Our Services

2018 Flu Clinics - Vaccinate against the flu before the flu gets you!

Our 2018 flu clinics will commence Tuesday 24^th April.

 

We have set up fast convenient Flu Clinics to make it easier for you and your family to receive your flu shot this flu season.  These clinics are suitable for:

• children aged 5 years +
• patients who are eligible to receive the free Government vaccine and
• those patients who are electing to purchase a vaccine.

Please call Myall Medical Practice on 074662 2433 to make an appointment convenient for you.

 

 Who can have the flu shot?

Children can begin to be immunised against the flu from six months of age. Children aged eight years and under require two doses, at least four weeks apart in the first year they receive the vaccine. One dose of influenza vaccine is required for subsequent years and for children aged nine years and over.

The flu vaccine is recommended for everyone from six months of age, and is available free under the National Immunisation Program for people who face a high risk from influenza and its complications.

These are:

• Children aged 6 months to 4 years (not yet had their 5^th birthday)
• Individuals aged 65 years and over
• Pregnant women
• Aboriginal and Torres Strait Islander people who are aged 15 years and over
• Individuals aged six months and over with medical conditions predisposing them to severe influenza.                

Are you eligible for a Government Funded Vaccine?

Government stocks for those patients eligible for the free vaccine have now arrived.  Please ask your GP about this at your next visit or book into one of our scheduled clinics.  

Are you needing to purchase a vaccine?

Vaccines are available for purchase from the Practice at the time of your appointment for $20.00 inc GST. 

 

Booking your appointment

For all children 6 months to 4 years: please book an appointment with one of our GP’s who will be able to discuss and administer the free vaccine.

For all other patients 5 years+:  You have the opportunity to book into one of our convenient flu clinics as per the above schedule or book an appointment with your GP to receive your flu shot.

All appointments in the scheduled flu clinics will be bulk-billed.

 

Please contact our team on 07 4662 2433 for more information and to book your appointment.

 

Be safe this flu season!

 

Script Clinics

If you require repeat scripts, ongoing referrals, Patient Travel Subsidy Forms or medical certificates, we invite you to make an appointment in our daily Script Clinic. This clinic is offered from 9am to 9.20am Mon-Fri, 3pm to 3.20pm Monday to Friday and 10am to 10.20am on Saturdays

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Urgent Clinic

If you have a sudden onset of a new problem/condition, excluding depression and mental health conditions, you may be eligible to obtain an appointment in our daily Urgent Clinic. Our reception staff will ask a number of questions to identify whether this clinic is suitable for your condition.  The Urgent clinics run from 9.30am to 10:30am Mon-Fri.

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Dressing Clinic

If you require a new dressing, a dressing review or removal of sutures etc, our Practice offers a Dressing Clinic from 8am to 10.30am on Mon, Tues, Thur and Fri and from 8.30am to 10.30am on Wed. A Practice Dressing fee applies to all dressings that are classed as ‘not normal after care’. Please contact reception to make an appointment and to discuss relevant fees.

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After Hours Service

The doctors of Myall Medical Practice provide 24 hour health care to registered patients of the Practice on a rostered system.  If you require medical attention by a GP of Myall Medical Practice outside of the Practice hours, please phone 07 4662 2433 for a recorded message which will outline the details of our after hours service or call 0418 717 442 for the Doctor on-call.

The usual out-of pocket expense for an after-hours call-out will be $50.00

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Home Visits

Home visits are available for registered patients whose condition prevents them from attending the Practice.  Please contact the Practice to arrange a Home Visit with your preferred GP.

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Skin Cancer Management including Biopsies and Excisions

Myall Medical Practice provides a comprehensive skin cancer diagnosis and treatment service.

The Principal GP’s have undertaken additional training and are experienced in using Dermoscopy to diagnose Melanoma and Non-Melanoma skin cancer.  The Dermascope is an instrument that provides a magnified view of the skin using a polarising light source.

Our Doctors perform excision (surgical removel) of skin lesions or biopsy (sample excision) where there is uncertainty.  These procedures are performed during booked excision clinic sessions.  The surgical wound is usually sutured by a simple stitching technique however we also perform more complicated wound closures using skin flaps and skin grafting techniques.  All lesions are photographed prior to excising and all excised specimens are sent for histological diagnosis (Pathology).

