fbpx
MAKE AN APPOINTMENT 03 9988 8200

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).

Spice For Life

As the Spice Girls once said, while no doubt singing about Indian Cuisine, “People of the world spice up your life, every boy and Pulitzer journalist, spice up your life.” Food & spices is all about memories, a fond remembrance of our childhood and especially for Indians living abroad, it’s like a feeling of homecoming aka “Food For The Soul”. Authentic cooking is not just about recreating dishes from your childhood but also improvising and incorporating new things to suit your lifestyle, dietary requirements and the produce available and imparting that love of food to your children. Ever since I could remember, food has been an integral part of all my childhood memories. It’s the one thing that ties us all together and enhances our emotions and experiences. It’s more than nourishment, it can be preventative towards many common ailments. Personally I believe that it’s much easier for the body to absorb something organic instead of relying on supplements and pain medications.

Growing up as a child who constantly fell sick, food was a source of comfort, of love and in latter years romance. I am sure we are all familiar with the saying, “The way to a man’s heart is through his stomach.” As a child, whenever I used to suffer from a cold and sore throat, my mum’s remedy was always a glass of warm milk, with turmeric, honey, cinnamon and a bit of ginger added to it and lo and behold it always worked wonders. We never knew how cough syrup tasted as we never had it. Turmeric is supposed to reduce inflammation in your body as it contains a substance called “curcumin” and it’s very effective in reducing pain and swelling for people with arthritis. Honey is soothing and ginger helps with your cough and clears up your sinuses. It’s also meant to settle an upset stomach and pregnancy related nausea. Even nowadays as an adult, every time I am sick, a cup of ginger tea and a glass of warm milk with the magic spices does the trick every time. Cinnamon has other health benefits too (other than just being delish) as it’s meant to lower blood sugar levels so it’s extremely beneficial to people with type 2 diabetes.

Another thing that comes to mind is I always used to see my mum sauteeing some garlic with chillies and a pinch of cayenne/chilli pepper powder in mustard oil and my dad would have it every day as he suffered from high cholesterol. I loved the smell of fried garlic wafting from the kitchen every afternoon and now when I sauté garlic, my kids would run downstairs to find out what’s cooking as they too associate it with something delicious. Chilli pepper contains capsaicin and it acts as a natural pain reliever. Among all the antiinflammatory ointments available, most contain capsaicin as it aids in relieving joint pain, whereas garlic intake keeps your arteries flexible and may reduce cholesterol and triglycerides.

Food and spices have always been more to me than just the source of sustenance. As soon as I breathe in those lovely aromas, it immediately takes me back to a far off land, back to my childhood, those balmy summer afternoons, those ominously beautiful thunderstorms and mum’s delicious lunches that I so eagerly awaited. If I close my eyes I could almost hear mum’s voice gently chiding me to eat some more. I think we can all relate and reminisce about those lovely bygone days.

Hearty Chicken Stew Recipe Incorporating All Those Lovely Spices

Ingredients:

  • 1 kg chicken with bones
  • Onions (2 roughly chopped)
  • Ginger (1 inch piece roughly sliced)
  • Garlic (1 whole roughly pounded)
  • Cinnamon (2 sticks)
  • Bay leaves (2-3)
  • Cloves (4-5)
  • Turmeric (half a teaspoon)

Method:

  1. Clean and debone chicken and put it in a large casserole full of water. 
  2. Add all the ingredients, cover with a lid and gently simmer for 35-40 mins. 

Enjoy!!

Aparna Pal
Satellite Operator

Diamond Kind with Jim Cargill

What is Diamond Kind?

Diamond Kind is a movement started by Atticus Health. Through this movement, we are dedicated to connecting with people of all walks of life, sharing their moments of personal adversity and learning together from those stories. The movement’s metaphorical title refers to how “pressure makes diamonds” and coming through that pressure with kindness.

The Video

Join us as Dr Floyd Gomes talks to Jim Cargill from Cargill Custom Guitars. He discusses with us how he started his career building guitars, running his workshop and his father, Merv Cargill.

