Dr Roxane Craig

Dr Roxane Craig GP experienced in lifestyle medicine, mental health, women's health, remote and holistic health care.

My passion is working with people long term in general practice. I have worked in medicine for over 10 years, am a fellow of RACGP, have trained with ACNEM (Australian College of Nutrition and Environmental Medicine). I have worked for RFDS doing remote women's health clinics, conducted forensic medicals in NSW and NT, and continue to study as there are always new developments in the exciting area of health.

06/07/2020

Update:
What a crazy three months. My change to remote health care coincided with the pandemic, busy in a new world while sorry not to be supporting everyone at Northside. The move to helping provide and support health in remote communities and develop mental health supports has been an amazing opportunity. My current plan is to continue in this role for two years.
Thanks to everyone who has written to me. You are all in my thoughts. Sending best wishes and hopes for a return to normal for us all.

17/03/2020

I am away from Northside Health providing medical and primary health care to some remote NT communities.

Thank you for the joy and privilege of working together with my patients over many years. Continuity of care with one GP is precious, but I hope this change brings the advantage of a fresh perspective with some improved ideas to consider.

Please contact Northside Health NT on 7999 7448 with any queries. The team are happy to continue to provide your medical care.

Stay healthy and stay safe.

(PS If you sing ‘happy birthday’ twice while washing your hands this is about the right length of time for good germ removal).

Do you apply enough sunscreen?I was surprised to learn how much sunscreen is recommended to apply to your body. Research...
25/12/2019

Do you apply enough sunscreen?

I was surprised to learn how much sunscreen is recommended to apply to your body. Research shows that sunscreens are effective when applied frequently and liberally.

Creams/lotions need a teaspoon for each limb, front and back of the body and half a teaspoon for the face, neck and ears every two hours. This is one cupped adult hand (30 - 40 ml) of sunscreen for an adult body.

Even more surprising ... when using a spray on sunscreen it is recommended that you use about one third of a can on an adult body for adequate protection!

I clearly need to change my sunscreen application technique. (Of note, avoid sunscreen for babies under six months.)

Stay sun-safe, and in addition to adequate sunscreen, wear sun smart clothes, hats, sunnies and seek out those highly coveted shady spots.

A summary of how the TGA regulates sunscreens and how to use sunscreen effectively

Over 90% of Aussies don't eat enough fruit and veg.  Here are some suggestions from an international group of nutrition ...
19/10/2019

Over 90% of Aussies don't eat enough fruit and veg. Here are some suggestions from an international group of nutrition experts that look for common ground in dietary recommendations ... Old ways ... they have some interesting tips.

Want to get more veggies? It's that easy. Get 14 more easy tips for eating more vegetables in this article from U.S. News and World Report: http://ow.ly/x5Qy50wHNkx

Are you drinking your extra kilos or waist cm?
17/10/2019

Are you drinking your extra kilos or waist cm?

Try our sugary drinks calculator & find out what your consumption leads to: http://bit.ly/SDCalculator

16/10/2019

One size fits all? - Apparently not in weight loss diets

If you are confused about the variety of diets (keto, paleo, low carb high fat, high carb, low energy, low GI etc) , then you are in good company. There is not yet a consensus from the talks.

Talk 1 : calorie restriction extends life and lowers weight. But high protein does not improve insulin sensitivity or sugars.

Talk 2 : low carb gives sustained weight benefits. High protein / fat may make the diet more sustainable long term.

Talk 3 : most diets lack high quality evidence. To lose weight be calorie-wise. Find the balance point of energy restriction vs ability to stick with it as an ongoing healthy lifestyle choice.

So what is the bottom line?

-Consider eating for health rather than weight loss.
-Consider charting food intake as this helps awareness of intake and whether eating for hunger or habit.

Healthy eating helps your heart, reduces cancer risk, helps your immune system, etc. Diets with health benefis had the following recommendations in common:
-100% support fruit, veggies and whole grains
-85% support beans and legumes
-60% support fish and 50% for nuts

Again, happy to provide detailed info post conference for all interested.

