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

 

 

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Check Your Skin with Dr Nick Mouktaroudis at Partridge Street General Practice

Dr Nick Mouktaroudis is a GP and co-owner at Partridge Street General Practice. He’s  passionate about health education, has a special interest in Skin, and a lot of expertise to share when it comes to helping people cope with and improve Skin Conditions. Let’s hand over to Dr Nick!

 

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What is a Skin Check?

 

 

A Skin Check is a Comprehensive Skin History and Examination which is done at Partridge Street General Practice.

 

Your GP will ask you questions to assess the extent of Your risk/exposure to UV radiation and Your risk of solar related cancers.

 

They will examine you head to toe, examining the skin surface, focusing on any areas of concern (including the eyes, mouth, and anywhere else you may have noticed any spots, lumps, or bumps).

 

 

 

Are there any tools used for the Skin Check?

 

 

A proper examination needs proper equipment and we use handheld LED illumination with magnification as well as polarised light and clinical photography.

 

skin check dr nick mouktaroudis light

A dermatoscope is used to examine specific skin lesions. This is a particular type of handheld magnifying device designed to allow the experienced examiner to further assess skin lesions and determine whether they are suspicious or not.

 

 

 

Who should have a Skin Check?

 

We encourage all Australians over the age of 40 to have a Skin Check annually. Australians have one of the highest rates of skin cancers in the world.

 

Australians who have above average risks should be having Skin Checks before the age of 40 and sometimes more than annually.

 

You should have a Skin Check at any age if You are concerned about Your skin or particular skin lesions/areas.

 

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We ask You to identify any lesions of concern prior to the Skin Check wherever possible.

 

These may include new lesions that You have noticed or longstanding lesions that may be changing in some way or that You are concerned about. If You are worried – Ask!

 

Skin cancer check risk dr Nick Mouktaroudis

Risk factors for skin cancer

 

 

 

People at higher risk of skin cancer are those who:

 

have previously had a skin cancer and/or have a family history of skin cancer

have a large number of moles on their skin

have a skin type that is sensitive to ultraviolet (UV) radiation and burns easily

have a history of severe/blistering sunburns

spend lots of time outdoors, unprotected, during their lifetime

actively tan or use solariums or sunlamps

work outdoors

 

 

 

 

Does My GP take photos of My Skin?

 

 

 

During a skin check at Partridge Street General Practice Your GP will ask Your Specific Consent to take photos if they are concerned or want to make note of a particular skin lesion.

Photographs are useful as an adjunct to description of the lesion and act as a reference to position and comparison if required.

The photos will be uploaded onto Your Private Medical Record at Partridge Street General Practice.

 

 

 

What if My GP finds something?

 

 

 

This will depend on what Your GP has found.

 

If they are concerned about a particular skin lesion they may suggest a biopsy to clarify the diagnosis.

 

A biopsy is a surgical procedure during which they take an appropriate sample of tissue from the lesion of concern and send it to a pathologist for review.

 

Generally pigmented lesions (coloured spots), will be biopsied in their entirety whereas non pigmented skin lesions may be sampled partially if the lesion is too large to sample in its entirety.

 

The results of the pathology report will guide further treatment.

 

Your GP may elect to treat without a biopsy if they are confident of the diagnosis.

 

This may include freezing/cauterising a lesion, cutting it out (excising), or offering topical treatments such as creams.

 

Biopsies are scheduled in the Partridge Street General Practice theatre and our Practice Nurse will assist Your GP.

 

 

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What do I wear for a Skin Check?

 

 

 

Comfortable clothing.

 

Your GP will ask to examine you down to your underwear.

 

A sheet or towel will be provided for you to preserve your comfort and dignity.

 

A chaperone (Our Practice Nurse) is always offered.

 

Please avoid makeup or nail polish as the Skin Check involves the face and skin under the nails.

 

 

 

 

How long is a Skin Check?

 

 

Allow half an hour for Your GP to perform a thorough history and examination.

 

 

 

 

Do I need to see My GP or should I see a dermatologist?

 

 

GPs are Primary Care Physicians on the front line of Skin Cancer detection.

All GPs can check your skin, though not all GPs have formal training or a specific interest in skin cancer medicine and dermatoscopy.

Dr Nick Mouktaroudis has trained extensively in General Practice, Skin Cancer Medicine and Surgery, and has formal qualifications in Skin Cancer Medicine.

