feelgood

Happy Monday!

I recently introduced the family to Back to the Future and then I saw these pictures. They just made me feel good, so I hope they do the same for all of you!

The 20s in the 80s

The 80s in the 20s

PartridgeGP works with you to help you make your best health decisions, and we will always try and make you feel better – and even make you feel good! 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.

Better, for you.

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)

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.

humble

Saturdays deep thought of the day is on the humble activities that back up what we do at PartridgeGP. No one is ever going to wax lyrically about invoicing, cleaning, filing, scanning, or plumbing for general practice, but they all need to be done, and done well, so we can serve you better.

PartridgeGP works with you to help you make your best health decisions, and we won’t scorn any ‘humble activities’.

Nothing substitutes for pleasant conduct and good service. 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.

Better, for you.

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)

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.

Guest Post: Doug Phillips – Men’s Health and Beer – Enemies or Allies?

So, personally I’ve been one month OFF alcohol now. I’ve booked in to run a half marathon and will get back towards the glory days! However, I’ve still made time to catch up with Doug Phillips of Hallmark Commerical and his Men’s Health group, at some pub venues around Adelaide. For me, there has been no beer. For others, a couple. No one has felt the need for more. It’s been great. Enough about me, let’s hand over to the man, the myth, the legend – Doug Phillips!

Before we start here, it’s probably important to clarify that I’m not a Health Care Professional. Not at all. In fact, I’m a construction industry professional. By now you may be wondering what business I have writing a blog about men’s health for a medical practice, and that makes two of us. But here we are, so let’s just see where this goes.

The closest I come to being qualified to comment on anything health-related is my association with a group that (funnily enough), revolves around two topics that are normally considered ‘unhealthy’. Beer and pub food. I organise a group of blokes who get together once a fortnight at a different pub each week, to have a few beers and enjoy some pub grub. 

PARMY AND A PINT.

Beer and parmys aren’t the focus of the group though. They are the two interests we all have in common, but the group is actually about promoting men’s health. Our fortnightly meetups are designed to be an environment where men can talk openly about anything they want, which promotes discussions about physical and mental health. Two topics that Australian men are notorious for neglecting.

Most of the time we just talk non-health-related stuff though. Sport, women, work, kids, the usual topics. Occasionally something will come up in conversation that leans more towards a mental health discussion, and that’s great, but not imperative. Just having a space where men can feel relaxed and off-guard without fear of being labelled weak or a “pussy”, is often all the respite required to allow men to relax and recharge. 

THIS IS NO ‘LOCKER ROOM’.

The group is organised through a Facebook group, which can be a risk sometimes. We aim to be non-judgemental and promote healthy attitudes. But a group consisting solely of blokes can sometimes find itself with memes or other content posted that border on sexist or unhealthy. For example, the relationship between men, their women, and their beer, or jokes about drinking that seem funny at first, until you drill down and realise that they are only funny due to our unhealthy attitudes towards drinking in Australian culture.

So neither the group, its outcomes, its members, or its management are perfect, but that’s part of the point really. In a world where men can often feel like we’re expected to be perfect, while constantly having it pointed out how far from perfect we are, sitting back with a beer and a deep-fried chunk of meat amongst other men who don’t expect perfection is a little vacation in the lives of men who want to do better, and are actively attempting to do so.

SCIENCE TOLD ME TO DO IT.

There are a plethora of articles out there suggesting that beers with your mates down the pub is actually good for your health (Google Study Suggests Blokes Should Enjoy A Pint At The Pub With Their Mates Twice A Week). So if you’re finding that you often feel frustrated, anxious, depressed, unsatisfied, or any other negative emotions, perhaps what you need is a pint at the pub with your mates, but regularly.

FOR THE GREATER GOOD.

And Ladies, please don’t take this just as an excuse for your man to get on the piss. That’s not what this is about. In fact, men who look after their mental health well are generally better husbands, fathers, and members of society. I might be that all you need to do to help your man be the best man he can be, is to drop him off at the pub and pick him up a few hours later. Pretty easy really. I know less about women’s health than I do men’s health even, but logic would suggest that a regular pub night for you Ladies would be a great idea too.

