Search Results

Időpontfoglalás spirometria - légzésfunkciós vizsgálatra a honlapon vagy telefonon. Címünk: 1132 Budapest, Visegrádi u. 40. Tel: +36 20 344 3733 Consultation hours: Monday 07:00 - 13:00 Wednesday: 07:00 - 17:30 Thursday: 07:00 - 13:00 Friday: 07:00 - 13:00 Every second Saturday: 07:00 - 13:00 Book an Appointment To Price Lists Spirometry - Pulmonary Function Test What is important to know about Spirometry Breathing is one of the fundamental conditions of life. But how healthy are your lungs? At the Visegrádi40 Private Clinic, you have the opportunity to undergo the latest spirometry test, which quickly and painlessly provides an accurate picture of the condition of your respiratory organs. What is spirometry? Spirometry is a respiratory function test during which: We assess the capacity of the lungs, We check the patency of the airways, We can detect respiratory diseases such as asthma, COPD (chronic obstructive pulmonary disease), or pulmonary fibrosis (lung scarring). Who should consider spirometry? Smokers: Smoking can damage the airways in the long term. Allergy sufferers and asthmatics: Are your symptoms worsening? Check your condition! People exposed to air pollution: The effects of workplace environments or urban smog can be detected. Long-lasting cough or shortness of breath: If you have persistent respiratory complaints, don’t wait any longer! Regular monitoring of respiratory patients: To track improvement during the treatment of respiratory diseases. Before surgery: To assess lung function prior to an operation. How does the test proceed? During the test, our patient breathes into a special device that precisely measures their breathing. The entire process takes only 10-15 minutes. The results are immediately evaluated, and our expert doctors will inform you about your condition. Determining Lung Age The Visegrádi40 Private Clinic's spirometry equipment can determine lung age. Lung age is an estimated value based on the patient's respiratory function test results. It indicates the age at which the patient’s lung function would match the average of healthy individuals of the same age and gender. A normal lung age is the same as the patient’s biological age or younger. What affects lung age? Smoking: The most damaging factor, which can make the lungs decades older. Air pollution: Long-term exposure can accelerate the functional aging of the lungs. Chronic diseases: COPD, asthma, or scarring, inflammatory lung diseases can worsen lung age. Physical activity: Regular exercise and a healthy lifestyle help maintain normal lung functions. Don’t let breathing problems limit your life! Make an appointment today at the Visegrádi40 Private Clinic and take the first step in preserving the health of your lungs! Book an Appointment

Időpontfoglalás testösszetétel mérésre a honlapon vagy telefonon. Címünk: 1132 Budapest, Visegrádi u. 40. Tel: +36 20 344 3733 Body Composition Measurement Consultation hours: Monday: 07:00 - 17:30 Tuesday: 07:00 - 13:00 Wednesday: 07:00 - 17:30 Thursday: 07:00 - 13:00 Friday: 07:00 - 13:00 Every second Saturday: 07:00 - 13:00 Book an Appointment To Price Lists Achieve your health and fitness goals with SECA medical body composition measurement! With SECA BIA technology, you can receive accurate and reliable information about body fat, muscle mass, water balance, and other important body composition parameters. Bioelectrical impedance analysis (BIA) is an easy-to-use, non-invasive, and precise method that helps you achieve the best results. We are here to help you track your progress. The Visegrádi40 Privat Practice SECA program supports you in reaching your health, fitness, and body shaping goals! Motivation SECA makes the results of fat burning and muscle growth visible, motivating you in your successful training program, weight loss plan, muscle building, or relieving back and waist pain. Continuous tracking of measurements and progress helps maintain enthusiasm and perseverance. Medically Validated Data SECA provides medically validated data, displaying health information related to your body composition in seconds. The measurements accurately reflect your actual condition and assist in creating tailored recommendations to help you reach your goals. Improve Yourself! SECA allows for continuous monitoring of medical treatments, training, and diet programs. If needed, we offer personalized training programs or sample meal plan suggestions from a dietitian to help you achieve your goals quickly and effectively. How does the body composition measurement device work? Bioelectrical impedance analysis (BIA) passes a low-voltage electrical current through the body. Based on the resistance measured by the current, formulas are used to calculate the body composition parameters. This allows for accurate determination of body fat, muscle mass, body water content, and the ratio of other components. Measuring and Documenting Changes The cloud-based SECA software makes all results continuously accessible to both the medical office and our patients. Whether at the gym, on the go, or at home, the data is presented in an easy-to-understand format, making the measurements a valuable tool for any workout plan. After the first measurement, our clients can easily perform all subsequent measurements, ensuring continuous progress by tracking changes. TRU BodyScore – A Glance at Your Body Composition The software allows the assessment of muscle mass, body weight, and body fat percentage, so our clients can easily compare themselves to others of similar age and gender. Their training results are rewarded with awards ranging from bronze to platinum, motivating further progress. With SECA body composition analysis, successes achieved through exercise and dietary changes are precisely measurable. Results can also be accessed by clients via their smartphones or laptops, allowing them to always track their progress. Contact us today and start precise, medically validated body composition measurement with SECA to achieve your health and fitness goals! You can opt for a personalized body composition measurement or purchase a subscription for this service. Book an Appointment

A Visegrádi40 Magánrendelő ünnepi nyitvatartás 2024-ről ezen az oldalon olvashat. ÜNNEPI NYITVATARTÁS December 19. December 23. December 24-29. December 30. December 31 - január 1. J anuár 2-től Utolsó vérvételi nap 2024-ben Dr. Szebényi Dóra - kardiológia 12:00 - 18:30 ZÁRVA Dr. Szebényi Dóra - kardiológia 12:00 - 18:30 Dr. Borbély Ruben Zsolt - ultrahang 16:00 - 19:00 ZÁRVA Megszokott nyitvatartás ÜNNEPI NYITVATARTÁS

