Neurology & Neurophysiology

Neurology & Neurophysiology

Paediatric neurology at Lumina

Children and families living with neurological conditions face some of the toughest challenges. Lumina is dedicated to identifying and addressing these challenges, and to ensuring that our patients are happy, healthy and living their best lives.

About paediatric neurologists

Child neurology deals with neurological conditions and their impact on the whole person. Paediatric neurologists commonly collaborate with other specialists such as geneticists, developmental paediatricians, and neuropsychologists to provide a multidisciplinary approach to care.

Achieving good outcomes

A paediatric neurologist achieves good outcomes through a combination of different strategies, including:

  • Early diagnosis and treatment
  • Multidisciplinary care and working with a team to provide comprehensive care
  • Medication, carefully managed to balance effectiveness and safety
  • Behavioural and psychological therapy to address emotional and psychological impacts
  • Rehabilitation with physical therapists, occupational therapists, and other rehabilitation
  • Monitoring and follow-up care, adjusting plans to ensure that children continue to receive the best possible care.

Common conditions

Paediatric neurologists manage a diverse range of conditions, and their effects on daily life, mood and function:

  • Epilepsy and an array of seizure types
  • Migraine, characterized by severe pain and other symptoms
  • Movement disorders
  • Developmental disorders such as autism, attention-deficit/hyperactivity disorder (ADHD), and learning disorders.
  • Genetic disorders including muscular dystrophy and neurofibromatosis.
  • Immunologic disorders such as multiple sclerosis
  • Traumatic brain injuries
  • Tumours of the nervous system
  • And many others

Diagnosis & Testing

Paediatric neurologists use a range of diagnostic tests, including:

  • EEG (electroencephalogram) measures the electrical activity of the brain
  • Neuropsychological testing, a cognitive, behavioural and psychological assessment to evaluate the impact of neurological conditions on the child’s development, learning, behaviour and daily functioning
  • MRI and CT scans create detailed images of the brain and spinal cord and are used to evaluate brain and nerve structure and injuries
  • EMG (electromyography) measures the electrical activity of muscles
  • LP (lumbar puncture) involves removing a small amount of fluid from the spinal cord to evaluate brain infections, tumours, and other conditions.
  • Genetic testing can be used to identify genetic disorders that may cause neurological symptoms

The choice of tests will depend on the individual case and the suspected condition. The paediatric neurologist will evaluate your child’s symptoms and medical history and use this information to determine the most appropriate diagnostic tests.

Frequently Asked Questions

To obtain the correct Medicare support for your visit, you will need a referral from your paediatrician or GP. We review referrals before booking an appointment and may refer you to a hospital if your child will need to be seen there. There may be tests or treatment that can only be obtained through the hospital.

For more information, visit our New Patients page here.

Doctors wishing to refer patients to Lumina can access more information about referrals here.

Visits are by appointment only, and usually require a referral from your Paediatrician or GP. Referral letters from a GP last 12 months. If you are hoping to see a particular doctor, please be aware that you may be able to see a different doctor much sooner. We will let you know the options where we think we can provide an earlier visit.

Initial visits are longer to allow for comprehensive review of your child’s history, your family and social background, and to undertake examination of your child’s health and wellbeing.

If you are unable to make an appointment let us know as soon as possible. Please don’t expect a quick rebooking as the doctor’s calendar may be full, and other people may have been waiting for some time.

If you cancel an appointment within 48 hours, we may invoice you for the missed visit if we’re unable to rebook someone into your appointment time.

Please speak with our team before your visit to ensure you’re clear about the fees to be paid. Payment is expected at the time of your visit.

Healthcare practitioners attending Lumina set their own fees. These reflect:

  • The training and professional experience required to attain their qualifications
  • The time required outside of appointments to assess, refer and complete paperwork relating to your case
  • The costs of retaining their professional qualifications, and costs associated with maintaining their clinical practice

Initial visits are longer to allow for comprehensive review of your child’s history and current health and wellbeing, and to develop a treatment plan and share it with your GP or paediatrician. Medicare rebates are higher for these visits, but you may have a higher out-of-pocket cost for your initial visit.

Your doctor will book a longer visit each year to allow time for a full review of your child’s health. This may also be required to support PBS reimbursement of some medications, and/or to reorder and review necessary testing.

We will work to identify and obtain the appropriate Medicare rebate for each visit.

You will need to pay the full fee at the time of your visit and we will process your Medicare rebate. You should receive the rebate back to your nominated bank account. If you do not receive your rebate, please contact Medicare.

When your child turns 18 you may need to contact Medicare for your rebate and to update payment details.

Your doctor will set your fee and specify how they prefer payment. Lumina’s payment terminal supports Visa and Mastercard. Credit card fees may differ between cards.

We do not accept cash for security and sanitary reasons.

Unfortunately, most health funds do not cover private specialist visits. Call your private health insurer before visiting to check.

The government provides a website with more information about private health insurance: https://privatehealth.gov.au/health_insurance/what_is_covered/privatehealth.htm

The Australian Medical Association also has a brochure on the gap between Medicare rebates and doctor’s fees: https://feeslist.ama.com.au/file/download/fees-gaps-poster-2022.pdf

Please ask your referring doctor to forward any letters or test results that may assist with your first visit.

Your doctor may wish to undertake an EEG (electroencephalogram) to understand your child’s brain activity. There are additional fees for this, but also Medicare rebates to help with the cost.

Complex testing – such as genetic testing or MRI scans – may need to be referred to other clinics or laboratories and additional costs may apply. Please discuss this with your doctor.

There is a pathology clinic and a pharmacy in the same building as Lumina, but you may prefer to visit facilities closer to home.

Second opinions can play an important role in helping address your concerns about a diagnosis or course of treatment. We will always be happy to help you with seeking a second opinion.

Please be aware that a second opinion at any private clinic will require a new consult and you may incur the higher costs associated with a long initial visit.

As a mixed clinical practice, we will endeavour to provide you with quick access to other relevant specialties within Lumina. You have the right to seek referral to another clinic or practitioner for your needs.

At present, Lumina does not participate in clinical trials. Doctors providing services at Lumina may be aware of clinical trials that you can access or trials that you can access elsewhere, but this is not a core part of the service that we provide.

Medical practitioners providing services through Lumina are aware of and value the range of treatment methods that people can access to be well. It’s very important that you’re transparent with your doctor or healthcare provider about other treatments or practices to ensure the best treatment and outcomes for your child.

For ad hoc forms or letters completed outside of your regular consults, fees will usually apply. These fees are set by the medical provider and will reflect the time required to complete and share the document, including reviewing your notes, any research needed, and conferring with other parties that may be required to complete the form or letter.

In the first instance, please have an open and respectful conversation with your doctor or healthcare provider. They want the best for your child and may be balancing a range of needs and priorities to get the best outcome. They will prioritise the welfare of your child over other priorities.

Where you disagree with a course of action, make sure you’ve had a full discussion with your doctor to understand their decisions. Please respect that the doctor will make their decisions based on their training, experience, and the regulations and requirements about accessing treatment.

If you still feel you have not been heard, please ask your doctor about obtaining a second opinion, or to refer you to clinic management about your child’s care.

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