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Winter 2020
In this issue:
  • Medicare-funded health checks for people aged 45 to 49
  • Cervical cancer: avoid it with a simple test, every 5 years
  • Where to find your closest COVID-19 Testing Clinic
  • How to make a face mask
  • New nurses station at Daylesford
  • Kyneton Clinic is expanding
Welcome to your Springs Medical Community Newsletter
Friend of Springs Medical, we're excited that you've joined us. Thanks for subscribing!

Our aim is to provide you with quality health and wellbeing information and to keep you up to date with what's happening at Springs Medical's Daylesford, Trentham and Kyneton clinics. Our team is here to answer any questions you may have about our newsletter. We'd love to hear your ideas for future topics. Please contact us at newsletter@springsmedical.com.au. We look forward to hearing from you.

From all of us at Springs Medical, thanks so much for your interest in joining our community.

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Taking action each day to keep our bodies and minds in good shape is something we all can do. Our doctors and staff at Springs Medical are here to help if you have questions or concerns about how to stay well, physically and mentally, through these changing and challenging times.

What you don't know won't hurt you, right? WRONG!

If you’re aged 45 to 49, when you’re not busy working it’s likely you’re busy caring for your children and elderly parents, and you rarely see a doctor, according to health statistics. 

That’s why we put this topic in CAPITAL LETTERS in your inbox, so you wouldn’t miss it.

While you may feel perfectly well, many medical conditions can develop without symptoms in your age group. A comprehensive health assessment can identify disease risk factors and help you make necessary life changes now to prevent or delay the onset of chronic disease.

Medicare is providing one free, comprehensive health check for eligible people aged between 45 and 49, because research has shown that by taking careful stock of your health right now, we can help you have a healthier future. 

Common risk factors for chronic disease include:

  • smoking, drinking alcohol, physical inactivity and poor diet
  • being overweight, impaired glucose metabolism and having high cholesterol or high blood pressure
  • family history of chronic disease, such as diabetes, mental illness, heart or lung disease, arthritis and cancer

Your health check will comprise a one-hour appointment with a Springs Medical wellness nurse followed by an appointment with a doctor on the same day. It’s Medicare funded and available at all our clinics: Daylesford, Trentham and Kyneton.

Our aim is to fully assess your current state of health, flag possible future health issues, provide you with relevant information, advice, referrals, support, and to help you form a plan for your future health care based on your needs. We can also provide strategies to achieve lifestyle and behaviour changes so you can live healthier for longer.

We’ll look at your: past medical history; current medications; family history of disease; past health screening; and immunisation history.

And ask you about your life, such as your: employment; marital status; family situation; mental health; and sexuality. This isn’t because we’re nosey, it’s to check for specific, health-related issues.

Our nurse will take a full set of non-invasive observations and tests, such as: height; weight; blood pressure; waist circumference; heart rate; oxygen level; cholesterol level; and urine analysis.

We’ll ask you about your: skin; bowels; diet; hearing; and vision. And also if you smoke, take drugs or drink alcohol, so we can provide you with any information or support you might want.

We’ll also ask specific questions to determine your risk of: cardiovascular disease; diabetes; and other chronic diseases.

If you’re a woman, we’ll ask you women’s health-related questions, such as breast and cervical screening and contraception. If you’re a man, we’ll ask men’s health-related questions, including questions about your prostate. And we will ask health-appropriate questions to people who identify as LGBTIQ.

And while you may feel invincible right now, we’ll also ask whether you have considered:

  • organ donation
  • an end-of-life plan
  • Medical and Enduring Powers of Attorney

This is so we can provide you with resources and information you may need to ensure the future wellbeing of you and your family.

If you are aged 45 to 49 and have any questions about your eligibility for this free health check, please call your nearest Springs Medical Clinic.

To book an assessment phone your Springs Medical Clinic and request a 45 - 49 health assessment. If you have a regular GP at Springs Medical, please request your follow-up appointment with them, so we can organise this for you.

This is a one-off government-funded initiative for preventative health.

Cervical wellness - avoiding cervical cancer is easy

Our Women’s Wellness Clinic is back in action after a break due to COVID-19 lockdown, and we are also proud to announce the relaunch of our Cervical Screening Clinics at Daylesford, Kyneton and Trentham.