Appointment booking for an immediate resting ECG test. ECG without waiting at the Visegrádi40 medical office. Appointment times: Monday to Friday 07:00-19:00. Tel: +36 20 344 3733. Our address: 1132 Budapest, Visegrádi street 40. 24-Hour Blood Pressure Monitoring (ABPM) Consultation hours: Monday: 07:00 - 17:30 Tuesday: 07:00 - 13:00 Wednesday: 07:00 - 17:30 Thursday: 07:00 - 13:00 Friday: 07:00 - 13:00 Every second Saturday: 07:00 - 13:00 Book an Appointment To Price Lists 24-Hour Blood Pressure Monitoring (ABPM) 24-hour blood pressure monitoring, also known as ABPM (Ambulatory Blood Pressure Monitoring), is an advanced diagnostic procedure that allows for continuous tracking of blood pressure throughout the day. The device, worn by the patient, automatically measures blood pressure at predefined intervals, providing a more accurate picture of cardiovascular health compared to traditional one-time measurements. When Should You Have a 24-Hour Blood Pressure Monitoring Test? ABPM is especially useful in the following cases: Diagnosis and treatment of high blood pressure (hypertension), Suspected white coat hypertension (when blood pressure is high at the clinic but normal at home), More accurate tracking of blood pressure changes during treatment, Monitoring treatment effectiveness in cases of severe hypertension, Nocturnal blood pressure measurements to detect issues during sleep. The ABPM Process Device Setup: A small, portable blood pressure monitor is attached to the patient, with a cuff and securing straps. Automatic Measurements: The device automatically measures blood pressure, typically every 15-30 minutes, throughout the 24-hour period. During this time, the patient can go about their usual activities. Data Analysis: After the monitoring period, the collected data is evaluated by specialists, who will prepare a detailed report on blood pressure fluctuations and potential issues. Why Choose ABPM? The 24-hour blood pressure monitoring provides precise and reliable information about blood pressure fluctuations, allowing for personalized medical interventions. We use state-of-the-art equipment and experienced professionals to ensure optimal care for our patients. If you are interested in 24-hour blood pressure monitoring or need further information, feel free to contact our private practice! Book an Appointment

Időpontfoglalás orvosi infúziós kezelésekre kizárólag telefonon lehetséges. Cím: 1132 Budapest, Visegrádi u. 40. Tel: +36 20 459 2248 Medical Infusion Treatment Consultation hours: Monday: 09:00-18:00 Tuesday: 09:00-12:00 Wednesday: 09:00-18:00 Thursday: 09:00-12:00 Friday: 09:00-12:00 Every second Saturday: 09:00-12:00 Call Us for an Appointment To Price Lists Medical Infusion Therapy – Important Information A prior medical consultation, laboratory tests, or a doctor's recommendation is required for all infusion treatments! Medical infusion therapies are gaining popularity in modern medicine due to their fast and effective results. These treatments deliver nutrients, vitamins, medications, or other therapeutic substances directly into the bloodstream, ensuring rapid absorption and immediate effects. Available Infusion Therapies 1. Pain Relief Infusion Therapy (NEODOLPASSE) Recommended for chronic nerve-related pain such as: Long-standing herniated disc Sciatica and muscle spasms Acute spinal pain Goal: To reduce acute pain. Treatment is administered once daily and is most effective when continued for at least 5 days as a course. Prescription by a specialist is required. 2. Cognitive Function Boosting Infusion Therapy (PIRACETAM) Supports brain function and memory Used for: Post-stroke rehabilitation and reduced brain blood flow (ischemia) Dementia & Alzheimer’s disease Memory and concentration problems Dizziness & balance disorders Post-concussion rehabilitation Goal: To enhance cognitive abilities and aid in neurological recovery. Requires a full medical evaluation and laboratory tests before starting. 3. Diabetic Neuropathy Infusion Therapy Treats nerve damage caused by diabetes, which leads to: Numbness, tingling, burning, or stabbing pain in extremities Loss of sensation in severe cases Goal: Pain relief Nerve regeneration Improved blood circulation and sensation Individualized treatment plan by a diabetologist or neurologist is required. All infusions are administered in a safe medical environment under professional supervision. 4. Infusion Therapy for Circulatory Disorders: Vessel Due-F Infusion Therapy This treatment uses Vessel Due F (sulodexide), a medication containing two natural glycosaminoglycans, known for its anticoagulant and vascular protective effects. Recommended for: Venous diseases: Chronic venous insufficiency, venous ulcers, thrombosis prevention Arterial diseases: Peripheral arterial disease (PAD) and circulation disorders Microcirculation improvement: Protects and enhances small blood vessel function Diabetic angiopathy: Treats diabetes-related vascular damage Goals: Improves blood circulation and restores fluid & electrolyte balance Stabilizes blood pressure and enhances oxygen supply to tissues Prevents blood clot formation and promotes clot breakdown Strengthens blood vessels and reduces inflammation Administered under medical supervision. 5. Iron Replacement Infusion Therapy: Ferinject Infusion Therapy A ferric carboxy maltose-based intravenous iron therapy used to quickly replenish iron stores when oral supplementation is insufficient. Recommended for: Iron deficiency anemia Chronic diseases (kidney disease, heart failure, inflammatory bowel disease) Pre/post-surgical patients needing rapid iron replenishment Pregnant women with increased iron requirements Goals: Rapidly restores iron levels and increases red blood cell production Enhances oxygen transport in the body Supports overall energy levels and well-being Requires medical evaluation before administration. Call Us for an Appointment

Időpontfoglalás belgyógyászati szakrendelésre fáradékonyság, gyengeség, fogyás vagy étvágytalanság, légzési nehézségek, emésztési zavarok, hasmenés, székrekedés, gyomorégés, tartós köhögés esetén. Ha recept felírásra van szüksége, jelentkezzen be belgyógyászainkhoz. Címünk: 1132 Budapest, Visegrádi u. 40. Tel: +36 20 344 3733 Internal Medicine Consultation Hours: Monday: 15:30 - 18:00 Wednesday: 13:00 - 19:00 Book an Appointment To Price Lists When Should You See an Internal Medicine Specialist? During a specialist consultation, our patients have the opportunity to discuss, investigate, and receive treatment for internal organ, internal medicine, and other health concerns. Our internal medicine specialists conduct a comprehensive physical examination, which may include an ECG test and its evaluation, as well as blood sugar measurement, blood pressure monitoring, weight measurement, and body size assessment if necessary. Visiting an internal medicine specialist is recommended when symptoms are unclear, and you are unsure of their origin. Since internal medicine specialists examine the body as a whole, the consultation is comprehensive. You will first be asked about your current symptoms, previous illnesses, and any hereditary health conditions within your family. Consult an Internal Medicine Specialist for the Following Conditions or Situations: Cardiovascular diseases, arterial narrowing High blood pressure (hypertension), heart failure and its complications, endocrine disorders (diseases of the endocrine glands), diabetes and its complications, blood sugar regulation, metabolic diseases and their treatment If you have no symptoms but wish to undergo a general examination for preventive health care If you experience symptoms without a known cause Fatigue, weakness, dizziness, headaches Chest pain, difficulty breathing, shortness of breath, exhaustion Abdominal pain, digestive issues, nausea Swelling in the legs Family history of hereditary diseases Unexplained weight changes (weight gain or loss) and need to identify the cause If you need to start new medications and require organ function checks (e.g., liver, kidney function) Routine laboratory tests (recommended annually) Assistance in interpreting test results: discussion of laboratory results, imaging tests, and answering questions Blood pressure monitoring, blood pressure management Blood sugar log review (PrivátDoktor Telemedicine), blood sugar regulation (including insulin-dependent diabetes) Prescription renewals Book an Appointment

