CASEY MEDICAL

CEilTRE

197 High StreetCranbourne 3977

P: (03) 5991 1222

F: (03) 5996 8243W: www.caseymedical.com.au

Dr Sam Auteri MBBs BSC Dip(obsr,)FooG

FRACGP D|pRACOG

DrTom Everitt MBBI DipRACoG FRAIGP

Dr Roger Smith MBBS(Hons) FRA}GP

Dr Kim Teo nzaas DRANzcoG FRAaGP

Dr Brett Ogilvie MBBs DRANzcoG FRAIGP

Dr Robyn Newnham MBBS(Hons) DipRACoG

Dr Amanda Osborne MBBI FRAccP

Dr RatnaVaska MBBS FRACGP

Dr Justin Curran MBBS(Hons) FRA?GP DcH

Dr Bims Gurusinghe nzsss BMedsc

FRACGP

Dr Cf ifford Morrison MBBs BMedsc FRACGP

Dr Sugunendra Thevasagayam MBBs

FRACGP

Dr Sharlene (Xueling) Tan MBBS(Hons)

BMedSzLDCH FRACGP

Dr Wilson Zhang MBBs DCH FRAaGP

Dr Jason Ha Mses BMedsci FRA:GP

Dr Natasha Gupta MBBS

BULK BILLINGCHILDREN UNDER 16 BULK BILLED AT ALLTIMES, including after hours, weekends andpublic holidays. Health Care cardholders willbe bulk billed Monday - Friday until 7pm, feesapply thereafter, weekends and public holidays.

PELVIC FLOOR REHABILITATIONTHERAPYlnnovative incontinence treatment for both maleand female patients - speak to your doctor formore information.

NEW SERVICEDr Jason Ha now offers specialisedphotographic mole mapping and skin cancerchecks, book in with reception.

SURGERY HOURS AND SERVICESWeekday opening hours change

CONSU LTATIONS by appointment:

Monday to FridaySaturday and SundayPublic holidays

Bam-8pm9am-5pmAs posted

FOR AFTER-HOURS please attend theEmergency Department of either DandenongPublic Hospital, David Street, Dandenong, ORFrankston Hospital, Hastings Road, Frankston,OR The Valley Private Hospital, cnr Police and

Gladstone roads, Mulgrave, OR Casey Hospital,Kangan St., Berwick. For regular patients ofCasey Medical Centre a doctor may be reachedby phoning 1902213 035. Charges for this callwill be at a rate of $5.50 per minute charged toyour phone account.

HOME VISITS during surgery hours can be

arranged for emergencies or if a patient is

unable to travel. Please contact the centrebefore noon if possible to make appropriatearrangements.

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With the arrival of sprring, most of us are

iooking forward to e;pending more timeenjoying the great <lutdoors. For somehcwever, ihe arrival of spring heralds a

season of misery.

The runny nose, itchy eyes and sneezingassociated with hay fever - or seasonalallergic rhinitis - can range from being an

inconvenience to, in some cases, debilitating

enough to keep sufferers indoors. Pharmacy

shelves abound with remedies, but side-effects such as drowsiness, dizziness ornausea are common and sufferers arewelcoming alternative approaches to thisrecurrent problem.

Why some people are prone to hay fever

whilst others go completely unaffectedremains a mystery.Why different individuals

are susceptible to pollen from differentplants is also an unanswered question. We

do understand that hay fever results from

an 'over-reaction'of the immune system tocertain triggers. This results in production

of large numbers of antibodies (lgE) which

attach to the trigger molecules and cause

the release of histamine. lt is the histamine

which irritates the nose and eyes, causing

the familiar symptoms.

Whilst hay fever (and other allergies such

as asthma and eczema) tends to run infamilies, we know that growing up on a farm

or in an environment with several triggersreduces the risk of developing it.This doesn't

answer all the questions though, and we

are a long way from understanding all the

things that influence our immune systems.

