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Running a GP practice in Cape Town involves real logistical challenges that don't always show up in the waiting room. Load shedding affects practice systems, medical aid billing requires accuracy with multiple schemes — Medihelp, Discovery, Sizwe, Bonitas — and chronic script management demands staying on top of Elixir and other pharmacy integration platforms. Victoria Medi-Place operates within these constraints daily, handling the technical side of modern general practice while still seeing patients. From occupational health certificates for corporate clients to managing the paperwork trail that modern healthcare demands, the groundwork is as important as the consultation itself. It's the difference between a practice that functions smoothly and one where administration slows everything down.