If medical attention is required after hours, you can call our local provider House Call Doctor on 13 55 66 or book an appointment through the website.
Sullivan and Nicolaides is located within the medical centre.
Mon - Fri
08:00am - 1:00pm
General Practitioner services under the Medicare Benefits Schedule (MBS) enable GP's to plan and coordinate the health care of patients with chronic or terminal medical conditions, including patients with these conditions who require multidisciplinary, team-based care from a GP and at least two other health or care providers.
A chronic medical condition is one that has been (or is likely to be) present for six months or longer. For example: asthma, cancer, cardiovascular disease, diabetes, musculoskeletal conditions and stroke.
Having a regular cervical screen test is the best way of preventing cervical cancer. Women should be booking in for a cervical screening every 5 years. Research has shown the majority of women who develop cervical cancer have not had a regular cervical screening.
Even if it is less than 5 years since their last cervical screening, some women may be advised by their cervical screening provider that they need another cervical screening.
This includes women:
- warning Who show symptoms such as bleeding after sex, bleeding between periods or after menopause
- warning With certain medical conditions or who are taking certain medications (see your doctor for more details)
- warning Who have had an abnormal cervical screening and are having follow-up care.
Pre-employment medical assessments are a risk management tool used by employers to screen workers for risk factors that may effect their ability perform the task required of them safely and effectively.
We offer both Instant and Laboratory screening services. An instant drug and alcohol screen gives immediate results and lasts up to 7 days; a laboratory drug and alcohol screen results can take up to 48 hours to come back, but lasts up to 30 days.
Instant and Laboratory drug and alcohol screening ensure the Australian Standards AS/NZS 4308:2008 are used. If a screening fails a Gas Chromatography-Mass Spectrometry (GCMS) confirmatory testing by a certified laboratory of non-negative instant results is undertaken.
For instant drug screening, we use a multi drug 6 Panel urine drug testing kit which tests for illicit drugs including:
The practice has a variety of adult vaccines available on site. Such as Hepatitis A and B vaccines, diphtheria and tetanus vaccines and the flu vaccination which can be purchased without a prescription. If the vaccine is unavailable the GP will provide you with a script to purchase the vaccine you need elsewhere.
Our doctors care for all ages of children from birth onwards. We provide 6 week post natal checks for mothers and babies and encourage you to bring in your baby's Red book (Health & Development Book) to keep us updated on growth patterns and to record immunisations.
We work with a number of dedicated Paediatricians who we refer to for complex or chronic conditions.
We provide full health checks and childhood vaccinations.
4 year old health check
The 4 year old health check is a time for a general check and is associated with the 4 year old vaccinations.
As children enter their mid to late teens they may wish to consult a GP independently and it is important to discuss this with them and advise them they can get their own Medicare card.
We provide all childhood vaccinations that are free to holders of Medicare cards.
The Practice Nurses at Kings Road Medical Centre are immunisation accredited providers and continually attend update courses on the changing paediatric vaccination schedule.
Currently babies are immunised against Hepatitis B at the hospital on the day of their birth. They then have vaccinations at 6 weeks, 4 months and 6 months and then at 12 months, 18 months and 4 years of age.
Adolescents receive vaccinations primarily via their schools but catch up vaccinations can occur at the surgery.
The life expectancy of Australian men is 81 compared with 85 for Australian women.
The four most common causes of death and illness in men are:
Our GPs recognise prevention is vital to improve men's health outcomes. As men tend to attend doctors less frequently than women, our GPs try and work opportunistically and then encourage men to return for regular checkups.
- Heart Disease
- Cancer including lung, skin, prostate and bowel cancers
- Accidents such as car and bike accidents
- Lung disease such as emphysema
The risk of heart disease can be significantly lowered by not smoking or ceasing smoking, eating a healthy diet, maintaining and healthy weight with a BMI between 20-25 and a waist under 95cm and exercising regularly. Chronic health conditions such as high cholesterol, high blood pressure and diabetes need to be managed, working to achieve targets which lower risk. The 45-49 year old health check can be used as a basis for an extensive health check and is covered by Medicare.
Our GPs recommend tests for checking for blood in the stools each 2 years over 50 and colonoscopy in those with a family history of bowel cancer. They advise men between 19 and 32 to regularly examine their testes to check for testicular cancer. They discuss the option of screening for prostate cancer with a PSA and digital rectal examination from 50 and 40 in those with a family history. Benign prostatic hyperplasia is a common condition affecting 1 in 7 men between 40-49 and increasing to 1 in 4 over 70. A yearly check of the prostate can help detect this and it is important to discuss with your GP any changing urinary symptoms such as frequency, slow stream, dribbling or nocturia.
Erectile dysfunction is another common condition in men affecting 1 in 5 men over 40 and 2 in 3 men over 70. It also can be a warning sign of medical illnesses such as heart disease or diabetes or depression. It is important to raise this issue with your GP and Collins Street Medical Centre's GPs can investigate and treat this problem.
