Professor Johan Rosman
MD PhD FRACP
Nephrologist and Specialist for Hypertension
Professor Johan Rosman
MD PhD FRACP
Nephrologist and Specialist for Hypertension
Welcome to my Website about Kidney Disease and Hypertension (High Blood Pressure) !
I feel honoured that something attracted you to visit my site.
Nephrology is the specialism that treats kidney disease and also helps patients suffering from high bloodpressure (hypertension). The consequence of complete failing kidneys is that our blood is no longer cleaned and we need dialysis or kidney transplantation to stay alive..
If you click on the Hypertension button you will see all information you require if you want to know more about high bloodpressure and how I can help you with that.
Hypertension
If you click on Kidney Disease, then you will come to a part of the site that at the moment holds more professional information. Very soon that part of the site will hold all relevant information for everybody, new to the topic, about kidney problems.
The way I set up my private clinic, if you are referred for kidney disease or hypertension, is introducing a completely patient-focused concept, that will closely involve yourself, your GP and will deliver excellent results in a short time for less cost. You will have the problems sorted faster.
The first time we meet, I will see you for a full hour. I need to hear your whole medical history, examine you, will then explain all about how healthy kidneys work and the way they can get sick, what in your case the problem seems to be, and together we make a testing plan. Then I see you back for 30 minutes a few weeks later, explain all the results, you will have the time to ask all questions you want and we make a treatment plan. Important is, that if you have any questions between visits, you just email me and I will usually answer the same day. Your doctor is always only an email away,
I have practice costs, need to rent my practice rooms, have multiple staff and pay many organisations to allow me to work in private. Thus your treatment can not be free. On average you will be about 80$ out of pocket, but all my patients so far have said, it was money so well spent for their health and support always on hand. How much is your health worth ?
Patients are very happy about my services, and there is an external organisation, endorsed by my professional body, collecting patient feedback: doctify.com. If you are interested in reviews about my services, please click here: https://www.doctify.com/au/specialist/johan-rosman/reviews/page-1
For patients who need to be seen for kidney issues or for high blood pressure, but live in remote areas with long travel time, I can do computer-to-computer face to face consultation, and if you can not do that, we can arrange it over the phone. I will make sure that tests can be done in your local lab and so will be the X-rays. 1 hour the first time and 30 minutes for follow up. I have to charge for all this work, as Medicare has recently decided no longer to fund TeleHealth Consultations, but treat all patient equally whether they live in the city or remote. I both cases, Medicare will pay you directly the majority of the costs in your bank account
I have many patients, very efficiently treated this way from The Kimberley, Pilbara, Wheatbelt, Goldfields and the South. I have also overseas patients, especially those who seek a second opinion, but in that case will charge fully, as going through all the documentation is a lot of work and there is no Medicare for overseas patients.
Kidney Disease as well as Hypertension are diseases that are often difficult to treat, and since we have a large array of medications, these get switched regularly, as they can have quite significant side effects. Precious time gets lost between specialist appointments, where the patient may not take the tablets because of the side effects. My aim is to see you face to face as often as we think is appropriate. In between we can have Online Video contact (like Skype, but then over a safe channel), or email contact or simply a phone call. It is always possible to arrange a consultation.
This method was very popular in New Zealand, as patients did not have to travel all the way to my clinic, lose time waiting, and then still found that their bloodpressure or kidney function was not well controlled or had side effects, with the next appointment 3 months away. GP’s felt also very comfortable with this way of follow up as it delayed the time, needed to get the problems sorted. It also saves you money.
What I have described above is of course, somewhat technical, and should you prefer to see me on a regular basis and do it all face-to-face in my rooms, I am more than happy to treat you that way. The, what I call, interactive clinic is just an option, making it easier for people to do the consultation from their home, work or even FIFO workplace.
I work, relying on my personal values and hope that you feel
comfortable with these:
Respect
I respect you as my patient, I make a full hour time for you the first time we meet and a full 30 minutes during each follow up. I will carefully listen to your complaints, examine you and give you feedback every step of the way. You will receive a full report each time, and you can ask me questions about that between visits.
I also expect you to respect me: if you fail to come to an appointment without giving a reason, I have to sit idle for an hour where I could have seen somebody who really needs help. In that case we have to apply a non attendance fee.
Honesty
I expect you to tell me everything that bothers you and not try to fool the both of us by telling me you take the medication whereas you do not really do that. This actually happens a lot and we better talk about the reasons why you do not take the drugs, instead of putting our head in the sand and pretend. In turn, I will in honesty answer all your questions and withhold no information that you should have. My files are an open book for you.
Accountability
I will stick to the treatment plan we make together, and if there is something wrong with that I want to hear about it so we can manage it to suit you. You have to let me know if there are parts of the treatment plan you do not like. I want to be held accountable if something does not work the way you expected.
Cooperation
Renal disease and hypertension are complex diseases and seeing each other on a regular basis for a friendly chat is not going to solve the loss of function over time. We need to work together and that involves your GP, and maybe others like dietitians. We are talking about diseases with serious consequences for you and your family and if we are not serious about treating it you are wasting your money and I am wasting my time.
I know that this sounds all very schoolteacher-like, but that is not my style. I just want to make sure that if I see you for one of these problems, that you realise we are not talking about the treatment of a common cold. Consultations run in a very friendly interaction and although these are very serious issues there is always also some time to laugh. Together we will do our best to beat the disease, but it is you that hold the key to success. I can only give you the tools and show you the way.
I hope you enjoy this website that gives you some background information about kidney disease, dialysis, renal transplantation and high bloodpressure.