General Medicine in South Africa

General medicine focuses on the diagnosis and nonsurgical treatment of diseases of the internal organs. A medical doctor who specializes in general medicine is usually called a general medicine doctor or a general physician (GP). Although they mostly treat adults, they may also treat adolescents and children. They treat all medical conditions, including conditions that affect the respiratory, cardiovascular, neurological, gastrointestinal, hematological, or endocrine systems. Some of the most common conditions general medicine doctor can treat include but are not limited to:

• Respiratory system, including lung fibrosis, asthma, pneumonia, and Emphysema or chronic obstructive pulmonary disease (COPD).
• Cardiovascular system, such as hypertension and ischemic heart disease (heart attack, angina).
• The neurological system, such as cerebrovascular accident (strokes), dementia, and epilepsy (seizures).
• Gastrointestinal system, including gastroenteritis and liver disease (such as alcoholic liver disease).
• Hematological, such as anemia.
• Endocrinological, such as pituitary disease, diabetes, and thyroid disease.

A general medicine doctor can arrange a wide range of tests, such as electrocardiogram, blood pressure test, urinalysis (U/A), blood sugar level, and fecal occult blood tests. They may also arrange laboratory investigations, such as blood tests or other fluid samples from other parts of the body. Occasionally, they may also arrange a biopsy for diagnosis, which will be sent to a pathologist for analysis. General medicine doctors can also work with radiologists to use X-rays, MRI, CT scans, or ultrasound, as well as nuclear medicine specialists for certain tests, such as PET scans. They may also refer patients to another specialty for special tests, such as a cardiologist for an angiogram and a gastroenterologist for an endoscopy.

Common procedures or interventions that general medicine doctor perform are as follows:

• Perform clinical examinations of patients to evaluate, diagnose, and monitor the patient’s condition.
• Interpret findings from investigations, such as blood tests, to help reach a diagnosis.
• Use life support skills and emergency procedures, such as defibrillation, when necessary.

How Long Should I Stay in South Africa?      

You can leave the medical facility immediately after, plan to stay at least 2 to 5 days in South Africa for a follow-up appointment. During the follow-up appointment, your doctor evaluates how your body is responding to treatment or, if you had diagnostic tests, explain the results, and discuss the treatment plan with you. However, if your doctor tells you that no follow-up appointment is necessary, you should be allowed to leave for home on the same day. 

What's the Expected Recovery Time?

Recovery time can be different from one person to another, depending on the illness or disease you have and your overall health. You will be advised to take several days off work and avoid strenuous activities to allow your body to recover. Your doctor will let you know the specific time you can return to work and your normal activity. 

What Aftercare is Required?

Your doctor will give you an aftercare instruction tailored to your particular condition, which may include activity restriction and recommended diet. Your doctor may likely prescribe medicine as well. It is important to take the medicine as directed and follow all the instructions closely. They will also let you know if you need follow-up appointments. For certain illnesses, they may refer you to a specific specialist.

What's the Success Rate?

For many people, general medicine is the first point of treatment. It has a high success rate in diagnosing and treating many conditions, as well as referring patients to the relevant specialist for specialized treatments. Experienced and skilled general medicine doctors can learn a great deal by simple observation. Looking at hands, nails, skin, mouth, and eyes, as well as examining your lungs, heart, and abdomen can give them some clues and help them decide on the most appropriate tests to undertake to confirm their clinical suspicions. 

Are there Alternatives?

The alternatives depend on your condition. For example, you should be able to see a cardiologist for heart conditions without talking to your general medical doctor first. However, in some cases, you may need a referral from your general medical doctor to see other specialists.

General Medicine in and around South Africa

About South Africa

South Africa is home to some of the world's most luxurious private game reserves and lodges. Wildlife lovers come here from all corners of the globe in search of the "Big Five": lion, buffalo, leopard, rhino, and elephants. Coral reefs, shark dives, dragon-backed mountain ranges, white-water rafting, and golden beaches lapped by legendary surf breaks are some of South Africa's many other attractions. Traveling around this vast land and touring the vibrant cities, visitors can learn about the nation's turbulent history. Travelers coming to South Africa for medical treatments do so for cost savings, advanced medical technology, and the internationally qualified and skilled doctors. The country welcomes an ever-increasing number of medical tourists each year, many of which travel for General Medicine procedures. Medical Tourists travel from all across the globe, particularly from African countries with an inferior healthcare system. Popular destinations include the capital city, Pretoria, neighboring Johannesburg, and the stunning Cape Town.

