HOME
the baby & family friendly Doctor & Physio...
WHAT WE DO
Babies & ChildrenAt Eaton Avenue you will meet a lovely lady General Practitioner who studied at Wits University. Dr. Tracy Frazer, whom you may call Dr. Tracy completed her medical degree in December 2003. Tracy has pre-discipline training in paediatrics and are therefore most qualified and comfortable to meet the needs of your little ones, from 1 week and upwards. She loves children and displays great affection towards them putting them at ease making doctors visits fun and less stressful for you and baby.
Moms & DadsThe doctors at Eaton deal with all aspects of general medicine from acute to chronic management and treatments. Female patients can also have their routine pap smears done.
Physiotherapist's RoomsCarien Coetzee is the Physiotherapist at our suites. She commonly treats the following conditions (but is not limited to):1. Back problems, including Sciatica2. Neck problems, including whiplash3. Headaches 4. Sinusitis5. Bronchitis & Pneumonia6. TMJ (jaw) problems, including post-operative7. Shoulder and elbow problems, including tennis and golfers elbow8. Knee, hip and ankle problems9. Sports injuriesWhat can you expect?The first Physiotherapy session will be an hour to enable the Physiotherapist to do a thorough and accurate assessment of the patients condition.The assessment will consist of an interview, to obtain the patients concept and experience of the condition, followed by an objective assessment. During the objective assessment the patient will be asked to, within the pain limit, conduct certain tests to enable the Physiotherapist to diagnose the pathology as accurately as possible. The patient might be asked to expose the applicable area to enable the Physiotherapist to observe the area more accurately. After the thorough assessment, the Physiotherapist will discuss his/her treatment plan with the patient and once both parties have come to an agreement the treatment will commence.The patient might experience an increase in their pain or a bruised sensation post-treatment. This is a normal reaction to Physiotherapy and your Physiotherapist will recommend self-treatment options. The Physiotherapist sessions following the assessment will be thirty to sixty minutes long, depending on the patients pathology. Normally the patient will need between three and six Physiotherapy sessions but the effectiveness of treatment relies greatly on the partnership between the Physiotherapist and the patient.
Executive, Standard & Insurance MedicalsEaton Avenue Medical has all the latest facilities to provide first class service for all your executive medicals. Patients can enjoy a lovely cappuccinos from our coffee bar having the choice of relaxing in our indoor lounge or outdoor patio. We also offer WIFI access so you never out of touch. Insurance brokers and personnel will be pleased to know that our admin staff have all had previous employment experience in the long term insurance industries, so we understand the urgency of producing medical reports on time. We offer a scan to email service so that brokers don't waste time in collecting medicals.
WHAT YOU CAN DO
Dr. tracy FRAZER MBBCh (WITS)Dr Tracy Frazer, better known as “Dr Tracy” with the little ones, qualified as a Medical Practitioner from the University of the Witwatersrand in December 2003.She completed her internship at the Pretoria Academic Hospital in the year 2004, and went on to complete her community service at the Helen Joseph Hospital in December 2005.Dr Frazer then spent 6 months as a Pediatric Medical Officer at the Coronation Hospital, before starting her career as a General Practitioner in 2006.She attends regular academic meetings so as to be able to keep updated with all the latest medical information, and regularly renews her advanced cardiac life support and paediatric advanced life support courses, which were last updated in 2009.She has:• an absolute love for children• and strives for perfection,• patient satisfaction• and optimal patient care.
Mrs. carien COETZEE B.Sc. Physiotherapy UFSCarien Coetzee completed her B.Sc. Physiotherapy degree in 2004 at the University of the Free State. After her community service year in Standerton (2005), she worked at a back, neck and shoulder rehabilitation clinic in Rivonia for almost three years. She then worked at a practice in Bryanston until she went on maternity leave in April 2011. Carien completed her diploma in OMT through the North Gauteng Physiotherapy Society in 2010.
