Steve Biko Academic Hospital

 


Excellence in provision of quality tertiary health care


A caring and compassionate, professional service


A hospital sensitive to the needs of the community


Commitment, innovative ideas and team spirit

Speech Therapy and Audiology

 

General

  • All services are provided on appointment basis only
  • Out-patient services are only provided to patients with complicated conditions who falls within our catchment area. Other patients will be referred to the relevant health care facility.

 

Speech Therapy - What you need to know

Speech therapists assist babies, children and adults with speech, language, voice and/or feeding difficulties:

  • Communication difficulties
    • Speech: Difficulties in pronouncing and articulating sounds and words.
    • Language: Struggling to understand or produce language (e.g. sentences, stories) in written or verbal format.
    • Voice: Cannot produce voice or voice quality is poor, e.g. hoarse.
  • Feeding difficulties
    • Struggling to suck, chew and/or swallow.

These communication and/or feeding difficulties may be caused by various medical conditions, including stroke, traumatic brain injury, oral-facial abnormalities (e.g. cleft lip/palate), cerebral palsy and/or other neurological conditions, oral / laryngeal cancer, etc.

 

Services: Speech Therapy

Individual In-Patient Therapy

Acute therapy is usually provided on a daily basis (depending on the diagnosis). Most of our in-patient therapy is aimed at improving feeding difficulties and to address severe speech/language/voice difficulties.

Out-Patient Clinics

Out-patient clinic services are usually provided within a multi-disciplinary team:

  • Neuro-Developmental and Intervention (NDI) clinic for children with neurological difficulties, e.g. cerebral palsy, autism spectrum disorders, epilepsy, etc. (Tuesdays and Thursdays 9:00 – 12:00, Paediatric Neurology, Level 3)
  • Under 5 clinic for children under 5 years of age with developmental delay (Tuesdays and Thursdays 9:00 – 12:00)
  • High risk clinic for babies with high risk of developmental delay, e.g. premature babies (Tuesdays and Thursdays 9:00 – 12:00, Paediatric out patients, Level 8)
  • ECI clinic for children with developmental difficulties, e.g. autism (Mondays and Fridays 9:00 – 12:00, Occupational Therapy, Level 3)
  • Radiotherapy clinic for patients with head- and neck cancer (Wednesdays 9:00 – 11:00)
Videofluoroscopy Swallow (VFS) / Modified Barium Swallow

VFS assessments are conducted to diagnose dysphagia (feeding difficulties), aspiration and the causes thereof. Patients are required to be referred by a Speech Therapist. (Tuesdays and Thursdays 9:00 – 12:00, Radiology, Level 8)

Individual Out-Patient Therapy

Individual out-patient therapy is provided to patients with complicated speech, language, voice and/or feeding difficulties. Specific assistive devices to improve speech or feeding may be provided if needed and available. These include specialised feeding bottles for babies with cleft- lip and palate, as well as specialised devices (e.g. Augmentative and Alternative communication (AAC) and/or electronic larynxes). (First assessments: Monday (13:00 – 15:00) and Friday (8:00 – 9:00))

 

Audiology - What you need to know

Audiologists assists babies, children and adults with hearing loss. They also play a valuable role in the monitoring of hearing and early identification of hearing loss in high risk populations. These patients are tested and managed accordingly, which may include the provision of hearing aids.

 

Services: Audiology

Hearing Assessments

Screening and diagnostic hearing assessments are conducted to determine the level of hearing abilities. If a patient refers during a screening assessment, a comprehensive diagnostic assessment should be conducted to assess hearing levels at different frequencies and intensities.

Management of Hearing Loss

Aural rehabilitation and assistive listening devices (including hearing aids, FM systems, etc.) are provided as required. These services include:

  • Determination of candidacy
  • Initial fittings
  • Aural rehabilitation
  • Re-adjustments and arrangements for repairs
  • Provision of batteries
Early Hearing Detection and Intervention (EHDI)

All babies should have their hearing screened before they are 6 weeks old. The early identification and management of hearing loss has a significant positive impact on speech and language development and abilities, as well as improved educational outcomes of a child with hearing loss. Hearing loss is the most prevalent disability babies can be born with and can easily be missed in very young babies.

