MEDICAL GUARD

Our private home medical service guarantees fast and effective health care for all people who do not have a family doctor to refer to, who do not have the opportunity to be visited by their own or to go to a facility. Active 24 hours a day, the (our) medical guard is a point of reference for all people who have to manage a disease, acute diseases such as influenza, who need the prescription of certain drugs or who need a consultation.


When is it necessary to request the intervention of the medical guard at home?
The service is intended for all patients who need a doctor in emergency situations, a medical evaluation for the manifestation of a particular symptom or prescriptions and certificates.

What is a general medical examination?

The general medical examination begins with an anamnesis: the doctor asks the patient for a description of the symptoms he or she is experiencing in relation to the problem that led him or her to seek medical advice; he or she is informed of the patient's lifestyle, habits, any illnesses or ongoing pharmacological treatments, previous surgery and any illnesses present in the family. The professional then draws up an initial diagnosis and proceeds, where necessary, to administer a treatment, to prescribe recipes or any analysis or to refer the patient to the most suitable specialist.

CARDIOLOGICAL VISIT
The cardiac examination is aimed at all persons who need a check-up or monitoring of the cardiovascular system, in cases of diseases already diagnosed or in the event of new symptoms have occurred due to the state of health of the heart and the cardiovascular system.

What is the purpose of the cardiac examination? Why ask for it at home?
The cardiac examination is useful to assess the state of health of the heart and to diagnose and treat disorders of the cardiovascular system. The service can therefore be requested both by patients with cardiovascular diseases already diagnosed, and for those who want to ascertain the nature of symptoms such as: palpitations, chest pain, breathlessness and fainting and check for any links with heart disease. The purpose of guaranteeing this service at home is to prevent the patient from being subjected to further stress due to travel.

What is a cardiological medical examination?
The general medical examination begins with an anamnesis: the doctor asks for a description of the symptoms he or she is experiencing in relation to the problem that led him or her to seek medical advice and obtains information about the patient's medical history. This is followed by a physical examination that includes auscultation of the heart, measurement of blood pressure and, if required, an electrocardiogram. Once the diagnostic examination has been completed, the cardiologist can prescribe appropriate drugs and treatments, starting a personalized therapeutic path. Or recommend other examinations such as the color doppler echocardiogram, exercise test, cardiac holter or blood pressure monitoring.

How to prepare for the cardiac visit?
The cardiological examination does not include any specific preparation. The patient is advised to keep at hand the results of the latest blood tests and any other tests related to the cardiological problem.

PAEDIATRIC EXAMINATION
The home paediatric visit is intended to help parents in need when their child is unwell, unable to go to the surgery or the family paediatrician is not available and you are disoriented about what to do to help him. The paediatrician's goal is to assess the child's general health, diagnose an acute condition such as: a flu, otitis, gastroenteritis or a rash; treat and monitor any symptoms or diseases typical of childhood.

What is a paediatric medical examination?
The approach to the objective exam depends very much on age. In general, the start of the examination is always the collection of the next personal history (it will be the parent who will provide most of the anamnestic data) and the simultaneous observation of the behavior of the child.

Come prepararsi alla visita pediatrica?Come prepararsi alla visita pediatrica?

The approach to the objective exam depends very much on age. In general, the start of the examination is always the collection of the next personal history (it will be the parent who will provide most of the anamnestic data) and the simultaneous observation of the behavior of the child.

GERIATRIC EXAMINATION
The geriatric medical examination at home is intended to help elderly people unable to move or who to avoid uncomfortable waiting at public or private facilities, and prefer to be visited at home.

What's the geriatric examination for? Why ask for it at home?
Through the geriatric examination, the medical, social and emotional needs of the elderly person are evaluated, in order to delay the functional and mental decline and maintain self-sufficiency and a good quality of life. The geriatrician is a medical figure known for his multidisciplinary approach to patient care and family support, ready to intervene to assess and manage the needs and health problems typical of old age.

What is a geriatric medical examination?
The geriatric examination begins with the collection of the patient's medical history, the pharmacological history and information about any ongoing therapies. The visit then continues with a complete objective examination of the various organs and apparatus, focusing attention on the priorities that prompted the patient to request the visit or that emerged during the interview. The final medical report describes the overall assessment of the person and their therapeutic and care needs.

