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Living In the Moment and Appreciating Life

For the first time in almost two years, we were fortunate to return to the skies and visit our clinic on Hamilton Island. On arrival at the airport, we were greeted by our receptionist, Tikqua, who gave us a crash course in driving the Buggy, our mode of transport for the next three days, and from here it was off to the clinic.

A couple of the highlights from our short trip were seeing a number of Victorians on Hamilton Island. As we approached the clinic for the first time during our short stay, we noticed a family of four, Mum, Dad and two young children taking pictures in front of the Atticus Health sign and the kids were making reference to Atticus Health. This moment was spoken about in every conversation by Floyd hereafter, even since we got back, which was four days ago.

The other highlight was in the evening on day two, before a delicious team dinner. The doctor team, comprising Hardik, Tohid, Floyd and myself, went on a 5km evening bushwalking adventure. Don’t get me wrong, this was a work trip and we did have a number of meetings to attend and stakeholders to catch up with, but it was equally as important for us all to make the most of this bonding experience. Along the hike, Tohid invited us to sing songs as we made our way up and down the steep island terrain. It was unexpected but lots of fun. The hidden coves, beautiful views, and various picnic spots scattered throughout the bushland were spectacular. Hamilton Island offers some truly magnificent vantage points and today we experienced passage peak.

So there you go, a quick reflection about our time at Atticus Health – Hamilton Island. Be amazed. Take a step back and look at your life with gratitude every now and then.

Brett Thiedeman

Falls & Balance Education Evening

The Atticus Falls & Balance information evening was recently held on 17 & 18 May.

Our panel of experts (Podiatrist, GPs, Registered Nurse and Geriatrician) provided education and advice to the community about the risk of falling, how to improve balance and live safer at home.

Our resident podiatrist David Lee provided tips on recommended footwear to avoid falls, what footwear would more likely cause falls, and useful guidelines and reminders about mobilising (look, lead and land).

Atticus GPs then provided education about factors that can affect a person’s mobility and increase their chance of falling due to medical conditions, such as hypotension (low blood pressure) which can lead to dizziness, heart disease, infections and environmental factors.

Lastly, our Geriatrician provided his comprehensive insight about important related factors including cognitive impairment and dementia, management and the treatment of delirium, and muscle weakness as we age. In addition, education about medications and any side effects that can affect our balance and increase falls (e.g. benzodiazepines, and opiates) was elaborated on.

At the end of the session, the audience was given the opportunity to ask questions and that lead to some great discussion.

Healthy Ageing

Atticus Health is happy to have become a member of the National Centre for Healthy Ageing (NCHA) based at Frankston Hospital.

NCHA is a partnership between Peninsula Health and Monash University created to further research and development into Healthy Ageing.

We thought it appropriate to become a member since Atticus Health is significantly involved in aged care, especially through our work at residential aged care facilities and now directly through our home care service, Mark & Sylvie’s Home Care.

As part of this, Atticus Health is presently involved in the NCHA project “Optimising health information exchange during aged care transfers”.

The objective of the project is to develop and test a digital health solution for summarising and sharing an agreed set of data considered critical during the medical transfer of aged care residents.

Why I became a GP

Well, the fact of it is, I didn’t know what to do. I resolved that being a doctor in the first instance gave the understandable mission of helping people be “normal”. Of course, as things progressed, I’ve lost track of what exactly normal is. Indeed, there’s no normal. 

Nevertheless, it’s worthwhile talking here about the core of general practice – preventative health. I know, boring. But think about it, all those things that “could” happen to you, many you can avoid. The human body is generally very forgiving. In life, we give it a battering and in general, it shuts up and puts up. So perhaps the suggestion of a little bit of maintenance is fair enough. 

I’ll extend the conversation a bit more and consider yet another Steven Covey idea – the four quadrants. Basically, he considers that there are four quadrants in which we all spend our time. Here it is… 

Quadrant 1 – URGENT and IMPORTANT Quadrant 2 – NON URGENT and IMPORTANT
Quadrant 3 – URGENT and UNIMPORTANT Quadrant 4 – NON URGENT and UNIMPORTANT 


The message is that a lot of us spend our time in Quadrant 1 during the day, undertaking activities that are urgent and important. Quadrants 3 and 4, we won’t discuss here. Quadrant 2 is the main focus of this.

To explain, take the example of a car. If you don’t service your car, it will break down one day and when it does, you’ll be at the side of the road, summoning roadside assistance. You’ll be in Quadrant 1 – urgent and important. If however, you regularly service your car, you’ll hopefully prevent that from happening. You will then be spending time in Quadrant 2 which is a lot less stressful. Your health is just the same, you either deny, fear or neglect your health and be presented with a bout of ill-health, forcing you into Quadrant 1. Or, you spend time considering and valuing your health and partaking in behaviours commensurate with that. In other words, engrossed in Quadrant 2. Note that both of these options may well take the same time and effort on your behalf, except the latter is less stressful, is related to better outcomes and allows your life to be much more in your control. 

Again, I get it though, preventing disease is just an arduous, boring thought and task for many. This is where perhaps some of the more novel “wearables” may have a role to play. Smartwatches, that track your health parameters. Last fortnight, we spoke to our resident Cardiologist, Dr Cheng Yee Goh about the value of heart rate monitoring and concluded that some measurements being captured are helpful, others not so much. Still, when we record and view our data, at least it’s offering us a cue to care. From that, perhaps more of our behaviours could change.  

