Directory - General Practice Gold Coast

GOLD COAST HOSPITAL and HEALTH SERVICE
SPECIALIST OUTPATIENT DEPARTMENT
REFERRAL DIRECTORY
All referrals for the
Outpatient Departments of both Southport and Robina Campuses
of the
Gold Coast Hospital and Health Service
are to be directed to:
Booking and Referrals Centre
By Secure Electronic Communications (Medical Objects)
Or
FAX – 5687 4497
PLEASE SEND BY ONE METHOD ONLY
For telephone enquiries:
Telephone – 5687 0985
Please ensure that all Pre-Requisite Tests ARE ATTACHED to your Referral (see clinic specific prerequisite tests).
Incomplete referrals WILL be returned and will delay patient categorisation and allocation of appointments.
NB: Clinic specific Referral Templates are available for download from www.gpgc.com.au.
Please remind patient to bring to appointment:
 Medicare card
 Any concessions cards - (pension / health care / DVA/ PBS safety net / ADF etc.)
 Recent X-rays and Pathology results
 List of current medications, including dosages.
Updated January 2015
DEPARTMENT OF MEDICINE
CLINIC/OUTPATIENT SERVICE
REFERRAL INFORMATION
CARDIOLOGY
Pre-Requisite Tests
Dr Rohan JAYASINGHE
Dr Greg ARONEY
Dr Ravinder BATRA
Dr Nasser ESSACK
Prof. Ian HAMILTON-CRAIG
Prof. Laurie HOWES
Dr Vijay KAPADIA
Dr Selva NIRANJAN
Dr Atifur RAHMAN
Dr Johannes STROEBEL
FBC, E/LFTs and any recent cardiac investigations
PREVENTIVE CARDIOLOGY
AND LIPIDOLOGY
Prof. Ian HAMILTON-CRAIG
Pre-Requisite Tests
Patients suitable for this clinic may include those with:
 Myalgia or musculoskeletal symptoms related to therapy
 Uncontrolled lipids
 Other side effects of therapy
 Possible drug interactions
 Patients requiring further risk assessment (eg pre-operative)
 Patients with genetic dyslipidaemias
Pre-Requisite Tests:
FBC, E/LFTs, CK, HDL/LDL
DERMATOLOGY
Dr Michael FREEMAN
Pre-Requisite Tests
For the management of inflammatory skin disorders only. No sun damage. Please attach
any relevant results.
ENDOCRINOLOGY
Dr Peter DAVOREN
Dr Talib AL-JUMAILY
Dr Saima AMER
Dr Mark FORBES
Dr Stephanie MACLEAN
Dr Yogesh RAJE
Dr Elham REDA
Dr Katherine SCOTT
Pre-Requisite Tests
For patients with DIABETES:
HBa1C, E/LFTs, Urinary albumin, Lipids (fasting sample not necessary)
Formal eye examination in the past year (optometrist or ophthalmologist)
For all other ENDOCRINOLOGY please attach any relevant bloods or imaging
GASTROENTEROLOGY
Dr George OSTAPOWICZ
Dr Olga ELLISON
Dr John EDWARDS
Dr Naveed ISHAQ
Dr Sneha JOHN
Dr Tariq MASOOD
Dr Michael MURRAY
Dr Kevin TANG
Dr Griff WALKER
Dr Nicole WALKER
HAEMATOLOGY
Dr Jeremy WELLWOOD
Dr Michelle BRYSON
Dr Tara COCHRANE
Dr Sunelle ENGELBRECHT
Updated January 2015
Pre-Requisite Tests
All patients
FBC and E/LFTs
Abdominal pain
Imaging US or CT
Anaemia
Iron studies, B12, Folate
Diarrhoea
Stool M/C/S, coeliac serology, TSH
Inflammatory bowel disease
ESR and CRP
Consider FOBT if indicated
Pre-Requisite Tests
FBC, E/LFTs and any other relevant imaging or pathology
Haematology Services Available
Acute and Chronic Leukaemia
Myeloma/Lymphoma
Thrombosis and Bleeding Disorders
General Haematology
HEPATOLOGY
Dr George OSTAPOWICZ
Dr Naveed ISHAQ
Dr Tariq MASOOD
HEPATITIS C
Dr George OSTAPOWICZ
Dr Naveed ISHAQ
Dr Tariq MASOOD
Pre-Requisite Tests
FBC, E/LFTs, INR imaging as appropriate - US or CT
And
Hep B and C serology if indicated
Iron studies if indicated
Alpha-fetoprotein if indicated
Pre Requisite Tests
This clinic is for the assessment of HCV and access to S100 treatment for those patients
who meet all current criteria:
 HCV RNA positive
 Over 18 years of age
 Not pregnant or breastfeeding
 Willing to use effective means of contraception
For further information or to clarify any issues please contact CNC Hepatitis
Treatment Services on 0414 358 127 (Sue Sharman) or 0478 311 924 (Brenda
Henry).
