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Mondays
Surfers Paradise
Tuesday, Wednesday, Thursday
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Dr Nora
Dr Nora

 Consultations in all aspects of medicine incl.
  • Facial Cosmetics,
      anti-wrinkle, dermal and lip fillers
  • Family Planning,
      sexual health, coil and implant insertions
  • Minor surgery,
      skin cancer checks & removals
         Book Appointment

 Consultations in all aspects of medicine including
Facial Cosmetics, anti-wrinkle, dermal and lip fillers
Family Planning, sexual health, coil and implant insertions
Minor surgery and skin
Book Appointment

Posts tagged “health tips”

How Effective are DIY Cloth Face Masks? | Doctor Explains COVID-19 Protection

Should we still be wearing masks amidst the Covid-19 outbreak and how effective home-made masks? In this episode we dig into the studies and discuss the current guidelines on wearing masks.

COMPANION VIDEOS

How to Protect Yourself With A Mask: https://youtu.be/ftm6aKaf0IM

How Medical Centres Protect You: https://youtu.be/VGmEL0FvH9U

Coronavirus Q&A: https://youtu.be/hCucUd5KeJo

Working in Chinatown: https://youtu.be/e1F0EyiR7eQ

Finding a P2 Mask Vlog: https://youtu.be/gJ9dQqfT0zY

Flu Season: https://youtu.be/vZBCL-PgarA

REFERENCES

Face Mask Efficacy and Avian Flu Protection:

https://onlinelibrary.wiley.com/doi/epdf/10.1002/jmv.25805

Respiratory Diseases in Saudi Women: https://pubmed.ncbi.nlm.nih.gov/11515979

CDC Cloth Face Mask: https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/cloth-face-cover.html

WHERE TO BUY P2 MASKS

Amazon: https://vtudio.com/a/?a=p2+mask

Bunnings: http://bit.ly/bunningsp2

eBay: https://vtudio.com/a/?e=p2+mask

Officeworks: http://bit.ly/officeworksp2

I hope you’ve found this video useful and always, if you have any questions or comments, please don’t hesitate to drop me a line below.

Take care and stay healthy,

Dr Nora

FILM BY VTUDIO | https://vtudio.com

Links to products often include an affiliate tracking code which allow us to earn fees on purchases you make through them.

Doctor Explains Birth Control IUD | Benefits, Sides Effects and More 🚺

I was interviewed by Milla Med Talks about the different Intra-Uterine Devices (IUD) that are available as birth control options in Australia.

We discuss two long acting contraceptives which can be used whether or not you’ve had children, are reversible and require one treatment only. The first of which is the hormonal IUD, which in Australia is available as the Mirena. The second is the non-hormonal option, known more commonly as the Copper Coil.

Both these treatments are reversible and can be over 99% effective for birth control, but please note they do not protect against sexually transmitted infections.

COMPANION VIDEOS

Milla Med Talks: https://youtube.com/channel/UChFSvAX6P98YkHg8eoBY4xA

Differences between IUD’s: https://youtu.be/x1stoHmJtqw

Women’s Health Tips: https://youtu.be/VviAotOsXg4

Cervical Screening Explained: https://youtu.be/c26OVcHPr4o

Free Breast Screening: https://youtu.be/quClz8rA6jc

WHAT ARE HORMONES?

Hormones are used to regulate physiology and behaviour, and the one used by the Mirena is a synthetic hormone for a chemical that is released locally in the womb for birth control.

HORMONAL IUD

The IUD is a small flexible plastic T. shaped device that fits inside the womb of a lady. It has a cylinder at the bottom which releases a steady amount of hormone every day over a period of up to five years. In Australia, it is available as the Mirena, but in other countries you can find other brands such as Skyla, Jaydess, Kyleena and Liletta as well as Mirena.

It works by changing the mucus in the cervix making it harder for sperm to move through.

