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Atticus Health doctors inspiring the next generation of GPs

Atticus Health recognises the importance of education in shaping and progressing our society.

Dr Shish Malgwa is passionate about educating medical students and has recently accepted a position as University Lecturer within the Faculty of General Practice at Monash University.
He also regularly trains medical students in the clinic, and this interview with Roxana, his current medical student, really demostrates the value of learning from our dedicated GPs who share a common desire to understand and treat the entire person.

How to find gratitude, even in hard times

During a difficult time, gratitude is more important than ever. Research shows that gratitude can help us cope with traumatic events, regulate our negative emotions, and improve our well-being. More importantly, gratitude can have a positive effect on our friends and family too. It’s a small way to have a meaningful impact.

We may go through times when we feel high and low degrees of gratitude, and that’s only human nature.

It’s okay to feel angry and disappointed. It’s okay to wish things were different—that we were healthier, happier, or generally less lost in the world. If you’re having a tough time, stifling these negative emotions doesn’t make them go away and could actually be unhealthy. There have been numerous studies showing that when we regulate or ignore our emotions, we can experience short-term mental and physical reactions as well.

It might not be possible to feel grateful all the time, but I do believe it is possible to be grateful more often than not.

The opposite was true for me for many years, but I’ve shifted my ratio of grateful to ungrateful moments by adopting and reinforcing the following:-

  • Being thankful for the essentials — appreciating what I already have — has allowed me to live more simply. 
  • I used to worry more about what I didn’t have and seemed to constantly crave for these things. That changed when I figured out how to be thankful for what I have, and to be in the most important place – the present. There’s no better moment than the now. Practice gratitude to enable yourself to be entirely present.
  • When you focus on appreciating what you have, you feel less concerned about what you don’t have, and that can help to ease your mind. 

Now that I’m more accepting of myself and my life, I don’t compare myself to others and I take pride in paving my own path. It’s very liberating to do things that are best for me and my family, without trying to please the rest of the world.

Knowing that I have the essentials brings me relaxation and eases my mind. I’m also more at peace because I don’t add things that aren’t valuable to my life in order to avoid the stress they may bring.

I want to leave this world knowing that I tried to give people the best version of me, with the hope that they know how appreciative I am for them. Being around inspirational and joyful souls is contagious, and I aspire to be this type of person.

Practicing gratitude helps lift away worry because I recognise and appreciate that I have enough. It has led me to greater happiness and a better version of me. The same can happen for you.

Allow yourself to live simply and make life less complex, in as many ways possible; remove unneeded possessions & stop doing unimportant tasks.

Start each day with gratitude. There is always something to be thankful for — family and loved ones, breathing fresh air, drinking clean water and don’t forget to smile when thinking about these things; it’s a quick and easy way to fill your heart with gratitude and live in those extraordinary moments.

I’m Brett Thiedeman – Just an ordinary guy, focused, conscious and intentional about my learning, growth & being a change maker in my own life and the lives of others.

Did I miss something at 18?

When do you grow up?  I’ve often asked myself that question.  Is it 18 that I became an adult?  I don’t know but I don’t think so.  Sure, I’d like to believe that over the years, I’ve become more “responsible”, but apart from that, is there much difference from me then, as a kid, to me now, as an adult “kid”?

When I was a kid, I loved comics.  The reason I loved them is that they took me to another place, like perhaps novels do for those who read them.  For me, I equally loved the pictures, the art – so it was a natural fit.  And, what started as a hobby quickly became a bit of an obsession I must admit.  All the $20 a week working seven mornings I’d make being a paperboy, I spent on comics.  I remember I’d place my orders with Minotaur Books in Melbourne city, and mum would collect my stash during her hurried lunch break.  I’d rush to greet her when she got home.  My eyes would grow wide and gleaming as she took out that familiar brown paper bag out of her larger shopping bag.  And I’d stare at that book in awe.  Sometimes reading it, other times fanatically placing it straight into a transparent plastic bag, storing it in mint condition, as every true collector would appreciate.

I progressed to making my own comics at school.  I still remember being in primary school and selling a few to a friend.  Man, to be paid for producing something I loved doing – that felt really nice.  But it was hard work, and it took a lot of time to produce a comic.  Now, being a junior publisher myself, gave me an increasing respect for the comics I read.

