JO
S O TT
M
D
RW
AY
ER R D
Varsity Lakes A
LE
DR
IV
E
MACH
T NS Tweed City Shopping Centre
IN E R Y
DR
A LE X
AN D
ER
RD
UE
SC
C
TO
L BL VD
AY HW
I IF C A
AVE N
O
EL
R
BL U N D
IND
CE
I
P
E
M C T
G
T
N
BH A
HI
IS
RA
IC
B
RD
D RI VE
CHR
Y
ST
LL
lia stra Au g Fairoppin Sh ntre Ce
SCOTT SDA LE
HW
H
T POR
MA
OOD
IF
T
PA R
NA
C
AS
RO B I
KI RK W
DR
T YC
O U TH
Tweed Heads South AY KW
PA
C SO
N
M EG A
TR C
W
SPEN
IN A T O
DR
N G BA L
LD
R
AMB
O
VE
M IN JU
Robina Town Centre
RO B
G
T T S
UG
ST
T Y S
LA
RO
EEN
BO
ST
t Coas al GoldHospit
OR
S
G
NP
L IN
QU
AN
AR
W
VE
RA
DA
T H S
T H S
BA
R NE
Robina
BROAD WATER
T D S SC
H IG
H IG
O HNSTON ST
N IN
THE DAILY APPLICATION OF 30+SPF ON 903 ADULTS UNDER 55 YEARS OF AGE SHOWED NO DETECTABLE INCREASE IN SKIN AGEING AFTER 4½ YEARS. Source: Sunscreen and Prevention of Skin Aging: A Randomized Trial. Queensland Institute of Medical Research and University of Queensland, School of Population Health, Queensland, Australia, and University of Manchester, Manchester Academic Health Sciences Centre, Manchester, United Kingdom.
ALPHA-H PROTECTION PLUS DAILY SPF50+ A NOURISHING MOISTURISER THAT PROTECTS, FIGHTS ENVIRONMENTAL AGRESSORS AND HYDRATES THE SKIN. BOASTING POMEGRANATE WHICH HAS SUN PROTECTION COMPOUNDS THAT SHEILD THE SKIN AGAINST FREE RADICAL DAMAGE AND PYCNOGENOL TO PREVENT PHOTO-AGEING AND RESTORE SKIN VITALITY. MANGO SEED BUTTER PROVIDES NATUAL UV PROTECTION, LEAVING THE SKIN FEELING NON-GREASY AND MATTIFIED.
talk to us
1800 659 777 | www.alpha-h.com
80
14
54
64
50
Contents Regulars 08 From the CEO 09 Editor’s Desk 10 Pindara News Features 35 Men’s Health
Turning taboos into talking points
42 Hail Caesar
Why elective caesareans are on the rise
64 The Real Cost of Medical Tourism Considering a surgical procedure overseas? Read this first
6
Pindara Magazine
Pindara Magazine | Issue 1 | 2014
54 Children’s Health
22 Introducing Endobarrier
70 Summer Health and Fitness
24 Dental Implants
Early childhood illnesses you need to prepare for Eating right and staying in shape during summer
Health & Wellbeing 14 Electricians for the Heart Simplifying cardiac health
18 Stroke
Be aware and be prepared
20 The Case for Surgical Weight Loss A frank look at why this can be the best option
The latest weight loss and type 2 diabetes treatment Restoring form, function and quality of life
28 Sneezin’ Season
The lowdown on allergic rhinitis
30 Health Check
Are you getting the most out of your health insurance?
46 Fibroids and Fertility
What the diagnosis means for your baby dreams
Summer - Autumn | 2014
46
108
18
38
42
70
92
Dining 101 Canteen Coffee & Canteen Kitchen
50 Golden Child
A postnatal package all about style and luxury
A Burleigh Heads favourite for great coffee
Lifestyle Architecture as Art 38
105 Stokehouse Q Brisbane
One of Brisbane’s best waterfront restaurants
Sunland Group: An extraordinary 30 years
Beauty 68 You Beauty
80 Eco and the City
The secret of Ramada Couran Cove Island Resort
This season’s best buys
86 Exhilarating X5
Movies, Books & Events 98 Latest DVD reviews 100 Good reads 112 Surfers Paradise Festival
The evolution of the BMW X5
92 Prince Among Pod Drives
Princess Yachts stunning new V48
108 Home Loan Hints
How to get the most out of your home loan
pindaramagazine.com.au
86
76 Gizmo Guide
Australia’s premier beachfront event
Pindara Magazine
7
ISSN 2203-3157
From the CEO
Pindara Private Hospital Trish Hogan CEO Pindara Private Hospital Robbie Falconer Assistant Editor Pindara Magazine Business Development & Marketing Manager Pindara Private Hospital Published by Nude Publishing a division of Nude Creative Pty Ltd www.nudepublishing.com.au Art Direction, Editorial & Production Nude Creative hello@nudecreative.com.au www.nudecreative.com.au National Advertising Manager Peter Wastie peter@nudepublishing.com.au
2013 was a year of firsts for Pindara Private Hospital and it seems 2014 is going to follow along a similar path. Last year, we became the first Queensland private hospital to be accredited against the new 10 National Standards – an outstanding achievement that confirms Gold Coasters really are in safe hands here at Pindara; our education team won the APHA Queensland prize for innovation – an achievement that demonstrates the clinical education at Pindara is second to none; and Pindara was announced winner of the inaugural Health & Wellbeing Award in the prestigious Gold Coast Business Excellence Awards – a great honour we were delighted and humbled to have won; and to cap it off, our year ended on a light-headed high, when our doctors became
Pindara was announced winner of the inaugural Health & Wellbeing Award in the prestigious Gold Coast Business Excellence Awards
an overnight sensation on YouTube with their Moves Like Jagger DVD. This year, our busy hospital is off and running towards achieving a new set of goals – all centered around delivering the highest standards of patient care, here at Pindara.
Medicial Contributors Dr Ben Hunt Cardiologist (Electricians for the Heart)
Dr Andrew Cary Obstetrician and Gynaecologist (Hail Caesar)
Our hospital was originally built in 1971 by Allan and Gwen Ramsay. Back then, we were a 50-bed facility. Today, we have more than five times that capacity with more yet to come. You might have noticed the construction work adjacent to the Allchurch Avenue entrance of the hospital. This four-storey building is the next stage in the master plan to redevelop, refurbish and expand Pindara to ensure we continue to meet the needs of the local community. Construction is due to be completed in August 2014 and with this we will commission new patient accommodation, operating theatres and a new state-of-the-art kitchen. These new facilities will expand Pindara to more than six times its original size.
Dr Paul Hannah Pindara Emergency Centre Doctor (Stroke)
Dr Alwyn Dunne Obstetrician & Gynaecologist (Fibroids and Fertility)
Dr Jorrie Jordaan Bariatric and General Surgeon (Endobarier)
Dr Dilip Gahankari Plastic & Reconstructive Surgeon (Real Cost of Medical Tourism)
To keep you up to date with the changes in health services here at Pindara, we have decided to publish our first consumer magazine – the Pindara Magazine – in partnership with the talented crew at Nude Creative. Our aim is to inform, educate, empower, engage and encourage our community to live and sustain a happy and healthier lifestyle. We hope you enjoy reading our articles. Welcome to our first edition of the Pindara Magazine.
Trish Hogan CEO Pindara Private Hospital
8
Pindara Magazine
Printed in Australia by Webstar
Dr Shannon Webber Oral Maxillofacial Surgeon (Dental Implants) Dr Dan Robinson Ear Nose & Throat Surgeon (Sneezin’ Season) Dr Neil Smith Dr Scott McClintock Urologists (Mens Health)
Jill Barnes Pindara Paediatric Ward Nurse Unit Manager (Children’s Health) Lifestyle Contributors Amanda James Anthony Sherratt David Lockwood Jason Oxenbridge Shannon Huxtable
creative / digital / publishing Gold Coast The Docks. Masthead Way Sanctuary Cove, QLD 4212 Phone 07 5514 8355
Brisbane Level 1. 60 James Street Fortitude Valley, QLD 4006 Phone 07 3358 5831
www.nudecreative.com.au Disclaimer. No part of this publication may be reproduced or copied in any form by any means without prior written permission from the Publisher. Opinions expressed in this magazine are those of the authors and not necessarily those of Pindara Private Hospital or Nude Publishing. Every issue of Pindara Magazine is prepared with careful attention to accuracy. Please use this magazine as a general guide. Pindara Magazine expresses the views of the authors and is based on the information available at the time of publication and it is not to be taken as advice. All prices quoted in this publication are correct at time of printing. All editorial material is accepted in good faith. We welcome editorial and photographic contributions.
