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Monday 08:00 - 14:00 Tuesday 08:00 - 14:00 Wednesday 08:00 - 14:00 Thursday 08:00 - 14:00 Friday 08:00 - 14:00

Dr Anje Van Der Merwe Medical

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Dr Anje Van Der Merwe Medical

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AESTHETIC DOCTOR & GP
🍒lifestyle education🏃🏿‍♀️
🍒female&child health🤱🏼
🍒mental health🧠
🍒cardiology🫀
🍒BoTX💉
🍒fillers👄
🍒thread lifts🙋🏻‍♀️
www.nerolihealthandbody.co.za

01/12/2024

P O S T N A T A L D E P R E S S I O N

Postnatal depression can be difficult to recognize because many of the symptoms can be similar to those of baby blues or normal stress after childbirth. Common signs and symptoms of postnatal depression include:

- Persistent feelings of sadness and low mood
- Loss of interest in the world around you and activities you used to enjoy
- Loss of appetite or an increased appetite (comfort eating)
- Difficulty sleeping at night and feeling tired all the time
- Difficulty bonding with your baby
- Feeling agitated, irritable or very apathetic
- Feeling inadequate or worthless
- Having suicidal thoughts or thoughts of harming your baby
- Physical aches and pains, such as headaches and muscle tension

Early diagnosis can make a world of difference. Appropriate treatment is not just taking medication (although we do sometimes opt for medication that is safe for mom and baby). Often we involve psychologists, platforms like , and ensure that family and friends are appropriately supportive.

13/11/2024

D I A B E T E S

Diabetes is such a complex condition, that deserves the care, attention, funding, support that is due. So often we label someone with the diagnosis, without giving them understanding and the tools needed to comprehend this far reaching disease. The diagnosis is made with a quick lab test, but the consequences on lifestyle, treatment, future complications, work are numerous. We need to educate, refer appropriately, spend time examining patients and listening to their concerns. If we put ourselves or a family member in their shoes, it suddenly hits home. In a way making the diagnoses is shining a light in a dark, vicious world of possible heart attacks, amputations, strokes, blindness and burning feet. The moment we uncover the preexisting metabolic disorder, the necessary changes can be made and they can start walking the road to remission or optimal control. It is important to highlight that feeling well doesn’t equals being well. Proper screening, healthy lifestyle, plenty of exercise and good medication should ensure that the patient truly remains well and that complications are prevented.

02/11/2024

E M O L L I E N T S

To be diagnosed with eczema often comes as a big shock, mostly because
of the chronicity and burden of disease. Upon presentation the patient
(or parent of the patient) is acutely aware of the fact that the
itch/scratch cycle can have a massive impact on everyone’s quality of
life (sleep and even school performance and mental health).

So often we focus on avoiding triggers and desperately grabbing at
steroids; and forgetting to focus on THE MAINSTAY of treatment; namely
emollients (moisturizers). So, let’s remember to:

▪️Apply twice daily, even more frequently in flares. The skin barrier
isn’t intact and by layering with an emollient you can mimic an intact
barrier which will greatly relieve the itch.
▪️Apply liberally over whole body. I recommend patting little blobs of
cream all over, never having to rub cream from one area to another- a
telltale sign that you need more moisturiser.
▪️Chose the emollient wisely. Just perfume and colorant free isn’t
good enough. Aqueous cream is no longer recommended. I like the Epimax
range and SBR Repair/Protect.
▪️It’s ideal to apply after a quick, lukewarm shower/bath. Don’t rub
or pat completely dry. Capture some of the moisture on clean skin by
applying emollient shortly after shower.
▪️Keep emollient handy throughout the day to have access to it,
especially if frequent hand washing is required.
▪️Make the ritual fun for your child, by utilising song & dance and
nursery rhymes to create a positive association.
▪️Make it a habit. Once you do it automatically it will slot into busy
days a little easier.

If you struggle with eczema, feel free to book a consult (033)3943065

30/10/2024

B R E A S T C A N C E R

As a community we are shocked and saddened by the recent passing of a much loved woman, way too soon. Breast cancer is the most common cancer in women. People go to a great effort to create awareness, but often the same people would admit to not having had screening themselves!

Is it ignorance, time, money, denial or fear? Fear of the discomfort of having a mammogram or fear of discovering something?

But knowledge is power, and a cancer that is detected early will have a much better outcome. I recently went for a follow-up mammogram, and can reassure you that you can expect discomfort, but not pain, and it doesn’t take long. It is much more tolerable than a blood test or listening to the news😊

The unit that I went to uses digital mammography that improves picture quality and allows for lower radiation dose. They are also able to take tomosynthesis images, which means the image can almost be peeled in different layers to adequately evaluate tissue at different depths.

In our practice I follow the CANSA guideline that recommends annual screening for ages 40-54, and biannual screening for those 55 and older, who are well.

This includes a clinical breast examination and mammogram (and sometimes ultrasound or MRI if the breast tissue is very dense). Most medical aids will pay every second year. But if you can afford to pay for it every second year, it might save your life.

High risk or symptomatic patients we investigate as needed.

Rather safe than sorry.

11/05/2024

AVIATION MEDICINE

Dr Peter Appelt is a senior aviation medical officer and does all flying medicals from drone pilots to airline pilots.

We offer a comprehensive service, including:
Eye Tests
Hearing Tests
Stress ECGs
Lung Function Tests

To Book your Appointment call our rooms on: +27 (33) 394-3065

29/04/2024

Meet Doctor Anje Van Der Merwe 👩🏻‍⚕️

👩🏻‍⚕️Dr Anje van der Merwe qualified at the University of Stellenbosch in 2008. She obtained a Diploma in Anaesthetics in 2012 and a Diploma in Conscious sedation at the University of the Western Cape in 2014. She spent time working in the Cardiology department at Greys hospital, worked in primary health clinics in rural Edendale, and has done various courses in aesthetic medicine (administration of anti wrinkle injections, fillers and threading).