Időpontfoglalás belgyógyászati szakrendelésre fáradékonyság, gyengeség, fogyás vagy étvágytalanság, légzési nehézségek, emésztési zavarok, hasmenés, székrekedés, gyomorégés, tartós köhögés esetén. Ha recept felírásra van szüksége, jelentkezzen be belgyógyászainkhoz. Címünk: 1132 Budapest, Visegrádi u. 40. Tel: +36 20 344 3733 Internal Medicine Consultation Hours: Monday: 15:30 - 18:00 Wednesday: 13:00 - 19:00 Book an Appointment To Price Lists When Should You See an Internal Medicine Specialist? During a specialist consultation, our patients have the opportunity to discuss, investigate, and receive treatment for internal organ, internal medicine, and other health concerns. Our internal medicine specialists conduct a comprehensive physical examination, which may include an ECG test and its evaluation, as well as blood sugar measurement, blood pressure monitoring, weight measurement, and body size assessment if necessary. Visiting an internal medicine specialist is recommended when symptoms are unclear, and you are unsure of their origin. Since internal medicine specialists examine the body as a whole, the consultation is comprehensive. You will first be asked about your current symptoms, previous illnesses, and any hereditary health conditions within your family. Consult an Internal Medicine Specialist for the Following Conditions or Situations: Cardiovascular diseases, arterial narrowing High blood pressure (hypertension), heart failure and its complications, endocrine disorders (diseases of the endocrine glands), diabetes and its complications, blood sugar regulation, metabolic diseases and their treatment If you have no symptoms but wish to undergo a general examination for preventive health care If you experience symptoms without a known cause Fatigue, weakness, dizziness, headaches Chest pain, difficulty breathing, shortness of breath, exhaustion Abdominal pain, digestive issues, nausea Swelling in the legs Family history of hereditary diseases Unexplained weight changes (weight gain or loss) and need to identify the cause If you need to start new medications and require organ function checks (e.g., liver, kidney function) Routine laboratory tests (recommended annually) Assistance in interpreting test results: discussion of laboratory results, imaging tests, and answering questions Blood pressure monitoring, blood pressure management Blood sugar log review (PrivátDoktor Telemedicine), blood sugar regulation (including insulin-dependent diabetes) Prescription renewals Book an Appointment

Időpontfoglalás privát személyi edzésre a honlapon vagy telefonon. Címünk: 1132 Budapest, Visegrádi u. 40. Tel: +36 20 344 3733 Private Personal Training Consultation hours: Monday: 11:00 - 14:00 Friday: 08:00 - 11:00 Book an Appointment To Price Lists Discrete, Private Personal Training - Exclusively for You Our expert trainer with years of professional experience is ready to provide personalized training programs in our exclusive, private gym. Our Trainer’s Areas of Expertise: Yoga Bodybuilding Spine Training Body Shaping Weight Loss Training Deep Muscle Strengthening Human Kinesiology Movement Neurology At our private practice, your health and goals are at the center of our attention. Our personal trainer combines the benefits of various movement styles to create a tailored, effective program for you. Our special expertise in deep muscle strengthening enables targeting muscles that are crucial for improving posture and preventing injuries. The trainer's qualifications in movement neurology ensure optimal coordination between your nervous system and muscles, facilitating more efficient movement and faster progress. During your sessions, you will enjoy complete peace and attention, as the gym is dedicated exclusively to you and the trainer. This allows us to fully focus on your needs and development. Training Program with Body Composition Measurement We now offer professional body composition measuring equipment in our gym. This modern tool provides an accurate picture of your body composition, including fat and muscle mass, visceral fat, and body water content. This information is essential for creating your personalized training plan and nutritional advice, and it allows us to track your progress precisely. Whether you are focusing on strengthening, weight loss, rehabilitation, or general health maintenance, our trainer’s two decades of expertise, wide-ranging knowledge, and use of the latest equipment will ensure you are in the best hands. Contact us today and start your personalized fitness journey with a detailed body composition measurement and comprehensive movement assessment! Book an Appointment

