The Ankle Brachial Index (ABI) is the ratio of the blood pressure in the lower legs to the blood pressure in the arms.
Compared to the arm, lower blood pressure in the leg is an indication of blocked arteries (peripheral vascular disease).
This test is ordered by your doctor and may be indicated in various chronic illnesses where circulation is affected (eg Diabetes and Chronic leg ulcers).
If found to be outside of the normal range, further investigations may be required.
At Bayside Medical Group,we have the capacity to perform a a screening audiogram as a method of screening for hearing impairment.
This is a simple test performed by our nursing staff and interpreted by your doctor. The test is performed using a standard audiometer which produces pure tones at different frequencies. This enables us to screen for any hearing impairment.
We perform these tests on children over the age of 10 years and adults usually at the doctor’s request. Simply contact us to make an appointment. This test is often performed during the course of our 45 to 49 Health Assessments.
Please note that this test does not replace a formal hearing test conducted by an audiologist.
Aviation Pilot Medicals
Dr Hamish Scott at Bayside Medical Group offers medical examinations for all classes of aviation licence.
When booking please indicate which class of licence and if this is a renewal or new application.
We are able to perform necessary tests – blood tests, ECG, audiogram, spirometry. The need for these tests is based on age, class of licence and when clinically relevant. We are happy to discuss this with you prior to your booked appointment.
You will require an ARN to complete the medical exam. This also allows you to log into CASA’s medical records system – MRS online. MRS online should be accessed prior to the appointment so you can answer preliminary questions. We can provide guidance with this as needed.
This medical standard applies to holders of an Air Transport Pilot Licence, Commercial Pilot Licence (other than balloons), Multi-crew Pilot (aeroplane) Licence, Flight Engineer Licence or Student Flight Engineer Licence.
Unless otherwise advised, a Class 1 medical certificate is valid for one year.
- Estimation of fasting serum lipids and fasting blood glucose
- Calculation of Cardiovascular risk
- Eye examination by CASA Designated Aviation Ophthalmologist or Credentialed Optometrist.
- ECGs are required at the first renewal after the 25th, 30th, 32nd, 34th, 36th, 38th and 40th birthdays, and annually thereafter.
- Audiograms are required at the first renewal after the 25th birthday and every fifth birthday thereafter.
- Fasting lipids and glucose is required at the first renewal after the 25th birthday and every fifth birthday until age 60 and yearly thereafter.
- Eye examination by a CASA Designated Aviation Ophthalmologist or Credentialed Optometrist at age 60 and at two-yearly intervals thereafter.
This medical applies to holders of a Student Pilot Licence, Private Pilot Licence, Commercial Pilot (Balloon) Licence and Flight Radio Operator Licence.
Unless otherwise advised, a Class 2 medical certificate is valid for four years for applicants less than 40 years of age on the day of issue or two years for those aged over 40 years.
There are no special requirements, unless clinically indicated.
This medical standard applies to holders of an Air Traffic Control Licence or and Flight Service Officer.
Unless otherwise advised, a Class 3 medical certificate is valid for two years.
- Estimation of fasting serum lipids and fasting blood glucose
- Calculation of Cardiovascular risk
- Eye examination by CASA Designated Aviation Ophthalmologist or Credentialed Optometrist
- ECGs are required at the first renewal after the 25th and 30th birthdays and every 2 years thereafter, i.e. at every subsequent routine examination.
- Audiograms are required at the first renewal after the 25th birthday and then at each renewal after every fifth successive birthday.
- Fasting lipids and glucose is required at the first renewal after the 25th birthday and then at each renewal after every fifth successive birthday to age 60 and then yearly thereafter.
- Eye examination by a CASA Designated Aviation Ophthalmologist or Credentialed Optometrist at age 60 and at two-yearly intervals thereafter.
Care Plans and the Enhanced Primary Care Program
The doctors at Bayside Medical Group are prepared to create care plans for our patients with complex needs. If you require this care plan, it is best to make a long appointment to enable enough time to discuss your care needs. There are two types of plans that can be prepared by a General Practitioner (GP) for Chronic Disease Management (CDM):
- GP Management Plans (GPMP); and
- Team Care Arrangements (TCAs)
If you have a chronic (or terminal) medical condition, your GP may suggest a GPMP. If you also have complex care needs and require treatment from two or more other health care providers, your GP may suggest TCAs as well.