From Pregnant to Parent -  Look after your Mental HealthMood changes can happen to any of us in pregnancy or with a new ...
30/09/2019

From Pregnant to Parent - Look after your Mental Health

Mood changes can happen to any of us in pregnancy or with a new baby. This can become depression or anxiety, impacting everyone in the family. Help is available through your antenatal team, GP and online supports you can access at home.

“MumSpace” ia a website supporting mental health and emotional wellbeing during pregnancy, and for new mums and their families. It connects you with various levels of support you need - from practical advice (tips on sleep, interacting with your baby, stress & time management, communication and problem solving) to effective online treatment programs for perinatal depression and anxiety.

Below are some sites you may find helpful during pregnancy, and/or in early parenting. Like the answer to baby sleeping/crying - there is no single solution to suit everyone ... have a look through to find which suits your style.

PREGNANCY
- "What Were We Thinking?" has an app, blog and a series of worksheets to give you ideas, knowledge and skills to grow in confidence, to build a sense that you are the expert on your baby, and to enjoy parenthood together. (www.whatwerewethinking.org.au )
- If you have depression in pregnancy then “Mum to be mood booster”is a free 6-session online program designed to help women recover, and includes partner support (www.mum2bmoodbooster.com).
- MUMentum is a $35 online 3-session program for pregnant women experiencing problematic levels of worry, persistent anxiety, and/or periods of low mood and depression. (https://thiswayup.org.au/how-we-can-help/courses/mumentum-anxiety-and-depression-courses/)

NEW BABY
- "Baby Steps" helps parents look after the wellbeing of themselves and their family, with topics on self-care, looking after each other as a couple, making the most of time with their baby, and adjusting to changing roles. There is a special section especially for dads. (www.babysteps.org.au)

PERINATAL DEPRESSION
Perinatal anxiety and depression is a serious illness that affects up to one in five expecting or new mums and one in ten expecting or new dads.

- Perinatal Anxiety & Depression Australia (PANDA) supports women, men and families across Australia affected by anxiety and depression during pregnancy and in the first year of parenthood. They run a National Helpline Mon-Fri 9am-7.30pm EST (www.panda.org.au , Ph 1300 726 306)
-“Mum Mood Booster” is a free online program shown to improve mood, and includes a seperate portal for partners. It provides a structured 6-week program, with the option of personalised phone/SMS support. The developers are very aware of how time-poor families with new babies are, so they developed brief sessions over 10 years for maximum impact. (www.mummoodbooster.com)
- MUMentum also has an online 3 session program for postnatal women experiencing problematic levels of worry, persistent anxiety, and/or periods of low mood and depression. (https://thiswayup.org.au/how-we-can-help/courses/mumentum-anxiety-and-depression-courses/)

MumSpace is brought to you by the Perinatal Depression e-Consortium (PDeC), led by the Parent-Infant Research Institute (PIRI) in partnership with Perinatal Anxiety and Depression Australia (PANDA), Monash University, Jean Hailes for Women’s Health and Queensland University of Technology.

MumSpace Digital Resources Real support when you need it most. We know what it’s like to need support. With MumSpace you can access supports that are suitable for

29/09/2019

Tonight, across Australia there will be families and friends saying goodbye to loved ones for the very last time. Some will be prepared and they’ll have known this day is coming, there will be rituals, last words and bedside vigils. For others, it’ll be unexpected and a very heartbreaking shock. We don’t know exactly when death will come, but we do know it will come. So we are sending kindness and compassion to everyone this evening - whatever you are going through.

You and Alcohol Do you drink to relax? ... for confidence? ... as a habit?After four weeks without alcohol some people e...
26/09/2019

You and Alcohol

Do you drink to relax? ... for confidence? ... as a habit?

After four weeks without alcohol some people enjoy weight loss, clearer skin, more positive mood, less anxiety, improved sleep, and a healthier bank balance. Could you go alcohol-free for 30 days without hesitation?

If 30 days is too hard, then try "Hello Sunday Morning" - an Australian website supporting people to review their relationship with alcohol - that could be abstaining, taking a break, or exploring how to have a healthy relationship with alcohol. Forextra support they have a behaviour change program called Daybreak - confidential, free online support from people working together.

