CASEY MEDICAL

CEIITHE

197 High StreetCranbourne 3977

P: (03) 5991 1222

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

Dr Sam Auteri MBBs BSC Dip(obst)FcocFRACGP D\pRACOG

DrTom Everitt MBBs DipRACoG FRA:GP

Dr Roger Smith MBBS(Hons) FRACGP

Dr Kim Teo nzeas DRANzcoG FRACGP

Dr Brett Ogilvie MBBs DRANZCII FRACGP

Dr Robyn Newnham MBBS(Hons) DipRACoG

Dr Amanda Osborne MBBs FRACGP

Dr Ratna Vaska MBBs FRACGP

Dr Justin Curran MBBS(Hons) FRA}GP DCH

Dr Bims Gurusinghe nzsas BMedscFRACGP

Dr Clifford Morrison MBBI BMedsc FRAIGP

Dr Sugunendra Thevasagayam MBBs

FRACGP

Dr Sharlene (Xueling) Tan MBBS(Hons)

BMedSci.DCH FRACGP

Dr Wilson Zhang MBB; DcH FRACGP

Dr Jason Ha fi,leas BMedsciFRACaP

Dr Natasha Gupta MBBI

Dr SharleneTan will be on maternity leave from2lseptember and returning 6 May 2018. Wewish her all the best for the coming event.

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

NEW SERVICEDr Jason Ha now offers specialisedphotographic mole mapping and skin cancerchecks, book in with reception.

SURGERY HOURS AND SERVICESWeekday opening hours change

CON SU LTATIONS by apPointment:

Monday to FridaySaturday and SundayPublic holidays

8am-8pm9am-5pmAs posted

FOR AFTER-HOURS please attend theEmergency Department of either DandenongPublic Hospital, 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 a doctor may be reachedby phoning 1902 213 035. Charges for this callwill be at a rate of $5.50 per minute charged toyour phone account.

HOME VISITS during surgery hours can be

arranged for emergencies or if a patient is

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

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The effects of exercise' ' :' ' : '..- :

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In addition to a healthy diet, the benefits of

regular physical activity for weight control,

warding off diabetes and improving mood are

well documented. More recently, attention

has been focused on encouraging children

to exercise more regularly.

With childhood obesity rising rapidly,increasing emphasis is being placed on

the benefits of exercise as a way to combatthis condition. Whilst we may not thinkchildren need encouragement to get active,

greater use of portable electronic devicesand more time spent on screen-relatedactivities mean that children are leading a

m0re sedentary life.

A report in 2015 suggested that, on average,

children between five and sixteen years

old spend six and a half hours each day

looking at screens. This figure had more

than doubled compared to results gathered

20 years earlier. Encouraging children away

from screens is an ongoing challenge for

many parents - however a recent studyfrom New Zealand adds another layer to

the argument in favour of ensuring young

children get active regularlY.

Using rats as a model, the grouP of

researchers looked at the effects activitylevels in early life had on the health of the

animals as they got older. Surprisingly,they found that regular exercise early in life

changed the way the rats' bodies handled

high calorie diets, even well into'mid-life'.

When the rats were given a high caloriediet in mid-life, as expected, all the rats

became overweight. However, those that

early lifehad exercised regularly as youngstersstayed healthy and did not show signs of

developing high blood pressure, diabetesor vascular disease - the same conditionsthat are often found in overweight people.

The animals who had exercised lessearlier in their life developed all the typicalproblems. This is fascinating as it is the first

time that such long-term effects of early

exercise have been observed. Not only

were the animals healthier as'children', the

benefits of exercise were maintained right

through into middle-age.

Of course, for humans, keeping an eye on

our weight throughout life is important. The

best way to stay healthy is to eat well and

exercise regularly. This research may go

some way, however, to explaining why some

adults seem relatively healthy despite being

overweight, whilst others quickly developproblems when they gain weight.

Encouraging exercise in the early years is

well known for forming good habits later

in life, making unhealthy weight gain less

likely. This new study suEgests that, even

for those who go on to become overweightin middle age, having exercised regularly

in childhood might help them remain well.

Australian Government recommendationsare that toddlers and pre-schoolers should

be physically active for at least 3 hours

every day, whilst older children shouldaccumulate at least 60 minutes over the

course of a day. lf we achieve this, we may

not only be keeping our children healthy

and avoiding obesity in early life, but also

helping to prevent obesity-related diseases

later in life.

in

ACROSS1. A new medical glue inspired by slugs

is both flexible and ____4. Using medical glues to close wounds

helps prevent this.

5. Chemical 'messenger'our nerves useto pass sleep messages to the brain.

7. A type of disease common inoverweight people.

L Nerves or chemicals that help orhinder us in falling asleep.