Cervical cancer is one of the most preventable cancers, but not all women (or people with a cervix who identify as LGBTIQ) take advantage of a simple screening test to check the health of the cervix, resulting in many unnecessary deaths each year.

Hepburn Shire’s Population Health Snapshot 2018 showed just over half (61.5%) of women in our community had engaged in regular cervical screening. 

If you are a woman aged between 25 and 74 and have ever been sexually active, we highly recommend you have a Cervical Screening Test (CST) every five years, even if you have had the human papillomavirus (HPV) vaccination.

Our Cervical Screening Clinic is a low-cost clinic with a maximum fee of $20.

The Cervical Screening Test has replaced the Pap test in Australia. It looks and feels the same as the old Pap Test, but instead tests for HVP. The CST is expected to protect up to 30 per cent more women.

Your first CST is due two years after your last Pap test. After that, you’ll only need to have the test every five years if your results are normal.

LGBTIQ

LGBTIQ people aged between 25 and 74 years who have a cervix also need regular cervical screening. Because no matter what your gender identity, or with whom you have had sex, if you have a cervix you are still at risk of cervical cancer.

Cervical Screening Clinics

Our regular Cervical Screening Clinics are run by one of our female doctors or our female Cervical Screening Nurse. This is to make the process as comfortable as possible for you. Please let us know if there is anything else we can do to make you feel at ease for your test.

Cervical cancer forms over time in the cells of the cervix. Nearly all cervical cancers are caused by a human papillomavirus infection which doesn’t clear up. It can take more than 10 to 15 years for a persistent HPV infection to develop into cervical cancer. This is why screening is so effective.

The human papillomavirus is very common and spread by genital skin-to-skin contact during sexual activity. Condoms do not cover all the genital skin so do not give full protection from HPV infection. 

Most people will have a HPV infection at some point in their lives. You can be exposed to HPV the first time you engage in sexual activity and even if you’ve only had one sexual partner.

While Cervical Screening Tests prevents about 90 per cent of cervical cancers, if at any age you experience unusual vaginal bleeding, discharge or pain during sex, please speak to your doctor as soon as possible.

Cervical cancer is rare in women under 25 years of age.

Please phone us to  make an appointment at our Daylesford, Kyneton or Trentham Clinic.

Due to COVID-19 constraints, our CST nurse will be running monthly Cervical Screening Clinics at Daylesford but will not be attending Kyneton at this stage. GPs are available at Kyneton for Cervical Screening. Please book your test with a doctor of your choice.

How to make a face mask
Emma Johns 

Springs Medical's General Manager, Emma (pictured), did not quite realise the enormity of the task ahead of her when she began a mask-making marathon to complete more than 50 cloth masks for Springs staff to wear travelling to and from work. Family and friends wanted some too. Just when Emma could see the finish line, her dear husband offered her services to make masks for his work colleagues. Emma's now made more than 80 masks and the requests keep coming...

For instructions to sew a very simple 3-layer face mask, click here
During the first lockdown, Victoria experienced a social media-driven baking frenzy. This lockdown, necessity has many of us making our own cloth face masks. 

Whether you're buying or making cloth masks, the three most important questions to consider are:
  • Will the mask material allow me to breathe comfortably + provide a good barrier to SARS-CoV-2 virus transmission?
  • Does the mask fit snugly without gaps?
  • Can I clean it properly and safely at home?
Some face masks available online are designed to keep out dust or smoke particles but do not provide a sufficient transmission barrier to SARS-CoV-2, the virus which causes COVID-19. Unfortunately, an attractive print alone will not keep you or others safe. If you don't believe the type of mask you wear makes much difference, observe this experiment.

Some basic research is essential before you make or buy a mask. We've provided links to research and patterns to make the decision-making process easier for you.

Mask materials
Medical-grade surgical and N-95 masks used by doctors and nurses are designed for single use only. If you're making a re-useable cloth mask, it's advisable to prewash and dry your fabric the way you intend to launder your mask. This prevents shrinkage when you wash your mask after each use.

