David is one of Australia’s foremost exercise-health professionals, providing Exercise Physiology clinics to the Harold Park community out of Harold Park Medical Centre. David specialises in drug-free, exercise-based treatments for:
Persistent pain, muscle tension and weakness.
Cardiovascular health concerns, including high blood pressure & high cholesterol and low aerobic fitness.
Metabolic health concerns such as Pre-diabetes, Type 2 Diabetes and PCOS.
David takes the time to understand you, your current health, your goals and your preferences, and walks you through your personalised exercise-health plan on your terms, so you can feel confident in taking the next steps towards better physical health.
Contact our clinic on (02) 9056 8888 to discuss further or book an appointment today!
What is Diabetes? Diabetes is a serious chronic condition that can affect the entire body. According to the National Health Survey 2017-2018, 1.2 million people are affected by Diabetes in Australia. Approximately one in six Australians over the age of 25 have prediabetes.
Diabetes requires daily self-care and can have a significant impact on the quality of life and reduce life expectancy. There is no current cure for diabetes but you can minimise impacts on your quality of life through early diagnosis and effective treatment.
There are 3 Main Types of Diabetes
Type 1 Diabetes – is an autoimmune condition in which the immune system is activated to destroy cells in the pancreas, resulting in decreased insulin production. Type 1 diabetes is not linked to modifiable lifestyle factors, there is no cure and it cannot be prevented. This tends to be diagnosed during childhood.
Type 2 Diabetes – is a condition in which the body becomes resistant to normal effects of insulin. The pancreas gradually loses the capacity to produce enough insulin. Type 2 diabetes can be caused by a combination of genetic and lifestyle factors.
Gestational diabetes – it is diagnosed when higher than normal blood glucose levels first appear during pregnancy. This is the fastest growing type of diabetes in Australia. All pregnant women should be screened for gestational diabetes.
If you have any of these symptoms do not hesitate to ask your GP by simply booking an appointment using the link below
Type 1 diabetes cannot be prevented. People at risk of type 2 diabetes can delay or even prevent the condition by:
Maintaining a healthy weight
Regular physical activity
Making healthy food choices
Managing blood pressure
Managing cholesterol levels
Early diabetes often has no symptoms; therefore, screening is vital. Your GP can organise a diabetes risk assessment. Everyone over the age of 40 should be having a diabetes risk assessment at least every 3 years. Your GP will take a medical history and physical examination and may recommend a fasting blood test. Some people should have screening earlier in life or more often, your GP can advise if you fall in to a higher risk category.
If diabetes, or pre-diabetes, is diagnosed, a dietitian and an exercise program are invaluable tools in diabetes management.
Have you met your local NUVO Health clinic in-house Dietitian?
The Lifestyle Dietitian are a team of compassionate Accredited Practising Dietitians here to help you at NUVO Health. They are dedicated to supporting you in managing your health conditions through food and nutrition. Each of our Dietitians work across a range of health areas (including Type 2 Diabetes, insulin resistance, heart disease, weight management, PCOS, gastrointestinal conditions and hypertension) and recognise that patients are all unique with their own health goals and challenges. They are dedicated to understanding your individual circumstances and empowering you to make sustainable health behaviour and lifestyle change.
If you would benefit from individualised dietary advice and support from an Accredited Practising Dietitian, book an appointment with one of the Dietitians from The Lifestyle Dietitian online or in-house at your local NUVO Health clinic. If you have private health insurance cover or a Medicare plan you may be eligible for rebates on your appointment.
For a limited time, the team at The Lifestyle Dietitian are offering $50 off for your first appointment.
Are you looking for a simple diabetes-friendly recipe that isn’t just nutritious but also delicious? The team at The Lifestyle Dietitian have put together an easy recipe to help manage your blood sugar levels whilst still enjoying a satisfying meal.
Healthy Burrito Bowl
This Mexican-inspired recipe is packed with legumes, corn and basmati rice which are low GI carbohydrates that break down slowly and prevent spikes in your blood sugar. This recipe also includes tinned beans and vegetables which are not only incredibly nutritious but also very cost effective and a great way to save money when shopping on a budget or the cost of fresh produce is high.
With plenty of flavour, zest and spice, this recipe will soon become a family favourite for “Friday Fiesta” nights at home!
Ingredients: (Serves 6)
500g extra lean beef or pork mince
1 tbsp smoked paprika
1 tbsp garlic powder
1x 400g can black beans, drained and rinsed
1x 400g can corn, drained and rinsed
1 red onion, chopped
1 red capsicum, chopped
2 fresh tomato, chopped
½ bunch fresh coriander, chopped
Extra virgin olive oil
Basmati rice, to serve
Chilli flakes (optional)
Cook the rice according to the instructions on the packet and set aside.
Heat a large fry pan over medium heat. Add 1 tbsp olive oil and cook mince for 1 to 2 minutes. Add the paprika and garlic powder and continue cooking until golden brown. Add the black beans and stir for a further 1 to 2 minutes until heated.
Heat a second large frying pan. Add 1 tbsp olive oil with the red onion, capsicum and corn. Cook until slightly charred.
Make the guacamole in a separate bowl by smashing the avocado with the juice of half of the lime. Mix in chilli flakes if using.
To assemble, arrange the rice, vegetables and meat and bean mixture in individual bowls (see image). Top with fresh tomato, coriander and guacamole. Slice the remaining lime into wedges and add to the bowls. Enjoy!
Don’t forget to get your travel vaccinations so that your trip is enjoyable and free of adverse health concerns!
By getting vaccinated, you are protecting yourself against infectious diseases while you’re traveling. It also helps to ensure that you don’t bring infectious diseases home to your family and friends. https://wwwnc.cdc.gov/travel/destinations/list
Did you know that different countries have different vaccination requirements?
We recommend that you visit your GP to get your vaccination at least 6 to 12 weeks before you leave Australia. You may need several doses of a vaccine to achieve full immunity and your body will also need time to develop full immunity.
Get medical advice from your GP
Your personal situation can affect your health risks overseas. You need medical advice tailored to you, even if you’re usually fit and healthy. Only your GP can advise what vaccinations and preventative health measures you should take. See your GP to find out what is right for you.
Dr. Kavita Gupta will be commencing at Harold Park Medical Centre on 27th July.
Dr. Kavita Gupta graduated with a Bachelor of Medicine and Bachelor of Surgery in Queensland and has been practicing medicine since 2013. She completed junior medical training at the Royal Brisbane Women’s and Children’s Hospital, Prince Charles Hospital and Liverpool Hospital Sydney. Outside of medicine, Kavita is an active member of the local walking and health living group and enjoys travel, yoga, meditation and healthy cooking.
For bookings with Dr. Gupta click on this Hotdoc link below:
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:
dry non-productive cough
body aches, fatigue and feeling generally unwell
Older adults and young children can be more severely affected and develop atypical symptoms.
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.
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.
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.
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
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.
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.
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 ~
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.