DONATE
EmergenciesIn case of an Emergency dial 10111 (For Police, Medical, Fire and Ambulance)Call an ambulance if:You don't know what to do or are uncertain of the severity of the injury,Someone is unconscious or struggling to breathe,You suspect a back or neck injury,Someone may be having a heart attack,A person is seriously injured,A small child is injured, unless you have another adult with you who can drive,There is serious bleeding that you cannot stop.Useful contact numbers:Aidsline - 080 001 2322Ambulance - 10177ER24 - 084 124Lifeline - 011 728 1347Poisons Information Centre - 0800 11 1990Netcare - 082 911Child Abuse action group - 011 793 5033Sexual Abuse Help Line - 011 860 2858Alcohol and Drug Information Service - 011 726 4210
After HoursShould you require medical attention after hours please contact your local casualty.Fourways Life: 011 875 1000Sunning Hill: 011 806 1500Olivedale: 011 777 2000Wilgeheuwel: 011 796 6500Sandton: 011706 7710Morningside: 011 282 5000
RESOURCES
Dr. Anja Kitching Dentistry B.Ch. D Dr. Anja Kitching shares the same address as Eaton Medical Avenue and can be contacted on 011 463 5365/3476.Email: anja_anjadental.co.za
Newsletter.pdf
News
Available Postitions
1. General Practioner We have availabilty for a General Practitioner, please send CV to wfrazer_drtracy.co.za2. Serviced Office SpaceWe have 1 fully serviced office available to rent for a General Practioner to set up practice. Please contact Warren Frazer on 082 902 1153 for more information.3. LocumFor GP & Physiotherapy locum times please email wfrazer_drtracy.co.za
Contact Us
Contact Us
2 Eaton AvenueSportron International HouseCorner of Bryanston DriveBryanston2021telephone: + 27 11 463 4528telephone: + 27 11 463 7600telephone: 087 802 9259fax: 086 684 3639eMail: admin_drtracy.co.za
Articles
Article 1
Whiplash Injuries in Infants
Whiplash Injuries in InfantsOur head forms a large percentage of our body weight and in adults it can weigh up to 5kg. In infants the ligaments of the neck are not yet fully developed and due to a lack of muscle tone infants cannot support their head against gravity for at least the first three months of their lives. This makes the infant more vulnerable to injuries such as whiplash when they are exposed to any sudden changes in velocity or direction - and this is not only applicable to motor vehicle accidents (Ziegler 1998).Whiplash injuries can be very detrimental since patients can still battle with pain and disability for 2 years or more after the injury occurred!What can I do to prevent my little one from sustaining a whiplash?It has been found that children younger than 2 are 5 times safer in a rear-facing car seat than when facing forwards (Bull and Durbin 2008)! For children aged 0 23 months, a rear facing car seat provides the most effective restraint, especially in side crashes (Henary et al 2007).During a fatal crash, the rear facing restrained child also has the lowest risk of dying. Even children aged 5 12 who are seated in rear facing car seats and restrained with lap belts only are better protected against injury than children in front seats with lap and shoulder belts (Braver et al 1998).However, it is also important to adhere to the specifications (height and weight) of your childs car seat. When the child outgrows the available rear-facing seats, they should be transported in a forward-facing seat with a full harness. Once the forward-facing seat is outgrown, the child should sit on a booster seat with a seatbelt (Bull and Durbin 2008).When is my child ready to sit in the car without a car or booster seat)?The shoulder belt should cross the middle of the chest and shoulder; and not the neck or throat.The lap belt should fit comfortably but tightly across the upper thighs and not the stomach.The child should be able to sit upright against the vehicles seat with their legs bent and should be comfortable in this position for the whole trip (Bull and Durbin 2008).This article was brought to you by Carien Coetzee Physiotherapy. For appointments contact the rooms on (011) 463 4528.ReferencesBraver ER, Whitfield R, Ferguson SA 1998 Seating positions and childrens risk of dying in motor vehicle crashes. Injury Prevention 4:181-187Bull MJ, Durbin DR 2008 Rear-Facing Care Safety Seats: Getting the Message Right. Pediatrics 121:619-620Henary B, Sherwood CP, Crandall JR, Kent RW, Vaca FE, Arbogast KB, Bull MJ 2007 Car safety seats for children: rear facing for best protection. Injury Prevention 13:398-402Ziegler DK 1998 Apparatus for reducing head and neck injuries in infants riding in moving vehicles.
