We are closed on Tuesdays from 1-2 pm for staff training

Feb/March 2022 Bi-Monthly Newsletter

WE WELCOME OUR NEW DOCTORS

The start of 2022 brings a warm CMC welcome to the following practitioners:

  • Dr Lin Qi
  • Dr Nayan Kapadia
  • Dr Karen Zhu
  • Dr Ben Taylor
  • Dr Mikah Reynolds
  • Dr Ricky James

We have sadly farewelled the following practitioners, and wish them well in their future endeavours:

  • Dr Tarsam Madhar
  • Dr Joe O’Hare
  • Dr Ching-Yu Chen

Condamine Medical Centre – Paediatric Pfizer Clinic now available for 5-11 year olds. Online bookings only.

In this edition:

  • Why your kids need to have the jab
  • CMC Staff Spotlight Dr Casey
  • CMC Welcome Dr Ben
  • Consultants Corner
  • Cub Care
  • Health in the Digital Age
  • Outdoor Therapy with Kathryn
  • Your Health with Dr Hudson
WHY YOUR KIDS NEED TO HAVE THE JAB

Article taken from The Weekend Australian – Special Report.

Two paediatric vaccine experts answer commonly asked questions about the COVID vaccine for children.

Australia’ s Therapeutic Goods Administration ( TGA) has provisionally approved the Pfizer vaccine for 2 . 3 million children aged between five and 1 1 years of age. 

To answer your questions, JANE HANSEN spoke to associate professor Margie Danchin, a paediatrician and vaccine researcher with the Murdoch Children’ s Research Institute ( MCRI) and Professor Robert Booy, an infectious diseases paediatrician and vaccine expert at the University of Sydney.

Q. Children rarely get sick with COVID, why do they need to be vaccinated?

MD: It’s about one percent of those who test positive, but one percent of 2 . 3 million, of course not all will be infected, but it’s still a substantial proportion of children.

RB: The great majority of children will not get serious illness from COVID, the risk of severe COVID rests with children with major problems, immunosuppression, so they have cerebral palsy, Downs syndrome and chronic heart and lung disease, but about half of the serious COVID cases happen in previously healthy children for unexplained reasons. We use universal vaccination to protect the ones we can’t predict, who despite being healthy will still get severe disease. About one in 10,000 children who catch COVID may die of it based on US figures, one in 3000 can get the inflammatory syndrome that affects the skin, heart and blood vessels. And one in 100 may get long COVID.

Q. What is the argument for vaccination in kids?

MD: First is to directly protect them so they don’t get sick; severe disease does still occur, especially in children with underlying medical conditions. Second is reducing transmission in both households and schools so kids can attend school safely, and third is they can attend school and have less disruption to their education.

RB: It is to directly protect those vulnerable and, looking at healthy kids, there is a rare risk of death, especially if you have a medical problem.

Q. We know the vaccine does not 100 percent stop the transmission but it does reduce it?

MD: It definitely reduces transmission, we believe it will reduce transmissions in school.

RB: Vaccinated kids are half as likely to transmit. They are half as likely to get a breakthrough infection, and if it is, it will be mild and then if they do have a breakthrough, they are half as likely to transmit it, so they are really a quarter or less likely to transmit COVID.

Q. Will the virus seek out the unvaccinated cohort, in this case, kids under 12?

MD: Yes, that is right and we don’ t know what Omicron will do, if it will be moretransmissible, so we just want to reduce kids getting infected in the first place and passing it on.

RB: The virus looks for where it can multiply so it looks for anyone who is unvaccinated.

Q. What is the safety profile?

MD: The common and expected side effects don’ t occur more commonly than they do in teenagers and younger adults. The most common i s a sore arm, followed by headache and fatigue.

RB: As we are still concerned that occasionally they can get myocarditis (inflammation of heart muscle) the evidence is not completely available yet but is less than one in 10,000.

Q. What about the rare side effects of myocarditis and pericarditis (inflammation of the outer lining of the heart) which we have seen in teenage boys?

MB: There’s now been 1 . 4  million kids vaccinated in the US with dose two and there has not been a vaccine safety signal – what we mean by that i s there are not increased reports of either myocarditis or pericarditis above what is expected in the background ( unvaccinated) rate in the community for other viruses and causes. RB: The great majority recover within a week, it is mild.

Q. What is the dose?

MD: It’s a third of the adult or teen dose and comes in an orange topped vial. The adult comes in a purple top vial, so it is important the paediatric orange top vial is used to get a correct dose.

RB: It’s a third of the adult dose. Only Pfizer is approved for children, not Moderna.

