'Your Health and Wellbeing is our Profession'

'Your Health and Wellbeing is our Profession'
Please visit the surgery during normal working hours (8.00am - 6pm) and tell
the receptionist you would like to register. If you have your medical card,
please bring it with you. If you are registering your baby, please bring
the form from the Registrar. You are free to see any doctor you choose. The
receptionist will complete the registration form and make a screening
appointment for you. You can download the appropriate forms and complete
before handing them in.
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If you are only staying in
the area for a short time, up to 3 months, then you can register with the
practice as a temporary patient. We do not need your medical card but you
have to fill out a form. Details of your treatment will be sent back to your
own doctor
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When you are unfit to go to work there are a variety of certificates that are used to claim sick pay. If you are off less than 7 days then you can sign yourself off work by filling in a self-certification form supplied by your employer. You do not need a doctor?s certificate. For longer than 7 days come and see a doctor and we can give you a medical certificate (called a MED3). The reason for you being off work and how long you can stay off are written on the certificate. Hand in the certificate to your work. If you are off longer than 6 months then you will have to be examined by a doctor from the employment service. This is called an all work test and it will be decided if you are fit for any work, not just your normal job.
If you are off work and have a private illness or accident insurance then the insurance company will want forms filled out to tell them about your medical problem. We are happy to fill out these forms but make a charge. Fill in your part of the form and leave it with the receptionist. It will be ready for collection in 5 working days.
In some cases your insurance company or solicitor will write to your
doctor and ask for further medical details about you. We will only do this
if you have given us written permission. Be careful - sometimes you will be
asked to give permission for your complete medical record to be released!
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Post infectious bronchitis is common and adults who are usually fit and
healthy, without underlying disease affecting the lungs, will, on average,
cough for 4 weeks after an upper respiratory tract infection (i.e. something
that starts as a cold with a runny nose before triggering off the cough). By
this stage any fever symptoms should have settled although the cough can be
distressing and tiring, particularly if it keeps you awake at night. There
is no benefit in taking antibiotics for this problem, some people's cough
will settle sooner and for some it will last a bit longer than a month.
Elderly patients, those with lung diseases and those with compromised
immunity due to disease or drugs require different advice and should come
and see us if they are unwell.
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A snotty nose after a common cold infection is not uncommon and will settle without treatment. If you have pain in the eyes, teeth and cheeks then you may have sinusitis and may find decongestant nasal drops or spray effective in relieving symptoms. These are available over the counter without prescription at the pharmacy. Ephedrine drops are the safest. You should not use them for more than 1 week as prolonged use leads to sensitivity causing a rebound congestion of the nose when you stop the drops.
Patients with untreated high blood pressure should not use them as they can
elevate blood pressure further and they are dangerous to use with some
anti-depressants called monoamine-oxidase inhibitors (MAOIs e.g.
tranylcypromine, phenelzine, isocarboxazid and moclobemide, check with the
pharmacist if you are not sure).
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Find out if your baby is growing and developing normally by bringing him to the baby clinic to be weighed and checking in your red book about the stages of development that you should be expecting to see. If he/she is growing normally then this makes it much less likely that there is a serious problem.
Babies are as susceptible to viral infections as other people and this does
not imply a problem with their immune system. If someone in the family
brings home a cold/cough then there is every chance your baby will catch it
too. Coughs and colds are spread by respiratory droplets and are more common
in the winter. Most babies will fight off these infections just like older
children and adults and using paracetamol for pain and temperature control
can be useful. If their nose is bunged up with thick catarrh making feeding
difficult loosening this up with Normal Saline drops can help.
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Crying babies can be very distressing and worrying for parents. If your baby is growing and developing normally then that is reassuring but be aware that unusual crying, particularly if your baby is also unwell in other ways (for example, floppy, drowsy, vomiting, off their feeds, running a high temperature, rash) can be a sign of illness that needs attention.
