CASEY MEDICAL

YOUR DOOTORCENTRE197 High StreetCranbourne 3977

P: (03) 5991 1222F: (03) 5996 8243W: www.caseymedical.com.au

Dr Sam AuteriMBBS BSC Dip(Obst)RCOG FRACGP DipRACOG

DrTom Everitt MBBI DipRACoG FRAccp

Dr Roger Smith MBBS(Hons) FRAIGP

Dr Kim Teo ^/aas

DRANzcoG FRAIGP

Dr Brett Ogilvie MBBI DRANzcoG FRACGI

Dr Robyn Newnham MBBS(Hons) DipRACoG

Dr Amanda Osborne MBBS FRAceP

Dr Ratna Vaska MBBS FRAccP

Dr Justin Curran MBBS(Hons) FRAcGp DCH

Dr Bims Gurusinghe nzaes BMedsc FRAcGp

Dr Clifford Morrison MBBs BMedsc FRAcGp

Ih Sugunendra ThanasagElam MBBI FRAcGp

Dr Sharlene (Xueling) TanM BBS(Hons) BMedSci. DCH F RACGP

DrWifson Zhang MBBs DCH FRAccP

DrWei Jie (Bruce) Lim MBBI FRAccP

DrAnki Fonseka MBBy

DrYi (Peter) Cheng MBBI

Dr Roger Smiths book titled 'Take a SimpleDrive to a Healthier Life and Live Longer

Too!'is out now. lt provides a simple guide onhow you might become healthier, it covers

important areas such as weight loss, diet andexercise. Available at reception for $10.

Over the next months there will be changes tothe Casey Medical Centre branding.You maynotice a new practice logo, colour schemeand trading name. Casey Medical Centrewill become Casey Medical Cranbourne inpreparation for the addition of our new practiceat Clyde which will be known as Casey MedicalClyde. We expect the Clyde Practice to open inthe second half of 2018.

Dr Sam Auteri provides various antiaging andtherapeutic services at Casey Medical.To learn more, visit his websitewww.caseycosmeticiniectables.com.au orsearch casey cosmetic injectables in Facebook.

BULK BILLINGCHILDREN UNDER 16 BULK BILLED AT ALLTIMES, including after hours, weekends andpublic holidays. Health Care cardholders willbe bulk billed Monday - Friday until 7pm, feesapply thereafter, weekends and public holidays.

PELVIC FLOOR REHABI LITAilON TH ERAPYlnnovative incontinence treatment for both maleand female patients - speak to your doctor formore information.

SURGERY HOURS AND SERVICESCONSU LIATIONS by appointment:Monday to FridaySaturday and SundayPublic holidays

8am-8pm9am-5pmAs posted

AFTER-HOURS please attend the EmergencyDepartment of either Dandenong PublicHospital, David Street, Dandenong, ORFrankston Hospital, Hastings Road, Frankston,OR The Valley Private Hospital, cnr Police andGladstone roads, Mulgrave, OR Casey Hospital,Kangan St., Berwick. For regular patients ofCasey MedicalCentre you may phone a doctoron 1902 213 035. Calls to this number arecharged at $S.S0/minute to your phone account.HOMEVISITS during surgery hours can beananged for emergencies or if a patient is unableto travel. Please contact the centre before noon ifpossible to make appropriate arrangements.

You snooze you lose?Your need to nap is perfectly reasonableand may even be beneficial.

lf you find yourself nodding off in the middleof the afternoon as you read a book in thesunshine, or watch TV from the couch, don'tfight the urge. While as the saying goes "you

snooze, you lose", when it comes to napping,you actually win.

People take a short kip during the dayfor a multitude of reasons. In countrieslike Spain, Brazil and Greece, a siesta isactively encouraged, while in other countriesit can merely be a case of needing to catchup on lost sleep, a way to fight boredom,counteracting impending sleep loss, oreven just to pass the time.

A 2006 study at the Schoolof Psychology, FlindersUniversity, Adelaide foundthat a 10-minute nap enabledall participants of the studyto benefit from improvedcognitive functions, lessfatigue, and less impairmentthan those who either nappedfor longer or didn't nap at all. lna similar study in Canada, habitualnappers were also found to benefit fromincreased motor learning as opposed to thosewho didn't nap at all, or as often.

Hornr long shouid ir"ry nap be?The length of your nap is entirely up to youand what your body requires. The studiesabove suggest that longer naps may leaveyou feeling sluggish and drowsy upon wakingup. There is also the possibility that you mayfeel less alert upon waking, than you didbefore you went to sleep.

