MAKE AN APPOINTMENT 03 9706 5560

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.

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

Carbon Monoxide Poisoning

Any gas appliance, especially if faulty or used incorrectly, has the potential to leak carbon dioxide.  This can cause a health risk, or even death, when used in enclosed or poorly ventilated areas such as inside the home or in a caravan.  Gas appliances include gas heaters, wood heaters or fireplaces, and equipment or items powered with a gas or petroleum engine.

Symptoms of carbon monoxide poisoning are non-specific and can be confused with other more common conditions. This increases the potential that carbon monoxide exposure is not identified by health professionals which may have serious or potentially fatal consequences.  Read the full Department of Health advisory: Carbon monoxide poisoning.

  • Carbon monoxide is an odourless, colourless gas. It is a combustion product made by burning substances such as petroleum products (eg. gas, oil, kerosene, diesel, petrol), wood and tobacco.
  • Very high levels of carbon monoxide can cause loss of consciousness, seizures and death.
  • Symptoms of carbon monoxide poisoning are non-specific and can be mistaken for flu-like illness or food poisoning. Symptoms may include headache, nausea and vomiting, skin flushing, muscle pain, weakness, shortness of breath, dizziness, coordination difficulties, confusion, or chest pain.
  • Sources of carbon monoxide may include:
      • gas heaters
      • wood fired heaters and decorative gas log fires
      • gas cooking appliances
      • barbeques, heat beads, and patio heaters
      • indoor hot water services
      • portable power generators
      • car exhausts
  • Any gas appliance can become faulty. Energy Safe Victoria recommends that all gas heaters are serviced and tested at least once every two years by a licensed or registered gasfitter. Refer to the Energy Safe Victoria’s safety alert list for models of open-flued gas heaters that should be checked by a qualified gas fitter immediately.
  • Medical professionals should be aware of symptoms that could suggest carbon monoxide poisoning and follow the recommendations in this Advisory.

Easter Activities at Atticus Health

Pictured Above: Dr Karande and Dr Ragunathan with a winner of our Easter colouring-in competition.

A very successful colouring competition and Easter Egg Hunt was held with students from Jindivick Primary School on Friday 8th April.  At least 50 students, mums and dads gathered in the garden of the clinic to see what the Easter Bunny had left them with Drs Karande and Ragunathan, Fiona the nurse, our receptionist Helen and clinic manager Toria looking on and helping to find that elusive egg.  The clinic staff had a great time as did the students and we are already plotting what Christmas might bring. Thanks to Jindivick Primary for joining us and Michelle for organising the colouring to be completed and dropped to the clinic. Our Hastings clinic hosted an Easter egg guessing contest as well as a colouring competition. Congratulations to Summer who won the jar of chocolates with a winning guess of 76 eggs.

Helen & Fiona share a moment with students from Jindivick Primary

Summer won our Easter egg competition with a guess of 76 eggs