Please contact us for an appointment to have your baby’s hearing screened.

Ototoxicity Monitoring

Many lifesaving medications may be ototoxic and cause hearing loss, especially medications used in the treatment of cancer and tuberculosis. If you are receiving ototoxic medication, your hearing should be monitored to conserve your hearing abilities if possible.

Please contact us for an appointment to monitor your hearing.

 

Contact Us

Reception: 012 354 2723

Audiology: 012 354 4293

Head of Department:  Ms Helena van Heerden: 012 354 2714 / This email address is being protected from spambots. You need JavaScript enabled to view it.

Podiatry

 

What is a Podiatrist?

A podiatrist is a specialist who treats the foot, surgically, as well as biomechanical.

Podiatrists play an important role in the diagnosis and treatment of systematic and local conditions, which may affect the feet and lower limb such as:

  • General foot problems
  • Growth and development
  • Diabetes and its complications
  • Arthritis
  • Vascular problems
  • Sports injuries

Podiatrist also analyse the biomechanics of the lower limb and foot.

Abnormal movement may result in foot, ankle, knee, hip and lower back pain in the young and elderly.

Podiatrist are registered with the HPCSA (Health Professionals Council of South Africa)

Contact Number 012 354 1921

Do you suffer from general foot problems?

  • Ingrown toenails
  • Athlete’s foot
  • Onychomycosis (Fungal infection on toenails)
  • Plantar warts
  • Growths
  • Diabetes and vascular complications
  • Arthritis
  • Toe and foot deformities

Does your child suffer from?

  • Pigeon toes
  • Bow legs
  • Knock knees
  • Flat feet

When you play sport do you suffer from?

  • Foot, knee, leg, hip or lower back pain
  • Arch and heel pain
  • Achilles tendonitis
  • Shin splints
  • ITB
  • Runners knee

Geriatrics

  • Thick toenails
  • Corns and calluses
  • Ulceration
  • Arthritis

How do podiatrist treat?

  • In shoe devices and inner soles (Orthotics)
  • Minimal invasive surgery
  • Exercise therapy
  • Shoe advice
  • Practical health advice
  • Removal of growths
  • Treat diabetic and vascular ulcers
  • Diabetic assessments

Reproductive and Endocrine Unit

Contact numbers and address

Reproductive Medicine Clinic

Address: 82290, Level J 8 (Opposite Theatre)
Tel: 012 354 2540/5337
Fax: 012 354 2557
E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it. or This email address is being protected from spambots. You need JavaScript enabled to view it.

Reproductive Biology Laboratory (RBL)

Address: 72351, Level 7
Tel: 012 354 2208
Fax: 012 329 6258
E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it. or This email address is being protected from spambots. You need JavaScript enabled to view it.

Staff

Clinic

  • Consultant: Dr A De Bruin
  • Consultant: Dr M Trouw
  • Consultant: Dr J Biko
  • Consultant: Dr H Kruger
  • Consultant: Dr Z Nene
  • Medical Officer: Dr K Singh
  • Registrar (Department of Obstetrics and Gynaecology, University of Pretoria)
  • Clinic nurses
  • Clinic Secretary

Reproductive Biology Laboratory (RBL)

  • Prof. C Huyser (Head of the Laboratory)
  • Embryologists (scientists and technologists)
  • Laboratory Secretary
  • Mr G Boshoff
  • Ms S Maharaj

Who do we see?

  • Infertile couples (see "Referral for Infertility")

  • Couples where either partner has a history of fertility related problems

  • Partner has a low sperm count or abnormal semen parametersEndocrine problems associated with infertility

  • HIV positive couples who wish to undergo risk reduction methods of Assisted Reproductive Techniques (ART). Certain criteria must be met before ART can be offered.