Depression affects 1 in 6 Australian men. Young men commit suicide four times more than young women and men over 65 also have a very high suicide rate.
Depression can be associated with medical illnesses such as diabetes, cardiovascular disease or chronic pain or death of a partner and isolation. Men often do not seek treatment for mental illness and can increase the use of alcohol or non prescribed drugs. Our GPs encourage men to discuss these issues and then provide the appropriate intervention and support which can include counselling, cognitive behavioural therapy, referral to a Psychiatrist or Psychologist or medications.
Your GP can also complete any paperwork you need for insurance purposes. A complete health assessment is conducted and using the document that you provide the GP can complete your assessment.
For your convenience minor surgery and procedures are performed at Kings Road Medical Centre:
For wound care, our skilled Practice Nurses have attended courses in wound care and dress wounds and ulcers. For larger procedures, the GP will be providing this service.
- Wart Removal
- Excision and Biopsy of Moles
Mon - Friday: 8:00am - 5:00pm
Saturday: 9:30m - 2:00pm
All our GPs have high quality dermatoscopes to closely examine skin lesions. They perform regular skin cancer checks and monitor any new or changing lesions. If suspicious lesions are detected they will either be removed in the Surgery or patients may be referred to specialists for excision.
All our GPs provide general dermatology care including management of eczema, dermatitis, rosacea and psoriasis. They have an excellent specialist referral base for both children and adults with difficult to manage chronic skin diseases.
Our doctors provide extensive medical advice for travelling overseas.
It is best to book an appointment at least one month prior to travelling and to bring in your full itinerary so comprehensive advice can be given.
We keep a large number of travel vaccinations in our dedicated vaccine fridge which immunise against:
We can also update immunity against:
- Hepatitis A
- Whooping Cough
- Influenza (including swine flu)
Musculoskeletal conditions, such as back pain, cause significant morbidity in our community. With our ageing society joint degeneration and osteoarthritis is increasing. Obesity also increases joint degeneration and osteoarthritis.
Acute injuries are common and can be from sports, accidents or just wear and tear. Keeping fit, avoiding being overweight, wearing good footwear and doing regular stretching can help reduce the risk of injury.
The GPs at Kings Road Medical Centre can assess and manage your musculoskeletal or sports injury issues with referral for imaging if appropriate and to Allied Health Professionals, Sports Medicine Physicians, Rheumatologists and Orthopaedic Surgeons.
Many conditions settle with conservative management such as rest, ice, elevation and short term anti-inflammatory medication either topically or orally if required.
Back pain is often helped by early mobilisation, such as walking and recovery from joint surgery is also helped by early mobilisation.
Obesity is reaching epidemic proportions in Australia in all age groups.
We discuss a healthy diet and promote regular exercise. We regularly check weight and waist measurements and calculate the body mass index. This should be between 20 to 25 and is in the overweight range from over 25 to 30 and in the significantly overweight range if over 30.
Waist measurements should be:
Health risks such as diabetes increase significantly if the waist measurement is above 88 cm in women and above 100 cm in men.
- Less than 80 cm in women
- Less than 95 cm in men
We refer to Dieticians if necessary and to Exercise Physiologists. There may be Medicare rebates for eligible patients, such as diabetic patients, for these services. Diabetes is also increasing in our community and we advise on low fat foods with a low glycaemic index.
Reducing salt levels is beneficial in reducing blood pressure, as is weight loss. Vitamin D deficiency is also an increasing issue in our community. It is to be applauded that people are heeding warnings to protect their skin from skin cancer but vitamin D levels have been decreasing. Our patients often spend working hours in offices without windows and then may exercise indoors in gyms so vitamin D levels are often low. It is recommended to have levels above 75.
Mental illnesses contribute to 20% of all consultations at Kings Road Medical Centre. All our GPs are experienced in recognising the early signs and symptoms of mental illness to ensure access to effective treatment and are aware that early treatment improves outcomes.
Mental illnesses significantly affect feelings, thoughts, behaviour and interactions. Mental illnesses include depression, which affects 1 in 4 women and 1 in 6 men, anxiety, bipolar disorder, schizophrenia, personality disorder, eating disorders such as anorexia and bulimia and drug and alcohol addiction.
Treatment can include counselling, cognitive behavioural therapy, mindfulness, the over the counter medication St John's Wort, prescribed medications, referral to a Psychologist or Psychiatrist and less frequently hospital admission.
Kings Road Medical Centre's highly experienced GPs recognise the importance of managing the four major areas of diabetes management:
Our GPs use medications if required, encourage increased exercise levels and provide patient counselling, as do the Practice Nurses.
