Medical Care Interpreter

29/12/2023

Today's Topic - Increase in the number of cases of pneumonia: the right steps to take

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France is currently seeing a high number of respiratory infections linked to a bacterium called Mycoplasma pneumoniae, particularly in children aged over 4 and young adults. These generally harmless infections occur in small epidemics. Adopting barrier measures can also help prevent them.

How are respiratory infections caused by Mycoplasma pneumoniae treated?

Ordinary respiratory tract infections caused by Mycoplasma pneumoniae usually heal on their own.

In the event of severe symptoms (severe cough, high fever or shortness of breath), the doctor may prescribe antibiotics. With this treatment, the fever falls rapidly, the cough becomes hacking and the pneumonia progresses to recovery, usually within a fortnight.
Note that certain complications, such as an exacerbation of asthma or rare skin or neurological symptoms, may require hospitalisation.

What should you do to avoid catching pneumonia?
Pneumonia is transmitted from person to person via the respiratory tract by droplets, sometimes invisible to the naked eye. The incubation period (i.e. the period between contamination of the body by the bacteria and the appearance of the first signs of the disease) is generally 1 to 3 weeks. Pneumonia is transmitted particularly in groups of children, but also in adults.

That's why it's so important to maintain a high level of protection against Mycoplasma pneumoniae, as well as other common winter illnesses (strep throat, influenza, Covid-19).

Reminder of barrier measures
To reduce the risk of infection, here are the barrier measures that everyone should adopt:

Wear a mask if you have symptoms (cold, fever, sore throat or cough), in crowded places and in the presence of vulnerable people;
Wash your hands frequently with soap and water or a hydro-alcoholic solution;
Air your home regularly;
Sneeze into your elbow (not your hands);
Use a single-use handkerchief.
(Siret : 532290681)

20/12/2023

Today's Topic - The "morning-after pill" is reimbursed at 100% without a prescription!

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To simplify the process for all women and prevent unwanted pregnancies, hormonal emergency contraception (also known as the "morning-after pill" or the "emergency contraception pill") is available free of charge to all women, whether over 18 or under 18.

This contraception is available in pharmacies, without a prescription or advance payment, for all people, whatever their age. It must be taken quickly, within 3 to 5 days of s*xual in*******se at the latest, to avoid an unwanted pregnancy when there is a risk (damaged condom, forgotten pill, etc.).

How do I get one? All you have to do is go to a pharmacy and present your "carte Vitale" or a certificate of entitlement (downloadable from your ameli account). Recipients of state medical aid (aide médicale d'État - AME) can also obtain it by showing their AME card.

Emergency contraception prevents unwanted pregnancies, but does not protect against s*xually transmitted infections (STIs). If you have had unprotected or inadequately protected s*x, or if you have any doubts or symptoms of which you are unaware, it is important to consult a doctor immediately.

Remember I offer a remunerated interpretation service for the English-speaking community and am available at on-call rates over the Christmas and New Year festivities, should you have an emergency. For more information on this and other medical interpretation services, don’t hesitate to call on 062143887 and follow us, Medical Care Interpreter on Facebook to keep up to date on French healthcare advice. (Siret : 532290681)