The length of a typical sleep cycle is anhour and a half, with one hour of deep

APRIL 2018

Not so.sleep, and half an hour of light sleep. Wakingup from a light sleep offers better chances offeeling fresh and invigorated, whilst beingawoken from a deep slumber may have theopposite effect.

Brief naps of 10 minutes however, can alteryour cognitive performance for the better,offering better levels of productivity andperformance for even a few hours after wakinq.

Sdhen shcutd I nap?While there might not be an "average" timeto nap, there is a time of day that is morecommon, especially in those countriesthat actively encourage siestas. In Spain,

Mexico, Greece, and even ltaly,workers take a nap at around

lunchtime. Siesta is derivedfrom the Latin word horasexta, which means the sixthhour. When a traditional daybegins at dawn, this wouldmake the standard napping

time 12 pm. However, toensure businesses don't

experience reduced productivity,they usually extend their opening

hours to allow for these breaks.

Nap when you feel the need to, not the time ofday that is most common. Many people feel

sluggish and tired in the early afternoon afterlunch and prefer to take a 1O-20-minute napduring this time. In fact, Winston Churchill,John F. Kennedy and Albert Einstein allfavoured a short nap in the afternoon.

While napping can help you fight fatigueduring the day, it's also crucial to get afull night's sleep. lf you're struggling withyour sleep pattern and it's affecting yourday-to-day life, it may be time to see yourhealth professional.

t

Serves 2

Ingredients

2009 boneless firm white-fleshfish fillets

Oil for frying

/z C plain flour

1 egg

Dash of milk or water

Panko breadcrumbs(or regular breadcrumbsif you can't find Panko)

Salad ingredients of your choice

Method. Cut fillets into large bite-size chunks.. Place flour and breadcrumbs on separate plates.

. Whisk egg and milk in a shallow bowl.

. Coat fish pieces in flour, then egg mix, then breadcrumbs. When all the fish pieceshave been coated, set aside while you prepare the salad. You could prepare thefish well in advance and store in the fridge until ready to cook.

. Heat oil to medium heat in a frying pan. Cook fish pieces for about a minute or twoeach side depending on how thick the pieces are.

. Serve with dipping sauces of your choice e.g. thousand island, tomato, tartare,sour cream.

Try serving with fries or baked potato.

Gardening:more dangerousthan you thinkWith the intense summer heat now behindus, and the cooler temperatures of autumnbeginning to kick in, many people are findingthemselves back in the garden ready foranother season of planting.

While you're preparing the garden forlettuce, carrots, and cabbage, you shouldbe preparing yourself, as well. Somethingdangerous could be lurking in your garden,and you may not even know it.

The bacterium legionella, of which thereare 35 species, causes a severe form ofpneumonia known as Legionnaires' Diseaseand is known to lurk in your everydaycommercial potting soil. Whether you'repreparing fresh potting mix for the seasonahead, or you're ridding your vegetable plotof weeds, being aware of the dangers ofyour soil is crucial.

A microbiology review on a 2i-yearinvestigation into Legionella andLegionnaires' Disease discovered thatLegionella longbeachae, an isolatein potting soil, is the leading cause oflegionellosis in Australia, occurring ingardeners who are exposed to commercialpotting soil.

While you can't catch Legionnaires'Diseasefrom person-to-person contact, the elderly,smokers, and those with a weakenedimmune system are more at risk. A reviewof national legionellosis surveillance inAustralia between 1991 and 2000 alsomade the connection between vulnerableaging people with a deteriorating level ofhealth, and a higher risk of catching it whilegardening, or even shopping.

A seasonal analysis during the same reviewalso picked up on a peak number of casesduring autumn in a four-year period, furtherenhancing the need to take care whenplanting season begins.

What you can do to stay safe inthe gardenThere are plenty of things you can bedoing to keep yourself safe in the garden.Firstly, always read the warnings and anyinstructions on composted potting mixes.lf you're handling the mix indoors or duringhigh winds, wear a dust mask, and wateryour plants only using a gentle mist.

When you're preparing the soil for planting,ensure you moisten it, and open the bagslowly, and away from your face. lf you'reusing potting mix in a garden shed orglasshouse, ensure there is plenty ofventilation. Most importantly, wear gloves atall times, and wash your hands thoroughlyafter handling any soil or garden products.

