DUB sTEPHENS gREEN.jpg (6862 bytes) The Bray Family Practice

Services

 

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  [Under Construction]                 This week we are opening a new consultation room  and providing wheelchair access in order   to serve your needs even better.

Service 1
Service 2
Service 3

 

Asthma Clinics

Vaccination Clinics 

Maternity Care        

Cryotherapy              

Minor Surgery          

Joint Injection   

ECG                

Holter Monitor     

                       

caduceus1.gif (597 bytes) THE BRAY FAMILY PRACTICE MEDICAL CENTRE

Services Available

[ECG and Holter ]
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[Maternity Care]
[Vaccination Clinic]
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[Health Screening)
[Minor Surgery]
[Joint Injections ]
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Our practice will evaluate your general health through the normal screening procedures of Blood Pressure, Cholesterol , Sugar and Body Mass index. We will also do an ECG where appropriate. For women we have a cervical smear service and for men where appropriate we check Prostate Specific Antigen.

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Your pregnancy care will be shared between our practice and the local preferred Hospital Obstetrician. Ideally your first visit should be before 12 weeks and and your first Hospital visit should have taken place by 20 weeks. Subsequently your care will alternate between our practice and the Hospital.

Maternity and Infant Care Services is provided free of charge to all women. This covers six ante-natal visits and one postnatal visit. Maternity information packs are available on request.

We usually share our maternity care  with Holles Street Hospital

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Immunisations is one of the most effective Public Health measures for the control of communicable diseases. Although there is no vaccine which is entirely free of side-effects, the benefits of disease prevention far outweigh the risks of vaccination. Children without contra-indications should receive Diphtheria-Tetanus-Pertussis (3 in 1 ) , Oral Polio , Measles-Mumps-Rubella ( MMR ) and Haemophilus Influenza type B (Hib ) in accordance with the recommended schedules.

Immunisation Schedule

 

2 Months

3 in 1 , Polio , & Hib

4 Months

3 in 1 , Polio , & Hib

6 months

3 in 1 , Polio , & Hib

15 Months

Measles Mumps and Rubella

4-5 Years

2 in 1 & Polio ( Booster )

 

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Our clinic provides most for Minor Surgical procedures including clinical and histopatholigical assessment of suspicious skin lesions. Dr. Patrick Treacy has worked with melanoma assessment in the Mayo Clinic and in Queensland. We also provide a cyrotherapy clinic for treatment of solar keratosis and warts. We are shortly getting a Hyfercator Unit to provide an even better service to our patient's..

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Steroid injections have many uses in general practice and are most beneficial when locally applied into tendon insertions or inflamed joints in tendosynoviits or arthritis. The proper use of steroids is totally safe and easy to perform. This is a service on offer at our surgery. Intra-articular steroid injections are primarily indicated in inflammatory joints,  although local infiltration of steroid injections around painful ligaments and tendons can be great benefit in conditions such as carpal tunnel syndrome, tennis elbow and plantar fasciitis.


Irish Medical Links

MEDICAL THERAPIES IN SPORTS INJURIES

DUB sTEPHENS gREEN2.jpg (6862 bytes)THE BRAY FAMILY PRACTICE MEDICAL CENTRE


FAMILIARISE YOURSELF WITH THE INJURIES ASSOCIATED WITH IRISH SPORTS MEDICINE
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FrenchRugbyGalthie_290199.gif (9354 bytes)GOOD LUCK TO ULSTER ON THEIR RECENT VICTORY
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COMMON INJURIES ASSOCIATED WITH VARIOUS SPORTS by Dr. Patrick Treacy

Almost any of the injuries and medical problems described  could occur during participation in any sport or vigorous physical activity. The most likely ones associated with popular sports are listed below, sport by sport.                  Dr.Patrick J. Treacy has a special interest in trauma.

AEROBIC DANCE: Muscle, ligament or tendon sprain or strain in any area of the shoulder, arms, abdominal wall, pelvis, legs, ankles and feet; "runner's knee"; shin splints; hamstring injury; foot or leg exostosis or stress-fracture.

ARCHERY: Epicondylitis ("tennis elbow"); finger sprain or strain; strain of upper-arm muscles, especially biceps; pneumothorax; puncture wounds (from off-target arrows).

