ryi197 High StreetCranbourne 3977

P: (o3) 5991 1222F: (03) 5996 8243W: www.caseymedical.com.au

Dr Sam AuteriMBBS BSC Dip(Obst)RCOG FRACcp DipRACOG

Dr Tom Everitt MBBs DipRACoG FRAccpDr Roger Smith MBBS(Hons)FRACcpDr Kim Teo nzaas DRANzcoG FRACGIDr Brett Ogilvie MBBI DRANzcoc FRAcGpDr Robyn Newnham MBBS(Hons) DipRACoGDr Amanda Osborne MBBI FRAcGpDr Ratna Vaska MBBI FRAccpDr Justin Curran MBBS(Hons) FRAcGp DcHDr Bims Gurusinghe ryeas BMedsc FRACGIDr Cfitford Morrison MBBS BMedsc FRACGIDr Sugunendra Thevasagayam M BBs FRAcGpDr Sharlene (Xue Ling)TanMBBS(Hons) BMedSci. DCH FRACG?

DrWifson Zhang MBBI DcH FRAcGpDrTian Tu nzeesDrAnki Fonseka MBBS

DrYi (Peter) Cheng MBBI

Casey Medical Centre is expanding!We are very excited to announce that our neweststate-of-the-art medical centre is on its way tocompletion and will be ready to open in July 2018.Located in Clyde it will have all our current Gp'salong with some new doctors who willcommencelater in the year. The clinic will offer services inradiology, pathology, physiotherapy and a cosmetic/beauty centre.Dr Sam Auteri provides various antiaging andtherapeutic services at Casey Medical.To learn more, visit his websitewww.caseycosmeticinjectables.com.au or searchcasey cosmetic injectables in Facebook.

BULK BILLINGCHILDREN UNDER 16 BULK BILLED ATALLTIMES, including after hours, weekends andpublic holidays. Health Care cardholders wiil bebulk billed Monday - Friday untit 7pm, fees applythereafter, weekends and public holidays.

PELVIC FLOOR REHABILITATION THERAPYInnovative incontinence treatment for both maleand female patients - speak to your doctor formore information.

SURGERY HOURS AND SERVICESCONSULTATIONS by appoi ntment:

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

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

important areas such as weight loss, diet andexercise. Available at reception for gl0.

Monday to FridaySaturday and SundayPublic holidays

Bam-8pm9am-5pmAs posted

AFTER-HOURS please attend the EmergencyDepartment of either Dandenong Public Hospital,David Street, Dandenong, OR FrankstonHospital, Hastings Road, Frankston, OR TheValley Private Hospital, cnr Police and Gladstoneroads, Mulgrave, OR Casey Hospital, Kangan St.,Benruick. For regular patients of Casey MedicalCentre you may phone a doctor on 1902 213 035.Calls to this number are charged at $S.SO/minute toyour phone account.

HOME VISITS during surgery hours can bearranged for emergencies or if a patient is unableto travel. Please contact the centre before noon ifpossible to make appropriate arrangements.

Heart disease - do you know the signs?Studies have shown that the risk of heartdisease peaks in winter. Do you know whatsigns to look for?

In a 2013 analysis CIf CIver 100,000 subjects,carried out by Dr. Pedro Marques-Vidal fromthe European Society of Cardiology, it wasdiscovered that cardiovascular disease riskfactors were higher in winter than in summer.These risk factors include blood pressure,waist circumference and cholesterol.

While there was no conclusive evidence tosay why this was, there are currently studiesbeing undertaken on seasonal food intaketo see if it's connected. Until these updatedfindings are released, Dr. Marques-Vidalsuggests people make more of an effortin the winter months to exercise and eatnutritious food for the benefit of their healthand wellbeing.

Cardiovascular disease is the leading causeof death in Australia, with 1.2 million peoplein 2A14-2A15 with a cardiovascular conditionsuch as heart disease and stroke. Around2.6 million Australians also had high bloodpressure, and 430,000 people had alreadyexperienced a heart attack at some point intheir life.

Valvular heart disease - caused bynarrowing, leaking or insufficient closing ofone of the four valves - can cause fatigue,shortness of breath, an irregular heartbeat,chest pain, fainting spells, and swollen feetand ankles.

The symptoms and signs of heart diseasecan vary, depending on the type of heartdisease, and your gender. For heart diseasein the blood vessels, the symptoms caninclude chest pain, tightness, pressure, anddiscomfort, alongside shortness of breath,pain, weakness or coldness in your limbs,and pain in your back, abdomen, throat,

jaw, or neck. Women are also more likelyto suffer from shortness of breath, nausea,and fatigue.

Don't ignore the signs or the fallacy "it wouldn'thappen to me'l lf you are experiencing chestpain, if you've fainted, or you have shortnessof breath, seek emergency medical careimmediately. The longer you leave it, thehigher the risk of damage occurring.

Because symptoms can vary so muchbetween different heart conditions, it'scrucial that you pay attention to your body'ssigns at all times, and consult a medicalprofessional if you're not feeling well. Mostimportantly, treat your body like a temple andensure you're eating nutritious food and areexercising reEularly.

