Social distancing restrictions have finally eased!
Here’s why you should make your first trip a visit to the GP.
While you’ve probably got some BBQ’s to attend and awesome places that you want to visit after being in isolation, Australia’s Doctors want to see you as a priority. Not because they are worried you may have COVID-19, but for these 3 important reasons below:
Other serious conditions are being ‘missed’.
Missed appointments and vital health check-ups during COVID-19 are causing concern amongst doctors worldwide.
Since early March across Australia, there has been a 60% reduction in screening for cervical cancer, and care planning for diabetes patients has reduced by two thirds.
Dr Scott Horsburgh from SmartClinics Annerley says “We have not been able to properly manage many of our patients’ conditions because they have either skipped important appointments or missed their regular pathology or radiology tests. We are also concerned about a rise in other conditions in patients who may be developing serious health issues but are not coming in to see their GP to be screened for early detection”.
Please don’t skip your regular check- ups with your GP – they are more important than you may think!
Your physical health and personal lifestyle may have changed
Your lifestyle may be a little different now to what it was before COVID-19 hit. Many GPs are witnessing adverse effects on their patients from things like physical distancing, job loss or financial stresses, less social interaction, less exercise and dietary changes. While some of this might be temporary, worrying about your health, ignoring signs that could need an assessment and avoiding a much-needed talk to a medical professional can lead to unnecessary stress and anxiety. It is paramount for your emotional and mental well-being to allay any concerns you may have.
If you or a loved one is feeling a bit down, anxious or out of sorts, speaking to your GP is really good place to start. SmartClinics has a large number of GPs who have a special interest and experience in helping patients through tough times so don’t feel as though you have no one to turn to. Please call your local SmartClinics Family Medical Centre and ask to see a GP who can help you with the symptoms you are feeling.
It’s Flu Season
Australia is seeing a decrease in flu cases due to the strict COVID-19 measures, however with restrictions easing there is no guarantee that this will continue. It’s far better to play it safe – if you are still due to get a 2020 Influenza Vaccination please visit a SmartClinics Medical Centre before you become a socialise-bunny. Flu Shots are only $14.95 and your appointment for the vaccine will be bulk billed during standard business hours. Click here to book your flu shot at a SmartClinics Medical Centre
Remember, a quick trip to the GP now will likely mean less visits to the GP later! We want to help you be the healthiest you for as long as you can.
If you are overdue – make the time now! This includes skin checks, breast and cervical screening, and standard health check-ups.
Talk to your GP if you have any mental health concerns – the earlier you get help, the easier your recovery.
Attend your regular GP appointments and pathology tests.
At SmartClinics we have GPs who are experienced in all areas of General Practice including women’s, children’s and men’s health, allied health from physiotherapy to nutrition and weight management, asthma and diabetic management.
It appears that some patients missed the news that we have moved to the Gap. It was a difficult decision to close our Ferny Hills medical centre location back in June 2020, but we are only a short drive away!
Your Ferny Hills Doctors would like to continue to see you and your family for appointments at one of these practices, which are both located in The Gap at:
SmartClinics Walton Bridge Family Medical Centre 976 Waterworks Road, The Gap 07 3300 1900
AND
SmartClinics The Gap Family Medical Centre Glen Affric Street, The Gap (07) 3300 3799
Both face-to-face and telehealth appointments are available. If you have cold or flu symptoms however, please do NOT attend a clinic in person. Instead call the clinic before you arrive for advice.
The continuity of your care is essential so we strongly encourage you to continue seeing your regular GP at our new locations.
Thank you
Warm regards,
Your SmartClinics Family Doctors
Is it still ok to visit your doctor during coronavirus?
Everything is operating a little differently right now. Businesses are closed or implementing new policies to help limit the spread of the coronavirus. At SmartClinics, we have put in place a number of changes to help improve our patients’ safety and ensure that we do our part to ensure Australia can combat this health crisis as quickly as possible.
A large aspect of the changes we have implemented is our new Telehealth service. Our Telehealth appointments have been put in place to help people get the help they need without risking their health, or the health of others. We have had a number of patients query whether it is still safe to attend their clinic in person. The answer is yes, however, there are a number of caveats.
What is the Telehealth service?
Our Telehealth service allows us to serve our patients without needing them to come into a practice. We have put this in place to help reduce the risk of healthy people being exposed to those who may be potential carriers of the coronavirus. For now, all SmartClinics patients are required to go through a very brief screening process to assess their level of risk. Some patients may be asked to utilise the Telehealth service rather than coming into a clinic. Others will be considered fine to come in.
Please keep in mind that our screening process is by no means evidence of whether or not a person has the coronavirus. It is simply put in place to help mitigate risk. If you go through the screening process and are asked to book a Telehealth appointment, this does not mean you have the coronavirus. Alternatively, if you are cleared for a visit, that does not mean you are not a carrier.
Is it safe to visit a SmartClinics medical practice?
The answer is yes – we have taken (and continue to take) all reasonable precautions possible to prevent those who are ill with the coronavirus being exposed to our staff or patients. Part of this is screening all online bookings and appointments made via phone call, however there are some practices we have put in place inside each clinic to help ensure high levels of hygiene and reduce the spread.
What is SmartClinics doing to keep clinics safe?
Beyond our screening process, we also have a number of measures inside clinics to help reduce any potential spread of COVID-19. All surfaces in our patient meeting rooms are cleaned and sanitised after every single appointment. Preliminary studies have shown that disinfectant is very effective at breaking down the virus and eliminating its presence.
Our sanitisation process is aimed at ensuring there is as little as possible chance of any remnant coronavirus being found inside patient rooms after we have seen a patient, regardless of how healthy they appear or how little contact they had with surfaces.
Additionally, many of our clinics have implemented a dual waiting room approach. In these clinics, there are two waiting rooms – one for those who are feeling well, and one for those who exhibit any potential systems of COVID-19 or other respiratory infections. This procedure has been put in place to help isolate potential carriers of the coronavirus from those who are otherwise healthy.
Social distancing policies are in place at all SmartClinics practices. You will be instructed to maintain your distance, wherever possible, from other patients and staff. Additionally, we have hand sanitiser and sanitising wipes available at all our practices for the use of patients. You are strongly encouraged to use these upon entry to our practice.
What do I do if I believe I have COVID-19?
If you have undertaken our screening process and have been recommended to book a Telehealth appointment, or if you for any other reason believe you may have contracted the coronavirus, please contact us. We will assist you in finding your nearest Fever Clinic so that you may undergo further testing.
Learn more about our Telehealth appointments
We have put together a basic FAQ to help you get a deeper understanding of how the telehealth process works. Please click below to read our guide:
Where can I get a bulk billed Telehealth Appointment?
BULK BILLED TELEHEALTH CALLS FOR ALL MEDICARE CARD HOLDERS
IPSWICH
CAIRNS: Woree, Smithfield
BRISBANE: Deception Bay Mango Hill
The Doctors at the above clinics can talk to you over the phone and help you with a wide variety of general health concerns – and it will be BULK BILLED if you have a current Medicare Card.
If you would prefer to talk to a doctor from a different SmartClinics location, a fee may apply. Fees are available by calling your preferred clinic location or you can also find fees on this website, under the “About the clinic” tab at your preferred clinic location page.
