July 2015 - Lawrence Hargrave Private Hospital
Transcription
July 2015 - Lawrence Hargrave Private Hospital
GPNews Lawrence Hargrave Private Hospital 72 Phillip Street Thirroul, NSW 2515 Ph: 02 4267 2811 Fax: 02 4267 1069 www.lawrencehargraveprivate.com.au Figtree Private Hospital 1 Suttor Place Figtree, NSW 2525 Ph: 02 4255 5000 Fax: 02 4271 4393 www.figtreeprivate.com.au Wollongong Private Hospital 362 Crown Street Wollongong NSW 2500 www.wollongongprivate.com.au Issue 2 July 2015 Ramsay Healthcare Providing quality healthcare in the Illawarra District Local People Caring for Local People In this issue: • From the CEO’s Desk • Figtree Private Hospital: A New Rehabilitation Facility for the Illawarra • Wollongong Private Hospital Construction Update • A new treatment for Dupuytren’s Contracture by Dr John Tawfik • Lawrence Hargrave Private Hospital Pre Knee Clinic • GP Education in 2015 • Frozen Shoulder by Dr Mark Haber • Degenerative Scoliosis: Appropriate Surgical Treatment Options by Dr M. Jerry Day • Spotlight on Illawarra Neurosurgeons • Figtree Private Hospital EziFind Lawrence Hargrave/Figtree/Wollongong Private Hospitals GP news 1 Message from the Wollongong Private Hospital CEO, David Crowe Thank you for your ongoing support of Ramsay Health Care in our Illawarra region. It has been great to see this ongoing support through your participation in the GP Education Meetings that we have had so far this year. These are a wonderful opportunity to showcase our local specialists’ expertise in their field and also provide GPs with the most up-to-date information in these different specialities. The external construction of Wollongong Private Hospital is now essentially complete and the builders and contractors are progressing with the internal fit out of the hospital. We are on track to have all of this work completed by the end of this year, in time for our first patients on Monday 18 January 2016. This is a very exciting chapter in Ramsay Health Care history in the Illawarra. We are all keen to see the hard work of many culminate in the successful opening, and future success of the hospital. With the opening of this state of the art facility, we expect that we will be able to retain the vast majority of patients within our region as there will be no real reason for patients to have to travel to Sydney for their health care. Please continue to support our hospitals in this region. We look forward to working with you over the remaining 6 months of this year and then into 2016. Please let us know if we can improve the way in which we do things. Message from the Figtree Private Hospital CEO, Paul McKenna Welcome to another edition of our GP News. This newsletter is a great way to communicate with you at a time of significant change for Figtree Private Hospital and Wollongong Private Hospital. Moving forward, Figtree Private Hospital will remain in the Ramsay Health Care group and operate as a rehabilitation facility, providing quality care to patients pre and post-surgery, and assisting people return to normal function. As we continue through 2015 with Figtree Private Hospital operating as usual, you can be assured that your patients are being cared for in the same professional way that Figtree Private Hospital is known for. I look forward to catching up with you at one of our regular GP Education events. Message from the Lawrence Hargrave Private Hospital CEO, Robyn Ashe Lawrence Hargrave Private Hospital continues to be the Illawarra’s premier rehabilitation facility, offering your patients a range of inpatient and outpatient programs to assist with improved function and independence. There are two outpatient programs that are a worthwhile consideration for a cohort of your patients – our Tai Chi program and our Physio- Pilates program. The benefits of Tai Chi are well researched and include improved balance, coordination and relaxation. The Physio-Pilates program is highly beneficial and helps to improve muscle strength, flexibility and posture. I’d like to take this opportunity to thank you for your ongoing support of our hospitals in the Illawarra region. PRODUCTION & MATERIAL The Lawrence