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About our Medical Clinic

Whether you have an existing medical condition, need a one-off checkup, or just want friendly advice about your personal health, Twins Medical Clinic is here to serve your needs with a caring, sensitive & holistic approach.

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Our Services

24 Hour Open Laboratory Services

Twins Medium Clinic provides the following laboratory tests:-

    • CBC, HBSAg, HCV
    • Helicobacter Pylori (H. pylori)
    • Liver function Test

SGOT, SGPT, ALP, GGT, Total Billirubin

    • Renal Function Test

BUN, Creatinine

  • Cholesterol, HDL, LDL, Triglycerides, Uric Acid
  • Sputum test, urinalysis, stool examination

Chronic Disease Management

There is a growing epidemic of chronic disease across the world due to tobacco use, unhealthy diets, physical inactivity, and other risk factors. Whilst it is important to prevent these diseases from happening in the first place (which we are also trying to do – termed ‘primary prevention’), it is also important to prevent them from getting worse or causing other problems in patients who already have them (this is called ‘secondary prevention’). With good management of chronic diseases, people can live longer.

A good example of this is diabetes – if you don’t manage a patient with diabetes properly, their diabetes will get worse, and over a number of years, they may end up with kidney failure, blindness, heart attacks, strokes, gangrene of the legs and so on. And then they end up being hospitalised. If we treat a patient’s diabetes and get their sugars under good control, we can stop them from getting most of these things and reduce unnecessary hospitalisation. Clearly, this is very good news for the patient (as it stops their lives from being hampered by illness, infirmity and disability) but it’s also good for the healthcare in general because the cost of treating these complications and subsequent hospitalisation would otherwise be very expensive.

Offering good coordinated care that is in line with national and local guidance reduces the fragmentation of care and also reduces the risk of clinical error (including medication errors) and thus litigation risk. In summary, by optimising the management of a patient’s chronic disease, everyone is a winner.

Diabetes Tests, Treatment and Follow up

Type 2 diabetes is often diagnosed following blood or urine tests for something else.

However, you should make an appointment with us straight away if you have any symptoms of diabetes.

To find out if you have type 2 diabetes, you usually have to go through the following steps:

  1. See your one of our doctors about your symptoms.
  2. We will check your urine and arrange a blood test to check your blood sugar levels. It usually takes about 1 to 2 days for the results to come back.
  3. If you have diabetes, we will ask you to come in again so they can explain the test results and what will happen next.

If you’re diagnosed with diabetes

What our doctors will discuss with you during your appointment depends on the diagnosis and the treatment they recommend.

Generally, they’ll talk to you about:

  • what diabetes is
  • what high blood sugar means for your health
  • what medication you’ll have to take
  • your diet and exercise
  • your lifestyle – for example, alcohol and smoking

GI disease test, treatment and follow up.

If you are experiencing abdominal/stomach discomfort, Twins Medium Clinic offers a speedy treatment for gastrointestinal ailments.

Pneumonia, Asthma and Pulmonary, TB diagnosis and treatment

Asthma and pneumonia are two diseases that affect the lungs.

Asthma is a chronic condition. It causes periodic inflammation and narrowing of the airways. It affects the main bronchi, which are the two tubes that branch off the trachea (windpipe). Asthma isn’t curable, but you can effectively manage it. And it can even improve over time.

Pneumonia is a lung infection. It can occur in one or both lungs. It causes inflammation of the air sacs. It can also cause your lungs to fill with fluid. It’s possible to treat and cure pneumonia.

Although their symptoms are similar, asthma and pneumonia are distinct diseases that require different treatment approaches.

Antenatal Care follow up

These appointments will allow your doctor, midwife and other people on your healthcare team to help both you and your baby stay healthy. Even if your pregnancy is going well and you’re feeling well, it’s important for you to attend your appointments so that any potential risks can be identified and prevented, or reduced.

It’s also a great opportunity to ask any questions you have about your pregnancy such as what’s happening during each trimester, physical pregnancy symptoms and the birth itself. You may want to ask questions about caring for your baby after the birth.

