Together Medical Newsletter November 2017

Our Beautiful Reception Desk
Together Medical Newsletter October 2017
October 16, 2018
Together Medical clinic
Together Medical Newsletter December 2017
October 17, 2018
Our Beautiful Reception Desk

From The Doctor's Desk - Our Beautiful Reception Desk


Together Newsletter November 2017

From The Doctor's Desk - Our Beautiful Reception Desk

Rashes in Infants

Hello and welcome. The clinic is sailing into its second month and I have the honour and privilege of already meeting many new patients including two newborns and their very proud mothers this week alone! I want to take the time now to briefly discuss rashes in infants. Its normal for babies to develop rashes from quite early on, but most rashes are harmless and will go away as their skin sensitivity adapts to the new environment. Here’s a quick list of only some common rashes I occasionally see in babies, but always see a doctor for a proper diagnosis.

Eczema – itchy, red and cracked skin which is set off by heat and found in the folds of the skin. Nappy rash – usually just inflammation but can be complicated by a secondary yeast (Candida) or bacterial infection. Ringworm – a ring-like fungal infection. Milia– blocked oil glands that are little pearly white spots often on the face. Impetigo (staphylococcal infection of the skin). Urticaria (hives). Slapped cheek syndrome – fever with bright red rash on the cheeks. Erythema multiforme – red spots that develop on the hands or feet before spreading to the rest of the body associated with a child who is usually unwell. Hand, foot and mouth disease – viral illness known as Coxsackie virus, this can range from mild to severe and your child should be excluded from child care or school until the rash has resolved.

There are other serious rashes and Meningitis certainly comes under this category, the rash is often described as a red spot anywhere on the body which doesn’t lose its colour when pressed. It’s important to look for but bear in mind it is often quite a late sign and if your child is at all unwell then an urgent medical review is always the best place to start to assess for this condition.

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: November is ALPHA-1 Awareness, Lung Health Awareness, Pancreatic Cancer Awareness, Perinatal Depression & Anxiety Awareness & National Skin Cancer Awareness Month. Coming into Summer, please arrange a skin check with your Doctor. If you have any concerns regarding the above topics, please speak to your Doctor during your next consultation.

What is alpha-1 antitrypsin deficiency? Alpha-1 antitrypsin deficiency is a genetic (inherited) condition that may result in chronic lung and/or liver disease. An estimated 1 in 2,500 Australians inherit a genetic disorder in which the liver makes and releases too little alpha-1 antitrypsin into the blood. As a result, the level of alpha-1 antitrypsin in the lungs is too low to protect against enzyme damage.

Take the time this month to find out what you need to know about the above awareness topics and share this important information with your family, friends and colleagues.

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

Allergic Rhinitis: What is it and how do we get it?

Pharmacy News - Allergic Rhinitis: What is it and how do we get it?

by: Amir Dib, Pharmacist

Allergic rhinitis affects an estimated 20 percent of the population in Australia and is caused by nasal and or eye contact with environmental allergens such as pollens, dust mites, fungi and animal shedding. Sensitivities to these aero allergens may give rise to symptoms such as runny and or itchy nose, sneezing, itchy and watery eyes, or more obstructive symptoms such as congested nose or snoring. These symptoms range from moderate to severe and can occur all year round but most often during spring. Unfortunately for hay fever sufferers these symptoms can also cause sleep disturbances, daytime fatigue, headache, impaired concentration and recurrent ear and sinus infections. Also keep in mind that untreated allergic rhinitis can also increase the risk of developing asthma.

So how do we prevent the triggers? Dust mites: use impermeable covers on mattress and pillow protectors, vacuum floors and wash bedding weekly. Animal shedding: keep pets outside or restrict them to certain indoor areas. Fungi: keep windows and doors closed where possible; use HEPA filters in air conditioners; thoroughly scrub mouldy areas and don’t work with compost. Pollen: remove suspect plants from around the home; stay indoors as much as possible during pollen season.

How do we treat existing symptoms? Fortunately, there are many effective treatment options available such as antihistamines in tablet and eye drop form, intranasal corticosteroid nasal sprays, decongestants and salt water sprays. Speak with your local friendly pharmacist or doctor for the best custom treatment for you!