Category Archives: Practice News

Flu Season Has Arrived

Dear Patients, 

Hope you are well. Autumn has arrived so has the start of the flu season. Although we could get flu at any time of the year, the spread is more prevalent when the weather cools down. The peak of flu season in Australia is usually June to September.  

The last two flu seasons have been unusual in Australia due to the covid-19 pandemic; we have not seen many influenza cases and there has been lower uptake of the vaccine. Now that the borders are open and life is returning to normal, health experts are predicting a more severe flu season in 2022.  

What is the flu or Influenza? 
The Flu or Influenza is an acute viral illness. It is a highly contagious disease that mainly affects the respiratory system. It is caused by influenza viruses classified as type A, B or C. Only influenza A and B viruses are included in seasonal influenza vaccines as they cause the majority of disease in humans. 

How the virus spreads?  
Influenza spreads easily, mainly through large particle droplets produced by sneezing and coughing. Droplets containing the influenza virus also settle onto surfaces, and the virus can then pass from hands to the nose, mouth or eyes. People with influenza can be infectious to others from 24 hours before symptoms start until 1 week after the start of symptoms. In previously healthy individuals, symptoms typically subside within 5–8 days. 

Symptoms 
Influenza symptoms usually have a sudden onset. The most common symptoms are:  

  • fever  
  • dry non-productive cough  
  • nasal congestion  
  • headache  
  • sore throat  
  • body aches, fatigue and feeling generally unwell          

Older adults and young children can be more severely affected and develop atypical symptoms.  

Prevention 

  • Vaccination is the best protection against influenza and its complications 
  • Practising hand hygiene and cough etiquette (such as covering the nose and mouth when coughing or sneezing) can help reduce the chances of getting and passing on the influenza virus.  
  • People who are sick with influenza should stay home from work, school and social gatherings to prevent close contact with and transmission to other people. 

Why is it necessary to receive another dose of the influenza vaccine each year? 
The influenza virus changes frequently. Each year, the dominant strains differ and a new vaccine is created to target the current strains. The vaccine is most effective for the first 3-4 months after vaccination (though it is expected to continue to offer some protection after this period).  

Can influenza vaccines cause the influenza? 
There is no live virus in the influenza shot, so you cannot get influenza from the vaccine. The vaccine can cause some mild “flu-like” side effects such as body aches, fever and fatigue which may be mistakenly thought to be an influenza infection. 

Who should be vaccinated? 
Annual influenza vaccination is recommended for all people aged ≥6 months unless contraindicated (refer to link for Contraindications).  

Influenza vaccination is strongly recommended for anyone travelling overseas in 2022.  

Free vaccine 
There are a number of groups that are at increased risk of influenza and its complications. Influenza vaccination is strongly recommended and funded on the National Immunisation Program for the following groups:  

  • Children 6 months to 5 years of age 
  • Aboriginal and/or Torres Strait Islander people 
  • Pregnant women (during any stage of pregnancy) 
  • Adults ≥ 65 years of age – this age group receive different version of the vaccine which is designed to increase the immune response to the vaccine  
  • All individuals aged ≥ 5 years with medical risk conditions (Please refer to link)  

If you are not eligible for the free vaccine, the cost of one vaccine is $25.00. 

To book an appointment, please click the button below. 

Kind Regards, 

The Team from Harold Park Medical Centre

Sources:  

Vitamin D – The Sunshine Vitamin

Dear Patients,

With the change of seasons into Autumn, the team from Harold Park Medical Centre would like to share some information on Vitamin D to ensure you maintain your optimum health to live your best life.

What is Vitamin D? 

Vitamin D is a nutrient you need for good health. It helps your body absorb calcium, one of the main building blocks for strong bones. Together with calcium, Vitamin D helps protect you from developing osteoporosis, a disease that thins and weakens the bones and makes them more likely to break. Your body needs Vitamin D for other functions too. Your muscles need it to move, and your nerves need it to carry messages between your brain and your body. Your immune system needs Vitamin D to fight off invading bacteria and viruses. 

Sources of Vitamin D 

Small amounts of the Vitamin D you need can be obtained through food (about 5 – 10 per cent).  