12/12/2023

Today's Topic - Medical Emergencies during the Christmas holidays – Who to call
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The holiday season may well be the time for cheer and joy but can also be a time when medical emergencies occur.
“In France, doctors’ surgeries and pharmacies are closed on the public holidays of Christmas Day and New Year’s Day, with some practices taking a few days off. On the other hand, statistics show that it’s during these holidays that we need medical help the most, with issues like food or alcohol poisoning, falls, flu and heart attacks topping the charts.
Who to call if you’re feeling ill:
On-call doctors are available to help you at Christmas, New Year’s (and all other public holidays), during the week from 8 p.m. to 8 a.m. and at weekends.
The consultation will be more expensive out of hours but you will still be reimbursed through CPAM or MSA to around 70% of the fee.
• If you have nothing short of an emergency call 15. This number is reserved for lifethreatening health emergencies. A doctor or an ambulance will be arranged. You must be able to speak French
• If you don’t speak French and wish to call yourself: call 112, which is the European
emergency line for health, fire or police. You will be given advice in English by a doctor or the service can arrange for an ambulance to be sent
• For non-emergencies that require a doctor, you can call the national health helpline on 116 117. These French-only volunteer GPs can help you find a doctor or dentist or arrange a home-visit from the doctor on call
• You can find telephone numbers (French-speaking only) for local on-call medical centres by Googling maison médicale de garde followed by your town, city, or department name. You call for an appointment generally and then drop in.
• SOS Médecin is a private home emergency medical service, available 24/7 days a week, 24 hours a day. You can talk with a French-speaking doctor and arrange a home visit, or for a prescription to be left with the out of hours pharmacy. From a landline, dial 3624 (0.15 cts/minute).
• www.qare.fr is for non-emergency online consultations if you want to see a French-only speaking doctor without travelling, open 7 days a week from 6am to 12am, although bear in mind, the number of doctors working over Christmas will be greatly reduced. The consultations are reimbursed in the same way as your usual medical visits. Obviously, these numbers, except the English speaking European emergency line (112) will require you to speak enough French to correctly treat your emergency.

Remember I offer a remunerated interpretation service for the English-speaking community and am available at on-call rates over the Christmas and New Year festivities, should you have an emergency. For more information on this and other medical interpretation services, don’t hesitate
to call on 062143887 and follow us, Medical Care Interpreter on Facebook to keep up to date on French healthcare advice. (Siret : 532290681)

Responding to reluctance
Ever feel slightly put out that your loved ones aren’t quite as excited as you to ‘spend Christmas with the family’? It can be disappointing but read on to find out how to respond to reticence and retain your Christmas cheer.
A relative who is ill or dependent may be reluctant to spend Christmas or New Year's Eve with family, for whatever reason, be it sickness, fatigue, mental illness including depression or simply being overwhelmed.
End of year festivities often mean lavish meals and many seniors dread overeating! For others, it's the stress of getting ready: travelling, shopping, wrapping presents, eating, cleaning, decorating, tidying up... plus the pressure to ‘have a good time at all costs’. When you're not in good health, this upheaval can be particularly gruelling and difficult to cope with. What's more, the fear of contracting or transmitting Covid can be a legitimate fear for many vulnerable people.
When a loved one expresses a reticence to spend the festive season with family, it's important to understand the situation so that you can suggest appropriate solutions: make do with a Christmas tea, offer to come to their home for a quick present exchange, spend the evening by videoconference, etc.
In all cases, don’t force the issue: if your loved one feels that their health does not allow it, let them spend the festive season as they wish. But don't hesitate to send a card or make a phone call to show that they are in your thoughts!

05/12/2023

Today's Topic -Be active for 30 minutes every day - physical activity and sport promoted as a major national cause for 2024

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Keep on taking care 🩺

France has made the promotion of physical activity and sport the "Great National Cause" for 2024, the year of the Olympic and Paralympic Games, announced the Minister for Sport Amélie Oudéa-Castéra on November 21. The Assurance Maladie will be an official partner and will be involved in a number of initiatives throughout the year.

Sedentary lifestyles, a health emergency
The choice of this major cause is obviously linked to the organisation of the Olympic and Paralympic Games in France, which provide a unique opportunity to put sport and its benefits at the heart of society.
But beyond sporting events, there is an urgent need to adopt less sedentary, more active lifestyles, against a backdrop of ever-increasing addiction to screens.

Here are some striking figures:

Inactivity is now the cause of 9% of deaths in France;
An adult sits for an average of 12 hours in a working day, and 9 hours in a non-working day;
80% of 11-17 year olds are below the physical activity thresholds recommended by the World Health Organisation in 2020;
Children and teenagers spend an average of 4 hours a day in front of screens;
80% of adults spend 3 hours a day in front of a screen, excluding professional activities.

Consequences:

95% of the adult population in France is at health risk due to a lack of physical activity or too much time spent sitting down.
66% of teenagers face a worrying health risk due to the combination of too much inactivity and screen addiction.

