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The American Psychiatric Association
criteria for diagnosis of ADD requires that on the ADD
Rating Scale (see below),
for children six or more from the inattention group for
ADHD: Inattentive type,
six or more from the second group for ADHD: Hyperactive
/Impulsive Type,
if both criteria are met then ADHD: Combined Type is likely.
These behaviors must be chronic and pervasive. For adults
the number is reduced to four items, top or bottom
ADD Rating Scale
Inattention:
1. Poor attention to details or makes careless mistakes
in schoolwork or work.
2. Often has difficulty sustaining attention
3. Often listens poorly.
4 Often does not follow through on instructions
and fails to finish tasks.
5. Is often disorganized.
6. Often avoids or dislikes tasks requiring sustained
mental effort (e.g. paperwork)
7. Often loses things.
8. Is often easily distracted.
9. Is often forgetful.
Hyperactivity/ Impulsivity
1. Is often fidgety or squirmy.
2. Often leaves seat.
3. Often runs about or climbs excessively, or
subjective feeling of restlessness
4. Often has difficulty doing things quietly.
5. Often "on the go" or acts as if "driven
by a motor".
6. Often talks excessively.
7. Often blurts out the answer, before questions
are complete.
8. Often has difficulty awaiting turn.
9. Often interrupts or intrudes on others.
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The International Clinic policy on prescription for ritalin, metadata, and concerta:
You need to have either of the following:
1. Medical record from previous doctor who has given the prescription or
2. TOVA (test of variable attention) test to confirm the diagnosis---the cost is 150,000 won.
Without above documentation or TOVA test, The Clinic will not and cannot give you prescription.
Medications are strictly controlled because of abuse potential.
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The side effects are as follows:
1.sexual dysfunction
2.dysuria
3.vertigo
4.headache
5.asthenia
6.abdominal pain, diarrhea, rash, or breast pain |
To put the side effects of Propecia into perspective:
they are of minimal significance unless you have a specific
health problem that contraindicates the use of the drug,
such as hepatic(liver) disease or personal sensitivity
to an ingredient in the medication. Because all adverse
side effects are reversible on ceasing to take the medication,
there is little risk in trying Propecia if you and your
physician feel that it is indicated.
The potential adverse effect that worries most potential
patients is impotence, although only 3 percent of patients
who take Propecia are likely to notice any change in their
sexuality. Complete impotence may affect less than 1 percent
of patients, and all patients are likely to revert to
their normal sexual vigor when treatment is terminated.
For some men, a slightly smaller volume of ejaculate might
be noted, but it will probably go unnoticed. Remember,
there is no reduction in the number of sperm in the semen;
the semen is just a little more concentrated. Propecia
has no effect on the motility or activity of the sperm,
and it does not affect their morphology, size, or health.
There is absolutely no evidence that Propecia reduces
a man's ability to impregnate a woman, or that it has
any adverse effect on the resultant fetus.
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There is no repeat prescription system in Korea.
You need consultation each time for prescription.
In the future, there may be repeat prescription system but for now,
you have to follow the law.
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You can prevent pregnancy after intercourse by taking Emergency Contraceptive pill (also known as the Morning After Pill or EC). The most common is brand name “Plan B One Step.”
Plan B, the one-step Emergency Contraception (EC) Pill, works by giving the body a short, high, burst of synthetic hormones. This disrupts hormone patterns needed for pregnancy.
Plan B affects the ovaries and the development of the uterine lining, making pregnancy less likely. Depending upon where the woman is in her menstrual cycle, the hormones prevent pregnancy in different ways.
It prevents ovulation (the egg leaving the ovary and moving into the fallopian tube).
It blocks the hormones needed for the egg to be able to be fertilized. It may affect the lining of the uterus and alters sperm transport which prevents sperm from meeting the egg and fertilizing it.
EC may be effective up to 120 hours (5 days) after intercourse. But, it is most effective within the first 24 hours. Emergency Contraception reduces the risk of pregnancy by 75 - 89%. EC does not protect against reproductive tract infections, including HIV/AIDS.
Use
Take as soon as possible and within 120 hours of unprotected intercourse. EC (plan B) may be taken after 120 hours, but its effectiveness is much lower.
If you vomit within a half hour, it might not work and you should take another dose. You might want to take it with food and some anti-nausea medication.
How Well Does It Work?
Emergency contraception is much less effective than methods of birth control you use before sex such as condoms or birth control pills. But if a woman has had sex without protection, emergency contraception significantly lowers her chances of getting pregnant.
