Neurosurgery Patient Appointments
Neuroaxis has a presence in multiple locations throughout Victoria. All neurosurgery patient appointments are made at our central booking office in Melbourne. A location that is best suited to you will be offered based on your address and urgency of the consultation.
Make an Appointment
You or your referring doctor can make an appointment by contacting us by phone or you can send us your referral by facsimile or email.
It is important that in addition to your referral letter, you provide copies of all relevant investigations. This includes scan reports or nerve conduction study test results with your referral letter.
Our doctors are happy to provide clinical consultation for privately insured, TAC and Workcover patients.
Your referral letter needs to include the following details:
- Your best contact number
- Email address
- Current address
- Medicare number
Workcover and TAC patient need to provide a current claim number, contact details of their case manager and approval letters for neurosurgical appointments. Approval from workcover case manager to see the Neurosurgeon is required prior to the appointment
We endeavour to contact you within 24 hours of receiving your referral to offer you a suitable appointment.
We are unable to organise interpreter services for an appointment. In case you need one, we request that you should make arrangements to have a medical interpreter available. As translations by a friend or family member may not be accurate.
At the appointment
When coming to the appointment please bring your original referral letter, scan reports and films/CDs . If workcover,please bring approval letter from the Case manager for the consultation
You may be requested to fill in relevant questionnaires for clinical research purposes when you come for the appointment.
When coming to the appointment, it is a good idea to bring along a family member or close friend. This is especially useful in the review appointment or the preoperative discussion appointment. The patient themselves, may not remember all details of such discussion. Therefore, having someone else come along is useful and encouraged.
When coming to the preoperative visit, it is advisable to bring along your notes or any questions you may want to discuss with our doctors.
Neuroaxis has highly trained and skilled neurosurgeons, who treat a wide spectrum of diseases of the brain and spine. The team treats neurosurgical conditions including benign and malignant brain tumours, contusions and hematomas and infections of the brain. They are highly trained to provided whole spectrum of spinal pathologies including lumbar disc prolapse, spinal canal stenosis, spinal malalignment (spondylolisthesis), and spinal tumour. Few of our surgeons also specialises in providing keyhole surgery options and use of spinal robotic surgery for these conditions. Mr Nair is also one of the few trained surgeons who provide surgical treatment for movement disorders such as Parkinson’s disease, central tremors, dystonia etc. For more details on the conditions treated and the options of treatment available, please refer to our conditions treated page.
- Pituitary Tumours
- Mixed Gliomas
- Metastatic Brain Tumours
- Trigeminal Neuralgia
- Cervical Radiculopathy
- Cervical Myelopathy
- Lower Back Pain
- Lumbar Spine Stenosis
- Spinal Tumours
- Metastatic Spinal Tumour
- Sciatica – Lumbar
The primary main office of Neuroaxis is located at Suite 121, 55 Flemington Road, North Melbourne VIC 3051. Appointments are made and coordinated from our Head office at North Melbourne. We also have a wide coverage across Melbourne. Our other consulting locations are at Mount Waverley, Box Hill, Ballarat, Werribee and Geelong.
All these locations there is provision for ramp as well as lift access. Please access our locations page for further details.
Our surgeons have accreditation to admit and treat patients for surgical treatment primarily at various locations which are mentioned below:
- Melbourne Private Hospital
- Epworth Hospital – Richmond
- Epworth Hospital – Geelong
- John Fawkner Private Hospital
- Epworth Eastern – Box Hill
- Waverley Private Hospital- Mount Waverley
The patients are provided surgical services at a location closet to their primary residence, however, at times based on the complexity of surgery and the need for specialised equipment, patients will be guided to hospital where the most appropriate treatment can be provided. For example in patient whom Mr Nair feels would benefit from having spinal robotic surgery click here.
They will be treated through the Melbourne Private Hospital or the Epworth Hospital in Richmond where such state of the art spine surgery treatment is currently available.
Neuroaxis consulting fees are in line with the other neurosurgical practices in Melbourne. Further details of this can be obtained by a contacting his office. It is an expectation that all accounts for consultations are settled on the same day of the appointment. The options of payment include by cash, EFTPOS, or credit card. You will be entitled to partial rebate from Medicare but there will still be a component which will be out of pocket. Details of this will also be provided to you at the time of making the appointment.
At Neuroaxis we are happy to see WorkCover and TAC patients to provide neurosurgical opinion, however, acceptance of such referrals will be based on the details provided in the referral letter which are triaged by our doctors. In addition, once referral has been accepted and an appointment date is provided it is expected that the patient will have to provide a letter from WorkCover or TAC confirming acceptance of liability to settle such accounts. Failing the presentation of such a letter the patient themselves will be expected to settle the full fees on the date of the visit and claim back from their insurer.