If you would consider a 30 day trial there is a popular American book and site called the “Alcohol Experiment” with loads of education, interviews outlining reasons for cravings, brain changes with alcohol etc. (https://learn.thisnakedmind.com/the-alcohol-experiment-registration). This free program explores

- Why we drink more than we want
- Common fears about taking a break from alcohol
- How to change your expectations and experience of drinking
- How to gain the power to have just 1, or none – it's up to you.

Now is the time to plan for Oc-sober :)

Hello Sunday Morning is a movement towards a better drinking culture. Our vision is a world where drinking is an individual choice, not an expectation.

What to do about our growing waistlines?In mid-October I am attending an international conference on managing obesity.  ...
20/09/2019

What to do about our growing waistlines?

In mid-October I am attending an international conference on managing obesity. It focuses on Microbiome and Gut-Brain axis in the context of obesity; Feeding Behaviour and Appetite Regulation, and will cover lifestyle measures, weight loss medications, and surgical options.

So two key messages:
1. I will be away after October school holidays so anyone with a planned review come along in the next 4 weeks, or come in 6 weeks for an update.
2. Any areas you want me to ask about? focus on? find out? I am excited about a talk ‘Diet wars: the evidence, the approaches and common sense. Which diet works for what and for whom?'

Let me know if you want info on other topics/talks :)

Will be sharing all pearls of wisdom

Home Welcome to the 2019 Annual Scientific Meeting. This year sees the coming together of 3 outstanding organisations in the Australian New Zealand Obesity Society (ANZOS), the Australasian Society for Lifestyle Medicine (ASLM) and the International Chair on Cardiometabolic Risk (ICCR). As well as b...

Just spotted the latest program release of low cost, local activites.  See if you can find a fun way to stay active  :)
19/09/2019

Just spotted the latest program release of low cost, local activites. See if you can find a fun way to stay active :)

📣 You asked for it; now here it is! Healthy Darwin's Wet Season Subsidised Activities program! A fun mix of old favourites and some shiny new activities to add to your weekly workout!

You can also check out the Healthy Darwin Booklet of Low-Cost Activities at https://www.darwin.nt.gov.au/community/programs/healthy-darwin/overview which gets updated regularly as we find out about new low-cost activities around Darwin. We’re working on the latest update now.

Got 5 minutes? Want to find out your risk of heart attack, diabetes or kidney disease?Fill in the health quiz at the lin...
18/09/2019

Got 5 minutes? Want to find out your risk of heart attack, diabetes or kidney disease?

Fill in the health quiz at the link below. This Australian site also gives practical tips on how to lower your risk. And if you are at high risk, the good news is that these diseases are preventable ... see your health team and work together to make healthy changes.

Find out if you're at risk of heart disease, kidney disease or diabetes in just a few minutes using the healthdirect Risk Checker.

Forgetful?  Want your brain health tested?Below are tips to lower risk of dementia from Harvard, and links to a study of...
13/09/2019

Forgetful? Want your brain health tested?

Below are tips to lower risk of dementia from Harvard, and links to a study of brain health being run by Florey Institute & Melbourne Uni.

Alzheimer's disease can't be cured, so let's work on prevention. Even if you already have some memory problems and/or a family history of dementia, you can reduce your risk of developing dementia with a heart-healthy lifestyle.

That means:
-a minimum of 150 minutes per week of activity (have fun ... dance around the house)
-a plant-based diet aiming for at least five servings of fruits and vegetables daily
- avoiding toxic foods like processed grains, added sugars, sodium, and saturated fats
- avoiding or quitting smoking, and curbing alcohol

Want your brain health assessed?
A group of neuroscientists based at the Florey Institute of Neuroscience and Mental Health are looking for participants in a healthy brain study. They are trying to understand optimal brain health and aging, looking into genetic, health, behavioural and microbial factors relevant to the risk of dementia.
(www.healthybrainproject.org.au)

The World Health Organization has issued prevention guidelines for preventing dementia. Of note, the guidelines are very similar to those for heart health, reinforcing the known connections between heart health and brain health.

