Internal medicine (thyroid ambulance)

Diabetology

It is the field of medical sciences dealing with diabetes.
Diabetes is a carbohydrate metabolic disturbance: the sugar passed into the body and not used fills the tissues; the symptom of the disease is the chronic increase in blood sugar level.
In majority of the diseases, particularly in respect of cardiovascular problems, there is the imbalanced carbohydrate metabolism in the background. The abnormally functioning glycemic damages the arteries, the heart, the kidney, the brain, the eyes, and the skin. The consequences are infarctus, high blood pressure, apoplexy, arteriosclerosis, extremital ulcer, loss of vision or renal insufficiency.

The IMS Ltd. undertakes:

screening and treating diabetes
adjustment or modification of therapy (training, sport, diet, medication)
diagnosis of complications
szövődmények kezelését

The healthy sugar balance can by maintained by sufficient sport and the unbalanced system can be re-balanced, in many cases even without medication.

Rheumatologic consultation by specialist

Curative gymnastics and physiotherapy

Within the scope of outpatient healthcare

Curative gymnastics and physiotherapy treatments are performed with family doctor’s or specialist’s referral, on the basis of the diagnosis made by the doctor.

Curative gymnastics and physiotherapy services:

Curative gymnastics of pain in the neck, shoulders or elbow.
Curative gymnastics of aching wrist and hand-joint, ankle joint or leg
Curative gymnastics of diseases of hip joint and knee joint
Curative gymnastics of spinal pain, back and lumbar pain, in case of myelopathy: general spinal mobilizing and muscular strengthening gymnastics, osteoporosis gymnastics (in case of osteoporosis)
Curative gymnastics of rheumatic diseases covering all joints (in case of inflammatory or abrasion complaints)
Post-stroke rehabilitation (in case of hemiparesis)
Post-accident rehabilitation for all the joints (fractures, dislocations, strains, etc.)
Rehabilitation after orthopedic operations for all joints
Curative gymnastics of cardiovascular diseases and cardiac disturbances

During physiotherapy healthcare the whole scale of instrumental treatments are available:

Ultrasound
Interference
Diadynamic
TENS
Ionto and sonophoresis
Calcium-elektrostasis
Selective electrostimulation

Curative gymnastics and physicotherapy within the scope of medical home care

For patients whose illness does not allow visiting our polyclinic personally, we provide the opportunity to get the treatments at the patient’s home by the exercise expert or the physiotherapy assistant. Both options are available on the basis of a family doctor’s order supported by a specialist’s opinion. A specialist recommendation can be given by an orthopedist, neurosurgeon, surgeon, traumatologist, neurologist and rheumatologist specialist. The specialists recommendations are valid for one month. When it is financed by social security there is a chance for maximum 2x14 visits, which should be performed within two months.

Digital imaging diagnostics (X-ray, mammography, ultrasound)

The diagnostic examination is suitable for representing the cancer of the breasts. It shows both the benign and malignant diseases of the breasts or may indirectly refer to their presence. Mammography, the X-ray record of the breasts, is made by different physical parameters and photo technique than the traditional x-ray. For this reason, it is suitable for showing the subtle structural differences of the soft parts.

During the examination the breast is put on an x-ray plate. Then the assistant presses and flattens the organ with another plate. Two x-ray pictures are made on both breasts, respectively. Having made the x-ray pictures you should be waiting. The x-ray films will be developed through the developing system and systemized. Precise administrative work guarantees that the x-ray films of each patient will be included to her file.

The films are reviewed by the rhadiologist who will also read the documents connected to your disease and writes her/his opinion. The findings will include all the structural divergence different from the normal, the shape, size and precise location of the changes. The doctor will summarize in her/his opinion whether the changes seen raise the suspect of malignancy. If imaging diagnostic examinations justify it, the doctor may suggest other examinations (generally ultrasound examination of the breasts), supplementary sampling or send the patient for an examination of other modality.

Digital imaging diagnostics examinations:

Ultrasound examinations:
Mamma (I. sz Egészségügyi Intézet)
Abdominal
Articular
Thyroid
Carotis doppler (ultrasound examination of carotid arteries)

Laboratory diagnostics

The task of clinical laboratories is to provide simple and clear reply for the questions raised by the doctors and clinicians in relation with the patient’s condition and treatment. Though the replies given by the laboratories are often very simple (in many cases only a numeric value with the connected unit of measure and reference range), the interpretation in majority of the cases requires quite complex professional knowledge.

Biological samples of the laboratory generally come from blood, urine, sputum or faeces. Some of the examinations require special preparations, such as eg. fasting test when taking blood, the first morning urine or 24 hours collected urine for the urine test, and 3 days diet before testing the faeces in order to show blood in faeces.

The process of drawing blood

Chosing the place of pinprick, possibly the cubital fossa of the arm; if that is impossible then the back of hand
Venipuncture:
Phases of the process: palpation of the vein, developing venous congestion with tourniquet, disinfecting the place of pinprick, puncturing the vein.
Some people have thinner or hardly palpable veins, or due to the repeated punctures the vein becomes scarring or hardening. In such cases it is more difficult to draw blood, and several punctures might be needed to draw blood successfully.
However, if you experience any swelling, hematoma or pain after the intervention, put ice or cold water poultices on the surface and protect the affected limb.

