Dr Baxter – Laparoscopic Sleeve Gastrectomy


September 3, 2019 Services

Gastric Sleeve surgery involves removing the lateral two-thirds of the stomach with a stapling device. The procedure is done using keyhole or laparoscopic surgery. The remaining stomach is more like a tube or ‘sleeve’ than a sac. It is estimated that the remaining stomach has about a 100 to 200ml capacity. It works by making you feel “full” sooner, therefore you will eat less.

 

Is it effective?

Most people who have gastric sleeve surgery have been found to achieve long term weight loss, but it is contingent on keeping to a new lifestyle inclusive of movement and diet changes. Studies have shown that after a gastric sleeve resection procedure, patients show improvement in obesity related health issues such as diabetes, high blood pressure, high cholesterol and sleep apnoea.

What are the risks?

As with all major surgical procedures, gastric sleeve surgery comes with the risk of post-operative complications such as infections, pneumonia and bleeding. As the procedure involves stapling part of the stomach, leakage is always possible. If leakage occurs, it may cause infection and other health problems. The more obese you are prior to surgery, the higher the risk of complications. However, medical statistics indicate low mortality (risk of dying).

How long will recovery take?

Gastric sleeve surgery is performed under general anaesthesia and takes one to two hours.
We anticipate your stay in the hospital for two or three days, then recovery at home for two weeks. Your recovery should be fast and smooth, provided that you follow the dietitian’s instructions. You should avoid any heavy lifting for four weeks to allow the wound to heal. You should be able to return to work after 2-4 weeks, depending on your type of work (standardly two weeks).

You will be on a fluid diet for one week post operatively, then you will slowly progress to pureed foods, soft foods, before returning to solid food at approximately 6 weeks.

Movement and regular exercise will assist in helping you return to work as soon as possible.

To book an appointment with Dr Ian Baxter, please call 5444 8594

For more information on Dr Ian Baxter


August 16, 2019 Job Opportunities

Nurse Practitioner:

About the business
Health Hub Doctors Morayfield is growing by 350-500 new patients every week and patient demand is stronger than ever as we continue to focus on high quality, integrated, patient-centred care. Located on Brisbane’s Northside and only 30-40 mins from the Sunshine Coast.

About you
We are seeking a Nurse Practitioner who demonstrates at an advanced level of clinical skills, knowledge and high level of expert clinical capacity to translate these into contemporary evidence based clinical care for our minor accident and illness centre.

Essential Criteria
• Must have working rights in Australia
• AHPRA registration
• Hold Master’s in nursing
• Current prescriber number

Facilities
• Onsite Radiologist – 5 days a week
• Laboratory within the onsite pathology
• Cafe for patients and staff to enjoy a coffee
• Research based medicine, including clinical trials centre
• Brain treatment centre
• On-site childcare facility
• Hydrotherapy pool

To apply for this role please send your CV and cover letter to Angie Farrell recruitment@hhdm.com.au

 

 

Practice Nurse:

About the role:
Reporting to the Nurse Manager, you will be based within a friendly team environment with everyone working together to put the patient at the centre of excellent clinical care. Working a variety of shifts and with an assortment of patient presentations no two days are the same.

Some of your main duties and responsibilities will include:

  • Wound care
  • immunisation
  • other injections
  • assisting with procedures
  • liasing with patients
  • health assessments & equipment sterilisation

The ideal candidates will possess the following:

  • Degree qualified with Current AHPRA registration
  • Valid police check, or the ability to obtain one
  • Knowledge of childhood immunisation
  • Experience of home health assessments
  • Fracture management/plaster management
  • Triaging urgent care
  • Wound management
  • Patient centred care
  • A holistic approach
  • Experience with Best Practice software
  • Previous general practice experience desireable
  • Experience in a Urgent care clinic or ED environment desirable but not essential

We are looking for nurses who are looking for full time hours, part time hours, and casual hours. There is also clear career coaching and progression available for the right applicants.

Benefits:

  • Flexible hours with a range of shifts to choose from
  • On site, secured swipe card access only parking
  • Childcare on site from next year
  • Above award rates

 

If this sounds like you, please apply now with your CV and cover letter. Please e-mail reception@hhdm.com.au.



August 16, 2019 Uncategorized

We would like to reassure Health Hub Doctors Morayfield patients with the below statement from Hot Doc.

 

In light of recent ACCC press release regarding legal proceedings against another online booking provider, we would like to take a moment to reassure all patients and practices that HotDoc is not part of these legal proceedings and has never sold or shared patients information to third parties for advertising purposes.

Our purpose is to enable the best possible healthcare experience for everyone in Australia and part of that is ensuring patients privacy and security is managed with the highest regard.