One area currently being investigated isproducing some very interesting results

around the role that our gut might have on

our immunity. lt seems strange to think that

the bacteria living in our gut might have an

effect on whether or not we develop hay

fever - but researchers seem to be findingjust that!

The results of a recent study from a group

at the University of Florida found that taking

a combination of the 'friendly' bacteriaLactobacillus and Bifidobacteria can reduce

symptoms and improve quality of life forhay fever sufferers. The researchers asked

a group ol 173 hay fever sufferers to take

either the 'friendly' bacteria or a placebo

over eight weeks at the height of the spring

hay fever season.They didn't tell participants

which medicine they were being given.When the participants completed symptom

scores or quality of life questionnaires, those

taking the bacteria reported significantlymore positive results than the others.

We don't yet know how this effect mightbe caused. In their paper, the researchers

talk about ways in which these so-calledprobiotics might affect our immune system,

but no-one is sure. Many of us are familiar

with the form of probiotics found in 'live'orbio-yoghurts; and their health benefits are

increasingly advertised. The invesiigatorsused a high dose of probiotics given as atablet, but we don't know whether a dailyserving of bio-yoghurt could provide us with

a high enough dose of the right type of bugs

to help us fight off hay fever symptoms. lt is

clear that much work remains to be done,

but this finding is certainly interesting and

might open exciting new possibilities to

reduce the seasonal misery for millions of

hay fever sufferers.

i-iti+;ri* ffiw#w#$&,reffi ffi$w&wre l'81fr;i.,,_. i arwm*€ha*ws ?Gluten-free products are becomingincreasingly prominent on our supermarketshelves and the number of people adoptinga diet in which gluten is either reduced orabsent is increasing.

ln 2013 around 20"h ol people reportedtrying to decrease the amount of glutenthey were eating. For some, avoidinggluten is a medical necessity. For thosepeople diagnosed with coeliac disease,consumption of gluten leads to inflammationof the gut lining and a variety of symptomssuch as abdominal pain and diarrhoea.Even without coeliac disease, some peoplemay be gluten sensitive and experienceclinical symptoms when they eat gluten.However, for healthy individuals, litile isknown about the long-term health effectsof avoiding gluten.

Firstly, what is gluten and where is it found?Gluten is a protein found in many cereals. ltexists in different forms in different grains.

For people with coeliac disease, and formost with gluten sensitivity, it is the glutenin wheat, barley and rye which causes theproblem. These three grains are commonin foods many of us take for granted - thewheat in regular bread, pastry and pastabeing the most obvious. However, theyare found in other foods too - for examplethe barley used in brewing beer containsgluten. Avoiding gluten completely iscertainly possible, but takes considerabletime, effort and cost, since many gluten-free alternatives are substantially moreexpensive than their regular counterparts.

The idea of there being potential healthbenefits from avoiding gluten has arisenfrom a variety of sources. People withcoeliac disease are known to have anincreased risk of heart disease - a riskwhich is reduced when they follow a gluten-free diet. Foods containing gluten also tendto have a high glycaemic index; meaningthey contain a lot of processed sugars

and may be more likely to lead todiabetes if eaten in large amountsover a long time. This, along withconcerns about intestinal bloating,have all contributed to the idea thata gluten-free diet is good for us.

But is this really true? Could cuttingout gluten make us healthier; oris it just that people consideringgoing'gluten-free' are more likelyto be thinking about what they eatand have a generally healthier dietanyway? This is a question whichis extremely difficult to answer.

However, studies have been done whichlook at specific health questions to try andassess the benefits of gluten avoidance.For example, a recent study publishedin the British Medical Journal lookedspecifically at heart disease, and attemptedto work out whether healthy individuals(without coeliac disease) who did not eatgluten reduced their risk of heart disease.By asking a large group of people to fill infood questionnaires every four years for24 years, they could assess the amount ofgluten eaten by people who suffered fromheart disease (such as heart attacks andstrokes). The report found there was noconnection between the likelihood of heartdisease and the amount of gluten in thediet. As gluten is found in cereals, avoidinggluten risks eliminating whole grains fromour diet - and we know these are good forthe heart.

