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Medicare Bulk Billing for all eligible patients· Mon–Fri 8:00am–5:00pm· Muswellbrook Fair, Tenancy 16–17, Rutherford Road· (02) 6530 7404
Muswellbrook
Doctors.

All Medicare-eligible consultations are bulk billed for patients with a valid Medicare card. Some items, including privately purchased vaccines and consumables, attract a fee.

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Skin cancer checks.The spot you notice matters.

Australia has one of the highest rates of skin cancer in the world, and there is no national screening program. It comes down to someone noticing — usually you, sometimes us.

Before your skin check
Book a long appointmentA full check is head to toe and systematic. It does not fit into a standard consultation.
Come as you areNo makeup, no fake tan, and remove nail polish — skin cancer can appear under a nail.
Point things outBring a list, or a photo on your phone, of anything you have been watching.
Checked properlyHead to toe in good light, often with a dermatoscope
Treated hereMost biopsies and minor excisions are done in our treatment room
No referral neededBook directly — you do not need a referral for a skin check

You do not need to knowwhat it is.

Do not wait on theseA spot that is bleeding, growing quickly, or has not healed in four weeks should be seen promptly rather than at your next routine check. So should a new dark streak under a fingernail or toenail, or a sore that keeps scabbing and reopening.

You only need to notice that something has changed. Doctors are the ones who work out what it is — your job is simply to bring it in. Below are the changes worth acting on.

How often should I check my own skin?

About once a month is enough to notice change. Pick a routine — after a shower, on the first of the month — and get someone to check your back.

What if I am not sure it has changed?

Take a photo with something for scale beside it, like a coin, and compare in a month. If in doubt, book — nobody minds being shown a spot that turns out to be harmless.

Does a spot have to be dark?

No. Some skin cancers are pink, red, skin-coloured or pearly, and some look like a sore that will not heal. Colour alone does not rule anything in or out.

Shape & colour

Two halves that do not match

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Shape & colourTwo halves that do not match

Draw an imaginary line through it. If one half looks different from the other, that is worth showing us.

Shape & colour

A ragged or blurred edge

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Shape & colourA ragged or blurred edge

Harmless moles usually have a clean, even border. Notched, scalloped or fading-out edges are worth a look.

Shape & colour

More than one colour

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Shape & colourMore than one colour

Several shades of brown, black, red, white or blue in the one spot is more significant than a single even colour.

Shape & colour

Bigger than a pencil eraser

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Shape & colourBigger than a pencil eraser

Around 6mm across is the usual guide — but a smaller spot that is changing still matters more than a large one that never does.

Change over time

It is new, and you are over 40

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Change over timeIt is new, and you are over 40

Genuinely new moles become less common with age. A new one in an adult deserves attention.

Change over time

It looks different to the others

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Change over timeIt looks different to the others

Most people's moles look like siblings. The one that does not belong is worth showing us — it has a name, the ugly duckling sign.

Change over time

It has changed in months, not years

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Change over timeIt has changed in months, not years

Growth, darkening, thickening or spreading over weeks to months is the pattern that matters.

How it feels

It itches or stings

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How it feelsIt itches or stings

Most moles feel like nothing at all. Persistent itching or tenderness in one spot is worth mentioning.

How it feels

It bleeds or crusts

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How it feelsIt bleeds or crusts

Bleeding without knocking it, or a scab that keeps returning to the same place, should be checked.

How it feels

It has become raised or firm

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How it feelsIt has become raised or firm

A flat spot that becomes lumpy, or a soft one that firms up, has changed — and change is the signal.

Easy to miss

Your back and shoulders

Read more
Easy to missYour back and shoulders

The single most common place for a melanoma to be found late, simply because you cannot see it. Ask someone to look.

Easy to miss

Scalp, ears and neck

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Easy to missScalp, ears and neck

Sun reaches them for a lifetime and hair hides them. A hairdresser sometimes spots these first.

Easy to miss

Soles, palms and under nails

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Easy to missSoles, palms and under nails

Skin cancer can appear on skin that never sees the sun, including a new dark streak under a nail.

Easy to miss

Behind the legs and between toes

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Easy to missBehind the legs and between toes

Awkward to see and easy to skip. A hand mirror solves both.

This is what to look for, not a way to diagnose yourself. Anything new, changing, or not healing after four weeks is worth an appointment — most turn out to be nothing, and that is a good outcome.

The ABCDE guide,for checking your own skin.

A simple way to describe what has changed, used by Cancer Council Australia. It is not a way to diagnose yourself — it is a way to notice, so you can tell us what you have seen.

  1. AAsymmetryDraw an imaginary line through the middle. On an ordinary spot the two halves match. On one worth showing us, they do not.
  2. BBorderA spreading, blurred or notched edge, rather than a clean, even one.
  3. CColourBlotchy, with more than one colour in it — black, blue, red, white or grey mixed through the brown.
  4. DDiameterA spot that is getting bigger, whatever size it started at.
  5. EEvolvingAnything that is changing: growing, thickening, changing colour, or behaving differently to how it used to.

Plenty of skin cancers do not follow this pattern, so a spot that seems to pass is not cleared by it. If something is bothering you, bring it in regardless of what the letters say.

Most skin cancers are found by someone looking.A few minutes in front of a mirror every month, and a proper check when something has changed.

A full check ismore systematic than you expect.

It is not a glance at the spot you are worried about. It is a structured look at your skin from scalp to soles, in good light, usually with a dermatoscope — a magnifier with a light that shows patterns underneath the surface that the naked eye cannot see.

What to wear, and what to ask forYou will undress to your underwear and are covered with a gown or sheet throughout, with only the area being examined uncovered at a time. You can ask for a chaperone at any point, for any reason, and you do not need to explain why.
How long does it take?

Longer than a standard consultation — book a long appointment and say it is for a full skin check so enough time is set aside.

Will I be examined all over?

A full check means scalp to soles. You stay covered except for the area being looked at, and you can decline any part of it.

Can I just have one spot looked at?

Yes, and that is a perfectly reasonable appointment. It is shorter than a full check — say which you want when you book.

1Tell us your historySunburns, time outdoors, solariums, family history and any previous skin cancers. It changes how closely we look.A few minutes
2The systematic lookScalp to soles in good light, including the places you cannot see yourself. Anything of interest gets the dermatoscope.The main event
3A plan for anything foundMost spots need nothing. Some get photographed and reviewed. A few need a biopsy, which we can usually do here.Before you leave
4When to come backBased on your risk, not a fixed rule. You will leave knowing when your next check is due.Your interval

Some skin needswatching more closely.

Everyone in Australia carries some risk. What changes is how often you should be checked, and that is a conversation rather than a formula.

Sun exposure here is not seasonalOutdoor work in the Upper Hunter means year-round exposure, not just summer weekends. If your job keeps you outside, say so — it changes the interval we suggest.
How often should I be checked?

It depends on the list above. For many people once a year is reasonable; for someone who has had a skin cancer it may be every three to six months. We will suggest an interval and explain why.

Does sunscreen still matter at my age?

Yes. Risk accumulates for as long as you keep getting exposure, so protection continues to be worth it whatever your age.

What about vitamin D?

Most people get enough incidentally. If you are concerned, that is a conversation to have rather than a reason to skip sun protection — and it can be tested.

Higher risk

Fair skin that burns

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Higher riskFair skin that burns

Skin that burns before it tans, especially with red or fair hair, freckles, and light eyes.

Higher risk

A lot of moles

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Higher riskA lot of moles

More than about fifty moles, or several that are large or unusual looking, means closer monitoring.

Higher risk

Family history

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Higher riskFamily history

A parent, sibling or child who has had melanoma raises your risk meaningfully.

Higher risk

Past skin cancer

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Higher riskPast skin cancer

Having had one is the strongest predictor of having another. Regular checks matter most in this group.

Higher risk

Outdoor work or sport

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Higher riskOutdoor work or sport

Cumulative exposure over years counts, not just the memorable burns.

Higher risk

Bad sunburns, especially young

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Higher riskBad sunburns, especially young

Blistering burns in childhood or adolescence carry forward into adult risk.

Higher risk does not mean something is wrong. It means checking more often is worth the time.

Most of it is dealt withhere in the room.

Worth saying plainlyMost spots we look at turn out to be harmless. Of those that are not, the great majority are the common, slow types that are treated completely by removing them. Coming in early is what keeps it that way.

Finding something is not the emergency people imagine. Skin cancers found early are usually straightforward to treat, and a large part of that treatment happens in our treatment room rather than a hospital.

