CASEY MEIIICAT

CEIITRE197 High StreetCranbourne 3977

P: (03) 5991 1222F: (03) 5e96 8243W: www.caseymedical.com.au

Dr Sam AuteriMBBS BSC D,p(Obst)RCOG FRACGP D|pRACOG

DrTom Everift MBBS DipRACoc FRAaGP

Dr Roger Smith maaslaons) FRA}GP

Dr KimTeo MBBs DRANzcoG FRACGP

Dr Brctt Ogilvie MBBs DRANzcoG FRAcGp

Dr Robyn Newnham MBBs(Hons) DipRAcoG

DrAmanda Osborne MBBs FRAccP

Dr RatnaVaska ueas rancapDr Justin Gurran MBBS(Hons) FRAccP DcH

Dr Bims Gurusinghe MBBs BMedsc FRAcGp

Dr Clifiod Morrison MBBs BMedsc FRAccp

Dr SugunendraTumsagayam MBBs FRAcGp

Dr Sharlene (Xueling) TanM BBS(Hons) B Mecl Sci. DCH F RACG P

DrWlson Zhang MBBs DCH FRAaGP

Dr Jason Ha uaas suedsci FRAaGP

Dr Natasha Gupta maas

DrWei Jie (Bruce) Lim nzaes FRAIGP

Dr SharleneTan will be on maternity leave from2l September and returning 6 May 2018. Wewish her all the best for the coming event.

POSSIBLE TEMPORARY CLOSUREDue to converting to a new medical computer

software program, Casey Medical Centrewill be closed on:

24h Dec 2017 - Christmas Eve

25s Dec 2017 - Christmas Day2dh Dec 2017 - Boxing Day

We re-open Wed 27h December 2017

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

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

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

SURGERY HOURS AND SERVICESCONSULTATIONS by appointment:

Monday to Friday 8am-8pmSaturday and Sunday 9am-5pmPublic holidays As posted

AFTER-HOURS please attend the EmergencyDepartment of either Dandenong PublicHospital, David Street, Dandenong, ORFrankston Hospital, Hastings Road, Frankston,OR The Valley Private Hospital, cnr Police andGladslone roads, Mulgrave, OR Casey Hospital,Kangan St., Berutrick. For regular patienls ofCasey Medical Centre you may phone a doctoron 1902 213 035. Calls to this number arecharged at $S.SO/minute to your phone account.

HOME VISITS during surgery hours can bearranged for emergencies or if a patient isunable to travel. Please contact the centrebefore noon if possible lo make appropriatearrangements.

30 Days Wild ChallengeAre you or your family suffering from Nature

Deficiency Disorder? The solution may be

the 30 Days Wild Challenge!

30 Days Wild was an initiative started by

the Wildlife Trust, UK in 2015. They started

the campaign in order to study the effect

on people of an increased connection to

nature. The campaign challenged people

to commit to engaging with nature every

day for 30 days. The results of the 30 Days

Wild experiment showed that connection to

nature had a significant impact on health,

happiness, and conservation behaviours.

ln Australia and New Zealand, we have

a climate significantly more conduciveto outdoor life than the UK, yet it may be

surprising to learn that statistics show both

Australia and New Zealand are comparable

to other develooed countries when it comes

to time spent outdoors, with about 90% of

our time soent indoors!

Richard Louv, the Audubon Medal winning

author for his book, Child Lost in the Woods,

has coined the phrase "nature deficiency

disorder," which he suggests is a majorcontributor to some of the most disturbing

childhood trends, such as rises in obesity,

attention disorders and depression. His

observations need not be limited to children,

as the same epidemics affecting our children

are challenging many adults today as well.

The importance of being around nature is

not a particularly new concept; concerns

about detachment from nature have been

raised lor hundreds of years as our societies

have moved toward city living. In fact, when

parks were first designed in the nineteenth

century, it was done with the strong belief

that open natural spaces provided possible

health advantages. Despite this, our society

continues to detach itself even further from

nature, as time outdoors is swapped for time

spent indoors interacting on device screens

and the internet.

According to a 2016 census, 87% at

Australians access the internet every day;

and over 50% of those are on the internet for

three hours or more. Nature Play SA reports

Australian children are spending less time

outside than ever before - with less than 2

hours per day spent outdoors compared to

4.5 hours per day in front of a screen.

The good news is, more groups are being

established to reconnect children and adults

with nature. Groups such as the Australian

based Nature Play (www.natureplay.org.au)

and Conscious Kids in Auckland, New

Zealand (www.consciouskids.co.nz) are

committed to giving kids the experience ot

good old-fashioned fun outdoors. The 30

Days Wild challenge is another opportunity

open to anyone internationally. Why not try

it with your family? lf you are feeling really

confident, there is also a 365-day challenge.

For more information visit

www.mywildlife.org.uk/30dayswild or

www.wildlifetrusts.org/Staywild.