The major component of your surgical fee will be covered by your insurance company. The out of pocket charges will be discussed prior to the surgery. An informed financial consent form will also be provided prior to booking the date for surgery.
Surgery for WorkCover and TAC patients will be scheduled only after an approval of surgery is provided in writing from the requisite agency. In the rare instance of a patient wanting to access surgery through the private exercising the self funded option, a detailed provisional quote will be provided before proceeding to scheduling surgery.
Neurooaxis is Telehealth enabled, an approval for a Telehealth opinion is decided on a case to case basis in consultation with your general practitioner.
It is mandatory that the first consultation has to be in person. Telehealth services can be utilised for subsequent discussions of test results and treatment options.
When coming to an outpatient appointment either the primary appointment or the subsequent follow up appointments, it is important to bring your referral letter, paper reports of all your relevant investigations till then and also copies of your x-rays, CT scans or MRI’s either as printed films or CD’s. Our team does not retain any scan films or CD’s of any investigations, it is important that these test results or any further test which are organised by our doctors are brought back for subsequent review appointments.
Once a clinical diagnosis has been made, a detailed discussion will be held with the patient with regards to the options and treatment. The pros and cons of various options of treatment will also be discussed and a medical recommendation of treatment will be provided. In case you need more detailed tests including MRI scans, bone scans or CT myelogram, this will be organised for you through our office.
In case of interventional procedures including CT guided injections, CT guided facet joint, epidural or nerve root injections such procedures will also be organised by our office.
If you are a patient of Neuroaxis and you have an emergency, you are welcome to contact our office, however, in case of an acute emergency it is recommended to contact 000 and access the emergency services that are closest to your location. If you need an urgent opinion or need to discuss any medically relevant condition after hours or over the weekend, you are requested to contact the Royal Melbourne Hospital on 9342 7000 and ask to speak to the Neurosurgery Registrar.
In most cases, the patient is admitted a day prior to the date of surgery. This is to enable any specific preoperative imaging, blood test and also evaluation by our designated physician and anaesthetist. When coming into the hospital it is important to remember to bring all your scan reports and films and also a list of your updated current medications that you are on. You will be given guidance on the duration of fasting and any other preoperative instructions prior to your coming into hospital. As a rule for all operations performed by our Neurosurgeons you would be expected to be off all anticoagulant medications at least a week prior to surgery. With regards to the specific requirements, if you have any questions it is important to make contact the treating Neurosurgeon at least a week prior to such operation.
In general, most operations on the brain and spine do require you to be off your anticoagulant medication to reduce the chance of postoperative hematomas. This decision will be however made taking into account the specific indication for your anticoagulant medication.
In case such recommendations will be and communicated to your general practitioner and in case you have a haematologist or a cardiologist involved in your care, their opinion will also be taken into account before asking any plans to cease your anticoagulant medication.
It is important that you advise us if you are on any anticoagulant medication including Aspirin, Warfarin, Coumadin, Dabigatran, Plavix, NSAIDs, fish oil, medications from any other alternative medical practices.
For small percentage of patients it may be required to have a short stint of inpatient rehabilitation in which case this will be organised through the hospital in consultation with Mr Nair.
Post your initial recovery, Neuroaxis’s team of physiotherapist and occupational therapist will perform in-hospital assessments to advise your treating Neurosurgeon on your fitness to return back straight home. Based on these recommendations you will be guided to return back home with postoperative instructions or arrangements will be made to transfer you for inpatient rehabilitation.
In case you need transportation (ambulance) to be organised for your transport, this will be organised through the hospital. Your ability to access such services, however, will depend on whether you have the appropriate cover for the same.
No two conditions and no two operations are exactly the same and hence the return to work recommendations are individualised. You will be given professional recommendation of possible return to work time frame prior to surgery. Further specific recommendations will be made based on your postoperative recovery.
In case of TAC and WorkCover patients,your treating Neurosurgeon at Neuroaxis will provide further details to assist in your return to work plan.
Following any operations of the brain , return to driving will be guided based on the location of the brain that was operated on and the functional outcome. This is also guided based on the post surgery return to driving guidelines provided by Vicroads. In the event that you have had seizures, you are not permitted drive legally for a period of one year and will need opinion and clearance from a neurologist before returning back to driving.
In relation to spinal surgery, you will be guided through the return to driving based on a case to case basis taking into account your recovery process and limitations if any.
The time and date for your postoperative follow-up appointment will be booked in and details of the same will be provided to you prior to your discharge from hospital. You will also be given forms for any test you might have to get done prior to coming for the follow up visit.