You can also get support to help you with your lifestyle, including mental health or dietary advice, or help to quit smoking or drinking alcohol. You can discuss any problems you might be having at home.

Sexual transmitted infection test and treatment

Twins Medium Clinic offers a discreet and trusted sexual health service. We offer comprehensive STD screening and sexual health advice.

We offer a wide range of screens for Sexually transmitted infections (STIs) including HIV, Chlamydia, Gonorrhoea, Syphilis and Hepatitis B and C.

Screening for sexually transmitted infections (STIs) is an important part of maintaining your sexual well-being, and it is a good idea to get tested if you have unprotected sex, whether you display symptoms or not.

Alcohol Advice

Twins Medium Clinic recommends that men should not regularly drink more than 3-4 units of alcohol a day and women should not regularly drink more than 2-3 units a day, “Regularly” means drinking every day or most days of the week.

We offer support, information, advice and signposting to individuals who drink above “safe” levels of alcohol for whatever reason. To book an initial appointment, please call +251 118227889 or +251 954985754/55.

Alternatively, please message us using our Contact Form. We will arrange any necessary appointments based on the information that you provide.

Breast Screening

At Twins Medium Clinic, all women who are aged between 50 – 70 years of age will be routinely invited for breast screening every three years. Regular breast screening is proven to save lives.

Breast screening aims to find breast cancer at an early stage, often before there are any symptoms. To do this, an x-ray is taken of each breast (mammogram). Early detection may often mean simpler and more successful treatment.

Can I Deal with the Problem Myself?

Keeping a well-stocked first aid kit and medicine box can help you to deal with many minor ailments which can affect both you and your family.

Essentials for your first aid kit

  • 2 Sterile Eye Pads
  • 1 Crepe Bandage
  • 4 Triangular Bandages
  • 6 Medium Sterile Dressing Pads
  • Assorted waterproof plasters
  • 2 Pairs of Sterile Gloves
  • 1 Pair of Tough Cut Scissors
  • 6 Alcohol-Free Wipes
  • 6 Safety Pins
  • Medical Tape

Even the most minor illnesses can disrupt your life and leave you feeling down. Keeping a well stocked and relevant medicine box/cupboard can help you to treat minor illnesses such as colds, headaches and diarrhoea.

Medicine box essentials

  • Pain relief – such as aspirin, paracetamol and ibuprofen for relieving minor aches and pains. Please note that Aspirin must not be given to children under 16.
  • Antihistamines – such as tablets and creams these can help with the symptoms of Hay Fever and calm to itchiness during Chickenpox. Some antihistamines may cause drowsiness. Ask your pharmacist about this as they may be able to advise you on a type which does not cause drowsiness.
  • Anti-diarrhoea tablets – tablets such as Imodium, Arret and Diasorb can help to stop the unpleasant side effects of diarrhoea but do not tackle to route cause. Should your diarrhoea continue for more than 3 days please seek medical advice.
  • Oral rehydration salts – fevers, diarrhoea and vomiting make us lose water and essential minerals which can lead to dehydration. Keep these at hand to help your body recover some of what it’s lost.
  • Indigestion treatment – Antacids come as chewable tablets, tablets that dissolve in water or in a liquid form. These help to reduce stomach acidity and bring relief to the symptoms of heartburn.
  • Sunscreen – always keep at least factor 15 sunscreen at hand to protect yourself from the sun’s harmful effects

Childhood Immunisations

One of the most important things that a parent can do for their child is to make sure that they have all their routine childhood vaccinations. It’s the most effective way of keeping them protected against infectious diseases.

Ideally, children should have their jabs at the right age to protect them as early as possible and minimise the risk of infection.

Find out which jabs your child needs, when they need them, and what the benefits of each jab are.

Please call us to make an appointment.

Chlamydia Screening

Chlamydia screening is available from the surgery.

Get in touch with us and we’ll arrange an appointment. It is a completely confidential service where you supply a urine sample and receive the results quickly.

