slippers

The vaccines are coming!

Win, lose, or draw in 2020, you would have had to have been living under a rock to not be aware of the virus. It has coloured every aspect of life. People have died, people have lived, elections have been influenced, Presidents have fallen. How are we going to move past this? Let’s have a look at Bayesian thinking. Bayesian decision making involves basing decisions on the probability of a successful outcome, where this probability is informed by both prior information and new evidence the decision maker obtains. The statistical analysis that underlies the calculation of these probabilities is Bayesian analysis.

Photo by Pixabay on Pexels.com

Bayesian thinking is probabilistic thinking – rather than this will or won’t happen, we consider what is more or less likely to happen. This applies to risk. As Jim O’Shaughnessy has said, ‘we are deterministic creatures living in a probabilistic world’. We want certainty. We get probabilities. Vaccines are not 100% effective or 100% safe (NOTHING IS). Neither are masks, nor social distancing, nor even simple hand sanitiser. Yet all of these, little by little, piece by piece, will lower our risk so we can get back to the new normal of life. Better probabilities, not 100% certainty. More poetically:

PartridgeGP works with you to help you make your best health decisions. We will take you through the risks as we see them – online, through our social media, our email newsletters, and in our consultations with you. We pride ourselves on great communication and we’re ready to share our professional skills and knowledge with you. This is only MORE important now, in the time of a global pandemic with new vaccines on the horizon. The way forward is clear: make your appointment with us conveniently online right here – or call our friendly reception team on 82953200.

Want more?

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

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!)

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

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!

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

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.

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?

This image has an empty alt attribute; its file name is pexels-photo-1061142.jpeg
Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

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!)

This image has an empty alt attribute; its file name is pexels-photo-1061141.jpeg
Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

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!

This image has an empty alt attribute; its file name is pexels-photo-1061140.jpeg
Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

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.

Olympic Tennis and New Doctors at PartridgeGP

2021 – apparently the year of the rescheduled Olympics. Organizers of the Tokyo Olympics are agonizing over whether to hold the event amid a surge of COVID-19 cases in Japan and around the world. We live in Australia, arguably the greatest place to live in the world at any time, and certainly while there is a global pandemic. Australia has the benefit of being a wealthy island and is actually quite hard to get to. This applies to viruses, people, but not tennis players…

Heads up guys, with all the controversy about whether virus particles get through masks (spoiler – where there is low community transmission of COVID-19, wearing a mask in the community when you are well is not generally recommended. However, where there is significant community transmission (as determined by jurisdictional public health authorities), you may choose, or be required to, wear a mask. If physical distancing is difficult to maintain, for example on public transport, covering your face with a mask can provide some extra protection), I can reveal that virus particles get through the holes between the cross strings and main strings on a tennis racquet!

My $0.02 is that the Australian Open should go ahead, with firmly enforced quarantine rules, and the players should accept that the standard of play and injury risk will be different to previous years and compete (or not) accordingly. A further $0.02 worth of thoughts from me is that the Olympics should be a virtual event this year, as far as is possible, and should be sponsored by Zoom.

Parts of a Tennis Racquet With Video & Diagram for Beginners

Yesterday, we introduced our new and existing allied health providers – today, it’s our new GPs and non GP specialist doctors!

Dr Ciara Peddell completed her medical training at the University of Tasmania in 2014. Since then she has worked in hospitals and GP practices in Townsville and Brisbane. She completed the Diploma of Child Health in 2017 through the University of Sydney and received her RACGP fellowship in 2019. Dr Ciara is looking forward to moving to Adelaide in January to start her work at Partridge GP.  

Dr Elias Salagaras completed his medical training through the University of Adelaide in 2017. He is enthusiastic about child health, having completed rotations at the Women’s and Children’s Hospital. He was also worked throughout the Central Adelaide Local Health Network, and the Whyalla Hospital. He is looking forward to bringing all of this recent knowledge to his specialist GP training! He will kick off the new year with a great mindset and our Great Team here at PartridgeGP!

PartridgeGP is proud to welcome Dr Nick Brook and the EastWestUrology Team to our premises at 670 Anzac Highway! Another Dr Nick I hear you say – this Dr Nick is a specialist urologist: Urology is the surgical and medical management of problems of the male and female urinary system, and male reproductive system. There is some overlap with other areas of medicine and surgery, and sometimes joint care is required. Dr Nick is joined by Dr Dan SpernatDr Mark Lloyd, and Urology Nurse Specialist Louise, to provide a comprehensive service from PartridgeGP, for both males and females with urological (bladder and kidney and prostate) issues.