If you have both a GPMP and TCAs prepared for you by your GP, you may be eligible for Medicare rebates for certain allied health services. It is up to a GP to determine whether you are eligible for these allied health services which must be directly related to the management of your chronic condition.
The practice nurse can provide support and monitoring between visits to your GP. Your GP will offer you a copy of your plan. You and your GP should regularly review your plan/s.
Chronic Medical Conditions
A chronic medical condition is one that has been (or is likely to be) present for six months or longer, for example, asthma, cancer, heart disease, diabetes, arthritis and stroke. There is no list of eligible conditions. These items are designed for patients who require a structured approach and to enable GPs to plan and coordinate the care of patients with complex conditions requiring ongoing care from a multidisciplinary care team. Your GP will determine whether a plan is appropriate for you.
GP Management Plan
A GP Management Plan (GPMP) can help people with chronic medical conditions by providing an organised approach to care. A GPMP is a plan of action you have agreed with your GP. This plan:
- identifies your health and care needs;
- sets out the services to be provided by your GP; and
- lists the actions you can take to help manage your condition.
Team Care Arrangements
If you have a chronic medical condition and complex care needs requiring multidisciplinary care, your GP may also develop Team Care Arrangements (TCAs). These will help coordinate more effectively the care you need from your GP and other health or care providers.
TCAs require your GP to collaborate with at least two other health or care providers who will give ongoing treatment or services to you. Let your GP or nurse know if there are aspects of your care that you do not want discussed with other health care providers.
Review of GPMPs and TCAs
Once a plan is in place, it should be regularly reviewed by your GP. This is an important part of the planning cycle, where you and your GP check that your goals are being met and agree on any changes that might be needed.
Referrals for Allied Health Services
If you have both a GPMP and TCAs prepared for you by your GP, you may be eligible for Medicare rebates for specific individual allied health services that your GP has identified as part of your care. The need for these services must be directly related to your chronic (or terminal) medical condition. If you have type 2 diabetes and your GP has prepared a GPMP, you can also be referred for certain allied health services provided in a group setting.
The explanatory notes and item descriptors for these items are available online in the Medicare Benefits Schedule (MBS)
Bayside Medical Group offers Nurse-led childhood immunisation clinics. These sessions are conducted on a regular basis and the service is bulk-billed so that no out-of-pocket fees are incurred.
Immunisation is the most significant public health intervention in the last 200 years, providing a safe and efficient way to prevent the spread of many diseases that cause hospitalisation, serious ongoing health conditions and sometimes death.
Our doctors also may immunise your child and this service is provided as part of a consultation and fees are incurred in the usual way.
Bayside Medical Group supports and recommends that the Standard Immunisation Schedule as set out by the Health Department is undertaken by every patient in our clinic.
Australian Immunisation Register Data Entry and Catch-up Immunisations
The Australian Government – Department of Human Services – require that all immunisations given overseas be entered in the Australian Immunisation Register (AIR). All children prior to attending childcare, kindergarten and school also require immunisations to be up-to-date as per the Victorian Schedule.
This data entry or catch-up vaccinations may be performed by your local council at no cost.
Immunisation Nurses at Bayside Medical Group can also facilitate this process.
If you require this service by our Immunisation Nurses, the fee is
- $50 per child and capped at $100 per family
If you would like us to do this for you need bring all of your documentation of immunisations to the practice and leave this with our immunisation nurses. If required, a catch-up plan will be prepared, and you will be contacted to discuss the plan.
We will also update your medical record at Bayside Medical Group.
Once completed the nurse will contact you to advise if any catch up immunisations are required to bring your child in line with the Victorian requirements.
Please allow up to 2 weeks for your data to be entered and if required, a catch-up plan to be written.
Once completed you will be able to access your immunisation details via the myGov app or website.
