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    Disease Checks
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  • Genetics Testing
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  • Skin Checks & Skin Diseases

Doctors care about your overall well-being, and we believe that proactive steps towards maintaining good sexual health are essential. That's why we are reaching out to remind you about the importance of getting a routine chlamydia check. This is otherwise known as an STI check or an STD check. Other sexually transmitted infections can be tested for at this appointment as well. E.g. HIV, Hep B, syphilis, gonorrhoea if appropriate.

Why is it important?

Chlamydia is one of the most common sexually transmitted infections (STIs) worldwide, and it often shows no symptoms. This means that you or your partner could be infected without even knowing it. If left untreated, chlamydia can lead to serious health complications, including pelvic inflammatory disease (PID), infertility, and an increased risk of contracting other STIs.

With the cervical screening moving out to 5 years now, the annual chlamydia check doctors did is not getting done and so infertility issues will rise. We recommend an annual check at least and a check after any new partner  if protection (which we recommend with any new partner prior to testing) was not worn.

By undergoing a chlamydia check, you take a crucial step towards ensuring your well-being and the well-being of your sexual partners. Early detection and prompt treatment are vital for preventing long-term complications and protecting your reproductive health.

Here's how easy it is:

  1. Schedule an appointment: Simply call doctors reception  at 07 32213366 or visit doctors website at www.BrisbaneCitydoctors.com.au  to book an appt (short appt is ok unless other items want to be discussed). This can also be done by Telehealth but there is no medicare rebate if you have not been seen onsite in the last 12 months (Medicare rules).
  2. Confidential and professional care: Rest assured that your privacy and confidentiality are of utmost importance .
  3. Quick and painless testing: The chlamydia check involves a simple, non-invasive test that is both quick and painless(a urine sample). It only takes a few minutes of your time but can make a world of difference in safeguarding your health. Bloods for the other STIs can be ordered as well.
  4. Expert guidance and support: In the event that your test results come back positive, doctors will provide you with comprehensive guidance and support throughout the treatment process. Remember, chlamydia is easily treatable with a course of antibiotics, and early intervention leads to better outcomes.

We understand that discussing sexual health can sometimes feel uncomfortable, but please remember that doctors are here to support you every step of the way.   Our mission is to ensure your health and well-being without judgment or stigma.

Don't put your sexual health on hold any longer. Take control of your well-being by scheduling your chlamydia check today.

Together, let's protect your future.

Warm regards,

Dr Tia Singh

Research shows severe obstructive sleep apnoea doubles the risk of stroke and increases the chance of recurrent stroke. Snoring can be a sign of sleep apnoea. Its often associated with overweight but thin people also can have severe sleep apnoea

Book now for a sleep apnoea screening test , a blood pressure and stroke risk check. You will be given a wearable finger device that monitors your breathing pattern overnight and on downloading to our program , gives a risk score to decide if we should proceed to a formal sleep study.

You will also be given a questionnaire to fill in to assess symptoms that may be associated with sleep apnoea.

Sleep apnoea is a sleep disorder characterized by episodes of partial or complete obstruction of the upper airway during sleep, resulting in interrupted breathing patterns and a decrease in blood oxygen levels. It is a serious medical condition that can lead to a range of negative health outcomes, including cardiovascular disease, cognitive impairment, and depression.

The importance of sleep apnoea lies in its potential to disrupt the body's natural restorative processes, including deep sleep and the release of hormones that regulate mood and metabolism. Additionally, sleep apnoea impacts your overall health and quality of life.

People with untreated sleep apnoea often experience excessive daytime sleepiness, morning headache, difficulty concentrating, and an increased risk of car accidents. It can also cause mood disorders such as depression and anxiety. Chronic sleep apnoea has also been linked to a range of other health problems, such as obesity, high blood pressure, and diabetes.

Recent research has shed new light on the underlying causes and potential treatments for sleep apnoea. For example, studies have identified genetic factors that increase the risk of sleep apnoea, as well as lifestyle factors like smoking and alcohol consumption that can exacerbate symptoms.

Additionally, advances in technology have led to the development of new diagnostic tools and treatment options for sleep apnoea, including wearable devices that monitor breathing patterns and customized oral appliances that can help keep the airway open during sleep.