Article 2
How to deal with acute injuries?
As a Physiotherapist I see a lot of patients with acute soft tissue injuries i.e. sprained ankles, muscle sprains, etc. Soft tissue is a group name for muscles, tendons and ligaments this excludes fractures, burns etc. An acute injury is an injury which occurred now and normally it is associated with swelling and bruising; not always visible to the naked eye. An injury remains acute for anything from 24 hours to 48 hours but can last for up to 2 weeks! There is a lot of controversy on what is the best way to deal with an acute injury, but if the injury is handled correctly it can have a significant effect on your recovery time as well as the severity of the injury. However, the most important time in the treatment is the first 24 hours (Brukner and Kahn 2001). Physiotherapists normally recommend you apply the RICE regime for acute injuries (Brukner and Kahn 2001). This regime is applicable to children as well as adults. However, if you suspect a fracture or more serious injury, you should rather go straight to casualty and not try and treat it yourself.P - Prevention is always the best cure! R - RestTry to rest the affected area as much as possible to enable the soft tissue to heal this is a huge challenge when the patient is a toddler. The sooner after injury this is done, the better (Brukner and Khan 2001). However, it is recommended that you do not rest for longer than 3 days without consulting a physiotherapist or general practitioner.I - IceLocalised ice pack 15 minutes every 2 hours for 2 days (Brukner and Kahn 2001)I actually recommend to patients and especially moms to keep a roll of Reparil© Ice Wrap or a can of Reparil© Ice Spray in the sports bag this can be applied immediately and not only do you have the cooling effect, but also an element of compression.There is a lot of controversy regarding heat versus ice versus both. I normally explain it to my patients as follows:When you have an acute injury there is normally an element of internal bleeding. The more bleeding occur, the more soft tissue damage occur. Thus, your aim with an acute injury is to decrease the blood flow to the applicable area in order to prevent more soft tissue damage. Ice causes the arteries in your body to constrict thus decreasing the blood flow whereas heat causes the arteries to dilate (open up) which increases the blood flow.The combination of heat and ice are recommended after the acute phase of injury if there is still swelling present (Brukner and Khan 2001). It is also important to remember that ice should not be applied on a fracture.C - CompressionThis can be obtained either by using a bandage, brace or strapping (Brukner and Khan 2001).However, it is very important to not use a brace for more than 3 consecutive days without consulting your doctor or physiotherapist.It is also recommended that you leave strapping to a professional.E - ElevationLifting the affected limb or area ABOVE your heart this does not mean sitting on a chair and putting your foot on the coffee table.Gravity tends to pull the swelling down resulting in pressure within your tissue and more soft tissue damage. When you elevate the affected area, the swelling moves to your lymph nodes which are the natural garbage disposers of your body.M - MedicationIt is always best to consult with your general practitioner or local pharmacist before taking any medication. It is always advisable to see your physiotherapist or general practitioner as soon as possible and not to try and self-diagnose the injury. These are just guidelines how to deal with an acute injury till you can get to a physiotherapist or general practitioner. ReferencesBrukner P, Khan K 2001 Clinical Sports Medicine, 2nd edn. pp 127-137. McGraw-Hill, Australia
Article 3
Preventing malaria
