|✓ General Medicine||✓ Childhood Immunisations|
|✓ Minor Surgical procedures||✓ Antenatal Shared Care|
|✓ Cryotherapy to skin lesions||✓ Workers compensation|
|✓ Family Planning||✓ Employment Medicals|
|✓ Health Screening||✓ Insurance Medicals|
|✓ Cardiographs||✓ Dive Medicals|
|✓ Lung Function Tests||✓ Travel Vaccination|
|✓ Men’s Health||✓ Blood Sugar testing on site|
|✓ Spirometry||✓ Diabetes Assessment and education|
|✓ INR & Warfarin Monitoring||✓ Pap Smears & Breast Checks|
|✓ Holter Monitoring||✓ Nursing Home & Home Visits|
|✓ 24 Hour Home Blood Pressure Monitoring||✓ Skin Cancer Treatment|
All our highly skilled GPs provide pre-pregnancy counselling.
They recognise the importance of detecting any clinical conditions that may be of relevance to the future pregnancy but are best managed prior to pregnancy.
Our GPs will screen for and detect any relevant conditions and optimise treatment with respect to an impending pregnancy. They perform antenatal screens to identify any conditions which require treatment, such as iron or vitamin deficiencies and determine if booster vaccinations are due.
Our GPs take a detailed family and past history and advise on any genetic counselling that may be required pre-pregnancy.
They provide advice on pre-pregnancy folic acid, minimising alcohol intake pre-pregnancy and provide advice such as timing of intercourse.
Preventive Health care & health promotion
In conjunction with individual patients, the GPs advise on optimum targets for weight, waist measurements, blood pressure readings, blood lipid levels, blood glucose levels and exercise levels. They complete physical assessment scores on patients and provide advice if these need to be improved.
All GPs advise on standard childhood and adult vaccinations that prevent diseases and specific vaccinations and medications to prevent travel disease.
Quit Smoking Advice
We recognise that smoking cessation is very difficult and offer a number of treatments to help with this.
Lung cancer is the 5th most common cancer in Australia and causes 1 in 5 cancer deaths with over 7000 deaths per year.
Smoking causes Chronic Obstructive Pulmonary Disease, which is the sixth biggest killer in Australia and the third leading burden of disease, affecting 2 million Australians or 1 in 5 aged over 40.
It is never too late to stop smoking. If a patient stops smoking at 45 the accelerated loss of lung function stops and, although the lung damage is irreversible, the further deterioration becomes the same as a non-smoker.
Prospective travellers will require a consultation with one of our GPs to review their medical history, risk of exposure, country vaccination requirements (for all countries being visited / transited) in line with the guidelines and requirements from the most recent NHMRC Australia Immunisation Handbook.
We can also update immunity against:
- whooping cough
- influenza including swine flu.
We advise on malaria prophylaxis and prevention and treatment of travellers’ diarrhoea.
We provide all childhood vaccinations that are free to holders of Medicare cards.
We have on site Practice Nurses who continually attend update courses on the changing paediatric vaccination schedule.
Currently babies are immunised against Hepatitis B at the hospital on the day of their birth. They then have vaccinations at 6 weeks, 4 months and 6 months and then at 12 months, 18 month and 4 years of age.
Adolescents receive vaccinations primarily via their schools but catch up vaccinations can occur at the surgery.
Pertussis Vaccination and Illness – Whooping Cough
Whooping cough or Pertussis rates in Australia in 2011 reached a 20 year high with over 38,500 cases being diagnosed.
Sadly several babies died from complications of whooping cough often caught from unvaccinated adults affected with pertussis. This has led to a change in the immunisation schedule with infants being vaccinated at 6 weeks, 4 months and 6 months.
Flu Vaccine and Influenza
As many of our patients travel on public transport, work in large air conditioned offices and travel frequently on planes they are at elevated risk of influenza and so we recommend and provide the annual influenza vaccine.
Immunity decreases over time and vaccination is needed each year to ensure you continue to be protected. Vaccination is recommended in autumn to allow time for immunity to be strengthened before the flu season starts.
We provide a full range of contraceptive advice and options and advice on reproductive health and preventive health care including 2 yearly pap smears, breast checks and mammograms.
Breast cancer is the most common cancer for Australian women with a 1 in 9 lifetime risk. Over 14,000 women will be diagnosed with breast cancer in 2011.
The risk of developing breast cancer increases with age. 75% of breast cancer cases occur in women aged over 50.The 5 year survival rate for women with breast cancer is 88%. It is important to have 2 yearly mammograms when aged over 40 and these are provided free by Breastscreen to asymptomatic women. It is also important to regularly examine breasts after each period and to report any persisting changes to your GP. Often benign conditions such as cysts are detected so not every lump means cancer.
Less known is that bowel cancer is the second most common cause of cancer related death after lung cancer with 80 Australians dying each week from this condition. About 80 Australians are diagnosed each week with bowel cancer with over 14,000 being diagnosed annually. One in 18 men and 1 in 26 women are diagnosed with bowel cancer in Australia which is one of the highest rates in the World.
Bowel cancer develops from tiny polyps in the bowel. The risk increases with age over 50, in those with a family history, those with a past history of adenoma polyps and those with inflammatory bowel disease such as ulcerative colitis.
Eating a healthy high fibre diet and exercising regularly reduces bowel cancer by 66% to 75%.Bowel cancer can be treated successfully if detected early but unfortunately only 40% of cases are detected early in Australia. Symptoms such as frank bleeding, change in bowel habit, anemia and obstruction occur late.
Screening for microscopic bleeding is recommended in those aged over 50 and colonoscopy recommended from 40, or 5 years earlier than the youngest relative with bowel cancer, or in those aged over 40 with rectal bleeding. We have an excellent referral network of Specialists to send you to for endoscopy.
Cervical cancer has decreased by over 33% since organized pap smears began in 1991 in Australia at 2 yearly intervals. It appears the introduction of the cervical cancer vaccine will significantly lower this even more. Our Practice is proud that we achieve a high percentage of pap smears in eligible women. We have a computerized recall system to remind you when your next check is due.
Ovarian cancer is the 9th most common cancer affecting women in Australia with 1200 cases annually and 1 in 77 women being affected and 810 deaths per year. The risk increases with age over 50, family history, changes in the genes BRCA1 and BRCA2, early onset of periods and late cessation, childlessness, infertility and never taking the combined oral contraceptive. It often presents late and there is no proven prevention.
It is important to have regular pap smears and bimanual examinations of the pelvis and to report any changes such as pelvic pain, bloating, abnormal bleeding and lethargy. Pelvic ultrasound is used for diagnosis and we have resources of experienced Specialist Medical Ultrasonographers who specialize in this field.
However, while 1 in 4 women are concerned that they will die from breast cancer, and only 1 in 25 do globally with 1 in 38 in Australia, 1 in 3 will die from heart disease.
We do much preventive health care to reduce risks and regularly monitor cholesterol levels from 45 and younger in high risk groups.