Every opportunity to get moving
Everyone remembers the benchmark of 5 fruits and vegetables a day. The national "Grande Cause" campaign will be promoting another benchmark that's easy to remember: 30 minutes of physical activity and sport a day for better health, at every age.

You can of course take part in a sporting activity by joining a club or association, or at home, etc.

This half-hour can also easily be incorporated into everyone's daily routine. The key is to take every opportunity to move more:

Walk your child to school or any other outing during the week and on Sundays, to avoid having to take a pushchair
Get off the metro or bus one station before your final destination and finish your journey on foot
When teleworking, make phone calls standing up to reduce the amount of time you spend sitting down...

Siret : 532290681

28/11/2023

Today's Topic -Free breast cancer screening for women aged between 50 and 74

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One woman in eight develops breast cancer during her lifetime. Detected early, breast cancer is curable in 9 out of 10 cases. Women are most at risk between the ages of 50 and 74.

WHO SHOULD UNDERGO BREAST CANCER SCREENING?
The aim of breast cancer screening is to reduce the number of deaths caused by breast cancer.

Organised breast cancer screening is aimed at all women aged between 50 and 74, who have no symptoms of breast cancer and no specific risk factors other than their age.

Women with a high or very high risk of breast cancer can benefit from specific follow-up tailored to their individual situation. Since September the 1st 2016, people requiring specific screening can benefit from 100% reimbursement for the examinations recommended in their situation.
See the Breast cancer screening - Risk levels page on the e-cancer.fr website. (http://www.e-cancer.fr/Comprendre-prevenir-depister/Se-faire-depister/Depistage-du-cancer-du-sein/Les-niveaux-de-risque)
SCREENING MAMMOGRAPHY
Screening mammography: how can you benefit?
During this period of their lives, women can benefit from mammograms every 2 years, on invitation: a simple, high-quality and free way of detecting breast cancer as early as possible.

Breast cancer screening is simple
If you are aged between 50 and 74, every 2 years you will receive a letter inviting you to have a screening mammogram, together with a reimbursement voucher and a list of radiologists in your département approved under the national prevention programme. Choose the radiologist you want from this list and make an appointment. If you are 50 and have not yet received this letter, ask your GP for advice on how to proceed. You can also call the management structure responsible for organising breast cancer screening in your département. These structures manage the organised screening programme at departmental or interdepartmental level and send out the invitation letters.

Breast cancer screening is free
When you come for your consultation, present the form with your invitation letter and your carte Vitale. You will not have to pay anything. The Assurance Maladie will pay the radiologist directly.

Breast cancer screening is controlled
As part of the organised breast cancer screening programme, mammograms deemed normal are systematically re-read by a second expert radiologist.

The results of the mammogram
The radiologist will give you the initial results at the end of your consultation. As part of organised screening, the images are sent to a second radiologist for a second reading. The final results are sent to you and the doctor of your choice by post.

After the screening mammogram, if there are any radiological abnormalities, further tests may be requested (ultrasound, biopsy, etc.). These additional tests are paid for by your health insurance fund under the usual conditions of reimbursement.

After each mammogram, keep your mammograms and the report in a safe place.
Remember to bring your previous mammograms to your radiologist for your next screening tests. The aim is to be able to compare old and new mammograms.

Even between screening mammograms, it's important to keep an eye on your breasts
During the 2 years between 2 screening mammograms, certain cancers may appear.

See your GP or gynaecologist at least once a year for a clinical examination of your breasts.

During this time, it's important to keep an eye out for any changes in your breasts. Don't hesitate to consult your doctor if you notice :

A lump or swelling in a breast or armpit;
Redness or an irregular "orange peel" appearance in the skin of your breasts
Ni**le retraction
An abnormal discharge.

Siret : 532290681

21/11/2023

Today's Topic - Procedure for a medical imaging examination - MRI

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How does an MRI scan work?
Magnetic resonance imaging (or MRI) is an examination based on the use of electromagnetic fields. It produces images of the body in two or three dimensions. Here are a few tips to help you prepare for the scan and make it as easy as possible.

