PVH Medical Team, Author at PVH Medical

Jan 25 Comments Off

Vices: what will you give up this February?

Posted by PVH Medical Team

We’ve all got our vices.

Some of us consume too much sugar, some of us drink too much alcohol, while others don’t exercise enough. The good news is there is help.

Febfast is an initiative where you can call time-out on alcohol, sugar or another vice of your choice, to support disadvantaged young people in Australia.

It’s the perfect excuse to kick-start the year with some good health and good will!

So, what vices will you focus on this February?

1. I’m giving up sugar!

Too many pavlovas, ice creams and sweet treats over the festive season? Is it time for a sugar holiday?

The issue

A lot of our energy intake now comes from processed and packaged food and drinks, like cereal and soft drinks. They often contain lots of added sugar, which isn’t great for our diet.

While eating sugar doesn’t directly cause diabetes, it can lead to weight gain if consumed in excess. Obesity is a risk factor for Type 2 diabetes – a chronic condition affecting over 1.7 million Australians.

What you can do

Challenge yourself this February to cut out the chocolate and cakes, and curb those cravings!

Some ideas to get you started: keep a food diary, check food labels before eating, swap soft drink for water, and up your intake of fresh fruit.

It’s also a good idea to chat to your doctor in Pascoe Vale before starting a diet. You could even make an appointment with Jessica Fuller, our accredited practising dietitian.

2. I’m giving up alcohol!

Are you ready for a break from the alcohol-drenched summer months and the over-indulgence of the silly season?

The issue

Alcohol is a depressant drug, which means it slows down the messages travelling between the brain and the body. There is no safe level of drug use – it always carries some risk.

Some long-term effects of alcohol use include high blood pressure, heart disease, depression and sexual health problems.

What you can do

Challenge yourself this February to banish beer and bubbles!

Some ideas to get you started: catch up over a coffee instead of at the pub, be the designated driver when you go out with your friends, and keep track of the money you’re saving by not drinking.

If you’re a regular or heavy drinker, it can be dangerous to reduce or quit alcohol on your own.

Your GP can refer you to treatment such as detox, medication and even counselling to help manage withdrawal symptoms.

3. I’m giving up Netflix!

Do you find that the only exercise you do is reaching for the remote control? Is it time to give Netflix the flick?

The issue

When you have an inactive lifestyle, your health is affected in many ways. For example, you burn fewer calories (meaning you’re more likely to gain weight), you may lose muscle strength and endurance, your bones may get weaker, and your immune system may not work as well.

By not getting regular exercise, you raise your risk of things like obesity, heart disease, high blood pressure, diabetes, high cholesterol, osteoporosis, stroke – the list goes on.

What you can do

Challenge yourself this February to turn off the TV and get off the couch!

Some ideas to get you started: keep a diary of how many hours you’ve ‘saved’ by doing other activities, take the stairs instead of the lift, park your car a bit further away (forcing you to walk a little further), and give your dog two walks a day rather than one.

One of the best things you can do to get active – especially if you’re just starting out – is to have a chat with our Pascoe Vale exercise physiologists.

Both Mike Fitzsimon and Aidan Rogers have a helpful approach that will ensure you get that extra spring in your step.

Got any questions about your vices or don’t know where to start? Chat to your healthcare professional today. It’s easy when you book an appointment online.

Source: Febfast, MedlinePlus

Note: This information is of a general nature only and should not be substituted for medical advice. It does not replace consultations with qualified healthcare professionals to meet your individual medical needs. Page last updated 25 January 2023.

Jan 24 Comments Off

Top 10 health checks

Posted by PVH Medical Team

There are lots of health checks and tests you can get to prevent disease and injury, and to stop things before they get worse.

But what kind of health checks and tests can you get at PVH Medical?

Here are the top 10.

1. A complete physical examination

Our Pascoe Vale doctors will assess you from head to toe, covering all the essentials like your vital signs, blood pressure, and body mass index (BMI). We’ll also look for things specific to your age, background and diet.

The older you get, the more often you should have a complete physical exam. We recommend one check every five years from the ages of around 20 to 45, every two years from 45 to 65, and every year thereafter.

2. Skin check

While it’s important to check your own skin, having a doctor regularly check over your skin could be lifesaving.

Melanoma and non-melanoma are big killers in Australia, and that’s why we recommended a skin check every couple of years, and every year once you turn 40 or you work outside.

3. Prostate check

This one is for the blokes.

Around 17,000 cases of prostate cancer are diagnosed each year in Australia. If you’re over age 50, come and talk to your doctor about possible screening options.

4. Colon exam

Colon or bowel cancer is the second most common form of cancer in Australia. That’s why it’s recommended that your colon health is tested from around the age of 40 upwards.

For many people, screening for bowel cancer involves a simple, at-home screening test. In fact, the government sends free test kits to those aged 50 to 74. But we can also help you in the clinic.

5. Blood pressure check

Blood pressure is the force that keeps blood moving through your arteries once it has been pumped from your heart. Finding out how hard your heart is working is super-important.

Ask your doctor to check your blood pressure every two years, or more regularly if you have high blood pressure.

6. Cholesterol

Your cholesterol level is one indicator of your risk of getting heart disease. While there are self-tests you can do for cholesterol, it’s best getting the help of a doctor who can look at your health holistically.

For example, we’ll consider a range of factors including your age, blood pressure, family history and diet, and suggest the best approach moving forwards.

7. Blood glucose levels

You may have seen the news reports about the growing diabetes problem in Australia, particularly type 2 diabetes. It’s a largely preventable disease if we do things like improve our diet and keep the extra kilos off.

You can check your risk of developing type 2 diabetes with this helpful calculator.

Early diagnosis, optimal treatment and continued management is key to reducing diabetes-related complications. And it can start with a simple blood glucose level check.

8. Cervical screening test (CST)

Cervical cancer is the growth of abnormal cells in the lining of the cervix.

Previously known as the Pap test, the CST is now only required once every five years for women aged 25 to 74.

9. Blood test

Having a blood test can help your doctor evaluate how well your organs (like your kidneys, liver, thyroid, and heart) are working. Blood tests can diagnose diseases and conditions such as cancer, coronary heart disease, diabetes, and STIs including HIV/AIDS. That’s why it’s such a crucial health check.

We can test your blood on-site so you don’t even need to leave the clinic!