Giving urine sample

Spontaneous urine: for the purposes of qualitative or semi-quantitative urine tests, the best is the night urine passed in the morning, because it is generally more concentrated that the day urine. Tests should be implemented as soon as possible. The urinary sediment should be analysed within 2-3 hours.
Collected urine: for the purposes of quantitavie tests, the urine should be completely collected for a certain period of time. At the beginning of the collection period of time, the patient should void her/his bladder. This urine is poured then we finish collecting the urine for the given period of time with patient’s urination. Either the complete urine is taken into the lab or the density is precisely measured, and a representative density from the thoroughly mixed sample is forwarded, provideing the lab with the information on the complete urine quantity. The period of time for collecting the urine depends on the nature of the test.

Motion rehabilitation

The typical symptoms of post-menopausal osteoporosis are: back and lumbar pain caused by the vertebral press, vertebral fractures, wrist and hip fractures. The body and the back bent, the chest sinks and the height lowers. Symptoms of the elderly osteoporosis can be similar. It often appears without preceeding symptoms, in the form of fracture of neck of femur, wrist fracture or femoral neck fracture or vertebral fracture. It affects both genders. The continuous loss of bone mass is almost on the same level both for women and men above the age of 65.

Exercise therapy has a key role amongst treatments which can moderate the loss of bone mass. Regular sporting and curative gymnastics can significantly decrease the frequency of femoral neck fracture of elderly people, but also improves the general well-being, and the patient’s overall life improves a lot.

Medium strong load does not jeopardize the bones, but makes good for both breathing and circulation. Women only at the age of menopausa more physical load is required to keep or even increase the mineral mass of the vertebra.

Exercise therapy decreases the pain, prevents or restores the chronic change of the form of the spine, improves posture, makes people more active. Moreover, it also improves the sense of balance, which is very important for elderly people. A program is developed by the excercise expert which later should be made regularly at home individually. Additionally, electrical treatment, ice packs and massages are used to tranquillize pain and muscle pain.

This process for women entering the menopausa is a result of decreasing women’s sex hormonoes (oestrogen) production, as sex hormones also participate in the hormonal regulation of the osseous metabolism. To decrease the destruction of the bone mass hormone replacement, intake of calcium, calcitonin therapy are applied, supplemented by physiotherapy.

Medical homecare

Medical homecare has been provided by the IMS Kft since 1994 at the patient’s home, in respect of special healthcare, medical exercise and physiotherapy activities ordered by the competent doctor

Medical homecare can help the patient to prevent from stay at hospital or may shorten the length of stay.
After hospital treatment we provide assistance by ensuring the special medical care, ordered by the doctor, at the patient’s home. After serious diseases (cardiac thrombosis, operation, accident, etc.) we assist to resotre both life and work activity.

Our medical care services:

1. Performing and training of special healthcare activities related to feeding and drinking through tubes;
2. Cleaning of tracheal cannulae, changing the inserts, training the activity;
3. Special caring activities related to changing the permanent catheter or regular catheterization, bladder wash (for women patients);
4. Special caring activities related to intravenous salt and volume replacement (through infusion given by the doctor);
5. Post-incident and post-operation special healthcare task, ensuring hygiene of the body in case of dependence, assisting movement;
6. Healthcare of operation areas (open and closed wounds), stomatherapy, and special healthcare of handling drains for different;
7. Special healthcare tasks connected to decubitated areas and ulcers;
8. Special healthcare task in order to replace, improve or supplement temporarily or permanently lost or limited functions as a result of disease;
Teaching how to use medical aids, prostheses,
Teaching how to use tools to move or have moved,
Assisting the change of location or position;
9. Special services when requried (recording ECG, oxygen therapy, tapping body fluids, curing with medical lamps or TENS device) only when other financed services are provided;
10. Special healthcare on lasting pain relief;
11. Medical exercising or physicotherapy, depending on the patient’s condition;
12. Dying patients’ special healthcare at home (describing the services to be provided);
13. Through special healthcare and special therapy we provide the patient with psychical caring, eating consulting, teaching of any activities that either the patient and/or the relatives can do to maintain and restore her/his health or to prevent it from worsening.

Medical excersising and physiotherapy within the scope of medical home care

We provide our patients whose sickness does not allow visiting our polyclynic personally, with the opportunity of having treatments by the exercise expert or the physiotherapy assistant at the patient’s home. Both services are available ordered by the family doctor, on the basis of a specialist’s opinion. A specialist recommendation can be given by an orthopedist, neurosurgeon, surgeon, traumatologist, neurologist and rheumatologist. Recommendations given by specialists are valid for a month.

The healthcare financed by social insurance allows maximum 2x14 visits, which we should perform within two months Financed by the OEP, the above medical home care services are free of charge for our patients having social security card card.

The service is availabe on the basis of a written recommendation provided by the family doctor, the hospital doctor or the specialist of the outpatient specialist consultant. On the basis of such recommendation, the special healthcare services is ordered by the family doctor on the Special healthcare Order Form.

In terms of our agreement with the OEP we can provide the home medical care free of charge, to the debit of the contracted visit limit, in the following regions and places:
Budapest:Districts II., III., V., XIII. and XV.
Pest megye: Budakeszi, Cegléd, Nagykőrös, Érd, Vecsés, Gyál, Felsőpakony.

However, upon request, in addition to the above social security-financed services and limits, we can also provide payable, privately financed homecare service for patients, plus the following services:
Cardiologic control at home – telemedicina service (Transtelephonic ECG)
24 hours healthcare
Psychological and mental health assistance
Household help