Dermatologists are sub-specialists in all skin conditions including Skin Cancer Medicine and Surgery although some will focus on other skin conditions.

 

 

 

 

Can I do more than a Skin Check?

 

 

 

You can Reduce Your risk by:

Avoid unnecessary exposure to the sun

Wearing sunscreen regularly and on all sun exposed areas.

Wear Hats and Sunglasses when appropriate.

Be aware of Your skin – both You and Your partner can check at Home.

 

 

 

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Book Your Skin Check Right Here.

 

 

 

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

 

 

Lemons and Lemonade

We live in an age of wonders. Generations past would be amazed by the ease of travel, free information, and the standard of living enjoyed by the majority of the Western world. One of these wonders is Modern Medicine and part of that is medications. We are privileged to live in a time when cancer can be cured, fatal diseases are controlled, and previously life curtailing conditions can be managed.

 

‘Nothing is all good and nothing is all bad’ is something I heard from a trusted friend. Does this apply to medications? General Practitioners are Your Specialist Generalists – we do a LOT more than just prescribe medications! Read on.

 

 

Oseltamivir

 

Lemon: This blockbuster drug was supposed to deliver us all from pandemic flu. The Australian government stockpiled it at a cost of many millions. It will expire before we do. It promised the world but perhaps shortened the duration of symptoms by not much.

Lemonade: Get a yearly influenza vaccine and if you’re unlucky enough to still get the flu – rest, fluids, paracetamol, and see Your GP if you’re not improving as you think you should.

 

 

Donezepil

 

 

Lemon: Life expectancy increases every year and so do our expectations of our older age. This drug promised an end to Alzheimer’s, later downgraded to ‘it may delay the rate of the decline in your mental abilities’. How would we know if it worked? What would have the rate of decline been without this drug?

 

donepezil lemon

Lemonade: Save your money and try some alternatives without side effects. Keep your mind and body as healthy as possible for as long as possible with diet, exercise, rest, and the support of family, friends, and Your GP. Should age related decline set in, there are many supports you can access – check out My Aged Care. Medications can play a role – ask!

 

 

Codeine

 

 

Lemon: This drug has been available over the counter at pharmacies for many years. Evidence shows that products with low dose codeine are no more effective than products without for pain relief and so the regulatory authorities have recommended it be rescheduled to prescription only from February 2018. This will be a big change for the community – some of whom will have been taking large amounts of this drug on a regular basis.

 

 

codeine lemon

 

Lemonade: Partridge Street General Practice is proud to be a low prescribing practice and especially of this drug. Our advice is to see us for advice on alternatives and non drug alternatives in particular.

 

 

 

Need more information? Have you any other lemonade thoughts? 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

 

 

The New Royal Adelaide, Ramping Up and Down, and Health Pathways

Hi from South Australia! Winter is here but change is coming. Our flagship hospital and one of the most expensive buildings in the Southern Hemisphere, the New Royal Adelaide Hospital (nRAH), is about to come online in September after a 2 year wait.

 

 

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.

 

 

 

 

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

 

 

Childhood Cancer Association, City to Bay, and Partridge Street General Practice 

‘Tis better to give than receive.

 

 

Donate to Childhood Cancer Association here

 

 

 

Partridge Street General Practice is glad to announce that we’ll be raising money for Childhood Cancer Association by running (or walking) at the City to Bay 2017.

 

 

Join our Team here!

 

 

 

 

 

 

Last year was a great success with plenty raised for Zaidi Ya Dreams orphanage and we hope to improve this year.

 

 

 

 

 

 

So get your runners on and run, walk, and give! You’ll feel better!

 

 

Donate to Childhood Cancer Association here

 

 

Doctor’s orders! 😉👍

 

 

 

 

 

 

Your GPs at Partridge Street General Practice

 

 

Dr Gareth Boucher

 

Dr Penny Massy-Westropp

 

Dr Monika Moy

 

Dr Katherine Astill

 

Dr Nick Mouktaroudis

 

Dr Nick Tellis

 

Physical Activity and Men’s Health Week 2017 at Partridge Street General Practice 

June is Men’s Health Month and June 12-16 is Men’s Health Week at Partridge Street General Practice. Men are important and Health is important so let’s look at some issues in Men’s Health.

 

 

First up was Alcohol.

Then came Nutrition.

Then Smoking.

