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        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