Infantile colic is common in babies up to the age of three months,
particularly after feeds when it can be difficult to find a position in
which the baby is comfortable. Try carrying him/her with their chest in your
hand, their tummy along your forearm and their legs draped either side of
your elbow. Stroke their back and pat their bottom. Some babies are more
comfortable draped over your shoulder. Count down the days until they are
three months old; colic does not go on for ever but if you feel that you are
tired, low, under pressure and feel stressed come and talk to us.
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These are often caused by common cold viruses. Find out if someone in your
family or one of the baby's child minders (or the children at their house)
has a cold. If your baby is generally well and feeding normally you may wish
to treat with paracetamol for fever and use Normal Saline drops for catarrh
(both available from the pharmacy without prescription). Saline drops (one
in each nostril four times daily) will loosen up any thick catarrh and help
your baby breath more easily, particularly when taking feeds. Because
infants are vulnerable we are always happy to see your baby the same day if
you are worried or feel that something is not right.
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We usually advocate alternating ibuprofen and paracetamol every 3 hours(6
hours for each one) in children, and ibuprofen/aspirin and paracetamol for
adults. Check the doses on the bottle. Paracetamol is the safest providing
the dosage is kept within recommended limits. Aspirin must not be given to
children and ibuprofen, although generally safe, can cause indigestion,
asthma and upset kidney function in susceptible people. Aspirin tends to
have the same side effects as ibuprofen but is more likely to be poorly
tolerated.
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There is good evidence that most children with earache caused by infection
will settle with pain relief treatment only. This does not lead to prolonged
illness or complications and for most children we would recommend using just
paracetamol and/or ibuprofen as above.
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Registered Patients
If you are registered with a dentist please phone your dental practice, day
or night.
Unregistered Patients (Daytime)
If you are not registered with a dentist please phone the Dental Information
and Advice Line (DIAL).
Unregistered patients and visitors to Grampian
(Evenings and Weekends)
If you are not registered with a dentist or are a visitor to the Grampian
area and are in acute pain please phone G Dens for an emergency
appointment.
The Dental Information and Advice Line (DIAL) is available for patients to talk to qualified dental nurses between 9:00am and 4:00pm, Monday to Friday. Please telephone 0845 45 65 990 You can leave a message if you call outwith these times.
The nurses can:
assess your needs,
give you advice for dental problems and
give you information about the waiting lists for practices owned by NHS Grampian.
If you are in acute pain and are not registered with a dentist, they can arrange for an emergency appointment at one of our dental practices in Aberdeen City or Aberdeenshire.
For emergency treatment in the evening and at weekends please call GDENS on 01224 558140
G-Dens is an emergency out-of-hours dental service. If you are in acute pain and not registered with a dentist or are a visitor to the Grampian area, please phone for an emergency appointment.
The phone line opens at 5:40pm Monday to Friday and at 9:00am on Saturday and Sunday.
Clinic Sessions
Monday to Friday 6:15pm to 9:15pm
Saturday and Sunday 9:30am to 12:30pm
Christmas Day and New Year's Day 9:30am to 12:30pm
Normal NHS charges apply. All payment method types are accepted
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If you are sexually active you need to consider pregnancy as a possibility
even if you use contraception as no method is totally failsafe except
sterilisation. If your period is late by a week or more a pregnancy test
will be reliable. They are available to buy from most pharmacies. If you are
pregnant and also have abdominal pain and bleeding you need to consider the
possibility of an ectopic pregnancy or another pregnancy complication. In
this situation you need further advice from your doctor.
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Usually because patients seen before you have required a longer
consultation. Some problems are complex or require a long time to sort out.
