Newsletter July 2020

GREEN BAY MEDICAL CENTRE
70 Godley Road Green Bay Phone 8274075
Newsletter July 2020
General Practitioners
Dr John McAllister Dr Cushla Borthwick
Dr William Reyneke Dr Gina Kaye
Dr Deborah Mitchell

Practice Manager: Dianne Gamble
Lead Receptionist: Kylie
Receptionists: Bernice, Karen, Sophia, Donna and Liz
Lead Practice Nurse: Nickie
Practice Nurses: Rosemary, Tracy, Sarah, Sue, Delia and Pilar
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Hours for June 2020
Hours Open Monday - Thursday 8 a.m. to 5.30 p.m. *Fridays 8am - 5pm
Urgent Clinics : No Urgent Clinics until further notice

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CORONA VIRUS - COVID 19
Stay at home, Use the phone. If you have concerns about Corona Virus, please do not present at the clinic, call Health Line for advice on 0800 358 5453

Influenza Vaccines
Please see a Receptionist to book your Flu injection. Children to make a normal nurses appointment
GP Appointments
Please phone to arrange an appointment with your GP, this is likely to be scheduled as a phone or video consultation call during this time. The GP or Nurse can advise you if you are required to come to the Clinic
1737, need to talk?
‘1737, need to talk?’ is New Zealand’s national mental health & addictions helpline number. The 4-digit number is free to text or call anytime (24 hours a day 7 days a week) to talk with a trained counsellor.
What can someone call about?
Anyone feeling stressed, anxious, worried, depressed, needing advice on mental health or addictions issues can call or text 1737.

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AFTER HOURS

In an emergency: please call 111: and ask for the ambulance service.
For non-emergency calls: phone 8274075 at all times.


AFTER HOURS: (When we are closed)
Care for illness or accident is available at Henderson Westcare/White Cross Clinic at 131 Lincoln Rd, Henderson (24 hours) and at Westcare/White Cross Clinic, 2140 Great North Road Avondale. Our phones are switched over to Home Care Medical (HML) each week day at the scheduled close time. There is further information in our Practice Information Leaflet.


ENROLMENTS: Although our books are officially closed to new patients we regularly have room for family members, living at the same address as our current patients and sometimes for Green Bay residents to join the Practice, as patients move out of the area. Please ask at reception about the application process.

Primary Health Organisation (PHO) ENROLMENT
We are required to have a signed form for each patient to confirm enrolment on our Practice Register. We continue to update these forms as the required information is now more detailed. For those patients born overseas, the Ministry of Health requires us to hold documentation proving eligibility for NZ Health Services; generally this involves producing your passport for us to photocopy, which we keep with your Enrolment (or Update) form. Should you fail to produce the required information you can still continue to be cared for, although charges will be at ‘Visitor’ rates [the standard fee is $75].

VISITORS who wish to be seen on a casual basis: We will see relatives or friends staying temporarily with Practice families for urgent medical care, however generally we do not have the capacity to see casual or transferred patients, so we may direct them to their own G.P.or to a Westcare/Whitecross Clinic.

TRAVEL VACCINATIONS:
Dr Deb Mitchell is available to discuss your requirements prior to overseas travel. The cost of the consultation is $60 as it is not funded by the Ministry of Health - this covers the appointment with Dr Deb and the nurse. Please make an appointment and advise the receptionist that it is for travel. If vaccinations are recommended, these are at an additional cost and are preferably given some weeks before your trip so please make an appointment well in advance.

VACCINATIONS FOR OTHER DISEASES
A number of other immunisations are recommended in New Zealand, although not funded in the current programme. These include Chicken pox vaccine (for older children, as it is funded at 15 months), Shingles vaccine for those 50 to 64 years, also Meningitis vaccine for students entering tertiary education (or boarding school). Please discuss with your GP.

SKIN CHECKS: Doctors Gina Kaye and Deb Mitchell are now offering dermoscopic skin cancer checkups: a half hour appointment, examining all skin lesions. This is highly recommended for anyone who lives under the harsh NZ sun! In particular, people with a personal or family history of skin cancer.
The cost is $100.

