Disintermediation

Welcome back, hopefully you all enjoyed an awesome Monday and snuck in a sneaky floss after Danielle’s guest post yesterday. Today I’d like to talk about a whopper of a word – disintermediation. This word will win most games of Scrabble but that’s not why I’m bringing it up. It’s not disinformation – this will not be a big long post about #fakenews (I’m smiling here, I hope you are too). Let’s come back to disintermediation in a bit.

General Practice always involves teamwork – Your GP knows a fair bit about a lot, but there are always subject matter experts or specialists. We have Physiotherapy with Rod and Movement Theory, Specialist Urology Services with Dr Nick Brook and the team from EastWest Urology, and Podiatry with Rosie from Foot and Sole Podiatry onsite, but we know so many great practitioners offsite as well.

All of this teamwork begins with having a usual GP or General Practice central to your care. We recommend 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. 

Using your regular GP and General Practice regularly and appropriately is a great win for nearly everyone’s general health in Australia. Primary care in Australia is a massive contributor to the general health and well-being of Australians and General Practice and GPs are a massive part of primary care. Primary care is generally the first contact a person has with Australia’s health system. It relates to the treatment of patients who are not admitted to hospital. Primary care can be provided in the home or in community-based settings such as general practices, other private medical practices, community health centres, local government, and non-government service settings, such as Aboriginal Community Controlled Health Services. 

I’ve drawn my line in the sand so let’s dig in a little bit further. Why is your GP and your general practice such a value add to your health? One part of how this magic occurs is through eliminating disintermediation (We got back there eventually). Disintermediation is a reduction in the use of intermediaries between producers and consumers, for example by investing directly in the securities market rather than through a bank, or in a more pertinent example, patients bypassing primary care to directly present to secondary (non GP specialists like cardiologists – heart specialists) or tertiary care (hospital inpatient wards/units). Why is this an issue? After all, we have a fantastic online booking system for appointments at PartridgeGP which works by removing the need for an in hours phone call and conversation. You can sit on the toilet, or a comfier seat, at 8am, 8pm, or any time in between, and make your appointment with your PartridgeGP doctor of choice online. This removes a step you don’t always want to have to go through. It’s great, and allows our lovely front of house team to serve you better.

When the intermediary is not a barrier, but a guide, removing this can be a loss rather than a gain. Rory Sutherland sums it up in the quote below. He’s an advertising professional – I will take more words to make the same point. Having a GP as an intermediary between you and the medical maze/hospital system gives you a companion, a guide, a trusted advisor, and, at the very least, someone to complain to if there is a problem (just remember when you connected to the NBN…)!

I’ve got an anecdote where I was made aware of a patient who entered the hospital system. A smart patient with full private health cover, with more than a little experience in the medical field, who found themselves trying to navigate the medical system unaided. Their GP wasn’t contacted, their personal non-GP specialist wasn’t contacted, and as a result of this they had to undertake some tests at an expense of time, energy, and possible adverse effects to achieve a suboptimal result.

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)

(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.

Guest Post: Holy Bleeding Gums, Batman!

General Practice always involves teamwork – Your GP knows a fair bit about a lot, but there are always subject matter experts or specialists. We have Physiotherapy with Rod and Movement Theory, Specialist Urology Services with Dr Nick Brook and the team from EastWest Urology, and Podiatry with Rosie from Foot and Sole Podiatry onsite, but we know so many great practitioners offsite as well. One of these great experts is Danielle Newbery, BOH at Kensington Dental Care, and she has been kind enough to share her expertise with us in this post. Take it away, Danielle!

As a dental practitioner with over 20 years experience, there’s one thing that has always perplexed me about bleeding gums. Why do people think it’s “normal” and ignore it for so long?! If you woke up one morning and your eyes were bleeding, I can guarantee that you’d be in the emergency department or in your GP’s office before 9am. So why do people accept bleeding gums as “normal”?

Is it because the general public isn’t aware of what bleeding gums (gingivitis) can actually mean? Let’s learn together. As soon as one of my patients sits in my dental chair and starts with “I’ve been getting a bit of bleeding when brushing, but that’s all” (or words to that effect), my mind starts ticking. My mental checklist is:

● Is this patient pregnant or breastfeeding?

○ Dental plaque has been shown to significantly increase the risk of preterm labour and low birth weight babies

● Is the patient at risk of diabetes?

○ Gingivitis is an early warning sign of undiagnosed or poorly controlled diabetes

● Is the patient at risk of heart disease or stroke?

