3 Free 2018 Fitness Tips from Partridge Street General Practice!

It’s 2018 and many of you will have made your New Year’s resolutions. Many of these resolutions will have been broken by January 15th! We’re past that date, so for those of you who are left, here are some free Fitness Tips to help you carry on and improve your health in 2018.

 

 

Number 3 Fitness Tip from Dr Nick Tellis and Partridge Street General Practice

Get to the Gym…or the Run…or the Swim

 

 

We’ve all had those days where we don’t really want to exercise. Abs may be made in the kitchen but they’re certainly not made in bed. Remove the obstacles. Have your gear out the night before – clothes, trainers, swimmers, headphones – whatever you need to Get It Done. Leap out of bed as the morning alarm sings, get your gear, and Get Out.

 

 

Once you’re at the gym or pool or about to start your run – Start! If you’re not feeling it after 5-10 minutes, stop and head home. That’s cool, it’s not your day. I can assure you following this tip will hugely increase the amount of exercise you do.

 

 

Get a great gym with Anytime Fitness Glenelg, just off Jetty Road, Glenelg!

 

 

dr nick lifting with chris (1)
Younger Fitter Training Partners – the Famous Chris Hooper

Number 2 Fitness Tip from Dr Nick Tellis and Partridge Street General Practice

Don’t be the fittest person

 

 

Here’s the easiest tip here – especially for those of you just starting out. It’s often said that if you’re the smartest person in the room, you need to find a new room. Training with people fitter than you will bring you up with them. Generally people fitter than you have been doing it longer than you have and have built up some great habits and great tips of their own. Let them lift you up!

 

 

My personal take on this is that I train with people younger and fitter than me. I take the opportunity to train with great female athletes – even though I’m nearly double their weight, I can almost keep up! 😎

 

 

Get some great training partners!

 

 

Run with Good Physio or Aspire Pilates and Physiotherapy!

 

 

Lift in the gym and Smash it in business with Sammie Johannes here, here, and here!

 

 

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Ms Sammie Johannes – Business Development And Powerlifter

Ms Sammie Johannes – Business Development And Powerlifter

 

 

Number 1 Fitness Tip from Dr Nick Tellis and Partridge Street General Practice

Rack Your &%*%ing Weights!

 

 

You’ve got to the place of exercise and you’ve lifted/run/swam. It’s time. Time to put the little metaphorical cherry on that big beautiful exercise cake. Time for a little ‘accessory exercise’.

 

 

 

 

Rack your &%*%ing weights! Seriously! This is free exercise! You’ll feel better, your training buddies will love you, and your friendly gym owner will sing your praises (and maybe even put your picture up in the gym!). Routine will give you strength and is that extra 1% for you when motivation fails. Routine gets you to the gym. Routine gets your training partners to the gym. And the Routine of racking your weights is worth it’s weight in gold.

 

 

 

 

 

If you’re running or swimming instead of lifting – that’s cool too. Walk more. Walk to and from your run or swim. That incidental movement – briskly, to be truthful – adds up. It adds up to fitness. It adds up to cardiovascular health. It adds up to a little less weight around the middle. It Adds Up!

 

 

Get to Anytime Fitness Glenelg and hit Ryan up…and maybe rack a few weights 😉

 

 

 

 

walking works for dr nick
One Year of Incidental Movement

PS: Here’s a bonus tip

Get a Great GP!

(Here’s some we made earlier)

Dr Nick Tellis

Your Specialist In Life

Dr Nick Mouktaroudis

Dr Gareth Boucher

Dr Gareth’s Cycle of Care

Dr Penny Massy-Westropp

Dr Penny Massy-Westropp

Dr Monika Moy

Dr Monika Moy

Dr Katherine Astill

Dr Katherine Astill 1

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Weight training – Pumping Iron 😎

We look forward to seeing you soon!

Happy Birthday Partridge Street General Practice!

In 2014, Dr Nick Mouktaroudis and Dr Nick Tellis opened the doors of Partridge Street General Practice at Glenelg!