The GP’s providing the service all participate in a surgical audit process through the Pathology provider.

Full skin checks are recommended for patients with a past history of skin cancer, older patients and anyone with a history of prolonged sun exposure over their lifetime, particularly fair-skinned patients.

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Minor Procedures

Our professional healthcare team are experienced in conducting a number of minor procedures and are carried out in an environment where quality and infection control are of utmost importance.

The following is a list of some minor procedures carried out in our Practice:

Diathermy; treatment of fractures; intravenous injections; bleeds, removal of foreign bodies; nail ablation; immunisations; sutures and removal of; cryotherapy; insertion and removal of implanon and Mirena devices.

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Chronic Disease Management

What is Chronic Disease Management?

If you have a chronic medical condition, your Doctor may suggest a GP Management Plan.  If you require treatment from two or more health profressionals (allied health), your Doctor may also put a Team Care Arrangement in place for you.

What is a GP Management Plan?

A GP Management Plan is a plan of action agreed between you and your GP.  It identifies your health care needs, sets out the services to be provided by your GP and lists the actions that you need to take.

What is a Team Care Arrangement?

A Team Care Arrangement plan lets your Doctor work with, and refer you to, at least two other health professionals who will provide treatment or services to you.

You may be eligible for Medicare Benefits for specific allied health services if your Doctor prepares both types of plans for you.

Eligibility for a Chronic Disease Management Plan:

Anyone with a chronic or terminal medical condition can have a GP Management Plan in place.  Please speak to your Doctor at your next visit.

Chronic Disease Management Service at Myall Medical Practice:

At Myall Medical Practice, we are committed to improving the overall health of our community.  Preventing disability and disease is an integral part of our purpose.

Myall Medical Practice is a major provider of Chronic Disease Management health care services.  This service is delivered by our highly skilled and experienced Registered Nurses on behalf of our General Practitioners and currently supports a high number of registered patients who suffer from chronic diseases such as, but not limited to, diabetes, coronary heart disease, arthritis, obesity and asthma.

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Aged Care/Nursing Home Care

We believe that a society can be judged on how it treats the elderly.  Our practice has a special focus on providing excellent care for the aged.

The doctors of Myall Medical Practice provide comprehensive medical care to the residents of Dalby's aged care facilities, Ningana and Karingal Nursing Home. Every resident has a GP of their choice, and we provide a daily visiting medical service to both aged care facilities.

One of our doctors is a member of the Committees of the aged care facilities and this assists us to be broad advocates for the needs of our patients in care.

Our use of telehealth brings the benefit of specialist advice and support into the aged care facilities to ensure the highest standard of medical care for the residents.

Our practice provides after hours medical care for the aged care facilities to attend to resident needs during week nights and weekends.
 

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Pregnancy and Birthing Services

The Dalby Experience for Private Patients:

Dr Kevin Lynch and Dr Ross Maxwell are GP Obstetricians who have been providing a comprehensive Obstetric service to the Dalby community for the last 25 years.

Our mission is to continue this service into the future, as we believe the Dalby Health Service has an excellent antenatal and midwifery service and we are very proud to be able to provide a private obstetric service within this high quality team environment.

From early pregnancy, to meeting your baby:

A normal pregnancy goes for 40 weeks from your last normal menstrual period. Some people use 9 months, but as this is confusing, we prefer to calculate your gestational age in weeks. Please remember to start folic acid before conception up until 12 weeks.  Supplemental vitamins for pregnancy (Elevit or Blackmores), are often used by expectant mothers.

Once your pregnancy is confirmed, we recommend a discussion with your doctor about the need for a dating ultrasound scan and to consider your desire for antenatal screening for chromosomal abnormalities in the baby (especially Down’s Syndrome). A dating scan can be performed from 8-12 weeks (performed in Dalby) and Nuchal fold screening at 12-13 weeks (performed in Toowoomba.)

Routine antenatal pathology tests are performed in the first trimester.

Influenza immunization is recommended for all pregnant women and is provided free.  Please remind your doctor if this is not offered.

A morphology scan is recommended at 20 weeks to perform a detailed ultrasound examination of you baby’s anatomy and organ development.