Pre-Requisite Tests:
 E/LFTs (serial measurements second monthly for six months if available)
 Anti-Hepatitis C antibody (usually positive six weeks after infection)
 HCV RNA (becomes positive >2 weeks after infection)
 HCV genotype (annotate request “Assessment for HCV treatment”

HCV viral load (annotate request “Assessment for HCV treatment”
 FBC
 INR/Prothrombin time
 Alpha-feto protein
 Hepatitis A, B and HIV serology
 Iron studies
 ANA/AMA/SMA
 Ceruloplasmin
 Thyroid function tests
 Upper abdominal ultrasound
NEUROLOGY
Dr Arman SABET
Dr Monica BADVE
Dr Peter BAILEY
Dr Simon BROADLEY
Dr Koshy GEORGE
Dr Dharmesh SONIGRA
ONCOLOGY
Dr Jasotha SANMUGARAJAH
Updated January 2015
Pre Requisite Tests
Any relevant results
Nerve conduction studies if appropriate
Pre Requisite Tests
Oncology referral is appropriate for patients with a confirmed tissue diagnosis. Patients
Dr Suzanne ALLAN
Dr Susan CAIRD
Dr Marcin DZIENIS
Dr Andrew HILL
Dr Mohammed ISLAM
Dr Marco MATOS
Dr Andrea TAZBIRKOVA
with masses suspicious for malignancy should be referred to the appropriate medical or
surgical clinic, eg lung mass on imaging refer to lung cancer clinic, liver mass to general
surgical clinic.
Pre-Requisite Tests:
All Pathology
Any Radiology relating to the cancer
Surgical / Treatment reports relating to the Cancer
RENAL MEDICINE
Dr Dakshinamurthy DIVI
Dr Balaji HIREMAGALUR
Dr Jagadeesh KURTKOTI
Dr Alan PARNHAM
Dr Thomas TITUS
Pre Requisite Tests
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eGFR (serial measures if available)
Urea, Creatinine, Electrolytes
FBC
Urine Microscopy
Urine Albumin or Protein Creatinine
Ratio
Ultrasound of kidneys
Serial blood pressure readings
RENAL ADMINISTRATOR
Ph: 5519 7588
Fax: 5519 7586
CHRONIC KIDNEY DISEASE TEAM
Michele Harvey - Nurse Practitioner
Lorraine Bublitz - CNC
DIRECTOR OF RENAL SERVICES
Matthew Lunn
DIALYSIS ACCESS COORDINATOR
Dianne Du Toit
NURSE UNIT MANAGERS
Jane Handsley - Southport Dialysis Unit
Louise Macleod - Robina Dialysis Unit
Grainne McDermott - Home Therapies
Alexandra Cherry - Renal Ward 8A
RESPIRATORY AND SLEEP CLINIC
Dr Siva P SIVAKUMARAN
Dr Iain FEATHER
Dr Maninder SINGH
Dr Krishna SRIRAM
Dr Toby TANG
RHEUMATOLOGY
Dr Andrew GOUGH
Dr Julien DE JAGER
Dr Jacob IDJO
Dr Jennifer NG
Dr Shunil SHARMA
Pre Requisite Tests
General Respiratory:
 FBC, E/LFTs, Recent and any previous CXR and Chest CT scans, Spirometry
(pre and post bronchodilator) where relevant, if available
For Sleep Referrals include:
 BMI, Occupation and effects on driving, Impact on quality of life or other medical
conditions.