How to book your Telehealth appointment
**Please note if you are not a current patient at the medical centres above, our Doctors may prefer to see you in person before conducting a telehealth appointment.**
Not all appointments are suitable for a telehealth consultations. These are at your doctor’s discretion.
You can book your Telehealth appointment by calling the clinic directly during standard business hours.
IPSWICH: Ph: (07) 3202 2000
CAIRNS: Woree Ph: (07) 4033 2525
CAIRNS: Smithfield Ph: (07) 4057 7300
BRISBANE: Deception Bay Ph: (07) 3204 7140
BRISBANE: Mango Hill Ph: (07) 3177 9520
Or book your Telehealth appointment now – online – by clicking the pink button below. You can choose which Doctor you want to talk to, and when. Then, your Doctor will call you at your requested appointment time.
What is Telehealth?
It is just like a standard GP appointment, but conducted over the phone. Your GP will go through the normal procedures of asking about your symptoms (if you have any) and assessing potential diagnoses. If a script is required, it’ll be faxed, emailed or posted to you or your preferred pharmacy. Our Doctors can provide over the phone support for pregnancy, mental health, and patients with autism, chronic diseases or eating disorders, plus a wide range of other health services.
All you need is a quiet place and a phone. WANT TO KNOW MORE? Click here.
Telehealth appointments – everything you need to know
Speak with a GP in the comfort of your home.
A Telehealth appointment is just like a standard GP appointment, but conducted over the phone. Your GP will go through the normal procedures of asking about your symptoms (if you have any) and assessing potential diagnoses. If a script is required, it’ll be faxed, emailed or posted to you or your preferred pharmacy. Our Doctors can provide over the phone support for pregnancy, mental health, and patients with autism, chronic diseases or eating disorders, plus a wide range of other health services.
What does a Telehealth appointment cost?
Telehealth calls with some SmartClinics Doctors will be bulk billed for current patients with a Medicare card, while other patients will be charged a consult fee.
**ATTENTION NEW PATIENTS**
From July 20, Medicare changes may affect your Telehealth appointment fee. In order to be subsidised by Medicare for your Telehealth appointment, you will need to be an existing patient at the clinic in the last 12 months and have been seen for a face to face appointment – otherwise a fee may apply. This does not apply to anyone aged under 12 months or people who are experiencing homelessness. Please call your preferred clinic location to talk to reception about fees for your appointment.
How do I book a Telehealth appointment?
To book a Telehealth appointment, call your preferred clinic locationduring their business hours and they will assist you in choosing the best time and day and Doctor to call you back. Alternatively you can book a Telehealth appointment online clicking the pink button and follow the easy steps.
First you need to make a booking for your Telehealth Appointment. You choose which Doctor you want to talk to, and when. Then, your Doctor will call you back at your requested appointment time.
What equipment will I need for a Telehealth appointment?
The best thing about a Telehealth appointment is that you just need yourself, a quiet place and a phone.
Can I still see my GP in person?
Yes! It is safe to see your GP for a face to face appointment, and we strongly encourage you to keep your regular appointments. Skipping important health appointments is very risky and may be dangerous. So long as you don’t currently have flu-like symptoms or think you are at risk of having COVID-19, you are welcome to see your GP inside our medical centres.
All SmartClinics Medical Centres are OPEN and currently offering face to face appointments for:
All regular health check-ups
Skin checks and mole removal
Flu vaccinations and immunisations
New scripts / repeat scripts
Cosmetics
Mental health advice
Chronic disease
And all other general healthcare services.
Please do NOT put off your face to face appointments. Call your local SmartClinics medical centre to book face-to-face appointment, or book an in-clinic appointment online below.
Do I need Skype or other video technology for a Telehealth appointment?
Just your phone will be fine. In the near future, we will also host video calls for Telehealth appointments, which will allow our GPs to more accurately diagnose some health concerns remotely.
Who can get a Telehealth appointment?
Everybody can! The Commonwealth Government has opened up Telehealth services to every citizen.
Can I get a script for medicine in a Telehealth appointment?
Yes, you can be issued scripts via a Telehealth appointment.
Are all doctors offering Telehealth services?
The vast majority of SmartClinics GPs are, however you may need to talk to a different GP on Telehealth call if your doctor is not available.
What if I need to see a GP in person?
You can still see your GP in-person. Given that current advice is for everyone to stay at home when possible, we prefer you to make a Telehealth appointment unless it is absolutely necessary for you to see the GP in person. If you need to see a GP face-to-face, call the clinic directly and request an appointment.
Is it safe to go into a medical centre at the moment?
It is still safe to attend a medical centre. We have procedures in place to help prevent spreading infection, such as masks, gloves and hand sanitisers plus screening of sick patients. If you are feeling sick, we prefer you to make a Telehealth appointment and the Doctor will tell you if they want to see you in person. We strongly advise everyone to practice social distancing and stay at home if possible, as per current health advice.
Here are some other ways we are keeping clinics safe:
We are not currently accepting any patients into any clinic who meet the criteria for COVID-19 testing – we assist them to a Fever Clinic.
Some clinics have a “well waiting room” and an “unwell waiting room” to help keep our patients isolated.
We are screening all phone calls and online bookings to help reduce the chance of a person who is ill with COVID-19 coming into a clinic.
We are practicing social distancing wherever possible.
Have plenty of hand sanitiser and wipes and we strongly encourage all patients to use them.
We are cleaning down and sanitising surfaces in between patients. This includes chairs, tables and all surfaces contacted during each appointment.
Contact SmartClinics
If you still have questions, please contact your local SmartClinics Medical Centre:
A number of SmartClinics Doctors will be working on Queen’s Birthday public holiday this Monday!
To book an appointment call the surgery on the number listed below or book online by clicking on the location name then tap the pink booking button.
Chermside – Ph: (07) 3177 9500. We are open from 7:00am til 9:30pm every single day! (Excludes Christmas Day).
Annerley – Ph: (07) 3848 9299. We are open from 8:30am til 12:30pm. Appointment fees apply for public holidays.
The Gap (Walton Bridge) Ph: (07) 3300 1900. We are open from 9am til 12pm.
View the full list of SmartClinics Medical Centres HERE.
If you are looking for an after hours medical centre or GP appointment on the weekend, we have a number of medical centres which remain open when most other medical centres are closed. This can often save you waiting in an emergency department at your local hospital, or having to wait until your regular GP re-opens the following day.
Find out which is your closest after hours or weekend medical centre by clicking here.
5 Misconceptions about the Flu
When you spend enough time working around doctors and their patients, you hear a lot of very interesting bits and pieces about common illnesses like the flu. A lot of people believe things that they’ve heard, or carry oral traditions passed down from their parents, or simply misunderstand something that is otherwise factual.
We spoke with some of the SmartClinics GPs to put together a list of common misconceptions about the flu to help you know more about the flu than the average person. Here are our top 5 misconceptions about the flu.
The flu shot can give you the flu.
This is a very common misconception about the flu shot. It probably arises from the fact that the flu vaccine is sometimes made using deactivated flu viruses or specific genetic components of the flu virus that trigger an immune response in the human body. However, the fact is, there is no active or viable influenza virus contained in any flu shot that you’re receiving via a needle.
If I get sick this winter, it means that the flu shot didn’t work.