Dr Katherine Astill commenced her specialist General Practice training with PartridgeGP in August 2017, returned in August 2019, and is back again from February 2021! She graduated with a Bachelor of Physiotherapy from the University of South Australia in 2009 and furthered her education with a Bachelor of Medicine and Surgery from Deakin University in 2013. After holding positions with the Muscular Dystrophy Association and the Women’s and Children’s Hospital, she decided to specialise in General Practice, with a special interest in Women’s and Children’s Health completing her Diploma of Child Health in 2016. Dr Katherine has a passion for holistic care and preventative health. She is also a strong advocate for a plant based diet and healthy lifestyle and looks forward to helping people with both of these.

PartridgeGP works with you to help you make your best health decisions. We pride ourselves on great communication and we’re ready to share our professional skills and knowledge with you. This is only MORE important now, in the time of a global pandemic with a new vaccine on the horizon. The way forward is clear: make your appointment with us conveniently online right here – or call our friendly reception team on 82953200.

Want more?

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

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!)

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

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!

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

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.

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!

Welcoming Dr Zoe Teh to PartridgeGP

PartridgeGP is proud to welcome Dr Zoe Teh to our team!

 

dr zoe teh

 

Dr Zoe completed her undergraduate medical training at the University of Adelaide, and spent her intern and resident years between the Royal Adelaide Hospital and Queen Elizabeth Hospital. She undertook her General Practice training in a number of clinics across southern Adelaide, and is particularly interested in sexual health, women’s health (including Implanon insertion and removal), and preventative medicine. She is also fluent in Mandarin!

 

 

We welcome Dr Zoe to Our Team here at PartridgeGP to be Your GP!

 

 

She is available to help you with all of your General Practice needs from April 2020 and you can book your appointment with her conveniently online right here – or call our friendly reception team on 0882953200.

 

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All of our doctors here at PartridgeGP are fully qualified ‘Fellows’ (or are studying towards this) holding a specialist qualification with either the Royal Australian College of General Practitioners (FRACGP) or the Australian College of Rural and Remote Medicine (FACRRM) or both (3-4 years of full time study and 3 exams on top of an undergraduate university medical degree and supervised trainee ‘intern’ year in a hospital). This is our minimum specialist standard and we may have other qualifications and skills.

 

 

Our Fellows provide supervision and advice to our Registrars and you may find that they are called in to consult with the Registrar on your case. ‘Registrars’ are qualified doctors who have completed their hospital training and are now embarking on their General Practice training. Some may already have other qualifications in medical or other fields.

 

 

We also supervise and teach Medical Students from Flinders University. They are still studying to become doctors. All of us – Fellows, Registrars, and Medical Students – make up the Clinical Team here at PartridgeGP with our excellent Practice Nurses. We all uphold the highest standards of privacy, confidentiality, professionalism, and clinical practice.

 

 

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DR PENNY MASSY-WESTROPP

dr penny massy westropp - your gp

DR MONIKA MOY

dr monika moy- your gp

Dr Zoe Teh

dr zoe teh

 

Welcoming Dr Nikhil Tamminedi to PartridgeGP

 

 

 

Dr Nikhil Tamminedi commenced his specialist General Practice training with PartridgeGP in February 2020. He completed his undergraduate medical training at the University of Western Sydney. Prior to commencing General Practice training, Dr Tamminedi worked two Post Graduate years in metropolitan hospitals in New South Wales with a focus on surgical disciplines and emergency medicine. His particular interest include skin, minor surgery, and respiratory medicine. In his free time, he enjoys rock climbing, hiking, and travelling..

Dr Nikhil has quickly settled in and has hit the ground running with the rest of our Great Team here at PartridgeGP!

 

 

 

 

 

 

 

 

 

PartridgeGP is an accredited General Practice and is further accredited by our Regional General Practice Training Provider GPEx.

 

 

 

This means that the GPs at PartridgeGP are teaching the Doctors and Medical Students who will be the future of medicine in Australia. It’s a big responsibility and a privilege we take very seriously.

 

 

 

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Teaching Practice of the Year

 

 

All of our doctors here at PartridgeGP are fully qualified ‘Fellows’ (or are studying towards this) holding a specialist qualification with either the Royal Australian College of General Practitioners (FRACGP) or the Australian College of Rural and Remote Medicine (FACRRM) or both (3-4 years of full time study and 3 exams on top of an undergraduate university medical degree and supervised trainee ‘intern’ year in a hospital). This is our minimum specialist standard and we may have other qualifications and skills.