Hargrave, Figtree and Wollongong Private Hospitals GP News is produced by the Figtree Private Hospital Marketing Department. For feedback, enquiries and material submission please contact Lauren Sharpe T: 0439 070 220 E: sharpelauren@ramsayhealth.com.au 2 If you do not wish to receive this newsletter or other marketing materials, please contact the Marketing Department on 0439 070 220. Lawrence Hargrave/Figtree/Wollongong Private Hospitals GP news Providing quality healthcare in the Illawarra District “Local People Caring for Local People” Lawrence Hargrave/Figtree/Wollongong Private HospitalsGPGP news Westmead news 13 Change Ahead: A New Rehabilitation Hospital for the Illawarra With the opening of Wollongong Private Hospital in early 2016, doctors, staff and Figtree Private Hospital’s current services will move across to the new facility. Figtree Private Hospital will remain in the Ramsay Health Care group, undergoing an extensive transformation to reveal a modern, full service rehabilitation facility. This new facility will feature 40 single beds with ensuites, a large hydrotherapy pool, a full gymnasium, inpatient and outpatient programs, onsite consulting suites and sleep studies. The Countdown is on! Opening 18th January, 2016 World Class Healthcare Facility at our Doorstep Ramsay Health Care’s Wollongong Private Hospital development continues to progress well with 6 months to go until the hospital’s opening. The hospital structure is now complete and the façade is well progressed, with scaffold starting to be removed along the Crown St and Urunga Parade elevations. This will enable the installation of awnings to take place and external works including civil works, paving and ultimately landscaping to commence. Internally, fit out of hospital floors is advancing with finishes trades now commencing on the hospital floors. The substation was successfully energised early June 2016 which will enable permanent power to be established throughout the building within the next 1-2 months. Commissioning of major services and equipment will follow and will continue until later in the year. Preparation to open is well underway, and excitement continues to build. The first private patients will be admitted to the hospital on 18th January 2016. Wollongong Private Hospital’s management team is being put in place, with a number of key positions being appointed recently. Hospital CEO, David Crowe, said “It is exciting to be at this point in the Wollongong Private Hospital development after numerous years of planning and construction. The new hospital will deliver a comprehensive range of inpatient and day services across a wide range of specialities, providing an increased private hospital capacity and choice for patients in the Illawarra.” We look forward to showing you around at our GP Open House evening in December. We look forward to showing you around at our GP Open House night in December. 4 Photos courtesy of AW Edwards. Lawrence Hargrave/Figtree/Wollongong Private Hospitals GP news A new treatment for Dupuytren’s Contracture Dupuytren’s Contracture: is a shortening and thickening of the palm’s tissue that results in clawing of the fingers. Xiaflex (Collagenase Clostridium Histolyticum) is a new non-surgical treatment for Dupuytren’s Contracture that has recently been released in Australia. It is a TGA-approved, non-PBS prescription drug, and is indicated for the treatment of Dupuytren’s contracture in adult patients with a palpable cord. It has been available in Europe, Canada and the United States for several years. The treatment involves a minimally-invasive injection of Collagenase (Xiaflex) administered directly into the Dupuytren’s cord. The collagenase weakens the cord, allowing it to be disrupted by manual manipulation of the affected joint. Disruption of the cord decreases contracture, allowing for greater range of motion in the joint. Xiaflex must be administered by an accredited hand surgeon, and can be given in an appropriate office-based setting. The treatment process consists of the following three steps... Step 1: Injection of Xiaflex directly into the collagen cord of the affected joint, using