The flu vaccine has an extremely high effectiveness rate. Many people come down with symptoms similar to the flu and assume that the flu shot didn’t work. However, chances are good that if you find yourself with these symptoms, you most likely have a cold or a similar respiratory illness. If you find yourself feeling seriously unwell, you should absolutely get checked out by a GP or other medical professional. However, generally speaking, you stand a far better chance of avoiding flu infection if you’ve received a flu shot than if you have not.
Healthy people don’t need to get a flu vaccine.
The flu can make even the healthiest people feel extremely unwell. It is a serious disease and can have an even more serious impact on anyone with pre-existing conditions, such as asthma or heart conditions. The flu can play havoc with your immune system and leave you vulnerable to illness from other sources. It is also very non-discriminatory. Influenza can overwhelm healthy immune systems, so relying on your overall level of health to avoid getting the flu is unlikely to be a particularly effective strategy.
In order to stay healthy throughout the flu season, we strongly recommend that you get a flu shot.
Some flu vaccines are better than others.
There are many types of flu vaccines, some more appropriate for different groups of people than others. However, generally speaking, all flu vaccines in a like-for-like comparison are equally as effective. Of course, the method in which you receive your vaccination may be more or less effective than others, depending on your personal factors such as age, health and any allergies you may have to components in some flu vaccines.
No one dies from the flu anyway.
People absolutely do die from the flu. Each year, anywhere from around 500 to 4,000 Australians die from the flu. Different years and severities of flu strains produce different fatality levels. Young people, the elderly and those with weakened immune systems from other health concerns are more likely to die from the flu. However, of those that don’t die, many experience debilitating symptoms and require hospitalisation. It can greatly affect work and personal life and may leave a person open to infection with other illnesses.
Fast Flu Facts:
The flu vaccine can reduce a child’s risk of requiring paediatric intensive care during flu season by up to 74%.
Improved uptake of the flu vaccine has led to a reduction of around 40% in adult hospitalisations for flu-related health issues.
Adults who receive a flu shot may reduce their risk of being admitted to the ICU with the flu by up to 82%.
Among pregnant women, a flu shot can reduce the chances of being hospitalised with the flu by up to 40%.
Among those hospitalised with the flu, those who have received a flu shot are 59% less likely to require admittance to the ICU, and of those who are admitted, those with the flu shot require on average 4 fewer days of hospitalisation.
Book Your Flu Shot Now
Getting the flu shot can help maintain your health through the flu season and ensure that you’re able to continue functioning happily and healthily. Additionally, by getting the flu vaccine you are greatly reducing your chances of getting the flu and potentially spreading it those around you, such as workmates, family or even people on your commute.
Prostate checks are a part of life for most adult men. It’s a necessary step to ensure that you stay on top of your health and become aware of any abnormalities before they evolve into serious problems.
For many men, it can be a nervous time. General Practitioner, Dr Sir-Kit Leong, from SmartClinics Clayfield in Brisbane has answered some of the most frequently asked questions by patients. Take a read and if you’re still unsure, book an appointment with your GP for a chat before committing.
When should men start getting prostate exams?
Once you reach 40, you should be getting a prostate exam every two years or so. Some men for various reasons may want to start getting prostate exams earlier in life which is also fine.
Can all doctors perform a prostate exam or do I need to go to a specialist?
Both general practitioners and specialists can do a prostate exam. Many men see their regular GP for this exam.
What will happen at my first prostate exam?
This largely depends on the nature of the consult. If you’ve never had a prostate exam before, it would often involve the GP taking a thorough history of your health background, examination and tests.
PSA is likely the most common form of test, and simply involves a blood test.
The test that many men feel nervous about is called a DRE (digital rectal examination) however it is no longer recommended as an initial screening test for prostate cancer. Only if you begin exhibiting signs or symptoms synonymous with prostate cancer, is your doctor likely to refer you on for further test / specialist consultation.
Is a prostate exam painful?
A prostate exam should not be painful. If it’s a PSA (blood test), the blood drawing may cause minor discomfort.
What are the warning signs of prostate cancer?
If you haven’t been for a prostate exam for some time, it is well worth keeping an eye out for the warning signs of prostate cancer. Some of the warning signs include:
Changed urination patterns. This can include urinating more frequently or finding it necessary to urinate more often at night. Finding it difficult to empty your bladder, or a weak/interrupted flow can also be a warning sign.
Blood in urine or semen. Sometimes this may be accompanied by pain or a burning sensation.
Erectile dysfunction or otherwise abnormal function. If you’ve found yourself having difficulties gaining or maintaining an erection, and can’t identify any other likely cause, this may be a symptom of prostate cancer.
Discomfort sitting or bending – this can be an indication that your prostate is abnormally enlarged.
These warning signs can vary significantly between individuals. The absence of symptoms does not necessarily mean the absence of prostate cancer. Other symptoms may include weight loss, swollen feet, fatigue, or muscle pain elsewhere in the body. To be sure, it is important to book yourself in for a prostate exam.
If you are healthy and have no symptoms/signs, think about doing a prostate exam from 40 years old.
A prostate exam is advisable every one to two years once you reach the age where there is an increased risk of prostate cancer from around 50 and order.
Regular prostate exams can help establish a history and baseline of what is considered normal. It’s important to take your doctor’s recommendations on how often you should be undergoing a prostate exam.
How is prostate cancer diagnosed?
Prostate cancer can be diagnosed by following tests, remembering they ought to support the context of the patient’s signs and symptoms.
PSA Test: The PSA test seeks to identify the presence of prostate-specific antigen (PSA) within the blood. Elevated levels of PSA may be an indicator of prostate cancer. For this reason, it’s important to have regular checkups with your doctor, so that PSA levels can be tracked over time.
Radiology test: MRI (magnetic resonance imaging) is useful scan to visualize the prostate and proven to be highly effective in detecting prostate cancer changes
Additionally, your doctor may conduct a biomarker test. Biomarkers, found in the blood or urine (or tissue, if you’ve had a biopsy) are substances produced by a cancerous tumour or antibodies produced by the body to combat the tumour. Almost all diagnoses of prostate cancer will require a biopsy at some point.
Dr Sir-Kit Leong graduated from the University of Aberdeen United Kingdom in 2005 and commenced his general practice training in Toowoomba in 2011.
Early in his medical career, he worked in North Scotland before relocating to Brisbane in 2007 and joining Queensland Health.
Dr Leong then spent 12 months in regional NSW working in emergency medicine in 2009 before undertaking general practice in the Darling Downs.
To book an appointment with Dr Sir-Kit Leong from SmartClinics Clayfield call 07 3268 1937 or click here to book online.
Alternatively you can find a GP near you who has experience in men’s health by using our Doctor Search tool here: Click here to search.
Getting a Vasectomy in Brisbane? Read our FAQs
Getting a vasectomy is a big decision, so it’s important that you have all the facts. We’ve thrown together a quick list of the questions our doctors commonly receive, but remember – this isn’t medical advice. If you’re looking to get a vasectomy in Brisbane, it’s important that you book a consultation with your GP and get the facts face-to-face. Find a Vasectomy Doctor in Brisbane.
What happens during a vasectomy?
During a vasectomy the two tubes (vas deferens) that carry sperm from your testes to a “storage” area near the prostate gland are clamped or cut. As a result, sperm can no longer leave your testes and will not form part of your ejaculate.
Do you still ejaculate after a vasectomy?