For lung cancer arrange:
 CT chest and upper abdomen, including adrenal glands, with contrast for
staging
Chronic cough - CXR must be done, with CT if clinically indicated
Pre Requisite Tests
FBC, E/LFTs, ESR, CRP
Please attach any other relevant pathology reports.
Please attach any relevant radiology reports (XR, US, CT.MRI)
DEPARTMENT OF SURGERY
CLINIC / OUTPATIENT SERVICE
REFERRAL INFORMATION
BREAST SURGERY
General Information
Dr Rhea LIANG
Dr Rafid ALZUBAIDY
Dr John GAULT
Updated January 2015
Queries can be directed to Breast Care Nurse Kathryn Devantier on mobile 0410 433
086.
Pre-Requisite Tests
Dr Lakshman JAYASEKERA
Ultrasound if <30yrs
Mammogram and ultrasound if >30yrs
FNA or core biopsy if suspicious lesion
Please Note:
Asymptomatic simple cysts on breast imaging are not an indication for referral. Please
refer only if they are associated with symptoms (pain, lump, nipple discharge etc.) or are
'complex' (irregular, septated, internal echoes etc.)
Do not aspirate/FNA simple cysts as this may turn them into a 'complex' cyst which will
then require unnecessary invasive diagnostic procedures.
COLORECTAL SURGERY
Dr Michael VON PAPEN
Dr Cu Tai LU
Dr Mark DOUDLE
Pre-Requisite Tests
Examination findings – ALL PR BLEEDING MUST HAVE A RECTAL
EXAMINATION PERFORMED
If the patient has a confirmed bowel cancer, please arrange staging CT chest,
abdomen and pelvis scans.
Please attach any relevant blood tests, colonoscopy reports, biopsy results or other
relevant information.
EAR, NOSE & THROAT
Dr Jim HALLAM
Dr Michael BUSBY
Dr Mark COURTNEY
Dr David CRONIN
Dr Sam DOWTHWAITE
Dr Brent McMONAGLE
Dr John O'NEILL
Dr Dan ROBINSON
Dr Alison SPRAGUE
Pre-Requisite Tests
Hearing loss, Tinnitus, Vertigo, unilateral
ear symptoms
Audiology - pure tone audiogram (children
and adults)
Sinusitis or unilateral sinus pathology adults
CT scan paranasal sinuses
Cancer or Lump in neck >6 weeks- adults
Lump in neck >6 weeks - children
Nasal Fracture
GENERAL SURGERY
Dr Craig SOMMERVILLE
Dr Paul BENNETT
Dr John GAULT
Dr Lakshman JAYASEKERA
Dr Rhea LIANG
Dr Victor LIEW
Dr Greg NOLAN
Dr David PARKER
Dr Harold PUHALLA
Dr Leigh RUTHERFORD
MELANOMA CLINIC
Dr John GAULT
Updated January 2015
CT or USS of neck +/- FNA
Routine bloods (FBC and film, ESR,
U&Es)
Routine bloods if suspect lymphoma (FBC
and film ESR, U&Es) but if paediatric
congenital lesion no bloods required
Call outpatients to make appt 5-7 days
after injury to allow for surgery within 14
days, if required.
