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  • Travel Vaccines & Travel Health Advice | Rowe Creavin Group Practice
    C It is a virus infection of the liver Symptoms are usually not as obvious as with other types of hepatitis but the following signs and symptoms are an indication of the disease general tiredness and lethargy dark yellow orange urine pale bowel motions yellow whites of the eyes and yellow skin and pain in the liver area of the abdomen Most infected persons have no symptoms It is estimated that about 0 3 of all blood donors in developed countries are infected with hepatitis C virus and thus are carriers Hepatitis C carriers can infect other people and are at risk of death from cirrhosis of the liver and liver cancer years after the initial infection however the natural history of Hepatitis C virus infection is not fully understood How do you catch Hepatitis C Hepatitis C is caught the same way as you catch Hepatitis B although Hepatitis B is much more easily transmitted than Hepatitis C Cases of Hepatitis C in most developed countries are in intravenous drug users but some countries have high rates in the general population also What is the incubation period time from exposure to first symptoms 30 150 days Average 45 65 days How is Hepatitis C diagnosed Specific blood tests for Hepatitis C are necessary to confirm the diagnosis What is the treatment There is no specific treatment A medication called interferon may be used in some cases How do you prevent Hepatitis C Avoid risky behaviour as with Hepatitis B Vaccination Immunisation Currently there is no vaccine available Hepatitis E What is Hepatitis E It is a virus infection of the liver The following signs and symptoms are an indication of the disease tiredness and lethargy dark yellow orange urine pale bowel motions yellow whites of the eyes and yellow skin How do you catch Hepatitis E HepatitisE is spread through the oral faecal mouth anus route and through contaminated food and water What is the incubation period time from exposure to first symptoms 15 65 days average range 30 40 days How is Hepatitis E diagnosed Specific blood tests for Hepatitis E are necessary to confirm the diagnosis These are often only available in special reference laboratories What is the treatment There is no specific treatment How do you prevent Hepatitis E Food and water precautions as for Hepatitis A Vaccination Immunisation Currently there is no vaccine available 3 Yellow Fever How do you catch Yellow Fever Yellow Fever is a serious viral haemorrhagic fever transmitted from monkey to monkey by mosquitos bites in the forest canopy Humans can get into this cycle and become infected by mosquitoes as well Transmission between humans can occur when a person with the yellow fever virus enters an area where there are also susceptible mosquitoes What are the signs and symptoms of Yellow Fever Many infections present mildly as a flu like illness or in its severe form may cause headaches nausea and vomiting abdominal pain bleeding shock and collapse and signs of kidney and liver failure The liver failure causes yellow jaundice hence the name Yellow Fever Yellow Fever is mainly a disease of jungle areas but there are occasional outbreaks in towns and cities The death rate is around 30 It occurs in exclusively in Africa and South America South American infections usually occur in rural workers from occupational exposure in or near forests In Africa the Yellow Fever virus is transmitted in three regions commonly in the moist savannah zones of West and Central Africa during the rainy season occasionally in urban locations and villages in Africa and rarely in jungle regions What is the incubation period time from exposure to first symptoms 3 6 days How is Yellow Fever diagnosed This is based on the typical illness and confirmed by special blood tests or post mortem tests in fatal cases What is the treatment There is no specific treatment Cases either recover spontaneously or die Are there any adequate mosquito prevent measure Every traveller s first line of defence is to take personal protective measures against mosquitoes The vaccine though excellent may not protect 100 against the disease You are advised to wear mosquito repellent containing DEET 20 30 concentration is generally adequate and stay in air conditioned or screened rooms Travellers can reduce the amount of skin exposure with appropriate clothing protection e g socks long pants and long sleeved shirts If you use a repellent containing DEET on children do so with care there is some evidence of a potential for neurological side effects associated with overdoses Do not use strengths more than 10 20 without the advice of a travel health professional If you are to travel into rural regions then take a bednet We advise aerosol blasting any accommodation room with insecticides to kill indoor mosquitoes Permethrin a mosquito insecticide can be applied to clothing and mosquito netting for extra protection How do you prevent Yellow Fever Prevention is by vaccination or immunisation with the Yellow Fever vaccine This is a live vaccine which gives almost 100 protection that lasts for 10 years The vaccine is administered subcutaneously in a single dose Immunity is attained after 6 10 days Regulatory authorities require A valid certificate 10 days prior to arrival at the destination Boosters at least every 10 years to maintain up to date protection