  • All patients must have a referral letter with copies of the required recent results. (Please see "Basic Workup")

  • Patients must follow the appropriate referral system from the Primary Health Care Facility or Medical Practitioner or Secondary Health Care Facility or Gynaecologist.

  • Our Unit encourages openness of all medical conditions between both partners prior to the initial consultation in order for the unit to provide the couple with the appropriate and optimal care.

  • Both partners are seen together at the initial and follow up appointments.

What we do

  • Infertility work-up
  • Laparoscopic surgery where indicated
  • Assisted Reproduction Technology (ART) procedures:
    • Intra-uterine insemination (IUI)
    • In-vitro fertilization (IVF)
    • Intra-Cytoplasmic sperm injection (ICSI)
    • Intra-uterine insemination with donor sperm
    • In-vitro fertilization with donor sperm
    • In-vitro fertilization or ICSI with an oocyte (egg) donor
    • In-vitro fertilization or ICSI with a surrogate mother.

Please note: patients will need to arrange their own oocyte donor and surrogate mother.

Appointments

  • All patients are seen by appointment only.
  • Patients must allow sufficient time for parking, registration and opening of the unit file.
  • Patients in the Semen Decontamination Programme: Appointments on a Thursday.
  • Patients in Assisted Reproductive Techniques (ART) Programme must be at the Unit at 07:00 and no later than 07:30.
  • Patients already in the ART programme or undergoing procedures may take precedence over New and Follow up patients.
  • Every effort will be made to adhere to scheduled times.

Clinic times

  • Monday to Thursday 07:00 – 16:00 and
  • Fridays 07:00 – 13:00

Protocols for referral to the Reproductive and Endocrine Unit

Endocrine Clinic

Amenorrhoea

  • All patients with Primary Amenorrhoea
  • Secondary amenorrhoea, after a failed progesterone challenge test
  • With abnormal Thyroid Function Tests
  • With Hyperprolactinaemia
  • Ambiguous genitalia
  • Chromosomal abnormalities e.g. Turner’s syndrome
  • Polycystic ovarian syndrome (PCOS)
  • Hyperandrogenism
  • Premature Ovarian Dysfunction

Hysteroscopy Clinic

  • Post-Menopausal Bleeding
  • Recurrent pregnancy losses
  • Uterine abnormalities
  • Polyps
  • Sub mucous myomas
  • Removal of foreign body - Lost intrauterine contraceptive device (IUCD)
  • Secondary amenorrhoea with failed progesterone challenge test
  • Abnormal uterine bleeding – not responding to hormone therapy
  • Sterilisation with ESSURE®\
  • Tubal occlusion with ESSURE® for hydrosalpinges in women undergoing IVF/ICSI

Referral for Infertility

< 35 years

with 1 year of history of inability to fall pregnant after adequate, unprotected intercourse

>35 years

with 6 months history of inability to fall pregnant after adequate, unprotected intercourse

Refer immediately in women

  • 40 years old (not older than 41 years old )
  • previous ovarian surgery
  • exposure to cytotoxic drugs
  • autoimmune disease
  • strong family history of premature ovarian failure/early menopause
  • suspected endometriosis
  • known or suspected uterine/tubal disease/tubal surgery
  • all patients requesting tubal re-anastomosis (reversal of sterilisation)

Cut-off age for referral is 40 years old.

