CONSULTATIONS BY APPOINTMENT
We are open:
Monday to Thursday 8 am – 6 pm, Friday 8 am – 5:30 pm
Consultations are by appointment except in emergencies.
Our Medical Centre is wheelchair accessible. We have a wheelchair on site for those who need it.
Yes, we do enrol new patients. Both Dr Ong, Dr Hursthouse and Dr Michael Hoogerbrug are currently registering new patients in limited numbers. If you would like to become a new patient at Browns Bay Medical Centre please phone reception. If you can be registered you can download a BBMC Enrolment form May 2017, a New Patient Medical Questionnaire and a Transfer of Records Request. Please also read the Privacy Statement which goes with this. All new patients need to provide a copy of either their passport or birth certificate to show eligibility to be able to enrol within Primary Health Care in NZ.
PLEASE HELP US RUN ON TIME
You can help us keep to our appointment schedule by telling our receptionist if your problem is urgent or will require extra time. Please be sure to tell us if you are coming for a diving, driving, insurance or immigration medical, surgery, IUD insertion, or for multiple problems. Please be realistic about what we can deal with in a single 12-15 minute consultation. If you have multiple problems please consider making a double appointment. Unpredictable circumstances mean that occasionally we may run late and we ask for your understanding if this happens. You are encouraged to identify with one family doctor. However should the doctor of your choice be unavailable the other doctors have access to your records so that continuity of care is assured.
ACCIDENTS AND SPORTING INJURIES
We deal with all sorts of accidents and sports injuries on a daily basis. For urgent acute injuries we can usually see you immediately. We have two treatment rooms where most skin injuries are managed. Referral can be arranged for x-rays, further treatment, or specialist opinion.
NURSING ADVICE AND CONSULTATION
We have a team of experienced, enthusiastic nurses. “Practice Nursing” is a specialised area of nursing requiring a broad knowledge base and experience of common medical disorders. Our practice nurse team is available directly for advice on all sorts of medical matters and for general health advice. Just a few of the areas they cover are “when to see your doctor”, healthy lifestyle, nutrition, immunisation, allergy, diabetes, high blood pressure, smoking cessation, smear tests for eligible patients (please make appointment directly with nurse) and asthma. If you have a question please ring or you can make an appointment to see one of our nurses directly.
Repeat prescriptions may be requested as long as they are safe and comply with our strict repeat prescribing policy. All repeat prescription incur a charge. Please supply full details of medication and quantity required. Ordering your regular scripts through our Patient Portal is an easy and effective way for you to request your regular prescriptions directly from your doctor. Normal scripts require 24 hrs, controlled medications require 48 hrs notice.
A prescription subsidy card is available from your pharmacy when your family reaches 20 items in one year. Subsequent scripts are reduced fee or free at the chemist.
When you are asked to have lab tests or xrays the results of these will come to your doctor. We will notify you if the results require further action. You can request that your results are notified to you as a matter of course or you could sign up with our Patient Portal and see the results yourself online. Please ensure your contact details are up to date.
Yes we do home visits! Common belief is that doctors no longer do house calls. In fact our doctors do visit patients at home. There is an extra charge for this and we restrict it to cases who really need a home visit. For most cases it is better for you to come to us, as we have more equipment on site. If you think you need a house call, please speak to one of our nurses who will discuss the appropriate management. House calls are limited to those living in the East Coast Bays area or as arranged with your doctor.
All our GPs and nurses provide early pregnancy care. We can give you pre pregnancy advice, diagnosis of pregnancy and discuss appropriate management.
Immunisation is the process of boosting your immune system against various diseases. Immunisation is now safer than ever, with new vaccines which cause much less reaction than older vaccines. Our nurses are very experienced in discussing and administering immunisations. We can give your child all his or her childhood immunisations, mostly funded by the government.
Because the program keeps changing you should check that your child is up to date with their program.
For further information on immunisation see the Immunisation Advisory Centre website www.immune.org.nz
Chicken pox is a very infectious disease transmitted by close contact, droplet spread (coughing sneezing ) and by contact with lesions. It can be a mild or more severe illness and there is a risk of secondary bacterial infection of the lesions which are blister-like. Vaccination can be given as early as 9 months of age and consists of 1 or 2 vaccines separated by 6 weeks or more. There is one funded dose at 15 months for children born on/after 1 April 2016. There is one funded dose at 11 years for children who turn 11 years on/after 1 July 2017 AND who have not previously had chicken pox disease or immunisation. Parents may chose to purchase a second dose of varicella vaccine a minimum of 4 weeks after the first dose. One dose gives good protection, two doses gives optimal protection.