Symptoms of Legionnaires' Disease canbegin 2-10 days after exposure. lf youhave a cough, shortness of breath, fever,muscle aches or headaches, consult adoctor immediately.

What are energy drinks really doing to your body?While they are marketed as a mental andphysical perlormance booster. what are theyreally doing to you?

ln the refrigerators of many supermarketsand convenience stores, you're sure tosee a range of brightly coloured cansand bottles, promising to give youthat much needed "lift" to get throughthe day. While those claims might bevalid, at least in providing you with ashort-term sugar or caffeine high,the dangers of energy drinks and softdrinks when consumed in highquantities on a regular basis,may be far-reaching.

A literature review carried outby Food Standards AustraliaNew Zealand in 2000,determined that approximatelythree micrograms of caffeineper kilogram of bodyweight,per day, could increase theanxiety levels of children agedbetween five and 12. This levelof caffeine can be found in justtwo cans of cola, or three cupsof instant coffee.

While there is no "acceptable'dailyintake for caffeine in Australia,there have been numerous

studies conducted that suggest soft drinkconsumption is associated with mentalhealth problems in adolescents, such ashyperactivity, conduct problems, suicidalbehaviours and psychological distress.

A 2010 study on soft drink consumptionand mental health problems among adultsin Australia also stated that those whoconsumed more than half a litre of softdrink per day had around a 60 percentgreater chance of developing psychologicaldistress, stress-related problems, suicidal

thoughts, and depression,than those who didn't drinkthem at all. While it can behard to pinpoint the exactingredient, it is thought thatcaffeine, preservatives, su gar,

flavouring and colour, all playa part.

According to a 2011 study on the healtheffects of energy drinks on children,adolescents, and young adults, 30 to 50percent of adolescents and young adultsconsume energy drinks. As a result offindings such as these, several countrieshave imposed bans and restrictionson energy drink sales, especially afterreported incidences of adverse side effectsin children, adolescents, and young adults.Of close to 5,500 caffeine overdose patientsin the United States, nearly half were underthe age of 19.

However, it's not just young adults sufferingat the hands of energy drinks. A studyconducted in 2013 by Dr. Jonas Dornerfrom the University of Bonn in Germanyshowed that an energy drink containing400 mg of taurine and 32 mg of caffeinecaused increased peak strain, and peak

systolic strain rates in the heart'sleft ventricle.

These studies, and others like it,show that energy drinks and softdrinks are more than just bad forour teeth. They can have a severeimpact on both our physical andmental health. lf you think energydrinks may be affecting your health,

be sure to mention it to your doctor.

Stop making a meal out of me!

Put your best bread forwardBread ,S a r;ei-Saiii.; :reai Ci-,',rcr,. Lr!i i-'r3l ail a'e eCuai tt-t l't:;lriiiCnai value.

Bread is a staple of mostAustralians diets, and scanning the tables at your local caf6, you will seemany people digging into sandwiches, toasties, and all manner of delicious lunch treats. Consumershave a vast range of choices, from traditional white bread and wholegrain to wholemeal and rye,just to name a few But, how healthy is the bread you're eating? Below we cover three of the mostpopular bread options available, in a bid to find out which is the healthiesi option.

WholegrainWholegrain bread is low in saturated fat, is cholesterol-free, high in soluble and insoluble fibre,and is an excellent source of minerals such as iron, copper, and magnesium.

Evidence suggests that including wholegrains in your diet whenyou're at risk of diabetes or are diabetic can also be beneficial.

Research from the Nurses Health Studies I and ll conclude' that wholegrain foods can reduce the risk of developing

- - --.ri-.--'.* type 2 diabetes by a whopping 21 percent and thatdiabetics who eat wholegrain cereals may also

benefit from improvements in insulin sensitivity.

lod h olemea I

Wholemeal bread features much-needed vitaminssuch as Vitamin B, folate, and selenium. lt's alsoricher in dietary fibre than white bread, which is

beneficial for digestive health.

Vt'h iteMany people prefer white bread, but it has little

nutritional value. As it's refined, much of the fibreand protein is removed, leaving mostly starch and

few nutrients. White bread, as a refined carb, canalso contribute to weight gain by releasing surplus

sugar into your bloodstream. Unless you exercise to usethese sugars, they often get stored as fat.

What's the healthier choice? The clear winner from these threepopular bread types is wholegrain. Try substituting your usual white

loaf for a more wholesome wholegrain option.

lf you're looking to make drastic changes to your diet, or if you're concerned about your health,be sure to mention it to your doctor.