So, this study suggests that for healthypeople, avoiding gluten is not recommended.Instead, a healthy, balanced diet includinggluten-containing whole grains is likely tobe the best option.

ANSWERS CAN BE FOUND

IN THIS EDITION OF

YOUR CHIROPRACTOR

Clsvor

gRffisgtruHryAcross4. lf this index is high, the food contains

a lot of processed sugars.7. Hay fever is an over-reaction of this

system to certain triggers.10. A major cause of death for people

with autism.11.These parts of the body are affected

by rheumatoid arthritis.13. Eating more of this can ease

symptoms of rheumatoid arthritis.14. A protein found in many cereals.15. Hay fever is also known as 'seasonal

Allergic --------t.

Down1. Falling from these is a common cause

of DIY injuries.2. A disease that causes itchy skin.3. A grain used in brewing beer.5. Also known as'friendly bacteria'.6. The release of this substance causes

hay fever symptoms.8. When undertaking DIY projects,

beware of risks tb -----------.9. Lack of this protein has been found to

cause skin irritation.12. Learning to do this should be a high

priority for children with autism.SOLUTION IS ON THE BACK PAGE

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INGREDIENTS

Serves 4

3509 pasta (spirals, penne orspaghetti)

3009 broccoli, cut into small pieces

2 spring onions, finely chopped

2 tbsp capers, drained

2009 can tuna

1 lemon, zest and juice

2 tbsp Olive oil

Ground pepper (black or white)

909 pitted green olives, chopped(optional)

METHOD

Cook pasta according to directionson the packet. Adcl the broccoli forthe final 3-4 mins.

In the meantime, rnix all the otheringredients in a large bowl. Drain thepasta and broccoli, and add to thebowl. Mix well. Add ground pepperto taste.

SUGGESTIONS

Replace the tuna, spring onionsand capers with clooked chicken,chopped fresh tomatoes and pesto.

Season to taste with salt and pepper.

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For a huge number of people this means atrip to the hardware store, and undertakingsome DlY. 'Do-lt-Yourself ' lras manyadvantages: the most cbvious being savingmaney, as well as the satisfaction of a jobweli done.

For a surprising number of psople, the simpledesire to do their own home maintenanceand/or renovations can aiso resuli in a tripto the hospitai; and occasionally it canhave even more serious consequences.A recent publication from the AustralianInstitute of Health and Weifare found that in20'13-2014 over 3,300 people over the ageof 15 were hospitalised following injuriessusiained when undertaking DlY. Perhapsunsurprisingly. more men are injured thanwomen: men account for four out of fivehospitaiisations. Less predictable perhaps,is the finding that older people are morelikely to be injured than the yoLrng. Therewill be many reasons for this. Elderlypeople may believe they are still able tocarry out more challenging physical tasks;the need to save money might mean theyare reluctant to employ professircnals.

The nnost common cause of injury is fallsfrom iadders, followed by injuries usingpower tools. As we might expecl, falls tendto cause broken bones or head injuries,while machinery injuries cause iacerationsand digits being cut off"

So, what can we do to reduce the risk andstop these injuries happening to us? TheAccident Research Centre at MonashUniversity has come up with four simpleruies io keep in mind when undertakingany DIY tasks:

. Use the correct tools and personalprotective equipment for the tersk at hand.

. Maintain safe work practices at alltimes.

. Read and follow instructlons carefullv.

. Be aware o{ risks to bystanders.

Whilst these might seem obvious andstrai g htf orward, accident statistics su g gestwe would all do well to remember thembefore launching enthusiastica.lly into ournext DIY job. *, ;il

SAFETYFIRST

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Rheumatoid arthritis is an extremely painfulcondition where the body's immune systemmistakenly attacks the joints.