Részletes tájékoztató a Visegrádi40 Magánrendelő allergia- és ételintolerancia-vizsgálatairól: tudjon meg többet a tesztek típusairól, az eredmények értelmezéséről, valamint a személyre szabott étrendi tanácsadásról, amelyet tapasztalt dietetikusunk biztosít. ALEX multiplex allergiateszt (295 allergén) Az ALEX (Allergy Explorer) az egyik legátfogóbb multiplex allergiateszt, ami jelenleg elérhető. Nanobead-technológián alapuló, kiemelkedően pontos és érzékeny teszt, ami egyetlen vérvételből 295 allergén kivonatot és komponenst vizsgál. Egy lépésben, párhuzamosan képes kimutatni: mindennapi életet befolyásoló allergéneket anafilaxiát okozó veszélyes allergéneket keresztallergiák molekuláris hátterét hőérzékeny és hőstabil allergén fehérjéket. A CCD-blokkolási eljárásnak köszönhetően az ALEX kiszűri az álpozitív keresztreakciókat, így pontosabb és megbízhatóbb eredményt nyújt. Miért érdemes ezt a tesztet választani? egyetlen vérvételből elvégezhető teljes képet ad az allergénekről, amikre érzékeny lehet: nemcsak az allergén neve (pl. tojás, répa), hanem annak konkrét fehérje-komponensekre adott válaszreakciók is azonosíthatóak, így például, ha egy fehérje hőérzékeny, akkor a főzés után az étel fogyasztható, tehát nincs szükség felesleges diétára kiszűrhetők az esetleges keresztallergiák is (egy adott összetevőre allergiás egyén esetében egy kémiai szerkezetét tekintve hasonló, másik allergén is allergiás reakciókat válthat ki) az ALEX-teszt képes azonosítani a releváns allergéneket a specifikus immunterápia számára, amelyek a hagyományos allergológiai tesztekkel és a klinikai anamnézissel nem meghatározhatók megbecsülhető az allergiás reakció kockázta – enyhe lefolyású vagy súlyos reakció (anafilaxia) meghatározhatók a megelőzés módjai – például szükséges lehet-e adrenalininjekció gyors, 5 munkanapon belüli részletes eredmény Kiknek javasoljuk az ALEX-teszt elvégzését? összetett, többszörös ételallergia esetén, amikor az előzetes vizsgálatok alapján úgy tűnik, hogy a páciens szinte semmit nem ehet vagy a tünetek miatt nem mer enni bizonytalan, ismeretlen eredetű allergiás rosszullétek, csalánkiütések, ismeretlen eredetű, anafilaxia jellegű rohamok esetén komplex légúti allergiákban, amikor a Prick-teszt és a hagyományos IgE teszt nagyon sok allergénre pozitív gyermekeknek (az ő esetükben a kiemelten fontos szempont az egyetlen vérvétel) krónikus allergiás panaszokkal, illetve nem azonosított allergiával küszködőknek anafilaxiás reakciót átélteknek (kockázatos allergének azonosítása) mindenkinek, aki tudatosan szeretné kezelni az allergiát: nem csak a tüneteket tompítani, hanem pontosan megérteni mire érzékeny, és megelőzni azt Milyen főbb csoportokat vizsgál az ALEX allergiateszt? Vizsgált allergének főbb csoportjai (295 allergén), példákkal: táplálékallergének: halak és tenger gyümölcsei (pl. ponty, tőkehal, garnéla, makréla, stb.), húsok (pl. házisertés, tyúk, nyúl, szarvasmarha, stb.), ehető rovarok (pl. lisztbogár, vándorsáska), gyümölcsök (pl. áfonya, eper, alma, barack stb.), zöldségek (pl. zeller, paradicsom, paprika, vöröshagyma, stb.), gabonák (pl. búza, quinoa, rozs, árpa), fűszerek (pl. ánizs, petrezselyem, mustár, stb.), magvak (pl. kesudió, brazildió, mák, stb.), hüvelyesek (pl. lencse, bab, borsó, szója, földimogyoró, stb.) belélegzett allergének: pollenek (pl. parlagfű, csalán, közönséges nyír, fekete üröm, stb.), állati inhalatív allergének (kutya, macska, ló, hörcsög, poratka, stb.), gombaspórák egyéb allergének: latex, rovarmérgek, élesztőgomba, stb. Mi a teendő a vizsgálat után? A pontos diagnózis meghatározásához és a megfelelő megelőző vagy terápiás lépések kidolgozásához elengedhetetlen a szakorvossal történő konzultáció, különös tekintettel a klinikai tünetekre (pl. megjelenésük jellege, időpontja, allergénnel való érintkezés). A teszt által kimutatott érzékenység nem minden esetben jár panaszokkal, ugyanakkor bizonyos allergének súlyos, akár életveszélyes reakciókat is kiválthatnak. Éppen ezért fontos az orvosi közreműködés az eredmények értelmezésében.

Időpontfoglalás humánterápiás vizsgálatra és fizioterápia szakrendelésre a honlapon vagy telefonon. Címünk: 1132 Budapest, Visegrádi u. 40. Tel: +36 20 344 3733 Physiotherapy - Human Kinesiology Consultation hours: Wednesday: 07:30 - 11:00 Book an Appointment To Pricelists Physiotherapy - Human Kinesiology The goal of physiotherapy is to restore, maintain, and improve movement functions through various methods and techniques. At Visegrádi40 Private Practice, we offer a wide range of physiotherapy treatments, including human kinesiology musculoskeletal assessment and the application of kinesiology tape. These treatments contribute to pain relief, increased mobility, and improved quality of life. Human Kinesiology Musculoskeletal Assessment The human kinesiology musculoskeletal assessment is a detailed and thorough evaluation process aimed at assessing the functional condition of the musculoskeletal system. This examination involves analyzing the condition of the joints, muscles, tendons, and ligaments, as well as evaluating posture and movement patterns. The expert therapist identifies the source of the problems using various tests and measurements and creates a personalized treatment plan for the patient. This approach not only focuses on treating the symptoms but also addresses the underlying causes, ensuring long-term results. Kinesiology Tape Application Kinesiology tape is a special, flexible tape applied to the skin to alleviate pain, reduce inflammation, and support muscles. During application, the tape is placed in different directions and levels of tension, influencing the blood circulation and lymphatic flow in the affected area. The benefits of kinesiology tape include providing support and stability to muscles and joints without restricting movement. This technique is especially useful for athletes but can benefit anyone dealing with musculoskeletal pain or seeking faster recovery after injuries. Book an Appointment

A Visegrádi40 Magánrendelő elérhetősége: Újlipótvárosban, a XIII. kerületben található, a Lehel téri metróállomás közelében. Elérhetőségünk: +36 20 344 3733 Email: rendelo@visegradi40.hu Get in touch with us! If you have any questions, the Visegrádi40 Private Practice team is here to assist you! Fill out the form below to send us a message, or call us by phone! Book an Appointment Go to Pricelist