What to Expect
After using Emergency Contraception, your next menstrual period should begin within 2 to 4 weeks. If you don’t have a full, normal period within 4 weeks you might be pregnant and should have a pregnancy test.
Starting birth control after Plan B
You can start using birth control the same day you take EC. If you are using the pill, patch or vaginal ring, their hormones can give you bleeding much like a normal period, even if you are pregnant. It’s a good idea to get a pregnancy test 2 to 4 weeks after using Plan B.
Warning
Plan B cannot prevent an ectopic pregnancy, which is when a fertilized egg attaches and grows outside the uterus. This can be very dangerous and requires immediate medical attention. Signs of ectopic pregnancy are: pain especially in the lower abdomen or shoulder, dizziness and nausea.
After taking EC
Your usual period should begin within 2 or 3 weeks. After two weeks, you can take a pregnancy test. If your period does not come within 3 weeks or if you are pregnant, visit your clinic.
To start taking birth control pills after using EC:
Start a new pack of pills on the first day of your menstrual period or on the Sunday after the first day of your period. Take one pill every day.
Side Effects
Side effects are rare with Plan B but they can happen. They include nausea, vomiting, headaches, breast tenderness, dizziness, fluid retention, abdominal pain and irregular bleeding. If they don’t go away after 1 to 2 days, you should seek medical care.
Your Health
EC does not harm an established pregnancy. It acts on the uterus and cannot prevent an ectopic pregnancy. An ectopic pregnancy occurs when a fertilized egg attaches and grows outside the uterus. This can be very dangerous and requires immediate medical attention. To protect your health, watch out for the EC danger signs.
Danger Signs
Women who experience any of the following symptoms while taking EC should call the clinic immediately:
Abdominal pains (severe)
Chest pain or shortness of breath
Headaches (severe)
Eye problems, such as blurred vision
Severe leg or arm pain or numbness
Future Fertility
EC does not prevent future pregnancies and is less effective than other methods of birth control. If you want to prevent future pregnancies, condoms and spermicide are easily available options. You can buy them over-the-counter and you don't have to wait for the start of your next period.
Pregnancy and Breastfeeding
Studies have not been done on the effect of Plan B on pregnancy and breastfeeding. Birth control pills with the same chemical have been used for many years and have not caused problems. However, the amount of the hormone in Plan B is more than the amount in a birth control pill. No problems have shown up in women who have gotten pregnant or breastfed while taking Plan B. Plan B will not end an existing pregnancy.
Advantages
- Can be used after intercourse.
- Can get ahead of time.
- Easy to use.
Disadvantages
- Does not protect against sexually transmitted infections, including HIV/AIDS.
- Less effective than other birth control methods
- Must be taken within 120 hours of unprotected vaginal intercourse.
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The yellow fever, cholera vaccination
and certification are done from Monday to Friday (9am to 5pm) at Inchon
Airport Quarantine office. Call 032-740-2703 to get an
appointment one day before your visit. Just for yellow fever you can get it at National
Medical Center. They open 10am to 11am on Monday and Wednesday, 2pm to 3:30pm on Tuesday and Thursday, 10am to 11am& 2pm to 3:30pm on Friday. Call 02-2262-4833. You should get the vaccine 2weeks
prior to travel to the endemic area. It is strongly recommended
to be vaccinated in different sites at the same time or
with an interval of 3 weeks between live vaccine. The
cost for the yellow fever vaccine is 21,000 won
and the certification is 500 won and it is good for 10
years. Don't forget to take passport with you. The cost
for the oral cholera vaccine is 500won and the certification
is 500won and protect for 6months.
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Rabies vaccine is not common in Korea. If someone need
to get immunization for that: 1. Get the prescription
from us. 2. Buy at the Korea Orphan drug store 3. Come
back with vaccine and we will administer vaccination.
(for your convenient we can fax the prescription to them
and they will deliver vaccines after confirmation of deposit
of 189.490won in their account-Bank: Kookmin bank/
Account No. 360-01-0024-815/ Acount holder: 한국희귀약품/ please inform to us after deposited). In this case you need to pay shipping charge (10,000won) to our clinic. Please click on the map to download their location
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You should get the flu vaccine in winter,
starting as early as September.
The cost is 15000 won. The shot will work two weeks later
and will protect for 5 or 6 months. WHO is researching
adequate vaccine every year which could be epidemic.
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Alcohol slows down and interrupts the
absorption and immunization response.
We recommend you to avoid alcohol on the day of your vaccination. |
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In this case, laboratory runs a weak D
test.
If the weak D test is negative, it is confirmed Rh negative.
If the weak D test is positive, then it is atypical D,
Rh positive. In this case, you must only receive Rh negative
blood. When you donate, donate only to Rh positive individual.