a 27g needle. Step 2:Manipulation of the affected joint under local anaesthetic, approximately 24-72 hours later. Rupture of the cord generally occurs after gentle extension, decreasing contracture and allowing for greater range of motion in the joint. Step 3: Follow-up with the patient after 4 weeks, to monitor improvement. Xiaflex is suitable for many adult Dupuytren’s patients with a palpable cord. It provides a non-surgical, lessinvasive option for treatment, with reduced recovery times. However, in some cases surgery is still the best option. As an accredited Hand Surgeon, I am trained in the administration of Xiaflex and would be happy to receive patients interested in learning more about the treatment. Dr John Tawfik is an Australian trained Orthopaedic surgeon who subspecialises in Hand and Wrist Surgery. Presently, Dr Tawfik is a Consultant VMO in Hand Surgery at St Luke’s Hospital, Potts Point and the Sydney Hospital Hand Unit, Sydney. He is the honourary secretary of the Joint Medical Staff Council for Sydney Hospital and Sydney Eye Hospital. His private practice is located in Sydney’s CBD at The Centre for Hand Surgery on Macquarie street, Sydney as well as at the Sydney Orthopaedic Centre at St Luke’s clinic in Potts Point. Dr Tawfik also consults in Wollongong at Illawarra Rheumatology in the Piccadilly Centre, 341 Crown St, Wollongong. He is accredited at both Figtree Private Hospital, Wollongong Hospital and Wollongong Day Surgery. Dr John Tawfik Illawarra Rheumatology, 341 Crown St, Wollongong NSW 2500 P: (02) 9235 3666 Lawrence Hargrave/Figtree/Wollongong Private Hospitals GP news 5 Have you considered our Pre-Knee Surgery Program for your patients? Did you know? • Learning knee exercises pre-operatively can improve your patient’s ability to exercise after surgery and can promote an easier return to physical function. • Exercising for weight control can reduce the load on knees and pain from osteoarthritis. • Individualised education regarding the treatment your patient will receive post-operatively, can reduce stress and help the patient feel more in control of their own health and recovery. Our Program: • Individualised assessment • Education – what to expect from your rehabilitation program post-operatively. • Exercise program – easy to follow program to help you prepare for the surgery and orientate you to your surgeon’s protocol. Hydrotherapy programs also available. Illawarra’s Premier Rehabilitation Facility Set in the tranquil surrounds of Thirroul’s escarpment 6 Lawrence Hargrave/Figtree/Wollongong Private Hospitals GP news GP Education Coming Up in 2015 We are already half way through a year of robust GP Education at Figtree Private Hospital, and half way through the triennium of the RACGP calendar. Constructive feedback from GP’s continues to strengthen our educational program, as we persistently seek to provide quality and relevant GP education in the Illawarra. Join us for one of our events in 2015 – we’d love to have you. Wednesday 29th July Call the Doctor Hotline for Direct Patient Admissions to Figtree Private Hospital. Short, Sharp Updates from Four of Figtree Private Hospital’s surgeons • • • • Dr Andrew Still (Colorectal & General Surgeon) Dr Adrian Sjarif (Plastic and Reconstructive Surgeon) Dr Bruce Ashford (Head & Neck / Endocrine Surgeon) Dr Soni Putnis (Colorectal & General Surgeon) Wednesday 26th August Thought provoking GP case discussions from: • Prof John Ireland (Orthopaedics) • Dr Ravi K. Cherukuri (Neurosurgery) • Dr Robert McGrath (Neurology) Saturday 26th September A Massive Cardiac Event An Active Learning Module in practical cardiovascular care, including ‘hands on’ training in CPR. Places for this event will be limited –a first in first served basis! Invitations and registration to the above events available at www.figtreeprivate.com.au as they become available. Wollongong Private Hospital GP ‘Open House’ Evening Figtree Private Hospital’s Doctor Hotline for direct patient admission Ring the above number to speak to our experienced Clinical Services Manager to arrange admissions under one of our VMOs. For GPs: A streamlined and direct assistance for patient admission. Please call 4255 5098 with the following details: DOB, health fund, DVA card and a provisional diagnosis. Your call will be transferred to our experienced CMO for a comprehensive clinical handover. In an emergency dial 000 www.figtreeprivate.com.au Join us for canapes and drinks as we open our doors to show you around, prior to our January opening. Invitation to follow. 