How to prepare for the geriatric examination?
The cardiological examination does not include any specific preparation. The patient is advised to keep at hand the results of the latest blood tests and any other tests related to the cardiological problem.

PHYSIOTHERAPY
The home physiotherapy service is a convenient and personalized solution that allows the patient to receive the most suitable treatment at home, maintaining the same quality standards offered in a traditional physiotherapy center. The patient will be able to receive at home everything he needs to carry out his rehabilitation in the best possible way, with the advantage of not having to move around and avoiding long waiting times.

What are physiotherapy sessions for? 
Physiotherapy sessions are aimed at preventing, assessing and treating, among others: post-operative traumas, orthopaedic dysmorphisms, neurological diseases and rheumatic diseases. In general, the goal of physiotherapy is to make the patient recover one hundred percent of its functions. The physiotherapist is a specialized health professional who carries out interventions aimed at reducing pain, recovering joint mobility and muscle strength, balance and coordination. 

What is a physiotherapy session?
Physiotherapy sessions can be booked according to specific needs and in accordance with what is prescribed by the doctor. Depending on the patient's needs, the physiotherapist will prepare personalized sessions and treatments.

NURSING SERVICES
The home nursing service is aimed at all persons in need of occasional, continuous, emergency or planned intervention or care. It is possible to ask for the nurse to be sent to one's own home, to hotels and hospitals or to any other suitable place where the intervention is required.

What interventions can be carried out at home by the nurse?

The nurse is able to perform individual interventions, such as:

- Simple or complex dressings

- Dressing of bedsores

- Catheterisation (catheter change)

- Administration of oral, intramuscular or intravenous drugs

- Blood collection or collection of biological fluids by extemporaneous testing

- Gastric or duodenal survey for nutritional, diagnostic or evacuation purposes

- Handling and control of drains

- Detection of vital parameters and values (temperature, arterial pulse, blood pressure, respiratory acts, diuresis, body weight)

- Blood glucose control

In addition to these interventions, there is also the possibility of requesting continuous nursing care (from a minimum of 4 hours) to properly and safely assist the patient at home. Avoiding the movement of the patient by providing home care, means minimizing the stress due to changes, which affects the psychological and physical well-being not only of the patient but of the whole family.

HEALTH AND SOCIAL WORKER
The intervention of the social health worker (OSS) at home or in hotels and hospitals is intended to help people in need of basic care. The OSS has the training to meet the basic needs, promote the physical and mental well-being and social autonomy of the person assisted through assistance to the patient in carrying out daily activities, in hygiene, environmental care and domestic help.

What interventions can be carried out at home by the OSS?

Specifically, the OSS supports the patient, dealing with:

- daily personal hygiene

- assisted bathroom

- sponges for bedridden people

- meal preparation

- help in taking and administering meals

- assistance and supervision to the person at home and support in walking

- help with the patient's lifting, putting him to bed and dressing

- monitoring and surveillance of night-time rest.

Who can be assisted by a home healthcare worker?

OSS home surgery is required for different types of patients, for example:

- elderly and/or disabled

- persons with reduced mobility or with walking difficulties

- persons admitted to hospital facilities

- people recently discharged from surgery

- people with a debilitating disease.

DIAGNOSTICS
The home diagnostic services allow the execution of the most important radiological, ultrasound and Holter examinations, with the advantage of avoiding the movement of the patient and saving time, avoiding uncomfortable waiting in public or private facilities. Thanks to the portable devices we can comfortably perform the required diagnostic examination at your home, maintaining high quality standards, comparable to those of traditional diagnostic centers.

Home X-rays
Taking all precautions to ensure patient safety, X-rays can be taken directly at home and delivered immediately. The X-ray is conducted by a medical radiology technician and then analyzed by a medical radiologist who, a few hours after the performance, will send the medical report by email.

Ultrasound scans and Eco-doppler at home
hrough the use of advanced and innovative diagnostic technologies, it is possible to perform ultrasound scans at home in a simple, practical and fast way. The ultrasound scans are carried out directly by the specialist doctor, reported and delivered immediately to the patient together with the images. The eco-doppler is a diagnostic methodology that uses ultrasound technology combining the processing of ultrasound images with the frequency changes that ultrasound need when encountering moving liquids, thus exploiting the doppler effect to measure speed and direction of circulatory flows. Home ultrasound examinations and eco-doppler analysis do not pose any risk to the patient's health, do not require any particular preparation and are always carried out with the necessary skill and attention.