Can the vaccination be given to children Yellow fever vaccine should not be administered to any infant under 4 months of age children 4 6 months should be considered only in unusual circumstances Infants 6 9 months can receive the vaccine if they cannot avoid travelling to areas of risk and when a high level of protection against mosquito bites is not possible Over 9 months of age vaccination if required is permissible Various authorities in many countries can prevent travel if vaccination for Yellow Fever is not up to date The international certificate is valid for 10 years beginning 10 days after vaccination Yellow Fever vaccination is available only at designated yellow fever clinics What are the risks and side effects of the vaccine Reactions to this vaccine are generally mild and include fever headache and muscle ache These reactions occur 5 to 14 days after immunisation Serious side effects are unlikely however there is a rare chance that serious problems or even death could occur after receiving any medicine or vaccine Side effects include redness and tenderness at the site of the injection fever mild headache muscle aches and a flu like illness 3 7 days after vaccination Those over the age of 60 years need to discuss particular reactions to the vaccination that could occur with their travel health professional As with any serious medical problem if the person has a significant or unusual problem after receiving the vaccine call a doctor or bring the person to a health professional promptly Yellow Fever Certificate from the Rowe Creavin Group Practice After immunisation an International Certificate of Vaccination is issued and is valid 10 days after vaccination to meet entry and exit requirements for all countries The Certificate is good for 10 years Take the Certificate with you for travel to certain regions will require proof of having had the vaccination It is essential that travellers who have a medical reason not to receive the yellow fever vaccine obtain a medical waiver Most countries will accept a such a medical waiver for persons with a valid reason not to receive the vaccine Such a waiver will need a physician s note clearly stating the medical reason not to receive the vaccine It is essential that it be written on a surgery letterhead and bear the stamp used by the doctor writing the letter and preferably a stamp from the local health department or official immunization centre This will assist in the validation of the waiver Who Should Not Use The Vaccine Children younger than 4 months of age as noted above people who have had a previous severe reaction to the vaccine and those who are extremely allergic to eggs should not receive this vaccine People with AIDS or some other immune suppression disease need to discuss the risks and benefits of this vaccine carefully with their travel health professional The vaccine can be administered in pregnancy only when the risk or contracting the disease far outweighs the risk of any side effect and the journey is essential Wherever possible the travel should however be avoided until after the pregnancy is over The vaccine may be given to nursing mothers 4 Tetanus What Is Tetanus Tetanus is an acute disease caused by a neurotoxin produced by the obligately anaerobe Gram positive spore forming bacterium Clostridium tetani Simply said tetanus is caused by a toxin released by a common dust or soil bacterium It has a worldwide distribution How Do You Catch Tetanus Clostridium tetani spores are ubiquitous in the environment and are a normal inhabitant of soil and animal and human intestines After entering the body through a wound the spores germinate and produce toxins These toxins interfere with the release of neurotransmitters at inhibitory nerve terminals resulting in unopposed muscle contraction and spasm Tetanus occurs worldwide but is more common in hot damp climates with soil rich in organic matter Tetanus particularly the neonatal form remains a significant public health problem in non industrialised countries causing an estimated 400 000 deaths each year Generalised tetanus occurring in newborns is termed neonatal tetanus and this form of tetanus is attributable to low maternal immunity in combination with non sterile delivery and certain traditional umbilical cord care practices In industrialised countries tetanus has become very uncommon particularly amongst infants band children due to effective childhood immunisation programmes More recently Tetanus has been described in Intravenous Drug Users IDU where potential sources for infection are contaminated drugs paraphernalia and contaminated skin Increased awareness of tetanus in IDUs is therefore extremely important What Is The Incubation Period Time From Exposure To First Symptoms The incubation period ranges from 3 days to 3 weeks usually around 7 8 days Longer incubation periods may be associated with more peripheral injury sites How Is Tetanus Diagnosed The onset of symptoms is gradual over 1 to 7 days It is characterised by painful muscle contractions mainly in the neck and face but also in the trunk In general the shorter the incubation period the more severe the disease and the higher the risk of death A number of clinical forms of tetanus have been described Generalised tetanus is the most common and is characterised by increased muscle tone and generalised spasms These spasms are violent and painful and may threaten