Chronic Heart Disease

The most common symptoms of coronary heart disease (CHD) are chest pains (angina) and a heart attack.

You can also experience other symptoms, such as palpitations and unusual breathlessness. In some cases, people may not show any symptoms before they are diagnosed.

Angina

If your coronary arteries become partially blocked, it can cause chest pain (angina). This can be a mild, uncomfortable feeling similar to indigestion. However, a severe angina attack can cause a painful feeling of heaviness or tightness, usually within the centre of the chest, which may then spread to the arms, neck, jaw, back or stomach.

Angina attacks are often triggered by physical activity or stressful situations. Although symptoms of Angina usually pass within 10 minutes, you can alleviate the symptoms by resting or using a nitrate tablet or spray.

Heart attacks

If your arteries become completely blocked, it can cause a heart attack (myocardial infarction).

Heart attacks can cause permanent damage to the heart muscle and, if not treated straight away, can be fatal.

If you think you are having a heart attack, and you are in Addis Ababa, phone one of the emergency numbers below:-

  • Minilik II Hospital +251.11 1234272
  • Municipality +251.11 1115348
  • Red Cross society 907

Although symptoms can vary, the discomfort or pain of a heart attack is usually similar to that of angina but often more severe. During a heart attack you may also experience the following symptoms:

  • sweating
  • lightheadedness
  • nausea
  • breathlessness

The symptoms of a heart attack can be similar to indigestion. For example, they may include a feeling of heaviness in your chest, a stomach ache or heartburn. However, these symptoms can also be accompanied by a pain that affects the arms (particularly the left arm), the neck and the jaw.

A heart attack can happen at any time, including while you are resting. If heart pains last longer than 15 minutes, it may be the start of a heart attack.

Unlike angina, the symptoms of a heart attack are not usually relieved using a nitrate tablet or spray.

In some cases, you may have a heart attack without any symptoms, called a silent myocardial infarction. This is more common in people with diabetes.

Heart failure

Heart failure can also occur in people with CHD when the heart becomes too weak to pump blood around the body, which can cause fluid to build up in the lungs that makes it increasingly difficult to breathe.

Heart failure can happen suddenly (acute heart failure) or gradually over time (chronic heart failure).

Diabetes

Diabetes is a long-term condition caused by too much glucose, a type of sugar, in the blood. It is also known as diabetes mellitus.

There are two main types of diabetes, which are explained below:

  • Type I diabetes
  • Type II diabetes

Normally, the amount of sugar in the blood is controlled by a hormone called insulin, which is produced by the pancreas. The pancreas is a gland behind the stomach. When food is digested and enters your bloodstream, insulin moves any glucose out of the blood and into cells, where it is broken down to produce energy.

However, in people with diabetes, the body is unable to break down glucose into energy. This is because there is either not enough insulin to move the glucose, or because the insulin that is there does not work properly.

Our specialist diabetes team will provide you with support, regular reviews and the day-to-day care of your needs.

All Diabetic patients are entitled to an annual review. twins Medium Clinic will normally contact you if yours is due. The review takes place in two parts – a data collection appointment and where appropriate, a follow-up care plan appointment. If you feel you have been missed, or require a more urgent review, then please contact the Practice to arrange an appointment.

At the initial data collection appointment, your blood pressure, weight, urine, feet and well-being will be checked. It is necessary for you to bring an early morning urine sample with you. Following your initial appointment, a care plan booklet will be sent to you and if necessary, an appointment with your GP or one of our specialist nurses will be arranged.

Doctors’ Letters

You may require a doctor’s letter for various reasons eg fitness to travel or confirmation of medical conditions. Please contact reception to make your request which will be dealt with in the most appropriate way.

If you are pregnant and require a doctor’s letter as proof of ‘permission to travel’ please be aware that many airlines require your doctor’s letter to be signed within 48 hours of international travel.

Please note that you will not be provided with a doctor’s ‘permission to travel’ letter if you are due in less than 30 days or if your pregnancy is considered high-risk.