WELCOME Hello and welcome to the inaugural issue of Pindara Magazine. Working on this first edition has been a very enjoyable challenge. As the first magazine of its kind in Australia, Pindara Private Hospital and Nude Creative have pushed the boundaries to bring you a magazine that combines factual health, nutrition, medical, wellbeing and general lifestyle content in a beautifully presented and entertaining publication. Being informed can help you ensure you stay in charge of your own health and wellbeing and it is our hope that the stories we publish in Pindara Magazine will empower you to make the best decisions possible when it comes to your health.
all sorts of crazy hours to look after patients and still found the time to contribute articles for this issue of Pindara Magazine – we couldn’t have done it without you! This issue we have taken on some serious topics and reveal the true cost of medical tourism (page 64) and broach the often taboo topic of men’s health (page 34). We also give you some tips on preparing your child for hospital and give you a look at Pindara Private Hospital’s luxurious Palazzo Versace package for mums and bubs. We hope you enjoy the read. Until next time... Katriya & Robbie
A big thank you must go out to the doctors at Pindara Private Hospital, who put in
ALL-NEW RANGE ROVER SPORT
0-50 HEADS TURNED, AROUND EVERY CORNER
The all-new Range Rover Sport’s bold exterior is perfectly complemented by the stylish interior. Just two of the reasons for all of the admiring glances.
Bruce Lynton Land Rover 96 – 100 Minnie Street, Southport, Qld, 4215
Tel: 07 5571 1011 www.brucelyntonlandrover.com
Being informed can help ensure you stay in charge of your own health and wellbeing. Pindara Magazine will empower you to make the best decisions possible when it comes to your health.
news
Summer/Autumn
medical specialist. Each patient is triaged by an experienced registered nurse on arrival to ensure care is timely and given in order of clinical urgency. Patients are then assessed by an experienced Emergency Centre doctor, who will consult with a relevant specialist if required. The centre’s doctors network closely with local general practitioners and specialists to ensure follow-up care is provided where necessary. The Pindara Cardiac and Emergency Centre is well-equipped with life-saving technology, and is supported by 24-hour onsite pathology services and radiology with X-ray, ultrasound, CT scan and nuclear medicine imaging, as well as Pindara Private Hospital’s state-of-the-art operating theatres, intensive care and coronary care units with cardiac catheter laboratory.
The Mansell Cosy Cot was officially presented to representatives from Pindara at the Rotary Antiques, Collectable and Book Fair on Sunday 12 January 2014.
Antiques and Collectables Help the Brand New The Rotary Club of Palm Beach has raised more than $30,000 to purchase a Mansell Cosy Pod Transport Cot for Pindara Private Hospital’s Maternity Unit. The cot will be used to transport very sick babies from Pindara to a tertiary centre such as the Gold Coast University Hospital or to Brisbane to receive tertiary level care. Funds to purchase the cot were raised through the annual Rotary Antiques, Collectable and Book Fair held from 9 – 12 January 2014 at Jupiters Casino. The fair attracted more than 70 antique, collectable and book dealers from across the country and their old and valuable wares turned the Jupiters Ballroom into an eclectic antique bazaar. Fair organiser Peter Campbell said thousands of people of all ages attended the fair and while he wasn’t sure of final attendance numbers he believed the 2014 fair attracted many more attendees than previous years. The Rotary Club of Palm Beach was established in 1967 and has run the antiques fair for more than 25 years. Collectively, the fairs have raised more than $1 million. These funds have been used to support local community projects as well as international projects. This year Pindara Private Hospital was the recipient. Denise Hartley, Pindara Private Hospital Assistant Director of Clinical Services (Obstetric, Paediatric, Neurosurgical & Intensive Care Services) said the CosyPod Neonatal Transport System, purchased by the Palm Beach Rotary Club was a valuable addition to the resources in her unit.
10
Pindara Magazine
She said the new equipment will provide a service that the Gold Coast health community, as a whole will welcome. The Cosypod Neonatal Transport System fits into all new ambulances and is fully tested for road use compliance. Denise said the system has a power lifter making for easy handling and manoeuvrability. Pindara Private Hospital’s maternity unit is the busiest private unit on the Gold Coast with more than 1,500 babies born each year. The hospital thanks the Rotary Club of Palm Beach for their outstanding support.
Pindara Cardiac and Emergency Centre Accidents happen – anywhere and anytime – and when they do, Gold Coast residents and holiday makers are in safe hands, thanks to the dedicated team of experienced emergency doctors and nurses who run the 24-hour Pindara Cardiac and Emergency service. First opened in 1987, the Pindara Emergency Centre was the first private emergency centre in the country. Since then, it has grown to be one of the busiest private 24-hour emergency centres on the Gold Coast, with more than 22,000 emergencies treated per annum. The Emergency Centre is run by a team of long-serving doctors and highly trained emergency nurses. They provide around-theclock, diagnostic and treatment services all day, every day. Patients are able to self-present or they can be referred by their GP or other
Pindara Cardiac and Emergency Centre is a leading provider of comprehensive and personalised private emergency services on the Gold Coast.
World Class Cardiac Services Arrive at Pindara Private Hospital New and improved cardiac services have arrived at Pindara Private Hospital with the recent commissioning of a state-of-the-art, Cardiac Catheter Laboratory (Cath Lab) and a new Electrophysiology (EP) Unit. EP is a branch of cardiology that deals with the diagnosis and treatment of heart rhythm disorders. The cutting-edge Alura Cath Lab boasts new technology and is one of the first installations of its type in Australia for Philips Healthcare. Superior features unique to this new Alura system include higher quality (clearer) x-ray imaging that also delivers lower doses of radiation, to both staff and patients, than older equivalents. Real time monitoring of the radiation levels in the laboratory is another key feature of the new equipment. The EP cockpit brings several other firsts for Pindara – the hospital is the first in Queensland to commission a complete St Jude installation, and part of it - the Claris monitoring system - is a new release for the company and the installation at Pindara will be the first of its type in Australia. The cutting-edge EP equipment captures, displays, stores and retrieves surface and intracardiac electrical signals during electrophysiology studies. The system is connected to electrophysiology catheters that are guided into various locations within the heart and to surface electrocardiogram (EGC) cables. The equipment identifies abnormal heartbeats and the areas in the heart that cause cardiac arrhythmias (disturbances in the normal rhythm of the heartbeat).
Summer - Autumn | 2014
Gail Keneally, the Pindara Cardiac Services Nurse Unit Manager said the new installations are a welcome addition to the Cardiac Services at Pindara Private and are the next steps in fine tuning the Centre of Excellence in Cardiac Services at the hospital. “This new state-of-the-art equipment will enhance the quality of what is already an excellent service - and that is great news for the Gold Coast,” she said. The advanced imaging and patient monitoring capabilities, enabled by this technology, bring benefits to the cardiologist and healthcare teams, whose challenge it is to identify areas of the heart requiring ablation – these benefits will subsequently flow on to the patient. “Improved imaging increases the clarity of the field of vision and ultimately the accuracy of the procedure. The lower radiation emissions and the advanced monitoring capabilities ensure we can keep tabs, in real-time, on the radiation levels in all sections of the laboratory during a procedure,” Gail said.
Trish Hogan (Pindara Private Hospital CEO) accompanied by Robbie Falconer (Pindara Business Development and Marketing Manager) receive the inaugural Health & Wellbeing Award at the annual Gold Coast Business Excellence Awards from Bert van Manen, the Federal MP for Forde.
Pindara Cardiac Services Unit staff have undergone extensive training in the lead up to the commissioning of the new equipment and the new Pindara Cardiac Cath Lab will be fully operational as of 20 January 2014.
Concierge, Accident & Emergency, Courier/Mail Room, Oncology Day Wards, Discharge Lounge, Library Trolley, Car Park, Department of Veterans Affairs and delivering newspapers. Affectionately known as “Vollies”, the smiling faces and willing assistance provided by the “Friends of Pindara” is valued by staff and patients alike.