It thins the womb lining, making your periods lighter and reducing the likelihood of the womb accepting a fertilised egg. It also inhibits sperm from reaching or fertilising your egg.

COPPER COIL (IUD)

An IUD is a small T-shaped plastic and copper device that’s inserted into your womb (uterus) by a specially trained doctor or nurse.

The IUD works by stopping the sperm and egg from surviving in the womb or fallopian tubes. It may also prevent a fertilised egg from implanting in the womb.

In Australia it’s available as Multiload or Copper T. With Multiload working for up to 5 years and Copper T working up to 10 years.

DIFFERENCES

The main difference between the two is that the Mirena uses a synthetic hormone which can lead to lighter and less painful periods. However, some women do experience adverse side-effects such as headaches, acne and breast tenderness, this can reduce over the first few months depending on your body. The Copper Coil works without hormones so there are less side-effects, however it does often lead to heavier and painful periods especially for the first few months.

TREATMENT

The treatment time takes between 10-20 minutes, it can be uncomfortable. So it is very important to take pain relief such as paracetamol and an anti-inflammatory 30 minutes to an hour beforehand.

As with all invasive treatments, there are risks involved.

- One in 1,000 insertions can perforate the womb, which can cause pain in the lower abdomen or at worst a trip to the hospital for surgery.

- One in 200 times the device may fall out, most likely to happen soon after it’s fitted.

- There is a small risk of getting an infection

- As it is not 100% effective against pregnancy, there is a small chance this can occur which may lead to an ectopic pregnancy (pregnancy outside of the womb) or a miscarriage. These are considered to be serious and you must seek medical advice without delay should this occur.

PRACTITIONERS

Did you know that I also have F.S.R.H. in the title of my name? Well, that stands for having a diploma from the Faculty of Sexual and Reproductive Health, meaning that I specialise in sexual health and family planning.

It’s really important that you see an appropriately trained medical practitioner.

At the higher end you can see a Gynaecologist who is a doctor that focuses on women’s reproductive health.

You can also see a Specialist General Practitioner, you can identify one usually by looking for titles in their name (for example, DFSRH means they’d have a diploma from the Faculty of Sexual and Reproductive Health), alternatively you can ask for accreditation.

Specialist Nurses with additional training and accreditation can also perform the treatment.

Please ensure that you seek an accredited medical practitioner, as this is not a routine procedure.

I hope that you’ve found this video useful and as always if you have any questions or comments, please do not hesitate to drop me a line in the comments section below.

Take care and stay healthy,

Dr Nora

FILM BY VTUDIO | https://vtudio.com

Doctor Answers Your Coronavirus Questions | COVID-19 Protection Q&A

Recent guidelines from the World Health Organisation have suggested that we should all carry out strict hand hygiene. This means washing your hands with soap and water thoroughly for at least 30 seconds. Hard surfaces such as door handles, shopping baskets and even mobile phone screens harbour bacteria and viruses which can easily spread from one person to another propagating the virus.

Secondly, it has been suggested that we maintain a distance of at least 1 meter from anyone close by that could be coughing or sneezing. This is because when we sneeze, air droplets travel at a speed of around 100mph.

Thirdly, the WHO, NIOSH, FDA and CDC have all suggested that N95/P2 masks should be worn by those who are directly treating or managing suspected or confirmed coronavirus cases or if you yourself has symptoms of coronavirus.

Due to the worldwide shortage of masks, the CDC have recommended that the N95 masks can be used for up to 8 hours as long as they are not soiled, damp or wet as this can reduce the efficacy of the mask.

One of the commonest questions I am asked is whether these masks are reusable. These particular masks are disposable and after being worn they should be disposed in a closed bin and hands should be washed thoroughly. Similarly, it is not possible to wash the masks as they will loose their integrity.

If you are unable to get your hands on a mask and are concerned, then the CDC does recommend other masks such as; N99, N100, P95, P99, P100, R95 and R99. These are at least or more effective than the N95.