Last updated: Thursday, December 11, 2008.Article by Health 24http://www.health24.com/medical/Condition_centres/777-792-818-1804,29660.aspWhere are you taking your family on holiday next time? Just check whether it is an area where malaria is prevalent. Without taking the proper precautions, your annual family holiday could end in tragedy.Malaria kills more than a million people worldwide every year. In fact, malaria, tuberculosis and Aids together killed more people in the last 50 years, than the combined death toll of all the wars during the same time.And the worrying thing is malaria deaths in South Africa are on the increase. This has led to the reintroduction of the use of the controversial agent DDT. This increase in malaria deaths can be ascribed to the greater incidence of chloroquine-resistant malaria, as well as to the fact that many visitors to malaria areas take insufficient precautions, or do not continue with their medication after leaving the area. Malaria is often also incorrectly diagnosed as flu.Malaria is caused by a parasite, which the female mosquito transmits to humans. The symptoms of malaria include, nausea, fever, headaches, sweating, cold shivers and bodily aches and pains.The most important weapon in the fight against malaria is prevention. This consists of two things the taking of preventative medication and the prevention of mosquito bites. So what can you do to prevent malaria?MedicationNo drug therapy is 100% effective, but some of them can go a long way to preventing malaria.Currently the drug Malarone (a combination of atovaquone and proguanil) is the drug of choice when travelling to areas and regions where chloroquine-resistant malaria exists.The antibiotic doxycycline can also be used in areas of chloroquine resistance.Chloroquine is generally very safe and has few side effects, but is not effective anymore in regions where the malarial parasites have become resistant to chloroquine.Mefloquine is considered to be the best alternative to chloroquine, but should not be taken by people who have known psychiatric disorders or epilepsy.These are the most common drugs in the fight against malaria, but it is wise to consult your doctor before making any decisions on which medication you want to take.Other methods of preventionIt is important to apply other methods of prevention with prophylactic medication.Wear clothing with long sleeves and cover your ankles especially at dawn and dusk, when mosquitoes are most active.Use long-lasting insecticide sprays inside homes and buildings.Place wire or gauze screens on all doors and windows.Keep a fan on in the room during the night the current seems to put off the mosquitoes.Apply mosquito repellents directly to the skin.Use mosquito netting over the beds these can be soaked in certain types of insecticide.Try and spend evenings indoors rather than outdoors, as you are much less likely to get bitten by mosquitoes.Blankets treated with mosquito repellents are useful.
Page 4
PAMPERS GOLDEN SLEEP
Pampers Press ReleasePAMPERS GOLDEN SLEEP MEDIA RELEASEGive Baby the Gift of Peaceful Nights and Playful DaysWhen baby peeks her head over the side of her cot with a beaming early morning smile, its moms cue that baby has enjoyed a night of peaceful and undisturbed golden sleep. Not only has baby had the rest she needs to reach her developmental milestones, but her shining grin sets the scene for a happy day for both mom and baby.Sleep, Golden SleepSleep forms an integral part of a babys development. It is believed to play a role in the maturation of the brain, learning and processing of memory and growth and healing of body tissues, thus enabling physical and cognitive development. Inadequate sleep in terms of quality and quantity can have a negative impact on cognitive, behavioural and emotional functioning, explains Johannesburg paediatrician, Dr Vala.New-born babies spend about 50% of their sleep time in active sleep (which is likened to REM sleep), and adults only spend 25 30% in this zone. It is thought that processes occurring during REM sleep, including dreaming, help to stimulate the development of babys nervous system, thus helping them make sense of their exciting new world, says Dr Vala.Sleep is vital for babys cognitive, behavioural and physical development and whats more, a happy start to the day paves the way for babys wellbeing, growth and progress. For these reasons, promoting a night of sleep undisturbed by factors like wet nappies is truly in babys best interest and an early morning smile is a good sign that he has enjoyed a night of golden sleep, explains renowned parenting expert, Sister Lilian.The findings of the Pampers® Golden Sleep survey conducted in 2010 reiterate the importance of sleep to babys wellbeing, with many South African moms citing