The tetanus bacteria may live in soil and areas where animals are, or have been, for many years. Any open wound may harbour tetanus spores therefore ascertaining the individuals tetanus status and vaccinating as appropriate is important with any wound, preferably within days of injury. If it is more than 10 years since last known/recorded tetanus vaccine a booster is recommended. If last tetanus vaccine is unknown a booster is also recommended. If no history of ever having a tetanus vaccine a primary course should be commenced. Babies and children born in NZ are vaccinated against tetanus with their 6week, 3month, 5month, 4-5year and 11year/Year7 Childhood vaccines. Booster tetanus vaccines are recommended at 45years and 65 years age in an effort to increase coverage in the adult population. The current Tetanus vaccine used in NZ also contains a low dose of diphtheria to contain this seldom heard of disease .
Rotavirus is a common disease of younger childhood causing fevers, diarrhoea, vomiting. It is highly contagious. Transmission is by contamination – hands, utensils, surfaces. The virus can survive for up to 4 hours on hands and for weeks on surfaces and in water. Vaccination is via an oral vaccine of three doses. The first dose must be given before 15 weeks of age. There must be at least one month between doses and the 3rd dose must be given before 8 months of age. The vaccine name is Rotateq and it is free for all babies born after 19 March 2014. ( This vaccine will be changing to Rotarix soon and the dosages and timeframe for administration is different to RotaTeq. Your nurse will advise you)
Meningitis vaccine is recommended for all hostel/flatting young adults especially 1st year tertiary students. Currently the vaccine of choice (Menactra) protects against Meningococcal strains A C Y W-135. Menactra is a 1 dose/injection vaccine. There is a charge for this vaccine.
Whooping cough is a very debilitating illness with severe coughing bouts, often associated with vomiting. Currently there is an epidemic/outbreak in NZ. Babies and Children are vaccinated at 6 weeks, 3 months, 5 months, 4-5 years and 11 years. There is no recommendation for routine adult booster vaccination. However presently pregnant women from 28-38 weeks of pregnancy are funded to have the vaccine. Ask your Midwife or GP about this vaccine. It is also highly recommended that adults in close contact with young babies consider a booster vaccine eg parents, grandparents. One whooping cough booster vaccine as an adult is considered adequate for long term protection.
Influenza vaccine is recommended in autumn. It is strongly recommended and free for all people with diabetes and significant chest, heart or immune problems. It is also free for all those over 65. It is available for a charge to all others. You welcome to discuss with your Practice Nurse if you are entitled to a free flu vaccine. The virus strains in the vaccine usually change every year and therefore annual vaccinationis important for ongoing protection. The annual seasonal influenza vaccine will provide protection for up to 12 months. Flu vaccines are made from dead or inactivated virus and as such cannot give you the flu. It takes up to 2 weeks for your flu vaccine to have full protection against the 3 specific strains contained in the vaccine. It does not protect you from the common cold. For more infomation see Fight Flu
TRAVEL ADVICE AND IMMUNISATION
If you are intending to take a trip to anywhere overseas, you need to consider the health risks of such travel and take appropriate steps to reduce these risks. One such risk is infections such as Hepatitis A, Typhoid, Malaria, Hepatitis B, Rabies, Yellow Fever, Tetanus, HIV and STIs. Other risks are diarrhoea, Deep Vein Thrombosis (economy class syndrome) and influenza. For advice on all immunisations and health requirements for overseas travel please arrange we recommend you make an appointment to discuss these issues with your doctor at less 3 months before you are due to travel, bringing your full itinerary with you.
Yellow fever vaccination is only available at a few locations in Auckland.
A good travel advice website is Fit For Travel
PREVENTIVE HEALTH – MEDICALS
Preventive Health is a huge part of our work and some preventive health is often included in every consultation. A full preventive health check starts with a full assessment of your health risks including family and past history, occupation, examination and investigations where necessary. Early detection of illness or risk factors can enable you to live a longer and healthier life. We invite people for a general medical at 40, 50 and 60. Some people choose to have these every second year.
We offer a “General Medical” which consists of a questionnaire, 15 min nurse check and 15 min with doctor, blood and urine tests.
Or a full “Well Person Medical” which consists of a more comprehensive questionnaire, 15 min with nurse and 30 min with doctor, blood and urine tests and a report back to you. Please ask which might suit you.
Mr Jones, aged 45, came for a full check up after his wife made him an appointment. His mother has diabetes but he is well himself. He is found to be overweight for his height and has a suspicious skin lesion on his back, which he hasn’t noticed. Bloods tests show he has a slightly raised blood sugar, which if not treated can lead to diabetes. His blood pressure is normal. Mr Jones received dietary and lifestyle advice from one of our nurses, and will have regular blood sugar checks to ensure he stays well. If he forgets we will remind him. His skin cancer was removed and he will watch his sun exposure and have regular skin checks as well.
