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General practice in Soweto involves navigating real constraints: clinics operating during set hours while patients work shifts, the need to work with multiple medical aid schemes and their different claim processes, and managing patient loads that would stretch most practices thin. Esselen Street Clinic works within this reality—processing GoodX and Elixir claims at the point of sale, maintaining the practice systems that make chronic script management possible, and handling the after-hours emergencies that don't wait for business hours. The work involves understanding which conditions need immediate attention and which can be managed through GP referral networks, all while working within Soweto's healthcare infrastructure. It's practice management that accounts for how healthcare actually happens here, not how it looks in theory.
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