It is ok to not be ok ... Just reach out. Eight ... 88 people die each day by su***de in Australia.Today is Su***de Prev...
10/09/2019

It is ok to not be ok ... Just reach out.

Eight ... 8

8 people die each day by su***de in Australia.

Today is Su***de Prevention Day. This needs to happen every day.

Talk to each other. Support each other. We are all in this together.

Food and MoodWhat we eat can affect our mood, with poor diet linked to low mood.Improved diet can improve mood in some c...
06/09/2019

Food and Mood

What we eat can affect our mood, with poor diet linked to low mood.

Improved diet can improve mood in some circumstances.

If you are interested in exploring this, then you may want to join a research project - a free 8-week online program to change your diet for brain and gut health… The My Food and Mood Project.

The My Food and Mood Project tests an online dietary program for adults with low mood and depressive symptoms. They are looking for adults to try the program to see if it does support dietary change, and to further explore the relationship between food and mood. Feedback includes how your diet is improving, patterns between your diet quality and mood, and progress against your goals. The research team believe it could have a real effect on depressive symptoms.


Prof Felice Jacka is overseeing the program. She is Director of the Food and Mood Centre, president of the International Society for Nutritional Psychiatry Research, and holds positions with Deakin University, Murdoch Children’s Research Centre; The University of Melbourne; and the Black Dog Institute in NSW.

I am writing about this because often people are keen to join research studies or get feedback from nutritionists/dieticians but limited due to location or cost. This free, online program opens access.

If you do not want to participate, but are interested in the outcome let me know and I will be sure to post an update once their findings are published.

For more info:

http://register.myfoodandmood.net

We are looking for adults to trial our new online dietary program to help us develop useful and engaging ways to support dietary change. These tools will help us further our research into the relationship between food and mood.

Asthma puffers – only 1 in 10 people use them correctly!It is asthma week so here is a quick quiz:-  Do you go through m...
03/09/2019

Asthma puffers – only 1 in 10 people use them correctly!

It is asthma week so here is a quick quiz:

- Do you go through more than 4 ventolin boxes per year?

- Do you wake with wheeze?

- Has your puffer expired or run out? (Have you forgotten how to check?)

- Do you get respiratory symptoms with pollen in the air or thunderstorms?

If you answered yes to any, then book an asthma check.

Learn how to assess your asthma flares and be confident to manage them. Book a spirometry at your GP to check your breathing level, and walk away with a new action plan this Asthma Week.

Spirometry available now at Northside Health NT

Let’s get started. It’s Asthma Week (1-7 September), and Asthma Australia is here to help Australians with asthma and hay...Read More...

Beware the bacon in your keto diet Many people have told me about the benefits of their keto diet recently.  This is a d...
27/03/2019

Beware the bacon in your keto diet

Many people have told me about the benefits of their keto diet recently. This is a diet high in protein and fat, and low in carbs. If keto is the thing for you then please evaluate your foods.

My fear is when I hear “Best diet ever . .. I have bacon and eggs for breakfast each day … “ Bacon is a processed meat. In 2015 the World Health Organisation listed processed meat as a Class 1 Carcinogen …the same classification as To***co and Asbestos. This means there is clear-cut evidence that processed meat causes cancer in humans - in this case colorectal cancer.

What is processed meat?
Any meat treated by smoking, salting, curing, fermentation etc. It includes ham, hot dogs, corned beef, salami, sausages, beef jerky and bacon.

How much do you have to eat to be at risk?
50 grams of processed meat eaten daily increases the risk of colorectal cancer by about 18%.
So about 2 strips of bacon a day would increase your risk.

If I have eaten bacon will I definitely get cancer?
No. Not every smoker gets cancer either …. carcinogens do not cause cancer in every person, every time. Your risk of developing cancer depends on many factors, including how often you are exposed, how much you have, your genetics, and your other lifestyle habits (sleep, physical activity, alcohol, smoking).