The Maternal and Child Health phone app
The Maternal & Child Health app (MCH app) provides reliable information that families can use every day.
Download the free MCH app for trusted information matched to the age of your child, at your fingertips! The app can also track your child’s growth, and remind you about upcoming MCH appointments or immunisations.
And with Nora the digital assistant on hand to answer your questions, it’s like having an MCH nurse with you 24 hours a day!
The MCH app is also available in Arabic, Chinese (Simplified), Dari, , Khmer, Persian, Punjabi, Spanish and Vietnamese.
For app support, email: MCHApp@edumail.vic.gov.au
Contraceptive Hormone Implant (Implanon™)
The Implanon™ implant is usually inserted under the skin on the inner aspect of the upper arm. Implanon™ is a convenient and effective contraception method and its effect may last for up to three years. As with all contraceptive methods, we encourage you to discuss all the advantages and disadvantages with your usual doctor before proceeding with this method.
If you are having the hormone implant inserted for the first time ensure you have read the Consumer Medical Information (CMI) which will be provided by your prescribing doctor.
The implant should be inserted soon after the commencement of your period (or withdrawal bleed if you are on the combined oral contraceptive) and no later than 5 days after the first day of bleeding.
If you are on the progestagen only pill (Minipill) or have an IUD, the implant can be inserted at any time.
If you have been using injections of progestagen, the insertion should occur when your next injection is due.
Removal can occur at any time within the 3 years from insertion. Replacement can nearly always be done on the same day as removal.
Bayside Medical Group offers the services of an experienced dietician for our patients.
Margaret Kotlarz completed her Nutrition and Dietetics degree in Adelaide in 2005. Margaret is an Accredited Practising Dietitian, experienced in a broad range of Nutrition and Dietetics.
Since 2006 she has worked across various hospitals, medical centres and nursing homes.
Currently Margaret is consulting with a bariatric surgeon, a gastroenterologist, at a psychiatric hospital and at our Hampton and Mentone branches.
- First Visit: $110.00
- Review Visit: $70.00
If you have an EPC Referral then you will receive a Medicare rebate of $52.95 for each dietician visit.
Patients with Prvate Health Insurance Extras Cover may also receive a rebate for dietician visits. Please check with your own fund for details
The Australian Dive Medical assesses the fitness and suitability of prospective scuba divers and ensures that the medical standards for diver fitness meet the Australian Standards AS 4005.1 for recreational divers, and AS/NZS 2299.1 for occupational divers.
Scuba diving does involve some risk and some medical conditions can make the risk of death while diving much higher. As a result, the regulations, requirements and medical standards relating to diving in Australia are amongst the strictest in the world, in order to ensure that Australia continues to be one of the safest places to dive in the world.
It is a legal requirement for medical practitioners who perform diving examinations to adhere to these standards and to have had a level of training approved under the Standard.
Developed largely by the South Pacific Underwater Medical Society (SPUMS), the Standards for dive medical examinations in Australia are closely modelled on the SPUMS dive medical examination.
Please do not use our online appointment booking service for a dive medical.
A detailed questionnaire and examination is performed according to the Australian Standard.
Our clinic nurses are trained in performing a 12-lead ECG (electrocardiogram) to assist in diagnosis of cardiac arrhythmias and other heart conditions. The ECG is interpreted by your doctor.
An electrocardiogram (ECG) is a medical test that detects cardiac (heart) abnormalities. This is done by measuring the electrical activity generated by the heart as it contracts. The machine that records the patient’s ECG is called an electrocardiograph. An electrocardiograph records the electrical activity of the heart muscle and displays this data as a trace on a screen or on paper. This data is then interpreted by a medical practitioner. ECGs from normal, healthy hearts have a characteristic shape. Any irregularity in the heart rhythm or damage to the heart muscle can change the electrical activity of the heart so that the shape of the ECG is changed.
A doctor may recommend an ECG for patients for the following reasons
- Assessment of any heart rhythm problems
- Evaluate any enlargement of the heart as a result of elevated blood pressure
- Assessment and management of any characteristic heart symptoms
Dr Peter Lucas
Dr Peter Lucas is a Consultant Physician who specialised in Geriatrics. Dr Lucas has practised as a consultant Geriatrician for 30 years at the Kingston Centre and in private practice for the Bayside area. Medical issues he commonly treats in the elderly include memory problems, falls, gait disorders & failure to thrive.