ventilation Sustained contraction of the facial muscles results in the classic sign of risus sardonicus Sustained contraction of the back muscles produces an arched back opisthotonos Generalised tetanus occurring in newborns is termed neonatal tetanus Local tetanus is uncommon and is characterised by persistent contraction in the same area as the injury Cephalic tetanus is rare and involves cranial nerves particularly in the facial area Clinical evidence of tetanus infection is defined as mild to moderate trismus and one or more of the following spasticity dysphagia respiratory embarrassment spasms and autonomic dysfunction Because the disease is very rare a diagnosis of tetanus may not be initially recognised Laboratory tests are of limited value as the organism may be isolated from a wound in as few as 30 of cases Furthermore Clostridium tetani can be isolated from patients who do not have the disease Diagnosis thus relies upon clinical criteria The current clinical case definition for tetanus is acute onset of Hypotonia and or painful muscle contractions most commonly in the jaw and neck and which may proceed to generalised muscle spasms Clinical signs may also be rather non specific particularly in the early stages of the disease and in neonates who may present with apnoea or tonal abnormalities without the classic opisthotonos What Is The Treatment For Tetanus In general the specialist treatment will involve the following the cleaning and debridement of wounds the giving of human tetanus immune globulin early ventilation and sedation as required and if symptoms progress the control of spasms with diazepam or phenobarbitone How Do You Prevent Tetanus Effective individual protection against tetanus can only be achieved through active immunisation Unlike other vaccine preventable diseases there is no possibility of herd immunity and immunity cannot be naturally acquired Vaccination with tetanus toxoid stimulates production of antibodies which act against the toxin produced by the organism thus providing protection against the consequences of infection rather than the infection itself Immunisation with a toxoid ought to prevent the disease but waning immunity and or increased immigration of non immunised or inadequately immunised individuals represent a significant cause of cases in developed nations Wounds that may permit tetanus spores to germination classic wounds such as burns compound fractures wounds with extensive damage injecting drugs users had contributed to a higher incidence in your adults body piercing 5 Malaria Malaria is the world s most prevalent tropical disease It affects 400 million people a year and kills approximately 2 million mainly children Malaria is caused by a parasitic protozoa which is transmitted from person to person by the bite of a mosquito found in tropical areas WHAT IS MALARIA Malaria is an illness caused by a parasite that is transmitted by the bite of a female anopheline mosquito The CLASSIC symptoms are shivers called rigors or chills that alternate with high fevers As the fever drops there is usually extreme sweating and occasionally diarrhoea can be a prominent symptom Malaria doesn t always present with classical symptoms however so anyone who gets a fever in a malarious area should be presumed to have the disease and tested accordingly In between episodes of fever the patient can appear deceptively well As malaria does not always cause the classic pattern of symptoms the golden rule is that any fever could be malaria in any person who has been in a malaria area any time in the past 12 months There are 4 species of parasite that cause malaria One is potentially rapidly fatal sometimes referred to as malignant malaria often resulting in cerebral malaria This is caused by Plasmodium falciparum Malignant malaria may progress to life threatening coma or a severe state of shock The other form or benign malaria may produce recurrent episodes of fever sometimes over many years Benign malaria is caused by one of 3 other species Plasmodium vivax Plasmodium ovale or Plasmodium malariae These cause similar symptoms to falciparum malaria but do not cause brain or cerebral malaria or shock Death due to benign forms of malaria is very rare but can occur usually from trauma to the spleen that causes rapidly fatal loss of blood into the abdomen HOW DO YOU CATCH MALARIA From the bite of a particular species of mosquito an anopheline mosquito these mosquitoes bite between dusk and dawn 2 hours after dusk and 2 hours before dawn are the commonest times Risk levels for various areas around the world are constantly changing as are the recommended anti malaria medications for prevention and treatment WHAT IS THE INCUBATION PERIOD TIME FROM EXPOSURE TO FIRST SYMPTOMS This is about 10 12 days for malignant malaria minimum is 7 days but commonly around 30 days for the benign form Sometimes the malignant form may not occur until 12 months after the last exposure to infected mosquitoes The benign form may not appear until 5 years or more after leaving a malaria area HOW IS MALARIA DIAGNOSED Malaria is best diagnosed at the time of sweating or fever by microscopic examination of a blood film Three to four blood tests collected over a 72 hour period should be taken Even if still negative the person could still have malaria and may require further testing to find the organisms in the blood If there is any doubt it is often best to