Well Child Care

Minor Accident Care

Minor Surgery

Travel Medicine

Chronic Conditions

Well-person Health Screening Assessment

Cardiovascular Risk Assessments (CVRA)

Repeat Prescriptions

Test Results

Immunisations

Spirometry

Skin Cancers and Moles

Dermoscope

Aviation Medicals

Employment Related Medicals

Well Child Care All our staff are parents with children and can remember what is was like having sick children.   The Five Cross Roads Medical Centre team are experiencedwith children and their particular needs.  We offer a full range of preventative and acute treatment options for children and are always happy to discuss anything that worries you and give you some resources to support you and your new family.

Minor Accident Care We provide assistance for most minor injuries and accidents.  Our nurses provide telephone advice, work closely with our doctors in all aspects of patient care, and are skilled in wound care management.

Minor Surgery Our doctors offer Minor Surgery, which is carried out in our dedicated procedure room.  Costs will vary, so please talk to your Doctor about your procedure first.  Services include biopsy of suspicious lesions, removal of benign moles and skin tags.  Ingrown toenail surgery is also commonly provided.

Chronic Conditions – There are a great number of conditions including Asthma, Obstructive Airways, Diabetes and Hypertension.  We have structured clinical pathways to help you achieve the best outcome for your condition.  We actively encourage patient participation in the management and look forward to helping you.

Well-person Health Screening Assessment We offer Well-Person Health Screening assessments tailored to patients individualneeds.  You will be provided with a thorough consultation as well as discussing such things as family history, nutrition, and general well being.  Further tests may be required.

Cardiovascular Risk Assessments (CVRA) As part of a national and PHO initiativeto try to prevent heart disease Five Cross Roads Medical Centre offers CVRA checks to our enrolled patients.  You may be eligible for a FREE initial CVRA assessment.  There is a higher than normal incidence of heart disease especially if you are of Maori or Pacific Island descent.  Current national guidelines recommend the following people undertake an assessment; 35-74 year old Maori or Pacific male** 45-74 year old Maori or Pacific female** 45-74 year old NZ European male** 55-74 year old NZ European female** includes Indian, Fijian Indian, Sri Lankan, Afghan, Tibetan, Nepalese, Pakistani, Bangladeshi.  As part of the risk assessment you will need to have some prior blood tests , which we will discuss with you when you ring to make your appointment. Minor accident care Our practice offers a range of services and are able to deal with most minor accident care.  If we are not able to deal with an injury we will refer you on to the appropriate service.

Repeat prescriptions Patients who are enrolled in the practice who have a stable condition like Asthma, Hypertension or Diabetes could be allowed to get a repeat prescription for up to six months.  Repeat prescriptions are never given to patients who are not known to the practice and there is probably a blanket ban on repeats for narcotics and other drugs that could be misused as doctors are expected to monitor these drugs carefully.

Test Results Sometimes your Doctor needs to take a sample of blood or urine either to discover what is wrong with you or to measure something in your blood.  Most results come back within 48 hours unless it has to go to a specialist lab further away when it might take a little longer.  We will contact you if your test results are not normal – we do not routinely contact you with normal results.   If you are concerned about your test results, please make an appointment with your Doctor.

Immunisations Immunisation has led to the decline of many lethal diseases.  Babies are routinely immunised for Tetanus, Polio, Diphtheria, Hepatitis B and Haemophilus, which are now combined in one injection.   Each child has his or her own document to keep a record of these injections. The staff will also record the immunisation details on New Zealand’s National Immunisation Register.   This information system holds details of all immunisations given to children here.  In year (2008) Pneumococcal vaccine and Human Papillomavirus (HPV), which can lead to cervical cancer, has been introduced.  These injections are free and the Influenza vaccine is provided free for many groups.  Patients can also request Chicken Pox, Meningococcal C, TB and travel vaccines but since these carry no government subsidy, you will have to pay for them.  Reactions to immunisation are increasingly extremely rare following improvements in vaccine research and production.

Spirometry Spirometry is a tool that measures how effectively your lungs are working.  It is able to show how much air lungs are able to hold (their volume) and how much air can be breathed in and out (inhaled and exhaled) which is called flow.  This tool is used to assess damage caused by conditions like COPD (Chronic Obstructive Pulmonary disease a group that includes Bronchitis and Emphysema), Pulmonary Fibrosis, Cystic Fibrosis and Asthma.

Skin Cancers and Moles It is important not to ignore any new or changing moles or skin problems.  Our doctors have a special interest in skin cancer and skin cancer surgery.  We have advanced new equipment to help diagnose skin cancers and moles. This involves 2 types of equipment – Dermoscope and MoleMate Siascope.  We are able to rapidly assess new skin lesions and advice on the best course of action which may be life saving in the case of Melanoma.

Dermoscope This is a handheld magnifying illuminator, that gives a 10x magnification view of moles, using a polarised light. The machine gives a rapid view and likely diagnosis of moles and various other skin conditions in the hands of specially trained doctors.

Aviation Medicals Dr Paul Brydon is a Designated Aviation Medical Examiner (DME) for New Zealand Pilot Medicals. please telephone 07 8557824 to make an appointment.  You will need to allow at least 1½ to 2 hours with us, at least 25 minutes to complete the application, 20-40 minutes with our nurse and 30-45 minutes with the assessor, depending on what tests are required for your medical (ECG, Spirometry etc.) Blood tests, hearing and specialist eye examinations are all completed off site..  Costs for your application and certificate vary, depending on your specific requirements. You must bring the following items to your medical examination: Photo ID (if this is your first time here) Eye correction (with your spare glasses as well if you wear contact lenses or have very poor uncorrected vision). If you are applying for a CAA Medical Certificate AND you wear glasses or contacts, you are required to bring a copy of your prescription obtainable from your optometrist or eye physician. Your current medical certificate (if applicable)

Employment Related Medicals More frequently employers are asking their employees to undergo a medical screen as part of the employment process.  Our Doctors are able to attend to these requests.  Please phone our rooms to discuss your requirements with our Receptionists or our Practice Nurses.  You will see the Practice nurse who will do base line measurements, ECG and urine testing, followed by a complete the check by a Doctor and you may require necessary lab tests which are done off site.  When the results are available, you will be contacted directly with your results.  Please allow 45mins to 1 hour.

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