 

 

 

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We’ve gone from strength to strength since then and we’re now well established in our own Health Precinct with Aspire Physiotherapy and Pilates next door.

 

 

 

General Practice and So Much More

 

 

 

The future is bright as we continue to grow! Our Principal GPs :

 

 

Dr Nick Tellis

 

 

 

Your Specialist In Life

 

 

 

Dr Nick Mouktaroudis

 

 

 

 

 

 

Dr Gareth Boucher

 

 

 

Dr Gareth’s Cycle of Care

 

 

 

 

Dr Penny Massy-Westropp

 

 

 

Dr Penny Massy-Westropp

 

Dr Monika Moy

 

 

 

Dr Monika Moy

 

Dr Katherine Astill

 

 

 

 

Dr Katherine Astill 1

 

 

We’re providing great General Practice care including:

 

Mental Health Care/Plans

 

Skin Checks and Skin Cancer Care

 

Travel Medicine

 

Immunisations

 

Workcover/Compensable Medicine

 

Emergency Care

 

Antenatal Care

 

Men’s Health and Screening

 

Women’s Health and Screening

 

Babies and Children’s Care

 

Nutrition and Weight Management

 

Executive Health Checks

 

Stop Smoking Help

 

Pathology Services

 

 

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We’re Here to Help You – in 2017 and beyond.

 

 

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We look forward to seeing you soon!

 

 

 

For a Hard Earned Thirst

A great Christmas message from the excellent Dr Raines! 👍

 

 

Bottoms up! 🥛🥛🥛🥛🥛 via For a Hard Earned Thirst

 

 

 

You can see any of our Great Team Partridge GPs right here:

 

 

 

Dr Gareth Boucher

 

 

 

Dr Penny Massy-Westropp

 

 

 

Dr Monika Moy

 

 

 

Dr Katherine Astill

 

 

 

Dr Nick Mouktaroudis

 

 

 

Dr Nick Tellis

 

 

The Last Referral

 

rey offers pen for luke to do a referral
Rey offers a pen to Luke to write a Referral

 

 

 

The good GP has a stewardship role in the Australian medical system and part of this is referring to subspecialist and hospital care. This is an important role and we don’t take it lightly. We want to do our best for our patients and help them get the care they deserve. One of the challenges is referring to public hospitals, where our referrals sometimes get ‘bounced’ back to us. In private practice, for the patient to receive a (Federal) Medicare Benefit (like when you see Your GP), the GP referral must be to a named provider (Dr Smith, Dr Jones, for example). When referring to a public hospital, there has historically been no Medicare rebate for the patient – public hospitals are funded by the State Governments and Medicare is funded by the Federal Government, and care is free at the point of service. This is changed recently, and public hospitals are now using Medicare funds to run their services. Therefore they now seek named referrals. But to who? It’s very hard to find out exactly which doctor will be seeing you, and so it’s hard to do a named referral, which may delay you being seen.

 

 

 

Dr Mark Raines has written an excellent piece on the role of referrals – I’ve taken some sections and highlighted them below, but you can read the whole piece here.

 

 

In Australia you don’t need a Referral to see a (sub-) Specialist. So, say you wanted to see a Plastic Surgeon about a skin lesion, you can just find a Plastic Surgeon on the internet or ask a friend and make an appointment and off you go. But be prepared for a bill – sometimes a really big bill. This is because, you won’t be able to access a Medicare rebate for the Plastic Surgeon’s fees. To do so you need to first have a valid referral from your GP. But it is not as simple as just calling your GP and asking for a referral.

 

 

 

 

Referrals from a GP are valid for 12 months whereas referrals from one sub-specialist to another are only valid for 3 months (for example when the surgeon that fixes your knee refers to the medical specialist to look after your heart). GPs can also do INDEFINITE referrals – for when you are seeing the same sub-specialist for the same problem for a long period of time (for example when a heart specialist is looking after an ongoing heart problem). Remember though, often your GP can manage your ongoing conditions very well together with your sub-specialist – saving you money and making it more convenient for you!

