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Medical practice in George works within practical constraints that shape how care gets delivered. A GP here manages chronic conditions across a spread community—some patients drive 20 minutes from the Garden Route hinterland—and needs systems that handle that distance and variation. Acute care, script renewals, medical-aid billing, and occupational health certificates flow through the same practice day. Dr Nicola Havemann operates within the realities of provincial healthcare: coordinating with specialists in Cape Town when needed, working with the local hospital network, and managing the administrative side of SARS and medical-aid systems. The work involves knowing which cases need referring and which can be handled in-house, all while keeping up with chronic disease management and preventive care.
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