Dr Peter Lucas consults every second Wednesday in Hampton from 1:30 to 5:30pm
Please telephone the clinic for appointments.
A referral from your General Practitioner is required.
Maintaining your health contributes significantly to quality of life. This involves good lifestyle habits amongst other things. A good starting point to improving your health is to have a check-up with your doctor.
The main aim of a check-up is to prevent or detect illness at an early stage. It is surprising how many conditions are picked up on routine medicals; diabetes, breast lumps, elevated blood pressure, and skin cancers to name few. The check-up is a good time to do routine tests like cervical screening, diabetes screening and cholesterol tests. It is also an ideal time to discuss lifestyle factors like smoking, excess weight and stress. Health education is an important part of any medical check-up.
There is no clear rule about how frequently people should have a check-up. In adults up to about 40 years, a check-up every two years is appropriate. If there happened to be an underlying health problem, more frequent reviews would be necessary. Older adults should be seen every year or so.
After some general enquiries, the person’s health is discussed system by system. Then a thorough physical examination is performed, and relevant investigations are arranged.
Maintaining or improving our health should be a high priority. Money spent on a routine check-up is a good investment.
Bayside Medical Group offers some structured Health Assessments targeted at specific age groups with a focus on preventative health. The “Over-75 Health Assessment” focuses on maintaining a person’s independence in the community. The “45-49 year old Health Assessment” looks at various factors for the prevention or early detection of medical illness.
Because a medical check-up takes considerably longer than a normal consultation it is best to let the receptionist know in advance.
Flu is a common disease of the respiratory tract and affects people of all ages.
Annual influenza vaccine is recommended for everyone aged 6 months and older.The following patients are eligible for a free (government) vaccine –
- Children aged 6 months to <5 years of age
- Adults aged 65 years and over
- Aboriginal and Torres Strait Islander people
- People with medical conditions that increase their risk of influenza (such as people who have diabetes, asthma, cardiac disease or are immunocompromised)
- Pregnant women
All other patients need to purchase a private vaccine.Most people will develop immunity within two to three weeks of vaccination. Experts have advised there is evidence suggesting that protection following influenza vaccination may begin to wane after around 3 to 4 months. As influenza usually occurs from June, with the peak around August, vaccinating from mid-April 2019 will allow people to develop immunity before influenza transmission is at its peak. You can also speak with your doctor for advice on the best time to receive your vaccine, based on your individual circumstances.
It is never too late to vaccinate since influenza can circulate all year round. Vaccination may be undertaken as long as influenza viruses are circulating and a valid vaccine (before expiration date) is available.
Influenza vaccine for each season is usually available by early April each year but timing may vary depending on the logistics of supply and delivery the vaccine.
Flu Clinics 2019
Bayside Medical Group will be running flu clinics from mid-April. Flu clinics assist us to vaccinate a large number of patients in a relatively short period of time.
The consultation is bulk billed so there is no out of pocket fee, although some patients will be required to purchase from the clinic a flu vaccine for $13.
Most clinics will be held during the week – morning and afternoon sessions. We will also be offering some evening and weekend sessions.
Please note –
- Flu clinics are strictly for receiving the flu vaccine only, if you have any other matters such as results or referrals you will need to make a separate appointment with your GP.
- Appointments are booked in 15 minutes time intervals. You will be seen in order of arrival within your 15-minute time slot. Please arrive before the end of your 15-minute time slot.
- As with any vaccine, you will be required to wait in the clinic for 15 minutes after receiving the flu vaccine so please allow approximately 30 minutes from time of arrival until you will be ready to leave the clinic.
Intra Uterine Device (IUD)
Bayside Medical Group has a number of doctors who perform IUD insertion and removal.
The procedure is mostly performed (for appropriate women) as a form of long term reversible contraception but may also be used for excessive menstrual bleeding or as part of a regime in hormone replacement therapy.
