受付
ピーリングルーム
レントゲンCT室
診察室
ゲストルーム
バルコニー
ドリンクサーバー
雑誌
血圧計

Foreigner-Friendly Clinic(Small Hospital) in Fukuoka next to Ohori Park!

Welcome to Ohori Park Clinic!

Completely renovated in 2013 when it expanded to its new location,
Ohori Park Clinic is a Foreigner-Friendly clinic located in the center of Fukuoka Prefecture, Fukuoka City, Chuou ku.
It is located?on the 2F of?THE APARTMENT, a prestigious building ?in front of Ohori Park.

It is a very convenient clinic to use for?International Patients?because of the Subway Station
Ohori Park?( Fukuoka?City Subway - K Line(Kuukou - Airport) between Toujin Machi and Akasaka)?less than 2 mn by walk. Also, In case of medicine prescription, the?Pharmacy Pelican (ペリカン薬局 大濠店) ?in the same building and same floor will provide you fastest and very affordable services.

Our Opening Hours

Monday - Tuesday - Wenesday - Friday? 10.00~12.30/14.00~19.00
Thursday 14.00~19.00
Saturday 10.00~15.00

Appointments possible

Walks-in are possible but be aware that:
1. Appointments have the priority
2. Waiting time can become extensive depending on the day and time

This is why it is strongly?advised?to call the clinic even on the desired appointment day.

Our Medical Services and Diagnostic Procedures

Doctor Hachiya is a kind, English fluent speaker.
He studied and worked in Perth (WA), Australia. and having many experiences of living and traveling abroad,
He can understand and help foreigners having troubles to adapt to their new life in Fukuoka, Japan.
His understanding of both Japanese and Foreign Medicine allows him to lend a kind ear about your problems.
Please do not any Health troubles getting worse by language or cultural fears here in Fukuoka.

Our hospital in Fukuoka, Chuou ku, Ohori Park 2-35 The Apartment 2F provides a large range of medical services
such as:

  • Headache
    Migraine,Tension Headache,Cluster Headache
  • General Medecine & Medical checkups (Common cold, Influenza...)
  • Dermatology
  • Hypertension,
    Hyperlipidemia (Hyperlipoproteinemia, Hyperlipidaemia),
    Hyperuricemia (High Uric Acid)
  • Allergies (Eyes, ears, nose and throat)
  • Respiratory Diceases
  • Drip Infusion
  • Chinese Medecine
  • Gynecology,
    Obstetrics Birth Control Pill,
    After pill (Morning pill)
    Postmenopausal Dicease
  • Diet
    Diet Suppliment (Both Japanese and imported)
  • AGA (Androgenetic Alopecia for hair Regrowth) for both males and females
  • Cosmetic dermatology such as :
    Hair removal, Pigmentation,
    Wrincle treatment (Using Laser),
    chemical peeling, Iontophoresis
  • CHAMPIX tablet to help you stop smoking

Diagnotic Procedures at Ohori Park Clinic

Laboratory testingX-ray examinations and
Ultrasound examinationsElectrocardiographyCT (Computed Tomography), CT scan

About Insurances

Ohori Park Clinic receives many foreigners that appreciates Doctor Hachiya, but you should be aware that
we for now can only accept Japanese Insurance as we are not affiliated with any Foreign Insurances.
We can of course provide the same services to anybody coming to our clinic, as well as we?can provide a?statement
(translation available in English and French, charged for other languages)
you may be able to use in case of?a Foreign Insurance Company.
However, the full price of any Consultation, Procedure or Medicine has to be made during your visit at the clinic.
It is adviced to first check all conditions with your (foreign) insurance
if you are expecting to use a private Insurance.
Japanese Insurances such as Kokumin Kenko or Shakai (National or Employee) are accepted
and must be presented during your visit.
Of course, we accept all patients without Japanese insurance as long as the full payment is made on the same day by cash or credit card (VISA, Master Card, Amex).

Doctor - Patient Confidentiality

According to the Japanese law, all our patientpersonal details are regarded as strictly confidential and will never be communicated to any tier party without your consent.
(see bottom for exceptions according to the Japanese law)

How we use your information to help you

When you see a doctor, or go to hospital, a record of your care is kept.
Your record includes details such as your name, address, contact details and date of birth.
It is important that you tell us if any of your details change.
Your record also contains facts about your health, including appointments, treatments and test results.
It might also contain information based on the professional opinion of the staff caring for you.

Your records are used to

  • ・Make sure that the staff caring for you have accurate, up-to-date information to help them decide the best possible care and treatment for you.
  • ・Share information about the treatment you need with other staff and organisations caring for you to ensure you are properly looked after.
  • ・Make sure that your concerns can be properly looked into if you have a complaint.
  • ・Make sure we have an accurate record if we have to review your care.

How we record your information

Information is recorded on paper and electronically on computer systems.
Computers enable information to be shared between staff members who care for you so that they have the right information at the right time. Computers’data are kept on a private, local server that cannot be accessed from Internet.
It is protected by softwares that won’t let anyone else than our nurses to look at it even physically in the clinic.

