Dietitian

If you have a problem with your health that relates to your diet, a dietitian can help. It’s important to know how to find a registered dietitian and what to expect when you make an appointment.

Dietitians must have a university degree in nutrition and dietetics, and must be accredited by the Dietitians Association of Australia.

Dietitians who meet strict criteria are eligible to join the Accredited Practising Dietitian (APD) program. APD is the only credential for dietitians recognised by Medicare and the Department of Veterans’ Affairs (DVA) and many private health insurers.

What does a dietitian do?

Dietitians provide expert nutrition and diet advice for people of all ages. They can help if you have a food allergyhigh cholesteroldiabetescancer or gastrointestinal diseases, or if you are overweight or underweight. They can help with other health problems too.

In Australia, dietitians are different to nutritionists. Both are qualified to work in areas like public health, research and teaching, or in the food industry. Dietitians are also qualified to work in private medical practices, medical centres, or hospitals.

What to expect from a dietitian

A dietitian will ask questions about your health, what you want to achieve, and what you eat and drink.

They will give you feedback and advice on your diet and health condition. They will also help you set food-related goals.

Cost of a dietitian

The costs for seeing a dietitian vary.

Our Dietitian Daniela, charges $150.00 for the initial appointment that will go for 45 minutes. Thereafter every subsequent visit will be $80. If you have private health insurance, some of the costs might be covered. Check with your health insurance company first. The item numbers to quote is Item 500 for the initial visit and Item 600 for the review visit.

Medicare covers some of the cost of seeing a dietitian only if your doctor refers you.

Some public hospitals offer free outpatient clinics with dietitians, but there is usually a long wait.

Where to find dietitians

Have a chat to you doctor who can refer you. We have our in-house dietitian Daniela who consults out of our rooms on a monthly basis and would be happy to organise a Saturday appointment if the weekdays are proving to be too busy for you.

Daniela is an Accredited Practising Dietitian. Book an appointment by phoning reception on (03) 95217040.

Sources:

https://www.healthdirect.gov.au

Dietitians Association of Australia (What do dietitians do?)Nutrition Australia (Nutritionist or Dietitian – which is for me?)Department of Health (Chronic Disease Management – Individual Allied Health Services under Medicare – Patient Information)Dietitians Association of Australia(Why choose an Accredited Practising Dietitian?)Australian Healthy Food Guide (Should you see a dietitian?)

Podiatrist

What is a podiatrist?

When it comes to looking after your health, it’s easy to forget about your feet. But given you could walk about 128,000 km in your lifetime, healthy feet are an important part of your overall wellbeing. Foot problems can have a huge impact on your quality of life. If they occur, podiatrists can help.

What does a podiatrist do?

Podiatrists are experts in foot, ankle and lower limb health. They can help to prevent, diagnose and treat a wide range of conditions including:

  • ingrown toenails
  • heel and arch pain
  • skin problems
  • balance issues
  • sprains

They can also treat foot problems that arise from underlying medical conditions such as diabetes and arthritis.

Your podiatrist’s recommendations might include specific exercises, the use of custom-made inserts for your shoes, or medications to treat skin conditions.

Some podiatrists specialise in different areas of practice, including sports, children and workplace health.

Where to find a podiatrist

Podiatrists work in private practice or public health clinics, for example in community health services or public hospitals.

You can talk to your doctor about your options.

We have a podiatrist in-house at Prahran Health Care Clinic who will be practicing from the rooms, so if you are interested please ask at reception or speak to your doctor.

Before going to a podiatrist

You don’t usually need a referral from a GP to see a podiatrist. However, in certain situations, if your GP prepares a care plan, also referred to as a Team Care Agreement (TCA) he can give you a referral under the Enhanced Primary Care system, which may entitle you to medicare rebates on some podiatry visits. Also, some funding schemes, for example those under the Department of Veterans Affairs or Workers Compensation, need you to have a referral. If you’re under ones of those schemes, check with your GP before making your appointment.

The cost of seeing a podiatrist varies between practices and for different treatments. It is a good idea to ask about the likely cost when you call to make an appointment. If you have private health insurance, check whether it is covered by your plan.

Our costs to see the podiatrist at Prahran Health Care Clinic start at $95 for the initial appointment and $85 for every subsequent visit. Check with your Private Health Insurer to see how much you get back on Podiatry by quoting the following item numbers: F002 is the initial consultation and F012 is the subsequent visit.

Phone reception to make an appointment on (03) 9521 7040.