There are other larger and bulkier masks that are reusable, but do require disinfecting after use. They too come with filters varying from 95-99%. Such masks include - Elastometric Halt Face respirator and Powered Air Purifying Respirator (full face).

President Of America, Donald Trump recently had a meeting with the major pharmaceutical companies of the world and they have advised that they are currently working on a vaccine which will undergo human tests in April with a roll out of a vaccine by the end of the year.

The most important take away point from this video is to practice good habits with regular thorough hand hygiene. With this, we can stop the propagation of this virus.

WHERE TO BUY P2 MASKS

Amazon: https://vtudio.com/a/?a=p2+mask

Bunnings: http://bit.ly/bunningsp2

eBay: https://vtudio.com/a/?e=p2+mask

Officeworks: http://bit.ly/officeworksp2

COMPANION VIDEOS

How to Protect Yourself with Facial Masks: https://youtu.be/ftm6aKaf0IM

Novel Coronavirus: https://youtu.be/gJ9dQqfT0zY

Diagnosing Coronavirus: https://youtu.be/e1F0EyiR7eQ

Flu Season: https://youtu.be/vZBCL-PgarA

I hope you’ve found this video useful and always, if you have any questions or comments, please don’t hesitate to drop me a line below.

Take care and stay healthy.

Dr Nora

FILM BY VTUDIO | https://vtudio.com

Links to products often include an affiliate tracking code which allow us to earn fees on purchases you make through them.

The TRUTH About Diagnosing Coronavirus Patients in China Town | Doctor Explains

Working as a general practitioner in Chinatown and Surfers Paradise, a major tourism hub, my first instinct when the news broke of the virus was to ensure that I was keeping myself and patients protected. Hunting down an elusive P2/N95 mask was a struggle but I eventually managed to source some for myself and staff.

WHERE TO BUY P2 MASKS

Amazon: https://vtudio.com/a/?a=p2+mask

Bunnings: http://bit.ly/bunningsp2

eBay: https://vtudio.com/a/?e=p2+mask

Officeworks: http://bit.ly/officeworksp2

COMPANION VIDEOS

P2, N95 and Surgical Masks Explained: https://youtu.be/ftm6aKaf0IM

Novel Coronavirus: https://youtu.be/gJ9dQqfT0zY

Flu Season: https://youtu.be/vZBCL-PgarA

Cervical Screening: https://youtu.be/c26OVcHPr4o

In clinic, my staff have done a great job at screening patients prior to booking appointments and thanks to the Australian media, patients travelling from China are very well versed in the precautions that they should take. This is unlike what has occurred in London, where a lady with Coronavirus presented herself to the emergency department without letting the teams know in advance.

Here in Australia, I have seen some patients from Hong Kong and whilst there was some anxiety around their recent travel, they were most respectful and reported that they had no symptoms but instead had presented for a minor ailment. Many of the local Chinese community living in the area have themselves been concerned about going into Chinatown so not to propagate the virus and have even been wearing masks despite not having symptoms. There has very much been a strong community movement in containing the virus.

One common consultation that I do have unfortunately, is that of anxiety surrounding the Coronavirus. All too often I am presented with patients who are suffering severe anxiety, taking the form of work avoidance, staying at home and even avoiding using the lift in their high rise apartments so instead using the stairs. This is heartbreaking for a general practitioner and such patients are offered psychological support to address the root of their anxieties. If this sounds familiar to you, please know that there is help out there and I would encourage you to speak with your doctor about this.

Other patients have presented using multiple face masks in the hope of getting extra protection. There has been no recommendation for this, as long as your mask is fitted well, one should suffice. These patients are at risk of getting quite severe mask fatigue as the masks can be quite thick and difficult to breath leading to dehydration and headaches.

In other consultations, some patients are turning up requesting to be tested for the virus as they may have passed someone close by coughing or sneezing. Such patients have usually attended the emergency department and have been referred back to their GP as they do not fulfil the criteria for testing.