Still, it stands, as an individual and society, that so many of our health woes, notwithstanding the hand of lady luck, could be prevented and that remains a worthwhile aspiration. Increasing our success in disease prevention, makes total sense on multiple levels and is believable. It’s a mission that keeps me highly motivated, to this day, to be a GP.

Shockwave Therapy

At Atticus Health, we are pleased to announce that we can now offer Radial Shockwave Therapy (RSWT) for soft tissue and chronic injuries. Our podiatrist David has an extensive background of over 10 years in using RSWT in treating lower limb injuries.

WHY SHOCKWAVE THERAPY

RSWT has been scientifically proven to be effective in the treatment of chronic and soft tissue injuries throughout the body. Radial shockwaves are high-energy physical percussions (soundwaves) transmitted from a probe held against the skin; these shockwaves spread outwards into the underlying tissues. 

The treatment produces an inflammatory response, which the body responds by increasing metabolic activity around the site of pain. This stimulates and accelerates the healing process (promotes the remodelling of dysfunctional collagenous tissues, such as tendinopathies, trigger points, muscle strains, etc.). Shockwaves break down scar tissue and/or calcification and the transmission of pain is diminished through neurological mechanisms (inhibition of nociceptors).

As this therapy stimulates the body’s natural self-healing process, there is an immediate reduction of pain and an improved range of motion. 

During treatment, approximately 2000 shocks are administered (taking about 5 minutes). Some patients and/or conditions require more shocks, depending on severity and chronicity (how long the condition or injury has existed). Between 3 and 5 sessions are normally recommended.

Success in the treatment of chronic injuries ranges depending on the location and type of injury but worldwide data shows a success rate of 80-90% within 3 months.

With minimal treatment risk and almost complete absence of adverse events, it’s a clinically proven treatment that is fast, effective, non-invasive and medication free and complies with all current anti-doping regulations.

Feelings, Habits and Reasoning

Above: Floyd, Steve and Di –  fortunate friends.

My kids are growing up a bit these days.  Whilst I used to be able to tell them what to do, now I have to make sure my arguments stack up or I’m in trouble.  My eldest son especially is one heck of a debater.  And somewhere in that mix of questions and fingers being pointed my way, I realised – I don’t really know what I’m doing as a parent.  

So, as it is with such things that I feel I don’t know enough about, I looked to educate myself.  In this case, I turned to books, and I stumbled across a concept that I find compelled to share. 

A long time ago, I think I wrote an article in this newsletter that asked the question, when a child gets hurt, in a minor way, should you (I) encourage them to brush themselves off quickly, “chin up”, or sympathise with them.  I asked myself this question because I wanted my children to grow to be compassionate for others, for society, yet be strong within themselves and have fortitude all the same. 

And now, many years later, I’ve formed a stance. 

When a child or an adult has an experience, good or bad, they get a feeling.  That feeling comes in a wave and it’s very compelling and not so easily “nipped” in the bud, or if it is, not naturally so.  After that feeling, classically there is a behaviour.  Such an automatic behaviour, we call a “habit”.  Beyond the habit, our conscious mind (pre-frontal cortex) brings in a period of reflection and reasoning, a lucid moment occurs where logic comes in.  “Okay, it was just a graze on my knee, I think I’ll be alright now that the band aid is on.” 

The thing is, I have concluded that it’s vital that a child be given the time and opportunity to move through the above steps at their own pace.  This is because at the point of having a feeling, if one is rushed through it, for example, “Don’t worry about it, you’re fine,” too abruptly by an external source (e.g., a parent), that child actually gets confused and worse still, can end up feeling a degree of guilt, “I was in pain, but mum or dad said I shouldn’t be”.  

Even as an adult, just like a child, our experiences cause us to rather automatically have feelings.  Those feelings, coming in a wave, can almost be unavoidable.  If we haven’t learnt to allow ourselves time to sit with a feeling, pause before we act and then move to reasoning and reflection, we’re left in our day with our experiences triggering internal crises leading to confusion, anger, frustration and guilt. These crises we find hard to resolve.

As an example of this, recently, our clinic has been involved in training about domestic violence and how to best support victims and perpetrators.  On the perpetrator side, it’s conceivable that a failure to adequately grapple with feelings triggers just such an internal crisis, that, unresolved, escalates to anger and the behaviour of violence which ensues. 

So, to conclude, I reckon kids need time to move through their experiences, feel what they need to feel, do what they need to do and then reflect, for themselves. In giving them the space to do this, we in fact give them the space to develop their own inner guide, their own self-regulation.  Once developed, these attributes, this quiet confidence, they carry for life. 

I could actually keep writing for a very long time about this, particularly the phenomenon of a “habit” and the power of it.  Habits dominate our day, they save our conscious mind, and provided we cultivate good ones, wow – that’s powerful.  Food for thought – for another The River’s Mouth!

Finally – just a wrap up from a few articles ago “Ode to the Bee Gees” about CPR, well it so happened that amazingly the person who had the cardiac arrest and received CPR did survive and he (Steve) got in touch with me after the event.  I was overjoyed to learn that he’s doing great.  ABC ran with the story.  Here’s the article and here’s a link to the video.  The experience spurred me to become a CPR trainer, so I’m moon lighting with the path to that.  And of course, looking forward to my next catch up with Steve! 

Dr Floyd Gomes