Holter home exams
Holter examinations at home are performed with a minimally disturbing device, which is placed at home (or at any other place requested by the patient) by a caregiver. This is a 24-hour examination, during which the patient can carry out normal daily activities, recording all useful data to the test (activity, symptoms, disorders, stressors). After 24 hours, the doctor will analyze the data recorded by the device to determine a diagnosis.

CLINICAL ANALYSES
Clinical analyses are a useful tool to get a complete picture of our health and play a crucial role in the prevention, monitoring of therapies and detection of abnormalities. The home clinical analysis service is aimed at all persons who, due to personal difficulties or to avoid inconvenient waiting times at public or private facilities, prefer to perform samples and tests directly at home.

How does the service work?
Our home testing service offers the convenience of receiving a nurse directly at your home to take the samples necessary for your tests. Sampling will be carried out according to high standards of quality and safety. The sample will be delivered by our nurse directly to the laboratory analysis with us and the reports will be sent to the patient by post or by email.

AMBULANCE TRANSPORT
The ambulance transport service is aimed at all people who need, for themselves or their loved ones, to move quickly and safely. The service can be requested for patients in permanent or temporary difficulty, elderly and disabled, with the need for transport and accompaniment to carry out medical examinations, hospitalizations, resignations or transfers.

DERMATOLOGICAL VISIT

The dermatological examination is a fundamental step to exclude, diagnose or monitor a dermatological disorder. In addition to subjects with already known skin diseases, who in agreement with the specialist will undergo periodic checks, you can be sent by your doctor to the dermatologist to ascertain the nature of symptoms such as:

- abnormalities found at the level of a mole

- presence of various types of skin rash

- presence of pomphi and/or angioedema accompanied or not by pain

- persistent itching

- change in the colour and texture of the skin.

The dermatological examination is useful to diagnose, monitor and treat skin diseases, such as:

- dermatitis

- rash

- acne.

What is a dermatological medical examination?
In the first part of the visit the dermatologist will perform the patient's medical history, collecting all the information regarding the symptoms that led the patient to contact or specialist (eg: time of appearance and evolution of the manifestations), the history and lifestyle of the patient (diet, smoking vice, alcohol consumption, level of physical activity and sedentary lifestyle, possible intake of drugs), any dependant diseases, other cases in the family of dermatological diseases. During the second part of the examination, the specialist doctor will pass the objective examination, which consists of the actual examination, examining the skin manifestations that led the patient to undergo the examination. This phase is very delicate and is crucial for the diagnosis that will be made later. The third and last part of the visit consists in the formulation of the diagnosis and in the possible planning of the therapeutic path. In case of doubt in formulating the diagnosis, the dermatologist may require further diagnostic investigations, such as: allergological tests, skin swab and skin - and/or blood biopsy.

GASTROENTEROLOGICAL EXAMINATION
What is a gastroenterological examination?

The gastroenterological examination is a medical examination that is carried out by the gastroenterologist, ie specialized in the study and treatment of diseases affecting organs such as: esophagus, stomach, intestine, rectum, pancreas, liver. In addition to patients with already known pathology (e.g.: gastro-oesophageal reflux, gastritis, ulcer, etc. ...), you can request the intervention of the gastroenterologist to ascertain the nature of several symptoms including:

- abdominal pain and cramps

- burning sensation in the stomach

- diarrhoea (also with mucus and/or blood loss)

- constipation.

How does the gastroenterological examination work?
In the first part of the visit the gastroenterologist will perform the patient's medical history, collecting all the information regarding the symptoms that led the patient to contact or specialist (eg: time of appearance and evolution of the manifestations), the history and lifestyle of the patient (diet, smoking vice, alcohol consumption, level of physical activity and sedentary lifestyle, possible intake of drugs), any diseases borne, other cases in the family of dermatological diseases. In the second part of the visit the doctor will proceed with palpation, percussion and auscultation of the abdomen in order to assess the state of health of the individual organs. The third and last part of the visit consists in the formulation of the diagnosis and in the possible planning of the therapeutic path. In other cases, the doctor himself will ask the patient to undergo specialist investigations depending on the suspected diagnosis, such as: blood tests, urine tests, X-rays, ultrasound scans, CT scans, endoscopies (colonoscopy, gastroscopy, rectoscopy, etc.).