Will it leave a scar?

Any removal leaves a mark. How noticeable depends on where it is and how your skin heals — we will tell you what to expect before anything is done.

Does it hurt?

Local anaesthetic stings briefly, then the area is numb. Most people describe pressure rather than pain.

Is it bulk billed?

The consultation is, with a valid Medicare card. Biopsies are bulk billed for pension and concession card holders. Other procedures, such as excisions, may attract a private fee — reception will quote you before it is booked.

In the room

Biopsy

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In the roomBiopsy

A small sample taken under local anaesthetic and sent to pathology. It takes minutes, and you go home with a dressing.

In the room

Minor excision

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In the roomMinor excision

The spot removed completely under local anaesthetic, with stitches and a wound review afterwards.

In the room

Cryotherapy

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In the roomCryotherapy

Liquid nitrogen for sun spots and some early changes. Quick, done within the consult, sometimes repeated.

What happens next

Waiting for pathology

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What happens nextWaiting for pathology

Results usually take several days. We will ask you to book to discuss them — reception cannot give results over the phone.

What happens next

Referral where needed

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What happens nextReferral where needed

Some sites and some diagnoses are better handled by a specialist. We refer with the pathology and history attached.

What happens next

Follow-up checks

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What happens nextFollow-up checks

After any skin cancer, the interval between checks shortens. That is routine, not a bad sign.

Full skin checks

Dermatoscope examination

Biopsies in our treatment room

Minor excisions

Cryotherapy for sun spots

Referral where needed

No referral required to book

Bulk billed consultations

Full skin checks

Dermatoscope examination

Biopsies in our treatment room

Minor excisions

Cryotherapy for sun spots

Referral where needed

No referral required to book

Bulk billed consultations

Full skin checks

Dermatoscope examination

Biopsies in our treatment room

Minor excisions

Cryotherapy for sun spots

Referral where needed

No referral required to book

Bulk billed consultations

Skin checkquestions, answered.

Do I need a referral for a skin check?

No. Book directly with us. A referral is only needed if you go on to see a specialist, and we write that for you.

How long should I book?

A long appointment for a full check. A single spot is shorter — tell reception which you want.

Is a skin check bulk billed?

The consultation is bulk billed with a valid Medicare card. If a spot needs testing, biopsies are bulk billed for pension and concession card holders. Other procedures may attract a fee, quoted before you go ahead.

What should I bring?

Nothing special. Come without makeup or fake tan, remove nail polish, and note anything you have been watching.

Can I bring a photo of a spot?

Yes, and it helps — especially if it shows how the spot looked a few months ago.

My spot has been there for years. Still worth checking?

Yes, if it has changed. Long-standing and stable is reassuring; long-standing and now different is not.

Do you use a dermatoscope?

Yes. It magnifies and lights the spot so patterns below the surface become visible, which makes checks considerably more accurate than the naked eye.

What if I am embarrassed?

Extremely common, and not a reason to put it off. You stay covered except for the area being examined, and you can ask for a chaperone.

General information onlyThis page is general health information for anyone who finds it useful. It is not advice about your own situation and it does not replace a consultation with a doctor who knows you. If you are worried about a symptom, book an appointment or call (02) 6530 7404. In an emergency, call 000.

Relatedservices.

No surprises

Know the costbefore you come in.

Bulk billed with a valid Medicare card · Mon–Fri 8:00am–5:00pm · Muswellbrook Fair, Rutherford Road.

Prefer to meet us first? Meet the doctors →

Spirometry,a breathing test that takes minutes.

Spirometry measures how much air you can move and how fast. It is the test that turns “a bit short of breath” into an actual diagnosis — and in a coal and dust region, that matters.

What to know
Book the right lengthTell reception what it is about so enough time is set aside.
No referral neededThis is general practice care — you can book directly with us.
Ask for who you preferMale and female GPs are available. Say who you would like when you book.
One practiceYour history in one place, so nothing has to be explained twice
Longer if you need itAsk reception for a long appointment when there is more than one thing
Bulk billedStandard consultations, for everyone with a valid Medicare card

How much air,and how fast.

You breathe in as deeply as you can and then blow out as hard and as long as possible into a mouthpiece. It is repeated several times to get a reliable result. The main numbers are FEV1 — how much air you blow out in the first second — and FVC, the total you can blow out.

The defining feature of obstruction, as in asthma and COPD, is a reduced FEV1 to FVC ratio. Sometimes the test is repeated after a puff of reliever to see whether the numbers improve, which helps distinguish asthma from COPD. Spirometry can suggest a restrictive pattern but cannot confirm one — that requires fuller lung function testing at a specialist laboratory.

Preparation changes the resultYou will usually be asked to withhold certain inhalers before the test — how long depends on which one. Avoid a heavy meal, vigorous exercise and smoking beforehand. Reception will give you the specific instructions when you book.
Why does it need repeating?

Technique matters enormously. Several attempts are done so the best reliable result is used.

Is it hard?

It is effortful rather than painful. People often feel briefly light-headed or cough. Both settle.

Why does my work history matter?

Dust exposure from mining, farming, welding, quarrying and construction all affect the lungs, sometimes decades later. In the Hunter that history is a real part of the picture.

Used for

Diagnosing asthma

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Used forDiagnosing asthma

Particularly with reversibility testing after a reliever.

Used for

Diagnosing COPD

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Used forDiagnosing COPD

Where obstruction persists despite a reliever.

Used for

Monitoring

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Used forMonitoring

Tracking lung function over years, which is more informative than one result.

Used for

Occupational health

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Used forOccupational health

Baseline and ongoing testing where there is dust exposure.

Worth knowing

Technique is everything

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Worth knowingTechnique is everything

A poorly performed test can look abnormal when the lungs are fine.

Worth knowing

It cannot confirm restriction

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Worth knowingIt cannot confirm restriction

A restrictive pattern needs fuller testing at a specialist laboratory.

Technique is most of the result.You will be coached through it, and you will do it more than once.

Several attempts,best result used.

The whole appointment takes 20 to 30 minutes.

Should I take my inhalers first?

Usually not — you will be told which to withhold and for how long when you book.

Can I eat beforehand?

A light meal is fine. Avoid a heavy one, and avoid vigorous exercise and smoking beforehand.

When do I get the results?

Usually the same visit, explained alongside your symptoms and history.

1Book and prepareYou will be told which inhalers to withhold and for how long.Before the day
2The testDeep breath in, blow out hard and long. Repeated several times.15 minutes
3Reversibility if neededRepeated after a reliever to see whether the numbers improve.+15 minutes
4The resultExplained alongside your symptoms, work history and examination.Same visit

Spirometry on site

Asthma & COPD diagnosis

Dust exposure history

Occupational lung health

Reversibility testing

Bulk billed

Book ahead

Results explained

Spirometry on site

Asthma & COPD diagnosis

Dust exposure history

Occupational lung health

Reversibility testing

Bulk billed

Book ahead

Results explained

Spirometry on site

Asthma & COPD diagnosis

Dust exposure history

Occupational lung health

Reversibility testing

Bulk billed

Book ahead

Results explained

Spirometryquestions, answered.

Does spirometry hurt?

No, but it is effortful. Light-headedness and coughing are common and settle quickly.

How long does it take?

Twenty to thirty minutes, longer with reversibility testing.

Do I take my inhalers first?

Usually you withhold certain ones. You will be given specific instructions.

Is it bulk billed?

Standard consultations are bulk billed with a valid Medicare card.

Can it diagnose asthma?

It is a key part of diagnosis, especially with reversibility testing, alongside your history.

What if I cannot manage the technique?

It is common to need practice. The staff will coach you, and it is repeated until a reliable result is obtained.

Does dust exposure matter?

Very much. Tell us about mining, farming, welding, quarrying and construction work, however long ago.

Do I need a referral?

No. Your GP can arrange it here.

General information onlyThis page is general health information for anyone who finds it useful. It is not advice about your own situation and it does not replace a consultation with a doctor who knows you. If you are worried about a symptom, book an appointment or call (02) 6530 7404. In an emergency, call 000.

Relatedservices.

No surprises

Know the costbefore you come in.

Bulk billed with a valid Medicare card · Mon–Fri 8:00am–5:00pm · Muswellbrook Fair, Rutherford Road.

Prefer to meet us first? Meet the doctors →

Wound and dressing care,reviewed as it heals.

Wounds are reviewed as they heal rather than dressed and forgotten. Regular checks are how infection and slow healing get picked up while they are still small problems.

