test-grow-med

Why Does My Toddler's Appetite Vary?

Sat, 22 Feb 2020 06:35:24 GMT

As a parent of a toddler, you may notice that some days your child has a voracious appetite. Other times, they seem to pick at their food or spit it out and seem to eat nothing. This is a common reason parents will ask us if there is something wrong with their child. Does a poor appetite mean food intolerance? Does my child have a food allergy? Is there something wrong with my child’s gut? Is my child a fussy eater?

The answer to why your child is not eating is a lot more simple than that in most instances. Generally, what parents are observing is normal eating behaviour. Read on to find out how our society is disrupting normal eating behaviour, and potentially contributing to the obesity epidemic in the process…

Dr Aaron Chambers from Grow Medical looks at why your child may lose their appetite from time to time. And why this may not be such a bad thing...

How to improve your child's appetite

Our generation of children are faced with the opposite set of challenges to prior generations. Throughout the 1900’s, the world was gripped by world war I, the great depression, world war II, and the post war period. Consequently, parents of these generations grew up in a time when scarcity was prevalent. My own mother still has the ration cards that were issued to her family when she was a child, allowing a certain amount of butter, sugar and other staples per family! This meant that parents never quite knew if the next meal would come, and how much nutrition they might be able to offer their children. This spawned the cultural norm of “finishing everything on your plate” with which most of us grew up.

The problem is, we now live in a time of unprecedented plenty. No matter where you go, food is readily available. And often in a low-nutrition, energy-dense form (think snack biscuits, softdrinks, chips and ice cream). So now, forcing our children to finish everything on their plate can habituate them to over-eating.

How much should my child eat?

A good analogy is caveman society. They lived a hunter-gatherer lifestyle. Some days, a meal would consist of nuts and seeds, and little else. On other days, a successful hunt would mean a feast! Normal eating behaviour in this era would therefore mean eating like a horse on some days, and then being fairly ambivalent about food in the proceeding days, whilst being able to live off the reserves of the feast. These are the genetics from which humans come. We aren’t built to cope with a plentiful supply of food every day.

We see the consequences of persistent over nutrition in high cholesterol, diabetes, fatty liver, obesity and other metabolic diseases. The French know this well, through the process of force-feeding geese to make fois-gras and pate - these creatures have the avian equivalent of human fatty liver. The French also know that they can’t do this to themselves! Whilst the French are renowned for their large dinner parties and rich cuisine, if one observes a native French person in the days following a feast, they will have a minimal appetite and tend to eat very lightly, and choose light, nutritious foods.

Why does my child eat so much some days?

How is this relevant to our children? By carefully observing a toddler’s eating behaviour, parents will notice that they sometimes have eating days, and sometimes non-eating days. Mostly, this causes anxiety in the parent that something is wrong, due to the strong cultural norms that have been embedded within us from our own upbringing. The default reaction might be to encourage your child to keep eating; to finish everything on their plate. It is likely that through repeating this pattern over years, that we are unconsciously conditioning our children to ignore their innate mechanism of appetite regulation - stomach stretch receptors and the brain’s hypothalamus.

Another response might be to think our child doesn’t like the particular food on offer, and make them something they might prefer. We sometimes hear stories where parents will prepare 2, 3 or even 4 different meals in an evening, just to make sure their child will eat something. Whilst this act is grounded in love for your child, there is no better way to create a fussy eater than by offering multiple food choices if the first is not preferred.

How the French teach children to eat

Whilst living in France, we witnessed the impressive approach that French society has to this enduring issue. Children are introduced to an enormous variety of textures and flavours right from the earliest introduction of solids. School lunch menus look like something from a high-end restaurant! A constantly changing, seasonal menu, with in-season ingredients being used in a variety of cooking methods to present novel flavours and textures. Nothing is repeated. Everything must be tried, but children are not forced to finish their plate. They are encouraged to explore, to learn, to develop their palate, and to understand that the same ingredient (say Zucchini) can be presented in multiple ways. In doing so, children learn that they don’t dislike the ingredient, they may just prefer it prepared in a different way.

How to stop my child's fussy eating

Interestingly, this is reflected in the science of child nutrition. By presenting the same food every day for 7 days, children will double their voluntary consumption of that food. Through this simple trick, parents can know that even the most fussy child will gradually increase their appetite for a previously un-favoured food, simply by repeated exposure.

More recently, the concept of “division of responsibility” has been proposed which fits with this concept. This term refers to dividing the responsibility for food preparation and consumption between parent and child. A parent’s job is to provide healthy, nourishing food and drink at regular intervals throughout the day and a relaxed, enjoyable, positive eating environment (including role modelling - eating healthy food, using table manners, talking together); a child’s job is simply to choose how much they wish to eat. The division of responsibility is based on trust. A parent must learn to trust that their child will eat according to appetite, and what their body truly needs for healthy, steady growth. Our clinicians including Robyn Curtis, paediatric dietitian, have seen this approach work very well, especially when mealtime battles and stress run high.

Top Meal Time Tips for Infants and Toddlers

We asked the Grow Medical team for their top tips on meal times. Here is what we came up with:

A child’s appetite goes up and down, and parents shouldn’t worry if their child doesn’t eat one day and eats like a horse the next
Don’t force your child to eat
It is healthy to insist a child try everything on their plate, but if they don’t like it they don’t have to eat it. Offer both familiar and new foods simultaneously without pressure to “eat it all” but encourage tasting
If your child doesn’t like a meal, don’t offer an alternative if they decline to eat what is prepared - it only increases fussiness in the long run and creates impossible demands on you as a parent
Model mealtime behaviour by sitting down as a family to eat whenever possible
Meal times should be fun! Picnics are a big hit in our house – even if it’s just on the kitchen floor
If your child has any sensory or textural issues, see an experienced paediatric dietitian or speech pathologist for some tips on how to keep their food choices varied.

Child Nutrition Advice

At Grow Medical, we are passionate about growing healthy individuals, families and communities. Doing so starts from infancy. We run a whole range of programs designed to get your family off to a great start.

A great way to learn more about setting your child up with healthy habits it to attend our child nutrition group sessions run by paediatric dietitian Robyn Curtis .

Book a consultation with a GP from Grow Medical today to discuss any concerns you might have, and we can assess your child and point you in the right direction.

Dr Aaron Chambers

General Practitioner
BSc, MBBS(Hons), FRACGP, Dip Child Health

The author Dr Aaron Chambers has worked in General Practice since 2006. He is passionate and an authority on family practice, paediatrics and obstetric care. After completing his medical degree with honours at the University of Queensland, Dr Chambers served as an RAAF Doctor, conducting humanitarian missions and evacuating wounded servicemen from the Middle East. He continues to consult at Oxley , Sherwood and Highgate Hill Grow Medical Clinics.

Guide to Coronavirus for Brisbane

Thu, 06 Feb 2020 12:52:28 GMT

You will be aware that there is a rapidly evolving public health situation with Coronavirus in Brisbane. As your family GP, our job is to look after you as an individual and our community. It is important for everyone’s health and safety that anyone with fever, cough, sore throat or breathing difficulties who has been to China or any other affected country within the last 14 days is assessed by phone before coming to the clinic. Please let Grow Medical reception know about your situation, and a nurse or doctor will call you back to make further arrangements for your care. If you arrive in our clinic without declaring potential Coronavirus contact, public health regulations mean our Doctors and Nurses need to stay off work in isolation until your testing comes back clear. This can have a big impact upon us caring for your friends, relatives and community, so please let us know so we can use appropriate precautions. We will continue to update our advice as further information becomes available from public health authorities.

Grow Medical looks at the emerging issue of Coronavirus. We will keep this page updated with specific Brisbane Coronavirus information as the situation develops.

About the Coronavirus COVID-19

Coronaviruses are a family of viruses that generally cause a common cold type illness. However, if a new strain of Coronavirus originates in animals and jumps to humans (called a Novel Coronvirus), the new virus can cause much more severe disease. SARS was one example in 2003, where nearly 10% of people who contracted the virus died. Luckily, the 2019 novel Coronavirus from Wuhan in China (now known as COVID-19) appears to be much less serious, and more akin to a bad flu. We are still learning about this virus because it is new, and is spreading rapidly.

The first novel coronavirus case was confirmed in Queensland on 29 January, followed by a second on 30 January 2020, with a third confirmed on 4 February. All cases were from a tour group from China. A 44-year-old Chinese national was the first case, a 42 year-old woman from Wuhan in China was the second, and a child from the same group from Wuhan was the third. All were isolated in a stable condition in the Gold Coast University Hospital.

Is The Coronavirus in Brisbane?

As of 25 February 2020, there have been 7 cases of Coronavirus in Queensland. 2 cases of Coronavirus have been treated in Brisbane, having been flown from the Northern Territory after evacuating the Diamond Princess Cruise Ship. However, many potential contacts have been identified, and many people tested for Coronavirus. Queensland Health is ensuring a coordinated response to the Coronavirus outbreak .

If you live in Brisbane and are considering travel overseas, or are returning from overseas, be sure to check the Smarttraveller Coronavirus Update for advice from the Australian Government.

Coronavirus Symptoms

The symptoms of Coronavirus COVID-19 are fever, cough, fatigue and shortness of breath. Almost all patients with Coronavirus have these symptoms. A smaller number of people with Coronavirus have muscle aches, confusion, headache or sore throat. Coronavirus tends to affect groups, due to being spread by cough droplets. It is more likely to affect older males with underlying medical conditions, and can result in severe or even fatal pneumonia. Essentially, Coronavirus symptoms are very similar to a bad influenza .

So far, it seems that Coronavirus symptoms in children are relatively mild, and that children are not severely affected by Coronavirus COVID-19.

We have had a number of people present concerned they have coronavirus due to symptoms of fever, cough and shortness of breath. Most recent cases have proven to be Influenza A rather than Coronavirus. The key question to help decide the difference is recent travel to China or other affected countries. At present, only people who have traveled to an affected country in the 14 days before the onset of illness are considered potential cases, unless they have had close contact with a confirmed case in Australia.

Currently, testing should be considered for those with Coronavirus Symptoms and recent travel to:

China
Hong Kong
Indonesia
Iran
Japan
Singapore
South Korea
Thailand

How long does it take to get coronavirus after contact?

This is called the incubation period, and can take up to 14 days. We now know that the average time between catching Coronavirus and developing symptoms is around 5 days. The quarantine rules about how long to stay at home are based on the knowledge of the maximum time to develop symptoms. Once this time has passed, with no symptoms, a potential contact is considered clear.

Because of the significant impact the virus could have upon healthcare systems, the World Health Organisation is coordinating a Global Response .

Coronavirus Countries Affected

Countries where Australians could be considered to potentially contract COVID-19 as of 25 February 2020:

China
Hong Kong
Indonesia
Iran
Japan
Singapore
South Korea
Thailand

Public health advice is currently that transit through airports in these countries does not pose significant risk

Coronavirus Treatment

Most importantly, if you suspect you might have Coronavirus, phone ahead. Your doctor can help assess your likelihood of having coronavirus by phone, and make sure you don’t pose a risk to other people. Avoid public places until you have been cleared of Coronavirus. If you arrive in our clinic without declaring potential Coronavirus contact, public health regulations mean our Doctors and Nurses need to stay off work in isolation until your testing comes back clear. This can have a big impact upon us caring for your friends, relatives and community, so please let us know so we can use appropriate precautions. We are happy to help you!

If you are seriously unwell, your GP may advise you to go to the hospital emergency department. If you aren't feeling too unwell but could have Coronavirus due to fever and travel history, your GP might organise a pathology test in your home. Otherwise, if you need to see the doctor for assessment, when you arrive at the doctor, stay in your car and let them know you have arrived by phone. If it is possible that you have coronavirus, you should expect your doctor to come to your car wearing gown, gloves, glasses and a P2 mask. The doctor will give you a surgical mask to reduce droplet spread if you cough or sneeze.

The first 99 people diagnosed with Coronavirus were treated in hospital in Wuhan, China. Within weeks, 11% had died. However, these first cases were much more sick than the average person with Coronavirus. Since then, it has become clear that many people with coronavirus have much less severe disease. Over time, the mortality rate reported by public health authorities has been falling, and has dropped to around 2 in 100 as of February 2020. It is believed this figure may continue to fall as more people with mild symptoms get tested, and as we understand the true spread of the condition.

Treatment required for Coronavirus depends on the severity of the disease. At present, there is no vaccine or specific treatment for Coronavirus. Supportive treatment such as intravenous fluids, oxygen and ventilation is provided to those with severe disease. Many of the severe cases experienced early in the outbreak in China had bacterial lung infections complicating their condition. There seems to be a high rate of bacterial pneumonia in those with more severe disease, so doctors will be vigilant for secondary pneumonia, and will start antibiotics where this is identified.

Because there is no vaccine yet available, and because we are still learning about how to treat Coronavirus infection, it is essential that we work together to reduce transmission. The University of Queensland is leading the world in developing a COVID-19 Coronavirus Vaccine .

Coronavirus Transmission

No matter which respiratory virus, learning how to reduce transmission will help our community stay healthier. So these tips are worthwhile practicing always. Luckily, public health authorities have downgraded their estimates of how infectious the coronavirus is. It is believed to be spread by small droplets from coughing, which means you need to be within about a metre of someone when they cough to catch it easily. Because Coronavirus is spread via droplets which fall from the air, rather than being airborne, it is much less infectious than chickenpox or measles. This makes it much easier to avoid Coronavirus by practicing good hand hygiene, good cough etiquette and keeping a social distance apart.

How can I prevent coronavirus?

Good hygiene and staying at home if unwell are the key messages. To protect against infection make sure you wash your hands frequently and if you cough or sneeze, cover your face with your upper arm or sleeve . Stay at least 1 metre apart from other people. Preferably, if you have respiratory illness, wear a surgical face mask.

How do we prevent spread of virus from someone with coronavirus in a medical setting?

You will notice healthcare staff using airborne transmission precautions, including P2 respirator mask , long sleeved disposable gown, gloves, and eye protection when entering a patient care area. This is not necessary for members of the public, as these measures are only required for close contact. Surfaces are thoroughly cleaned and the room allowed to air. Patients with potential Coronavirus are given a surgical mask to protect others.

How close do I need to be to someone to get coronavirus?

A close contact is defined as requiring greater than 15 minutes face-to-face contact with someone with Coronavirus, or sharing a closed space like a plane or bus for a prolonged period of more than 2 hours. So brief contact, especially outdoors, should not be a worry.

What happens if I contract coronavirus?

Coronavirus infection will generally be managed in hospital, but may be managed at home if it is deemed safe to do so by public health authorities. If you are in contact with a confirmed case of Coronavirus, you must isolate yourself in your home, without visitors, for 14 days.

If I have contact with someone with Coronavirus, how do I know I’m clear?

If you don’t develop fever, cough, sore throat or shortness of breath within 14 days of your last contact with someone who had coronavirus, you are considered no longer at risk.

How long does a P2 mask last for?

Generally, only healthcare professionals need a P2 mask for Coronavirus. P2 masks should be removed and disposed after about four hours of continuous use, or when they become moist. This is because the seal will not be as effective. P2 masks should be replaced after each use. More information on how to fit a P2 mask .

Coronavirus Testing Brisbane

As of 8 February 2020, Queensland Health have now expanded their testing program, and automated the process to ensure anyone at risk can be quickly tested. Private pathology labs are now able to provide testing should it be required. Please note our Mater Pathology Sherwood collection centre does not do Coronavirus testing for the general public.

To prevent infection to others, it is important not to visit a pathology collection centre in a shopping centre, medical centre or other busy public premises. A list of appropriate locations for collection have been published below:

Coronavirus Doctor Advice

In Brisbane, we are well placed to deal with Coronavirus due to quality medical providers, a strong public health system and a very low number of cases of Coronavirus in Australia. At this early stage, for most people it is quite unlikely that you will contract coronavirus, or even be a contact. We believe it is important at these times not to alienate each other, or let fear dictate our behaviour, but rather to work together to protect each other. Your role is to practice the good hygiene tips above, and to continue to support our local businesses who are already noticing a reduction in foot trade. We live in a country with plenty of space, and an excellent health system. You can continue your life knowing that we will be here when you need us.

Remember, if you need doctor advice due to potential contact with Coronavirus, please advise us prior to arriving in the clinic so we can help you avoid the need to come to the clinic, or use appropriate precautions if necessary. Some people have been worried that their care will be refused if they tell us prior. Don't worry. You will still receive the care you need.

If you are travelling overseas, be sure to book in for a travel consultation . Coronavirus is worth discussing, but it is also important to remember all the routine travel vaccination requirements for Asia .

We have now had a number of people present with symptoms and potential contact, and we have arranged testing for those individuals. Fortunately, all have tested clear so far. Queensland Health have been able to provide results in under 24 hours, which is an impressive effort given how new this virus is.

Book a consultation with Grow Medical today. But be sure to follow the advice above and Phone Ahead if needed!

Dr Aaron Chambers

General Practitioner
BSc, MBBS(Hons), FRACGP, Dip Child Health

Song and Social Connection for Babies

Wed, 29 Jan 2020 20:56:18 GMT

Moving to the Melody… Song and Social Connectedness for Babies

Have you ever found yourself singing a familiar jingle, but twisting its words to guide your infants’ behaviour? We have used the “Sesame Street” jingle to good effect with a frustrated child by singing “Can you tell me how to get, get the shoes on Jonathan’s feet…” it can be enough to turn a tense battle into a fit of giggles. Heaven knows there often isn’t much between tears and giggles when you’re the parent of a toddler! As a parent, learning to cultivate this skill can open new doors to engaging and connecting with your child.

Read on to find out how...

Soothe your child through familiar song

Many of our SongLife Connections families comment about how they find they can use any given song in a different context to enrapture their child, to make transitioning from one activity to another much easier. Familiar songs that children hear repeatedly in a context of nurturing and support can be used in a different context to change the mood or behaviour. Parents will notice a positive change in their infant’s facial expression or mood, and will say “it’s as if they already know the melody”.

Our music therapy groups are designed to find a new way for parent and child to connect through songsinging. Parents who attend find that they can sing to their child whilst doing regular daily tasks. Things like getting dressed or tidying toys can suddenly become a source of fun and shared smiles. When your child inevitably has trouble regulating their emotions , using songs can often be more soothing than words. Science tells us that children learn in a multitude of ways, and that the melody of a song is one way that children lay down memories, often ones that are connected to loving moments between parent and child.

Research indicates that this connection between child, parent, and familiar melody runs deep within an infant’s psyche. This study showed that a familiar melody that has been regularly sung by their parent, results in much greater recognition by the infant when they encounter the same melody in an unfamiliar way (for example by a different adult). Even more interesting, was the observation that this increased attention only occurred where a parent had sung the melody, and not when the melody had been experienced coming from a toy, or having been sung by an unfamiliar adult. Furthermore, the amount a child responds to their parent’s melody increases in line with the frequency that their parent sings.

What does this tell us? When a parent uses their unique voice (be it whatever version of ‘in tune’ it might be) this holds great meaning for a developing infant, and acts as a way of reinforcing the social connection between parent and child. Every session we remind our SongLife Connections families to embrace their unique singing voice, because it enhances emotional and social connection with their child.

So next time you feel stuck in a battle with your child’s will and determination, remember to move to the melody by getting your message across using your unique voice. What’s the first melody that comes to mind? It is never too late to find your voice!

Find out more about SongLife Connections

Music Therapy Groups Sherwood & Highgate Hill

Want to know more about our unique SongLife Connections Music Therapy Program ? Click here to find out more, email us to enquire or book for next term online .

Singing to Your Baby

Sat, 14 Dec 2019 06:20:03 GMT

Do you remember somewhere deep in your memory how it felt when your parent sang to you? How a soft, caring voice, or a soothing lullaby seemed anchored alongside memories of feeling sad or frightened? When baby is crying, unsettled or distressed, parents frequently feel exasperated or helpless. This doesn’t have to be the case, as there are many ways to soothe a crying baby. It is easy to let your own internal frustration result in shouting or even crying yourself.

Read on to discover how singing to your baby can make a difference...

The soothing power of singing

Humans are naturally enraptured by music . As well as intuition, research tells us that infant directed singing leads to babies remaining calm for twice as long compared to infant directed speech . However, singing and creating music in our society now is influenced by the proliferation of radio, television, smartphones, spotify and bluetooth speakers. While these platforms are useful in many ways, they will never replace the singing voice as a form of emotional connection. So what does mean for us as parents and carers of these babies? How do we use our singing voice to connect with, comfort and soothe them?

SongLife Connections was established to help you bridge this gap. Many of the sessions are focused on helping you arouse and sustain your baby’s attention. Our music therapists support you in understanding the differences between infant directed speech and singing. We help you to find the joy in early life by using your voice to genuinely connect with your baby.

One of the great things about singing as a way to settle your baby, is that your instrument is portable, free, and always ready, regardless whether you sing in tune or not! Singing is an easy way to play with your baby, and help them to learn unique ways to regulate their own emotions . It also provides a source of positive stimulation during the day. SongLife Connections is also great for parents to meet in community with one another and an opportunity to form lasting bonds with other parents beyond the music therapy space.

Most parents recognise that the cry of their own baby will trigger a stronger emotional response within, than the cry of another baby. You can use this unique connection between parent and child in a positive way by learning to sing as a sensory tool.

Why not give it go right now? Sing whatever comes to mind. Your baby will love the sound of your voice, and the connection through song will be positive for both you and your baby. Have fun, and sing like no one is looking!

Music Therapy Groups Sherwood & Highgate Hill

Want to know more about our unique SongLife Connections Music Therapy Program ? Click here to find out more, email us to enquire or book for next term online .

Tips For Being Better Prepared for Prep

Sun, 24 Nov 2019 00:36:26 GMT

Starting school can be anxiety provoking for parents and children alike. We want to support your family to make this transition a celebration of new milestones rather than a gut-wrenching battle with separation anxiety. Making a few plans over the summer break can make a big difference. Read on to find out what Highgate Hill Paediatrician Dr Nadia Leonidou suggests for a great start to your child’s prep year.

In this article, Grow Medical provides some tips on what you can do to be prepared for your child starting school.

