The long summer days are over and we now look to what winter has in store and how we need to prepare ourselves.
I Know What You did last Summer
Who spent a lot of time out in the sun last summer? Have you had your post summer skin check? Its important to regularly – at least annually – have a thorough skin check for potential scan cancers. You may not be aware but we have recently incorporated Derm Engine into our skin check process. Derm Engine uses full body imaging to map and evaluate skin conditions. Stay tuned for an introductory offer for our patients next month.
What Did We Learn About Covid-19 in The Northern Hemisphere Winter?
Thankfully we have not seen a more deadly strain of Covid 19 coming out of the northern hemisphere winter. A second strain of the omicron variant has developed, and whilst it appears more infectious, it does not seem to be more deadly. It is already in Australia and is responsible for the recent rise in cases in NSW and Victoria. Health departments are saying current vaccines are effective in reducing severity of symptoms and hospitalisation, especially for those that have had three vaccinations. The federal government is recommending a fourth booster shot for at risk patients (those over 65, and those that are immuno compromised). We are vaccinating those patients that want them. Call us to make a booking.
Colds and Flus Are Back
Now that lock down is in the past, and overseas travel has resumed, regular colds and flus are back. And many workplaces are asking workers to stay at home if they have cold and flu symptoms. How do you do your best to avoid these? Start with a strong immune system. And that means a good diet with anti-oxidant rich foods like fruit and vegetables. Garlic, brightly coloured vegetables, mushrooms, and nuts are a great foundation. And potentially supplementing that diet with vitamin C and zinc can also be useful. But how much and how often? Need something tailored to your body and lifestyle? Give us a call. We can help.
As always we will be running flu vaccine clinics for those patients seeking them. This year’s vaccines have arrived. Call us if you want to be booked in.
What is long covid?
Many of you would have heard or read about Long Covid. Long Covid is a new illness that healthcare professionals are still learning about. After catching Covid-19, some people can feel unwell and take longer to get better than others. Long Covid can affect any part of your body with different symptoms. We are learning that ongoing or new symptoms can change and come and go over time. Long Covid generally describes Covid related symptoms that continue for more than 12 weeks. The RACGP notes that there is no link between the severity of your Covid-19 (including whether you were in hospital) and the likelihood that you will have long Covid.
Common Symptoms of Long Covid are many and varied. Broad categories include:
- Respiratory Symptoms (Breathlessness, coughs).
- Cardiovascular Symptoms (heart and circulation issues including chest tightness and pain and palpitations).
- General Symptoms (Fatigue, fever, pain).
- Neurological Symptoms (headache, brain fog, loss of concentration, memory issues, sleep disturbance, dizziness, pins and needles, numbness, delirium, mobility impairment).
- Gastrointestinal Symptoms (abdominal pain, nausea, diarrhoea, weight loss and reduced appetite).
- Musculoskeletal symptoms (joint pain, muscle pain).
- Psychological / psychiatric Symptoms (symptoms of depression, anxiety, and post traumatic stress disorder.
- Ear, Nose and Throat Symptoms (ringing in the ears, earache, sore throat, dizziness, loss of taste, smell or both.
- Dermatological Symptoms (skin rashes, hair loss)
What If I Think I Have Long Covid?
The first thing you need to do is book in an appointment with one of our GPs. We will undertake a thorough assessment and establish a plan with you that involves the support and rehabilitation you need. This may include referrals to allied health including dietitians, physiotherapists, psychologists, cardiologists and occupational therapists amongst others.
Heart Health Checks
Due to the recent passing of some high profile people in the community there has been a recent focus on heart health – particularly amongst men and women over 45. Whilst its sad to see the passing of such people and the devastating impact on their families, it is positive that heart health is in the spot light. Poor diet, smoking, general fitness and stress are big indicators, as well as family history. There is a lot you can do to proactively improve your heart. Starting out with a heart health check is the first step. This involves getting an understanding of your lifestyle matched against heart health risk factors. It can also potentially lead to further specific heart testing followed by a plan to improve your heart health. All of our doctors provide this service and can help you be the best you can be.
|Posted in:Preventative MedicineHealth and Well BeingFamily GP|
We are lead by Dr Margaret Evers, principal GP and new practice owner. Dr Margaret is locally trained and has been a GP for more than 15 years. Margaret is your classic family GP that has seen it all. Highly experienced across all elements of family medicine, she truly cares and works hard for her patients. See her detailed profile here . She has a growing knowledge of integrative and lifestyle medicine, but refers specialist integrative matters to Dr Marina Macpherson.
Dr Marina is a GP that is an integrative medicine specialist. Her special interests within integrative medicine are women’s health, menopause and menstrual disorders, thyroid health, gut health, heart disease, diabetes, metabolic disease, health and weight optimisation, chronic disease prevention, and children’s health. For more information see Dr Marina's profile.
Dr Louise Hui is new to our practice, works in the field of integrative medicine, and also has a long background as a family GP. She came to us through an international search and has just arrived in the country. She has bought locally, and plans to work at Whole Medicine in the long term. Dr Louise has a post graduate qualification in integrative medicine and seeks to develop this interest further at Whole Medicine. She has recently taken an interest in the treatment of Long Covid. More information on Dr Louise can be found here.