○ Patients who have gum disease are 2 to 3 times more likely to have a heart attack or stroke than someone with a healthy mouth

● Is the patient a smoker or taking prescribed/non prescribed substances?

● Could this patient have a vitamin deficiency?

○ Smoking, medication/substance use and vitamin deficiencies are a precursor to a very nasty (and particularly smelly) disease called Acute Necrotising Gingivitis

● Could there be an oral cancer?

○ A bleeding mouth can be a sign of oral cancers, particularly squamous cell carcinomas

What will your dental professional do once you tell them you have bleeding gums?

What will your dental professional do once you tell them you have bleeding gums? Firstly a thorough oral examination must be carried out. Best practice is a full oral cancer examination at every recall, ideally twice a year. They will check your lips, cheeks, gums, tongue, and palate, as well as all of your facial structures for any changes. If they find any unusual lumps, bumps, swelling or lesions you will probably be referred to an Oral Surgeon for assessment. Oral Cancers are not common, but for every hundred suspicious areas we refer, we will see a handful of them return as malignant lesions.

If your gums are bleeding because of a build up of plaque and bacteria, an Oral Health Therapist or Dental Hygienist can see you for a deep clean and oral hygiene instructions. If further or more extensive treatment is needed, you may be referred to a Periodontist who specialises in all things gum related. Pregnant women with heavily bleeding gums will have them thoroughly cleaned and debrided, placed on a 3 month recall and sometimes referred to a Periodontist, depending on the severity. In rare cases a painful growth, called Pregnancy Epulis, may need surgical intervention.

If you see your GP for your bleeding gums, your next stop should be an appropriate dental professional for investigation. Whilst your GP is a fantastic place for your general health, no one knows your mouth like your dental professional. So if you spit out blood after tooth brushing, if your gums are spontaneously bleeding while eating (or just bleeding full stop), please make an appointment with your Dentist, Oral Health Therapist or Dental Hygienist to make sure your bleeding gums are not a warning sign for something sinister.

After all, you wouldn’t ignore bleeding eyeballs, would you?

PartridgeGP works with you to help you make your best health decisions. , and that includes recommending other practitioners to you who care as much as we do. Thanks Danielle! Read more from Danielle right here.

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)

(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.

Your best Health Insurance is Your GP v2.0

Yesterday we talked about risk. Risk is mitigated by knowledge and experience. I don’t know who said this, but I’m going to take a wild and crazy guess and say it wasn’t from Terry Pratchett’s wonderful Discworld series. This gives us another way to mitigate risk. Insurance.

Risks come at us everyday in our personal and professional lives. We accept that life involves risk. Risk happens.

‘Life is a risky business, no-one gets out alive’

unknown

Health concerns us all, especially now, and we try to improve our health or at least to manage it. Some risks are foreseeable but some are not. These drive our uptake of health insurance. Health insurance is therefore a bit of a ‘grudge purchase’ – we don’t really want to buy it but we don’t want to do without it. Is it worth the money we pay for it? Some high profile voices say no. A past president of the AMA agrees:

A past president of the RACGP concurred:

if you increase the number of GPs by 1 per 10,000 people the death rate goes down 9%

Dr Bastian Seidel; Past President, RACGP

Your health is your wealth, as the saying goes, and you build wealth by spending wisely.

Some tests, treatments and procedures provide little benefit. And in some cases, they may even cause harm.
Use the 5 questions to make sure you end up with the right amount of care — not too much and not too little.

Do I really need this test, treatment or procedure?

Tests may help you and your doctor or other health care provider determine the problem. Treatments, such as medicines, and procedures may help to treat it.

What are the risks?

Will there be side effects to the test or treatment? What are the chances of getting results that aren’t accurate? Could that lead to more testing, additional treatments or another procedure?

Are there simpler, safer options?

Are there alternative options to treatment that could work. Lifestyle changes, such as eating healthier foods or exercising more, can be safe and effective options.

What happens if I don’t do anything?

Ask if your condition might get worse — or better — if you don’t have the test, treatment or procedure right away.

What are the costs?

Costs can be financial, emotional or a cost of your time. Where there is a cost to the community, is the cost reasonable or is there a cheaper alternative?

Your GP can be a great ally in navigating through the health system, a great support for you in times of need, and a great investment in your health. 

“Patients whose care is well managed and coordinated by their usual GP are less likely to cost the health system more in the long run because their GP-coordinated care will keep them out of hospital.

“Supporting general practice to continue managing these patients – who are growing in number each year – is an investment in health care that can help make the health system more sustainable.”

Past AMA President, A/Prof Brian Owler

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.