 

 

 

Our Fellows provide supervision and advice to our Registrars and you may find that they are called in to consult with the Registrar on your case. ‘Registrars’ are qualified doctors who have completed their hospital training and are now embarking on their General Practice training. Some may already have other qualifications in medical or other fields.

 

We also supervise and teach Medical Students from Flinders University. They are still studying to become doctors. All of us – Fellows, Registrars, and Medical Students – make up the Clinical Team here at PartridgeGP with our excellent Practice Nurses. We all uphold the highest standards of privacy, confidentiality, professionalism, and clinical practice.

 

 

 

Dr Nikhil Tamminedi is a valuable member of our growing Clinical Team!

 

 

 

 

IMG_20190404_191100

 

 

 

 

 

Dr Zoe Teh

 

Dr Gareth Boucher

 

Dr Nici Williams

 

Dr Penny Massy-Westropp

 

Dr Monika Moy

 

Dr Phillip Maddocks

 

Dr Nikhil Tamminedi

 

Dr Nick Mouktaroudis

 

Dr Nick Tellis

 

Welcoming Dr Phillip Maddocks to PartridgeGP

 

 

 

Dr Phillip Maddocks commenced his specialist General Practice training with PartridgeGP in February 2020. Raised in Adelaide, he studied and practiced in NSW, and then returned to Adelaide earlier this year. Becoming an accomplished GP has always been his career goal and he is eager to commence community-based work. I’m passionate about paediatrics, emergency medicine, sports medicine, and teaching. Prior to my career in medicine I held numerous leadership positions across both business and sport, attaining many skills which are transferable to working in medical teams.

Dr Phil has quickly settled in and has hit the ground running with the rest of our Great Team here at PartridgeGP!

 

screenshot_20200330-194411_wm816164613062801551.png

 

 

 

 

 

 

 

 

PartridgeGP is an accredited General Practice and is further accredited by our Regional General Practice Training Provider GPEx.

 

 

 

This means that the GPs at PartridgeGP are teaching the Doctors and Medical Students who will be the future of medicine in Australia. It’s a big responsibility and a privilege we take very seriously.

 

 

 

img_1954
Teaching Practice of the Year

 

 

All of our doctors here at PartridgeGP are fully qualified ‘Fellows’ (or are studying towards this) holding a specialist qualification with either the Royal Australian College of General Practitioners (FRACGP) or the Australian College of Rural and Remote Medicine (FACRRM) or both (3-4 years of full time study and 3 exams on top of an undergraduate university medical degree and supervised trainee ‘intern’ year in a hospital). This is our minimum specialist standard and we may have other qualifications and skills.

 

 

 

Our Fellows provide supervision and advice to our Registrars and you may find that they are called in to consult with the Registrar on your case. ‘Registrars’ are qualified doctors who have completed their hospital training and are now embarking on their General Practice training. Some may already have other qualifications in medical or other fields.

 

We also supervise and teach Medical Students from Flinders University. They are still studying to become doctors. All of us – Fellows, Registrars, and Medical Students – make up the Clinical Team here at PartridgeGP with our excellent Practice Nurses. We all uphold the highest standards of privacy, confidentiality, professionalism, and clinical practice.

 

 

 

Dr Phillip Maddocks is a valuable member of our growing Clinical Team!

 

 

 

 

IMG_20190404_191100

 

 

 

 

 

Dr Zoe Teh

 

Dr Gareth Boucher

 

Dr Nici Williams

 

Dr Penny Massy-Westropp

 

Dr Monika Moy

 

Dr Phillip Maddocks

 

Dr Nikhil Tamminedi

 

Dr Nick Mouktaroudis

 

Dr Nick Tellis

 

Secrets Healthy Men know with PartridgeGP and Coles

Tim Ferriss asked a question in his book Tribe of Mentors.

 

 

‘If you could put a message on a billboard, to be seen by millions (or billions) of people, what would you say?’

 

 

I was lucky enough to have an opportunity to answer this in real life when a journalist from Coles contacted me. They wanted to know a GPs views on Men’s Health. The article we produced is here (and reproduced below). This is in the Coles Health and Beauty magazine – they have printed 500,000 copies of this! What was that one message I wanted to get across?

 

 

dr nick tellis coles health and beauty the money quote
The Message!

 

 

 

 

Our practice, PartridgeGP, our GPs, and the rest of our team are here for you. No billboards needed – just book in for an appointment 😎

 

 

 

 

 

 

 

 

 

 

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The Road to being a GP with PartridgeGP

Just check out this picture of what someone goes through to become a GP. Wow!

(thanks to Dr Jared Dart for finding this)

 

 

How do doctors get to be doctors.jpg

 

 

 

 

 

 

PartridgeGP is an accredited General Practice and is further accredited by our Regional General Practice Training Provider GPEx.