Dr Dina Elhelawani is another highly experienced allrounder with a specialisation in women’s health and paediatrics. Dina has been with us for six months, is very popular and already has an active following.
Dr Faran Rizvi will join us shortly from the UK with his young family. He has interests in lifestyle medicine, men’s health, paediatrics, musculoskeletal system (including administering joint injections) and aesthetic medicine (Botox).
Dr Roy Othman is our resident skin specialist. Using our Derm Engine full body skin analysis software he maps and analyses our patient’s skin for issues that need monitoring or removal. Dr Roy can also perform minor surgery to remove many of the skin blemishes that need removal.
|Posted in:Family GP|
Kaitlyn Anderson, our clinic dietitian, is welcoming new clients and is pleased to return to face to face appointments after a few months of Telehealth.
She brings a fresh perspective to functional nutrition, understanding the need for an individualised approach to diet and lifestyle to see the whole person rather than just their symptoms. Every body is different - therefore everybody deserves a unique, tailored plan that suits their own health goals and priorities and supports their holistic wellbeing.
Kaitlyn provides nutrition counselling across a wide range of health conditions, including management of autoimmune disease, mental health issues and chronic health conditions such as diabetes and heart disease; but has a particular interest in using food as medicine in the management of chronic pain, fatigue and fibromyalgia after her own health experiences and seeing how easy it was to "slip through the cracks" of the conventional healthcare system.
Kaitlyn also works extensively with food intolerance, including RPAH/food chemical intolerance, which can play a big role in IBS and digestive upset along with sometimes surprising symptoms like migraines, sinus congestion and eczema.
Book a consultation today and learn how the food you eat can be literally life-changing!
"Supporting people for over two decades to release the pain of the past and learn a different way to live."
Hello there, I am delighted to share more information about me and the services that I offer. These confidential sessions are a place for you to come to be listened to, a confidential space for you to share your challenges, fears, struggles, regrets, hopes and dreams.
My belief is that you have the answers to your questions and the insights that you are searching for are within you. It is my privilege to provide the right conditions for you to discover them. I use reflective feedback, open minded questioning and intuitive insights. I will encourage and sometimes challenge you but I will believe in you and your potential to live life reflective of your values.
Each session is unique and reflective of you on the day, for example if you are low in energy ,feeling out of balance and unsure of the next step in your life. You can opt for a rebalancing treatment, that balances and recharges your physical body's energy. This treatment is for you, when you are experiencing overwhelm, uncertainty, fear and anxiety. When you find yourself stuck in a rut, an energetic boost can be recharging. It can take a few sessions to create longer lasting change, which also gives you the time to learn different responses to create change within your mindset, your relationships and your life.
*Mentorship for navigating stages of change
*Physical Healing for pain relief
For sessions available at Whole Medicine, through Zoom or phone, call reception on 5986 4229 or Book Online
"Honey, I Shrunk the Kids! " (1989) - A Metaphor for Microscopy in Skin Cancer Diagnosis
My kids watched this video dozens of times when they were young. The premise was that Dad wanted to invent a machine that would miniaturise objects to further scientific study. He was working on it in the attic but his kids and their friends accidentally made it work --- they were reduced to the size of a pin head. All of a sudden common household and garden features became a fearful world of dangers and monsters.
This story is a helpful metaphor for explaining how skin cancer diagnosis works using a hand-held microscope called a Dermatoscope. This device magnifies the skin structures more than 20 times. But it also has a special trickif you shine a bright light on skin the light is reflected back at you and you just see a shiny surface layer of keratin. So the Dermatoscope has a polarising filter in it to sort out the reflection and let you look at the "three storey house" of the superficial skin layers that we are looking into.
We have to imagine ourselves miniaturised and exploring the "three storey house" for signs of the "monsters" of skin cancer. The three main types of skin cancer we commonly find are:
- Basal Cell Carcinoma (BCC)
- Squamous Cell Carcinoma (SCC)
BCC and melanoma arise in the ground floor of the housecalled the basement membrane of the skin. But by the time the cancer is big enough to see through the Dermatoscope, the cancer cells have started to impact both the basement of the house, called the dermis in the skin, and the upper storey, or epidermis.SCC arises in the epidermis but quickly involves all three floors.
Through the Dermatoscope the doctor receives an enormous amount of information aboutwhat is going oninthethree storeys of thehouse. Interpreting this information takes dedicated training and experience. One Australian skin cancer expert likened it to deciding whether we were looking at "pussycats or tigers"tigers being the "monsters" of skin cancer.
This new field of scientific inquiry has taken off in the last 30 years. Because of our high skin cancer rates, Australia has been one of the leading countries in the world to study and teach it. Where skin cancer rates are highest in the communitysoutheast Queensland and northern NSW--- almost every GP has learnt this skill, and they now have the lowest death rates for skin cancer for the whole country.
So until you have your skin spots checked by a doctor with a hand-held Dermatoscope, you can't be sure you haven't a "tiger" hiding somewhere on your skin.
Need your skin checked? Call 5986 4229 or Book Online.
|Posted in:Skin CancerSkin Health|