SUNDAY DECEMBER15th 2002

OSTEOARTHRITIS 

The cover of this week's Time magazine has a huge picture of a red painful looking knee. The headline reads "The Coming Epidemic of Arthritis " . An epidemic implies contagiousness .......this IS NOT the case.  

Arthritis is a word commonly used but I wonder whether most people really know what it actually is. In fact "it" is not the right term here because there are many different and unrelated forms of joint conditions that fall under the borad term Arthtitis. 

the term "Arthritis" means inflamed joint . Oddly Osteoarthritis - the most common form of "arthritis"-  usually doesn't involve much in the way of inflammation at all - it is a degeneration of the cartilage within a joint - usually through wear and tear or damage. 

I have invited Dr Laurie Clemens, a rheumatologist ( joint specialist) to clear up the confusion 

Also   Liz Bongetti  Senior  Health Educator with the Arthritis Foundation    will join us with some practical tips on managing arthritis  with their slogan "move it or lose it"

1800 011 041 is the free call number for more information on Arthritis 

click HERE to visit the TIME magazine site         

click HERE to visit Arthritis Australia   

 HEALTHY HOLIDAYS 

FREYCINET LODGE - Tasmania 

The beach at  Wine Glass bay has been voted one of the top 10 beaches on the world. It is part of the Freycinet Peninsula  on the East Coast of Tasmania.  Hidden within the Freycinet National Park  is Freycinet Lodge . With its  60 cabins nestling in the natural bushland and  with stunning coastline views this HAS to be a healthy holiday option ! 

At the lodge you can participate in guided  tours of local history and geography.  If you are a bushwalker or a 4x4 driver its heaven ! 

We'll be talking with Cecily Broadhurst from Freycinet Lodge.

click HERE to visit Freycinet Lodge                              

 SUPPORT GROUP  OF THE WEEK

Meniere's  Support Group

If you were told that you have a progressing condition affecting hearing and balance where the cause is unknown and there is no cure I imagine you would be at risk of feeling  alone and abandoned.Menieré's syndrome is such a condition and so is also the perfect example of a condition where a patient support group is essential .

This support group link was suggested by  a listener - thanks Louise :)  We'll be speaking with   Lyn Polson the  Honorary  Secretary of the Meniere's Support Group about the association and its work.             

 Meniere’s Syndrome is also ( but not often because its hard to say ) known as Idiopathic Endolymphatic Hydrops - The names tells a lot about this condition. A "syndrome"  is a collection of symptoms  and it is reasonable to assume that when a condition has this title - little if anything is known about its actual cause. 

to be classified as having Meniere's syndrome you would have  4 main symptoms - ( this is  from the Meniere's Info Centre - see link below) 

 (1) fluctuating hearing loss,

(2) fluctuating rotational vertigo (dizziness),

 (3) fluctuating tinnitus (a sound heard when there is no sound), 

(4) fluctuating aural fullness (a sense of pressure in the middle ear, as if descending in an airplane; however, it is *not* actual pressure in the middle ear).

The word "Idiopathic" confirms this notion - in simple terms it means "'it just happens". Which of course is not necessarily the case - it is more that it is not yet understood properly. Endolymphatic hydrops refers to one theory that the problem could be  due to  excess  amounts of one of the fluids within the semi circular canals of the ear. These canals are responsible for helping us maintain balance ( they act like  spirit levels used by builders) 

Another theory is that the condition is due to abnormal blood vessel formation pressing on nerves near the ear. 

It is important to note that the symptoms described  may be due to various causes and it can be  that when no other cause is found that a person falls into the catagory of Meniere's syndrome.

The condition usually worsens progressively but as it is a fluctuating and often  intermittent  it is impossible to give anyone an accurate prediction for their progress. Unfortunately there is no cure available - yet. 

Mr  Vince Cousins  , an ear nose and throat specialist will be joining me to discuss Meniere's Syndrome.                                                              

Click HERE to visit the Meniere's Support Group in Victoria 

Click HERE to visit the Meniere's Support Group in NSW

Click HERE for a wonderfully informative information site about Meniere's Syndrome Meniere's Info Centre.

click HERE to visit the Australian Tinnitus Association

   LOVE YOUR WORK 

Sgt DAVID KEY - Victoria Police Airwing

Last year I was invited to speak at a lunch. The speaker before me gave one of the most  moving  orations I have ever heard. Everyone in the room was mesmerised as he told us of an ordeal he experienced. He told the story factually and honestly. He told us how he was just doing his job. But it was only later when he stopped that he realised this job was like no other he had done or hoped to ever do again. David Key is a quietly spoken police officer who is is humble beyond the meaning of the word.