Other research has shed new light on the potential health risks of sleep apnoea. For example, a study published in the American Journal of Respiratory and Critical Care Medicine found that people with severe sleep apnoea were four times more likely to die from any cause than people without the condition. Another study published in the Journal of Clinical Sleep Medicine found that people with sleep apnoea were at an increased risk of developing dementia later in life.

In summary, sleep apnoea is a significant health concern that can have a range of negative impacts on physical and mental health. Understanding the underlying causes and potential treatments for sleep apnoea is an important area of research that has the potential to improve outcomes for millions of people who suffer from this condition.

But first we need to diagnose it! Many people are unaware they have it.

Book a sleep apnoea screening test on site. Dr Margaret McAdam Mbbs Fracgp Mba

Chronic disease management is an essential part of modern healthcare, given the increasing prevalence of chronic conditions worldwide. Chronic diseases are any condition that lasts longer than six months and require ongoing medical management. Examples of chronic diseases include hypertension, heart disease, diabetes, obesity, respiratory conditions, kidney or liver diseases and many others.

Proper management of chronic diseases involves a collaborative effort between healthcare providers and patients. The Queen St Doctors here have expertise in the diagnosis and treatment of chronic diseases, and they play a crucial role in managing these conditions.

Doctors who have expertise in managing chronic diseases are typically the first point of contact for patients who are diagnosed with these conditions. If you have a chronic disease, it is crucial to register with a doctor who can provide ongoing care and support. Your doctor can create an annual care plan tailored to your specific needs and work with you to manage your condition effectively. This is your road map to staying healthy longer

One of the essential tools used in chronic disease management is the Annual Care Plan. A Care Plan is a personalized plan that outlines the patient's healthcare needs and goals. The plan is developed by the doctor in consultation with the patient, and it outlines the necessary actions that need to be taken to manage the patient's chronic condition.

Care Plans can also include referrals to allied health professionals such as psychologists, physiotherapists, dietitians, diabetes educators, and exercise physiologists. These allied health professionals can provide additional support to the patient in managing their condition. For instance, a physiotherapist can help a patient with arthritis manage their pain and maintain mobility, while a diabetes educator can help a patient with diabetes learn how to manage their blood sugar levels.

Patients with chronic conditions are eligible can receive subsidized allied health assistance under the Care plan. To be eligible, patients must have a chronic medical condition that has lasted for more than six months and need allied health assistance to manage the condition. Patients must also be seeing their doctor for the ongoing management of their condition.

The effective management of chronic diseases can lead to better health outcomes and an improved quality of life for patients. Its your roadmap to a long and healthy life.

Register with your doctor here now to benefit from the advantage of a chronic disease management plan in maintaining optimal health

Dr M McAdam Mbbs Fracgp Mba

Telehealth, also known as telemedicine, is a type of healthcare that uses technology to provide medical care and consultations remotely. With telehealth, patients can access medical services and consultations from the comfort of their own home, office or any other location with an internet connection. Telehealth services can include a phone or video consultations with a doctor, virtual checkups, remote monitoring, prescriptions, referrals, organising Covid tests, and Covid illness management, blood tests, certificates, order xrays etc

Scripts can be sent to your phone or email electronically now and certificates and referrals sent via email after consultation. They can also be sent to the cloud to access anywhere if you register with Active scripts list at the chemist so there is no need for phones or paper scripts

There are many benefits to using telehealth services. It can be a convenient and efficient way to access medical care, especially for people who live in remote or rural areas, have mobility issues, or have a busy schedule. Telehealth can also be a cost-effective option, as it can save patients time and money by avoiding travel to a doctor's office or emergency room. Additionally, telehealth can help reduce the spread of infectious diseases by allowing patients to receive medical care without being in physical contact with others.

It is important to note that telehealth services should not be used in emergency situations where immediate medical attention is required. In those cases, patients should call their local emergency services or go to the nearest emergency room. But certainly advice can be sought via a Telehealth appointment if this is necessary. Not all appointments are suitable for Telemedicine appointments eg abdominal pains would require an onsite appointment to enable the abdomen to be felt

Overall, telehealth services can be a valuable resource for patients seeking medical care and support, and they can provide increased access to healthcare for those who may otherwise have difficulty accessing it. However face to face appointments are preferred by Drs as diagnosis is more difficult via Telemedicine. The experienced Queen Street Doctors here are experts in their field and are specialist GPs with 10 years of training . They are Telehealth expert doctors who can manage your health for many acute and chronic conditions safely from wherever you are located.

