Page 1

5 AveNews th


| WINTER 2020

Lessons learned There are some actions we took during lockdown where we have taken on-board lessons we will be retaining as good practice.

Thank you From the Fifth Avenue Practice team we want to say thank you. COVID-19 has been a turbulent time for everyone, and we want to acknowledge your patience.

One of these is a respiratory cabin in the carpark. This will be used for

appointment on the same day. We, and many patients, also learned

consultations when patients present

during lockdown that a consultation

with flu-like symptoms or coughs and

can be provided over the phone. If this

colds. The doctor will be wearing a mask

is more suitable for you and you do not

and gown, which is best practice, so

believe you need an examination, please

please don’t be alarmed by this.

request a phone consultation when you

Phone triaging will also continue – something we were already doing before

call for an appointment. We are also continuing with

COVID-19 as part of our Health Care Home

e-prescriptions. This means that from

journey and to make our services more

now on your prescription will only be

accessible and user-friendly. Phone triaging

available via email – to be sent to you or

Every week there were new

is particularly important with acute illness

to your pharmacy of choice. Printed pick-

guidelines and rules to follow

because we need to determine whether

up options or fax are no longer available.

and implement, such was the

you need to come into the practice for an

unprecedented nature of what we were all facing. The team at Fifth was nimble in its response to the advice being received from the Primary Health Organisation and the Ministry of Health. A number of our staff, doctors, nurses and administrators were also involved in the regional response to COVID-19 with the establishment of community-based assessment centres across the Bay of Plenty. We appreciate it was a stressful time and that anxiety remains for many as a result of the lockdown. We are pleased to now be able to see you face-to-face and to resume examinations where they are required.

During lockdown many learned that a consultation can be provided over the phone.

We understand ... We understand that there is, and will continue to be ongoing stress and anxiety as a result of COVID-19. Whether that be pent-up emotions, or economic challenges, we are here to help you. We have established a system to help those struggling to afford their consultations. So please don’t wait until your health is suffering – talk to us about financial support and options to fund your visit with us.

Manage My Health

Register NOW! We again urge you to register for ManageMyHealth: www.managemyhealth.co.nz You can book your own appointments through this online facility, as well as order your medicines, see your results and interact with your healthcare teams. You can now book fully-funded Care Plus

The journey to improved services

appointments through Manage

As you will have read in previous newsletters, a major part of our Health Care Home

you might qualify for Care Plus

journey is focussed on how we make your appointments more effective and efficient

appointments, please let us know).

for you. A large part of this is having the information we need to prevent call-backs or

The new self-check-in kiosk

missing important parts of your health picture. We are going to start having more in-depth conversations with you when you

My Health for the management of chronic disease. (If you think

is also up and running in the waiting area, so you can answer

phone to book an appointment. We will ask whether you are due any blood tests,

key questions about your weight

screening, immunisations or injections. We will then book these for you at the same

and height and submit your

time, and if you are due blood tests we can send those forms out for you to get those

blood pressure before seeing

done before your appointment.

your doctor to save time. During

We are also going to do more to invite you for a pre-appointment consultation

normal operation, we want to

with a Health Care Home Assistant before you see your doctor. This will include

emphasise the kiosks are not

taking your blood pressure, weight and height, talking about your family history and

designed to replace receptionists;

screening updates. This is a free service that will allow us to get extra information

they are simply there to reduce

from you to leave your time with your doctor free to focus on what matters to you.

queues and waiting times for all. These measures also leave your consult time with your doctor free

Bye bye baby

to talk about what matters most

Farewell for now to Dr Kat

at making your interactions with

McGrath who is about to have her baby. We wish her and her family all the very best as they await their new arrival. Dr McGrath will return to Fifth Avenue Family Practice in 9-12 months. 5TH AVE NE WS | WINTER 2020

to you. Manage My Health is aimed us more efficient, enjoyable and effective. It’s a system geared towards preventative and proactive management of your health and wellbeing.

Register Now


Long-Acting Reversible Contraception – more good news! In our previous newsletters we advised the Mirena® contraceptive device itself

Cosmetic medicine now available at Fifth Ave

was fully-funded, except for a $5 insertion fee and a double consultation fee of $150. However, since then it has been announced that this entire process and

Fifth Ave GP Dr Kiran Singh is now

its cost is now fully covered for people

offering cosmetic medicine at our 5th Ave

holding a Community Services Card.

on 10th site, Suite 2, Promed House, every other Saturday morning from 9am-12pm.