 

 

 

There are, however, rules!

 

 

 

Backdating Referrals

As a Referral is a legal document, Medicare does not permit backdating a Referral.

A Specialist can see a patient without a valid referral only in an emergency. Apparently, if your dog ate your referral, or another good excuse, there is a exemption available for you to claim your rebate if the Specialist notes that the “Referral is lost”. I am sure that Medicare would get suspicious if this happened a lot. Medicare do audit what GP’s and Specialists get up to make sure the rules are being followed. There are fines for not following the rules!

If you need a Referral make sure you see your GP before seeing the Specialist if you wish to get a Medicare rebate for the service. Asking your GP for a backdated Referral is like asking the Specialist to forward date your consultation so you can get a Referral. Both are not permitted under Medicare.

 

 

Some more rules and regulations.

 

 

 

directive+medicare+billing+outpatients

 

 

 

medicare+directive+and+outpatient+private+practice

 

 

 

 

 

 

 

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So when You need a referral – or it’s time to manage Your health more conveniently – You can see any of our Great GPs right here:

 

 

 

Dr Gareth Boucher

 

 

 

Dr Penny Massy-Westropp

 

 

 

Dr Monika Moy

 

 

 

Dr Katherine Astill

 

 

 

Dr Nick Mouktaroudis

 

 

 

Dr Nick Tellis

 

 

Dude, where’s my Outpatients?

Hi from South Australia! Summer has come! Our flagship hospital and one of the most expensive buildings in the Southern Hemisphere, the New Royal Adelaide Hospital (nRAH), came online in September 2017 after a 2 year wait.

 

 

nRAH New Royal Adelaide Hospital

 

 

 

Another big change to the South Australian Hospital System is that the Repatriation General Hospital is gone. Where did the subspeciality clinics go? See below!

 

 

Right Here!

 

arrow down

 

 

 

RGH Clinics – Quick Reference Guide as at November 2017

 

 

 

SALHN Outpatient Clinics Locations and Details

 

 

 

4th Generation Rehab Clinics

 

 

 

 

Bernie Cummins (see below) previously spoke to the Southern Regional GP Council about Outpatients Services in SA and she generously spoke to us again about how things will proceed over the coming months and years.

 

 

 

Here is some information she prepared.

 

 

 

 

royal adelaide hospital and nRAH and outpatients and health pathways

 

 

 

You can find further information right here.

 

 

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The good GP has a stewardship role in the Australian medical system and part of this is referring to subspecialist and hospital care. This is an important role and we don’t take it lightly. We want to do our best for our patients and help them get the care they deserve. One of the challenges is referring to public hospitals, where our referrals sometimes get ‘bounced’ back to us. In private practice, for the patient to receive a (Federal) Medicare Benefit (like when you see Your GP), the GP referral must be to a named provider (Dr Smith, Dr Jones, for example). When referring to a public hospital, there has historically been no Medicare rebate for the patient – public hospitals are funded by the State Governments and Medicare is funded by the Federal Government, and care is free at the point of service. This is changed recently, and public hospitals are now using Medicare funds to run their services. Therefore they now seek named referrals. But to who? It’s very hard to find out exactly which doctor will be seeing you, and so it’s hard to do a named referral, which may delay you being seen.

 

 

 

So, as a public service, we’re Here to Help! Bernie Cummins (Director of Nursing Statewide Outpatient Reform) has provided the following documents to help GPs and patients navigate this system and avoid the ‘named referral bounce’.

 

 

 

 

 

 

 

directive+medicare+billing+outpatients

 

 

 

medicare+directive+and+outpatient+private+practice

 

 

 

 

Good luck, and may the odds be ever in your favour!

