George Practice

3 Trefoil Square, Gloucester Ln, George Central, 6529

Opening Hours

Mon - Thu: 8am - 5pm
Friday: 8am - 3pm
Sat - Sun: CLOSED
24 Dec - 2 Jan: CLOSED


Fax : 044 874 6299


Feel free to contact us

Dry Skin

Dry skin? Here are the top tips

Your skin is your largest organ!  We are sharing some tips to relieve and prevent dry skin.

  1. Keep showers cool and short. Avoid bathing.
  2. Wash with a synthetic cleanser (for ex Dove, Cetaphil) and try and avoid tradition soaps and this changes the PH of the skin and increases dryness
  3. Avoid scrubbing skin, wash gently and rinse
  4. Gently dab skin dry in stead of rubbing
  5. Apply a good moisturizer. Creams or ointments instead of lotions work best. Ingredients that help to soothe dry skin include lactic acid, urea, hyaluronic acid, dimethicone, glycerin, lanolin, mineral oil, and petrolatum.
  6. Humidifiers can be used during the dry months
  7. Choose non-irritating clothes and laundry detergent. When our skin is dry and raw even clothes and laundry detergent can be irritating.
  8. Stay warm without cozying up to a fireplace or other heat source.Sitting in front of an open flame or other heat source can dry your skin.

Sometimes people with dry skin can develop eczema.  A topical corticosteroid can then be added to the moisturizing regime.

Fetal Alcohol Spectrum Disorder

South Africa has the highest prevalence of fetal alcohol spectrum disorder (FASD) in the world which is more than 14 times the global average. South Africa has an incidence of 111.1 per 1‚000 children‚ followed by Croatia at 53.3 per 1‚000 and Ireland at 47.5 per 1‚000. The global average is 7.7 per 1.000. This is according to research published on August 21,2017 in the American Medical Association journal JAMA Pediatrics.

What is fetal alcohol spectrum disorder?

Fetal alcohol spectrum disorder is a group of disorders that develop when a mother drinks alcohol during pregnancy.  It is called a spectrum as the clinical features may differ from very severely affected (Fetal alcohol syndrome) to less severely affected.

In the womb, a baby doesn’t have a fully developed liverthat can process or break down alcohol, so it can easily get to and damage the baby’s organs.

Some of the most severe problems happen when a pregnant woman drinks in the first trimester, when the baby’s brainstarts to develop. But the second and third trimesters aren’t safe either. The brainis still developing then, and this process can be interrupted by even moderate amounts of alcohol.

There is no “safe” amount of alcohol that pregnant women can drink. And there is no time during pregnancy when it’s considered safe to drink alcohol, either.

Signs and symptoms:

There can be a mixture of physical, cognitive and behavioural signs and symptoms.  For example a child can have no physical signs but still have intellectual disabilities.

The most common signs include:

Small birth weight with difficulty gaining weight
Fussy baby
Thin upper lip
A smooth ridge between the upper lip and nose – This area is called the “philtrum.”
Eye openings that are shorter than normal

In children with FAS, symptoms can include:

“Developmental delays” – This means they take longer to do things other children the same age can do, such as walking and talking.
Being more active than normal
Having weak, floppy muscles
Having problems with learning, hearing, and seeing

In teenagers and adults with FAS, symptoms might include problems with:

Thinking and memory
Paying attention and concentrating
Getting along with other people

Diagnosing Fetal Alcohol Syndrome

There is no lab test that can prove a child has FAS. Many of its symptoms can seem like ADHD.

How is FAS treated?

Unfortunately, the damage cannot be undone, but with early diagnosis children can be supported with therapy

Can FAS be prevented?

Yes!  No amount of alcohol is known to be safe during pregnancy. Women can prevent FAS by not drinking any alcohol when trying to get pregnant or during pregnancy

Request an Appointment

Contact us by submitting your information in the form below.




  • Mon - Thu8:00 - 17:00
  • Fri8:00 - 15:00
  • Sat - SunClosed
  • HolidaysClosed
  • 24 Dec - 2 JanClosed

Welcome! We are two dedicated doctors offering a full-service family practice situated in the centre of George on the beautiful Garden Route. We are eager to optimize the health of patients in and around George, as well as the surrounding area. Our doctors collaborate in order to meet the health needs of the whole family, from baby-care to care of the elderly, in a friendly relaxed atmosphere. We regard our role as being family doctors, concerned with care and support to each member of the family. Being familiar with the personal and family history of each patient, ensures that we will be able to give high quality care and service.

Drs. van der Spuy © 2019 All Rights Reserved