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There are many tests which come under STD screen.
It differs from individual to individual depending upon
many factors including whether you have any symptoms or
whether you had a contact with a high risk group.
For more details, please visit our "STD screenings".
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The Clinic will send the report to you by personal
email.
You may opt to come to the Clinic to collect the lab results.
If you do not receive the lab report in due time, please
email the Clinic:
ksyclinic@yahoo.co.kr
Sometimes, the email does not get delivered or get into
spam mail box.
We do not report your lab results over telephone because
of privacy issue.
Your cooperation would be appreciated.
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To obtain insurance coverage under the
Korean national health insurance plan, you must follow
the following regulations
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1. Each time you visit a physician or
hospital you must present your card at the reception
when you are registering.
2. Each time you go to a pharmacy to get
your prescription filled, you must present your
card to the pharmacist.
3. If you do not present the insurance
card at the time of the consultation, you will
not get any insurance coverage. However, you must
present your card within one week of the consultation,
if you want the insurance coverage for reimbursement.
This is a government regulation so please follow
this rule.
4. The Korean national health insurance
does not cover physical exams, vaccinations, and
specialized tests such as ultrasound, MRI and
so on. So please if in doubt, ask the physician
or nurse if the procedure you have been recommended
is covered under the Korean national health plan.
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| If we had a contract with the foreign
insurance company in question, it would be possible to
accept it. If you want to use a foreign insurance plan,
please ask your provider for details. |
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| No, you need to look for designated clinic then
it will be free of charge. |
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For those without Korean National Health Insurance
| General consultation: |
50,000 won |
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Rates are reduced for English
teachers. |
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Rates are reduced for other
indigent populations |
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Psychiatric consultation:
| Initial consultation
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100,000 won |
| Brief follow up consultation
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50,000 won |
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For those with Korean National
Health Insurance
Psychiatric consultation:
| Initial consultation
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34,845 won |
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Visiting fee after hours are about 25% higher (6pm
on weekdays, 1pm on Saturday) for Korean medical health
insurance holders.
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Please note that there are new regulations for the cost of certificates effective 1st
of August. 2008
Medical certificates - 20,000won
Casualty certificates-100,000won for less than 3weeks/ 200,000won for 3weeks or more
Referral paper- 10,000won
Medical record copy, x-ray or ultra sound image CD - 10,000won
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The basic program for detoxification involves
nutrabalance, which is nutritional analysis from blood
and urine sample, and vitamins and herbs to help you cleanse.
The cost for nutrabalance is 100,000 won.
The cost for vitamins and herbs is approximately 200,000
won per month.
Usually you need only one month of detoxification process
which will be adequate for a person in good health. The
detoxification program may differ from person to person
depending upon the findings of nutrabalance.
To get started, please call the reception and make an
appointment for nutrabalance test. For the test, fast
for at least 8 hours. |
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UGI (Upper Gastrointestinal Series)
Preparation and Instruction
*** Do not eat or drink anything
after midnight on the day of your test.
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First you change into a hospital
gown and remove any metal objects (necklace,
bra, piercing etc) that might block the X-ray
pictures of your body. (No matter to put on
a watch or a ring) |
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Go to X-ray department. |
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You step on an X-ray machine
which is upright position in front of you.
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You will sip a blowing agent(granular
type) with little water that release gas in
your stomach. The air or gas that you ingest
helps show the lining of the stomach and small
intestine. |
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Next step, you will drink
a thick barium liquid (150cc) and swallow
repeatedly during the series of X-rays.
The barium liquid is a harmless drug for your
body. |
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After swallowing the barium
liquid, you turn around and look at the
x-ray machine. X-ray table will tilt down.
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The X-ray table
is tilted up and down between x-rays. This
helps the barium liquid coat all of your stomach
and intestines. A radiologist will ask
you to roll your body into different positions
so that the radiologist can get a better view.
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The upper GI series takes 10
minutes at least. |
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You will be given a laxative
to wash the barium out of your system
after the test to prevent constipation. Drinking
plenty of liquids. Your stools will be gray
for 24 to 72 hours after the test. |
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| 1. |
Under Korean law, only medical
doctor is authorized to order X-rays. |
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Chiropractor is not a medical
doctor. |
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We are very happy to help and
cooperate with you and the chiropractor on
your X-ray needs within the confines of Korean
law. |
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| Yes, please inform the reception to update your file if you have changed any information regarding National insurance, e-mail and phone number.
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| Please be aware that Int'l clinic will store lost/found items for 1 month. After this period, it will be disposed. |
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