  • Vitamin D is added to many breakfast cereals and to some brands of orange juice, yogurt, margarine, and other food products. 
  • Fatty fish (like trout, salmon, tuna, and mackerel) and fish liver oils are among the best natural sources of Vitamin D. 
  • Beef liver, egg yolks, and cheese have small amounts of Vitamin D. 
  • Mushrooms provide a little Vitamin D. 
  • Ultraviolet (UV) radiation from the sun (90%). Your body makes Vitamin D when your bare skin is exposed to the sun. Most people get at least some Vitamin D this way. However, clouds, pollution, old age, and having dark-coloured skin reduce the amount of Vitamin D your skin makes. Also, your skin does not make Vitamin D from sunlight through a window.  

What happens if I don’t have enough Vitamin D? 

Factors such as lockdown, working from home, decrease in exercise and outdoor activities have may lead to Vitamin D deficiency.  

Vitamin D deficiency does not always have obvious symptoms but without treatment there can be significant health effects. These can include bone and muscle pain and softening of the bones – such as rickets (in children) and osteomalacia (in adults) which can make bones easy to fracture or break.

Which adult groups are at high risk of Vitamin D deficiency? 

  • Older or disabled people in low-level and high-level residential care, particularly those who are housebound, hospitalised community-dwelling geriatric patients. 
  • Dark-skinned people of either sex 
  • People with a disability or chronic disease (eg: multiple sclerosis) 
  • Fair-skinned people and those at risk of skin cancer and avoid sun exposure 
  • People working in an enclosed environment, such as office workers, factory or warehouse workers or night-shift workers. 

Do I need a Vitamin D Test? 

Vitamin D deficiency is done through a simple blood test by measuring a form of Vitamin D in your blood named 25-hydroxynitamin D (25-OHD).  

You may need a Vitamin D test if: 

  • you are at risk of Vitamin D deficiency or 
  • you have abnormal levels of calcium, phosphate or magnesium in your blood 
  • you have bone problems 
  • you have diseases that might result in, or be caused by, too much or too little Vitamin D  
  • you have problems with your parathyroid gland 

Please check with your doctor whether you need a Vitamin D test. 

Source: National Institutes of Health 
Source: Health Direct 
Source: The Medical Journal of Australia 

Best wishes,

The Team from Harold Park Medical Centre

Rapid Antigen Test (RAT)

Dear Patients, 

The team from Harold Park Medical Centre hopes you are staying safe and well, especially for those who are going back to the office or school. With the wide adoption of Rapid Antigen Tests (‘RAT’), following are some basic information about RAT from the NSW Health Department.  

Rapid Antigen Test (RAT) 

What happens if I get a positive RAT result? 

If you get a positive RAT result and unsure of the next step, you may follow the guideline below. 

Test result Symptoms Exposure risk Next step 
  Known or unknown contact You are a confirmed case, follow the advice for people testing positive for COVID-19 
 Or  Known high risk or household contact You are a confirmed case, follow the advice for people testing positive for COVID-19 
  No known contact You may be a confirmed case. Take another rapid antigen test within 24 hours or have a PCR test 

What type of RAT should I use? 

The Therapeutic Goods Administration provides a full list of RAT kits approved in Australia and how to use each one correctly. Please refer to https://www.tga.gov.au/covid-19-rapid-antigen-self-tests-are-approved-australia 

How do I use a RAT kit? 

Each RAT differs slightly so please follow the instructions of the RAT you are using. NSW Health has provided a quick video on how to use a basic nasal test. Click Here to watch the video.  

Can I eat or drink before using a saliva sample RAT? 

The answer is, “No. NSW Health recommends you do not eat, drink or brush your teeth for at least 30 minutes before doing a saliva rapid antigen test. This will ensure a clean sample is taken.” 

For full information on RAT for Covid-19 from the NSW Health, please refer to: 

https://www.nsw.gov.au/covid-19/stay-safe/rapid-antigen-tests-for-covid-19

How do I register a positive RAT result? 

From 12 January 2022, people who test positive to a Covid-19 RAT at home must register with Service NSW. You do not need to register if you have had: 

  • A negative or invalid RAT result 
  • A positive PCR test in the 28 days before your positive RAT 

To understand your eligibility, what you need and how to register, please refer to: 

https://www.service.nsw.gov.au/transaction/register-positive-rapid-antigen-test-result

Booster Eligibility 

You are eligible for a booster vaccination if you: 

  • are fully vaccinated (have received 2 doses of a COVID-19 vaccine), 
  • are aged 16 and over, and 
  • have received your second dose of a COVID-19 vaccine at least 3 months ago. 