How to prepare for the gastroenterological visit?
There is no specific preparation for a gastroenterological examination. The patient is advised to keep at hand the results of any examinations carried out at the request of his or her doctor and any medical documentation that he or she may have regarding the gastroenterological problem.

OTORHINOLARYNGOLOGICAL EXAMINATION

What is an otolaryngology examination?

The otorhinolaryngological examination consists of a clinical examination of the ears, nose and throat by the doctor Otorhinolaryngology. In addition to patients with already known pathology, the intervention of the specialist may be required in order to diagnose, exclude or ascertain symptoms, such as, for example:

- sore throat caused by tonsillitis, pharyngitis or laryngitis

- swelling of the neck

- persistent throat pain

- sensation of foreign body in the throat

- breathing disorders (closed nose)

- nasal bleedings

- presence of tinnitus

- sense of closed ear

- skidding sensation

How does the ENT examination work?

The course of the ENT examination depends on the reason why the patient asks to be examined. After a thorough history, the specialist will dwell longer on the organs that are the cause of the disorder, proceeding to identify the causes of the disorders felt, through:

- palpation of the neck

- inspection of the oral cavity and pharynx

- inspection of the tympanic membrane and the external auditory canal

- exploration of the interior of the nose and some related structures such as the paranasal cavities and the nasopharynx.

Finally, the visit ends with the formulation of the diagnosis and in the eventual planning of the therapeutic path. In some cases, if the doctor deems it necessary, he will ask the patient to undergo further specialist investigations.

ANGIOLOGICAL EXAMINATION

What is angiological examination?

Angiological examination is the medical evaluation of the venous and arterial circulation, aimed at the diagnosis and/or monitoring of any pathologies already manifested or to prevent any complications regarding the arterial and venous circulation (e.g.: aneurysm, embolism, atherosclerosis, thrombosis, desiccation of the aorta). The subjects who, in particular, should carry out an angiological examination are those who:

- suffer from diabetes

- need regular vascular check-ups in the leg, neck and abdominal aorta vessel areas

- suffer from hypertension

- suffer from deep vein thrombosis and/or superficial venous thrombosis

- are at risk of cardiac events

- have varicose veins, varicose veins, or ulcers.

How does the angiological examination take place?

The angiologist starts from the patient's clinical history to identify risk factors, such as: lifestyle, familiarity with diabetes, hypertension, smoking, cholesterol, etc.. It also analyzes any ongoing therapies and the presence of characteristic symptoms of disease that may not be evident to the patient. Subsequently, the physician performs the physical examination by auscultation, observation and palpation of the most accessible vascular sites. In most cases, the examination ends with the formulation of the diagnosis and the possible planning of the therapeutic path. In case of doubt in formulating the diagnosis, however, the doctor may request the submission of the patient to further specialist investigations.

UROLOGICAL VISIT

What is the urological visit and to whom is it addressed?

The urological examination is an investigation, conducted by the urologist and allows to verify the functionality of the urinary tract, diagnosing any disorders or monitoring the progress of previously diagnosed diseases, for which the patient is being treated (such as infections, stones and urination disorders, such as urinary incontinence or difficulty urinating, tumors of the organs of the urinary system, prostatitis or sexual dysfunction). Specifically, a urologist studies every part of the male and female urinary system, which includes: kidneys, ureters, bladder, urethra, and adrenal glands. The main symptoms that indicate the need to consult a physician specializing in urology are:

- blood in the urine,

- pain and burning during urination

- urinary incontinence, leakage of urine

- frequent and urgent urge to urinate

- turbid and/or foul-smelling urine

- pelvic or kidney pain

- decrease in sexual desire

- appearance of a protuberance in the testis

- difficulty in erection.