IUD’s which are impregnated with hormone are very reliable in preventing pregnancy with a failure rate of about 0.2% (99.8% effective)You may view the Mirena Product Information here.
Prior to insertion women considering having an IUD inserted should attend one of the doctors who perform the procedure for an initial assessment. (If there is more to be dealt with than just the assessment and discussion about the IUD, patients should make a long appointment)
At this assessment the patient will need to ascertain if IUD use is appropriate in their situation and also to gain an understanding of the benefits of this form of contraception as well as the potential side effects and risks. The patient will need to have an understanding of the method of insertion as well as the most appropriate timing. Medical history relevant to IUD insertion will need to be gathered and a full gynaecological examination performed. A Cervical Screening Test can also be performed at this time if it has not been collected recently.
At this assessment written information can be provided regarding the device.
If you have used an IUD in the past or if you are currently using an IUD and it is due to be replaced it is still recommended that you attend for an assessment prior to arranging the procedure.
The insertion of the IUD is performed in our Procedure Room as a general anaesthetic is usually not required. A half hour booking for a “Procedure” is required and can be arranged when attending for the initial assessment. The doctor is assisted for this procedure by one of our nurses.
Women should attend for a review appointment 6 weeks after insertion and can consider annual review after that time.
Overview – What is an iron infusion?
An iron infusion is a minor procedure when an iron containing medicine is infused directly into the blood circulation via an intra-venous cannula. The iron containing preparation circulates and is delivered to the body organs that require iron for normal functioning.
Ferric carboxymaltose (FCM) also known as Ferinject® is an intravenous (IV) iron preparation, a medicine that is used in the treatment of iron deficiency conditions such as iron-deficiency anaemia .
Iron is an essential element required for the production of haemoglobin in red blood cells and of myoglobin in muscle tissue. Iron also plays an important role in many other vital processes in the human body.
Iron deficiency is a common cause of anaemia. In Australia current clinical management recommends use of oral iron (in appropriate doses and for sufficient duration) as first-line therapy for most patients presenting with of iron-deficiency anaemia (IDA).
An iron infusion is sometimes recommended for people who are low in iron (iron deficient). Usually iron can be given orally but sometimes patients experience side-effects from oral iron (stomach upsets, constipation) or there are situations when oral iron is ineffective or cannot be used, and an iron infusion may be recommended. If the body iron is particularly low an iron infusion may be recommended to increase the iron stores quickly. The aim of the iron infusion therapy is to replenish body iron stores and to remedy anaemia, a reduced level of haemoglobin due to iron deficiency.
It is generally recommended that iron therapy initially be given orally. Iron infusions are however considered safe particularly with the newer iron containing preparations currently available. In the past (older) iron infusions were associated with common side-effects including allergic type reactions. This is much less common with the current iron containing preparation (Ferinject®) but this is still a potential risk. Your doctor will talk to you about the risks and the benefits of having an iron infusion in your particular circumstances.
It is unusual to experience any significant side-effects from an iron infusion with the newer iron containing medications. However, below are the known potential side effects to Ferinject®
- Anaphylaxis with onset of respiratory difficulties and /or cardiovascular collapse – This is rare but is the main reason we have a protocol of observation
- Headache, dizziness
- Nausea, abdominal pain, constipation, diarrhoea
- Skin rash
- Injection site reactions
- Hypersensitivity including anaphylactoid (allergic) reactions
- Hypotension (low blood pressure)
- Vomiting, heartburn
- Muscle aches, back pain
- Fever, fatigue, chest pain,, malaise, swelling of hands and feet
- Shortness of breath
Please see the full list of side-effects of iron infusions Ferinject®.
There is no particular preparation needed for the iron infusion.
Your doctor will provide a script for Ferinject to be filled at least the day prior to the procedure. The two boxes of Ferinject must be brought to the appointment.
It is recommended to have an antihistamine (eg Zyrtec, Telfast, Claratyne) as well as 2 Paracetamol 1 hour prior to the procedure. It is also helpful if you have had plenty of fluids to drink so finding a vein for the infusion can be easier.