For further information please see the NSW Government website Here. 

Welcoming New Doctors at Our Practice 

Please join us to welcome our new doctors in the clinic. We attached their bio and area of special interest.  Please do not hesitate to contact us should you like to know more about them or book an appointment Here.

Dr Rene Reichle

Background – Dr Reichle has exclusively trained and practiced medicine in the inner west. He completed his medical degree at the University of Sydney in 2013. This was followed by completing his internship and residency at the Royal Prince Alfred Hospital prior to entering general practice training locally. 
Special Interests – Dr Reichle enjoys all aspects of general practice. He especially has an interest in paediatrics and early pregnancy care. 
Personal Interests – Dr Reichle enjoys spending time with his wife and son. He is also an avid ice hockey player, playing in local competitions throughout the year. 
Availability – Monday & Friday: 8am-6pm 

Dr Daniel Bosnjak

Background- Daniel graduated from the University of Sydney in 2017 with a Doctor of Medicine. Since then, he has gone on to complete his Residency at St. George Hospital and did an extra year of residency in Emergency Medicine and Paediatrics at Campbelltown Hospital.  
Special Interests- Daniel loves all areas of general practice, but in particular has interest in mental health.  
Personal Interests- Outside of work Daniel is an avid reader and closely follows the Formula 1. 
Availability – Tuesday & Thursday: 8am-6pm 

Please take care and stay safe.   

Best wishes,   
The Team from Harold Park Medical Centre

Pack yourself a filling lunch fast



With the hustle and bustle of work building up over the week, we feel like there’s less and less time to prepare lunch for work. It comes as no surprise when we grab something convenient from the nearest food outlet.

The downside? These options can come served in large portions with excess added salt, sugar and unhealthy fats instead of the nutrients we need to stay energised and full for the rest of the day. Buying lunch also takes time to line-up, order and wait for our food to be made. This leaves less of our lunch break to sit, chew and enjoy our food, a key experience that starts the process of proper digestion and lets our brain know we are full.

To solve this dilemma, use this four-step guide to pack a filling, healthy and delicious lunch, fast.

STEP1: VEGETABLES

Take advantage of pre-packed salads or microwavable vegetable bags and fill half of your lunch with a good hit of fibre that adds “bulk”. The stretching of our stomachs from fibre signals to our brain we are full, making our meal much more satiating. Certain fibres, like those in asparagus and beetroot, also feed our good gut bacteria. When well-fed, they release appetite-regulating chemicals that can stave-off hunger-pangs and unnecessary snacking too soon after our lunch.

STEP 2: PROTEIN

Next, include a serve of lean protein. This is essential for longer lasting satiety as protein increases the production of hormones which signal long-term fullness to our brain. Aim for a palm-size and look for quick options like canned tuna or salmon, boiled eggs and ready-to-eat lean roasted chicken or falafels. 

STEP 3: LOW GI CARBOHYDRATE

Round out your meal with carbohydrates that have a low Glycaemic Index (GI). This means it is broken down into glucose slowly, providing our brain a sustained stream of fuel to power through the 3pm slump. Make use of high-fibre wholegrain breads and wraps, microwave grain cups and even canned legumes.

STEP 4: HEALTHY FAT

Finish with a dash of healthy fat for flavour (i.e. fun). Ensuring your packed lunch is tasty gives it a fighting chance against highly-palatable takeaway options. Healthy fats are also needed to absorb fat-soluble vitamins, like those found in tomato, capsicum and leafy greens. Sprinkle a handful of nuts for crunch, spread a creamy hummus in your wrap or whisk extra virgin olive oil-based with balsamic vinegar to perfectly coat salad vegetables.

Next time you plan to head to the food court, try these four steps and see how you feel. You might just find the staff kitchen cookies aren’t calling your name come mid-afternoon.



WWW.THELIFESTYLEDIETITIAN.COM.AU

Practice Fee Increase

ATTENTION PATIENTS
INCREASE IN PRIVATE FEES

Please note as of Monday 20th January 2020, our practice fees have been marginally increased. This is due to the rising cost of rent and sustainability of our facility.