But I love the keto diet
Look into healthy keto food options such as avocado, olives & nuts, and try to include seeds, fish, and other non-processed meats. Try to keep up your fibre and nutrients by exploring lower carb fruit and veg such as berries, leafy greens, broccoli, cauliflower, mushrooms etc. Speak to a dietician for detailed information or to help you plan some meal guides. See your GP and check your numbers (weight, BP, cholesterol, sugar) around any major diet change.
Perhaps consider avocado and eggs in the morning :)

According to the Global Burden of Disease Project, about 34 000 cancer deaths per year worldwide are attributable to diets high in processed meat.

Local activity updates ... I love the Healthy Darwin website. Every 6 months they list all sorts of free or  low cost ac...
23/03/2019

Local activity updates ... I love the Healthy Darwin website. Every 6 months they list all sorts of free or low cost activities to entice locals to be active. This edition includes activities for all ages including mum and bub belly dancing, pilates in the park, jungle konga and seniors table tennis.

https://www.darwin.nt.gov.au/sites/default/files/publications/attachments/hd_program_march_2019.pdf

The Dry Season is almost here, and that means a new Subsidised Activities Program! We're so excited that we can't wait til April to show it off, so here's a sneak peek!

More activities will be added through the season, so make sure you keep an eye on our posts for details.

We've also updated the Healthy Darwin Low-Cost Activities Booklet, which contains a whole range of free or low-cost healthy lifestyle activities and events currently being run in Darwin that anyone can get involved in. Go tohttps://www.darwin.nt.gov.au/sites/default/files/publications/attachments/hd_program_march_2019.pdf to check it out.

Are you too old to start exercising for extra years of life?  As a person who only discovered exercise in my 40s I am ex...
18/03/2019

Are you too old to start exercising for extra years of life?

As a person who only discovered exercise in my 40s I am excited ... new research found that people who were inactive until midlife, then start regular physical activity between 40-60 years of age got similar health benefits to people who have been active since their teens. (Note - this does not mean younger people should stop their exercise!)

This study looked at 300,000 people and compared death rates in 3 groups: those that maintained regular physical activity throughout their lives, to those that increased or decreased regular exercise midlife.

Amazingly, death rates were equally reduced in the group of people that started exercising in their 40-60s to those who had exercised consistently throughout life. The results even shook the researchers who commented: “We had anticipated that participants who maintained the highest levels of activity throughout adulthood would be at lowest risk and were thus surprised to find that increasing activity early or late in adulthood was associated with comparable benefits”.

Established recommendations for exercise are 150min per week moderate exercise (25 min per day which can be in 10 minute blocks), or for high intensity exercise you gain the benefits in half the time (75 minutes per week). Previous studies have found that this amount of activity can extend life by 5-7 years.

In light of this I am considering a regular walk to discuss health topics and encourage activity. If we walk along a circuit you can walk your own distance, at your own pace, and have the opportunity to ask any health related questions along the way. There is strong evidence that being in a group supports long term maintenance of goals - be it regular activity, weight management or healthy living. Let me know if you want to join in and we will work out a place and time.

This cohort study analyzes questionnaire data from the National Institutes of Health–AARP (formerly American Association of Retired Persons) Diet and Health Study to assess whether an association exists between risk of all-cause, cardiovascular disease–related, or cancer-related mortality and...

Making bookings easier ... 24/7/365 you can now "Book Appointment Online" on the Northside Health NT website.  Naturally...
15/03/2019

Making bookings easier ... 24/7/365 you can now "Book Appointment Online" on the Northside Health NT website. Naturally you can call during business hours, but if you prefer DIY or are unwell on the weekend or overnight, try online booking.

Of vital importance for you to know ... I save spots every day to see people about those urgent issues that pop up unexpectedly. To keep these available they will not show up online, but are booked by our receptionists. So if you look online and your preferred time is not available, or the next appointment is too far away, then please call. Tell our receptionists what you need ... they can prioritise prompt appointments, change appointments and add you to my cancellation list.