Don’t Delay your child’s start to school unless there is a very good reason

Sometimes when the reality of prep is getting close, and you don’t feel your child is quite ready, the tendency is to consider holding the back a year. However, unless your child has a diagnosed developmental delay, it is best to let your child make the leap. Whilst it is widely publicised that older children are (naturally) more likely to be school-ready, there are also benefits in advancing with a peer-group due to social connections that children have already established. So feel confident in your decision, and allow yourself to look forward to the coming year. If your child does have a diagnosed medical reason to delay prep entry your GP or Paediatrician will be able to support you through this process.

Get the basics checked over summer

If you haven’t already had your child’s vaccinations, hearing, vision and general development checked with you GP, optometrist and audiologist (if needed), make sure you get these sorted before school starts. Children should by now have had their 4 year old vaccination , at which they also get their ears and vision checked. Having a baseline check with your local optometrist is a good idea, and Queensland Children’s Hospital publishes a list of aligned optometrists who have additional training in caring for children’s eyes. If separation anxiety is a big issue, see one of our GPs to discuss whether working with our child psychologists may ease the transition for next year.

Take time off and have fun as a family

Cherish these last few weeks before your child starts school. Creating an environment of fun and shared laughter is a great way to help your child feel safe and secure, for them to come back to when feeling get inevitably big and scary after a bad day at school. It may be a good idea to given your children a short stint in vacation care in December or January so that they can meet other children who will be attending school with them next year, become used to the surroundings, and feel comfortable with some shorter days. But mostly, just enjoy the last of your little ones being truly little. From next year, they will be learning more than ever, and the proportion of their learning that they glean from others outside the family will increase exponentially.

Be active to encourage your child’s development

Kids love being outdoors and active when given the chance to explore a free-form environment. Gross motor development is an important foundation to ensure good core strength to support the more advanced fine motor activities they will be picking up over the coming years. Consciously creating opportunities for your child to use their body in many ways is a brilliant, fun way to do this. Swimming Lessons, Climbing Trees, Balancing and playing tag all burn off energy to help sleep, and help develop your child’s confidence, coordination and proprioception. Getting plenty of vigorous physical activity has been shown to result in an impressive increase in working memory and consequent learning.

Take a trial run of uniform and lunch box

Your child is likely to be proud of the uniform they will be wearing. Give them a chance to parade it around at home, so that they can be familiar with any buttons, shoes and pants, and can have a chance to go to the toilet whilst wearing their uniform to save any worries on the first day. Similarly, lunch boxes can be a big stress when starting school if anything is unexpectedly hard to open. Create a fun holiday activity by doing a trial run picnic in the backyard or a park during the school holidays, where they can use their new lunchbox. Take note of any difficulties and be prepared to change plans if they can’t open anything. The educator-to-student ratios are not the same as in a Kindergarten environment and teachers have less capacity to help students open their lunch box. So help your child enjoy their growing sense of independence!

Toilet training

Your child is expected to be toilet trained by the time they reach school. If not, book as soon as possible to see one of our GPs so we can help. Read our toilet training article prior to coming, and taking note if your child is having any streak-like stool accidents, as encopresis is a common problem in this age group, and is a form of incontinence that is treatable by your GP. This needs action as soon as possible.

Do something for yourself and your skills as a parent

Give yourself a little reward for all the effort you have put in to get your child to this stage. Maybe a massage, a dinner out, some yoga classes or some time for exercise. Looking after yourself to keep yourself physically and mentally strong will gift your child with the same attitude. Children feed off their parent’s emotions, and refuelling your own petrol tank will pay dividends for the year ahead. We also encourage all parents to do the circle of security parenting program that we run regularly, as some dedicated time to consider the values and approach you take as parents growing the next generation.

If you still feel that more assistance is needed, seeing one of our GPs is the best first step, with referral to paediatrician Dr Nadia Leonidou , or to child psychologists Bernadette Sharry , Matthew Simmond or Sharon Dawe , who focus on the support and the development of young children and toddlers, if needed. They work across all age groups in providing emotional regulation assessment, counselling and therapy services for children.

The milestone of your child starting school is filled with emotion, and as parents ourselves, we know that mixed feeling of joy, pride and sadness that comes with seeing your toddler become a school kid. Enjoy this Christmas Holidays and be sure to let us know how you’re going in the new year!

Book a consultation with Grow Medical today.

How to Deal With Tantrums In Children

Sun, 24 Nov 2019 00:05:52 GMT

We all know what a tantrum looks like. But seeing it coming can be much more challenging. Parents of 2 year olds often wonder “why does my toddler have tantrums?”. Why toddlers have tantrums is a common topic of discussion when we see 2 and 3 year olds for a developmental check, and you are not alone if you’re wondering “are temper tantrums normal?”. It can be confronting to see your toddler have a tantrum, and knowing how to react to a tantrum is an important skill, as is knowing how to prevent a tantrum. It is important not to feel embarrassed by behaviours that are developmentally typical.

In this article, Grow Medical and Child Psychologist Matthew Simmond looks at the issue of tantrums in children. We discuss what causes tantrums, what you can do when your child has a tantrum, and actions you can take to prevent tantrums.

What is a tantrum?

Essentially, a tantrum is an explosion of anger, where your child’s ability to regulate their emotions has boiled over. You’re witnessing them losing control of their voluntary behaviour. Every tantrum is different but it is hard to mistake. Think shouting, screaming, hitting, falling on the floor, kicking or other similar displays. Tantrums are an unmistakeable display of anger and frustration.

Why do tantrums happen?

Tantrums are developmentally normal in toddlers. This is the stage where they are beginning to learn how to regulate their emotions. Because this process of learning emotional regulation takes a while, there are times when the situations your toddler faces don’t match with their ability to handle them. The result is some very BIG emotions, without the internal mechanisms to recognise and turn down these feelings. Even as adults, we face challenging situations in life where sometimes we feel like we are going to “lose it”. For toddlers, the bar is set much lower before they lose it, and because your toddler is in a phase of testing boundaries, and exploring the world, they come up against many more frustrating road blocks. When these two factors collide, your child might have a tantrum.

What causes tantrums?

Understanding why tantrums happen will shed light on when to anticipate a tantrum. We can never be completely sure when our child will or won’t have a tantrum, but there are some thing you can look for:

Conflict

A tantrum will typically occur at a time when your child’s desires conflict with an external influence. For most children, the strongest influence in their life is their parent! So tantrums often occur when parents are attempting to influence their child’s desires. External influences could be an object like a ladder that they wish to climb, but are unable due to their motor development stage. The frustration of being unable to achieve something that they are trying to do can result in an unexpected outburst.

Temperament

Parents with several children know that some traits are hard-wired. You might have one enthusiatic, curious child; another stubborn and emotional; another easy going and good humoured. this influences how quickly and strongly children react to things like frustrating events. Children who get upset easily might be more likely to have tantrums.

Stress, hunger, tiredness

We have all heard of “hangry”, a combination of hunger and anger. Any of these factors lower a person’s threshold for feeling angry and frustrated. So making sure these basics are sorted mean that your child will likely have more tolerance before a tantrum is triggered.

Boredom

Humans are intelligent, inquisitive creatures. Our brains are constantly seeking stimulation. If stimulation isn’t forthcoming, children will aim to liven up their environment. Anyone who grew up with siblings will no doubt recall sitting in the back seat in a long car trip and eventually poking their sibling, resulting in a mini-war. Bored children will find ways to liven up their environment, even if it means taking an action that isn’t socially desirable. So keep that young brain positively engaged.

Being scared or out of their depth

If the world gets too unfamiliar or intimidating, the associated emotions can be too strong and result in an outburst

Strong emotions

Anger, fear or humiliation are difficult to manage even for adults. Trying to deal with these as a child can be tough, and result in emotions boiling over into a tantrum.

What should I do when my child has a tantrum?

Above All, Stay Calm. This is sometimes easier said than done, but remembering the Circle of Security mantra “be bigger, wiser, stronger and kind” can really help you take a pause, think about what is really going on, then be ready to respond to the best of your ability. When a tantrum hits it can be too late, but one of the most important steps parents can take is to look after yourself so that you have sufficient emotional energy available to respond with your best foot forward.

Whilst as parents ourselves we have all felt embarrassed when our child has a tantrum (after all we tend to see our children as a reflection of ourselves), it is important to remember that tantrums are considered a normal developmental phase, and are not an indication of poor parenting.

Try to help your child name the emotion they are feeling. Sometimes, reflecting back to a child and helping them put words to how they are feeling can help them turn the tantrum into the tears of recovery. Something like “You’re really upset that mum is going out without you, hey?” Can help them know you understand, and allow them to feel the emotion, rather than resist the change.

Always stay firm, but kind. Giving in to a tantrum by buying the toy, or reversing an appropriately-placed “no” will reinforce to a child that losing control of their emotions can help them achieve an end. It is OK for a parent to stay firm and say no, whilst still being compassionate and supporting your child’s emotional need and acknowledging their feelings.

How do I stop tantrums?

Prevention is better than cure. Once a tantrum has started, it may just have to run its course, as logic and reasoning don’t really help when the emotional brain is ruling your child’s world. Be sure to remain nearby to keep your child safe, and let them know you’re there to give them a cuddle when they are ready.

How Can I prevent tantrums?

Creating an environment of positivity, close attachment and clear boundaries are the main things parents can do to prevent tantrums. By looking at the causes of tantrums above, and thinking ahead of time how to prevent boredom, teach your child to manage conflict, and have sufficient household love and affection to build a sense of security in your child, you are already streets ahead. Remember, no matter how good you are at all these things, life is full of unexpected challenges, and tantrums are a normal part of child development.

When tantrums are occurring frequently, it is important to press on, and not avoid getting on with life. Children need to be given opportunities to learn and exposure to new environments. Don't avoid new experiences based on the fear of tantrums. Eventually, familiarity will breed tolerance.

What if I need more help with tantrums?

If you feel that your child is having more tantrums than other children of the same age, or you feel that you’re having trouble handling them, getting some professional assistance is a good idea. It is better to do something sooner, as talking to other adults and professionals is one of the best forms of self-care. Seeing you GP is a good first step. Take your child with you, and make it fun. Our medical centres are all child-friendly, and we encourage children to draw and play at their appointment and in the waiting room. We recommend that all parents do the circle of security parenting program in the early years, and continue to do parenting courses over time. Investing in your education in bringing up your child is one of the most enduring gifts you can give.

If you still feel that more assistance is needed, a referral to paediatrician Dr Nadia Leonidou , or to child psychologists Bernadette Sharry , Matthew Simmond or Sharon Dawe , who focus on the support and the development of young children and toddlers, is a good idea. They work across all age groups in providing emotional regulation consultation assessment, counselling and therapy services for children. Speak to your GP about whether a Mental Health Care Plan is needed for your child.

Book a consultation with Grow Medical today.

Asthma & Emphysema in Low Air Quality

Mon, 11 Nov 2019 07:53:12 GMT

Due to the fires around Brisbane, there is lots of smoke in the air. This can cause breathing difficulty and coughing, as well as eye and throat irritation. Our Grow Medical doctors in Highgate Hill , Oxley and Sherwood want to ensure you stay well during this time of increased air pollution. Read on to find out how to prevent an asthma flare below.

What action should I take to prevent an asthma or emphysema flare?

Stay Indoors, close doors and windows, and switch airconditioning to recirculate

This may seem obvious, but avoidance is one of the easiest things to prevent a flare up when air pollen, smoke or pollution counts are high. Make sure you close all the doors and windows, and put the airconditioner on recirculate. This way, you won't be exposed to as many fine particles entering you upper airway and lungs.

Take your preventer medication as prescribed

Preventer medication is typically inhaled, and contains a medicine the helps reduce inflammation in the lungs. Asthma preventer medication is typically orange, brown or purple. Because asthma preventer medication reduces inflammation, even if particles of dust, smoke, pollen or other air pollution enter the lower airways, your lungs are less likely to respond by flaring up your asthma or emphysema. Because preventer medication does not act quickly, it is important you take it prior to developing any symptoms, so make you take it as soon as you remember. Clinical trials clearly show that taking your preventer regularly results in fewer exacerbations (flare ups) of you asthma.

Keep your reliever close at hand

Whilst your preventer should be the first thing you turn to when there is an increased likelihood of a flareup, it is important that you have your reliever nearby. Asthma reliever medication is usually blue in colour, but may be red and white. If you notice yourself or your child becoming wheezy, be sure to take your reliever medication whenever needed and seek medical care if it is required more often than every 3-4 hours.

Treat your nose if needed

Your nose has an important function to help filter, warm and humidify the air you breathe. When the air is dusty or smokey, nasal inflammation can result in mucus and blockage. As many people with asthma have co-existing allergic rhinitis (Hayfever), treating your nose with a saline irrigation and nasal cortisone spray in addition to treating your lower airway may help you keep better control of your respiratory symptoms.

Quit Smoking

Hopefully you have already worked with your GP to quit smoking, but now is a particularly good time to stop smoking if you haven't already.

Check on elderly and children regularly

The very young and the elderly are at higher risk of serious asthma attacks or exacerbations emphysema. If you children or relative have asthma or emphysema, be sure to check on them regularly, and see you GP early if symptoms are worsening. In an emergency where significant breathing difficulty is occurring, give reliever medication as often as needed and call 000.

When did you last have an asthma checkup?

Preventing loss of lung function over time, and reducing the impact on your life by preventing flare ups are important goals for the care of asthma and emphysema. When you see your Grow Medical GP for an Asthma Checkup, you can expect to be well looked after and have all your questions answered. We will check your:

height
weight
lung function
smoking status
It is helpful for you to complete and bring in an asthma score

If you haven't had a checkup of your asthma or emphysema for some time, make sure you book now. To make your visit more efficient, please call ahead to let our receptionists know you need a check of your asthma, so they can schedule a breathing test with the nurse prior to seeing the doctor.

What if I need help with my child's asthma

We always aim to have fit-in appointments available for young children and people who are sick on the day. Paediatric respiratory nurse Alison can help with asthma education for parents of children with asthma.

What is the next step?

Make sure you Book Now for a consultation with your regular doctor at Grow Medical. If you don’t have a regular doctor, choose “next available with any practitioner” and we will start walking the road to better health with you.

Book a consultation with Grow Medical today.

Assessing Your Risk of Vascular Disease

Mon, 04 Nov 2019 15:02:13 GMT

In Australia, Heart Disease and Stroke make up two of the top three causes of death. Many of these are preventable with good GP care. At Grow Medical we are on a mission to grow Australia’s healthiest communities. To do this we need a physically, mentally and socially healthy society. As the year end comes close, the flu and infections of winter are now past us and we want to spend the time with you that is needed to help prevent Australia’s biggest killers.

We are targeting those at higher risk of heart attack and stroke in order to make sure we have adequately assessed your individual risk, put in place a management plan to keep you healthy, and screened for any current problems requiring urgent treatment. Read on to find out more...

What are the risk factors for vascular disease?

Existing Vascular Disease

This may seem obvious, but one of the strongest risk factors for future heart attack, stroke or blood vessel blockages in the limbs, is previous blood vessel blockages. If you have had one of these events, you should be seeing your doctor at least twice a year, and have an active GP Management Plan in place.

High Cholesterol

High Cholesterol is an important risk factor for heart disease, stroke and peripheral vascular disease. It is important to know the difference between your good cholesterol (HDL) and bad cholesterol (LDL), as it is the ratio between good and bad that is most important for your risk. A good way to understand this concept is that good cholesterol reduces the size of plaque in your arteries, whereas bad cholesterol leads to buildup of plaque in your arteries.

High Blood Pressure (Hypertension)

For most people, a healthy blood pressure is around 120/80. Hypertension is usually defined as blood pressure over 140/90 in the clinic or over 135/85 on home readings. High blood pressure results in damage to the internal lining of your arteries that results in build up of plaque inside blood vessels, and also can damage your kidneys and result in renal impairment.

Diabetes

Whilst sugar (glucose) is essential for life, a level of glucose that is too high inside your blood vessels has a wide range of toxic effects including damage to the inner lining of the blood vessels causing plaque, damage to the fine filtration mechanism of the kidneys, and damage to microscopic blood vessels and nerves. The end result is a much higher risk of vascular disease in individuals with diabetes.

Smoking

Fortunately, the rate of smoking has been on the decline in our community for some time, and we now have very few patients who regularly smoke. If you are still smoking, we are happy to help you quit if you would like to. Simply phone the practice

Others

Physical Inactivity, Obesity, Kidney Disease and your inherited genes all have a strong impact upon your likelihood of vascular disease.

What to expect from your vascular checkup?

Preventing vascular disease is as simple as checking and managing the above risk factors. When you see your Grow Medical GP for a vascular risk checkup, you can expect to be well looked after and have all your questions answered. We will check your:

height
weight
blood pressure
smoking status
discuss any symptoms you may have experienced like chest pain, weakness or cramping in the calves.

For patients with risk factors for vascular disease, the nurse will obtain an Ankle Brachial Index reading for the doctor (a screening test for blood vessel blockages to the legs). Your doctor will check your cholesterol, sugar and kidney function blood tests, and where necessary arrange for you to update these tests. Based upon your risk assessment, your doctor may order an Electrocardiogram (electrical tracing of the heart rhythm) or refer you for a cardiological assessment if necessary. Depending on the complexity and your individual requirements, we may be able to do this over one long appointment, or split between a number of appointments.

How can I prevent vascular disease?

Most patients do not need treadmill testing, or any invasive treatment. The mainstay of treatment is about ensuring a good level of physical activity, good nutrition, avoidance of smoking, and management of blood pressure and cholesterol with medication where these measures have been tried but proven unsuccessful.

What is the next step?

Book a consultation with Grow Medical today.

Should I Space Out My Baby's Feeds?

Fri, 01 Nov 2019 03:06:15 GMT

How to space out feeds, when do babies space out breastfeeds, and how to space bottle feeds are common questions from new families when they are considering establishing a routine for their new baby. In this article, GP Lactation Consultant Dr Sonja Morgan discusses how to approach timing of your baby's feeding. So, should you space out your baby's feeds? Read on to find out...

How do I know when my baby is due for a feed?

Knowing when a baby is “due” for a feed may give a family a sense of control back into their lives, however unfortunately spacing feeds by the clock has many downsides.

How long should I leave between newborn feeds?

Firstly, it is a myth that waiting a good 3-4 hours between feeds so that your baby is hungry will make them have a bigger feed and put on more weight. The opposite is actually true. Breasts produce water faster than they produce fat – this means that the longer it is been since the last feed, the more dilute the breastmilk is and the fewer calories it contains for the same volume of milk. More frequent feeding supports your baby to receive milk with a higher fat content and has been shown to increase baby’s weight faster than spacing feeds.

Spacing feeds out also sends a feedback signal to your breasts to tell them that less supply is needed. Feeding more frequently is the quickest way to increase your milk supply so that more milk is available for you baby. Being flexible with feeding also allows your baby to adjust their intake to their constantly changing needs, such as during growth spurts or times of illness.

How much should my baby drink?

It is important to remember that your baby uses a feed for more than just to receive a volume of milk. Your baby uses a feed as a way to calm down and relax, especially if they are upset. When they are feeding they feel safe and have a release of “feel-good hormones” which make them feel calm. This is similar to babies who use sucking their thumb or sucking on a pacifier to calm down. So responding to your baby's needs is more important than measuring the volume of a feed.

Feed you baby when they are hungry

Lastly, being flexible with offering feeds is a wonderful way to get to know your baby and for them learn that you are responding to their cues. Just like us they will have times when they are only a little bit hungry for a snack (like when we have a cup of tea and a biscuit) and other times when they are very hungry (like when we go out for a big dinner). If we listen to them tell us when they are hungry and how hungry they are, this is wonderful way of letting them respond to their own body’s cues of when they are hungry and when they are not. In the long term, this is the best way for them to eventually build a good relationship with food and to help prevent food issues such as toddler fussiness later on.

Breastfeeding Support for Newborns

For more help with any breastfeeding issues, feel free to book an appointment with our lactation consultant Dianne Walsh (who can visit you in your home) or with our GP / lactation consultant Dr Sonja Morgan at our Highgate Hill Clinic.

Colic in Babies - Symptoms, Treatment & Relief

Tue, 29 Oct 2019 14:22:54 GMT

It's not unusual for babies to cry and fuss, we all know how difficult it is for parents to get a good sleep. However, Colic is a term for crying that either happens a lot or lasts for a very long time, perhaps even days. The term colic is becoming outdated, and the preferred term is now "unsettled behaviour". Parents often tell us that they feel at the end of their tether when their baby has colic. This article will aim to shed some light on this common and tricky condition.

Grow Medical looks at the issue of Colic babies. What is Colic in babies? Colic symptoms, treatment, relief strategies and if there is a best formula for Colic.

What is Colic in Babies?

The term Colic is used to describe a baby who cries a lot. The scientific definition was determined in 1954 which stated that it was a baby who experienced inconsolable crying for 3 hours a day, 3 days a week for at least 3 weeks a month. Today, any baby who is fussy is called colicky. Increasingly, we are using the term unsettled behaviour in place of the term colic. So what is colic in babies?

A typical story is that around three weeks after birth a baby becomes fussy, often in the evenings and cries inconsolably. It is tough! And medications rarely help. The only strategies that parents can do to help are offering lots of physical comfort, feeding on demand and regularly changing your baby's sensory environment, such as having warm baths, spending time in a carrier, walking outside, or putting music on.

This type of unsettled behaviour typically lasts for around 4 months. The baby is usually gaining weight well and is otherwise healthy. The good health and happiness of the baby at other times of the day is reassuring. Whilst these babies are well, the frustration felt by parent and children can really be detrimental on a family's wellbeing. So be sure to do something proactive. Our GPs never mind a visit if your baby is unsettled. In fact, experienced doctors are familiar with the concept of a "curative visit". It is amazing how often a baby who has been crying for hours or days will suddenly settle when at the practice. We suspect this is due to achieving a break in routine; parents relax because they are taking action, and babies relax because of the change in scenery, and the palpable sense that mum and dad are happier. A visit to the park, playing music or attending our SongLife Connections music therapy program are all helpful interventions for the well child with colic.

For more information on Colic you can also visit Healthdirect , a free government health advice website.

Symptoms of Colic in Babies

The first thing we should acknowledge is that it is perfectly normal for babies to cry and display unsettled behaviour. Babies cry for an average of three hours per day, with some going on for even longer. A baby's crying reaches its peak at six weeks old, before then slowly reducing as the baby ages. Sometimes we are asked how to tell the difference between regular crying and colicky behaviour? The answer is that they are the same thing.

