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Aviation, Railyway and pre employment and travel

Dr. Zahid Awan
Dr. Zahid Awan MBBS , FRACGP
Speciality: General Practitioner with Aviation, Rail Category 1,2 & 3 and Pre Employment Medicals

Dr Zahid graduated in1991 with Bachelor of Medicine & Bachelor of surgery ( MBBS ) . He is a Fellow of the Royal College of General Practitioners. Dr Zahid has experience in General Practice and Occupational Health Services including Injury management, Pre-placement Medical Asessments, Travel Medicine, Skin Cancer Screening and performing minor surgical procedures.

Dr Zahid is an authorised health professional for Rail Medical Assessments, an affiliated practitioner with Injury NET and is a designated Aviation Medical Examiner ( DAME ) by CASA.

He hold memberships of the Royal Australian College of General Practitioners, Skin Cancer College Australia and Australian Society of Aerospace Medicine.

Pre-employment medical assessment guarantees that an employee is well adapted to its occupational environment. Our Gabba medical centre company/clinic provides a complete package of medical tests that allow the employee to function efficiently and safely. We offer pre-employment medical assessment for aviation, railway, and travelling to specific destinations.

Vision

Every employee is well adapted to its occupational environment.

Mission

To make healthy and safe work environment.

Lifestyle

By providing complete package of medical tests we allow the employee to function efficiently and safely.

Our services

Aviation medical assessment

Our pre-employment assessment for aviation offers both class 1 and class 2 medical fitness certifications. These medical certificates are issued by highly trained and experienced medical practitioners. These medical tests ensure that the employee is physically and mentally well suited for flights and emergency conditions. The medical examination includes assessment about the basic medical health (BMI, cardiovascular health, lungs, liver, limbs, nervous system, and stomach). In addition, the medical assessment elaborately inquires about the employee's eye conditions such as distance vision, near visions, eye function, eye pressure, and color vision. Moreover, the medical assessment also elaborately inquires about the employee's hearing conditions and mental health. Following are two medical fitness certifications

Second class medical certificate A second class medical certificate is required only for General Aviation pilots - those that fly as a hobby. As the holder is not involved in commercial activities, the certificate is not so restrictive; still, the holder of the medical certificate must be mentally and physically fit to exercise the privileges of the applicable license safely.

First class medical certificate A first class medical certificate is required for all pilots involved in commercial aviation. This certificate follows the most restrictive medical standards. The holder of a medical certificate must be mentally and physically fit to exercise the privileges of the applicable license safely. First class medical certificate requirements include checks of eyesight, ears, psychical examination, electrocardiogram (ECG), lung function, cholesterol blood, haemoglobin blood, chest X-ray, urine, period of validity. ECG can show disorders of the heart rhythm or of the conduction of the impulses, and sometimes it can show a lack of blood supplying the heart muscle. Chest X-ray investigation is not required for PART-FCL Class 1, but may be required when indicated on clinical or epidemiological grounds. Lung Function Test is used to test ability to breathe deeply and to expel air from your lungs. Physical Examination is a general check that all is functioning correctly. It will cover the lungs, heart, blood pressure, stomach, limbs and nervous system.

Railways medical assessment

Medical examination of candidates for appointment to Railway service includes: - (i) general physical examination (ii) vision tests

General Physical examination Measurement of height, weight and chest are taken.
The following additional points should be observed:-
(a) that the candidate's hearing in each ear is good and that there is no sign of disease of the ear. In case it is defective, the candidate should be got examined by an E.N.T specialist provided that the defect in hearing is remediable by operation or by use of hearing aid, a candidate cannot be declared unfit on that account provided he has no progressive disease in the ear.
(b) Speech disorder
(c) his/her teeth are in good order and he/she is provided with dentures, where necessary, for effective mastication ( well filled teeth will be considered as sound);
(d)Chest is well formed and chest expansion is sufficient; and that his/her heart and lungs are sound;
(e) There is no evidence of any abdominal disease;
(f) Employee is not having a hernia;
(g) Employee does not suffer from hydrocoele, varicose veins or piles;
(h) Limbs, hands and feet are well formed and developed and that there is free and perfect motion of all joints;
(i) He/she does not suffer from skin disease;
(j) That he/she is free from communicable diseases.
An X-ray of the chest should be done as a routine in all cases for detecting any abnormality of the heart and lungs which may not be apparent by ordinary physical examination