On 22nd November this year  Sergeant David Key and his colleagues Senior Constable Darryl Jones and Senior Constable Barry Barclay received the Police Valour Award for  their extraordinary acts of  bravery during the Sydney Hobart Yacht race in 1998, when they were involved in the winching to safety of stranded yachting crewmembers. David Key was on the end of a rope dangling from a helicopter. He chose to be  lowered again and again into  tumultuous seas to achieve what seemed inmpossible. David still maintains he was just doing his job. 

 The Valour Award is the highest award for bravery from Victoria Police

David will join us on the phone - because he is working !             

click HERE to visit the official Victoria Police Airwing website 

click HERE to visit  an UNOFFICIAL police site with an extract of a report from the 1998-9 sydney- hobart yacht race rescue - this link was not given to me by any person - I found it through a  search engine. 

STREPTOCOCCAL GROUP B INFECTION 

 AND  PREGNANCY 

Not so long ago I received a letter from a woman who asked me to let  people know about  potentially serious infection that many  may not be aware of. 

Streptococcus group B is a usually harmless  bacterium . It is not the same streptococcus that causes infections like tonsillitis. Strep group B  often lives in a woman's vagina and causes no problems to her or anyone else. It is not an Sexually transmitted infection and causes no problems to an adult who has it. 

However if a woman is giving birth and there is  Strep Group B present in her vagina at the time it is possible that this could result in a serious infection in her baby. It is estimated that between 15%  and 40% of women probably carry the bacterium in their vagina at some time during their pregnancy,

It is important to note that the overwhelming majority of situations where a women has  this bacterium present in her vagina her baby WILL NOT be harmed. However in some situations where there are co-exisitng problems including a urinary tract infection with the Strep or premature rupture of membrane( water breaking earlier than 37 weeks) the risk of the baby being infected may be higher. 

In Australia a routine test for Strep B is done in pregnant women before 30 weeks and if found a course of safe, simple antibiotics will eradicate the problem.

If you are concerned about Strep B please discuss it with your doctor or midwife.

 Dr Shane Higgins from the Royal Women's Hospital will help put this condition into perspective.     

   

 TRAVELLERS HEALTH TIPS 

IMMUNISATIONS 

A couple of weeks ago we ran short of time and weren't able to get to out segment on Travel Immunisations. Fortunately  Dr Bernie Hudson is available to come back today.

Too often people come into my general practice asking for travel immunisations, which is great , except that then they go on to tell me they are leaving next week ! part of your preparation for a trip overseas has to be finding out WHAT immunisations and precautions  you should consider before you go 

Dr Bernie Hudson is an Infectious Diseases Specialist at Royal North Shore  Hospital in Sydney. He'll join us with some tips for overseas travel preparation

For Information about travel immunisations you can visit your local doctor ( at least a month before travelling is best ) or call 1300 55 65 55 for a  specialist clinic near you. 

 Click HERE to visit the Medical Advisory Service for Travellers Abroad

  SAFE BOATING

With Summer holidays upon us many people will take to the seas and lakes for some recreational boating. Glassy blue waters off golden beaches look serene and safe. But nature can change all that . It is vital to be prepared before boating and take all safety precautions. 

Barry Hibberd is the general manager of  the Queensland  Boating Industry Association and he will be joining us to give us some tips on boating safety

PSYCHOLOGICAL MANAGEMENT OF DISASTERS  

Normie Rowe spoke to us about his passion for talking openly about  post traumatic stress disorders so people know there is help available

Heather Bancroft  is a specialist psychologist who works extensively in counselling people who have been exposed to disasters .She will join us in the studio to help us understand peoples reactions and how best to deal with the emotions that are stirred.

With the recent Sydney bushfires and  the events of October 12 in Bali it is important we understand human reactions to disaster and when a reaction might be abnormal and require counselling.

We now  know the importance of understanding individuals respond to situations differently . But people need access to people with whom they can debrief and discuss their thoughts and experiences. 

SENIORS COMPUTING 

getting started ! 

 it is said that people over 50 are the fastest growing group  taking to computers like ducks to water .  This certainly seemed the case when we talked about this topic a couple of weeks ago. 

Of course there are still many people reluctant to try to learn to use a computer because they fear its all too hard 

Remember a computer cant be that smart - it can only count to 2 - and even then it does it by using 0 and 1 !! 

People may be taking to the technology like bees but To avoid drowning  Nan Bosler, the president of the Australian Seniors Computer Clubs Association will join us and give us a few basic tips for starting out .

click HERE to visit the Australian Seniors Computer Clubs Association 

also find other links on my links page