What to check if baby is crying and unsettled:

Is baby getting enough milk?
Is baby comfortable and stable during feeds?
Is baby's sensory appetite being met?
Is there any clearly identifiable cause of pain or discomfort?
Does your baby have a fever? Any baby below 3 months with a fever should see a doctor .

Baby Colic Treatment

Colic will pass on its own without treatment and medication for Colic is rarely useful. Some medication can make your baby sleepy, which can be dangerous. As always, you should seek medical advice before administering any medication to your baby.

Babies are learning everything for the first time. When unsettled behaviour is clearly related to gas or passing wind, we see that this sometimes reflects a baby learning what it feels like to have a gas bubble pass through their gut. After all, a baby has spent its first nine months inside the womb, where there this no gas, and the gut is deflated. Suddenly, their gut is starting to ferment, produce gas, and inflate with wind. This may explain why many babies with no medical problems have an escalation in crying behaviour in the first weeks of life, which later subsides.

Babies do swallow air when feeding and crying. Babies burp this up easily and it is actually not necessary to burp your baby.

Gas in the intestinal tract of babies comes mostly from the same source as gas the GI tract of adults - from the digestion of food. Babies digestive system is also immature for the first 3-4 months. Burping won’t do anything to decrease this gas. All you can really do is comfort and maybe try and take their mind off the discomfort. Step outside, take a walk or a bath for example.

Baby Colic Relief

One of the most important things you should do for baby Colic relief is hold your child. This will show your child that you are there for them, even if the crying continues. Close Skin-to-Skin contact has been proven to reduce infant crying, so it not only reassures you and your baby, but also helps the problem. Responding mindfully to crying by taking a pause to think about what your baby is telling you, then responding in this way, will help reduce the crying next time.

Most relief for colic will have to be tried and tested. You will have to find a technique that will help calm your unsettled baby, whether it is using a baby sling, sitting on a rocking chair, or playing soothing and rhythmic music. Music is a great way to connect with you baby and help with settling, which is why we run SongLife Connections music therapy.

You should also be careful that you are not trying too hard to relax your child (too much bouncing, patting or burping). Try laying your child down and see if they settle.

Best Formula for Colic

Very rarely, colic may be increased by issues in either the baby's or the mother's diet. Consequently, if your child is bottle-fed you may wish to rule out the formula as the cause of the colic. To find the best formula for colic, you should discuss with your GP and our other mother and baby experts. If needed they can help find the perfect formula for your baby.

We don't routinely advise extensive changes to formula, or significant elimination diets for mum. Whilst this is sometime helpful, it can result in unintended consequences of nutritional disadvantage. Where it appears there is a particular cause, please book an appointment with us and discuss prior to commencing any exclusion diet.

Colic in Babies Consultation

All our GPs have a passion for early life, and it is best to start with your regular General Practitioner when dealing with colic because there is such a broad range of causes.

For more complex cases, contact Dr Kate Pink (GP) or Dr Sonja Morgan (GP Lactation Consultant) who's expertise include antenatal and postnatal care of mothers, as well as care for newborns. They are particularly skilled in this area, and have assisted many mothers and babies to get through those difficult early days, and continues to care for many throughout childhood.

Dianne Walsh (Midwife Lactation Consultant) offers a holistic and empowering approach to breastfeeding support, as well as help with other feeding, sleeping and settling issues. Dianne can provide education, support and assistance in the comfort of your own home, or a consultation at one of our clinics.

Sharing your experiences with other parents can be one of the most effective ways to get through the early days. Make sure you join one of our Free Parents Groups , facilitated by experienced baby nurse Kay Whitby.

Book a consultation with Grow Medical today.

Benefits of Breastfeeding

Sun, 27 Oct 2019 13:36:54 GMT

In families who are able to do so, breastfeeding has a myriad of benefits. Babies were born to breastfeed, and breastfeeding is the biological norm for mothers and babies. There are literally thousands of studies comparing breastfeeding with man-made substitutes. The results show striking differences and the benefits of breastfeeding.

During the first year of life babies fed non-human milk have a higher incidence of:

Respiratory disease, including pneumonia and bronchitis
Diarrhoea and other digestive illnesses
Ear infections (up to 4 times higher)
Urinary tract infections
Meningitis
SIDS

Grow Medical looks at the advantages of breastfeeding, the role of colostrum, how to breastfed, how long to breastfeed and breastfeeding support .

Breast Milk

Babies who do not receive human milk are sick more often, have more serious illnesses, are hospitalised more often and for longer. Breast milk plays a vital role in a baby's development.

Adults who were formula fed as infants have a higher incidence of:

Allergy
Asthma
Crohn’s disease
Diabetes 1 and 2
Hodgkin’s Disease
Childhood leukaemia
Coeliac disease
Childhood cancers
Breast cancer
Obesity

The more we learn, the clearer it is becoming, that for a baby’s immune system to be fully activated after birth, human milk's living antibodies are needed for at least the first 12 months. Breastmilk plays a major role in strengthening a baby’s immune system and n ormal digestive health.

Colostrum

The first milk, the colostrum, creates the normal environment in baby’s digestive system by encouraging the growth of the good bacteria (bifidus flora). This good bacteria is responsible for the mild odour of a breastfeeding baby’s stools. A normal gut environment discourages the growth of harmful bacteria and helps baby’s immune system develop properly.

Health benefits for mum include a lower incidence of Postpartum Haemorrhage, Osteoporosis, Cardiovascular disease, Breast Uterine and Ovarian cancer.

Advantages of Breastfeeding

Some of the advantages of breastfeeding are:

Breast milk is completely safe for newborns and it’s easy for them to digest.
Breast milk provides babies with all the nutrition they need in their first six months of life.
When your baby needs to be fed, breast milk is ready and the temperature is always right.
Breast milk supports your baby’s immune system. As a result, your baby will be less likely to get infections.
Breastfed babies are less likely to develop allergies and other health conditions.
Overall, breastfed babies tend to grow and develop better.
For mothers, breastfeeding is cost-free and breast milk requires no preparation time.
Breastfeeding may help mothers and babies to develop a closer bond.

Did you know?

We are only just beginning to understand breastmilk. For example, if you are sick, your body produces more immune cells and molecules which appear in your breastmilk. But did you know that your breastmilk contains more immune blood cells and immunoactive molecules even when your baby is sick and you aren't? Researchers are still trying to understand how this process occurs.

How to Breastfeed?

Don’t be concerned if it takes some time for you and your baby to get used to breastfeeding – many mothers and babies struggle at first with how to breastfeed.

There are several positions for breastfeeding a baby. Just be sure you consider the following:

Comfort: get comfortable before feeding. Cushions and pillows may help. Make sure your arms and shoulders are relaxed.
Straight line: the baby’s head and body should form a straight line so that the breast milk can be easily swallowed.
Close hold: your baby should be facing your breast. Support your newborn’s back, shoulders and neck so that they can tip their head back to swallow your milk more easily.
Don’t hold the back of your baby’s head: your baby should be free to tilt their head back so that your nipple is in the right position in the baby’s mouth.
Baby to breast: draw your baby to your breast – and not vice versa – this encourages better attachment.
Nose to nipple: position your baby so that their nose is level with your nipple. This will ensure they fully open their mouth and attach well.

Always get help from a midwife or lactation consultant if you are experiencing difficulties with breastfeeding.

How Long to Breastfeed?

The consensus on how long to breastfeed, supported by the World Health Organisation , is that babies should be breastfed exclusively for six months, and continue to breastfeed to age two or beyond whilst eating a full range of food.

We understand that all mothers, babies and life circumstances are different and how long you should breastfeed your baby depends on your personal circumstances. If you are finding that you baby is having problems with growth, breastfeeding alongside bottle feeding provides benefits beyond bottle feeding alone. While six months of exclusive breastfeeding is the gold standard, even a few days of breastfeeding will have flow-on benefits to your baby. A month of breastfeeding is even better, and continuing beyond 6 months will give your baby many health benefits throughout life.

Whatever your intentions, or the difficulties you face, we are here to work with you to optimise you and your baby's physical and mental health.

Breastfeeding Support

Childbirth alone is an intense experience for many women. Nourishing your baby is just one aspect of being a parent. Breastfeeding can bring up a mixture of emotions from terror to excitement to sheer frustration. The important thing to remember is that good breastfeeding support is available.

A midwife and/or lactation consultant who can visit you at home can make a world of difference. Breastfeeding is a skill and it may take you and your baby time to learn how to do it.

Lactation Consultation

Dianne Walsh offers a holistic and empowering approach to breastfeeding support. Dianne can provide education, support and assistance in the comfort of your own home, or a consultation at one of our clinics.

Book an appointment with Sonja Morgan who's expertise includes contraception, antenatal and postnatal care of mothers, as well as care for newborns.

Book a consultation with Grow Medical today.

What to Eat and Drink While Breastfeeding

Sun, 27 Oct 2019 11:30:49 GMT

Contrary to popular belief, there are no foods you should eat or avoid while breastfeeding. Interestingly, you don’t have to drink milk to make milk. Your body has the amazing ability to make milk out of anything you eat. But we do get lots of questions about what to eat and drink while breastfeeding? So here are some of our collective thoughts.

Let's bust some breastfeeding myths straight away:

Most mothers can eat chocolate, spicy foods, onions, broccoli, cabbage. The key is everything in moderation.

Eat to hunger, there is no need to consciously eat extra calories!

Drink to Thirst, not to prescribed amounts.

Research has not yet found a connection between a mothers intake and her milk production.

Grow Medical looks at the issue of what to eat and drink while breastfeeding, breastfeeding supplements, tea, caffeine and alcohol.

Breastfeeding Diet

What do you do if your baby seems to react to something you have eaten as a result of your breastfeeding diet?

Remember first of all, that almost all babies have fussy periods. Your baby's fussiness is probably unrelated to your diet, especially if you do not see other physical signs of allergy or sensitivity such as rash, congestion or digestive upset.

If you do suspect a food is affecting your baby, it is best to see one of our GPs for an initial examination to check for common problems like problems with latch, hunger, growth & development and causes of pain such as an ear infection or sore throat. If it appears likely, your doctor may suggest eliminating the suspect food from your diet. It may take a couple of weeks for you to notice a difference. Cow’s milk and dairy are the most common foods to cause allergy and associated gastrointestinal upset. If dairy is the cause, two weeks of complete elimination should be enough to resolve the problem. It is important to reintroduce the suspected food, as a recurrence of the symptoms will confirm the diagnosis. Never restrict your diet longer than two weeks without seeing a paediatric dietitian .

Most common foods that cause allergies are dairy, soy, egg, peanuts and wheat.

Before trying an elimination diet, it is advisable to seek professional help from an IBCLC first to ensure that attachment is good and milk transfer is efficient. Poor fit and hold with breastfeeding, and switching breasts too soon, could lead to too much lactose which can cause digestive issues and an unsettled baby.

Breastfeeding Supplements

Most mothers can get enough vitamins and minerals by eating a balanced and nutritious diet full of fresh fruit and vegetables without the need for breastfeeding supplements. It is often recommended, however, that breastfeeding women take a vitamin D supplement, particularly during the winter months when sunlight is less easy to access. For more information about supplements we suggest speaking with your doctor or lactation consultant .

Breastfeeding Tea

Some herbal teas (typically containing fenugreek) are postulated to stimulate breast milk production . As a general rule we feel that herbal teas are probably safe , and may have a small effect on increasing milk production based on a small amount of evidence. However, it is important to remember that most herbs contain complex chemical compounds, and in high doses could potentially be harmful to the liver or kidneys. Many herbal teas are great for helping you to relax and unwind, so like anything it is all about moderation.

The most commonly used teas for breastfeeding include fennel, nettle, milk thistle, marshmallow root, coriander, blessed thistle, fenugreek, alfalfa, and caraway. Many commercial teas contain one or more of these ingredients and can be purchased at a relatively low cost.

Caffeine Breastfeeding

There is no need to abstain from caffeine while breastfeeding . One or two cups of coffee or other caffeinated drinks per day is unlikely to be a problem for most breastfeeding mothers and babies. We are on board with this one, as we have a lot of coffee lovers at Grow Medical !

Breastfeeding Alcohol

We are likely to see increased recommendations against consuming alcohol whilst breastfeeding in coming years. Historically it has been believed that drinking alcohol in moderation whilst breastfeeding does little harm, but it may be that we have not fully appreciated the impact of even low levels of alcohol consumption.

Moderate to heavy drinking whilst breastfeeding poses a risk to your baby's brain development. Occasional alcohol is likely to be less problematic, but may result in more disrupted sleep in your baby . Alcohol consumption may also cause a reduction in breastmilk supply . The alcohol from one glass of beer or wine is out of the milk within two to three hours.

You do not need to express your milk for the alcohol to pass out of it. Alcohol leaves your milk automatically as blood levels decrease. Pumping does not speed the removal of alcohol from your breastmilk.

Breastfeeding Support

The Australian Breastfeeding Association (ABA) runs the National Breastfeeding Helpline 1800 mum 2 mum ( 1800 686 268 ) for breastfeeding support. The Breastfeeding Helpline is available 24 hours a day, 7 days a week. It is staffed by trained, volunteer counsellors who answer calls on a roster system in their own homes.

Lactation Consultation

Sonja Morgan is a GP Lactation Consultant who's expertise includes contraception, antenatal and postnatal care of mothers, as well as care for newborns.

Book a consultation with Grow Medical today.

Breastfeeding And Expressing Tips

Sun, 27 Oct 2019 11:29:38 GMT

Grow Medical have put together a few tips to help you get to grips with breast milk expressing, storing and feeding.

Breastfeed on Demand

The frequency and duration of breastfeeds varies hugely between babies. It is affected by your baby’s ability to transfer milk, mum's breast storage capacity, flow rate and milk production. It's important to feed your baby when they give cues such as searching for your breast, licking lips or turning head to side with an open mouth. Crying is a late feeding cue.

Use your baby as your clock. There's no need for any routines in the first few months.

Babies go to your breast for food, drink, comfort, medicine, pain relief and to get to sleep. Mothers need to trust their baby will meet their own needs and offer the breast whenever baby cues. You cannot overfeed a breastfed baby. Their intake is appetite driven and they are in control.

Babies feed at least 8 to 12 times in 24 hours. They may have times of the day when they cluster feed together, that is, they keep cueing to feed when they have just come off or appeared to fall asleep on your breast.

Learning to Breastfeed Takes Time

It takes time to learn to breastfeed. You need to experiment to find the comfortable “fit and hold “ for you and your baby. You can try different positions to see what works for you. Allow yourself time to adjust and learn.

Skin to skin is hugely beneficial to activate baby’s instinctive feeding reflexes. After a nappy change or when you pick you your baby to feed place them against your chest upright and await baby searching for breast before latching. Best if its baby led rather than mother led.

Seek early professional help with Dianne Walsh or Dr Sonja Morgan if you are experiencing any difficulties.

Breast Milk Storage

Breast milk can be stored in special storage bags designed for breast milk or in sterilised containers. These bags and containers can then be stored in the refrigerator for up to five days provided the temperature remains at 4C or lower. Alternatively, they can be stored in the ice compartment of a refrigerator from up to two weeks or in a freezer for up to six months.

Breast milk that has been kept in the fridge can be carried around in a cool bag with ice for up to 24 hours. If you’re freezing breast milk, make sure to label it with a date to make sure that it does not go off. Before using frozen breast milk, try to defrost it in the fridge slowly before using it to feed your baby. If you’re in a rush, the milk can be defrosted by placing in a jug of warm water. Do not use a microwave to defrost or warm up breast milk (this can burn the baby’s mouth), and remember that milk should not be frozen again after it has defrosted.

Breast Milk Expressing

Breast milk can be expressed either by hand or with a pump. Women often find that their milk flows better at certain times of the day, so it is a good idea to find out what time works best for you. Lots of people find it easier to breast milk express at the beginning of the day.

In the first few days or weeks after giving birth, many women find expressing milk easier by hand. This simply requires gentle squeezing of the nipple and should not cause pain. The milk can be caught in a sterilised feeding container.

You should wash your hands thoroughly before hand-expressing to avoid contamination of the milk. Some women find that massaging the breast beforehand helps the milk to flow. If the flow starts to slow down, try swapping to the other breast or moving your fingers to a different area of the breast.

If need to give a bottle use a “paced bottle-feeding" technique to reduce the risk of baby developing a flow preference for a bottle. It also makes bottle feeding baby appetite driven which is more similar to breastfeeding. If you are bottle feeding and want to find out more about this technique, this video may help .

Expressing Colostrum

Expressing colostrum is a way to access the milk produced around halfway through a woman’s pregnancy and within the first few days of delivery. It is a hugely nutritious fluid and can bring many health benefits to your baby.

If you’re planning on breastfeeding your baby immediately after birth, you may not want to bother with expressing colostrum. If, however, that is not your plan, or you are aware that your baby has a congenital condition such as Down’s syndrome or is of relatively low weight, you may consider harvesting colostrum before birth. Your doctor may also recommend expressing colostrum if you have gestational diabetes, have had breast surgery at some point in the past, or take beta-blockers for blood pressure reasons.

Breast Pumps

Breast pumps come in two varieties: manual and electric. Both are able to suck milk gently from the breasts and can be a quick and convenient way to express.

Electric pumps usually feature different suction levels and come with different funnel sizes to suit your nipples.

Breastfeeding While Pregnant

Mothers can still manage breastfeeding while pregnant, although there are a few things to consider . Breastfeeding whilst pregnant you may feel enhanced side-effects of pregnancy such as nausea and you may find that your nipples are more sore or tender. Ultimately, however, deciding whether to continue breastfeeding while pregnant is safe and is very much a personal decision.

Breastfeeding in Public

According to Australian law, in relation to breastfeeding in public, women have the right to breastfeed anywhere. Furthermore, the Federal Sex Discrimination Act of 1984 means that it is illegal to discriminate people on the grounds of breastfeeding.

This should reassure you when it comes to breastfeeding in public, as discrimination covers a range of situations. If your employer does not allow you a short break to express milk during the day, for example, this would be classed as discrimination. Similarly, if you are asked to stop breastfeeding in a cafe, this would fall under the category of discrimination. At Grow Medical we believe breastfeeding is natural, and that babies have even more right to eat whenever they need than adults! Luckily, society has rapidly returned to a more normal approach to accepting breastfeeding as a normal part of life, so being able to breastfeed comfortably when needed is now the norm instead of the exception.

Breastfeeding Support

Lactation Consultation

Dianne Walsh offers a holistic and empowering approach to breastfeeding support . Dianne can provide education, support and assistance in the comfort of your own home, or a consultation at one of our clinics.

Book an appointment with Sonja Morgan who's expertise includes contraception, antenatal and postnatal care of mothers, as well as care for newborns.

Book a consultation with Grow Medical today.

Mastitis - Inflammation Of The Breast

Tue, 08 Oct 2019 11:49:29 GMT

Mastitis, put simply, refers to any inflammation of the breast with or without a fever. The condition is associated with breastfeeding and is often caused by a build-up of milk in the breast. It is important that people with symptoms seek medical attention promptly as untreated mastitis could develop into a breast abscess. This is a more serious condition that may require more invasive intervention such as drainage under ultrasound guidance, or surgery.

Grow Medical looks at the issue of Mastitis. What is Mastitis, it's symptoms, causes, treatment, prevention, relief and the use of antibiotics.

What is Mastitis?

Mastitis refers to the inflammation of breast tissue, usually due to infection. This inflammation can cause considerable breast pain, as well as redness and swelling.

Typically, mastitis affects women who are breastfeeding, particularly within the initial three months after having a baby. This form of mastitis is often referred to as lactation mastitis or puerperal mastitis and can make it difficult for mothers to continue breastfeeding. Importantly, if you notice symptoms of mastitis and seek help quickly, treatment is usually simple. We have a team who can also help you address any underlying issues.

Mastitis Symptoms

Mastitis symptoms can include tender spots or lump in your breast, red or flushed breast fever and achy, and flu-like symptoms. The condition tends to come on very quickly.

Mastitis Causes

Mastitis causes may include:

Broken skin on the nipple.
Bra too tight.
Sudden change in feeding patterns such as when baby stars sleeping longer through night.
Sudden weaning.
Thrush.

Sometimes baby may refuse the breast when infection is present as the taste of milk changes. You will need to express regularly in this situation.

If you need antibiotics this is safe for baby. Giving your baby breastmilk with a tiny bit of medication in is still far better than giving formula. The amount of medication in the breastmilk is a very small amount of what you take (often less than 1%of your dose) There are very few medications that are not recommended for nursing mothers (Thomas Hale Medications and Mothers Milk 2014).

Mastitis Treatment

Fortunately, mastitis is very treatable. Mastitis treatment suggestions can include:

Continue breastfeeding and if baby is not attaching use a breast pump to keepyour breast well drained.
If you have fever and flu-symptoms see your doctor. You may need a course of antibiotics.
Ensure you feed baby when they cue to feed and not to any schedule.
If it is painful to feed, you can use over the counter ibuprofen for pain relief.
Massage lumps out towards nipple while feeding/pumping or pop into a warm shower and massage.
If you have a plugged duct, you could apply heat prior to feeding/expressing to help loosen plug
Avoid tight or restrictive clothing while healing mastitis. Check your bra isn’t too tight.
Rest.

Consider seeking help from a lactation consultant to check attachment is optimum for effective breast drainage. Often poor positioning at the breast can lead to damaged nipples and poor milk transfer.

Mastitis Prevention

There are a number of ways to reduce the likelihood of mastitis occurring if you are breastfeeding. For mastitis prevention, firstly, it is important to know what to eat and drink while breastfeeding and to avoid smoking. This will help lower your chances of developing an infection. You can also reduce the risk of occurrence by breastfeeding in a way that reduces the build-up of milk in your breasts. This can be achieved by:

If possible, breastfeeding exclusively for about six months
Encouraging feeding on demand and frequent feeds, particularly if your breasts feel too full
Allowing your baby to finish their feeds properly - most babies will latch off the breast when they are full
Cut feeds down gradually rather than suddenly switching to formula
Avoid wearing tight clothing (particularly bras) that put pressure on your breasts
Pay attention to how your breasts feel before and after a feed, so you can identify and empty any blocked ducts early

Mastitis Relief

There are a number of ways you can relieve the symptoms of mastitis at home. A warm compress, for example, can provide some mastitis relief if applied before and after feedings. Alternatively, an ice pack may be effective if applied after feeding. It is important to note, however, that ice packs should not be applied before feeding as this can slow down the flow of milk.