We try hard to give each patient as much time in the consultation as they
need and this applies to you as well as everyone else that we see. We budget
for ten minutes per patient which gives usually gives us time to manage one
major or two minor problems. Problems arise when there are two or more major
problems that need to be dealt with today and can't be put off or when
seemingly minor problems turn out to be more serious. It is helpful to us to
spread minor problems over several consultations but we understand that you
would rather deal with all your problems in one visit if possible. If you
have more than one thing to discuss please tell us at the beginning of the
consultation so that we can use the time efficiently. We would love to have
longer appointment slots but cannot do this without more resources.
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If we look terrible, we probably feel terrible too. Doctors are normal
people, become ill and have problems and bad days just like you. Thanks for
noticing though; doctors have feelings as well.
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You can make an appointment by contacting reception.
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Pathology and X-ray results from the hospital usually arrive within a few
days. We usually tell patients to wait one week for non-urgent results. Some
blood tests take several weeks to return because they are uncommon and done
in batches in the hospital or are sent to a specialist centre. If your
doctor is asking for these he/she will probably tell you about the delay.
Cervical smear results are posted direct to you by NHS Grampian but
it can take the laboratory up to 2 months to process cervical smears. The
receptionists will be able to tell you whether results have arrived but will
not be able to give you results over the telephone. If we need to know a
result urgently we ask the hospital to phone it through to us.
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Your doctor will usually dictate your letter either whilst you are in the
consultation with him/her or as you leave. A log of dictated letters is kept
and our secretary will do these as soon as possible in the order they are
dictated, although urgent letters are typed immediately and if appropriate
faxed through to the addressee. If the urgency of the situation changes,
please get in touch with our secretary and she will inform you of the status
of your letter and endeavour to type it off if it is still waiting. Try not
to bother her unnecessarily as this will delay her work and sabotage our
attempts to maintain a very quick turnaround time.
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NHS waiting times are currently very long and our patients receive no
preferential treatment. We will certainly try to bring your appointment
forward if the urgency of your situation has changed but certain urgent
referrals are seen within agreed national guidelines. Bear in mind that if
you go up the waiting list, someone must come down and ultimately it is the
hospital consultants responsibility to determine how to prioritize their
very busy workload. Using our secretaries to badger the hospital also delays
their work so it would be helpful if you could phone the hospital admissions
or appointments clerks yourself in the first instance, or speak to the
consultant's secretary directly. Again be aware that they are very busy
and more than likely will be unable to speed the process.
Try phoning the appointments clerk at the hospital. Each clinic and
specialty will have a
different waiting time and usually the consultant will prioritize patients
to be seen urgently, soon or routinely depending on the information we
provide in our referral.
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Aberdeen Royal Infirmary ARI and all other hospitals can be contacted on
0845 456 6000
or via the web address
www.nhsgrampian.org
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In the UK the most common route into specialist care is through referral from a GP. Since GPs hold a unique overview of patients' health and treatment via personal medical records, they are best placed to assess, in partnership with the patient, whether a specialist referral is necessary and to which secondary care service patients should be referred. GPs are sometimes referred to as "the gatekeepers of the NHS", as the right to a referral is not an absolute one and is based on whole person assessment. Certain hospital services, such as sexual health clinics and accident and emergency treatment, can be accessed directly and do not require GP referral.
If a GP decides that a patient needs referring to a hospital specialist they
will write a letter to that specialist setting out a brief medical history
and the results of any relevant examinations and investigations performed to
date. Once the specialist has seen the patient (s)he writes back to the
GP explaining the diagnosis, and any prescribed treatment and plans for
follow-up. In this way the family doctor is kept informed about what is
happening to the patient.
Similarly, when a patient is discharged from hospital a letter is sent to
the family doctor with a brief outline of the reason for admission, result
of investigation, treatment prescribed and plans for follow-up (including
advice for the family doctor as to what is required of him/her). The GP is
therefore the focal point around whom all NHS care is coordinated.
The Royal College of Radiologists has set up an excellent online Virtual Hospital Department intended to address some of the fears that are associated with a visit to hospital for x-rays or other scans, and for cancer treatment.