an absorbent nappy as a key factor in creating undisturbed sleep for baby. An early morning smile is also a widely accepted indicator that baby has enjoyed a night of golden sleep with one mom saying, Golden sleep is a combination of sleeping straight through and waking up with a smile and a dry bottom.The survey also reveals that 36% of South African moms believe that golden sleep has been achieved if baby sleeps through the night with another mom stating, If my baby is happy and cheerful during the day, then I know she has slept well. A further 28% of moms rely on that early morning grin to confirm that their babies have had a night of golden sleep.A number of steps can be taken to promote golden sleep for baby, including getting an early night. Inexplicably, the earlier moms and dads go to bed, the better baby sleeps. Never wake baby because he enters core sleep, during which time he sleeps particularly well. And never count the number of times baby wakes, confirm what time of night it is or how long baby stays awake. This simply focuses attention on the problem rather than helping resolve it, advises Sister Lilian.The Wetness Wake-Up CallNumerous factors such as hunger, discomfort, noise and wetness can disturb babys sleep. Until very recently, few have understood the link between urination and the achievement of golden sleep. Thanks to a clinical study by the scientists at Pampers®, a firm link has been established between urination and sleep disturbance.Termed the wetness wake-up call, its been established that when babies urinate during sleep, their body movements become more pronounced as they enter a state of disturbed sleep. Most babies sleep deeply after urination if the skin is not irritated. With that said, tiny receptors in babys skin can sense the feeling of wetness acting as little alarm clocks which can potentially waken baby during this period of lighter sleep,Have a Dry and Peaceful Pampers® NightAccording to the Pampers® study, a baby can urinate up to 12 times a night and helping to keep baby dry during sleep is one way to minimise disruption due to discomfort. New Pampers® Active Baby now features extra absorbent zones that speed away wetness faster than ever before, to help baby sleep tight all through the night. Promising up to 12 hours of overnight dryness, Pampers® Active Baby acts as a sleep enabler, helping mom to give baby a dry and peaceful night of golden sleep, so that baby can awaken with an early morning Pampers® smile. Good Morning SunshineA recent study conducted by a US-paediatrician revealed that due to the mother-baby connection which affects moms both physically and emotionally, a smile from baby has the power to relieve parental stress. When baby has enjoyed a dry and peaceful night of golden sleep shell give you the proof you need with a beaming early morning smile. All moms know that a smile is the most rewarding gift your baby can give you, so give him a night of golden sleep, concludes Sister Lilian.When baby enjoys a Pampers® night of golden sleep, both mom and baby are more likely to awaken with a Pampers® smile. So choose new Pampers® Active Baby because dry and peaceful nights mean playful and happy days for baby.For more information on the benefits of sleep, tips to ensure the wellbeing of your baby and to share your own experiences, visit www.pampers.co.za. In January, Pampers will be enabling moms all over South Africa to share their babys Pampers Smile with the world, so watch this space for more details.About Procter & Gamble:Four billion times a day, P&G brands touch the lives of people around the world. The company has one of the strongest portfolios of trusted, quality, leadership brands, including Pampers®, Tide®, Ariel®, Always®, Whisper®, Pantene®, Mach3®, Bounty®, Dawn®, Gain®, Pringles®, Charmin®, Downy®, Lenor®, Iams®, Crest®, Oral-B®, Duracell®, Olay®, Head & Shoulders®, Wella®, Gillette®, Braun® and Fusion®.The P&G community includes approximately 127,000 employees working in about 80 countries worldwide. Please visit http://www.pg.com for the latest news and in-depth information about P&G and its brands. Issued on behalf of : Pampers
Article 1
Article 2
Article 3
Page 4
eaton AVENUE MEDICAL SUITES
HOME
WHAT WE DO
WHAT YOU CAN DO
DONATE
RESOURCES
News
Contact Us
Articles
