×
Mondays
Surfers Paradise
Tuesday, Wednesday, Thursday
Southport

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”

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.

Wuhan Coronavirus - What You Should Know & How Doctors Protect Themselves

With 4 confirmed cases of the novel virus at present in Australia, measures are being taken to help stop the propagation of the virus.

In today’s episode of Dr Nora I talk to you about my battle of finding protective measures to protect myself and my patients.

It is thought that the virus may be transmitted through airborne droplets from sneezing or coughing and it is felt that the P2/N95 mask may offer some protection. As a health care practitioner seeing around 50 patients a day it is my utmost priority to look after my patients and ensure that they are safe. After work I rushed over to my local hardware store and enquired about the mask. Unfortunately, they and all of their other franchises had run out and the only ones left were darth-Vader-esq masks.

After much deliberation I got over the aesthetics and remembered the purpose and brought one. As I drove away I thought I would call local pharmacies to check their stocks. After calling 20 different pharmacies over a span of 60km I was met with the same response ‘sorry we’re out of stock’.

Rather fortunately I drove past the hospital and thought perhaps I could ask my colleagues there and explain the situation. After speaking with the staff in ED they kindly gave me a mask for myself and my staff.

WHAT IS WUHAN CORONAVIRUS?

Wuhan is a city in China where the virus originated from. It is not fully understood how the virus is transmitted but it is believe that it originated in a live seafood market and has so far affected over 1000 people in China with around 40 people dying. It is believed that this who have died from the virus have had underlying medical conditions.

Australia has received its first confirmed case this weekend and to date there are 4 cases in two states, NSW and QLD.

WHAT ARE THE SYMPTOMS?

The virus causes symptoms pneumonia, including, fever, cough, shortness of breath and feeling unwell and tired. It is believed that there is an incubation period of around 14 days which means that someone may not know they have the virus immediately.

WHO IS AT RISK?

Those who have travelled to Wuhan or those who have close contacts with someone who has recently travelled or has a confirmed case.

HOW DO I PROTECT MYSELF?

Usual hygiene measures are crucial such as regular hand washing. It has currently not been recommended for the general public to use a mask outside of the health care setting.

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 THINK I HAVE WUHAN WHAT SHOULD I DO?

If you have a suspicion you may be affected as perhaps you’ve recently travelled from there or know a close contact. You should maintain isolation and seek medical help. It is imperative that before you go to a doctor or the ED you must call ahead so that protective measures may be taken. You will need to be in isolation to protect others around you and hence stop the propagation of this virus.

Tests can be performed to confirm the virus and treatment may be initiated. The virus is new and not much information has been released. Scientists are working on a vaccination though this can take time.

Together with your help we can stop the propagation of the virus.

COMPANION VIDEOS

Diastolic Dysfunction: https://youtu.be/p-IEhWqpPNA

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

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

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

Enlarged Prostate: https://youtu.be/PXGwU5AsGLM

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’s Guide to a Healthy Ramadan 2019 Meals & Fasting Tips 🌙

Ramadan Mubarak 2019 🌙

In today’s episode of Dr Nora I give you my 5 top tips for having a healthy Ramadan.

WHAT IS RAMADAN?

Ramadan is a holy month that is observed by many people around the world. It primarily involves fasting from dawn until sunset, that means no water or food during that time. And it’s for that reason that not everyone can fast. Groups such as the pregnant or breast feeding, certain medical conditions and the frail and elderly not to fast. Whilst they may not be able to fast they observe the month in other ways such as going to the mosque. If you have any questions about your health eligibility to fast then please speak with your local doctor, you can even come by for a sick note.

The act of fasting allows for one to reflect, recalibrate and detox from the routine day to day life, It allows for you to pause, reflect and rewind.

If you are able to fast then here are my 5 top tips for getting you through a healthy ramadan.

1. MEAL PREP

It may sound obvious but without structure or routine it’s easy to pick up the first thing we see in the fridge or the shops without thinking. These choices can sometimes be detrimental to your health goals. For example, have you ever been shopping when you’re hungry? You’re more likely to pick up more food than you need and generally it may be processed or ready to eat which may not be the healthiest.

2. BREAK YOUR FAST WISELY

Congratulations you’ve made it through your first fast. As tempting as it may seem to rush into the kitchen and eat everything possible, I’d advise not to do this.

Remember your digestive system has been resting for the past 12-18 hours depending where you are, so ease it back into shape slowly. By eating too much too quickly, acid production in the stomach will go into over drive and cause heart burn. Also remember during your fast, the stomach has shrunk so eating quickly will cause it to stretch rapidly and it will hurt. Not only are there health benefits to eating slowly, but it will also allow for you to appreciate your new found clarity on your relationship with food.

Traditionally, people break their fast with 1-2 dates which is a great way to start. However, make sure you choose dates that are not covered in glucose or have added sugar. The best type are natural dates such as Medjool. Not only are they healthy but they’re rich in fibre and nutrients such as magnesium and potassium and not to mention natural sugar.

Follow this with a glass of water or milk and take a short break before your main meal.

3. WHAT TO EAT

To help you through your fast choose foods that release energy slowly - these include low GI foods such as sweet potato, beans, pasta and basmati rice. Also choose foods that are high in fibre foods like pulses, vegetables and a handful of nuts. It’s really important to have balanced meals.

Aim for 45-30% carbohydrates, 20-30% protein and under 35% fat. Be aware not to gorge on sugary foods. Eating lots of sugar after fasting can lead to withdrawal symptoms and cravings for more sugar, it can also cause low energy, headaches, migraines and mood swings, which are not ideal. Also make sure you drink plenty of water and non-sweetened beverages.

4. EXERCISE

The best time to exercise whilst fasting is an hour prior to breaking your fast. Your carbohydrate stores will be low so only do low intensity training, such as going for a walk, doing some stretches or yoga. Other ideal times to exercise are after you’ve eaten your main meal and following your pre-fast meal - suhoor. At these times, you can go for a higher intensity workout, such as jogging, cycling or using the machines in the gym such as the cross trainer.

5. EAT A SENSIBLE SUHOOR

Suhoor relates to the meal eaten prior to dawn. It’s easy to panic and binge eat on lots of food but, by over eating you’ll feel tired and sluggish for the rest of the day. So always be sure to eat in moderation.

The best foods to eat at this meal are your slow releasing foods, such as oatmeal, eggs, a little meat, fruit and veg. Of course drink plenty water. My top tip for this is to drink small amounts often, if you drink too much at once, your stomach will feel full and you won’t have much room for food.

And my final tip is don’t forget to reflect and think about the reasons you are fasting and remember its not all related to abstaining from food.

Thanks for watching, I wish you all a happy and successful Ramadan. 🌙

Take care and stay healthy. 😘

Dr Nora x

FILM BY VTUDIO | https://vtudio.com

MUSIC BY Doug Maxwell - Swinging with the Sultan