Please see our revised fee below:

Standard Consult -$83.00 (medicare rebate -$38.20) Gap -$44.80
Long Consult -$132.00 (medicare rebate -$73.95) Gap -$58.05
Prolonged Consult -$168.00 (medicare rebate -$108.85) Gap – $59.05

Private fees apply to booked appointments Monday-Sunday including walk in patients.
*Bulk Billing Applies to children up to 18 years, Pension, DVA and Health Care Card holders.

CURRENT PRICES

The following fees apply Monday – Saturday:

Standard Consult -$81.00 (medicare rebate -$38.20) Gap -$42.80
Long Consult -$128.00 (medicare rebate -$73.95) Gap -$54.05
Prolonged Consult -$164.00 (medicare rebate -$108.85) Gap – $55.05

The following fees apply Sunday and Public Holidays:

After Hours Standard Consult -$93.00 (medicare rebate -$49.80) Gap -$43.20
After Hours Long Consult -$138.00 (medicare rebate -$85.30) Gap -$52.70
After Hours Prolonged Consult -$216.00 (medicare rebate -$119.65) Gap – $96.65

~ Medicare Easyclaim is available on site for rebates ~

New Billing Schedule

ATTENTION PATIENTS
CHANGES To Private Schedule Fees
Effective as of 5th August 2019
Private fees apply to booked appointments Monday-Sunday including walk in patients.
*Bulk Billing Applies to children up to 18 years, pension and health care card holders.

The following fees apply Monday – Saturday:

Standard Consult -$81.00 (medicare rebate -$38.20) Gap -$42.80
Long Consult -$128.00 (medicare rebate -$73.95) Gap -$54.05
Prolonged Consult -$164.00 (medicare rebate -$108.85) Gap – $55.05

The following fees apply Sunday and Public Holidays:

After Hours Standard Consult -$93.00 (medicare rebate -$49.80) Gap -$43.20
After Hours Long Consult -$138.00 (medicare rebate -$85.30) Gap -$52.70
After Hours Prolonged Consult -$216.00 (medicare rebate -$119.65) Gap – $96.65

~ Medicare Easyclaim is available on site for rebates ~

Billing Policy Update Handout – HPMC.pptx

Flu Vaccines

Dear Patients,

We would like to inform you that we now have the private and government funded flu vaccines available. Please call us on 9056 8888 to book an appointment to see your GP to get vaccinated.

For further information, please refer to our flu fact sheet below.

Flu Factsheet

Measles Warning !

Measles Alert!

The numbers of measles cases continue to increase in NSW.

What are the symptoms?

Measles is a highly infectious viral illness which begins with a cough, fever, sore red eyes and runny nose. After three to four days a non-itchy red spotty rash will occur on your face and neck before spreading to the rest of the body. People who are experiencing signs and symptoms of measles should seek medical attention.

What should I do if I think I have measles?

Call ahead to the practice and ask to speak to the nurse. She will triage your symptoms and give you further instructions to limit exposure if you need to come to the doctor. You should not sit in the waiting room without letting anyone know.

How is it spread?

Measles is highly contagious and is spread in the air through coughing or sneezing by someone who is unwell with the disease. People are at risk of measles if they are exposed to an infectious case and have never had measles or have not received two doses of measles containing vaccine. Two doses of measles containing vaccine provide lifelong protection against infection in 99% of people. Most people born before 1966 are assumed to be immune to measles.

Can I get measles vaccination?

 If you are between 25 and 53 years of age, you may be eligible for a vaccine booster.
 Children in Australia are vaccinated at 12 and 18 months years of age.
 If you have upcoming overseas travel plans, you should talk to your doctor.
For more information, please make an appointment with your GP.

Harold Park Pharmacy Open

Harold Park Pharmacy

hp-pharmacy
Need a script filled after your appointment? Just pop into the Harold Park Pharmacy located inside Harold Park Medical Centre. Their friendly Pharmacists can assist you with any questions you might have with your medications or any products from their range.

You can also get advice from a friendly pharmacist on (02) 9552 3088.

 

Physiotherapy @ Harold Park

Dear Patients,

The physiotherapist is now available on the following days:

Monday: 2pm – 6pm
Wednesday: 2pm – 6pm
Friday: 9am – 1pm
Saturday: 9am – 12pm

Please call us on 02 9056 8888 to find out more about the service they provide and to book an appointment today.