How does the urological examination take place?
The urological examination begins with an anamnesis, in which the specialist informs himself about the patient's lifestyle and clinical history in order to draw an overall picture. Then, in the case of men, an exploration of the lower abdomen and external genitalia is planned, depending on the symptoms reported or the pathology from which the patient suffers. In women, on the other hand, the visit is very similar to the gynaecological one. The examination ends with the formulation of the diagnosis, or if necessary, the urologist will prescribe further details, such as: blood tests, urine test, uroflowmetry, ultrasound scans.


GYNAECOLOGICAL EXAMINATION

What is the gynaecological visit and to whom is it addressed? 
The gynaecological examination is a specialist examination that allows to assess the state of health of the female genital apparatus. This specialist examination is extremely important for every woman to prevent, monitor, exclude or diagnose pathologies of the reproductive organs. The main symptoms that indicate the need to require a gynaecological examination are: - genital bleeding, - disorders of the lower abdomen or genitals, - alteration of the cyclicality of the menstrual cycle, - in case of the appearance of breast nodularity. Or simply for an annual check-up.


How does the gynaecological examination take place?

In the absence of any particular symptoms or disturbances, the gynaecologist begins the examination with an informal interview from which the specialist will obtain important information about the patient's general state of health, his lifestyle, sexual habits, his personal and family medical history. Then he will proceed to the actual objective examination, which consists of the inspection of the external genitalia and the vagina. At the end of the examination, the gynaecologist may decide to prescribe further specific examinations, such as: the PAP test, pelvic ultrasound and breast examination; or proceed with the formulation of the diagnosis.


How to prepare for the gynaecological examination?

The gynaecological examination does not include any specific preparation. The patient is advised to keep at hand the results of any examinations carried out previously, which may be useful to the gynaecologist for the formulation of the diagnosis.


How to prepare for the gynaecological examination?

The gynaecological examination does not include any specific preparation. The patient is advised to keep at hand the results of any previous examinations that may be useful to the gynaecologist for the formulation of the diagnosis.

ORTHOPAEDIC EXAMINATION

What is the orthopaedic visit and to whom is it addressed?

Orthopaedics is the discipline that deals with all diseases related to the locomotor system. A specialist orthopaedic examination is recommended when you have problems with your back, knee, shoulder, ankle and in general all the limbs of the human body, which affect the performance of activities such as walking, running and moving with ease. The subjects most at risk of developing pathologies of the musculoskeletal system are: - sportsmen and women, who are subjected to excessive stress and at risk of trauma; - sedentary people, due to poor movement; - people in a state of obesity, subject to excessive load on the joints; - elderly people, due to joint fragility.

How does the orthopaedic examination work?

The examination begins with the patient's medical history, an interview from which the specialist will obtain information that will help him to reconstruct the patient's clinical history, focusing in particular on his lifestyle habits, the presence of family conditions or previous traumas. The orthopaedist will then analyse the priorities that prompted the patient to request the visit or that emerged during the interview. He will also evaluate all the factors that may cause pain or difficulty in movement by examining the state of health of bones, muscles, tendons, ligaments and joints, using parameters such as: muscle strength, amplitude of joint movement, exact location of pain, state of reflexes. Finally, the orthopaedic doctor ends the examination with the formulation of the diagnosis. If you do not consider the result of the objective examination exhaustive, the specialist may prescribe the performance of further instrumental examinations such as: X-rays (RX); computed tomography (CT); magnetic resonance imaging.

NEUROLOGICAL EXAMINATION

What is neurological examination and to whom is it addressed?

The neurological examination is used to exclude, diagnose or monitor a pathology of neurological, sensory and cognitive origin. Among the most common diseases for which the intervention of the neurologist is required, there are:

- neurodegenerative diseases, such as Parkinson's disease, Alzheimer's disease and multiple sclerosis;

- traumas to the spinal cord or brain, such as ischaemic strokes or brain haemorrhages;

- learning disorders, such as dyslexia,

- epilepsy, - insomnia, narcolepsy, sleepwalking.

The neurological examination may also be required for the presence of certain disorders that would have a neurological involvement, such as:

- partial or complete paralysis of a part of the body,

- muscle weakness not related to physical exertion,

- partial or complete loss of limb sensitivity,

- recurrent fainting,

- epileptic seizures,

- recurrent mnemonic deficits,

- tremors,

- blurred or double vision.

