Posted in Skin Health

Honey, I Shrunk the Kids! - Skin Cancer Diagnosis,

Posted by Dr David Parsons on 11 February 2021

"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:

  1. Basal Cell Carcinoma (BCC)
  2. Squamous Cell Carcinoma (SCC)
  3. Melanoma

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  

SKIN and Dermatology at Whole Medicine

Posted by Dr Michelle Woolhouse on 23 April 2020
SKIN and Dermatology at Whole Medicine
Skin cancer is the most common cause of cancer in this country, with our beautiful sunshine and gorgeous beaches, finding skin cancer is, unfortunately, more common than we all would like. Regular skin checks are becoming an essential part of our overall holistic health regime. Winter is the best time for a skin check because if you need any treatment, your skin will be healed in time for the summer. Many of us have to travel to Frankston to get our skin properly check, but now you have another option. Dr. David Parsons has a diploma in dermoscopy and has been practicing skin cancer medicine for over a decade. He has very fine surgical skills and combined with his calm and friendly nature he is the ideal GP to look after your skin and monitor any suspicious lesions. For a limited time during COVID-19 we are offering bulk billed skin checks with Dr. David Parsons.

Social isolation and strict triaging including temperature checks are in place at Whole Medicine - so we can access high quality medicine and stay safe.
Posted in:Women's HealthMen's HealthSkin HealthHealth and Well BeingFamily GPMental Health  

Whole Medicine still accessible despite COVID-19

Posted by Dr Michelle Woolhouse on 8 April 2020
Whole Medicine still accessible despite COVID-19

Firstly, we wish to acknowledge that we are very aware that many people are suffering from uncertainty, confusion, fear and social isolation at the moment and to all of you we send our warmest thoughts and best wishes.

Secondly, we would like to say a big thank you for all your support as a community. We have received so many kind wishes from people and gratitude for our service, which has been quite overwhelming. It is an honour to look after so many grateful people, who offer us all such respect during this challenging time. Australia is doing such a wonderful job of respecting each other and respecting the beauty of life for us all. I am particularly proud of what we have all achieved in all doing our part to flatten the curve.

Many people in the last few weeks have expressed guilt at making a normal medical appointment to see us, feeling like they are wasting our time or placing an unnecessary burden on our resources. Please, please, please be reassured, we are here for you, now more than ever. It is very important to us that we provide you with an even better service now. We have a lot of doctor and psychology availability at the moment and you are not wasting our time. This could be a great opportunity for some to start a new journey looking into health care for yourself, your family or your loved one or friend. Please don't hesitate to call us for all your normal medical needs. Our reception team will guide you through all the changes.

Below is an outline of our offering to our community throughout this pandemic:

  • ALL Patients are now eligible for Telehealth under Medicare.
  • Telehealth includes both video and/or telephone consultations.
  • Telehealth can be done in your home or office or from your car in our car park.
  • Medicare rebates apply to all telehealth consultations including all normal medical appointments, Care Plans, Mental Health Care Plans and Psychology and Dietetics Services.
  • All those over 70 and under 16 years and those at high risk of COVID-19 are bulk-billed.
  • Consultations done from the car park have the advantage that if you do require an examination or investigation this can be actioned at the time.
  • Our reception team will conduct payment over the phone and your Medicare rebate will be automatically reimbursed into your chosen bank account.
  • In the situation where an examination is deemed appropriate a follow-up appointment will be made.
  • Care plans and care plan reviews are all bulk-billed. There is no out of pocket cost for you. These can be done in the comfort of your home. Our Nurse Heather will be calling you over the next few weeks to schedule a good time.
  • All people suffering from upper respiratory symptoms, fever or flu-like illness or those with a travel or cruise ship history are consulted via telehealth only and are not seen in the clinic

Social-distancing is IMPORTANT to us:

  • To minimize human contact and interaction we ask all those that need to be seen at the clinic to wait in their car before seeing your practitioner.
  • Please call reception upon arrival to let us know you are here.
  • Our waiting room is as much as possible a people-free zone.
  • Our door is locked at all times at the moment to make sure this policy is strictly adhered to.
  • For all supplement orders: please phone reception on 5986-4229 to order and to pay. You can nominate to pick it up or have it posted to your home.
  • All people entering the clinic are to have their temperature recorded including staff daily.