Vision tests, PURPOSE: Lantern tests and practical tests are often used in the assessment of prospective railway employees. The lantern tests rarely embody the actual colors used in signaling on the railways. Practical tests have a number of problems, most notably consistency of application and practicability. This work was carried out to provide the Railway LED Lantern Test (RLLT) as a validated method of assessing the color vision of railway workers.
METHODS: The RLLT, a simulated practical test using the same LEDs (light-emitting diodes) as are used in modern railway signals, was developed. It was tested on 46 color vision-normal (CVN) and 37 color vision-deficient (CVD) subjects. A modified prototype was then tested on 106 CVN subjects.

Travel medical assessment

Medical test requirements depends on the criteria of the country whose visa you are seeking. In general, countries require a medical history review, physical examination, chest X-ray and blood tests for infectious diseases.

Some of the most common tests are listed below.

1. Blood Test: This provides information about liver and kidney function, complete blood count (including red and white blood cells, platelets and haemoglobin), various types of Hepatitis and HIV.
2. Urine Test: Urine analysis is used to detect conditions such as urinary tract infections, kidney disorders, liver problems and diabetes.
3. Chest X-ray: This is used to diagnose shortness of breath, persistent cough, fever, chest pain, and injury. It can also help diagnose and monitor treatment for a variety of lung conditions such as pneumonia, emphysema and cancer.
The following indications/conditions need attention.
Tuberculosis: An abnormal Chest X-ray and a positive Acid Fast Bacteria (AFB) screening test indicate tuberculosis.
Ebola: Ebola Hemorrhagic Fever (EHF) or Ebola Virus Disease (EVD) is a severe and infectious disease. To detect this disease, a blood sample will be withdrawn and tested for the presence of a specific antigen or antibody.
Pregnancy: If you undertake international travel in this condition, you require special care and must carry records of medical tests and clinical reports from your gynaecologist.

Skin cancer treatments

The treatment you receive will depend on multiple factors:

1. Type of cancer

2. Size

3. Location of body part

Surgery is the most common treatment for skin cancer. Other forms of treatment include laser therapy, radiotherapy, chemotherapy, biological therapy, topical treatments, and photodynamic therapy.

Some surgical treatment options:

Excision: Small skin cancers can be removed by cutting them out. If the tumour is large, more of the nearby skin is removed. As a result, you may need a skin graft or skin flap to cover the area.

Moh's technique: This is specialised surgery where tissue is removed piece by piece and looked at under the microscope until no traces of cancer cells are left. A skin graft is usually needed afterwards. Skin grafting maybe required after some surgery to help healing after the removal.

Some non-surgical treatment options:

Cryotherapy:

If the cancer is quite small, the cells can be frozen and killed by spraying liquid nitrogen onto them.

Curettage and electrocautery:

If you have a cancer that is not very deep, curettage and electrocautery may be used instead of excision. This means scraping away the cancer and using heat or electricity to stop any bleeding. Nowadays, it is not commonly done.

Laser therapy

Laser therapy may be used to treat superficial skin cancers and precancerous growths on the lips. It involves putting a precise, intense beam of light on the growth, which is then destroyed.

Radiotherapy

Radiotherapy uses high-energy X-rays to shrink or destroy the cancer cells. It can be used in areas where surgery might be difficult or cause scarring. This could be the nose, ears, lips or eyelids.

Chemotherapy

Chemotherapy is a treatment using drugs that cure or control cancer. It is not commonly used for skin cancers. For superficial skin cancers a cream is put onto the skin directly. Very occasionally it is used when it has spread to other parts of the body. Our expert doctors provide diagnosis and treatment to your skin health and try to detect as early as possible.

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