8am-4:30pm Mon- Fri 1 Suttor Place FIGTREE 2525 Lawrence Hargrave/Figtree/Wollongong Private Hospitals GP news 7 Dr Mark Haber, Orthopaedic Surgeon Frozen Shoulder What is it? What next for the patient? A frozen shoulder (primary adhesive capsulitis) is a condition of unknown cause which is characterised by significant stiffness both active and passive of the shoulder joint in the absence of any unknown underlying shoulder condition. If there is an underlying condition (such as rotator cuff disease or significant trauma) we refer to it as a secondary capsulitis which has a very different natural history. Symptoms frequently worsen for 6 months and motion can take from 18 months to 4 years to recover. 5% of people are still symptomatic at 4 years. Incidence Primary adhesive capsulitis is very common. 2% of the general population develop a frozen shoulder, while diabetics have a risk of over 10%. Insulin dependent diabetics have a 40% chance of developing a frozen shoulder. Women are more commonly affected than men, by a ratio of 3:2. The most striking clinical feature of a frozen shoulder is its predilection for people in their 50’s. Once you have developed a frozen shoulder on one side you are at increased risk of developing it in the other side. It never seems to recur on the same side. If detected early, an intra-articular (not bursal) cortisone injection can make significant difference and possibly resolve the condition. This injection requires ultrasound guidance to be accurate. For many patients whose symptoms are tolerable, a wait and see approach is quite reasonable. If pain is disturbing, repeat cortisone injections can be performed once or twice. Nevertheless if cortisone injection do not provide significant relief and symptoms are severe and persistent (greater than 6 months), arthroscopic capsular release is an option worth considering. This a day-surgery procedure that can dramatically shorten the recovery and save the patients years of pain and stiffness. How does the GP diagnose it? In the primary frozen shoulder there is still no known underlying disorder. As x-rays, ultrasounds and even MRI are good at picking up damaged tissues, not inflammation and therefore these investigations are therefore often unfruitful. There is an old expression “if it looks like a duck and quacks like a duck and walks like a duck, it must be a duck”. So we therefore rely on typical clinical features to suggest the diagnosis of a frozen shoulder. If however features are not typical, such as those occurring in both shoulders or in an unusually young (less than 45years old) or unusually old patient (greater than 65 years old), then further investigations are warranted. Blood tests to exclude thyroid disease, raised cholesterol or blood sugars may be of some benefit but will not help confirm the diagnosis. We do not rely exclusively on investigations to confirm the diagnosis. Nevertheless they are of benefit in excluding other conditions such as an underlying arthritis. The most useful investigation to assist in making the diagnosis is an MRI arthrogram. In a normal shoulder joint, as we mentioned earlier, the surrounding capsule is extremely thin and elastic and one can see on the MRI Arthrogram distension of the capsule. In the presence of a frozen shoulder no distention occurs, confirming a tight capsule which is diagnostic of a frozen shoulder. 