You will be able to drive home after the iron infusion.
Patients requiring an Iron Infusion should allow 1 hour in total for the procedure. The infusion usually only takes 15 – 20 minutes once the IV drip infusion is commenced. You will need to then stay for a further 30 minutes following the infusion to ensure no adverse reaction occurs.
You will be given a pathology referral for a blood collection which should be performed 1 day prior to review with your doctor about 2-4 weeks after the infusion.
Following the procedure it is suggested to have Paracetamol 2 four times per day for 1 day (or longer if needed).
It’s is always important to monitor your own health after an iron infusion. If you experience any significant symptoms (for example chest pain or difficulty breathing) it will be important for you to contact your doctor who administered the iron infusion or an emergency department as soon as possible.
Dr Gillian Taylor and Dr Damian Marinucci are accredited to perform this test. Mantoux testing is a screening tool for tuberculosis. This test is NOT performed on Thursdays or weekends. Please telephone the clinic to make an appointment for a Mantoux Test.
The Mantoux (pronounced Man-too) skin test is used to see if you have been infected with the germs (bacilli) that cause tuberculosis (TB). It is important to detect TB early so that treatment can be started as soon as possible.
This test is given by an injection between the layers of the skin, usually on the inside of the left forearm using a small sterile needle and syringe.
A positive reaction is measured by the size of the lump (induration) that forms where the injection was put into your ·arm. This lump occurs over the next two to three days.
You may have a positive skin test reaction if you:
- Have had tuberculosis before and have been cured.
- Have been exposed to the tuberculosis bacteria or have been immunised for tuberculosis (BCG).
- Have tuberculosis.
A negative result may actually be incorrect (false negative) if you:
- Are taking medicine to lower your immunity eg. steroids or chemotherapy drugs.
- Have a viral illness eg. measles, mumps or rubella.
- Have been vaccinated with live attenuated viruses within the last month eg measles.
- Are very sick.
If you have a Mantoux test, you will need to come back in two or three days to have the result of the test checked. The reaction can be itchy but scratching the test site may cause an infection, so it is best not to touch it. Bandaids, bandages and ointments can affect the test results, so it is important to keep the skin clear and uncovered (long sleeves and jumpers can be worn). If you get blisters around the spot where the injection was given, do not break them.
You may do all normal daily activities eg. playing sports, having a shower.
Minor Surgical Procedures
We are equipped with a well-appointed procedure room with hospital-standard autoclave sterilisation equipment and protocols.
Many of our doctors are able to perform simple surgical procedures such as excision of skin lesions, hormone implantation and repair of skin lacerations.
We recommend that you discuss any procedure with the doctor who will perform this procedure beforehand. During this consult, the nature of the procedure will be explained as well ass any necessary after-care.
After your procedure,you will be given written information on managing the wound and when to return for review or removal of sutures (if sutures have been placed). Pathology results of any lesions removed may be discussed at the time of suture removal. If there is a more urgent result form the excision, your doctor will make contact with you.
Pathology Specimen Collection
Blood test collection and a number of other pathology tests are available from our locations.
The test results are received electronically and are available according to our usual protocol.
The service is available during the times listed below.
|Pathology Hours of Operation - Hampton
Pathology Phone: (03) 9533 5879
Pathology Fax: (03) 9533 5891
|Monday to Friday||8:00am to 5:00pm|
|Saturday||8:30am to 12:00pm|
|Sunday and Public Holidays||Closed|
B.A., Grad.Dip. App.Psych., MAPS
Fulvia Dee is a qualified psychologist with over 15 years of experience in the field in community health and private practice. She works with adults and young people in the areas of anxiety, depression, trauma, PTSD, post natal depression, grief and loss and life transitions.
Fulvia has an eclectic approach to her work and is trained in a variety of modalities of treatments such as CBT, RET, EMDR, hypnosis, art therapy, and brief therapy to suit the experiences of her clients. She also speaks fluent Spanish and some Italian.