Popular Parts of South Africa

With more than 57 million inhabitants, South Africa is the world’s 24th most populous nation. It is a multiethnic society with a large variety of cultures, languages, and religions. Known for its exhilarating outdoor adventure, fascinating wildlife, magnificent landscapes, and opulent history makes South Africa a truly magical destination

• Cape Town is the oldest city and the legislative capital of South Africa. This pleasant city has a lot to offer as you can Hike the Table Mountain, take a wine tour, cruise to Robben Island, relax on beautiful beaches, visit District Six Museum, discover Kirstenbosch Botanical Gardens, and watch the Boulders Penguin Colony or shop in trendy markets. 
• Johannesburg is the largest and the most populous city. It is changing rapidly into an ultra-modern metropolis. Other than being an urban city, it also boasts a rich history. Tourists can visit the Apartheid Museum to learn more about the country’s difficult past through exhibitions. Other museums such as MOAD and MuseuMAfriCA are also worth a visit to view the city’s art and history.
• Durban is a cosmopolitan city with sunny beaches and charming Afro-Indian culture. There are more Indian nationals residing in this city than any other country outside of India. It is the place to go if you want to see marine life. Visit uShaka Marine World where you can snorkel, dive, and interact with animals. 
• Pretoria is a scenic city and you will find various historic buildings with astounding architecture such as the Voortrekker Monument, Union Buildings, and Church Square with its statue of Paul Kruger. Those who are looking for some outdoor activities can explore Pretoria National Botanical Garden and Rietvlei Nature Reserve for some wildlife viewing.
• Kruger National Park is one of the largest national parks and one of the most exciting safari destinations in the world. Here you can view all of Africa’s safari species such as Lion, Elephant, Rhino, Leopard, Buffalo, Hippo, and Giraffe along with more than 100 mammal species and 500 varieties of bird.

Weather and Climate in South Africa

South Africa’s climate is determined by its situation in the Southern Hemisphere’s subtropical zone and between the Atlantic and Indian Oceans. The country is a year-round destination thanks to its varying regional climates. May to September is the Dry Season with little to no rain. The days are mostly sunny, but it gets cold in the evenings and mornings. The average temperature during this season is around 14 °C with June to August as the coldest months. The wet season starts in October and ends in April. There will be occasional short rain showers in the afternoon. The average temperature during the wet season is around 20 °C, but it can also be as high as 35 °C, especially in December, January, and February.

Getting Around in South Africa

The main and the busiest airport in South Africa is the O.R. Tambo International Airport. The airport is located in Kempton Park, near Johannesburg and Pretoria. It serves as the primary domestic and international gateway to and from South Africa. The airport operates flights to other cities in South Africa as well as numerous major cities in the world including London, Singapore, Sydney, Abu Dhabi, and Atlanta. There are also two other major international airports: Cape Town International and King Shaka International. The inexpensive way to travel around the country is by flying with budget airlines such as FlySadair, Kalula.com, and Mango.

South Africa has an excellent infrastructure and is easy to navigate. However, if you wish to visit several cities, expect to have at least one long-distance trip. You can travel around by bus, train, or rental car. There are several long-distance bus companies you can choose, such as Intercape, Translux, and Greyhound. The buses are relatively affordable and safe. They are generally equipped with air-conditioning and an onboard toilet. For short-distance travel, Baz Bus is the best choice. A one-way ticket fare starts at around 500 ZAR.

Although trains are slow, they are less expensive than flights and more comfortable than buses. Shosholoza Meyl long-distance trains serve Cape Town, Johannesburg, Durban, Bloemfontein, and several other major cities. This train is very affordable with tickets costing as low as 400 ZAR for a sleeper train. If you’re looking for a more luxurious train, try the Blue Train which offers comfortable compartments, good food, and wine for around 18,300 ZAR. 

Taxis are available to get around major cities. Tourists can hail one directly from the streets. However, since the taxi ranks are not common, it is best to call for one. The base fare can be different in every city, ranging between 11 ZAR to 20 ZAR. 

Tourist Visas in South Africa

A valid visa is required if you wish to visit South Africa. Citizens of more than 60 countries can enter and stay for up to 90 days. Other countries not listed in the visa exemption agreement must apply and obtain a visa to the nearest South Africa embassy or consulate. All visitors must hold a passport valid for at least 30 days after the expiration of their intended visit, and the passport must have at least two unused pages. 

Additional Information

1. Local Currency: South African Rand (ZAR) is the official currency. 1 USD converts to 14 ZAR.
2. Money & Payments: Tourists can find ATMs all around the country. Credit Cards are widely accepted. However, since South Africa has a reputation for scams, you should inform your bank about your travel plans to avoid declined transactions. It is also advisable to always bring some cash with you. Tipping is expected here and you can tip around 10% to 15% of the bill in restaurants and cafes and the standard tip in hotels is 10 to 20 ZAR. 
3. Local Language: There are 11 official languages in the country, including Zulu, Xhosa, Afrikaans, Northern Sotho, Tswana, Southern Sotho, Tsonga, Swazi, Venda, Southern Ndebele, and English. Zulu is the most widely spoken language.
4. Local Culture and Religion: As a secular state, South Africa has a diverse religious population. Most of the population follows Christianity. Other religions such as the traditional African religion, Islam, Hinduism, and Judaism are also freely practiced.
5. Public Holidays: The country has 12 public holidays such as New Year’s Day, Good Friday, Freedom Day, and Christmas Day.