Mail Us

reception@bethanymedicalcentre.com.au

Call Us

(02) 9030 4373

Welcome to Bethany Medical Centre

Bethany Medical Centre

News

Years Experience

Welcome to Bethany Medical Centre

I believe in old school general practice

When your GP looked after three or four generations of the same family. The good old days where GPs had the time to listen to their patients and the patients trusted the advice and the integrity of their GP. When your family doctor was a trusted friend rather than a vending machine of scripts, referral letters, medical certificates etc.

I don't believe that staying up to date with the latest medical advances and best practice needs to come at the expense of genuine care. A good physician is constantly working on both their knowledge and their patient relationships.

It is our aspiration to recreate this level of service, professionalism and patient relationship.

Dr. Romany Soliman

Our Services

Mental Health

Skin Cancer Checks

Chronic Disease Management

Our Services

Mental Health

Skin Cancer Checks

Chronic Disease Management

Children's Health

Heart Health & Cardiology

Diabetes Management

Children's Immunisation & Vaccinations

Musculoskeletal Health

Occupational Health & Medicals

Men's Health

Health Checks

Abdominal Pain

Minor Surgery

Geriatrics - Aged

Pathology

Children's Health

Heart Health & Cardiology

Diabetes Management

Children's Immunisation & Vaccinations

Musculoskeletal Health

Occupational Health & Medicals

Men's Health

Health Checks

Abdominal Pain

Minor Surgery

Geriatrics - Aged

Pathology

Our Team

Dr. Romany Soliman

Specialist General Practitioner

Book Now

Dr. Soney Jacob

Specialist General Practitioner

Book Now

Dr. Mina Ekdawi

General Practitioner

Book Now

Dr. Janet Zhou

General Practitioner

Book Now

Michael Barker

Registered Psychologist

Book Now

Carolyn Hanna

Dietitian

Book Now

Andrew Bray

Chiropractor

Book Now

Ahmed Elsayed

Physiotherapist

Book Now

Ms Minh Chieu Nguyen

Pathology Collector

Mrs Christine Soliman

Business Development Manager

Mrs Evelyn Stefadouros

Practice Manager

Ms. Ophelia

Nurse

Ms. Angela Wallace

Receptionist

Mrs Kerry McCann

Receptionist

Mrs Karlee De Polignol

Receptionist

Gallery

Mental Health

At Bethany Medical Centre, our doctors are trained in mental health. We can also offer psychologists to provide counselling in a highly private and caring environment.

Focussed Psychological Strategies

Focussed Psychological Strategies (FPS) are specific mental treatments derived from evidence-based psychological therapies.

psychoeducation, including motivational interviewing
Cognitive Behaviour Therapy including behavioral interventions and cognitive interventions
Relaxation strategies
Skills training, including problem solving, anger management, social skills training, communication training,
Stress Management and parent management training
Interpersonal Therapy

Psychotherapy

Psychotherapy is a process of talking through issues of concern to increase understanding, feel supported and assist adjustment to many life challenges.

It can be helpful for symptoms of fatigue, pain, stress, anxiety and depression.

Successful therapy can increase feeling of well-being and reduce conflicts both within an individual and in their relationships.

Longer appointments are recommended and are available on request at Bethany Medical Centre

Better Mental Health Initiative

The Medicare Better Access initiative helps patients gain affordable access to Psychological Care. The care plans aim to improve outcomes for people with a clinically-diagnosed mental disorder through evidence-based treatment.

Under this initiative, Medicare rebates are available to patients for selected mental health services provided by:

General practitioners,
Psychologists (clinical and registered) and
Eligible social workers and occupational therapists.

Many people with mental health problems will consult a Psychologist prior to consulting their Doctor. Others choose to come directly to see a Doctor, or sometimes the Doctor may suggest that a mental health plan could be beneficial to you.

A Psychologist, school or workplace counsellor may suggest you attend your Doctor for a mental health assessment and plan. if so, it can be very helpful if you ask the Psychologist for a letter briefly outlining the reasons why he or she thinks this is appropriate for you.

Mental Health Assessments

A mental health assessment is a consultation with your Doctor about your mental health symptoms and problems. The aim of the consultation is to allow the Doctor to make a diagnosis. If a mental health disorder is diagnosed then a GP Mental Health Care Plan can be prepared.

Mental Health Care Plan

A Mental Health Plan is a plan that sets out the best treatment for your mental health disorder. This plan may involve seeing a Psychologist as well as other treatments such as medications.

Under the Better Outcomes in Mental Health Initiative, patients with a clinically diagnosed mental health problem can then receive a rebate for up to 6 sessions initially with a Psychologist, eligible social worker or occupational therapist.

Further sessions can be authorised by your Doctor by carrying out a GP Mental Health Care Plan Review. This Review must be done at an appointment to qualify for the additional sessions with your Psychologist.

What conditions cannot be covered by a GP Mental Health Care Plan? The initiative’s goal is to improve the individual’s mental health, and at present does not cover:

relationship counselling, or
Tobacco use disorder.

Long Mental Health Appointment

A mental health assessment can take time so a 30 minute appointment is required to discuss or prepare a mental health plan.

If you have not discussed these issues with your Doctor before, it may take more than one appointment to work out the best plan for you. It is therefore a good idea to allow sufficient time between seeing the Doctor and your first appointment with a Psychologist.

It can be difficult talking about your mental health problems, and we suggest that you arrange appointments with your Doctor and your Psychologist on different days.

Therapy for Couples

Sometimes both partners within a relationship wish to see a Psychologist for individual therapy. If this is the case, we would suggest you each see a different Doctor for your mental health assessment.

Child Health & Immunisations

Good health is an important element in a child’s quality of life as it can influence participation in many aspects of life, including schooling and recreation.

The early years of a child’s life provide the foundation for future health, development and wellbeing. A positive start in life helps children reach their full potential, while a poor start increases the chances of adverse outcomes.

We offer priority appointments for children with acute medical problems and offers health checks and childhood vaccinations. Specific Children’s Health issues covered include:

Paediatric coughs, colds and infections
Baby and childhood vaccination schedule
Infant feeding, growth and weight checks
Childhood behavioural issues
Paediatric and adolescent health care
Preschool checks
Childhood obesity management

Coughs, Colds and Infections

Coughs

Although it is upsetting to hear your child cough, coughing helps clear away phlegm from the chest or mucus from the back of the throat.

Children often cough when they have a cold because of mucus trickling down the back of the throat. If your child is feeding, drinking, eating and breathing normally and there’s no wheezing, a cough is not usually anything to worry about.

If your child has:

A bad cough that will not go away, make a time to see one of our doctors, or
If they have a high temperature and are breathless, they may have a chest infection.

If a chest infection is caused by bacteria rather than a virus your doctor will prescribe antibiotics to clear up the infection. Antibiotics will not soothe or stop the cough straight away.

If a cough continues for a long time, especially if it is worse at night or is brought on by your child running about, it could be a sign of asthma.