INFECTIOUS DISEASES: For the protection of staff and other patients, it is essential that patients or parents PHONE for medical advice if they, or their children, may have an infectious disease. If a consultation is recommended, we will provide a separate area to wait to see the GP.
URGENT CARE: (When are open). If you, or your child, require urgent attention, please phone the Medical Centre and ask to speak to a Practice Nurse. She will liaise with your doctor regarding your care.


PATIENTS WITH MOBILITY PARKING PERMITS: The carpark in front (road-side) of our building is shared by the Medical Centre and Green Bay Dentists. A carpark space has been designated for ‘Mobility permit Parking’ in front of the Dental practice entrance. We hope this will make access to the Practice easier for those with mobility issues, while you have a medical or dental appointment.

COMPLAINTS AND PROBLEMS: Please discuss with your doctor if you have any problems with your treatment or experience at the Medical Centre. If your G.P. is unavailable, or you wish to discuss non-medical matters, please contact Dianne, the Practice Manager.

PRESCRIPTIONS and LABORATORY or XRAY RESULTS: See below for ways to contact the Practice Nurse and there is further information in our Practice Information Leaflet

PRESCRIPTIONS: Between regular three or six monthly consultations with your doctor, repeat prescriptions may be requested from the Practice Nurse and will be available in 2 working days When possible please avoid collecting prescriptions on a Friday afternoon, especially if needing recordings with the nurse.

CONTACTING the PRACTICE NURSE
Contact the Practice Nurse by phone on 8274075 or email nurse@gbmc.co.nz. Please ensure that the return email will remain confidential, and include your contact details, in case the Nurse has any queries. If a Practice Nurse is not free to take your call, the receptionist will take a number for you to be phoned back.
PRACTICE CHARGES; Enrolled patients
The enrolled-patient fees are $19.50 (adults) and $13 (14 to 17 years). These fees are for standard 10 minute medical consultations with the GP, additional charges will apply for extended consultations and when extra services are provided. There is no charge for standard consultations for enrolled children 13 years and younger, although fees apply for consumables and special procedures.
After the initial (new patient) consultation, fees for medical consultations are discounted for those enrolled with the Practice.

ACC Part ChargesSadACC provides a partial subsidy)
Under 14 years: free G.P. and Nurse consultations (charges apply for dressings)
For those 14 to 17 years: $20 (plus cost of dressings etc)
Adults 18 years and over: $25 (plus cost of dressings etc)
Patients with CSC [Community Services Card] (Charges apply for dressings)
Teens 14 to 17 with CSC [own or parent’s] - free G.P. and Nurse consultations
Adults 18 and over with CSC - free G.P. and Nurse consultations

There are further details about charges in our Practice Information Leaflet.

We undertake to provide urgent Medical Services regardless of ability to pay.
We encourage you to pay your account at the time of the consultation and additional charges will apply if payment is not received at the time the service is provided: a $5 non-refundable administration fee will be added automatically.

PAYMENTS: Payment can be made by EftPos, cash or Internet banking and we will process credit card payments for amounts over $100.

PRESCRIPTIONS: are free for 13 years and younger (when collected from the Practice), cost $7 for enrolled 14 to 17 years and $15 for enrolled adults.
Same-day prescriptions for regular medication will be printed for one month only.
Posted scripts cost $3 more and faxed scripts (within Auckland) are an extra $6.

INR MONITORING (for enrolled patients on Warfarin). There is a $5 monthly fee towards the practice cost of providing this service.

EMAIL CONSULTATIONS WITH YOUR GP: We appreciate that it is convenient to email your GP for medical advice, however to do our best for you, it does take time to review your notes and decide on the best response so $10 fee applies. Prescriptions can be requested from the nurse (nurse@gbmc.co.nz) for only the cost of a script fee.

‘DNA’ APPOINTMENTS; When patients do not keep their appointments, or cancel at short notice, we charge the usual consultation fee for those without a reasonable explanation for not arriving for an appointment.
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Well Being and other Services

Is it time to address your well-being?
Could the ‘Healthy Weight’ programme, to be ready for summer, be right for you? Dr Cushla Borthwick and Practice Nurse Tracy have flexible options to assist you towards developing a healthy lifestyle.