Moving along, I can’t remember exactly when, but I had a peak experience as a child.  In my heyday as a comic enthusiast, I remember reading a particular comic, I believe it to be Spawn, by Todd McFarlane and I loved that art in particular so much that I flipped to the back of the comic, looked up where it was produced in America and penned a letter to the artist, stating exactly that.  That I was from Australia and just how much I loved his work.  Heart beating, I placed the letter in the post box.  Over six months passed and nothing happened, except school.  And then one day, something did happen – I got a letter from America, it was from Todd McFarlane.  He thanked me, and within his package, he sent me some bits of acetate containing rough sketches of his work – indeed, his comic in progress.  As simple as it was, this was one of the most affirming moments of my life.

Fast forward to today, we have a medical company and we’re launching a comic.  Why?  Well simply, because it merges these passions, indeed it gives me the impetus to write this article at 3:40am – so there must be something to it.  Comic characters can be influential.  People love a good hero.  Realising this, I reflected on medical marketing to date, which I have largely found to be either boring or scary or a combination of the two in variable measure.  So, a couple of years ago, I mused upon making posters for kids in the waiting room with a character – Dr Atticus.  It was a mission to believe that kids might be so entertained by the content that they would look up at the poster and actually ask questions about the comic panel, with sufficient curiosity that they would remember the message.  And that that message would help them make healthier choices in their life.  One of my favourite villains still in gestation was “Colossal Roly Poly”, the bad cholesterol.  I guess you could say, Dratticus creamed him!

Over the years, we’ve continued to expand on that thought and water it, and it has grown to reach this point.  Dr Atticus, has become Dratticus and Dratticus is about to be set free onto the real world.  Dratticus is a digital comic, printed comic and indeed real-life doctor superhero that you may actually find walking the streets of Melbourne.  And somewhere there, is a positive health message.  One of hope.

I’d like to thank all the people who have been involved in allowing me to bring this retained childhood passion to the real adult world as it is.  There are many, including my dear wife Nathalie who somehow puts up with living with six kids!

As part of our mission here, we have created a little shop called Dratticus Labs in Melbourne, where we’ll be stocking independent comics, producing Diamond Kind – our video/podcast series focusing on kindness under pressure and selling our healthy energy drink, e15 (that’s another story for another day!). Dratticus Labs then is a realm for the fusion of art, medicine and technology. It’s good to be able to support independent artists since, once again, it really does take great effort, commitment and time to produce a unique comic on a small scale and it can be considerably lonely on that path as life heckles you, sometimes daily, to relinquish creative risk.

And if it so happens then, that the whole affair – Dratticus – inspires a “kid” or two along the way, no matter their age, gives them reason to “have a go”, to dream, the permission to be themselves and the inspiration to be healthy, well then, it’s worth it.

You may enjoy social media and use it on a daily basis, but are you “addicted” to it?

Social media addiction is a behavioral disorder in which we become enthralled by social media and are unable to reduce or cease our consumption of online media despite clear negative consequences.

While social media can seem like mindless and relaxing fun, it actually has a significant effect on our brain. Whenever we log on to our favourite apps, dopamine signals in our brain increases.

These neurotransmitters are associated with pleasure. When we experience more dopamine after using social media, our brain identifies this activity as a rewarding one that we ought to repeat. I would feel this reaction whenever I made a post of my own and gained positive feedback.

The rush of dopamine we get from likes and comments is actually rewiring our brain to crave more social media. However I’ve learnt these positive feelings experienced during social media use are only temporary. On top of this, social media use can reduce quality time spent with loved ones. It can result in being less present in the moment, disappointment and low self esteem when posts aren’t “liked” or responded to, and unrealistic expectations of what your life should look like when most of what you see of others’ lives is holidays, good times and beautiful people.

I approach life with a “everything in moderation” mentality and this is no different with social media. I don’t believe it’s necessary to give up social media entirely and instead I subscribe to the ideal psychological outcome of controlled use.

Over the years, after consciously feeling the onset of my own social media addiction, I ran some personal experiments which have opened my eyes about my relationship to social media platforms. Through these experiments I have learnt and implemented a few strategies to maximise the benefit of these social apps while limiting the downsides.

My first experiment was a complete removal of all online social platforms from Friday night until Monday morning

Yup, no Facebook, or LinkedIn for 2 days. Once I decided to go all-in, it was surprisingly easier to do than I expected. Afterwards, I felt an instant relief, a sense of serenity and surprisingly a clearer mind.