Next Stage of Pindara Master Plan Rolls Out
Pindara Wins Prestigious Gold Coast Business Excellence Award
The next stage of development to expand and refurbish Pindara Private Hospital is well underway with a new four-storey hospital wing currently under construction on land located adjacent to the existing hospital and next door to the Benowa State School. The new wing, which is due for completion in August 2014, will add new ensuite private room accommodation for overnight patients, three new state-of-the-art operating theatres and a much-needed new kitchen. Once complete, several of the existing older shared hospital rooms will be reconfigured and refurbished to ensure all future patients admitted to the hospital are able to be accommodated in private rooms. Since the completion of Stage 1 of the Master Plan in 2010, Pindara Private Hospital has become the centre of one of the busiest private healthcare precincts on the Gold Coast. Pindara Volunteers The “Friends of Pindara” volunteer more than 160 hours a week and perform a range of tasks around the hospital including helping out in
pindaramagazine.com.au
Pindara Private Hospital recently won the inaugural Health & Wellbeing Award in the prestigious Gold Coast Business Excellence Awards held on 30 November 2013. The Business Excellence Awards commenced in 1996 and have since grown to be recognised as the biggest, most comprehensive and prestigious business awards on the Gold Coast. For the first time, the awards, which recognise and celebrate leading businesses in the region,
Ramsay Healthcare Celebrates 50 Years Pindara Private Hospital’s parent company, Ramsay Health Care, celebrates 50 years of People Caring for People this year. From humble beginnings in Sydney to the global success story it is today, Ramsay Health Care has remained focused on operating its business according to The Ramsay Way philosophy: “People Caring for People”. The story began in 1964, in the early days of the private hospital industry in Australia, when Paul Ramsay, founder and Chairman of Ramsay Health Care, purchased a guesthouse called Warrina
included a health and wellbeing category. Pindara CEO, Trish Hogan, acknowledged the outstanding efforts of all Pindara staff in her acceptance speech. “Pindara Private Hospital has been servicing the needs of our community for more than 40 years; our staff are highly professional and work hard to ensure we deliver the highest standard of care to our patients,” Trish said. “2013 has been a great year for us and 2014 will be even better as our Stage 2 expansion is completed. This project will not only increase our bed capacity but also improve our patient support infrastructure so that we can continue to grow in line with Ramsay Health Care’s Master Plan for Pindara.” “The future is looking very exciting for Pindara and I thank our staff, our doctors and our health care service provider partners for helping us win this accolade.”
House on Sydney’s North Shore and converted it into a psychiatric hospital. Today, Ramsay Health Care is one of the world’s largest private hospital operators with over 150 hospitals located across five countries – Australia, England, France, Indonesia and Malaysia – employing more than 30,000 people and admitting over 1.4 million patients each year. Ramsay Health Care purchased Pindara Private Hospital in April 2004 and have committed to a Multiphase Master Plan to refurbish and expand the facility to ensure it continues to meet the needs of the local community.
Pindara Magazine
11
General Health
14
Pindara Magazine
Summer - Autumn | 2014
General Health
Electricians for the Heart Simplifying cardiac health
E
veryone in our society is familiar with the words ‘heart attack’. A heart attack is when one of the pipes that supplies the heart with blood blocks off, causing a part of the heart to be starved of blood and oxygen. It is, quite simply, a problem with the plumbing. As it turns out, as well as having plumbing, hearts have an electrical system. The ‘electrics’ of the heart can also have problems from time to time. There is much less awareness of these conditions in the community, but they are very common, and largely very treatable. The heart is a pump. It pumps blood to the whole of
pindaramagazine.com.au
the body, supplying blood and oxygen to all the organs. Electrical impulses in the heart cause it to pump, so it follows that problems with the heart electrics in general causes one of two problems; either the heart beats too slow, or too fast. Beating too fast or too slow can cause a variety of problems, including dizziness, loss of consciousness, pounding or ‘flip-flopping’ in the chest, shortness of breath, racing pulse, pounding in the neck, and chest pain. Heart rhythm disorders are very common. Atrial fibrillation, a condition that often causes a very irregular pulse, affects four percent of people over the age of 65. Other problems include atrial flutter (which is very similar
Pindara Magazine
15
General Health
Case Study Allow me to share my story with you and how my atrial arrhythmia changed my life. I am an active, 40-year-old male who works as a state manager for a busy company. My life was heavily impacted by an atrial arrhythmia.
M
y symptoms were a racing heart with anxiety, tiredness and shortness of breath walking up stairs and general exercise. These symptoms told me something was very wrong and I booked an appointment with Dr Ben Hunt to get it checked. We started with a 24-hour holter monitor to see what was happening with my heart and to capture my heart rhythm when I had the above described symptoms. The holter was returned and analysed which showed in fact I had an atrial arrhythmia at 160-180 beat per minute.
to atrial fibrillation and causes an irregular pulse) supraventricular tachycardia (a sudden onset racing of the heart) and ventricular tachycardia (the bottom chambers of the heart - the ventricles - beat very rapidly). Over the last few years, the mechanisms of how these heart rhythm problems occur has become very well understood. These problems are actually due to abnormal circuitry in the heart that can be addressed with medication or an ablation. An ablation is when flexible wires are inserted into a vein in the top of the leg, floated into the heart where the abnormal circuit is identified and then disrupted by applying heat to the problem area. The procedure requires sophisticated equipment, known as an electrophysiology laboratory, and a highly trained team including an Electrophysiologist (a doctor who specialises as a heart electrician), electrophysiology technicians to run the computers and equipment, nurses and radiographers to help with the x-ray equipment need for the procedure. Ablations are safe and effective interventions. Success rates vary depending on the heart rhythm problem. A 98% cure for life can be achieved for some problems (such as supraventricular tachycardia) with a single procedure, and around a 90% cure for life for atrial flutter. Atrial fibrillation cure rates are over 80%, but patients may require more than one procedure to achieve this. Complication rates are low; they vary depending on the type of ablation and range from two to five percent in total. Possible complications include substantial bruising and bleeding in the top of the
16
Pindara Magazine
Pindara Private Hospital now has a dedicated electrophysiology laboratory, offering ablation procedures from February 2014.
leg where the wires are inserted, problems from the anaesthetic (such as a lung infection), blood around the heart (known as tamponade), and very small risks of stroke and need for a pacemaker following the procedure. After an ablation patients often experience a tight sensation in their chest and a small bruise on the top of the leg that resolves over a week or so. Following this, they can look forward to living confidently without the racing pulse, shortness of breath or intermittent trips to hospital so frequently caused by heart rhythm disorders. pm
The next step was medication to try and cease my arrhythmia, consisting of beta blockers, which fatigued me. I was light headed, tired, foggy, unable to sleep and it had zero impact on my heart slowing down. I then had another drug added to my beta blocker called flecainide which also had no effect on my atrial arrhythmia and worsened my side effects. A week had now passed, and I was not working or sleeping. I was very anxious and desperate to have my heart rate back to normal, as I was unable have a normal life. I was unable to play with my three-year-old and six-year-old boys or spend time quality time with my wife, as we were both stressed about my condition. Dr Ben Hunt said, “we can fix this problem by undergoing an ablation”. For just a one-night stay in hospital and a two to four-hour procedure, I had a good chance to get back to a normal heart rhythm. With all the small risks described, I jumped at the chance to get my life back. Dr Ben Hunt was compassionate, professional and friendly and I knew I was in great hands. My procedure took four hours, however he was able to find and destroy the arrhythmia that had changed my life. Although I felt a little sore with some indigestion and light headedness post procedure, I had a normal heart rate again. I had a week of recovery and felt normal, apart from those mild side effects. I am now back to normal and 100% healthy thanks to this amazing procedure called an ablation and the wonderful skills of Dr Ben Hunt. I am no longer on medication and my heart rate is normal. Dr Hunt gave me my life back and I can’t thank him enough for what he has done for my family and I.
Summer - Autumn | 2014
General Health
Stroke
Be aware and be prepared With one in six people suffering from a stroke at some time during their life, most of us will know someone who has been affected by this devastating event.
R
eferred to in medical terms as cerebrovascular event (CVA), a stroke occurs when blood stops flowing to part of the brain. Cut off from their supply of oxygen, brain cells begin dying within minutes. A stroke can strike anyone at any time, however it is more commonly seen in older patients who have existing cardiovascular risk factors such as smoking, diabetes, high blood pressure and high cholesterol levels. In 2012, more than 50,000 Australians had a stroke. Today there are 420,000 Australians living with the effects of stroke (30% of these people are still working age), and this number is estimated to rise to 709,000 in the next 20 years. Stroke kills more women than breast cancer, and more men than prostate cancer.
18
Pindara Magazine
But the good news is that the earlier a stroke patient can get treatment, the higher their chances of a hopeful outcome. Dr. Paul Hannah, a doctor at Pindara’s accident and emergency rooms, has seen his fair share of stroke patients and has developed a special interest in the subject. “The last three decades have seen a huge decline in the mortality rate following a heart attack as a result of a combination of drugs, and it was hoped the same theory could be applied to strokes,” Dr. Hannah says. “Medications such as aspirin and clot-busting drugs known as thrombolytics have proven to be extremely successful in treating heart attacks. More recent developments in the field of acute coronary intervention have made the chances of surviving a heart attack even greater.” Pindara Private Hospital has a 24/7 catheterization laboratory (cath lab) where heart attack patients are treated
Summer - Autumn | 2014
General Health
The National Stroke Foundation has launched a campaign to help educate people about the early signs of stroke. Using the ‘FAST’ (face, arms, speech, time) test, you can check for probability of a stroke by asking these simple questions:
Face Arms
Speech
Check the person’s face. Is their mouth drooping?