Időpontfoglalás angiológiai szakrendelésre: trombózis gyanú, dagadt végtag, ödémás, fájó láb esetén. Az angiológus ultrahangos vizsgálatot, más néven doppler ultrahang vizsgálatot végez, amely lehetővé teszi az erek és a véráramlás állapotának vizsgálatát. Az angiológus ezen a vizsgálaton keresztül képes ellenőrizni az erek szűkületeit, elzáródásait, a vérrögöket, az érproblémákat és egyéb keringési rendellenességeket. Címünk: 1132 Budapest, Visegrádi u. 40. Tel: +36 20 344 3733 Angiology Consultation hours: Monday: 15:00 - 18:00 Book an Appointment To Price Lists When Should You See an Angiology Specialist? Angiology is the medical field that focuses on the diseases and treatments of arteries, veins, and lymphatic vessels. Angiology specialists diagnose and manage conditions affecting the entire circulatory system. What Does an Angiologist Do? An angiologist is an internal medicine specialist who diagnoses, monitors, and treats vascular diseases with medication or other therapies. However, if a condition requires surgical intervention, a vascular surgeon performs the procedure. The role of the angiologist is crucial in post-surgical rehabilitation and in advising patients on necessary lifestyle changes to improve their condition. Consult an Angiologist If You Experience: Muscle cramps Swelling or edema in the lower limbs Leg pain Skin discoloration Spider veins appearing on your legs Varicose vein-related discomfort Leg ulcers, atherosclerosis, cardiovascular disease, or diabetes Ultrasound Examination Our private medical practice is equipped with an ultrasound device for Doppler ultrasound examinations, a non-invasive method that allows the assessment of blood vessels and circulation. This examination helps detect artery narrowing, blockages, blood clots, and other circulatory issues. Doppler ultrasound is particularly useful in diagnosing peripheral arterial disease (PAD), venous disorders (such as varicose veins), aneurysms, and vascular constrictions. ABI (Ankle-Brachial Index) Measurement The ABI measurement device in our clinic assesses blood pressure in both the ankle and the arm to calculate the ABI value. This diagnostic tool is essential in detecting arterial narrowing or PAD. How Does It Work? Blood pressure cuffs are placed on the patient’s arm and ankle, and the ABI value is calculated by dividing the ankle blood pressure by the arm blood pressure. The resulting ratio provides insight into vascular health. Book an Appointment

Időpontfoglalás kardiológia szakrendelésre és laborvizsgálatokra a honlapon. Címünk: 1132 Budapest, Visegrádi u. 40. Tel: +36 20 344 3733 Cardiology Consultation Hours: Monday: 12:00 - 18:30 Wednesday: 13:30 - 19:00 Book an Appointment To Price Lists When Should You See a Cardiologist? If you notice that something is not right, it is essential to see a doctor. Urgent medical attention is required for persistent, severe chest or back pain accompanied by sweating, extreme shortness of breath, or loss of consciousness. It is crucial to determine the underlying cause of recurring chest pain triggered by exertion, irregular heartbeats, rapid pulse, skipped heartbeats, shortness of breath, and leg swelling. Decreased exercise tolerance, excessive sweating, and fatigue can also be early signs of heart disease. In some cases, persistent coughing, abdominal or back pain, and shoulder pain may be linked to heart conditions. Blue-tinted lips or fingers may indicate circulatory disorders, warranting further investigation. Erectile dysfunction (ED) can also be an early sign of cardiovascular disease, even in the absence of other symptoms, making a visit to a cardiologist advisable alongside an appointment with a urologist. For an accurate diagnosis, the cardiologist needs comprehensive information, including previous medical history and test results. In addition to current findings, it is essential to provide details of any medications taken—both prescription and over-the-counter drugs, as well as dietary supplements—as they can influence planned examinations and treatment adjustments. A thorough cardiological evaluation includes an ECG, blood pressure measurement, and echocardiography, with the option to schedule an MRI with our partner clinic if necessary. It is important to note that with early detection and proper treatment, including modern therapeutic approaches, most heart conditions can be effectively managed, allowing patients to live long and active lives. Book an Appointment