10. Bone density test

Osteoporosis is a disease that reduces the density and quality of your bones. This causes a weakness of the skeleton and an increased risk of fracture. Talk to your doctor about your risk and if any tests are required.

We also run a program called Strong to the Bone which can help fight osteoporosis. You can share your test results with the exercise physiologists who lead the program.

Get checked out today!

So there you have it, the top 10 health checks at PVH Medical in Pascoe Vale.

Make an appointment today for the checks you need. As the saying goes, prevention is better than cure.

Note: This information is of a general nature only and should not be substituted for medical advice. It does not replace consultations with qualified healthcare professionals to meet your individual medical needs. Page last updated 24 January 2023.

Dec 09 Comments Off

How to drink responsibly this party season

Posted by PVH Medical Team

With Christmas and New Year’s Eve just around the corner, there are plenty of opportunities to drink alcohol.

While it’s OK to enjoy yourself during the silly season, it pays to drink responsibly. Here are some tips to help you be a responsible drinker.

1. Know your limits

Don’t drink too much, and don’t drink too quickly.

In practice, this basically looks like having one drink per hour, with a non-alcoholic drink like water in between drinks.

When you feel drunk, stop drinking.

2. Don’t drink and drive

If you have to drive, don’t drink.

Alcohol is a depressant drug that slows down your reaction speed, which means if you need to think and act quickly, you probably won’t be able to.

Make arrangements for how you’ll get home before you go out, like booking a taxi or Uber.

3. Avoid mixing alcohol and other drugs

This includes both prescription drugs and recreational drugs.

And, make sure you know how alcohol will react with any medications you’re on.

4. Use common sense

If it doesn’t sound like a good idea, it probably isn’t one.

If you’re not comfortable with the environment you’re in or are worried about bad things happening, just call it a night.

5. Do things differently

Mix things up – be the designated driver, carry bottles of water with you, or simply turn down an invite to a boozy party.

Your body will thank you for it!

Need help?

If you’ve tried drinking responsibly and it’s not working, you could have a drinking problem.

The easiest and quickest way to get help is to talk to someone about it. The sooner you open up about what you’re going through, the sooner you’ll start to feel a bit better.

For a confidential chat with one of our doctors, please make a booking today. You can easily make a booking online.

Source: reachout.com

Note: This information is of a general nature only and should not be substituted for medical advice. It does not replace consultations with qualified healthcare professionals to meet your individual medical needs. Page last updated 9 December 2022.

Dec 09 Comments Off

Fighting bowel cancer

Posted by PVH Medical Team

Bowel cancer is diagnosed in about 3,700 Victorians and over 12,500 Australians every year.

Also called colorectal cancer, this serious disease mostly affects people aged 50 and over. However, it can happen in younger people too.

Bowel cancer is the third deadliest cancer in men.

The good news is that if bowel cancer or its warning signs (polyps) are diagnosed early, it is often curable.

Symptoms of bowel cancer

In the early stages, bowel cancer often has no symptoms. This means that a person could have polyps or bowel cancer and not know it.

Some of the most common symptoms of bowel cancer are:

Blood or mucus in faeces or on toilet paper
An unexpected change in bowel habit (e.g. diarrhoea or constipation for no obvious reason)
general discomfort in the abdomen (feelings of bloating, fullness, pain, cramps)
constant tiredness
weakness and paleness.

Having these symptoms doesn’t mean that you have bowel cancer. If you’re experiencing these symptoms you should discuss them with your doctor at PVH Medical.

Screening for bowel cancer

90% of bowel cancers can be successfully treated. That is why screening is so important.

Bowel cancer screening is looking for early changes in the bowel lining, or signs of a bowel cancer in healthy people who do not have symptoms.

Screening can find polyps so they can be removed before they turn into cancer. It’s one of the most effective ways to prevent bowel cancer developing.

A simple home test could save your life

If you’re aged between 50 and 74, you’ll receive a free home testing kit from the government. Do the test – it could save your life.

If you don’t receive a kit, check this online calculator or call the National Bowel Cancer Screening Program Information Line on 1800 118 868 to see when you will.

The Cancer Council recommends doing a screening test every two years to protect yourself against bowel cancer.

Talk to us about bowel cancer

If you’re over 50 you should talk to us about the screening tests, so that any signs of bowel cancer can be picked up early.

We have both female and male doctors in Pascoe Vale to help you with any questions you may have.

Together, let’s fight bowel cancer!

Source: BetterHealth Channel and Cancer Council

Note: This information is of a general nature only and should not be substituted for medical advice. It does not replace consultations with qualified healthcare professionals to meet your individual medical needs. Page last updated 9 December 2022.

Nov 28 Comments Off

Healthy Christmas food swaps

Posted by PVH Medical Team

In the midst of summer and bathers season, a week of feasting may be the last thing you need.

With the lure of Christmas puddings and buffet-style abundance, adults will gain approximately half a kilogram on average over the Christmas period.

If you plan to cater an event this year, use these healthy substitutions for your favourite Christmas classics, and keep yourself in shape for the beach!

Out: Water crackers with pate and oil-based dips

In: Wholemeal pita crisps and chopped veggies with tzatziki, salsa, or homemade dips

Let’s face it – no one sticks with the recommended 20g serve when it comes to dips and pate!

And with 30-50% fat, these condiments can pack a calorie punch even before the mains and desserts arrive!

Yoghurt-based dips such as tzatziki, and tomato salsas, offer a much lighter alternative and contain less than 10% fat.

If you love dip varieties that are oil based, such as hummus, try making them yourself at home. Chances are you will use a lot less oil than commercial brands!

A good tip for reducing the fat content of a homemade dip is to swap 1/3 to 1/2 of the recommended oil content with water. Trust us, it still works!

The ‘vehicle’ for the dip is also important. Water crackers contain highly refined carbohydrates and very little nutritional value, so swap them for low GI homemade pita crisps and vitamin-packed veggie sticks.

Out: Traditional prawn cocktail

In: Summer prawn, avocado and mango lettuce cups

Prawns are a real treat, and are great to offer your guests as a light entrée on special occasions.

However, traditional prawn cocktail recipes for Christmas focus heavily on calorie-rich mayonnaise and sugary sauces like ketchup, which you may want to avoid.

Don’t panic – you can keep the prawns as a highlight, but just try serving them in a healthier way.

For example, a summer-inspired entrée of diced prawns, avocado, tomato, cucumber and mango sitting in fresh cos lettuce leaves, with a dash of salt and a squeeze of lemon or lime juice.

