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Montrose Medical Practice

20 Glebe Point Road, Glebe   Ph: 9660 6788   (Mon - Sun)
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Montrose Medical Practice Doctors and Montrose Allied Health - Clinical Psychologists, Chiropractic, Podiatrist, Acupuncturist and Massage Therapist


Newsletter July 2014

 

Welcome to our winter newsletter. We trust you are holding together well through these colder months! In this newsletter we welcome Dr. Naomi Tan back to the practice and also introduce our new massage therapist Kim Van Nerum.
 
Furthermore, Dr. Hunter Tuon gives an important update on the new meningococcal B vaccine which is now available at the practice and our podiatrist, Edward Pickersgill, includes some great tips for those of you who might be contemplating the City to Surf funrun. We hope this newsletter is both informative and enjoyable for you to read.


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Kim Van Nerum                | Dr. Naomi Tan

Welcome Massage Therapist Kim Van Nerum and return of Dr. Naomi Tan
 
We would like to welcome Kim who has started at Montrose to provide remedial massage therapy, reflexology and Swedish massage. After your initial consult with Kim she will work with you to find the best style of massage for your ongoing treatments. Kim will be practicing here three days per week in our new Allied Health Centre.

In addition, we are very happy to welcome Dr. Naomi Tan back from her four-month maternity leave. She has expanded her family with the addition of a beautiful baby girl. Dr. Tan will be working at Montrose on Tuesdays and Saturdays initially and increase her availability over time. You can either contact the reception to make an appointment with her or try booking online. 

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Complimentary Onsite Wifi While You Wait

In response to requests from our busy patients, we have now established Wifi in our waiting rooms. Please obtain a password from our friendly receptionists. Just to remind you too, our practice is open 7 days 8am-7pm Mon to Fri and 8am-1pm on weekends. You may also make online appointments through Montrose Website 24/7.
Online appointment: http://www.montrosemedical.com.au/form_book.php

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New Meningococcal B Vaccine BEXSERO  
Dr. Hunter Tuon
 
We now have the newly available Bexsero available to immunise against Meningococcal B.   
 
What is Meningococcal B?
 
Meningococcal serogroup B, along with serogroup C are the two most common meningococcal serogroups in Australia. Infants account for most of the victims, in fact, over 90% of meningococcal disease are seen in infants. Infection is serious with meningitis. The infection often starts with cold like symptoms but quickly worsens over just a few hours with victims getting cold hands, feet and purple rash and high fever. Within 24 hours, confusion and septic shock occurs. Up to 10% of victims will die and another 20% of the survivors will suffer permanent effects such as limb amputations, brain damage or deafness.
 
Prior to the year 2002, there were around 200 to 250 people per year contracting meningococcal meningitis. Of these, around 200 were serogroup B and 150 serogroup C. Since the Meningococcal C vaccinations program was rolled out in 2003, we have seen a dramatic reduction in Meningococcal C occurrence. In fact, there are now only around 5-10 meningococcal C victims per year. That is a massive 20 fold reduction in this disease over the period of 10 years since the introduction of this vaccination. We are hoping to see the same effect in reduction of Meningococcal B occurance over the years with the introduction of vaccination Bexsero.
 
Vaccination of children
 
Bexsero is given to babies usually at 2,4,6 months and at 12months of age. For children over one year old, usually only two vaccinations are given two months apart. As with all vaccines, 100% protection cannot be guaranteed, however we are seeing very good results in prevention of meningococcal B infection.
 
Side Effects
Once a child is immunized, very common side effects include mild to moderate fever with 1 in around 20 infants having high fevers >39.5. Other common symptoms include discomfort and redness at injection site, irritability, vomiting and diarrhea. Most of these common side effects can be well managed by Paracetamol or Ibuprofen and should be settled within two days.
 
If you are interested in this vaccination for your child or if you would like to find out a little more about this vaccine, please feel free to talk to any one of the doctors. 
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A Step Ahead - City Surf Run Edition
Edward Pickersgill, Podiatrist 


As thousands across Sydney prepare for the annual City to Surf fun run on 10 August, I thought I’d provide some simple pointers.
 
Find the right fit
I’ve recently been treating patients suffering from ill-fitting or inappropriate sports footwear – and the effects can be profound. There is a shoe for you. Take the time to find it. Each of the major brands offers a variety of models, catering for those with high arches, people with flatter feet and everything in between.
 