It is important to know that not all general practitioners have the ability to test for the virus, so if you are suspicious you may have it, it is imperative to call in advance to check and also so that staff can be ready to isolate you from other patients. This is also true if you are presenting to the emergency department.

As a practice, we ensure that at the end of the day we wipe down all surfaces with bleach as we know this destroys the virus and our equipment is cleansed after use with each patient.

On a lighter note, one great benefit of wearing the mask is protection against the common cold. Very often I get patients who present with a cough or runny nose and will cough on demand to ‘prove’ a point. As general practitioners we are well trained in detecting such ailments so please refrain from coughing on us as it could mean we pass those bugs to others or take them home.

On the other side of the spectrum, I have some patients who are completely oblivious to the situation. Some of which ask me ‘Doc, why are you wearing that mask? Are you sick?” As a healthcare professional I am in a privileged position to advise others about current health precautions.

The best way to protect yourself is to practice regular hand hygiene, making sure to wash your hands under running water with soap for at least 15 seconds. Of course if you are unwell or you suspect that you may have the Coronavirus, please self isolate and contact you local emergency department or doctors office prior to visiting.

Take care and stay healthy

Dr Nora 💉

FILM BY VTUDIO | https://vtudio.com

Links to products often include an affiliate tracking code which allow us to earn fees on purchases you make through them.

P2, N95 and Surgical Masks Compared | Doctor Explains Coronavirus Protection

Whether you’re using them to protect yourself from bushfire fumes, viruses or simply a fashion statement, in today’s episode of Dr Nora I take you through the surgical, P2 and N95 mask. Discussing what each are used for, how to perform a fit check and how to safely dispose of used masks.

SURGICAL MASKS

Surgical masks were originally designed to be used by surgeons helping to keep bugs from their mouth and nose from entering the sterile surgical field and thus reducing the chance of infection. As they are not tight fitting however, they do not provide protection against viruses. They are useful to use if you yourself, has flu like symptoms and do not wish to spread your illness to others.

P2/N95 MASK

Both the P2 and N95 mask block at least 95% of small particles. The difference between the two is where their testing requirements originated from, the N95 being tested in the USA and the P2 by European standards.

P2 RESPIRATORS

P2 respirators are considered to be sufficient for protection against viruses, however, in your local hardware store you may find some masks that offer additional protection to fumes, odours and pesticides. Always read the label to ensure adequate protection for your use.

HOW TO USE THE MASKS

It is very important that when using these masks they are fitted correctly. A fit check must be performed which ensures that there is no leakage of air around the mask on both inhalation and exhalation. To perform this, simply breath in and out with your hands around the mask to ensure there is no leakage. If you suspect there is an air leak readjust and tighten the mask.

DO’S AND DON'TS

Do cease using the mask if it becomes moist or soiled

Do a fit check prior to using mask

Do take off the mask once outside of the contaminated area

Do wash hands thoroughly with soap and water after use

Do not touch the outside of the mask

Do not hang the mask around the neck

Do not reuse masks

WHERE TO BUY P2 MASKS

Amazon: https://vtudio.com/a/?a=p2+mask

Bunnings: http://bit.ly/bunningsp2

eBay: https://vtudio.com/a/?e=p2+mask

Officeworks: http://bit.ly/officeworksp2

COMPANION VIDEOS

Novel Coronavirus: https://youtu.be/gJ9dQqfT0zY

Flu Season: https://youtu.be/vZBCL-PgarA

Cervical Screening: https://youtu.be/c26OVcHPr4o

Type 2 Diabetes: https://youtu.be/UUBuDnVqpkM

I hope you’ve found this video useful and always, if you have any questions or comments, please don’t hesitate to drop me a line below.

Take care and stay healthy,

Dr Nora

FILM BY VTUDIO | https://vtudio.com

Links to products often include an affiliate tracking code which allow us to earn fees on purchases you make through them.