At 24 weeks we refer you to a midwife clinic at the Dalby Health Service.  The term midwife means: “With Woman”.  This provides you with an opportunity to discuss any aspects of your pregnancy or delivery plans, arrange antenatal education, as well as have your records updated at the maternity department.

Monthly visits are recommended until you are 28 weeks.

At 28 weeks we perform a glucose tolerance test, to detect gestational diabetes. We also check for Rhesus antibodies.  If you are a Rhesus Negative mum we recommend receiving an Anti D injection at 28 and 34 weeks.

From 28 weeks we recommend fortnightly visits until 36 weeks.

At 36 weeks we perform your final routine blood test and from here until delivery, weekly visits are done.

Calling for help:

If you need advice or something unexpected happens you may call the Dalby Maternity Department (07 46690525) and discuss the matter with the midwife. The midwife may then advise you to call us, or the midwife may phone us, or the midwife may recommend you attend the Maternity Department for assessment, and the midwife will then contact us.

After Hours Care:

Dr Lynch and Dr Maxwell will generally be available at all times to deliver your baby or attend to you if something happens.  If one of us is not available, generally the other will be available to cover.

There may be times (especially the occasional weekend) when neither of us is available. If this occurs the Obstetric Doctor on duty at the Maternity Department will attend to you.

The doctors currently providing this service are Dr Felicty Constable, Dr Stephen Tucker, Dr Karyn Finselbach,and  Dr Denzil Daniels.

If this arrangement does not suit your needs, we can arrange for you to be cared for at St. Vincent’s Hospital Maternity Unit in Toowoomba under the care of a private obstetrician.

Costs:

We are No Gap doctors, which means your birth is covered completely by your private health fund. We bill your fund directly. There is no out of pocket expense.

Your antenatal visits at the practice will be billed on the day of the visit and there is a medicare rebate. A pregnancy planning visit item is used at your 36 week visit and this is bulk billed to medicare.

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Vasectomy

Dr John Bechtel provides a male sterilisation/vasectomy service.

Vasectomy is a popular choice for couples who have decided their families are complete.

Male sterilisation is more reliable with a lower failure rate than female sterilisation.  The procedure is performed under local anaesthetic usually on a Friday morning at the Dalby General Hospital allowing the patient the weekend to recover.

Booking a Vasectomy procedure requires a prior consultation with Dr Bechtel to discuss the operation in detail, including fees and charges, and to conduct an examination.

Please contact Reception on 07 4662 2433 to book an appointment.

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Telehealth Services

Myall Medical Practice are actively participating in Telehealth Services to assist patients with access to specialist health care, reducing the need for extensive travel and associated costs.  If being referred to a specialist, and you feel you would benefit from this service, please enquire about Telehealth options.  We would be happy to connect with your Specialist if they are also providing Telehealth consultations.

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Q-Fever

What is Q Fever?

Q Fever is an acute illness with fever, chills and muscle pains similar to severe influenza.  The micro-organism responsible for Q Fever is carried by cattle, sheep and goats (particularly feral or wild goats) and is transmitted by contact with animal faeces, urine, blood and pregnancy fluids or by inhaling dust form infected premises.

Those most at risk of contracting the disease are abattoir workers and those closely associated with the meat industry, sheep shearers and farmers or any worker considered to be in a high risk environment.

Immunisation program is as follows:

Two visits are required, one week apart.  At the first Visit (Q F11) a skin test for Q Fever (QFST)  is conducted by injecting a small dose of diluted vaccine under the skin.  Each employee is given a questionnaire on arrival  to complete  regarding  their Q Fever history, allergies and medications.   They will then  be given a Pathology form and  sent to Sullivan and Nicolaides to have bloods  taken and tested for Q Fever antibodies this is to check if you are already immune to Q Fever.

The skin test is read seven days later at the 2^nd Visit (QF12) and blood test results delivered.  Interpretation of these results indicate if the vaccine is given or not.  Dr Lynch will administer the Q Fever injection (QFV1) if required and the patient will be issued with a vaccination record.  One vaccine only is given, you must not be given Q-Vax vaccine more than once, a booster dose of Q-Vax should not be given, a second dose may cause a severe reaction.

Fee Structure:

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