×
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 “heart murmurs”

Understanding Diastolic Dysfunction | The Sound of Heart Murmurs ❤️

In this video we listen to the heart of a patient who has a diagnosis of diastolic dysfunction and a heart murmur.

WHAT IS DIASTOLIC DYSFUNCTION?

Diastolic dysfunction occurs when the left ventricle gets stiffer and is not able to accept blood return in a normal fashion. It can lead to high blood pressure and even heart failure thus requiring regular monitoring and management.

This lovely patient also has a heart murmur that you can clearly hear with the stethoscope. We take a listen to her heart at rest and during exercise.

COMPANION VIDEOS

Living with Lipoedema: https://youtu.be/zkvW2nbTi8c

Heart Sounds of the Female: https://youtu.be/vxXJ67vPDaI

Heart Sounds of a Male: https://youtu.be/Av-syKLbFfI

Stemoscope: https://youtu.be/WUjZMZCmKQU

Digital Littmann Stethoscope: https://youtu.be/zl7FVhXMbtI

How to Listen to The Heart: https://youtu.be/c96kqgW0aUg

DIGITAL STETHOSCOPES

Litmann 3200: https://vtudio.com/a/?a=littmann+3200

Stemoscope: https://vtudio.com/a/?a=stemoscope

Thanks for watching and if you have any questions please don’t hesitate to leave me a comment in the comments section below or pop by and see me in clinic.

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.

Treating Her ‘Angry Fat’ and Diastolic Heart Murmur | Lipoedema and Me

One in every ten women are affected, no amount of dieting can help and most don’t know it exists… In this episode we talk to a patient diagnosed with Lipoedema and take a listen to her fascinating heart murmur at both rest and during exercise.

LIPOEDEMA

Lipoedema is a condition that mainly affects women and is characterised by symmetrical swelling in the legs, thighs, buttocks and sometimes arms. It is due to the way fat is deposited under the skin in an uneven manner instead of in a regular pattern. It can be extremely painful and the areas that are affected have a tendency to bruise easily. Lipoedema can result in fluid retention in the affected areas leading to a condition known as lymphoedema. It is thought to have a genetic basis, however, the cause of the condition is not yet fully understood.

As we hear in this interview, lipoedema can have a number of effects on the body from having a limited ability to do physical exercise to other medical conditions. As you’ll hear, our patient was incidentally found to have a murmur caused by diastolic dysfunction which is where the heart has trouble relaxing between beats. This means that with each contraction, less blood is pumped from the left ventricle and so the heart has to work harder to make up for this shortfall. This, if not monitored regularly, can lead to conditions such as high blood pressure and even heart failure. We take a listen to the murmur over both the aortic and pulmonary valve during rest and exercise and it’s truly amazing.

Treatment of lipoedema is multi-dimensional and involves psychological support, healthy eating and exercise, skin care, compression therapy and management of pain amongst others. It is often managed through a multidisciplinary team of doctors and therapists.

If you or someone is affected with lipoedema please see your General Practitioner for further assessment and management. There are also a number of useful support groups available.

MORE INFORMATION

Contact Cinnamon: https://instagram.com/carry_it_well_

Better Health Channel: https://www.betterhealth.vic.gov.au/health/ConditionsAndTreatments/Lipoedema

Lipoedema Australia: https://www.lipoedemaaustralia.com.au/

COMPANION VIDEOS

Heart Sounds of a Female: https://youtu.be/vxXJ67vPDaI

Heart Sounds of a Male: https://youtu.be/Av-syKLbFfI

Digital Littmann Stethoscope: https://youtu.be/zl7FVhXMbtI

How to Listen to The Heart: https://youtu.be/c96kqgW0aUg

STETHOSCOPE

Amazon: https://vtudio.com/a/?a=littmann+3200

eBay: https://vtudio.com/a/?e=littmann+3200

Thanks for watching and if you have any questions please don’t hesitate to leave me a comment in the comments section below or pop by and see me in clinic.

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 Heart Sounds of a Female | Before, During & After Exercise | ASMR ❤️

In this episode we take a listen to the female heart before, during and after exercise with no added commentary.

As you’ll notice, listening to the heart at rest, the beats are crisp and clear. During and after exercise, you may hear some lung sounds which can alter the clarity of the heart beat sound. Listen to how the heart relaxes to its resting state after exercise and the heart beat becomes clearer again - truly beautiful.

Be sure to stay tuned for my next set of videos where we will be listening to the male heart beat before, during and after exercise and a live female patient with a heart murmur. I am also excited to share with you that I’ll be reviewing another electronic stethoscope very soon.

COMPANION VIDEOS

Digital Littmann Stethoscope: https://youtu.be/zl7FVhXMbtI

How to Listen to The Heart: https://youtu.be/c96kqgW0aUg

Which Stethoscope to Buy: https://youtu.be/MhvwEGBd8Yo

WHERE TO BUY

Amazon: https://vtudio.com/a/?a=littmann+3200

eBay: https://vtudio.com/a/?e=littmann+3200

Thanks for watching and if you have any questions please don’t hesitate to leave me a comment in the comments section below or pop by and see me in clinic.

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.

Medical Features of Apple Watch Series 4 | A Doctor’s Perspective

Find out all about the medical features of the Apple Watch Series 4 and how they can help keep you healthy.