Some children with asthma also have a wheeze or breathlessness. If your child has any of these symptoms take them to the doctor. If your child seems to be having trouble breathing, seek medical attention urgently or call an ambulance, even if it is the middle of the night.

Sore Throats

Most sore throats clear up on their own after a few days. Sore throats are often caused by viral illnesses such as colds or flu.

Your child’s throat may be dry and sore for a day or two before a cold starts. Infant or child dosage paracetamol or ibuprofen can be given to reduce the pain.

If your child has a sore throat for more than four days, has a high temperature and is generally unwell, or is unable to swallow fluids or saliva, see your doctor.

Colds

It is normal for a child to have eight or more colds a year. This is because there are hundreds of different cold viruses and young children have no immunity to any of them as they have never had them before. Gradually they build up immunity and get fewer colds.

Most colds get better in five to seven days. Here are some suggestions on how to ease the symptoms in your child:

Increase the amount of fluid your child normally drinks.
If your child has a fever, pain or discomfort, paracetamol or ibuprofen can help. There are child and infant products that will state on the packet how much you should give children of different ages.
Encourage the whole family to wash their hands regularly to stop the cold spreading.

Ear Infections

Ear infections are common in babies and small children. They often follow a cold and sometimes cause a temperature. A child may pull or rub at an ear, but babies cannot always tell where the pain is coming from and may just cry and seem uncomfortable.

If your child has an earache but is otherwise well, give them infant or child dose paracetamol or ibuprofen for 12-24 hours. Do not put any oil, eardrops or cotton buds into your child’s ear unless your doctor advises you to do so.

Most ear infections are caused by viruses, which cannot be treated with antibiotics. They will just get better by themselves.

After an ear infection, your child may have a problem hearing for two to six weeks. If the problem lasts for any longer than this, ask your doctor for advice.

Glue Ear

Repeated middle ear infections (otitis media) may lead to ‘glue ear’ (otitis media with effusion), where sticky fluid builds up and can affect your child’s hearing. This may lead to unclear speech or behavioral problems.

Your doctor will give you advice on treating glue ear.

Infant Feeding, Growth, Weight Checks

Feeding Guidelines

In line with accepted guidelines, we recommend infants are breastfed until around 6 months of age when solid foods are introduced.

Childhood Growth

Children’s growth can be affected by a range of factors, including:

Genetics
Environment
Nutrition
Biological Causes
Health and wellbeing

Our practice recommends regular growth monitoring for:

Detecting slow or excessive growth
Checking the impact of illness and response to treatment
Screening for high-risk individuals

Where any questions or problems arise, ask one of our doctor’s for advice.

Childhood Behavioral Issues

Behavioural issues can be mild and subjective or quite obvious. Regardless, if as a parent you feel that you need advice or help with the management of these issues ask one of our doctors for advice.

Causes of Childhood Behavioral Issues

Behavioral problems can result from temporary stressors in the child’s life, or they might represent more enduring disorders.

While not an exhaustive list, some common disruptive behavior disorders include:

Oppositional defiant disorder (ODD),
Conduct disorder (CD) and
Attention deficit hyperactivity disorder (ADHD).

At Bethany Medical Centre we are here to help with advice, treatment and/or referrals to trained professionals.

Paediatric and Adolescent Health Care

Children’s and adolescent health care for young people aged between 0-18 years include:

General medical follow up for special care newborns,
Developmental-behavioural screening and neurology,
Orthopaedics (fractures),
Plastic surgery and
Ear, Nose and Throat surgery
Endocrine clinics for diabetes and children’s growth
Other health therapies and case management for dietetics and autism assessment

Pre school Checks

The Australian Government recommends Healthy Kids Checks which aims to identify health problems and promote healthy lifestyles.

When to Arrange a Preschool Health Check?

The recommended timing is before your 4-year-old child’s scheduled vaccination. The examination enables your doctor to remain engaged with your child and offer health surveillance at an important transition in your child’s early life.

What is Involved in a Preschool Health Check?

As parents, we encourage this opportunity to discuss parenting or health concerns, but it also consists of a checklist of examinations and assessments, six of which are mandatory, including:

Compliance with the recommended Vaccination Schedule
Checks for vision, hearing and oral health
Toilet practices and allergies
Growth and developmental checks

Childhood Obesity Management

What is Childhood Obesity?

Obesity increases the risk factors for children’s health. A child is defined as obese if their Body Mass Index (BMI) is greater than 85% of children and teens of the same age and sex. Assess your child’s BMI

Treatment for Childhood Obesity

Treatment for childhood obesity is based on your child’s age and if he or she has other medical conditions.

Treatment can include:

Changes in your child’s eating habits
Changes in your child’s physical activity level.

In certain circumstances, treatment might include medications or weight-loss surgery.

Childhood Obesity Assessment

If you have concerns about your child’s weight, diet or activity level, a medical assessment may be a good place to start.

At Bethany Medical Centre we are here to help with advice, treatment and/or referrals to trained professionals.

Heart Disease

What is Heart Disease?

Heart disease covers many problems that affect your heart. These include blood vessel diseases like coronary artery disease, heart rhythm problems, and congenital heart defects as well as other conditions.

Heart disease is also referred to as cardiovascular disease which involve narrowed or blocked blood vessels that can lead to a heart attack, chest pain or stroke.

Other heart conditions that affect your heart’s muscle, valves or rhythm, also are considered forms of heart disease.

Who Is Affected By Heart Disease

17% of Australians suffer from heart disease or some form of cardiovascular disease, . Heart disease remains a major health burden for Australia and causes tens of thousands of premature deaths every year.

How does Heart Disease Affect You?

Heart disease can be a key driver of conditions affecting the heart or the circulation of blood through the blood vessels, such conditions can include:

coronary heart disease
heart attack
heart failure
stroke
arrhythmias – abnormal heart beats
aneurysm – a bulge caused by weakening of the heart muscle or artery
septal defect – an abnormal opening between the left and right sides of the heart
peripheral vascular disease – a disease of the large blood vessels of the arms, legs, and feet
rheumatic heart disease – caused by rheumatic fever, and mainly affecting the heart valves
congenital heart disease – defects or malformations in the heart or blood vessels that occur before birth.

Causes of Heart Disease?

Causes or risk factors associated with heart disease can be categorised in two ways:

Risk Factors Within Your Control

Lack of physical activity
Smoking
Cholesterol
High Blood Pressure
Diabetes
Being overweight or obese
Unhealthy diet especially high salt and alcohol consumption

Risks Factor Beyond Your Control

Genetics or Family history
Older age
Gender: Women’s risk grows and may be equal to men after menopause.
Ethnic background

Symptoms of Heart Disease?

Heart Disease typically can have many forms, but sometimes heart disease may have no symptoms.