 

 

 

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You can see any of our Great GPs right here:

 

 

Dr Gareth Boucher

 

 

Dr Penny Massy-Westropp

 

 

Dr Monika Moy

 

 

Dr Katherine Astill

 

 

Dr Nick Mouktaroudis

 

 

Dr Nick Tellis

 

 

Helpful hint to make your GP consultation run smoother #1

Great tips – Dr Raines from Health on Central 👍

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Symptoms of a urinary tract infection can include needing to pee a lot more than normal (frequency), stinging or burning when you do (dysuria), seeing spots of blood in your urine (haematuria), have belly or lower back pain and having a fever.

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If you arrive early or are waiting for your doctor, please ask to see the clinic nurse to get a clean-catch urine specimen.

It may sound like I am may be telling you to “suck eggs” but if a urine specimen is contaminated by skin cells it the laboratory may report the presence of bacteria there were never in your urine. This may lead to unnecessary use of antibiotics and all its attended problems and cost.

For women
Open the sterile jar and hold it in one hand. Sit on the toilet with your legs wide apart. Use the fingers of your other hand to hold your labia…

View original post 145 more words

How to take a good (medical) selfie

Selfies. We’ve all done it. Some good, some bad, some downright embarrassing. However, there are some embarrassing pictures you may want to see the light of day – with your doctor. That funny rash that goes away, that cut you weren’t sure needed stitches or that mole you’ve been keeping an eye on.

 

 

(Unlikely to be a medical issue)

Smartphones and cameras are in our bags and wallets and people are using them!

 

The ABC recognises the medical selfie and here at Partridge Street General Practice we see and take many medical photos.

 

There are many benefits:

We can clarify the lesion/area/rash of concern to You

We can document changes over time or with treatment

We can use the images to obtain a second or subspecialist opinion

We can use the images for teaching and training

 

Of course, we provide the same great high quality service for clinical photography as we do for all of the work in General Practice and so we are guided by information like this.

We also MUST get Your informed consent for all of this! We will ask You whether you are happy with clinical photography, and You can specifically consent to any or all of the above uses. No posting to Facebook!

 

Partridge Street General Practice is proud to provide excellence in General Practice Skin Cancer Medicine and Surgery – and great Clinical Photography is part of this. We look forward to helping you with regular skin checks and any treatment you may need. Book your skin check right here.

 

Skin cancer check risk dr Nick Mouktaroudis

 

 

 

You can see any of our Great GPs right here:

 

Dr Gareth Boucher

 

Dr Penny Massy-Westropp

 

Dr Monika Moy

 

Dr Katherine Astill

 

Dr Nick Mouktaroudis

 

Dr Nick Tellis

 

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The Evidence For Sugar

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How do we get to the left side of this image rather than the right?

 

Probably not with sugar!

 

See the evidence – and read more here

 

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You can see any of our Great GPs right here:

 

Dr Gareth Boucher

 

Dr Penny Massy-Westropp

 

Dr Monika Moy

 

Dr Katherine Astill

 

Dr Nick Mouktaroudis

 

Dr Nick Tellis

Five People Who Need To See Their GP (But May Not Realise It)

The Runner

 

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Whether you’re already an experienced runner or a complete novice, setting goals — like running a half marathon — can provide the motivation to lace-up those runners each day. But when you’re tackling longer distances and putting your body under more strain than usual, it’s worth keeping in mind that checking in with your GP can ensure you reach the finish line injury free. “A GP might say, ‘let’s have a look at you, what’s your height and weight? Is your time frame realistic?” says Dr Tellis. “They might advise you to look out for shin splints, or what to do if you’re experiencing shortness of breath or chest pains.” And let’s be real, we’re not all just born with a runner’s physique. So if you are concerned about getting in better shape for the big race, it’s worth raising with your doctor. “For a half-marathon, we’d also be advising what you should be eating and drinking and how many calories you should be consuming on a daily basis,” Dr Tellis says.

 

 

The Soon-To-Be Traveller

 

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Whether you’re planning a tour of Europe, a week partying in Bali or a volunteering trip to Africa, your GP can offer you a wealth of advice. That includes options for travel vaccinations, food safety measures to take abroad, and what to include in your first-aid kit. “I also recommend to everyone get the best travel insurance they can afford and to take a close look at the exclusions in there,” says Dr Tellis. “For example, if you go to Bali and get on a scooter after drinking beers, you may not be covered by travel insurance — the cost of medical repatriation from Bali to Australia could be as high as six figures.”