Following your vasectomy, you will still be able to ejaculate, with no noticeable difference in volume. Sperm forms less than 5% of your total volume of ejaculate, so you won’t be missing much.
Is having a vasectomy painful?
Most people will experience little or no pain during their vasectomy. There may be some minor discomfort, such as a feeling of pressure or some poking in the general area, but that should be the extent of it. If you’re getting your vasectomy in Brisbane through SmartClinics, our doctors will ensure you experience the minimal amount of pain or discomfort possible.
Are you put under for a vasectomy?
Some doctors will give you the option to be put under a general anaesthetic, but it’s quite rare and barely necessary. The vast majority of vasectomies are performed under a local anaesthetic which is more than adequate.
How effective is a vasectomy?
A vasectomy is extremely effective and is the most effective method of contraception available to men. Its effectiveness is almost 100%. The vast majority of failures are in fringe cases involving unqualified or inexperienced doctors. When you get a vasectomy in Brisbane with SmartClinics, you can rest assured that you are in highly experienced, professional hands.
How long after a vasectomy does pain last?
Once your local anaesthetic has worn off, you may feel some minor discomfort. The level of pain you’re likely to experience should be manageable with some over-the-counter painkillers such as paracetamol. If the pain is significant, chat to your doctor.
What does a vasectomy feel like?
A vasectomy barely feels like anything. There will be barely any pain and only minor discomfort. It’s a very minor surgery and you shouldn’t feel much at all, either during or afterwards.
How long does it take to recover from a vasectomy?
Recovery time from a vasectomy is different for every individual. Most men will be able to get up and be quite active later the same day or in the following days. Every doctor is different, but most will recommend a standard seven-day recovery period following your vasectomy (starting the day afterwards). It’s worth taking the time to recover, as it will help ease any sensitivity or discomfort in the area and reduce the risk of hurting it.
How painful is vasectomy recovery?
Vasectomy recovery, done right, should be almost pain-free. Take a few days and put your feet up. There’s no rush to get out and about after an operation on such a sensitive region.
What is the fastest way to recover from a vasectomy?
The fastest way to recover from a vasectomy is the same as any other minor operation – rest, and plenty of it. Taking it easy and eating healthily will help your body recover faster than anything else you can do.
Can you drive after a vasectomy?
It’s usually not recommended, however it is possible to drive home after a vasectomy. We recommend that you get a ride home from your procedure in order to allow the healing process to begin immediately. If you’re getting your vasectomy in Brisbane, we definitely recommend you dodge dealing with the traffic and let someone drive you home.
How soon can you have sex after a vasectomy?
You will need to wait until you are fully healed before having sex following your vasectomy. It is important to remember that you do not immediately become infertile after a vasectomy. It can take up to 20 ejaculations or a three-month period for any viable sperm to be completely flushed out of your system. You will need to schedule a follow-up appointment three months after your initial procedure to test your fertility. Until then, ensure that you use contraception.
How long does it take for a man to become sterile after a vasectomy?
During your vasectomy, the vas deferens (your tubes) will be separated from your testes. This means that your sperm can no longer be ejaculated. However, some active and viable sperm may remain in the vas deferens.
Where does all your sperm go after a vasectomy?
Because your sperm cannot leave the testes via the vas deferens, they simply stay in the testes. They will “dissolve away” and be reabsorbed by the body over your time. You do not stop producing sperm following a vasectomy – the pathway for that sperm to leave your body is simply removed.
What should you wear for a vasectomy procedure?
You’ll definitely want some support down there – leaving it all to flop around and potentially be sat on is going to greatly increase your level of discomfort. Wear tighty whities or some snugly fitting briefs. Avoid boxer shorts. In Brisbane, vasectomy doctors will likely give you some advice on what to wear at your initial consult.
Do you need to shave for a vasectomy?
You will need to shave prior to your vasectomy. If you don’t, your doctor may be able to have it arranged for you – but you should definitely check ahead of time. If you do decide to shave, just do a close shave with an electric shaver – you don’t want to run the risk of cutting yourself with a razor and leaving yourself open to infection.
Book a vasectomy appointment in Brisbane
If you have further questions, why not have a medical consult with one of our GPs? They’ll answer any queries you have and ensure you’re well informed about everything before you book a vasectomy appointment.
As many of you know by now, SmartClinics Fairfield Waters Medical Centre has closed due to flood damage.
So we can continue to provide you and your family with medical care, your GPs are now seeing patients from our clinic located in Annandale. Please join us at this address for your future GP appointments.
ANNANDALE MEDICAL CENTRE ADDRESS:
152 Marabou Drive, Annandale 4814
Ph: (07) 4766 9540
Fax: (07) 3811 2932
If you have any concerns or questions, please call our friendly reception team.
Thanks from your SmartClinics Doctors.
Getting a Vasectomy in Cairns? Here is all you need to know.
Dr Goldstein is a GP and also runs Cairn’s only dedicated Vasectomy service – Great Barrier Vasectomy. Dr Goldstein is originally from Toronto but has called Australia home since since 2006. He earned his Bachelor of Medicine at the Flinders School of Medicine in Adelaide and has been practicing in Cairns since 2014. Dr Goldsteing runs the Great Barrier Vasectomy service out of SmartClinics Woree. A specialist in Vasectomy procedures, Dr Goldstein will happily talk you through the entire process and answer any concerns you may have.
ABOUT VASECTOMIES
There comes a time in every man’s life when he decides he’s had enough children (or doesn’t want any at all). At this point in life, a vasectomy can be a relatively painless and simple solution. It’s a nerve-wracking time and everyone always has plenty of questions. Thankfully, we have a couple of local doctors who are highly skilled in performing this procedure and are more than happy to help answer your questions about getting a vasectomy in Cairns.
How effective is a vasectomy in preventing pregnancy?
A vasectomy is the most effective method of birth control available to men. At almost 100% effectiveness, there are only very rare, fringe cases of the procedure failing to have the desired effect – and often when performed by inexperienced or unqualified doctors. If you’re getting your vasectomy in Cairns, visit our SmartClinics Woree and chat with Dr Goldstein – both are experienced professionals.
Is a vasectomy painful?
The actual vasectomy procedure itself won’t be painful. If you’re getting your vasectomy in Cairns through SmartClinics Woree, we’ll use a local anaesthetic. There may be some minor discomfort, such as pressure or a poke, but other than that you’ll barely know it’s happening. Afterwards, once the anaesthetic has worn off, you may experience minor discomfort, but it is usually manageable with OTC painkillers.
How long does the procedure take?
There are two different methods of accessing and dividing the vas deferens. These are called the “no scalpel vasectomy” and the “traditional vasectomy”. Both techniques take about 20 – 25 minutes. The procedure may be conducted under mild sedation depending on patient and doctor preference. Most men find the procedure day far less challenging than they may have expected, and this is aided by good preparation, and good self care followup.
What is the No-Scalpel Technique?
To access your tubes, an injection is given on both sides to make you numb and this stings for a few seconds and goes away quickly. Once under local anaesthesia, your doctor will make a small hole in the scrotum using a vasectomy forceps and ring clamp. Following this, he clamps the tubes and gently removes the delicate blood vessels to prevent bleeding. Then the cut ends of the vas are clipped and cauterised to ensure the sperm do not get through. There are no sutures or dressings after the surgery and you only need a follow-up check if you want one.