Over-the-counter pain relievers are a viable option for many women and can make the condition manageable. Drinking lots of water might speed up the recovery process as dehydration can make the condition worse.

Although home remedies can be effective, remember that it is important to visit your doctor if you suspect you have mastitis. They will be able to determine whether you need to be treated with antibiotics.

Mastitis Antibiotics

If your mastitis is caused by a bacterial infection, your doctor will prescribe a course of antibiotics (usually around ten days long). A Penicillin-based antibiotic is usually the first choice, with alternatives available if you are allergic. It is important to complete the course of antibiotics to ensure that it does not come back. If antibiotics do not solve the problem, you should follow up with your doctor.

Breastfeeding Support

The Australian Breastfeeding Association (ABA) runs the National Breastfeeding Helpline 1800 mum 2 mum ( 1800 686 268 ). The Breastfeeding Helpline is available 24 hours a day, 7 days a week. It is staffed by trained, volunteer counsellors who answer calls on a roster system in their own homes. Note that if you have current mastitis, you should book an appointment today with a Grow Medical GP, rather than using this helpful phone support resource.

Lactation Consultation

It is important to note that all our GPs at Grow Medical can treat mastitis, and because prompt treatment is essential, it is best to book with the first available doctor on the day you notice symptoms. More specialised followup can be arranged in a less urgent fashion after you have commenced treatment.

For a comprehensive approach to treating mastitis and assessing for an underlying cause, GP Lactation Consultant Dr Sonja Morgan is available at our Highgate Hill medical centre . Her expertise as includes contraception, antenatal and postnatal care of mothers, as well as care for newborns.

Book a consultation with Grow Medical today.

Lactation Consultant Breastfeeding Support

Mon, 30 Sep 2019 14:10:30 GMT

It is nearly impossible to overstate the importance of breastfeeding. It supports and solidifies the bond between mother and child and provides the best nourishment for babies. Successful breastfeeding doesn't always happen naturally or go to plan, there is help and it comes in the form of a lactation consultant.

When breastfeeding is difficult, painful or the mother is not producing enough milk for her baby, feelings of guilt or inadequacy can arise. These feelings are almost unavoidable due to the social pressures surrounding breastfeeding. However, it is important to not let them overtake you. There is help available...

We believe that you should feel supported and free to take your time, as you and your baby learn how you fit together in this world.

Grow Medical looks at the role of a lactation consultant, breastfeeding support, some common breastfeeding problems, and mastitis .

Breastfeeding Support

Lactation consultants are professionals who provide breastfeeding support to mothers who are experiencing breastfeeding issues. They will address your feeding challenges including but not limited to low milk production, babies who are having trouble latching onto the nipple, sleepless babies, low weight gain or painful breastfeeding.

In these instances the service of a lactation consultant are invaluable. Dianne Walsh provides education, support and assistance in the comfort of your own home, or at one of our clinics. Dr Sonja Morgan is a GP lactation consultant who can assist with complex breastfeeding or newborn difficulties at our Highgate Hill practice.

Professionals like Dianne and Sonja can offer a holistic and empowering approach to breastfeeding support, as well as help with other feeding, sleeping and settling issues.

Lactation Consultant Credentials

Ensure your lactation consultant has the credential IBCLC meaning International Board Certified L.C.

To be awarded this credential, the person must pass an all-day certifying exam. To qualify to take the exam, she must have a combination of formal education, breastfeeding education and a thousand hours of working one-on -one with breastfeeding mothers and babies. Once qualified, an LC needs to keep up to date with evidence based breastfeeding information and re-certify every 5 years with proof of continuing professional development and resit the exam every 10 years.

An IBCLC is governed by the IBCLC Code of Professional Conduct for IBCLC’s, the Scope of Practice for IBCLC’s and the Clinical Competencies for the Practice of IBCLC’s. ( www.iblce.org/resources/professional-standards )

If a mother is experiencing any breastfeeding challenges an IBCLC will assist by taking a full history and will observe and assist with a feed, offering suggestions and strategies to make feeding as comfortable and efficient as possible.

It is best to get early help as the sooner issues can be addressed the more likely it is to get it working well. An IBCLC can also give advice on settling, bottle feeding, sleep, wind and colic , as well as understanding your baby’s cues or communications.

Breastfeeding doesn’t work for everyone. An LC can explore reasons why it hasn’t worked. Discussion about breast feeding with a professional may help a mother come to terms with why it hasn’t worked for her and her baby. It can bring about some difficult thoughts and feelings

Many new parents are surprised how challenging breastfeeding can be. It is a new skill that both mum and baby need to learn. It takes time and sometimes a little help is needed. A baby is hard-wired to breastfeed but still needs time to adjust and put these skills into practice.

How to Increase Breast Milk Supply

One of the common concerns mothers have around breastfeeding is the worry that their child is not getting enough breast milk. A qualified lactation consultant can help guide you through several ways on how to increase breast milk supply. One of the first issues they will address is the fit and hold or "latch" between you and your baby. Addressing latch issues may help, as if the baby is not latching properly there is a greater chance your breasts are not emptying efficiently. This can result in symptom in your baby of crying (due to hunger and frustration), and poor weight gain.

They can advise you as to whether or not you should adjust the frequency of your baby’s feeds or feeding time. This means that your breast will empty more quickly, causing the rate at which you produce milk to increase.

Your consultant can also teach you breast compression methods, a technique that stimulates and increases the flow of breast milk.

Remember, the more your breasts empty the more they refill. If your baby is not latching and as a result not getting sufficient milk, this may create a real catch 22.

Breastfeeding Pain

The breasts are a very sensitive area. Cracked nipples, infection, thrush, raynauds of the nipple, latching difficulties or the breast not being properly drained can be the cause of great discomfort and cause breastfeeding pain.

A lactation consultant can help you identify, address and hopefully eliminate the cause of the pain.

Mastitis

Mastitis is an inflammation of the breast that is sometimes accompanied by flu-like symptoms. This condition may lead to progressive infection or abscess if not promptly treated.

There are many causes of mastitis, a lactation consultant can provide you with the assistance you need to prevent or alleviate the symptoms of mastitis particularly by helping you with any latching issues your baby may have.

This may help prevent the onset of mastitis caused by overfilled breasts. We recommend that you immediately visit your doctor if you think you have mastitis.

Breastfeeding Positions

The only correct breastfeeding positions is the position that works best for you and your baby. There are almost a dozen different positions that address many unique needs. There are positions that can help if your baby is having problems with acid reflux. There are also positions that are best if you are recovering from a cesarean.

Experts like our Dianne Walsh or Sonja Morgan whose years of experience around antenatal and postnatal care of mothers, as well as care for newborns can give you unique insight into how best to hold your baby during feeding time.

Thrush Breastfeeding

Another cause of pain during breastfeeding is thrush a yeast infection of the nipple and breast caused by the Candida albicans fungus. Thrush breastfeeding pain can be severe and may cause a mother to end breastfeeding before she or her baby is ready. The pain is usually very sharp, the nipple may be red and pain is worse particularly at the start of a feed. Your baby may have white plaques that may bleed inside their mouth, particularly on the cheeks.

It is best to get assistance from your GP and a lactation consultant as soon as possible if you suspect thrush.

It is possible to continue breastfeeding while being treated for thrush. However because thrush is highly contagious it can cause mother and baby to be caught in a cycle where they are continually reinfecting each other.

While breastfeeding is natural, even instinctive, the idea that breastfeeding should come easy to a mother is a myth. It is a learned skill like any other and becomes less challenging with practice. No one expects to ride a bicycle like an expert on their first go. Feel free to take your time, as you and your baby learn how you fit together in this world.

Lactation Consultation

Book an appointment with Sonja Morgan who's expertise include contraception, antenatal and postnatal care of mothers, as well as care for newborns.

Book a consultation with Grow Medical today.

Guiding Children’s Behaviour in Positive Ways

Sun, 22 Sep 2019 18:14:54 GMT

Sometimes it can be very difficult to get your child to practice a certain skill, whether it be homework or extra-curricular activities. Grow Medical looks at the ECDC Research Results , published in January 2018, by the Early Cognitive Development Centre , School of Psychology at The University of Queensland . This article will look at the importance of imagined future feelings in guiding children’s behaviour in positive ways.

Positive Behaviour for Learning

It is vital for children to practice skills for the future. Whether it's their maths homework, their footballing talents, or their piano skills, it is important that your child keeps practicing them. Not only will practice help improve the specific talent, but it will also result in a more disciplined, focused, and well-balanced adult in the future. The interesting challenge for parents is how can we influence this positive behaviour for learning?

Practicing a skill can often be dull and repetitive, particularly in contrast to playing a new video game or watching a new TV show. In order to make sure your child continues to practice their skill, parents may find themselves nagging their child. This can be annoying for both parents and children, as both get frustrated with each other.

In order to find a better way to guide children's behaviour in positive ways, the Early Cognitive Development Centre (ECDC) at the University of Queensland set out to find the best way to facilitate positive learning behaviour in children.

As adults, we often realise that we need to do something we don't enjoy (or refuse to do something we would enjoy), in order to benefit our future self. For instance, we may wake up earlier to fit in a thirty-minute jog, or we may opt against socialising in order to fit in some more study or work. We do this because we understand that they will benefit us in the future, meaning that our future feelings are motivating our behaviour. These feelings can either be positive (avoid the cake to lose weight), or negative (study to pass a test).

Positive Behaviour Support

With this in mind, the ECDC study was focussed on determining whether or not future feelings, using positive behaviour support, could also have an impact on the motivations of children.

The 2017 study examined over 150 children aged between six and nine. The study gave children three skill games in which to partake and informed the children that they will be tested on one of the games later. The children were not told to practice, they were simply left alone with the games. However, before leaving the children to their own devices, the children were asked to imagine a scenario in which they passed the future test. Half of the children were told to imagine how they would feel should they pass the test, whereas the other half were told to imagine being successful (without any mention of emotion).

The study found that children who considered how they would feel if they were successful practiced their test games for 60% longer than the children who weren't told to consider their future feelings. For children between eight and nine years old, the difference was even greater. Those who considered their future feelings practiced twice as long as those who did not.

The study shows that encouraging children to consider their future feelings could be a fantastic way to get children to practice more, most notably for children over the age of eight.

Children's Giving Behaviour

In addition, another UQ School of Psychology study examined how income inequality can affect children’s giving behaviour. In adults, economic inequality can have an impact on how we treat others, with studies showing how economic inequality can lower helping behaviours.

Participating children were given several games to play involving puppets, with each child gathering tokens during the games.

During the games, the children were playing with one of two kinds of puppet:

Puppets with high inequality of outcome (some of the puppets received lots of tokens, whereas others did not).
Puppets with a level outcome equality (the puppets received an equal amount of tokens).

After the games were finished, children swapped their tokens for stickers. An image of a poor child was then shown to the children and they were asked if they would like to give their stickers to the child. The study found that the children who had witnessed high levels of inequality gave fewer stickers to the child, whereas those who witnessed lower inequality gave more tokens. The study showed that even four-year-old children can perceive economic differences and this can have an impact on how they treat others.

Children's Behaviour Consultation

Our clinicians are constantly reading and learning about how to better grow our citizens of tomorrow. They love drawing on the amazing research happening in Brisbane to provide practical solutions for you and your family. Book an appointment with Bernadette Sharry , Matthew Simmond or Sharon Dawe who focus on the s upport and the development of young children, toddlers, children and adolescents. They work across all age groups in providing Children's Behaviour assessment, counselling and therapy services for children.

Book a consultation with Grow Medical today.

Emotional Regulation in Children

Sun, 22 Sep 2019 18:14:50 GMT

Emotional regulation in Children is not always an innate skill; this can be seen most clearly in toddlers. Toddlers struggle to control their emotions. Consequently, their emotions can swing from one extreme to the other. Helping our children to learn emotional regulation is one of the most important skills we can impart.

In this article, Grow Medical looks at the issue of emotional regulation in children. Emotions and kids can be a challenging topic, so we discuss symptoms of emotional regulation problems, and emotional regulation skills for kids.

Emotions and Kids

Emotional regulation is the ability to manage your emotions and behaviours depending upon the situation. This includes the ability to manage your emotions in response to upsetting and challenging stimuli, allowing you to calm yourself down and handle the situation without emotional outbursts. Emotions and kids, and developing this skill, is a crucial developmental process as a child grows older, helping them to interact with other people in a constructive manner. Getting this right can help improve your relationship with your child, as well as help your child to grow a favourable personality, allowing them to create new friends in the future. Humans are social creatures, and helping your child to navigate social relationships is one of the most enduring challenges of parenthood.

Emotional regulation will also help your child focus their behaviour onto achieving a goal, allowing them to overcome the unpredictable nature of life and not be hampered by life's complications. This can allow their academic performance to increase and improve their problem-solving capacity.

Emotional Regulation Symptoms

Sometimes it can be difficult to spot the emotional regulation symptoms that a child has, as emotional regulation can manifest in several different ways. For instance, some children may have an immediate reaction without any build up when faced with something unfamiliar, or asked to change from one activity to another. Conversely, some children may bottle up their emotions over time, then release it in an unexpected emotional explosion.

It is important to remember that most of these experiences are entirely normal! Observe an experienced grandparent in the corner when one of these outbursts occurs, and you will see a wry smile, and a quiet comment about it being "just a phase". We have all experienced the toddler wanting a toy at the supermarket falling to the floor and screaming when hearing the word "No". This is a perfect example of the normal process of a young child struggling to regulate their strong emotions.

If you believe that your child is frequently overreacting to situations, especially if it is affecting your family's dynamic, they may benefit from some emotional regulation help. This is usually best achieved by teaching parents ways they can help their child, as teaching is much more effective when delivered every day, rather than just in short sessions.

Emotional Regulation Skills for Kids

The goal when working with children who are struggling with their emotional regulation is to help them learn to connect their logical, decision-making brain with their emotional, volatile brain so they can keep control of those strong emotions. A great way to think about how to achieve this is the concept of the parent-coach. Our role as parents is not to solve every problem for our children, but to be there to help them face challenges they see at that time as insurmountable, and be their coach to teach the skills they need, and invoke the confidence they need to be brave. The Circle of Security parenting course captures this perfectly by noting that parents need to be "bigger, stronger, wiser and kind". Where we remain calm and confident in the face of adversity, our children feel and are inspired by that, and can learn from that experience.

As parents, we can help our children understand that an impulsive, emotional response is not an effective way to respond to a difficult situation. We can do this both by modelling and by teaching. The aim of teaching emotional regulation skills for kids is to show them how to notice their emotions earlier, take their time to calm a little, and assess the situation. Of course this process needs to be tailored to the age and developmental stage of the child. For younger children and toddlers, a parent's role at supporting this process by providing a secure environment for experimenting is much more important. For older children, helping them to learn skills and techniques becomes increasingly relevant.

It is important to tackle any issues that your child may be having head on, rather than avoiding them. The goal should be to coach your child through the difficult situation, giving them some support through the challenge. In therapy circles, this technique is known as scaffolding and allows your child to gain some experience and practice before they handle difficult experiences on their own.

The purpose of scaffolding, then, is to isolate a situation in which negative emotions are present and support the child through the scenario, rewarding better behaviour and attitudes. For instance, if your child is experiencing negative emotions while completing homework, they could learn new behaviours that can help complete the work rather than emotional outbursts. For example, your child may get up and have a snack or a drink if feeling frustrated, or allow themselves periodic breaks. Checking in with your child and rewarding them for their efforts will help them build confidence and persistence.

It is important to remember that practice is key and it may take time before they start showing any improvement. It may require starting small and slowly building from this foundation.

These can be challenging skills to learn and to teach. As parents most of us spent a long time studying our career, but being a parent just happened! At Grow Medical, we believe it is worthwhile for all parents to do a course in parenting, which is why we sponsor the facilitated Circle of Security parenting program at the practice on a regular basis. We recommend that all parents do the Circle of Security Program in the early years, and this program is also a great first step if you're having difficulties. If you find yourself frustrated and struggling to deal with your child's emotional outbursts, be sure to seek some one-on-one professional help as well. Our General Practitioners all understand how important this issue is for your family's wellbeing. Booking and appointment with your GP is the first step. Your GP can help assess what is happening, provide support, assist with diagnosis (if any), and help with obtaining Medicare funding for a Mental Health Care Plan if applicable.

Emotional Regulation Consultation

Book an appointment with Nadia Leonidou , Bernadette Sharry , Matthew Simmond or Sharon Dawe who focus on the support and the development of young children and toddlers. They work across all age groups in providing emotional regulation consultation assessment, counselling and therapy services for children.

Book a consultation with Grow Medical today.

Supporting Kids in Need - 2019 CRW 300 Fundraiser

Sat, 07 Sep 2019 04:41:35 GMT

Chain Reaction Women's 300

At the core of our values at Grow Medical , is supporting children and families to reach their potential. We believe that by supporting individuals, building the strength of families, and growing social connection in communities, we will have Australia's healthiest population. That's why we are dedicated to supporting community groups, schools and charities. For the third year running, we are sponsoring the Chain Reaction Women's 300 , and this year are a team major sponsor .

Children represent our future, and service to others builds closer communities. By supporting Chain Reaction, and improving the lived experience of children now, we help to provide the solutions to our future problems.

This year, the Chain Reaction Women's 300 is raising funds for AEIOU Foundation for children with autism and the Mater Foundation . So far, the Grow Medical ATG Team have raised over $25,000. Read on for more details on why we support this great cause, and what you can do to help.

Family Doctors Supporting Autism and Premature Babies

Our doctors in Sherwood, Oxley and Highgate Hill are passionate about caring for children, and have a strong sense of social justice. That's why we are proud to support two outstanding charities by being a major sponsor of the 2019 Chain Reaction Women's 300.

Autism Early Intervention

Major charity partner, the AEIOU Foundation for children with autism, will direct funds raised from the event to a refurbishment and fit out of its Toowoomba centre, enabling more children in the region access to a safe, secure and modern facility for care and therapy.

The AEIOU foundation is a leading provider of early intervention for autism, by integrating multi-disciplinary neuro-developmental care into their specialised early childhood education centres.

Care for Premature Babies

Minor beneficiary, the Mater Foundation, will receive funds to go towards purchasing an in-hospital shuttle to safely and easily transport critically ill babies to theatre, thus significantly reducing the risk of serious clinical problems.

General Practice for Corporate Women

After raising $440,000 last year, the Women's 300 is back to experience the best the Sunshine Coast has to offer with a new and improved course. We believe that women breaking down stereotypes, and the glass ceiling, is great for the health of our communities. So many of our parents balance having children with being a parent and staying part of the corporate world. So the CRW300 is a great fit.

For 3 days the all-female peloton will cycle 300+ kilometres on arguably the best cycling areas in Queensland on the Sunshine Coast - including iconic beaches, beautiful hinterland and a finish in Brisbane - all to raise much needed funds for children's charities in Queensland.

This event is for female business leaders who have a passion for cycling and sense of their corporate social responsibility to come together for a challenging and rewarding experience. Each event is different but all riders come away with an incredible sense of achievement both personally and for the kids and their families supported through our charity partners. Grow Medical's rider Alison Chambers is a Midwife, Mother, Community Nurse and corporate leader.

Donate Now

Help build the strength of our community by supporting these charities. Click here to donate now .

Travel Vaccinations for Bali, Thailand and Vietnam

Tue, 03 Sep 2019 05:45:06 GMT

Whether you're looking for a last-minute break, or planning ahead for a big holiday next year, one thing it's always worth considering is how to protect your health whilst you are away. If you're considering a holiday outside of Australia, it's worth remembering that you may need to take additional precautions in order to stay healthy abroad.

For Brisbanites, the popular holiday destinations of Bali, Vietnam and Thailand may all present additional health hazards. One of these relates to communicable diseases which may be found in the water, food or air. Travel vaccinations for Bali, Thailand and Vietnam can protect against many of the most common diseases found in these countries.

Here we take a look at what diseases and health risks are more common in these top holiday destinations, as well as what vaccinations you can take advantage of to help protect you and your family.

An important health risk often overlooked for travel to Bali, Thailand and Vietnam is traffic accidents. You should be aware of the dangers of driving motor vehicles or scooters in unfamiliar and some what challenging road conditions and surroundings. Many Australians are seriously injured or killed each year from motor vehicle accidents whilst abroad. It is also important to note that in many cases travel insurance policies to do not cover you if you are in an accident and have consumed alcohol.

Grow Medical recommends that travellers take out comprehensive travel insurance before you depart and also ensure you have adequate levels of any regular medications for the duration of your holiday. You may not be able to get your prescription medicines in Bali, Thailand or Vietnam. We also think it's a good idea to consider having the influenza vaccination before traveling overseas.

Travel vaccinations for Bali

Bali Health Risks

Bali is a developing country where visitors should prepare for health risks they do not normally associate with in Australia such as contaminated drinking water, poor food hygiene and unhealthy sanitation. If you are planning to visit more remote areas, there is also a higher risk of acquiring water-borne diseases and also diseases carried by mosquitoes such as Malaria.

Bali health risks to Australian's traveling to Bali include Rabies from being bitten by an animal; in particular dogs, monkeys and bats. Outbreaks of measles have been reported across Indonesia. Sporadic cases of the Zika virus have also appeared across Indonesia and the Australian Department of Health advises pregnant women to consult their doctor before traveling.

Dengue Fever is prevalent throughout Indonesia, including in Bali and other major cities. It is more common during the rainy season. In recent years, Australian health authorities have seen an increase in dengue virus infections in returned travellers from Bali. There's no vaccination or specific treatment available for Dengue Fever. Mosquito avoidance is the recommended strategy, typically with long sleeves, long pants and a DEET containing mosquito repellent such as Bushman's 20% .

It's also important to recognise that poisoning is on the rise in alcoholic drinks, contaminated by harmful substances including methanol. There have been cases of Australian's falling seriously ill and or have died.

Vaccines for Bali

For travel with children, regardless of destination, we recommend that all routine childhood vaccines are up to date including:

Polio
Measles / Mumps
Hepatitis B
Meningococcus
Tetanus
Pertussis (Whooping Cough)

We recommend some or all of the following vaccines for Bali travel:

Typhoid
Tetanus and Pertussis Booster (if not up to date)
Hepatitis A
Rabies

In some seasons, and depending on your location of travel, your doctor may discuss tablets to protect against Malaria.