8 Lawrence Hargrave/Figtree/Wollongong Private Hospitals GP news Dr Mark Haber Shoulder Surgeon www.so.com.au Southern Orthopaedics, Wollongong Upper Level, Piccadilly Centre 341 Crown Street, Wollongong NSW 2500 Phone: 1300 747 077 Fax: (02) 4226 6765 Degenerative Scoliosis: Appropriate Surgical Treatment Options Adult scoliosis occurs in three forms: (1) persistent idiopathic scoliosis, (2) secondary from leg length discrepancy, iatrogenic (previous surgery), neurogenic, and tumour; and (3) degenerative. Degenerative scoliosis is best evaluated with full-length standing AP and lateral radiographs. Typical features are mid-lumbar curve with minimal compensatory thoracic curve, low lumbar fractional curve (contralateral coronal curve from L4 to sacrum), hypolordosis, and mild rotatory deformity at the apex, coronal/sagittal vertebral body subluxation, and spinal canal stenosis. Additional CT, MRI and DEXA imaging is required to analyse axial anatomy and assess bone density. About 30% of patients over 50 have baseline degenerative scoliosis and 37% of normal patients over 50 will develop degenerative scoliosis. The pathoanatomy is “an asymmetric degeneration of intervertebral discs, facet joints, and ligamentous supports leading to coronal, sagittal and rotational plane deformity”. The spinal stenosis is central, lateral recess and formaminal. Spinal instability results from the listhesis. These two factors in combination with progressive spinal deformity result in neurogenic claudication, radiculopathy, clinical flatback and walking intolerance. Progressive risk: Mild curves (<30 degrees) progress about 1 degree/yr until age 70 then progress about 3 degrees/ yr. Other preogression risk factors are female gender, osteoporosis, lateral listhesis, vertebral size, multilevel disc degeneration and osteophyte size. Primary treatment goals are based on treating patients and not the imaging. Goals are: (1) Decompress the neural elements (2) Provide stability and obtain biologic fusion (3) R estore sagittal, coronal, and rotational alignment, and Definitive deoformity correction and decompression surgery incorporates several different approaches, multilevel instrumentation placed via open or minimally invasive technique, and partial vertebral resection techniques. Intraoperative nerve monitoring, image guidance, and robotic assistaned pedicle screw technique are all tools that enhance operative efficiency and safety. The spine surgeon’s primary focus is to understand the patient’s unique clinical proble in the context of comorbidities and patient preferences. The individual surgeon should select the tools that most reliably address the clinical problem and optimizes the risk/benefit ratio. References: 1. N ASS SpineLine March-April 2015: Current Concepts: Curve/Countercurve; Degenerative Scoliosis: Appropriate Surgical Treatment Options pp. 13-18 2. D egenerative Scoliosis: Etiology and Treatment Options by Lumbar Spine Research Society featuring Matthew Coleman https://www.vumedi.com/video/degenerativescoliosis-etiology-and-treatment-options/ Dr M. Jerry Day MD, FACS, FRACS Neurosurgeon Suite 1, Illawarra Medical Specialists, Piccadilly Centre 341 Crown Street, Wollongong NSW 2500 Phone: 1300 747 077 Fax: (02) 4226 6765 (4) Complication avoidance. Limited surgery, decompression alone, is indicated for limited curve (<20%) causing focal radiculopathic symptoms and in patients with significant comorbidities. This results in minimal Cobb angle progression and no change or sometimes increase in lordosis (due to improved compensatory spinal balance). There is a 25% revision rate and lateral listhesis at the operated level(s) is a risk factor. Short segment fusion incorporating the fractional curve or mid lumbar curve for patients with isolated radiculopathy in another option. Lawrence Hargrave/Figtree/Wollongong Private Hospitals GP news 9 Illawarra Neurosurgeons Dr Jerry Day Illawarra Neurosurgery Suite 1, Illawarra Medical Specialists Piccadilly Centre 341 Crown Street Wollongong NSW 2500 P: (02) 4229 2255 F: (02) 4226 3932 Dr Ravi Kumar V Cherukuri 409 Crown St Wollongong / PO BOX 1764 Wollongong 2500 P: (02) 4228 4206 F: (02) 4226 6966 Dr Jerry Day diagnoses and surgically treats a wide variety of neurosurgical conditions including brain aneurysms and arteriovenous malformations, brain tumours, peripheral nerve tumors/compression, and complex spinal conditions. He has held the position of Head of the Department of Neurosurgery at Wollongong Hospital since his arrival in Wollongong