Strict Cleaning and Sanitation is in place:

  • All the practitioners and staff adhere to strict hand washing between every patient.
  • A new cleaning roster has been devised and is activated throughout the day.
  • We will reduce any potential environmental contamination by cleaning with agents that are effective against corona viruses, particularly COVID-19. We use agents with high levels of proven efficacy based on external advice.
  • Hand sanitiser is available through-out the clinic for both staff and patient use.
  • We only accept card at this time: no cash, please.

Recommendations as to how these precautions should be implemented are changing all the time and we will strive to provide an environment where we can continue to deliver the best possible patient care, while also looking after the health needs of our valued patients and staff members.

Posted in:Women's HealthPreventative MedicineMen's HealthChildren's HealthSkin HealthChronic IllnessHealth and Well BeingFamily GPMental HealthCOVID-19Eating Disorders  

Got more than one burning question about your health?

Posted by Dr Michelle Woolhouse on 22 October 2018
Got more than one burning question about your health?

Meet the Rosebud GPs with time for your whole health story

If you're proactive about your health, you might like to meet Whole Medicine's integrative GPs.

Dr Michelle Woolhouse
MBBS, FRACGP, FACNEM, FASLM
Dr Woolhouse founded the clinic in 2009 to provide Mornington Peninsula residents with a holistic medicine option. After completing her medical degree in 1996, she became a fellow of the Royal Australian College of General Practitioner's (RACGP), and of the Australasian College of Nutritional and Environmental Medicine (ACNEM) and the Australasian Society of Lifestyle Medicine (ASLM). Dr Woolhouse also has post graduate training in hypnotherapy, acupuncture and mind-body medicine.

Dr Preveena Nair
MBBS, FRACGP
After completing her medical and surgical training in 2008, Dr Nair undertook post graduate training in nutritional medicine and mind-body medicine. Her special interests include women's, sexual and mental health, prevention and paediatrics.

Dr Caitlin O'Mahony
MBBS, DRANZCOG, FRACGP
Dr O'Mahony is an integrative GP and shared care practitioner who focuses on nutrition, mental health, sexual health, chronic illness and stress management. She was the inaugural Deputy Chair of The Water Well Project for refugees and asylum seekers.

Dr Angela Tallarida
MBBS, FRACGP
A Mornington Peninsula local, Dr Tallarida is passionate about how modern science is revealing the evidence behind ancient wisdom and practices like meditation and yoga. She specialises in mental health, chronic pain, stress management, gut health and travel medicine.

Medicare rebates apply for all services.

Posted in:Women's HealthPreventative MedicineMen's HealthChildren's HealthSkin HealthChronic IllnessHealth and Well BeingFamily GP  

Looking for a different approach to your health?

Posted by Dr Michelle Woolhouse on 24 September 2018
Looking for a different approach to your health?

When treating your symptoms isn't enough

Whether you are a new mum, a baby boomer or a business owner, everyone wants to be well.

But, sadly, chronic disease is Australia's biggest health challenge with heart disease, obesity, cancer, cognitive impairment, arthritis and diabetes at epidemic proportions.

Dr Preveena Nair, Whole Medicine GP (MBBS, FRACGP), says the key to staying well is to take care of the whole spectrum of your health including the physical, mental, emotional and environmental factors.

"However, if disease does strike we are determined to address the underlying reasons why," she explains.

"With every episode of a diseased condition, we help patients understand what went wrong and how this could be prevented from happening again."

To do this, Whole Medicine doctors are empowered to treat all of the medical issues a regular GP does, but also practice evidence-based natural medicine to provide a holistic approach to your health.

If you need:

  • A doctor who in addition to their medical degree also has skills in evidence-based natural, non-drug therapies
  • An open-minded investigation into the cause, not just the symptoms
  • A detailed gathering of information to ensure your treatment plan has your big picture in mind
  • Caring doctors and nurses who allow the time to listen, support and educate every patient
  • Access to the best specialists, hospitals, procedures and investigations if required
  • Modern rooms and a relaxed environment
  • A selection of appointment times, fees and services to suit your needs
  • Access to an in-house dispensary

Contact Whole Medicine to book an appointment 03 5986 4229.

Posted in:Women's HealthPreventative MedicineMen's HealthChildren's HealthSkin HealthChronic IllnessHealth and Well BeingFamily GP  
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Home visits by prior arrangement only and are at the discretion of the treating doctor.