Time
Can they lift both arms?
urgently with a balloon to open the blocked artery, usually followed by a stent to keep the artery open. The combination of these treatments has decreased the mortality of heart attacks from around 25% down to a mere 4%. What’s more, the survivors (if treated quickly enough) are often left with no heart muscle damage – a very different story from 30 years ago when survivors were left with a legacy of a weak heart and the fear of further heart attacks.
for sure that aspirin and careful hospital care definitely improves stroke outcomes. Many would say that there is little downside to the use of thombolytic drugs within the first three hours of a severe stroke onset, although it has to be said that there is a small risk of actually causing a brain haemorrhage with the treatment. Even with this small risk of haemorrhage though, there is no increase in mortality with thrombolytic treatment.
Large studies of over 40,000 people proved that a cheap aspirin tablet, costing around six cents, could save one in 79 lives from acute stroke. As the aspirin treatment was effective in treating both heart attacks and stroke, it was hoped that the same clot-busting drugs used to treat heart attacks would also be successful in treating stroke. As strokes are often also blocked arteries in the brain, it was feasible that this theory would not be without merit.
The bad news is that thrombolytic drugs cannot
“Unfortunately, the concept of a ‘brain attack’ is not really the same as a heart attack,” Dr. Hannah explains. “Brain cells can only survive three minutes without oxygen, while heart cells can often survive for over an hour. This is also why the FAST campaign places so much emphasis on early recognition and medical attention for a stroke.”
Hopes for the future include
Is their speech slurred? Can they understand you?
Time is critical. If you see any of these signs, call 000 without delay.
be used in many people, firstly because they present beyond the three hours from onset (people who wake up with a stroke cannot be treated as it cannot be determined when it began); and secondly, there are many contraindications in people at risk of bleeding (such as those on anticoagulants, those with a history of stomach ulcers or recent surgery that could bleed). So overall, the acute treatment for strokes is progressing at a much slower pace than, for example, heart attacks or even cancer. pm
• Neuro-intervention – similar to what cardiologists do in acute heart attacks.
the dead stroke tissue that has a borderline blood supply that could be opened up). This would involve special CT and MRI techniques.
• Ischaemic Penumbra Assessment – current thrombolytic treatment is very much a ‘shotgun’ treatment and it would • Other techniques such as ultrasoundenhanced thrombolysis, where high be preferable to select the brains which frequency sound waves are used to have the largest ischaemic penumbra break up the clot, are under investigation. (i.e. the area of brain tissue surrounding
The Numbers
One in six people will have a stroke.
Of these: One in three will not survive One in three will recover fully One in three will recover with permanent deficit such as limb weakness or speech problems
Furthermore, not all strokes are due to acute clots as they are with heart attacks. Some strokes are actually haemorrhages, and some are a result of old hardened clots from distant sites (emboli) such as the heart. The latter two causes of stroke will not respond to clot-busting drugs. In addition to this, the cause of stroke in up to one third of cases cannot be determined. So where does this leave us now with the acute treatment of strokes? Well, firstly we know
pindaramagazine.com.au
Pindara Magazine
19
General Health
The case for surgical weight loss With mortality rates from morbid obesity on the rise in Australia, it’s important to discuss all avenues of weight loss.
F
or some people, losing weight is not as easy as just cutting the carbs or putting in an extra session at the gym. For those people, their weight struggles have become a huge battle and it has begun to take a toll on their everyday life. Causing a whole range of physical health issues from heart disease to infertility, obesity also wreaks havoc on your mental health. Although controlling your weight through a healthy lifestyle is always an optimal choice, it’s understandable, and accepted, that some people need to take that extra step to urgently curb the detrimental effects of obesity. This is where surgical weight loss becomes a very real option. Patients who undergo surgical weight loss procedures can expect to lose an average of 67% or more of their excess body weight, compared to less than 10% weight loss achieved through healthy diet and exercise. Losing that first portion of excess weight is usually the most difficult barrier to break, in order to sustain and maintain a healthy weight. Many patients who lose a significant amount of weight through surgical procedures find there is an almost instant shift in mindset, making long-term weight loss an easier and more achievable goal. Weight loss surgery offers very effective treatment for a host of obesityrelated health problems. It can put Type 2 Diabetes into remission. It can cure hypertension. It can alleviate sleep apnoea, gastro-oesophageal reflux, high cholesterol and depression. It can overcome polycystic ovarian syndrome, improve fertility and reduce the rates of preeclampsia and gestational diabetes. A trusted provider of these services on the Gold Coast is the Surgical Weight Loss Centre, located at the Pindara Specialist Suites. This multi-procedural
20
Pindara Magazine
centre offers a number of surgical weight loss options tailored to the needs of the patient. The three most commonly performed weight loss operations in Australia are laparoscopic sleeve gastrectomy, laparoscopic Roux-en-Y gastric bypass and laparoscopic gastric banding. Sleeve gastrectomy and gastric bypass achieve equal weight loss and improvements in health. A sleeve gastrectomy removes a large portion of the stomach along the greater curvature, decreasing stomach size by about 75%. This is often the most suitable option for a majority of patients, as it carries a slightly lower risk than gastric bypass and is more effective than gastric banding. Gastric bypass procedures are a little more complex, dividing the stomach into a small upper pouch and a much larger lower ‘remnant’ pouch, then rearranging the small intestine to connect to both. However, this procedure yields better results in patients who have severe gastro-oesophageal reflux disease. Gastric banding, a procedure in which an inflatable silicone device is placed around the top portion of the stomach to slow consumption of food (and thus the amount of food consumed) is also considered a valid option for patients who do not have severe obesity. The risks associated with surgical weight loss are quite low – they are comparable to gallbladder surgery and are actually lower than that of a joint replacement; this makes surgical weight loss a safe and effective option with sustained results for those who are struggling with obesity. pm If you would like to learn more about surgical weight loss, visit www.surgicalweightlosscentre.com.au or call Dr Jordaan on (07) 5556 8888
Summer - Autumn | 2014
General Health
pindaramagazine.com.au
Pindara Magazine
21
General Health
Introducing EndoBarrier
The latest minimally invasive weight loss and type 2 diabetes treatment.
W
ith 25% of Australian adults categorised as obese and an additional 40% considered overweight, the number of people suffering with type 2 diabetes is also increasing at epidemic rates.
Type 2 diabetes is caused by a combination of genetic and environmental factors, although the risk of developing type 2 diabetes greatly increases when lifestyle factors such as being overweight or obese come into play. In its early stages, type 2 diabetes can be managed through controlled diet and exercise, however, over time most people with type 2 diabetes will also require medication and insulin. Enter EndoBarrier. This brand new non-invasive, non-surgical treatment is providing a solution for patients struggling with weight, particularly those who have been unable to control their diabetes or lose weight with other medications or significant lifestyle changes. The EndoBarrier is a liner that is inserted endoscopically through a small tube through the mouth under a light general anaesthetic. The procedure only takes around 30 minutes and there are no scars or incisions. The EndoBarrier is a day procedure so patients are discharged home shortly after.
22
Pindara Magazine
Creating a physical barrier between food the patient ingests and the duodenum/ proximal jejunum, the EndoBarrier means that the food bypasses the duodenum and stops the food interacting with enzymes and hormones in the intestines. This affects key hormones that are involved with insulin levels, glucose metabolism and satiety. In essence, the EndoBarrier creates a lining that aids in the treatment of type 2 diabetes through glycemic control and weight loss through hormonal interaction and reducing the feeling of hunger. As the first non-surgical, non-pharmaceutical technique for treating type 2 diabetes and obesity, Dr Jordaan of the Surgical Weight Loss Centre is excited to announce he will be making the EndoBarrier available to his patients. “This type of treatment has never been available here before,” enthuses Dr Jordaan. “It’s very exciting because people who have been struggling to control their weight and/or diabetes through other methods now have a minimally invasive option at their disposal.” The EndoBarrier is suitable for patients with a BMI between 30 and 45, and promises a decrease in body weight without altering the anatomy, and can be easily removed at the end of the treatment period. pm For more information on the EndoBarrier procedure, visit www.surgicalweightlosscentre.com.au
Summer - Autumn | 2014
General Health
24
Pindara Magazine
Summer - Autumn | 2014
General Health
Dental Implants Restoring form, function and quality of life.