Its really important not to fragment your care by visiting multiple disconnected medical services. This is a recipe for delayed and incorrect diagnosis. Register with Drs here who know you, and are stable long term Drs who will be available for the long term for your ongoing life care.

We offer after hours support and telehealth for our regular patients who register with us for their ongoing medical care

Remember if you have not been seen onsite in the last 12 mths there is no Medicare rebate unless its Covid related, sexual or reproductive health related, your are under 12 mths of age , homeless or displaced by disaster

Dr M McAdam Mbbs Fracgp Mba

Irritable Bowel Syndrome (IBS) is a common disorder of the gut-brain axis estimated to impact one in five Australians at some point in their life and is generally more common in women than it is in men1.

IBS is a complex condition that often requires a combination of treatment and management strategies to effectively manage a patient’s symptoms. No two cases of IBS will ever present identically, and it is likely that the management strategies involved will differ between patients.

What is IBS and how is it diagnosed?

The diagnosis of IBS is often based on symptoms after the exclusion of other possible gastrointestinal diseases. IBS can be categorised into four major subtypes depending on the predominant stool pattern:

It should be noted that these subtypes are not considered distinct, and instead represent the spectrum of clinical presentations that vary in quantity, intensity, and severity of symptoms between patients.

What are the main causes of IBS?

Although the precise cause of IBS is still unknown, it is thought that IBS involves a complex interaction of many factors, including microbial dysbiosis, visceral hypersensitivity, altered mucosal immune function and changes to the brain’s regulation of gut function2.

Around 9% of IBS is thought to be post-infective IBS which was triggered by a gut infection3. Age, genetics, diet, and stress are also known to play a role in the onset of symptoms associated with IBS2.

What are the known associations between the gut microbiome and IBS?

The gut microbiome is associated with many areas of health, including gastrointestinal health, and associated medical conditions. A growing body of evidence is looking to understand how the gut microbiome differs in people who have IBS compared with those who do not.

Emerging research is revealing recurring patterns are evident in the microbiomes of individuals who have IBS4-6. These include:

The value of gut microbiome analysis for IBS sufferers.

As we now know, significant microbial dysbiosis is seen in IBS sufferers. However, the characteristics of the dysbiosis will differ patient to patient. Using metagenomic analysis we can understand the dysbiosis allowing us to tailor the intervention for the promotion of microbial balance.

Book a Microbiome  appointment with Dr McAdam or Dr Cheong to discuss testing. But first see your Gp to have your bowel symptoms fully investigated for other causes first.

The Queen St Doctors at Manor Apartments , in the heart of Brisbane City CBD , do Skin checks for skin cancer and do treatments and excisions.( Drs Richter and Dr Cheong) .

You can book appointments online for them at www.Brisbanecitydoctors.com.au

Skin Cancer Checks: The Importance of Regular Screenings

Skin cancer is one of the most common forms of cancer worldwide. According to the World Health Organization (WHO), over 2 million people are diagnosed with skin cancer each year. With such high numbers, it is crucial to be proactive about skin cancer prevention and early detection. One of the best ways to do this is by undergoing regular skin cancer checks.

What is a Skin Cancer Check?

A skin cancer check, also known as a skin examination, is a thorough inspection of your skin conducted by a dermatologist or doctor. During a skin cancer check, your doctor will examine your skin for any unusual moles, growths, or changes in the appearance of your skin. They will also check for signs of skin cancer, such as asymmetrical moles, irregular borders, changes in colour, and moles that are larger than the size of a pencil eraser.

Why are Skin Cancer Checks Important?

Skin cancer checks are important for several reasons. Firstly, early detection is crucial in the treatment of skin cancer. When skin cancer is detected early, it is easier to treat and less likely to spread to other parts of the body. This can lead to a better prognosis and a higher chance of full recovery.

Secondly, skin cancer checks can also help to detect skin cancer at its earliest stage. The earlier skin cancer is detected, the better the chance of successful treatment. A skin cancer check can detect skin cancer when it is still in its early stages, when it is most treatable and has the best prognosis.