What Does It Mean to Be an “Executive”?

I’ve been working in the city since July 2021 now, and I’ve been seeing a lot of patients who would be described as “executives”.

Now, I’ve not quite known what that meant, just rather the connotations of it. As a kid I thought of fancy cars, flash suit and big desk. As an adult, I thought of those things and added an expensive road bike, golf, and an important role with lots of stress.

Again, returning to the theme of working in the city, I’ve come to realise that “executives” actually come in various forms and types, and they don’t always fit the mould. It’s rather about what they accomplish. So, the question is – who REALLY is an executive? What does it all mean?

As a doctor learning about dementia, I was familiar with the term “executive functioning” since it can be diminished as part of that disease process. We studied it. I knew that executive functioning describes our ability to plan, organise, carry out tasks and regulate our thoughts and behaviours.

Going one step back, what does the word execute mean? Sure, we all likely know that it can mean to put to death, but what else does it mean? To carry out, complete, perform. To put (a plan, order, or course of action) into effect. Execute is a verb and a powerful one at that.

Putting things together, if based on merit alone, executives move up the ladder because they take the responsibility for getting things done. Taking thoughts, making plans and putting those plans successfully into action. And to get there takes high levels of executive functioning.

On reflection, my finding is that executive functioning can be honed and used by anyone with the idea of getting you closer to your goals, irrespective of whether you are officially an “executive” or not.

When I further researched executive functioning, I found three areas thought to be most important:

  1. Working memory. This is the ability to store bits of information for the period of seconds, whilst performing mental operations with that information. It helps with reasoning, learning and comprehension.
  2. Cognitive flexibility. This is the ability to adapt your behaviour in response to the environment. This allows you to switch tasks. It’s related to “fluid intelligence” and allows a person to problem solve more easily.
  3. Inhibitory control. This is the ability to limit automatic responses/impulses and create responses instead using attention and reasoning. This includes what is commonly thought of as “self control”.

I’m going to hone into area number three. Self-Control. The fact is, most executives, businesses, athletes and anyone intending on reaching a goal, requires a high level of self-control which, expressed differently, is discipline. Self-discipline. Failing to cultivate discipline will let anyone down. It separates successful businesses, since attending to detail requires discipline and a successful business is usually one that cares about the detail. Additionally, inhibitory control allows you to resist distraction, maintaining focus instead on your goal directed behaviours. In other words, self-control is strongly related to how much you can persevere with something until you get there.

Of course, discipline and persistence come more or less easily depending on your personality and your nature, but it can be learned or practised. One way or another – you need it to get there.

Bringing this all back to health. If your goal is improving your “health”, let’s face it, you’ll need to exercise, flex and grow your muscles of self-discipline and persistence. There’s no real bypassing that. The best way to practise? One day and one moment at a time. Find small ways first. Get some wins and you will soon boost your self-esteem. Once you feel forward motion, momentum – keep running with it. Then, you will increase that uncanny ability to take a plan and reliably bring it into the real world, through action. You will in fact get closer to being the ultimate executive – of your own life.

Dr. Floyd Gomes

Family Violence Quality Improvement Project

In Victoria, intimate partner violence is the leading contributor to death, disability and illness in women aged 15 to 44.

Now more than ever, general practice needs to play a vital role in identifying and responding to family violence. International researchers have estimated that a full-time GP sees up to five women per week experiencing underlying intimate partner violence. Most of the time, these GPs are unaware that the patient is experiencing these problems.

We understand starting the conversation can be challenging, but with the right tools and support we’re looking forward to joining the Family Violence Quality Improvement Project in conjunction with Professor Kelsey Hegarty’s team, from the University of Melbourne’s Safer Families Centre and North Western Melbourne Primary Health Network (NWMPHN).

If we can make a difference to someone else’s life, if they can draw some strength and confidence to believe they deserve better after having a conversation, it will give us tremendous hope.

Asking is the first step!