What to know
Book the right lengthTell reception what it is about so enough time is set aside.
No referral neededThis is general practice care — you can book directly with us.
Ask for who you preferMale and female GPs are available. Say who you would like when you book.
One practiceYour history in one place, so nothing has to be explained twice
Longer if you need itAsk reception for a long appointment when there is more than one thing
Bulk billedStandard consultations, for everyone with a valid Medicare card

The right dressingmatters less than the review.

Ring us the same day ifThe wound becomes more painful after the first couple of days, the redness spreads, there is pus or a bad smell, you develop a fever, or the area goes numb or cold. Any wound below the ankle in someone with diabetes needs prompt attention.

There are dozens of dressing products and the choice does matter — but what matters more is that someone experienced looks at the wound regularly and changes the plan when it is not progressing. That is what a series of appointments buys you.

How often will I need to come?

It depends on the wound. Some need daily attention at first, most settle into every few days. It is booked as a series so you are not ringing each time.

Can I shower?

Usually, with the dressing protected. You will get specific instructions for your wound rather than a general rule.

What does it cost?

The consultation is bulk billed with a valid Medicare card. Some dressing products carry a cost — reception will tell you first.

We manage

After surgery

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We manageAfter surgery

Post-operative wounds, including ones from procedures done elsewhere. Bring any instructions you were given.

We manage

Cuts and grazes

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We manageCuts and grazes

Cleaned, closed if needed, and reviewed. Tetanus status checked at the same time.

We manage

Burns

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We manageBurns

Minor burns dressed and monitored. Larger or deeper burns are referred, and we will tell you plainly which yours is.

We manage

Leg ulcers

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We manageLeg ulcers

Often slow, often needing compression, and always needing regular review to get anywhere.

We manage

Diabetic foot wounds

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We manageDiabetic foot wounds

Any wound below the ankle in someone with diabetes is treated as important and seen promptly.

We manage

Slow healers

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We manageSlow healers

A wound that has not improved in a fortnight needs its plan reconsidered, not just redressed.

Seen often enough to notice change.Booked as a series, with the same team, so healing is followed rather than assumed.

A short series,with the same team.

The point of booking ahead is that nobody has to remember to ring.

Can I have the same nurse?

Where possible, and it is worth asking for. Continuity matters a lot with wounds because change is easier to spot.

What if it gets worse between visits?

Ring us. Do not wait for the next booked appointment.

Do you do compression bandaging?

For leg ulcers where it is appropriate, yes — after checking the circulation first, which is an important step.

1First lookThe wound assessed, cleaned and dressed, and the cause considered — because some wounds are a symptom of something else.First visit
2A plan and a seriesDressing type, frequency and how long we expect it to take, with the appointments booked in advance.Booked ahead
3Review, not just redressEach visit checks progress against what we expected. If it is not tracking, the plan changes.Each visit
4Healed, and whyWe close the loop on what caused it, so the same thing is less likely to happen again.At the end

Post-operative wound care

Dressings by our practice nurses

Leg ulcer management

Burns & grazes

Diabetic foot wounds

Suture removal

Tetanus checked

Booked as a series

Post-operative wound care

Dressings by our practice nurses

Leg ulcer management

Burns & grazes

Diabetic foot wounds

Suture removal

Tetanus checked

Booked as a series

Post-operative wound care

Dressings by our practice nurses

Leg ulcer management

Burns & grazes

Diabetic foot wounds

Suture removal

Tetanus checked

Booked as a series

Wound & dressing carequestions, answered.

Do I need a referral?

No. Book directly with us.

Can you remove stitches put in elsewhere?

Yes. Bring any paperwork you were given, including when they are due out.

Is my tetanus up to date?

We check this with any wound. It is easy to overlook and simple to fix.

Do you dress wounds for aged care residents?

Ask reception about arrangements — it depends on the facility and the situation.

How long will it take to heal?

It depends on the wound, your circulation, and conditions like diabetes. We will give you a realistic expectation rather than a guess.

Can I keep using my own dressings?

Bring them in and we will tell you whether they suit the wound at this stage. Dressing needs change as healing progresses.

What if I am on blood thinners?

Tell us. It affects bleeding and sometimes the dressing choice, but it rarely prevents anything.

Is scarring avoidable?

Not entirely, but good wound care genuinely improves the result, particularly keeping it moist and protected from the sun afterwards.

General information onlyThis page is general health information for anyone who finds it useful. It is not advice about your own situation and it does not replace a consultation with a doctor who knows you. If you are worried about a symptom, book an appointment or call (02) 6530 7404. In an emergency, call 000.

Relatedservices.

No surprises

Know the costbefore you come in.

Bulk billed with a valid Medicare card · Mon–Fri 8:00am–5:00pm · Muswellbrook Fair, Rutherford Road.

Prefer to meet us first? Meet the doctors →

Blood tests,collected on site.

4Cyte Pathology collects at the clinic, so bloods can usually be done straight after your appointment rather than in another trip across town.

All referrals accepted

On site4Cyte Pathology collects here, in the same building.
Bulk billedMost Medicare-listed tests are bulk billed with a valid Medicare card.
Straight after your visitNo second trip, and no second carpark.
What to know
Book the right lengthTell reception what it is about so enough time is set aside.
No referral neededThis is general practice care — you can book directly with us.
Ask for who you preferMale and female GPs are available. Say who you would like when you book.
One practiceYour history in one place, so nothing has to be explained twice
Longer if you need itAsk reception for a long appointment when there is more than one thing
Bulk billedStandard consultations, for everyone with a valid Medicare card

Questions withnumerical answers.

A blood test measures something specific. A full blood count looks at red cells, white cells and platelets. A cholesterol panel needs fasting for accurate triglycerides. HbA1c shows average blood sugar over roughly three months. Thyroid, kidney, liver and iron tests each answer their own question.

Reference ranges are the middle of what most healthy people fall within, which means a normal person can sit slightly outside one. A single number just outside the range is usually not the alarming thing it looks like. Trends over time are far more informative than any one result.

Water only means water onlyBlack coffee and tea both affect some results. If you are fasting, plain water is the only thing that does not count.
Do I need to fast?

For cholesterol and some glucose tests, generally yes — usually 10 to 12 hours, water only. Many other tests need no fasting at all. Your request form will say.

Can I take my medicines while fasting?

Usually yes, with water. Ask when the test is ordered if you are unsure, particularly with diabetes medicines.

How long do results take?

Most within a few days. Some specialised tests take a couple of weeks.

Common test

Full blood count

Read more
Common testFull blood count

Red cells, white cells and platelets. Picks up anaemia and infection.

Common test

Iron studies

Read more
Common testIron studies

Fatigue is one of the most common reasons to test, and iron is a common answer.

Common test

Cholesterol panel

Read more
Common testCholesterol panel

Usually fasting. Part of assessing heart disease risk.

Common test

HbA1c

Read more
Common testHbA1c

Average blood sugar over about three months. No fasting needed.

Common test

Thyroid function

Read more
Common testThyroid function

Tiredness, weight change, mood change and hair changes all prompt it.

Common test

Kidney and liver function

Read more
Common testKidney and liver function

Also used to monitor medicines that affect either.

Fasting means water only.Tea and coffee, even black, can change the numbers.

Bring the form,bring ID.

Bring your request form, your Medicare card and photo identification.

Does it hurt?

A brief sharp scratch. Tell the collector if you have fainted before — lying down avoids most problems.

What if I am hard to bleed?

Drink plenty of water beforehand unless you have been told otherwise, and keep warm. Both help considerably.

How do I get my results?

Book a follow-up appointment, in person or by telehealth. We contact you directly if anything needs urgent attention.

1Test orderedWith a clear reason, and ideally the follow-up booked at the same time.At your visit
2PrepareFast if required — 10 to 12 hours, water only. Otherwise no preparation.Night before
3CollectionBring the form, Medicare card and photo ID. It takes a few minutes.5 minutes
4ResultsReviewed by a doctor, then explained at your follow-up appointment.Days

Pathology collection

Fasting tests

Results in days

Every result reviewed

Bulk billed pathology

On-site or nearby collection

Bring photo ID

Follow-up appointments

Pathology collection

Fasting tests

Results in days

Every result reviewed

Bulk billed pathology

On-site or nearby collection

Bring photo ID

Follow-up appointments

Pathology collection

Fasting tests

Results in days

Every result reviewed

Bulk billed pathology

On-site or nearby collection

Bring photo ID

Follow-up appointments

Pathology & blood testsquestions, answered.