For more information, you can find our transparent Patient Privacy Statement here - https://www.hotdoc.com.au/practices/blog/hotdocs-patient-privacy-statement/

 



August 4, 2019 Services

Stretching promotes normal metabolic activity of the inter-vertebral discs, muscles and ligaments. It should be done in a smooth, controlled manner and should never be painful. If you do experience any pain, please consult your health care professional.

These stretches should be done at least twice each day (first thing in the morning and last thing in the evening before bed). You will also benefit from stretching throughout the day whenever you feel your muscles stiffen. Ten repetitions to each side are suggested for each stretch.

 

1. Spinal Rotations: Sitting upright, slowly twist your spine as far as it will go (look over your shoulder) to both sides.

2. Spinal Extension/Flex: Sitting upright, place hands on knees. Slowly pull head back as pelvis is tilted forward, then bend your head forward as your pelvis tips backwards.

3. Spinal Lateral Bending: Sitting upright, bend fully to one side and then to the other (bring your ear towards your shoulder as far as you can).

Spinal Molding

This exercise enhances spinal curves and prepares you and your spine for a restful sleep, following your evening stretches. Lay on a neck and back roll for 10 minutes before sleeping. Place neck roll under your neck, pressed against your shoulders. Place lower back roll below your rib cage and above your pelvis. You can add a bolster under your knees for added comfort (skip this exercise if you are using the ThoracicPillow®).

 

 

 

To book an appointment with Dr David Shahar, please call 5322 4900

For more information on Dr David Shahar


Our specialist Oncologist Dr Sharon Heng talks about travelling with cancer.

Travel for patients with cancer has become more achievable because of gains in quality of life and overall survival. The risk assessment of these patients is complex, and there is a paucity of data to which clinicians can refer. We present the challenges of traveling with cancer and a review of the literature.

A review using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines was performed. A search using the terms ”cancer,” “advanced cancer,” ”metastases,” “brain edema,” “lymphoedema,” “pneumothorax,” ”pleural effusion,” “pericardial effusion,” pneumonitis,” “hypoxia,” “end-of-life,” and “shunt,” combined with “flying” and “air travel,” was conducted. The PubMed and Cochrane databases were searched for English-language studies up to December 2018. Studies, case reports, or guidelines referring to travel in the context of adult patients with malignancies were included. A total of 745 published articles were identified; 16 studies were included. An inclusive approach to data extraction was used.

There were no specific criteria to deem a patient with cancer fit to travel. Neurologic, respiratory, and cardiac implications, and time from recent surgery or procedure need to be considered There was a lack of high-quality studies to inform decisions, but the British Thoracic Society and Aerospace Medical Association Medical Guidelines included recommendations for fitness to fly for patients with cancer.

In the absence of large prospective studies, individual fitness to travel should be assessed on a case-by-case basis, bearing in mind that maximizing a patient’s ability to safely travel is an important goal for many individuals with cancer.

To read the article in full, please visit https://ascopubs.org/doi/full/10.1200/JGO.19.00029

To book an appointment with Dr Sharon Heng, please call (07) 3859 0690



July 15, 2019 Services

We sat down with Dr Baxter to learn a little more about him!

 

Q:   How did you get to become a surgeon on the Sunshine Coast?

A:   I was educated in Brisbane and commenced medicine at the University of Queensland in 1980. After graduating I worked at the Royal Brisbane Hospital and always had a passion to become a surgeon as I enjoyed the principles of operating, the black and white nature of surgery and the ability to significantly improve peoples' lives through operating. I then travelled for a couple of years and then returned to the Royal Brisbane Hospital as a training Registrar and embarked upon my surgical training.  I finished my surgical training at the Royal Brisbane Hospital and obtained my college certification which is to be a Fellow of the Royal College of Australian Surgeons in 1995.  I then went and studied abroad for 2 years at Bath and then Edinburgh where I was a Senior Registrar and got involved with upper gastro-intestinal surgery and that became my area of interest and passion.  During that time, I saw the evolution of laparoscopic or keyhole surgery and saw that was a way for the future. I returned to Australia as Director at the QE2 Hospital in Brisbane and spent a year as Director  and then ventured to the Sunshine Coast where I wanted to reside in 1998 and have lived there since with my wife and four children.   My interest in bariatric surgery began seeing gastric bands with one of my mentors and I started doing these in 1999, since that time bariatric surgery has become a considerable interest and part of my practice and has evolved over the last 20 year where we now do laparoscopic bands, laparoscopic sleeves and laparoscopic bypass and it certainly is a significant area of practice.  I enjoy general surgery and will continue to practice with my main focus in bariatric surgery and upper gastro-intestinal.

