Conditions treated and services provided at CityMed Medical Centre include:
All of our highly-experienced vocationally registered GPs can treat patients with allergies which can cause a range of clinical conditions such as hay fever, asthma, dermatitis, eczema and some food intolerances.
While some allergies respond well to minimising exposure to the causative agent – such as dust mites – some people with severe allergies may require referral for further diagnosis and treatment.
The doctors at CityMed Medical Centre have an excellent network of specialists who help us manage allergies.
Food intolerances such as fructose malabsorption and lactose intolerance can cause many symptoms and GPs often refer these patients for diagnostic breath tests and can then liaise with dieticians and specialists with expertise in this area.
We can diagnose and manage patients with coeliac disease – again in conjunction with specialist gastroenterologists and dieticians.
Antenatal & Shared Care
Antenatal & Shared Care enables women to be seen regularly by their doctor of choice – who is familiar with their medical history – and reduces the number of hospital visits required (and the associated waiting times at hospital Outpatient Clinics).
A shared antenatal record is completed by the GP and the hospital and it is important to bring this with you on each visit. Please inform our Reception Staff that a shared antenatal consultation is required when booking your appointment.
Our experienced Practice Nurses will also see antenatal patients prior to your doctor appointment.
Please note: Certain medical conditions such as diabetes may mean that women are not suitable for shared antenatal care.
It is important to book a 6-week post-natal review once you’ve had your baby which is usually a 30-minute appointment for the mother and a 15-minute appointment for the baby.
Please make sure to bring the baby’s Health and Development Book (Green book) along to every appointment so that data such as height, weight and vaccinations can be added to our records.
Pre-Pregnancy and Early Pregnancy Care
At this consultation, pathology is taken for antenatal screens, all immunisations are updated, your family history taken for genetic counselling and advice is given on pregnancy vitamins and lifestyle changes requires. Therefore, we recommend making a double appointment for pre-pregnancy advice.
A double appointment is also important when confirming your pregnancy. At this consultation referrals are given for first trimester maternal serum screening as well as hospital and specialist referrals. We have an excellent referral base for Radiology Services who are expert in antenatal diagnostic screening.
We recommend that appointments are made monthly until week 30, and then every two weeks from weeks 30 to 36 – and weekly thereafter. Hospital visits usually occur for an initial assessment and then at weeks 28, 36 and 41.
The initial GP appointment is 30 minutes in duration and then 15-30 minutes thereafter – with the Practice Nurse seeing you before the doctor.
GP Management Plan & Team Care Arrangement Plans
All our GPs can provide GP Management Plans and Team Care Arrangements for patients with chronic medical conditions. These form a framework for agreeing on management goals with individual patients and identifying actions to be taken by patients. These goals are then reviewed with the patient every 3 to 6 months.
When a GP Management Plan and Team Care Arrangement is in place, patients with chronic conditions can then be referred to Allied Health Providers for ongoing care.
These Enhanced Primary Care (EPC) referrals entitle patients to five Medicare subsidised sessions per calendar year. They facilitate communication between GPs, specialists and Allied Health professionals, which in turn, enhances the level patient care provided.
It is widely recognised that obesity is reaching epidemic proportions in Australia in all age groups.
At CityMed Medical Centre we believe it is very important to offer nutritional advice by discussing the need for a healthy diet and by promoting regular exercise to help our patients avoid being part of the obesity epidemic.
One way to do this is to regularly check weight and waist measurements to calculate the patient’s BMI (or body mass index). Ideally, this should be between 20 to 25. A BMI between 25 to 30 falls into the overweight range and a reading over 30 is in the significantly overweight range.
A simpler test is to monitor your waist measurement – the ideal measurement being less than 80cm for women and less than 95cm for men. It has been found that health risks such as diabetes increase significantly if your waist measurement is above 88cm for women and above 100cm for men.
Diabetes is also increasing in our community and to help counter this we can provide information on low fat foods with a low glycaemic index.
We also recommend reducing salt levels – and weight loss – to help reduce high blood pressure.
Lately we have also seen that Vitamin D deficiency is also an increasing issue in our community. While it is to be applauded that people are heeding warnings to protect their skin from the sun to avoid skin cancer – this has the flow on effect of decreasing Vitamin D levels.
Many of our patients often spend their working hours in offices without windows and then exercise indoors in places like gyms, so Vitamin D levels are often low. In these instances, a course of vitamins may be recommended or a referral to a nutritionist.
When required, we also refer to dieticians and exercise physiologists to help on some cases. There may be Medicare rebates for eligible patients, such as diabetic patients, for these services.
Quit Smoking Advice
Lung cancer is the 5th most common cancer in Australia and causes 1 in 5 cancer deaths – totalling over 7000 deaths per year. Smoking also causes Chronic Obstructive Pulmonary Disease, which is the sixth biggest killer in Australia and the third leading burden of disease, affecting over 2 million Australians or 1 in 5 aged over 40.
At CityMed Medical Centre, we recognise that smoking cessation can be extremely difficult and so we can offer a number of treatments to help you achieve this.
Remember: It is never too late to stop smoking. If a patient stops smoking at 45 the accelerated loss of lung function also stops and, although the lung damage is irreversible, any further deterioration becomes the same as a non-smoker.
At CityMed Medical Centre, we provide a range of podiatry services including:
- Ingrown Toe Nail surgery which includes the application of agents such as phenol
- Wedge resection of toe nail
- Total nail removal following fungal infection
- Non-surgical fungal toe nail treatment
- Corn or callus treatment (for feet) by cryotherapy or surgical removal