This offer is also available with Jadelle, a contraceptive implant that is inserted by your doctor just beneath the skin on the inside of your upper arm and is effective for up to five years. Jadelle prevents pregnancy through a combination of

Treatments available are all non-surgical and include the

mechanisms, the most important of these being inhibition

application of botulinum toxins, dermal fillers, chemical peels

of the egg release by stopping it maturing, and changing the

and microneedling.

cervical mucus consistency, making it more difficult for sperm

Botulinum toxin is one of the most popular forms of cosmetic medicine and is used to smooth frown lines and crows feet whilst dermal filler can be used to enhance the contours of the face and return fullness to lips. While he won’t be giving up his GP role any time soon, Kiran says he has always had “an aesthetic eye” and felt cosmetic medicine was a natural progression. “I’m always quite particular about detail – in other areas

to reach the egg. Other mechanisms may also be involved. When Jadelle implants are removed, your fertility will resume. Mirena® is a hormone-releasing Intra Uterine Device (IUD) that is more than 99% effective at preventing pregnancy, also for up to five years. The Mirena® carries 52mg levonorgestrel, a hormone used in many contraceptive pills. It is an option to consider for the following:

of my life I appreciate good design – so this is one of things I

• A long-term reversible method of contraception

consider my forte. I really do enjoy it.”

• For the treatment of excessive menstrual bleeding

He is currently completing a Diploma of Cosmetic Medicine with the New Zealand Society of Cosmetic Medicine. “This is a doctor-led service and there are very vigourous

(menorrhagia) • For protection from endometrial hyperplasia (excessive growth of the lining of the womb) during hormone

standards we have to adhere to. We have a network of

replacement therapy.

cosmetic doctors around the country that are a just a phone

Placed inside the womb, the Mirena® slowly releases the

call away for advice and assistance.” To make an appointment for cosmetic treatment with Kiran phone reception on 07 578 7087.

hormone (at an initial rate of 20 micrograms per 24 hours) over a period of five years or until it is fully removed. *Source: Medsafe.govt.nz

If you want to talk about Mirena® or other birth control options, please book in to see Dr Diana Ford for a consultation. 5TH AVE NE WS | WINTER 2020

Gout management Nurse Anna Bourne is inviting those who suffer with gout to get in touch about their suitability to join her new gout management programme. Too often gout is dubbed ‘the king’s disease’,


Winter skin treatment

something that occurs because of eating rich foods and

While it’s still winter, think about Efudex

drinking too much red wine. Usually it come about as a

– a cream used to kill off early skin

result of genetics.

cancers and pre-skin cancers.

Gout is a very painful, acute inflammatory condition – when you’ve got it, you won’t be able to ignore it. But once it’s gone people often think they can just

This chemotherapy cream can only be used in winter, so if you

carry on. The reality is that gout destroys joints and

have skin damage, talk to your doctor about it.

increases your risk of heart disease. The excess uric acid

It is used for basal cell cancer of the skin and actinic

in gout sufferers is destructive to kidneys, blood vessels

keratoses (a pre-cancerous skin condition). It is given as a

and joints. It is a condition that needs to be managed

topical cream or solution where a thin coating is applied to the


affected skin lesions. Treatment may continue over several

“If you’ve ever suffered with gout I encourage you


to get in touch. Our gout management programme will

One of the cream’s side effects is skin sensitivity to light,

help you get on top of managing it so that painful bouts

so this treatment can only be prescribed during winter. If you

become a thing of the past,” says Anna.

would like to find out more, get in touch.

Fee increases We want to let you know you will be seeing an increase in fees. These fees are set each year centrally by the Government. Our prices will therefore reflect the national pricing. We do acknowledge the impact of this rise on some people, so please get in touch about payment options if cost is a barrier to seeing your doctor.

Free third trimester appointments now available A fully-funded third trimester appointment for pregnant

Please call reception on 07 578 7087 to make an appointment for a phone consultation with a GP. A time will be made for the GP to ring you back.

women is now available. It is intended to give you an opportunity to talk about anything that concerns you. Your doctor will also talk to you about what to expect post-partum, your immunisations and those that your baby will need, care for you and your baby, and pelvic floor protection. If you are pregnant and want to take this opportunity to see a doctor, book in now. 5TH AVE NE WS | WINTER 2020

Find us online www.fifthavenue.co.nz

Profile for 5th Ave News

5th Ave News Winter 2020  

COVID-19 prompted us all to do things a little differently. In this issue, find out what we are doing to make our services more accessible a...

5th Ave News Winter 2020  

COVID-19 prompted us all to do things a little differently. In this issue, find out what we are doing to make our services more accessible a...


Recommendations could not be loaded

Recommendations could not be loaded

Recommendations could not be loaded

Recommendations could not be loaded