 

 

 

The Couple Planning A Family

 

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You don’t need to wait until you fall pregnant for a trip to the GP — their advice can assist all couples with a healthy conception and pregnancy, by looking at your lifestyle and what might need changing from diet, to sleep, smoking, alcohol and drug consumption. “For women, you want to be taking vitamins with the right amount of folate. You want to be making sure your cervical screening (the new term for the old pap smear test), dental checks and rubella vaccination is up to date and that you’ve had your flu shot,” says Dr Tellis. “For guys, you want to be sure you’re not smoking dope or drinking too much, you want to be looking after your weight and your partner as well.”

 

 

The Exhausted Gym Rat/Bunny

 

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What happens when you think you’re healthy — and hitting the gym regularly — but still feeling exhausted or in pain? A trip to the GP can help pinpoint the cause, and advise on how you can change your training regimen to avoid injury. “A lot of men will hit the gym and do things likely to cause an injury or problem down the track… or they’ll find that big guy at the gym who has some interesting pharmaceuticals of his own. Again, that’s something we can give advice on,” says Dr. Tellis. Meanwhile, women may be suffering from undiagnosed mineral deficiencies, leading to tiredness. “A lot of women can be iron deficient,” explains Dr Tellis, who says he’d ask: “How much sleep are you getting, what are you doing in the gym, is it sustainable to be working 50 hours a week and getting up at 5am daily for Crossfit? Is your thyroid okay, are you getting enough calories in?”

 

 

The Stressed Out Comfort Eater

 

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When you’re working long hours and feeling stressed, it can be easy to find yourself regularly turning to unhealthy fast food lunches or indulging in sugar-filled snacks. While it may be something you feel reluctant to bring up, there are plenty of lifestyle suggestions, resources and referrals that a GP can provide, as well as simply lending a supportive ear. “Part of the skill of being a GP is picking your moments to start a conversation about delicate subjects. Some people come in ready to talk about their weight, some do not. I generally take a weight as part of my routine clinical review/examination, and discuss as I, and the patient, feel appropriate,” says Dr Tellis. He explains there are plenty of ways a GP could assist someone with issues stemming from stress and over eating. It may be a discussion about healthy diet — including good food choices, a better routine and when to eat — or stress management advice, and if necessary, a psychology or counselling referral. “What I would like to say as a doctor is that the door is open. Come in and say hello. You set the agenda as the patient.”

 

*Originally published here

 

You can see any of our Great GPs right here:

Dr Gareth Boucher

Dr Penny Massy-Westropp

Dr Monika Moy

Dr Katherine Astill

Dr Nick Mouktaroudis

Dr Nick Tellis

Sore Throats at Partridge Street General Practice

Spring is here but it has been a big flu season at Partridge Street General Practice!

 

 

 

What should you do when you have a cough, cold, or sore throat?

 

Flu-Shot-logo
This may have helped before getting ill…

 

 

Here’s some information:

 

 

Do I have the flu?

 

 

 

Should I be on antibiotics?

 

 

 

My ear is sore?

 

 

 

Should I be immunised?

 

 

 

How do I stay healthier?

 

 

Any other ways to stay healthier?

 

 

Got anything else?

 

 

 

And, of course, What should I do instead?

 

 

There’s a new paper, at the link, saying this:

 

 

 

steroids in sore throat at Partridge Street General Practice

 

 

 

Need more information? Leave a comment or see us in person.

 

 

 

We’re Here to Help!

 

 

 

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You can see any of our Great GPs right here:

 

 

Dr Gareth Boucher

 

 

Dr Penny Massy-Westropp

 

 

Dr Monika Moy

 

 

Dr Katherine Astill

 

 

Dr Nick Mouktaroudis

 

 

Dr Nick Tellis