BASEBALL: Epicondylitis ("tennis elbow" or "pitcher's elbow"); strain of upper-arm muscles; olecranon elbow fracture; radio-humeral elbow-joint sprain; shoulder dislocation; acromio-clavicular strain; shoulder bursitis; shin splints; finger fracture or dislocation; lacerations; contusion; abrasion; puncture wound (from cleats); hematoma under fingernail or toenail.

BASKETBALL: Finger dislocation or fracture; thumb sprain; ankle sprain; groin-muscle sprain; "runner's knee"; shin splints; shoulder dislocation; acromio-clavicular strain; shoulder bursitis; hematoma under toenail; contusion; abrasion; laceration.

BOATING (INCLUDES SAILING, CANOEING,KA YAKING): Cold injury (hypothermia); heat illness; wrist sprain or strain; shoulder tendinitis and bursitis; epicondylitis ("tennis elbow"); knee contusion or abrasion (from kneeling).

BOXING: Facial laceration, especially around the eyes; jaw fracture; head injury, including concussion, epidural hematoma, subdural hematoma, or cauliflower ear; neck sprain or dislocation; internal abdominal injury to spleen, liver or kidney; hematoma under fingernail or toenail; contusions; abrasions.

CYCLING: Perineum (area between the scrotum and anus in males, between the vagina and anus in females) contusion or pressure injury, causing numbness in genitals and upper legs; boils on buttocks due to heat and moisture; carpal-tunnel syndrome; "runner's knee"; sprain or strain of pelvic, upper-leg or lower-leg muscles, tendons, and ligaments; ankle sprain; contusions; abrasions; lacerations.

DIVING: Hand, thumb, wrist or shoulder sprain or strain; head and neck injuries; back strain; Osgood-Schlatter's disease.

FOOTBALL GAA and RUGBY: Every injury listed in this book. Most common ones include those to head, neck, knee, ankle, and pelvic and leg muscles.

HANDBALL: Finger dislocation or fracture; thumb sprain; ankle sprain; groin-muscle sprain; "runner's knee"; shin splints; shoulder dislocation; acromio-clavicular strain; shoulder bursitis; hematoma under fingernail or toenail; contusions; abrasions; lacerations.

HOCKEY: Every injury listed in this book. The most common ones include those to the head, neck, knee, ankle, and pelvic or leg muscles.

GOLF: Epicondylitis ("tennis elbow"); shoulder bursitis and tendinitis; upper back sprain; contusions or head injury from flying balls.

GYMNASTICS: Neck or back strain; radius (bone in forearm) stress-fracture; shoulder, elbow, wrist, knee, ankle or foot sprain or strain; Osgood-Schlatter's disease; shin splints; hematoma under nailbed; contusions; abrasions; lacerations.

JOGGING: Muscle, ligament or tendon sprain or strain in any area of the shoulder, arms, abdominal wall, pelvis, legs, ankles and feet; "runner's knee"; shin splints; hamstring injury; foot or leg exostosis or stress-fracture; contusions; abrasions; lacerations; puncture wounds; snakebite.

MOUNTAIN-CLIMBING: Abrasions; contusions; lacerations; shin splints; dislocation, fracture, sprain or strain of any muscle group or joint; snakebite; head injuries; internal chest or abdomen injury; altitude sickness; dehydration; cold injury (hypothermia or frostbite).

TRACK & FIELD EVENTS (SPRINTS, RELAYS, HIGH JUMP, DISCUS, LONG JUMP, HURDLES, JAVELIN THROW, POLE VAULT, SHOT PUT): Muscle, ligament or tendon sprain or strain of all areas of the shoulder, arms, abdominal wall, pelvis, legs, ankles and feet; "runner's knee"; shin splints; hamstring injury; foot or leg exostosis or stress-fracture; hematoma under toenail; contusions; abrasions; lacerations; puncture wounds.

SKATING (ICE SKATING, ROLLER SKATING): Coccyx (tailbone) fracture or contusion from falling; cold injury (ice skating only); foot stress fracture; "runner's knee"; shin splints; Osgood-Schlatter's disease; sprain or strain in the upper leg, knee, lower leg, ankle or foot; hematoma under toenail; contusions; abrasions; lacerations;.