Get your flu vaccination nowF;c:l ,i;r;;1 :';1;"'r;-ajs.;le 2|-1 E:tu -;'^i

",',;ibe a','ai;a:le lioi-,r GP srii'ge ries an,l ui;ei'il'rl-:.i- S':,':n ;::Cr i.:grS.

It seems like only yesterday flu season wasin full swing, but as we head into autumn,that dreaded colder weather is on its way.For the best chance of developing immunityagainst the flu, why not organise your family'sflu vaccinations now? The flu vaccine is

recommended by the Australian Departmentof Health to all those over the aqe ofsi>cmonths-old.

While many people prefer to immunisetheir families closer to winter, the AustralianDepartment of Health says by vaccinatingin April, you're able to develop a strongerimmunity to the flu before it becomesprevalent from around August. As evidencealso suggests the influenza vaccine'seffectiveness may wane over time, choosingto be protected when it's most needed is thebest possible approach.

Under the National lmmunisationProgramme (NlP), those who are at high risk

of contracting the flu, or at risk of sufferingfrom complications, can receive the vaccinefor free (a consultation fee from your providermay still apply).

Those covered under NIP include:. People who are aged 65 or older.

. Aboriginal and Torres Strait people agedsix months to less than five years.

. Aboriginal and Torres Strait lslanderpeople who are aged 15 years and over.

. Pregnant women.

. People aged six months and over withmedical conditions such as severeasthma, lung or heart disease, lowimmunity or diabetes that can lead tocomplications f rom influenza.

Without immunisation, the risks of catchingthe flu are higher. lt can spread fromperson to person quickly, and can evenlead to severe complications such as chestinfections and pneumonia. lf you're ready toprotect you and your family, visit your localdoctor or immunisation provider.

PRACTICE UPDATEDOCTORS'LEAVEDr Robyn Newnham: 29.3.18 returning 4.4|18Dr Ratna Vaska: 30.3.18 returning 19.4.18DrJustin Curran: 17.3.18 returning 3.4.18Dr Amanda Osborne: 2.4.18 returning 30.4.18Dr Bruce Lim:25.3.18 returning 10.4.18

We would like to welcome back Dr Tian Tu whoreturns in April. He spent six months here as aRegistrar and is returning to work permanentlyat Casey Medical.

Fluvax's will be available late April/May. Pleasecontact reception in late Aprilto make anappointment.

BEAUW SERVICESCasey Medical Centre's Beauty Therapyroom provides the following services:. Facial rejuvenation - Anti-wrinkle injections

Dermal Fillers. Facialtreatments and products. Waxing. Eyebrow & Eyelash Tinting. Eyelash Extensions. IPL hair removal, skin pigment andvascular treatment

Gift vouchers, Beauty Services brochure andpricelist are available for all Beauty Servicesfrom reception or check our website.

WEBSITEPlease visit our website at

www.caseymed ical.com.auHere, you can meet our medicalstaff, find outthe latest news and learn about the history ofCMC and our Beauty Room.

Online appointment booking is available 24hours a day, 7 days a week through the MyHealth 1"t mobile app or via our WEBSITE.It's quick, simple and it's free.

t- , .r Like or follow us on FacebookI-' LlKe for clinic updates & health info.

FEESOur fee for a standard consultation is$70, the Medicare rebate is $37.05. ForHCC holders bulk billing will be availableweekdays from 8am to 7pm only. Fees applythereafter, weekends and public holidays.

Children under 16, Aged Pensioners andVeterans Affairs card holders will be bulkbilled at alltimes.Workcover &TAC patients: Non cardholders will be charged an out of pocket feeof $20. After hours fees for non card holders$30, and card holders $20. Patients will needto settle account on the day of service. Theaccount is not claimable from Medicare.Workcover orTAC.

PRIVACYThis practice is committed to maintainingthe confidentiality of your personal healthinformation. Your medical record is aconfidential document. lt is the policy of thispractice to maintain security of personalhealth information at alltimes and to ensurethat this information is only available toauthorised members of staff.

RESULTS, REFERRALS &PRESCRIPTIONSTest results (provided only if medicallyappropriate) can be organised betweenMon-Fri, 9am-5pm. Ongoing specialistreferrals requested without an appointmentmay attract a $10 fee. There will be anadministration fee of $2 if these need to befaxed or mailed. Repeats of most ongoingscripts require an appointment. Pleasemention to the receptionist that it is only foran ongoing script from your doctor as thevisit will then be bulk billed.