Dr Catherine O’Donovan
Doctor of Psychology (Clinical)
Catherine O’Donovan graduated from La Trobe University with a Doctorate in Clinical Psychology. She has worked in the Community and Corporate sectors and is currently in Private Practice for the past 16 years and works with adults. Catherine has also completed post-doctoral training in PTSD and sleep issues.
Catherine employs a range of psychological methodologies for a range of clinical issues including Cognitive Behavioural Therapy and Solution-Focussed Therapy. She provides her clients with practical strategies to build resilience and create change.
Areas of interest include:
- Anxiety and panic
- Depression and mood concerns
- Fear and phobias
- Stress and PTSD
- Grief and loss
- Self-esteem and assertiveness
- Career, transition and workplace issues
- Communication and interpersonal issues.
Catherine is registered with WorkCover, TAC, Medicare and Private Health.
Shared Obstetric Care
We have a number of doctors who provide shared antenatal (pregnancy) care with selected local public hospitals.
Sue English Sandringham Hospital, Monash Medical Centre, Dandenong Hospital, Casey Hospital, Royal Womens Hospital, Mercy Hospital for Women, and Box Hill Hospital
Sally Hyden Sandringham Hospital, Monash Medical Centre, Dandenong Hospital, Casey Hospital and Royal Women’s Hospital
Cathy Leembruggen Sandringham Hospital and Royal Women’s Hospital
Marie Swieca Sandringham Hospital, Monash Medical Centre and Royal Women’s Hospital
There will be an initial visit at approximately 6-8 weeks and then at regular intervals until your delivery. Appointments can be made at other times as necessary.
The first two visits will be long consultations and will include an Antenatal Assessment consultation with the practice nurse at 10-11 weeks.
At approximately 34 weeks you will have a pregnancy planning visit with your shared care doctor. This will be a long consultation. Preparation for your birth is discussed at this visit.
You will attend the antenatal clinic at the hospital for a number of visits during the course of your pregnancy
Your doctor will organise your hospital booking.
When you visit the midwives at the hospital please discuss bookings for antenatal classes if this is your first pregnancy. PLEASE NOTE at Sandringham Hospital, tours of the Labour Ward are only available through the antenatal classes.
Blood and urine tests, including testing for Down’s Syndrome and other genetic disorders, will be discussed during your first visit.
Other tests, including your required ultrasounds, will also be discussed.
- think you are in labour,
- have ruptured your membranes,
- have had a loss of blood,
- have noticed a significant reduction in the frequency of movements, or
- any other significant problem in your pregnancy,
contact your doctor or Labour Ward.
Your first visit will be a Medicare Level C consultation. The second visit, including the nurse assessment, will be a Medicare Level D consultation and your 34 week pregnancy planning visit will be billed as a Medicare Item 16591. All other visits will usually be a Medicare Level B consultation. More information on the consultation fees may be obtained from our reception staff.
There is no charge to you for delivery or hospital care as the hospital is billed directly.
PLEASE NOTE that if you are admitted to hospital as a public patient there can be no guarantee as to which doctor will look after you.
Contacting Your Doctor
If you are experiencing any problems you feel will not wait until your next visit, contact your doctor in normal surgery hours. Please let reception know that you are experiencing a problem with your pregnancy. If your doctor is not available, ask to speak to another Shared Care doctor or the nurse on duty.
Out of hours please contact Labour ward at the hospital. Make sure you have these phone numbers available to you at all times.
Lung function testing assists in the assessment and management of asthma and other chronic lung disorders. We have a computerised spirometer to perform this type of testing.
Common lung conditions, such as asthma and emphysema, cause problems by narrowing the airways resulting in shortness of breath. Narrowed airways are difficult to breath through – the greater the narrowing, the more difficult that breathing becomes.
Spirometry and flow volume curves are tests which are of great value for measuring exactly how much narrowing is present.
The test procedure involves taking a full breath in and blowing out with best effort into a device called a spirometer. Measurements are made by the device which indicate the speed at which the lungs can be emptied and filled with air. The test is performed whilst seated, and usually takes 10 to 20 minutes. It is sometimes carried out before and after inhaling a reliever drug such as Ventolin™ or Bricanyl™ to measure the effect of these drugs. In this case, your doctor may ask you not to take your usual reliever medication for a few hours prior to the test.