Would love to hear your feedback if you try it :)

Welcome to Northside Health NT. Darwin’s first Functional and Integrative Medical Practice. Opened in October 2015, our General Practitioners and Allied Health

Measles Outbreak in DarwinThere are now at least 3 confirmed cases of measles in Darwin in the past week.  If you develo...
08/03/2019

Measles Outbreak in Darwin
There are now at least 3 confirmed cases of measles in Darwin in the past week. If you develop fever, cough, runny nose and/or sore eyes in the next 3 weeks you are at risk.

What Is Measles?
Measles is a very contagious virus that lives in the nose and throat of an infected person. It spreads when they cough or sneeze.

Measles starts with fever, cough, runny nose and conjunctivitis. Then after 2-4 days a blotchy red rash starts on the face, and spreads downwards over the body.

Symptoms usually start 1-2 weeks after being exposed to the virus (but can be 3 weeks!). People are most contagious in the days before symptoms begin, until 4 days after the rash appears.

Why Do We Worry About Measles?
�Measles is very easily spread, especially as it can survive in the environment for up to 2 hours after being spread.
Most people recover from measles over 1 week, however up to 1 in 3 people develop complications. Complications occur when the virus infects the ear, gut (diarrhoea), lungs (pneumonia) or brain (encephalitis).

Who Is Most Likely to Catch Measles?
- Children under 1yo as they have not been vaccinated against measles, although they have some protection for the first 6 months and through breastmilk if their mother is immune.
- Pregnant women
- People with low immunity are at risk, even if vaccinated (eg cancer, on immunosuppressing medication such as steroids).
- People born after 1966 are at risk if they have not had 2 doses of a measles vaccine.

How Is Measles Treated?
�Like most viruses the main treatment is rest, fluids, and paracetamol for fever or pain.
To prevent spreading the virus isolation from work / school is recommended until 4 days after the rash.
If complications develop, then hospital can be needed.

What If You Have Been Exposed To Measles?
- Speak to your doctor. Let the clinic know that is why you are coming so you can be kept separate from high risk people as measles can spread before you develop symptoms.
- The Centre for Disease Control will contact people known to have been around people with confirmed measles. There are management options:
- If less than 3 days since you came into contact with measles, immunisation can prevent infection.
- If more than 3 days (but less than 7) since coming into contact with measles, an injection of antibodies may be recommended if you are at high risk of complications from measles (eg infants).

You Can Be Tested
1. You can check your immunity by a blood test. Most people with immunity do not catch measles.
2. If you have symptoms, then see you doctor for examination, throat swab and urine test.

Importantly - please let the clinic know in advance if you think you may have measles as it lets us ensure you are seen quickly in an isolated room to reduce spread to other patients who may be in high risk groups.

*** MEASLES ALERT ***

Territorians are being warned to be alert for measles and get immunised if required, following confirmation of two cases of this highly contagious disease in Darwin.

The first case was in a Darwin resident who caught the illness while holidaying in Vietnam, while the second case was acquired from the first. This means there is likely to be people with symptoms of measles in Darwin from today for the next three weeks.

The Centre for Disease Control is contacting people who may have had contact with these cases to provide information and offer preventive treatment or booster immunisation as appropriate.

Further details at:
http://mediareleases.nt.gov.au/mediaRelease/28749

How much Alcohol do You Drink?The most common replies I hear:“Just one or two glasses doc” - please note someone showed ...
01/03/2019

How much Alcohol do You Drink?

The most common replies I hear:
“Just one or two glasses doc” - please note someone showed me their drinking glass that fits a whole bottle of wine in 'just one glass'.
or
“The average amount” - of relevance here is the fact that I live and work in the Northern Territory which has the highest rate of alcohol consumption per person in Australia.

So as we hit the weekend here is a reminder of Aussie guidelines on how to minimise your health risks from alcohol:

- Enjoy up to 2 standard drinks a day
- On a special occasion this can extend to 4 standard drinks (more increases risks of accidents & injury)
- Safest option during pregnancy and breast feeding and for under 15 year olds is no alcohol (and preferably delay until over 18 year old).

