Together Medical Newsletter March 2018

Opioid Medication
Together Medical Newsletter February 2018
October 17, 2018
Waiting room
Together Medical Newsletter April 2018
October 17, 2018
Influenza & flu vaccine

From The Doctor's Desk - Influenza & flu vaccine


Together Newsletter March 2018

From The Doctor's Desk - Influenza & flu vaccine

Influenza and the flu vaccine for children

The Flu vaccine just to let you know can be given to healthy children between 6 months and 5 years, whether they have other medical issues or not. We have a great National Immunisation Schedule which ensures children and susceptible adults are immunised against a great many diseases. Some of them though are rare as hen’s teeth, yet so much attention is given to them and we forget that the Influenzae virus is a lot more prevalent and year after year we see growing numbers of hospital admissions for influenzae in babies.

It has been suggested that GPs have been turning people away who have requested Flu shots for their children (Dr Margie Danchin a research paediatrician at the Murdoch Children’s Research Institute). I personally find this difficult to believe and instead believe what should take place is an informed consult to the parents of children under 5 making enquiries about flu vaccination and that is to discuss the benefits, the limitations and the risks. My breakdown is this: usually the vaccine only covers up to 4 different strains of the virus and does not cover the usual viral causes for colds i.e. Rhinovirus, Coronaviruses, or things like parainfluenzae, human RSV (causes bronchiolitis in infants and young children) or enteroviruses (chicken pox, hand foot mouth disease etc). The success of the vaccination (we call seroconversion) is not 100% and has been reported as low as 40%. First time children receiving immunisation will need 2 jabs in the first year. Overall do I recommend it? Yes, of course I do. Why wouldn’t I give my child every possible chance to stay healthy and out of the emergency department. Regards, Dr Waj Dib.

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: March is the month for Multiple Birth Awareness, Brain Awareness, Down Syndrome Awareness and Tuberculosis Awareness. If you have any concerns regarding the above topics, please speak to your Doctor during your next consultation.

Tips for a Healthy Brain: Exercise & challenge your brain! Don’t be a couch potato, get out, be active, and enjoy the warm March weather. Nourish your brain with a healthy diet and drink alcohol in moderation. Make safety a priority. Wear a helmet, drive safely, and take any head injury seriously. Manage stress & depression through relaxation, meditation and sleep. Have regular checks for blood pressure, diabetes, heart rate, cholesterol.Take the time this month to find out what you need to know about the above topics and share this important information with your family, friends and colleagues.

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!

Fungal icon

Pharmacy News - Fungal Infections

by: Amir Dib, Pharmacist

Fungal infections are incredibly common, highly contagious and notoriously hard to treat. Yet with the correct advice and product the infection can be cleared relatively quickly. Thrush (candidiasis) and tinea pedis (athlete’s foot) are some of the most common fungal infections.

Candidiasis: Candidiasis infection is caused by the candida fungus which is a yeast. Yeast is a normal vaginal inhabitant that overgrows; it’s not something you pick up or pass on. It’s simply due to an imbalance in the normal system that live within the vagina. Vaginal thrush is extremely common and presents with discharge, irritation or both. Most women will look for the simplest and quickest form of treatment, such as a short course, single tablet or cream. I always like to advise using a cream in conjunction with an oral tablet because oral treatments can take a couple of days to work, whereas the cream can help alleviate the itch in the meantime. Thrush should respond quickly to treatment and there should be a reasonable interval before it comes back.

Tinea Pedis: Athelete’s foot is one of the most common foot infections we see. Symptoms include dry, red, flaking skin, and sometimes there is pain, itching or odour. I recommend that topical treatments are used continuously for at least two weeks after the symptoms subside.

Fungi thrive in warm, moist environments. To help ward off tinea and other fungal infections I recommend, washing the area often and drying well, allowing feet to breathe by wearing open sandals or thongs, wearing cotton socks instead of sandals.

If you are having any of these symptoms described or believe you may have a fungal infection, don’t hesitate to come in and speak with one of our highly trained staff or pharmacist.