Being a wife and mom to three lively children has sparked an interest for women’s and children’s health. She has always been passionate about prevention of lifestyle diseases, like hypertension and diabetes, and the cardiovascular complications thereof, should it occur.

She loves spending time with her family, reading if time allows, gardening and running beautiful Midlands trails. 🏃🏼‍♀️

15/04/2024

FAMILY PRACTICE 👨‍👩‍👧‍👧

At Athlone medical centre we pride ourselves on being a family practise, where our waiting room is child friendly and ready to accommodate their busy minds while they wait for their appointment. Dr’s Appelt, Myburgh and Van Der Merwe are passionate about all aspects of your general well being and all ages will feel comforted and cared for 🩺

09/04/2024

EAR INFECTIONS

Some moms feel middle ear infection is their child’s middle name.

It can lead to many school days missed, interrupts sleep, and have hearing implications.

If your child mentions ear pain, blocked ears, or if you notice a discharge from the ear or deafness; it is probably worth bringing them for an examination.

We often find easy-to-treat conditions, like wax buildup, or an outer infection. But occasionally middle ear infections can be present. Sometimes and antibiotic is indicated. Sometimes we rely on nasal sprays and pneumatic devices (like blowing up balloons or chewing sugarfree gum)

In the instance when it doesn’t clear, we would refer to audiology or ENT.

Pop in if you have any concerns!

01/04/2024

Meet Dr Myburgh 👩🏻‍🦱

Dr Myburgh graduated MBChB from Stellenbosch University in 2016 and subsequently completed her Internship in the Pietermaritzburg Hospitals Complex in 2017/2018.

For Community Service in 2019, she was placed at George Regional Hospital where she spent 12 months in the Paediatric Department. During this year she completed a Diploma in Child Health.

From 2020-2023 Dr Myburgh worked in a Family Practice in Kokstad, sharpening a wide variety of skills, including the use of ultrasonography as a bedside diagnostic tool.

When not in the consultation room, she spends her time gardening, woodworking, painting and composing music. She is happily married and has 2 furry children.

28/03/2024

MEET THE TEAM

Dr Peter Appelt, Dr Anjé van der Merwe and Dr Marli Myburgh moved their practice to Athlone.

👩🏻‍🦱 Dr Myburgh graduated MBChB from Stellenbosch University in 2016 and subsequently completed her Internship in the Pietermaritzburg Hospitals Complex in 2017/2018.

For Community Service in 2019, she was placed at George Regional Hospital where she spent 12 months in the Paediatric Department. During this year she completed a Diploma in Child Health.

From 2020-2023 Dr Myburgh worked in a Family Practice in Kokstad, sharpening a wide variety of skills, including the use of ultrasonography as a bedside diagnostic tool.

When not in the consultation room, she spends her time gardening, woodworking, painting and composing music. She is happily married and has 2 furry children.

👩🏻‍⚕️Dr Anje van der Merwe qualified at the University of Stellenbosch in 2008. She obtained a Diploma in Anaesthetics in 2012 and a Diploma in Conscious sedation at the University of the Western Cape in 2014. She spent time working in the Cardiology department at Greys hospital, worked in primary health clinics in rural Edendale, and has done various courses in aesthetic medicine (administration of anti wrinkle injections, fillers and threading).

Being a wife and mom to three lively children has sparked an interest for women’s and children’s health. She has always been passionate about prevention of lifestyle diseases, like hypertension and diabetes, and the cardiovascular complications thereof, should it occur.

She loves spending time with her family, reading if time allows, gardening and running beautiful Midlands trials

🧑🏼‍⚕️Peter Appelt is a General Practitioner from German descent based in Pietermaritzburg, happily married with one child.

He started his private practice in August 2000, after serving as a state employee. He has been in private practice for the past 21 years.

His areas of interest in the profession are with aviation medicals, chronic illnesses, surgery and family medicine.

His passion lies in deep sea fishing, wood working, birding and hiking.

He is conversant in English, Afrikaans, German and Zulu.

19/03/2024

F L U

Also known as seasonal Influenza, caused by Influenza viruses.

Unlike the common cold, caused by different viruses, flu can range from mild illness to severe illness and even death.

Severe disease is more prevalent in infants and the elderly, and especially for these high risk groups, a vaccine is highly recommended. (However, I do recommend it to everyone over the age of 6 months, unless if there is a contra-indication)

Typical flu symptoms are difficult to differentiate from COVID19 and diagnostic testing with PCR is often necessary. It is also highly contagious, and while we are not in the peak of a Covid wave, more common than Covid-19.

Typical symptoms of flu
👉Sudden onset of symptoms
👉Fever and rigors (shivering and shaking)
👉Muscle pain
👉Severe fatigue
👉Runny nose
👉Cough
👉Shortness of breath
👉Fast heart rate and palpitations
👉Red, watery eyes

Antiviral therapy (NOT ANTIBIOTICS, unless if co-current bacterial illness) might be beneficial for those at risk of developing severe disease, those hospitalized, and those where the diagnoses was made promptly (if we give anti-viral too late in the course of disease, it doesn’t have any benefit)

Be great, vaccinate😉😷😀

Address

2 Montgomery Road
Pietermaritzburg
3201

Opening Hours

Monday	08:00 - 14:00
Tuesday	08:00 - 14:00
Wednesday	08:00 - 14:00
Thursday	08:00 - 14:00
Friday	08:00 - 14:00

Website

http://www.doctora.co.za/

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