COMPANION VIDEOS

Which Stethoscope To Buy: https://youtu.be/MhvwEGBd8Yo

Doctor Plays 2 Point Hospital: https://youtu.be/N1AT7Mfd0x4

WHERE TO BUY

Amazon: http://vtudio.com/a/?a=apple+watch

eBay: http://vtudio.com/a/?e=apple+watch

HEART RATE

On average the heart pumps blood 60-100 times a minute. The Apple watch monitors the heart function and it does this by using a sensor on the back, for this to work accurately, during setup you need to enter in your height, weight, gender and age. It gives you an alert if your heart rate is too high or too low.

Having a high heart rate - over 100 beats a minute can be a sign of an irregular heart rhythm, otherwise known as an arrhythmia, An example of this is Atrial Fibrillation. This is where the heart pumps quickly in a chaotic manor which can then cause small plaques or clots to break off from vessels causing serious medical conditions such as a stroke or other heart conditions. So with this regard the Apple watch certainly is useful, in fact there has been cases reported of people being correctly diagnosed via the watch for Atrial Fibrillation, prompting them to seek medical attention and potentially saving their lives.

But what about a low heart rate? This is a heart rate under 60 beats per minute, this can be normal in some situations, for example an athlete may have a lower resting heart rate. Similarly some medications or illnesses such as an under-active thyroid can also cause a low heart rate. It is important that you discuss your target heart rate with your medical doctor so that you can accurately use your Apple watch.

People who have an abnormally high or low heart rate may also have symptoms, such as fatigue, dizziness, lethargy, shortness or breath or fainting. Again if you do have these symptoms despite having a normal heart rate it is important to discuss this with your medical doctor and remember that the Apple Watch doesn’t check for all types of abnormal heart conditions.

ECG/EKG

You may have seen the ECG/ EKG function (electrocardiogram) on TV shows like Scrubs, House, Casualty or Holby City, where we put stickers onto your chest to have a look at the electrical activity of the heart. It helps us to determine any rhythm defects, whether you’ve had a recent heart attack or any structural problems related to having a murmur.

As doctors, this feature has caused us some concern. We worry that it may cause unnecessary anxiety to patients who are not able to understand their readings. However, anxiety aside, there have been reports where it has already helped save peoples lives, which is amazing.

HEART MURMURS

Unfortunately the Apple watch can’t currently detect heart murmurs so, the best way we can check for a murmur still is by speaking to your doctor for an examination of your heart.

PEDOMETER

We’ve all heard of step counts, step count this, step count that, 10,000 steps. We know that by having an active lifestyle, we’ll be healthier.

However, if you’re doing 10,000 steps a day and you’re eating KFC, Burger King, Bob’s Burgers, you’re probably not on the right track to having a healthy lifestyle.

CALORIE COUNTER

This is quite a nice feature of the Apple watch. It does rely on you having to input the correct data during setup - age, gender, height and weight. It will then calculate the amount of calories that you should be burning per day. It uses your heart rate and step count to let you know if you’re on the right track.

FALLS DETECTION

The Apple Watch has a gyroscope and an accelerator and when a hard fall is detected an alert is sent to your watch. You can then press on the screen to say you’re ok, or if you remain immobile and don’t disable the alert after 60 seconds it will call the emergency services. This is particularly useful for certain groups of people, such as epileptics or the elderly.

BREATHING

You’re probably thinking, Dr Nora, we don’t need an app to tell us to breathe and you’re right, thanks to our amazing human body we are natural breathers. But did you know that at rest you may only use up to roughly 70% of your total lung capacity? So by the app reminding you to take a deep breath you’re opening up lung spaces to deliver more oxygen.

STAND REMINDER

The standing feature reminds us to get up and go for a walk, it is also modifiable for wheelchair users. The idea is to get us moving once an hour for 12 different hours in the day. We know that if we sit for prolonged periods of time we feel sluggish, low energy and it can even lead to blood clots in the legs, so by having this useful reminder it certainly helps our general health.

CONCLUSION

As you can see the Apple watch has a number of medical features, if you have any questions or comments please don’t hesitate to drop me a line.

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

Which Stethoscope to Buy and Why | A Doctor’s Perspective

They may be a cool fashion statement but stethoscopes have many uses aside from being a physicians right of passage. In today’s episode of Dr Nora, I share with you which stethoscope I used during medical school, GP training and which I use today. I’ll also be going through the pros and cons of the different models as well as sharing with you a few stories from my medical school days.

COMPANION VIDEOS

Learning anti-wrinkle injections: https://youtu.be/UBNzHvO_dFw

Confessions of a Cosmetic Doctor: https://youtu.be/fz2u-3saAYw

Taxes for new GP’s: https://youtu.be/yzBhFEssC6A

Doctor Plays 2 Point Hospital: https://youtu.be/N1AT7Mfd0x4

WHERE TO BUY

Amazon: http://vtudio.com/a/?a=littmann+classic

eBay: http://vtudio.com/a/?e=littmann+classic

Thanks for watching and if you have any questions please don’t hesitate to leave me a comment in the comments section below or pop by and see me in clinic.

Take care and stay healthy.

Dr Nora 💉

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