There are many risk factors associated withcardiovascular disease" However, not allcan be modified through leading a healthylifestyle. Ethnicity, gender, age, and geneticsare all risk factors that cannot be changed.However, there are just as many that canbe. Smoking, drinking alcohol, poor diet,high cholesterol, high blood pressure, lackof exercise and obesity can all significantlyincrease the risk.

By making a conscious effort to modify badhabits, you may be able to reduce the risksof heart disease, but there are also a rangeof other treatment options available, as well.For more severe conditions, bypass surgerymight be an option, while for less severeconditions, rnedication such as aspirin maybe prescribed.

Keeping your heart healthy is crucial, andfailure to act on heart disease signs mayresult in further damage to your heart oreven death. Seek emergency medical careimmediately if you are experiencing any ofthe symptoms mentioned in this article.

Lung cancer and a Common misconceptionSmoking may be the leading cause of

lung cancer, but it's not the only cause.

Being aware of other risks can make all the

difference to your perception of lung cancer.

While smoking tobacco is responsiblefor around 90 percent of all lung cancercases, there is also a growing numberof non-smokers who are fallingvictim to the disease. However,due to the percePtionthat only smokers getlung cancer. there is a

genuine risk that thesesufferers can put offgetting treatment, notbelieving they couldhave the disease.lf I don't smoke,how can I get lungcancer? lt's rare,but non-smokerscan receive a lungcancer diagnosisas lvell"

and materials that may heighten your risk

of getting lung cancer, even if you've never

touched a cigarette in Your life.

As many non-smokers believe theYaren't at risk, it's all too easy to pass off

symptoms as a cold or flu, or a standardillness. However, a worsening cough

that won't go awaY, coughing uP

blood or phlegm, shortness ofbreath, and a lass of aPPetite

and weight are all commonsymptoms of lung cancer.Some people maYalso find their voicesare hoarse, theY'rewheezing, have chestpains, or feel weakand tired. What'smore, if you makeregular visits to yourdoctor for respiratoryin{ections, it mightbe time to request

Aside from smoking cigarettes, you may be

more at risk if you're exposed to second-

hand smoke, you work with cancer-causing

agents such as diesel and asbestos, oryou have been in the presence of radon

gas. Air pollution and gene mutation hetve

also be {ound to be causes of lung cancer,

as well as expo$ure to coal gas and theprocessing of chrome, steel, and nickel.

There are many harmfuichemicals, gases,

further tests.

It is not known why some people are moreat risk than others when put in a similarsituation, but it's crucial to understand thatyour environment can be equally as risky

as being a cigarette smoker.

Therefore, if you find yourself working withhazardous materials, it's critical to protectyourself as much as possible. Follow your

workplace's health and safety plan and

see your GP for regular check-uPs.

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Ingredients1 can butterbeans

% cupolive oil

1 lemon, juice and zest

1 small bunch of fresh herbs,e.g. coriander, basil (or driedif you don't have fresh) 'u

1 clove garlic

Salt and pepper to taste

Optional: add a touch of hot spice for a bit of a kick

MethodBlend all the ingredients until smooth. Use more or less oil to achieve desired

consistency. Place into a serving bowl. Top with a sprinkle of paprika, a drizzle ot

oil and fresh herbs if you want to be fancy.

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When the rain starts to pour, the nights roll

in quicker, and in some places, the snow

begins to fall, it's all too easy to stay at

home and devour stews, ssups, and doughy

bread. With a crackling fire in the grill or the

heat pump on high, it's no wonder it can be

challenging to face the blowing gales and

drivinE rain outdoors. While it's hard, it'sneces$ary. Staying fit and healthy in winter

is crucial if you want to maintair"r your level

of health, and your ability to fight off winter

viruses such as colds and the llu'

While there's every possibility the weather

can be a hindrance on a walk or run, it'sstill a gaod idea to maintain your summer

routine throughout the winter months. Rug

up warm, wear breathable clothing, and

choose the calmest tirne of the day ta head

out. lf you're struggling to get motivated,

incorporate exercise into your everydayroutine. Take the stairs instead of the

elevator at work, or why nat walk around

the park during your lunch break?

ln winter, it's comrnon to seek

out foods that are high incarbohydrates, and are warming

forthe bady.While you mightfavcur

a nice salad in surnmer months.

it's mcre cCImrnCIn to reach for a Pie

when winter sets in. Maintaining a

healthy, balanced diet throughout

ihe year is essential. Fat foods

that are high in fibre, Protein, and

antioxidants, and aPt for meals

that feature vitarnins B, C, D and E'

Most importantiy, limit Yaur sugar

and fat intake - even if the smell of

the savouries ln your localcafe are

seeming too hard ta resist.

Colds and the flu go hand-in-hand with

winter, but there are things you can do to

reduce the risk of catching them. Consult

your GP about receiving a flu vaccinaticn,

which for scme is free"

Ycu can also help yourself by using tissues

when you couEh CIr sneeze, washing your

hands often, and avolding close contact

with those who are sick. lf you get sick, limit

the spread by staying home and away from

vulnerable people.