treat for malaria as untreated malignant malaria can be rapidly fatal HOW DO YOU PREVENT MALARIA Prevention of mosquito bites remains the BEST way to stop malaria It is recommended that you Avoid mosquito bites between dusk and dawn Take anti malaria preventative medicine This reduces the risk of getting the disease but none of the medications is 100 effective in preventing malaria Note that medication should always be used in combination with anti mosquito measures such as mosquito nets and insect repellent Consider other preventative measures such as dressing appropriately in long sleeves and long trousers using personal insect repellents with DEET sleep in air conditioned accommodation or under permethrin impregnated mosquito nets 6 Rabies What is Rabies Rabies is a virus infection In humans it s always fatal once symptoms have developed Humans usually catch rabies when they are bitten licked or scratched by an infected pet or by a stray wild animal The contact introduces the rabies virus into a wound Infected animals can often behave unpredictably a normally friendly pet may turn very aggressive or a usually timid wild animal may become apparently tame Such unusual behaviour poses particular dangers for young children who may become delighted by the friendliness of an infected wild creature How do you catch Rabies Infection is from the saliva of an infected or rabid animal usually a dog cat or a monkey In most cases infection results from a bite but just a lick on an open cut sore or even the eyes or mouth could be enough A human case of rabies can also infect other people in the same way Some animals particularly dogs carry the virus but can appear unaffected for up to 6 months What is the incubation period time from exposure to first symptoms This varies Usually it takes 2 8 weeks but can be as short as 5 days or as longer than 10 years How is Rabies diagnosed Usually diagnosis is based on the typical symptoms including signs and symptoms like Fever

    Original URL path: http://www.rcgp.ie/94-2/ (2016-02-07)
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  • Occupational Health | Rowe Creavin Group Practice
    Defib Machine 2x VDU machines 2x ECG machines heart tracing Ear syringing units 3x 24 hour Blood Pressure Monitors Spirometer Audiometer Cryotherapy Equipment wart verruca removal Fully equipped anti MSRA coated minor ops suite Dexa Scanner Osteoporosis Screening equipment DEXA Scan A bone density scan called a DEXA scan is used to measure the density of bones The letters DEXA stand for dual energy x ray absorptiometery This test is currently the most accurate and reliable means of assessing the strength of ones bones and risk of fracture It is a simple painless procedure that uses very low doses of radiation The patient is asked to lie down on a machine for approx ten minutes whilst and X Ray arm passes over the patient to take an image of the spine and hip The patient is pain free and will feel nothing A bone density scan can diagnose osteoporosis assess risk of fracture and monitor the effects of treatment In addition to all our usual general practice services we are a practice involved in cardiovascular screening for heart disease To this end we have a specialised 24 hour Blood Pressure Monitor and Computerised ECG equipment 24 hour Blood Pressure Monitor By referral or if indicated as part of your Well man woman Check a 24 hour Blood Pressure Monitoring device may be fitted to assess the pattern of your blood pressure over a full day to give a more in depth picture of your condition and the factors influencing your blood pressure throughout the day and night Spirometry We provide a spirometry service as part of our wellness Checks Spirometry is used to measure the air capacity of the lungs A machine is used to measure the volume of air inspired and expired by the lungs This is very useful in the diagnosis and treatment of conditions like asthma and chronic bronchitis where measuring the lung capacity at regular intervals will indicate the effectiveness of a particular drug therapy Spirometry is also widely used as part of a pre employment medical examination to assess the suitability of the individual to work in particular environmental conditions Audiometry Audiometry is available as part of our Occupational health Service or by referral This is a simple procedure where the quality of ones hearing is measured using sounds of different frequencies Our audiometry booth is located in a sound proof room where interference from outside sound is minimised Cryotherapy Equipment Cryotherapy involves removal of skin lesions including warts by freezing with liquid nitrogen ECG Machine Heart Tracing What is an electrocardiogram An electrocardiogram or ECG records the electrical activity of the heart The heart produces tiny electrical impulses which spread through the heart muscle to make the heart contract These impulses can be detected by the ECG machine You may have an ECG to help find the cause of symptoms such as palpitations or chest pain Sometimes it is done as part of routine tests for example before you have an operation The ECG

    Original URL path: http://www.rcgp.ie/occupational-health/ (2016-02-07)
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  • Heartwatch Programme | Rowe Creavin Group Practice