Now Physical Activity.

 

 

Remember those challenges of life? Men face challenges – we have to be providers, to be strong, to keep our emotions bottled up. Challenges are faced with solutions…or avoided with distractions. Let’s look at a solution. Physical Activity. This is a subject close to my heart and I’ve talked about it a few times before. In fact, you might even say I’ve talked about it a lot.

 

 

nick tellis running melbourne

 

 

What can Your GP do to help you get more physical activity into your life? We can explore specifics in person, but here are the basics.

 

 

Work up to 10,000 steps a day

Do something that makes you sweat for 25-45 minutes, 3-5 times a week

Find a physical activity you enjoy and make it regular

Get together with some like minded active friends

Repeat

 

 

 

Remember, getting physical activity back into your life can be hard, and many people won’t get it right first try. Your GP knows this and won’t give up on you. We can abandon a plan, but we won’t abandon you.

 

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So Men, Partridge Street General Practice is going to meet you halfway. We’re reaching out to You and we’re looking forward to you reaching back to us.
We challenge you to get healthier with us. 

  • Stop smoking
  • Cut down drinking
  • Eat better
  • Get more physical activity into your life

We’re going to do it, we’re going to live it, and the team at Partridge Street General Practice are going to run the City to Bay this year for the Childhood Cancer Association

Support them while we support you!

More details soon!

 


See you then or in person if you’d like to talk.




 

From the Men’s Health Week website:

 

A boy born in Australia in 2010 has a life expectancy of 78.0 years while a baby girl born at the same time could expect to live to 82.3 years old. Right from the start, boys suffer more illness, more accidents and die earlier than their female counterparts.

Men take their own lives at four times the rate of women (that’s five men a day, on average). Accidents, cancer and heart disease all account for the majority of male deaths.

Seven leading causes are common to both males and females, although only Ischaemic heart disease shares the same ranking in both sexes (1st). Malignant neoplasms of prostate (6th), Malignant neoplasms of lymphoid, haematopoietic and related tissue (7th) and Intentional self-harm (10th) are only represented within the male top 10 causes.

 

 

 

The above figures are taken from the Australian Bureau of Statistics. Furthermore, there are specific populations of marginalised men with far worse health statistics. These marginalised groups include Aboriginal and Torres Strait Islander men, refugees, men in prison or newly released from prison and men of low socioeconomic standing.

 

Men’s Health Week has a direct focus on the health impacts of men’s and boys’ environments. It serves to ask two questions:

 

What factors in men’s and boy’s environments contribute to the status of male health as indicated in the table above?

How can we turn that around and create positive environments in men’s and boy’s lives?

 

We’re going to ask and answer those questions this week. Stay with us online and in person – we’ve got your back!

 

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Your GPs at Partridge Street General Practice

 

Dr Gareth Boucher

 

Dr Ali Waddell

 

Dr Emmy Bauer

 

Dr Nick Mouktaroudis

 

Dr Nick Tellis

 

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Smoking and Men’s Health Week 2017 at Partridge Street General Practice 

June is Men’s Health Month and June 12-16 is Men’s Health Week at Partridge Street General Practice. Men are important and Health is important so let’s look at some issues in Men’s Health.

 

 

First up was Alcohol.

Then came Nutrition.

Now Smoking.

 

 

In life we all face challenges. Men face challenges – we have to be providers, to be strong, to keep our emotions bottled up. Challenges are faced with solutions…or avoided with distractions. Smoking is unequivocally a distraction from the challenges of life. Many patients say to me that they smoke because they’re bored or because it’s ‘their time’. Lets try another way. It’s healthier, you’ll live longer, and be fitter. You’ll also have more money, smell better, and be more attractive.

 

 

Image result for good looking non smoker

 

 

What can Your GP do to help you give smoking the boot? We ask you about your smoking, get an idea of how much and when you smoke, and then go into why you smoke. What does it do for you? We can then help by offering some solutions rather than distractions. Counselling, Psychotherapy, Hypnosis, and medications are all options we can explore in person. Remember, smoking is addictive, and many people will not quit for good the first time they try. Your GP knows this and won’t give up on you. We can abandon a plan, but we won’t abandon you.

 

 

 

Ask

Assess

Advise

Assist

Arrange Follow Up

 

 

 

 

Sit down. Have a think about how much you smoke (and what you smoke) and why and when you smoke.