Időpontfoglalás FotoFinder anyajegyszűrésre a honlapon vagy telefonon. Címünk: 1132 Budapest, Visegrádi u. 40. Tel: +36 20 344 3733 Birthmark Screening - FotoFinder Consultation hours: Monday: 07:00 - 13:00 Tuesday: 07:00 - 13:00 Wednesday: 07:00 - 13:00 Thursday: 07:00 - 13:00 Friday: 07:00 - 13:00 Every second Saturday: 07:00 - 13:00 Available as of February To Price Lists Full-Body Skin Documentation for Early Detection of Skin Changes – FotoFinder® Technology at Visegrádi40 Private Practice The health and beauty of the skin are of paramount importance today, making the early detection of skin changes essential. To monitor skin conditions through imaging technology, we utilize FotoFinder®—one of the world's leading solutions. This advanced device aids in the documentation and visualization of dermatological changes and is now available at the Visegrádi40 Private Practice. State-of-the-Art Skin Diagnostics Our clinic is equipped with the latest 2024 FotoFinder® ATBM IV, the world’s most recognized high-end diagnostic system. Using a specialized algorithm, this cutting-edge technology provides the most reliable diagnosis yet for moles appearing anywhere on the body. It can effectively track even the smallest skin changes, even in cases where more than 100 moles are present. Mole Screening Although the FotoFinder system has a wide range of applications, we place special emphasis on the early detection of benign and malignant skin changes. To map out potential skin tumors, the device performs a detailed examination of moles, capturing high-resolution images and utilizing artificial intelligence alongside a global database to classify detected skin changes with exceptional precision. Early Detection Saves Lives Identifying melanoma, basal cell carcinoma, squamous cell carcinoma, and other pigment cell-derived skin cancers at an early stage is crucial. When malignant skin changes are detected in time, the chances of successful treatment exceed 90%. Annual screenings are recommended for all adults to maintain skin health and ensure long-term safety. Full-Body Dermatoscopy This comprehensive examination of the entire skin surface helps thoroughly assess skin changes and determine the risk of skin cancer. Psoriasis (Psoriatic) and Inflammatory Skin Analysis To diagnose psoriasis and evaluate inflammatory skin conditions, we conduct specialized examinations that provide a complete picture of our patients' skin health. The FotoFinder PASI (Psoriasis Area and Severity Index) assessment is used to objectively measure the severity and extent of psoriasis. The PASI scale allows dermatologists to evaluate the spread of the disease (the proportion of affected skin) and the severity of symptoms such as redness, scaling, and thickening of the skin. Trichoscopy – Examination of the Scalp and Hair Trichoscopy is a detailed analysis of the hair and scalp, during which hair strands and scalp conditions are examined under magnification. This diagnostic procedure helps doctors identify the causes of hair loss, assess the condition of the scalp, and detect various scalp disorders such as dermatitis, seborrhea, and other skin diseases. The examination is performed using FotoFinder, which enables a microscopic-level view of the hair strands and scalp. During the assessment, the doctor evaluates hair thickness, structure, scalp condition, inflammation, patches, and other abnormalities. This procedure allows for an accurate diagnosis and enables the development of personalized treatment recommendations. Entomodermatoscopy Entomodermatoscopy is a diagnostic procedure used by doctors to examine skin changes caused by insects and parasites. This method helps identify the causes of allergic reactions or other skin conditions. Insect bites and allergic reactions: If a patient experiences insect bites accompanied by allergic reactions, entomodermatoscopy can assist in identifying the underlying causes of symptoms. Parasitic infections: When a mite, flea, or lice infection is suspected to cause skin alterations. Skin changes and tissue transformations: If visible skin abnormalities (such as pimples, rashes, or blisters) may be linked to insects or parasites. Capillaroscopy Capillaroscopy enables the examination of capillaries, helping doctors assess skin microcirculation. This is particularly useful in diagnosing conditions such as eczema and psoriasis. The FotoFinder system, with its ability to magnify up to 400 times, provides an exceptionally detailed examination of skin structures. Its AI-supported diagnostic software helps physicians detect changes and plan necessary treatments. How Does the FotoFinder® Examination Work? FotoFinder® utilizes state-of-the-art AI-driven full-body skin mapping to help detect skin diseases early and prevent their development. The examination process: The patient stands in front of the camera, which takes high-resolution images from 20 different angles, capturing every skin lesion on the body. The system does more than take pictures—it assists in diagnosis and tracks changes over time. For follow-up patients, the AI software automatically detects new lesions or changes in existing ones, aiding in early-stage cancer detection. Detecting malignant skin changes hidden among benign moles is especially crucial for high-risk patients, as early diagnosis can save lives. A trained assistant performs the examination, and after AI evaluation, a dermatologist analyzes and validates the results. Moleanalyzer Pro – AI-Powered Skin Cancer Detection The high-resolution camera technology of FotoFinder is complemented by Moleanalyzer Pro, an AI-based software that continuously updates its diagnostic capabilities using global databases from leading dermatology clinics. This allows for precise risk assessment of melanoma malignum, providing increasingly accurate results over time. Automated Mole Screening – Key Benefits High-resolution images of all moles for accurate documentation AI-assisted analysis, reviewed by a specialist dermatologist Skin cancer risk assessment for early detection Since moles change in number, size, and color over time, early detection of malignant transformations is essential—it can save lives. Dermatologists recommend yearly skin checks for optimal skin health. Who Should Undergo FotoFinder® Skin Cancer Screening? If you notice a sudden appearance of a new mole If you observe changes in the size, shape, or color of an existing mole If the number of moles has increased and you seek peace of mind with a professional diagnosis For effective treatment, early detection and removal of malignant lesions are crucial. With our automated mole screening service, you won’t be left with uncertainty— You receive detailed photographic documentation Online dermatologist evaluation is included Personal consultation with the evaluating dermatologist is available Fast diagnosis, fast help when you need it! How Does the FotoFinder® Full-Body Mole Mapping Work? The mole and skin cancer screening is performed with the patient wearing minimally covering underwear (men: brief-style underwear, women: thong underwear, without a bra). The patient stands in front of a special blue background, facing a machine with a moving camera. Step-by-Step Process: Full-body imaging – The camera captures high-resolution images from precisely marked positions to cover the entire skin surface. Fast, simple, and painless – The procedure is completely non-invasive and safe for pregnant women and children (minimum height: 130 cm). Capturing hidden moles – Moles in hard-to-see areas (ears, navel, intimate areas, between fingers and toes, scalp) are also recorded. Automated positioning and comparison – The laser-guided system and Ghost function overlay previous images with new ones, ensuring consistent positioning and allowing for accurate mole tracking over time. AI-powered analysis – The software automatically detects changes, marking even the smallest differences and highlighting newly formed moles. Instant storage and comparison – All skin images are automatically saved, making it easy to compare new scans with previous ones. Why Choose FotoFinder®? Speeds up the diagnostic process – Instant analysis for early detection of skin changes. Enhances dermatological examinations – Provides highly detailed visual records, assisting dermatologists in identifying potential risks. Increases treatment success rates – The earlier a skin condition is detected, the better the chances of successful treatment. Immediate Peace of Mind Worried about a suspicious mole? Get a quick, reassuring negative result—no waiting required! If a positive result occurs, you can immediately begin the necessary treatment or intervention. Examination duration: Approximately 30 minutes, depending on the number of moles. Full-Body Mapping and Aesthetic Imaging The FotoFinder aesthetic module enables precise treatment planning and the creation of impressive "before and after" images, which are particularly useful for aesthetic procedures. Additionally, the system’s new PASIscan feature offers an advanced solution for documenting and evaluating psoriasis severity through computerized PASI (Psoriasis Area and Severity Index) assessment. Advanced Hair Consultation and Trichoscopy Services For diagnosing hair loss and scalp conditions, we utilize the FotoFinder modern hair consultation system, providing objective and accurate evaluations. Three-step process: Capturing high-resolution scalp images Uploading data to the TrichoLAB system Receiving a detailed trichoscopy report This process delivers scientific evidence on your hair’s condition, assisting in treatment decisions and therapy planning. Comprehensive Skin, Hair, and Nail Analysis Beyond dermatology, FotoFinder technology plays a crucial role in hair and nail examinations. Full HD camera imaging for detailed diagnostics Accurate assessment of skin, hair, and nails Laboratory diagnostics for personalized treatment planning With cutting-edge imaging and clinical expertise, we ensure the most effective therapy tailored to your needs! Cutting-Edge Technology in Dermatoscopy The medicam 1000s Full HD camera, an integral part of the FotoFinder system, delivers exceptional image resolution and detail. Key Features: CrystalView® Technology – ensures the sharpest, high-resolution images D-Scope IV Lens with TwinLight Technology – allows easy switching between polarized and non-polarized light Interchangeable Front Caps – for enhanced imaging flexibility This advanced imaging system offers new perspectives in evaluating and diagnosing skin health with unmatched clarity. Reliability & Image Quality in Daily Practice The medicam 1000s camera is color-calibrated and fully software-controlled, ensuring consistent imaging conditions and outstanding quality in everyday medical practice. Why It Matters for Dermatologists? ✔ Perfect illumination and sharp images for accurate diagnoses ✔ Seamless workflow with precise image capture ✔ Enhanced diagnostic confidence for early detection of skin conditions With FotoFinder’s state-of-the-art technology, dermatologists can now diagnose with greater accuracy and efficiency than ever before! Contact and Further Information If you would like to learn more about the services offered by FotoFinder or would like to book an appointment, please contact Visegrádi40 Private Clinic. If you have any questions or special requests, we are happy to assist you. We warmly welcome you to Visegrádi40 Private Clinic, where the most advanced skin diagnostics meet personalized care! Available as of February