    for this programme you can approach us to take part We feel it provides you with the very best in preventative care What does the programme involve Heartwatch is both a preventative health initiative designed to give you the best in preventative care and a simultaneous study designed to glean information on the results of intervention The basic protocol involves quarterly visits to the clinic Before the first visit and before some subsequent visits blood tests will be performed Your heartwatch visit follows a few days later At the visit you will be assessed Information related to your past health history family history and medications will be illicited You will undergo a physical examination A personal plan to improve you health status will be engaged and previous plans reviewed We are very conscious of peoples time and special appointments are made in the hope that you will not be unduly delayed What is included in the programme The programme includes the four visits and whatever blood tests ECGs and 24 Hour Bp monitoring deemed necessary for each individual patient What is not included in the programme The programme is a cardiovascular prevention programme and we could envisage that all your primary care cardiovascular prevention needs would be met by the programme Interventions and consultations outside the programme are not covered Are there any other implications As stated above data is collected at each visit and this information is used in a nationwide study to assess the programme This is the primary reason for the funding from the Dept of Health The information is collated by an Independent Data Commission and only the statistical analysis is made available to the Dept of Health We will not share any identifying information about you with the Independent Data Commission or the Dept of

    Original URL path: http://www.rcgp.ie/heartwatch-programme/ (2016-02-07)
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  • Bone Density Scan (DEXA) | Rowe Creavin Group Practice
    bone mineral density and will even predict future fracture risk Your doctor will use the bone density scan information to decide if treatment for low bone mineral content or osteoporosis is necessary Who Should have a DEXA Scan A DEXA scan may be advised if you are at increased risk of osteoporosis Osteoporosis usually causes no symptoms at first However if you have osteoporosis you have an increased risk of breaking a bone If a DEXA scan shows that you have osteoporosis then you may be given advice and treatment to help strengthen your bones Therefore a DEXA scan may be advised if you have A fracture following a minor fall or injury Loss of height due to fracture of a vertebra back bone Taken steroid tablets for three months or more An early menopause aged less than 45 A history of periods stopping amenorrhoea for more than one year before the menopause Other disorders associated with osteoporosis such as rheumatoid arthritis or coeliac disease A family history of hip fracture on your mothers side A body mass index of less than 19 That is if you are very underweight What can I expect during a bone density scan Your exam may be the easiest medical test you will experience You will be positioned on the exam table fully clothed on your back while a scanner passes over your body You will not feel anything during the exam Lie still Breathe normally Rest comfortably Can the DEXA scan also tell me my Body Fat Measurement Yes There are several methodologies for measuring percent whole body fat and the consensus is that DEXA is the gold standard DEXA uses two different low energy x rays with whole body scanner to determine simultaneously global and local fat content bone mineral content and

    Original URL path: http://www.rcgp.ie/bone-density-scan-dexa/ (2016-02-07)
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  • Minor Surgery | Rowe Creavin Group Practice
    anti MSRA coated minor ops suite Some sample procedures available at the Rowe Creavin Practice include Ingrowing Toenails Warts Verrucae and cryotherapy Benign Moles and Melanoma Testing Sebaceous Cysts and Lipomas Non Melanoma Skin Damage Wound stitching Cryosurgery for Warts Verruca Cryotherapy is a specialised method of getting rid of unwanted warts verruca or other minor lesions The unwanted lesion is removed by freezing the area You may need more than one treatment depending on each individual case Side Effects Complications Possibility of Pain Swelling Blistering Hypopigmentation change in skin color You will be asked to sign a consent prior to treatment to ensure the procedures understood and agreed This service is free to medical card patients Patients who are covered by VHI Quinn or Hibernina medical Insurance can avail of this service under their policy Appointments for cryosurgery can be made with any doctor and the treatment will usually be carried out on the first visit Please phone Rowe Creavin General Practice reception on 051 370057 for appointment All surgery other than cryosurgery require a pre surgical assessment appointment Wound Stitching and Emergency Care We can suture most wounds after minor accidents We will try our best to facilitate

    Original URL path: http://www.rcgp.ie/minor-surgery/ (2016-02-07)
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  • Frequently Asked Questions | Rowe Creavin Group Practice
