Here We Are: 5 Stories That Got Us To Now

We live in strange days. Humans have always made sense of their lived experience through stories. Here are some, courtesy of the excellent Morgan Housel (yes, this guy).

Three days after Ronald Reagan was inaugurated in 1981, New York City Council President Carol Bellamy joined a group of speakers at a luncheon to discuss the country’s future.

The group tried to make sense of a world that was hardly recognizable from a generation before.

Familiar? Read on!

Things that make you go hmmm

When it all turns to custard, as they say in New Zealand, one of the safest places on Earth (as I type), your GP is there for you. Your GP is, really, your best insurance.

If you’re a patient, looking for a great GP, PartridgeGP is here to help you, safely and well. You can book a face to face or telehealth consult right here.

If you’re a great GP/Allied Health Professional wanting PartridgeGP to provide you awesome services, facilities, and team so you can serve patients to the best of your ability, contact us here, here, or call Mrs Hayley Roberts on 08 8295 3200.

Stay safe. Use your GP!

Here We Are: 5 Stories That Got Us To Now

We live in strange days. Humans have always made sense of their lived experience through stories. Here are some, courtesy of the excellent Morgan Housel (yes, this guy).

Three days after Ronald Reagan was inaugurated in 1981, New York City Council President Carol Bellamy joined a group of speakers at a luncheon to discuss the country’s future.

The group tried to make sense of a world that was hardly recognizable from a generation before.

Familiar? Read on!

Things that make you go hmmm

When it all turns to custard, as they say in New Zealand, one of the safest places on Earth (as I type), your GP is there for you. Your GP is, really, your best insurance.

If you’re a patient, looking for a great GP, PartridgeGP is here to help you, safely and well. You can book a face to face or telehealth consult right here.

If you’re a great GP/Allied Health Professional wanting PartridgeGP to provide you awesome services, facilities, and team so you can serve patients to the best of your ability, contact us here, here, or call Mrs Hayley Roberts on 08 8295 3200.

Stay safe. Use your GP!

Body Shaming

We all know that COVID19 is around. Luckily in SA we have stuck to

Social Distancing
Hand Washing
Cough Etiquette

And so we have the following stats!

July 8 – well done so far SA

But those extra pounds and kilos have snuck in where even COVID19 hasn’t reached. PartridgeGP is here to help and therefore we posted this on our Facebook page:

Facebook – 13 July

The text was as follows:

Has a little isoweight crept on, even before the #secondwave ?
@partridgegp has you covered! 👍🏼

> diet and exercise help
> physiotherapy to keep you moving
> medication advice

Movement Theory

Rod Ventura providing awesome #physiotherapy and all of our GPs below

Call 8295 3200 or http://bit.ly/2XmM0n5

Dr Monika Moy
Dr Penny Massy-Westropp
Dr Nikhil Tamminedi
Dr Zoe Teh
Dr Nick Mouktaroudis
Dr Phil Maddocks
Dr Gareth Boucher
Dr Nick Tellis

HIT THE BIG BLUE BUTTON!

We’re here to serve you during this difficult time as we always have
To make a phone appointment click here http://bit.ly/2XmM0n5 or call us on 8295 3200

So we tried to boost this post, but Facebook said no. It was body shaming!!! Well, we shall post here and see what you think. Leave your messages in the comments!

To be or not to be?

PartridgeGP and Dr Nick Tellis are Here to Help – here are three ways we can do this:

1. You’re a patient and you want a Great GP! Make a booking online for Dr Nick or one of the caring GPs at PartridgeGP by clicking right here!

2. You’re a great GP or Allied Health Professional and you want a practice that will provide you with the awesome services, facilities, and team so you can serve patients to the best of your ability. Say hi Dr Nick Tellis (Facebook) or LinkedIn or call Mrs Hayley Roberts on 08 8295 3200

3. You’re a small business owner looking to network and grow your amazing business. Touch base with Dr Nick Tellis (Facebook) or LinkedIn and we will share a socially distanced coffee (or three)!