Do I need to fast?

For cholesterol and some glucose tests, usually 10 to 12 hours, water only. Your form will say.

Can I drink coffee while fasting?

No. Water only, even black coffee or tea.

Should I take my medicines?

Usually yes with water. Ask when the test is ordered, especially with diabetes medicines.

How long do results take?

Most within a few days. Some specialised tests take longer.

Is pathology bulk billed?

Most Medicare-listed tests are bulk billed. Some tests are not covered by Medicare and you will be told beforehand.

Will you call me with results?

We contact you if something needs urgent attention. Otherwise book a follow-up — no news is not good news.

What if I faint with blood tests?

Tell the collector. Lying down for the collection prevents nearly all of it.

Can I get a copy of my results?

Yes. Ask at your appointment.

General information onlyThis page is general health information for anyone who finds it useful. It is not advice about your own situation and it does not replace a consultation with a doctor who knows you. If you are worried about a symptom, book an appointment or call (02) 6530 7404. In an emergency, call 000.

Relatedservices.

No surprises

Know the costbefore you come in.

Bulk billed with a valid Medicare card · Mon–Fri 8:00am–5:00pm · Muswellbrook Fair, Rutherford Road.

Prefer to meet us first? Meet the doctors →

Pre-employment medicals,assessed against the job.

A pre-employment medical checks whether you can safely do a specific job. In the Upper Hunter that often means hearing, lung function and physical capacity — and it means bringing the right paperwork.

What to know
Book the right lengthTell reception what it is about so enough time is set aside.
No referral neededThis is general practice care — you can book directly with us.
Ask for who you preferMale and female GPs are available. Say who you would like when you book.
One practiceYour history in one place, so nothing has to be explained twice
Longer if you need itAsk reception for a long appointment when there is more than one thing
Bulk billedStandard consultations, for everyone with a valid Medicare card

An assessment againsta specific job.

A pre-employment medical is not a general health check. It assesses whether you can safely perform the tasks of a particular role, against the requirements the employer has set. Two people can be perfectly healthy and one still be unsuitable for a particular job.

What is assessed varies by role, but commonly includes height, weight, blood pressure, vision, hearing, lung function, musculoskeletal assessment, and a urine sample. Some roles require drug and alcohol screening; some require chest imaging. The employer's requirements determine the content.

Bring the employer's paperworkRequirements differ between employers, sites and roles. Without the specific form and requirements, the assessment cannot be completed properly and you may need to come back.
Why is it not bulk billed?

It is requested by a third party rather than being care for your health, so Medicare does not fund it. The fee is quoted before you book.

Does the employer see everything?

The employer receives an opinion about your fitness for the role, not your full medical history. Anything found that is your own health matter is discussed with you.

What if something is found?

It gets explained to you, and where it is fixable it becomes a plan. Finding treatable things is one of the genuine benefits of these assessments.

Commonly assessed

Vision and hearing

Read more
Commonly assessedVision and hearing

Both are core requirements for many roles in the region.

Commonly assessed

Lung function

Read more
Commonly assessedLung function

Spirometry, particularly where there is dust exposure.

Commonly assessed

Physical capacity

Read more
Commonly assessedPhysical capacity

Musculoskeletal assessment against the tasks of the role.

Commonly assessed

Blood pressure and general health

Read more
Commonly assessedBlood pressure and general health

Including height, weight and a urine sample.

Sometimes required

Drug and alcohol screening

Read more
Sometimes requiredDrug and alcohol screening

Where the employer or site requires it.

Bring

Form, ID, glasses, medicines

Read more
BringForm, ID, glasses, medicines

Plus any relevant specialist letters or previous assessments.

Some roles require a drug and alcohol screen.Which ones, and what is tested, is set by the employer — not by us.

Longer appointment,booked ahead.

Ring reception, say which employer and role, and you will be quoted the fee.

How long does it take?

Usually 45 minutes to an hour, sometimes longer if additional testing is required.

Can it be done same day?

Rarely. These need booking ahead so the right time and equipment are available.

Are you an approved provider for coal industry assessments?

Ring and confirm before booking. Some coal industry assessments must be done by a provider approved under the relevant NSW arrangements.

1Ring to bookSay the employer and role. You will be quoted the fee before booking.Before the day
2Bring everythingThe form, photo ID, glasses, hearing aids, medicines and any relevant letters.On the day
3The assessmentUsually 45 to 60 minutes, including any required testing.On the day
4The reportCompleted and returned as required, with anything relevant to your own health discussed with you.Days

Pre-employment medicals

Work fitness assessments

Hearing & lung function

Drug and alcohol screening where required

Privately billed

Quoted before booking

Long appointment

Bring photo ID

Pre-employment medicals

Work fitness assessments

Hearing & lung function

Drug and alcohol screening where required

Privately billed

Quoted before booking

Long appointment

Bring photo ID

Pre-employment medicals

Work fitness assessments

Hearing & lung function

Drug and alcohol screening where required

Privately billed

Quoted before booking

Long appointment

Bring photo ID

Pre-employment medicalsquestions, answered.

Is it bulk billed?

No. Third-party assessments are privately billed, and quoted before you book.

How long does it take?

Usually 45 to 60 minutes.

What should I bring?

The employer's form, photo ID, glasses, hearing aids, your medicines and relevant letters.

Does my employer see my medical history?

No. They receive an opinion on your fitness for the role.

Do you do coal industry medicals?

Ring and confirm — some must be done by a provider approved under the relevant NSW arrangements.

Do you do drug and alcohol screening?

Where the employer requires it. Confirm when you book.

What if I do not meet the requirements?

It is explained to you, and where something is treatable that becomes a plan.

Can I do it by telehealth?

No. These require examination and testing.

General information onlyThis page is general health information for anyone who finds it useful. It is not advice about your own situation and it does not replace a consultation with a doctor who knows you. If you are worried about a symptom, book an appointment or call (02) 6530 7404. In an emergency, call 000.

Relatedservices.

No surprises

Know the costbefore you come in.

Bulk billed with a valid Medicare card · Mon–Fri 8:00am–5:00pm · Muswellbrook Fair, Rutherford Road.

Prefer to meet us first? Meet the doctors →

Cosmetic consultations,assessed properly first.

An unhurried appointment with Dr Zahraa Hussein, here in general practice. She reviews your history, examines the area, and explains your options, the risks and the cost — with nothing decided on the day.

Non-surgical cosmetic procedures are medical procedures, and are not right for everyone — which is exactly what the consultation is for.

What to know
15–20 minutesTime to ask everything you want to ask, without being rushed.
No referral neededPhone reception and ask for a cosmetic consultation with Dr Hussein.
A female GP you already knowDr Hussein consults here in general practice, in the same rooms.

A good look first,then it is your call.

Dr Hussein consults in general practice at Muswellbrook Doctors, and also sees patients privately for cosmetic consultations. It is the same doctor, the same rooms and the same standard of assessment you would expect for anything else you came in about.

A consultation covers your reasons for attending, a review of your medical history, current medicines and allergies, an examination of the relevant area, and a full discussion of the options that exist for it — what each would involve, what it would not achieve, the risks that apply to you specifically, and what it would cost. The option of doing nothing is discussed alongside the others, because for some people it is the right one.

Suitability is decided individually, at the consultation, after that examination. It cannot be assessed over the phone, from a photograph, or from a website. If Dr Hussein does not think a procedure is appropriate for you, she will say so and explain why — and she will tell you what, if anything, would be a better place to start.

Deciding not to go ahead is a normal outcomePlenty of people come to a consultation, take the information home and decide against it. Some are advised against it. Neither changes anything about your care at this practice.
Registration details. Dr Zahraa Hussein, registered medical practitioner, general registration, Ahpra registration number MED0002772704. You can check the registration of any practitioner, free, at ahpra.gov.au.
What the consultation is for

To work out whether anything should be done at all — and if so what, with what risks, and at what cost. It is an assessment appointment. No procedure is carried out at it, and you are not asked to make a decision while you are in the room.

What you take home with you

Written information about anything that has been proposed, including what it involves and the risks, and a written quote for the cost. If nothing has been proposed, you leave knowing why, and what the alternatives are.

Facial lines are a normal part of ageing

Nothing on this page suggests they need treating. Lines, folds and changes in the face are what faces do over time. This consultation exists for people who have already decided they would like to discuss the options, not to persuade anyone that they should.