Keeping your information confidential

Everyone working?at Ohori Park Clinic?has a legal duty to maintain the highest level of confidentiality.
All staff members are instructed on handling information confidentially.
Our computer systems are designed with a number of security features.
Your information will be stored, managed and used with the greatest possible care.

Sharing your information without your consent

We will normally inform you and ensure you are happy for your information to be shared,
but there are times when we might need to share your information without your consent.
This will only happen where we are legally required to do so,
or the law allows us to do so in order to protect you or other people.
? We will try to inform you if we share your information without your consent.

Such situations include

  • ・Where there is a risk of harm or abuse to you or other people.
  • ・Where a serious crime, such as an assault, is being investigated or where it could be prevented.
  • ・To control infectious diseases such as meningitis, tuberculosis (TB) or measles.
  • ・Notification of a birth.
  • ・Where the courts have made a formal order in relation to a court case.

Further information and accessing your records

If you would like to know more about how we use your information
you can speak to the person in charge of your care:
They will ensure you are provided with a detailed response.
You can raise any concerns you might have at any time.
If we are unable to contact you, we will only share information
where we can demonstrate it is in the best interest of yourself or another individual.
This is to ensure that you receive the best quality of care or are protected from any harm.
When information is shared, it is passed securely to, and kept confidential by, the people who receive it.
It will only be used for the purpose for which it has been shared.
With your consent, information can be shared with relatives, partners or friends who may act as a carer for you. Sharing information can help your family or carer understand the support you require.
During an assessment or review of your care,
we will ask what information you want shared with your family or carer.
We will record your views in our records.

Morning after pill NorlevoR

Norlevo R is a so-called “Morning after” birth control pill which can be obtained after a prescription.
This emergency contraception is prescribed in Ohori Park Clinic since November 2011.

How to use it?

This emergency contraception consists in 2 tablets to be taken within 72 hours after the intercourse
(Oral Administration).
By using Norlevo R, the ovulation is suppressed to create a state similar to pregnancy in order to prevent pregnancy.
The earlier the pill is taken, the more effective it is.

How can I get it?

Please contact Ohori Park Clinic for an appointment ?(Walks in are possible but be aware of the possible extensive waiting time) (? 092-724-5520).

The doctor (who speaks English) will meet you and
you will receive the 2 pills that you can take right away.
There is no consultation fee and there is no need for you to go to a pharmacy.

Clinic Opening hours

Mon. ? Tues. ? Wed. ? Fri. from 10.00am to 7.00pm (break between 12.30 and 14.00)
Thur. from 2.00pm to 7.00pm
Sat. from 10.00am to 3.00pm

How much is it?

15.400 yen Tax included.
The price also includes both the consultation fee and the prescription charge.

What is the procedure?

You first should inform us about your personal information
such as your name, age, weight, birthdate... as well as any medical records you may have.
After filling the form, you will be called by a nurse to see the doctor.
There will be no pelvic examination during the appointment.
You will be prescribed the Morning after pill Norlevo R and after signing the consent form,
you will take it in front of the doctor.
(The reason is to avoid any patient reselling the Emergency contraception pill
to others according to Japanese Laws and Regulations)

After taking the Morning After pill

Please refrain as much as possible from drinking after taking the pill.
The Emergency contraception pill takes about 4 hours to get in the organism so
in case of vomiting after the pill was taken, the 2 pills will not be effective.
It will be necessary to buy and take another 2 pills.
Also, it is strongly advised not to have intercourse until the withdrawal bleeding has occurred,
as it may reduce the pregnancy avoidance success rate of Norlevo R.


Q)Will the alcohol consumption make EC less effective?
A)No. But too much alcohol consumption does not make you a good decision.

Additional Information

【 Minors 】
A Minor should come to the Clinic with a legal guardian as the medicine cannot be prescribed to minors.

【 Composition】
The main component is the hormone levonorgestrel, which can also be found in regular birth control medications

Pregnancy evasion success rate is 98.6% for 1.4% failure.

What about after care?

After taking the pills, menstruation can happen earlier or later than expected,
but should not take longer than 3 weeks.
The safest way to be sure that the pregnancy was stop is to take a pregnancy test 3 to 4 weeks
after the pills were taken.
In case of the period is delayed more than 5 days, or if the period comes on time but the bleeding is abnormal, then a pregnancy test is strongly advised.
Morning after pills should not be taken on a regular basis as it can reduced the probability of Child birth
in the future (especially when taken within the same cycle)

Ohori Park Clinic also provides various regular birth control pills for 2,600 yen a month.

Bleeding often occurs between 7 and 14 days after the pill is taken.
If the bleeding has not occurred within 3 weeks following the Morning after pill,
please take a birth test to be sure that the pill worked.

Possible side effects: like all medications, NorlevoR can produce side effects.