Do you still ejaculate after a vasectomy?
Following your vasectomy procedure you will still be able to ejaculate – your semen just won’t contain sperm, and there will barely be a noticeable difference in volume as sperm usually accounts for less than 5% of ejaculate.
Are you awake during a vasectomy?
If you decide to get a vasectomy in Cairns, we’ll keep you awake during the procedure, but you’ll have a local anaesthetic so there will be no, or minimal, pain.
How long does it take to recover from a vasectomy?
Most men are able to be quite active in the days immediately after a vasectomy. We usually recommend a seven-day resting period, although it can depend on each patient and what they consider to be rest or how active their lifestyle or work is. Everyone should at least take a day after the procedure to allow any sensitivity to subside somewhat.
How long does a vasectomy take?
A standard procedure should take around thirty minutes. If you’re getting a vasectomy in Cairns with Dr Goldstein, we’ll let you know how long your procedure will take and what you can expect before, during and after.
Can you drive home after a vasectomy?
We strongly recommend that you have someone else drive you home after your procedure. This will allow you to begin your rest and healing period immediately and minimise any stress on your body – getting you back into action sooner.
How long until I am infertile?
Following your vasectomy procedure, there is a high likelihood that you will retain some sperm in the vas deferens. It may take up to 20 ejaculations before they are completely flushed out. We strongly recommend you maintain regular contraceptive use for at least three months after your procedure or until you are proven infertile on a semen sample.
What does a vasectomy cost?
Costs vary greatly. If you’re getting your vasectomy in Cairns, you can expect to pay a total of around $650, some of which will be rebated by Medicare. Your final out-of-pocket expense will be around $450.
Do you need a referral to get a vasectomy?
You don’t need a referral to get a vasectomy in Cairns – just come by for a consultation and we’ll chat about your options. However, if you do bring a written referral from your doctor we’ll happily deal with them in return.
What clothing should I wear for a vasectomy?
We recommend you wear something supportive. Avoid boxer shorts – go for something that will help hold things up and fit snugly. This can help avoid undue stress on the area.
Should I shave before a vasectomy?
You may trim the area with electric clippers if that is an option for you. Do not wet shave with a razor. If you are unable to trim with clippers, that’s fine – we will take care of it for you when you come in for your appointment.
By the age of 70, 2 out of 3 Australians will be diagnosed with some form of skin cancer. We’re on a mission to make sure that all Australians get checked out for skin cancer this summer.
Our experienced skin doctors at SmartClinics Strathpine will make sure your skin is safe and bulk bill the appointment for all Medicare card holders.
BOOKINGS AT SMARTCLINICS STRATHPINE FAMILY MEDICAL CENTRE
To book, call (07) 3177 9583 or CLICK HERE to book online.
You can find the clinic at 130-134 Gympie Road, Strathpine (near OfficeWorks). There is ample car parking and a Chemist located right beside us for your convenience.
For more information about our medical centre, opening hours and Doctors please visit the SmartClinics Strathpine clinic page.
What to do if you think your child has a behavioural disorder
AUTHOR: Dr Kyi Kyi Mon – SmartClinics Lutwyche
It’s natural to be concerned about changing behaviour in your children. As our children grow, their personalities begin to emerge, they experiment with emotions and emotional responses, and they may begin to exhibit some characteristics that can be disturbing to worried parents.
Some behavioural disorders in children are quite widespread, with up to 10% of children likely to exhibit signs of one or more disorders. Boys usually outnumber girls by a factor of two or four to one in the display of behavioural disorders.
Causes of Behavioural Disorders in Children
While there are no universally recognised causes of behavioural disorders in children, there are some triggers that can be observed to have an influence on children developing these issues.
Some factors that may lead to the development of behavioural disorders in children include, but are not limited to:
Emotional struggles and problems managing emotions.
A poorly structured routine and lack of consistency.
Issues at home, such as arguing parents.
Substance abuse.
Mental, sexual or other physical abuse.
Symptoms of Behavioural Disorders in Children
Attention Deficit Hyperactivity Disorder (ADHD)
One of the most widely recognised behavioural disorders in children, attention deficit hyperactivity disorder, also known as ADHD, has a small set of straightforward symptoms that can assist in its identification. These symptoms may include:
Difficulty concentrating, a short attention span or inability to maintain focus.
Ignoring or quickly forgetting instructions.
Regularly shifting to different tasks, an inability to complete things.
Emotional outbursts, easily led to anger or sadness.
Few restraints on emotions or recognition of the needs of others, can be exhibited as regularly talking over the top of others.
Clumsiness or being prone to accidents.
A high degree of activity, restlessness, fidgeting, general inability to sit still.
Conduct Disorder (CD)
Conduct Disorder often exhibits as delinquent behaviour. It is far more common in boys than girls, and around 5% of ten year old children are believed to have CD. It is common for children diagnosed with CD to also receive an ADHD diagnosis. Some behaviours exhibited by children with conduct disorder include:
Failure to fulfil required tasks or take responsibility. Can include skipping school.
Physical and sexual abuse of others.
Substance abuse at a young age.
Significant aggression towards other people and sometimes animals.
Untrustworthy behaviour, such as lying and causing rifts among friends.
Frequent failure to follow directions or obey orders given by authority figures.
An apparent inclination towards physical violence, including the use of weapons.
Criminal activities such as arson, theft and vandalism.
Oppositional Defiant Disorder (ODD)
Oppositional Defiant Disorder is believed to be present in around 10% of children aged under 12. Symptoms can include:
Frequent, explosive tantrums.
Blame-shifting and a failure to take responsibility.
Easily frustrated, may believe themselves at fault for minor issues.
Seeks to aggravate others, may find enjoyment in seeing others angry or upset.
Highly argumentative.
Low emotional management, may become irritated or angry quite easily.
Diagnosis of Behavioural Disorders in Children
Depending on the child and their environment, diagnosis can be quite challenging. It is always best to defer to a highly experienced GP for diagnosis. It’s very common for children to exhibit signs of multiple behavioural disorders, making diagnosis and treatment plans difficult. Generally, the process of diagnosis may involve:
An initial consultation with a GP, which will explore the child’s activities and how they are viewed by the parent and the child.
Further interviews with stakeholders in the child’s life (such as siblings and teachers).
Questionnaires, diary-keeping and checklists.
Potential referral to allied health professionals, such as psychologists.
This process allows the GP or other specialists to isolate causes for the child’s behaviour and determine whether it is a result of a behavioural disorder or a different factor in their life, such as parental strife or problems at school.
Treatment of Behavioural Disorders in Children
Thankfully, there are a number of SmartClinics GPs who have a very broad range of treatment options available to them to assist in addressing your child’s potential behavioural disorder. Most treatment plans are highly individualised to account for a wide number of factors that may be contributing to behavioural issues. Some of the aspects of a treatment plan may include:
Medication – usually as a last resort, medication may help in controlling aggression or impulsiveness, which can help make progress in treating the underlying causes of a disorder.
Positive Reinforcement – as one of the major causes of behavioural disorders is low self-esteem, a carefully structured plan that allows the child to succeed and reinforces that success with encouragement and reward may help alleviate symptoms.
Addressing Mitigating Factors – Bullying at school, possible sexual harassment, learning difficulties etc.