Choose waterWater is commonly known to

be essential for life, yet a recent

study at the University of

Although the daily amodnt of

water necessary for hydra$on is

currently debated, the Australian

Health and.Medical

Zealandt.

males,'

females

Water is

il (NHMRO) A 2012-slpdy of university

oriiffbnoec' 'emaeriii in London found that

and waste removal. Also,

considering water makes up a

massive 50-80% of body werq$_

(depending on lean body

mass), it is essential to be aware

of your water colsumption._.i: FNHMRC advisft that as little

"'. r'.fr$*as 2/" dehVilrdion can result'.* --fin {impairi{ physiological

response, mood, cognitive

ability and performance.

w_ho brought drinks,

along toup to 10

percent better than those who

did not. Another study published

in The Jourrial of Physiology &

Ft' ' Behavior found that dehvdrated

Your heart will also thank

you &tr drinking water. The#.. .

erm -g*urnal of Physiotogy,,.r {i€.trund that drinking five or more

glasses (1,185m1) of water

per day reduced the risk of

fatal coronary heart disease

by 41"k in women and 54% in

men! ln this study, the health

benefits were limited to water

because drinking "fluids other

than wate/' (coffee, tea, juices,

soft drinks) actually appeared

to increase the risk of fatal

coronary heart disease.

Hydration is beneficial in

disease prevention as well. The

risk of many cancers, including

colorectal and urinary tract

cancers, has been shg{rvn to

for every 240m1 of fluid drunk

per day; and was shown to

significantly reduce for men

who drank at least 1,440m1 of

fluid per day. Dehydration is

also the number one cause of

kidney stones.

Without water, our bodies

can't function, so it is always

a smart idea to make sure you

are properly hydrated. Although

there is some

the colour of

indicator for

advice sugg

your urine, the

to meet their

water intake.

the body's fu

blood circulation,

regulation of body temperature

drivers made twice the amount

of errors during a two-hour drive

compared to hydrated drivers.

reduce with proper

Bladder cancer. mple,

was shown to by 7"/o

are to be dehydrated.

For more information on the

benef its and recom mendations

for drinking water, go towww. n rv. gov.aulnutrients/water.

WOBDSEABCH

BLOODSTREAM

BOWEL

CAMPAIGN

CANCER

CHALLENGE

CHEMICALS

CIGARETTES

COLORECTAL

CONSUMPTION

CORAL REEF

DAMAGE

DEHYDRATION

DRINKING

FILTER

FLUIDS

HEALTH

LIVER

MINIMISE

NANOPARTICLES

NATURE

OUTDOORS

OXYBENZONE

PACKAGING

RECONNECT

RESEARCH

SMOKING

SUNSCREEN

TOBACCO

TOXINS

WATER

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FJow to reduce our risk of bowel cancerWe seem to be continually bombarded withinformation and recommendations aboutwhat we should and shouldn't eat.

It sometimes feels like if we followed allthe advice, we wouldn't be eating anythingat all! lt can be extremely difficult to knowwhich of the advice to follow, and how it willprotect our health, if at all.

One crucial area where we are sure that dietand health interact is bowel (or colorectal)cancer. Colorectal cancer is one of the mostcommon forms of cancer in the Westernworld, with Australia and New Zealandhaving the highest incidence in the world.There is convincing evidence that whatwe eat influences the risk of developino

In Australia and New Zeararrd,we grow up understanding sunprotection is vital.

Slip, slop, slap is a powerfulcampaign that started in 1988,reminding us to slap on thesunscreen - but while we aregetting protection from thesun. could we also be causingdamage to ourselves and theenvironment?

Earlier this year, Hawaii passeda bill that will prohibit the useof sunscreens or cosmeticsthat contain oxybenzone whileon a beach or in the ocean.This comes after scientistsconducted studies showingthis active ingredient in manycommerctal sunscreenscontributes to the destruction ofcoral reefs and thus escalatingclimate change.

Oxybenzone is not only harmfulto the environment, it has alsoshown to be detrimental to ourbody's hormonal system. As DrKarl Kruszelnicki explained tothe ABC in September 2016,oxybenzone easily crosses theskin since it is fat-soluble; and,once in the body, it acts as anendocrine disruptor in humansin the same way it does in thecoral reef.

a tumour. A recent report from the WorldCancer Research Fund has highlightedthese risks and provided some truly startlingdata. Their 2017 report on the effects of diet,

nutrition and colorectal cancer confirmedthe finding that eating processed meats(such as ham or bacon) will increase therisk. For the first time, they also found thateating whole grains (such as those foundin some breads or breakfast cereals) canreduce the risk. Astonishingly, they reportthat up to 47ok of the risk of bowel cancercould be avoided by altering our lifestyle.

The report recommends that to minimiseour risk we should be physically active, eatmore whole grains and fibre-containingfoods, whilst limiting red meat intake to 5009

per week and eating little if any processedmeat. Along with limiting alcohol intake,avoiding smoking and keeping an eye onour weight, this should mean we reduce ourrisk as much as possible. Whilst we can'tcompletely remove the possibility, thesesimple measures mean we are doing all wecan to stav healthv.

