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.

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

 

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Drive through COVID in Victoria!

Oh…you thought I meant testing!

I meant THIS

 

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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!

Coronavirus and PartridgeGP

A new Coronavirus (similar to the common cold) has broken out in Wuhan, China. Many people seem to be worried.

The Symptoms

For now, our advice mirrors State and Federal Health advice:

UPDATED CORONAVIRUS ADVICE

Coronavirus

Call @PartridgeGP for a conversation, not to attend. Patients can also call Health Direct on 1800 022 222


If patients have travelled to China in the past 14 days and have symptoms such as fever, cough, sore throat or breathlessness, avoid contact with other
people, do not go into crowded places, or take public transport.

Patients should not attend general practice. They should be referred over the phone to the hospital emergency department and the ED should be informed to prepare for the patient’s arrival. The only testing should be in a public health setting.

Health Direct has a team of public health doctors for triage and assessment and referral to emergency. Public health will notify emergency departments in advance.

If patients at risk attend PartridgeGP this is what we will do:

https://www.health.nsw.gov.au/Infectious/diseases/pages/coronavirus-clinical-guidance.aspx

If you have cold and flu type symptoms or fever AND have recently travelled overseas to China or been with someone who has…SEE THE ADVICE ABOVE

What the FACRRM with Dr David Hooper at PartridgeGP

 

David completed his nursing and medical degrees at Flinders in 2010. He subsequently spent 4 years in Darwin, Hervey Bay, and Port Lincoln completing his fellowship in rural and remote general practice. He spends 1 week each month as an emergency physician in Broken Hill. He’s married to Kerri and has 2 boys, Aiden aged 9 and Mason aged 11. In his spare time he enjoys marathon running (very slowly) and silver smithing.

 

 

Dr David is a Fellow of the Australian College of Rural and Remote Medicine, which is the other qualification that fully qualified General Practitioners in Australia can have. ACRRM defines a General Practitioner as the doctor with core responsibility for providing comprehensive and continuing medical care to individuals, families and the broader community. Competent to provide the greater part of medical care, the general practitioner can deliver services in the ambulatory care setting, the home, hospital, long-term residential care facilities or by electronic means – wherever and however services are needed by the patient.

 

 

dr dave hooper

 

 

We’re very happy to have Dr David with us as part of the PartridgeGP team and you can book in to see him right here.

 

 

Our team – here for You!

 

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Dr Gareth Boucher

Dr David Hooper

Dr Clare MacKillop

Dr Jen Becker

Dr Penny Massy-Westropp

Dr Monika Moy

Dr Abby Mudford

Dr Katherine Astill

Dr Nick Mouktaroudis

Dr Nick Tellis

 

 

 

 

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Our GPs at PartridgeGP

Our team – here for You!

 

DR JEN BECKER

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DR CLARE MACKILLOP

 

dr c mackillop

 

Dr David Hooper

 

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Dr Nick Tellis

 

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Your Specialist In Life

 

Dr Nick Mouktaroudis

 

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Dr Gareth Boucher

 

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Dr Penny Massy-Westropp

 

dr penny massy westropp - your gp

 

 

Dr Monika Moy

dr monika moy- your gp

 

 

 

 

Dr Abby Mudford

 

 

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Dr Katherine Astill

(on Maternity Leave from August 2018)

 

dr astill - your gp

 

 

 

IMG_20190321_202633

 

 

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Why do we charge a gap?

So many elections! Trump 2016, Morrison 2019, Johnson 2019…

If you suffer from premature election, you may feel the need for better healthcare. Primary care consistently delivers better bang for your buck – whether via the tax system or from your own pocket. Sometimes there is a gap – read on and watch the video.

Bulk Billing.

Medicare.

It’s important to us at PartridgeGP that our valued patients know why we charge a gap fee.

The video by the excellent Dr Edwin Kruys that sums it up has…disappeared! Dr Aaron Frost steps up instead…

Screenshot_20200218-115730

If you still have questions, come and say hi!

Our team – here for You!

FOR PATIENTS – BOOK IN HERE TO SEE YOUR GP AT PARTRIDGEGP

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