Together Medical Newsletter April 2018

Influenza & flu vaccine
Together Medical Newsletter March 2018
October 17, 2018
Together Medical Newsletter May 2018
October 17, 2018
Waiting room

From The Doctor's Desk - Waiting room


Together Newsletter April 2018

From The Doctor's Desk - Waiting room

Bladder Troubles

Welcome to the April instalment of our Newsletter where I thought we would discuss bladder trouble. The first thing to say before we set sail is that nearly all bladder conditions can be treated, managed if not cured.

Symptoms of bladder trouble include urinary urgency, urinary frequency, pain on passing urine, pain over the lower abdomen, reduced urinary flow, incontinence (both stress related and overflow incontinence), bed wetting in older children, reduced (oliguria) or no passing of urine and sometimes bloody urination (haematuria). Causes range from infective causes (urinary tract infections/urethritis/cystitis), anatomical or obstructive causes such as enlarged prostates in men, benign polyps or malignant masses sitting in the bladder blocking the outflow of urine, or a metastatic cancer having spread from a primary tumour located elsewhere in the body. A blockage may also come about through a vaginal wall prolapse in the case of women who have developed a weakness in the birth canal over time and after child birth. Bladder trouble can occur from infancy into advanced stages of life.

Treatment options include antibiotics if we suspect bladder or kidney infection (pyelonephritis). There are medications which can help with obstructive urinary symptoms that can affect the tone of the bladder wall and its sphincter release to combat against urgency, reduced flow, post void dribbling. Surgical intervention is sometimes necessary where there is an obstruction involved i.e. de-bulking of an enlarged prostate or removal of a cancer. Exciting approaches exist here where some surgeons (Urologists) are turning to robot-assisted procedures resulting in better surgical outcomes. The important thing to say is that all these conditions can be tested for in a relatively easy, mostly non-invasive manner, hopefully leading to prompt, assertive and effective interventions leading to resolution in many cases.

Dr. W. Dib

MBBS FRACGP BSc. (Biomedical) HONS
Rear, Level I, 1571 Ferntree Gully Road, Knoxfield 3180
Clinic Hours
  • Monday 10am to 6pm
  • Tuesday 10am to 4pm
  • Wednesday 10am to 5pm
  • Thursday 9am to 7pm
  • Friday 9am to 5pm
  • Saturday 9am to 12.30pm
  • *closed 1 Saturday each month & Public Holidays

Appointments: If you are unable to attend your appointment, please call us and let us know as someone else may be in need of the appointment.

Fees: We Bulk Bill concession card holders, children under 16 and all new patients first appointment. Patients without concession cards will be charged a fee. Please see the sign at reception for further details. EFTPOS is available. Your Medicare rebate will be processed at time of payment.

Practice Update

Our continued aim is to provide the most up-to-date medical service possible and to focus on preventative health to help you avoid disease before it starts.

Our Doctor is committed to ongoing education and skill development by attending conferences, seminars and lectures.

Computerised information sources further enhanced access to the most up to date information. Parking facilities are provided on Otway Street.

Privacy: This practice is committed to maintaining the confidentiality of your personal health information. Your medical record is a confidential document. It is the policy of this practice to maintain security of personal health information at all times and to ensure that this information is only available to authorized members of staff.


Our Doctor does not take phone calls during consultation hours. If you need to speak with the doctor, you must make an appointment. Results are not given over the telephone, they are given in consultation. You may receive a telephone call from the Doctor if the matter is urgent, otherwise our receptionist will call you to make a follow up appointment.

Urgent matters will be triaged and it is likely that you will be given an urgent appointment on the same day.

Our practice is committed to preventative care. We may issue you with a reminder notice from time to time offering you preventative health services appropriate to your care. If you do not wish to be part of this system please let us know at reception.

Health Promotion: April is the month for healthy hips, osteopathy awareness, FND awareness, World Parkinson’s and World Immunization week.

Flu season With the flu season fast approaching, don’t forget to book your flu shot today for only $9.95.

The flu is a highly contagious viral infection that can cause severe illness, including pneumonia. It is spread by contact with fluids from coughs and sneezes so is even more likely if you have been in contact with someone who already has it.

To avoid getting sick this winter get your flu shots.

Knoxfield Pharmacy has a wonderful Baby Range including Sepal bottles endorsed by the Royal Children’s Hospital, Melbourne. These bottles are exclusive to Knoxfield Pharmacy as a supplier to the public. You can find out further information about these products by visiting our Pharmacy and having a chat to one of our staff or by looking up the Sepal website

Knoxfield Pharmacy offers Document Certification at a cost of $1 per page. This is donated to the National Geographic Uproar Program. Helping to save big cats in the wild!

Crying baby

Pharmacy News - Dermatitis

by: Amir Dib, Pharmacist

Dermatitis is a group of skin diseases that results in inflammation of the skin and is characterised by itchiness, red skin and a rash. Types of dermatitis include atopic, allergic, contact, irritant and stasis. The exact cause is often unclear but contact dermatitis can occur following brief exposure to substances a person is sensitive to. Some common triggers are soaps, clothing, grass, pollen, foods, perfumes, oils, lanolin and parabens.

A very common type of dermatitis is atopic dermatitis and generally starts in childhood. It is due to a combination of genetic and environmental factors. The onset occurs in the first few months and usually within the first year of life. It is characterised by dry, erythematous patches usually on the face, elbows, back of knees, wrists and ankles.

Management includes identifying avoidable aggravating factors and topical treatments. Flare ups need to be controlled as skin infections can occur if left untreated. Oral antihistamines can often be used to help control the overall itch as well good skin care such as using ph balanced soap alternatives and moisturizes. The most effective treatment for flare ups are corticosteroid topical creams and ointments and should be used on all inflamed areas, not just the worst areas, until complete clearance. There are also non-corticosteroid products that can be used such as tar preparations, pimecrolimus and others.

Knoxfield Pharmacy has a great new MooGoo skin care range that has proven to be effective in treating and preventing many cases of dermatitis. For more information about dermatitis please pop in and see our friendly staff or make an appointment with Dr Dib at Together Medical Family Practice.