Victoria's Department of Health and Human Services (DHHS) has provided instructions on how to sew a simple cloth face mask using easy to source, inexpensive materials. DHHS recommends using 3 layers and  a mix of materials. An outer layer using a water-resistant, non-woven fabric such as a re-usable 'green' polypropylene shopping bag (there's no need to prewash this if it hasn't been used); a middle layer made of a blended fabric such as a cotton/poly blend; and an inner layer of tightly woven cotton fabric, such as poplin. The tighter the weave and the higher the thread count of the fabric, the better. 

Researchers have  tested different fabrics and combinations of fabrics to see which are most effective at keeping out SARS-CoV-2. Ensure the fabrics you choose will stand up to multiple washes. An outer layer that repels water droplets and aerosol particles containing the virus will do the heavy grunt work of keeping you and others safe. Researchers think hybrid fabrics for the middle layer may perform better as a filter because of a combined effect of mechanical and electrostatic-based filtration. Tightly woven cotton is often preferred as an inner layer because it's comfortable next to your face and absorbs moisture from your breath.

How well does it fit?
The better a mask fits, the fewer virus particles can enter or leave the mask. That's why nurses and doctor's caring for COVID-19 patients require N-95 respirators that fit snugly.

Studies have shown even small gaps can reduce a mask's filtration capacity by more than 60 per cent.

If you are in an indoors environment such as a supermarket, public transport or office, a no-gap mask provides superior personal protection. 

There are plenty of DIY face mask tutorials on YouTube. Look for a style that will not gape, such as one with flexible wire inserted enabling a snug fit around your nose. Patterns that offer several size options or customised options, such as the Jesse Mask, are likely to provide a better fit. Click here for the Jesse Mask pattern.

If you find your mask has gaps or the elastic is too loose, there are many suggestions on the Internet explaining how to modify your mask for a better fit.

How to clean a cloth face mask
Cloth masks need be cleaned after each use. Because you will be wearing your face mask most days, it's important to choose a safe and efficient cleaning routine. Australian prevention and control experts Brett Mitchell and Philip Russo recommend cleaning face masks this way.

But I don't know how to sew!
Not being a sewer is no obstacle to making an effective face mask. Just remember to take into consideration how the mask fits, the materials you are using and how many layers the mask has. Here are a couple of quick DIY options.

There's no excuse not to have a go!
Meet our new doctor
Dr Nick Rhead 
Nick began his medical career in Liverpool, UK. A passion for public health led him to found the award-winning UK public health charity, StreetDoctors, which equips high-risk young people with life-saving skills. He moved to Melbourne in 2014, working at the Northern Hospital before gaining extensive experience as a GP and emergency care doctor in rural and remote Australia. Now settled in Daylesford, Nick and his family are looking forward to becoming part of the local community.
Daylesford has a new nurses station
Clinical Acute Coordinator Talya Gale (L) with Primary Care Nurse Jennifer Burke in front of the new nurses station. The station will improve efficiency and comfort so our nursing team can better serve our Daylesford patients. As well as a proving a dedicated clinical administration support area, the new setup means patients can call to speak to a member of the nursing team.
Our Kyneton Clinic is expanding
Business is booming at our Kyneton Clinic so we are expanding our premises to the building next door, formerly a rug shop in Piper Street. This means we will have more medical staff and appointments available for our patients when refurbishment work is completed later this year.
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Did you know our Kyneton clinic now offers podiatry and physiotherapy? Podiatrist Kathryn Jones is available monthly on a Friday to see patients for issues from routine nail care and callus reduction to biomechanical assessments and treatment for plantar fasciitis.

Physiotherapist Konstantine (Kon) Eleftheria sees patients Mondays and Saturdays in Kyneton on alternate weeks. He treats a diverse range of musculoskeletal injuries and disorders and has a special interest in sports physiotherapy and complex spinal conditions.

We are also pleased to announce Dr Falak Naz and Dr Karen Thompson (pictured above) are available to see patients at our Kyneton Cervical Screening Clinic.

Dr Naz holds an Advanced Diploma in obstetrics and gynaecology and has extensive experience in obstetrics and is passionate about women’s health and wellbeing.

Dr Thompson has spent most of her lengthy medical career practising in rural and isolated communities. She has a special interest in Integrative Medicine, which takes account of the whole person and the full range of physical, emotional, mental, social, environmental and spiritual influences that affect a person's health.
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Newsletter by:
Medical Subeditor: Dr Jon Barrell, Director, Springs Medical
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