Travel vaccinations for Thailand

Thailand Health Risks

In a similar way to Bali, the leading cause of Thailand health risks comes from road accidents, unwise food choices and accidentally drinking contaminated water.

The Zika virus has been reported across Thailand including in Bangkok. There is no vaccination available against the Zika virus. We strongly recommend you consult with your doctor before any travel if pregnant.

The Australian Smart Traveller website also states that Australian travellers should exercise a high degree of caution traveling in Thailand, including Bangkok and Phuket, due to a heightened risk of political unrest and threat of terrorist attack.

Mosquito born viruses such as Malaria and Dengue Fever are a concern during the rainy season, although apart from border regions, most areas of Thailand are now considered Malaria-free . There is no vaccination or specific treatment available for Dengue Fever. Things you can do to protect against mosquito born viruses include:

- Make sure your hotel room is mosquito proof

- Protect against insect bites by using insect repellent (20% DEET) and wearing suitable clothing

- Discuss your travel plans in detail with your doctor before you travel

For people with respiratory concerns, be cautious about poor air quality and smoke pollution in Thailand. This could make medical conditions such as sinus issues or asthma worse.

Vaccines for Thailand

We recommend some or all of the following vaccines for Thailand travel:

Typhoid
Tetanus and Pertussis Booster (if not up to date)
Hepatitis A
Rabies (consider)

In some seasons, and depending on your location of travel, it may also be worth taking tablets to protect against Malaria.

Travel vaccinations for Vietnam

Vietnam Health Risks

Vietnam health risks largely come from contaminated food and water, and the bites of infected animals and mosquitoes. Whilst many of these risks can be minimised through sticking to the main tourist areas, eating at tourist hotels and similar precautions, it's still possible to get unlucky and end up with a serious infection. For this reason, prospective visitors to Vietnam should make sure that they're protected with suitable travel vaccinations for Vietnam.

Major Vietnam health risks include mosquito born viruses such as Malaria and Dengue Fever, and Rabies from being bitten by an animal.

Recently in Vietnam, there have been reported cases of Hand, Foot and Mouth Disease which usually effects children under the age of 10 years. Outbreaks of Conjunctivitis are also prevalent.

For all destinations, we also think it's a great idea to take a home medical kit with over the counter medicines to treat coughs, colds, pain, cuts and stomach upsets.

Vaccines for Vietnam

We recommend some or all of the following vaccines for Vietnam travel:

Typhoid
Tetanus and Pertussis Booster (if not up to date)
Hepatitis A
Rabies

In some seasons, and depending on your location of travel, it may also be worth taking tablets to protect against Malaria. Malaria risk is low to moderate in Vietnam. Check your travel itinerary carefully against this map of malaria risk in vietnam .

Travel doctor Consultations

If you're planning a holiday to Bali, Thailand or Vietnam, don't leave it too late to bring your vaccination schedule up-to-date. Grow Medical travel doctors specialise in travel vaccinations. Contact us at least eight weeks before your proposed date of departure so we can ensure you are covered for your trip.

Book a travel vaccination consultation with one of our Grow Medical travel doctors today.

The Privilege of Fatherhood

Thu, 22 Aug 2019 11:18:29 GMT

One of our finalists in the 2019 Grow Medical Essay Competition "Stories of Fatherhood"

In hindsight, fatherhood was always going to be one of those things I was never actually ready for. Like jumping into a pool at the wrong time of year, there comes a point when you need to stop debating the merits, take a deep breath and jump in.

However, unlike jumping into freezing water where the shock of the cold brings instant breathtaking clarity, my journey into fatherhood was more a fog that crept up slowly, such that I only recognised the haze once it started to clear years later. To this day I’m still unpacking experiences long past and finding new understanding and significance.

We lost our first child to miscarriage in a surreal passage of time that I still only recall through fragmented vignettes of memory. I barely even remember my wife falling pregnant before our unborn child was lost. I have cinematic recollections of me wandering deserted hospital halls at night searching for her, following some poorly understood post-miscarriage procedure. Then memories of home and my love, lost in her grief, while I stood in the background, isolated and alone with my confusion.

It is only in hindsight that I can start to understand the significance of that miscarriage. For me at the time it was merely one more in a series of abstract medical occurrences that surrounded our attempts to start a family. My wife had been disappointed to not fall pregnant immediately upon trying and here we were once again, still not pregnant. To me nothing had changed apart from my wife who, I much later came to understand, was mourning the death of our child. Parenthood was strange, unfamiliar and quietly threatening territory and I had landed without so much as a map.

The arrival of our happy and healthy first-born one year later remains to this day the single most disruptive event of my life. From the moment he was born I was changed in ways I did not expect. I was smitten with this tiny, warm bundle that filled a part of me I did not know existed, while at the same time struggled heavily with the feeling of having been abandoned by my wife, my best friend and companion, as she blissfully immersed herself in motherhood, leaving little time for me. The first six months were particularly hard as I struggled to find my place in our new family. My wife meanwhile had found support elsewhere through her large family, close friends and welcoming mothers’ group.

By the time our son was six months old I was slowly beginning to adjust to my new place in the world. I was coming to the realisation that while my wife’s role was to support our child, my role was to support her. This newfound understanding helped give me some small purpose and direction from one day to the next, as well as an emerging sense of connection and belonging within our nascent tribe.

I was also surprised to feel the first welcome glimmers of connection with my newborn son, as he slowly became aware of my existence, starting to share with me the grins, play, and treasured, soul bonding gaze so unique to infants. These precious early experiences guided me as I slowly readjusted my focus in life, coming to prioritise time with my family and their well-being above everything else.

As our small tribe grew from one, to two, and then to three over the span of four short years, the fog of fatherhood grew thicker. The usual pressures of life and work were compounded by the pressures of our happy, busy young family. My predominant impression of this period is one of missing out. Of being involved, but slightly to one side. Of events that should have been meaningful or fun, but of being too tired and harried to realise this at the time.

As with driving through a fog where the world appears to shrink to a radius of mere meters around, my world had shrunk to contain only the five of us. Everything beyond was a blur, invisible or irrelevant before rushing into view and then away again into the mist. It was during this period that I came to learn the importance of ‘leaning in’ with my wife, and that I wasn’t in this alone as my identity slowly (and sometimes painfully) transformed into that of a father.

I came to recognize that when things felt hardest it was usually because I was conflicted; unknowingly torn between my young family and other demands. When I was able to see this, and then lean further in to my wife and children, things would inevitably get easier. Although our journeys were our own, we were travelling the same road, and together we were able to grow as a team, parenting our boys safely along the road even if we couldn’t see what was ahead through the fog.

In hindsight my first three years of fatherhood were relatively uneventful, although of course I didn’t realise this at the time. The following years were to truly test me as our family motto became “learning to love rollercoasters”. Over this period of time, we would welcome our youngest son who arrived pre-labelled with Down Syndrome (a true blessing in disguise), bury him four years later after three harrowing weeks in ICU, whilst also successfully seeing our eldest through a treatment protocol for Leukemia.

Many days it would take every ounce of strength I could muster simply to hang on, as the rollercoaster that was life threatened to toss me aside. More times than I can remember, the only thing that got me out of bed was my commitment to my family and the need to keep the wheels of life turning; dropping kids to school, hospital visits, work. I became accomplished at simply putting one foot in front of the other and grinding through what needed to be done, whatever the price I would later come to pay. On the occasions I did let myself feel the gravity of our situation, I would collapse under the weight of it.

It was during this time I was startled to realise how many people cared about me and were there to help. I came to understand that they had been there all along, but I had been blind to it. Every time someone had asked how I was, or offered support, I had automatically dismissed it as a social pleasantry, not a genuine offer. I could never understand why anyone would want to spend time with me, let alone go out of their way to support me through these dark times. Now on my worst days when I could barely bring myself to stand, I would find myself brought to quiet tears by neighbours mowing my lawn unbidden, friends ferrying my children to and from school, or simply sharing a hug and a tear when I needed it most. I had watched enviously as my wife was supported by others through these times, oblivious to the fact that the same support was there for me - I only had to accept it.

Despite the curve-balls that life has thrown, above all fatherhood has been the greatest gift I could imagine. It has allowed me to give thanks to my own elders by leaning on their lessons and teachings. It has provided the opportunity to break cycles, disrupt damaging patterns of behaviour and improve on generations past. It has taught me patience. It has prompted me to reconsider my priorities. Fatherhood has shown me grief and a love so pure it almost sings like crystal, and it has forced me to reflect deeply on myself through the mirror of my children.

Fatherhood is not always an easy path to follow. It can bring joy, growth and fulfilment but it can also require immense courage to allow ourselves to let go of who we were, and accept the privilege of fatherhood.

Make Sure you vote in the Grow Medical 2019 Essay Competition by going to our Facebook Page , and liking and sharing your favourite Story of Fatherhood.

See our other finalist essays on being a father and a grandfather and the silly side of fatherhood .

On Being a Father and Grandfather

Thu, 22 Aug 2019 11:18:28 GMT

One of our finalists in the 2019 Grow Medical Essay Competition "Stories of Fatherhood"

After growing up in a very tough and disciplined environment in Scotland during the War, I arrived in Australia, stayed and got married. I was ready to raise a family in this wonderful country and I had all my ideas on the rearing of children.

What a shock was in store for me. Children, I discovered, all have a mind of their own and no fear of expressing it. All my preset ideas had to be modified and adapted for each of my three. But we did try to create a carefree, happy environment, encouraging enterprise and free expression – except of course on the odd occasion when the bounds were abused, and admonition applied.

But love was unconditional, although sometimes hard to do. This I believe was, and is, still reciprocated today, and to that end I think my wonderful wife and I succeeded.

Now being with my three grandchildren gives me enormous pleasure. My youngest, a little beauty at almost one, is a cuddly delight and is changing by the day. So adventurous, she will soon be walking and talking, and this will be another adventure.

My two grandsons, now 7 and 9, are great young lads, and as they have grown up they have kept me young. But nowadays, hard as I try, they can out-bat, out-bowl and outrun me. But not quite outfox me yet!

Children and grandchildren of all ages are life’s greatest pleasures. Nurture them and it gets returned manifold. You realise late in life that family is paramount. Never forget it.

Make Sure you vote in the Grow Medical 2019 Essay Competition by going to our Facebook Page , and liking and sharing your favourite Story of Fatherhood.

See our other finalist essays on the privilege of fatherhood and the silly side of fatherhood .

The Silly Side of Being Ready For Fatherhood

Thu, 22 Aug 2019 11:18:26 GMT

One of our finalists in the 2019 Grow Medical Essay Competition "Stories of Fatherhood"

The silliest, yet unsurprisingly most common question the soon-to-be father receives is, “so are you ready to become a Dad?” It wasn’t ‘til just today I realised that it actually isn’t a question at all. It’s a naivety test. If you say anything but a confident “No” then sorry, you failed that test.

That isn’t meant to be a segue into how difficult/beautiful fatherhood is. It is. It absolutely is. It’s not that all the horror stories and foretellings of woe go unheard, it’s just that so many less fortunate parents have done it, so we think surely it can’t be that bad!?? Right? I was warned about the sleepless nights, the illnesses, the nappies, the everything - more times than I care to remember and funnily enough they all came true. So I choose rather to focus on what I found one of my greatest sources of joy, how I’ve completely and unashamedly embraced the silly side of life again. You know the kind of silly that you haven’t enjoyed since you had to pretend you didn’t like watching power rangers (thanks Mum and Dad for giving me a younger brother).

There is precedent for the adult yearning to be silly again, most likely you find it in your Mums kitchen. The annoying poster that says something along the lines of ‘Dance like nobody is watching’ or to a less obvious yet more annoying extent ‘Carpe Diem.’ But nobody outside of the influence of performance enhancing drugs actually abides by this rule. Until now. And unfortunately I fear it’s going to have a shelf-life of max 10 years, before the shame-wash of the adult world inevitably strikes my own children so it’s time to make hay!

You might sing your lungs out in the privacy of your own car. Well since my little sproglet came along, the car doesn’t quite manage to contain that enthusiasm. The soundtrack may have changed, but singing the theme to Pooh Bear whilst picking out flavours of pouch yoghurt is now a thing. Not exactly sure if the public mind, I’m sure a number of them do, but I’ve found that not only does my young one enjoy it, a few random others do too! My daughter is two years old so I guess to them this is considered acceptable behaviour. Yet now imagine she isn’t there. Would you expect anyone else to cheer me on?

Not to mention play parks. If you’re like me you haven’t stepped foot into a Macca’s play zone since you breached the recommended age. You probably also haven’t wanted to. Well guess what new Dad’s... the cheeseburger is now your secondary reason for going. Sure the sign says for children ages 3-12 but there aint no playland police for this, now you’re being silly AND a rebel! The other dirty secret I have is the fact I find myself at Bunnings more than cafes these days. Sorry Bunnings sausage, you’re no longer the prime reason you’ll find me here (still love you though.)

The grand final for the newly-crowned Dad is undoubtedly Fathers day. If you had a silly-card credits before, well they quadruple on Fathers day. If you’re lucky enough to have your daughter create you something at daycare, you wear that item. If Mum spoiled you with a silly t-shirt. You wear that shirt. You wear that hard. And I don’t mean in the comfort of your lounge room, you still like being taken out for lunch. I promise you, no bartender with their salt will give you a hard-time for wearing a ‘Dad-joke supplier’ t-shirt with a hand crafted cardboard tie and the only thing legible on it is the word Georgia that was clearly written by Miss Ricky (and also has buttons for some reason??)

Alas all good things are bound to come to an end though. She’ll no longer enjoy my singing, she’ll too outgrow the play park and heartbreakingly I’ll probably get better crafted presents. I know I’m destined to become the embarrassing Dad, and I will try my best to keep my embarrassment level below 7 but I know I’m going to slip-up. The world is just too boring to not Dad-dance, it’s too delicious to not have a Dad-bod and dammit, it’s just too darn short to not have Dad-jokes.

After writing this now I feel like contradicting myself. It feels too trivial and self-centred to say that I’ve enjoyed being silly so much. It is without doubt my way of showing my complete and hopeless devotion to my family, that I don’t care so much about the way I am expected to behave, if it sparks joy for my family to show my love in public, I don’t hesitate. As luck would have it turns out the public aren’t as conservative as what we think. So to my darling wife, to my Georgia and my soon to be Jephph, please accept this as my pre-apology, for I am sure to misjudge the appropriate time that I am meant to reign it back in.

Make Sure you vote in the Grow Medical 2019 Essay Competition by going to our Facebook Page , and liking and sharing your favourite Story of Fatherhood.

See our other finalist essays on the privilege of fatherhood and being a father and a grandfather.

Fever In Children When To Worry

Wed, 21 Aug 2019 22:35:37 GMT

We know how terrifying it can be as a parent, to discover that your child has a high fever. We often don't know though what is a high fever and if it is worth seeing your doctor about. This article will seek to help worried parents to understand fever in children and when to worry.

Here, Dr Aaron Chambers from Grow Medical explores the topic of fever in children. Topics discussed include when is fever too high for a child, when to see a doctor, when to go to hospital, how to monitor a child with fever, and fever prevention.

When Is Fever Too High For A Child?

When it comes to young children, you will have to monitor their corresponding symptoms closely and also trust your gut instinct. You know your child better than anyone. When is a fever too high for a child? If your child develops one of the following fever symptoms, you should take them to the doctor promptly:

If they appear to be getting worse (weaker, paler, more fatigued etc)
Floppy or disinterested in the world
Pale, Blue or cold to touch
Breathing problems
Dehydration
Drowsiness and difficulty waking up
Neck stiffness
No improvement over 48 hours
Decreased skin elasticity
Rash

The importance of your gut instinct cannot be overstated. You will notice that none of the important signs above include the recorded temperature. This is because the level of fever is less important than how your child looks. If your child is acting out of character, and looking very unwell to you, then you should take your child to the doctor. It is worth reading the excellent Queensland Health guide for parents on recognising serious infection in your child called Could This Be Sepsis?

When to see a Doctor?

A fever by itself is usually harmless and will only result in your child being uncomfortable. You should certainly monitor your child closely if they are feverish. The question still remains though, when to see a doctor? Unfortunately, the answer is not always clear and will depend upon several factors, such as the age of your child, and the symptoms they have associated with their fever.

It can be difficult for parents to determine if a baby has a serious illness. If your child is under the age of three months old, they should be taken to the doctor immediately as a precaution. We will always try and find an appointment for a baby under 3 months with fever, so please phone us if you are unable to book online.

If your child is between three and 12 months, you should take them to a doctor as soon as possible. While it is less urgent than if your child is less than three months old, a fever could still be a sign of a serious illness. Book an appointment with a family friendly GP from Grow Medical.

If you need medical advice call 13HEALTH (13 43 25 84) for health information, advice or referral services. This service is available 24 hours a day, 7 days a week.

When to go to Hospital?

The best advice as a parent deciding when to go to hospital is that if you ever think that the situation is an emergency or that your child’s life could be in danger, call Triple Zero ( 000 ) for an ambulance immediately. Especially in the following situations:

severe breathing difficulties
unconsciousness
infants who are having convulsions
sudden onset of weakness, numbness or paralysis of the face, arm or leg.

How to monitor a child with Fever?

Monitoring a child with fever is more about making your child as comfortable as possible, rather than trying to suppress the fever.

How to treat a fever? The first thing you should do is make sure your child is well hydrated as possible, this will help the kidneys to filter waste and ease potential nasal congestion. You could also give your child the recommended dose of liquid paracetamol or ibuprofen to lessen other symptoms they may be having.

You should avoid trying to lower your child's temperature by bathing or fans, this can make your child more uncomfortable.

Fever Prevention

Fevers and illness will be commonplace throughout your child's infancy, so it can very much help to understand what causes fever in children . In their early years, children will typically catch several viral infections such as the common cold. In fact it is normal for a young child in daycare to have up to 12 viral infections per year, each lasting two weeks. That is six months per year sick! However, when it comes to fever prevention and bacterial infections, some particularly serious infections can easily be avoided. If you vaccinate your child and keep up to date with their vaccinations, you will be able to rest far easier knowing that a fever is much less likely to be a serious bacterial infection.

Grow Medical Fever Consultation

Dealing with fever and want to see a doctor? Book an appointment with a family friendly GP from Grow Medical .

What Causes Fever in Children?

Mon, 19 Aug 2019 13:06:53 GMT

Almost every child will develop a high fever at some stage in their lives. So what causes fever in children? In most cases, a fever will pass in a few days with no ill-effects; occasionally, a fever may be a sign of a serious illness which requires intensive management in order to reduce the risk of unwanted complications and after-effects.

Here, Dr Aaron Chambers from Grow Medical takes a look at how you will know your child has a fever, what causes fever in children, and what to do should you discover that your child has a fever.

A fever occurs when a child's body temperature rises higher than 37.6 degrees Celsius. 38 degrees is a frequently used cutoff for considering fever. Typically, normal body temperature is around 37 degrees. During the course of the day, it will vary slightly and may also alter due to the external temperature, consumption of a warm beverage or enjoying a warm bath. A temperature higher than 38 degrees, however, indicates a fever. What causes fever is usually some form of infection. As well as a raised temperature, your child may present with some, or all, of the following symptoms:

- Chills, shivering or shaking

- Flushed skin that is warm to the touch

- Excessive sweating

- Headache

- Rapid or irregular heartbeat

- Generally feeling unwell: children may be more irritable or cry more easily and not be comforted as readily as usual.

What causes a Fever?

So what causes a fever? A fever is actually part of the body's natural response to a virus or bacteria which is causing an infection. Part of the inflammatory response, a fever shows that the body's immune system is working hard to clear the infection. The infection may be caused either by a virus or by bacteria:

Viral Infection

In the majority of cases, there is no immediate treatment for a viral infection: rather, it is a case of managing the symptoms which the immune response generates. Viruses can be acquired from a number of different sources.

Bacteria Infection

If a bacterial infection is the cause of the fever, antibiotics may be used as part of the treatment. Common causes of bacterial infection in children are middle ear infections (otitis media), tonsillitis and pneumonia. More serious causes like urinary tract infection and meningitis are less common, but very important not to miss.

If your child has a fever, it's important to make sure that the underlying cause of the fever is treated, or the condition may take longer to resolve, or even get worse.

When to see a Doctor?

As some fever conditions can be life-threatening, it is critical to know when is fever too high for a child ? It's important to make sure your child is seen by a medical professional in a timely manner, particularly if they are less than a year old. This is because younger children may be suffering from a serious illness, but are unable to communicate their condition effectively. Baby immune systems are also more vulnerable than those of older children. In the majority of cases, what causes fever is a virus.

Hospitalisation may be needed if the effects of the virus are severe - although in older children initial symptoms of fever can be treated at home for the first forty-eight hours, if symptoms worsen, additional symptoms are displayed or the fever decreases, then becomes worse again, further medical attention is needed.

Fever Symptoms

Additional fever symptoms which may be cause for concern are:

- Inability to drink/passing little urine/dehydration

- A rash

- Inability to tolerate light

- Rapid breathing

- Pale skin and/or a bluish tinge to the lips

- Vomiting

- A stiff neck

Treatment for Fever

Initial treatment for a fever with mild symptoms may include:

- Fluids - encourage your child to drink

- Light clothing

- Paracetamol and/or Ibuprofen, taken according to the manufacturer's instructions

Avoid fans, cold bathing or other methods to bring the temperature down artificially: these may cause the child to feel uncomfortable and won't actually stop the progression of the fever, which is the body's way of fighting the infection.

In the majority of cases, fevers are short-lived, as children tolerate them well and recover quickly. That said, if you see any signs that your child's condition is degenerating, or the fever persists for more than 48-hours, it's important that they are seen by a medical professional. Occasionally, children with a fever may experience a febrile convulsion (a fit). Whilst these rarely have any long-lasting consequences, if you see that your child is losing consciousness or showing other signs of a fit, prompt medical attention is needed.

Comforting your child with Fever

Most causes of fever in children are viral, meaning you don't need to worry. The fever and infection will heal on its own over a few days. The main priority during this time will be the comfort of your child, as a fever can make a child very uncomfortable. The first thing you should do is make sure your child is well hydrated, this will help the kidneys to filter waste out of the body, and help to ease potential nasal congestion. If your child is suffering from body aches or headaches, you can consider giving your child the recommended dose of liquid paracetamol or ibuprofen in order to lessen the other symptoms they may be having.