When a GP appointment is the better starting point

If a mole or spot has changed, that is a skin check. If a rash, acne or a skin condition is the concern, that is a standard GP appointment and it is bulk billed. And if how you feel about your appearance is affecting your mood, sleep or daily life, start with a GP — a cosmetic procedure is not the treatment for that, and there is real help available.

Why no products or prices appear on this page

The substances used in non-surgical cosmetic procedures are prescription-only medicines. Australian law prohibits advertising prescription medicines to the public, and Ahpra's advertising guidelines prohibit publishing procedure prices in a way that encourages choosing on cost. So this page describes the consultation, not products. Everything can be discussed with you in person.

Concerns Dr Hussein commonly sees at these consultations

Facial lines

Lines and folds

Read more
Facial linesLines and folds

The lines across the forehead, between the eyebrows, and at the outer corners of the eyes. The consultation covers what is contributing to them, what the options are and what each would and would not change — and it starts from the position that lines are normal, not a problem needing fixing.

Jaw and facial muscles

Clenching and grinding

Read more
Jaw and facial musclesClenching and grinding

Jaw clenching, teeth grinding and aching or tight facial muscles. These often have causes worth addressing first — stress, sleep, and dental factors — so the assessment includes those, and a dental review is frequently part of the discussion rather than an afterthought.

Excessive sweating

Underarm sweating

Read more
Excessive sweatingUnderarm sweating

Sweating well beyond what the situation calls for, which can be genuinely limiting at work and socially. Because it can be a symptom of something else, the assessment checks for underlying medical causes and reviews your medicines before any cosmetic option is discussed.

A second opinion

Something done elsewhere

Read more
A second opinionSomething done elsewhere

If you have had a procedure somewhere else and are unsure about the result, or were not given the information you should have been, you can book a consultation to talk it through with a GP and understand what you are looking at.

Not sure yet

Just want to understand it

Read more
Not sure yetJust want to understand it

You do not have to have decided anything. Booking a consultation to ask questions and find out what is actually involved is a legitimate reason to come, and a common one.

Every case

Individually assessed

Read more
Every caseIndividually assessed

Suitability is determined at an individual consultation and nowhere else. Individual responses vary, and the outcome one person has does not indicate what another person would have.

You do not need to haveit all worked out.

Most people who book one of these appointments arrive with a vague idea and a lot of questions. That is the normal way to turn up, and it is reason enough to come in.

Scroll or use the arrows
“I have been thinking about it for ages”

And you would rather ask a doctor than keep reading things on the internet. That is exactly what this appointment is for.

“I do not know what any of it is called”

You do not need to. Point at what is bothering you and describe it however it comes out. Working out the names of things is our job, not yours.

“I do not want to look overdone”

It is the single most common thing people say. Say it out loud in the appointment — it genuinely changes the conversation, and sometimes the answer is that nothing is the right call.

“I am worried I will be talked into something”

You will not be. Nothing happens on the day, there is no sales pitch, and no one here will suggest you should be unhappy with how you look.

“I feel a bit silly asking”

Nobody thinks that. It is a medical appointment about something that has been on your mind, which is what a GP appointment is.

“I only want to know what it costs”

Ring and ask. Reception will tell you the consultation fee on the phone, before you commit to anything.

Five things worth knowingbefore you decide.

Hover or tap a card to turn it over · scroll or use the arrows
01

These are medical procedures

Read more
Worth knowing 01These are medical procedures

Not beauty treatments. The substances used are prescription-only medicines, which is why a practitioner has to assess you, take a history and prescribe — and why the risks section on this page is as long as it is.

02

Any effect is temporary

Read more
Worth knowing 02Any effect is temporary

It wears off. Maintaining it means repeating the procedure, and how often varies from person to person. That matters for the decision and for the long-term cost, so it is worth being clear on before the first appointment rather than after.

03

Nobody can promise you a result

Read more
Worth knowing 03Nobody can promise you a result

Individual responses vary, and no honest practitioner will tell you in advance exactly what yours will be. Treat guaranteed outcomes, before-and-after galleries and glowing reviews as a warning sign — testimonials in health service advertising are against the law here.

04

Check who is treating you

Read more
Worth knowing 04Check who is treating you

Every registered practitioner in Australia is on the public Ahpra register, free to search. Ask who will perform the procedure, what their qualifications are, and who to contact afterwards if something goes wrong.

05

Take the time between

Read more
Worth knowing 05Take the time between

Ahpra's guidelines are built around being informed and not deciding under pressure. Nothing is done at the first appointment — you take the information home and book separately if you want to go ahead. Pressure to decide on the spot, or a discount for doing so, is a reason to walk away.

Questions worth asking any practitioner, anywhere
  • Are you registered, and what is your Ahpra registration number?
  • Who will actually perform the procedure, and who prescribed it?
  • What are the risks in my case, given my history and medicines?
  • What happens, and who do I contact, if something goes wrong afterwards?
  • What is the total cost, in writing, including any follow-up?
  • What would happen if I did nothing?
A medical procedure, treated as one.Assessed, explained, written down, and decided in your own time.

What happens,in the room.

1Your reasons for comingWhat is bothering you, how long for, and what you are hoping to discuss.First few minutes
2History and medicinesPast history, current medicines, allergies, previous procedures, pregnancy.Before any examination
3ExaminationAn examination of the relevant area. This is how suitability is actually assessed.On the day
4Options, risks, and doing nothingWhat could be done, what it would not achieve, the risks that apply to you, and written information to take home.Before you leave

What to expect,so there are no surprises.

Non-surgical cosmetic procedures carry real risks. The common effects are bruising, swelling, redness and tenderness; less common but more serious risks include asymmetry, an unintended effect in a nearby muscle, vision changes, infection, and a severe allergic reaction. Any effect is temporary. The full list is below — open each panel to read it — and every point is discussed with you in person, against your own history, before anything is agreed.

Common and expected effectsWhat most people notice
  • Pain or stinging during the procedure
  • Redness, swelling or bruising at the site, which may last several days
  • Tenderness, or a headache afterwards
  • Small lumps or firmness that settle over time
Less common risksSerious, and less likely
  • Asymmetry — the two sides not responding equally
  • An effect in a nearby muscle that was not intended, which can cause a drooping eyelid or eyebrow, or a change in expression or smile
  • Blurred or double vision, or dry eyes
  • Difficulty chewing, or a change in how the jaw feels, where the jaw area is treated
  • Increased sweating elsewhere on the body
  • Infection at the site
  • An allergic reaction, which can be severe
  • Numbness or altered sensation
  • No useful effect at all
Recovery, and how long it lastsAfterwards

Most people return to ordinary activity the same day. You may be asked to avoid strenuous exercise, alcohol, heat and lying flat for a period afterwards, and to avoid rubbing the area. Bruising can take one to two weeks to fade and can be visible at work or at an event in the meantime.

Any effect is temporary and wears off. Repeat procedures would be needed to maintain it, and how often varies from person to person.

If you develop a severe reaction, difficulty breathing or swallowing, vision changes, or spreading pain and swelling, seek urgent medical attention. In an emergency, call 000.

When a procedure is not appropriateReasons she may decline

Dr Hussein will not proceed, and may decline at the consultation, if:

  • You are pregnant or breastfeeding
  • You are under 18 — consultations are for adults only
  • There is an infection or skin condition at the site
  • You have a neuromuscular condition, or take medicines that interact
  • You have had a previous reaction to a similar procedure
  • Your expectations could not reasonably be met
  • There are signs of body dysmorphic disorder or another condition for which a cosmetic procedure is not the right response, in which case she will discuss more appropriate support
  • She does not think it is in your interest
Outcomes differ between peopleWhy no result can be promised

Individual responses vary. The outcome experienced by one person does not indicate what another person would experience. Nobody can tell you in advance what your own result would be, and this page makes no claim about what any procedure would achieve for you.

No procedure at your first consultation. The consultation exists so you can be assessed and properly informed, and so you can go home and think about it in your own time.

Cosmetic consultations

Dr Zahraa Hussein

Adults only

Privately billed

Risks explained first

No procedure on the day

Individually assessed

Muswellbrook Fair

Cosmetic consultations

Dr Zahraa Hussein

Adults only

Privately billed

Risks explained first

No procedure on the day

Individually assessed

Muswellbrook Fair

Cosmetic consultations

Dr Zahraa Hussein

Adults only

Privately billed

Risks explained first

No procedure on the day

Individually assessed

Muswellbrook Fair

The practical bits,all in one place.