in 2002 and has worked diligently to develop a comprhensive Neurosurgical Unit there and at Figtree Private Hospital. He has enjoyed documenting patient treatment outcomes and teaching throughout his career. He remains committed to continuing to be an active member of the Illawarra Medical community dedicated to providing excellent neurosurgical outcomes through a collaborative healthcare approach. Dr Ravi Kumar Cherukuri provides comprehensive Neurosurgery services to the Illawarra and South Coast for treatment of a variety of neurosurgical disorders involving cranium, spine and peripheral nerves including brain tumours, degenerative spine disease. He is particularly interested in Minimally Invasive Neurosurgery including Endoscopy and Cerebrovascular surgery. In addition to FRACS, Dr Cherukuri was awarded two neurosurgery degrees from India (M.Ch and Diplomate of National Boards DNB). He gained further neurosurgical experience at Regional Neurosurgical Centre, Newcastle upon Tyne, UK. He completed Fellowships in Paediatric Neurosurgery at Children’s Hospital of Michigan, Detroit and Cerebrovascular and Skull base Neurosurgery at Louisiana State University Health Centre, Shreveport, USA. Dr Ravi Kumar Cherukuri has been working as Consultant Neurosurgeon at Wollongong Hospital since 2004 and holds Visiting Medical Officer appointments at Wollongong Hospital and Figtree Private Hospital. Dr Cherukuri is committed to teaching and is Clinical Associate Professor, University of Wollongong. Dr Matthias Jaeger Level 4, 304 Crown Street, Wollongong NSW 2500 P: (02) 4227 4363 F: (02) 4204 1618 Dr Matthias Jaeger is a dually qualified Neurosurgeon, having trained in both Germany and Australia. He is a member of the Royal Australasian College of Surgeons and also holds specialist qualification in Neurosurgery in Germany. Dr Jaeger has a comprehensive neurosurgical practice, covering all aspects of cranial, spinal and peripheral nerve conditions. His specific clinical interests are in management of degenerative lumbar and cervical spinal disease, including complex operations. His specific clinical cranial interests are in the treatment of brain tumours, including base of skull conditions, as well as cerebrovascular disease and hydrocephalus, where he is providing ‘cutting edge’ diagnostic methods. Dr Jaeger is fully committed to providing neurosurgical services of the highest standard to the people of the Illawarra and Shoalhaven area. 10 Lawrence Hargrave/Figtree/Wollongong Private Hospitals GP news Figtree Private Hospital April 2015 general enquiries: Hospital facsimile Day Surgery Unit Intensive Care Unit South Coast Urology Keira Ward Kembla Ward Nareena Ward Visiting medical officers www.figtreeprivate.com.au Bariatric Surgery Dr Ulvi Budak Dr James Chau Dr Mouhannad Jaber gynaecology 02 4229 6355 02 9525 5322 02 4226 2660 02 4228 1088 02 4227 4600 02 4228 1088 02 4276 2999 cardiology – interventional Dr Jayesh Gohil Dr Astin Lee Dr Tuan Nguyen-Dang Dr Pratap C. Shetty Dr Aaron Yeung 02 4228 4955 02 4227 1840 02 4228 1623 02 4227 1840 02 4227 1840 cardiology – general Dr Divina Brillante A/Prof Edward Vogl* 02 4228 1623 02 4228 1623 colorectal Surgery Dr Andrew Malouf Dr Soni Putnis Dr Andrew Still Dr Robert Winn Dr Tahrir Basheer Dr Keith Coleman Dr Warren Davis Dr David Greening Dr John Walton Head & neck Surgery Dr Bruce Ashford Dr Stephen Pearson Dr Stuart MacKay Dr Jeffrey Brereton Dr Philip Goodhew A/Prof. Peter Kristidis Dr Terry Sands Dr Raymond Slobodniuk 02 4227 3322 ent Surgery neuroSurgery 02 4226 3088 endocrinology 02 4226 1055 02 4226 1055 02 4226 1055 02 4228 3488 02 4225 7744 general Surgery Dr Bruce Ashford Dr Ulvi Budak Dr Bernard Horan Dr Mouhannad Jaber Dr Robert McCurdie Dr Allan Mekisic Dr Denis Robinson Dr James Chau 02 4226 6111 02 4226 1055 02 4226 1055 02 4229 5925 02 4229 8993 02 4226 9002 02 4226 6376 neurology A/Prof John Carmody* Dr Robert McGrath Dr David Serisier Dr Sanjeev Taneja Dr Stuart MacKay Dr Stephen Pearson Dr Tobias Pincock Dr Sharad Tamhane Dr Ekrem Serefli 02 4285 1222 02 4227 3733 02 4227 4004 02 4227 3733 neonatology & PaediatricS 02 4228 0586 02 4226 