Dr Peter Appelt is a senior aviation medical officer and does all flying medicals from drone pilots to airline pilots.   

We offer a comprehensive service, including:

• Eye Tests
• Hearing Tests
• Stress ECGs
• Lung Function Tests

Our clinicians have a keen interest in cardiology.  

We perform non-invasive risk stratification, including clinical examinations resting ECG’s, stress ECG’s (running on a treadmill).

 Referrals are made to Cardiologists for invasive risk stratification, e.g. Angiograms, Pacemakers and Loop recorder insertions and refer and review Holter monitoring Echocardiograms

We diagnose, treat, and refer appropriately for the following conditions, and not limited to:

• Ischaemic heart disease (stable and unstable angina, and heart attacks)
• Valvular heart disease (heart murmurs:
• Heart failure
• Arrhythmias (palpitations)
• Hypertension

Dr Anje van der Merwe offers:

• Antiwrinkle injections (Botox ® and Dysport®)
  Botox ® and Dysport® has many applications, and Dr van der Merwe treats the following conditions with small, superficial injections:
  • Migraines
  • Tinnitus
  • Hyperhidrosis (excessively sweaty hands, feet and axillae)
  • Masseter spasm/grinding of teeth, TMJ.

• Hyaluronic acid fillers to restore volume, rejuvenate
• Threading (non-invasive lifting and corrective treatments)
• Lower and mid facelifts
• Brow lifts
• Correction of asymmetry after Bell’s palsy or stroke
• Otoplasty (non-surgical correction of protruding ears)
• Rhinoplasty (non-surgical correction of nasal abnormalities)

We offer clinical examination, lung function tests and appropriate referral for Chest X-Rays, CT scans, biopsies and sputum tests, to appropriately diagnose and treat respiratory diseases, and not limited to:

• Asthma (paediatric and adult onset
• COPD
• Emphysema
• Infectious diseases (COVID, TB, bronchitis, pneumonia)
• Pulmonary malignancies.

We prioritize urgent consults and we are equipped to deal with medical emergencies. We are fortunate to have direct access to the casualty unit at Mediclinic Pietermaritzburg, and refer promptly should the need arise.

Female health is a top priority and we do thorough clinical a side-room evaluations, review ultrasounds and blood tests, to diagnose, treat or refer to specialists  when appropriate. We treat the following conditions, and not limited to:

• Screening for cervix cancer and HPV infection with a Pap smear
• Annual breast exam once indicated and referral for Mammogram
• Bone density testing once indicated
• Infertility – ultrasound, blood tests and early referral to a fertility clinic
• STI – vaginal swabs, clinical exam and blood tests to treat
• Dysmenorrhea, PMS, Irregular periods
• Menopause
• Urinary tract infections
• Pregnancy, up till 22 weeks, after which we refer to a specialist
• Screening for bladder, uterine and ovarian cancer
• Breastfeeding support

We understand the importance of routine screening and prompt diagnosis and treatment should the need arise. We diagnose, treat and refer appropriately for the following conditions, and not limited to:

• Testicular cancer
• Prostate cancer
• Urinary tract infections (prostatitis)
• Testosterone deficiency
• Erectile dysfunction
• Kidney stones

We understand that life has its challenges, mental health conditions are common, from a young age. Untreated mental health conditions have significant morbidity and mortality – why carry a burden if help is available? We diagnose, treat, and refer if appropriate, the following conditions, and not limited to:

• Generalized anxiety disorder
• Major depressive disorder
• Bipolar mood disorder
• Postnatal depression
• PTSD
• Schizophrenia
• Alcohol and substance abuse
• ADHD/ADD
• Insomnia
• OCD
• Personality disorders
• Adjustment disorders
• Eating disorders

We are passionate about prevention, early detection and treatment of Diabetes and other lifestyle diseases

We believe that with a team effort, education, ongoing support, and by utilizing technology, most complications can be prevented. We screen, treat and refer appropriately for the following, but not limited to:

• Diabetes Mellitus Type 1
• Diabetes Mellitus Type 2
• Insulin resistance/Prediabetes
• Obesity
• Peripheral neuropathy
• Retinopathy
• Coronary arterial disease
• Kidney failure
• Hypoglycaemia
• Diabetic ketoacidosis
• Hypertension
• Hypercholesterolemia
• Thyroid disorders

We believe that it is possible for each individual to be at their happy, healthy weight. We have a holistic approach that involves risk stratification with blood tests, detailed body measurement and utilizing advanced technology.

We strive to sustainable weight loss, by giving patients the tools they need, with the help of a dietician, psychologist, and health educator (depending on individual need). Effective treatment options are available, that make what seems impossible, possible.

We offer cryotherapy, and do surgical excisions, punch biopsies, and offer treatment for the following conditions, but not limited to:

• Acne
• Moles and skin cancer
• Warts
• Calluses
• Rosacea
• Hyperpigmentation
• Aesthetics (Botox ® and Dysport)
• Eczema
• Urticarial rashes
• Contact dermatitis
• Burns
• Short term wound care

Dr Peter Appelt is well established and his patients have matured in years and wisdom, as has the practise. We have a wheelchair ramp and two wheelchairs in the office to ensure easy access. Especially Sister Jenny loves older patients, and she knows each patient personally (though still recommended to bring a list of your chronic medication and the dose thereof) and treats each patient with the dignity and respect they deserve.

We diagnose and treat the following, but not limited to:

• Eczema
• Asthma
• ENT infections (Tonsillitis, Ear infections, pharyngitis, sinusitis)
• Respiratory infections (COVID, bronchitis, pneumonia, croup, TB)
• Allergy testing
• Routing screening (2 weeks, 6 months, 9 months, thereafter annually)
• Deworming
• Constipation
• Diarrhoea
• Bladder infections
• Colic and underlying issues
• ADHD, ADD
• Diseases of childhood (Rubella, Mumps, Chickenpox, etc.)

This excites us, and keep our work interesting, and of course, we have your wellness at heart. We refer for vaccination, screen for, and treat the following conditions, and not limited to

• Malaria
• Tick bite fever
• Rabies
• COVID
• TB
• HIV
• Bilharzia
• Ebstein Barr
• Coxackie
• Yellow fever
• Tetanu

We treat both acute and chronic conditions, and understand the importance of screening for malignancies.

• Gastro oesophageal reflux disease
• Mouth, oesophageal, stomach, colon cancer
• Inflammatory bowel disease
• Diverticulitis
• Gastritis
• Acute gastroenteritis
• Spastic colon
• Acute intra-abdominal infections
• Hernias

Annual checks are crucial for early detection of cardiovascular disease, diabetes, some cancers and chronic condition. We believe that this is a priority and deserves our undivided attention, which is why we request that a separate consult is booked solely for this purpose, and not added to a consult in which we are addressing an acute complaint.

We perform medical checks for insurance and visa purposes too.

We offer telephonic and physical consults for patients suspected of having COVID. We follow standard COVID protocols.  We do appropriate testing (gold standard PCR), risk stratification for work, sick notes, fit to fly letters, and treatment of disease.

We advise the COVID vaccine for all above the age of 18 (and this might be revised to a younger age).

We are constantly updating ourselves on scientific evidence, treatment protocols and management of this disease.