Pub Night. I’m a fan, most blokes are. And if the path to great men’s health is made easier by having a few pints at the pub with your mates, then it seems like a no-brainer to me.

Thanks Doug, love your work (and if you think his writing is good, wait until you see how good he is at his day job!). Men, if you’re keen to explore this further – in a group, or in a consult, hit the links above or below, for the NOMAD Hotel Social Club, or PartridgeGP!

PartridgeGP works with you to help you make your best health decisions, and we won’t back away from being your companion, guide, advisor, and sounding board through your health journey. 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.

Better, for you.

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)

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.

rest

It’s Sunday, chill out. Get with the 5G (no, not the phones that people get so stressed about):

Good friends
Get some exercise
Great food
Get out in the sun
Gratitude

One day of rest won’t lead to this!

PartridgeGP works with you to help you make your best health decisions, and we won’t back away from being your companion, guide, advisor, and sounding board through your health journey. 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.

Better, for you.

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)

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.

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!

Fewer Opioids More Options PartridgeGP Movement Theory

Did you know that here have been some big changes with the pack sizes of immediate release opioids/narcotics under the PBS as of June 1?

 

Me neither!

 

What does this mean in English? It means that doctors will be unable to prescribe large packs of addictive medication without ringing the government and asking for permission (with good reason!). 

 

Why?

 

Some good information can be found here

 

But to summarise:

 

The drugs work in the short term – but they don’t keep working

We have better and safer options

These drugs kill people

 

These changes haven’t been well publicised…but here they are:

 

 

pbs changes1

pbs changes 2

pbs changes 3

 

And:

 

Patients who require long-term treatment of chronic pain with opioids will still be able to access larger pack sizes and prescribers will be able to prescribe repeats where they meet the new restrictions requirements.


For chronic pain, increased quantities and/or repeats may be authorised by Services Australia where the patient meets the restriction requirements. Increased quantities to extend treatment up to one month may be requested via telephone/electronic authority request, and up to 3 months’ supply (up to 1-month quantity and up to 2 repeats) may be requested via an electronic/written authority request.


To be eligible for treatment with high strength opioids such as morphine, patients will need to be unresponsive or intolerant, or have achieved inadequate relief of their acute pain, following maximum tolerated doses of other lower strength opioid treatments.


These new arrangements apply to all PBS listings for opioid medications and therefore there will also be amendments to the tramadol and paracetamol/codeine restriction requirements.


All new and amended restrictions will be updated on the PBS website (pbs.gov.au) from
1 June 2020.

 

What does this change mean for prescribers?


The new opioid listings for reduced pack sizes will provide a simplified way for prescribers to  prescribe smaller quantities of immediate release opioids for acute, short-term treatment.


Prescribers must ensure that patients meet the relevant restriction criteria when prescribing opioids under Restricted Benefit and Authority Required (STREAMLINED) PBS listings. The ‘streamlined authority code’ is located on the relevant PBS listing on the PBS website. To prescribe an Authority Required (Telephone/Electronic) item, the prescriber is required to request authority approval from Services Australia through the Online PBS Authorities System or by calling 1800 888 333.


To ensure appropriate use of opioid medicines for the management of pain, patients must be referred to a pain specialist or alternative prescriber for clinical review if opioid use exceeds or is expected to exceed 12 months. The date of the review and name of the medical practitioner consulted must be provided for every authority application.

 
low angle photography of a road
Moving Forward

 

So from June 1:

 

  • If these addictive narcotic medications are required, your GP may prescribe smaller packs for your use
  • Please please please speak to your GP about any issues you are having – we have lots of options including counselling, physical therapy, diversional therapy, physiotherapy, non-drug therapy, other medications, and referrals to non-GP specialists for complex problems
  • We still care, we still want to help, we want to be safer and better for you
  • If you are on medications for 12 months or more, you will need to have a formal consult with another GP or specialist in addition to your usual GP to keep getting medication on a PBS (subsidised) prescription. 