WHAT IS AN MRI?
MRI (magnetic resonance imaging) is a radiology examination that uses a device that emits electromagnetic waves, thanks to a large magnet. When subjected to these waves, the hydrogen atoms making up the body's tissues begin to vibrate. They then emit signals that are picked up by a special camera and transcribed into images on a computer screen.

MRI is a painless examination that provides images of the inside of the human body in 2 or 3 dimensions. It is prescribed in particular to visualise "soft tissues" (brain, spinal cord, viscera, muscles, etc.) as well as bones and joints.

This technology, which does not use X-rays, poses no radiation risk to the patient.

MRI AND CONTRAST: WHAT YOU NEED TO KNOW
In some cases, MRI requires the injection of a contrast agent (most often based on gadolinium, a rare earth metal). This substance opacifies parts of the body, making them visible on the images recorded during the examination.

Gadolinium injections are a common procedure and are generally well tolerated. However, as with other drugs, unpredictable reactions are possible. These are usually temporary and benign:

A sensation of warmth throughout the body or a strange "metallic" taste in the mouth, lasting less than a minute;
Nausea lasting a few seconds (or, more rarely, vomiting);
The appearance of a small skin haematoma associated with the injection (not serious, it resolves on its own in a few days);
Subcutaneous leakage of the contrast product from the vein, due to pressure during the injection.

However, intolerance to the contrast medium can also lead to more pronounced problems, requiring treatment: hives, allergic-type reactions (stinging eyes, eczema, asthma, cardio-respiratory problems) or kidney problems.

These phenomena are more common in people :
Those with a history of hives, eczema, asthma or drug allergies;
Those who have already undergone a poorly tolerated injection of a contrast product during a previous examination;
Those with lung or heart disease, or chronic kidney disease.

STEPS TO TAKE BEFORE AN MRI
When you book an appointment for an MRI scan, keep your doctor's prescription to hand. This will enable you to formulate your request for the examination as clearly as possible.

When making your appointment, tell them if you are wearing any metallic or electronic equipment inside your body (pacemaker, prosthesis, transdermal patch, etc.). In some cases, the examination may be formally contraindicated.

If you are likely to develop an allergy to the contrast medium, tell the person who booked your appointment. Measures may be taken to ensure that the examination runs smoothly (e.g. prescription of a preventive anti-allergy treatment). Furthermore, in the case of chronic kidney disease, the use of a product of this type is sometimes prohibited.

If you are pregnant or think you might be (or if you are breast-feeding), you should also tell your doctor. There are specific procedures in this situation. As a precaution, MRI should not be carried out during the first 3 months of pregnancy (particularly if the examination can be carried out after the birth). This limits the potential risks to the embryo from the diffusion of a magnetic field.

You should also indicate whether you suffer from claustrophobia (i.e. not being able to stand being confined in a cramped place such as a lift). The inside of the machine is well lit and ventilated, but special precautions will also be taken to avoid any discomfort.

Finally, if you have a tattoo, make sure you mention it when you book your appointment. Tattooed skin is sometimes burnt during an MRI scan when it is in the area being analysed. To prevent any burns, the medical team may compress the skin with bandages or an ice bag.

Siret : 532290681

14/11/2023

Today's Topic - Flu vaccination to protect pregnant women and their unborn children

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Although flu epidemics are an annual occurrence, their duration and intensity are unpredictable. However, pregnant women are known to be highly vulnerable to the flu virus, with potentially serious consequences for themselves and their unborn babies. Vaccination against influenza remains the safest way to protect pregnant women and their unborn babies, combined, of course, with barrier measures to limit transmission of the virus. Pregnant women are also at risk of serious infection at Covid-19. To ensure they are doubly protected, it is recommended that they have both their Covid-19 and influenza vaccinations at the same time.

How do I get vaccinated against flu if I'm pregnant?

Pregnant women can ask for a voucher from the health professional of their choice, so that they can collect the vaccine free of charge from a pharmacy. You can be vaccinated by a doctor, midwife, pharmacist or nurse.

To protect themselves and their unborn children, pregnant women are invited to get vaccinated now, whatever the trimester of their pregnancy.