A
beautiful smile can boost your selfconfidence and make a big difference to your life. When it comes to missing teeth, either from natural or accidental causes, people tend to rush to fill the gaps. While there are plenty of options out there, the latest advancements in dental implants are encouraging more people to choose this option over other alternatives. Dental implants are proving to be one of the safest and best looking solutions to absent or damaged natural teeth. From a single tooth to multiple tooth replacement – even full arch replacements whereby all the teeth need to be replaced – the advancements in dental implants are ensuring a lifelong stable solution with fantastic aesthetic results. The days of dentures can now be considered a thing of the past. Dr Shannon Webber is a leading Oral and Maxillofacial Surgeon who established Gold Coast Oral, Maxillofacial and Implant Surgery in 2012. He has performed some of the most challenging implant procedures in Queensland, and has gained a reputation as a leader in the field of dental implants. “We use the most modern and minimally invasive technology to ensure exceptional care is delivered in a
pindaramagazine.com.au
comfortable and caring environment. I strive to deliver the most optimal outcome for all our patients,” Dr Webber says. What are Dental Implants? Essentially an implant is a titanium screw, which is gently placed in the jawbone to replace the root of a lost natural tooth. Dental implants can be placed in both the upper or lower jaws and function as the new root of a missing or extracted tooth. They form a foundation for which a tooth or bridge (multiple teeth) can be attached. Due to the biocompatible properties of titanium, a dental implant fuses with the bone and becomes a good anchor for the replacement tooth. Dental implants can thus be used as a solution for replacing single or multiple missing teeth, or to stabilise and retain upper and lower dentures. This means the denture can be fixed in position (and is nonremovable). You may be a suitable candidate if you are missing one or more teeth due to injury, disease or tooth decay. The determining factor is the amount of available bone. “For dental implants to be successful, the jawbone must have enough bone to support them. You may not have enough bone because of tooth loss from gum disease, injury or trauma, or a developmental defect,” Dr Webber says.
Pindara Magazine
25
General Health
Key Benefits of Dental Implants • Improve jaw function • Improve speech and comfort • Boost self-esteem and confidence • Can improve appearance • Maintain health of remaining teeth • Preserve facial contour • Long-term results and guarantees
Incredibly, even if you do not have enough bone, Dr Webber has the skills and expertise to perform augmentation procedures to replace bone. Bone grafting, or augmentation, is a term that is used to describe a variety of procedures that are used to “build” bone so that dental implants can be placed. These procedures typically involve adding bone from another part of the jaw, or bonelike materials to the implant area, and waiting for the grafted material to fuse with the existing bone over several months. “If your jaw is too short or too narrow, we will discuss the best choice of bone for your particular case,” he says. Through his expertise and experience with 3D cone beam images, Dr Webber can evaluate whether dental implants are a viable option for you. 3D Cone Beam CT images are state-of-the-art technology that provide precise, high definition details of oral and facial structures. The images allow vital information to be examined such as the amount of bone available for the placement of dental implants, pathology of the mouth and jaws, and important anatomical features such as impacted teeth, nerves, sinus cavities and blood vessels. “Our ultimate digital treatment planning can be quickly viewed by staff and shared with patients and the referring doctor or dentist. The images are captured, transferred to a computer system and allow us to analyse and precisely plan treatment and surgical procedures,” he says. The planning process is usually achievable during one to two consultations and treatment can be carried out in the comfort of the surgery’s rooms under local anesthetic and nitrous sedation,
26
Pindara Magazine
or as a day case under a general anesthetic at a hospital or day procedure centre. “We can work with your regular or specialist dentist to achieve the absolute optimal and desired outcome,” he says. Dr Webber has a particular interest in placing multiple dental implants to retain and fix an upper and/or lower denture in position. This allows the restoration of form, function and peace of mind thus promoting confidence, comfort and stability. His extensive training and expertise in dental implants and all aspects preprosthetic surgery including soft tissue augmentation, all types of bone grafting, and implant-retained dentures ensures he remains at the absolute forefront of this evolving field. He also uses the World Renowned “Nobel Biocare” Dental Implant system exclusively. They are the most widely placed implant in the world and have over 40 years of research and usage behind them. They also come with a life-long guarantee. pm
What are the costs? Treatment costs can attract both a Medicare and Health Fund rebate depending on the type of treatment you require. As a Specialist Surgeon, your consultation with Dr Webber will attract a rebate through Medicare. You can be referred from your doctor, dentist or another medical or dental specialist. Dr Webber can work with your regular or specialist dentist to achieve the absolute optimal and desired outcome. If your smile is important to you, it’s worth an initial consultation!
Summer - Autumn | 2014
The Southport School Preschool & Reception The Southport School’s Preparatory School provides an outstanding education for boys from Preschool to Year 6. A dedicated team of teachers who understand the special ways in which boys learn, carefully nurture authentic relationships based upon mutual respect and genuine care. These relationships are the key to the Prep School’s success as boys and teachers work together in setting and achieving Academic, Sporting and Cultural goals. It has been said of ‘Prep’, as the school is known, that the boys are busy and happy. This is certainly the case with a full Academic program incorporating English, Mathematics, Science, Social Studies, Technology and Robotics programme, Physical Education and Health. The key feature of a ‘Prep’ education is its holistic nature. Each boy is exposed to learning experiences from all spheres; academic, sporting, cultural and spiritual. Our belief is that a well rounded boy grows up to become a young man best equipped to confidently face the challenges of his adult life. For more information please contact the Admissions Department on 1300 877 269 or visit the website www.TheSouthportSchool.com.
The Southport School | Winchester Street | Southport | www.thesouthportschool.com | 1300 877 269
General Health
Sneezin’ Season The lowdown on allergic rhinitis
28
Pindara Magazine
Summer - Autumn | 2014
General Health
H
ave you just spent the past three months itching, sneezing, blowing your nose and tearing your hair out in frustration? Then you might just be suffering from allergic rhinitis. Commonly referred to as hayfever, allergic rhinitis is an immune mediated condition where patients have an allergy to something they are exposed to in the environment. When people with allergic rhinitis come in contact with the allergycausing substance, then the symptoms of allergic rhinitis present themselves. Starting with an itchy nose, palate (roof of your mouth) or eyes, this may then turn to sneezing and a few hours later, a blocked nose and decreased sense of smell. Caused by a range of items commonly found in your everyday environment, there are any number of things that can trigger the onset of allergic rhinitis symptoms. Some of the most common ones are house mite dust, animals (but particularly cats), mould and grasses and pollen. As spring is the primetime for pollination, this can be the most difficult period of the year for people trying to manage moderate to severe allergic rhinitis. One of the most frequently asked questions when it comes to allergic rhinitis is who is most likely to suffer from this frustrating condition? Well the simple answer is allergic rhinitis is a disease that can manifest at any time, however it commonly develops in childhood and has strong associations to asthma and allergic conjunctivitis. So if you suffered from asthma as a child, then you may find yourself battling the symptoms of allergic rhinitis at some stage in your life. The symptoms of allergic rhinitis can often be debilitating and the general rule is that if you suffer with the symptoms of allergic rhinitis for more than three days of the week, on average, or if it is interfering with school, work or sleep, then it should be treated. The good news is that there are many treatments available for allergic rhinitis, meaning sufferers can manage the condition. Aside from completely avoiding grass and pollen (a pain-free fix, albeit rather impractical), there is a choice of medications, surgery, desensitisation therapy or a combination of these to keep the symptoms of allergic rhinitis at bay.