Thirdly, skin cancer checks can also help to detect other skin conditions that may lead to skin cancer. For example, some precancerous skin conditions, such as actinic keratosis, can be detected during a skin cancer check. These conditions can be treated to prevent the development of skin cancer.

Lastly, skin cancer checks can also help to identify any risk factors that may increase the likelihood of developing skin cancer. For example, if you have a family history of skin cancer, a skin cancer check can help to determine if you are at an increased risk of developing the condition.

How to protect yourself from the sun's harmful rays

The sun's harmful ultraviolet (UV) rays are the leading cause of skin cancer. To protect yourself from these harmful rays, it is essential to take the following steps:

  1. Wear protective clothing: Wear protective clothing that covers your skin, such as long-sleeved shirts and pants, wide-brimmed hats, and sunglasses.
  2. Use sunscreen: Apply a broad-spectrum sunscreen with an SPF of 30 or higher every two hours when you are outside, especially during peak sun hours (10 am to 4 pm). Reapply after swimming or sweating.
  3. Stay in the shade: Seek shade whenever possible, especially during peak sun hours.
  4. Avoid tanning beds: Tanning beds emit harmful UV rays that can increase your risk of skin cancer.
  5. Check your skin regularly: Check your skin regularly for any changes, and report any unusual moles or spots to your doctor immediately.

Who Should Undergo Skin Cancer Checks?

Everyone should undergo regular skin cancer checks, regardless of their skin type or age. However, some individuals may be at a higher risk of developing skin cancer and should undergo skin cancer checks more frequently. These individuals include:

  1. People with a family history of skin cancer
  2. People who have had skin cancer in the past
  3. People who have a large number of moles or irregular moles
  4. People with a history of excessive sun exposure or tanning bed use
  5. People with fair skin, light hair, and blue eyes

When Should Skin Cancer Checks be Conducted?

It is recommended that individuals undergo a skin cancer check at least once a year. However, if you are at a higher risk of developing skin cancer, you may need to undergo skin cancer checks more frequently. For example, if you have a history of skin cancer or a large number of moles, you may need to undergo skin cancer checks every six months.

It is also important to perform regular self-examinations of your skin to check for any unusual moles or changes in the appearance of your skin. If you notice any changes in your skin, it is important to make an appointment with a doctor or dermatologist for a skin cancer check.

How to Prepare for a Skin Cancer Check

To prepare for a skin cancer check, it is important to take the following steps:

  1. Avoid sun exposure for several days before the appointment to make it easier for your doctor
  2. Leave your skin unmoisturised
  3. If there are any flaky spots on your skin, or face- leave and do not pick off the flake. These flakes can be early signs skin cancer
  4. Check yourself in front of a mirror to see if any moles stand out more than they used to
  5. Advice the DR of any issues in your scalp, nails- melanomas can occur there and also in your eyes and even internally.
  6. Advise Dr of any new or unusual spots , dryness, flakiness, dints, decolourisations, enlarging moles or bleeding spots you have noticed

The treatment for skin cancer depends on the type and stage of the cancer, as well as the patient's overall health and personal preferences. The main treatments for skin cancer include:

Surgery: This is the most common treatment for skin cancer. The doctor will remove the cancerous tissue, along with some surrounding healthy tissue, in order to ensure that all of the cancer has been removed. Depending on the size and location of the cancer, the surgery may be done in a doctor's office, or in a hospital setting.

Radiation therapy: This treatment uses high-energy beams of radiation to kill cancer cells. It is often used after surgery to kill any remaining cancer cells and to lower the risk of the cancer coming back.

Chemotherapy: This treatment uses drugs to kill cancer cells. It can be taken orally or applied topically to the skin. It is often used to treat skin cancers that have spread to other parts of the body, or that cannot be treated with surgery or radiation therapy.

Immunotherapy: This treatment uses drugs to help the patient's own immune system fight the cancer. It is often used for patients with melanoma that has spread to other parts of the body.

Photodynamic therapy (PDT): This treatment uses a special light along with a photosensitizing agent to kill cancer cells. It is often used for patients with actinic keratosis, a precancerous condition.

It's important to work with your doctor to determine the best treatment plan for your individual case of skin cancer.