Flu vaccination and vaccination against Covid-19
Pregnant women are at risk of contracting a serious form of influenza, as well as Covid-19. It is therefore strongly recommended that they get vaccinated against influenza and Covid-19. There is no specific time limit between the 2 vaccinations, with one injection in each arm. Vaccination against influenza and Covid-19 can be carried out at the same time.

When you're pregnant, you need to worry about flu...

Pregnancy leads to a change in immunity, and increases the risk of bacterial infection, with the potential for pulmonary and cardiac complications: pregnant women are hospitalised up to 7 times more frequently than women of the same age. High fever, by causing contractions, can also be dangerous for the pregnancy, possibly resulting in miscarriage.
..but don't be afraid of vaccination

Since 2012, the French High Council for Public Health has recommended that pregnant women should be vaccinated against influenza, regardless of their trimester.

The flu vaccine is risk-free for both mother and child. It is not associated with any risk of maternal illness, growth retardation in utero, miscarriage, foetal malformation or illness in the child after birth. Scientific evidence shows that inactivated flu vaccines are safe to use and effective, preventing around 50% of cases of influenza.

Vaccinating the mother-to-be will also protect the unborn child during the months when it is most vulnerable and cannot be vaccinated itself. The antibodies produced by the mother as a result of the flu vaccination pass through the placental barrier to the foetus. These antibodies persist and protect the foetus for 3 to 6 months after birth. There is no long-term effect of vaccination on children's health.

Siret : 532290681

07/11/2023

Today's Topic - Transport costs: cover and reimbursement

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In certain situations, you may need to be transported for treatment, examinations or to return home after hospitalisation. The Assurance Maladie may cover your transport costs, if your state of health justifies it and subject to certain conditions.

When it comes to prescribing your transport, your state of health comes first:

Ambulance transport is prescribed when your state of health requires you to be lying down or half-seated, or supervised, on oxygen, stretchered or carried, or transported under aseptic conditions.

Transport in a light medical vehicle or approved taxi is prescribed when your state of health requires that you need help to move around, that hygiene rules are strictly observed, or when you are at risk of side effects during transport.

For transport by private vehicle or public transport, if your state of health allows you to travel alone or accompanied by a relative.

In order for the cost of transport to be reimbursed by the health insurance funds, a medical prescription must be issued prior to transport.

WHEN ARE YOUR TRANSPORT COSTS REIMBURSED?
You may be reimbursed for your transport costs by the Assurance Maladie, on medical prescription, in the following cases:

Transport related to hospitalisation (admission to and/or discharge from hospital), regardless of the length of hospitalisation (full, partial or outpatient);
Transport related to treatment and care in connection with your long-term illness (ALD) and if you have an incapacity or impairment for travel as defined by the Transport Prescription Guidelines (PDF) ;
Transport related to your condition, which requires you to lie down or be under supervision;
Transport to cover a long distance (more than 150 km one way);
multiple journeys (serial journeys - at least 4 journeys of more than 50 km each way, over a two-month period, for the same treatment);
Transport for a statutory inspection (summons to attend a medical inspection, an expert doctor or an approved equipment supplier);
Transport to an early medical-social action centre (CAMSP) or medical-psycho-educational centre (CMPP);
transport for treatment or examinations related to an accident at work or an occupational disease.

What if you need to be accompanied?
Transport costs for the person accompanying you may be reimbursed, subject to certain conditions (see details in the "Reimbursement" section)

WHAT ARE THE CONDITIONS FOR REIMBURSEMENT OF TRANSPORT COSTS?
Regardless of the means of transport used and the situation, to be reimbursed you must :

Either have a medical prescription from your doctor;
or have a summons (from the Assurance Maladie medical service, an expert doctor, an equipment supplier, etc.).
In certain situations, your doctor will give you a medical prescription with a request for prior authorisation.

Medical prescription
Your doctor will draw up the medical prescription. He will prescribe the mode of transport best suited to your state of health and level of independence, and if he considers that your situation justifies it. The doctor must follow the Transport Prescription Guidelines (PDF) when choosing the mode of transport: private vehicle, public transport, professional seated transport (licensed taxi or light medical vehicle) or ambulance. Except in emergencies, the document must be issued before the transport is carried out.

