Spring 2016 General Practitioners: Dr Penelope Aligiannis MBBS, BMedSci(Hons) Dr Patricia Giles MBBS,FRACGP Dr John Ibrahim MBBS, FRACGP Dr Michael Hanson MBBS,FRACGP Dr Thi Nguyen MBBS, FRACGP Practice Nurses: Mrs Sonia Robinson Mrs Christen Favelle Mrs Kate Luppino Shingles vaccination Free for those aged 70-79 from 1 Nov 2016 Shingles (Herpes Zoster) is a condition that presents as a localized blistering rash. In 75% of cases, it is accompanied by shooting, burning or stabbing pain which can be mild to very severe. Sometimes the rash is preceded by prodromal symptoms such as itching, burning or tingling in the area that becomes affected. It is important to see your GP early as the sooner medications such as analgesia and antivirals are commenced the lower the incidence of postherpetic neuralgia—this is ongoing pain that may last months to years. It is estimated that at least 30% of the population will develop shingles during Podiatrist: Mr Anton Ho BAppSc(Pod) their lifetime especially when older. There is now a vaccine available, Zostavax, that can reduce the incidence of shingles by up to 70%. Vaccination is recommended for those aged 60 and over. From 1st November 2016, the Shingles vaccination will be included on the National immunization schedule for those turning 70 years of age. Thee will also be a catchup program for those aged 71 to 79. For all others the vaccine is still recommended but not covered by Medicare. The cost of the vaccine is approx. $225. Psychologist: Ms Racquel Singh BASocSc, MPsych Dietitian Ms Alex Wall Practice manager Mrs Kes Steiner BEng(Civil), MBA Kes@medplaza.com.au Opening Hours: Mon – Fri 8.30—6.00 Sat 8.30—12.30 Sun & PH closed AFTER HOURS BULK BILLED HOME VISITS Syd. Medical Service tel 8724 6300 National Home Drs: tel 13 74 25 In an emergency call 000 MedPlaza skin cancer clinic Dr Michael Hanson is running the skin cancer clinic and consults patients Mondays and Fridays. If you need a skin cancer check or are worried about a lesion, you are welcome to make an appointment with Dr Hanson. No referral is required, private fees apply. Farewell Dr Bruce After 4 years at our practice, Dr Joanna Bruce has left after moving away from our area. She now practices at Maroubra. We wish her all the best at her new practice. MedPlazaMenai for updates and news Stress, Sleep and Wellbeing Impact of Stress Prolonged stress can have a negative impact on a person’s physical and mental wellbeing, affecting the immune system, mental clarity and emotional stability. If left unchecked, the “wear and tear” can lead to more serious effects – including hypertension, metabolic disturbances, anxiety and depression. Stress can cause irritability, impacting relationships at home and at work. In this way, stress can be contagious as others pick up on our negative emotions. Importance of Sleep Despite its critical importance, sleep has been somewhat of a casualty of our technological, 24x7 society. Studies show that roughly one-third of people are not getting enough sleep, and many suffer from insomnia (difficulty getting off to sleep and staying asleep) and other sleep disorders. Yet sleep is crucial to our physical and mental health. Even though the body rests during sleep, the brain is incredibly active. The brain uses the body’s off-peak time to take care of a range of very important functions, including cell repair, brain de-tox and immune system maintenance. According to the National Sleep Foundation, school-age children need from 9-11 hours of sleep per night, teenagers need 8-10 hours and adults need an average of 8 hours. Any sleep loss (even up to 1 hour) accumulates into a sleep debt that must be repaid. Insufficient sleep has been linked to obesity and other health issues. During sleep, a process called memory consolidation takes place, whereby new information, such as learning, is transferred into long-term memory, to enable it to be recalled as needed. In other words, memories, and therefore new skills, are enhanced during sleep. Being able to recall information is fundamental to performance at school and work. Loss of sleep impairs our ability to focus, to think clearly and to balance our mood. Studies have also shown that when you are sleep-deprived, you form more memories of negative events in your life than positive ones, leaving you with a potentially biased memory for past events. People suffering from depression tend to remember more negative events than positive ones, often leaving them with a sense of failure and regret. There is a strong link between sleep disturbance and mental illness, including anxiety and depression. Good Sleep Habits Maintaining good sleep hygiene can make a huge difference to the quality of your sleep and overall wellbeing: Maintain regular sleep and wake times in line with normal night and daylight hours. This includes rising at the same time each day. Keep your sleep environment technology-free – no electronic devices. Keep your bedroom dark, quiet and comfortable. Avoid mental stimulation (especially from electronic devices) before sleep. Avoid alcohol and stimulants such as caffeine and nicotine. Although alcohol may induce sleepiness, it causes sleep disruption such as early-morning waking. Author: Anne Ward After Hours Care When our practice is closed patients can access after hours GP through the following: calling Sydney Medical Services on 8724 6300 directly, this is our after hours deputising service providing bulk billed home visits to our patients. Their operating hours are 6pm to 8am the following morning weeknights and from 11am on Sat to 8am Mon on weekends. calling National Home Doctors on 13 74 25 or booking online at www.homedoctr.com.au , this is also a bulk billed home visits service operating from 4pm to 8am weekdays and from 11am Sat to 8am Mon. Calling the after hours GP hotline on 1800 022 222 In an emergency always call 000 and ask for an ambulance or go to a hospital emergency nearest you. Page 2 MedPlaza Menai - Sspring 2016
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