 

We are here to help you

bitmoji-201810211116001788437233130934466.png

PartridgeGP

Bookings

If you would like to work with us, call Dr Nick on 8295 3200 or click here

movement theory

Movement Theory

Bookings

Risk and COVID19

Did you know that they just released data from 17 million anonymised patients in the UK and analysed risk factors for #covid19 ?

Full Paper here

We are only a phone call (with video if needed!) away if you need more information.

SA has guidelines – the roadmap back!

And in the future

Did you also know that we can Test You for COVID 19 / Coronavirus if

Unexplained fever / chills
Unexplained cough/sore throat/short of breath
High risk settings:

Aged care and other residential care facilities
Healthcare settings
Military – group residential and other closed settings, such as Navy ships or living in accommodation
Boarding schools and other group residential settings
Educational settings where students are present
Childcare centres
Correctional facilities
Detention centres
Workplaces where social distancing can’t be readily practised
Remote industrial sites with accommodation (e.g. mine sites)
Aboriginal and Torres Strait Islander rural and remote communities, in consultation with CDCB
Settings where COVID-19 outbreaks are occurring, in consultation with CDCB

Testing at
Australian Clinical Labs 670 Anzac Highway Glenelg IN YOUR CAR

82952877

You still need a doctor’s referral so
Partridge GP here for phone consults at http://bit.ly/2XmM0n5 or by calling 82953200 or
HIT THE BIG BLUE BUTTON! at http://www.partridgegp.com.au

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 82953200

PartridgeGP | Telehealth | COVID19 | Physical Examination

We all want to provide great general practice care. Most of this comes from time, curiosity, and interest in our patients. When we turn our attention and medical skills to their problems and issues we do better work.

Physical examination has been around since antiquity and is a useful adjunct to taking a great history. Much like over investigating, physical examination is not always needed.

General practice is so much more than compliance and paperwork.

So much can be pared away to reveal the essence of what we do.

In the time of #COVID19, perhaps we can chip away to reveal our statues of David rather than be inflexible blocks of government marble.

More ideas here!

Another set of thoughts, better expressed…

It’s time for emergency physicians to put away our stethoscopes

By Jeremy Samuel Faust

Since 1986, federal law has mandated that any patient requesting emergency medical care must be evaluated by a physician to assess for any threatening conditions. The law, often referred to as the “anti-dumping law,” requires that physicians perform a medical screening evaluation, including a physical examination.

Over time, the interpretation of this mandate has slowly expanded, not by law so much as by custom. This is why emergency rooms have become our nation’s safety net for care. Despite increasing popularity of urgent-care clinics and telehealth, many patients who could have safely been cared for elsewhere still end up in emergency rooms.

While many of us embrace that mission with pride, it is dangerous and wasteful in the coronavirus pandemic. We need to course-correct to keep everyone safe. Exposing patients to emergency rooms is now far riskier than it was before. In turn, health-care workers must assume that all patients are infected. This forces us to blow through personal protective equipment that we desperately need so that we do not become infected ourselves.

Over the past few decades, we have learned that many, if not most, of our physical examination maneuvers provide little reliable information. In most cases, the information we need can be obtained simply by interviewing patients. But old habits die hard, and patients seem to love our stethoscopes. In our current situation, that simply won’t do.

We need the federal government to allow us to perform medical screening exams via video or through glass doors, even for patients entering emergency rooms. The removal of the requirement that we evaluate every patient by hand will save resources and keep everyone safer.

In recent meetings and phone calls with stakeholders, the Centers for Medicare and Medicaid Services has signaled that it is seriously considering making this change. But it has not materialized, and time is of the essence. The moment to act is now.

Jeremy Samuel Faust is an emergency physician at Brigham and Women’s Hospital in the Division of Health Policy and Public Health, and an instructor at Harvard Medical School.