  • Women older than 40 may opt for IVF with an oocyte (egg) donor.
  • Please see "Criteria for Suitable Egg Donor"
  • The age cut-off for recipients is 50 years old.
  • Please see "Criteria for Recipients"

BMI < 19 and > 30 kg/m2

  • Poor success rate
  • Refer patient to dietician / weight loss programmes
  • BMI to be between 19 – 30 before commencing ART

Age < 40

Offer 3 Cycles only (if no history of other IVF treatment )

Age > 40 < 41

  • Offer 1 Cycle only ( if no previous History of other IVF treatment and if no evidence of low ovarian reserve)
  • Patient to be advised on implications of Advanced Maternal Age

Basic Workup

Women

FSH, LH, Estradiol (Day 2 menstruation)

Thyroid Function Test (TFT)

  • In women with Thyroid disease
  • In women with ovulatory disorders
  • galactorrhoea

Prolactin

  • in women with ovulatory disorders
  • galactorrhoea
  • Symptoms and signs suggestive of pituitary tumours

HIV

Rubella IgG

Syphilis (RPR)

Hepatitis B & C

Pap smear

Men

HIV

Syphilis (RPR)

Hepatitis B & C

Semen Analysis (to be done at SBAH)

Test for tubal patency (where possible)

Hysterosalpingogram (HSG): if no history of Pelvic Inflammatory Disease or endometriosis

Or

Laparoscopy and chromopertubation

Requirements for the first visit

  • Two (2) ID photos each of partner
  • Copies of ID / Passport documents of both partners
  • Proof of income (payslip) for both partners. If either or both partners are unemployed a 3 months bank statement or an affidavit from the SAPS is required
  • Proof of residence (e.g. Rates account statement, Rental agreement)
  • Referral letter and copies of previous results (mandatory)
  • Please confirm your appointment (Tel: 012 354 2540) at least one (1) week beforehand
  • Consultation fees charged as determined by income or as per tariff rates.
  • Accounts of the investigations performed will be forwarded to the person responsible for the payment. Private and Foreign patients will pay in cash on the day of the tests.
  • A semen analysis will be requested on the day of your appointment. A period of three (3) days abstinence is required. Results can take up to 1 - 2 weeks.
  • Foreign Patients:
    • Foreigners need to follow the admission criteria of the hospital.
    • Foreigners must follow-up and obtain clearance from the hospital’s Finance Department.
    • All legal documents must be in order and valid for at least 6 months from time of first appointment.

First Visit

  • Both partners must be present for the first consultation
  • A full history is taken from both partners
  • Systemic as well as the gynaecological examination is performed
  • A pelvic ultrasound is done
  • Possible problems are identified and solutions offered
  • The basic facts of Assisted Reproductive Techniques (ART) procedures and costs are explained
  • A semen sample will be analysed by our staff at our Reproductive Biology Laboratory (RBL). This is important as our laboratory will be handling the semen and the embryos.
  • Patients or couples may be referred to the Dietician, General Practitioner, Medical Specialist, Lawyer, Psychologist or social worker for further consultation and evaluation. The ART procedure of choice can only be discussed once all the reports become available.
  • A multi-disciplinary team approach is adopted for holistic care

Follow-up Visit

  • Should be scheduled by the couple within 2 weeks of initial appointment. All results of investigations performed must be in the file. Follow up visits is subject to availability of appointments.
  • Results are discussed.
  • The relevant ART procedure will be discussed in detail with the couple.
  • The procedure, success rates, approximate costs, risks, complications and cycle dates will be explained by the doctor and the nurse i.e. Rest of Team
  • The couple is given the opportunity to ask questions
  • The couple signs the Unit’s informed consent form.
  • Some patients may be required to repeat tests or consult with a Dietician, General Practitioner, Specialist, Lawyer, Social worker or the Psychologist before "Rest of Team" can be performed.

Procedures

  • Further infertility work-up if indicated (ultrasound examination / semen decontamination etc.)
  • Office Hysteroscopy where indicated
  • Laparoscopic and /or hysteroscopic surgery where indicated
  • Assisted Reproductive Techniques (ART) procedures:
    • Intra-uterine insemination (IUI)
    • In-vitro fertilization (IVF)
    • Intra-cytoplasmic sperm injection (ICSI)
    • Intra-uterine insemination with donor sperm
    • IVF with donor sperm
    • or ICSI with a known oocyte (egg) donor
    • IVF or ICSI with a surrogate mother.
    • Semen Decontamination in HIV positive men

 Please download more details on the above Procedures

The Physiotherapy Department

The Physiotherapy department has a staff establishment of 17 physiotherapists and 3 physiotherapy assistants, which include chief, senior, junior and community service posts. The department also provides in-service clinical training to undergraduate students from the University of Pretoria as well as elective placements for other South African and overseas students.