Generally, commonly observed symptoms can include:

Chest pain or chest palpitation
Nausea, Indigestion, Heartburn
Pain that Spreads to the Arm
Feeling Dizzy or Lightheaded
Throat or Jaw Pain
Being easily exhausted
Snoring causing heart stress
Cold Sweats
Swollen legs and ankles
Irregular heartbeat

Diagnosis of Heart Disease

When you visit our doctors and have any concerns about your heart please ask. Alternately, if you are at risk our doctors will ask questions around your risk factors.

No matter what type of heart disease you have, your doctor will likely

perform a physical exam and
ask about your personal and family medical history

Other tests may include:

blood tests,
chest X-ray,
Electrocardiogram (ECG),
blood pressure

Treatment Choices for Heart Disease

Keeping your heart healthy, whatever your age, is the most important thing you can do to help prevent and manage heart disease.

By improving your lifestyle, including your diet and level of fitness, you can minimise your risk of getting cardiovascular disease.

Even if you have two or more risk factors, you can still make changes that will reduce your chances of developing heart problems.

Treatments For Heart Disease

Treatments vary widely and can include

lifestyle changes,
medication,
surgery,
stents,
pacemakers and
other therapies

Where required our doctors will arrange referrals to a suitable specialist for treatment these can include Cardiologists or a Cardiovascular surgeons.

Diabetes Management

What is Diabetes?

Diabetes is a condition characterised by high levels of glucose (or sugar) in the blood. When a person has a high blood sugar level they are said to be hyperglycaemic.

Glucose is essential for providing the body with energy. The body converts many of the foods that we eat into glucose. A hormone called insulin is required to transfer glucose from the bloodstream to the body’s cells.

If you suspect or know you have diabetes it is important to speak with your doctor to seek testing and advice on how to best manage your diabetes.

What is the Cause of Diabetes?

Diabetes occurs when there is not enough insulin to help get the glucose out of the bloodstream and into the body’s cells.

All types of diabetes lead to high blood glucose levels. The most common are Type 2 Diabetes Mellitus, Type 1 Diabetes Mellitus and Gestational Diabetes Mellitus. Each diabetes type has a different cause. (please see ‘What are the types of diabetes’).

High blood glucose levels usually occur because:

The pancreas is unable to produce any or enough insulin. This happens in Type 1 Diabetes Mellitus
The body’s cells are resistant to the action of insulin (insulin resistance). This occurs in Type 2 Diabetes Mellitus

What Part Does the Pancreas Play in Diabetes?

The pancreas is a leaf-shaped gland located behind the stomach. It is responsible for the production of insulin, which is the hormone that helps regulate blood glucose levels.

After a meal, the blood glucose level rises, causing the pancreas to normally release insulin into the blood. In a healthy person, the insulin allows the body’s cells to absorb glucose so it can be used as energy. When there is enough insulin, the blood sugar levels stay in the normal range.

For people living with diabetes, there are two main reasons why the blood sugar levels are high. This is because either:

Little or no insulin is produced by the pancreas, or
The body’s cells are resistant to the action of insulin.

This results in glucose being unable to enter the cells and therefore we see increased blood glucose levels (sometimes known as hyperglycaemia).

What are the Types of Diabetes?

Type 1 Diabetes Mellitus:

Type 1 Diabetes Mellitus is caused by an autoimmune condition, where a person’s own immune system attacks the cells of the pancreas which produce insulin. This leads to very low levels of insulin. Its onset is often sudden and without warning. There is currently no way of preventing it and no cure. People living with Type 1 Diabetes Mellitus do not produce any insulin and need insulin treatment to survive. This insulin can be given either by multiple injections per day or via an insulin pump.

Type 1 Diabetes accounts for around 10% of all diagnosed cases of diabetes.

People living with Type 1 Diabetes Mellitus can lead a normal, long and healthy life with the right support of family, friends, medical team along with medications, insulin and new technology.

Another term for Type 1 Diabetes Mellitus is Juvenile Diabetes – however adults can also develop Type 1 Diabetes Mellitus.

Type 2 Diabetes Mellitus:

Type 2 Diabetes Mellitus is caused by the inability of the pancreas to produce enough insulin and/or the body’s cells being resistant to the action of insulin. It is the most common type and accounts for around 85-90% of all diagnoses of diabetes.

Type 2 diabetes is a condition that gradually progresses over time.

While there is no cure for the condition, it can be managed. People with Type 2 diabetes can lead normal, healthy and happy lives.

Lifestyle changes, such as exercising and improving your diet, are effective ways to treat Type 2 Diabetes Mellitus. People with Type 2 Diabetes Mellitus may also need medications to treat their condition depending on the severity of the condition. Along with lifestyle changes the medications may be a combination of tablets and/or injections.

MODY (Maturity Onset Diabetes of the Young):

MODY is caused by a single abnormal gene. It accounts for approximately 1-2% of all diabetes diagnoses and is caused by a genetic mutation that is often passed down in families.It is a rare form of diabetes that is different to Type 1 and Type 2 Diabetes Mellitus.
People with MODY are often diagnosed before the age of 25.
The treatment is often tablets or sometimes a combination of tablets and insulin injections.

Secondary Diabetes Mellitus:

Secondary diabetes occurs when the pancreas is damaged and unable to make insulin. Sometimes it is referred to as Type 3 Diabetes Mellitus.

Secondary diabetes is most commonly caused by pancreatitis or inflammation of the pancreas. Examples of common causes of secondary diabetes mellitus include:

Pancreatitis
Haemochromatosis
Cystic fibrosis
Trauma to the pancreas
Pancreas surgery such as pancreatectomy
Pancreatic agenesis
Pancreatic cancer

Gestational Diabetes Mellitus:

Gestational diabetes is diabetes that first appears during pregnancy.
Approximately 12-14% of pregnant women will develop the condition around the 24th to 28th week of pregnancy.
It is important to remember that sometimes women who have no risk factors may develop Gestational diabetes. Therefore, all women should be tested for the condition between the 26th to 28th week of pregnancy or earlier if you have multiple risk factors for the condition.
Gestational diabetes needs to be monitored closely by the health care team as poorly controlled blood glucose levels can have severe impacts on both the health of the mother and baby.
Gestational diabetes is often managed simply with changes to diet and exercise, however some women may require tablets, insulin injections or both.
Once women with gestational diabetes give birth, the diabetes should go away. However, women who have had gestational diabetes are at greater risk for developing Type 2 Diabetes Mellitus in the future and require lifelong screening.
Risk Factors for Developing Type 1 Diabetes
- Anyone can get Type 1 diabetes – it does not discriminate. People who have a family history of diabetes eg. a parent or sibling with type 1 diabetes or genetic predisposition are at increased risk of type 1 diabetes.
- Sometime triggers like infections can make people more at risk to autoimmune conditions like Type 1 Diabetes Mellitus

Risk Factors for Developing Type 2 Diabetes

There are many factors which may put a person at increased risk of developing this condition. Some of these include:

Family history of diabetes
Being overweight or obese
Being over 45 years old
Genetics, especially people from some cultural backgrounds (Aboriginal and Torres Strait Islander, Pacific Islander, Indian and Chinese)
Women who have previously had Gestational diabetes while pregnant.
Unhealthy diet
Sedentary lifestyle
Having high blood pressure
Having abnormal cholesterol levels in blood

Risk Factors for Developing Secondary Diabetes

Pancreatitis
Pancreas surgery or removal of the pancreas
Medical conditions that can be associated with damage to the pancreas such as cystic fibrosis

Risk Factors for Developing Gestational Diabetes

Being over the age of 40
Having a mother or sister with a history of Type 2 or Gestational diabetes
Being overweight or rapidly gaining excessive weight in the first trimester of pregnancy
Cultural background (Aboriginal or Torres Strait Islander, Melanesian, Polynesian, Chinese, Southeast Asian, Middle Eastern or Indian)
History of Polycystic Ovarian Syndrome
Gestational diabetes in previous pregnancies
History of large birth weight (greater than 4.5kg) in previous pregnancies.