The test is performed by one of our registered nurses and the results are reviewed with your doctor after the test.
Simply telephone our clinic for an appointment. Some medication need to be avoided before this test is performed and detailed instructions may be found in the following document
Travel Vaccines and Advice
We have a stock of common travel vaccines to most destinations. If any unusual vaccination is required, we will be able to order the vaccine promptly. On occasion, patients will need to purchase their vaccines from a pharmacist after their doctor provides a prescription.
Bayside Medical Group is accredited as a Yellow Fever vaccination provider.
We have access to current travel vaccination databases.
As travel vaccination can be complex, we recommend that you see a doctor in an appointment to discuss your itinerary and determine your vaccine requirements. Travel immunisation can take up to six weeks to complete so consult your doctor as early as possible.
Further information may be found at Centre for Disease Control – Traveller’s Health
- Wild poliovirus type 1 – Islamic Republic of Iran 24 May 2019On 9 May 2019, the Global Polio Laboratory Network (GPLN) notified WHO of the detection of wild poliovirus type 1 (WPV1) from an environmental sewage sample collected on 20 April 2019 in Konarak district, Sistan-Baluchistan province, Islamic Republic of Iran. The virus was detected in an environmental sample only, and to date, no associated cases […]
- Ebola virus disease – Democratic Republic of the Congo 23 May 2019Although this past week continues to bear witness to a steady rise in the number of Ebola virus disease (EVD) cases in the Democratic Republic of the Congo, the overall security situation has allowed for the resumption of most response activities. While no major insecurity incidents have occurred, outbreak response teams, local healthcare workers, and […]
- Dengue fever – Réunion, France 20 May 2019On 16 March 2018, WHO was notified by the National International Health Regulations (IHR) Focal Point of France, through the European Commission Early Warning and Response System, of an increase in the number of dengue cases reported on La Réunion Island, France, since the beginning of 2018.
- Middle East respiratory syndrome coronavirus (MERS-CoV) – The Kingdom of Saudi Arabia 17 May 2019From 9 through 30 April 2019, the National International Health Regulations (IHR) Focal Point of Saudi Arabia reported nine additional cases of Middle East respiratory syndrome coronavirus (MERS-CoV) infection, including three deaths.
- Monkeypox – Singapore 16 May 2019On 9 May 2019, the Ministry of Health (MOH) in Singapore notified WHO of one laboratory-confirmed case of monkeypox. The case-patient is a 38 year old Nigerian man who arrived in Singapore on 28 April 2019 and attended a workshop from 29-30 April. Prior to his travel to Singapore, he had worked in the Delta […]
Dr Doron Gaddie is experienced in performing vasectomy. You are free to make an appointment with Dr Gaddie to discuss the suitability of this procedure in detail.
Vasectomy is an operation performed to stop sperm from reaching the ejaculate, therefore preventing unwanted pregnancies. The procedure performed at Bayside Medical Group is the ‘No-scalpel Vasectomy’ (NSV).
NSV is done under local anaesthetic. The vas deferens (the tube carrying sperm from the testis) is brought through the surface of the scrotum. A small segment of the vas is removed from each side and the ends are tied. A barrier of fascia (part of the sheath covering the vas) is then interposed and stitched between the cut ends. This final step further prevents sperm from bridging the gap.
The following are possible side effects and complications that can be associated with the procedure.
Pain: Local discomfort is to be expected. In rare cases, this can last indefinitely, but usually it settles within a few days.
Bruising / bleeding
Infection: The sterile technique used by Bayside Medical Group minimises the risk.
Failure : Very rare, but for this reason, a sperm analysis is performed after approximately 20-25 ejaculates. Interestingly, it is reported that 1:35000 men has an accessory vas deferens that is not detectable clinically.
Recanalisation: There is a remote chance that the tubes can rejoin. However, the data shows that when a fascial barrier is placed between the cut ends, the risk is as close as one can get to zero. This particular technique is used by Dr Gaddie.
These complications are not common, however, it is important that you understand them.
More information about this procedure and the consent form is found in the document below.