Heart health checks and cholesterol testing are important for assessing and monitoring the risk of developing cardiovascular disease, which is a leading cause of death globally. Regular testing can help detect high cholesterol levels and other risk factors, such as high blood pressure, smoking, and unhealthy diet, and family history early on. This allows individuals to make necessary lifestyle changes, take medication if prescribed, and receive early treatment, reducing the risk of heart attack, stroke, and other serious health conditions long term.

Regular heart health checks and cholesterol testing are critical for maintaining good heart health and reducing the risk of cardiovascular disease.

Everyone from age 30 can book these appointments. Book 20 mins with your Dr. They will check your Blood pressure, weight, BMI, cholesterol levels, cardiograph (if indicated) and do your cardiovascular risks for the next 5 years

The heart foundation website is an excellent place to start with gathering and learning more useful information www.heartfoundation.org.au

Breast screening, also known as mammography, is an important tool in detecting breast cancer at its early stages. Regular breast screening can save lives by detecting the disease before it spreads,
making treatment more effective and less invasive.

Breast cancer is one of the leading causes of death among women worldwide. In its early stages, it
may not cause any symptoms, making it difficult for women to detect the disease on their own. This
is why regular breast screening is crucial.

Mammography uses low-dose X-rays to create images of the breast tissue, allowing for early
detection of abnormal growths or tumors. Screening mammograms can detect breast cancer up to
two years before a lump can be felt, increasing the chances of successful treatment.

It is recommended that women over the age of 50 receive regular mammograms, and those with a
family history of breast cancer may need to start screening earlier. In some cases, a clinical breast
exam or ultrasound may also be necessary.

Breast screening is a quick and relatively painless process, and its benefits far outweigh any
discomfort. It is also important to remember that breast cancer can affect men as well, and they too
should be aware of the importance of regular breast screening.

Breast screening is a critical tool in the early detection and treatment of breast cancer. Regular
mammograms can increase the chances of successful treatment, save lives, and help women take
control of their breast health.

Dr Tia Singh has a special interest in breast health and does breast checks and also does annual implants checks .

Doctors also have a strong appreciation for what Wesley breast clinic offer, which is a breast screening service that is excellent.

You can find more information on their website https://www.wesley.com.au/services/wesley-breast-clinic

Formerly it was known only in Asian countries and is needed for travel there when its endemic and you plan to be there a month or more. We now have a reservoir of infection in pigs and waterbirds in Australia.

The mozzies bite them and then infect humans1/200 who get bitten get very sick and of that 1/200 people who get very sick , 1/3 will die and another 1/3 get permanent brain damage and 1/3 will surviveSymptoms develop 5-15 days after being bitten with headache fever, aches, and progression to coma in some.Risks are highest for those who live and work around piggeries, work at abattoirs, work with mozzies, vets , those going to Asian countries where it is endemic.

Prevention is by mozzie protection (dont have water puddles around the house, wear mozzie repellant and long sleeves and trousers)Two vaccines are available Imojev- this is a live attenuated virus vaccine and cant be given to immunocompromised people or pregnant ladies.

Its just the one vaccine for life. It must be given on the same day as other live vaccines or a month apartJespect is a 2 vaccine course , given 1 month apart, and can be given to all and needs a booster at 1 year for long protection. Cost is $400 for either one.

Brisbane City Doctors have started PCR and Rapid Antigen Tests via Telehealth appointment. Book Dr McAdam online.


No waiting in lines! You will pick up a kit for testing from outside the building
This will be done in a safe way to ensure no infection issues for us all. Online bookings only- do not present at the surgery under any circumstances


We also have a new COVID POSITIVE telephone appointment for Covid medical advice and created a COVID home care kit that has everything you need to look after your family if one of you tests positive.

Book this COVID POSITIVE telephone appt online- DO NOT COME INTO THE SURGERY

Preorder The Covid Kit online or phone surgery 32213366 to order- $260 for a couple. Has thermometers x2, oximeter to assess oxygen in the blood (key indicator for hospital admission), N95 masks x28, sanitiser, paracetamol, gloves, alcohol wipes for disinfection of surfaces, tissues, two rapid antigen tests and two PCR tests .

Get your Covid boosters asap!

Everyone needs a 3rd shot (booster) to successfully fight Covid

Pfizer and Moderna stock in this week and appointments available daily
Be ready! The Omicron wave is upon us

Brisbane City Precinct has been awarded

Australian Business Enterprise Awards for 2023

Winner Women's Health GP Excellence Award 2023