Head and Neck skin cancer
Biopsy (punch) for histology
Dysphagia (adults)
Barium swallow if symptoms indicate
significant stenotic lesion
Pre-Requisite Tests
Please ensure any relevant pathology and imaging results are attached. Eg gallstones
E/LFTs and US
Pre-Requisite Tests
Please ensure you have the copy of Biopsy / Excision pathology result
Also a copy of pathology results of any previous Melanomas
MAXILLOFACIAL
Dr Dimitrios NIKOLARAKOS
Dr John COSSON
Dr Anthony CROMBIE
Dr Darren TITE
Dr Shannon WEBBER
Pre-Requisite Tests
Salivary glands
Skin Cancer (head/face/neck)
CT Face
Contact Registrar to arrange Outpatient
Review within 5-7 days
Sialogram or US or CT as indicated
Biopsy Results
Oral Cancer
Biopsy Results
Facial Deformity
Plain skull films
Facial fractures –
orbit/zygoma/frontal/nasal/mandible
NEUROSURGERY
Dr Teresa WITHERS
Dr Paul POULGRAIN
Dr Christian SCHWINDACK
Dr Ellison STEPHENSON
Dr Marianne VONAU
ONCOPLASTIC SURGERY
Dr John GAULT
Dr Clayton LANG
Dr Raja SAWHNEY
OPHTHALMOLOGY
Dr Fraser IMRIE
Dr Stephen GODFREY
Dr Sharon MORRIS
Dr Gary PHELPS
Dr Heather RUSSELL
Dr Nathan WALKER
Pre-Requisite Tests
Severe headaches
Confusion or other neurological deficit.
FBC, U&Es, LFTs, ESR, CT head scan –
plain and with contrast
FBC, U&Es, LFTs, COAG profile CT head
scan – plain and with contrast. Consider
EEG
Neck pain and arm pain (should radiate
down arm)
Plain cervical spine films, CT neck, FBC,
U&Es, LFTs, Rheumatoid factor, ESR,
auto antibodies
Shoulder pain
X-Ray shoulder & ultrasound.
Low back pain & sciatica
Plain lumbar films, include flexion &
extension views.CT LUMBAR SPINE.
FBC, U&Es, LFTs, Rheumatoid factor,
ESR, auto antibodies
Carpal Tunnel compression
Ulnar nerve compression.
Need nerve conduction studies.
Spinal pain & history of malignancy
Bone Scan, CXR, CT of painful region of
spine (cervical, thoracic or lumbar)
Pre-Requisite Tests
For Reconstruction after Breast Cancer Surgery
Please attach a copy of pathology / reports related to original breast cancer surgery
Pre-Requisite Tests
An optometrist report is very useful in aiding correct triage. Please attach this if
available.
Ensure the patient is prepared to have surgery if recommended.
SNELLEN test (or equivalent) visual acuity
Right _____ Left _____ Both _____
PERSISTENT PAIN
Dr Heide-Marie FEBERWEE
Dr Leigh DOTCHIN
Pre-Requisite Tests
Prior to referral, please consider the Screening and Referral Guide for Queensland
Health Persistent Pain Management Service.
To ensure the accurate categorisation of your patient’s referral please provide as much
information as possible.
Please note: The Interdisciplinary Persistent Pain Centre’s involvement will be
consultative and time-limited. It is expected the patient's ongoing care will be provided
by their General Practitioner.
Updated January 2015
Pre-Requisite Tests:
FBC
E/LFT
ESR
CRP
Vitamin D
and if relevant:
Rheumatoid Factor
Autoimmune Marker
THORACIC SURGERY
Dr Peter COLE
Dr Ben ANDERSON
Pre-Requisite Tests
Please ensure any relevant pathology or imaging results ARE ATTACHED.
UROLOGY
Dr Scott MCCLINTOCK
Dr Phillip MCDOUGALL
Dr John PISKO
Dr Neil SMITH
Dr Christopher TRACEY
Pre-Requisite Tests
MSU for m/c/s, Urine cytology x 3,
Electrolytes, ultrasound of renal tract
Electrolytes, PSA (male), MSU for m/c/s,
ultrasound of renal tract including residual
measure
Haematuria (micro or macro)
Lower urinary tract symptoms
Elevated PSA
Copy of PSA result
All previous MSU for m/c/s, Renal tract
ultrasound including residual urine
measure.