Over time this can lead to destruction ofjoint surfaces and cartilage, meaning handsand feet become disfigured, difficult to use

and ever more painful. There is no cure,and treatment is focused around controllingsymptoms and trying to prevent'flare-ups'of the disease. Often this involves the useof strong pain killers and drugs to suppressthe immune system; many of which comewith a long and difficult-to-manage list ofside-effects.

Affecting around 1.5 million people inAmerica and commonly starting at middleage, rheumatoid arthritis is a challengingproblem. Researchers are constantly lookingfor new ways to try and reduce pain or slowdown the progression of this distressingdisease.

A new report from Harvard Medical Schoolin the US has identified a simple diet changewhich they found significantly reducedsymptoms in over 150 study participants -eating more fish. The study asked peoplehow often they ate fish, and compared thisto disease severity using a well-recognised

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scoring system. They found that the arthritisin people who ate fish at least twice a weekwas significantly better controlled than in

those who ate fish less than once a month.They also found that in this case more reallyis better - for each additional portion offish consumed, the severity of symptomsdropped even further.

Eating fish has a wide range of healthbenefits - being low in fat and cholesterol,it can help ward off heart disease; with highomega 3 levels it is good for the brain; andit is packed with vitamins such as vitaminD for stronger bones. lt seems we can addto this the fact that, for a specific group ofpatients, eating more fish can help in thecontrol of a particularly painfuljoint condition,rheumatoid arthritis.

DOCTORS'LEAVE 2017Dr Sam Auteri- from 1 Sept, returning 9 Oct.

Dr Bimsara Gurusinghe - from 9 Sept,returning 26 Sept.Dr Sugunendra Thevasagayam - from 14Sept, returning 20 Sept.

BEAUTY SERVICESCasey Medical Centre's Beauty Therapyroom provides the following services:. Facial rejuvenation - Anti-wrinkle injections

Dermal Fillers. Facialtreatments and products. Waxing. Eyebrow & Eyelash Tinting. Eyelash Extensions. IPL hair removal, skin pigment and

vascular treatment

GIFT VOUCHERS, Beauty Servicesbrochure and pricelist are available for allBeauty Services from reception or checkour website.

WEBSITEPlease visit us at www.caseymedical.com.au and you can meet our medical staff,find out the latest news, learn about thehistory of CMC and our Beauty Room.

Like or follow us on Facebook for clinicupdates and health information.

Online appointment booking 24hrs aday,7days a week through My Health 1st mobileapp or through our NEW WEBSITE. lts quicksimple and its free.

FEESOur fee for a standard consultation is

$70, the Medicare rebate is $3205. ForHCC holders bulk billing will be availableweekdays from 8am to 7pm only. Fees applythereafter, weekends and public holidays.

Children under 16, Aged Pensioners andVeterans Affairs card holders will be bulkbilled at all times.

Workcover &TAC patients: Non cardholders will be charged an out of pocket feeof $20.After hours fees for non card holders$30, and card holders $20. Patients will needto settle account on the day of service. Theaccount is not claimable from Medicare.Workcover or TAC.

PRIVACYThis practice is committed to maintainingthe confidentiality of your personal healthinformation.Your medical record is aconfidential document. lt is the policy of thispractice to maintain security of personalhealth information at alltimes and to ensurethat this information is only available toauthorised members of staff.

RESULTS, REFERRALS &PRESCRIPTIONSTest results (provided only if medicallyappropriate) can be organised betweenMon-Fri, 9am-5pm. Ongoing specialistreferrals requested without an appointmentmay attract a $10 fee. There will be anadministration fee of $2 if these need to befaxed or mailed. Repeats of most ongoingscripts require an appointment. Pleasemention to the receptionist that it is only foran ongoing script from your doctor as thevisit will then be bulk billed.

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