Időpontfoglalás genetikai laborvizsgálatokra. Genetikai szűrések: colonAiQ, kolorektális rák. Családi halmozódás esetén: trombózishajlam, örökletes emlőrák és petefészekrák hajlam (BRCA1 és BRCA2), örökletes vastagbélrák, örökletes tumor szindróma, Alzheimer kockázat korai felismerése (AlzOn+), autoimmun vizsgálatok (HLA-B27), cöliákia vizsgálat. Sportgenetikai vizsgálat. Rendelési idő: H, Sze, 07-től 18-ig. K, Cs, P 07-tól 13-ig. Szombatonként két hetente: 07-től 13-ig. Tel: +36 20 344 3733 Genetic Screening Through Blood Tests Consultation hours: Monday: 07:00 - 17:30 Tuesday: 07:00 - 13:00 Wednesday: 07:00 - 17:30 Thursday: 07:00 - 13:00 Friday: 07:00 - 13:00 Every second Saturday: 07:00 - 13:00 Book an Appointment To Price Lists Visegrádi40 Private Clinic – Premium Partner of Clinomics Europe Clinomics – A Pioneer in Molecular Genetic Diagnostics Clinomics is at the forefront of molecular genetic diagnostics, utilizing cutting-edge multiomics-based molecular and precision diagnostic methods to promote a healthier, more balanced future for society. At Visegrádi40 Private Practice, we send blood samples collected at our facility to the state-of-the-art Clinomics laboratory for screening and, ideally, prevention of the following conditions: Genetic Cancer Screenings Colorectal Cancer: Innovative blood-based screening test – a key tool in preventing colon and rectal cancer. ColonAiQ Colorectal Cancer Screening: Learn more by reading our article or watching our video! Breast & Ovarian Cancer: NGS (Next-Generation Sequencing) panel / extended BRCA panel with genetic counseling (BRCA1, BRCA2, and 18 additional genes). Hereditary Colorectal Cancer: NGS panel for HNPCC-Lynch syndrome, FAP with genetic counseling (22 genes). Hereditary Tumor Syndrome: Comprehensive NGS panel with genetic counseling (133 genes). Cardiovascular & Thrombosis Risk Screening Nutrigenetic Screenings Lactose intolerance Fructose intolerance Celiac disease Iron absorption disorders Family Planning & Infertility Screenings Sports Genetics Screening Specialized Examinations AlzOn+ Blood Test: Early detection of Alzheimer’s disease risk Autoimmune Genetic Testing HLA-B27 genetic test Celiac disease screening Book an Appointment

Ezen az oldalon található a Visegrádi40 Magánrendelő Adatvédelmi Tájékoztatója. Privacy Notice (GDPR) of Visegrádi40 Private Practice This notice contains the principles of processing personal data provided by patients on the website of Visegrádi40 Private Clinic. In drafting this Notice, Visegrádi40 Private Clinic has considered the provisions of Regulation (EU) 2016/679 of the European Parliament and of the Council ("General Data Protection Regulation", hereinafter: "GDPR"), Act CXII of 2011 on informational self-determination and freedom of information ("Infotv."), Act V of 2013 on the Civil Code ("Ptk."), and Act XLVIII of 2008 on the basic conditions and certain restrictions of economic advertising activities ("Grtv."). 1. GENERAL TERMS "Personal data": any information relating to an identified or identifiable natural person ("data subject"); an identifiable person is one who can be identified directly or indirectly, especially by reference to an identifier such as a name, number, location data, online identifier, or one or more factors related to the physical, physiological, genetic, mental, economic, cultural, or social identity of that person. "Data processing": any operation or set of operations which is performed on personal data or data sets, whether or not by automated means, such as collection, recording, organization, structuring, storage, alteration or modification, retrieval, consultation, use, disclosure by transmission, dissemination, or otherwise making available, alignment or combination, restriction, erasure, or destruction. "Data record system": a collection of personal data organized in any way – centralized, decentralized, or according to functional or geographical criteria – that is accessible according to specific criteria. "Data controller" : a natural or legal person, public authority, agency, or any other body that determines the purposes and means of the processing of personal data, whether alone or jointly with others; if the purposes and means of processing are determined by Union or Member State law, the controller or specific criteria for its designation may also be specified by Union or Member State law. "Processor" : a natural or legal person, public authority, agency, or any other body that processes personal data on behalf of the controller. "Third party" : a natural or legal person, public authority, agency, or any other body that is not the data subject, the controller, the processor, or persons who, under the direct authority of the controller or the processor, are authorized to process personal data. 2. GDPR ROLES The Data Controller, Visegrádi40 Private Clinic, does not operate its own server and uses the Microsoft Windows operating system for daily administrative tasks. For processing information systems, including email, administration, and healthcare data management, external companies are commissioned as data processors under individual service contracts and data processing agreements. (The GDPR data processing notice from Microsoft is available at: https://www.microsoft.com/en-us/trust-center/privacy/gdpr-overview ). The email system is managed by S+H Informatikai Zrt. (1132 Budapest Visegrádi u. 40.). In addition to its various tasks, the IT company ensures secure email services for the data controller. Regarding healthcare and patient data, the Data Processor, KARDI-SOFT Ltd. (9024 Győr, Csokonai street 29.), operates the Dokirex.net software and provides high-level protection for patient record services, ensuring GDPR and Infotv. data security requirements. For scheduling purposes, the Data Processor, MediCorp Hungary Zrt. (1095 Budapest Lechner Ödön Fasor 2. 7th floor 13.), operates the myMedio software and provides high-level protection for calendar management services, ensuring GDPR and Infotv. data security compliance. Since the personal data of patients stored on the remote access point (cloud) provided by the Data Processor is not processed or accessed by the Data Processor, the responsibility for the management and protection of healthcare and related personal data lies solely with the Data Controller as stipulated by Act XLVII of 1997 (Eüak.). 3. DATA SECURITY Data security, in this context, refers to ensuring that the User can always access the data they manage and the service (remote software) through which their data is processed, and that no data loss or significant data corruption occurs that would endanger their work. The Data Controller has implemented various measures to guarantee high-level data security: Data is stored and processed using a database server. The Data Processor (e.g., Kardi-Soft Ltd.) uses an SQL database server, one of the most reliable database servers in use today. 4. DATA PROTECTION – GDPR COMPLIANCE Data protection, in this case, refers to ensuring that the data under the Data Controller’s commission is fully protected from unauthorized access, and the personal rights of the data subjects (patients) are not violated in any way. The principles and rules of data protection are defined by the GDPR starting from May 25, 2018. The Data Controller has considered various aspects and measures in the software development process to ensure that the software complies with these requirements. This Data Processing and Privacy Notice is valid from April 1, 2023, Version number: 8.0.