Outpatients department

Our Outpatients department offers a comfortable, clean and professional area in which to treat many conditions including

pain
back and neck
tempero-mandibular joint
posture related muscle spasms
rehabilitation after fractures
peripheral joints
muscle strains
sports injuries
urinary incontinence
arthritis

We have an organized department with 10 beds and 2 traction beds, electrotherapy machines, a computer from which to access x-rays, various gym machines, balls and sport equipment and skilled physiotherapists who offer an excellent health care service to all.

We promote a holistic approach to managing patients’ conditions. We treat the body using massage, electrotherapy techniques, mobilizations and dry needling. We strengthen muscles, teach exercises that can be done at home, offer advice on how to manage your condition and encourage patients to participate in our group classes.

Back School
Includes a group discussion and advice on posture, lifting techniques, sleeping positions, ways of managing pain followed by a relaxing exercise programme which includes muscle stretches and strengthening – 90 min. This class is followed by a Pain lecture, which discusses the pathology of pain, why patients feel pain and how to manage pain & stress.

Back Exercise Class
Includes an exercise class of stretching, strengthening and active aerobic exercise specific for patients with back conditions or any patient who wishes to maintain a healthy back – 60 min

Upper Limb class
Includes exercises for any shoulder, arm, elbow, forearm condition focusing on flexibility, home exercises, strengthening and an increase in movement and range – 60 min

Lower Limb class
Includes exercises for any hip, leg, knee, ankle and foot condition which improves function of the leg with stretches and strengthening – 60 min

Pain Clinic

Patients with chronic pain (pain lasting longer than 3 months) are seen in this clinic. Chronic neck or back pain is most commonly treated in this clinic. All new patient referrals to this clinic that never had any prior physiotherapy treatments and might possibly benefit from such treatment will be booked for physiotherapy first.

Pain Clinic team: Doctor, Physiotherapist, Occupational therapist, Professional nurse, Social worker
Contact details: New referrals 012 354 1731 for appointments

Dermatology

Patients referred from the dermatologist with conditions like Psoriasis are treated with Phototherapy (ultraviolet light).

Lung Room

Patients that require chest physiotherapy for any respiratory conditions such as Cystic Fibrosis and Chronic Obstructive Pulmonary disease (COPD) are seen.

Appointments can be made on 012 354 1645

Neurology Gym

The Neurology gym is equipped with a variety of therapeutic equipment which are used to assist the physiotherapist treat neurological disorders such as Stroke, head injuries, myelopathies including Guilliane Barre and Multiple Schlerosis and adult Cerebral Palsy.

Appointments can be made on 012 354 1645

Paediatrics

The physiotherapist provides rehabilitation following injuries or congenital conditions to improve muscle strength, joint range, walking ability and all other functional activities appropriate for the child’s age.

Outpatient Clinics

We also offer our services at the various clinics within the hospital. At these clinics we work as part of a multi-disciplinary team to assess the patients’ progress, offer advice, teach exercises and refer for individual treatment where necessary.

Hand clinic
Tuesdays: Assess hand injuries before and after surgery, caused by trauma, overuse, arthritis etc and provide a home programme to patients

Diabetic Foot clinic
Wednesdays: Assess patients with pain, muscle weakness, amputations at this clinic and provide patients with relevant exercises

Rheumatology clinic
Fridays: Assess progress of patients with Arthritis and teach patients how to maintain the health of their joints with exercise.