- Blood Glucose
- Body Weight
- Blood Pressure
GPs refer to Dieticians, Diabetic Educators, Diabetes Australia and Endocrinologists who specialise in diabetes. These practitioners work together with patients to optimise diabetic control and provide copies of results for ongoing comparison and motivation.
Insertion and removal of the contraceptive rod 'Implanon'.
Doctors at Kings Road Medical Centre have completed training to insert the new version of the contraceptive rod Implanon. It is designed to be inserted under local anaesthetic directly under the skin of the inner aspect of the non-dominant upper arm. Implanon provides effective contraception for 3 years.
All of our highly experienced vocationally registered GP's manage patients with allergies.
Allergies cause many clinical conditions such as hay fever, asthma, dermatitis, eczema and food intolerances.
Some allergies respond to minimising exposure to the causative agent such as dust mites while some people with severe allergies may require referral for further diagnosis and treatment.
We have an excellent network of specialists that we are able to refer to, who can then manage these allergies if needed.
Food intolerances such as fructose malabsorption and lactose intolerance cause many symptoms in patients and GPs refer for diagnostic breath tests for these conditions and then to dieticians and specialists with expertise in this area.
We diagnose and manage patients with coeliac disease as well in conjunction with Gastroenterologists and Dieticians.
Experienced GPs who are accredited to provide Shared Antenatal Care with the Townsville Hospital and Mater Hospital. They enjoy providing this service and find it very rewarding.
Shared Antenatal Care enables women to be seen regularly by their Doctor of choice who is familiar with their medical history. It reduces the number of Hospital visits and waiting times at Hospital Outpatient Clinics.
A shared antenatal record is completed by the GP and Hospital and it is important to bring this to each visit. It is important to inform Reception Staff that a shared antenatal consultation is required when booking an appointment.
Our experienced Practice Nurses also see antenatal patients prior to the Doctor.
Certain medical conditions such as diabetes may mean that women are not suitable for shared antenatal care.
Pre Pregnancy and Early Pregnancy Care
It is helpful to make a double appointment for pre pregnancy advice. At this consultation, pathology is taken for antenatal screens, immunisations are updated, family history taken for genetic counselling and advice given on pregnancy vitamins and lifestyle changes requires.
A double appointment is also important when confirming pregnancy. At this consultation referrals are given for first trimester maternal serum screening and Hospital and Specialist referrals. We have an excellent referral base for Radiology Services expert in antenatal diagnostic screening.
Women are seen monthly until week 30, each two weeks from week 30 to 36 and weekly thereafter.
Hospital visits usually occur for an initial assessment and then at week 28, 36 and 41.
The initial GP appointment is 30 minutes and then may be 15-30 minutes thereafter with the Practice nurse seeing women first.
Post Natal Review
There is a 6 week post natal review with a 30 minute appointment for the woman and a 15 minute appointment for the baby. The baby's appointment can be bulk billed if the new Medicare card is available.
It is very important to bring the baby's Health and Development Book (Red book) along to every appointment so that data such as height, weight and vaccinations can be added to our records.
Asthma, and other atopic allergic disorders, such as rhinitis, are increasing worldwide and Australia has the third highest prevalence of current wheeze in 13-14 year olds.
Our experienced GPs recognise the importance of diagnosing and managing asthma. Our GPs use spirometry and perform regular reviews and provide asthma management plans and preventive and reliever medications as appropriate. They also refer those with severe disease to Respiratory or Allergy Specialists.
Kings Road Medical Centre's highly experienced vocationally registered GPs manage the care of patients with cancer in conjunction with specialists and hospitals.
Our doctors provide general medical care for these patients, including vaccinations, tests and medications and coordinate their care between specialists and hospitals.
Our GPs have developed an excellent referral network of specialists with expertise in malignancies, who see our patients as a priority, are good communicators, empathetic, and up to date with best practice and therapies.
Our doctors feel that preventive health care and early diagnosis is a priority. They follow the National Health and Medical Research Council's guidelines for screening for cancer.
Low risk women a referred for 2 yearly mammograms from 50 onwards and high risk women from 40 onwards.
Patients with a family history of bowel cancer are referred for screening colonoscopies from 40 and patients with no family history for 2 yearly faecal occult blood screening from 50.
Our GPs use dermatoscopes to perform skin cancer checks. Suspicious skin lesions are removed or patients are referred for removal of these.
We recognise that smoking cessation is very difficult and offer a number of treatments to help with this.
Lung cancer is the 5th most common cancer in Australia and causes 1 in 5 cancer deaths with over 7000 deaths per year.
Smoking causes Chronic Obstructive Pulmonary Disease, which is the sixth biggest killer in Australia and the third leading burden of disease, affecting 2 million Australians or 1 in 5 aged over 40.
It is never too late to stop smoking. If a patient stops smoking at 45 the accelerated loss of lung function stops and, although the lung damage is irreversible, the further deterioration becomes the same as a non-smoker.