What to expect during Physical Examination

Vital Signs

  • Blood Pressure – Less than 120 over 80 is a normal blood pressure. 140 over 90 or higher is already an high blood.
  • Heart Rate – 60 to 100 values are considered normal.
  • Respiration Rate – 12 to 16 breaths per minute is normal for a healthy adult. But,  a breathing more than 20 minutes can suggest having lungs or heart problem.
  • Temperature – 98.6 degrees Fahrenheit is the average.

General Appearance – By just watching and talking to you, the doctor can already gather a health information of you.

Heart Exam – The doctor will listen your heartbeat using stethoscope (irregular heartbeat, heart disease and heart murmur).

Heart and Neck Exam – The quality of your gums and teeth can also detect an overall information about your health.

Abdominal Exam – Detecting liver size, listening of your bowel sound by stethoscope, presence of abdominal fluid and etc.

Neurological Exam- Strengths of your muscles, nerves, balance, reflexes and etc.

Dermatological Exam – Findings of your skin and nails.

Extremities Exam – Checking your physical and sensory changes.


The importance of good sexual education classes

It is reported that nationwide, over 60% of teenagers in the 12th grade report having had sexual intercourse. The knowledge that can be gained in a sex education class will serve them for the rest of their lives, and will be especially useful as they become young adults. Furthermore, it will deifnitely help them, regardless if they have an active sexual life or not.

The truth is, a lot of myths are spread through high-school hallways. Knowing the facts related to having an active sexual life is just as important as learning mathematics or reading. There have been polls done on unmarried 18 to 25 year olds – what these found was that an increasing number of teenagers and young adults know very little about contraceptive methods (for example), or about how the reproductive system works, even! Furthermore, the questionnaires also found that despite these gaps in knowledge, most teenagers and young adults feel confident that they know enough in order to avoid pregnancies or STDs.

Have no doubt, young people will learn about sex, no matter the education (or the quality therof) they get. So, chances are that if the quality of the sexual education they receive in school is lacking or inexistent, the information they will receive will be from second-hand sources. This inevitably leads to the spread of misinformation, myths, and just general confusion about the matter – since the sources would most often include the mass-media, rumours, friends, and so on – that altogether create a network of false or half-true information.

It only follows that we should push for improving the quality of sexual education classes that children, teenagers & young adults receive. Sex education contributes to a healthy future for the next generations. This is especially true if we look at poor and minority youth. These communities have been found to have a higher rate of STIs (Sexually Transmitted Infections), as well as a larger rate of misinformation about sexuality.

Regardless of background, the truth is, quality sexual education classes should be present in all curriculums. It will provide a healthy basis for future generations to enter their adult life prepared and informed. It will definitely also lower the rates at which STIs are transmitted in different communities of youths. There is no reason to hide these things from the younger generation. For their betterment and the betterment of whole populations, we should encourage good sexual education as much as possible.
Classes at different levels of the education system can teach them about proper contraceptive methods, but also things like healthy decision-making, or understanding how a healthy relationship should function in broad terms. Furthermore it raises awareness about dangerous STIs (such as HIV) and how to deal with them. It should also teach them not to feel ashamed if they have an STI (or if they simply want to get tested), but instead to encourage them to educate themselves about their health.
After all, sexual intercourse is a basis of human existence. The more we let our young generations know about how to properly avoid the dangers associated with STIs, or unintended pregnancies, or other such matters, the healthier their decision in life will be. And of course, they themselves will feel more prepared for adulthood.

A DfE spokesperson acknowledged that more was needed to be done to improve the teaching of PSHE. “We want to see all young people leave school prepared for life in modern Britain. “High-quality PSHE teaching has a vital role to play in this. That’s why we are working with schools and experts to ensure the PSHE and relationships education that young people receive

4 Reasons Why We Need A Regular Check-up

  • Prevention is better than cure
    • By getting check-up regularly, doctors can spot any health issues earlier so that they can prescribe any medicine that will help eliminate your illness in the future.
    • So if you notice some health problems, you better go to the doctor to avoid health risk
  • Cut Health Bills
    • As you thought that getting regular checkups will cost a lot, but surely it will avoid you from large bills in the future when you get into serious health problems.
  • Dental Care
    • Regular checkups to the Dentist is important, as our oral health provides a big part in our overall health,. As we have an tooth ache, it affects our eating process, less sleeps, and we can not function well in our daily living.
  • Eye Care
    • We are all aware that doctors provides some eye glasses(most common) and contact lenses etc. for  having a poor eye sight. But, getting check-up to an eye doctors is advisable so that we will know already what we need to do, to avoid it in making worse.