Training – teaching both children and parents about social skills, emotional management and how to manage that in self and others can be a big step towards alleviating issues.
Cognitive Behavioural Therapy – similar to the above, this will assist the child in monitoring and controlling their own behaviour.
Therapy – often, ongoing therapy is involved in order to address communication issues and underlying emotional issues.
Where to Get Help
Many SmartClinics GPs have a experience in the field of behavioural disorders in children. If you’d like to come in for a basic consultation, it may help alleviate some of the stress that you’re under. Click here for a list of GPs who have a special interest in this area near you.
For many women, a common method of birth control is IUD. The hormonal intrauterine device (IUD) is a small contraceptive device that is put into the uterus (womb) to prevent pregnancy.
It’s important to understand how this method works before deciding whether it’s right for you. We’ll also help you know where to get it done in our medical centres across Queensland, as not all Doctors can offer this service…
What is an IUD?
IUD is an intrauterine device that releases a steady flow of the hormone levonorgestrel into uterus. This hormone acts as a contraceptive that is over 99% effective. It can be inserted by a general practitioner that is trained in its insertion. There are several ways that an IUD can help prevent pregnancy. It thickens cervical mucus which can help prevent sperm entering your uterus. It acts to inhibit sperm reaching or fertilising your eggs, and can thin the lining of your uterus as a last line of defence to help prevent eggs settling there.
When you book an appointment to insert an IUD, we’ll make sure you are booked in with a doctor that has experience in performing the procedure.
Can any GP perform the insertion or removal?
No – only a general practitioner trained in IUD procedures will be able to insert or remove your IUD. Thankfully, we have a large group of general practitioners trained in insertion an removal in Brisbane, Gold Coast, Ipswich, Townsville and Cairns.
Where can I go to get an IUD near me?
Click here to find a GP near you who performs IUD insertion & removal.
Will an IUD stop my period altogether?
Some people do experience their periods stopping altogether when they have an IUD inserted, however it varies from person to person. You are likely to have reduced spotting and bleeding once your IUD has been in for around three to six months.
It is common for spotting and bleeding to increase in the early months of having your IUD inserted, but this usually goes away. If you’re still having irregularities or more blood flow than usual, chat to us.
Around 20% of IUD users may have no period at all once they’ve had the IUD inserted for six months. However, if you’ve missed your period for six weeks, it’s important to chat to us to rule out pregnancy.
How successful is IUD?
IUD is highly effective as a contraceptive. While no birth control method is 100% guaranteed, IUD is one of the most effective forms on the market. It’s important to check up on your IUD once a month and ensure that it’s still placed correctly. This is a relatively simple process that we’ll explain to you when you come in.
How long until the IUD is effective?
Provided your IUD is fitted correctly, it should be effective in preventing pregnancy immediately. However, we recommend waiting at least 24 hours. Some people may experience spotting, in which case a wait of 24 hours is a good idea.
What are the advantages of an IUD over taking the pill or an injection?
IUD is a long-term contraceptive. It lasts for up to five years, whereas many long-term injections tend to last only around three months. Compared to the pill, it is significantly lower maintenance. You’ll only need to check it once per month, as opposed to remembering to take a pill every day.
The IUD lasts longer and is more effective than many other forms of contraception.
What are the disadvantages or risks of IUD?
It is best to discuss any disadvantages or risks when you come in to visit us. Some of the disadvantages of the IUD can include placement complications, such as attachment to the wall of the uterus or pain, bleeding and dizziness during or after the placement. Provided all goes well, most symptoms will go away after around 30 minutes.
Does it hurt to get?
You may experience some pain during and after placement. However, these symptoms should pass within 30 minutes. If they don’t, give us a call.
Can you have a pap test with an IUD?
The IUD won’t interfere with a pap smear. We highly recommend that you get a pap smear at regular intervals. Feel free to ask us about pap smears when you come in for a IUD insertion. Some women choose to do both at the same time.
What if I want to become pregnant?
If you decide that you’d like to have a child, we can remove your IUD at any time. This should only take a few minutes. Once it’s removed, you should be able to try to become pregnant shortly after. Around 80% of women who want to become pregnant are successful within twelve months of having their IUD removed.
How much does it cost?
Costs can vary between clinics and Doctors and the time of your appointment. For costs at your preferred clinic call reception for details.
Author: Dr Sir-Kit Leong graduated from the University of Aberdeen in the UK in 2005. He spent his general practice training years in Toowoomba, prior to moving back to Brisbane in 2013. Today, Dr Leong consults full-time at Clayfield. View his profile here.
The holidays are an exciting time of year. We all get together, let some weight off our shoulders and enjoy a few days of respite from the pressures of life. The key to enjoying the holiday season is to be prepared for all eventualities. Fewer surprises and less stress is the ticket to coasting through the Christmas period and starting the new year refreshed and mentally well.
I’ve seen a lot of Christmases come and go. Over the years I’ve learned a few lessons and things that you might want to revisit/focus to ensure the holidays go more smoothly. Here are my top ten tips, plus one.
Be Aware of Storm Safety
Do a rapid storm safety audit of your house and backyard. Make sure loose items in the balcony are secured when you are away. Turn off appliances and power plugs; it saves you electricity and is great for the environment. Clear your gutters so that water doesn’t back up where you don’t want it and ensure there are no fallen branches or leaf matter around the house.
Importantly, take into account the kind of inclement weather that you are likely to experience in your area. If your region experiences heavy winds, ensure that everything is strapped down or put away. If bushfires, clear the backyard. You know your area well, but it’s up to you to apply that knowledge to protecting your home and preventing the heartache of coming back to an enormous clean-up job after a happy holiday.
Waste Not, Want Not
Christmas can be enormously wasteful time of the year. Naturally, no one wants to be miserly or overly anxious about trash. However, there are some very simple ways that you can reduce your waste output.
Reduce food wastage – be sensible in the amount you prepare,going overboard creates waste.
If you love cooking, then it’s certainly worth starting a tradition where Boxing Day is also known as Leftovers Day.
Spare a thought for our farmers who grow food for us. Do not waste their effort/hardwork.
Keep an eye on your power, gas and water consumption. It can be very easy to get carried away with guests over and leave every light on, but Christmas is expensive enough without an increase in power costs.
Christmas is a great time to consider the environment. Less waste reduce plastic, water and air pollution, effects translating to healthier people. Floods, heatwaves, water-borne illnesses and countless other issues occur from environmental harm. Do your bit this Christmas to keep the environment healthy and happy. Planet Earth future relies on each and everyone of us.
Drink Responsibly
Be responsible with your drinking choices. Gatherings, work parties and social events are plentiful at this time of year, with some of us booked solid in the month before Christmas. It’s great to be merry and joyful over some drinks, but nonetheless you should know your limits and make an effort to stay within them.
Always have something to eat with drinks and be mindful of how alcohol can interact with any prescription medications. Do not drink and drive, and certainly do not allow your mates to drink and drive. Ubers are cheap, there’s no excuse.
Quit Smoking
Perhaps it’s time to kick that nasty smoking habit? Sure, this might be the fifth year in a row that you’ve promised to quit, but that’s how everyone starts out. If you’ve failed to quit in the past, that doesn’t mean you’ll fail to quit now. There is so much to keep your mind busy over Christmas that it’s a great time to cut back in anticipation of a new year without nicotine.