【 The following side effects have been observed in some casesa 】
nausea, abdominal pain, tiredness, headache, dizziness, breast tenderness, irregular bleeding, vomiting, diarrhea. Cases of thromboembolic events and hyper-sensitivity reactions have also been reported.

Once the bleeding occurs,
please use other contraceptive methods such as condom and/or regular birth control pills.

Migraine

Migraines are intense, sometimes debilitating headaches.

1.Epidemiology

In US,estimated prevalence for migraine ranged from 13% to 17% of women and 7.6% to 14% of men.
Before puberty, migraine prevalence is approximately 4%.
As adolescence approaches, prevalence increases more rapidly in girls than in boys.
It increases until approximately age 40, and then declines.

In Japan, the overall prevalence of migraine in the past year was 8.4%;
5.8% was migraine without aura and 2.6% was migraine with aura.
Migraines can begin in childhood or may not occur until early adulthood.
Women are three times more likely than men to have migraines.
Family history is one of the most common risk factors for having migraines.

2.Symptom

  • ?Throbbing or pulsatile quality headache on one side of your head.
  • ?Moderate to severe headache intensity.
  • ?Worsening of your headache with routine physical activity.
  • ?Nausea, vomiting, or both.
  • ?Sensitivity to light and noise, and sometimes smells.
  • ?One-day duration (four to 72 hours)
  • ?Unilateral location

3.Phases

A)Prodromal (Premonitory) stage.

These feelings can last up to 24 hours.

  • ?Either unusually energetic and excitable or depressed.
  • ?stiff neck.
  • ?Irritable.
  • ?Thirsty.
  • ?Cravings for certain foods(sweet).
  • ?Sleepy, with frequent yawning.
  • ?Need to urinate more.
  • ?Tiredness or fatigue.

B)Aura stage.

About one in three people have aura symptoms (visual or sensory changes).
These may last from a few minutes up to an hour.

  • i) Changes in vision
    (A flickering, jagged arc of light,or An area of
     vision loss)
  • ii) Skin sensationsc
    (feeling a prickling or tingling sensation in the arms
     and legs)
  • iii) Language problems(difficult speaking clearly)

C)Main attack stage.

This is when you will have a headache and other symptoms such as nausea.
This stage can last anywhere from four hours up to three days.
Pain begins above the eyes, one side of the head, entire head, affect the lower face and the neck.

  • ?Unusual sensitivity to light, sounds, and smells.
  • ?Light-headedness and fainting.
  • ?Nausea and vomiting.

D)Postdromal (Resolution and recovery) Phase.

This is when the migraine fades.
This usually happens slowly, although a migraine can sometimes stop suddenly, if you vomit for example.

  • ?Extreme tiredness.
  • ?Sluggishness.
  • ?Confusion.
  • ?Head pain that flares up when you lean over, move quickly, or experience a rush of blood to the head

4.Causes

Things that cause a migraine to start are known as triggers.
But,for many people a migraine starts without a clear trigger.
You may find it useful to keep a diary to spot the triggers that cause your migraines or make them worse.

  • Triggers might include:
  • ・stress, or relaxing after a stressful period.
  • ・depression and anxiety.
  • ・periods (menstruation).
  • ・menopause.
  • ・head or neck trauma.
  • ・changes in sleep patterns (too much or too little sleep) or jetlag.
  • ・changes to meal times or missed meals.
  • ・certain foods or drinks ? for example alcoholic or caffeinated drinks or some aged cheeses,
    salty, or processed foods.
  • ・loud noises or bright lights・strenuous exercise if you’re not used to it.
  • ・periods (menstruation).
  • ・combined oral contraceptives or hormone replacement therapy (HRT).
  • ・severe heat, or other extremes in weather.
  • ・changes in barometric pressure.
  • ・consuming food additives, such as aspartame (an artificial sugar) or monosodium glutamate (MSG).
  • ・eating foods that have the additive tyramine, which is found in soy products, fava beans, hard sausages,
     smoked fish, aged cheeses, and Chianti wine.
  • ・taking certain medicines, such as oral contraceptives or nitroglycerin.

5.Risks Associated with Migraines

Migraine headaches can cause risks and complications,
both from the headaches themselves and from the medications you take to help with your symptoms.
Sometimes migraine headaches can be long-lasting, occurring anywhere from 3 to 15 days or more in a month. Because the headache affects your ability to think clearly, you may have difficulty at school or at work.
Taking medicines(nonsteroidal anti-inflammatory drugs (NSAIDS)) for more than 10 days a month for longer than three months can lead to more headaches. This can cause medication-overuse headaches.

6.Diagnosis

Doctors diagnose migraines by listening to your symptoms and
performing a physical exam to rule out other potential causes.
Imaging scans, such as a CT scan and X-ray, can rule out other causes, including tumors or strokes.

Cosmetic dermatology

Migraine, an episodic headache disorder, is one of the most common complaints encountered
by primary-care physicians and neurologists.
Nevertheless, it remains underdiagnosed and undertreated.
Rational migraine treatment necessitates an accurate diagnosis, identification and
removal of potential triggering factors, and, frequently, pharmacologie intervention.