Medications can be broken down into the following categories: Oral Antihistamines There are many oral antihistamines available either over the counter or with a prescription, which are very effective at controlling allergic rhinitis during allergy season. These new medications do not make you drowsy like some of the older style antihistamines and can be safely taken in the morning to help you get through your day as normal. Nasal Steroids These are a mainstay of long-term treatment for allergic rhinitis. Due to their effectiveness at decreasing immune response to allergen exposure, nasal steroids are a popular form of treatment for allergic rhinitis. Nasal Antihistamine In order for nasal antihistamines to work successfully, you must take them immediately before being exposed to the allergen that causes your allergic rhinitis symptoms, as well as taking the medication multiple times per day. Therefore, you must know what products trigger your allergic rhinitis. This can be achieved by undergoing an allergy test – ask your GP for more details. Nasal Wash Using a non-medicated saline nasal wash/rinse can help to get rid of any type of product sitting inside the nostrils which may be the cause or persistent allergic rhinitis. Surgery If none of the above options are giving you any relief, there are some surgical options available to you, which have been proven to give a long lasting result. The most frequently prescribed surgery is a septoplasty with turbinoplasty. If you feel medications are not aiding in the management of your allergic rhinitis, you should consider consulting an ENT (ear, nose, throat) surgeon to assess whether you may be a good candidate for surgery. Desensitisation Undertaking desensitisation requires either a sublingual or subcutaneous approach. Sublingual immunotherapy (oral desensitisation) involves placing drops under the tongue on a daily basis to slowly lessen the allergic response to a specific allergen. Subcutaneous desensitisation (allergen immunotherapy) involves administering increasing doses of allergens to accustom the body to substances that are generally harmless (pollen, house dust mites) and thereby induce specific long-term tolerance. Densensitisation is very effective at decreasing the frequency and severity of allergic rhinitis symptoms but requires a significant time commitment in order to see results. If you need help managing your allergic rhinitis, we recommend discussing these issue with your GP who may be able to help you, or refer you to a specialist for further treatment. pm
pindaramagazine.com.au
Pindara Magazine
29
General Health
Health Check Are you getting the most out of your private health insurance? Story Jason Oxenbridge
I
t can be enough to cause you the kind of unnecessary stress that may lead to a claim down the track – but private health need not be a minefield of mystery or a conundrum of choice. According to the ABC’s Health & Wellbeing website, ‘simplicity’ and ‘insurance’ are two words that do not sit easily in the same sentence. Add the word ‘health’ before ‘insurance’ and words like bamboozlement, nightmare and despair spring readily to mind. However, by regularly checking your private health insurance cover, you can take control of what works best for you. This will ensure you are covered for what you need most and are not paying for a whole bunch of stuff you don’t need. Something we commonly hear is, “I have private health insurance for emergencies, but I never use it”. If you are one of these people, not only are you wasting money, but you are also
30
Pindara Magazine
missing out on some of the best benefits private health insurance offers. No matter what your age, the experts all agree on one thing – the benefits of reviewing your needs and policy every year are immense. A good time to do this is tax time. Spending an hour looking over your policy, and comparing them against others, will help you to realise what you now need or don’t need and which services you use, but forget to claim. Maximising your cover will save you money and peace of mind. By tailoring a package to your needs and not paying for what you don’t need, your premiums can be kept low. If the premium has become a concern for you, there are a number of ways you may be able to manage your policy and lower costs or even consider switching to a different fund. There’s an array of insurance comparison websites that can assist your next move. Websites such as iselect.com.au allow
Summer - Autumn | 2014
General Health
you to choose and compare various packages from different health fund providers, making it easy to see which level of cover from which provider best suits your needs. It’s simple to do and won’t cost you anything – in fact, it may even save you money! It’s a matter of matching your risk profile with the right cover. But it’s important to understand exactly what’s been excluded from your policy. You should also take note of what is and isn’t covered on your policy - not all policies are comprehensive. Another way you can avoid paying too much for health insurance is to take out a policy with a higher excess. Like any insurance, the higher the excess, the cheaper the premium. Generally, if you don’t make many hospital claims – no more than one every two years
pindaramagazine.com.au
According to the government, the aim of this is to broaden hospital cover to include preventative measures that will help keep people out of hospital, which will in turn save on hospital costs and keep premiums down. But as a general rule of thumb in the insurance industry, expanded cover means higher premiums. – you’re better off with a high-excess policy, argues the Australian Consumers’ Association. In this case, make sure you have a little cash on hand to pay the excess if necessary. Some insurers offer ancillary services within their hospital cover. They can cover private hospital outpatient services; out-of-hospital visits to dentists, psychologists, and podiatrists; fitness and smoking cessation programs; and treatment for chronic conditions like asthma and diabetes.
Health blogger Annalies Corse says private health insurance benefits can be categorised to suit every decade of your life. If you are in your twenties, policies can cover you for preventive medicine, massages, and complementary medicine and gym memberships. She says it’s important to note that if you are in your twenties, working and not a student, you will no longer be covered by your family’s private health cover. In your thirties, it’s likely that lifestyle services
Pindara Magazine
31
General Health
like the gym and massages will be important to you, but these are often the years where many people plan for and start a family. This is the time to reconsider the extras you are covered for and customise your policy to suit you. Often, pregnancy related care is the extra that most people need to think about and out of pocket pregnancy related expenses can be very costly if you are uninsured or if you forget to use your insurance! In the decade of your forties, it’s a good idea to
Top Tip The benefits for extras such as glasses, contact lenses, massages and some natural therapies such as acupuncture expire on December 31st every year. Make sure you are not missing out and that you make a claim before the year’s end.
start using and claiming on services that will prevent larger and more serious problems from happening in the future. Look at your extras and start using these services. Physiotherapy and dental services are great to use now, because the earlier you utilise these services, the less teeth, muscle, joint and bone problems down the track. Also, don’t forget that the pregnancy cover you had in your thirties might not apply to you now. Remove it from your cover and start using the services that will prep you and your body for a healthy future. Your fifties and sixties are a great time to talk to your doctor about what things you should be covered for in the event that you do need an operation or a trip to hospital. Many people in their fifties have not reviewed their policy or extras for decades and are still paying pregnancy cover! You may have a specific health concern that has come up unexpectedly, such as a joint replacement. You may have had the ‘top’ level of cover for many years and have never needed it. Now is definitely the time to use it for the unexpected, to help you get back on your feet as soon as possible. pm
Number Crunch $50 billion: The amount Australia spends each year on health. Depending on your income, age and whether you are single or a family, health insurance rebates can range anywhere between 10% to 40%. To find out what rebates you are entitled to visit: www.privatehealth.gov.au *Information collated from various web sources.
For more information on rebates and what cover works best for you go to: www.privatehealth.gov.au/healthinsurance
Men’s health
34
Pindara Magazine
Summer - Autumn | 2014
Men’s health
Focus on Men’s Health Turning taboos into talking points…
The last decade has brought men’s health issues into the spotlight, with much media coverage focused on causes such as testicular cancer. But despite the popularity of events like Movember, which raises money and awareness for men’s health issues, it seems that prostate talk amongst mates is still pretty taboo!
pindaramagazine.com.au
Pindara Magazine
35
Men’s health
U
nlike women, who are more open to discussing health concerns with their friends, men still tend to keep their fears to themselves. As such, we thought we would help to demystify and decode some of the most common prostate issues in this useful four-page special. Well, we should probably start off by letting you know exactly what the prostate gland is. In short, the prostate gland is a male reproductive organ. About the size of a walnut, it is located at the base of the bladder. The urethra – a thin tube that allows urine to flow out of the penis – runs through the prostate gland. As a man ages, enlargement of the prostate gland compresses the urethra and interferes with the normal flow of urine. This ‘blockage in the pipe’ causes a range of urinary symptoms
36
Pindara Magazine
that typically include frequent urination, a weakened urinary stream, the need to get up at night to pass urine and a feeling that the bladder has not been completely emptied. The medical term for this condition is Benign (noncancerous) Prostatic Hyperplasia (BPH). BPH affects more than half of all men over the age of 60. Symptoms generally start in the mid forties to fifties and although they generally disrupt your lifestyle by interfering with usual daily activities, they are not life threatening. Historically, BPH has been treated in its early stages with medication or, if the condition has become more severe, by having a surgical procedure known as a Transurethral Resection of the Prostate (TURP). Two forms of medication – muscle relaxants to improve flow or hormones to shrink prostate tissue – are commonly prescribed. When these fail, surgical intervention is
Summer - Autumn | 2014
Men’s health
As a man ages, enlargement of the prostate gland compresses the urethra and interferes with the normal flow of urine. recommended. Historically, a TURP procedure has been the most successful surgical option in providing long-lasting relief of symptoms. The surgery involves cutting away slices of the enlarged gland to relieve the pressure on the urethra at the neck of the bladder. An alternative to TURP is GreenLight Laser Therapy. This procedure involves the surgeon using a greenlight laser to vapourise and coagulate the obstructing tissue rather than surgically excising sections of the enlarged prostate gland. Another new alternative treatment option for BPH is UroLift®. This procedure works by permanently implanting tiny prostate retractors that ‘pull back’ and reduce prostate obstruction, thus creating a larger prostatic opening and allowing urine to flow freely through the urethra. The first UroLift® procedures in Queensland were performed at Pindara Private Hospital by Urologist, Dr Charles Chabert, who reported the results were pleasing. So for men living with BPH there are treatment alternatives – but how do you choose?
Dr Smith said testing through a PSA blood test and DRE and, if required, a subsequent prostate biopsy is currently the best available way to detect the presence of cancer. If the PSA levels are high but the biopsy is negative, Dr Smith also suggests patients should undergo an MRI. Advancements in multiparametric MRI (mpMRI) technology offer new hope in the early detection of prostate cancer. The latest mpMRIs capture both morphological and functional information that identify and localise a tumour with 90% certainty. Pindara Private Hospital Urologist, Dr Scott McClintock said the mpMRI technology is not only useful in the diagnosis of prostate cancer, but also offers substantial benefits in assisting with the ongoing management of prostate cancer. For more information regarding any of the services in this article, please contact your local General Practitioner for a referral to a urologist. pm South Coast Radiology offers a multiparametic MRI service at Pindara Private Hospital. This service can be used by patients referred by their urologists. There is a cost to the patient as there is no Medicare rebate available for this service.
