Dr Nicholas Cooke

Medical doctor with decades of pain care, aged care and rheumatology expertise.

Dr Nicholas Cooke, our resident pain-focused GP, has spent the past three decades diving deep into the world of pain medicine, rheumatology and aged-care.

Like many on our team, it was a personal experience with pain that first sparked Nick's interest in medicine. When his wife came to face similar struggles with pain, his interest took on new life - driving him on to find better solutions for people with persistent pain.

MY APPROACH

All pain is real.

"Whether your pain is being driven by a clear structural abnormality, or by dynamic maladaptive changes across multiple body systems, it is no more or less real. Ultimately, all pain is generated by the brain – and therefore, all pain is real."

My areas of expertise

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Arthritis + rheumatology

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Fibroymalgia

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Aged-care

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Low-risk pharmacology

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Building personalised care plans

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And more...

Experience

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35+ years general practice

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2 years of focus in rheumatology.

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10 years of focus in palliative & aged-care.

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10+ years of focus in pain medicine.

My Story

It was in my last year of medical school that my personal pain story began. Unable to determine the cause of my own pain, I turned to a more senior doctor for help. Sadly, my pain was dismissed, and so began a twenty-year journey of chronic pain, before finally finding the correct diagnosis and treatment. This experience shaped my entire view of medicine and taught me the golden rule of pain care - always believe the patient's pain is real.

Following my medical degree in London, I set off to travel and eventually found my way here, to beautiful Western Australia. I spent some time practising in the rheumatology unit of Royal Perth Rehabilitation Hospital before obtaining the fellowship of the Royal Australian College of general practitioners.

During my time working in aged-care, pain management once again became an area of increasing interest. I feel it is a privilege to help resolve someone's pain. When my wife co-founded Painless, it was only natural that I join her and shift my focus entirely to pain care.

My Approach

I've always admired the great Canadian physician - a founder of Johns Hopkins Hospital - Sir William Osler. Two of his quotes, in particular, have resonated with me, "Listen to the patient, he is telling you the diagnosis" and "Ask not what disease the patient has, but rather what person the disease has."

I believe an accurate diagnosis is only step one. Step two is determining the underlying cause; the driving forces that create illness to begin with. I try to take a holistic approach with my patients. I look at the problem from many angles - physical and mental, emotional and social, even financial and spiritual factors may require consideration. Only once we've identified what is driving your pain can we begin to address it.

Qualifications

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Medical degree, MBBS, 1983

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OB-GYN diploma, 1988

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Member of Royal College of General Practitioners (UK), 1988

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Fellowship of Royal Australian College of General Practitioners, 1994

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