Divided, the Empire must unite…

Romance of the Three Kingdoms is
one of China’s four Great Classical Novels. The title of this blog post is more fully:

The empire, long divided, must unite; long united, must divide. Thus it has ever been.

PartridgeGP is based on a triple promise that we will be great for our patients and our community, GPs and our staff, and for the owners and the practice. Further, we will provide a comprehensive, professional, empowering, and sustainable service at all times.

Our friendly neighbourhood pharmacist sent this to me (see below). He was a little worried about the threat to his full service pharmacy and also to great General Practice.

Hmmmm

Now different companies will have different service offerings at different levels of the market. Think Porsche and Hyundai. Both very acceptable to different groups. Maybe even acceptable to the same group at different times. I’m not sure they are competitors.

I put my thoughts down here:

Upon reflection…

So keep playing to your strengths, keep doing your best, and unite not divide.

If you want to join a team that’s here to guide and help our valued patients, give Dr Nick Tellis or Dr Nick Mouktaroudis a call at PartridgeGP on 8295 3200!

Coronavirus 101 | PartridgeGP

The pandemic is here. This is what we can all do:

Watch a short video!

Wash your hands! Soap and water and 20 seconds if you can, alcohol hand sanitiser is second best.

Don’t touch your face! Dr George Forgan-Smith demonstrates in the short video at the link…and goes further with…

Social distancing. Try and stay 1-1.5m away from people. Don’t hug, kiss, shake hands…and DON’T do group meetings / big gatherings. These will soon be cancelled (Monday, if over 500 people) but really, it starts with you!

Dr George demonstrating cough etiquette and social distancing!

Cough into your elbow and clean your phone! Both of these will limit spread of those little virus particles!

Now that you’ve cleaned your phone, and are practicing your social distancing, USE the phone. Telehealth is here via your phone, no special equipment needed.

STAY AT HOME, USE THE PHONE

Great advice if you’re unwell, good advice just for day to day. Call PartridgeGP on 08 82953200 for a phone appointment!

So remember

Wash Your Hands

Wash. Your. Hands.

Don’t Touch Your Face

Social Distancing

Social distancing works

Clean Your Phone

Use Your Phone

Stay Safe and Good Luck!

Some more videos and links below:

What is Your GP trying to do about this?

What about kids and schools?

What about the elderly?

What about my specialist appointment?

Thanks to:

Dr George Forgan-Smith

Dr Todd Cameron

Dr Chien-Wen Liew

Dr Sachin Patel

And please share this to all your friends and family

Coronavirus Help Desk – Partridge GP (update with Repat drive through clinic info)

We find ourselves at the start of a seeming pandemic.

 

Coronavirus – latest government info – CLICK HERE

 

If unwell with cough/cold symptoms, stay home and use the phone

 

CALL coronavirus hotline 1800 020 080

free advice, home testing after doctor advice

CALL healthdirect 1800 022 222

free advice

 

If further advice needed

 

CALL PartridgeGP 0882953200

phone consult, private fee, no Medicare rebate

CALL/ATTEND

nRAH

Flinders Medical Centre

Lyell McEwin Hospital

coronavirus clinics

free, can see and/or swab

 

updated re the Repat drive through clinic

 

Accessing the Repat Collection Centre:

Patients must be booked into this service to ensure a controlled flow

Bookings are to be made by the practice by ringing 8222 3000

The practice is to advise patient of date and time of booking

Fax the request form to SA Pathology on 7117 5085

The service is available between 8.00 am and 4.30 pm Monday to Friday

Access is via Gate 4, 216 Daws Road, then follow the signs

Please ask patients to remain in their car and the SA Pathology staff will come to them

Instruct the patient to remain in isolation until the results have been communicated to them by you (their GP)

 

The Royal Adelaide Hospital

7 days a week 0900-2000 – walk in, just follow the signs!

Royal Adelaide Clinic Location HERE

NEW Southern Suburbs Coronavirus Priority Care Clinic

 453 Morphett Rd, Oaklands Park 7 days a week, walk in 1000-2000

 

How Do I Self-Isolate- click HERE!