Időpontfoglalás testösszetétel mérésre a honlapon vagy telefonon. Címünk: 1132 Budapest, Visegrádi u. 40. Tel: +36 20 344 3733 Body Composition Measurement Consultation hours: Monday: 07:00 - 17:30 Tuesday: 07:00 - 13:00 Wednesday: 07:00 - 17:30 Thursday: 07:00 - 13:00 Friday: 07:00 - 13:00 Every second Saturday: 07:00 - 13:00 Book an Appointment To Price Lists Achieve your health and fitness goals with SECA medical body composition measurement! With SECA BIA technology, you can receive accurate and reliable information about body fat, muscle mass, water balance, and other important body composition parameters. Bioelectrical impedance analysis (BIA) is an easy-to-use, non-invasive, and precise method that helps you achieve the best results. We are here to help you track your progress. The Visegrádi40 Privat Practice SECA program supports you in reaching your health, fitness, and body shaping goals! Motivation SECA makes the results of fat burning and muscle growth visible, motivating you in your successful training program, weight loss plan, muscle building, or relieving back and waist pain. Continuous tracking of measurements and progress helps maintain enthusiasm and perseverance. Medically Validated Data SECA provides medically validated data, displaying health information related to your body composition in seconds. The measurements accurately reflect your actual condition and assist in creating tailored recommendations to help you reach your goals. Improve Yourself! SECA allows for continuous monitoring of medical treatments, training, and diet programs. If needed, we offer personalized training programs or sample meal plan suggestions from a dietitian to help you achieve your goals quickly and effectively. How does the body composition measurement device work? Bioelectrical impedance analysis (BIA) passes a low-voltage electrical current through the body. Based on the resistance measured by the current, formulas are used to calculate the body composition parameters. This allows for accurate determination of body fat, muscle mass, body water content, and the ratio of other components. Measuring and Documenting Changes The cloud-based SECA software makes all results continuously accessible to both the medical office and our patients. Whether at the gym, on the go, or at home, the data is presented in an easy-to-understand format, making the measurements a valuable tool for any workout plan. After the first measurement, our clients can easily perform all subsequent measurements, ensuring continuous progress by tracking changes. TRU BodyScore – A Glance at Your Body Composition The software allows the assessment of muscle mass, body weight, and body fat percentage, so our clients can easily compare themselves to others of similar age and gender. Their training results are rewarded with awards ranging from bronze to platinum, motivating further progress. With SECA body composition analysis, successes achieved through exercise and dietary changes are precisely measurable. Results can also be accessed by clients via their smartphones or laptops, allowing them to always track their progress. Contact us today and start precise, medically validated body composition measurement with SECA to achieve your health and fitness goals! You can opt for a personalized body composition measurement or purchase a subscription for this service. Book an Appointment

Időpontfoglalás ultrahang vizsgálatokra a honlapon. Címünk: 1132 Budapest, Visegrádi u. 40. Tel: +36 20 344 3733 Ultrasound / Radiology Examination Consultation hours: Monday: 12:00 - 18:00 Wednesday: 15:30 - 17:30 Friday: 16:00 - 18:30 Book an Appointment To Price Lists When Should You See a Radiologist? At Visegrádi40 Private Practice, our radiologists perform specialized ultrasound examinations and provide diagnoses based on the results. They also recommend any additional tests and treatment options. Ultrasound examinations help to map out structural abnormalities in the organs. The Following Examinations Are Available: Liver structural ultrasound examination Thyroid and salivary gland ultrasound examination Abdominal and pelvic ultrasound examination Targeted ultrasound examination for abdominal and inguinal hernias Duplex Doppler ultrasound examination of leg veins Duplex Doppler ultrasound of neck arteries (carotid) Soft tissue ultrasound examination Comprehensive neck ultrasound examination (thyroid, salivary glands, and carotid arteries) Abdominal and pelvic ultrasound including hernia gate examination How Does an Ultrasound Examination Work? Ultrasound is a gentle, painless procedure used to detect internal medical issues across various fields such as internal medicine, cardiology, endocrinology, urology, gynecology, joint issues, and vascular problems. The examination can be performed on anyone, regardless of age, and pregnancy is not a contraindication. Its advantages include speed, accessibility, and the ability to provide high-resolution, detailed images. The examination usually takes about 15 minutes, is pain-free, and involves no ionizing radiation or complications. The results will be uploaded to the EESZT (Electronic Health Record System) within 1 business day after the exam. Book an Appointment

Időpontfoglalás laborvizsgálatra és MRI-re a honlapon. Rendelési idő: hétfőtől péntekig 08:00 - 18:00. Szombaton 08:00 - 16:00 Tel: +36 20 344 3733 MRI Scan Examination Consultation hours: Monday to Friday: 08:00 - 18:00 Address: RadiVert MR Diagnosztikai Központ, 1047 Bp, Baross u. 99. Call Us for an Appointment To Price Lists Visegrádi 40 Private Practice is a partner of the RadiVert MR Diagnostic Center What is MRI? MRI stands for "Magnetic Resonance Imaging." It does not use X-rays for imaging but instead uses a magnetic field, so patients are not exposed to harmful radiation. Since approximately two-thirds of the human body is water, MRI is excellent for diagnostics. The examination is based on the altered behavior of the body's fluid areas within a magnetic field, utilizing the body's natural magnetic properties and a powerful external magnet. Diseases in the body cause changes in the water content of tissues and cells, making them visible. MRI diagnostics have become an essential tool in modern medicine, greatly assisting doctors in diagnosing and determining therapy. It is currently the most accurate radiological procedure for many indications. MRI combines the advantages of CT and ultrasound, making it suitable for use as an initial diagnostic examination. With this method, blood vessels can be thoroughly examined, as well as the brain, abdominal organs, spine, bones, joints, and the large vessels in the chest area. The examination is completely painless and safe, with no known side effects, making it possible to repeat as needed. It can also be safely used in the examination of children. Call Us for an Appointment