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After your hospitalisation
Your doctor will inform you of your probable discharge date as soon as possible. We ask you to vacate your room as early as possible before 11 am. You will be informed as soon as possible if additional examinations are going to delay the date or time of discharge. If you foresee any possible difficulties, please discuss them with your doctor or care team immediately on admission.  If you have transport problems, the hospital secretary will help you find a solution   (ambulance or taxi). Please do not leave behind any personal belongings. If you have to return for consultations, the hospital secretary will arrange your appointments. On the day of discharge you will receive a provisional hospitalisation report to be passed on to your GP. This contains all medical prescriptions and information needed for your continued treatment. If necessary, you will also receive a liaison file containing pertinent information for the various carers (physiotherapist, nurses, etc.). If you have complementary health insurance some insurers pay a daily allowance in case of hospitalisation on submission of a certificate of hospitalisation. To obtain this document, contact the hospital secretary before your departure or submit a request in writing to Admissions and they will send you a copy. This certificate can also serve for hospitalisation insurance. If you leave the hospital without the doctor's agreement you must first complete and sign the "requested discharge" document with which you will be provided.  To continuously improve our services you can answer our satisfaction questionnaire or send us an email to: Contact [dot] erasme [at] hubruxelles [dot] be. Image Everything you need to know before leaving hospital
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Alcohol-related liver disease : an issue of public health and social equity
What if our liver could tell the story of our daily life? An interview with Dr. Laura Weichselbaum, Gastroenterologist at H.U.B., who has just published an article on the topic in the Journal of Hepatology Reports. Read more. What if our liver holds the secrets of our everyday life? A discreet but vital organ, the liver is today at the heart of a silent health alert. Dr Laura Weichselbaum recently wrote an article published in “JHEP Reports” (Journal of Hepatology Reports) explaining that alcohol-related liver disease affects disproportionally those populations who are socially and economically disadvantaged. A reality that deserves to be examined with humanity, lucidity... and a sense of collective responsibility.   Risk behaviour related to life circumstancesContrary to what is often thought, it is not about enjoying fine wines or occasional drinking on festive occasions. It is rather habits such as binge drinking coupled with a poor diet, a high body mass index and also heavy smoking that combine to form a dangerous cocktail.   Such risk behaviour is often exacerbated by life circumstances marked by economic and social insecurity, limited access to healthcare and an entourage insufficiently informed of the risks.   “Today, many studies show that given the same alcohol consumption the damage to health is three times as high among disadvantaged people, even when other risk factors such as obesity or smoking are taken into account,”   says Dr Weichselbaum Healthcare inequalities The data show that alcohol-related liver disease is over-represented among disadvantaged populations. This is not necessarily attributable to a higher alcohol consumption but rather to a frequent and simultaneous exposure to a number of risk factors. What is more, when a liver disease develops there is often no screening to detect it at an early stage due to insufficient medical follow-up. “Liver  disease is a silent disease. It is our duty as healthcare staff to be aware of the lifestyle of our patients so as to propose an appropriate  care pathway and possibly suggest screening.”  Act early, act better for a more equitable healthThe good news? It is possible to act:By increasing awareness without blame, so that everyone can understand the risks and warning signs. By proposing a more accessible screening, in particular by making GPs and specialists more aware of the risks associated with socio-economic status. By encouraging the populations concerned to get screened and providing more information on the risks associated with alcohol. And if taxation became a lever for prevention?In some countries certain taxes have been levied to limit alcohol consumption.   “Perhaps we should convince our Belgian decision-makers to impose targeted taxes on alcoholic beverages or drinks designed to encourage binge drinking and thereby limit risk consumption while at the same time financing public health actions.”  Together, let’s look after our livers… Awareness, prevention and screening could avoid sometimes incurable liver disease. “I would remind you that while ideally alcohol consumption should be limited to a minimum, it is recommended not to drink more than 2 glasses a day for women and 3 for men.”   For further information or to schedule an appointment for a liver health screening, please contact the Department of Gastroenterology by email at Cons [dot] GastroMed [dot] erasme [at] hubruxelles [dot] be (Cons[dot]GastroMed[dot]erasme[at]hubruxelles[dot]be) or by phone at +32 (0)2 555 35 04. 
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Allergology
Qu’est-ce que les allergies ? Image FR Does your child have a blocked nose,  sneezing fits or itching eyes? If so, your child may be allergic to pollen or dust mites.   Does your child have difficulty breathing, a persistent cough or is perhaps regularly diagnosed with bronchitis or bronchiolitis?  If so, your child may have asthma.   Does your child systematically have a skin reaction, bloating, stomach pain or even more serious reactions after eating a particular food? If so, your child may have an allergy or food intolerance.   Don’t hesitate to make an appointment with our pneumo-allergology service if you think one of these scenarios matches your situation.     Prise en charge Lors de la consultation, le médecin établira premièrement une anamnèse (historique des antécédents médicaux) détaillée du problème de santé de votre enfant. Par la suite, des examens complémentaires peuvent être proposés comme des tests d’allergie (tests cutanés ou dosage d’anticorps dans le sang), des épreuves respiratoires (pour les enfants à partir de 6 ans) et des tests de provocation orale (plus spécifiquement pour l’allergie alimentaire ou médicamenteuse). Ces tests permettent de confirmer le diagnostic ou de suivre l’évolution de la maladie de votre enfant. Enfin, un traitement et des conseils vous seront prescrits. Parfois, des avis à d’autres spécialistes sont demandés (diététiciens, dermatologues, ophtalmologues, ORL, …) pour optimaliser la prise en charge de votre enfant.  Conseils Si vous suspectez une allergie alimentaire grave ou une crise d’asthme sévère, rendez-vous aux urgences ou chez votre médecin ou pédiatre traitants pour recevoir les premières lignes de traitements et premiers conseils. Les délais pour nos consultations sont malheureusement parfois longs ; les médecins de 1ere ligne sont là pour vous épauler le temps d’attendre votre 1er RDV en penumo-allergologie.  Recherche  A l’H.U.B, et plus particulièrement à l’Hôpital Erasme, nous avons développé une expertise concernant la prise en charge de l’allergie alimentaire. Votre enfant sera vue en consultation conjointe d’allergologie alimentaire par le pédiatre allergologue et la diététicienne spécialisée en allergologie. Nous proposons des diagnostics précis et sûrs de l’allergie alimentaire afin de ne pas imposer un régime d’éviction de l’aliment si ce n’est pas nécessaire. Pour ce faire, nous faisons passer un test de provocation orale à votre enfant, en lui proposant de manger l’aliment suspect d’allergie, à dose croissante, à l’hôpital, afin de mettre en évidence les réactions allergiques et de les traiter adéquatement. En effet, les tests cutanés et dosages d’anticorps sanguins ne permettent pas toujours d’établir le diagnostic de manière sûre. Ce test de provocation orale nous en donne la certitude. Après avoir établi le diagnostic de l’allergie alimentaire de votre enfant, nous pouvons vous proposer une réintroduction de l’allergène au domicile suivant un protocole bien établi et personnalisé à votre enfant afin de le désensibiliser de son allergie ; le but est donc de ne plus le rendre allergique à cet aliment. Nos spécialistes Services associés
Allergology