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Fake It Until You Make It…For How Long?

Christmas Eve 2021 was the first time I rode my bike to the city, and apart from a couple of blips here and there, I’ve managed to be consistent in doing that two to three days a week ever since. Whilst riding, I usually listen to an audiobook. In lieu of having the time to do much private reading during the week otherwise, it’s at least something.

On one such ride, heading to the city I listened to “The Magic of Thinking Big” by David Schwartz”. It’s a book I have listened to before and was written quite a long time ago. It centres on giving practical suggestions to stay upbeat and more importantly – keeping your sights on the “big picture”. Along the way it gives you ideas about how to do this, including – keep smiling, dress sharp, and if someone asks you “How are you?”, you answer “Terrific,” etc. You get the picture. Basically, it comes at self-development from the perspective that how you act and behave, will determine what happens next. To quote a cliché (directly from the book in fact!), “Attitude determines your altitude”.

Whilst I like the concept, I started to get a bit bored and struggle with the book. In part because I’ve never found much motivation to comb my hair or care deeply about my wardrobe. I admire people who do though and enjoy, even comment on a sharp dress sense in the affirmative. But for myself, I don’t seem to have been built that way – nature. I struggle with my wardrobe, often looking for garments I’ve worn since being a teenager (holes and tears are trendy these days anyway) and being reprimanded by my kids for looking homeless when I turn up for their school-related activities. David Schwartz – it’s tough.

So, after work on that same day, after switching into my riding gear, I turned to my phone and looked through my audiobook library once again. I scrolled and in searching for something more reliable I tapped on “The 7 Habits of Highly Effective People” by Stephen Covey. I’d read and listened to this book numerous times before, I think approaching ten now. “Get back to basics,” I thought, no more making me feel bad about those faded T-shirts.

And “get back to basics” I did. As I listened to the material I’d already heard, I found deeper meaning and relevance in the words. However, my main take-home messages are:

  • If you want to change things, look deep within yourself first
  • Private ought to precede public victory
  • You’ll become more effective in your own life through a very truthful and basic assessment of your own motivations and character
  • There are immutable principles that if understood and incorporated into our daily decision making, will guide us to real fulfilment and success and that getting there is a journey with no shortcuts.

I’ve always enjoyed this book for its depth.

After two bike rides, there I had it – at one end, that altering behaviour can drive change and at the other, that analysing and understanding our own thinking must drive change. And then it hit me that this shared many parallels with cognitive behavioural therapy. That how we feel is the sum (hopefully synergy) of what we think and do, our behaviours. That thinking alone isn’t enough since we need to translate those thoughts into action and behaviours and, at some level, vice versa. For me, I certainly understand the smiling bit (you got me there David). Whenever I’m riding, I try my best to smile at people passing by. Sometimes people reciprocate, and when they do, it feels nice. That’s it. Simple, but so effective and impactful. And none of it feels forced whatsoever. I must say also that the sheer fact and behaviour of riding my bike to work has literally changed my life. I feel so different – buzzing. And now if don’t ride for a stint, I feel like something’s distinctly wrong. “Normal” – has been reset.

So there you have it, you can push yourself to get somewhere, by adopting the right behaviours. It should get you somewhere. In essence, perhaps you can fake it until you make it – but for how long? I reckon like a house of cards, an accidental or deliberate focus on behaviours alone can make it all come crumbling down eventually if you haven’t taken that painstaking journey of considering what the heck you are really about? To be open minded enough to accept that how you see the world is just that, your interpretation, your lens, rather than the fact, and be brave enough to reflect how that came to be, what it means and how it influences you. Yes deep, but necessary. Stephen Covey – I’m still leaning your way.

Dr Floyd Gomes

COVID-19 Vaccinations at Port Phillip Specialist School

Pictured above (left to right): Dr Floyd Gomes, Dratticus, Alan Ottrey and Dr Nathalie Gomes.

Recently, Atticus Health was successful in being chosen as a provider for the Primary Care Vaccinations in Schools Grants Program.  This program is a key part of the Victorian Government’s plan to deliver more doses for children aged 5-11 who may otherwise struggle to access COVID-19 vaccinations.  On Friday 18 February, we attended Port Phillip Specialist School to administer the Paediatric Pfizer to students of the school.  We were lucky to be able to work with Alan Ottrey from the Alfred Disability Team.  Dratticus, our very own superhero, even dropped in for a short while.

