Vouchers are available at only £6.95 each and are redeemable at high street pharmacists nationwide, allowing staff to get vaccinated at a time and location which is convenient to them.

With vaccines available from only £5.50 each, call our specialist flu team now for a quotation on:

0844 257 0644

email: flu@doctorcall.co.uk

or visit us online at:

www.doctorcall.co.uk/flu
Throughout London at your home, office or hotel

Why go to the doctor when he can come to you for the same price?

Do you really want to drag yourself around town feeling ill and spreading your germs as you go? Why put up with endless waits in A&E with the risks of getting caught up in all the problems that come in and possibly even picking up a new disease while you are there?

A&E Departments are great for major accidents and heart attacks and (although the Government would prefer they weren’t) they are good for those who have nowhere else to turn. But there are horses for courses and if you are seeking private healthcare and if you are well-enough to wait for a home visit, Doctorcall is just the best. Private services are guilt-free: if you are paying for it, you don’t have to worry about whether you will be berated for wasting people’s time. The law of supply and demand means that the more you use the service the more it thrives.

The NHS does not take your personal circumstances into account; for example, if you are a family leaving for the airport and your son has earache, if you are a performer due on stage soon and you have a migraine or if you have a big day ahead and you want a doctor before work to give you antibiotics for a cough, Doctorcall is the perfect solution.

More and more people are using Doctorcall home visits instead of queuing up or suffering in silence. Many private doctors use it for their out-of-hours cover. Many of our patients write in to say they love it and we are particularly pleased because we really care for our patients and it is wonderful to see that they understand that. We love our service and we think you will too. Keep our number and try it when you need quick and helpful service.

0844 257 0345

People often ask whether flu vaccinations give protection against pandemic flu. Pandemics are caused by flu viruses that are completely new. Whereas in most infections you are exposed to, your immune system is immediately suspicious that this new thing is an enemy and doesn't take long to produce antibodies, if you are exposed to a completely new type of virus that doesn't appear suspicious, then your immune system is not primed and is much slower to respond. By the time it does, you are very ill indeed. Pandemics were caused amongst the indigenous Americans by our normal viruses when Europeans first visited the Americas because they had not been exposed to them before. In 1918 a new virus appeared to arrive from nowhere and killed more people than the First World War; we still do not know its origin.

Do flu vaccinations work and what are the risks?

The greatest risk is animal viruses as they will not be recognised by our immune systems. For this reason, bird or avian flu kills a up to half the people who contract it and it is mutating all the time and will be able to spread from human to human before long; indeed the first human-to-human case has recently occurred in China. In both the above examples, poverty and the absence of modern treatments made them worse than they would be now. We can also take some comfort in the reduced virulence of mutated viruses. However, there can be no doubt that an avian flu pandemic would kill many thousand people in this country and it is worse amongst the young. It is agreed that it is a matter of when not of whether an avian flu pandemic strikes. Seasonal flu vaccination is a self-funding programme as the reduction in sickness absence that comes with flu vaccination has been shown to more than pay for the vaccination programme. Does it also prime your immune system against pandemic influenza? We do not yet know which strain will cause a pandemic so this is hard to answer. However, seasonal flu vaccine includes H1N1 which is one of the strains we are worried about. We also know that people who have been exposed to more strains have had better-primed immune systems in past outbreaks. Therefore there is good reason to believe that seasonal flu vaccination is likely to help. Large companies have business continuity plans to try and keep the company going during a pandemic. The Government also has contingency plans in place with business continuity planning for the emergency services and with reactive support for the general population. Doctorcall are experts in influenza in relation to business continuity planning both in relation to seasonal influenza and pandemic flu. The Doctorcall on-site flu vaccination programme is the main occupational health flu programme in the UK. Doctorcall was the first OH provider to offer mass flu vaccination in the work place and is also a recognised expert in pandemic planning. For more information regarding seasonal influenza vaccination in the workplace and pandemic planning please contact Michael Blakemore at:

Michael.blakemore@doctorcall.co.uk

or 020 7535 1803.

Swimming is often recommended for patients suffering from lower back pain. The benefits over a land based fitness programme are obvious: the non-impact, weightless environment removes pressure from joints allowing associated structures to relax and compression on the nerves is reduced. Swimming also helps increase blood circulation, thereby increasing nutrient and oxygen supply to areas of damage, aiding the healing process.

However, before you grab those shorts or costume you need to be aware that swimming with poor technique can exacerbate existing back problems. Muscles in the lower back area can become hyper extended due to poor posture whilst swimming. Particularly common is swimming breaststroke with the head held high up out of the water putting sustained pressure on the lower back. Front crawl is an ideal stroke to master for those looking to prevent undue stress on the lower back. 

It is essential, however, that the stroke is technically correct so that the movement through the water is smooth. Unnatural awkward movements in the water can easily damage tissue through the back. Top tips for mastering front crawl are:

  • Think straight lines. As you swim you should imagine that a view from the side (underwater) would show your body position parallel to the water surface; this is achieved by ensuring the face is submerged with the water, the abdominal muscles pulled in and up, and the glute muscles engaged. You should also imagine that a birds eye view of you swimming would show a straight line in the water - i.e. no lateral deviation or snaking.|

  • Roll with it. As you breathe to the side you must ensure this is timed with the roll of the body. Lifting the head or excessive twisting will at best slow you down, and at worst cause damage to cervical vertebrae. Be sure to rotate the head only within the axis of the body keeping the head down as much as possible.

  • Work towards bi-lateral breathing (alternating the sides to which you take a breath). This helps to ensure you have a balanced front crawl stroke.

  • Equip yourself. Goggles are an essential tool but equally short training fins are extremely useful for mastering the correct body position in the water. In more severe cases of back pain using a training snorkel can help reduce the awkward movement of the neck when taking breaths.
For more details of one to one training available in Manchester city centre with Bespoke swim visit www.bespoke-fitness.com or call James Atkinson on 07886 205851.
ATTENTION ALL RUNNERS:

For all those in training for the London Marathon, re-starting triathlon training, Manchester 10k and anyone just running for fun. Make sure you resolve any of your niggles and injuries with a visit to City Physio. We specialize in diagnosis of running related injuries and will aim to keep you running whilst correcting the cause of your problems.

As a client of City Physio you will receive a 10% discount on your running shoes at "Sweatshop" in the Arndale Manchester. Video gait analysis is available at no extra cost.

Sweatshop (www.Sweatshop.co.uk) and City Physio frequently liaise on the run up to major running events. Patrons of both businesses can enjoy mutual 10% discounts at each others store/clinics. Speak to a member of the Physio team for details.