Find your “why”. Focus on the financial savings, improved cardio, reduced risk of cancer, longer life, improved taste and smell, or the dozens of other reasons that make quitting the right choice.
There is always help available. Chat to your family, friends, GP, or Quitline and get the right advice for your situation. Keep occupied, and before you know it, it will be weeks since you put out your last cigarette.
Get a Skin Check
Get a skin check before summer really hits! Do you know what your skin type is? Have you noticed any spots you are worried about? Have you had sunspots frozen before? A full skin check with your GP will tease out nasty skin lesions, especially skin cancers. Never underestimate the brunt of summer sun, irrespective of time of the day.
Prevention is better than cure. Cover yourself up if you’ll be in the sun for extended periods of time. So many of us hit the beach during the holiday break. If that’s you and your family, make sure you’re all taking appropriate precautions. Slip, slop, slap – it works.
Travel Safely
There will be more vehicles on the road, which means inevitably the risk of accidents increases. Check your vehicle and ensure everything is in order. Plan your journey before taking off and if possible, travel outside of peak traffic periods. Take regular breaks. Switch off your phone or turn on hands-free/Bluetooth when you are driving. Think of others who are sharing the roads with you, they want to feel safe too.
Watch Your Budget
Stress can overwhelm us, and a huge cause of stress is financial concerns. We can be tempted to shop more than we need, particularly with the Christmas songs blaring through shopping centres and that ever-so-inviting festive vibe permeating every aspect of our lives.
Plan ahead. Write a list and stick to your budget. Leave in a buffer for unexpected expenses, and make an effort to be sensible about your purchases. Be that one person who goes against the flow and ends Christmas with some spare change and no credit card debt. Financial stress from overspending is the least of things we want.
Get Out and About
Christmas is the perfect time to get outside and soak up some nature. Get out of the house, walk the dog, go for a bush walk, visit a lookout, do something new. Australia has some of the greatest natural surroundings, and for most of us it’s less than an hour’s drive to get somewhere pleasant and away from it all.
Take this opportunity to get out and about, whether by yourself or with the family. Shave off those extra calories and inject some activity into your life. While you’re at it, realise how much you enjoy a casual walk, and commit to doing it a few times a week for the rest of your life.
Eat Clean
I am 99% sure that everyone reading this has plans to do the opposite of clean eating over Christmas, and that’s fine. I’m not advocating that you spend the holidays nibbling on rice crackers and carrots. However, it’s a great time to make some very simple changes for big benefits.
Add some grains, nuts, fruits and vegetables to your meals. You should have 3-5 serves a day of these items, and they tend to go pretty well with just about any meal. Put your thinking cap on and serve up something healthy.
Monitor Your Medications
If you’re travelling, check your medications. Find out what you are short of and know when your surgery is closed. It can be difficult to renew a prescription from a practice that does not know your history, so make sure you have enough medicine for your travels.
Further, it’s a good time to check the medicine cabinet at home and stock up on a few essentials. Basic emergency medicines that are appropriate for your needs and some first aid materials are always a good option to have on hand.
Keep an Eye on Mental Health
Christmas can be an exciting, happy time for many. However, for some, there is always a lingering sadness. While you’re spending time among your loved ones and friends, take the time to call or visit someone you haven’t seen in a while. Reconnect, see how they’re doing, and show them that you care. They’ll be appreciative, and it adds some extra cheer to the season.
There are plenty more tips for the holiday season, but these are a few that if adhered to, will make it a Christmas to remember for all the right reasons. Merry Christmas, and stay safe.
Q&A with a Cosmetic Physician
Dr Ash Sankarayya
Considering cosmetic treatment in Brisbane?
Cosmetic Services are becoming more and more popular in everyday society. It can be a really good way to boost self-esteem, which is often connected to a person’s appearance. Feeling good about yourself also relates to your general health and wellness, so the benefits are more than cosmetic.
If you’re contemplating having some treatment done, Dr Ash has answered some common questions which might help you make your decision. Dr Ash is a highly skilled Cosmetic Physician and GP in the Brisbane CBD. He has performed thousands of non-surgical cosmetic procedures for over twenty years.
Q: How do I know which treatment is best for me?
This depends on what you want to achieve, like if you want to turn back the clock or enhance your natural features. At your initial consultation, we will spend some time talking about your desired look. I’ll then formulate a tailored treatment plan and explain the procedure in detail. There are a wide range of services available to you, such as anti-wrinkle and filler injections, peels and other skin treatments which are all safe and proven techniques.
Q: I’m worried about looking too ‘fake’. Will my results look natural?
The aim of treatment is to keep you looking natural and subtly refreshed. You will still look like yourself – the best, well rested version of you. As I am also a practising GP, my approach is holistic. I enjoy helping people feel happy with their appearance, which often requires only minor treatments.
Q: Are cosmetic procedures safe?
Both anti-wrinkle compounds and dermal fillers have been used safely for many years. All of the procedures that I perform are low risk, which will be carefully explained at your pre-treatment consultation.
Q: How much do treatments cost?
Treatments vary in price and start from $270. For anti-wrinkle injections you are charged for the number of units used, and with fillers per syringe. If your treatment is undertaken at the same visit, the consultation charge of $100 is waived.
Q: How long do the results last?
Anti-wrinkle injections usually last 3 to 4 months or longer and fillers 6 months or more depending on the type.
Q: Where can I go to get treatment and how long does it take?
I perform all procedures inside SmartClinics George Street medical centre in Brisbane city. Allow 30-60 minutes for your procedure if you are a new patient. Most procedures have minimal or no downtime and many can be done during your lunch break.
Q:What do I have to do to prepare for the procedure?
There is no specific preparation though avoidance of blood thinning medications such as aspirin, anti-inflammatory medications, certain vitamins and alcohol is sensible. Please do not cease any prescribed medication.
Q: How do I make an appointment with you?
Simply call the lovely reception staff at SmartClinics George Street on (07) 3236 2559 and tell them you would like to make a time for a cosmetic treatment.
If you have questions for Dr Ash, please send us a message on Facebook or call the clinic directly to make a booking for an initial consultation. SmartClinics has a number of Cosmetic Physicians across Brisbane, Gold Coast and Cairns. For more information about specific cosmetic treatments available click here.
Mixing different medication – the do’s and don’ts.
Be Medicinewise Week 20-26 August 2018
Author: Dr Sir-Kit Leong, SmartClinics Clayfield
Each year more than 230,000 Australians are hospitalised with problems caused by their medicine.
Whether it’s your own medication or someone you love or care for, it’s important to make sure you understand what each medication is for, how to take them correctly and be mindful of potential side effects when combining different medication.
SmartClinics GP, Dr Sir-Kit Leong, answers some common questions about safety and effectiveness of taking medicine, and multiple types of medication at the same time…
Q: If I think my medicine is not working, or making me feel worse, should I just stop taking it or wait until I see my GP before stopping?
Dr Leong:
As a general rule, side effects may develop within hours of taking a new medicine if you do not tolerate it. Delayed reactions can happen too within days after new medicine is commenced.
If you are not well in general, particularly, if you developed any serious side effect(s) such as severe rash, fevers, dizziness, vomiting, breathing difficulties, the medicine is to be stopped immediately.
Be guided by your own observation, and do not delay in seeking medical attention if you are getting worse.
