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Running a GP practice in Gqeberha means understanding the realities of how people actually access healthcare here. Chronic disease management isn't just writing scripts—it's managing patients on multiple medications through the Elixir and GoodX systems, handling the administrative side of medical aid claims, and being responsive when someone needs to get in quickly for a blood test or a repeat prescription. The practice has to work around load shedding, coordinate with pharmacies and pathology labs across the city, and keep accurate records that both the patient and their medical aid scheme can rely on. Emergency after-hours calls come through, occupational health certificates need issuing for local businesses, and referral letters have to reach specialists at the right hospitals.