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)

(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.

Risk

In 1990 I watched Graham Gooch of England make 333 and 123 in a Test Match against India at Lord’s. It was a different time and a different country. Gooch looked decidedly unathletic (although apparently a fitness fanatic) and I certainly don’t remember the Indian pace attack as anything like the current potent crew. As Gooch approached his three hundredth run, the BBC cut to a horse race showing the usual tin ear of public broadcasters. It was compelling but hadn’t quite reached exciting. For those of you not baptised into the religion of Test Cricket, simply put, one fellow throws a small hard leather ball in a special way (bowling) at some wooden poles (the wickets) from a distance of 22 yards (the pitch) while another fellow (the batsman) uses a wooden club (bat) to prevent this. Other fellows stand around to catch or intercept the ball, and also provide commentary on the batsman’s skill, character, and parentage.

I moved to Australia and one of the instant upgrades was supporting the Australian cricket team. Staying up in 1995 to listen to Steve Waugh wearing bouncer after bouncer after bouncer as Australia finally rolled the West Indies in their own backyard was incredibly exciting. Part of that excitement was risk. The players had arm/chest guards, gloves, pads, boxes, helmets, and increasingly large bats but the spectacle and danger of confronting 140-150 kilometre missiles was enthralling.

It had a lot of value for the players involved and for the audiences in the West Indies, Australia, and around the world. The West Indies are a collection of independent island countries who only come together as the West Indies for cricket. Much the same could be said about Australia and it’s Federation of States (especially in light of recent border shenanigans). Australia had been planning this assault for years. The West Indies were coming off a long period of world domination and were raging against the dying of the light as their great players aged.

Fast forwarding again, I went back to England in 2013 to watch the Australian team play England at Lord’s. One of the Australian players to watch was a star of the future – Phillip Hughes. He didn’t have the most auspicious day at Lord’s but certainly looked a player of the future. It was to be his final Test Match. Hughes was a short man, like many of the great batsmen, and so had become accustomed to bowlers aiming at his chest and head. He was an accomplished player of this style of (short pitched) bowling. Sadly, in 2014, Hughes was batting in a State game and despite all of his protective apparel, was hit in the neck by a short pitched ball. He was incredibly unlucky to be hit in the neck in precisely the wrong spot. Wikipedia recounts:

causing a vertebral artery dissection that led to a subarachnoid haemorrhage. The Australian team doctor, Peter Brukner, noted that only 100 such cases had ever been reported, with “only one case reported as a result of a cricket ball”

The risk that made the matches in the West Indies so enthralling and the risk that added value to that spectacle was the same risk that ended with Phil Hughes’ death. Certainly players, spectators, and officials thought long and hard about this risk afterwards. As a result of this we now have something called a stem guard which is a little bit of plastic that protects that very vulnerable area of the neck. Hopefully this particular type of injury will never happen again with these consequences. The amount of short pitched bowling decreased, for a while, but then returned to previous levels (perhaps regressed to the mean). Then, something else happened. 

Today we can see players like Neil Wagner eulogised for bowling into the batsman’s armpit, shoulder, and head. This line of attack into the batsman’s blind spot can hit them, hurt them, or just put them off their game. Wagner recently won a Test Match for his country like this (with two broken toes).

“Neil Wagner was outstanding,” Stead said. “I’m not sure there are too many individuals that could do what he did in that Test match.

Further statistics during the current Australia vs India test series show a clear advantage gained by short pitched bowling. Furthermore, almost uniquely in top level sport, this involves the some of one team doing what they do best against some of the other team doing what they do worst (bowlers bowling at bowlers batting).  Is this too much risk and who makes this decision and on what basis?

This conundrum – the risk of injury and death versus the benefits of economic value resulting from the spectacle – mirrors some situations we face in medicine and life:

Lockdowns vs Targeted Protection

New Vaccines vs New Viruses

Medication vs Lifestyle

I don’t have a universal answer for this, in cricket, life, or in medicine. I firmly believe that we should have these conversations and come to answers that are transparent and workable. From the macro level in Australia and the world to the micro level in the consult room, I think this is the way we should manage risk. We should be mindful of risk in all of our consultations and all of our dealings with patients. If you would like to be part of a team that can afford and prioritise the time taken to consider risk in each and every consultation and dealing then the way forward is clear: make your appointment with us conveniently online right here – or call our friendly reception team on 82953200 or…

here are the steps!

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.

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

Typhoid Mary and COVID Colin

Those who don’t know history are doomed to repeat it.