Shoulder Clinic
Wednesdays: Assess patients with dislocations, impingements inflammation, pain, muscle tears etc

Neuro-developmental clinic
A team consisting of paediatric doctors, physiotherapists, occupational therapists, and speech therapists attend a neuro-developmental clinic every Tuesday and Thursday. This clinic enables mothers of children with Developmental Delay, Cerebral Palsy or any other neurological condition to receive evaluation and treatment with a multi-disciplinary approach. The caregivers of these children receive advice regarding the health of the child, treatment and exercises to be done at home and feeding techniques which ensure optimal management to improve the quality of life of the children.

Appointments can be made on 012 354 1717

Seating clinic
Once a month this clinic is held at the Occupational Therapy department. Occupational therapists and Physiotherapists evaluate children in need of wheelchairs and Madiba Buggies. The evaluation consists of the size of chair and adjustments to be made to suit the child’s needs. We aim to achieve a comfortable position that allows the most function possible for the child.

We also attend other outpatient clinics:

Haemophilia
Head and neck
Amputations
Tempero-mandibular joint
Brachial plexus
Breast clinic
Peripheral vascular

Contact details

Head of Department: Mrs E van Niekerk
Telephone: 012 354 1645
Fax: 012 354 1041

Occupational Therapy Medical Fitness for Work Section

Introduction

The primary function of the service at the Medical Fitness for Work Section is to conduct work capacity assessments.

Work capacity assessments may either be of a client’s general work capacity (± 3 hour assessment) or an assessment of work capacity for specific occupations and/ or job (± 2 days).

The former assists to determine:

  • The client’s eligibility for a disabled grant (issued by the Department of Social Services and Population Development)
  • Whether the client, who is not fit to work in open labour, is suited to sheltered or protected labour.

The latter assists to determine the client’s potential to:

  • Return to his own job, with or without adaptation (i.e. reasonable accommodations, in accordance with the Employment Act, 1998)
  • Succeed in an alternative job or occupation.

On occasion, assessments are also conducted for insurance benefit claim and medico-legal cases.

Every client is evaluated by an occupational therapist, which may also include the assistance of the industrial technician. Other members of the medical team are also consulted if the need arises.

The assessment comprises an interview with the client, where the aims of the consultation are set. This is followed by an assessment of the client’s sensory-motor, cognitive and perceptual abilities, personal and social behaviour, motivation, work habits, and endurance for a full working day.

Standardized testing, including the Valpar Component Work Sample Battery, and work simulation in the fields of assembly, technical, clerical and manual labour, predict rate of work, knowledge and proficiency.

Where appropriate and possible, the client undergoes treatment which may comprise self empowerment and work seeking behaviour, work conditioning (gradual participation in work related tasks), and/ or work hardening (participation in full programme as preparation to cope with a full working day).

Where possible, unemployed clients are referred for suitable placement according to the information gained during assessment and treatment.

Contact information

Steve Biko Academic Hospital
Occupational Therapy, Medical Fitness for Work
Private Bag x169
Pretoria
0001

General enquiries - telephone: 012 354-6780 / 012 354-6538
Facsimile: 012 354-6101
Ms. Femia Vinciguerra: 012 354-6262
Mrs. Abida Adroos: 012 354-6293

Emergency Information

  • Help Desk :
    012 354 1590/1597
    Office hours only
  • Emergency Patients: Only Priority 1 and 2 patients will be seen at the Steve Biko Academic Hospital. These are patients in need of Emergency Specialist Medical Care, i.e. life threatening within 2 hours, which cannot be rendered at the Regional- or District Hospital, the clinic or the Medical practitioner.
  • Steve Biko Academic Hospital is a academic hospital. No walk-in patients will be seen.
  • Out Patients Services
  • Patients Admission / Registration

 

Visiting hours

The Steve Biko Academic Hospital has strict visiting times - please keep to them:

14:30 – 16:00
19:00 – 20:00.

Children are not allowed to visit in Paediatric wards for infection control purposes.

HELP DESK

(8:00 to 15:30 only)
Telephone: 012 354 1597

 

ENQUIRIES:  SBAH

General email: info@sbah.org.za
Facsimile: 012 354 1702

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