Sleep deprivation and mental health

Our current model for a stable sleep pattern is a fairly new development in society. We’re told often that 8 hours of sleep is a healthy number to follow. The immense changes brought on by technology (artificial lights), along with the social reforms that shaped the 19th century have lead to the current 8 hours of uninterrupted sleep as a standard. But in reality, our bodies may be following a much older model, coded into our genes by millions of years of evolution. Research shows that before these changes, most people would experience what is called ‘biphasic sleep’ – a two-part pattern of sleep that involves a few hours of sleep, an hour or two of wakefulness, and a second sleep, until morning. Experts say that probably some people who are diagnosed with a form of insomnia might actually have this underlying, older pattern of sleep.

Insomnia is a difficult disorder to diagnose, since it relies so much on the subjective experience of the patient. The time it takes to fall asleep or the period of sleeplessness can be exaggerated by patients. In some few cases, people can even confuse periods of wakefulness with sleep (sleep state misperception). It is also difficult to diagnose because of how much it varies: in frequency and length, from acute insomnia (a few days) to chronic insomnia (that can last months). There are also periods of time when there are no sleep problems whatsoever, only to resurface after a few days. Chronic insomnia is when a person is unable to sleep at least three nights a week for a month or longer. The symptoms and consequences of sleeplessness also vary, from the mildly irritating, to the extremely dangerous. It’s easy to see how, in such a broad spectrum of possibilities, arises a need to protect ourselves and our bodies – and perhaps this is why pharmaceutical solutions are so easily dispensed.

So how much sleep do we really need? And how can we properly combat insomnia, and identify it properly, and perhaps most importantly – use medication only when nothing else can be of help. A return to a biphasic sleep pattern cannot be a proper solution, since most people are active between (the same) specific hours. However, the Economic and Social Research Council (ESRC) shows us the following statistics: 12% of people sleep <6 hours 23% sleep for 6-7 hours 55% sleep for 7-9 hours 10% sleep 9+ hours
While indeed the majority of people are situated between 7 to 9 hours of sleep, the rest of the population is wildly divided, the number of sleep hours varying greatly. Therefore, it is often readily assumed that people who sleep less (or more) might suffer from some sort of mental issue (insomnia or other disorders that can cause insomnia). This solution comes just as often in the formof medication. Sleeping pills can be highly addictive and can cause more severe problems than insomnia if taken over a longer period of time.

In truth, the adequate amount of hours a person needs will depend first and foremost on their constitution, the needs of their body. It is less dependant on social factors, but we enforce them still. When experiencing sleep deprivation, some harmless solutions to try would be limiting exposure to artificial light in the evenings, more exposure to natural light during the day. Sleep is often cast aside by many people as a commodity, something unessential. But it is a grave mistake. New research shows that never before in our lives have we needed more quality sleep. Our contemporary

Helping People with Anxiety

Chances are that you’ve encountered at least one person in your life who has felt the effects of anxiety. Anxiety is a very broad term – first and foremost it refers to a state of mind consisting of general unpleasantness or unease, a state often triggered by seemingly insignificant factors or everyday events. Furthermore, it is an umbrella term that incorporates a plethora of psychiatric disorders, stretching from mild ones to chronic disorders that can affect a person’s entire life.

Statistically speaking, 1 in every 12 people suffer from or have felt the effects of anxiety at least a few times in their life. It is practically impossible to not know someone who has been through the intense emotions that can arise from these states of mind. Therefore, it is important to know how to deal with people who have anxiety – how to empathize properly with them and how to help them and avoid common mistakes that can end up pushing them further down. Here are some easy to remember tips to keep in mind when dealing with people who are affected by anxiety.

First things first: don’t be intrusive, try to get a feel of their comfort zone. To help someone close to you, you must first understand how they see the matter. Get a good idea how they see themselves in relation with the anxiety. Decide together on when and where you will meet and discuss. This being something deeply personal for anyone experiencing it, be mindful of these circumstances, and try to keep them in a comfortable space, where you can talk openly. Also remember that if they wish to talk to you it does not mean that they seek advice. Sometimes, listening is just enough.

To make it easier for the topic to arise and for the conversation to flow, try to use open-ended questions – in other words, questions that will encourage them to open up, because they cannot be answered by a simple yes or no. Some examples of these questions: “So how are you feeling about…?”, “What troubles you?” or “Could you tell me more about…?”

If you want to help someone who is experiencing anxiety issues:


  • …express your desire to lend an ear to their troubles.
  • …talk openly about your own feelings, to encourage them to talk about their own.
  • …listen to what they have to say.
  • …let them know that you can see a change in how they behave.
  • …help them educate themselves on the topics of anxiety, depression, and help them better identify their issues.
  • …encourage them to contact a doctor and help them with the process.
  • …let them know that it is not shameful to admit their feelings of fear and confusion.
  • …let them know that it is natural for them to be afraid, and that they can and will get better if they wish to.


  • …try to directly tell them how to act about their habits (even if they’re bad habits). This will only make them feel more estranged from you.
  • …avoid them only because they won’t or can’t (for any reason) talk about their issues.
  • …insist on telling them things like “just calm down” or “take it easy, it’ll go away”. This can only make them angry or irritated, as a state of anxiety is much more than mere nervousness or agitation.
  • …make or encourage them to avoid situations which make them more anxious. Part of the process of dealing with anxiety is facing the exact situations that cause the most intense anxiety.