Effective management also includes establishing realistic expectations, patient reassurance, and education.
The choice of medication (abortive, symptomatic) for an acute attack depends on
such factors as the severity of the attack, presence or absence of vomiting, time of onset to peak pain,
rate of bioavailability of the drug, comorbid medical conditions, and side-effect profile.
Effective agents for acute attacks include simple or combination analgesics,
nonsteroidal anti-inflammatory drugs, ergot derivatives, selective serotonin agonists, and antiemetics.
Opioid analgesics are unnecessary for most patients.

The choice of preventive (prophylactic, interval) medication
depends primarily on comorbid medical conditions and side-effect profile.
Useful preventive agents include s-adrenergic blockers, calcium channel blockers, tricyclic antide-pressants, anticonvulsant medications, and serotonin antagonists.

Treatment for Migraine

1.Rescue treatment

Choice of medication:

  • Analgesic-based therapies
  • try a second dose→Oral triptans (conventional tablets or ODT)
  • Try a second dose
  • Alternative triptan tablets
  • Triptan delivered by nasal spray or subcutaneous injection

① Pain killer
Acute treatment(Rescue) is most effective when given within 15 minutes of pain onset and when pain is mild.
Analgesics used in migraine include acetaminophen and NSAIDs(ibuprofen).

②Triptans
Triptan medicines are not the same as painkillers.
They are thought to work by reversing the changes in the brain that may cause migraines.
They cause the blood vessels around the brain to contract (narrow).
This reverses the dilating (widening) of blood vessels that is believed to be part of the migraine process
including mediation of the chemical serotonin.
Triptans are available as tablets, injections and nasal sprays.

  • Triptan medications include:
  • Sumatriptan (Imitrex)
  • Zolmitriptan (Zomig)
  • Eletriptan (Relpax)
  • Naratriptan (Amerge)
  • Rizatriptan (Maxalt)

2.Preventive treatment

Principles of Preventive Treatment

Daily preventive migraine therapy is indicated for patients as follows.

  • ?Frequent migraines(More than two migraine attacks per month)
  • ?Less frequent, but severe migraine attacks.
  • ?Contraindications to triptans
  • ?significant triptan side effects
  • ?use of symptomatic treatment more than 3 times weekly.

Preventive treatment decrease the headache frequency, duration and intensity
Preventive treatment medications include the following:
Medications used to treat high blood pressure ? Beta blockers (propranolol [Inderal]),
calcium channel blockers (verapamil [Covera])
Antidepressants ? Amitriptyline (Elavil)
Antiseizure medications ? valproic acid (Depakote), topiramate (Topamax)
Some antihistamines and anti-allergy drugs, cyproheptadine (Periactin)

  • General principles of management:
  • ?Always start treating with preventive medications at a low dose and gradually increase.
  • ?Continue well tolerated medications for at least 2-3 months at a therapeutic level before deciding on effectiveness.

Cosmetic dermatology

Our procedure :
Laser:
Laser Facial with Alxandrite laser for pigmentation, acne, and hair removal treatment
Laser lift up with Nd:Yag laser for wrinkle ,acne scar and lift up
Skin Toning Laser low-dose Q-switch Nd:YAgG Laser for Melasma
Botox and Hyaluronic acid injection for wrinkle
Dermapen, Microneedling pen for acne scar, wrinkle
Lipodisolve injection for destroying fat cell at face, neck , arm, abdomen, hip, thigh.

We operare hair removal, thin the pigmentation and
remove the wrinkle with LASER(Cnadela’s Gentle Max Pro)and BOTOX injection.

The Pro Advantage:
Faster. Greater Performance.More Versatility.
NEW! The 5mm treatment spot size has been added to the GentleYAG Pro U and GentleMax Pro
for the ability to treat Nail Fungus.
The GentleMax Pro is a single consolidated system that delivers a range of treatments
? all skin type hair removal, as well as pigmented and vascular lesions.
It is a dual wavelength laser platform that combines the fastest and most powerful 755 nm Alexandrite laser
with the 1064 nm Nd:
YAG laser for high performance treatment capabilities in terms of speed, efficacy, ease-of-use,
outstanding performance, safety and patient satisfaction.
A 20/22/24 mm Large Spot Delivery System makes the GentleMax Pro the fastest dual wavelength hair
removal laser in the market!