 

 

 

File_001

 

 

 

How did you go? See you next post or in person if you’d like to talk.

 

From the Men’s Health Week website:

 

A boy born in Australia in 2010 has a life expectancy of 78.0 years while a baby girl born at the same time could expect to live to 82.3 years old. Right from the start, boys suffer more illness, more accidents and die earlier than their female counterparts.

Men take their own lives at four times the rate of women (that’s five men a day, on average). Accidents, cancer and heart disease all account for the majority of male deaths.

Seven leading causes are common to both males and females, although only Ischaemic heart disease shares the same ranking in both sexes (1st). Malignant neoplasms of prostate (6th), Malignant neoplasms of lymphoid, haematopoietic and related tissue (7th) and Intentional self-harm (10th) are only represented within the male top 10 causes.

 

 

 

The above figures are taken from the Australian Bureau of Statistics. Furthermore, there are specific populations of marginalised men with far worse health statistics. These marginalised groups include Aboriginal and Torres Strait Islander men, refugees, men in prison or newly released from prison and men of low socioeconomic standing.

 

Men’s Health Week has a direct focus on the health impacts of men’s and boys’ environments. It serves to ask two questions:

 

What factors in men’s and boy’s environments contribute to the status of male health as indicated in the table above?

How can we turn that around and create positive environments in men’s and boy’s lives?

 

We’re going to ask and answer those questions this week. Stay with us online and in person – we’ve got your back!

 

img_8730

 

Your GPs at Partridge Street General Practice

 

Dr Gareth Boucher

 

Dr Ali Waddell

 

Dr Emmy Bauer

 

Dr Nick Mouktaroudis

 

Dr Nick Tellis

 

img_1440

 

 

Nutrition and Men’s Health Week 2017 at Partridge Street General Practice 

June is Men’s Health Month and June 12-16 is Men’s Health Week at Partridge Street General Practice. Men are important and Health is important so let’s look at some issues in Men’s Health.

 

 

First up was Alcohol.

 

Next is Nutrition.

 

 

 

 

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You are what you eat and you just cannot out-exercise a bad diet. I wrote about this a few times before…

here

 

here

 

here

 

and even here!

 

 

What are my tips?

 

 

6f3385db-5d62-4b53-b1e4-0f6078d15ce0

 

 

Smaller Portions

Mindful Eating

No Sugar (including, as far as possible for you, ‘hidden’ sugars)

More Water

Less Alcohol

 

 

 

 

Sit down. Have a think about how much food you eat and why and when you eat it.

 

 

How did you go? See you next post or in person if you’d like to talk.

 

 

From the Men’s Health Week website:

 

 

A boy born in Australia in 2010 has a life expectancy of 78.0 years while a baby girl born at the same time could expect to live to 82.3 years old. Right from the start, boys suffer more illness, more accidents and die earlier than their female counterparts.

Men take their own lives at four times the rate of women (that’s five men a day, on average). Accidents, cancer and heart disease all account for the majority of male deaths.

Seven leading causes are common to both males and females, although only Ischaemic heart disease shares the same ranking in both sexes (1st). Malignant neoplasms of prostate (6th), Malignant neoplasms of lymphoid, haematopoietic and related tissue (7th) and Intentional self-harm (10th) are only represented within the male top 10 causes.

 

 

 

The above figures are taken from the Australian Bureau of Statistics. Furthermore, there are specific populations of marginalised men with far worse health statistics. These marginalised groups include Aboriginal and Torres Strait Islander men, refugees, men in prison or newly released from prison and men of low socioeconomic standing.

 

Men’s Health Week has a direct focus on the health impacts of men’s and boys’ environments. It serves to ask two questions:

 

 

What factors in men’s and boy’s environments contribute to the status of male health as indicated in the table above?

How can we turn that around and create positive environments in men’s and boy’s lives?

 

 

We’re going to ask and answer those questions this week. Stay with us online and in person – we’ve got your back!

 

img_8730

 

Your GPs at Partridge Street General Practice

 

Dr Gareth Boucher

 

 

Dr Penny Massy-Westropp

Dr Monika Moy

Dr Katherine Astill

Dr Nick Mouktaroudis

Dr Nick Tellis

 

img_1440

 

 

Alcohol and Men’s Health Week 2017 at Partridge Street General Practice 

June is Men’s Health Month and June 12-16 is Men’s Health Week at Partridge Street General Practice. Men are important and Health is important so let’s look at some issues in Men’s Health.

