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Running a GP practice in Krugersdorp means managing the full complexity of South African healthcare—processing medical aid claims through multiple systems, issuing certificates for occupational health and fitness-to-work assessments, and keeping up with SARS requirements for referral letters. Kaka's work involves the nitty-grit of chronic script management: ensuring patients with diabetes, hypertension, or asthma get timely repeat prescriptions without gaps, coordinating with pharmacies on the ground, and navigating the real constraints of load shedding that sometimes affects clinic operations. Emergency after-hours cases also define the job—when someone arrives with acute symptoms, the response can't wait for morning surgery. Building referral networks with specialists across Gauteng, understanding which diagnostic equipment is available locally, and knowing when a patient needs hospital-level care rather than primary care are the practical decisions that shape daily GP work.
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