Our doctors keep urgent appointments available each day, which become available at midnight. So, if you’re caring for a sick child in the middle of the night, you can relax slightly knowing that you can reliably book online for the next morning. It is important to remember that, while a visit to the doctor can generally wait until the next morning, if your child is getting worse rapidly, then you should take them to the nearest emergency department.

Grow Medical Fever Consultation

Dealing with fever and want to see a doctor? Book an appointment with a family friendly GP from Grow Medical .

How Can You Stay Healthier for Longer?

Sun, 04 Aug 2019 01:44:35 GMT

Read this 5-minute brief health check to find out...

With the middle of winter upon us, this time of year is often one where the waistline blows out from rich winter food, and the dark mornings mean that physical activity drops off. Now is the time to start turning it around. Not just for summer, but for the long run.

Most of us look forward to retiring one day. Heading overseas and spending the kids inheritance! But retiring healthy is a lot different to retiring with a chronic disease. Developing diabetes , having a heart attack or being diagnosed with cancer are a big burden in terms of medication, doctor’s appointments and mortality. It can limit your lifestyle options for travel, hobbies and more.

With over 80% of Australians over the age of 65 having a chronic disease, it is important to act whilst you are still in your 40’s or 50’s to prevent going down the path of chronic disease.

But what can you do?

Knowing the risk factors that you can change is the key. Here they are:

1. Smoking

Fortunately, the rate of smoking is falling, but it is still the biggest contributor to vascular disease. If you’re someone who is still smoking, but doesn’t want to, our doctors can help you quit.

2. Overweight and Obesity

The rate of excess weight in Australia is climbing, and unfortunately it is a risk factor for diabetes, cancer and more. Fortunately, getting your weight under control can dramatically reduce your chances of developing diabetes.

3. Alcohol Use

Whilst it is a great social lubricant, and strongly embedded in our culture, alcohol plays a role in elevating your risk of chronic disease. Moderation is the key.

4. Physical Activity

Our built environment and working habits mean we don’t get as much incidental activity as we should. Staying active improves your lean muscle mass, can improve your bone strength and balance, and reduce your risk of cardiovascular disease. It is also good for stress.

5. High Blood Pressure

As one of the major risk factors for stroke and heart disease, knowing your blood pressure and taking steps to keep it in a healthy range is vital. It is even more important if you have a family history of any of these conditions.

The unspoken factor in addition to the top five is stress and anxiety . We too often see a vicious cycle of workplace stress leading to a deterioration in healthy lifestyle. It can make all the top five factors worse. Addressing this aspect of our society is one of Grow Medical’s broader missions . We believe in looking outside the box, to treat you as a whole person by understanding the context of you, your family and friends, and your community.

Do you know you numbers?

Make a booking online for a comprehensive check up with one of our doctors in Highgate Hill , Oxley , Sherwood . We will check the basics, ensure your blood pressure and cholesterol are in a healthy range, and perform more detailed assessments for those who’s history suggests an elevated risk. Take Charge of Your Lifestyle by taking a positive step today.

Should Your Family See a Doctor Before Travelling Overseas?

Fri, 19 Jul 2019 01:08:44 GMT

Yes!
It is recommended that you and your family see the doctor for a long consult at least 6-8 weeks prior to your overseas trip.

Read on to find out why this is important...

Have a Health Check before Travelling

Your doctor needs to confirm your current health, medical history, medications and immunisation status. It is important to m ake sure you and your family are fit to travel, have enough medications to last your trip and ensure your routine immunisations are up to date.

Destination and Duration of you Trip :

Whether you are travelling to a developed or developing country, rural or urban location makes a big difference to the vaccinations you need and whether you might need protection against malaria.

Certain countries in South America and Africa require compulsory yellow fever vaccination. You can read Australia's list of yellow fever risk countries here . Other vaccinations and malaria medications are often needed as well. Note, in a young child the dose will need to be calculated and adjusted accordingly. Certain vaccines require multiple doses over weeks, and some vaccines take a few weeks to be effective. For this reason, it is best to plan ahead and have your initial travel medical consultation many months prior to your planned trip.

Which Vaccinations might you need?

The particular vaccines you need very much depend on your previous vaccination history and where you are travelling. This is a key reason you should see your doctor prior to travelling. As a rule, travelling to other developed countries similar to Australia means fewer additional vaccinations, but all travellers need to review their influenza, measles and whooping cough currency. For most people, travel to Asia, Africa, South America and the Pacific will mean you will need to update your travel vaccinations . Hepatitis A and Typhoid are the most common additional vaccinations required, as they are recommended for travel to common destinations like Thailand, Vietnam, Bali and Fiji. Particular consideration should be taken for travel to parts of Africa and South America where Yellow Fever vaccination is required. If you're travelling to the Middle East during the Hajj, a meningitis ACWY vaccination is recommended.

Do I need Malaria Protection for my travel?

Your doctor will discuss this with you during your consultation. Bringing as much detail about your itinerary as possible is helpful. The UK government site Fit for Travel has some excellent maps available that illustrate Malaria risk in countries around the world.

Activities that might affect your health:

Your destination can affect your medical condition, and the conditions at your destination can cause medical conditions. Topics to discuss with your doctor include altitude, interactions with wildlife, and exposure to mosquitoes. Make sure you are prepared with lots of detail about your itinerary, as your doctor will need to consider these factors when providing you travel health advice.

What else do I need to consider before travel?

Adequate travel insurance is essential, including making sure you get any existing conditions accepted by your insurer. Consider registering your trip on smartraveller.gov.au

Prevention is better than cure – mitigate jet lag by timing your sleep and staying well hydrated, avoid deep vein thrombosis by moving in flight. At your destination pay attention to mosquito deterrence and food and water hygiene

Do you need an Emergency kit?

Consider medications (such as anti-fever, anti-diarrhoeal, anti-nausea, antibiotic, anti-histamine, etc), oral rehydration salts and bandaids. Caution should be taken and these topics discussed carefully with your doctor. For example, we have seen some people become severely unwell after taking antidiarrhoeals for a bacterial gastroenteritis, as the infection subsequently entered the blood stream. Where possible, travelers are often better to seek medical care rather than taking an exhaustive medical kit.

What else do I need?

Remember to pack your medication, immunisation history and a health summary sheet - some countries have restrictions for certain medications so it is good to check before departure. Think about asking your doctor to publish your My Health Record Shared Health Summary so you can access your medical history online from overseas.

Travel can be fun, but also complex, especially if you have a health condition. Due to differences in your health and your destinations, it is prudent to obtain individualised medical advice prior to travelling. Book a travel consultation now at Grow Medical. Read more about our Brisbane Travel Doctors.

Flu Season Interview on ABC Radio

Thu, 18 Jul 2019 12:59:37 GMT

Flu Season and Treatments

Dr Aaron Chambers from Grow Medical explores the how to stay on top of the flu season on ABC Radio. Topics discussed include flu prevention, flu treatments, and when to see your doctor.

Do Antibiotics Help With The Flu?

ABC Presenter

Flu season came early this year and the figures are pretty shocking. Nearly ten thousand five hundred people have fallen ill with the flu so far this year in Queensland. More than 800 people have been admitted to hospital. So, if you had a cold or the flu, did you take any tablets? Did you use those lemon powders to make hot drinks? Did it make any difference? Cold and flu tablets, that’s what we're looking at this afternoon. Are they really worth it? Well helping us out today is Dr Aaron Chambers who's a local GP with Grow Medical at Highgate Hill. Great to have you along. I've read somewhere that Australian’s spend around $500 million dollars a year on cold and flu medicines. Does that surprise you?

Dr Aaron Chambers

Well it's a huge industry out there trying to treat all these things that are often not treatable. I guess from a general practice point of view, it doesn't surprise me because you see people spending enormous health dollars on all sorts of treatments whether they work or not.

ABC Presenter

Before we get to whether cold and flu tablets are worth a dollar, can we just talk about what they are and what they are supposed to do?

Dr Aaron Chambers

I think really the first message when we had a chat about this in our tea room, was, you know there's a really clear message that antibiotics don't work. We are seeing increasing rates of antibiotic resistance in the community, and with cold and flu typically antibiotics have no role. So probably that's the first message. And the other one is that prevention is really best. You know you've got to get in early and prevent this from happening by getting your flu vaccination. Making sure you don't get sick in the first place. I think they are the first messages right up front before you’re even talking about whether these things work or not.

ABC Presenter

Okay, so washing your hands, and absolutely coughing into your sleeve has shown to be much better than coughing into your hands. I’ve been doing that lately and I've had all sorts of interesting things emerge in between my elbows. But I wanted to know okay? Cold and flu tablets we might think, oh, I feel a cold coming on and certainly the marketing is around, well, as soon as you feel the first symptoms of a cold pop down to your local pharmacy and pick up some cold and flu tablets. What is it that the cold and flu tablet is supposed to do for you?

Dr Aaron Chambers

Yes, so are you treating the symptoms? Are you aching, are you treating it with paracetamol? Are you congested? Do you need a decongestant? Or, are you just feeling generally rubbish and you need something to just make you feel a little bit better. You're just treating the symptoms, and I guess there are specific tactics you can take depending on the symptom that's bothering you. Is it sore throat? Is it congestion? And there are different treatments that will attack each of those aspects.

Are Cold and Flu Tablets Worth it?

ABC Presenter

Okay. I kind of want to come to this question a little earlier than I would otherwise, because I have a feeling you might be able to tell us about some other things that might help? Are cold and flu tablets in your view Aaron as a GP generally worth it?

Dr Aaron Chambers

Well, they definitely help symptomatically. So, the combination type treatments can help you. They don't reduce the duration and severity of the illness. It's probably one or two things that might. But, your typical cold and flu tablet which might contain paracetamol, a decongestant, and an antihistamine, they might make you feel a little bit better. There's pretty good data that says that. But not a whole lot, and they definitely don't make you better any quicker.

ABC Presenter

Okay. So, tell me about the things that may help, if I've got, let's look at the cold, just a cold, like a bad cold.

Dr Aaron Chambers

Yep, so you’ve got a bad cold. Look you’re probably all congested, decongestants will help. So, pseudoephedrine used to be really popular. You’ll get looked at a little bit funny now if you go to the pharmacy and try and ask for some sort of pseudoephedrine upfront. But, I think the one thing that is really there is some pretty good evidence. Let's say you got a flu or some other respiratory viruses. The black elderberry has actually been shown to be pretty useful, and it's a natural treatment, and a lot of doctors might particularly frown on some natural treatments, but it's been shown to be pretty good at actually reducing the duration and severity of the flu, and it's got a very valid scientific mechanism and it actually works.

What Alternative Flu Treatments Are There?

ABC Presenter

How about zinc?

Dr Aaron Chambers

Zinc, well zinc is a little bit controversial. So, it has been shown to work, probably has to be used a little bit pre-emptively, maybe about a 20 percent reduction in symptoms, but it's really balanced off by its side effect. It gives you a lot of metallic taste in your mouth and some other gut upset sort of type side effects, so, the balance there is I think well whilst it might make your cold a bit better, it actually is balanced off by some side effects, and that's the case with a lot of these things.

ABC Presenter

And the nasal saline sprays etc?

Dr Aaron Chambers

I think they are great symptomatic treatment, super safe, really useful, and can make you feel a lot better. You know, I don't know if you have done it yourself, but wow gee it's great after you've flushed out that saline that you feel totally clear, if only for a few minutes.

ABC Presenter

The lightness, the ease of movement in the brain. Okay, some really practical steps there.

When Should You See Your Doctor?

ABC Presenter

But obviously if we do have concerns than the first step is to consult with your GP as this advice is general in nature.

Dr Aaron Chambers

Yes. And I think it's particularly important there are some red flags. You know young infants in particular, if they've got fever, they really must be seeing their doctor. And the whole advice around you know if your symptoms last longer than 48 hours please see a doctor. Absolutely. I think that's good advice.

ABC Presenter

Dr Aaron Chambers thank you so much for your time. Thank you. Dr. Aaron Chambers from Grow Medical in Highgate Hill.

Grow Medical Flu Consultation

Have the flu and want to see a doctor? Book a flu appointment with a family friendly GP from Grow Medical.

Toilet Training Your Pre-Toddler

Fri, 12 Jul 2019 22:12:44 GMT

Free your child from nappies!

When we see children for their six month checkup, parents are often surprised when we bring up the topic of potty training. It is a common misconception that pre-toddlers are not developmentally ready to toilet train. Our experience with our own children, and countless other families shows just how proud an 8 month old can be when they nail their first poo or wee on the potty!

Read on to find out how you could save the planet, save your sanity, and give your little one a chance to feel proud at their evolving independence…

How do I know if my child is ready to toilet train?

In many cultures around the world, cued toileting (sometimes known as elimination communication) has been used for generations to help children associate a certain sound with urinating. A number of paediatric scientific papers have noted this commencing around 4-9 months of age. This age works well, as most children are starting to be able to sit in a supported fashion at a high chair, and can do so on a potty with a little help. If you notice your very young child tends to wee or poo at a predictable time, you can support them against your body over the toilet.

How do I know if my child needs to go?

Most parents rapidly start to recognise the signs of their own child needing to urinate or defecate with a little observation. This will commonly occur around feed or change times. You might notice your child shiver prior to passing urine, or strain and grunt prior to opening their bowels.

How do I start toilet training my child?

First step is to go out and get a number of potties. Have them easily accessible around the house, in the car or wherever the call of nature might occur.

Once you have noticed the signs your child displays when they need to go, it is simply a matter of working with your child to reward when they associate a desirable location (like the toilet or the potty) with doing a wee or poo. As soon as you notice a shiver, pop their nappy off, support them to sit on the potty, and make whichever sound makes sense to you for them to associate with doing a wee. Many parents will make a soft psspssspsss sound. If you notice a look of concentration and grunting (especially around meal time), it is a sure-fire sign that a number two is on the way. Take advantage of the warning by having a potty nearby, and quickly take their nappy off whilst moving your child onto the potty. Some parents find impersonating the grunting noise your child is making can help them make the association. If many claps and smiles ensue from a successful mission, your child will be very happy to poo on the toilet after only a few successful attempts. The key here is taking delight in their achievement, and taking it all in your stride if things don’t work out so cleanly.

What if they aren’t so keen?

Keep it fun! If your child isn’t interested or protests, just go with the flow. Particularly in older children who haven’t started as early, they need an incentive and potty time has to be enjoyable. Try some pants off play time every day in the garden to help both parent and child increase awareness around toileting habits. With older children, if they have a favourite toy, love being read a book, playing with stickers or blowing bubbles, try doing these activities with their pants off on the potty. Anything you can do to make potty time a time of fun and interaction will help.

Why start potty training so early?

With the average age of toilet training pushing 4 years of age in some western countries, we are habituating children into nappies with the associated nappy rash and enormous landfill waste. We suspect that a contributing factor is that modern nappies are keeping children so dry that they aren’t getting as much feedback about what it feels like to wee in clothes. A change from disposable to reusable nappies may help your child understand what is going on.

We are all becoming acutely aware of how scarce our world’s resources are, along with the change in our own pockets. By giving this toilet training approach a go you could save yourself thousands in the cost of nappies, and do your bit to save the planet on the way. At the very least, you may find it easier to transition to reusable nappies if your child is able to toilet at least some of the time. For children with sensitive skin, the early escape from nappies can pay big dividends.

Importantly, starting early isn’t just about the planet either. From 9 months to around 18 months most children are an absolute delight, and seem to be genetically wired to demonstrate maximum cute factor. Whatever you think is cool, they do too! When you delight in something they have achieved, the bond of affection between parent and child is palpable. Even if it is over their ablutions! Fast forward a few more months, and children are approaching the fabled “terrible twos”. Whilst two year olds aren’t terrible, they are flexing their ability to influence the world, and are enjoying mastering their new skill of saying “no!”. This oppositional phase is normal and healthy, but does present some barriers to helping a child acquire a new skill like potty training.

So, why not give it a go? This approach to potty training can result in great fun, and turn a mundane interaction into a chance to communicate, delight in your child and increase that lifelong bond.

Who would have thought wees and poos could be so much fun?

If you want to chat more about how you can introduce elimination communication to your child, either come to our weekly parents group or call reception and ask to see paediatric nurse and midwife Alison Chambers

We all know someone living with Multiple Sclerosis

Sat, 08 Jun 2019 06:24:46 GMT

Dianne and Tristan have Multiple Sclerosis (MS). This is their story.

The Brissie to the Bay ride to fight MS is on next weekend Sunday 16 June 2019. Grow Medical’s midwife and paediatric nurse Alison Chambers is riding for a school friend, a uni friend, her Aunt and many patients she has met over the past 20 years. Help her raise funds to find a cure.

Read on to hear Tristan and Dianne’s stories of adversity, optimism, and maintaining a sense of purpose.

“I’ve got MS, but MS doesn’t have me”

Dianne and Tristan agree that the phrase “sometimes beaten but never conquered” is a good analogy for the way they approach life with a mixture of struggle and optimism.

For both, the social impact of the condition has been large. Fatigue has been a problem for Dianne, as she often lacked the energy to socialise after work. She has devoted herself to service to others, through her career at work, volunteering for meals on wheels, contributing to the Redbank school of art, and caring for her elderly mother. Tristan has maintained a sense of purpose by composing hip hop music, and has cleverly overcome the challenges of visual impairment by using a video magnifier to continue composing. One of his beats has recently been published in an album by a Brisbane rapper and is available on Spotify.

Multiple Sclerosis is no piece of cake. Tristan is only 37, and describes having recently fallen, spending 6 hours on the floor unable to get up. He makes the most of modern technology by using an apple watch to be able to appeal for assistance when needed in situations like this. Unfortunately he had taken the watch off when he fell. He remains light hearted “If you can’t laugh at yourself what hope have you got?”

So, what would Dianne and Tristan like you to know?
We don’t want to be treated any differently. Don’t treat us like we are disabled. We are still normal people, and just have limitations. We will ask for help if we need it. Tristan notes how variable MS can be - he is in a wheelchair after 13 years of symptoms. Others in their 60’s can still remain mobile after 40 years of symptoms.

Both want to see the proceeds of this year’s Brissie to Bay ride for MS be used to search for a cure, and to raise awareness that MS is diverse both in symptoms and the people affected. They appreciate the sense of solidarity that comes from so many people devoting time and energy to raise money and awareness.

Be sure to continue this conversation. Challenging stereotypes and creating an inclusive community is a task for all of us.

Click here to donate now to raise money to find a cure for MS.

Read this before your snow trip!

Sat, 01 Jun 2019 06:14:58 GMT

The days are shortening, jumpers have been dug out from the closet, snow is blanketing the southern ski fields and with single digit temperatures already in Brisbane, winter has well and truly arrived. If you are lucky enough to have an upcoming ski or snowboard holiday planned you may have already taken advantage of recent snow sales, but have you forgotten one of the most important pieces of equipment? A helmet!

When hitting the slopes you may not usually wear a helmet. However, wearing one when skiing or snowboarding is just as important as wearing a helmet riding a bicycle or a seatbelt in the car. It is well known that snow sports hold a significant risk of injury with children and young people being most susceptible. According to Sports Medicine Australia, of all downhill skiing & snowboard related presentations, head and neck injuries were the third most commonly treated at hospitals, as a result of falls or collisions with objects & other people. Further to this, European safety authorities attribute more than 50% of all severe and fatal injuries in snow sports to be related to the head. Helmets, if worn properly, can reduce the impact of a collision or crash and thus greatly reduce the severity of injury.

As a young teen learning to ski on the slopes of Falls Creek, I hardly remember anyone wearing helmets, let alone myself. It wasn’t until I became a ski instructor responsible for the safety of others, that I understood how important they are. I saw how I could set an example for newcomers and children to the sport, so for the last 12 years I’ve never skied a day without one. And now, I couldn’t imagine wearing anything else on my head. Not only do helmets protect from the unexpected, but also when properly fitted they are incredibly comfortable and fantastic at keeping you toasty warm on those long chairlift rides!

So if you are counting down the sleeps until your next winter adventure (33 for me!), regardless of your skill level, don’t forget to add a helmet to your packing list for every family member. We highly recommend the team at Snowcentral in Keperra and Underwood. They have a fantastic and affordable range of helmets for all ages (even rentals) to help you have a safe and fun filled holiday.

Dr Pink’s Safety Tips for skiing & snowboarding:

Undertake pre-season conditioning and training to build up your fitness, strength and flexibility. Dr Pink can work with you and your physio if you have a niggling injury.
Seek professional advice when choosing or hiring equipment. Select equipment suited to your activity, skill level and physical characteristics.
A helmet is recommended for all ages! Ensure it is in good condition
Wear appropriate clothing and layer for the conditions.
Eyewear that gives ultra-violet protection and a sunscreen with a high SPF should be worn even on cloudy days and re-applied regularly
Assess the snow conditions and take them into consideration, along with your skill level, before skiing or riding
Be familiar with, and follow the Alpine Responsibility Code
Adequate rest, nutrition, hydration and energy replenishment (i.e. regular snacks) will enhance performance and reduce the likelihood of injury
Visit www.snowsafe.org.au for more information

Work Stress and Anxiety

Sun, 24 Mar 2019 06:10:11 GMT

As 2019 really starts to get moving in terms of work, school and the other necessities of life, we have been struck by the number of people who have been into the clinic recently because they are feeling stressed, anxious, worn out or uncertain, despite a recent holiday.

Welcome to the age of face-paced change, increasing work demands, job uncertainty and an increasingly disconnected society; a society rife with loneliness and fertile ground for anxiety.

At least 15% of the Australian population has an anxiety disorder , with a much larger number experiencing symptoms of anxiety without necessarily having a medical diagnosis. This means that in most families like yours, someone will experience anxiety sooner or later.

We've broken it down into the most common concepts we see, and that we think you need to know.

1. You are wired to feel anxious
Anxiety is normal. Everyone gets anxious. It can even be healthy - scientists speculate that anxiety in fish may protect them from dangerous situations like getting eaten - as their behaviour appears to be much more risk-taking (putting them at risk of being eaten) when they are exposed to anti-anxiety drugs as reported in Science. Your body courses with adrenaline, cortisol and other stress hormones as a normal part of life, surging to prompt action when you are threatened. The feeling of a racing heart, tight chest, falling stomach, flushed face and a need to run away or fight. This adrenaline rush is designed to help us deal with situations of danger via this “fight or flight” response.

A moderate amount of anxiety is useful. It provokes us to perform, by making us worried what might happen if we don’t prepare for a presentation or train for an upcoming event.