Fees, consent, cancellations and how to raise a concern — collected here rather than scattered through the page, so you can find them when you need them.

Hover or tap a card to turn it over · scroll or use the arrows
Fees

What you pay, and when

Read more
FeesWhat you pay, and when
  • Cosmetic consultations are a private service. They are not bulk billed and no Medicare rebate applies.
  • Reception confirms the consultation fee when you book, so you know it before you come in.
  • Anything proposed at the consultation is quoted to you individually and in writing, before you commit to it.
  • Payment is made on the day, by EFTPOS or card.
  • Your ordinary GP appointments at this practice remain bulk billed as usual.
Appointments

Booking and cancelling

Read more
AppointmentsBooking and cancelling
  • Phone reception on (02) 6530 7404 and ask for a cosmetic consultation with Dr Hussein. No referral is needed.
  • Allow 15 to 20 minutes. Nothing is carried out at that appointment.
  • If a procedure is appropriate and you decide to proceed, it is booked as a separate appointment.
  • Please give as much notice as you can if you need to cancel, so the time can go to someone else. Cancelling costs nothing, however late it is.
  • Adults only. We do not provide cosmetic procedures to anyone under 18.
Consent

Before anything happens

Read more
ConsentBefore anything happens
  • You are given written information covering what is proposed, the risks, the alternatives and the cost.
  • You sign a consent form, and you keep a copy.
  • You can withdraw consent at any point, including after you have signed and including on the day, with no consequence to your care here.
  • Bring a list of your current medicines, and tell us about allergies, previous procedures and any chance you may be pregnant.
If something is wrong

Raising a concern

Read more
If something is wrongRaising a concern
  • Speak to the practice manager on (02) 6530 7404 — it will be taken seriously and it will not affect your care.
  • You can contact the Health Care Complaints Commission on 1800 043 159 at any time.
  • You can contact Ahpra on 1300 419 495 at any time.
  • For a severe reaction, difficulty breathing or swallowing, vision changes, or spreading pain and swelling, seek urgent medical care. In an emergency call 000.

Your questions,answered simply.

What actually happens at a cosmetic consultation?

You talk through what has been bothering you, Dr Hussein reviews your medical history, medicines and allergies, examines the relevant area, and then explains the options that exist for it — including the option of doing nothing. You leave with written information and a written quote if anything is proposed. No procedure is carried out at that appointment.

Will I have a procedure at the first appointment?

No. The first appointment is an assessment and a discussion. If a procedure is appropriate and you decide to go ahead, that is booked as a separate visit so you have time to think.

Do I need a referral?

No. Phone reception and ask for a cosmetic consultation with Dr Hussein.

How long does the consultation take?

Approximately 15 to 20 minutes.

Is this bulk billed?

No. Cosmetic consultations are a private service with the fee payable on the day. Your ordinary GP appointments at the practice remain bulk billed.

How will I know what it costs?

Reception confirms the consultation fee when you book, so you know it before you come in. If anything further is proposed at the consultation, it is quoted to you individually and in writing before you commit to it. You are never asked to decide on the day.

Can you tell me over the phone whether I am suitable?

No. Suitability depends on an examination and your medical history, so it can only be assessed in person. It cannot be judged from a photograph or from a website.

What if Dr Hussein says no?

She will explain why. Declining to proceed is a normal outcome and does not affect your care at the practice in any way.

Is there an age limit?

Yes. These consultations are for adults only. We do not provide cosmetic procedures to anyone under 18.

Why does this page not name any products, brands or prices?

Because Australian law does not allow it. The substances used in non-surgical cosmetic procedures are prescription-only medicines, and the Therapeutic Goods Act prohibits advertising prescription medicines to the public — by brand, ingredient, nickname or hashtag. Ahpra's advertising guidelines also prohibit publishing procedure prices in a way that encourages people to choose on cost. Any clinic that does name products or advertise procedure prices is not following those rules. What can be discussed with you, in person, is everything.

Are the effects permanent?

No. Effects from non-surgical cosmetic procedures are temporary and wear off. Repeat procedures would be needed to maintain any effect, and how often varies from person to person. That is part of what is discussed at the consultation, because it affects the long-term cost as well as the decision.

How can I check Dr Hussein's registration?

Her Ahpra registration number is MED0002772704. Anyone can look up a registered health practitioner, free, on the public register at ahpra.gov.au — it shows their registration type, conditions and standing. It is worth doing for any practitioner, anywhere, before a cosmetic procedure.

What if I change my mind?

That is expected, and it is why nothing is done on the day. You can decide not to proceed at any point, including after you have consented, and it will not affect your care at the practice.

Where do I find the risks?

In the 'What to expect' section on this page. It sets out the common effects, the less common risks, recovery, and the situations where a procedure would not be appropriate.

General information only This page is general health information for adults. It is not advice about your own situation and it does not replace a consultation with a doctor who knows you. Non-surgical cosmetic procedures are medical procedures and carry risks and possible side effects. A consultation with Dr Hussein is required to determine suitability. Individual outcomes vary. In an emergency, call 000. To raise a concern, speak to our practice manager on (02) 6530 7404, or contact the Health Care Complaints Commission on 1800 043 159 or Ahpra on 1300 419 495 at any time.Last reviewed 2 September 2026.

Relatedservices.

Adults only · privately billed

Book a consultationwith Dr Hussein.

Ring reception and ask for a cosmetic consultation. The fee and the appointment length are confirmed when you book. You can come simply to ask questions — nothing is carried out on the day. Mon–Fri 8:00am–5:00pm · Muswellbrook Fair, Rutherford Road.

Reading up first? What to expect → · Practical details →

Cryotherapy.A few seconds cold.

Freezing is a quick, commonly used treatment for sun spots and warts. It is not suitable for anything that might be a skin cancer — which is why the lesion is examined first.

What to know
Book the right lengthTell reception what it is about so enough time is set aside.
No referral neededThis is general practice care — you can book directly with us.
Ask for who you preferMale and female GPs are available. Say who you would like when you book.
One practiceYour history in one place, so nothing has to be explained twice
Longer if you need itAsk reception for a long appointment when there is more than one thing
Bulk billedStandard consultations, for everyone with a valid Medicare card

Liquid nitrogen,a few seconds at a time.

Cryotherapy destroys unwanted skin cells by freezing them. It is applied for a matter of seconds, stings sharply while it is happening, and settles quickly afterwards. It works well for solar keratoses — the rough, scaly sun spots that are so common on Hunter skin — and for warts, skin tags and some other benign lesions.

It does not work as a treatment for melanoma or for most skin cancers, and freezing something that has not been properly examined can destroy the evidence needed to diagnose it. That is why every lesion gets looked at, usually with a dermatoscope, before anything is frozen.

Looked at before it is frozenA dermatoscope examination first is not a formality. Freezing an undiagnosed lesion can delay a skin cancer diagnosis by months.
Does it hurt?

It stings while the freeze is applied and for a minute or two afterwards. Most people describe it as sharp but brief. No anaesthetic is usually needed.

What does the skin do afterwards?

It reddens, often blisters within a day or two, then crusts and falls away over one to three weeks. A pale mark can remain, particularly on darker skin.

Can everything be frozen?

No. Anything suspicious for skin cancer needs a proper examination and usually a biopsy rather than freezing.

Commonly treated

Solar keratoses

Read more
Commonly treatedSolar keratoses

The rough, scaly sun spots that appear on faces, scalps, forearms and hands.

Commonly treated

Warts and verrucae

Read more
Commonly treatedWarts and verrucae

Often needing more than one treatment a few weeks apart.

Commonly treated

Skin tags

Read more
Commonly treatedSkin tags

Quick to treat, though snipping is sometimes neater.

Commonly treated

Seborrhoeic keratoses

Read more
Commonly treatedSeborrhoeic keratoses

The waxy, stuck-on brown spots that increase with age.

Not suitable

Anything suspicious

Read more
Not suitableAnything suspicious

Changing, growing, bleeding or unusual lesions need examination and often biopsy.

Not suitable

Deep or large lesions

Read more
Not suitableDeep or large lesions

Some are better treated by excision or by a specialist.

Farming and mining hours add up.Which is why Hunter skin needs checking, not just treating.

Two minutesof treatment.

Treatment happens in the same appointment as the assessment where possible.

How many treatments will I need?

Sun spots often clear in one. Warts commonly need two to four treatments a few weeks apart.

Can I go straight back to work?

Yes. There is no downtime, though the treated area is tender for a day or two.

How do I look after it?