Out: Roast ham

In: Roast turkey

If you have high blood pressure, or are prone to fluid retention, beware of the Christmas ham! At 1,200mg sodium per 100g, roasted ham has over 100% more salt than turkey, as well as being slightly higher in saturated fat and sugars.

If you’ve never attempted a roast turkey before, it’s just like roasting a large chicken. Ask your supplier for guidance with regard to cooking time, but as a guide, Jamie Oliver recommends to weigh the turkey, and allow 20 minutes of cooking time per 500g.

For a festive flair, search for a stuffing recipe that contains dried fruits and nuts, and fresh herbs.

Out: Snags and steaks on the barbeque

In: Fish and seafood on the barbeque

The World Health Organisation published research in 2018 linking higher intakes of sausage meats and red meat with colorectal cancer.

Unfortunately, this research also showed that our great Aussie tradition of barbequing meats increases the health risk, by triggering the production of harmful carcinogens.

The good news is fish and seafood, particularly oily varieties such as salmon, contain beneficial antioxidants and nutrients such as Omega-3’s that protect our bodies against cancer and other diseases.

And, barbequing them does not produce carcinogens, so you can still enjoy the tradition!

Out: Pavlova with cream

In: Eton mess with yoghurt and berries

The great Aussie pav might seem like a ‘light’ dessert when compared to a Christmas fruit pudding. However, it can deliver a whole meal’s worth of calories in a single slice, particularly if it’s topped with a sweet whipped cream.

Keep the spirit of this dessert, but reduce the fat and sugar content by creating a healthy Eton mess, one of England’s best-loved desserts.

In individual glasses or a large glass bowl, layer crushed meringue (homemade or purchased), Greek yoghurt swirled with honey or jam, and fresh seasonal fruits such as nectarines, cherries, and berries.

In the spirit of Christmas, you might like to try soaking your fruit in brandy or Cointreau for 1 hour or overnight in the fridge.

Out: Fruit mince tarts

In: Scones with brandy-soaked dried fruit

Boozy dried fruit and Christmas go hand in hand, but if you are watching your waistline over the summer period, you might need to look beyond the traditional fruit mince pies to get your fix.

A basic scone contains far less butter than pastry shells, and can be an excellent vehicle for your brandy-soaked raisins, currents, dried apricots and mixed peel.

Simply add your soaked fruits to a traditional scone dough, mix it through, and bake as per recipe.

Simple Christmas recipes

Are you struggling to come up with your own nutritious Christmas recipes in time for the big day?

Here’s an easy Christmas side salad and healthy Christmas dessert.

1. Christmas colour salad

If you’re after a quick throw-together festive salad, then this is the one for you!

Combine sliced cherry tomatoes, basil leaves, chopped bocconcini and a simple dressing (olive oil, balsamic glaze, salt and pepper). Serve this as a side to any Christmas protein such as turkey.

2. Mango and passion fruit trifle cups

These desserts are as attractive as they are delicious!

First, combine 2 cups of natural Greek yoghurt with ¾ cup fresh passion fruit pulp. Optional – add 1tbs honey for sweetness.

Place a small dollop of yoghurt mix in your small serving glass, then layer with 1-2tbs toasted granola (homemade, or we suggest Carmen’s Fruit Free Muesli or Jordan’s Crunchy Oat Granola Extra Nutty).

Add another layer of yoghurt, then top with fresh diced mango. Finally, add your third layer of yoghurt, and top with frozen or fresh raspberries, shaved coconut and slivered almonds.

Confused by food?

If you have any questions about diet and nutrition, chat with your Pascoe Vale doctor or our resident dietitian, Jessica Fuller.

Have a happy and healthy Christmas!

Source: The Nutrition Code

Note: This information is of a general nature only and should not be substituted for medical advice. It does not replace consultations with qualified healthcare professionals to meet your individual medical needs. Last updated 28 November 2022.

Nov 28 Comments Off

Christmas operating hours 2022

Posted by PVH Medical Team

Season’s greetings!

Here are our operating hours over the festive season:

Saturday 24 December – 8am-1pm
Sunday 25 December – Closed
Monday 26 December – Closed
Tuesday 27 December – Closed
Saturday 31 December – 8am-1pm
Sunday 1 January – Closed
Monday 2 January – Closed.

On all other days, we’re open per our usual operating hours – that’s Monday to Friday 8am-9pm, Saturday 8am-5pm and Sunday 9.30am-1.30pm.

In the case of an emergency, always call 000.

We wish all our patients and their families a very merry Christmas and a happy and healthy new year. Thank you for your ongoing support and letting us take care of your health needs.

We look forward to seeing you again in the new year!

Nov 28 Comments Off

What’s the keto diet?

Posted by PVH Medical Team

You may have heard people refer to ‘keto’ or the ‘keto diet’. But what exactly is it?

In this article, we’ll summarise the main things you need to know.

Introducing the keto diet

The ketogenic or keto diet was originally developed in the 1920s to treat children with epilepsy.

It involves achieving the following daily energy requirements:

70% fat
20% protein
10% carbohydrate.

On this diet, you have to restrict your intake of carbs to about 20-50g per day.

According to the Australian Dietary Guidelines, typical carbohydrate intake ranges from 240-350g per day for males and 170-240g per day for women.

As you can see, there’s a big difference with the keto diet.

How does the keto diet work?

Supposedly, this diet will encourage your body to become more efficient at burning fats – including dietary intake and body fat reserves.

There are no set caloric targets or serving size limits for this diet. This is because the satiating effect of high fat/protein meals, coupled with the effect of ketosis on reducing appetite, naturally restricts food intake.

Ketosis occurs when your body switches from using carbohydrates to using stored body fat as the main energy source.

What foods are off limits?

All grains and grain products
Starchy vegetables like potatoes
Legumes
Fruit (except berries)
Cow’s milk.

What foods are encouraged?

Oils
Nuts
Seeds
Avocado
Salmon and fish
Coconut
Meat and poultry
Full fat dairy (except milk)
Eggs
Non-starchy vegetables
Berries.

Most keto diet guidelines do not distinguish between ‘healthy’ and ‘unhealthy’ fats. For example, heavy cream and avocado are encouraged equally, and processed meats are accepted.

What are the effects of a keto diet?

Low-carb diets like keto can be incredibly effective for weight loss, with results usually surpassing traditional calorie-restricted diets in the short term.

