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Running a clinic in Johannesburg means working within a healthcare system affected by load shedding, water supply challenges, and the economics of serving communities where medical aid penetration is mixed. Staff manage patient flow without reliable electricity for records systems or diagnostic equipment, requiring contingency planning that suburban practitioners rarely face. Sterilisation protocols, vaccine storage, and emergency response all demand backup systems and adaptability. The practical reality involves navigating referral pathways to overwhelmed public hospitals, managing medication shortages, and often being the first point of contact for patients who can't afford private specialists. Clinics in these areas become centres of problem-solving—not just diagnosing, but connecting people to resources, understanding local health priorities, and delivering care under real constraints that shape every decision made.
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