How Often Should I See My Doctor to Assess My Risk of Diabetes?

Everyone over the age of 40 should be screened for diabetes every three years using a risk calculator like AUSDRISK.

Aboriginal and Torres Strait Islander people should begin having AUSDRISK assessments from the age of 18.

You can calculate your risk using the AUSDRISK score and answering 10 simple questions – https://www.diabetesaustralia.com.au/risk-calculator

Did you know?

Half a million Australians could have Type 2 Diabetes Mellitus but don’t know it!

What are the Symptoms of Diabetes?

The main symptoms of Type 2 Diabetes Mellitus are:

Increased thirst and drinking
Hunger
Frequent urination
Tiredness
Increased infections
Blurry vision
Dark pigmentation in certain parts of the body
Some people may have no symptoms at all and not know they have diabetes

The main symptoms of Type 1 Diabetes Mellitus are the 4 T’s:

T hirst (feeling thirsty and needing to drink more fluids)
T oilet (needing to urinate more frequently)
T hinner (weight loss)
T ired

As insulin production declines, a patient may develop:

Stomach pain
Vomiting
Become very ill

Whatever the type of diabetes if there is sustained, uncontrolled high blood sugar (hyperglycaemia) it can damage the heart, blood vessels, eyes, kidneys and nerves. If you are at risk, see your doctor early to prevent this damage from happening.

Diabetes complications start before diagnosis

If you have risk factors for diabetes do not delay seeing your doctor
As many as half of all people diagnosed with diabetes already have developed one or more diabetes related complications

Children’s Immunisation & Vaccinations

Vaccination is the administration of antigenic material (the inactivated germ or a part of it) that boosts up your immunity to a disease. It is considered to be the most effective method of preventing infectious diseases.

Vaccines stimulate the immune system and make the immune system ready to fight against the disease.

The immunizations can be made more effective with periodic repeat injections or ‘boosters’. It increases our ability to fight diseases that may be contagious or even fatal. Vaccinations are important for adults as well as for children.

What are Common Immunisation and Vaccinations?

Hepatitis B Vaccine
Pneumococcal Vaccine
Diphtheria, Tetanus, and Acellular Pertussis Vaccine
Hemophilus Influenza Type B Vaccine
Poliovirus Vaccine
Influenza Vaccine
Measles, Mumps, and German Measles/Rubella vaccine
Varicella Vaccine
Meningococcal Conjugate Vaccine
Hepatitis A Vaccine
Rotavirus Vaccine
Human Papilloma Virus Vaccine

Are Immunisation and Vaccinations Safe?

Vaccines containing dead or inactivated germs when introduced into the body the immune system react to the vaccine by making antibodies. These antibodies help protect from disease when similar germs invade the body in future.

Infectious diseases are contagious and spread from one person to another. Vaccinating large population may avoid the spread of disease in a community and with the time the disease can be eradicated from the society.

Recommended Immunisation and Vaccinations

The current National Immunisation Program (NIP) Schedule started on 1 July 2007 and outlines the recommended vaccines by age group which are funded by the Immunise Australia Program. States and Territories may choose whatever combination of vaccines from those listed on the Health Act (1953) Determination 2009 (Immunisation Program and Designated Vaccines)

Hepatitis B Vaccine

Hepatitis B virus targets the liver and hepatitis B vaccine (HBV) can prevent your child from developing chronic liver disease or liver cancer in future. It is administered three times, the first dose is given within a short period after birth for all infants before hospital discharge; the second and third are usually given at 1 to 2 months and 6 to 18 months of age.

Pneumococcal Vaccine

The Pneumococcal vaccine (PCV) offers protection against infections such as meningitis, blood infections, and pneumonia caused by pneumococcal bacteria. PCV immunizations are given as a series of four injections at ages of 2- , 4- , 6- months and last dose between 12 and 15 months.

Diphtheria, Tetanus, and Acellular Pertussis Vaccine

Diphtheria, Tetanus, and Acellular Pertussis Vaccine (DTaP vaccine) is a combination vaccine against diphtheria, tetanus and pertussis. The DTaP is scheduled as a series of 5 injections at ages 2- , 4- , 6- months, between 15 and 18 months, and the last dose between 4 and 6 years. After these initial shots, a booster dose of the vaccine Tdap must be administered between 11 and 12 years or to the older teens and adults those who have not received a booster with pertussis coverage. Booster doses of Td (tetanus and diphtheria) should be given every 10 years thereafter.

Hemophilus Influenza Type B Vaccine

Hemophilus influenza type B (Hib) disease is a serious condition caused by Haemophilus influenza Type B bacteria. The Hib vaccine is given at ages 2- , 4- , and 6- months and a booster dose is given between 12 and 15 months. It provides long term protection from Hemophilus influenza type b infections.

Poliovirus Vaccine

Inactivated poliovirus vaccine (IPV) is administered to protect your child from polio. Poliomyelitis or polio is a disease caused by polioviruses that can damage the nervous system, cause paralysis and can lead to death. Poliovirus vaccine is usually given at four doses at age 2 months, 4 months, between 6 and 18 months and between 4 and 6 years.

Influenza Vaccine

Influenza, commonly called as flu is a contagious respiratory tract infection caused by influenza viruses. Influenza vaccine is recommended for all people aged 6 months and above. Influenza vaccines were administered during the outbreak of H1N1 flu.

Measles, Mumps, and German Measles/Rubella Vaccine

The measles, mumps, and German Measles/rubella (MMR) vaccine protect against measles, mumps and German Measles/rubella. The MMR vaccines are injected as two doses, the first dose between 12 and 15 months and the second dose between 4 and 6 years.

Varicella Vaccine

Varicella vaccine protects against chicken pox, one of the common and a highly contagious childhood viral disease. The vaccine is recommended in children between 12 and 15 months, followed by a booster dose between 4 and 6 years for further protection.

Meningococcal Conjugate Vaccine

The meningococcal conjugate vaccine (MCV4) is a vaccine used to protect infants and young children against meningococcal disease, a bacterial infection caused by meningococcal bacteria. It is usually given between the age of 11 and 12 years.