This may have to do with the high satiety factor of proteins and healthy fats, and the ketosis effect of lowering appetite.

Weight loss aside, low-carb diets seem to have a competitive edge when it comes to lowering blood sugar levels, increasing HDL (‘good’ cholesterol), and reducing triglyceride levels.

However, the keto diet can be incredibly restrictive – eliminating entire food groups such as wholegrains, legumes, starchy vegetables, most fruits and most dairy.

What’s more, these ‘banned’ foods offer essential nutrients such as calcium, pre-biotics, magnesium and fibre.

So, if you don’t plan your low-carb diet carefully, you may end up with a deficiency, compromised bowel health and constipation.

There are other possible short-term negative effects of a keto diet as well, including:

Fatigue
Headache
Bad breath
Nausea
Dizziness
Dehydration
Poor sleep
Cravings
Poor exercise tolerance
Compromised immunity.

Some people may also experience an increase in their LDL (‘bad’) cholesterol, particularly when increasing intake of saturated fats from fatty red meat, processed meat, cheese, butter and cream.

Is keto for me?

Evidence shows that the diet may be suitable for some people with certain medical conditions. However, there is very limited evidence that healthy people should use it as a long-term diet.

If you choose to go on a ketogenic diet, it’s best to be under the supervision of a doctor or an accredited practising dietitian like Jessica Fuller.

As always, chat to us if you have any questions.

Source: The Nutrition Code here and here, and Healthdirect

Note: This information is of a general nature only and should not be substituted for medical advice. It does not replace consultations with qualified healthcare professionals to meet your individual medical needs. Last updated 28 November 2022.

Oct 26 Comments Off

The Strong Room – our specialised gym in Pascoe Vale

Posted by PVH Medical Team

At PVH Medical, we understand that exercising and working towards optimal health can be hard.

Life is busy. Sometimes we get sick. And sometimes we get injured.

Fortunately, we have a fully equipped gym called The Strong Room and some caring professionals to help you with any challenges you face.

The Strong Room is different to big, unfriendly gyms where you’re left to your own devices. Our health professionals work with you, your needs, and your abilities to offer different solutions to achieve your goals.

Here’s what some of our team have to say.

Physiotherapist Naveena Seethapathy

How do you use The Strong Room?

It’s great to have access to a large space for our rehab. Physiotherapy can involve some one-on-one manual (hands-on) work which we do in our dedicated clinical rooms.

When it comes to rehab there’s only so much you can do with rubber bands in a small room. The Strong Room allows me to find safe loads to build strength, flexibility and capacity in my clients as they overcome their injuries.

What can you help people with?

I’m here for you when you’re sore. Any musculoskeletal and sporting injury, really.

I work closely with exercise physiologists Mike and Aidan a lot where initially a client comes to me with an acute injury – pain. We then work on diagnosis and commence therapy to get on top of that early pain.

As a client’s rehab progresses they will often move over to Mike and Aidan for further exercise therapy/rehab. This is where they can focus on bigger-picture movements, activities and exercises, usually doing an individualised program in a group setting.

I can also help people with returning to sports after an injury, injuries sustained at work, road traffic accidents, as well as improving performance.

How do people find you?

Upstairs at PVH Medical! You can book your appointments on the PVH Medical website, on HotDoc or by calling the reception team on 9304 0500.

Exercise Physiologist (EP) Mike Fitzsimon

How do you use The Strong Room?

The Strong Room is my clinical ‘home’. As the exercise physiologist (EP) at PVH Medical my priority is enabling our community to experience their own personal journey of self-discovery through exercise.

The Strong Room is an innovative, safe and enjoyable place to learn how to condition your body and mind with evidence-based exercise.

I consult one-on-one with people injured, needing assistance managing chronic disease (such as diabetes, arthritis, depression and so many more) and those looking to re-engage with exercise again after falling off the wagon.

I also run group exercise classes in The Strong Room where a small group of people perform their individualised plan. The groups are heaps of fun and a great place to work out, get healthy, get better and connect with other like-minded people.

Some of our classes are targeted for specific people. For example, we run Strong To The Bone for those at risk of falls and fractures relating to decreased muscle and bone strength.

All classes are really inclusive, with each participant completing their personal programs for weight loss, increased strength, managing persistent pain, anything and everything that exercise can have a positive influence on (which is pretty much everything!).

The pilates reformers are also handy tools for us to adjust the load we place on our bodies for rehab. Very useful.

I also use our Wii Fit Balance board and force platform. For those needing variety, we can use technology to enable improvements in lower limb conditioning and improved balance. This is useful for those clients with specific balance deficits or lower limb issues.

What can you help people with?

The list is so long. The right exercises are needed to assist with pretty much any health or lifestyle condition. If we just look at the eight most common chronic conditions – which together affect a staggering 50% of Australians – exercise has proven benefits for all of them.

These include cancer, cardiovascular disease, mental health, arthritis, back pain, lung disease, asthma and diabetes.

Chances are if you’re looking to achieve a goal that is health, fitness or wellness related, I can help you get there.

How do people find you?

You can phone 9304 0500, book on HotDoc or on the PVH Medical website. I have hours available during the day as well as after hours for those trying to fit work, life, kids and grandkids around their schedules.

Podiatrist Hannah Moloney

How do you use The Strong Room?

For us podiatrists, we use the space in The Strong Room to complete gait (movement) assessments on the treadmill where we record people walking and running, and work out why they are suffering and implement changes from there.

Often these changes are relating to building strength in lower limb muscles. There’s plenty of steps, weights, balance mats and other equipment where we can get started.

Using video capture we can really slow down and get detailed running gait analysis. We can use this as part of our assessments and to re-train movement patterns as well.

I’m also a keen runner myself. The Strong Room is a great place for me to personally rehab any niggles that hit me!

What can you help people with?

A lot! Lower limb, foot and ankle issues. Podiatrists see plenty of people with foot, heel and ankle pain but that’s not all.

We have heaps of experience (as well as evidence) that the interventions we use including strengthening muscles, footwear prescription and orthotics are beneficial for knee pain, shin pain and even hip pain.

I have a passion to help out runners as well. The treadmill in The Strong Room allows us to do some gait re-training where we can adjust and coach technique to reduce pain from injuries, risk of injuries and even lean towards enhancing performance.

How do people find you?

You can book by calling the lovely reception team on 9304 0500, visiting the PVH Medical website or via the HotDoc app on your smartphone.

