Medical Services
All Your Medical Needs At One Place
- Specialist Family Physician
- Child and Mental Health
- Naep Asthma (dip)
- Full General Examination
- Minor Surgery
- ECG
- Lung Function Test
- Pap Smears
- Counselling
- Addiction
- Weight Loss
- Women’s Health
- Men’s Health
- Sexual Counselling
Diabetes:
Dr Rapiti, works very closely with his patients with diabetes to keep their blood sugar within the right levels. His aim is to ensure that none of his patients end up with complications like kidney failure, failing vision, erectile dysfunctions or amputations. He encourages his patients to use his low carb diet to treat their diabetes.
Ashtma:
DR Rapiti’s developed major interest in asthma after he commenced practice. He has a holistic approach to the treatment of asthma. He spends a great deal of time educating his patients with asthma about asthma. He diagnoses the condition in children as young as 6 months and has even diagnosed it in adults as old as 60, who have never realised that they had asthma.
He has written and article “asthma more than a tight chest” in 1990, when he presented his views on asthma to the doctors at a GP congress.
He teaches his patients how to use their pumps so that they can achieve optimal lung function. He encourages asthmatics to use their pumps regularly in order for them to lead a full and active life. His aim is to dismiss the myths about asthma and the pumps to make his patients remain symptom free for the rest of their lives.
He sees no place for cough medicines in the management of asthma. Antibiotics are over-used by many doctors out of desperation and their poor understanding of asthma. In his forty years of experience, he has discovered that many patients with asthma were unaware of their diagnosis. His patients ascribed their shortness of breath to old age or a lack of exercise, when the actual cause was untreated exertional asthma. He refers to these patients as people with “concealed” asthma. Many of these patients had childhood asthma and were erroneously told that they will outgrow their asthma by their doctors. People with eczema, hay fever and allergies, he maintains should always be screened for asthma. He makes his diagnosis of asthma through a good history and the use of a peak flow meter.
Headaches:
Headaches are probably one of the most common symptoms that patients present to their primary care doctor.
There are many underlying causes, like depression, stress and anxiety for chronic headaches. If these underlying conditions are not detected and dealt with appropriately, many patients become addicted pain relievers from over the counter and doctors’ prescriptions drugs like codeine and Tramadol. Eventually they end with medicine misuse headaches by popping as many as 10 to 20 codeine tablets a day. The other commonly addicting drug is Grand –pa headache tablets. Patients can be hooked on about 6 to 10 Grand-pa’s tablets per day.
Migraine over diagnosed
Many patients suffer from tension headaches but these headaches are commonly misdiagnosed as migraine and end up with the wrong treatment.
Dr Rapiti has treated many patients with tension headaches using a unique needling technique, which he discovered about 30 years back after he came to the conclusion that the conventional way of treating these headaches were merely adding to the problem. He has helped most of his patients to come off their addicting analgesics and many of them have been headache free for as long as 4 to 6 years without needing pain killers any longer.
Minor surgery:
Procedures: Toe-nail removals, wedge resections, adult circumcision, removal of lumps and skin tags, major abscess drainage. This service is a great boon to indigent patients, who cannot afford the fees to have them done in a private hospital or wait for years to get an appointment in one of the busy state hospitals.
Hypertension: (High Blood)
He has vast experience dealing with patients with complicated hypertension. He maintains that one of the leading causes of hypertension is stress. He takes a keen interest in teaching patients how to manage their stress using tools like deep breathing, meditation and anger management. Many patients are mistakenly diagnosed for hypertension based on one reading or due to white coat hypertension. He has treated two patients, who had severely raised blood pressures of 200/120 after they experienced severe stressful situations. Both patients had severe cerebrovascular stokes, which resolved.
After their stressful situations were resolved through counselling, their blood pressures returned to normal without requiring medication.
Tests offered: ECG, lung function tests
Women’s health:
Almost 50% of DR Rapiti’s clients are females. He has developed a keen interest gynaecological problems and mood disorders afflicting women. Many women suffer immensely from premenstrual tension and from the effects of menopause for much of their lives. With the right approach, women in their menopause can be helped to lead happy and fruitful lives. He uses of hormone replacement therapy quite liberally if there are no contraindications. He feels that most women that reached menopause in the last thirty years were unfairly denied replacement therapy on the erroneous belief that that HRT can cause cancer. Women in their menopause suffer for thirty years with over 32 symptoms without receiving proper treatment. All women in his practice, who do not have any contraindications for HRT are put on treatment. This has improved their lives of his patients considerably. Women, who commenced treatment with HRT’s have mentioned that their entire lives have been changed. They enjoy better relationships with their partners.
Other services for women include: pap smears, family planning and breast checkups.
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