Keep it clean and dry, do not pick the blister or crust, and let it come off by itself. If it becomes hot, spreading or increasingly painful, come back.

1AssessmentEvery lesion examined, usually with a dermatoscope, before any treatment.First
2The freezeA few seconds per lesion. It stings sharply and briefly.Seconds
3HealingRedness, then often a blister, then a crust that falls away.1–3 weeks
4ReviewWarts and stubborn lesions are reviewed and re-treated if needed.2–4 weeks

Cryotherapy

Sun spots & warts

Quick in-clinic treatment

Skin checks first

Local GPs with skin experience

Bulk billed consultations

Book online

Upper Hunter sun damage

Cryotherapy

Sun spots & warts

Quick in-clinic treatment

Skin checks first

Local GPs with skin experience

Bulk billed consultations

Book online

Upper Hunter sun damage

Cryotherapy

Sun spots & warts

Quick in-clinic treatment

Skin checks first

Local GPs with skin experience

Bulk billed consultations

Book online

Upper Hunter sun damage

Cryotherapyquestions, answered.

Does cryotherapy hurt?

It stings sharply for a few seconds and settles quickly.

How long does healing take?

Usually one to three weeks, going through a blister and crust stage.

Will it leave a scar?

Usually not, though a paler mark can remain, more noticeably on darker skin.

Is it bulk billed?

Standard consultations are bulk billed with a valid Medicare card.

Can you freeze a mole?

No. Moles that need attention need examination and usually excision or biopsy, not freezing.

How many treatments for a wart?

Often two to four, a few weeks apart.

Can I shower afterwards?

Yes. Keep it clean and dry and do not pick the crust.

What if it gets infected?

Increasing pain, spreading redness or pus means come back. It is uncommon but easily treated.

General information onlyThis page is general health information for anyone who finds it useful. It is not advice about your own situation and it does not replace a consultation with a doctor who knows you. If you are worried about a symptom, book an appointment or call (02) 6530 7404. In an emergency, call 000.

Relatedservices.

No surprises

Know the costbefore you come in.

Bulk billed with a valid Medicare card · Mon–Fri 8:00am–5:00pm · Muswellbrook Fair, Rutherford Road.

Prefer to meet us first? Meet the doctors →

Ear wax removal,softened first, then cleared.

Ear syringing works far better when the wax has been softened for a few days beforehand. Skipping that step is the single most common reason it does not work.

What to know
Book the right lengthTell reception what it is about so enough time is set aside.
No referral neededThis is general practice care — you can book directly with us.
Ask for who you preferMale and female GPs are available. Say who you would like when you book.
One practiceYour history in one place, so nothing has to be explained twice
Longer if you need itAsk reception for a long appointment when there is more than one thing
Bulk billedStandard consultations, for everyone with a valid Medicare card

Warm water,gentle pressure.

When syringing is not the answerSudden hearing loss in one ear, severe ear pain, discharge or bleeding from the ear, or dizziness with hearing loss all need assessment rather than syringing. Sudden hearing loss in one ear is urgent — it needs to be seen the same day, because some causes are treatable only if caught quickly.

Ear wax is normal and usually clears itself. It becomes a problem when it blocks the canal, causing muffled hearing, a feeling of fullness, sometimes ringing or mild dizziness. Syringing flushes it out with warm water at controlled pressure.

The ear is always examined first, because not every blocked ear is wax and syringing is not safe in every ear. A perforated eardrum, a current infection, grommets, previous ear surgery or an ear with only usable hearing on that side all mean a different approach.

Why do I need drops first?

Softened wax comes out easily; hard wax often will not budge. Use a softening preparation for three to five nights beforehand — reception will tell you what to buy.

Does it hurt?

It should not. It feels odd and the water is a little noisy. Tell the nurse immediately if it hurts.

What if it does not clear?

Sometimes a second attempt after more softening works. Occasionally referral for microsuction is needed, which is gentler and more effective for stubborn wax.

Before you come

Soften for 3–5 nights

Read more
Before you comeSoften for 3–5 nights

Drops or olive oil. This is the step that makes it work.

Before you come

Warm the drops slightly

Read more
Before you comeWarm the drops slightly

Cold drops in the ear can cause brief dizziness.

Not suitable

A perforated eardrum

Read more
Not suitableA perforated eardrum

Or a history of one. Syringing can cause harm.

Not suitable

A current ear infection

Read more
Not suitableA current ear infection

This needs treating first.

Not suitable

Grommets or previous surgery

Read more
Not suitableGrommets or previous surgery

A different method is used.

Never do this

Cotton buds

Read more
Never do thisCotton buds

They push wax deeper and can damage the canal. Candling does not work either.

Soften it first, and this takes minutes.Three to five nights of drops before you come is the step that makes it work.

Examined,then cleared.

The nurse looks in both ears first, then syringes if it is safe and appropriate.

How long does it take?

Usually 15 to 20 minutes for both ears.

Will my hearing be normal straight away?

Usually yes, and often noticeably so. The ear can feel slightly odd for an hour or two.

Can I stop wax building up?

Some people simply produce more. Regular softening drops help; cotton buds make it worse.

1Soften firstThree to five nights of drops before the appointment.Before the day
2ExaminationBoth ears looked at with an otoscope to check syringing is safe.First
3SyringingWarm water at controlled pressure. It should not hurt.15–20 minutes
4CheckEars re-examined afterwards. A second attempt is arranged if needed.Same visit

Ear wax removal

Softening drops first

Practice nurse appointments

Hearing checks

Ear examination first

Bulk billed

Book ahead

Both ears if needed

Ear wax removal

Softening drops first

Practice nurse appointments

Hearing checks

Ear examination first

Bulk billed

Book ahead

Both ears if needed

Ear wax removal

Softening drops first

Practice nurse appointments

Hearing checks

Ear examination first

Bulk billed

Book ahead

Both ears if needed

Ear syringingquestions, answered.

Do I need drops beforehand?

Yes — three to five nights. It is the most common reason syringing fails.

Does it hurt?

It should not. Tell the nurse straight away if it does.

Is it bulk billed?

Standard consultations are bulk billed with a valid Medicare card.

Can I have it done if I have a perforated eardrum?

No. Tell us, and a different approach will be used.

Why should I not use cotton buds?

They push wax deeper and can damage the canal or eardrum.

What if the wax will not come out?

More softening and a second attempt, or referral for microsuction.

Will my hearing come straight back?

Usually, and often immediately.

I have sudden hearing loss in one ear.

That is urgent. Ring for a same-day appointment rather than booking syringing.

General information onlyThis page is general health information for anyone who finds it useful. It is not advice about your own situation and it does not replace a consultation with a doctor who knows you. If you are worried about a symptom, book an appointment or call (02) 6530 7404. In an emergency, call 000.

Relatedservices.

No surprises

Know the costbefore you come in.

Bulk billed with a valid Medicare card · Mon–Fri 8:00am–5:00pm · Muswellbrook Fair, Rutherford Road.

Prefer to meet us first? Meet the doctors →

ECG heart tracings.Ten minutes, ten electrodes.

An ECG records the heart’s electrical activity. It takes about ten minutes, nothing is delivered to you, and it is genuinely useful — provided it is read as one snapshot rather than a clean bill of health.

What to know
Book the right lengthTell reception what it is about so enough time is set aside.
No referral neededThis is general practice care — you can book directly with us.
Ask for who you preferMale and female GPs are available. Say who you would like when you book.
One practiceYour history in one place, so nothing has to be explained twice
Longer if you need itAsk reception for a long appointment when there is more than one thing
Bulk billedStandard consultations, for everyone with a valid Medicare card

Electrical activity,printed out.

Chest pain is not a bookingChest pain or tightness, pain spreading to the jaw or arm, severe breathlessness, sweating with chest discomfort, or fainting. Call 000. Do not drive yourself and do not wait for an appointment. An ambulance can start treatment on the way and can record an ECG at your door.

Ten sticky electrodes on the chest, arms and legs record the heart's rhythm and electrical conduction. Nothing is put into you and nothing is felt. It takes about ten minutes including getting set up.

An ECG is very good at showing rhythm problems that are happening at that moment, evidence of a previous heart attack, and certain electrical abnormalities. It is far less good at ruling things out — an intermittent rhythm problem will not show if the heart is behaving during the recording, and a normal ECG does not exclude narrowed arteries.

Why might I need one?

Palpitations, dizziness, breathlessness, chest discomfort on exertion, as part of a heart health check, before surgery, or when starting certain medicines.