Email Tracy on hwc@gbmc.co.nz for more information.

AFTER HOURS: (When we are closed)
Care for illness or accident is available at Henderson Westcare/White Cross Clinic at 131 Lincoln Rd, Henderson (24 hours) and at Westcare/White Cross Clinic, 2140 Great North Road Avondale. Our phones are switched over to Home Care Medical (HML) each week day at the scheduled close time. There is further information in our Practice Information Leaflet.

ENROLMENTS: Although our books are officially closed to new patients we regularly have room for family members, living at the same address as our current patients and sometimes for Green Bay residents to join the Practice, as patients move out of the area. Please ask at reception about the application process.

Primary Health Organisation (PHO) ENROLMENT
We are required to have a signed form for each patient to confirm enrolment on our Practice Register. We continue to update these forms as the required information is now more detailed. For those patients born overseas, the Ministry of Health requires us to hold documentation proving eligibility for NZ Health Services; generally this involves producing your passport for us to photocopy, which we keep with your Enrolment (or Update) form. Should you fail to produce the required information you can still continue to be cared for, although charges will be at ‘Visitor’ rates [the standard fee is $75].


VISITORS who wish to be seen on a casual basis: We will see relatives or friends staying temporarily with Practice families for urgent medical care, however generally we do not have the capacity to see casual or transferred patients, so we may direct them to their own G.P.or to a Westcare/Whitecross Clinic.


TRAVEL VACCINATIONS: Dr Deb Mitchell is available to discuss your requirements prior to overseas travel. The cost of the consultation is $60 as it is not funded by the Ministry of Health - this covers the appointment with Dr Deb and the nurse. Please make an appointment and advise the receptionist that it is for travel. If vaccinations are recommended, these are at an additional cost and are preferably given some weeks before your trip so please make an appointment well in advance.

VACCINATIONS FOR OTHER DISEASES: A number of other immunisations are recommended in New Zealand, although not funded in the current programme. These include Chicken pox vaccine for older children, (it is funded at 15 months), Shingles vaccine for those 50 to 64 years, also Meningitis vaccine for students entering tertiary education (or boarding school). Please discuss with your GP.

SKIN CHECKS: Doctors Gina Kaye and Deb Mitchell are now offering dermoscopic skin cancer checkups: a half hour appointment, examining all skin lesions. This is highly recommended for anyone who lives under the harsh NZ sun! In particular, people with a personal or family history of skin cancer. The cost is $100.

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Enrolment news


Green Bay Medical Centre
70 Godley Road Green Bay Auckland Phone 09 8274075 Fax 09 8277024
Dear potential patient
Although Green Bay Medical Centre’s books are currently closed to new patients, we can generally take family of current patients living at the same address, providing that address is in Green Bay or an adjacent suburb. However, Dr McAllister is taking new patients from any local area.
Depending on the number of patients transferring out of the Practice, we can usually accept applications from family of current patients, who live at the same address. Additionally, there are two GPs accepting patients who live in Green Bay. If a specific GP is requested, please record the relevant information on the ‘Exceptional Circumstances’ section of the application form.
Application form. Enrolment form.
Routinely we will notify you within three to four weeks whether or not your application is successful, so you should continue to attend your current doctor in the meantime. If this is not possible (for example, you were living out of Auckland) please advise the receptionist if you require an urgent decision on your application.
For your application to be considered, please complete all sections, and return the attached forms. If you were not born in New Zealand, we are required to sight and copy documents from your passport, to verify that you are entitled to NZ Health Services. If your application is unsuccessful, your Enrolment form and any photocopies will be returned to you, if requested
One of the receptionists will advise you, by phone, if we can offer enrolment at Green Bay Medical Centre. After we have processed the paperwork, and obtained your medical notes from your current Medical Centre, you will be able to make an appointment with your new GP. (Adults will see the Practice Nurse prior to the first doctor's appointment.) Please see our Practice Information leaflet for details of costs for the first appointment.
It can take over a month for the Ministry of Health to confirm enrolment on our Practice Register, and then patients are able to access those PHO programmes only available for funded patients.
Yours sincerely
Gwenyth Tilton
Practice Manager
When returning your completed forms, we ask you to wait while the receptionist checks that the essential information is recorded.
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Morag Hardy QSM