 

 

First up is Alcohol.

 

 

alcohol men

 

drink-driving-statistics-facts alcohol men

 

 

 

Alcohol affects every organ system in the body and contributes (negatively) to pretty much every physical and mental ailment. Have a think about it. Remember the CAGE questions:

 

 

 

Have you ever felt you needed to Cut down on your drinking?

Have people Annoyed you by criticizing your drinking?

Have you ever felt Guilty about drinking?

Have you ever felt you needed a drink first thing in the morning (Eye-opener) to steady your nerves or to get rid of a hangover?

 

 

 

Sit down. Have a think about how much alcohol you drink. Think about why you drink. I’ve even got some thinking music for you.

 

 

How did you go? See you next post or in person if you’d like to talk.

 

From the Men’s Health Week website:

 

A boy born in Australia in 2010 has a life expectancy of 78.0 years while a baby girl born at the same time could expect to live to 82.3 years old. Right from the start, boys suffer more illness, more accidents and die earlier than their female counterparts.

Men take their own lives at four times the rate of women (that’s five men a day, on average). Accidents, cancer and heart disease all account for the majority of male deaths.

Seven leading causes are common to both males and females, although only Ischaemic heart disease shares the same ranking in both sexes (1st). Malignant neoplasms of prostate (6th), Malignant neoplasms of lymphoid, haematopoietic and related tissue (7th) and Intentional self-harm (10th) are only represented within the male top 10 causes.

 

 

 

The above figures are taken from the Australian Bureau of Statistics. Furthermore, there are specific populations of marginalised men with far worse health statistics. These marginalised groups include Aboriginal and Torres Strait Islander men, refugees, men in prison or newly released from prison and men of low socioeconomic standing.

 

Men’s Health Week has a direct focus on the health impacts of men’s and boys’ environments. It serves to ask two questions:

 

What factors in men’s and boy’s environments contribute to the status of male health as indicated in the table above?

How can we turn that around and create positive environments in men’s and boy’s lives?

 

We’re going to ask and answer those questions this week. Stay with us online and in person – we’ve got your back!

 

img_8730

 

Your GPs at Partridge Street General Practice

 

Dr Gareth Boucher

 

Dr Ali Waddell

 

Dr Emmy Bauer

 

Dr Nick Mouktaroudis

 

Dr Nick Tellis

 

img_1440

 

 

Men’s Health Week 2017 at Partridge Street General Practice 

June is Men’s Health Month and June 12-16 is Men’s Health Week at Partridge Street General Practice. Men are important and Health is important so let’s look at some issues in Men’s Health.

 

 

Do you look after yourself like you do your car?

 

From the Men’s Health Week website:

 

A boy born in Australia in 2010 has a life expectancy of 78.0 years while a baby girl born at the same time could expect to live to 82.3 years old. Right from the start, boys suffer more illness, more accidents and die earlier than their female counterparts.
Men take their own lives at four times the rate of women (that’s five men a day, on average). Accidents, cancer and heart disease all account for the majority of male deaths.
Seven leading causes are common to both males and females, although only Ischaemic heart disease shares the same ranking in both sexes (1st). Malignant neoplasms of prostate (6th), Malignant neoplasms of lymphoid, haematopoietic and related tissue (7th) and Intentional self-harm (10th) are only represented within the male top 10 causes.

 

 

Smoking, Skin Cancer, Suicide, and So Much Alcohol

 

The above figures are taken from the Australian Bureau of Statistics. Furthermore, there are specific populations of marginalised men with far worse health statistics. These marginalised groups include Aboriginal and Torres Strait Islander men, refugees, men in prison or newly released from prison and men of low socioeconomic standing.

 

Men’s Health Week has a direct focus on the health impacts of men’s and boys’ environments. It serves to ask two questions:

 

What factors in men’s and boy’s environments contribute to the status of male health as indicated in the table above?

How can we turn that around and create positive environments in men’s and boy’s lives?

 

We’re going to ask and answer those questions this week. Stay with us online and in person – we’ve got your back!

 

img_8730

 

Your GPs at Partridge Street General Practice

 

Dr Gareth Boucher

 

Dr Ali Waddell

 

Dr Emmy Bauer

 

Dr Nick Mouktaroudis

 

Dr Nick Tellis

 

img_1440