Typhoid Mary was a cook who moved from one rich employer to another in New York and Long Island, infecting seven households with typhoid between 1900 and 1907 before doctors traced her as the common cause of the infections. The key point is that she was in good health herself throughout. When confronted, she indignantly refused to submit stool samples for analysis, until eventually imprisoned for this refusal.

After three years she was released while promising not to work as a cook. Unhappy with the low wages of a laundress, she changed her name, resumed cooking and resumed causing typhoid. After a 1915 outbreak in a hospital for women in which 25 people fell ill and two died, Mary Mallon/Brown was again arrested and kept in quarantine for the rest of her life, refusing to have her gall bladder removed. When she died in 1938, an autopsy revealed a thriving colony of typhoid bacteria in her gall bladder. For some genetic reason they had not caused any symptoms in her.

Clear!

What is the current understanding of the ability to return to work and risk of reinfection/further complications for clinicians who have recovered from COVID-19?
The department will determine when a confirmed case no longer requires to be isolated in hospital or in their own home, in consultation with the treating clinician. This will be actively considered when all of the following criteria are met:
• The patient has been afebrile for the previous 72 hours, and
• At least ten days have elapsed after the onset of the acute illness, and
• There has been a noted improvement in symptoms, and
• A risk assessment has been conducted by the department and deemed no further criteria are needed.
Apparent re-infection has been reported in a small number of cases. However, most of these reports describe patients having tested positive within 7-14 days after apparent recovery. Immunological studies indicate that patients recovering from COVID-19 mount a strong antibody response. It is likely that positive tests soon after recovery represent persisting excretion of viral RNA, and it should be noted that PCR tests cannot distinguish between “live” virus and noninfective RNA.
For further information, go to the department’s website and see Advice for clinicians / epidemiology!

Stay home | Save lives

Now, if you really really must leave home…

Flu Vaccine

Plastic Pain…and a bit of stimulation!

2018 is here and what have You done? What are You going to do?

 

 

Partridge Street General Practice is moving forward with Our Ethos of Professional, Empowering, Comprehensive care from Great GPs!

 

 

Dr Gareth Boucher

 

 

 

Dr Katherine Astill Partridge Street General Practice new female registrar
Dr Katherine Astill

 

 

Dr Monika Moy
Dr Monika Moy

 

 

Dr Penny Massy-Westropp
Dr Penny Massy-Westropp

 

 

when the drugs don’t work

 

 

We are known for not prescribing lots of narcotics. (Not a lot of benzodiazepines either, but that’s another post!). Why is that?

 

 

 

Have a look here…

 

 

 

.💊💊💊💊💊💊💊💩💊💊💊💊💊💊💊.

 

 

 

Firstly, narcotics work differently for acute and chronic pain. Evidence shows that narcotics are effective for short term relief of acute pain after surgery or in an emergency situation, like a broken leg. As time goes on and the acute injury (the break or the surgical procedure) heals or finishes, the side effects of the narcotics increase. Itching and constipation occur, and tolerance leads to a decrease in pain relief. This is chronic pain where opioids are ineffective. Your body produces its own pain relieving chemicals in response to pain or adversity. When you take narcotics or other painkillers, the body STOPS doing this. If you then stop the tablets, the body has to catch up again. This is painful and uncomfortable – We Can Help With That! (without more narcotics…)

 

 

 

There are better alternative  options. We empower our patients in regard to managing their chronic pain. That’s the Partridge Street General Practice way!

 

 

 

 

Acute pain alerts us to injury or disease by sending a signal to the brain, saying “This is where you are hurt – attend to it”. Chronic pain is the afterlife of this acute pain, when the initial pain has affected the bodily tissues and the neurons in our pain system with false alarms, making us believe the problem is in our body when it is mostly in our brain. 


 

 



This evocative description comes from Dr Norman Doidge‘s book ‘The Brain’s Way of Healing’. He describes a scientific theory of neuroplasticity, whereby the brain’s structure and function can be changed without medication, achieving long lasting positive changes.

 

 

 

A book for the mind and the body.

 

 

 

 

Long Lasting Positive Changes are what we’re about at Partridge Street General Practice!

 

 

Partridge Street General Practice drugs of dependence policy

 

 

We’re Here to Help You.

 

 

 

 

 

You can see any of our Great GPs right here:

 

 

Dr Gareth Boucher

 

 

Dr Penny Massy-Westropp

 

 

Dr Monika Moy

 

 

Dr Katherine Astill

 

 

Dr Nick Mouktaroudis

 

 

Dr Nick Tellis