We were all delighted when the news came that Dr Morag Hardy had been awarded the QSM. The process had been started some years ago by Mrs Woods on the left of the group photo. Morag is accompanied by the Governor-General and her husband, and by members of her family. 25 May 2018
GG (1)
Moragqsm (1)
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HWC Newsletter 1


HEALTHY WEIGHT CLINIC NEWSLETTER
THE SUGAR STORY


Back in the prehistoric days, the theory is we lived on grass, raw roots and the occasional mammoth with frequent prolonged periods of fasting- so mainly meat and greens. Then when fruit appeared, this was the only sugar available. We adapted to store the sugar as fat, as survival for the next famine or fast. This is the basis of the 5 + 2 diet which involves intermittent fasting and has been very successful and popular. When sugar first came on the scene, (historians say that it was at least 10,000BC) it was revered as a cure for all and became the cause of wars so precious and rare was it. When it became refined, (a dangerous procedure using slaves, taking lives, and destroying eco systems) it was so expensive, it was really a privilege only of the rich.

Queen Elizabeth I had so much her blackened teeth became a fashion statement in court, and others blackened their teeth to look like her (dentists have never been particularly fond of sugar). With the industrial revolution, sugar became readily available and a staple in diets.

Health suffered, obesity rose, as did its complications of diabetes, high blood pressure and heart attacks. This is highlighted with the improvement in health with rationing of sugar in the war periods. Now sugar is everywhere and our bodies haven't adapted to cope, so fat storing is promoted and the obesogenic environment is born. When in the eighties, we thought fat was a big baddy, low fat diets and carbs were promoted. Whoops! Maybe that was not such a great idea.

Manufacturers stripped fat out of food, but to keep the flavour, sugar was added (corn syrup, fructose, glucose are some of the names used to disguise added sugar). So we all thought we were being healthy. Low-fat soups, muesli bars, sauces, yoghurt, biscuits, breakfast cereals with extra sugar led to more fat storing, so no surprise we all got bigger and bigger, slowly over time. So what to do?

One of the things to focus on is cutting back on sugar. Check out the labels. Look for the carbohydrate content - especially sugar (7gms = approx 1tspn) e.g. most tins of baked beans have about 7 tspns of sugar per can. New labelling is on the way to make it easier to find out what is actually in the food. At the moment, the labels can be miniscule at best. So, ideally, we need to make our own sauces and soups so that we can ensure they are sugar-free or as low in sugar as possible. Freeze portion sizes, to de-frost later.

Here are a couple of recipes which are low in sugar to try:

1st Recipe


Poi lentils broth with smoked fish and broad beans

1 diced onion
4 cloves garlic
2 tablespoons olive oil
300 gms poi lentils (other lentils can be used by may be likely to fall apart a bit more)
1 large diced carrot
2 sliced courgettes
750mls fish stock
250gms smoked fish
1 teaspoon smoked paprika
Thyme
juice of 1 lemon
2 teaspoons chopped fresh lime
1 cup of cooked and shelled broad beans


Saute the onions and garlic in olive oil, then add lentils, saute until well coated, add carrots, courgettes and stock, bring to a simmer, add diced fish, paprika, lemon juice and thyme. Cook until the lentils are tender which takes about 25 minutes. Add the cooked broad beans at the end and fold through. This is a meal in itself, although if you were serving it with bread, make sure it is high fibre. Look out for Freya's low carb bread but it is actually a meal all on its own with lots of vegetables and protein.

2nd recipe

Pasta Sauce

This goes very well with pasta but also goes well with making your own home-made baked beans or may go over your favourite meat dishes.

Basic tomato sauce

4 cloves of garlic
4 tablespoons olive oil
4 anchovy fillets
2 400gm tins of whole peeled tomatoes
half a teaspoon of dried oregano
half a cup of dry white wine
salt and pepper

Saute the garlic and oil, add anchovies, saute and break up into paste, add tomatoes, crush them by hand to give the desired texture, dried oregano and wine. Simmer uncovered for approximately 20-30 minutes, to reduce this to a thick paste. Add salt and pepper to taste.
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