This is prevention in action for children. Your child should have a full check at birth and 1 week with your midwife or paediatrician.
At 6 weeks your child needs their first GP check.
Plunket normally does your child’s 3 and 5 month checks but you are welcome to have a GP check if you choose.
At 9 months your child is due their GP check as well as the Plunket check.
At 15 months and 2 years Plunket does the child check.
Between 4-5 years our Practice nurse will do your child’s 4 year old immunisations. Plunket now do the B4school check but you are welcome to have a check with your child’s doctor too.
These checks will hopefully uncover conditions such as glue ear which can have a profound effect on your child’s development. Some of these checks will be done by Plunket, or perhaps by your midwife – our concern is that they are done. When making an appointment for this service please advise reception that it is for a well child check so they can make the appropriate appointment. These checks are free.
Adults need to consider having Well Person Checks. There is a limit to what can be done in a standard 15 minute appointment. Our “Well Person Medical” consists of a questionnaire, a 15 min appointment with a nurse and 30 min with your doctor. Naturally this costs more than a normal appointment. Please do not bring a list of problems to this appointment as this is a screening examination. Your results and investigations will be notified to you.
CONTRACEPTION AND SEXUAL HEALTH
Family planning is a large part of our work. We can advise you on all types of contraception from condoms, diaphragms, the pill, the injection and the IUCD.
We DO NOT insert the Jadelle or remove it here. You can have that procedure done through Family Planning.
Drs Sue Hawken and Michael Hoogerbrug are able to fit the standard IUCD or the Mirena device. Please phone one of our nurses first if you would like an IUCD fitted to discuss what is required before the procedure.
We can assist your Sexual Health needs including cervical smears and STI checks. Our nurse Marion is a fully qualified smear taker.
We can also advise you on issues of infertility with initial investigations and appropriate referral.
We have a large number of teen patients. These young people have special needs and we would hope we can attend to these.
One of the issues for young people is that of confidentiality. It is a delicate area for many people. We work to strict rules of release of patient information. It is possible for young people to have their own file, separate from their family. Similarly accounts can be separate.
One aspect of confidentiality many young people do not think of relates to the general nature of our work. People come to the Practice for all sorts of reasons – from ingrown toe nails, warts on fingers, to more sensitive reasons like contraception, unplanned pregnancy etc. No one but you, your doctor and nurse needs to know why you are there. Compare this to attending an STI clinic. We work hard to protect your confidentiality.
All our doctors do some surgical procedures. Examples include excision of moles both cosmetic and suspicious for cancer, ingrown toe nails and cysts. If you have a suspicious lesion or just don’t like a mole or skin tag, please consult your doctor for further advice.
EAR SYRINGING AND EAR SUCTION
Procedures commonly performed include syringing of ears to clear stubborn wax. Drs Richard Hursthouse and Eugeen Ong also do ear suction. If you want ear suction please make a full doctors appointment. You will need to use special drops for at least 3 days beforehand so please ask us first about this.
We have liquid nitrogen available every day for treatment of warts and precancerous skin lesions, using a liquid nitrogen spray gun where necessary.
We have a state of the art ECG machine for heart checks
Our spirometer is used to accurately assess asthma and chronic lung disease.
If you are contemplating a SCUBA diving course, we can perform your PADI dive medical. Make an appointment for a DIVE MEDICAL and bring your PADI dive form.
We perform driving medicals on older people and those with heavy traffic or passenger licences. Make an appointment for a DRIVING MEDICAL and bring your driving licence. You will see the nurse and the doctor for this. Fill in the driving medical form as fully as you can before you see your doctor. A driving medical takes up a full appointment. If you have other medical problems please make an appointment for extra time.
Due to government changes, we can no longer perform immigration medicals. Please contact Sunset Rd Family Doctors, Apollo Medical Centre or Whitecross Glenfield for any immigration medicals
DIABETES ANNUAL FREE CHECKS
If you have diabetes you should be seen regularly by your doctor and nurse to ensure your diabetes control is as good as possible. You should also have a screening examination for risk factors and early signs of diabetes complications. Risk factors include high blood pressure, overweight and high cholesterol levels. Complications include diabetes eye disease, heart disease, kidney disease and nerve and circulation disorders in the legs. Early detection means treatment is available to help prevent worsening of these disorders. Please speak to your practice nurse first to ensure all your tests are done before this appointment and make an appointment for a DIABETES ANNUAL CHECK. The nurse will discuss with you if you are entitled to this Diabetes Annual Check for Free.
REST HOME CARE
Dr Trudy Warin visits Orongo Rest Home.
All our doctors have some rest home residents, who can be visited as needed.