My second experiment was turning off my Notifications

When I stopped notifications from disturbing my normal routine, I found it easier to concentrate on my daily tasks and not get distracted so easily. Notifications were a constant reminder that something is happening in the online world and it made me feel like I was missing out.

My third experiment was removing my phone from my morning routine

For many of us, the first thing we do in the morning is to check our phone. Avoid this!

The sudden huge quantity of content which hits us as we scroll is way too much for our mind to handle. It overwhelms and distractS us, and negatively impacts our ability to focus for the day ahead. I prefer to check my phone once I have had my coffee and settled into the day.

My fourth experiment was during lockdown in 2020, and this involved falling back in love with my hobbies

Setting aside time away from work and my phone, I was able to start playing the guitar again and exercising more. Over the last few years I have also started a new hobby which is listening to audio books. In giving myself back time I would have spent scrolling social media I was able to dedicate more time to learning new and cool things.

I hope some of these strategies can help you prevent an overreliance on social media before it becomes harmful.

If you do suspect you have social media addiction, there are many other ways you can treat it to increase your overall well-being. Don’t hesitate to reach out to your GP or mental health professional for help!

I’m Brett Thiedeman – Just an ordinary guyfocused, conscious and intentional about my learning, growth & being a change maker in my own life and the lives of others.

It’s a fine line between pleasure and pain

It’s fun to have sex, but it’s not fun to get a sexually transmitted infection.

That’s the fact.

The other fact is that these sexual critters such as syphilis and gonorrhoea, are on the rise, making a resurgence of sorts, in recent times. Atticus wants to help change that.

The reality is though, that some people find it awkward to visit a doctor in person and talk about sexually transmitted infections.  Fair enough, and for this reason, Telehealth is a great way to connect with a doctor and organise testing.

Remember also that although it’s ideal to avoid getting a sexually transmitted infection, it’s actually very common to get one.  Very common.  Symptoms could include itchiness, pain, discharge or irregular periods and if left untreated, some sexually transmitted infections can affect a woman’s ability to have children.  If you’ve got any concerns, jump online at Doctor in My Pocket and book in to talk to a doctor, get tested, treated, and find the best way forward.  Don’t leave it too late to help your body and stop the spread of any potential infection to someone else.

Even if you don’t have any symptoms, but would like to be screened, please feel free to book in.  Screening is an especially good idea since sometimes a person can have a sexually transmitted infection and not have any symptoms.  Screening involves a urine and blood test.

Summing things up, we would encourage all our patients, of any gender, to use our national Telehealth service, Doctor in My Pocket, to discuss anything to do with sexually transmitted infections.  Fortunately, there is now a Medicare rebate available for Telehealth services relating to sexually transmitted infections, which makes it very affordable.  Book in at www.doctorinmypocket.com.au.

Pressure Makes Diamonds

I was brought up in a busy, “spirited” family, where education and hard work was promoted to be the sure-fire way to “success”, the definition of that itself, not quite being so clear to me then. Being born in one of the poorest places in the world at the time, I can fully appreciate how this family ethos could have emerged.

In Australia, our backdoor was a typical, middle suburban type. A mission brown hollow, at a stretch semi-solid core with a textured opaque windowpane in the top half. But that’s where the resemblance to any typical backdoor ended. On its window there was a sticker. Bold black text, fluorescent background, it read – “If it is to be, it is up to me”. And every day, whether you liked it or not, before school, after school, anytime you crossed that way, you subconsciously absorbed that very mantra.

Self-belief. It’s a powerful thing.

Now the next question is, if “what” is to be? What do you want to make happen? I reckon I saw that sign too much, and a spirit of challenging the status quo, wherever I looked, beset me. I don’t even think I choose such a disposition as much as it feels like it became mine to own. I can’t help but want to change things where I see things that could benefit from change. If it is to be, it is up to me.

On a given day though, all of that has led me to simply think so much. Being a “doer” led me to want to do so much – to change things for the “better”, at least as far as my values can ascribe.

Yet like many people, I too seek to reconcile this with “the simple life”. I wish I could be “satisfied” with thinking less and doing less. I truly sometimes wish I could. That would give me more time to focus on things that are close to me, like my family, indeed. I love my family.

How do I do both?