MSU for m/c/s, E/LFTs, USS, CT urogram
and plain KUB
Ultrasound of scrotal contents, MSU for
m/c/s. If solid testicular mass HCG, a-FP
and E/LFTs
Recurrent UTI
Urinary calculus
Scrotal conditions
E/LFTs + FBC, MSU for m/c/s, CXR PA,
CT abdomen and pelvis – (with and without contrast)
MSU for m/c/s , E/LFTs + FBC + ESR +
USS
Solid renal mass on ultrasound
Loin pain
VASCULAR SURGERY
Dr Jonathan STEWART
Dr William BUTCHER
Dr Mark JACKSON
Dr Richard WARD-HARVEY
Pre-Requisite Tests
Pre-consultation Imaging
No specific pre-consultation imaging is required. These are available in the clinic at the
time of the first visit.
All arterial patients – preferable blood tests for vascular workup
BSL, Lipid profile, U&E, FBC & Coagulation profile, Homocysteine level, HbA1c if
diabetic
DEPARTMENT OF ORTHOPAEDICS
CLINIC/OUTPATIENT SERVICE
REFERRAL INFORMATION
ORTHOPAEDICS
Dr Donald PITCHFORD
Dr Matthew ALFREDSON
Prof Randy BINDRA
Dr Lochlin BROWN
Updated January 2015
Pre-Requisite Tests
Bone/Joint Pain (including shoulders)
Plain X-ray – 2 plains AP & lateral
Soft Tissue Swelling
Ultrasound if diagnosis uncertain
Dr Price GALLIE
DR Matthew HARTLEY
Dr Haig LENNOX
Dr James REIDY
Dr Ezekiel TAN
Dr Fraser TAYLOR
Dr Michael THOMAS
Nerve Entrapment
Nerve conduction studies
Inflammatory Disease
FBC, ESR, CRP, Rh Factor, ANA
Pre-Requisite Tests
FRACTURE CLINIC
Orthopaedic Registrar
For the follow up of patients who have sustained a fracture, dislocation or a laceration
with potential nerve or tendon damage
Acute displaced fractures, dislocations and deep penetrating lacerations should all attend
Emergency Department
Please ensure all relevant radiology or other imaging scans ARE ATTACHED
DEPARTMENT OF GYNAECOLOGY
CLINIC/OUTPATIENT SERVICE
REFERRAL INFORMATION
GENERAL GYNAECOLOGY
Pre-Requisite Tests
Dr Anne SNEDDON
Dr Donald ANGSTETRA
Dr Deryck CHARTERS
Dr Tina FLEMING
Dr Samir HENALLA
Dr Richard LOONG
Dr Vanitha MATH
Dr Maneesh SINGH
Dr Gary SWIFT
Dr Ramesh VASANT
Dr Tania WIDMER
Post menopausal bleeding
MARK AS URGENT
Ovarian Cyst
Infertility
GCHHS cannot provide the full range of
services in a timely manner to be of assistance
to women with fertility issues. It is strongly
recommended that services in the private
sector be sought.
Menorrhagia
FBC, Ultrasound TA and TV and Pap Smear.
TSH only if other signs or symptoms of thyroid
disease. Please consider medical
management as can be found on the
management guideline for heavy menstrual
bleeding prior to referral.
Postcoital bleeding + Intermenstrual
bleeding
Pap Smear, HVS, Chlamydia swab
Abnormal pap smear
Sterilisation request
Mirena Clinic
Pelvic Pain
Updated January 2015
Transvaginal ultrasound for endometrial
thickness. Pap Smear
>35yrs: CA 125, CEA, CASA
<35yrs: HCG, AFP, LDH
Repeat ultrasound after 6 weeks for simple
cyst and refer to management guideline for
ovarian cysts on GPGC website.
Please refer to colposcopy clinic and follow
pathway as outlined below. Include pap smear
result
Nil required. Please note this will be a
Category 3 referral to clinic and surgical wait
list.