  • Further Clinical Indications include:
  • ・Epidermal pigmented lesions
  • ・Sun-damaged skin
  • ・Age spots
  • ・Freckles
  • ・Vascular anomalies
  • ・Spider veins
  • ・Telangiectasia on the face and legs
  • ・Telangiectatic Matting
  • ・Pseudofoliculitis Barbae / Beard Bumps
  • ・Nail Fungus

Acne treatment :

Basal treatment

  • Acne can be treated with:
  • 1)Adapalene is similar to vitamin A, retinoid-like compound. It helps the skin
       renew itself quicker and decreases blackhead formation.
  • 2)Benzoyl peroxide has an antibacterial effect. It also has a mild drying effect,
       which allows excess oils and dirt to be easily washed away from the skin.
  • 3)Epiduo gel contains a combination of adapalene and benzoyl peroxide. Epiduo
       gel is used to treat acne vulgaris (severe acne) in people who are at least 9
       years old.
  •    Usual Adult Dose for Acne:
  •    Adapalene , Benzoyl peroxide or Epiduo gel should be applied to affected
       areas of the face and/or trunk once daily at night after washing and putting
       moisture cream. Index finger first oint length amount is applied to full face.
  • 4)Antibiotics. Certain antibiotics can be applied directly to the skin to reduce
       the growth of acne-causing bacteria.
  • 5)Chinese medicine powder and tablet
  • 6)Vitamin B2,B6 and C tablet
  • 7)Antibiotics tablet for two weeks

Other treatment

  • 1)Azelaic acid.pply to clean, dry skin twice per day to start. Then can decrease
       to once per day. Improvement usually takes a few weeks. It helps fight
       bacteria and may decrease comedo formation.
  • 2)Tretinoin (Retin-A). Applied to the skin as a cream, gel or liquid. It helps to
       clear the skin of plugged follicles by increasing the turnover of skin cells.
  • 3)Chemical peering and iontophoresis
  • 4)Laser treatment with Alexandrite or Nd-YAG
  • 5)DERMAPEN;microneedle treatment for acne scar

Cystitis (Urine Infection)

A urine infection in the bladder (cystitis) is common in women.

symptom

  • ◦ pain in your lower abdomen.
  • ◦ a frequent and strong urge to urinate
  • ◦ dysuria: a burning sensation when urinating
  • ◦ strong-smelling urine
  • ◦ bloody or cloudy urine
  • ◦ a sensation of pressure, bladder fullness,
      or cramping in the lower abdomen or back
  • ◦ a low fever
  • ◦ chills

costovertebral angle tenderness suggesting acute pyelonephritis

Exams and Tests

  • ・simple dipstick test on a urine sample
  • ・Urinalysis: white blood cells, red blood cells, bacteria, and to test for certain chemicals, such as nitrites in the urine.
      Most of the time,
     your doctor or nurse can diagnose an infection using a urinalysis.<treatment>
  • ・Urine culture:: to identify the bacteria in the urine
  • Antibiotic medication. A three- to five-day course of trimethoprim or nitrofurantoin.
     Symptoms usually improve within a day or so
  • Paracetamol or ibuprofen. For pain and fever
  • ・Drink lots of water to 'flush out the bladder'.
  • ・use a hot water bottle: holding on your tummy or between your thighs may reduce any discomfort
  • ・Take a warm bath.
  • ・Avoid coffee, citrus juices, spicy foods, and alcohol.
  • ・drinking cranberry juice or taking products that alkalise your urine (such as potassium citrate or bicarbonate)
     may improve the symptoms of cystitis.

Drug for erectile dysfunction(ED)

Drug for erectile dysfunction(ED)

We can prescribe several drugs for erectile dysfunction(ED) as above.

We ask you the consulting fee only at the first meeting. From second visit we never ask you the consulting fee. You can busy medicine from one tablet.There are several different type of medicine including oral tablet, orally Disitegration and oral film) from 1,100 Yen each.

Incubation period and timing for test of STD

1)Average Incubation Periods

  • Chlamydia 1-3 weeks
  • Gonorrhea 2days- 1month
  • Sphilis 10days-3moths
  • Hepatitis B 4-6 weeks
  • genital helpes 2 weeks
  • HIV 2weeks
  • Chancroid 1dya to 3 weeks
  • Trichomoniasis: 5days-1month
  • Molluscum Contagiosum: 2 - 6 months
  • Genital Warts(condylomata accuminata): within 3 months
  • Scabies: 1-2 months

2)Best time to take an STD test

    Chlamydia 1-5days
  • Gonorrhea 2-6days
  • Sphilis 3-6weeks
  • Hepatitis A 2-7n weeks
  • Hepatitis B 6 weeks
  • Hepatisits C 8-9weeks
  • Oral and genital helpes 4-6 weeks
  • HIV Antibody Test Method 1-3month
  • HIV RNA Test For Early Detection 9-11 days

3)To Get Retested After Treatment is need

  • Chlamydia 2 weeks
  • Gonorrhea 2 weeks
  • Sphilis 2 weeks
  • Hepatitis A not necessary
  • Hepatitis B not necessary
  • Hepatitis C 3 months
  • Oral and genital helpes not necessary

HIV test 4th Generation in Fukuoka with Q&A

HIV test(4th generation) at Ohori Park Clinic(Tel:092-724-5520)
Fukuoka City, Chuou-ku, Ohori-Kouen 2-35 The apartment 2F

  • ① 12days~ NATT(RNA)
  • ② 21days~ 3rd generation(Antibody) following in 3 months
  • ③ 28days~ 4th generation(Antibody+Antigen) following in 3 months for 4,100 yen
    You can see the result in 4 days. We explain it at the clinic.