11. Exercising as a child can help reducethe risk of this in middle age.

13. Taking this may help to reduce theeffects of jet lag.

14. A food very high in vitamin 83.

DOWN1. NZ children aged 5-1G spend around

6 7z hours a day looking at these.2. Something to avoid in the evening for

a good night's sleep.

3. Around 103,000 families in Australiaare affected by this each year.

6. Produced by slugs, what is theinspiration for a new medical glue?

L What is the single biggest risk factorfor dementia?

10. This middle age condition increasesthe risk of dementia later in life.

12. Catch up on this before you travel toavoid jet lag.

ANSWERS TO CLUES CANBE FOUND IN THIS EDITION

OF YOUR DOCTOR,

Chocolqte Brounie3 q heotth ter version...

* to:tg fton'1's s trr&

f,'fl '{ V\&V*nYrotatn

Suitable to freeze

INGREDIENTS

4009 tin black beans, drained and rinsed

4 eggs

1009 butter (or coconut oil), softened1/t cug coconut sugar(or other unrefined sugar)

1 tsp vanilla essence

1A cup cocoa

2 tsp baking powder

Pinch of salt

METHOD

1. Preheat oven to 170"C. Line a 20cmcake tin with baking paper.

2. Place beans and eggs into foodprocessor and process until smooth. Setaside.

3. In a separate bowl, cream butter (or oil)and coconut sugar until light and fluffy.

4. Add vanilla essence. Sift in cocoapowder, baking powder and salt, andadd the black bean mixture. Gently foldtogether until just combined.

6. Pour into prepared tin and bake for25 minutes or until a skewer comes outclean.

7 Allow to stand in tin for 5 minutes beforeturning out onto a wire rack to cool.

Store in an airtight container.

filrll

f'^-* Fantron '* fY

no:l''

,Eb t^,ifl hv'uw o^r4. /it*aravti

Serving suggestions

On its own warm or cold,or dust with cocoa andtop with raspberries andnatural yoghurt.

Sleep regulator maySl**p $**ms iike one of th* n";*st naturaiihrr'igs in the r.vorid * r.;-:*stlv because,+e a!ine*d it. When we are tir"ed r,ve sh*irlcl *rnrpi-vbe able to cicse ci-ir e\,J*s" eild *i;it cii

Unfortunately for many, the impact of themodern world and the demands of our dailylives often mean it isn't as easy as all that.Sleep problems and insomnia are affectinga growing number of people. In fact, 1 in 4Australians report having sleep difficulties,with similar results in New Zealand.

The amount of sleep needed by an adultindividual varies, however most should aimfor around seven to eight hours each night.

For many who are struggling to nod off, thereare simple remedies which may help. Gettingsufficient physical exercise, avoiding caffeinein the evening, and ensuring we have some'screen-free'time before bed are all goodways of helping sleep to come sooner.

For something so fundamental to us all, itis perhaps surprising how little scientists

be outside the brainunderstand about sleep. We really don'tknow what triggers it, nor why it is so vital.For people suffering from sleep disorders,or simply trying to catch up on lost hours,this can be frustrating as doctors don't haveeasy solutions.

Many studies have been done searchingthe brain for sleep regulators - nerves orchemicals which either help or hinder usin falling asleep. However, for the first timerecently, a group has discovered that oneof the key regulators of sleep might befound outside the brain. American scientistsfound that by changing the levels of aspecific muscle protein, they could increaseor decrease how much the mice in theirexperiments slept.

Up until now, we have thought that sleepis controlled solely by the brain. However,this new research suggests that perhapswe should be searching more widely forsolutions to assist those troubled bydisturbed sleep.

PRACTICE UPDATE

DOCTORS'LEAVE 2017Dr Sam Auteri - from 1 Sept, returning 9 OctDr Ratna Vaska - from 13 Oct, returning 1 Nov

Dr Sharlene Tan - from 21 Sept,returning 6 May 2018

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

Dermal Fillers. Facial treatments and products. Waxing. Eyebrow & Eyelash Tinting. Eyelash Extensions. IPL hair removal, skin pigment and

vascular treatment

GIFT VOUCHERS, Beauty Servicesbrochure and pricelist are available for allBeauty Services from reception or checkour website.

WEBSITEPlease visit us at www.caseymedical.com.au and you can meet our medical staff,find out the latest news, learn about thehistory of CMC and our Beauty Room.

-l11 Ufe or follow us on Facebook forfJ clinic updates & health information.

Online appointment booking 24hrs a day,7days a week through My Health 1st mobileapp or through our NEW WEBSITE. lts quicksimple and its free.

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 Afiairs 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 or TAC.

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-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 will then be bulk billed.

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