Will it show if my arteries are narrowed?

Not reliably. That usually needs a stress test or imaging, arranged by referral.

What if mine is normal but I still have symptoms?

Then the symptoms are still the important information. A normal ECG does not close the question.

What it picks up

Rhythm right now

Read more
What it picks upRhythm right now

Atrial fibrillation and other rhythms present during the recording.

What it picks up

Past heart attack

Read more
What it picks upPast heart attack

Electrical changes left behind by previous damage.

What it picks up

Conduction problems

Read more
What it picks upConduction problems

Blocks and delays in the heart's wiring.

What it picks up

Some medicine effects

Read more
What it picks upSome medicine effects

Certain medicines require an ECG before or during treatment.

What it cannot show

Intermittent problems

Read more
What it cannot showIntermittent problems

If the rhythm is normal during the test, it looks normal. A monitor may be needed.

What it cannot show

Narrowed arteries

Read more
What it cannot showNarrowed arteries

A normal ECG does not exclude coronary disease. Symptoms still matter.

An ECG is one part of a heart check.Blood pressure, cholesterol and your symptoms all matter as much as the tracing.

Lie down,stay still.

You will need to expose your chest, so a top that is easy to remove helps. Women are offered a gown and a chaperone.

Does it hurt?

No. The electrodes are stickers. Removing them is the only mildly uncomfortable part.

Do I need to prepare?

No fasting and no preparation. Avoid heavy moisturiser on your chest that day, as electrodes stick less well.

How soon do I get the result?

Usually in the same appointment. Anything concerning is acted on immediately.

1BookSay it is for an ECG so the right time is set aside.Book ahead
2Getting set upTen electrodes on chest, arms and legs. A gown and chaperone are offered.5 minutes
3The recordingLie still and breathe normally for about 30 seconds.Under a minute
4The resultUsually reviewed in the same appointment, with referral if anything needs it.Same visit

ECG on site

Ten minutes

Painless

Heart health checks

Pre-operative assessment

Palpitations & dizziness

Bulk billed

Results same visit

ECG on site

Ten minutes

Painless

Heart health checks

Pre-operative assessment

Palpitations & dizziness

Bulk billed

Results same visit

ECG on site

Ten minutes

Painless

Heart health checks

Pre-operative assessment

Palpitations & dizziness

Bulk billed

Results same visit

ECGquestions, answered.

Does an ECG hurt?

No. It records only — nothing is delivered to you.

How long does it take?

About ten minutes including set-up.

Do I need to fast?

No preparation is needed.

Is it bulk billed?

Standard consultations are bulk billed with a valid Medicare card.

Can it rule out a heart attack?

No. A normal ECG does not exclude one. Chest pain means calling 000.

What if my rhythm problem comes and goes?

A longer monitor may be arranged so the heart is recorded over days rather than seconds.

Do I need a referral?

No. Your GP can arrange it here.

Will I get a copy?

Yes, on request, and it is sent on when you see a specialist.

General information onlyThis page is general health information for anyone who finds it useful. It is not advice about your own situation and it does not replace a consultation with a doctor who knows you. If you are worried about a symptom, book an appointment or call (02) 6530 7404. In an emergency, call 000.

Relatedservices.

No surprises

Know the costbefore you come in.

Bulk billed with a valid Medicare card · Mon–Fri 8:00am–5:00pm · Muswellbrook Fair, Rutherford Road.

Prefer to meet us first? Meet the doctors →

Biopsies and minor excisions,in our treatment room.

Many skin lesions can be biopsied or removed in our treatment room, under local anaesthetic, in a single visit. Some are better handled by a specialist, and we will tell you when that is the case.

What to know
Book the right lengthTell reception what it is about so enough time is set aside.
No referral neededThis is general practice care — you can book directly with us.
Ask for who you preferMale and female GPs are available. Say who you would like when you book.
One practiceYour history in one place, so nothing has to be explained twice
Longer if you need itAsk reception for a long appointment when there is more than one thing
Bulk billedStandard consultations, for everyone with a valid Medicare card

A small procedure,with local anaesthetic.

When to ring us afterwardsSpreading redness, increasing pain after the first two days, pus, a fever, or bleeding that does not stop with ten minutes of firm pressure. Ring us — and outside our hours go to Muswellbrook Hospital.

The area is numbed with local anaesthetic, which stings for a few seconds and then works. After that you feel pressure and movement rather than pain. Most procedures take fifteen to thirty minutes including the preparation.

Does it hurt?

The local anaesthetic stings briefly. After that most people describe pressure and tugging rather than pain. Tell us if you feel anything sharp — more anaesthetic can be given.

Will there be a scar?

Any procedure that breaks the skin leaves a mark. How noticeable depends on the site, the size and how your skin heals. We will tell you what to expect beforehand.

Can I drive home?

For most minor procedures, yes. If the site or the size means otherwise we will tell you when it is booked.

What it is

Shave biopsy

Read more
What it isShave biopsy

A thin sample taken from the surface of a raised lesion. Heals as a shallow graze, usually without stitches.

What it is

Punch biopsy

Read more
What it isPunch biopsy

A small circular sample taken through the full thickness of the skin, often closed with one or two stitches.

What it is

Excision

Read more
What it isExcision

The whole lesion removed with a margin of normal skin around it, closed with stitches.

Afterwards

Stitches

Read more
AfterwardsStitches

Removed after five to fourteen days depending on the site. That appointment is booked before you leave.

Afterwards

The dressing

Read more
AfterwardsThe dressing

Keep it dry for the first day or two. You will be given specific instructions for your site.

Afterwards

Pathology

Read more
AfterwardsPathology

The sample goes to the laboratory. Results usually take several days, and we will ask you to book to discuss them.

Most of it happens here, in one visit.A local anaesthetic, a small procedure, and a dressing to go home with.

From bookingto stitches out.

Four steps, and the pathology result is the one people most want to know about.

How soon can it be done?

Depending on urgency, often within days. Anything we are concerned about is prioritised.

Is it bulk billed?

The consultation is bulk billed with a valid Medicare card, and biopsies are bulk billed for pension and concession card holders. Other procedures may attract a private fee, and reception will quote you before it is booked.

What if the result is abnormal?

We ask you to come in and go through it properly, and we arrange whatever comes next — often further treatment here, sometimes a referral.

1Assessment firstWe look at the spot and decide whether it needs a procedure at all. Many do not.Standard consult
2Booked in properlyProcedures are booked as their own appointment with the right time and the room set up.Its own appointment
3The procedureNumbed, done, dressed. You leave with written aftercare and a follow-up already booked.15–30 minutes
4Results and reviewStitches out, wound checked, and the pathology result explained properly.5–14 days

Skin biopsies

Minor excisions

Lesion removal

Local anaesthetic

Sutures & removal

Pathology sent same day

Wound review included

Done in our treatment room

Skin biopsies

Minor excisions

Lesion removal

Local anaesthetic

Sutures & removal

Pathology sent same day

Wound review included

Done in our treatment room

Skin biopsies

Minor excisions

Lesion removal

Local anaesthetic

Sutures & removal

Pathology sent same day

Wound review included

Done in our treatment room

Biopsies & minor proceduresquestions, answered.

Do I need a referral?

No. Book with us and we will assess whether a procedure is needed.

Should I stop my blood thinner?

Do not stop any medication on your own. Tell us what you take when the procedure is booked and we will advise.

What should I wear?

Something that gives easy access to the area, and that you do not mind a little antiseptic on.

Can I go back to work?

Usually yes, though heavy lifting or anything that stretches the site may need a few days off. Ask when it is booked.

Will I need stitches out?

Usually, unless the site is one that heals without them. That appointment is booked at the time.

How long until I know the result?

Usually several days. Reception cannot give results over the phone, so you will be asked to book.

Can you remove something for cosmetic reasons?

Sometimes, and it would be privately billed rather than covered by Medicare. Ask and we will tell you plainly.

What if it comes back?

Bring it in. Recurrence at the same site is uncommon but it is always worth looking at again.

General information onlyThis page is general health information for anyone who finds it useful. It is not advice about your own situation and it does not replace a consultation with a doctor who knows you. If you are worried about a symptom, book an appointment or call (02) 6530 7404. In an emergency, call 000.

Relatedservices.

No surprises

Know the costbefore you come in.

Bulk billed with a valid Medicare card · Mon–Fri 8:00am–5:00pm · Muswellbrook Fair, Rutherford Road.

Prefer to meet us first? Meet the doctors →