6111 02 4226 6111 02 4229 7470 dermatology Dr Robert Salmon 02 4226 2844 02 4225 3555 02 4222 5417 02 4271 3900 02 4228 9411 medical oncology Dr Morteza Aghmesheh Prof. Philip Clingan Dr Amanda Glasgow Dr Ali Tafreshi 02 4226 6111 02 4229 6355 02 4228 1088 02 4226 2660 02 4226 6111 02 4227 4600 02 4276 2999 02 9525 5322 02 4227 4363 02 4228 9699 02 4228 0111 02 4253 4430 Dr Darweesh Al-Khawaja 02 4225 1115 Dr Ravi K. Cherukuri 02 4228 4206 Dr Michael Davies 02 4228 0460 Dr M. Jerry Day 02 4229 2255 Dr Peter Moloney 02 4228 0460 A/Prof. Matthias Jaeger*02 4227 4363 oPHtHalmology Dr Smita Agarwal Dr Michelle Gajus Dr Alan Flax Dr Freny Kalapesi Dr Evan Soicher Dr Allan Vernon Dr Christopher Bailey* 1 Suttor Place, FIGTREE NSW 2525 Dr Robin D’Rozario Dr Sami Haddad Dr Paul Hammans Dr Peter Vickers ortHoPaedicS Dr Aziz Bhimani Dr Anthony Cadden Dr Sham Deshpande Dr Robert Elliott Dr Mark Haber Dr Yiu Key Ho A/Prof John Ireland* Dr Stuart Jansen Dr Agus Kadir Dr Anthony Leong Dr Anil Nair* Dr Fred Nouh Dr James Rohrsheim* Dr Gregory Stackpool Dr John Tawfik* 02 4229 9116 02 4228 4206 02 4228 4206 02 4226 9222 02 4229 5992 02 4229 9181 02 9821 2599 02 4229 9116 02 4229 9116 02 4229 5992 02 8488 9950 02 4229 5992 1800 447 362 02 4229 9116 02 9235 3666 Palliative care Dr Gregory Barclay 02 4223 8380 PHySicianS - general Dr Christopher Dunn Dr Stephen Etheredge Dr Leonard Harvey Dr Graham Hart Dr Peter Marantos 02 4228 5564 02 4228 4377 02 4229 9425 02 4227 1944 02 4225 2221 PHySicianS - geriatricS Dr Paul Pearson Dr Jan Potter 02 4255 5148 02 4222 5035 PHySicianS - Haematology Dr Raj Ramakrishna 02 4229 9400 PHySician – infectiouS diSeaSeS Dr Niladri Ghosh* 02 4297 1955 Dr Guy Bashford Dr Ian Davidson Dr Juliani Rianto 02 4222 5898 02 4267 2811 02 4229 2134 02 4295 2999 Dr Cheng Wen 02 4222 5443 PHySicianS - reSPiratory Dr Christopher Dunn A/Prof. Graham Hart This is not a comprehensive list of specialists with visiting rights to this hospital. Please contact Figtree Private Hospital on 02 4255 5000 to ascertain if your preferred specialist is accredited here. Please note that General Practitioner (GP) referral is required in orderHospitals to facillitateGP news Lawrence Hargrave/Figtree/Wollongong Private specialist consultations. Dr Andrew Jones Dr Peter Marantos 02 4227 1944 02 4225 2221 PHySicianS - rHeumatology Dr Roman Jaworski Dr John Riordan 02 4226 6800 02 4226 1180 PHySicianS – SleeP diSorderS A/Prof. Graham Hart Dr Andrew Jones Dr Terry Sands 02 4227 1944 02 4227 1944 02 4226 6376 PlaStic Surgery Dr Peter Haertsch 02 9868 5155 Dr Jeremy Hunt 02 9327 1733 Dr Venkata Krishna 02 4228 1175 Dr Yasantha Rajapakse* 02 8097 9776 Dr Richard Sackelariou 02 9362 0676 Dr Adrian Sjarif* 02 4226 6111 radiation oncology Dr Nadine Beydoun* A/Prof. Andrew Miller 02 4222 5200 02 4222 5200 reProductive medicine Dr David Greening Dr Christopher James Dr Lionel Reyftmann 02 4271 3900 02 4228 5455 02 4226 2844 tHyroid Surgery Dr Bruce Ashford Dr Stuart MacKay Dr Allan Mekisic Dr Stephen Pearson 02 4226 6111 02 4226 1055 02 4227 4600 02 4226 1055 uPPer gi Dr Ulvi Budak Dr James Chau Dr Mouhannad Jaber 02 4229 6355 02 9525 5322 02 4226 2600 urology Dr Peter Chin Dr Elizabeth Dally Dr Paul Kovac Dr Rahul Rindani Dr Timothy Skyring Dr Spencer Murray 02 4271 6644 02 4271 6644 02 4271 6644 02 4271 6644 02 4271 6644 02 4271 6644 vaScular Surgery PHySicianS - renal * Newly accredited at Figtree Private Hospital 12 02 4227 5771 02 4225 1600 02 4225 1600 02 4225 1600 PHySicianS - reHaBilitation 02 4227 6388 02 4226 1553 02 4229 9772 02 4227 6388 02 4229 9772 02 4229 7433 02 4229 7433 oral Surgery Mr Michael Walsh 02 4271 4393 02 4255 5111 02 4255 5187 02 4271 6644 02 4255 5046 02 4255 5029 02 4255 5070 oral & maxillofacial Surgery 02 4226 2844 02 4228 5455 02 4226 1288 gynaecology & oBStetricS BreaSt Surgery Dr Bernard Horan Dr Allan Mekisic Dr Tony Palasovski Dr Denis Robertson Dr Lionel Reyftmann Dr Christopher James Dr Clieve J. McCosker 02 4255 5000 02 4228 5564 02 4227 1944 Dr David Huber Dr Rebecca Jack Dr Richard Kerdic Dr Arthur Stanton Dr Laurencia Villalba 02 4226 9333 02 4226 9333 02 4226 9333 02 4229 9466 02 4226 9333