Oct 22 Comments Off

The best ways to manage hay fever

Posted by PVH Medical Team

Countless people across Melbourne suffer from hay fever. Are you one of them?

Medically known as allergic rhinitis, hay fever causes cold-like signs and symptoms. This can include things like runny nose, itchy eyes, congestion, sneezing and sinus pressure.

However, unlike a cold, hay fever isn’t caused by a virus.

Hay fever is caused by the nose and/or eyes coming into contact with environmental allergens, like pollen, dust mites, mould and even animal hair.

How do you manage hay fever?

The first thing you need to do is identify the allergens causing the symptoms.

In some cases the cause may be obvious. But in other cases, your Pascoe Vale doctor will need to consider your medical history and possibly order tests or a referral to a specialist in difficult cases.

Some medications may help relieve the symptoms of hay fever, such as:

Nasal sprays
Antihistamines (like Telfast and Claratyne)
Eye drops.

Some medications need a prescription while others don’t. It’s always best to ask your GP for advice.

How can you reduce symptoms?

There are ways to prevent or limit your hay fever symptoms, including:

In your garden, choose plants that are pollinated by birds or insects, rather than plants that release their seeds into the air
Splash your eyes often with cold water to flush out any allergen
Reduce your exposure to dust and dust mites, animals and animal hair or fur.

If you’re allergic to grass pollen, it can be difficult to avoid. However, when pollen levels are high the following advice may help:

Avoid being outdoors on very windy days and when there are thunderstorms
Avoid activities known to cause exposure to pollen, such as mowing grass
Shower after outdoor activities
Use re-circulated air in the car
Wear sunglasses
Dry your bedding and clothing inside.

Stay informed about pollen

It’s now easier than ever to know when the high pollen days are.

Just check this website or download the Melbourne Pollen Count app on your phone.

Does hay fever only affect people in spring?

Most people associate hay fever with spring, when airborne grass pollens are at their peak. This is known as seasonal allergic rhinitis or spring hay fever.

However, hay fever can occur at any time of the year. When symptoms occur all year round, this is known as perennial allergic rhinitis. This is usually caused by a reaction to allergens around the home, like dust mites and animal hair.

Hay fever or COVID-19?

Both hay fever and COVID-19 include respiratory symptoms. So, it’s easy to get them confused.

If you have respiratory symptoms and aren’t sure if it’s hay fever or COVID-19, do a rapid antigen test (RAT) and see if you test positive to COVID-19.

If that’s all clear, make an appointment to see your doctor to determine the best course of action for your hay fever symptoms.

Get help for hay fever

If you suffer from persistent hay fever, have a chat with us about the best ways to manage it.

Spring is a beautiful season and we’d like to help you enjoy it!

Source: BetterHealth and ABC

Note: This information is of a general nature only and should not be substituted for medical advice. It does not replace consultations with qualified healthcare professionals to meet your individual medical needs. Page last updated 22 October 2022.

Oct 21 Comments Off

COVID-19 vaccine booster update

Posted by PVH Medical Team

Here’s the latest information about COVID-19 vaccine boosters at PVH Medical.

Stay protected with a booster (third dose)

It’s recommended that everyone aged 16 and over has a third COVID-19 vaccine dose, known as a booster. Just note that we’re only giving boosters to people aged 18 and over.

The booster is due three months after your second vaccine was given.

To find out when you’re due, access myGov or look at your vaccination certificate. Simply add three months to the date showing (your second vaccine dose).

Second booster dose (fourth dose) available for certain groups

It’s recommended you get a second COVID-19 booster if you had your initial booster at least three months ago and you are either:

50 years or older, or
a resident of an aged care or disability care facility, or
Aboriginal or Torres Strait Islander and aged 50 years or older, or
16 years or older, and have a medical condition that increases the risk of severe COVID-19 illness, including:
- reduced immune function due to illness or medication
- recent or current cancer
- chronic inflammatory conditions requiring disease modifying anti-rheumatic drugs (DMARDs) or immune-suppressive or immunomodulatory therapies
- chronic lung disease
- chronic liver disease
- severe chronic kidney disease (stage 4 or 5)
- chronic neurological disease
- diabetes mellitus requiring medication
- chronic cardiac disease
- people with disability with significant or complex health needs or multiple comorbidities which increased risk of poor outcome from COVID-19
- severe obesity with BMI ≥ 40
- severe underweight with BMI < 16.5.

Your doctor can help determine your eligibility if you’re unsure.

If you’re aged 30-49 you can choose to have a second booster. Again, chat with your doctor if you have any questions.

If you’re healthy and aged 16 to 29, and you do not fall into one of the above categories, a second booster is not recommended at this stage.

Vaccine availability

We have the Moderna bivalent vaccine for use as a booster dose. Other vaccines may be available at state vaccination centres and pharmacies.

We’re no longer running special vaccine clinics. Instead, simply call us and let us know you want to book in for a COVID-19 vaccine.

Recently had COVID-19?

You’re advised to wait three months after your COVID-19 illness, before you have your booster. Make a note in your diary so you don’t forget about booking in!

You can read more about the COVID-19 vaccine roll-out at PVH Medical or give us a call on 9304 0500 if you have any questions.

Note: This information is of a general nature only and should not be substituted for medical advice. It does not replace consultations with qualified healthcare professionals to meet your individual medical needs. Page last updated 20 October 2022.

Oct 21 Comments Off

1. The vaccines arrived so fast. How do I know they’re safe?

COVID-19 vaccines went through the same safety checks as other vaccines. Rather than the science being sped up, the administrative and funding processes have been fast-tracked.

2. What are the side effects, and should I worry?

It’s normal to experience mild side effects. The most common ones include pain at the injection site, tiredness, headache, muscle pain, chills, joint pain and fever. These side effects are temporary and go away without treatment in 1-2 days.

Severe reactions to vaccines are very rare. Health experts are closely monitoring this.

3. Can you get COVID-19 from a COVID-19 vaccine?

No, you can’t. To get COVID-19, a live virus that can multiply in your body has to infect you. No vaccine supplied currently in the world contains live coronavirus.

4. Is it free?

Yes, COVID-19 vaccines are free for everyone in Australia, as per Australian government policy.

5. Can I choose which COVID-19 vaccine I get?

We’re offering the Moderna vaccine booster for people aged 18 and over, as long as you’ve already had your first two doses of COVID-19 vaccine.