Please indicate whether there have been
vaginal births, caesarean sections. A recent
pap smear should accompany the referral. All
women should have a Mirena prescription
filled prior to their clinic appointment. If Mirena
is for menstrual disturbance then a pelvic
ultrasound (TV and TA should accompany the
referral).
HVS
Swab for Chlamydia & Gonorrhoea
Ultrasound TA and TV
Please consider conservative management as
can be found on the management guideline for
pelvic pain prior to referral (to be done).
If stress incontinence is present patient should
be referred for 3 months pelvic floor exercises
prior to referral
Prolapse
URO-GYNAECOLOGY
Dr Malcom FRAZER
Dr Oliver DALY
Dr Samir HENALLA
Pre-Requisite Tests
Urge incontinence, unstable bladder,
detrusor instability
Stress incontinence
Three months anticholinergic therapy, then
refer if no improvement
Three months trial pelvic floor education, refer
if no improvement
MSU required only if UTI suspected
COLPOSCOPY
Dr Anne SNEDDON
Dr Don ANGSTETRA
Dr Tina FLEMING
Dr Vanitha MATH
Dr Ramesh VASANT
Pre-Requisite Tests
Please ensure appropriate pathway is followed and copy of PAP SMEAR (and swabs if
relevant) are ATTACHED
A. Always refer symptomatic patients regardless of pap test result
B. If patient asymptomatic
PAP RESULT
PATHWAY
Unsatisfactory
Repeat 6-12 weeks after treatment eg local
oestrogens if post-menopausal
LSIL (CIN 1)
Repeat pap smear in 12 months
LSIL >30 years old (no pap 2-3 years)
Refer for colposcopy
LSIL - fluctuating
Refer if two LSIL tests positive in three years,
even if intervening test negative
HSIL (CIN II-III) possible or definite
Refer for colposcopy
Glandular lesions
 Adenocarcinoma
 Adenocarcinoma in situ, possible
Refer for colposcopy
or definite
 Atypical glandular or endocervical
cells of undetermined significance
If symptoms of postcoital bleeding, or intermenstual bleeding please perform
endocervical swabs for Chlamydia and Gonorrhoea and a Pelvic Ultrasound in addition
ANTENATAL DEPARTMENT
CLINIC/OUTPATIENT SERVICE
ANTENATAL
Dr Anne SNEDDON
Dr Donald ANGSTETRA
Dr Derryck CHARTERS
Dr Tina FLEMING
Dr Richard LOONG
Dr Vanitha MATH
Dr Ramesh VASANT
Dr Tania WIDMER
REFERRAL INFORMATION
Pre-Requisite Tests
FBC
Blood Group
Antibody Screen
Rubella
Hepatitis B and C
HIV and Syphilis Serology
MSU
12 week Nuchal Transflucency Scan (unless patient declines)
DEPARTMENT OF PAEDIATRICS
CLINIC/OUTPATIENT SERVICE
PAEDIATRICS
A/ Prof Sue MOLONEY
Dr Deborah BAILEY (VMO) Surgeon
Dr Pita BIRCH Neonatologist
Dr Scott BLUNDELL
Dr Francoise BUTEL
Dr Wei Wei CHAN
Updated January 2015
REFERRAL INFORMATION
Pre-Requisite Tests
PLEASE ATTACH any recent relevant pathology, imaging or condition specific
investigations
Dr Syed FASIHULLAH (VMO)
Dr Glenn HARTE (VMO)
Dr Tim HONG Neonatologist
Prof Peter JONES (VMO)
Prof Alison KENT
Dr David PINCUS (VMO)
Dr Darrell PRICE (VMO)
Dr Toni REDMAN
Dr Peter SCHMIDT Neonatologist
Dr Doug SHELTON
Dr Harry SINGH Neurologist
Dr Liam TJIA
Dr Tung VU
Dr Dylan WILSON (VMO)
CHILD PROTETION LIAISON UNIT
Dr Kerry SULLIVAN
Dr Scott BLUNDELL
Dr Toni REDMAN
Ann KIMBERLEY (CPLO)
Updated January 2015