Q. At what interval are they given in children?

MD: It is eight weeks at the moment but they may be reduced to three weeks for quicker protection if cases increase. But a longer interval may give better long term protection and a lower risk of myocarditis.

RB: You get a better immune response spacing it out to eight weeks and you get better tolerance and fewer side effects with the second dose with an eight week gap. 

The Condamine Medical Centre is now providing Paediatric Pfizer

Clinics ( PPC) for children aged 5 – 1 1 years of age, via our on-line booking system.  Visit www.conmed.com.au to book in your child’s 1st dose vaccination and their 2nd dose appointment will be automatically booked in 8 weeks time. PPC are held at the CMC clinic, 53 Wood St, Warwick.

CMC STAFF SPOTLIGHT

My name is Casey Going and I am a GP registrar at the Condamine Medical Centre. I have a special interest in complex patients with diabetes and cardiac conditions. I also work at 7 Springs in Toowoomba and at St Andrews hospital in the Rapid Access Heart Centre.

I grew up in Warwick, and met my wife (Yesenia) at Warwick State High. We both have most of our family still living here. We have very fond memories of our schooling time here as well as the placements we did at the Condamine Medical Centre during our medical training.

We are both working as GPs  (although my wife is currently on maternity leave) and believe in the breadth and depth of experience that is found in rural medicine. Rural patients tend to be more complex and there are less resources at your disposal. Rural GPs need to be able to think outside the box! Training rurally is a great way to experience all that medicine has to offer. I am very excited to be returning to  Warwick to help out my local community.

Works Tuesday & Wednesday

WELCOME DR BEN TO THE CMC TEAM

Ben Taylor is an Army Doctor who brings with him over 20 years military experience.

Dr Ben graduated Medicine from Griffith University in 2019, having completed terms at Gold Coast University Hospital, Princess Alexandra, Logan and Toowoomba Base Hospitals, as well as a year working rurally at Beaudesert Hospital. He has worked for the past two years at Ipswich Hospital where he completed his Emergency Medicine Certificate.

Ben has a keen interest in the full gamut of general practice, and is passionate about investing time in improving the health literacy of his patients.

Outside of medicine, Ben enjoys spending time with his family, running, rock climbing and is a wannabe surfer.

Works: Monday to Thursday

CONSULTANTS CORNER

Dr Sridevi Govindarojulu

Dr Sridevi is a Consultant Nephrologist based at St Andrew’ s Hospital and Director of Renal Services at the Toowoomba Base Hospital with 9 years experience in both public and private practices in Toowoomba. Dr Sridevi visits the Condamine Medical Centre once a month for private patient appointments.

FAREWELL DR PETER KENNEDY

Dr Peter Kennedy

It is with grateful thanks that we bid farewell to our visiting Psychiatrist Dr Peter Kennedy, and congratulate him on his retirement. Dr Kennedy has been providing professional services to patients from Warwick and the Southern Downs for several years, in addition to providing professional development opportunities for CMC practitioners. We thank Dr Kennedy for his commitment to our community and wish him and his family all the best.

CUB CARE – KIDS URGENT VIRTUAL CLINIC

Amazing online emergency healthcare for kids.

Darling Downs Kids Urgent Virtual Clinic is a pilot program for Darling Downs Hospital and Health Service in collaboration with Cub Care Paediatrics.

The goal of the program is to improve the availability and access to specialist paediatric acute service in the Darling Downs Health region and reduce burden on existing Emergency Departments.

If you would like to contact the service, please email ddkids@ cubcare. com. au or call 1800 519 552.

  • Emergency Video Consults for Sick Kids
  • Free for the Darling Downs Region
  • Specialist Doctors for Acute Paediatric Care
  • 4 – 10 pm, 7 days a  week

ddkids. com. au 1800 519 552

HEALTH IN THE DIGITAL AGE

Over the last few years the CMC, l ike most Australian businesses, has been part of the digital age transformation.

For CMC, the use of digital technology has allowed us to provide the timeless principals of general practice in a changing landscape of work practices and needs in our rural community.

We believe that lifelong ‘ continuity of care’  is the bedrock of modern-day health provision, however the era of the family GP on call 24 hours a day with a surgery beside their own home, is long gone.

The care we now provide is through a ‘ family of GPs’ communicating with you and each other.

Appointments can now be made online, at any time of the day or night, with the doctor of your choice; the check-in kiosk allows an immediate notification directly to your doctors virtual ‘ waiting room’.

