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COVID 19 VACCINE

THERE IS A LOT OF NEWS OUT THERE ABOUT COVID VACCINATIONS. THE MALTHOUSE SURGERY CONTINUES TO DELIVER VACCINATIONS DEPENDING ON THE SUPPLY OF VACCINE. WE STARTED IN MID DECEMBER WE ARE WELL ON OUR WAY TO VACCINATING ALL OVER 65s & THOSE 16-64 WITH AN APPOPRAITE UNDERLYING HEALTH CONDITION.

WORKING WITH OUR PRIMARY CARE NETWORK PARTNER ABINGDON SURGERY WE HAVE DELIVERED OVER 7000 VACCINES. AS WE RECEIVE FURTHER DOSES PATIENTS WILL BE INVITED IN PRIORITY ORDER.

ALL MALTHOUSE SURGERY AND ABINGDON SURGERY PATIENTS WILL HAVE THEIR VACCINE ADMINISTERED AT THE CHARTER, WHERE WITH THE SUPPORT OF THE LOCAL COUNCIL WE HAVE  EXPANDED THE MALTHOUSE SURGERY SITE OVER THE NEXT COUPLE OF MONTHS.

MASS VACCINATION SITES ARE OPENING UP AND THESE ARE BEING MANAGED NATIONALLY. LETTERS ARE BEING SENT DIRECTLY TO PATIENTS. IF YOU RECEIVE ONE OF THESE LETTERS IT WILL PROVIDE THE INFORMATION YOU NEED TO BOOK YOUR VACCINATION AT ONE OF THESE SITES. YOU WILL BE ABLE TO DO THIS BY PHONE OR ONLINE. THIS MAY MEAN YOU NEED TO TRAVEL FURTHER.

 IF YOU WAIT TO BE CONTACTED BY US AND HAVE YOUR VACCINATION AT YOUR LOCAL SITE WE ARE MAKING REALLY GOOD PROGRESS.

WHICHEVER OPTION YOU CHOOSE, IT IS IMPORTANT TO BE AWARE THAT YOU WILL NEED TO HAVE YOUR SECOND DOSE AT THE SAME PLACE WHERE YOU HAD YOUR FIRST DOSE AND THIS CANNOT BE CHANGED

THE VACCINE PROGRAMME IS EXTENSIVE AND THE MAJORITY OF ELIGIBLE PATIENTS WILL GET THEIR VACCINE IN 2021. A PRIORITISATION LIST HAS BEEN PRODUCED BY THE NHS DETAILING THE GROUPS OF PATIENTS TO BE VACCINATED FIRST. PRIORITY IS GENERALLY BY AGE AS THIS IS THE BIGGEST RISK FACTOR. 

THE MALTHOUSE SURGERY WILL CONTACT YOU WITH A DATE AND TIME WHEN IT IS YOUR TURN TO RECEIVE THE VACCINE.  PLEASE DO NOT CONTACT US TO SEEK THE VACCINE BEFORE IT IS YOUR TURN, EVERYONE WHO IS ELIGIBLE WILL GET A VACCINE  

THE MALTHOUSE SURGERY HAS REMAINED OPEN AND CONTINUED TO SEE PATIENTS FACE TO FACE WHERE REQUIRED THROUGHOUT THE PANDEMIC, WITH ALL STAFF WORKING OUT OF THE SURGERY NOT HOME BASED. DUE TO COVID 19 AND THE REQUIREMENT FOR SOCIAL DISTANCING WE ARE LIMITED TO HOW MANY PATIENTS CAN ENTER THE SURGERY.  ONLY CALL THE SURGERY FOR URGENT ON THE DAY APPOINTMENTS WHICH INITIALLY WILL BE A TELEPHONE OR VIDEO CONSULTATION.  FOR ALL ROUTINE APPOINTMENTS PLEASE USE E CONSULT WHICH CAN BE ACCESSED VIA THIS WEBSITE. ANY PATIENT WHO AFTER TRIAGE NEEDS A FACE TO FACE CONSULTATION WILL BE SEEN IN THE SURGERY. MANY PATIENTS ARE BEING SEEN FACE TO FACE WEEKLY WITHIN THE COVID LIMITATIONS PLACED ON US, INCLUDING FOR REGULAR BLOOD TESTS, CHRONIC DISEASE REVIWS ETC.  

Ear Syringing/Ear Care

Ear Syringing/Ear Care

A plug of earwax is not a serious problem, more a nuisance and ear drops alone will in most cases clear a plug of earwax. Frequent ear syringing is not good practice and an appointment for ear syringing should not be viewed as the solution to a blocked ear. If there is a build up of wax in your ear(s), please read the following self-help guide.

 

 

What is ear wax?

Ear wax is normal and is produced to form a protective coating over the skin in the ear canal. Ears are normally self-cleaning – the movement of your jaw whilst eating and talking helps to move the wax along the canal where it will usually fall out naturally without you noticing.


Why is my ear blocked with wax?

The amount of ear wax produced varies from person to person; some people produce excessive amounts which can lead to a blockage in the ear canal. You are more likely to develop a blockage of wax in the canal if you:

  • use cotton ear buds to clean the ear as this pushes the wax deeper into the canal
  • wear a hearing aid, ear plugs or use in-ear speakers for i-pods or similar - as these can all interfere with the natural process of wax expulsion
  • have abnormally narrow ear canals
  • have a particularly hairy ear canal
  • are elderly – because the ear wax you produce is drier and harder
  • have a dry skin problem such as eczema or psoriasis

Advice to help you manage and prevent ear wax blockage

Ear wax only becomes a problem if it causes deafness, discomfort or if your Health professional requires a clear view or your ear drum.

If you experience any of the following, you should seek advice from your GP at The Malthouse Surgery:

  • pain
  • discharge or bleeding from the ear
  • sudden complete deafness or buzzing
  • foreign bodies in the ear
  • dizziness

If you are not experiencing any of the above, you need to manage the blockage as following:

Olive Oil Drops
The following needs to be done 2 or 3 times daily for 14 days.

  • Lie on your side with the affected ear uppermost
  • Pull the outer ear gently backwards and upwards to straighten the ear canal
  • Put 2-3 drops of olive oil into the affected ear(s) and gently massage just in front of the ear
  • Stay laying on your side to allow the wax to soak in for around 10 mins
  • Afterwards, wipe away any excess oil but do not plug your ear with cotton wool as this simply absorbs the oil

Your hearing problem may initially worsen after first starting to use the olive oil drops; this is why we advise you to concentrate on treating one ear at a time if both ears are blocked with wax.

In most cases, after 14 days, the wax will have softened sufficiently to encourage the wax to come out without further intervention. 

Ear Syringing – is only usually considered if the above recommendations have proved to be unsuccessful.

The Malthouse Surgery has to prioritise appointments around clinical need and we offer approximately 8 ear syringing appointments a week, which can get booked up well in advance.

If after trying the above method of clearing the ear, it is decided by a clinician that ear syringing is required, you will need to make an appointment and ensure ear wax is softened as above for at least one week before syringing will be attempted.

Although the risks are low and our nurses are specially trained to perform this procedure, there is still a small chance (thought to be around 1 in 1000) of complications occurring - such as a perforated ear drum, middle ear infection, external canal infection or causing ringing in the ear (tinnitus).

If your ears are regularly becoming blocked with wax, after clearing the blockage, further ear syringing is not the solution and we will usually suggest you use olive oil drops as above around once per week to keep the wax soft and encourage the natural process of wax expulsion. 



 
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