If you have any questions, please make an appointment with your usual doctor beforehand.

6. What’s the Novavax vaccine?

Novavax is a protein-based vaccine. Even though it’s a little different to the Moderna vaccine, it ultimately helps protect you against COVID-19.

We’re not currently offering the Novavax vaccine.

7. Can I switch the kind of vaccine I receive?

It’s possible to switch vaccines if necessary. Please talk to your doctor.

8. Is a COVID-19 booster necessary, and if so, when should I have it?

Research shows that boosters don’t simply top up immunity – they elevate protection well above the peak level from two doses. So, it’s very important you get your booster shot.

You should have your first booster (i.e. third dose) about three months after your second dose of the COVID-19 vaccine.

There’s also a second booster (i.e. fourth dose) for certain people, and you can have this three months after receiving your first booster.

9. Can I get the vaccine if I’ve recently had other vaccinations, such as the flu jab?

COVID-19 vaccines can be given with other vaccines, including at the same time as the flu vaccine, or they can be separated if you prefer.

You can chat with your GP for more information when getting your routine vaccinations.

10. Will the COVID-19 vaccines be effective on new variants of the virus?

Current evidence from clinical trials indicates that the antibodies induced from COVID-19 vaccines are likely to provide protection to a variety of mutations and minor changes.

However, in some cases there may be an impact on how antibody developed from vaccines based on the original strain can ‘neutralise’ the virus.

This may mean that the effectiveness of the current vaccines against this particular strain could be affected. This information is still emerging and is being closely monitored.

In the same way that the influenza vaccine changes each season, the technology used to create the COVID-19 vaccines may be able to be adapted to changes in variants.

How to book

You can book in for a vaccine by calling 9304 0500.

If you book online, we can’t guarantee we’ll have enough supply on the day.

More information

If you’d like to find out more, take a read of these frequently asked questions. Or, make a booking with your GP and they’d be glad to answer your questions!

Source: Australian Government, SA Health, NCIRS, ABC

Note: This information is of a general nature only and should not be substituted for medical advice. It does not replace consultations with qualified healthcare professionals to meet your individual medical needs. Page last updated 20 October 2022.

Sep 24 Comments Off

Look after your mental health

Posted by PVH Medical Team

Did you know that one in five Australians are affected by mental illness?

Unfortunately, many of us don’t seek help because of stigma.

What is mental illness?

Mental illness is a general term for a group of illnesses that affect the mind or brain.

These illnesses, which include bipolar disorder, depression, schizophrenia, anxiety and personality disorders, affect the way a person thinks, feels and acts.

The exact cause of mental illness is unknown. What is known is that mental illness is not a character fault, weakness or something inherently ‘wrong’ with a person.

It is an illness like any other.

Mental illness is very common

One in five Australians aged 16-85 experience a mental illness in any year.

The most common mental illnesses are depression, anxiety and substance use disorder.

Mental health or physical health?

Historically, mental health and physical health were separated. Currently, we understand that mental health and physical health are interconnected.

If we’re in pain, we could be distressed, anxious or depressed. If we have a panic attack, we might have difficulty exercising, sleeping or relaxing.

Whatever the primary health issue and its severity, other health factors often come into play.

There are many ways our health and well-being can be supported, including:

Breath work
Diet
Exercise
Meditation
Relaxation
Self-talk
Sleep
Social connection
Purpose/meaning.

Is mental illness treatable?

Yes, mental illness can be treated. Many people who have mental illness can recover completely while others manage their illness very well.

The most important step is to seek help. See your Pascoe Vale doctor in the first instance.

How to get help

A GP can provide treatment or refer you to a specialist, like a psychologist, for extra help. Note, however, that you don’t need a referral to see a psychologist.

Effective treatments are available and early identification and care can reduce harm and improve quality of life. If you’re uncertain or nervous about speaking to one of our GPs, you’re welcome to take a friend or family member with you.

Let your GP know if you’re getting help from anyone else, such as other doctors, self-help groups, family and friends, or natural therapists.

Remember to provide your GP with your full list of medications (including over-the-counter medications, vitamins and natural therapies). Also, ask your GP for a general health check to see what else might be adding to the way you feel.

Raising awareness for mental health

October is Mental Health Awareness Month.

To help raise awareness for mental health, Black Dog Institute runs One Foot Forward – the walk for mental health. You can also access their free digital tools and apps which have been tested through research trials.

In addition to Black Dog Institute, organisations including Headspace, Beyond Blue and Dementia Australia provide evidence-based information, support, advice and research on a wide range of mental health-related issues.

We’re here for you every day

If you need help, please make a booking with us. We’re open 7 days a week to give you all the support you need.

Source: Mental Health Australia, World Mental Health Day and Mental Health Foundation Australia

Note: This information is of a general nature only and should not be substituted for medical advice. It does not replace consultations with qualified healthcare professionals to meet your individual medical needs.

Sep 24 Comments Off

Stress and how to manage it

Posted by PVH Medical Team

Stress is your body’s way of responding to any kind of demand or pressure.

The amount of stress you feel can depend on your attitude to a particular situation. An event that may be extremely stressful for one person can be a mere hiccup for another person.

When the term ‘stress’ is used in a clinical sense, it refers to a situation that causes discomfort and distress for a person and can lead to other mental health problems, such as anxiety and depression.

Feelings of stress can affect all of us

You may feel under pressure to do something and fear you may fail. The more important the outcome, the more stressed you feel.

You can feel stressed by external situations (too much work, children misbehaving) and by internal triggers (the way you think about external situations).

It’s not always a bad thing

Some people thrive on stress and even need it to get things done. For example, a small amount of stress, like meeting a deadline, can actually be helpful.

Signs of stress

There are some signs which indicate our stress levels are affecting us in a negative way:

Feeling overwhelmed and unable to cope
Feeling ‘on edge’ or unable to stop worrying
Difficulty sleeping, fatigue and exhaustion
Changes in appetite
Physical reactions such as headaches, muscle tension, upset stomach, and difficulty concentrating
Changes in mood and irritability
Withdrawal from friends and family
Thoughts of suicide
Reliance on alcohol or other substances to cope.

Effects of stress

Stress affects us in many ways, including:

Emotionally – anxiety, depression, tension, anger
The way we think – poor concentration, forgetfulness, indecisiveness, apathy, hopelessness
Behaviourally – increased drinking and smoking, insomnia, accident proneness, weight problems, obsessive-compulsive behaviour, nervousness, gambling.