The most common HIV tests used are based on the detection of three biological markers of HIV infection
(see the graph below):

  • Viral RNA (genetic material), earliest to appear: detected by individual or pooled nucleic acid amplification testing (NAAT)1
  • P24 antigen (a viral core protein), next to appear: detected by 4th generation enzyme immunoassay testing (EIA)
  • HIV antibody, last to appear: detected by 3rd or 4th generation EIA, point-of-care (PIC) or rapid HIV testing, and Western Blot
HIV-Test-Graph

The standard protocol is to start with a sensitive screening antibody test (3rd or 4th generation EIA). Any degree of reactivity on EIA leads to further testing including Western Blot or individual NAAT to confirm infection.

We estimate that greater than 95% of individuals will show detectable antibodies to HIV by 4 to 6 weeks, with greater than 99% having sero-converted by 3 months (as detected by Western Blot).
For early reassurance, a client can be tested at 6 weeks following a risk event or exposure, with testing repeated at 3 months.

What is the “window period”?

The “window period” occurs between the time of HIV infection and the time when diagnostic tests can detect HIV. The length of the window period varies depending on the type of diagnostic test used and the method the test employs to detect the virus.

• Can an infected person transmit HIV to others during the window period?

Yes. During the window period, and despite a negative test result, an HIV-infected person may transmit the virus to others.

• How long can the window period last?

The window period varies slightly from person to person, but virtually everyone infected with HIV develops antibodies within 3 months of infection.

• When is follow-up HIV testing warranted?

If a person tests negative for antibodies 3 months after a potential exposure to HIV, he or she does not require further testing. However, follow-up testing is warranted for individuals with repeated potential exposures during that 3-month period or when the antibody test results are incompatible with the person’s clinical history.

• What are the recommendations for routine HIV testing for adults?

The US Centers for Disease Control and Prevention (CDC) recommend offering HIV testing to all adults as part of routine healthcare. New York State law requires that all persons between the ages of 13 and 64 be offered an HIV test at least once. The law also requires healthcare providers to offer an HIV test to any person, regardless of age, if there is evidence of risk activity.

• Who should be offered ongoing HIV testing?

Testing should be offered at least annually to anyone whose behavior increases his or her risk for exposure to HIV. Since many people choose not to disclose their risk behaviors, providers should consider adopting a low threshold for recommending the test.

• How often should individuals who engage in high-risk behavior be tested?

Clinicians should recommend testing every 3 months for individuals who engage in unprotected anal sex, sex with multiple or anonymous partners, needle-sharing, or sex with partners who share needles. In these high-risk cases, testing is used to ensure early access to care and to prevent transmission to others if the patient becomes infected.

• Should pre-exposure prophylaxis (PrEP) be offered to individuals with high-risk behavior?

Yes. PrEP to prevent HIV infection should be considered for persons with ongoing high-risk behaviors. PrEP should be prescribed as part of a comprehensive prevention strategy that includes risk-reduction counseling about safer sex practices, condom use, and safer injection practices, as well as referral to syringe exchange programs and drug treatment services when appropriate. The NYSDOH AIDS Institute guidance for PrEP is available online.

  • • Pre-exposure prophylaxis, or PrEP, is a way for people who do not have HIV but who are at substantial risk of getting it to prevent HIV infection by taking a pill every day. The pill (brand name Truvada) contains two medicines (tenofovir and emtricitabine) that are used in combination with other medicines to treat HIV. When someone is exposed to HIV through sex or injection drug use, these medicines can work to keep the virus from establishing a permanent infection.
  • • When taken consistently, PrEP has been shown to reduce the risk of HIV infection in people who are at high risk by up to 92%. PrEP is much less effective if it is not taken consistently.
  • • PrEP is a powerful HIV prevention tool and can be combined with condoms and other prevention methods to provide even greater protection than when used alone. But people who use PrEP must commit to taking the drug every day and seeing their health care provider for follow-up every 3 months.

Ohori Park Clinic
Fukuoka CIty, Chuou-ku, Ohori-kouen 2-35 The apartment 2F
English speaking staffs & doctor
Call us to make a reservation at 092-724-5520 or contact us on Facebook ( https://www.facebook.com/ohoripc/ )

chlamydia

What is chlamydia

Chlamydia is an infection by the bacteria Chlamydia trachomatis , is one of the most common sexually transmitted diseases

In fact, about 75% of infections in women and 50% in men are without symptoms.
Chlamydia may be transmitted by having unprotected vaginal sex ,anal sex or oral sex with an infected person

<Incubation period>

(time between becoming infected and developing symptoms)
1 to 3 weeks.

symptoms in women

  • ・Abnormal vaginal discharge :foul-smelling, yellow cervical discharge
  • ・Abdominal pain with or without fever
  • ・Itching or burning in or around the vagina
  • ・Pain when urinating
  • ・Painful intercourse,

symptoms in men

  • ・Penile discharge (pus, watery or milky discharge)
  • ・Pain and burning with urination
  • ・Burning and itching around the opening of the penis
  • ・Testicle swelling and tenderness

Diagnose

She will use a swab from cervix, and he will use the first urine from urethra for PCR tests ,then send the specimen to a laboratory to be analyzed. You can get the result in 3-4 days.