 

 

 

This means that the GPs at PartridgeGP are teaching the Doctors and Medical Students who will be the future of medicine in Australia. It’s a big responsibility and a privilege we take very seriously.

 

 

 

img_1954
Teaching Practice of the Year

 

 

All of our doctors here at PartridgeGP are fully qualified ‘Fellows’ (or are studying towards this) holding a specialist qualification with either the Royal Australian College of General Practitioners (FRACGP) or the Australian College of Rural and Remote Medicine (FACRRM) or both (3-4 years of full time study and 3 exams on top of an undergraduate university medical degree and supervised trainee ‘intern’ year in a hospital). This is our minimum specialist standard and we may have other qualifications and skills.

 

 

 

Our Fellows provide supervision and advice to our Registrars and you may find that they are called in to consult with the Registrar on your case. ‘Registrars’ are qualified doctors who have completed their hospital training and are now embarking on their General Practice training. Some may already have other qualifications in medical or other fields.

 

We also supervise and teach Medical Students from Flinders University. They are still studying to become doctors. All of us – Fellows, Registrars, and Medical Students – make up the Clinical Team here at PartridgeGP with our excellent Practice Nurses. We all uphold the highest standards of privacy, confidentiality, professionalism, and clinical practice.

 

 

 

Some of our recent GP registrars

Dr Katherine Astill

Dr Clare Mackillop

 

 

 

 

IMG_20190404_191100

 

 

 

 

Dr Gareth Boucher

 

Dr Nici Williams

 

Dr David Hooper

 

Dr Penny Massy-Westropp

 

Dr Monika Moy

 

Dr Clare Mackillop

 

Dr Katherine Astill

 

Dr Jen Becker

 

Dr Nick Mouktaroudis

 

Dr Nick Tellis

 

Welcoming Dr Katherine Astill back to PartridgeGP

Dr Katherine Astill Partridge Street General Practice new female registrar

 

 

Dr Katherine Astill commenced her specialist General Practice training with PartridgeGP in August 2017 and has returned to work with us at our new site in August 2019! She graduated with a Bachelor of Physiotherapy from the University of South Australia in 2009 and furthered her education with a Bachelor of Medicine and Surgery from Deakin University in 2013. After holding positions with the Muscular Dystrophy Association and the Women’s and Children’s Hospital, she decided to specialise in General Practice, with a special interest in Women’s and Children’s Health completing her Diploma of Child Health in 2016.

Dr Katherine has a passion for holistic care and preventative health.

 

 

 

She loves the local Glenelg area and is keen to hit the ground running with the rest of our Great Team here at PartridgeGP!

 

 

 

 

 

 

 

 

PartridgeGP is an accredited General Practice and is further accredited by our Regional General Practice Training Provider GPEx.

 

 

 

This means that the GPs at PartridgeGP are teaching the Doctors and Medical Students who will be the future of medicine in Australia. It’s a big responsibility and a privilege we take very seriously.

 

 

 

img_1954
Teaching Practice of the Year

 

 

All of our doctors here at PartridgeGP are fully qualified ‘Fellows’ (or are studying towards this) holding a specialist qualification with either the Royal Australian College of General Practitioners (FRACGP) or the Australian College of Rural and Remote Medicine (FACRRM) or both (3-4 years of full time study and 3 exams on top of an undergraduate university medical degree and supervised trainee ‘intern’ year in a hospital). This is our minimum specialist standard and we may have other qualifications and skills.

 

 

 

Our Fellows provide supervision and advice to our Registrars and you may find that they are called in to consult with the Registrar on your case. ‘Registrars’ are qualified doctors who have completed their hospital training and are now embarking on their General Practice training. Some may already have other qualifications in medical or other fields.

We also supervise and teach Medical Students from Flinders University. They are still studying to become doctors. All of us – Fellows, Registrars, and Medical Students – make up the Clinical Team here at PartridgeGP with our excellent Practice Nurses. We all uphold the highest standards of privacy, confidentiality, professionalism, and clinical practice.

 

 

 

Dr Katherine Astill is a valuable member of our growing Clinical Team!

 

 

 

 

IMG_20190404_191100

 

 

 

 

Dr Gareth Boucher

 

Dr Nici Williams

 

Dr David Hooper

 

Dr Penny Massy-Westropp

 

Dr Monika Moy

 

Dr Clare Mackillop

 

Dr Katherine Astill

 

Dr Jen Becker

 

Dr Nick Mouktaroudis

 

Dr Nick Tellis