Stress may also contribute to physical illness such as cardiovascular disease. When stress turns into a serious illness, it’s important to get professional help as soon as possible.

How to manage stress

The old saying ‘prevention is better than cure’ is certainly true for stress management. It can help if you:

Exercise regularly – regular exercise is a great way to manage stress. You should do some form of exercise that causes you to feel puffed afterwards – a leisurely stroll to the bus stop is not enough! Have at least 20 minutes of exercise three times a week
Avoid conflict – avoid situations that make you feel stressed such as unnecessary arguments and conflict (although ignoring a problem is not always the best way to reduce stress). Assertiveness is fine but becoming distressed is not
Relax – give yourself some time to relax each day and try to spend time with people who make you feel good about yourself
Eat well – a nutritious diet is important. Eat plenty of fresh fruit and vegetables and avoid sweet and fatty foods
Sleep – a good sleep routine is essential. If you have difficulty falling asleep, do something calm and relaxing before you go to bed like listening to music or reading
Enjoy your life – it’s important to make time to have some fun and to get a balance in your life.

How to get help

Start with your Pascoe Vale GP for a check-up.

Your GP may refer you for some specialised help. This may include a member of our on-site allied health team such as a psychologist, physiotherapist or exercise physiologist.

There are also some great support services available, such as Lifeline.

The sooner you seek help, the sooner you can get on top of your stress levels and feel more equipped to cope.

Keep reading

Source: BetterHealth Channel and Lifeline

Note: This information is of a general nature only and should not be substituted for medical advice. It does not replace consultations with qualified healthcare professionals to meet your individual medical needs. Page last updated 24 September 2022.

Sep 24 Comments Off

Understanding anxiety disorders

Posted by PVH Medical Team

Anxiety disorders are common mental health problems that affect many people.

Approximately 25% of the population have an anxiety disorder that warrants treatment at some time in their life. Up to another 25% have less severe anxieties such as fear of spiders.

Having an anxiety disorder isn’t the end of the world. It’s the first step towards a solution, as anxiety disorders are among the most treatable and manageable of all mental health problems.

With the right support, you can learn to manage your anxiety and stop it taking over your life.

What is anxiety?

It’s extreme worry that interferes with our daily lives.

Symptoms include panic attacks, physical fear reactions and attempts to avoid the situation.

Anxiety disorders can lead to social isolation and depression. But the good news is help is available.

What types of anxiety are there?

There are several types of anxiety disorders, and some of these are listed below.

Your PVH Medical healthcare professional can help you to identify your symptoms.

Depression
Generalised anxiety disorder (GAD)
Obsessive compulsive disorder (OCD)
Post-traumatic stress disorder (PTSD)
Panic disorder
Body dysmorphic disorder
Phobias
Social anxiety disorder.

You can read more information about the types of anxiety disorders here.

Generalised anxiety disorder (GAD)

GAD is excessive anxiety and worry, occurring more days than not for at least six months, about things like work or study performance, health, finances and family issues.

The worries are often about a variety of minor issues and events that are unlikely to occur.

GAD affects about 5% of the population. The onset of GAD can be at a relatively early age, with one-third of people with GAD experiencing onset in childhood or adolescence.

GAD is often chronic, but may have only a moderate impact on a person’s ability to function in daily life. Therefore, it often remains undetected.

Some symptoms of GAD include:

Restlessness or feeling on edge
Being easily fatigued
Difficulty in concentrating or mind going blank
Irritability
Muscle tension
Shallow, uneven breathing
Sleep disturbance.

This checklist can help you determine if you’re experiencing symptoms of GAD.

Tips for managing anxiety during the COVID-19 pandemic

Even if you’re not typically an anxious person, it’s common to feel some anxiety during periods of change or uncertainty like during the pandemic.

Here are some practical ways that you can keep feelings of anxiety at bay if you’re starting to feel overwhelmed.

Channel your anxious energy into action, i.e. get informed and make a plan
Limit or avoid unhelpful media and misinformation
Cut down or stop the behaviours that are fuelling your anxiety
Stay focused on the here and now, taking each day step by step
Be aware of negative thoughts and don’t give them too much power
Look after your body
Stay connected with others
Help other people, be kind and compassionate
Take a breath
If you’re feeling like you’re not coping, get professional help.

For more information about these tips, head over to Black Dog Institute.

Help is at hand

Our team of psychologists and doctors in Pascoe Vale can support you with anxiety disorders. If you need help, please make a booking today.

1. Cut down on stress

Untreated stress can lead to serious illness.

Whether you tackle stress through exercise, meditation, leaving work on time, getting more organised or any other method, everyone can benefit from cutting stress from their lives.

We know that reducing stress is sometimes easier said than done, which is why our team of healthcare staff is here to help.

2. Get more sleep

Lack of sleep can lead to serious medical conditions such as obesity, heart disease, high blood pressure and diabetes.

Consider introducing a nightly routine where you turn lights off and get ready for bed 30 minutes before you want to sleep. And avoid watching nail-biting Netflix shows late at night!

3. Eat well

No, you don’t need to go on a fad diet or totally quit sugar. Trying to eat more vegies and home-cooked meals is a better approach.

Like anything, it comes down to planning and changing your habits.

If cooking isn’t your thing, make use of meal subscription services like Marley Spoon or Hello Fresh, or sign up for fruit and vegie delivery to make sure you always have fresh, healthy food on hand.

4. Do more exercise

Even little bursts of activity — such as a daily 15-minute power walk — can have big health and mood benefits.

Try walking to work or take a couple of laps around the block in your lunch break, or try a fun new activity like indoor rock climbing that will help you get active without seeming like a chore.

Need help with exercise? Then consider exercise physiology in Pascoe Vale and have a chat with one of our exercise physiologists, Mike Fitzsimon and Aidan Rogers.

5. Get vaccinated

A COVID-19 vaccination helps reduce the severity of COVID-19.

Getting vaccinated can also protect people around you, particularly those at increased risk of severe illness from COVID-19, like the elderly.

6. Read more

Reading has been found to reduce stress and boost memory, focus and concentration, so make a list of books you want to read and stick to it.

Consider joining a book club if you think you’ll need more of an incentive to hit your reading target.

7. Travel

Traveling can get you out of your comfort zone, and that’s a good thing.