Treatment

If you have chlamydia, your doctor will prescribe oral antibiotics, usually azithromycin (Zithromax);1000mg once per oral .Your doctor will also recommend your partner(s) be treated to prevent reinfection and further spread of the disease.
After taking antibiotics, people should be re-tested after three weeks to be sure the infection is cured. Do not have sex until you are sure both you and your partner no longer have the disease.

Price

Consulting fee including test: 10,000 yen in cash or by credit card.

Gonorrhea

What is gonorrhoeae

Gonorrhoeae is an infection by the bacteria Neisseria gonorrhoeae, is one of the most common sexually transmitted diseases.
Gonorrhea and chlamydia, another common sexually transmitted disease, often occur together, so you may be tested and treated for both.
In fact, about 80% of infections in women is without symptoms.
Gonorrhoeae may be transmitted by having unprotected vaginal sex ,anal sex or oral sex with an infected person.

Incubation period

(time between becoming infected and developing symptoms)
10days to one months for woman.
2 days to 7(~14) days for man

symptoms in women

  • Abnormal vaginal discharge :foul-smelling,Abnormal vaginal discharge :foul-smelling,cervical discharge
  • Abdominal pain with or without fever
  • Pain when urinating
  • Painful intercourse
  • ・Conjunctivitis (red, itchy eyes)
  • ・Bleeding between periods
  • ・Spotting after intercourse
  • ・Swelling of the vulva (vulvitis)
  • ・Burning in the throat (due to oral sex)
  • ・Swollen glands in the throat (due to oral sex)

symptoms in men

  • Penile discharge (pus, Greenish yellow ,whitish, yellow or beige,discharge)
  • Pain and burning with urination
  • Burning and itching around the opening of the penis
  • Testicle swelling and tenderness
  •  
  • ・Burning in the throat (due to oral sex)
  • ・Swollen glands in the throat (due to oral sex)

Diagnose

She will use a swab from cervix, and he will use the first urine from urethra for PCR tests ,then send the specimen to a laboratory to be analyzed. You can get the result in 3-4 days.

Treatment

If you have gonorrhea, your doctor will inject antibiotics, usually Ceftriaxone Sodium Hydrate (Rosefin);1000mg into a vein once .Your doctor will also recommend your partner(s) be treated to prevent reinfection and further spread of the disease.
After taking antibiotics, people should be re-tested after three weeks to be sure the infection is cured. Do not have sex until you are sure both you and your partner no longer have the disease.

Price

Consulting fee including test: 10,000 yen in cash or by credit card.

check_up

If you are residents with a resident’s card registered in Fukuoka City, you have the right to have an annual medical check up for a cheaper price or even free.

  • 1. YOKADOCK:40-74 years old
  • 2. YOKADOCK 30:29-39 years old
  • 3. Hepatitis B and C Test:20 years old and older
  • 4. Cervical cancer Test:20 years old and older
        Prostate cancer Tests:55 years old and older

1)The Yokadock (specific health check-up of municipal NHI) is a health check-up program designed to prevent lifestyle diseases.Services such as these normally cost up to \10,000 out of pocket but you can receive all these services for only \500 if you qualify.

  • ● Intended for:
    Fukuoka City National Health Insurance(NHI) members aged between 40 and 74
    *For those who are not in the NHI scheme, please contact your insurance company.
  • ● Contents: Height, weight, and waist measurements, urine test, blood pressure, blood test (including neutral fat, cholesterol, blood glucose, hepatic function levels, and anemia), electrocardiogram, and a health interview.
  • ● Fee: 500 yen (co-payment amount)
  • ● Please bring:*Or the National Health Insurance Eligibility Certificate

Please proactively use the services provided by Yokadock, and examine your daily life, taking on healthy habits such as having a balanced diet and enough exercise.

2)YOKADOCK 30

If you are residents registered in Fukuoka City, you can have a medical ckeck up as same as YOKADOCK.
Those eligible for Yokadock 30 are29 to 39-year-old citizens of Fukuoka City.

  • ● Fee: 500 yen (co-payment amount)
  • ● Please bring:Your Personal ID Certificate like PassPort or Driver's licence card.
  • ● Contents:Height, weight, and waist measurements, urine test, blood pressure, blood test (including neutral fat, cholesterol, blood glucose, hepatic function levels, and anemia), electrocardiogram, and a health interview.

3)Hepatitis B and C Tests

Free and anonymous tests for Hepatitis B and C are available for the residents in Fukuoka Prefecture except for the residents of Kurume City, Omuta City and Kitakyusyu City,

4)Other Medical Checks

Tests
Participant
Fee
Cervical Cancer
Females aged 20 and older
1200 yen
Colon Cancer
40 and older
500 yen
Prostatic Gland Cnacer
55 and older
1000 yen

Other tests for cancer screening as above are available for the residents in Fukuoka City.