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What about the alternativesunscreens using zinc oxide,titanium oxide, and evenessential oils? The latestresearch by the TherapeuticGoods Administration (TGA)suggests these do not reachbody cells to cause damage;and when our 'macrophages'cells were exposed to thenanoparticles of thesesunscreens in a lab, they wereable to absorb and break themdown normally. With regardsto marine life, according tointernational organizationMarine Safe, research suggeststhese types of sunscreens mayalso cause harm. However, Dr.Kruszelnicki explains that zincoxide and titanium oxide basedsunscreens are less harmful tocoral reefs than oxybenzone.

So, what should you do if youare trying to be sun protectionsavvy and also eco friendly?Some advice given by theCancer Council is f irslly touse UV protectant clothing.umbrellas, hats, and sunglassesas often as possible; reducingthe amount of skin needingsunscreen. Avoiding the sunduring the strongest part of theday and sitting in the shade arealso beneficial.

INGREDIENTS

Crust2 C almonds

6-8 dates (depends on size)

5 Tbl coconut oil, melted'1 tsp cinnamon

% tsp salt

Filling3 C raw cashews, soaked inwater for 2 hours2Z C coconut cream

%Ctresh lemon juice

Vz C maple syrup, or any othersyrup for sweetening

/n tsp salt

1 tsp vanilla extract

Strawberries, sliced (or tryraspberries if you prefer)

METHODCrust

Place all ingredients into a food processor and process until combined.Line a 8-inch or f-inch spring-form pan with baking paper.

Press mix firmly into the base and refrigerate while preparing the filling.

Filling

Drain and rinse the cashews. Place into a blender or processor withthe remaining ingredients.

Blend until smooth -this could take a few minutes.

Pour half of the filling into the base. Layer with the berries. Top with theremaining filling.

Freeze at least 3 hours until set.

When ready to serve, remove from freezer and allow to thaw slighilyfor about 10-15 mins.

Slice into small portions - remember, although a healthy version, it isstill rich.

Serve with more fresh benies.

Suggestions. Tty a difierent type of berry.. Swirl through some berry compote or jam before freezing.

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PRACTICE UPDATEDOCTORS'LEAVEDr Sam Auteri - from 25 Dec, returns 8 Jan'18Dr Kim Teo - from 30 Dec, returns 28 Jan'18Dr Tom Everitt - from 25 Dec, returns 2 Jan '18

Dr Roger Smith - from 23 Dec, returns I Jan '18

Dr Brett Ogilvie - trom 23 Dec, returns 2 Jan '18

Dr Amanda Osborne - from 23 Dec, returns 2 Jan '18

Casey Medical Centre is pleased to welcomeDr Wei Jie (Bruce) Lim who will be workingevery Tuesday.

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

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

vascular treatment

Gift vouchers, Beauty Services brochure andpricelist are available for all Beauty Servicesfrom reception or check our website.

WEBSITEPlease visit our website at

Here, you can meet our medical staff, find outthe latest news and learn about the history ofCMC and our Beauty Room.

Online appointment booking is available 24hours a day, 7 days a week through the MyHealth l"tmobile app or via ouTWEBSITE'It's quick, simple and it's free.

J\t iLo Like or follow us on Facebook.- E"\s for clinic updates & health info.

FEESOur fee for a standard consultation is$70. the Medicare rebate is $3705. 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 fee

of $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 orTAC.

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 personal

health information at all times 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-Spm. Ongoing specialistrelerrals requested without an appointmentmav attract a $10 fee. There will be an

administration fee of $2 if these need to be

laxed or mailed. Repeats of most ongoingscripts require an appointment' Pleasemention to the receptionist that it is only for

an ongoing script from your doctor as thevisit will then be bulk billed.

Has plain cigarette packaging helped?New evidence suggests that fewer people

are taking uP smoking thanks to theintroduction of plain cigarette packaging.

It's no secret that smoking tobacco damages

your health and can lead to life-threatening

illnesses such as cancer, heart problems

and lung disease.

According to figures published by the

Australian government, as many as 15'000

Australians die each year from preventable

smoking-related illnesses. To help reduce

these figures, the government introduced

the 'Tobacco Plain Packaging Act' in 2011'

which set out new regulations for how

tobacco was packaged. The idea was that by

making all tobacco packets look the same,

and by removing specific, recognisablebranding, it would make the packets much

less appealing. This would then hopefully

discourage people from taking up smoking

and, potentially help to encourage those who

already smoke to quit. Tobacco companles

were told to remove any logos or brand

imagery, and were restricted in their use

of colour, size and format. Health warnings

were also made much more prominent.

A Cochrane review, published in April

2017, suggests that this strategy may well

be working. The study, which included

around 800.000 participants' looked at the

effect that plain packaging had on general

smoking levels and found that tobacco

use had decreased as a result of the less

appealing designs. Ongoing data collected

from studies in Australia continue to support

this finding and many other countries, such

as France and the UK, have followed suit in

introducing similar laws.

With tobacco advertising banned,unattractive packaging, and the fact that

Australia is one of the most expensiveplaces in the world to buy cigarettes, the

hope is that fewer and fewer people will

take up the habit and more people will quit,

saving thousands of lives every year'