Q: What do you recommend as the best medication to give to my children when they are not feeling well?
Dr Leong:
It is dependent on what illness and what symptoms your child has.
Paracetamol and ibuprofen are common symptom relief medication given by parents to children for pain and fevers. I do advise that parents check the active ingredients in any over the counter (OTC) medicine before giving them to children. There are various OTC brand names, that have similar ingredients.
Q: Can some drugs work for some people, but not for others?
Dr Leong:
Patients may have variable response to the same medication.
When a medicine is consumed, it goes through some important phases in our body: absorption, distribution, metabolism (breakdown) and elimination (removal via kidneys and/or liver). If there is change to any of these phases, the therapeutic effect of a drug can change.
Q: Should people who are heavier, or lighter, take more or less than the recommended dose for children/adults that is written on the pack?
Dr Leong:
The dosing of medicine for children is dependent on the child’s body weight. Adults who are frail, elderly, with liver and kidney conditions are likely to have a lower dose.
I would advise patients to regularly check the medication details (name of drug, personal details, instructions, expiry date) on their packs/bottles before taking them.
This simple step will reduce risk of taking the wrong drugs.
Q: What are the dangers of mixing drugs for pain relief? Will it make me sick, or just not be as affective?
Dr Leong:
If you are taking strong painkillers such as codeine based ones, other than paracetamol and non steroidal anti- inflammatories (such as ibuprofen), it is advisable to discuss with your GP to use medication effectively and safely.
Opioid painkiller (common ingredient : codeine) has a role in acute pain.
However in patients with pain that last several weeks, especially more than six weeks, it is important to consult your doctor to work out a clear plan and subsequent ensuing reviews.
Mixing painkillers without clear understanding puts a patient at risk of drug dependence, tolerance (when a drug is no longer working for its purpose) , overdose and adverse reactions (especially cardiorespiratory and neurological reactions).
Q: What’s the best way to know if different types of medication can be taken together? For example, if I’m taking panadol, can I also take asprin or neurofen?
Dr Leong:
In theory, risk of drug to drug interaction increase with each medication added to existing medication(s), particularly if you have six or more medications. Nonetheless, most people tolerate medicines without major side effects.
Your doctor would be able to provide you advice on what’s most appropriate when combining different medication.
I highly suggest that if you take multiple medications, it is wise and safe practice to regularly review the need for each of them.
The doctor can also report significant side effects or adverse effects to Therapeutic Goods Administration (TGA) that you may experience with medications, for future safety prescribing.
Q: My current medications are quite expensive and I’m finding it difficult to afford to pay for them. Is there anything I can do?
Dr Leong:
You can consider taking generic medications as they do work the same as their patented counterparts, and they are more affordable.
When your doctor writes you a medication, the PBS box is usually ticked on the script.
What it means is that the medication cost has been subsidised by the government under the Pharmaceutical Benefits Scheme ( PBS).
Some non PBS medication may be cheaper than PBS ones. Please do consult your local pharmacist on how to best reduce cost of medications.
You would eligible for cheaper PBS medicine if you have reached the PBS safety net threshold.
Concession card holders and patients who are registered Closing the Gap (CTG) PBS co-payment Measure , are also eligible for cheaper medicine.
Find out 5 questions to ask your doctor about medicines and more about Be Medicinewise Week at nps.org.au/bemedicinewise
For more information about medicine, or mixing different medication, call our Medicines Line on 1300 MEDICINE (1300 633 424)
Hepatitis remains highly undiagnosed in Australia
Author: Dr Jeffrey Wang MBBS, FRACGP, HBV S100 Prescriber
28 July is the world Hepatitis day
It is a timely reminder that worldwide viral hepatitis is responsible for 1.3 million deaths each year. It is such a burden on health resource that the World Health Organisation has aimed to eliminate Hepatitis B and C by 2030. In Australia, we have an estimated 230,000 chronic Hepatitis B and 200,000 chronic Hepatitis C sufferers. However, thousands of people in Australia have not yet been diagnosed.
There are five types of viral hepatitis – A, B, C, D and E.
Hepatitis A and E are contracted through ingestion of contaminated food or water. They often resolve by themselves.
Hepatitis B and C are contracted through exchange of bodily fluid (blood, semen) during events such as unprotected sex, intravenous drug use, tattoo and piercing.
Hepatitis D is an uncommon infection that require concurrent Hepatitis B infection.
Symptoms of acute hepatitis may include lethargy, loss of appetite, jaundice (yellow discolouration of skin), joint pain and abdominal pain. After the acute phase, Hepatitis B and C virus can continue to cause liver inflammation without any noticeable symptoms. Eventually they can lead to liver scarring and liver cancer.
It is therefore important to be aware of your risk profile and attend for appropriate screening.
Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM) has recommended potential Hepatitis B screening for the following groups:
People born in intermediate and high prevalence countries (see chart below1)
Aboriginal and Torres Strait Islander
All patients prior to undergoing chemotherapy or immunosuppressive therapy
Unvaccinated adults at higher risk of infection such as household and sexual contacts of people with chronic hepatitis B, past history of injected drug use, and men who have sex with men.
It is important to know that once diagnosis of chronic Hepatitis B is made, regular monitoring is essential to determine if treatment is required. There have been significant advances in antiviral treatment agents such as Tenofovir and Entecavir. They are very effective at withhold disease progression and have minimal side effects.
For Hepatitis C, ASHM recommends potential screening for people with the following risk factors:
History of injected drug use
History of incarceration
Recipients of organ or blood products before February 1990 in Australia
Tattoos or skin piercings
Born in countries with high Hepatitis C prevalence (Africa, the Mediterranean, Eastern Europe, South Asia, and the Middle East – in particular Egypt)
Aboriginal and Torres Strait Islander
Again there have been significant advances in Hepatitis C treatment and we have been looking at cure rate of >90% when treated early.
For further information, please refer to two very useful websites:
So please spread the word and arrange a time to see your friendly GP if you have any questions!
My Health Record – what you need to know…
What is it?
My Health Record is a secure online summary of your health information. You can control what goes into it and who is allowed to access it. You can choose to share your health information with your doctors, hospitals and other healthcare providers.
Why is it so important?
It means that if you need to attend Hospital or an Emergency Department the staff can see your most up to date medications and conditions which will allow them to provide you with the best care and treatment. This is especially important if you are a little older or struggle to remember the types and doses of your medications, and any recent changes to them.
Pharmacies, Pathology and Radiology can now all be uploaded meaning your relevant and most up to date medical information is easily accessible to health professionals when required. This is great if you frequently travel interstate.
How to Register
Visit myhealthrecord.gov.au and ask your Doctor at each visit to upload a new summary for you.
How to opt-out
From this July the Government will be starting a 3 month opt out period. This means that after October all those who have not chosen to “opt out” will automatically have a record created for them. Remember, the whole idea of the My Health Record is to save lives – it allows health professionals like your Doctors and emergency staff fast access to your health information if for some reason you are unable to tell them while in need of medical assistance. Some people would prefer not to have their medical data made available through their My Health Record due to privacy concerns. The data in your My Health Record is secure and you can control who can access it, however it’s totally your choice.. if you want to opt-out click here, but as medical professionals we think it’s a move in the right direction for providing ultra-convenient and high quality healthcare for all patients.