However, there is a limit to the benefit of anxiety. Our modern society means you now can’t run away from a problem like a caveman faced with a sabre toothed tiger. And you definitely can’t punch your boss, business partner or anyone else, no mater how high your adrenaline levels run.

Consequently, high levels of unresolved anxiety tend to result in decreased performance with complex tasks, as our minds play on loop about the issue we are worried about, and the unused adrenaline makes us feel restless and fidgety.

So it is important to acknowledge that anxiety is normal, it can be your friend, and that learning to manage it wisely is the best strategy for long term success.

2. Setting life’s priorities can set you free
As GPs, we talk to people from all walks of life. From children to the elderly, unemployed to CEOs and large business owners. A common theme across these groups is that anxiety represents an imbalance in life that means stress is not allowed to resolve.

The most common story is that of work demands piling up, resulting in a lack of attention to family life. We see that lack of attention affect both the primary carer and the main breadwinner.

The irony is that when prompted, most people list their life priorities in roughly the following order:

1. Family
2. Friends
3. Health
4. Everything Else

And yet our behaviour is often driven by work or money. Ask yourself: is your work more important than your family? Does the culture of your workplace improve the wellbeing of the things most important to you or detract from it?

An exercise as simple as sitting down alone, and then with your family, and listing your priorities, can help crystallise this idea.
Then be brave and start pursuing your main priorities.

3. Exercise is your biggest friend
We mentioned Adrenaline before. If you’re feeling anxious, it typically means that the source of your anxiety has not been dealt with. Cavemen used to relieve their anxiety by running away or fighting the source of their anxiety. As we said before, you can’t do this in our society, but you can deal with the hormonal consequences.

Any sort of exercise that feels intense to you can help. Just ensure it is hard enough to cause you to feel a bit out of breath, and to have trouble concentrating on anything other than the exercise you are doing.

This is a great way to burn off that excess adrenaline, and will have a myriad of health benefits along the way.

A good tip is to aim for a group activity. Data from the exercise-monitoring giant Strava shows that people exercise up to 50% more when they are with someone else. Social contact, anxiety reduction, and increased fitness all in one place. Much better than any counselling session or prescription tablet.

4. Alcohol may make you feel better in the short term, but worse in the long run
There isn’t anything quite as relaxing as a well-earned beer or wine on a Friday evening. Or is there?

Many people don’t realise that alcohol has a paradoxical effect to be initially relaxing, but to trigger rebound anxiety the next day. This creates a classic reinforcing effect of stress and anxiety during the day, relieved by a drink at the end of the day, only to leave you with more rebound anxiety the next.

Surprisingly, it only takes as little as one or two standard drinks to cause this rebound anxiety. And the effect can last for several days after. Because alcohol is so ubiquitous in our social lives and dining culture, it can be years since you have had an extended period of abstinence to notice this effect. And when stress levels at work or at home go up, alcohol consumption is frequently used as a coping strategy.

If this is the case for you, choosing to take a month completely off alcohol can reset the balance, and allow you to break the cycle. Call it Dry July, NO-vember or whatever you wish. Give it a go and you will likely notice yourself more productive, less stressed, and with more energy to do the things that are truly important to you.

5. Our society is overwhelmed by keeping up with the Joneses.
We all need to work to support ourselves, but some of the happiest people I know have honestly appraised their life and chosen to pursue family happiness over material wealth. I have seen people drop their income by half after making this decision, to report back years down the track that it was the best decision they have made.

This phenomenon impacts so many aspects of our lives. We need a flash car, our social media personas need to be closely curated, our kids can’t yell at one another, and the house must look perfect, even if we are bringing up 3 children under 5.

We believe that working for a purpose, and striving for constant improvement is a necessary part of being human; it is part of the reason we live in such a wonderful society. But feel free to given yourself a break now and then. Leave the dishes, spend more time chatting with the people you love at the dinner table, and don’t feel embarrassed about the mismatched clothes your children are wearing. Your friends will thank you for it. And will be more likely to remember the shared laughter than the brand of table cloth.

What next?
We want the the Grow Medical community to be the healthiest in the country . That means we need our doctors , nurses , allied health , receptionists and patients to have positive mental health, a healthy family and be part of a thriving community. Please do your part to make this happen by sharing this widely with those you love, by clicking the share buttons below, as a way to start a conversation about what sort of society you want to build. All too often we don’t see fathers in the clinic, exactly because life is taking them in a direction they hadn’t intended. We believe this is the next frontier in growing the strength of your family. In fact, we believe so strongly in elevating the conversation around this topic, we have launched an annual essay competition . 2019's topic is " Stories of Fatherhood ". Sitting down and writing an entry may help you focus your priorities, and even inspire someone else to sharpen theirs.

If you read this article and noticed warning signs in yourself, or someone you love, please ask them to see one of our doctors. Acting sooner rather than later is really important, as once you have crashed it is much harder to pick yourself back up again and move on with life. Our team of doctors and psychologists are experts in physical, mental and family health. Speaking to someone independent and trustworthy outside of your family can sometimes be the factor that starts you on the path to recovery. In the the mean time remember:

1. Acknowledge anxiety for what it is and book now to see your GP.
2. Focus on your life priorities
3. Start exercising with friends, family or a group
4. Give alcohol a break
5. Don’t worry about the Joneses

See you soon. Remember to share via social media or email by clicking the buttons below. And thanks for reading.

School Sores (Impetigo)

Thu, 21 Feb 2019 06:03:25 GMT

We have had a number of children attend with school sores recently. This condition is highly infectious, and it is best to get onto it early, so we thought we should share these tips with you...

We all know that children are great at sharing. School Sores are highly infectious weeping sores that spread easily amongst children - hence the name. Outbreaks commonly occur in families, daycare centres and schools. These highly infectious bacterial lesions typically present with a golden crusted non-healing sore that easily weeps, and may also bleed. It also occurs as a bullous (blistering) form. Commonly affected locations are around the nose, mouth, backs of knees and behind the ears.

Impetigo is typically caused by Staphylococcus or Streptococcus and is spread via direct contact or contact with an infected surface. The classic example was the old-fashioned wooden school chairs scratching the back of children’s knees and causing outbreaks of school sores. Both “Staph” and “Strep” are normal bacteria on the skin, and it is thought that the infectious form represents a particularly virulent strain.

Once one lesion develops, it is very easy to spread the infection to other areas of broken skin, simply by touch or scratching. Because staphylococcus tends to colonise the nose, nose picking is also a common mechanism for spread.

Luckily, School Sores are readily treated, although meticulous attention to eradication is important to prevent recurrence, and children should be removed from school until exposed lesions are dry or able to be covered. We recommend a multi-pronged attack on the infection:

Daily use of Phisohex antiseptic body wash for the whole family until the bottle is empty. Pay particular attention to taking the crust off lesions, and to cleaning the groin, buttock crease, armpits, and behind the ears where Staph tends to colonise.
Topical use of betadine or prescription antibiotic ointment to infected lesions
Nasal treatment with either antiseptic nasal cream or antibiotic ointment to eradicate the virulent Staph from the nose
Careful attention to disinfecting items that may spread infection (eg hot wash of bathroom towels)
Oral antibiotics may be required for the treatment of multiple or widespread School Sores.

If you notice multiple or rapidly spreading lesions, we recommend you see your GP in order to ensure you get the sores under control as soon as possible.

Children with eczema are more prone to developing school sores due to their broken skin barrier. Infection with Staph or Strep can also make eczema worse, which is why bleach baths or bath oil with antiseptic is sometimes recommended. Our paediatrician Dr Nadia Leonidou has a special interest in atopy and eczema, and has great success at working with you GP to get your child's skin in good shape.

Grow Medical has Medical Centres in Highgate Hill (Gladstone Road near the corner of Dornoch Terrace) and Sherwood (Opposite Sherwood State School).

Click here to book now .

National Immunisation Program Schedule Updated

Tue, 19 Feb 2019 18:30:00 GMT

Dr Kate Pink, our new GP at our Highgate Hill Medical Centre discusses some changes to the childhood immunisation program.

Immunisation is important to protect children from serious and often life-threatening diseases. It not only helps protect individual children but also protects the broader community by minimising the spread of these illnesses. From the 1st of July 2018, The National Immunisation Program (NIP) schedule has been updated to improve protection against meningococcal, pneumococcal and haemophilus influenzae type B diseases. Your child’s due date for their next immunisation/s has not changed. Immunisations are still given at 2*, 4, 6, 12, 18 months and 4 years of age.

For some children, the updated schedule may differ slightly to what is in your child’s Red Book, so we thought we would give you plenty of information about the changes ahead of your child’s next vaccination.

The update includes:

At 12 months of age, children will receive a meningococcal ACWY vaccine (replacing meningococcal C vaccination);
At 18 months of age, children will receive the booster Hib vaccine dose, protecting against haemophilus influenzae type B (previously given as a combined vaccine with meningococcal C at 12 months)
At 2*,4 and 12 months of age, children will receive a pneumococcal vaccine (previously given at 2*, 4 and 6 months)

Meningococcal Vaccination
Meningococcal is a rare but very serious infection that can lead to blood poisoning (septicaemia) and brain infection (meningitis). Meningococcal disease is caused by different types of the meningococcal bacteria—A, B, C, W and Y. Previously, people with an infection from meningococcal types W and Y were rarely seen in Australia, however these have been increasing in recent years. The new vaccine will help protect against four types of meningococcal disease (A, C, W and Y) instead of one (C). There is also a Meningococcal B vaccination which is available privately through our clinics (not funded under the NIP).

Who is eligible for the meningococcal ACWY vaccine?
Meningococcal ACWY vaccine will be given to all children who are due for their 12 month vaccinations from 1 July 2018 onwards. Children who have already received their meningococcal C vaccine at 12 months of age are not eligible to receive the meningococcal ACWY vaccine under the NIP. Parents may purchase the meningococcal ACWY privately if they wish.

What if my child has already received meningococcal ACWY vaccines before 12 months of age?

Even if your child has had one or more meningococcal ACWY vaccine doses before 12 months of age, a booster dose from 12 months of age (and at least 2 months of age after a previous dose) is required for the best protection.

Haemophilus influenzae type b (Hib) vaccination
Hib (also called Haemophilus influenzae type b) is a serious disease in young children. It can affect the airways, skin, joints, ears or brain. Previously, a Hib vaccine booster was given in a combination vaccine with meningococcal C to children at 12 months of age however will now be given separately.
Four doses of Hib vaccine are still being provided through the NIP:

as part of a combination vaccine at 2*, 4, and 6 months of age; and
alone at 18 months of age.

Immunisation experts have reviewed the evidence and recommended the fourth dose be moved from 12 months of age to 18 months of age. It has been judged safe and effective to move this dose of Hib to 18 months of age.

Pneumococcal vaccination
Previously, pneumococcal vaccination was given to all children at 2*, 4 and 6 months of age. Immunisation experts have reviewed the evidence and recommended that Australia move pneumococcal vaccination to 2*, 4 and 12 months of age.

While the total number of doses has remained unchanged, the change in the schedule is expected to improve the protection provided by the childhood vaccination program.

For some children who have specific risk factors, four doses are recommended at 2*, 4, 6 and 12 months of age. These will still be provided for free. Your doctor will advise if your child should have 4 doses rather than 3.

Safety of vaccines
All vaccines used in Australia must be approved for use by the Therapeutic Goods Administration, which monitors the safety of medicines in Australia. Before a vaccine can be licensed, it is rigorously tested over several years to ensure it is safe and that it works. The safety of vaccines is always being monitored. For more information, visit: tga.gov.au or health.gov.au/immunisation

All vaccines have the potential to cause side effects. Common side effects that may occur and resolve quickly include:

injection site pain, redness and swelling
low grade fever
children can be unsettled, tired and grumpy.

Serious or unexpected vaccine reactions are very rare and should always be reported to your vaccination provider. If you have any questions or concerns make an appointment with one of our GPs.

Keeping up to date
Your child isn’t fully protected if their vaccination is overdue, even if they have been up to date in the past. It’s important to keep an accurate record of your child’s immunisations. You can also download the free VacciDate app to get reminders when each vaccination is due and keep immunisation records for all the children in your family.

If you have any questions about vaccinations for your child, please make an appointment with one of our GPs at Sherwood , Highgate Hill or Oxley . Book Online Now .

*Vaccinations due to be given at 2 months of age may be given from 6 weeks of age

Christmas is almost here!

Fri, 07 Dec 2018 18:30:00 GMT

Is this yet another blog about health and moderation? Roll your eyes, delete. Or another call to buy, get or give? Sigh, delete.

No, I didn’t want to write yet another article about making smart party food choices and drinking in moderation, although that is very very sound advice. (Read more about it here, Heart Foundation )

Nor do I need to write an article about being aware of those less fortunate than most, although if you haven’t yet considered giving to a family doing it tough, you can here, Salvos or here, Stuff the Bus .

This time of year is busy and I wanted to take the opportunity to remind our Grow Medical Families about using the Christmas period to take a breath, minimise fuss and recharge for 2019.

My little family is going to the beach over Christmas, we have 5 days to spend time together and with other family. It has the potential to be super relaxing or super stressful. Stressful because I often get caught up in the get more, buy more and organise everybody and everything to make this a memorable event for everyone else- every single year.

This year I have decided to take a different approach, I am going to keep it simple and lower my expectations. I am going to go for long walks on the beach and headland, maybe even alone. I am going to enjoy the moment, I am not going to constantly plan what we are doing next or who else we need to see and visit. I am not going to cook elaborate dinners, (except for maybe the glazed Christmas ham, yum!), we can eat hot chippies or toasted sandwiches. This year, I have chosen not to buy toys and plastic junk to fill stockings, there is enough landfill in the world, (#waronwaste).

I will spend time, not money and invest in relationships, not extravaganza.

Christmas is a special time of year, so for those of you on the ‘working, kids, school drop offs, pick ups, swimming lessons, ballet performance, cricket try outs, birthday party’s,’ treadmill, try and pause and enjoy the moment. Don’t worry about what people might think, take a breath and enjoy the moment. It's good for you.

Merry Christmas!

We will be closed on the public holidays but open as usual if you need us for all things urgent or routine.

Be safe and keep it simple,

Dr Anna.

Harry's sleep journey

Wed, 21 Nov 2018 18:30:00 GMT

Why won't my baby sleep?

I know how frequent night waking can almost break you as I endured it with my son Harry for over a year. By the time I went to Grow Medical I was exhausted. Actually, by the time I listened to the guidance of Grow Medical I was exhausted. You see I’d been there earlier and the Nurse Lactation consultant helped me understand infant sleep and the reasons as to why Harry wasn’t sleeping more soundly at night. I listened, and everything made sense, but when I started talking to people doubts about the program crept in. Many people said, “never wake a sleeping baby” and “babies need a certain amount of sleep each day” and “good long sleep promotes more sleep”, so I didn’t put into action any of the information I was told. I continued trying to promote long day time sleeps by sleeping beside my son and taking him for long walks and car rides in an effort to make him sleep longer under the belief that if he had a good sleep during the day he would sleep better at night!!

What can I do to help my baby sleep?

Fast-forward a couple of months and after another very broken night I called Grow Medical again. I saw a specialist GP who listened to our story with empathy and was so kind that I wanted to give her a hug! The doctor wrote out a management plan and I left feeling confident that in a couple of weeks we would be having much fewer wake ups.

The first week was hard. It was really hard. Because I had been prolonging Harry’s daytime sleep for so long it was like he had “jet lag” and by day 4 and 5 that “jet lag” feeling really hit him and it was really difficult to keep him awake. I found myself running to our local park to keep him awake! Honestly we spent 2 hours at our local park just trying to keep him awake!

Do I need to sleep train my baby?

We made it through the week and the first thing I noticed was how easy it was to get him to sleep. No more 20-30min nighttime feeding/rocking to sleep in a quiet room. Now it only took 5 minutes in the lounge room talking with my husband and BAM- Harry was asleep. AND this has continued ever since! At the end of week 2 we were experiencing about 4 night time wake ups, so we cut out time from his sleep. We woke him 15 minutes earlier in the morning and he went to bed 15mins later. By the middle of week 3, we got there. We had only two nighttime wake ups for the first time in over a year! We are now about 8 weeks into the program and Harry wakes anywhere between 1-3 times per night A HUGE difference from the 5-10 times that he was waking prior to going to Grow Medical.

One of the reasons why it took me so long to seek any medical help for Harry’s sleep was that I was so afraid of what they would instruct me to do. I have had many conversations with women who have used some sort of Cry It Out (CIO) method after advice from health professionals. However, this approach didn’t feel right for us.

I did have one doctor telling me to night wean Harry as they believed that this would reduce Harry’s frequent night waking, not a chance this would have helped, and I can only think of how traumatic and hard this would have been for both Harry and I! The program is gentle I could still boob to sleep and tend to every one of Harry’s cries, I did not have to ignore him even for a second.

How long should my baby sleep?

One of the key take-aways from Grow Medical is that not all babies need a huge amount of sleep and really trying to promote long daytime sleeps can have such a detrimental effect to night time sleep! I have a better understanding of my son Harry’s sleep and we have gone from a VERY frequent night waker to the normal 1-3 times per night. My only regret is not listening to them sooner and trusting their evidence based and, most importantly to me, gentle methods!

Thanks for reading,

Kaitlyn

Baby Sleep Clinic in Brisbane

At Grow Medical we have a wide range of General Practice , Nursing & Specialist services designed to help individuals, and to Grow the strength of families. They range from parents groups and drop in baby clinics with Kay Whitby, to home visits with Lactation Consultant Dianne Walsh , to Specialist GP consultations with Lactation Consultant GP Dr Sonja Morgan and Dr Kate Pink . Read more about our mothers and babies service here.

Call our Highgate Hill Team on 07 3036 4081 or email highgatehill@growmedical.com.au to see how we can help you.

Click Here to Book a clinic visit Online . Click Here to Book an Online (Skype) Consultation .

Want more great tips from our GPs who are great with kids?
Read How to Easily Toilet Train your Pre Toddler ...

Common Symptoms of Pregnancy (and How to Manage Them!)

Sat, 17 Nov 2018 18:30:00 GMT

Our Highgate Hill & West End GPs love working with you, your midwife and obstetrician to ensure you stay healthy. Here we discuss some of the common symptoms women can experience in their first trimester of pregnancy and how to manage them.

Nausea & Vomitin g
Commonly known as “morning sickness”, nausea and vomiting from pregnancy can actually occur at anytime of the day although a lot of women report it being worse first thing in the morning. It generally develops between weeks 4-9 of pregnancy and for the majority of women it will subside by 14 weeks. Some tips for managing include:

Avoiding an empty stomach by eating regular, small snacks
Try to eat immediately on waking. For some women this will mean before they even get out of bed. This is the time when having a few crackers on the bedside table or a partner to fetch you a piece of toast can be helpful.
Avoid over-eating at meal time as a really full, distended tummy can also make nausea worse
Stick to low fat, carbohydrate based foods such as toast, pasta and crackers
Avoid strong tastes and smells that you know trigger your sickness
Drink plenty of fluids but again have this in regular, small amounts as sometimes over-filling with water can also make you feel sick. Sometimes flavoured water or sparkling water can help.
Sometimes women will need medication to help manage nausea and vomiting. If the suggestions above are not enough, then speak to your GP, Midwife or Obstetrician.

Fatigue
Some women find that they feel exhausted in the early stages of pregnancy and they are not alone. It is tough work creating a new life and your body is working on over-drive. Whilst fatigue can be troublesome at any stage of pregnancy, a lot of women report it being worse in the first and third trimesters. It is important to ensure that other causes for fatigue are considered such as low iron and abnormal thyroid function. But otherwise remember to give yourself a break, take a chance to have an afternoon siesta and accept support from family and friends to help out.

Reflux
Reflux can become problematic in pregnancy even from early on. It makes sense that the growing uterus starts to put pressure on other organs in the abdomen including the stomach. But even in early pregnancy, the extra hormones running around the body can lead to relaxation of the oesophageal sphincter (the valve that stops food from regurgitating back into the food pipe from the stomach) and lead to reflux symptoms. Some things to help include trying to eat small, regular meals and remaining upright after a meal. Identifying and avoiding trigger foods such as caffeine and spicy food is also helpful.

Constipation
Just like reflux, pressure from the growing uterus and hormonal changes can also make constipation a problem for some women in pregnancy. It is really important to not ignore this as good bowel function is important to protect the pelvic floor in pregnancy . Make sure you are drinking plenty of water, trying to eat high fibre fruit and vegetables and staying active. If constipation is troublesome then medication may be needed so make sure you chat to your GP , Midwife or Obstetrician.

Increased vaginal discharge
It may not be something you commonly sit around and talk about with your pregnant friends but many women will experience an increase in discharge in pregnancy. So just because others aren’t talking about it, doesn’t mean they aren’t experiencing it. It is quite common for women to experience an increase in vaginal discharge which is generally clear to white in colour and quite liquid. If you notice any change in colour, offensive smell or itch then make sure you get it checked out.

Pregnancy and Early Life Care at Grow Medical
We hope you enjoy the experience of growing a new member of your family. We believe that pregnancy is a time where the focus on your health can make a life long impact in improving not only your own health, but also your child’s health. A relationship with your GP through pregnancy means that the days and months afterwards form part of a shared journey, which makes for a great start to your baby’s life. Our team of midwives , lactation consultants , GPs and allied health practitioners can’t wait to meet you!

Book Online Now to start your journey to better health.

Boobs, Pecs & Breast Cancer Awareness Month

Sat, 20 Oct 2018 18:30:00 GMT

Right, now we have your attention, October is Breast Cancer Awareness Month.

In Australia, breast cancer is the most common cancer diagnosis in women.

The average risk of being diagnosed with breast cancer, (before the age of 85), is 1 in 8 for women and 1 in 631 for men. Yes, men can have breast cancer.

There are 50 new cases of breast cancer diagnosed in Australia every day, equating to about 18.000 new cases each year. Australia has one of the highest survival rates for breast cancer in the world. Increasing survival is due to earlier diagnosis through screening and due to improved treatments.

Australia has a FREE national screening program for all women over the age of 50, (eligible from the age of 40). However, despite these gains over 3000 people, men and women, still die from breast cancer every year in Australia.

