CASEY MEIIICAL

CEI{TRE

197 High Street

Cranbourne 3977

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

Dr Sam AuteriMBBS BSC Dip(Obsf)FCOG FRACGP DipRACOG

DrTom Everitt MBBI DipRACoG FRACIP

Dr Roger Smith MBBS(Hons) FRA}GP

Dr KimTeo Maes DRANzcoG FRAIGP

Dr Brett Ogilvie MBBs DRANzcoe FRAaGP

Dr Robyn Newnham MBBS(Hons) DipRACoG

Dr Amanda Osborne MBBs FRAoGP

Dr RatnaVasKa MBBS FRACGP

Dr Justin Curran MBBS(Hons) FRA3GP DcH

Dr Bims Gurusinghe nzsas BMedsc FRAaGP

Dr Gfifford Morrison MBBS BMedsc FRAaGP

Dr Sugunerdra Thorasagayam M BBs FRAaGP

Dr Sharlene (Xueling) TanMBBS(Hons) BMedSci. DCH FRACGP

DrWilson Zhang MBBI DcH FRAaGP

Dr Natasha Gupta MBBs

DrWei Jie (Bruce) Lim MBBs FRAIGP

Dr Roger Smiths book titled'Take a Simple Drive to a

Healthier Life and Live LongerToo!'is out now. lt provides a simple guide on

how you might become healthier,it covers important areas such as

weight loss, diet and exercise.Available at reception for $10.

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 REHABILITAfl ONTHERAPYlnnovative incontinence treatment for both maleand female patients - speak to your doctor formore information.

SURGERY HOURS AND SERVICESCONSU LTATIONS by appointment:

We all love a brlght, sunny day to cheer us

up. However, the sunlight is just as importantfor our health,

Since ancient times, the sun has beenworshipped by numerous cultures as both aGod of light as well as a healer of disease.Fast forward a few centuries, and sciencehas determined exactly how that sunlightimpacts our health.

Vitamin D is known as the'sunshine vitamin'as it is produced when the skin is exposed tosunlight. This vitamin is only present in verysmall quantities in our foods, and as suchsunlight is our major source.

$OURCES OF VITAMIN D

Vitamin D occurs in twoforms: vitamin D2. whichis made by plants andpresent in some foods;and vitamin D3, whichis produced by theskin when exposed toultraviolet (UV) B raysfrom the sun. VitaminD3 can also be found in

certain foods including:fatty fish such as salmon,cheese and egg yolks.

VITAMIN D AND CALCIUMABSORPTION

Vitamin D3 - whether synthesised by theskin or consumed in our food - is still notbiologically active and cannot be utilisedby the body. First it must be processed by

the liver and then further by the kidneyto become active. This active form thenpromotes absorption of two very importantminerals from our food via the gut, namelycalcium and phosphorous. A deficiency of

vitamin D can reduce calcium absorptionto levels as low as 10-15% at our usualabsorption levels. Phosphorous intake is alsoreduced to about 60%.This can lead to weakand porous bones in children, otherwiseknown as rickets, and osteoporosis in adults.

VITAMIN D AND SUNBURN

It's important to keep in mind that weonly need small amounts of exposureto sunlight to get adequate vitamin D.

Although it might feel great to lie underthe sun and soak up the summer heat,overexposure to UV rays also cause

severe skin damage, including sunburn.

Interestingly, a study wasrecently conducted to identify

" the effects of vitaminq D supplements onsunburn, and it foundthat participants whowere given high dosesof vitamin D showedconsiderably lowerskin inflammation andredness than those

receiving lower doses.Researchers proposed

that vitamin D helped withskin damage by increasing the

activity of genes involved in thereparr process.

It is important to note that this was only apreliminary study, and the dose given tothe participants was much higher thanthose taken by the average patient. Currentrecommendations for people low in vitaminD suggest increasing intake of vitamin D-richfoods, ensuring the minimum exposure tosunlight, and taking supplements whenprescribed by a doctor.

WHAT YOU SHOULD KNOW ABOUT THESUN$HINH VITAMIN: VITAI\IlN n

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 Medical Centre you may phone a doctoron 1902 213 035. Calls to this number arecharged at $S.S0/minute to your phone account.