Being vaccinated protects children and reduces illness within families, schools and in the community.  We thank the school community at Port Phillip Specialist School for their support, as well as Alan and the Alfred Health Disability Team for helping make this clinic a success.

Dr Nathalie Gomes

Hardware Lane. A World Within a World in the Melbourne CBD

Pictured Above: The location of our new clinic at Hardware Lane.

Where is Hardware Lane?

We have recently announced that our William Street Clinic in the Melbourne CBD is moving to Hardware Lane from March 16th. Our new address will be Level 3, 393 Little Bourke Street, Melbourne, Victoria 3000. Hardware Lane is located in the heart of the CBD, tucked away between Elizabeth and Queen Street.

To celebrate the upcoming opening of our new clinic at Hardware Lane in the CBD, let’s take a look at this exciting part of town.

 

What is Hardware Lane?

Hardware Lane is one of the iconic laneways in Melbourne where people go to dine, shop and experience the thriving culture. There is a wide variety of food options. Check out Amigos Mexican Inspired Restaurant or settle for a pizza at Max on Hardware. Check out the variety of stores such as World Expeditions, who will be our new neighbors at the clinic. They are a travel agency that advocates active travel for health benefits, both physical and mental, with a focus on sustainability.

The architecture of Hardware Lane has a fascinating history, with early 1900s warehouses originally home to blacksmiths and horses, still intact.

Come take a look for yourself and help support small businesses in the city. We look forward to seeing you there!

 

Our In-House Home Care – Mark & Sylvie’s Home Care

In 2022, after years of background work, we are set to launch our in-house home care – Mark & Sylvie’s Home Care. Named after the late parents of Atticus Health founder, Dr Floyd Gomes, the idea of helping the elderly live at home is something he is really passionate about at a personal level. We will deliver home care in the same way we do the clinics – Driven by Soul.

Ian, Floyd and Hilde.  The first meeting of our Home Care Team. Time to get things started!

Congratulations to our nurse, Hilde Auschehoug (RN), who’ll commence working as a home care manager three days a week from Tuesday March 15.  She will continue to work at the clinics two days a week.  And welcome Ian Villalobos (RN), who will be starting with Atticus on that same day, working also as a care manager three days a week and as a nurse two days a week at Bangholme.  Ian’s knowledge of the aged care industry from his years of experience will come in handy for home care.

Dr Sai Andey, visiting a patient at home.

If any of you know any personal care assistants – please help us connect with them. Successfully integrating Mark & Sylvie’s Home Care with Atticus Health medical clinics has the potential to really take the positive impact we can have on the lives of our elderly patients to the next level, so it’s a very exciting time.

If you have any queries about what home care is, or how it may benefit you, get in touch with Mark & Sylvie’s Home Care by:

Ph: 1300 268 431

email: mshomecare@atticushealth.com.au

Visiting or calling your local Atticus Health medical clinic

Our address is 260 Highett Road, Highett, Victoria 3190.

Staff Education Evening

It is important to keep growing your knowledge, to help yourself and the team around you. This can apply to most industries, especially healthcare. That is why we held an education evening recently for our healthcare staff (doctors, nurses, allied health, specialists, etc). During the evening, we nominated a few of our staff along with guest presenters to share their knowledge within their field with everybody. The human body is composed of so many different parts but all works as a whole, similar to our hardworking team. That’s why it’s important that everyone continues to build up their general knowledge of all the working parts while continuing to build their knowledge in their specialised field.

We had our new cardiologist, Dr Cheng Yee Goh, conduct a presentation on identifying heart conditions through ECG readings. You can read his article about cardiac stress tests here.

Our new consultant colorectal surgeon, Dr Thomas Suhardja, presented on bowel cancer awareness, treatment and building awareness for younger people. Thomas has written an article for us on Haemorrhoids here.

Our podiatrist, David Lee, displayed various methods of foot treatment and the anatomy of the feet.