Common myths about depressive disorders

Misinformation about depression is widespread, like with many other mental disorders, or even with mental health in general. It is very important to know the hard facts when it comes to such issues. The mental health of every individual is something that should not be treated lightly. Knowing the truth behind some of the most common deceptions can help immensely, should you find yourself in a situation where you need to help either yourself or a loved one.
As opposed to a disease, a mental disorder refers to a state of mind that is out of the ordinary. Mental disorders are more specifically classified by the symptoms associated with each of them. The World Health Organization estimates that around 350 million people worldwide suffer from depression; in addition, it is also observed that depression is a leading factor in disability. So why is it that many times it is seen as a sign of weakness, or brushed aside as a simple mood? The field of medicine dealing with mental health is still relatively new when compared with the other ones. At the same time, humans tend to be very different when it comes to figuring out the causes and manifestations of mental disorders, and therefore it is much harder to come closer to solving such issues.
One of the most common ways through which people tend to dismiss the severity of depression is by stating that it “isn’t a real illness”, or something similar. The irony of it is that we would all be much better off if such statements were true. Unfortunately, depression is just as real as any other disease. Just stating or phrasing it in such a light manner is only going to hurt the person suffering from it even more. It is true that depression is something that is often very hard to recognize properly, as its symptoms are many and tend vary a lot from person to person. This fact might lead some people to mislabel it as a passing mood. When trying to help a loved one, be sure to always communicate clearly with them, and let them know that you are there for them if they need it. Another confusion that often appears when depression is involved is thinking it is just an intense feeling of sadness. This is again an example of deflating the risk involved when someone is suffering from a depressive disorder. Of course intense sadness is involved, but a state of depression is so much more than that. It has a tendency to draw the affected person more and more towards intense feelings of despair and hopelessness. It is not just a sad thought or a sad feeling that is merely present among other (positive or negative) feelings. It is an ever-growing cluster of negative emotions that slowly block out any positivity whatsoever. It can lead people to extremes such as completely losing their appetite, becoming unable to feel any sort of satisfaction, being unable to sleep at all, or even a loss of the will to live. It is an extremely painful experience, mentally. As such, when someone close needs help, you should listen.
The two examples are just the most common myths regarding depression, but it is hardly the only misinformation out there. Remember that caring for the ones we love means listening to them, and communication is the most important aspect in curing depression. When a person close to you lets you know that they might need help, be sure to take some time to offer them their full attention, as they might be suffering from depression. It is almost impossible to know if someone is depressed without having a medical background, but we are all fully capable of lending at least some mental comfort to the ones around us.

Why Is It Important to Get Tested for STDs?

Most importantly, get tested is to protect yourself, your partner, and to stay informed. Getting a diagnosis can alert you to an infection you may not know you had (e.g. many people hepatitis C, 7 out of 10 people have no idea they have been infected), or that may have long-term effects like infertility. It can also allow you to start treatment if you do have an infection before it get worst, and create peace of mind when you think you may have been at risk.

You should be tested when you’re sexually active. Everyone who is sexually active (even if you’ve only ever had one partner and always use protection) should be screened at some point. We recommend an HIV test for everyone who is sexually active. We also suggest women obtain a test for gonorrhea and chlamydia, because, unlike men, they frequently harbor these infections without developing symptoms. Keep in mind that if you’re practicing safe sex and are in a monogamous relationship, you can get tested less frequently.


Its Easy and Free!

You can either call up and book an appointment with your GP or sex clinic (also referred to as GUM clinics) or the most preferred option is to just use the walk in service whereby you can just walk into your clinic under certain hours (usually 8-11am) and simply get a check up there and then. A simple urine sample and blood test is usually the preferred test for nurses to check the main sexually transmitted diseases. After that test results can take anything from a day to two weeks to get back, however this can be done via email, letter, phone call, or the most popular option – text message. This service is free and an incredibly easy way to make sure you are not carrying anything. Get yourself checked out today!



Welcome To The Physicians Billing Group


Welcome to our new website which is currently being built. Please take the time to have a look around. We offer advice from sexual transmitted diseases to mental depression and provide tips and precautions you should be taking when engaging in activities which could put your health at risk. There has been around a 40% rise in the number of people aged between 16-28 who have caught a sexually transmitted disease through unprotected sex.

Condoms are the easiest and safest form of contraception and it only takes a few seconds to apply and it could save lives. It is said that 56% of male and females who have caught STD’s such as chlamydia and gonorrhea have had no symptoms what so ever and a further 10% of them have gone on to become infertile from the lack of treatment. There has been a recent survey whereby std’s have dropped by 15% through the Government’s actions to stop the spread of these dangerous illnesses and supply free contraception to anyone. If you need help visit your nearest health sex clinic today!