CHAMPIX tablet to help you stop smoking


The doctor can prescribe Champix tablets to help you stop smoking . If you have a health insurance (Kokumin kenko hoken or corporate insurance) in JAPAN, you will pay in total about 6,000 yen for your consulting fee at the clinic and 14,000 yen for the drug at the pharmacy.
During your first consultation, you will answer a special questionnaire about your smoking status and write an oath to finally check the density of CO2 in the gas exhaled from your lungs.


1. WHAT CHAMPIX IS AND WHAT IT IS USED FOR

CHAMPIX is a non-nicotine medicine which is used to help you stop smoking.

CHAMPIX can help to relieve the craving and withdrawal symptoms associated with stopping smoking.

Although you are not recommended to smoke after your quit date, CHAMPIX can also reduce the enjoyment of cigarettes if you do smoke when on treatment. (The quit date is the day in the second week of treatment when you will stop smoking)


2. BEFORE YOU TAKE CHAMPIX

Do not take CHAMPIX

- If you are allergic (hypersensitive) to varenicline tartrate or any of the other ingredients of CHAMPIX

Take special care with CHAMPIX

There have been reports of depression, suicidal ideation and behaviour and suicide attempts in patients taking CHAMPIX.
If you are taking CHAMPIX and develop agitation, depressed mood, changes in behaviour that are of concern to you, your family or doctor or if you develop suicidal thoughts or behaviours you should stop your treatment and contact your doctor immediately.


  • Taking CHAMPIX with food and drink : CHAMPIX can be taken with or without food.
  • Pregnancy : You should not take CHAMPIX while you are pregnant.
  • Breast-feeding : Although it was not studied, CHAMPIX may pass into breast milk. You should ask your doctor or pharmacist for advice before taking CHAMPIX.
  • Driving and using machines : CHAMPIX may produce dizziness and sleepiness. You should not drive, operate complex machinery or engage in any other potentially hazardous activities until you know whether this medication affects your ability to perform these activities.

3. HOW TO TAKE CHAMPIX

CHAMPIX is a non-nicotine medicine which is used to help you stop smoking.

Before starting your course of CHAMPIX you should decide on a date in the second week of treatment (between day 8 and day 14) when you will stop smoking. You should write this date on the pack as a reminder.

CHAMPIX tablets should be swallowed whole with water. The usual dose for adults which you should follow from Day 1 is described in the following table:


Week 1 First visit
Day 1 - 3 From day 1 to day 3, you should take one white CHAMPIX 0.5 mg film-coated tablet once a day.
Day 4 - 7 From day 4 to day 7, you should take one white CHAMPIX 0.5 mg film-coated tablet twice daily, once in the morning and once in the evening, at about the same time each day.

Week 2
Day 8 - 14 From day 8 to day 14, you should take one light blue CHAMPIX 1 mg film-coated tablet twice daily, once in the morning and once in the evening, at about the same time each day.

Weeks 3 - 12 Please visit the clinic at day15(2nd),day 29 (3rd),day 60 (4th) & day 90 (Final)
Day 15 - end of treatment From day 15 until the end of treatment, you should take one light blue CHAMPIX 1 mg film-coated tablet twice daily, once in the morning and once in the evening, at about the same time each day.

Should you experience adverse effects that you cannot tolerate your doctor may decide to reduce your dose temporarily or permanently to 0.5 mg twice daily.

If you have problems with your kidneys, you should speak to your doctor before taking CHAMPIX.
You may need a lower dose.


If you forget to take CHAMPIX

Do not take a double dose to make up for a forgotten tablet.
It is important that you take CHAMPIX regularly at the same time each day.
If you forget to take a dose, take it as soon as you remember.
If it is almost time for your next dose, do not take the tablet that you have missed.


4. POSSIBLE SIDE EFFECTS

Giving up smoking with or without treatment can cause various symptoms. These could include changes of mood (like feeling depressed, irritable, frustrated or anxious), sleeplessness, difficulty concentrating, decreased heart rate and increased appetite or weight gain.

  • - Very common side effects which may affect more than 1 person in 10 are listed below:
  • o Headache, difficulty sleeping, abnormal dreams o Nausea
  • - Common side effects which may affect more than 1 person in 100 are listed below:
  • o Increased appetite, changes in the way things taste, dry mouth
  • o Sleepiness, tiredness, dizziness
  • o Vomiting, constipation, diarrhoea, feeling bloated, stomach discomfort, indigestion,flatulence

Ohori Park Clinic specialities

Headache expertInternal medicine
neurosurgery
gynecology
psychosomatic medicine
Chinese medicine

How to contact us

Ohori Park Clinic
810-0051
Fukuoka City, Chuou-ku. Ohori Park 2-35 The Appartment 2F
Tel: 092-724-5520
www.ohori-pc.jp

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