HOME VISITS during surgery hours can bearranged for emergencies or if a patient is

unable to travel. Please contact the centrebefore noon if possible to make appropriatearrangemenis.

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Hreastfeeding reduces the chance nf breast cancsrArnongst the myriarl CIi udvice glverr to ne'arn*thers. the benefrts of breastf*ceJinq ar**ften emph*si*r*cl.

There is no doubt that breastfeedingcan be difficult (often emotionally andphysically), time-consuming and notfor everyone. However, with appropriatesupport and advice, many mothers canachieve successful breastfeeding. Thebenefits of this to the baby are extremelywell documented and range from preventing

obesity and diabetes to reducing infectionsand improved bonding. The benefits forthe mother are often less talked about.Breastfeeding may well make losing'babyweight'easier, but beyond the initial period,

few advantages are well known.

A recent review has highlighted thepossibility of a significant long-term benefitto mothers. The American Institute forCancer Research has looked at the effect

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4009 can four-bean mix'/z teaspoon sweet paprika

1 large avocado, rnashed'l teaspoon dried oregano

1 large cucumber, cut into long strips

1 capsicum - red or yellow, cut into strips

4 spring onions, roots removed

4 wholegrain tortillas(or wraps or other thin bread)

4large lettuce leaves

METHOD

1. Blend beans with paprika. Set aside

2. Mix avocado and oregano. Spreadonto each tortilla.

3. Cover with a lettuce leaf, thenbean mixture.

Arrange cucumber, capsicum andspring onion along the full width ofthe tortilla.

Roll up tightly, refrigerate for a coupleof hours then cut into 2cm pieces.

breastfeeding has on the risk of developingbreast cancer in later life.

The report brought together allthe availableresearch, and found that breastfeeding is

very likely to reduce the chances of breastcancer. The data gathered suggestedthat for every 12 months a woman hadbreastfed, her risk of breast cancer wasreduced by 4%.

The reasons for this effect aren't entirelyclear. lt is possible that breastfeedingdelays the return to normal menstruationand regular fluctuations in hormone levels,

and that this delay has a protective function.Another theory is that as the breast shedstissue at the end of breastfeeding, it is alsoable to shed damaged tissue, which mighthave - in time - become cancerous.

Whatever the benefit, this report suggeststhat the benefits of breastfeeding may notbe limited to the baby but also extend tolong-term benefits for the mother as well.

A New Apprcech ta Ghr*nic Back FninThe statistics about tiack pain are truly treatment avoids the use of drugs orstaggering. Around *ight in ten af us will medicines, instead focusing on how the

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experience back pain at $ome point inour lives"

It is the leading cause of disabilityworldwide; and the second most common

cause of missed days at work. ln America,

somewhere around 25 million people are

suffering with back pain at any one time,

and they spend at least $50 billion eachyear on the problem.

Regular exercise, keeping weight undercontrol and thinking about our posture

at work are some of the key things we

can do to ward off problems. When backpain strikes, physiotherapy and painkillers

can often help. However, for some, backpain becomes a chronic problem whichcan result in changes in activity levels,

depression, or even difficulty in holding

down a job" Treating chronic back pain

can be extremely challenging, with many

patients finding that nothing reallyimproves their symptoms. Trying toavoid becoming hooked on regularpainkillers often becomesa priority.

Any new approach tothis difficult problem

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should be welcomed. ;;A recent study fromKing's College ;in London hastaken an innovativedirection. They askeda group of patients attendingtheir chronic pain clinic with back pain toundertake a specialised form of cognitive

behavioural therapy. This psychological

patient perceives their pain and deals with it

on a day-to-day basis. Following treatment,

they found that most patients reported less

pain, and - crucially - improved functioning;

meaning they were better able to go about

their normal lives. Even more impressively,

the improvements were still observed nine

months after the end of treatment.

Avoiding back pain in the first place is

obviously the best possible situation. When

it strikes, conventional approaches to pain

relief and identifying causes will continue

to be the mainstay of treatment. However,

for those unfortunate patients for whomchronic back pain becomes a day-to-day

reality, perhaps this new approach might

offer some relief.

