Together Medical Newsletter May 2018

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Together Medical Newsletter April 2018
October 17, 2018
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Together Medical Newsletter June 2018
October 17, 2018

From The Doctor's Desk - Emphysema


Together Newsletter May 2018

From The Doctor's Desk - Emphysema


Together Medical Newsletter May 2018 - image TMFP-Newsletter-May-2018-5 on is the diagnostic term for Chronic Obstructive Airway Disease (COAD) caused by cigarette smoking. There are other ways of contracting this lung condition but they are much rarer (i.e. genetic inheritable mutational disease). We will focus on smoking-related COAD. COAD is the irreversible and progressive (meaning the condition continues to deteriorate) destruction of the lower airways (bronchioles) associated with persistent mucous production and swelling of the small airways. As a result, the patient feels constantly breathless with a persistent cough and lethargic. The causal factor is damage caused by inhalation of cigarette smoke. Signs of early emphysema can be observed as early as 10 years of heavy smoking use.

There are treatments to attempt to slow its progression and treat the day-to-day symptoms of cough and breathlessness. Weight loss definitely has a role to play as well as regular exercise and of course, giving cigarettes the ol’ heave-ho. Medicated treatments include inhaler therapy which targets the reversing of all that inflammation. Another big problem with having Emphysema is the susceptibility to lung infections, both bacterial and viral alike. Thus, infective exacerbations, in case of bacterial causes, can be managed early on with antibiotics. However in the case of viral infections there is no effective secondary treatment. Primary prevention is the best solution and so all patients with emphysema must stay up to date with their influenza and pneumonia vaccinations.

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.

Mother’s Day

Knoxfield Pharmacy stocks a range of gifts perfect to spoil your mum. We have luxury perfumes, aromatic candles, Tilley soaps, body washes, makeup and beauty products, garden ornaments and decorative pieces for the home.


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.

We are now an official stockist of the renowned BioCeutical range! BioCeuticals is the leading premier company in quality supplements. It boasts the most advanced scientific formulas backed by a commitment to research and strong clinical trials. The practitioner-only formulas offer innovative patented products to deliver the best possible health outcomes.

Some outstanding formulas include Armaforce, an ultimate immune booster with a blend of powerful herbs and nutrients to target symptoms of the common cold and upper respiratory tract infections. Ultrabiotic, to help support your gut with an army of 45 billion healthy bugs from ten different probiotic strains! Theracurmin, nearly THIRTY times increased bio availability than regular curcumin which helps reduce joint inflammation associated with mild osteoarthritis and emulsifies fats in the digestive tract.

Health Promotion: May is the month for Pneumonia awareness week and lung awareness week. To keep your lungs strong and healthy try not to smoke, practice deep breathing, be active and laugh often!

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!

Flu wallpaper

Pharmacy News - The Flu

by: Amir Dib, Pharmacist

Last year Australia faced one of its worst flu seasons in almost a decade! As we head into the 2018 flu season, it’s time to think about how to stay flu smart! The flu is a highly contagious viral infection that can cause severe illness. It is spread by contact so is even more likely if you’ve been in contact with someone who already has it. The flu vaccine is the most effective way to avoid getting sick this winter. This year, a quadrivalent flu vaccine is available, which contains four strains of flu virus. Two stronger vaccines are also available for over 65s. The stronger vaccine does mean a slightly higher chance of side effects but the common side effects (sore arm/mild fever) are mild and only last a day or two.

Together Medical Newsletter May 2018 - image TMFP-Newsletter-May-2018-6 on common flu shot myths to dispel:

  1. I got the flu vaccine last year so I don’t need it this year, right?
    Wrong. Influenza virus strains change from year to year.
  2. The influenza vaccine gives you the flu, right?
    Nope. The vaccine can’t cause the flu, it is made with an ‘inactivated’ strain of the virus, making it non-infectious
  3. Winter is already here, so it’s too late to get the vaccine, right?
    Wrong. While it is beneficial to get vaccinated a few weeks before flu season, it’s never too late to get a flu shot. Flu seasons can vary in length; as long as the flu virus is circulating, you’re at risk.

Keep in mind the flu vaccine doesn’t provide immediate protection. It takes approximately 2 weeks for the immune system to generate protective antibodies. Together Medical offers free quadrivalent flu shots for over 65s, children, asthmatics and more! If you’re not eligible, the full price for a flu shot is only $9.95!