Hypertension and diabetes emergencies

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Asthma and breathing treatment

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Minor cuts needing stiches

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Family Planning

Twins Medium Clinic offer confidential advice and information about contraception and sexual health.

We provide a range of services including:

  • Confidential advice about contraception
  • The combined oral contraceptive pill
  • The Progestogen-only pill
  • Progestogen injections
  • Free emergency contraception
  • Confidential advice about STIs
  • Cervical screening
  • Unplanned pregnancy advice
  • Pre-conception advice and fertility awareness information
  • Post coil/IUD insertion check

Please book an appointment through reception or via our Appointments Page to discuss any of the above in more detail.

Flu Immunisation

Seasonal flu is a highly infectious illness caused by a flu virus.

The virus infects your lungs and upper airways, causing a sudden high temperature and general aches and pains.

You could also lose your appetite, feel nauseous and have a dry cough. Symptoms can last for up to a week.

We offer ‘at risk’ groups the flu vaccine at a certain time each year to protect you against the flu virus.

You may be invited for a flu jab if you are:

  • over 65 years of age
  • pregnant

or have:

  • a serious heart or chest complaint, including asthma
  • serious kidney disease
  • diabetes
  • lowered immunity due to disease or treatment such as steroid medication or cancer treatment
  • if you have ever had a stroke
  • If you have any queries please contact the surgery.

Hay Fever Advice

Hay fever is a common allergic condition.

Symptoms of hay fever include:

  • sneezing
  • a runny nose
  • itchy eyes

The symptoms of hay fever are caused when a person has an allergic reaction to pollen.

Pollen is a fine powder released by plants as part of their reproductive cycle. Pollen contains proteins that can cause the nose, eyes, throat and sinuses (small air-filled cavities behind your cheekbones and forehead) to become swollen, irritated and inflamed.

There is currently no cure for hay fever but most people are able to relieve symptoms with treatment. Treatment options for hay fever include antihistamines, which can help prevent an allergic reaction from happening and corticosteroids (steroids), which help reduce levels of inflammation and swelling. Many hayfever symptoms can be controlled with over-the-counter medication at your pharmacist.

Helpful ways to reduce your exposure to pollen:

  • Check the Allergy Tracker on weather.com for Addis Ababa. The pollen forecasts can help hay fever sufferers to plan their activities and medication.  If the forecast is high, think about keeping indoors, with the windows shut.
  • Reduce the time you spend outdoor during the peak time of 7am – 10am and 4pm – 7pm when the pollen is at its highest level.
  • If you have been outside you might find it useful to change and wash your clothes and wash exposed areas, including your hair.
  • Keep up-to-date with your symptoms and maybe based on previous years’ experiences, consider taking medicines slightly ahead of the peak pollen season.

Health Checks

Working together to improve your health

Everyone is at risk of developing heart disease, stroke, diabetes, kidney disease and some forms of dementia. The good news is that these conditions can often be prevented – even if you have a history of them in your family. You can arrange a Health Check with Twins Medium Clinic and you will be better prepared for the future and be able to take steps to maintain or improve your health.

Why do I need a Health Check?

We know that your risk of developing heart disease, stroke, type 2 diabetes, kidney disease and dementia increases with age. There are also certain things that will put you at even greater risk. These are:

  • being overweight
  • being physically inactive
  • not eating healthily
  • smoking
  • drinking too much alcohol
  • high blood pressure
  • high cholesterol

Both men and women can develop these conditions, and having once could increase your risk of developing another in the future.

  • In the brain a blocked artery or a bleed can cause a stroke.
  • In the heart a blocked artery can cause a heart attack or angina.
  • The kidneys can be damaged by high blood pressure or diabetes, causing chronic kidney disease and increasing your risk of having a heart attack.
  • Being overweight and physically inactive can lead to type 2 diabetes.
  • If unrecognised or unmanaged, type 2 diabetes could increase your risk of further health problems, including heart disease, kidney disease and stroke.