Hepatitis A Vaccine

Hepatitis A infection causes flu-like symptoms. The vaccine is given at two doses, first dose at 12 months and the second dose at 18 months.

Rotavirus Vaccine

Rotavirus is the leading cause of diarrhea among infants and young children. The vaccine which is a liquid given by mouth in a three-dose, first dose at 3 months, the second dose at 4 months, and the third dose at 6 months. The third dose must be given before 32 weeks of age.

Human Papilloma Virus Vaccine

Human (HPV) infection is the most common sexually transmitted infection that causes genital warts and precancerous changes in the uterine cervix leading to cervical cancer. The vaccine is recommended in a three-dose schedule over a 6 month period; in girls, the vaccine is recommended between 11 and 12 years and also in older girls who were not vaccinated before. The vaccine is recommended for boys between 9 and 18 years to prevent the development of genital warts.

Side Effects

Some vaccines may cause mild temporary side effects such as fever and soreness or swelling and redness at the site of injection. Serious reactions are rare and if any serious reactions are observed consult your pediatrician immediately. Your pediatrician may discuss with you all the possible risks and benefits of immunization.

Musculoskeletal Health

It is estimated that 30% of the Australian population suffer from some form of pain related to musculoskeletal conditions.

The most common causes of musculoskeletal pain are:

Arthritis
Osteoporosis

Arthritis

Arthritis is an inflammation of the joints. Itcauses pain, stiffness and disability and is very common. It affects both adults and children, and can cause chronic pain.

About Your Joints

A joint is situated where two bones meet. Joints allow movement and flexibility of various parts of the body.

The movement of the bones is caused by muscles which pull on tendons that are attached to bone. Cartilage covers the end of bones. Between the cartilage of two bones that form a joint there is a small amount of thick fluid called synovial fluid. This lubricates the joint, which allows smooth movement between the bones.

The synovium is the tissue that surrounds a joint. Synovial fluid is made by cells of the synovium. The outer part of the synovium is called the capsule. This is tough membrane that gives the joint stability and stops the bones from moving out of joint. Surrounding ligaments and muscles also help to give support and stability to joints.

How Does Arthritis Affect You?

Arthritis may affect just one joint (knee, hip, spine, shoulder, elbow, hands or feet), a few joints, or many joints.

Types Of Arthritis

The two most common types of arthritis are:

Osteoarthritis,
Rheumatoid arthritis.

Causes Of Arthritis

However, there are many different causes of arthritis including:

Age and wear and tear on joints,
Septic arthritis,
Ankylosing spondylitis,
Gout,
Calcium pyrophosphate deposition,
Psoriatic arthritis,
Reactive arthritis, and
Juvenile idiopathic arthritis.

Symptoms Of Arthritis

The symptoms of arthritis vary depending on the nature and severity of the underlying cause. Symptoms can include:

Joint pain, tenderness and stiffness,
Restricted movement of the joints,
Warmth and red skin over the affected joint, and
Weakness and muscle wasting around the joint.

Diagnostic Of Arthritis

X-rays can reveal if osteoarthritis from degenerative changes is causing your knee hip or joint pain. The diagnosis of osteoarthritis is made from your:

Medical history,
Physical examination, and
Radiology studies (xray).

There is no blood test to diagnose Osteoarthritis.

Conservative Treatment Options

Conservative treatment options refer to management of the problem without surgery.

Some conservative treatment measures for knee osteoarthritis include:

Activity Modification and Limitations,
Weight Reduction,
Anti-inflammatory Medications,
Physical Therapy,
Orthotics such as canes, braces or insoles, and
Injection of steroid and analgesic into the knee joint eg: Platelet Rich Plasma (PRP).

Osteoporosis

Osteoporosis is a condition that affects bone strength (the word osteoporosis literally means “porous bones”).

Bone is made of tough, elastic fibres (collagen fibres) and gritty, hard material (minerals). It is a living tissue and contains cells that make, mould and take back up (resorb) bone.

Initially, as you grow, bone forms faster than it is resorbed. But, as you get older, this reverses. As a result, from about the age of 35, you start to lose a certain amount of bone material overall.

Your bones become less dense and less strong. The amount of bone loss can vary. If you have a lot of bone density loss, then you have ‘thinning’ of the bones (osteoporosis).

If you have osteoporosis, your bones can break more easily than normal, especially if you have an accident such as a fall. If you have a milder degree of bone loss, this is known as osteopenia.

Causes Or Risk Factors For Osteoporosis

The exact cause of osteoporosis is not clear. The major risk factors associated with an increase in the incidence of osteoporosis include:

Age and gender: After the age of 35 years, the body gradually loses bone mass. Hence, the greater the age, the higher the risk for osteoporosis. Moreover, women are four times more prone to osteoporosis when compared to men. Thus older women over 50 are at a higher risk for osteoporosis.
Family history and ethnicity: Caucasians, Hispanics and Asians are at an increased risk to developing osteoporosis.This risk is further increased by a small, thin body frame and a family history of fractures. Hence heredity plays an important role in the development of osteoporosis.
Endocrine disorders: Endocrine disorders such as hyperparathyroidism and thyroid problems increase the risk of osteoporosis by adversely affecting the process of bone formation.
Medications: Hormone replacement therapy for prostate cancer or breast cancer, long term corticosteroid therapy (more than 3 months) and some anti-epileptic drugs increase the risk for osteoporosis.
Nutrition and lifestyle: A sedentary lifestyle, smoking, excessive alcohol intake and poor nutrition with a calcium deficient diet make an individual highly prone to develop osteoporosis.
Eating disorders: These may lead to a deficiency of essential nutrients required for healthy bone and thereby increase the risk for osteoporosis.

Diagnosis Of Osteoporosis

At present, there is no national screening programme in Australia for osteoporosis. However, if you have a risk factor, our practice may ask questions to see how many other risk factors for osteoporosis (listed above) apply to you.

If you are found to be at increased risk, or your risk is uncertain, you may be referred for a DEXA scan. DEXA stands for dual-energy X-ray absorptiometry. It is a scan that uses special X-ray machines to check your bone density.

A DEXA scan can confirm osteoporosis.

Treatment For Osteoporosis

Treatment of osteoporosis aims to strengthen the existing bones, while stopping the disease progression.

Medications: such as calcium and vitamin D supplements, oestrogen for postmenopausal women, testosterone for men, parathyroid hormone shots and bisphosphonates can be prescribed to patients.
Simple lifestyle changes: such as a healthy, well balanced diet rich in protein, calcium and vitamin D, regular exercise such as walking and jogging, along with abstinence from smoking and alcohol improve overall bone health and prevent the development of osteoporosis. In patients with osteoporosis these lifestyle changes may delay the progression of the disease.

Speak to our doctors about your osteoporosis.

Men’s Health

At Bethany Medical Centre we understand that men have unique needs in terms of health and the way health services are accessed. We provide specialised men’s health services aimed to these needs.