SKIING (DOWNHILL SKIING, SLALOM SKIING, CROSS-COUNTRY SKIING): Osgood-Schlatter's disease; shin splints; hematoma under toenail; contusions; abrasions; lacerations; sprain or strain of ligaments, muscles or tendons of the back, neck, shoulder, chest, abdominal wall, arm, wrist, pelvis, leg, knee, ankle or foot; knee-cartilage injury; tendinitis and bursitis of the shoulder, knee or hip; epicondylitis ("tennis elbow"); dehydration; altitude sickness; cold injury (hypothermia); sunburn; injury to the retina of the eye from sun glare.

SOCCER: Every injury listed in this book. The most common ones are those to the hips, pelvis and lower extremities.

SOFTBALL: Epicondylitis ("tennis elbow" or "pitcher's elbow"); strain of upper-arm muscles; olecranon elbow fracture; radio-humeral elbow-joint sprain; shoulder dislocation; acromio-clavicular strain; shoulder bursitis; shin splints; finger fracture or dislocation; lacerations; contusions; abrasions; puncture wound (from cleats); hematoma under fingernail or toenail.

SQUASH: Eye injury; hematoma under toenail; contusions; abrasions; lacerations; shoulder-area bursitis; sprain or strain of the shoulder, neck, back, arm, wrist, hip, upper leg, knee, lower leg or ankle; shin splints; epicondylitis ("tennis elbow").

SWIMMING: Eye injury (from pool chemicals); verruca (warts) from poolside damp areas; sprain or strain of the shoulder, lower back, hip or knee areas; cold injury (hypothermia); sunburn.

SCUBA DIVING: Decompression illness; contact dermatitis (skin rash) if hypersensitive to wet suit material.

SURFING: Head injuries; sprain or strain of the shoulder, lower back, hip or knee; shin splints; cold injury (hypothermia); sunburn; contact dermatitis from wax on surfboard and sensitivity to wet suits; contusions; abrasions; lacerations.

TENNIS: Epicondylitis ("tennis elbow"); shoulder-area bursitis; eye injury; shin splints; hematoma under toenail; contusions; abrasions; lacerations; sprain or strain of the shoulder, neck, back, arm, wrist, hip, upper leg, knee, lower leg or ankle.

VOLLEYBALL: Finger dislocation or fracture; thumb sprain; ankle sprain; shin splints; groin-muscle sprain; "runner's knee"; shoulder dislocation; acromio-clavicular strain; shoulder bursitis; hematoma under fingernail or toenail; contusions; abrasions; lacerations.

WATERSKIING: Head injuries; epicondylitis ("tennis elbow"); contusions; abrasions; lacerations; sprain or strain of the back, neck, shoulder, chest, abdominal wall, arm, wrist, pelvis, leg, knee, ankle or foot; shin splints; knee-cartilage injury; tendinitis and bursitis of the shoulder, knee or hip; cold injury (hypothermia); sunburn; injury to the retina of the eye from sun glare.

WALKING: Injuries are unlikely, but possibilities include muscle, ligament or tendon strain or sprain in any areas of the shoulder, arms, abdominal wall, pelvis, legs, ankles or feet; "runner's knee"; hamstring pull; foot or leg exostosis; stress-fracture; contusions; abrasions; lacerations; snakebite.

WATER POLO: Eye injury (from pool chemicals); verruca (warts) from poolside damp areas; sprain or strain of the shoulder, lower back, hip or knee; cold injury (hypothermia); sunburn; contusions; abrasions; lacerations.

WEIGHT-LIFTING: Strain or sprain of the muscles, tendons or ligaments of the neck, shoulder, arm, wrist, fingers, abdominal wall, hip, pelvis, leg (especially quadriceps), knee, ankle, foot or toes; elbow dislocation; dehydration from fluid loss due to sweating.

WRESTLING: Laceration of areas around the eyes; head injury, including concussion, epidural hematoma, subdural hematoma and cauliflower ear; neck sprain or dislocation; internal abdominal injuries to the spleen, liver or kidney; hematoma under fingernail or toenail; contusions; abrasions; shoulder dislocation. Almost any other injury is possible, but because this sport is usually well-supervised, injuries are minimal.


 

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Copyright � 1999 The Bray Family Practice
Last modified: February 15, 1999