Our GPs now have instant access to the latest medical guidelines; referrals no longer require you to locate that missing piece of paper before your specialist appointment, as all the relevant information has been sent by a secure messaging system. Soon we will move to similar methods for both pathology and radiology requests.

 The COVID pandemic has increased the use of smart phones in health and this has allowed us to communicate to you in a much more timely way, providing new ways of connectivity that improve  ‘ continuity  of care’.

There has been an explosion of software programmes in the last couple of years for general practice and we continue to explore platforms that will provide seamless care, for you and your family.

We are currently working to upgrade our website, with a view to increasing ease of access and  ‘click- ability’.  The installation of a new telephone system was carried out in early Feb 2022 , in addition to IT hardware upgrades.

We are excited about the benefits digital technology continues to bring for general practice, and look forward improving your CMC health care experience throughout 2022 and beyond.

OUTDOOR THERAPY

We asked local Mental Health Social Worker Kathryn Walton what is the simplest, most affordable, accessible and fun way to improve your physical and mental health.

It’s something that’s been with us since time began yet it’s often overlooked in the busy-ness of life and the search for modern solutions. Spending time outdoors with nature has a multitude of health benefits.

Studies show that even a few minutes a day in nature can benefit you with:

  • lower levels of stress, anxiety, depression and blood pressure
  • increased enjoyment of physical activity and lower perceived exertion means you tend to exercise at a higher intensity outdoors
  • improved sleep, attention, clarity, decision-making, productivity, confidence, calmness, feelings of control over one’s life and creativity boosted Vitamin D
  • improved general well-being and positive emotions
  • an opportunity to have time alone or to socialise with others

Connecting with nature and the outdoors is  one of the foundation stones for health and well-being along with sleep, nutrition, physical activity and mind health.

Create a daily habit of spending time outdoors by building on a routine that you already have. For example, drink your morning coffee in the garden, eat your lunch in the park, relax after work watching the sunset instead of sitting on the sofa watching TV, catch up with a friend by walking together, or play in the park with your kids after school.

If motivation is a challenge for you, ask a friend to keep you accountable or join a group, club or class based in the outdoors. Most importantly, choose activities that are do-able, enjoyable and social so you feel motivated to keep the healthy habit going. For a little extra support, Nature Therapy (or Outdoors Therapy) offers a wide variety of ways to look after your mental health and well-being by integrating traditional talking therapies, physical activities or group work in a natural environment.

For further information or to enquire about referrals: 

email:  kathryn@kathrynwalton.com.au
phone: 0455 992 419
website: www. kathrynwalton.com.au

 Kathryn Walton

Accredited Mental Health Social Worker and Consulting Founder of Outdoors is my Therapy

YOUR HEALTH
With Dr Lynton Hudson, Director, CMC.

 Over the past 20 years there has been a revolution in health care with diseases which once were not able to be treated now being controlled or cured by surgery and sophisticated medication.

Much of this occurs in our first world hospital system and is seen on TV. There has however been a quiet evolution in general practice, with early diagnosis of disease and improved drugs with good side effect profiles for early intervention. This has improved people’ s health and wellbeing outcomes.  

The human body ( particularly when we are young) tricks us into complacency, as many of the insults it sustains are self-corrected by our immune system. The young human body has an ability to repair multiple insults. However, not unlike a badly treated motor vehicle, if we do not look after it and monitor it , we pay the price with ill health being the outcome as we age.

The two parts to prevention of  human illness are:

  • living a life that makes the problems less likely, and
  • having regular checks to pick up
  • problems early ( like servicing your car)

The guidelines for a healthy life are well- known and there are multiple resources available.

Being aware of your family history is important, as this can also increase the risk of certain diseases despite healthy living choices.

Blue zone living guidelines have proved that the following are invaluable summary to increased longevity.

  • Eat lots of different vegetables and fruit – limit processed food, alcohol, salt and meat
  • Exercise at least 150 to 300 mins a week (with two sessions of muscle resistance work a week) and enjoy your exercise routine. Exercise is an amazing medicine with both physical and psychological benefits.
  • Join clubs that have a friendship group.
  • Find your tribe and laugh with your friends.

The age to start regular check-ups with a GP is variable, depending on your family history. As an adult, check-ups should at least start between 40 – 45 years of age. The evidence-based screening processes for GPs are guided by the” Red Book”.

There are some conditions that cannot be screened for effectively, and screening does more harm than good. Ovarian cancer is an example of this. However, there are well documented benefits in screening for bowel, prostate, breast, cervical and skin cancer.  The age at which GP’ s start screening for these varies, depending on individual circumstances.

Until our next edition, thank you for choosing CMC as your medical family home.

Dr Hudson