5
4
7
Gold Coast Urologist, Dr Neil Smith, said the prostate size, shape and regional anatomy all have a role to play in determining which approach is best for an individual patient. “Each technique has a place and the judgment as to which (technique) is best for the patient is made once the patient has had a cystoscopy and after the patient has been informed and consented appropriately,” he said. That’s the lowdown on a benign prostate condition. So … why and when should you worry? A malignant prostate condition is something entirely different. “Most men will experience symptoms of benign prostate hyperplasia as they age – but prostate cancer can exist without any symptoms and there is no universal link between prostate cancer and BPH,” Dr Smith explains, “which is why it’s so important for all men over the age of 50 (40 if you have a father or brother diagnosed with prostate cancer) to see a doctor for regular prostate examination.” This examination, he stresses, needs to include both a Prostate Specific Antigen (PSA) blood test and Digital Rectal Examination (DRE). Prostate cancer is the most common cancer diagnosed in Australia, and the third most common cause of cancer death. With more than 20,000 Australian men diagnosed with per annum, early detection and management is vital in the fight against this elusive disease. Caught in its early stages, whilst still confined to the prostate gland, prostate cancer can be cured. Early detection is essential in allowing a positive outcome and potential cure of prostate cancer.
How many times do you get up at night? Looking for relief from an enlarged prostate without medication or major surgery? Learn about a whole new approach to BPH treatment that doesn’t require ongoing medication or major surgery.
Attend a FREE Men’s Health Seminar Presented by: Dr. Charles Chabert Date: Wednesday, March 12, 2014. Time: 7:00 pm Venue: Gold Coast Arts Centre, 135 Bundall Rd, Surfers Paradise Partners and guests welcome. Refreshments will be served.
pindaramagazine.com.au
Space is limited, call to register today. 02 8035 4454
PROPERTY Sahba Abedian Managing Director
38
Pindara Magazine
Summer - Autumn | 2014
PROPERTY
Sunland Group: An Extraordinary 30 Years of
‘Architecture as Art’ Sunland had its genesis when Soheil Abedian, current Executive Chairman, arrived as an immigrant to Australia in 1981. For Soheil, architecture is a touchstone for humanity in an enlightened society.
Through the years that followed, the city and its people embraced the Sunland ethos of design excellence and quality. These core principles have remained constant to this day, resulting in the creation of architectural destinations that stand as true testaments to their time and place.
Sunland’s operations are well established along the east coast of Australia in key locations in Queensland, New South Wales and Victoria and are rapidly expanding its footprint across Australia with a growing portfolio of its precincts. These include the Queensland precincts of Peninsula Residences The Glades, The Concourse Royal Pines, The Address Sanctuary Cove and The Pines Pacific Pines; Chancellor in Victoria; and The Parc in NSW.
Through Sunland’s enduring commitment to creating art through architecture, their legacy is one of design-driven balance and harmony. Design is paramount in everything Sunland has created throughout their 30-year history, from the very first luxury home in 1983, to the iconic Palazzo Versace on the Gold Coast and the landmark Q1, the world’s tallest residential tower.
Each of these projects reflects the desire of the Sunland Group to set the benchmark for residential communities within Australia, through the development of precincts that aim to provide residents with an unmatched lifestyle and to continue to create bespoke buildings and residential communities that tailor to the needs of each location they are situated in and the residents who inhabit them.
Sunland’s projects in recent years have been recipients of many industry awards and recognised for their contribution to the architectural and social fabric of Australian communities. This commitment to architectural excellence is evident across their entire portfolio, setting them apart from their peers and enabling them to create vibrant and sustainable communities that enrich the lives of generations.
Sunland Group inherently understands that in an era characterised by both complexity and opportunity, a visionary company carves out its own unique niche, engaging its customers, predicting and meeting their needs, touching and enhancing people’s lives by building better communities.
Sunland has a rich tradition of developing communities in premium locations, offering exclusive lifestyle and leisure opportunities to the home owner. Every Sunland home is expertly designed and crafted to create a synergy between the built and natural environment and a feeling of balance and harmony. This focus also extends beyond the home to the broader community, where Sunland has pioneered the concept of urban artscape. Sunland recognises the need for communities to have their own identity and deliver this through sculptured entry statements, open space and master-planned parklands. The result is a highly valued and distinctive community environment enhanced by beauty and artistry.
pindaramagazine.com.au
The cyclical nature of the world economy has seen dramatic changes, nationally and globally, across the decades of Sunland’s operation. While the group’s aim has always been to design for specific markets and clearly understand their specific needs, Sunland believes the desire for security, convenience, technology, comfort and a return to the simpler things will be common to the current market’s various segments and to future generations. Through attention to design innovation, sustainability and a concentrated focus on delivery, Sunland will maintain its capacity to comprehend and connect with their expectations. As a collaborative organisation, Sunland engages beyond the corporeal and create living environments where there is connectivity between design excellence and social engagement, generating a sense of belonging that reinforces the very nature of community. pm
Pindara Magazine
39
2006
Yve VIC Ellington QLD Clover Hill QLD Jardin VIC Avalon QLD Cammeray Residences NSW Northbridge Residences QLD Lilyvale QLD Casa NSW Circle on Cavill Retail QLD Bluestone VIC
1983 - 1987
Benowa Waters QLD Paradise Waters QLD Sorrento QLD Sanctuary Cove QLD
2010
The Boulevarde QLD The Estate, Sanctuary Cove QLD The Heritage VIC The Address, Sanctuary Cove QLD Cassia Park Residences QLD
2001 - 2002 2011
Berwick Springs VIC Grand Apartments QLD Cordoba Manors QLD EastHill Residences QLD Riversprings Country Club QLD Regatta Waters QLD Aria QLD Sovereign Manors VIC Padstow Views QLD
2003 - 2004
1989 - 1993
Malibu QLD Gaven Heights QLD Paradise Palms QLD
Orchard Park VIC Bourton Place QLD Lumiere QLD Sunkids QLD Arbour on the Park VIC
1994 - 1997
Carmel by the Sea QLD Riverview Gardens QLD Somerset Place QLD Legends Hotel QLD
The Concourse QLD Gardene QLD The Pavilions QLD Eton VIC The Parc Kellyville NSW The Glades, Easthill QLD The Glades, Medinah QLD
2007
Circle on Cavill QLD Greenwood Pocket QLD Emery NSW Allure QLD The Province VIC Jefferson QLD Jardin Residences VIC Leukaemia Village QLD Highfield Ridge QLD
2008
Castel NSW Greenvue QLD Louisa Road NSW Virgin Blue Headquarters QLD Chancellor VIC Elysia NSW The Collection NSW Balencea VIC
2012
Chancellor Residences VIC The Pines QLD The Glades, North Hill QLD One Tree Hill, The Concourse QLD
2013
Marina Residences, Royal Pines QLD The Glades, Peninsula QLD Whyte Residences VIC Abian Botanic Gardens QLD
2005 1998 - 2000
SunCity QLD Crystal Bay QLD Somerset Park QLD Somerset Views QLD Palazzo Versace QLD Parklake QLD Eastlake Villas QLD
Q1 QLD Sea Breeze QLD Signature at Sanctuary Lakes VIC Newstead Terraces QLD Bushland Beach QLD Palms Estate NSW Glasswing QLD Castlebrae NSW
2009
The Parc QLD Sedyr NSW Bluestone, The Residences VIC Royal Pines QLD The Estate, Sanctuary Cove QLD
Women’s Health
hail caesar
Why the incidence of elective caesarean deliveries is on the rise.
W
ith so many women’s magazines and online forums pushing the fact that natural delivery should be the only way to go, caesareans have been getting a bad rap of late. Often accused of being ‘too posh to push’, women who elect to deliver their babies via caesarean have to contend with criticism from everyone from their own family to playgroup mums who feel it’s necessary to give their uninvited opinion on childbirth. But have you ever given thought as to why so many women are delivering via caesarean these days? Well, for some women, a caesarean delivery offers control over the birth of her baby, right down to the date and time of delivery. For others, it’s about avoiding the real or perceived risk of damage to their pelvic floor. Some simply have a family history of prolonged or difficult labour or have had previous surgery making a caesarean their safest birthing option. Pindara Private Hospital Obstetrician and Gynaecologist, Dr Andrew Cary, has been in private practice at Pindara for more than a decade, and in that time he has cared for and delivered the babies of more than 5,000 mothers.
42
prolonged episode. Even when the labour is progressing well, anything can happen, which is why it is so important to have good quality antenatal and intrapartum care,” he reinforces. Dr Cary understands a woman’s concerns about her pelvic floor following a vaginal birth. “There is no doubt the pelvic floor will be different after a vaginal delivery and any change will frequently be irreversible. Muscles are stretched and tearing or nerve damage can occur. In some instances, there is a risk this can cause urinary or faecal incontinence later in life. From a medical perspective a caesarean offers us control over all these unknowns,” he explains. At this point, Dr Cary emphasises, it is important not to overlook the benefits of vaginal delivery or to discourage a woman from choosing this as her first birthing option. He goes on to point out there are several serious medical scenarios when a caesarean is the only safe option for the mother and baby - placenta praevia and breech presentations being the most common.
“While childbirth is incredibly safe nowadays, changing hormones and risks of blood pressure, thromboembolism and haemorrhage still make pregnancy and childbirth the highest risk period of a woman’s life,” Dr Cary says.