It’s a good idea to take the shoes you normally wear to your first visit.

It’s also a good idea to have a list of questions to ask, for example:

  • what are the best shoes for me to wear?
  • what changes can I make to help my foot problem?

More information

Visit the Australian Podiatry Association website to learn more about podiatry and for information on common foot problems.

Sources:

https://www.healthdirect.gov.au

Australian Podiatry Association (What is podiatry?), Raising Children Network (Podiatrist), Australian Podiatry Association (Vic) (Frequently asked questions), WA Health (Podiatry)

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Chiropractor

A chiropractor is a health practitioner who manipulates joints. Chiropractic is used as an alternative to, or to complement, conventional medicine.

Chiropractic is a natural therapy that uses different techniques to help improve the alignment of the body’s musculoskeletal system. This helps to improve the function of our spine, joints, muscles and nervous system.

Chiropractic promotes healing and recovery through the use of gentle manipulation which help to reduce pressure, pain or stiffness in the body. If you have back pain or stiffness this is great time to see a chiropractor. Sometimes it is a pain with a certain activity like sitting, standing or exercising or it might just be the feeling that your back is “out” or tight. These are all great reasons to choose to see a chiropractor.

Although you do not need a referral to see a chiropractor, you can speak to your GP about a Chronic Disease Management plan (formerly Enhanced Primary Care or EPC plan). This plan is for chronic and complicated conditions, if eligible, this plan may give a Medicare rebate for up to 5 visits per year.

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Psychologist

If you are unhappy, stressed, confused or finding it difficult to cope, then seeing a psychologist might help. Knowing what psychologists do and how to get the right psychologist for you is a good first step.

What is a psychologist?

Psychologists are experts in human behaviour. They have studied how the mind works and how people think, react and behave.

Your doctor can refer you to a psychologist who will let you know what is the best treatment for you. If you are a child’s parent or the carer of a child who needs treatment by a psychiatrist or a psychologist, they will work with you and other health professionals.

Practising psychologists must be registered with the Australian Health Practitioner Regulation Agency (AHPRA). You can check this at the AHPRA website.

What do psychologists do?

Clinical psychologists work in areas such as schools, hospitals, community health services, courts, prisons, businesses and private practices.

They may specialise in helping children, teenagers or families. More information about the types of psychologists is available on the Australian Psychological Society (APS) website.

You might visit a psychologist for help with problems such as:

What are the costs and subsidies involved?

If you see your doctor, they might refer you to a psychologist with a mental health treatment plan. If so, Medicare covers some or all of the costs. You can see a psychologist without a mental health treatment plan, but then Medicare doesn’t help with the fees.

Private health insurance may not cover costs. If you have private health insurance, speak to your doctor or psychologist about what is covered.

You can find out more about costs, including Medicare rebates, on the APS website or get more information here about low cost or free mental health services.

Sources:

Royal Australian & New Zealand College of Psychiatrists (Psychiatrists and psychologists: what’s the difference?)Australian Psychological Society (Types of psychology)Australian Psychological Society (What is a psychologist?)

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Physiotherapy

Services we offer
Back pain,Neck pain & Musculoskeletal injuries
Our post graduate qualified Musculoskeletal Physiotherapists specialize in
diagnosing and treating problems in the spine & other major joints.
Antenatal & Postnatal Exercise classes
Our proven Physiotherapy approach may offer the solution you have been
searching for.
Sports injuries
Our Sports Physiotherapists specialize in assessing, treating and
returning athletes to sport with validate outcome assessments.
Rehab Services
Strengthening, stretching, pain relief and functional exercise rehabilitation
are supervised in the clinic and prescribed in home programs.

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Skin Checks

Here at Prahran Health Care Clinic we offer a full range of medical skin care: from regular skin cancer checks to treatment of skin conditions and minor surgeries. Come to us for a range of skin complaints, acne, rosacea, skin tags, moles, skin rashes and other blemishes.

According to the RACGP in 2010, almost 780 000 skin cancers were diagnosed and treated in Australia. Only 1% of these were invasive melanoma. The vast majority were nonmelanoma skin cancers (NMSCs) in people aged 60 years and over. Nonmelanoma skin cancers in Australia are now nearly seven times more common than all other cancers combined; approximately half of these are removed by general practitioners. Book in with Dr Anna Janisiow for a comprehensive skin check.