In the event of a medical emergency (call to centre 15), the prescription may be filled out afterwards by a doctor from the care facility to which you have been admitted.

In the case of public transport, if the person being transported needs to be accompanied or if the person is a child under the age of 16, the doctor must specify this on the medical prescription.
WHAT MEANS OF TRANSPORT CAN YOU USE?
The following are covered

Individual means of transport (private vehicle or that of a relative);
Public transport (bus, metro, train, etc.);
Professional seated transport (licensed taxis and light medical vehicles);
ambulance
Air travel ;
Boat (scheduled services).
In all cases, your doctor will decide which mode of transport is best suited to your state of health and your level of independence. However, if you use transport that is less expensive than that prescribed, you may also be entitled to reimbursement.

HOW MUCH AND HOW DO YOU GET REIMBURSED?
Transport costs covered by the Assurance Maladie are reimbursed at 55% or 100% in certain cases.

Consult the Reimbursement of individual transport costs flyer... A quick and easy procedure! (PDF). (https://www.ameli.fr/mayenne/content/remboursement-des-frais-de-transports-individuels-une-demarche-simple-et-rapide)

Siret : 532290681

01/11/2023

Today's Topic - NOvember! Smoke-free month: an opportunity to stop smoking!

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November 1 marks the start of the Month Without To***co challenge set up since 2016 by Santé publique France, in partnership with the Ministry of Health and Prevention and the Assurance Maladie. This 8th edition is yet another opportunity for smokers to get motivated together to quit smoking for 30 days, thanks to the support offered by Smokefree Month, including tools from Tabac info service. (https://www.tabac-info-service.fr/)

Benefit from reimbursement for ni****ne substitutes to maximise your chances of success
While there are many good reasons to stop smoking, it may be necessary to seek the support of a healthcare professional.

Doctors (including occupational physicians), midwives, dental surgeons, nurses, midwives and physiotherapists can prescribe ni****ne replacement therapy. The French National Health Insurance (Assurance Maladie) provides support to help people stop smoking: 65% of the cost of these NRTs is reimbursed by the statutory health insurance scheme, subject to prescription.

Available in patch form for gradual release of ni****ne or in oral form (gum, tablets, lozenges, etc.) for rapid release, NRTs are prescribed as part of smoking cessation to relieve the cravings.

To***co-Free Month: a collective challenge
In 2022, more than 160,000 people registered on the No Smoking Month website to take up the challenge and benefit from the guidance and support of other smokers.

Successfully quitting smoking for 30 days multiplies by 5 the chances of quitting for good. Stimulating the motivation of smokers is vital, which is why we recommend taking up this collective and connected challenge. Joining a support community on social networks, thanks in particular to the Month Without To***co on X (formerly Twitter), Facebook and Instagram accounts, can help participants to feel supported and to hang in there. The tools offered by the Tabac info service also include entertainment, exercises and advice on how to stay smoke-free.

Access free tools to help you take up the challenge
To support smokers in their attempt to quit, Smoke-Free Month relies on tools that can be accessed free of charge:

The tabac-info-service.fr website, with help and support tools (contact with a tobaccologist, testimonials, questions and answers, etc.)

39 89, Tabac info service's remote help number, where you can be put in touch with a tobaccologist and receive free follow-up. 39 89 is accessible to the deaf and hard-of-hearing via the Acceo platform

The Tabac info service e-coaching application, designed by the Assurance Maladie in partnership with Santé publique France and with the support of the Société francophone de tabacologie, which offers a personalised e-coaching programme to optimise the chances of quitting smoking.

Participants can also meet up on social networks: by following the tabac info service pages, the X account and the Tabac info service Instagram, smokers can join a community that has decided to quit and help each other, share their doubts and tips on how to stay smoke-free...

A Month Without To***co cessation kit is available free of charge when you register on the Month Without To***co website or in most pharmacies.

Siret : 532290681

Une nouvelle vie sans tabac est possible. Pour vous accompagner, vous trouverez sur ce site la motivation, le soutien et les conseils dont vous aurez besoin.