Consultations are conducted in a confidential and private consulting room and may cover health screening, prostate checks, blood screening, blood pressure checks and sexual health checks.

Our doctors conduct preventative health checks and provide education to suit each patient’s individual needs.

Some specific Men’s Health issues covered include:

Regular health checks
Your lifestyle and lifestyle choices
Prostate screening
Testicular check
Sexually transmitted infections
Erectile dysfunction
Sleep disorders

Regular Health Checks

Physical Examination

From time to time your height, weight, and body mass index (BMI) will be checked during examinations. Depending on individual risk factors, men over the age of 45 may need to undergo a physical examination once every 3 years.

Blood Pressure Check

Men with a history of borderline or high blood pressure should have their blood pressure checked at least every year. Men with diabetes, raised cholesterol levels, heart disease, kidney problems, or other related conditions also need to have their blood pressure checked regularly.

Diabetes Screening

Men aged 40 or above should get tested for diabetes every 3 years. Men with blood pressure above 135/80 will be recommended by their healthcare provider to check their blood sugar for diabetes.

Bone Density

A bone density test should be performed for men over the age of 65, and depending on their risk factors they may need to be screened for osteoporosis.

Colon Cancer Screening

Men between the ages of 50 and 75 need to be screened for colon cancer. The National Bowel Cancer Screening Program invites Australians aged over 50 to screen for bowel cancer using a free, simple test at home. This aims to reduce deaths from bowel cancer through early detection of the disease. Additional studies may be scheduled by your doctor if you have a history of ulcerative colitis or any family history of colon cancer.

Eye Examination

An eye examination is recommended every two years for men older than 45 or with vision abnormalities. You may need to be checked for glaucoma once you are over45.

Flu Vaccinations

A flu vaccine is recommended once a year.

Your Lifestyle

Often men’s health or illness can be the result of lifestyle and lifestyle choices. Specifically they can relate to:

Diet
Exercise
Alcohol and
Smoking

Poor lifestyle choices can lead to early onset of diseases and a shortened life. Alternately, improved choices can help prevent or reduce the likelihood of a disease or disorder arising or impacting your health.

Men can be poor at both understanding and managing their specific risk factors. At Bethany Medical Centre we can review and discuss your risks, tests, management and other strategies that can lead to improved health outcomes.

Prostate Cancer Checks

As men get older the prostate gland grows and so the PSA is likely to rise. A high PSA may indicate some type of prostate disease.

The level can be raised due to inflammation of the prostate (prostatitis) and enlargement of the prostate gland (benign prostatic hyperplasia or BPH).

What Is Prostate Cancer Screening

All men over the age of 50 should have a Prostate Cancer Check once every 24 months. Prostate Cancer checks are typically simple and are conducted at the practice. The two tests are:

Prostate specific antigen (PSA Blood Test) which measures your antigen levels for your age
Digital rectal examination (DRE) where the doctor feels the prostate using his finger.

What Are The Symptoms Of Prostate Disease

Lumps, sores or ulcers that don’t heal
Unusual changes in your testicles – changes in shape, consistency or lumpiness
Coughs or hoarseness that hangs around
Persistent changes in toilet habits or
Loss of bladder control (incontinence) or overactive bladder
Frequent urinary tract infections
Painful urination, chronic pelvic pain, or interstitial cystitis
Urinary blockage such as prostate enlargement, stricture, or narrowing of the urinary tract
Enlargement of the prostate

It is important if you have unexplained symptoms that you see one of our doctors for further investigation. Early diagnosis for cancer, increases survival rates.

Testicular Cancer Checks

What Is Testicular Cancer Screening

Although testicular cancer is rare, it is one of the most common cancers in men aged between 15 and 45 years. It is also one of the most curable cancers if found early.

What Causes Testicular Cancer

The causes of this cancer are unclear, but men who have had an undescended testicle are at increased risk.

Symptoms Of Testicular Cancer

Be aware of what is normal for you. Sometimes early testicular cancer can be asymptomatic but if a patient experiences either

A lump in either testicle or
A feeling of heaviness in the scrotum.

Don’t let embarrassment get in the way, if you see or feel any changes, see your doctor..

What Are The Treatments Testicular Cancer

If cancer is found there are various approaches that your doctor will detail, but the earlier the intervention the better the outcome.

Sexually Transmitted Infection Checks

What Is Sexual Or STD Screening?

Our doctors can order urine or blood tests to check for:

Chlamydia,
Gonorrhea,
Hepatitis,
Herpes,
HIV,
Syphilis.

Types Of Sexually Transmitted Disease

There are three types of STD disease agents, these are:

Viruses (human papillomavirus, genital herpes, HIV)
Bacteria (gonorrhea, syphilis, chlamydia)
Parasites (trichomonas)

STD Causes

While sexual activity maybe responsible for spreading some infectious agents, it is also possible to contact a STD without sexual contact. For example Hepatitis A, B and C viruses, shigella, and Giardia do not necessarily require sexual contact.

What Are The Symptoms Of STDs

STDs can present in many forms and may also be asymptomatic. Some symptoms may include:

Sores or bumps on the genitals, mouth or anus
Painful or burning urination
Discharge from the penis
Pain during sex
Sore, swollen lymph nodes, particularly in the groin
Unexplained fever or rashes

While these symptoms may not be a definitive guide, you advised to make an appointment with our practice to seek advice and testing.

Erectile Dysfunction

Erectile dysfunction is when a man cannot obtain or maintain an erection firm enough for sexual intercourse.

What Are The Causes Of ED

As men age there are many contributing health conditions that may give rise to a reduced erectile function. Some common conditions include:

Heart disease
Clogged blood vessels (atherosclerosis)
High cholesterol and/or blood pressure
Diabetes and Obesity
Certain prescription medications
Tobacco, alcohol or other forms of substance abuse
Poor sleep and stress
Prostate cancer or enlarged prostate BPH

Treatments For Erectile Dysfunction

After first being assessed for any underlying physical and psychological conditions, there are a number of treatment options.

Subject to pre-existing conditions and medications, common and effective treatments can include:

Devices like pumps,
Medications including pills and injections,
Surgery

Our doctor can assess and discuss your specific options.

Sleep Disorders

Good sleep is necessary for optimal health and can affect hormone levels, mood and weight. Poor sleep can lead to low energy and blood pressure problems.

Common sleep problems include

Snoring,
Sleep apnoea,
Insomnia,
Sleep deprivation, and
Restless legs syndrome

What Causes Sleep Problems

Obesity, diabetes or respiratory problems can cause disrupted sleep, but other chronic illness can also cause insomnia and daytime drowsiness.

Sleep Disorder Assessments

If you suffer from poor sleep or daytime drowsiness you should talk to our doctors about having a Sleep Assessment. The purpose of a Sleep Assessment is to help:

Understand possible causes of your sleep disorder
Offer tailored information based on your individual situation
Deliver suitable treatments or strategies to deal with the problem

Abdominal Pain

What is Abdominal Pain?

