The Golden Month v2.0

A guest post by the excellent Dr Kar Loong Ng of Next Generation Occupational Medicine – NGOM.

 

 

 

 

Time. Timing. Such a critical aspect of Medicine. When a patient is in VF (Ventricular Fibrillation) the medical team has seconds, tens of seconds to act before the probability of successful resuscitation decreases exponentially. Act too fast (not yelling ‘CLEAR’) whilst activating the defibrillator and they risk hurting a team member and losing further precious seconds whilst the machine recharges. Act too slow and the patient is lost forever.

 

The same principles apply for non-emergency musculoskeletal workplace injuries. More often than not, I encounter patients, employers and insurers who request for MRIs at early stages of injury when there is no medical indication. The fact of the matter is, there is very little correlation between most MRI findings and the patient’s current injury or problem. Kind of like seeing all the imperfections on footy player’s faces on a 4K TV during a game. Additionally there are quite a large number of studies that show that early spinal MRIs that are not medically indicated often result in poorer outcomes and disability. I once saw a worker who was in such severe pain due to his belief that his ‘discs are squashed, bulged and spinal cord and nerves crushed’. When viewed I his MRI scans and told him that there is mild bulging of his lower 2 lumbar discs , his immediate response was “That’s where my pain is !! Between my shoulder blades……..”

Another example is that of shoulder impingement syndrome. A subacromial injection early on the injury is not going to be of benefit if the patient is not aware of how to perform rotator cuff exercises. An injection too late will also have less chance of success.

It is all about timing. Right, Roger Federer?

I previously wrote about Specialised Early Intervention and Second Opinion Medicine. With both services, we have been able to successfully rehabilitate a good proportion of complex worker injuries to normal work, alternative work, new employment or community restoration. Unfortunately some patients do not do so well. Being a sub-specialist practice, all our patients are referred from GPs. Despite extensive communication to the GP community, employers, insurers and rehabilitation providers emphasising the importance of early referrals, our earliest referral over the past few years has been 7 weeks post injury. This was an outlier, with the average referral being 6 to 9 months old. Well…….it beats my record a few years back when I saw a 50 year old man (with a six-pack) who had been on benefits since 19 and could not remember which leg his sciatica was on………..

Successful Early Intervention requires implementation at 2 to 3 weeks post injury. Some people refer to it as ‘The Golden Month’. For complex worker injuries, there is now good evidence that screening and intervention at day 1 of injury result in a significant reduction in disability and cost.

We are now in the process of implementing this with the introduction of services to GPs. The aim is to provide patients, workers and employers with a personally tailored comprehensive suite of medical and allied health care, as well as quick but well-timed access to medical sub-specialists.

I feel like I have been playing the game of RISK over the past few years. Disability is the enemy. I hope this strategy contains it.

Thanks Kar – it’s inspiring to see the passion you have for returning injured workers to work! Getting you better is what we’re about at PartridgeGP and so we’ll be working together with NGOM whenever we see injured workers.

 

Here to Help

 

Our Doctors at PartridgeGP are Here to Help Injured Workers – you can meet them here.

 

 

Want more?

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For everyone, we believe that having a usual GP or General Practice is central to each person’s care and recommend that people with any health issues that come to the attention of other health professionals should be advised to attend their usual GP or General Practice rather than a specialised service (ie a place not providing the holistic care a specialist GP would).   If  they say that they don’t have a usual GP or general practice, they should be helped to find one and to actually attend it. Call PartridgeGP on 82953200 or make an appointment online here.

(Hat tip: Dr Oliver Frank)

(TL;DR – Get a regular GP or General Practice and use them!)

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If you’re employed, get a side hustle and get into business. If you’ve already got a business, get a network. Want to get started? Find your tribe here!

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If you are a great GP or a great Allied Health Professional, and you want to serve your clients or patients to the best of your ability, without worrying about all the non clinical things that get in your way, lets talk. Call Mrs Hayley Roberts on 8295 3200 and have a coffee and chat with us as to how PartridgeGP can help you to help others.

Yesterday You Said Tomorrow

Half way through the week…did you know what some GPs are thinking?

You’re a Great GP

You’ve studied and trained

You’re here to help!

But who is here to help you?

Those things you didn’t train for

When your computer doesn’t work

When your receptionist books appointments through your lunch break

Who will look after patients when you’re on holiday?

Who will keep you working safely during COVID?

PartridgeGP is here to answer all of these questions for you!

Don’t put your safety, income, and professionalism second

Put yourself first – call PartridgeGP on 8295 3200

#gp #glenelg #privatepractice #team #job #career #awesome #bettercareer #beachside #dreamjob #dreamposition

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)!

VoteGP | RACGP | AMA

Did you know it is election season? It’s almost time to decide on the leadership teams that the RACGP and AMA will have moving forwards in these uncertain days.

 

First, the RACGP.

 

Three GPs have thrown their hats into the ring so far – I wish them all the best of luck, a fair hearing, and look forward to the RACGP elections as a beacon of probity and ethical behaviour rarely seen in our country’s elections.

Election info here

Voting info here

 

DR KAREN PRICE

 

DR CHRIS IRWIN

 

DR AYMAN SHENOUDA

 

Vote! The turn out for the RACGP elections is quite small (why?) and so your vote really does count. Take the time to be informed and again, vote!

 

Now, the AMA.

 

National Conference 1 August

 

At the recent Federal AMA Annual General Meeting the Association’s Constitution was amended to authorise the AMA National Conference to be held on-line. The AMA National Conference, at which election of a new Federal President and Vice President will be conducted, will be held by Zoom video conference from 10am AEST on Saturday 1 August 2020.

 

Nominations for President and Vice President are now open. Nominations can be made by way of email to secgen@ama.com.au. Nominations close at 5pm AEST on Friday 17 July.

 

The AMA has adopted a target of 40% women, 40% men, and 20% flexible for all AMA Councils, Committees and Boards, with a gender diversity target of women holding 50% of Federal AMA representative positions overall by 2021. AMA members are invited to help achieve these targets. These targets will particularly inform the finalisation of the expression of interest assessment for uncontested delegate positions.

 

Of course, if you want to vote for a great General Practice, supporting great GPs to serve their patients, with wonderful services and facilities…the choice is clear!

 

PartridgeGP

 

COVID clearance certificates and PartridgeGP

Did you know medical certificates expire? They have an end date! So when an employer or other entity asks for a clearance certificate, this is what we are going to write:

Dear Employer,

The whole point of a medical certificate is to certify someone unwell or unfit. This is why there is a beginning date AND an end date. At the end date, the patient is no longer certified unwell/unfit. I have enclosed the negative COVID results and you will note your employees certificate has reached its end date. I further enclose professional advice from our professional organisation in regard to this. It follows that the certificate of ‘clearance’ you are suggesting is unprofessional and those who would provide one are acting similarly.

I hope this information finds you well.

Regards

Doctor Nick
Specialist GP

Hope this helps! If you are still unwell or need any further information, say hi to your PartridgeGP and book in here for a phone or face to face consult!

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!