Jusl mentraning the wtrds 'videc games'ean put parents an hrgir alert" having beenwarneel at the negative impa*ts af childrenplayrng cn their csnsoles for liours on end.

We've all heard that video games cancause anything from vision problems tomissed opportunities for physical activity,and parents are encouraged to avoidletting children play with smart phonesunless they are interacting with a learningapp. However, although we're accustomedto seeing gaming in a negative light,neuropsychologists have a different spinon gaming and its impact on learning.

A recent study conducted by the RuhrUniversity in Bochum, Germany comparedthe learning ability and brain activity ofgamers and non-gamers. A cohort of 17participants who played action-based video

Benefits of SwimmingAccording to Health Direct, more lhan80% sf Australians live near the coast, and*wimrning in the ocaan has become part ofthe national identity of Australians,

lf you're not a swimmer and you're lookingfor a low-impact activity that has an array ofhealth benefits, you should consider takingup swimming.

Swimming is the only sport to be recommendedin 80% of medical cases, according to a2014 study published in Procedia - SocialAnd Behavioral Sciences. This may be dueto the fact that swimming is accessible to allindividuals, regardless of age.

The main advantage that swimming has overother physical activities is that movementin the water requires little effort from yourbody, including your bones, ligaments, andtendons, due to the lack of gravity in water.The water takes away 7O"/" of your bodyweight and allows you to enjoy this activity,even if you have an injury or condition thatdoesn't allow you to participate in traditionaltypes of exercise. Swimming also allows youto exercise for longer periods of time withoutincreased effort or joint and muscle pain.

games for more than 15 hours a week wasrecruited. In addition, a further 17 people whodid not regularly play videos games wereallocated to a control group. Both groupswere then tested to measure their learningability, and record their brain activity whiletaking the tests.

Results revealed that gamers were betterat analysing a situation quickly comparedto non-gamers. Gamers also showed anincreased activity in the brain region thatis linked to learning and memory. Theseexciting results are not only important forchildren, but suggest that video games couldpotentially be used to improve brain functionin elderly patients who face deterioratingmemory and learning ability.

So next time you see your children playingvideo games, don't scold them - join in!

Swimming provides an extremely goodcardiovascular workout and research hasfound that as little as two and a half hoursof cardiovascular activity per week candecrease the risk of chronic diseases, andimprove the health of people living withdiabetes and heart disease. Accordingto the Centers for Disease Control andPrevention (CDC), swimmers haveabout half the risk of death compared toindividuals that are inactive.

Swimming also provides a full body workout

- especially for your back, arms, shoulders,chest, and legs allowing you to tone yourmuscles and build strength.While the physicalbenefits of swimming may be obvious, thereis a hidden benefit of swimming - it's goodfor your mental health too. Swimming helpsto improve mental help by improving mood,and reducing mental tension and anxiety.

lf you're looking to try a new sport and reapthe health benefits that swimming has tooffer, remember to practice safe swimmingbehaviours - read safety signs, speak tolifeguards for safety tips, swim with a partner,and try to stay calm and attract attention toyourself if you're in need of help.

PRACTICE UPDATEDOCTORS'LEAVEDr Sam Auteri - from 25 Dec, returns 8 Jan'18Dr Kim Teo - from 30 Dec, returns 28 Jan'18Dr Tom Everitt - from 25 Dec, returns 2 Jan '18

from 16 Jan, returns 29 Jan '18

Dr Roger Smith - from 23 Dec, returns 8 Jan '18Dr Brett Ogilvie - from 23 Dec, returns 2 Jan'18Dr Amanda Osborne - from 23 Dec, returns 2 Jan '18

Dr Natasha Gupta - from 13 Jan, returns 29 Jan '18

Casey Medical Centre will be saying goodbyeto Dr Natasha Gupta and Dr Jason Ha inFebruary 2018, we wish them allthe best forthe future.

BEAUTY 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 medical staff, 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'r mobile app or via our WEBSITE.It's quick, simple and it's free.

* t-ite Like or foilow us on Facebookfor clinic updates & health info.

FEESOur fee for a standard consultation is$70, the Medicare rebate is $3205. 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 all times 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-Spm. 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 willthen be bulk billed.

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