So, if you are reading this and have a family history of breast cancer in a male relative or a female relative under 50, or are concerned about a change you have noticed in your breasts, your chest or your armpits, please make an appointment to see one of our family doctors at Grow Medical, phone 31542393 or book online today. We are always happy to talk to you about your health, so if you have any other questions please book online too.

If you have been putting off attending routine screening, and are over 50, call BreastScreen now on 13 20 50 or book online directly with Breastscreen Queensland . If you are under 50 and think you need a breast check, book to see us to discuss your screening needs further.

Reference

https://www.bcna.org.au/media/6101/bcna-2018-current-breast-cancer-statistics-in-australia-31jan2018.pdf

Dr Krystyna de Lange appointed to National RACGP Position

Sat, 06 Oct 2018 18:30:00 GMT

We are proud to announce that popular Grow Medical Highgate Hill GP Dr Krystyna de Lange will be appointed this week as The Royal Australian College of General Practitioners (RACGP) Registrar representative. She will hold this position to act as the voice for training GPs across the country, whilst continuing her clinical role at Grow Medical.

Dr de Lange will take up the national representative role from 11 October 2018 at the RACGP annual conference and education event GP18. Dr de Lange will bring an amazing array of skills to the position, with degrees in both Pharmacy and Medicine, along with Diplomas of Obstetrics, Gynaecology and Child Health and a Certificate of Emergency Medicine. All this in addition to completing GP training and raising a young child!

RACGP Council Chair Tim Koh was quoted as saying that Dr de Lange was passionate about the future of general practice. We see that passion in practice every day, and congratulate her on being appointed to such a position. We look forward to helping her balance her representative role with her consulting at Highgate Hill.

Dr Lange returns this week from a month long holiday, which we hope was a welcome break in preparation for a busy year ahead.

Supporting Kids In Need - 2018 CRW 300 Fundraiser

Sat, 29 Sep 2018 18:30:00 GMT

At Grow Medical , we believe in supporting individuals, building the strength of families, and grow the communities in which we live. We are experts in family health and early life care. A deep sense of social responsibility is part of who we are, and that is why we support community groups and charities that fit with our core purpose of strengthening individuals, families and communities.

For the second year running, we are supporting the Chain Reaction Women’s 300 (CRW300) to support kids in need. This ride of female corporate leaders will be riding 360km over 3 days from 12 - 14 October in an effort to raise over half a million dollars. This year, we are proud to have increased our engagement by becoming a team sponsor, as well as entering our midwife and paediatric nurse Alison Chambers .

The 2018 recipients of the CRW300 fundraising are the AEIOU foundation for children with autism, and Youth Advocacy Centre for teenagers in the youth justice system. We believe both organisations have the potential to transform lives. Take a look below at the impact AEIOU has on families of children with autism.

We encourage you to join us in supporting kids in need by donating here , and by spreading the word to friends and family.

Iron Infusion Service Brisbane

Fri, 21 Sep 2018 18:30:00 GMT

Grow Medical can safely perform intravenous iron infusions . Safety is paramount at our medical centres in South Brisbane, just South of the Brisbane CBD. Our Iron Infusion service is provided by clinicians experienced in intravenous infusions. If you need an Iron Infusion in West End, our Highgate Hill location is convenient, and we also provide this Iron transfusion Service in Oxley and Sherwood.

Iron deficiency is a common cause of anaemia. We discuss common causes of iron deficiency and the importance of a thorough assessment for a cause of your anaemia here .

In Australia, it is generally recommended to use oral iron (in appropriate doses and for sufficient duration) as first-line therapy for most patients with iron deficiency. Dietary inadequacy should also be addressed by seeing a dietitian. Our dietitians are experienced in this area and consult regularly at Highgate Hill and Sherwood .

However, oral iron therapy and dietary intervention may be of limited benefit to some people, including those with impaired intestinal iron absorption such as inflammatory bowel disease (IBD), chronic kidney disease, history of weight loss surgery, prolonged reflux/heartburn who are on medication to reduce stomach acid, or who experience gastrointestinal side effects that reduce people tolerating and completing an oral iron course of therapy (e.g. nausea, constipation and abdominal pain).

Oral iron therapy may also be inappropriate in cases of severe iron deficiency anaemia, in which rapid iron repletion is required to prevent decompensation, or in patients who are about to undergo major surgery where it is likely blood loss will occur. Giving IV iron supplementation is often preferred and safer than requiring a blood transfusion.

Clinical trials have demonstrated that iron infusion is effective in patients with anaemia caused by inflammatory bowel disease, chronic kidney disease, chronic heart failure, heavy menstrual bleeding, pregnancy related and after blood loss associated with giving birth.

In key trials, ferric carboxymaltose (Ferrinject, intravenous iron medication used at Highgate Hill) improved anaemia and replenished iron stores as effectively as IV iron sucrose but required fewer doses with and had an improved safety profile.

Overall, intravenous iron therapy (≤ 1000 mg per infusion) was at least as effective, or more effective, than oral iron (ferrous sulphate 325 mg three times daily or 100 mg twice daily) at correcting anaemia and body stores of iron. Not surprisingly, improvement in patients’ anaemia were more rapid than with oral iron therapy.

It is great that we can now offer this service in a convenient, reliable general practice setting due to increased safety of the product. Please Book Online or ring Grow Medical Highgate Hill on 07 3036 4081 for more details regarding this service. Our doctors are proud to care for patients from West End, South Brisbane and surrounds.

Note: Ferric carboxymaltose (Ferinject) is PBS listed for the treatment of iron-deficiency anaemia, where oral iron preparations are not tolerated, ineffective or otherwise inappropriate. The diagnosis must be based on laboratory tests. Ferinject is also non-pbs indicated for treatment of iron deficiency when oral iron preparations are ineffective or cannot be used.

Should I have a My Health Record?

Sat, 25 Aug 2018 18:30:00 GMT

There has been a lot of controversy in the media recently about My Health Record . Concerns have been raised about privacy, but little of the discussion has focussed on the benefits, and how these privacy concerns are being addressed. At Grow Medical, we believe in a team approach to your health, and in being leaders at educating the next generation of GPs. We were impressed recently when our current University of Queensland medical student Lucy Wang created the attached explanation of the My Health Record. Take a look if you want to understand more about the My Health Record

At Grow Medical we are committed to your privacy, and ensure this is part of every conversation where it is relevant. Importantly, the My Health Record provides many possibilities to improve health safety by better transferring information between clinicians involved in your care.

For example, should you have significant allergies, medical history or medication, and (touch wood) end up unconscious in emergency due to an accident or illness, having a My Health Record means that the Emergency Physicians treating you can safely navigate your treatment with access to vital information.

We believe that for most people, the benefits far outweigh the risks, and encourage you to speak to your GP at Highgate Hill or Sherwood in order to create a health summary in you My Health Record.

How do you build your child's core strength?

Fri, 13 Jul 2018 18:30:00 GMT

When assessing a child's development, a common question parents have is how to encourage gross motor development. Rolling over, standing, walking, and balancing are all important gross motor milestones. Increasingly, we are seeing children who lack good core strength. This can impact upon concentration, handwriting, and self confidence, as if your child is having to use a lot of energy just to stay upright, they have less capacity to invest in learning other tasks. Many children have hypermobile joints, and need a little extra work to keep their joints stable and protected. Movement Solutions Paediatric Physiotherapy are renowned for their expertise in childhood motor development for children of all abilities, and run regular group-based gross motor classes at Grow Medical Sherwood . Read on to find out how to encourage gross motor development in your child through our regular Coordinated Kids Gross Motor Development Classes.

Co-ordinated Kids

Sometimes children need a little extra help when it comes to learning about their balance and coordination. If you have concerns about your child's motor development, book a doctor appointment with your GP at Grow Medical in order to have a thorough assessment of your child's development. If necessary, they can refer to our Paediatrician for further assessment. No matter what the issue, children respond well to extra activities focussed on their area of difficulty. We take the approach that building on a child's strengths, and helping them with areas of difficulty, will help them make the most of what they have been given, and grow into happy and productive members of society.

Our physiotherapy partners Movement Solutions believe all children should have the opportunity to learn and practice these skills to be the best they can be, so they can actively participate with siblings and friends at home, daycare and kindy.

To this end, Movement Solutions run regular Coordinated Kids Classes at our Sherwood Practice.

These classes are especially popular for children preparing to start school. They are run by our physiotherapists in the gym space and are fun and encouraging.

Classes are circuit style with a number of different stations each with a different challenging but fun task to try. While the classes are run by a physiotherapist the children do require parental supervision and assistance at all times. The classes are limited to a maximum of four children. These 45 minute sessions suit their concentration span and energy levels.

These sessions are ideal for:

Low muscle tone
Premature infants
Developmental delay
Motor dyspraxia
Cerebral Palsy GMFCS I and II
Genetic conditions

Programs focus on a number of goals:

Co-ordination and balance
Gross motor skills
Walking and running style
Hand eye co-ordination
Turn taking
Socialising and group play

When does Co-ordinated Kids run?
· Friday 9.30am

Costs: $40 per session paid at the start of the term as a package. To secure your placement, please ensure that payment is arranged prior to the first class. Please talk to our reception staff about payment methods * Private health fund rebates vary according to your fund and level of insurance ** Better start or NDIS funding eligible.

Please call Movement Solutions' receptionists at Coorparoo on 07 3324 2490 . No refunds or credits can be given for missed classes.

Kay Whitby Joins Grow Medical

Thu, 28 Jun 2018 18:30:00 GMT

Well known nurse Kay Whitby has been providing drop in clinics for mothers and babies in Oxley and the Centenary suburbs for many years. She is very well respected and loved locally, and has been a support for many through their pregnancy and mothering journeys.

Kay is known for her role in supporting breastfeeding through the Australian Breastfeeding Association . After many years at the Priceline Pharmacy in Oxley, when we heard that Kay was looking for a new home to provide her free drop-in baby clinics, it just seemed the right thing to do.

Grow Medical believes in improving health through deep personal connection. We believe that Kay embodies this spirit, with her commitment to the community she serves. We welcome her warmly, and look forward to a long association.

You can see Kay each Tuesday morning at our free baby clinic between 9am and Midday at our Sherwood General Practice .

Kay is here to provide general advice around your infant's health, and can assist with breastfeeding counselling or feeding issues in non-breastfeeding infants. She can also link you with our lactation consultants Dianne Walsh and Renee Keogh , who can provide home visiting services for infant sleep and breastfeeding issues.

Boost your health this Saturday

Thu, 14 Jun 2018 18:30:00 GMT

Our Doctors at Grow Medical Sherwood are available for Saturday consultations. Ease your time pressure, have a coffee next door and prioritise your health. Book Online Now .

We have noticed this last few months that a lot of patients are mentioning that they feel burnt out. Work expectations appear to only be getting higher, despite the promise of a technology revolution making our lives easier.

If you're feeling that work pressure has caused your physical health to suffer, feeling stressed, or soldiered through the week with an illness you think needs treatment, Book Now to see one of our Saturday Doctors.

Helping Patients With Better Use of Technology

Fri, 23 Mar 2018 18:30:00 GMT

Information is key to much of what we do in today's society. When it comes to your health, it is critical that the clinician treating you has access to all the information they require in order to make the best decisions.

At Grow Medical, we have a single record for every patient. After a lot of intensive integration work over the last few months, this now means that no matter which practice you go to, or which clinician you see, they will have access to a complete picture of your health.

This also means that you are able to book for any member of your family at any location using our online bookings. Please talk to our receptionists at your next visit to ensure your family is linked in our system, and that your address, email and phone details are up to date.

On Saturdays, our Sherwood GP Medical Centre is open to all Grow Medical patients, for those unable to come during the week. The integrated record means the Saturday Doctor has all your data to hand.

The final stage of integration has been an upgrade to our phone system, so we can now transfer your call between practices, and answer your call more quickly. All for a better patient experience!

The final piece of work happens this Tuesday 27/3/2018, and will mean you won't be able to phone Highgate Hill or The Possums Clinic between 10am and 11am. Please phone Sherwood on 0731542355 if you need to speak to someone during this time, and they will be able to help using our shared record.

Increase in Tongue Tie Operations Outpaces Evidence

Tue, 13 Feb 2018 18:30:00 GMT

In September, 2017, in an article in the Medical Observer, Possums founder Dr Pamela Douglas wrote:

“Our breastfeeding babies appear to be in the grip
of a tongue-tie epidemic.
Or more accurately, in the grip of a tongue- and upper lip-tie epidemic”

Now the evidence is in, with the release of an article in the Medical Journal of Australia this month revealing that Medicare-funded frenotomy (tongue tie release surgery) rates have increased 420% in a decade from 2006 to 2016. Even this figure is likely to under-estimate the total number of frenotomies being performed Australia-wide given it is only capturing procedures performed under Medicare funding. Those procedures being performed in the public hospital sector or privately with dentists will not be captured in this data. In fact, in the ACT, where there were no dentists performing this procedure during the time studied, there was a 3710% rise in frenotomies being performed. This suggests even the 420% rise nationwide is likely an under-estimate of the true numbers.

These increased numbers are likely a reflection of an underlying commitment to helping women breastfeed, and it's true that classic tongue-tie was missed for decades. Unfortunately the evidence is just not there to show that frenotomies, particularly those done for posterior tongue ties, improve outcomes. In fact, in another paper that's just come out, Dr Douglas and Associate Professor Donna Geddes analyse the most recent ultrasound studies performed around the world of breastfeeding mother-baby pairs. They demonstrate that the structural model of infant suck dysfunction, upon which the decision to proceed to frenotomy in the absence of classic tongue-tie is based, is inaccurate.

For a genuine alternative to frenotomy (in the absence of classic tongue-tie) parents might be interested in trying gestalt breastfeeding, based on a completely new evidence-based model of infant suck. Book an appointment with one of our Possums accredited GPs or Lactation Consultants .

General Practice Open Saturdays

Wed, 07 Feb 2018 18:30:00 GMT

We believe in increasing connection to your doctor, at a time that suits you. From this Saturday 10 February 2018, our Sherwood practice will be open for GP consultations from 8.30am to Midday every Saturday.

We have done lots of background work over the last two months to ensure that now, no matter which clinic you are seen at, our clinicians keep notes in a single medical record. This means your doctor will have full access to all the information they need to keep your health on track. So whether you normally attend Highgate Hill or Sherwood, you're welcome to use our Saturday service.

All Saturday appointments are charged privately according to our normal fees. No appointments are bulk billed.

Book online for appointments or phone 0731542355.

There are more ways coming to better connect to your doctor in the very near future. Stay tuned!

New Cervical Cancer Screening - What You Need to Know

Mon, 05 Feb 2018 18:30:00 GMT

From 1st December 2017, a five yearly cervical screening test replaced the two yearly pap test. Here's what you need to know.

What is the new test?
Until December, 2017, the pap smear has been used in Australia to screen for cervical cancer. The pap smear is performed by collecting cells at the junction of the endocervix (inside of the cervix) and ectocervix (outside of the cervix) with a brush. These cells are then placed on a slide or in a liquid and looked at under a microscope to see if there are any abnormal cells that may indicate pre-cancerous or cancerous changes. With the new test, instead of looking directly for abnormal cells, the cervical screening test will look for the virus, human papillomavirus (HPV). Women will still need the same procedure involving a vaginal examination but instead of the lab looking for abnormal cells, they will first be trying to detect the presence of HPV.

What is HPV?
HPV is the virus that pre-disposes to cervical cancer and is responsible for more than 99% of cervical cancer. HPV is very easily transmitted via skin contact during sexual activity and is extremely common in both men and women who have ever been sexually active. In fact, most people who have ever been sexually active will have been infected with a strain of HPV at some point, often without even knowing it. Like most viruses, the body’s immune system will try to fight it naturally and generally is successful at removing it. But sometimes, the virus is able to cause the cells of the cervix to become abnormal and rarely, results in cervical cancer. So by looking for HPV on the new test, we are looking one step before the abnormal cells develop.

What does a positive test mean?
A positive result on the new cervical screening test means that HPV has been found in your sample. All abnormal results should be discussed with your doctor to decide on the management plan most appropriate for you. You may need increased surveillance or you may require a referral to a specialist to have further testing.

What age should women start having the cervical screening test?
Traditionally women have started having pap smears between the age of 18 to 20. With the new cervical screening program, women will not need to start having the HPV test until 25. This is great news for many women. One exception to this is if you became sexually active at an age under 14. For these women, a once off cervical screening test between the age of 20 and 24 is funded by the Government.

I had the HPV vaccination, do I still need screening?
A vaccination against HPV has been on the National Immunisation Program since 2007. Currently males and females receive this vaccination for free in Queensland as part of a school based program in year 7. It requires three doses over a six month period for complete effect. This vaccination directly targets the strains of HPV most responsible for causing cervical cancer. However, it does not protect against ALL strains. So whilst the vaccination is good news for reducing cervical cancer, it is still recommended that women undergo regular cervical screening even if they have received the full course of the vaccination.

How often should women have the cervical screening test?
The music to most women’s ears is the reduced frequency of cervical screening. Instead of the two yearly pap smear, the HPV cervical screening test will only need to be performed every five years. This applies to women who have always had negative results in the past and have no symptoms. Any woman who has had previous abnormal pap smears or is experiencing symptoms such as discharge or a change in bleeding (eg after sex or in between periods) should see their GP or gynaecologist to work out what testing is best for them.

Does this mean I can wait five years since my last pap smear?

Unfortunately, no. Because your last screening would have used the pap test you still need to return at the two year mark to have your next cervical screening test. Once you have had this test and providing it is all normal you can then wait the five years.

When can I stop having cervical screening?
Women will be eligible to exit the cervical cancer screening program once they have a negative result between the age of 70 and 74.

Pregnancy Nutrition and Exercise

Sat, 20 Jan 2018 18:30:00 GMT

Pregnancy is a time of great promise: new life, new beginnings, a focus on health unmatched with the rest of your life.

Optimising your nutrition and continuing a balanced exercise program is essential to the health of your growing baby. There are some simple guidelines to follow:

Exercise
After discussing your current level of fitness, and any specific issues during your current pregnancy, with you doctor or midwife, most women are recommended to continue regular exercise during pregnancy. A good guide is to aim for 30 minutes of exercise per day, at a level that allows you to continue to hold a conversation.

Better Health Channel provides comprehensive guidelines for more detailed advice.

Nutrition

Pregnancy means your body and your growing baby have an increased requirement for a range of nutrients. In particular, increased folate is important before pregnancy and during the first trimester. Vitamin D, B12 and Iron are commonly encountered deficiencies and should be discussed with your doctor if you are heavily sun avoidant, have darker skin or a vegetarian diet.

The types of food you eat are also important. Alcohol avoidance is important in pregnancy due to the effects on your baby. Food contaminants mean that some types of food are best limited or avoided. Good general advice for food hygiene is:

"Wash your hands well prior to cooking and eating
Wash your food well prior to cooking
Cook your food well (avoid undercooking)
Avoid left-overs and cabinet-style takeaway

Avoid top-of-the-food-chain fish"

Better Health Channel is a good source of further information on this topic.

Gestational Diabetes
An increasing number of women in our society are developing Gestational Diabetes . This is a condition similar to Type II Diabetes that occurs during pregnancy, resulting in high blood sugar levels. The can cause a number of effects on your baby both during the pregnancy and after birth.

All women are recommended for screening for raised sugar levels at the commencement of pregnancy, as well as testing for gestational diabetes at the end of the second trimester.

Good nutrition and adequate exercise before and during pregnancy may help prevent gestational diabetes, or reduce the impact upon your baby. Careful treatment though a combination of lifestyle measures and medication can mitigate the effects of gestational diabetes.

If you are planning a pregnancy, the best time to adopt a healthy lifestyle is now. Maintaining a healthy weight, eating well and exercising regularly can both help you get pregnant, and stay healthy throughout.

Our team of GPs, midwives, dietitians and more can help you make the most of this precious time. Start the conversation by booking with one of our GPs today .

test-grow-med

Why Does My Toddler's Appetite Vary?

How to improve your child's appetite

How much should my child eat?

Why does my child eat so much some days?

How the French teach children to eat

How to stop my child's fussy eating

Top Meal Time Tips for Infants and Toddlers

Child Nutrition Advice

Dr Aaron Chambers

Guide to Coronavirus for Brisbane

About the Coronavirus COVID-19

Is The Coronavirus in Brisbane?

Coronavirus Symptoms

Coronavirus Countries Affected

Coronavirus Treatment

Coronavirus Transmission

Coronavirus Testing Brisbane

Coronavirus Doctor Advice

Dr Aaron Chambers

Song and Social Connection for Babies

Soothe your child through familiar song

Music Therapy Groups Sherwood & Highgate Hill

Singing to Your Baby

The soothing power of singing

Music Therapy Groups Sherwood & Highgate Hill

Tips For Being Better Prepared for Prep

Don’t Delay your child’s start to school unless there is a very good reason

Get the basics checked over summer

Take time off and have fun as a family

Be active to encourage your child’s development

Take a trial run of uniform and lunch box

Toilet training

Do something for yourself and your skills as a parent

How to Deal With Tantrums In Children

What is a tantrum?

Why do tantrums happen?

What causes tantrums?

What should I do when my child has a tantrum?

How do I stop tantrums?

How Can I prevent tantrums?

What if I need more help with tantrums?

Asthma & Emphysema in Low Air Quality

What action should I take to prevent an asthma or emphysema flare?

Stay Indoors, close doors and windows, and switch airconditioning to recirculate

Take your preventer medication as prescribed

Keep your reliever close at hand

Treat your nose if needed

Quit Smoking

Check on elderly and children regularly

When did you last have an asthma checkup?

What if I need help with my child's asthma

What is the next step?

Assessing Your Risk of Vascular Disease

What are the risk factors for vascular disease?

Existing Vascular Disease

High Cholesterol

High Blood Pressure (Hypertension)

Diabetes

Smoking

Others

What to expect from your vascular checkup?

How can I prevent vascular disease?

What is the next step?

Should I Space Out My Baby's Feeds?

How do I know when my baby is due for a feed?

How long should I leave between newborn feeds?

How much should my baby drink?

Feed you baby when they are hungry

Breastfeeding Support for Newborns

Other Articles On Breastfeeding

Colic in Babies - Symptoms, Treatment & Relief

What is Colic in Babies?

Symptoms of Colic in Babies

Baby Colic Treatment

Baby Colic Relief

Best Formula for Colic

Colic in Babies Consultation

Other Articles On Breastfeeding

Benefits of Breastfeeding