    take your call please leave your contact details and they will get back to you as soon as possible Emergency telephone calls will always be dealt with by a doctor Do you facilitate home visits Nearly all medical problems are best managed in our well equipped surgery Sick people get better attention in our well equipped Surgery than from a GP s doctor s bag House bound patients and patients in a nursing home will always be accomodated with a house call Home visits are best arranged before 10 a m When will I get my Blood test or X ray results All Blood results arrive at the practice electronically from the laboratory department at Waterford Regional Hospital Most test results are best discussed at Follow up appointments in person It is the responsibility of the patient to phone for his or her own results X ray results take up to 10 working days to come back to the surgery Normally results will be back within 2 weeks If your GP decides that a telephone follow up is suitable Test results are available from the Practice Nurse Please telephone 051 370057 Patients are asked to leave their name date of birth and phone number so that their Nurse can contact them with their results Cervical Smear Test results can take up to 8 weeks to come back from the lab How do i get my form filled in If you require the Doctor to write a letter eg Housing Letter or to fill in any other forms such as driving licence school college form etc please allow 3 working days for completion There is an administrative fee to be paid when collecting your completed Form or Letter from reception For most forms the standard form fee applies However some forms involve greater administration or medico legal responsibilities and a higher fee applies When do I pay for my medical services Payment is necessary at each medical visit We do not offer credit Keep your itemised receipt for tax purposes Back dated receipts can be issued for tax purposes however this service will incur an administrative fee Full price list of medical services displayed at reception noticeboard How can I pay For your convenience we accept Cash Cheques LASER VISA MASTERCARD Health expenses are tax deductable To claim relief you will need to keep all receipts and complete a MED 1 Form available from revenue website Do Insurance schemes like VHI Quinn Hibernia cover your GP services Certain procedures are covered by insurance schemes These services are Cryotherapy joint injections blood letting suturing Removal of Moles and IGTN which are covered by health insurers If you wish to avail of these services under private insurance please bring your medical insurance scheme details with you to the reception desk on arrival Routine consultations and other services are not covered by your health insurance Contact your insurance company for more details See Useful links on this website for all health insurers What if

    Original URL path: http://www.rcgp.ie/faq/ (2016-02-07)
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  • News | Rowe Creavin Group Practice
    under 6 years of age and wish to avail of a free GP visit card you will need to register for this scheme on line at HSE website You will need your pps number and the childs pps number to hand You can not avail of this free service until you are registered with the HSE and the Rowe Creavin Practice This entry was posted in Uncategorised on 30th June 2015 by webadmin Life Improvement Course 2015 New Year New Possibilities Why not Sign up for a life improvement course to become the best version of yourself Run by Dr Mark Rowe Further information and to book a place click here http www garterlane ie event details php id 1320 This entry was posted in Uncategorised on 7th January 2015 by webadmin Flu Vaccine 2014 2015 Now Available Call us on 051 370057 to book Who should have the flu vaccine Vaccination is strongly recommended for Persons aged 65 and over Those aged 6 months and older with a long term health condition such as Chronic heart disease Chronic liver disease Chronic renal failure Chronic respiratory disease including cystic fibrosis moderate or severe asthma or bronchopulmonary dysplasia Chronic neurological disease including multiple sclerosis hereditary and degenerative disorders of the central nervous system Diabetes mellitus Down syndrome Haemoglobinopathies Morbid obesity i e body mass index over 40 Immunosuppression due to disease or treatment including asplenia or splenic dysfunction Children aged 6 months and older with any condition e g cognitive dysfunction spinal cord injury seizure disorder or other neuromuscular disorder that can compromise respiratory function especially those attending special schools day centres with moderate to severe neurodevelopmental disorders such as cerebral palsy and intellectual disability on long term aspirin therapy because of the risk of Reyes syndrome Pregnant women vaccine can

    Original URL path: http://www.rcgp.ie/news/ (2016-02-07)
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  • Gallery | Rowe Creavin Group Practice
    March 2010 Quality Award 2008 First Patient Welcomed to WHP Men s Health Book Launch DEXA Scan Suite Main Foyer Main Foyer Cafe Hallway with Skylight Cloister Waiting Area Reception Doctors Room Doctors Room WHP Boardroom WHP Boardroom Exterior Exterior Exterior Latest News Christmas New Year Opening hours Master Class s in Wellbeing with Dr Mark Rowe begins January 2016 Free GP Card for Children Under 6 Years old Life

    Original URL path: http://www.rcgp.ie/gallery/ (2016-02-07)
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