How does the neurological examination work?

The neurological examination aims to analyze the mental state of the patient, his sense of balance and orientation, reflexes and coordination, the efficiency of the motor system, sensitivity, cranial nevi and physiological functions. The type of neurological examination will depend on the data collected during the history, carried out by the neurologist in the initial phase of the visit. After the medical history, the specialist proceeds with the objective evaluation which includes several steps. In case of already existing neurological dysfunction, the patient will be subjected to specific tests, otherwise, the doctor will proceed with the identification of the area of the nervous system involved in the problem and if possible precisely isolate the area affected by the disorder. Finally, on the basis of the evidence gathered, the neurologist can make an initial diagnosis to be confirmed by more specific clinical examinations. Or he can prescribe further tests and analyses to narrow the field of possible causes of the disorder.

PSYCHIATRIC EXAMINATION

What is a psychiatric examination?

The psychiatric examination aims to diagnose, monitor or treat various categories of mental disorders, either by physical and chemical methods or by psychological means. Among the main pathologies that psychiatrists deal with, we can mention: - mood disorders, - anxiety disorders, - and panic attacks, - obsessive-compulsive disorders, - sleep disturbances, - psychotic disorders, - power supply disturbances, - alcohol or drug addiction, - disturbances in pulse control. What is a psychiatric examination? A psychiatric examination is a medical examination that takes place mainly in the form of an interview, consisting of guided and free parts. The first are for the specialist to understand the reasons that lead the patient to the request for help, in this phase will be requested information about the general health status of the patient, the onset of psychopathology, previous episodes of psychopathology, drug treatments, psychotherapeutic pathways or any psychiatric admissions. The free parts, on the other hand, have the objective of exploring specific mental functions, in which the modalities of the interview itself are analysed, how the person speaks, expresses himself, presents himself, poses himself, in what order he exposes the information, and what he emphasizes. In some cases, it is possible to involve third parties in the visit if requested by the patient. In other cases, the psychiatrist may, however, consider it appropriate for the interview to take place in full or in part face to face with the patient, so as to allow him to express himself more freely. At the end of the visit, the specialist advises the patient on the most appropriate treatment based on his psychopathological condition, which may be pharmacological, psychotherapeutic or both.

PSYCHOLOGICAL COUNSELLING

What is psychological counselling and what is it for?

Psychological counselling is intended to help all people with mental distress. Through cognitive meetings, the psychologist analyzes the patient in order to frame the problem that prompted him to request the intervention and find a solution to achieve his psychological and social well-being. Generally, among the psychic disorders for which the intervention of a psychologist is required, we can cite: - sense of inadequacy, in relation to conflict management, adaptation to stress and relational problems; - Subjective suffering that interferes with relational, social and work functioning; - difficulty in giving value to what we do every day; - impossibility to control some emotional states, such as: fear, anger or excitement; - difficulties of the couple and sexual disorders; - difficulties in parenting functions; - criticalities in the school environment.

How does psychological counselling work?

Interviews take the form of a dialogue in which the practitioner collects information about the patient's symptoms and life history in general. It is a moment of knowledge and analysis that allows the psychotherapist to identify in which ways and when the psychic discomfort has occurred and developed and what may have been the triggering causes. After the problem has been framed, the diagnosis is formulated and an intervention project, such as a psychological support course or psychotherapy, is shared. If necessary, the psychologist can also propose sending it to another specialist who is competent in relation to the problem expressed (such as: a psychiatrist, a child neuropsychiatrist, a child psychotherapist, a sexologist, etc. ...).

OPHTHALMOLOGICAL EXAMINATION What is an eye exam and when should I ask for it?

The general eye examination aims to prevent, diagnose and treat problems related to the visual system. It is recommended to request this type of service in case of visual disorders, such as:

- alteration of accommodation,

- visual splitting,

- appearance of stains,

- lightning in the field of view,

- reduction of the field of vision,

- conjunctivitis, bacterial or viral.

Or simply for a periodic checkup. The examination is carried out by the specialist doctor by means of a series of tests that make it possible to assess the state of health of the eyes, in particular:

- ocular motility,

- visual acuity,

- pupil function,

-intraocular pressure

- the bottom of the eye.