AND HERE

OR HERE!

 

 

 

coronaadvice

 

img_20200127_145549_wm7637784655035031070.png

Drive through COVID in Victoria!

Oh…you thought I meant testing!

I meant THIS

 

1552719486937

 

In other news

We find ourselves at the start of a seeming pandemic.

Coronavirus.

In addition to the medical risks to themselves, their friends and families, and their patients, GPs have to consider the risks to their livelihood and practices.

We can’t help our patients if we are ill.

We can’t help our patients if our practices are closed.

We can’t help our patients if we are isolated at home.

There may be solutions. One, from Dr Todd Cameron and Dr Sachin B Patel, is outlined in the following videos.

 

1. GPs to instigate protocols in the way they see patients

2. GPs to alter the things they need to see patients face to face for

3. GP Practices to support the GPs who pay them to do so

4. Use telehealth and have MBS item numbers 23/36 cover this in this time of need

The videos are here

 

And here

 

So what can you do as a GP to make these things happen?

Stephen Covey talks about a circle of influence and a circle of concern. Your circle of influence should be larger than your circle of concern or you just worry about things you can’t change. Let’s go further and consider a circle of impact.

Where can you apply your time and skills to make a change?

Here it is.

Join the AMA.

They have about 6000 GP members (my guesstimate). You can join for a monthly fee of somewhere between $15-130 a month as a GP or registrar. You don’t have to join the AMA – it is entirely voluntary. You can leave at any time, and take your money with you.

So join.

On your application, quite clearly state why you are joining and that this is THE thing you would like the AMA to make an impact on. The AMA have access to the politicians. From your membership to their ears.

Watch the videos.

Make your decision.

Join.

Take action.

Make a difference.

Good luck!

 

 

Coronavirus Help Desk – Partridge GP

We find ourselves at the start of a seeming pandemic.

Coronavirus – latest government info – CLICK HERE

 

If unwell with cough/cold symptoms, stay home and use the phone

 

CALL coronavirus hotline 1800 020 080

free advice, home testing after doctor advice

CALL healthdirect 1800 022 222

free advice

 

If further advice needed

 

CALL PartridgeGP 0882953200

phone consult, private fee, no Medicare rebate

CALL/ATTEND

nRAH

Flinders Medical Centre

Lyell McEwin Hospital

coronavirus clinics

free, can see and/or swab

The Royal Adelaide Hospital

7 days a week 0900-2000 – walk in, just follow the signs!

Royal Adelaide Clinic Location HERE

NEW Southern Suburbs Coronavirus Priority Care Clinic

 453 Morphett Rd, Oaklands Park 7 days a week, walk in 1000-2000

 

How Do I Self-Isolate- click HERE!

AND HERE

OR HERE!

 

 

coronaadvice

 

img_20200127_145549_wm7637784655035031070.png

GPs. Protect yourself. Join the AMA. Good reading for politicians!

We find ourselves at the start of a pandemic.

Coronavirus.

In addition to the medical risks to themselves, their friends and families, and their patients, GPs have to consider the risks to their livelihood and practices.

We can’t help our patients if we are ill.

We can’t help our patients if our practices are closed.

We can’t help our patients if we are isolated at home.

There may be solutions. One, from Dr Todd Cameron and Dr Sachin B Patel, is outlined in the following videos.

1. GPs to instigate protocols in the way they see patients – pivot to PHONE

2. GPs to alter the things they need to see patients face to face for – PHONE!

3. GP Practices to support the GPs who pay them to do so – BE SAFE!

4. Use telehealth and have MBS item numbers 23/36 cover this in this time of need

The videos are here

And here

So what can you do as a GP to make these things happen?

Stephen Covey talks about a circle of influence and a circle of concern. Your circle of influence should be larger than your circle of concern or you just worry about things you can’t change. Let’s go further and consider a circle of impact.

Where can you apply your time and skills to make a change?

Here it is.

Join the AMA.