Luckily, you don’t have to travel far to have a good time. Pick a location in Victoria you’ve never been to before, program the GPS and head off for a weekend adventure.

Just remember to book ahead to avoid disappointment. And if you’re heading overseas, don’t forget to come see us for your travel vaccines!

8. Log off

Studies show excessive screen time can disrupt sleep and contribute to anxiety and stress, so make yourself a daily digital curfew and stick to it.

If you work from home, this is even more important.

9. Eat breakfast

It’s the most important meal of the day.

So, do your mind and metabolism a favour and make time for a healthy breakfast each morning.

10. See your doctor

Your relationship with your doctor is one of the most beneficial you will have over your lifetime.

Regular health checks with your doctor can give you peace of mind, confirm you are on the road to good health or identify any potential health concerns early.

Make a booking today with one of our friendly doctors. You can book online, on Facebook, on the HotDoc app, or by calling 9304 0500.

Good luck with your healthy habits!

Source: News.com.au

Note: This information is of a general nature only and should not be substituted for medical advice. It does not replace consultations with qualified healthcare professionals to meet your individual medical needs. Page last updated 24 September 2022.

Aug 26 Comments Off

How much do you know about cervical cancer?

Posted by PVH Medical Team

Cervical cancer is the growth of abnormal cells in the lining of the cervix.

These abnormal cells can develop into tumours, and in worst-case scenarios – spread throughout the body.

The cervix is part of the female reproductive system and is the narrow lower portion (or ‘neck’) of the uterus.

How do you get cervical cancer?

The risk factors associated with cervical cancer are:

Infection with the Human Papillomavirus (HPV)
Smoking
Weak immune system
Family history
Exposure to Diethylstilboestrol or DES (an oestrogen medication prescribed to pregnant women from the 1940s to the early 1970s)
Lack of regular cervical screening tests.

What is the Human Papillomavirus (HPV)?

Nearly all cases of cervical cancer are caused by an infection with the HPV.

HPV is an extremely common group of viruses that can affect both males and females. In most people, HPV is harmless and has no symptoms.

But in some people, the virus may persist and lead to diseases of the genital area, including genital warts and cancers of the cervix, vagina, vulva, and anus.

How can HPV cause cervical cancer?

After entering the body, HPV will behave in one of two ways: either remaining dormant (inside the body’s cells), or becoming active.

In most cases, the body’s immune system will clear the virus from the body naturally within 14 months. If the immune system does not clear a HPV infection, it can cause normal cells in the lining of the cervix to turn abnormal.

In rare cases, this can develop into cervical cancer.

Are there any symptoms of cervical cancer?

If early cell changes develop into cervical cancer, the most common symptoms that might be present are:

Vaginal bleeding between periods or after menopause
Pain during intercourse
Excessive tiredness
Lower back pain
Bleeding after intercourse
Unusual vaginal discharge
Leg pain or swelling.

These symptoms can also be caused by other more common conditions, so please don’t panic if you do experience them.

However, see your Pascoe Vale GP if you’re worried or if the symptoms are ongoing. If necessary, your GP will refer you for further tests.

In many cases, cervical cancer does not usually carry any external symptoms until it is in advanced stages. That’s why the cervical screening test, as highlighted below, is so important.

How can you prevent cervical cancer?

There are two ways to prevent cervical cancer: vaccination and cervical screening.

The HPV vaccine protects against nine of the main HPV types that cause 90% of cervical cancer.

In December 2017, the 5-yearly cervical screening test (CST) replaced the 2-yearly Pap test in Australia.

For most women aged 25 to 74, your first CST is due two years after your last Pap test. After that, you will only need to have the test every five years if your result is normal.

Make a booking today

If you need to see us for any women’s health concern, please make a booking today. We’re here for you seven days a week.

Source: Australian Cervical Cancer Foundation, Australian Government Cancer Australia, National Cervical Screening Program and Understanding HPV

Note: This information is of a general nature only and should not be substituted for medical advice. It does not replace consultations with qualified healthcare professionals to meet your individual medical needs. Page last updated 26 August 2022.

All posts by PVH Medical Team

1. I’m giving up sugar!

The issue

What you can do

2. I’m giving up alcohol!

The issue

What you can do

3. I’m giving up Netflix!

The issue

What you can do

1. A complete physical examination

2. Skin check

3. Prostate check

4. Colon exam

5. Blood pressure check

6. Cholesterol

7. Blood glucose levels

8. Cervical screening test (CST)

9. Blood test

10. Bone density test

Get checked out today!

1. Know your limits

2. Don’t drink and drive

3. Avoid mixing alcohol and other drugs

4. Use common sense

5. Do things differently

Need help?

Symptoms of bowel cancer

Screening for bowel cancer

A simple home test could save your life

Talk to us about bowel cancer

Out: Water crackers with pate and oil-based dips

In: Wholemeal pita crisps and chopped veggies with tzatziki, salsa, or homemade dips

Out: Traditional prawn cocktail

In: Summer prawn, avocado and mango lettuce cups

Out: Roast ham

In: Roast turkey

Out: Snags and steaks on the barbeque

In: Fish and seafood on the barbeque

Out: Pavlova with cream

In: Eton mess with yoghurt and berries

Out: Fruit mince tarts

In: Scones with brandy-soaked dried fruit

Simple Christmas recipes

1. Christmas colour salad

2. Mango and passion fruit trifle cups

Confused by food?

Introducing the keto diet

How does the keto diet work?

What foods are off limits?

What foods are encouraged?

What are the effects of a keto diet?

Is keto for me?

Physiotherapist Naveena Seethapathy

How do you use The Strong Room?

What can you help people with?

How do people find you?

Exercise Physiologist (EP) Mike Fitzsimon

How do you use The Strong Room?

What can you help people with?

How do people find you?

Podiatrist Hannah Moloney

How do you use The Strong Room?

What can you help people with?

How do people find you?

How do you manage hay fever?

How can you reduce symptoms?

Stay informed about pollen

Does hay fever only affect people in spring?

Hay fever or COVID-19?

Get help for hay fever

Stay protected with a booster (third dose)

Second booster dose (fourth dose) available for certain groups

Vaccine availability

Recently had COVID-19?

1. The vaccines arrived so fast. How do I know they’re safe?

2. What are the side effects, and should I worry?

3. Can you get COVID-19 from a COVID-19 vaccine?

4. Is it free?

5. Can I choose which COVID-19 vaccine I get?