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24 Hour Blood Pressure Monitoring

24 Hour Blood Pressure Monitoring

The purpose of our 24-hour blood pressure monitoring is to keep a close watch on your blood pressure as you go about your daily activities.
We achieve this through the help of a small digital blood pressure machine that is connected to a belt around your body, which is attached to a cuff around the upper part of your arm.
The need to monitor your blood pressure is to check for hypertension, and to also have an idea of what your blood pressure is like throughout the night and day.
We may require a patient to be placed under 24-hour blood pressure monitoring for the following reasons;

  • To know if your blood pressure stays high at night. If we discover that it is high at night, then we may have to change, adjust, or review your medication.
  • To monitor how well your medicines are working and to ascertain if your blood pressure is well controlled both during the day and at night.
  • To know if your blood pressure readings in the clinic differ from what they are at home or away from the clinic.

These are some of the reasons why we may want to put our patients under 24-hour blood pressure monitoring.
For patients with high BP; if you would like to have good control and monitoring of your blood pressure, our practice is the right place to be. We do not take the well-being of our patients lightly, as we understand that medical issues relating to blood pressure, should be well managed and monitored.

How does our 24-Hour Blood Pressure Monitoring work?

Our 24-hour blood pressure monitoring works in the same way as going to the clinic to have your BP checked, although for the monitoring, a digital device that measures your blood pressure throughout the day is worn on your belt or waist, while the cuff is connected to your upper arm. This digital device takes your blood pressure reading at regular intervals throughout the day; normally every 30 minutes during the day and 60 minutes at night.

How do I prepare for 24-Hour Blood Pressure Monitoring?

This is a question that most of our patients ask; the answer here is that you do not need to do anything to prepare for your 24-hour blood pressure monitoring. However, it is good to wear loose-fitting clothing to your appointment, so that we can fit the blood pressure monitor properly.

We recommend that our patients should go about their regular daily routine the period of 24hr monitoring.
After the 24 hours, we will remove the device and then access the readings to analyze what it implies and make necessary recommendations to our patients. You can always count on our expertise to deliver the best medical services to our clients, at all times.

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Travel Medicine

Travel Medicine Advice

Australians travelling overseas, especially to developing countries, need to be vaccinated against a range of diseases. Illnesses may be caused by contaminated food or water, poor hygiene or infected insects.

Things to remember while planning a trip overseas:

  • Ask your doctor if you need to be vaccinated.
  • Make an appointment to discuss your travel plans several week before you leave.
  • Most illness can be prevented by vaccinations and a little caution.
  • Vaccination for specific diseases.

Hepatitis A

  • This is the most common vaccine-preventable disease in travellers.
  • It is spread by contaminated food or water.
  • Symptoms include fever, lack of energy and jaundice.
  • Vaccination is safe and extremely effective.

Hepatitis B

  • This is spread by body fluid.
  • Symptoms include fever, lack of energy (malaise) and jaundice (yellow skin colour).
  • Around half of all cases worldwide result in death.
  • Vaccination is safe and extremely effective.

Typhoid

  • This is common in developing countries.
  • Symptoms include fever, weakness, headache and sometimes a rash.
  • Vaccinations must be completed at least one week before travelling.

Rabies

  • This is common to North, Central and South America, Europe, Africa and Asia.
  • The cause is a virus passed on by a bite or scratch from an infected dog or any mammal that carries the virus.
  • Symptoms include headache and fever, then convulsions and death.
  • A three-dose vaccination is given over 3–4 weeks prior to travel.
  • All animal bites and scratches should be immediately and thoroughly washed with soap and water for at least 10 minutes.
  • Treatment after a bite from a possibly rabid animal involves a course of five vaccines and, if previously unvaccinated, an injection of immunoglobulin.

Meningococcal Meningitis

  • This is common in Africa.
  • The cause is a virus spread by aerosol droplets.
  • Symptoms include headache, fever, confusion and neurological damage.
  • Vaccination is a legal requirement for some countries.

Japanese Encephalitis

  • Common to China, Korea, the Indian subcontinent and South East Asia.
  • The cause is a virus spread by infected mosquitoes.
  • Symptoms include headache, fever, confusion and neurological damage.
  • Treatment can only ease the symptoms.
  • Three doses of vaccine are required well before you travel.

Ways to protect yourself from illness caused by contaminated food and water, or from mosquito or animal bites:

  • Don’t drink tap water (or have ice in drinks).
  • Don’t buy food from vendors on the street.
  • Wear long sleeved shirts and long pants.
  • Wear insect repellent.
  • Stay away from animals.

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