Q:  What do you do in your spare time?

A:  I live rurally on acreage so most of my spare time is outdoors mowing on a tractor or gardening which I have got an avid interest in. I also have a local band that I play guitar and do vocals and I enjoy all things about the ocean in particular surfing. I also have a real interest in snow-skiing and take most years on the snow fields in winter.

Q:  What is at the top of your bucket list?

A:  At the moment it would be looking at the walking tour along the Amalfi Coast and through Tuscany.

Q:  What is your favourite food?

A:  My favourite food would probably be Morton Bay Bugs and the Mooloolaba Prawns.

Q:  Favourite holiday destination?

A:  My favourite holiday destination I would have to say I really enjoy both the ocean and snow, so we often ourselves surf locally at the beach or at North Stradbroke Island. The beaches around Byron are also quite spectacular. With skiing I would have to say Whistler would be by favourite skiing destination.

Q:  What is the most interesting medical article you have read recently?

A:  I have read a number of articles about the rise of robotic surgery which has become an area of interest to me which I will look at further training in the future and it possibly is the next evolution in terms of surgery using robots to help and certainly is an area that interests me at the moment.

 

To book an appointment with Dr Ian Baxter, please call 5322 4900

For more information on Dr Ian Baxter


July 9, 2019 Services

Dr David Shahar is our chiropractor here at Health Hub Doctors Morayfield who is committed to helping patients with their posture.

Healthier standing, sitting and sleeping habits will certainly reduce neck, head and back ache, pinched nerves, arm and shoulder pain, insomnia and mental fatigue. It’s that simple!

Sit Correctly

When resting your back against a car seat, in front of the television, at your desk or at school, remember to perform the ManubriumLift®.

Make sure your buttocks touch the back of your chair, as that will help to shift your head back over your shoulders. A lumbar roll can be used to help you maintain the normal curves in your back.

Bend your knees at a right angle (use a foot rest or stool if necessary). Keep your feet flat on the floor and try not to cross your legs.

When sitting forward while eating, at your computer or when writing, it is good to tip your seat down slightly at the front if possible, or use a sacral block (chair wedge) to prevent your pelvis from tipping back, which causes slouching.

“Blocking” your pelvis will make it easier and more comfortable to maintain an upright position.

Here’s to your good posture!

To book an appointment with Dr David Shahar, please call 5322 4900

For more information on Dr David Shahar


May 22, 2019 Uncategorized

Ashlee

Ehlers-Danlos Syndrome and Prolotherapy

A case history by Dr Philip Dupre.

EDS is a genetic disorder that causes weak connective tissues and therefore affects joints, skin and sometimes blood vessels. Joints become unstable, skin becomes lax and blood vessels fragile. It affects about 1 in 5,000 of the population to a varying degree. It also affects animals.

Generally, surgical treatment for these unstable joints is ineffective because surgery does not correct the underlying tissue fragility.

About 3 years ago, I was approached by the mother of Ashlee, a 15 year-old girl affected by this condition and having a problem with dislocating patellae. She was keen to know if prolotherapy might help her daughter. Prolotherapy involves the injection of an irritant solution usually glucose, into areas of chronic pain in order to cause an inflammatory response. This initiates a healing process in the damaged soft tissue, and ligaments are strengthened. It is most commonly used for spinal pain with generally good results.

I had not heard of prolotherapy being used in Ashlee's situation but, in theory, injecting a sclerosant (concentrated 50% glucose mixed with an equal volume of local anaesthetic) into the medial joint capsule of her knee might tighten and strengthen the tissues and therefore stabilise her knee. She and her mother were keen to give it a try.

Her right patella had been dislocating about every other day for the past 6 months, so she was forced to wear a knee splint. Her left knee was doing the same. Initially, I infiltrated 2mls of the glucose mixture into the medial capsule of her right knee. Two weeks later she stated that her knee felt more stable, so 3mls were injected at this session. At 5 weeks' follow-up, after two injection treatments, she was able to discard her knee brace, and at 8 weeks she had stopped dislocating completely.

Meanwhile, as her left knee had the same problem it was also injected.

Two years after the initial treatment, both patellae had started to sublux but responded well to more injections.

In summary, her right knee stabilised after 4 treatments over 7 weeks but required two further inections 2 years later. Her left knee was stable 2 weeks after only one inection, but again required a booster 2 years later. It is now 6 months since her last treatment and Ashlee reports that both knees are feeling good.

About 18 months after her first knee treatment, she reported that her left wrist had been dislocating and this was demonstrable at the radiocarpal joint. In view of the reported success of treating lax cruciate knee ligaments with intra-articular glucose, I injected 2mls of glucose mixture into her left wrist joint. Two months later she stated that her wrist was about 60% improved. On this occasion I infiltrated 1ml of mixture into the dorsal capsule of her wrist joint. She was seen 6 months later and stated that her wrist had been good for 5 months following the last injection but was starting to sublax again. 2mls of mixture were again injected into her left wrist joint. Currently, 8 months after the last treatment, she is happy with the result, her wrist is stable with only occasional twinges of pain.

In retrospect I would in future only inject the dorsal capsule and if intra-articular injection was required only use 1ml of glucose mixture.

During all this time, Ashlee's left shoulder had been dislocating anteriorly. This was painful and distressing. The problem was how to stabilise a global joint laxity. The original operations for anterior shoulder dislocation involved suspending the humeral head from the acromion by tendon graft or transfer and, bearing in mind this principle, I infiltrated Ashlee's postero-superior shoulder capsule with 2ml of glucose mixture. She has required four further injection treatments over a 13 month period and currently she says her shoulder is not dislocating at all, whereas, in the past it had been happening up to thirty times a day which was painful and very inconvenient.

In addition to all the above, she reported instability in her left ankle, both inversion and eversion. This responded well to a single injection into her medial and lateral ligaments.

In summary, this is only one case, the story of an 18 year old girl with Type 3 Ehlers-Danlos Syndrome, who has gained significant improvement from a simple and inexpensive treatment over the past 2-and-a-half years. She is currently attending university and states that at the time (March 2018) none of her joints feel unstable, and she of course is very pleased with the results. She is unable to explain why her problems have generally been unilateral. She is right handed.

It is possible that prolotherapy may have a place in treating people with normal connective tissue who had joint instability, especially of the patella, but this will require further research.

 

Bibliography|
Reeves, K. D. and Hassanein, K, Randomised Prospective Double-Blind Placebo-Controlled Stud of Dextrose Prolotherapy for Knee Osteoarthritis With or Without ACL Laxity. Alternative Therapies, 2000 Mar, Vol 6. No. 2, pp. 68-79

 

 



May 22, 2019 Services

Matt is the local practitioner for the Moreton Bay region at Every Family and will be facilitating the Triple P programs at the Health Hub. So, want to know a little bit more about Matt before meeting him at a program?

Matt has been conducting Triple P for many years now as well as running his own practice where he specialises in family and relationship counselling. Matt is a registered member of the Australian Counselling Association and has both a Diploma and a Bachelor in Counselling.

Matt enjoys facilitating all of the different types of Triple P from the lighter touch of the seminar series to the in-depth Group sessions. Matt encourages question asking and is genuinely interested in finding out what individual parenting issues have brought people along to his sessions.

Matt appreciates that Triple P promotes care for both children and parents and emphasises realistic expectations. No matter what parenting or family struggles you’re facing, Matt will provide you with the best Triple P strategies to help manage these situations and make home life better for the whole family.

See what have people have said about Matt;

“We'd like to thank 'Triple P' presenter Matt Vincent for an engaging and informative seminar on Raising Resilient Children that was well received by all who attended” – Mudgeeraba State School

“I’ve only been to one seminar and I can already see a change at home. Matt is just brilliant. He really knows what he’s talking about” – Moreton Bay attendee

Upcoming programs with Matt at the Health Hub:
• All-Day Group –Saturday 25th May at 9am
• Managing Fighting and Aggression Discussion Group – Monday 3rd June at 7pm

For more information and to register, please visit the Health Hub Morayfield Facebook event - https://www.facebook.com/events/2220107674770540/

Contact Every Family directly at via phone 0438 937 663 or email everyfamily@uq.edu.au

We can’t wait to see you there!

 

 



May 22, 2019 Services

Have a  problem with drugs or alcohol? We can help.

People. Passion. Possibilities.

 

Are drugs or alcohol having a negative impact on your life? Looking to make a change?
Kick-start the recovery process with our alcohol and other drugs programs and support.

Be guided through alcohol and other drug withdrawal and rehabilitation with care and counselling provided by our experienced Clinicians.

We can assist with needs such as:

  • counselling and case management
  • withdrawal support and detox
  • group programs
  • 5 week, day rehabilitation service.

Ongoing support

Post-withdrawal, we can provide ongoing support through our day rehabilitation program or Life Back. Life back involves group based support to address relapse prevention, mental health, physical well being, life skills and re connection with community.

Further support can be provided via individual counselling over the phone or face-to-face.

For more information, please call 1300 727 957 between 8.30am - 5pm, Monday to Friday to make an appointment, or to find out more about a particular program, you can also visit www.liveslivedwell.org.au 


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