So what is a “Standard Drink”?
A standard drink in Australia contains 10gm of alcohol. In general this equals
- 285ml full strength beer (375ml mid and 425ml low strength)
- 100ml wine or champagne
- 30ml spirits

To see drink volumes across an extensive selection of beverages go tohttp://www.alcohol.gov.au/internet/alcohol/publishing.nsf/content/E9E12B0E00E94FD5CA25718E0081F1DC/$File/std0910.pdf

For a fun look at how much you are pouring try the online drink pour tool which finds out how much alcohol your usual drink includes at https://alcoholthinkagain.com.au/Alcohol-Your-Health/Online-tools/Standard-Drink-Tool

Enjoy your weekend

(PS Hi to some of my wonderful patients who know this is is for you :) )

Allergies in infants - Top talk of the conference this morning. Allergies are on the rise. You can reduce risk of your c...
22/02/2019

Allergies in infants - Top talk of the conference this morning. Allergies are on the rise. You can reduce risk of your child developing allergies by introducing cooked eggs, nuts etc before they turn one. This is remarkably effective.

Common foods that can cause allergy include peanuts, egg, milk, soy, fish and wheat.

If your child is at high risk of allergies due to severe eczema or family history of allergy, or if you have any concerns chat to your GP or paediatrician before introducing new foods.

Good info on the website below.

To help prevent food allergy in babies developing, give your baby the common allergy causing foods such as peanut, egg and dairy, before they turn one.

Good or bad news updates ?1. I am away for a few days attending a conference on women's and children's health updates.  ...
20/02/2019

Good or bad news updates ?

1. I am away for a few days attending a conference on women's and children's health updates. The other Northside doctors will check results and offer appointments if needed.

2. Starting next week I will offer appointments until 5pm on Tuesdays and Thursdays due to popularity of later appointments.

3. Northside Health NT is setting up online bookings for current patients ... check the clinic website next week to try it out. Of course, you can still call to book ... especially if needing one of the urgent appointments saved for "on the day" use.

Welcome to Northside Health NT. Darwin’s first Functional and Integrative Medical Practice. Opened in October 2015, our General Practitioners and Allied Health

01/02/2019

Medicines - helping or harming you?

Many people take regular medicines to improve their health or prevent health problems. Sometimes these medications cause problems ... 250,000 Australians end up in hospital each year due to problems from their medications ... and another 400,000 are managed in hospital emergency departments due to medication problems. So what is going wrong?

Doctors prescribe medicine to try to manage a problem. Some long term problems need long term medication. People respond differently to medicines due to genetics, liver or kidney function, weight etc. Some medicines need monitoring... eg blood tests to check drug levels, or to check your liver /kidneys can process the medicine, or to check you are not having known potential side effects. The more medications a person is on, the higher the risk of medicines interacting.

How to reduce medication problems
- Ask your doctor about possible side effects before starting the medicine so you know what to look out for.
- Make sure you get a copy of the Consumer Medicine Information sheet with any new medicine (or look up CMI for the drug online). This lists information about the drug including possible side effects.
- Check back with your GP 2-4 weeks after starting a new medicine to check it is working, and you have had no side effects.
- Ask your doctor if your medications need monitoring ... and if so, then please do the blood test.
- Tell your doctor about any other treatments you are taking including supplements, herbs, over-the-counter medicines from chemists or supermarkets or medicines from other doctors. Sometimes these things can interact.
- See your doctor asap if you have a reaction. Once the issue is managed, you or your doctor can make an online notification about the adverse drug reaction to update statistics and drug warnings if wanted.
- If you are on multiple medications your GP can arrange a review of medications with your pharmacist to identify and manage potential problems.
- If you have a dramatic change in weight see your doctor ... some medicines may need to be adjusted (and they may need to check reasons for the weight change).

Medicines help many people to improve their health. Modern medicines have improved quality of life and length of life, but need regular review. Medications are an integral part of modern medicine, but not the only part. Some people have made changes to healthier lifestyles and no longer need their medicines ... this is the best way to avoid medication harm. Your doctor could work with you towards this goal if appropriate.

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