Welcoming Dr Elias Salagaras to PartridgeGP

PartridgeGP is proud to welcome Dr Elias Salagaras to our team!

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!

Dr Elias is here to help you at PartridgeGP as Your GP! He is available to help you with all of your General Practice needs from the start of February 2021 and you can make your appointment with him conveniently online right here – or call our friendly reception team on 0882953200.

All of our doctors here at PartridgeGP are fully qualified ‘Fellows’ (or are studying towards this ‘Registrars’) 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 you can see more about what this involves here. Our Fellows provide supervision and advice to our Registrars.

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.

Where to from here?

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.

I like steak

I like steak. It tastes good, it looks good, and I think it is good for you (like everything, everything in moderation). My preferred steak is grass fed, thickly cut, with a generous fat content, well marbled, and cooked with love, care, and attention. Cattle are meant to graze on pasture, not corn, and not soy. I am listed on Low Carb Down Under and am very happy to give medical advice on medical issues to do with Low Carb, Healthy Fat (LCHF) eating and diet. You can read some of my previous posts on this here, here, and here.

I wrote earlier this week about the theory of maximum taste, where our minds are defined by their upper limits; the best content they are used to consuming regularly. Whether it is the content you read, the food you eat, or the company you keep, better quality improves you and your life. To this end, I like to source good quality steak. This requires time, effort, energy, and investment. I know my local butchers well. They know me. They will often have exactly what I want (sometimes knowing what I want better than I do) and will have it packaged up for me and ready to go in far less time than others would. This is very valuable to me. I liken this to the service we provide at PartridgeGP – high quality, relational, and proactive. We add value.

Now, all this service and value comes at a cost. My local butcher is a little bit more expensive than my local supermarket. They don’t open from dawn until midnight. They don’t open on a Sunday, or even late on a Saturday afternoon. I have to plan ahead; if I don’t organise myself during opening hours, I sometimes find myself steakless. Thankfully, there is a solution to this with my local supermarket being open for the vast majority of the week. They always have steak and I can grab some whenever. It’s cheaper, it’s generally not grass fed, or well marbled, or thick, and usually has supermodel amounts of fat. I am very grateful that my local supermarket exists. They provide a different level of service and value. I shop there far less often than at my local butcher but convenience is a virtue all of it’s own. I liken this to the value proposition from some other medical providers.

Just like with your food, your reading, and the company you keep, pick your medical care mindfully in 2021, and invest that time, effort and energy into your health. You can make your appointment with us conveniently online right here – or call our friendly reception team on 82953200.

Where to from here?

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.

Welcoming Dr Katherine Astill back to PartridgeGP…again!

PartridgeGP is proud to welcome Dr Katherine Astill back to our team!

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.

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

Dr Katherine is here to help you at PartridgeGP as Your GP! She is available to help you with all of your General Practice needs from the start of February 2021 and you can make your appointment with her conveniently online right here – or call our friendly reception team on 0882953200.

All of our doctors here at PartridgeGP are fully qualified ‘Fellows’ (or are studying towards this ‘Registrars’) 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 you can see more about what this involves here. Our Fellows provide supervision and advice to our Registrars.

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.

Where to from here?

Firstly, 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.

(Hat tip: Dr Oliver Frank)

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

Secondly, 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!

Thirdly, 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 as to how PartridgeGP can help you to help others.

Maximum Taste

There’s a theory of maximum taste. It’s January 2021 and perhaps you’re thinking you know where this is going, just another doctor telling you to eat less, eat better, and exercise more. Well, those are all true, and if you’d like to read more, look here, here, and here.

It’s better to show than tell, so I look forward to showing you progress on my own diet and exercise journey in 2021. Watch this space!

Back to that theory. The theory of maximum taste says that each person’s mind is defined by its upper limit – the best that it habitually consumes and is capable of consuming. It follows that we should feed our minds appropriately. David Brooks takes this to mean we should read more, more reflectively, and more challenging material. I’d like to take this further. 

Many of us speak and listen more and faster than we read. We are the average of the five people we spend most time around. Consuming better content, being around better people, having better conversations – these are all things we can do to improve our upper limits. 

So where to from here?

Firstly, 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.

(Hat tip: Dr Oliver Frank)

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

Secondly, 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!

Thirdly, 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 as to how PartridgeGP can help you to help others.

Welcoming Dr Ciara Peddell to PartridgeGP

PartridgeGP is proud to welcome Dr Ciara Peddell to our team!

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 Ciara’s special interests include paediatrics (kids health), preventative health and she is trained in the insertion and removal of the implanon contraceptive device.

Dr Ciara is here to help you at PartridgeGP as Your GP! She is available to help you with all of your General Practice needs from the end of January 2021 and you can make your appointment with her conveniently online right here – or call our friendly reception team on 0882953200.

All of our doctors here at PartridgeGP are fully qualified ‘Fellows’ (or are studying towards this ‘Registrars’) 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 you can see more about what this involves here. Our Fellows provide supervision and advice to our Registrars.

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.

So where to in 2021?

Firstly, 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.

(Hat tip: Dr Oliver Frank)

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

Secondly, 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!

Thirdly, 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 as to how PartridgeGP can help you to help others.

Was 2020 the worst year ever? Perspective.

Well, I said this yesterday. 2020. It’s been a year. Many people are seeking to consign it to the dustbin of history.

For some, it’s been a great year, for others, a horrible year.

Let’s look at history. Has there been a worse year?

Ask medieval historian Michael McCormick what year was the worst to be alive, and he’s got an answer: “536.” Not 1349, when the Black Death wiped out half of Europe. Not 1918, when the flu killed 50 million to 100 million people, mostly young adults. But 536. In Europe, “It was the beginning of one of the worst periods to be alive, if not the worst year,” says McCormick, a historian and archaeologist who chairs the Harvard University Initiative for the Science of the Human Past.

Read on to hear more about the (arguably) worst year in human history…

So where to in 2021?

Firstly, for everyone, I 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.

(Hat tip: Dr Oliver Frank)

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

Secondly, 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!

Thirdly, 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 as to how PartridgeGP can help you to help others.

Last but not least, Happy New Year! A little bit of light reading for your holiday break. 2020 was certainly a window of opportunity for me. I hope you find, see, and seize your windows of opportunity in 2021!

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

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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

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!