General practice De Doc cooperates with partners in the area, to organize several programs and consultations to improve the care for specific groups of patients. This concerns specific programs for certain (chronic) conditions and care for fragile elderly. Furthermore, we organize several special consultations, and consultations on exceptional locations.
Because we continuously want to contribute to the improvement of health care in The Hague centre, Rivierenbuurt and Stationsbuurt, we regularly gather with partners in health care for adjustment, improvement and extension of our programs. Within Foundation New Centre (Stichting Nieuw Centrum) Doc Haanstra is part of a network of primary caregivers which develops and runs care programs.
Chronic Obstructive Pulmonary Disease or COPD is a chronic lung condition which causes a gradual reduction in lung capacity. This results in being out of breath, having low levels of oxygen in the blood and being tired. Smoking is an important, but not the only, cause of this illness. Early detection, and cessation of smoking, greatly reduces the detoriation of lung capacity.
Are you over 40? Are you a smoker? Are you easily out of breath? Visit the doctor to find out if COPD might be the cause. The diagnosis will be made with a lung function test which can be done at the practice. We can also pr
Treatment of this disease will be multi disciplinary with the GP, POH, physiotherapist, and the dietician.
Diabetes Mellitus is one of the most common chronic diseases in the Netherlands. We distinguish type 1 and type 2. The majority of the patients suffers from type 2, also called adult-onset diabetes. If this is the case, the body does not make enough insulin. Treatment with medication and special attention for lifestyle is very important to stabilize the sugarlevel in the blood.
Both a high and a low amount of sugar can be dangerous for your health. Problems concerning eyes, feet and bloodvessels can occur because of deviating sugar levels.
Diabetes care by Doc Haanstra
Patients with diabetes in our practice are invited 4 times a year for a check up. These check ups are done by a nurse practitioner. She cooperates with one of the general practitioners. In advance of the check up, you will receive a letter to invite you for a blood test. During the check up, the last period of time will be evaluated and the bloodlevels will be discussed. There is special attention to diet and lifestyle, and if necessary your medication will be adjusted. Furthermore, every year the feet will be checked. Every 2 years a check up of the eyes is performed. Together with the nurse practitioner goals are set to keep you healty. She can give tips and advices for daily life.
Having a high blood pressure, high cholesterol, high blood glucose or a family history of cardio vascular illnesses increases the chance of cardio vascular complications in the future. This includes a stroke, kidney illness of a myocardial infarction. Regular check ups and when necessary life style interventions and medication reduces this risk.
More than 20% of the Dutch population has had to deal with fear and/or a depression once in their life. Our nurse practitioners for mental health is trained by the Trimbos institute for their approach of fear and depression. This results in a quick recognition and improved treatment of fear and depression.
During the dark winter months many people suffer from what is called a “winter depression”. During this period people might feel fatigued and down and this is due to a decreased exposure to sunlight.
Chrono biological light therapy is a therapy in which you will be exposed to a specific form of ultra-violet light during 30 minutes for 5 days in a row. This resets the biological clock (melatonin – serotonin) and this will result in a reduction (or disappearance) of the symptoms. This treatment is evidence based.
Headaches are a common medical problem. The reason is often not something to worry about. Common types of headache are tension headache, migraine or headache because of painkillers. This can have a strong influence on your daily life. The treatment of a chronic headache requires an approach by different caregivers. For this purpose, general practice Doc Haanstra cooperates with for instance physiotherapists.
Lower back pain is a common condition in all age groups with great impact on daily life. In most cases there is no known specific underlying medical cause (90%) but this does not mean there is no treatment available.
Back-schooling (Back to school!!)
Together with the physiotherapist of fysiofit and the practice-therapists of Praktijk 28 we devised a specific program for people suffering from recurrent or chronic lower back pains. The goal of the program is to reduce symptoms through education (anatomy), exercises and improvement of coordination. It is a program you follow in a small group with weekly sessions during 8 weeks combined with “homework”.
Costs will be covered by your health care insurance when you have additional insurance coverage. If the insurance doesn’t cover the program by the physiotherapists costs will be €140,-.
Nowadays elderly live indepently in their own home for a longer time. Also as their vulnerability increases. Doc Haanstra has the aspiration to create a situation in which this is possible, together with the elderly and other caregivers.
Within a steady team of general practitioner, (practice) nurse, consultants for elderly, pharmacists and geriatric specialists we optimalise the (medical) care for vulnerable elderly in a home situation and keep an eye on their quality of life.
Special speaking hours
During these consultations they work together to help patients with musculo-skeletal problems. Examples of medical issues are knee, spine and shoulder problems and sports injuries. Thanks to the cooperation of the general practitioner and physiotherapist you can be diagnosed faster. During this consultation you receive advices and a suitable treatment can be started quickly.
Different physiotherapists participate in these consultations, they all work for one of the clinics listed below:
Injury treatment and prevention (Blessure Behandeling en Preventie)
Fysiofit The Hague
Physiotherapy Hollands Spoor (Fysiotherapie Hollands Spoor)
Practice 28 (Praktijk 28)
Nicole Stevens is general practitioner and sexologist NVVS. In case you have questions about sexuality and if you would like to talk about this with a doctor, you can make an appointment with her via De Doc huisartsen (070-3824777, option 3). Several examples of issues are pain during sexual intercourse, erection problems, decrease of sexual longing, side effects of medication or other medical treatment (e.g. surgery, chemotherapy or radiation therapy) or sexual problems because of a chronic disease.
When you make an appointment, please tell u that you are a patient of Doc Haanstra
Our practice cooperates with the district nurses from Plicare.
These district nurses are connected to the area in which our general practitioners are working. They give advice and information about medical issues and can help in case medical care or extra help is needed for patients at home.
Marije Berkel and Fieke van der Elsen have regular consultations with our practice. They hold consultations on Tuesday between 11:00 and 12:00 on the Nieuwe Haven 171. An appointment is not required.