We thank our special guest, Dr Marcus Robertson (Gastroenterologist) from Rosebud Endoscopy for joining us and presenting on ferritin and iron studies.

As we work more closely with each other, we all stand to increase communication and learn together, leading to improved patient outcomes. It’s so powerful to get together.

 

Cardiac Stress Test

What Are Cardiac Stress Tests?

In a cardiac stress test (also widely known as ‘stress test’), you walk on a treadmill which makes your heart work progressively harder. It measures how well your heart handles physical activity. During a stress test, a doctor will monitor your electrocardiogram (ECG) and measure your blood pressure regularly.

Why Would I Need a Cardiac Stress Test?

You may need a cardiac stress test if you have symptoms suggestive of limited blood flow to your heart. These symptoms include:

  • Chest pain
  • Shortness of breath
  • Rapid heartbeat
  • Irregular heartbeat, which may feel like a fluttering in your chest.

You may also need a stress test if you:

  • Currently have heart disease and are being treated. This test can tell if the treatment is working
  • Had a heart attack in the past
  • Are at a higher risk of heart disease. This is usually due to other health problems such as diabetes, high blood pressure, family history of heart disease, and/or previous heart problems.

Dr Cheng Yee Goh gives an in depth presentation on ECG analysis at an Atticus Health staff health education evening.

 

What Types of Cardiac Stress Tests Are There?

There are three main types of cardiac stress tests – the exercise stress test, stress ECG and nuclear stress test.

Exercise Stress Test

  • This is the conventional ‘stress test’.
  • Several electrodes will be placed on your arms, legs and chest. They will be attached to an ECG machine, which monitors your heart rate and rhythm.
  • You will proceed to walk on the treadmill. It will initially start slow, but the speed and incline will progressively increase during the test.
  • You will continue walking until you reach a target heart rate set by your healthcare provider. The test may be terminated if you experience symptoms such as chest pain, shortness of breath, dizziness or fatigue.
  • After the test, you will be monitored for a brief period until your heart rate and symptoms (if any) normalize.
  • As this test only measures the electrical activity of the heart and does not include cardiac imaging, it is less accurate compared to stress ECG and nuclear stress test.

Stress echocardiogram

  • It is a combination of ultrasound cardiac imaging and exercise stress test.
  • It utilises ultrasound technology to obtain live pictures of your heart (ECG), before and immediately after exercise.
  • If you are not healthy enough to exercise, you may be administered a medicine which increases your heart rate, to simulate the effect of exercising.
  • Two sets of images, one taken before and another after exercise, are then compared to look for changes.
  • This test is more accurate compared to an exercise stress test alone.

Nuclear stress test

  • It is a combination of nuclear cardiac imaging and exercise stress test.
  • You will be injected with a radioactive dye, which will be absorbed by the heart muscles.
  • A special camera will then scan your heart and create the images, before and immediately after exercise.
  • If you are not healthy enough to exercise, you may be administered a medicine which increases your heart rate, to simulate the effect of exercising.
  • Two sets of images, one taken before and another after exercise are then compared to look for changes.
  • This test is also more accurate compared to an exercise stress test alone.

 

Dr Cheng Yee Goh

Cardiologist

Dr Cheng Yee Goh is a general and interventional cardiologist. He undertook his medical degree at the University of Auckland and completed his cardiology training at Royal Melbourne Hospital, Western Health and Peninsula Health. Following his general cardiology training and completed a 12-month coronary fellowship in Western Health. This was followed by an 18-month overseas interventional cardiology fellowship at the prestigious University of Ottawa Heart Institute, the largest heart centre in Canada where he trained in complex percutaneous coronary intervention (stenting).

Cheng Yee has trained with pioneers and world leaders in interventional cardiology. He performs diagnostic coronary angiography via the radial artery (wrist), complex coronary stenting, fractional flow reserve (FFR) and intracoronary imaging such as optical coherence tomography (OCT) and intravascular ultrasound (IVUS).

He is active in cardiovascular research. He has publications in numerous cardiovascular journals and presented in national and international conferences. He also holds a masters degree in public health from University of Sydney.

Born in Malaysia, Cheng Yee is fluent in Mandarin, Cantonese, Malay/Indonesian, and Hokkien (Chinese dialect).