Abdominal pain is pain that you feel anywhere between your chest and groin. This is often referred to as the stomach region or belly.

Often a nauseous or knot like sensation can accompany Abdominal Pain. Most of the time, a serious medical problem is not the cause, and how bad your pain is doesn’t always reflect the seriousness of the problem causing your pain.

You may feel very bad pain if you are having gas or stomach cramps due to viral gastroenteritis, better known as a stomach virus. And some life-threatening conditions, such as colon cancer or a very early case of appendicitis, may cause only mild pain, or no pain at all.

Describing Abdominal Pain

Generalized pain – you feel it in more than half of your belly. This type of pain is more typical for a stomach virus, indigestion, or gas. If the pain becomes more severe, it may be caused by a blockage of the intestines.
Localized pain – found in only one area of your belly. It is more likely to be a sign of a problem in an organ, such as the appendix, gallbladder, or stomach.
Cramp-like pain – This type of pain is not serious most of the time. It is likely to be due to gas and bloating, and is often followed by diarrhea. More worrisome signs include pain that occurs more often, lasts more than 24 hours, or occurs with a fever.
Colicky pain – This type of pain comes in waves. It very often starts and ends suddenly, and is often severe. Kidney stones and gallstones are common causes of this type of belly pain.

Sometimes, abdominal pain may occur due to a problem somewhere else in your body, such as your chest or pelvic area. You may have abdominal pain if you have:

Severe menstrual cramps
Endometriosis
Muscle strain
Pelvic inflammatory disease (PID)
Tubal (ectopic) pregnancy
Ruptured ovarian cyst
Urinary tract infections

Endometriosis Pain

Endometriosis is a common gynecological problem affecting women of reproductive age. It occurs when the tissues of the uterus start growing on surfaces of other organs in the pelvis.

Endometrium may grow on ovaries, fallopian tubes, outer surface of uterus, pelvic cavity lining, vagina, cervix, vulva, bladder or rectum.

Symptoms of Endometriosis

Patients may experience

painful cramps in the lower abdomen, back or in the pelvis during menstruation,
painful sex
heavy menstrual bleeding,
painful bowel movements or urination and
infertility.

Causes of Endometriosis

The exact cause for the endometriosis is not known, but it is thought to be inherited through genes that run in families. A defect in the immune system, hormonal imbalance, or as a complication of other surgeries, women may develop endometriosis.

Diagnosis of Endometriosis

We will ask you about general health, your symptoms and perform a pelvic examination to feel for the presence of large cysts or scars.

An ultrasound scan may also be performed to look for ovarian cysts.

The ultimate diagnosis is the visually proven endometriosis that can be done by diagnostic laparoscopy or keyhole surgery.

Treatments for Endometriosis

There are several treatment options available to minimize the pain as well as control heavy bleeding.

Pain Medication

Over the counter pain relievers may be helpful for mild pain. Non steroidal anti-inflammatory medications will be prescribed by our doctors in cases of severe pain.

Hormone Treatment

Hormone treatment is recommended if there is a small growth and mild pain. Hormonal preparations particularly progesterone type medications or a medication that decrease or block the production of Oestrogen can be taken in the form of pills, shots, intrauterine device (IUD) and nasal sprays. Birth control pills help to decrease the amount of menstrual bleeding.

Surgery

Surgery is an option for women having multiple growths, severe pain, or fertility problems.

Laparoscopy : During this surgery, growths and scar tissue are removed or burnt. This is a minimally invasive technique and does not harm the healthy tissues around the growth.
Laparotomy or major abdominal surgery : This involves a larger cut in the abdomen which allows [doctor] to reach and remove the endometrial growth.
Hysterectomy : It is a surgery that involves removal of the uterus. This procedure is done when there is severe damage to the uterus and only if the patient is not willing to become pregnant.

Minor Procedures

At Bethany Medical Centre our experienced doctors are able to offer many minor procedures including;

Implanon inserts and removals
IUD insert and removals
Mole removal and skin biopsy
Ingrown toe nail removal
Joint injections
I & D
Foreign body removal

All minor procedures will need an initial GP appointment to assess your needs, please contact us to arrange an appointment.

Implanon Removal & Insertion

Implanon is the brand name for the contraceptive implant containing the hormone progesterone which is a hormone similar to the hormone progesterone, which is naturally produced by the female body.

This form of contraceptive is highly effective and lasts for up to three years. It is an ideal method for young women leading busy lifestyles requiring safe and effective contraception.

How Effective is the Implanon Contraceptive?

Implanon is at least 99.9% effective.

This means that if 1,000 women use Implanon for a year it is possible that 1 woman could become pregnant.

How Does Implanon Work?

Implanon implant slowly releases progestogen into the bloodstream to prevent pregnancy for up to three years. The implant works by

Preventing ovulation (egg release from the ovary),
Preventing thickening of the mucus of the cervix so that sperm cannot enter the uterus (womb), and
Changing the lining of the uterus thereby making it unsuitable for pregnancy.

Some medications can reduce the effectiveness of Implanon. It is important to inform doctors you have an Implanon when another medication is prescribed.

About the Implanon Procedure

The Implanon insertion procedure is quick and simple.

Using a small flexible rod, a contraceptive implant is inserted under the skin of the upper arm. During the procedure, your arm is under a local anaesthetic.

Who is Suitable for:

The choice of a particular method of contraceptive depends on an individual’s

Age,
Health,
Frequency of sexual activity,
Number of sexual partners,
Plans for future pregnancy, and
Certain medical conditions.

Discuss with your doctor about the choices of birth control available for your particular situation.

Alternatives to Implanon Contraceptive

Mirena IUS

This is an intrauterine device that is a highly effective form of contraception with minimal hormonal side effects. It lasts for up to five years and like Implanon has the advantages of being a ‘fit and forget’ method of contraception.

Intrauterine Contraceptive Device

We have practitioners who are experienced in both Implanon and Mirena insertions. Please ask at reception for details.

Wound Care & Dressings

Today you had your procedure and there are a few things to keep in mind to ensure the best outcomes for any post-procedure wound/s.

First Few Days

If you have had a biopsy (small test piece removed for diagnostic purposes only) then just keep the wound area dry for 24 hours and then remove the dressing.

If you have had an excision (the whole lesion removed) you must keep the wound completely dry for the next 4 days, and change the dressing daily using the dressings provided.

Ensure Wound Protected

To ensure the best long-term result, try to minimise movement of the wound-bearing area, especially if it is on the upper body, or near a major joint. These areas can scar poorly if excessive movement occurs during the entire healing period, and in some cases (ie near knees or hips) for some weeks afterwards.

Wound Damage

If your wound/s become sore, bleed, or otherwise don’t seem to be healing as expected, give us a call or drop in as soon as you are able. If urgent, see your GP or local hospital as timely assessment can be important.

Leg & Ankle Wounds

With wounds below the middle of the calf including the ankle or foot, it is necessary to dramatically reduce the amount of standing or walking and keep the leg straight out from your body (as it is in best) whenever you are able. This promotes better blood-flow which means better healing.