They have about 6000 GP members (my guesstimate). You can join for a monthly fee of somewhere between $15-130 a month as a GP or registrar. You don’t have to join the AMA – it is entirely voluntary. You can leave at any time, and take your money with you.

So join.

On your application, quite clearly state why you are joining and that this is THE thing you would like the AMA to make an impact on. The AMA have access to the politicians. From your membership to their ears.

Watch the videos.

Make your decision.

Join.

Take action.

Make a difference.

Good luck!

Resourcing, not medication restrictions, needed in aged care

Thanks to Dr Michael Clements and NewsGP from the RACGP for highlighting the needs for aged care 👍🏼

Dr Michael Clements


9/12/2019 3:14:11 PM

The Government’s recent funding injection has to be specifically targeted to address the problems GPs, staff and patients face within residential aged care facilities, Dr Michael Clements writes.

Aged care
Dr Michael Clements believes that while aged care requires a significant funding boost, it will only be helpful if it is specifically targeted to the sector’s needs.

‘Mrs X was found wandering at night in the carpark, can you please prescribe medication?’
 
This was how one recent residential aged care facility (RACF) interaction began for me.
 
After meeting with the staff and ruling out delirium or biochemical causes, and noting a worsening in the behavioural aspects of dementia, I suggested the patient move to the restricted ward or have extra supervision.
 
But my request was declined due to lack of beds and I was specifically asked, once again, to commence a medication to prevent the patient from wandering.
 
The situation was clear: under-staffing in this facility led to pressure to prescribe sedative medications that would keep the patient compliant and allow staff to attend to other residents.
 
Provision of care within RACFs has become more complex and time-consuming as the population ages and rates of dementia rise. Unfortunately, funding models have not kept pace, even as clinical governance requirements in RACFs have increased and nurse autonomy reduced.
 
This has led to a situation for many GPs who work within RACFs in which countless night-time phone calls, form-signing, box-ticking and compliance measures now form the largest part of their care. It has also led to an overreliance on anti-psychotic medications for the behavioural aspects of dementia, as understaffed facilities come under pressure to medicate their problems away.
 
GPs have been looking forward to the Royal Commission into Aged Care, Quality and Safety because they, along with RACF staff, have seen cost-cutting measures applied in facilities, with reductions in numbers of trained staff, greater reliance on lower-skilled assistants, and decreased activities and programs.
 
Staff across the aged care sector want to see better diversionary activities and care services, nursing numbers, and funding to allow GPs to spend more time with patients and their families. This is felt most acutely in rural and regional areas, which are already experiencing aged care staff and GP workforce shortages.
 
The Federal Government has suggested high prescriptions of anti-psychotic medications in RACFs is a source of the problem, rather than an indicator of a system that is under-resourced to deal with the complex issues of dementia care.
 
However, the latest promise of extra funding from the Federal Government does nothing to address the reasons behind the increased use of anti-psychotic medications for the behavioural aspects of dementia; it is simply ‘shooting the canary’ and will have no impact on the gas leak in the coalmine the canary has been screaming about for the last five years.
 
What RACFs need instead is funding targeted towards sufficient numbers of appropriately trained nursing staff, for GPs to provide comprehensive team-based care, and for tertiary services to get out of hospital grounds and into RACFs to work with GPs.
 
Novel solutions are required to the problems faced in residential aged care, and each facility will need to find one that reflects their community workforce and need.
 
But some general steps that will be helpful across the board include:

  • additional money injected into the system from federal and state health budgets
  • patients getting used to private fees for GP services
  • nurses and nurse practitioners being allowed to practice at their full scope
  • GP-led rather than GP-delivered care being utilised where possible.

The message should be clear: fund RACFs and GPs in order to enable them to provide the care that is so desperately needed.

Do not shoot the canary.

© 2018 The Royal Australian College of General Practitioners (RACGP) ABN 34 000 223 807

PartridgeGP and Dr Nick Tellis are doing our best for better aged care in many of our local aged care facilities. We will do more in 2020! Watch this space 👍🏼