And so, torn between these things, I feel pressure. Immense pressure sometimes. I feel pressure to be the best husband, the best father, the best son, the best doctor, the best leader, the best everything – I can be. If it is to be, it is up to me. That’s a personal mission, and pressure is the landscape it is set in.

Now from my writings so far and perhaps my life played out so far, it may become apparent that I don’t mind the pressure. In fact, I can say that I relish it. And the reason I relish it is because I believe in the quote, “Pressure makes diamonds”. Don’t get me wrong, there’s nothing macho about this, rather just that through pressure, I’m forced to make important decisions, and I find challenge and purpose in that – having to make choices. Through pressure, I discover things about myself and the world around me. In the moment.

Getting back to basics though, I reflect on family violence, and consider how much of that “pressure” associated with being “busy” that I’m a part of, contributes to the problem. Pressure brings the best and worst out of people. Family violence could be the worst. In the heat of a moment of pressure, we say things, we do things, that we may not mean to. That we later regret. And it’s not limited at all to our family. It may be at work, on the road, in the supermarket. Pressure can drive us to be aggressive and abusive.

Now, whilst I don’t mind pressure (pressure makes diamonds), I have always lamented at any times I myself have been aggressive as a consequence. Always.

The flip side is that during moments of great pressure, adrenaline often naturally flowing, when I’ve overcome any impulse to be aggressive, and made it through to the “other side”, and treated the world around me with gentleness and understanding, I’ve felt a sensation of calmness and mastery that sometimes made me literally shiver. I considered, metaphorically, that the pressure had made me the ultimate diamond. A kind diamond. That I had in fact become “Diamond Kind”.

I don’t know if I’m alone in my thinking. But I know that there is a lot of pressure out there, sometimes self-imposed, sometimes not. And I know that there’s a lot of aggression that comes out of that pressure. May I say, not just for men, rather – for anyone who is under pressure.
And so, I’d welcome anyone who has become a diamond under pressure, dare to be the sharpest diamond of all, cut through aggression, and emerge – Diamond Kind.

And that brings us to our critical junction. We are about to embark on a movement, interviewing anyone, man or woman, young or old, who can relate a moment in their life, that they were under pressure and chose to be Diamond Kind. So, if you know of anyone who fits the bill, who you believe is Diamond Kind – please email me – fgomes@atticushealth.com.au. We’d truly love to speak to them and share their moment.

3 myths about meditation and how you can get started

Despite the growing popularity of meditation, prevailing misconceptions about the practice are a barrier that prevents many of my family & friends from trying meditation and receiving its profound benefits for the body, mind, and spirit

So if you’ve ever found yourself saying, “I can’t meditate,” it might be time to revisit the practice with a deeper understanding of what meditation is really about.

Here are the 3 meditation myths that might prevent you from experiencing (like I have)  the life-changing benefits of the practice.

Myth #1: It takes years of dedicated practice to receive any benefits from meditation.

Truth: The benefits of meditation are both immediate and long-term. You can begin to experience benefits the first time you sit down to meditate and in the first few days of daily practice. Many scientific studies provide evidence that meditation has profound effects on the mind-body physiology within just weeks of practice. I found that as little as 2 weeks of meditation helped me to decrease stress levels, improved concentration (less procrastinating!) and feel calm; it also helped me to sleep soundly after daily meditation practice.

Myth #2: I don’t have enough time to meditate.

Truth: If you make meditation a priority, you will do it. I started with mediating for 5 minutes which is better than none. I encourage you not to talk yourself out of meditating just because it’s a bit late or you feel too sleepy. As I spend time meditating on a regular basis, I find I actually have more time.  In meditation, we are in a state of restful alertness that is extremely refreshing for the body and mind. As I stuck to my meditation ritual, I noticed that I was actually able to accomplish more while doing less (go figure). Instead of struggling to achieve my daily tasks, I spend more and more time in the flow.

Myth #3: Meditation is a spiritual or religious practice.

Truth: Meditation is a practice that takes me beyond the noise of my mind into a place of stillness and silence. It doesn’t require a specific spiritual belief.  Most of the  meditators I know have no particular religious beliefs. We meditate in order to experience inner quiet and the numerous physical and mental health benefits of the practice – including lowered blood pressure, stress reduction, and restful sleep.