It’s very important to do your homework. Running shoes are prone to style fads, so it’s crucial that you understand the pros and cons of each model, taking into account the type of activity you plan to be doing.
 
To find the right shoe and the right fit, try these simple tests:
  • The shoe should flex at your big toe joint
  • There should be about a thumb-nail’s space between the end of the shoe and your longest toe (remember that some of us have a longer second toe than big toe)
  • Check that the shoe’s seams don’t rub across your foot’s bony bits, as this can lead to skin irritation or blisters
  • Make sure the shoe feels comfortable and supportive.
 
Take your time in the store to test the shoe thoroughly and ensure it’s right for you. And a bit of insider information – from mid-morning onwards is the best time to try on shoes to get the best fit.
 
Lace it up
Once you’ve selected a shoe, the way you lace it can make a big difference to comfort, support and control. There are five main lacing techniques, including ‘volume lacing’ and ‘lock lacing’. Ask your footwear fitter for help or pop in to Montrose to receive a free lacing handout. 
 
When it’s time to say goodbye …
Please be mindful of the lifespan of your sports shoes. We tend to keep our running shoes for far too long. A good-quality sports shoe should last between 300 and 500 kilometres. Of course, this will vary depending on you and how you’re using your shoes.
 
To find out if it might be time to update your runners, put your shoe on a flat surface and look at the heel from the rear. If the base has worn significantly, the tread is peeling from the sole or if you can easily compress the rubber sole between your thumb and forefinger, then it’s probably time for an upgrade. And the simplest test of all – if you experience pain after you run, you should look at your shoes.
 
Don’t forget to stretch
After exercise, make sure you take the time to stretch. Focus on areas where you feel tightness. Make sure you attempt stretches that are suitable for your age and body type, and focus on the correct technique. Walking for a short time before and after you run is also beneficial.
 
We’re here to help
If you do suffer an injury to your feet or lower limbs before or during a run, remember that sports podiatrists are equipped to help with injury prevention and management. I can help get you on the mend and make a full recovery. Finally, I wish all the walkers and runners out there a safe and happy City to Surf.
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Getting the most out of your Massage Treatment
Kim Van Nerum, Massage Therapist


Massage promotes the body’s natural ability to restore physical, physiological and emotional balance. To make the most out of your treatment it is important to pay attention to the origins of any pain or stiffness in your body.  Kim has some great tips to help you work in partnership with your therapist.
 
Origin and Destination
If pain is ignored for weeks or months the body often learns to cope with it by avoiding use of the affected area. By the time you seek treatment, a minor pain might have been long forgotten. Your therapist may end up treating you for compensatory pain rather than your original injury. It is important to be mindful of the originating location of any aches, pains or stiffness leading up to your message treatment, so that your therapist can work at the heart of the problem.
 
Fast and Slow
It has been found that with pain, injury or poor posture, muscles that maintain posture and protect and stabilize joints often stop working completely. This leaves muscles designed to make you move freely to take over those tasks as well. The result is that these muscles become stiffer and will eventually make the joint itself stiff or even prevent certain movements. Receiving regular deep tissue massages and doing stretching and strengthening exercises at home will help to ‘wake up’ those switched off muscles, benefitting your posture.
 
Stretch and Contract
Long hours of sitting slumped at a desk will overstretch neck and upper back muscles and cause your chest muscles to shorten, which will feel increasingly tight and uncomfortable. This only aggravates the problem by pulling the shoulder and neck joints increasingly forward. Receiving regular massages reduces tension that accumulates with everyday wear and tear. Decreasing stiffness and helping joints to move more freely better equips your body to cope with physical and emotional demands when they arise.
 
What a Good Massage treatment Can Do
Besides the great benefits of increasing relaxation and decreasing anxiety, massage can:
  • lower blood pressure and increase circulation
  • relax and soften injured and overused muscles and reduce spasms and cramping
  • increase joint flexibility and range of motion
  • decrease discomfort for clients with low back pain
  • relieve the pain of tension headaches and migraines
  • reduce post-surgery adhesion, oedema, and scar tissue formation
  • help you to sleep better and increase your concentration 
Above all, massage reminds us what it is like to feel good, and we often desperately need that reminder! 
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