What happens at the check?

  • This check is to assess your risk of developing heart disease, type 2 diabetes, kidney disease, and stroke.
  • The check will take about 20–30 minutes.
  • You’ll be asked some simple questions. For example, about your family history and choices which may put your health at risk
  • We’ll record your height, weight, age, sex, and ethnicity.
  • We’ll take your blood pressure.
  • We’ll do a simple blood test to check your cholesterol level.

What happens after the check?

  • We will discuss how you can reduce your risk and stay healthy.
  • You’ll be taken through your results and told what they mean. Some people may be asked to return at a later date for their results.
  • You’ll be given personalised advice on how to lower your risk and maintain a healthy lifestyle.
  • Some people with raised blood pressure will have their kidneys checked through a blood test.
  • Some people may need to have another blood test to check for type 2 diabetes. Your health professional will be able to tell you more.
  • Treatment or medication may be prescribed to help you maintain your health.

Questions you may have

  • Why do I need this check? I feel fine!
    The Twins Medium Clinic Health Check helps to identify potential risks early. By having this check and following the advice of your health professional, you improve your chances of living a healthier life.
  • But don’t these conditions run in the family?
    If you have a history of heart disease, stroke, type 2 diabetes, or kidney disease in your family then you may be more at risk. Taking action now can help you to prevent the onset of these conditions.
  • I know what I’m doing wrong. How can the doctor help me?
    If you would like help, we will work with you to find ways to eat healthily, reach your healthy weight, be more active, cut down your drinking, or stop smoking.
  • If I am assessed as being at ‘low risk’, does this mean I won’t develop these conditions?
    It is impossible to say that someone will or won’t go on to develop one of these conditions. But taking action now can help you lower your potential risk.

Hypertension

Hypertension relates to High Blood Pressure.

High blood pressure often causes no symptoms, or immediate problems, but it is a major risk factor for developing a serious cardiovascular disease (conditions that affect the functioning of the heart and the circulation of blood around the body), such as a stroke or heart disease.

Lung Function Testing

Spirometry (a type of breathing test) is a test a doctor may refer you for if he or she has any concerns about how well you are able to breathe in and out or if you are a smoker.

If you are concerned about your breathing for any reason, please make an appointment with Twins Medium Clinic.

Minor Surgery

Certain small surgical operations can be performed at Twins Medium Clinic. With minor surgery, the recovery time is usually short and you will be back to your usual activities fairly quickly (depending on your procedure).

Before attending for minor surgery you will need to see a doctor for the diagnosis and then you will be given an appointment to attend for your procedure.

Neo-natal Checks

Some newborn babies are released from the hospital without a detailed examination. If this is the case, our doctors are happy to perform the relevant checks, either here at the Twins Medium Clinic, or in comfort of your own home, depending on which is easier for you.

In most cases, Twins Medium Clinic will contact new mums to arrange for this to happen, on rare occasions where we are unaware of the birth, please feel free to give us a call and arrange an appointment or visit.

Nursing Services

At Twins Medium Clinic, we have a team of nurses who can help you with:

  • Heart Disease
  • Family Planning
  • Asthma
  • COPD
  • Strokes
  • Diabetes
  • Baby Immunisations
  • Minor Illness
  • Bereavement Counselling
  • Ear irrigation
  • Wound management

Pneumonia diagnosis and treatment

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Acute Febrile Infections diagnosis and treatment

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Acute gastro enteritis diagnosis and treatment

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Asthma and Pulmonary TB diagnosis and treatment

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Cold and flu care

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Earache, sore throat and cough diagnosis and treatment

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Pneumococcal Vaccine

The pneumococcal vaccine (or ‘pneumo jab’ or pneumonia vaccine as it’s also known) protects against pneumococcal infections.

Pneumococcal infections are caused by the bacterium Streptococcus pneumoniae and can lead to pneumonia, septicaemia (a kind of blood poisoning) and meningitis.

Read more about why the pneumococcal vaccination is needed.

Who should have the pneumococcal vaccine?