Meditation has helped me to enrich my life. It has enabled me to enjoy whatever I’m doing in my life more fully and happily – whether that is working, playing sports or taking care of my son.

I recommend starting slowly. Start with just 5 minutes each day. Gradually increase the time over several weeks. When I started meditating, five minutes felt like an eternity. I now practice for 20 minutes a day, and sometimes I am surprised at how quickly it passes!

When it comes to different types of meditation classes, there’s definitely not a shortage. I recommend checking out Gabby Bernstein’s free Youtube guided meditations. Here’s one to get you started.

The advantage to guided meditations is that the narrator or teacher walks you through how to meditate, what to expect from your mind and body, and how you can apply what you learned in the meditation to your life. If your mind tends to wander during meditation, the guidance of an experienced teacher can help you focus and bring you back to the present moment.

I promise you that slowing yourself down for 5 minutes can begin to change your whole world dramatically. I don’t know anyone who wouldn’t like a bit more peace, focus, and clarity in their life, and it’s all here for us, right here, right now.

Namaste

Brett

I’m Brett Thiedeman – Just an ordinary guy focused, conscious and intentional about my learning, growth & being a change maker in my own life and the lives of others.

Farewell Dr Harry Imber

Dr Harry Imber has been working at William Street Clinic (more recently Atticus Health William Street) for 40 years, where he commenced there in partnership with Dr Kaz Czuba.  Harry will be retiring on 30 June 2021 and what a career it has been.

As a General Practitioner, Harry has always worked in the Melbourne CBD.  He has seen a variety of patients over the years, however, since working within the legal precinct of the city, Harry has accumulated many legal professionals as his patients.  Many solicitors, barristers, judges and QCs would know Harry and the work he has done over the years, and would be saying their goodbyes.

Our favourite observations about Harry include

  • His steadfast dedication and compassion. You can work in a job for many years and get tired.  Not Harry.  His vibrance and focus in his consult room, for each and every patient, has been ever present.
  • Running on time. Busy professionals in the city have relied on Harry to run on time, often so that they could get back to court.  Harry has maintained the uncanny knack of being thorough and running on time.  Not an easy feat for any GP to achieve.
  • Harry has been willing on every occasion to share his knowledge openly.  Within the larger group of Atticus Health, he has already proven himself to be a resource to junior doctors and we hope that this will continue post retirement.
  • His humility. There are only so many doctors who routinely put the rubbish out at a medical clinic.  Harry always did.  This is but one glimpse of the humility of the man.  To be professional, intelligent and humble, as Harry is, is rare.
  • His working relationship with reception, namely one Enza Percoco! What a delightful duo they have been.  We must admit that every time we have walked into William Street Clinic, it has felt like stepping into a classic sitcom where characters are set, conversations fly, but love always fills the room and wins the day.

With that said, from all of us at Atticus Health, we bid Dr Harry Imber a fond farewell and wish him all the best for a well-deserved retirement.  His demeanour and contribution as a doctor, colleague and friend will forever be remembered.

Time for a stretch!

By David Ronan – Physiotherapist

Whilst on the whole we have embraced working from home, it seems many of us are now spending more time at our desks and less time moving.

Having an ergonomic workstation setup and moving around every 30-45 minutes is the best way to try and avoid getting muscle pain and tension from prolonged desk work, however it is still good to have a few simple desk-based exercises to prevent muscle tension.

The following are a few quick stretches you can do throughout the day to help minimize those niggling pains.

Desk set up at home

Not everyone will have the perfect setup at home and for short periods of time it’s appropriate to make the best of what you have.

For those using a laptop at home the easiest thing you can do to dramatically improve your setup is to get an external keyboard and mouse to be used at desk level, and raise the laptop up on a box or something similar.

Shoulder blade squeezes

Try and squeeze your shoulder blades together and hold for about 5 seconds. This opens up your posture and gets blood flowing to muscles that have been static for long periods.

Forward stretch

This is the opposite movement to above and is a nice way to feel a stretch through your upper back muscles. Try and do immediately after the previous stretch for maximum benefit.

Neck stretch

Gently lean your head laterally and slightly forward to feel a nice stretch through neck muscles on the opposite side.

Hip Flexor stretches

Prolonged sitting can cause your hip flexors to become tight which can affect your lower back. A nice way to counter this is the stretch shown above, the stretch should be felt through the upper part of the thigh on the back leg.