Removal of Stitches

Firstly it’s important to have your stitches out only on the date you were advised.

Results

If you have had pathology results can take up to a week, and in rare cases a little longer.

We will attempt to phone your results to you so please ensure we have your updated contact details while you are at Reception or as soon as possible afterwards to minimise delays.

Rarely further procedures are necessary so it’s important we are able to discuss this with you as soon as possible. Due to data security requirements, we are unable to directly email results.

Aged Care

Advances in medicine and technology have increased the average life expectancy of the general population. As a result, about a quarter of the population are now 65 years of age or older.

Geriatric medicine is the specialised approach to providing primary healthcare to elderly individuals. There are several factors, which highlight the need for a multidisciplinary approach to managing the health issues that typically increase with age.

At Bethany Medical Centre we can help in the management of chronic diseases and functional problems including:

Aged Care Health Assessments
Chronic Disease Health Care Plans
Heart Checks
Vascular Assessments (Doppler Study)
Home Safety
Annual Check Ups & Flu Vax
Arthritis/Osteoporosis Care

Aged Care Health Assessments

Annual health checks are recommended. These assessments comprise a physical, mental and functional evaluation and relate to normal daily activities.

Assessment and identification of any depression or memory impairment is also part of a regular Aged Care health assessment.

Aged Care Health Assessment Includes

Nutrition and Diet
Pain and Physical Function
Respiratory and Sleep
Cardiovascular
Skin
Continence

Often elderly patients are taking multiple drug therapies, this can make the elderly more susceptible to adverse drug reactions.

Certain diagnostic tests are quite uncomfortable and may be associated with additional risk in the older population. Patient may be referred to other specialists, depending on their clinical conditions.

Chronic Disease Health Care Plans

A care plan will be recommended where a patient presents with a chronic medical condition.That is a medical condition that has persisted for at least 6 months.

Our doctors would review your history and devise an individualised plan for managing the treatment of your problem to optimise your outcome and to improve your quality of life.

How Do Care Plans Work?

Identifies your health care needs
Sets out the services your we will provide, and
Lists what you need to do

These Care Plans are designed for best practice and can involve other team members outside the practice.

Heart Checks

Heart disease is common in middle aged and elderly patients, at Bethany Medical Centre we encourage heart checks as part of your health management.

You may not be aware you have risk factors of heart disease early enough. Often there are no symptoms, so it is important to get your doctor to check your risks frequently, to ensure your heart is healthy.

Further Tests For Heart Disease

Where there are indications of heart disease we may recommend one of the following cardiac diagnostic processes:

Electrocardiogram (ECG)
Holter monitoring
Echocardiogram
Cardiac catheterization
Cardiac computerized tomography (CT) scan
Cardiac magnetic resonance imaging (MRI)

Before any of the above tests are recommended, our doctors will likely perform a physical examination including a blood pressure test, a review of your current medications and they will ask about your personal and family medical history.

Vascular Assessments

Older patients are advised to have regular assessments for vascular disease. Where a condition exists our doctors can guide your through your various management options.

The assessment is designed to help understand the presenting problem, but also detailed enough to understand the full health situation.

Further Tests For Heart Disease

Where there are indications of vascular disease we may recommend one of the following diagnostic examinations:

Hand held Doppler
Duplex ultrasound
Intra-arterial Angiogram
Magnetic resonance angiography
CT (computed tomography) angiography

Home Safety

Home safety for the elderly can be managed, below are some recommendations.

Home Safety Review

Keep emergency numbers handy
Prevent falls – talk to us about having a special falls risk assessment.
Protect against fire and related dangers
Avoid bathroom hazards
Protect against abuse

Home Medication Review

Keep all medications in their original containers so you don’t mix up medicines.
Ask your pharmacist to put large-print labels on your medications to make them easier to read.
Take your medications in a well-lit room, so you can see the labels.
Bring all of your pill bottles with you to your healthcare provider’s appointments so they can look at them and make sure you are taking them correctly.

Annual Check Ups and Flu Vax

As part of your general health we recommend annual visits for general checks. We also strongly recommending annual check ups for:

Influenza Vaccination
Skin Checks
Blood Pressure and
Medication

Bowel Cancer Screening is recommended by the Cancer Council every two years for those over 50.

Arthritis/Osteoporosis Care

Arthritis is a debilitating chronic condition that is very common in elderly patients.

Our doctors keep up to date with the latest developments of the condition including providing:

Advice for coping with fatigue and flares
Latest treatments available (surgical and medical)
Medications
Self-management techniques
Complementary therapies

At Bethany Medical Centre we are here to help with advice, treatment and/or referrals to trained professionals.

Mail Us

Call Us

Welcome to Bethany Medical Centre

Bethany Medical Centre

News

Welcome to Bethany Medical Centre

I believe in old school general practice

Dr. Romany Soliman

Our Services

Our Services

Our Services

Our Services

Our Team

Dr. Romany Soliman

Dr. Soney Jacob

Dr. Mina Ekdawi

Dr. Janet Zhou

Michael Barker

Carolyn Hanna

Andrew Bray

Ahmed Elsayed

Ms Minh Chieu Nguyen

Mrs Christine Soliman

Mrs Evelyn Stefadouros

Ms. Ophelia

Ms. Angela Wallace

Mrs Kerry McCann

Mrs Karlee De Polignol

Gallery

Mental Health

Focussed Psychological Strategies

Psychotherapy

Better Mental Health Initiative

Mental Health Assessments

Mental Health Care Plan

Long Mental Health Appointment

Therapy for Couples

Skin Cancer Checks

What is Skin Cancer?

Suspicious Moles Diagnosed

Skin Cancer Education

Head to Toe Skin Check

We Provide a Full Skin Cancer Checking Service.

Chronic Disease Management

Child Health & Immunisations

Coughs, Colds and Infections

Coughs

Sore Throats

Colds

Ear Infections

Glue Ear

Infant Feeding, Growth, Weight Checks

Feeding Guidelines

Childhood Growth

Childhood Behavioral Issues

Causes of Childhood Behavioral Issues

Paediatric and Adolescent Health Care

Pre school Checks

When to Arrange a Preschool Health Check?

What is Involved in a Preschool Health Check?

Childhood Obesity Management

What is Childhood Obesity?

Treatment for Childhood Obesity

Childhood Obesity Assessment

Heart Disease

What is Heart Disease?

Who Is Affected By Heart Disease

How does Heart Disease Affect You?

Causes of Heart Disease?

Symptoms of Heart Disease?

Diagnosis of Heart Disease

Treatment Choices for Heart Disease

Treatments For Heart Disease

Diabetes Management

What is Diabetes?

What is the Cause of Diabetes?

What Part Does the Pancreas Play in Diabetes?

What are the Types of Diabetes?

Type 1 Diabetes Mellitus:

Type 2 Diabetes Mellitus: