Dr Khosa Online Medical Services

14/02/2026

In this cold and rainy season, do not let cold and flu get the better of you.
Let us help you with a virtual consultantion and provide you with the appropriate treatment to beat that cough.

For more information about our services, contact Itumeleng on 0638381495.

11/02/2026

Prostate Cancer

Prostate cancer, the most common non-skin cancer in men, involves uncontrolled cell growth in the walnut-shaped gland, often growing slowly and remaining localized initially. While early stages may show no symptoms, later signs include frequent urination, weak flow, and blood in urine.
Key risk factors include age (over 50), family history, and high-fat diets.

Diagnosis typically involves prostate-specific antigen (PSA) blood tests and digital re**al exams (DRE).

Treatment ranges from active surveillance for slow-growing tumors to surgery, radiation, and hormone therapy for advanced cases.

Symptoms of Prostate Cancer Early-stage prostate cancer often causes no symptoms. When they occur, they may include: Difficulty starting urination or weak stream.Frequent, urgent urination, particularly at night.Blood in the urine or semen. Erectile dysfunction. Pelvic discomfort or pain in the bones, which may indicate advanced, metastatic cancer.

Risk Factors Age: The risk increases significantly after age 50, with most cases diagnosed over 65. Family History/Genetics: Having a father or brother with the disease increases risk. Diet and Lifestyle: Diets high in red meat, animal fat, and obesity (BMI \(\ge \) 30) are associated with higher risk.

Stages and Grades Stages (I-IV): Defines how far the cancer has spread, from confined within the prostate (Stage I/II) to spread to nearby tissues or distant organs like bones (Stage III/IV).
Grades (Gleason Score): Measures how aggressive the cells are, ranging from 6 (slow-growing) to 10 (fast-growing).

Diagnosis
PSA Test: A blood test measuring prostate-specific antigen; elevated levels may indicate cancer.
Digital Re**al Examination (DRE): A doctor manually checks the prostate for abnormalities.
MRI and Biopsy: Magnetic resonance imaging and tissue samples are used to confirm diagnosis and determine aggressiveness.

Treatments Active Surveillance: Monitoring slow-growing, low-risk cancer without immediate intervention. Surgery: Radical prostatectomy, or removal of the prostate gland. Radiation Therapy: High-energy rays to kill cancer cells. Hormone Therapy (ADT): Androgen deprivation therapy blocks testosterone to slow or shrink the tumor. Advanced Treatments: Chemotherapy and newer targeted therapies for metastatic disease.

Source: D Paul Smith, Urologist

For more information on how we can check your prostate, please contact us on: 0638381495.

09/02/2026

You have been going to the gym, diets and all kinds of supplements and yet you are not losing weight.

I think it's time you consider talking to us. Weight loss is a science and if you don't understand that you will lose hope and ultimately give up.

For more information. Please contact 0638381495.

08/02/2026

Pap smear

A Pap smear (or Papanicolaou test) is a, essential, quick screening procedure that collects cells from the cervix to detect early abnormal changes that may lead to cancer. Typically performed by a healthcare provider, it is recommended for women aged 21 and older, usually every 3–5 years depending on age and risk factors.
Key Aspects of a Pap Smear
Purpose: Primarily to identify precancerous cells or early-stage cervical cancer, allowing for prompt treatment.
Procedure: A provider uses a speculum to view the cervix and a small tool to gently scrape cells from the cervical surface. It may cause slight discomfort or a pinching sensation, but it is generally not painful.
Frequency:
Age 21–29: Every 3 years.
Age 30–65: Every 3 years (Pap only), every 5 years (HPV test only), or every 5 years (co-testing with both).
Over 65: May stop if previous screenings were consistently normal.
Preparation: Avoid in*******se, tampon use, or vaginal creams for 48 hours before the test. Do not schedule during menstruation.
Results: Normal (no abnormal cells) or Abnormal (cells show changes requiring follow-up).
Pap Smear vs. HPV Test
While a Pap smear detects abnormal cell changes, an HPV DNA test checks for the virus that causes these changes. Both are critical for cervical cancer prevention.

Source: Dischem health

If you are around Pretoria we can help you with a Pap smear test. Call us on 0638381495 for more information.

07/02/2026

07/02/2026

Advancing Patient Care Through Telehealth in Gauteng

By Dr KM Khosa – Telehealth Advocate_

Following our recent engagement with the MEC for Health in Gauteng at Biovigour Clinic in Midrand, I was reminded of both the immense pressure faced by our healthcare system and the growing opportunities that telehealth presents in alleviating this burden.

As healthcare professionals, we continue to witness increasing patient volumes within our hospitals and outpatient departments (OPDs). Many of these facilities are operating under significant strain, often requiring specialists and medical officers to attend to routine follow-ups and prescription renewals for patients whose conditions are already stable and well-managed. While these consultations remain clinically important, they do not always require physical hospital visits.

Telehealth presents a practical, safe, and efficient alternative for managing such cases. Conditions that are stable and require routine monitoring — including chronic disease follow-ups, prescription renewals, and minor ailments — can often be effectively managed through structured virtual consultations conducted by qualified medical practitioners. This approach has the potential to significantly reduce congestion in public healthcare facilities, allowing specialists and frontline healthcare workers to focus their time and expertise on more complex and urgent medical cases.

Globally, countries such as the United States and the United Kingdom have already demonstrated the effectiveness of telehealth integration within their healthcare systems. Their experience highlights that the primary challenges are not clinical capability, but rather implementation, infrastructure development, and public awareness. South Africa is steadily progressing in this direction, and with continued investment in digital health infrastructure and education, telehealth can become a valuable extension of patient care.

It is important to emphasise that telehealth is not intended to replace physical consultations, hospital care, or specialist interventions. Instead, it serves as a complementary healthcare solution that enhances accessibility, improves efficiency, and supports continuity of care, particularly for patients managing chronic or stabilised conditions.

As technology continues to evolve, so too will our methods of delivering healthcare. Innovations such as robotic-assisted surgery already demonstrate how distance is becoming less of a limitation in medical practice. The concept of surgeons performing procedures remotely may soon transition from possibility to practical reality as infrastructure and technology continue to advance. We are living in a transformative era where digital health solutions are rapidly becoming central to modern healthcare delivery.

In alignment with the vision expressed by President Cyril Ramaphosa through the words “Thuma Mina” — send me — I stand ready to contribute towards the responsible and effective implementation of telehealth solutions in Gauteng and across South Africa. As a Telehealth Advocate, I am committed to supporting initiatives that improve healthcare accessibility, strengthen patient outcomes, and assist healthcare workers in managing the growing demands placed on our system.

Telehealth is not merely a technological advancement; it is an opportunity to reimagine patient-centred care in a way that is efficient, accessible, and sustainable for future generations.

Dr KM Khosa
Medical Practitioner
Telehealth Advocate
📞 081 439 6032
📞 063 838 1495
📍 965 Bremer & Market Street, Claremont, Pretoria West
🕒 Monday – Friday: 08:00 – 18:00
🕒 Saturday – Sunday: 08:00 – 14:00

06/02/2026

Dr KM Khosa Weight Loss Clinic

Your brain hates it when you lose weight.
It tries by all means to retain those calories that you are trying to burn even if you are overweight.

No wonder you get to a point where you hit the roof of weight loss because your brain fights back.
~ Energy Homeostasis. Let us help you get there.

We will take you through each step of the way to help you lose the weight whether it be medical causes or lifestyle causes.

Do talk to us: 0638381495 for more details

05/02/2026

Please note friends.
I don't prescribe Ozempic just because you need only the prescription. We need to have a thorough talk about your individual factors and I also need to tell you about the injection that you are requesting and possible complications and how to avoid them.

We don't prescribe GLP-1s like your evra patches. There's a lot going on than just you taking injections and that is where we come in.

Remember. Not everyone is overweight because they eat wrongly or do not exercise. That's the reason we have to take bloods to the lab to investigate the your individual factor.

For info: 0638381495

05/02/2026

Ringworm

Ringworm is a common, contagious fungal skin infection (not a worm) caused by fungi like Trichophyton that thrive in warm, moist areas.
It causes itchy, red, scaly, ring-shaped rashes, typically lasting 2–4 weeks with treatment. It is treated with antifungal creams (clotrimazole, terbinafine) or pills for severe cases.
Also called taenia corporis, taenia capis, Athletes Foot i.e taenia pedis amongst others. epending on the area affected

Causes

Ringworm is caused by mold-like parasites (dermatophytes) that live on cells in the outer skin layer. They thrive in warm, humid areas, such as locker rooms, public showers, or in skin folds.

Symptoms

Skin: Red, raised, itchy, scaly patches that often form a ring with a clear center, though they may just appear as a scaly rash.
Scalp (Tinea Capitis): Scaly, bald patches, dandruff, and sometimes swollen, tender scalp.
Nails (Onychomycosis): Thickened, discolored, or brittle nails.
Other names: Athlete’s foot (feet), jock itch (groin), ringworm of the body.

Treatment

Topical Antifungals: Most cases are treated with over-the-counter creams, gels, or sprays (e.g., clotrimazole, miconazole, terbinafine) for 2–4 weeks.
Oral Medications: Prescription pills (e.g., griseofulvin, terbinafine, itraconazole) are used for severe, widespread, or stubborn cases, especially for scalp infections.

Transmission

Person-to-Person: Direct skin-to-skin contact with an infected person.
Animal-to-Person: Touching infected pets (puppies, kittens) or farm animals.
Object-to-Person: Contact with contaminated items like towels, clothing, bedding, or surfaces (e.g., gym floors).

Duration

Mild cases usually respond to treatment within 2 to 4 weeks. If it does not improve after two weeks of over-the-counter treatment, medical advice is recommended.

Source: Cleveland Clinic

03/02/2026

TZANEEN-BORN DOCTOR LAUNCHES VIRTUAL CONSULTATION SERVICES

Virtual consultations give patients the opportunity to receive medical care without physically travelling to a doctor’s office,” said Dr Khosa. “It has proven to be especially effective for patients with minor ailments and those who may struggle with access to healthcare facilities.”

Read full story in the comments section.

01/02/2026

Telehealth/ Virtual consultation

A virtual consultation is a remote video/ telephone conversation between a patient and a healthcare professional. This process is not changing the who, but rather the when, where and how to care and the delivery the consultation. Virtual consultations give patients the opportunity to receive care without a trip to the doctor’s office. During the COVID-19 pandemic, telehealth also played a huge role with efforts to maintain social distancing and also assisted with reducing the spread of the disease to health care worker and reducing unnecessary travel to health care facilities when you could have done it from the comfort of your own home.
At present the telehealth methods have become very vital in saving our patients time and money especially patients with minor ailments, and as we progress in this digital age, many patients are starting to notice the convenience of the telehealth platform and they have since learned that if their condition warrants physical consultation their virtual doctors will tell them that they need to be seen and get thorough physical examination.

We are in the digital age and very soon we will even hear of robotics where a surgeon will be able to operate on you from the comfort of their own home in whichever country where they will be based while they themselves will be in another. I'm definitely sure that the realisation of remote surgery is upon us and will be achieved during our lifetime.
Medicine is evolving from how we used to know it and that is the reason I'm the biggest advocate for telehealth services for the benefit of our patients and this can reduce hospital congestion by developing systems that keep some patients and home while they still get the necessary attention that their individual condition requires.

I was privileged enough in December of 2025 to discuss the telehealth platform and it's advantages with our health MEC in Gauteng and she was quite impressed with how effective this platform can be if we can adopt it wisely and this would ease the congestion within our public institutions.
We are definitely getting there but it requires people who are invested into the future and together we can work on improving the current weaknesses on this virtual platform as we are still to learn a lot since every new system has challenges.

For more information about this system please contact me on 0814396032 and see how this can enhance your organisation. I'm open to sharing more information as I have with our local newspapers at a time when many people were still in doubt of this way of consulting our patients.
Thank you.

28/01/2026

Pharmacy Support Program

Community pharmacies often lose patients when prescriptions require renewal or when scheduled medication needs a doctor’s authorisation.

Referring patients to the nearest GP frequently results in them not returning to the pharmacy, leading to lost clients and lost revenue.

Our Pharmacy Support Program is designed to address this challenge through a secure and compliant telehealth platform.

We enable:
• Doctor consultations conducted remotely
• Patients to be seen while still at your pharmacy
• Prescriptions to be issued where clinically appropriate

This ensures continuity of care, improved patient experience, and client retention for pharmacies.

📞 Partner with us today
063 838 1495 | 081 439 6032