It can be easy to fall out of your everyday

routine as soon as winter sets in, but it's

cruci;ll to maintain your level of health and

fitness as you would in the warmer months.

lf yorr require any help or advice, contact

yCIur Jeneral practitioner.

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AIR POLLUTION

ALLERGENS

ANTIOXIDANTS

ASBESTOS

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BEANS

BIOPSY

BLOOD VESSELS

BOWEL

CARDIOVASCULAR

CHEMICALS

CONSTIPATION

DUST MITE

EXERCISE

FEATHER

FIBRE

FLU VACCINE

HEALTHY

HYPOALLERGENIC

LUNG CANCER

NAUSEA

OBESITY

PAIN

PROSTATE

REGULAR

SMOKERS

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VAPOUR

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No one wants to feel like their home is making them sick. However,as those with seasonal allergies and allergic asthma will

know, it just as well could be. lf you're coughing, sneezing,experiencing shortness of breath or feel unwell, it's timeto act. Look at your home from a critical point of view andremove anything that may be harbouring allergens.

The first place to start is your bedroom. you spend at leasteight hours asleep in it each night; therefore, if there were a

roorn that needs the most attention, it's the bedroom. once aweek, wash allbedding in warm water, and replace natural bedding

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products like feather duvets with synthetic, instead. yourmattress is equally as guilty of being a oause of allergensso cover it with a dust-mite-proof cover.

Flooring may harbour more allergens than you think"Where possible, opt for hardwood floors, or use avacuum cleaner with a high-efficiency filter at leastonce per week.

Curtains can get quite dusty, so invest in washabledrapes and make a habit of wiping down blinds. Dust

can be a significant source of irritation, so if you have alot of ornaments and decorations as well, consider storingthese away. They gather dust quickly and may not behelping your allergies in the slightest.

When it comes to your furry friends, youmay need to make sCIme sacrifices. lfyour pet is known be the cause of yourallergies, consider keeping them out of,i. -I shared spaces, bathing them once a weekto reduce moulting, or instead. have ahypoallergenic pet.

Creating an allergen-free home can be tough,but it can be worth it for the benefit of your

health. lf your allergies or allergic asthma arecausing you concern, seek help from your Gp.

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A bowel broadc?st: how to remain regularBeing embarrassed about your bowelmovements can encourage a lack ofunderstanding.

There is a common misconception thathaving regular bowel movements meansyou go at least once per day. Regular meansdaily, right? Wrong. Regular is what normalmeans to you. lf, for as long as you canremember, your bowel roo"rnuni, o"awevery second or third day, or up to threetimes a day, then consider that regular. lf ithappens more than three times per day, oryou don't go to the toilet for more than threedays, take note.

lf you're going more or less often than whatis standard for you, then your body is tellingyou something. A sudden change in routineor regularity may be cause for concern andhaving a health professional rule out anyproblems is a good idea.

A common problem many people face isconstipation. Constipation means you don'thave a bowel movement for more than threedays, and when you finally do, it's difficult topass, dry, and is typically painful. lf you're

taking specific medication, changed yourroutine, pregnant, dieting or travellinS, youmay suffer from constipation. However, boweldisease and even strokes may be associatedwith constipation, so see your GP to rule outany underlying cause.

There are many things you can do to regulateyour bowel and reduce constipation. Firstly,eat more fibre. Food high in fibre includesbeans, fruit, vegetables, and grains, whereaslow-fibre food typically includes processedfood, meat, cheese, and sugary food.

Drinking more liquids may also help toreduce constipation as it bulks up your stool,helping it to move through ihe intestinesfreely. Finally, don't hold it in. When your bodyis telling you to use the toilet, use it. Resistingthe urge can make a situation worse.

Bowel movements can be an embarrassingtopic for some, but knowledge is power.Know what your version of regular is andbe on the lookout for changes in your stooland regularity. lf you're concerned, consultyour GP.

PRACTICE UPDATEDOCTORS'LEAVEDr Tom EverittDr Sam AuteriDr Brett Ogilvie

WELCOME

23.6.18 returning 16.2.1812.7.18 returning 1 6.7.1 8

7.7.18 returning 1 6.7.1 8

We would like to welcome Dr Sabina AlitoCasey Medical Centre who will be commencingon the 16th of July, we hope she enjoys hertime here.

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

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 l"tmobile app or via our WEBSITE.It's quick, simple and it's free.

',q r ;1.^ Like or follow us on FacebookELr Lrnu for clinic updates & health info.

FEESOur fee for a standard consultation is$70, the Medicare rebate is 93705. ForHCC holders bulk billing will be avaitableweekdays from 8am to 7pm only. Fees applythereafter, weekends and public holidays.

Children under 16, Aged Pensioners andVeterans Affairs card holders will be bulkbilled at all times.

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 all times and to ensurethat this information is only available toauthorised members of staff.

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