A pneumococcal infection can affect anyone. However, some people need the pneumococcal vaccination because they are at higher risk of complications. These include:

  • all children under the age of two
  • adults aged 65 or over
  • children and adults with certain long-term health conditions, such as a serious heart or kidney condition

How often is the pneumococcal vaccine given?

Babies receive the pneumococcal vaccine as three separate injections, at 2 months, 4 months and 12-13 months.

People over-65 only need a single pneumococcal vaccination which will protect for life. It is not given annually like the flu jab.

People with a long term health condition may need just a single one-off pneumococcal vaccination or five-yearly vaccination depending on their underlying health problem.

Postnatal Care

Postnatal care extends for between 6-8 weeks after the birth of your baby. During this period, routine checks are carried out by the health visitor and you and your baby’s recovery is monitored.

During your postnatal care, you will find out about feeding, potty training, illnesses, safety and more. You will be able to ask your health visitor questions and request advice.

Preconception Advice

If you are planning to have a baby or you need to know more information about how to look after yourself and your unborn baby, please book an appointment with one of the clinics’ doctors.

We can provide you with all the information you need to know to have a happy and healthy pregnancy.

Respiratory

Our respiratory appointments are primarily intended for patients with Asthma and COPD.

Asthma is caused by inflammation of the airways. These are the small tubes, called bronchi, which carry air in and out of the lungs. If you have asthma, the bronchi will be inflamed and more sensitive than normal. Our practice nurses have specialist asthma qualifications. During their clinics they monitor your overall condition, offer advice, answer any queries and ensure your treatment is effective.

Chronic obstructive pulmonary disease (COPD) is the name for a collection of lung diseases including chronic bronchitis, emphysema and chronic obstructive airways disease. People with COPD have trouble breathing in and out. This is referred to as airflow obstruction. Breathing difficulties are caused by long-term damage to the lungs, usually because of smoking.

Asthma and COPD Appointments

We hold appointments to diagnose and to help patients to manage their asthma or COPD.

We like to see all our patients who have been diagnosed with these conditions at least once a year, depending on the severity of your condition, we may invite you to come to the clinic more often in order to ensure we give you the care you require.

Sexual Health

A range of sexual health services is offered at Twins Medium Clinic, including:

  • Contraception and contraception advice
  • Emergency contraception and emergency contraception advice
  • Testing and treatment for sexually transmitted infections (STIs), such as chlamydia, syphilis, gonorrhoea and genital warts
  • Testing and counselling for HIV and AIDS

If you need advice and support with a sexual health matter or you think you have a problem you would like to discuss, please call the surgery to make an appointment with your GP.

Sexual health services are available to everyone.

Weight Loss

If you would like to know more about weight and diet advice, at Twins medium Clinic, we offer weight management advice giving you advice on how to lose weight and stay healthy.

A range of options is available to support people with weight loss. To understand which of them may be the best fit for you please arrange an appointment with your GP who will be happy to discuss them with you.

One suitable option may be our health professionals who offer one-to-one sessions for people wanting to improve their health and change their behaviour. They can support individuals with healthy eating, weight management and getting physically active.

Many doctors now believe that when it comes to your health, your waist measurement is important.

While knowing your body mass index (BMI) is a good way to decide if you’re overweight, it doesn’t tell the whole story.

BMI is a measure of how healthy your weight is for your height. You can work out what your BMI is by using the Patient.info BMI Calculator.

If you have a high BMI, you’re likely to be carrying extra fat. But your health could be at greater risk depending on where you store that fat.

Having a large amount of tummy fat (compared to fat around your bottom or thighs) makes you more likely to develop diabetes and heart problems.

A healthy waist circumference for men is less than 94cm (37 inches), and for women it’s less than 80cm (32 inches).

Losing weight and keeping it off isn’t easy, but it has many benefits. You may only need to make small changes to your lifestyle to maintain a healthy weight.

If you’d like to find out more about how you can lose weight in a healthy way please book an appointment with one of our nurses.