Placenta praevia occurs when the placenta lies partially across the cervix blocking or obstructing the birth canal. The condition occurs in five to ten percent of the population and the incidence seems to be higher in women who have had assisted reproduction treatment. Both the mother and baby are at high risk if labour is allowed to progress; therefore the only safe option is for a caesarean birth.
“If everything goes well with a vaginal birth – it is great – but it is an unknown journey and for many women, the latent stage of labour can be quite a lengthy and
A breech birth occurs in approximately four perent of all pregnancies and also exposes the woman and her baby to a high risk. The baby’s head can become impacted or caught
Pindara Magazine
Summer - Autumn | 2014
Women’s Health
While childbirth is incredibly safe nowadays, changing hormones and risks of blood pressure, thromboembolism and haemorrhage still make pregnancy and childbirth the highest risk period of a woman’s life.
pindaramagazine.com.au
Pindara Magazine
43
Women’s Health
in the mother’s pelvis creating a potentially lifethreatening situation for both mother and baby. A caesarean involves making an incision through skin and cutting through the muscle layers to then incise the uterus or womb to deliver baby via the mother’s abdomen. Of course, as with any surgical procedure, caesarean delivery does have its downside. The most common complication arising from caesarean delivery is urinary tract infection (UTI). Usually resulting from the need for a urinary catheter to be inserted, the good news is that UTIs can be treated quickly and painlessly with antibiotics, which are also given prophylactically prior to the commencement of operation. Infection or wound haematoma are minimised or controlled by good surgical technique as well as the above-mentioned antibiotic. Often a drain is placed to remove any accumulated fluids in the muscle layer. Pregnancy and childbirth are the highest risk periods of a woman’s life. Recently published studies show that approximately 358,000 women die every year as a result of pregnancy related complications. 99% of maternal deaths occur in developing countries compared to one
44
Pindara Magazine
Why women choose an elective Caesarean birth: • There is good control over the date and time of delivery (39 weeks). • Control over the actual birth equates to the whole team (obstetrician, anaesthetist, midwives, paediatrician) being present. • With early monitoring of dates by early ultrasound, the full term date is accurately determined meaning timing of birth of the baby is safe. • Whilst a nice normal easy vaginal delivery is a great and ideal outcome – it is not possible to know when labour and delivery is going to be predictably easy and normal with no need for interventions or medical support.
For more information on private obstetric care at Pindara Private Hospital, please visit www.pindaramaternity.com.au
percent in developed countries. Women living in Afghanistan and central Africa women have a 1 in 11 and 1 in 30 lifetime risk respectively of not surviving pregnancy, child birth and after. These figures contrast to those for women living in developed countries, where major risks are extremely rare. These women are less likely to have a negative birthing experience because of the safe birthing options available to them. Dr Cary said we are blessed with safe pregnancy care in Australia for both mother and baby and the private care at Pindara exemplifies this highly safe maternity care. “One of the biggest benefits to patients in choosing private obstetric care is the relationship and trust the patient builds with her obstetrician over the course of her pregnancy,” he said. “The relationship and inherent trust in the care provider can only enhance the overall birth experience for mother & baby.” As the busiest private maternity unit on the Gold Coast, Pindara offers mothers-to-be a range of luxury packages to ensure the birth of her baby is a special time. Pindara specialists are widely recognised for providing high quality care to their patients. pm
Summer - Autumn | 2014
Women’s Health
FibroidsAND Fertility What the diagnosis means for your baby dreams.
46
Pindara Magazine
Summer - Autumn | 2014
Women’s Health
It can certainly be cause for alarm. You’ve discovered a lump in your abdominal area, which has prompted you to see your GP. After some poking and prodding and a few tests, you’re back in your doctor’s office and the diagnosis is in. You have fibroids.
A
lthough the news comes as a relief (you’ve probably been imagining the worst case scenario for the past few days), you’re still wondering what kind of impact this will have on your plans to start a family someday. Well to understand the effect fibroids can have on your reproductive health, we should break it down and cover all the basics. Dr Alwyn Dunn of City Fertility Centre at Pindara Specialist Suites explains what fibroids are and what you can expect after a fibroids diagnosis. What are Fibroids? Fibroids (Uterine Leiomyoma) are benign pelvic tumours that affect up to 70% of women during their lifetime. Fibroids vary in size, and symptoms include abnormal uterine bleeding in the form of heavy menstrual loss (HML); pelvic pressure; pain during intercourse and/ or difficulty with urination and defecation, although many women with fibroids will not experience any symptoms at all. How are Fibroids Treated? Treatment options depend on the size, number and location of the fibroids and fertility ambitions of the woman. In the past, hysterectomy has been the surgical treatment of choice for fibroids; however, social changes and improvements in surgical techniques mean many women are choosing not to have a hysterectomy, preferring less invasive treatment options or options that will allow them to retain their fertility well into their forties. Medical Treatment The most commonly used medical management for fibroids is the Combined Oral Contraceptive Pill (COCP) and the Progesterone Oral Contraceptive Pill (POCP). Epidemiological studies suggest that while the COCP and the POCP decrease the risk of developing clinically significant fibroids, once fibroids are found to be present, many choose surgical treatment. Heavy menstrual bleeding that is often caused by fibroids can be managed with the use of a hormone-releasing intrauterine device (IUD), namely Mirena. This small contraceptive device is placed inside the uterus to prevent pregnancy, but can also work to reduce the growth of fibroids. GnRH agonists and Aromatase inhibitors are also other forms of medical treatment and while these are effective the side effects preclude long-term treatment. Surgical Treatment Traditionally, the surgical alternative to hysterectomy was an abdominal myomectomy. Clinical studies show this to be a safe and effective treatment option for fibroids. While the risk of serious complications is low (less than one percent) and comparable to a hysterectomy,
pindaramagazine.com.au
Pindara Magazine
47
Women’s Health
Fibroids are benign pelvic tumours that affect up to 70% of women during their lifetime. there is a risk that the fibroids will recur and the patients will require a second operation. Laparoscopic Myomectomy is an alternative to an abdominal myomectomy. This approach offers the patients the advantage of a smaller abdominal incision; quicker recovery and lower risk of surgical adhesions forming. Randomised studies have documented improved post-operative recovery and reproductive outcomes. However, laparoscopic dissection of larger fibroids is highly complex and requires advanced surgical and suturing skills. Hysteroscopic Myomectomy is an accepted method for management of abnormal uterine bleeding caused by submucous fibroids which represent five to ten percent of the cases of Heavy Menstrual Loss (HML). The risk of recurrent fibroids and HML is a major draw back of this option. Its major use is for fertility patients with the fibroids entirely or mostly in the cavity. Uterine Artery Embolization (UAE) UAE is a treatment performed by an interventional radiologist. This involves inserting a catheter up through the femoral artery into the uterine artery and embolising the uterine artery circulation with PVC microspheres. In large studies the shortterm outcomes of UAE compares favorably with hysterectomy and myomectomy but there is a higher rate of minor complications that include: a higher rate of re-intervention compared with myomectomy. This procedure is not recommended until completion of child bearing. Magnetic Resonance Imaging Guided Focused Ultrasound Surgery This non-invasive treatment was approved for use in 2004 by the FDA and involves the ultrasoundguided destruction of fibroids by the heat effects of the ultrasound. At this stage, the short-term outcome is encouraging but the outcome is operator dependent. The long-term outcome is not available to confirm its place in the treatment options. Fertility Fibroids are commonly present in the segment of our population seeking treatment with in-vitro technologies (the average age of a woman in an IVF clinic in Australia is 38 years of age). The role of fibroids in the etiology of infertility and the recommended treatment options remain uncertain and management is mostly based on
48
Pindara Magazine
Uterus & types of fibroids. expert opinion. Subserosal fibroids do not appear to have any effect on fertility. Removal would have to be based on the secondary effects caused by pressure on adjacent organs. Intramural fibroids may be associated with reduced fertility and increased miscarriage rate. Removal is justified if this association is present. Submucosal fibroids are associated with reduced fertility and increased miscarriage rates. Any documented infertility in association with the submucosal fibroids justifies the removal of the fibroids. The relative effects of multiple or different sized fibroids on fertility are uncertain but any infertile woman with symptomatic fibroids has a justification for intervention by myomectomy. Both abdominal and laparoscopic myomectomy procedures are associated with cumulative pregnancy rates of 40 –60% by two years post surgery but this data also includes fertility treatment. There is no agreed timing for how soon a woman can try for a pregnancy or have IVF post myomectomy. While the documented rate of uterine rupture is low for both abdominal and laparoscopic myomectomy, most obstetricians recommend an elective caesarean. HRT and Fibroids Fibroids are estrogen responsive and will regress with menopause. HRT appears to have a small
effect on fibroids when given transdermally but not as oral estrogen. Women with fibroids and especially submucous fibroids are more likely to have abnormal PV bleeding on HRT. Fibroids are not a contra-indication to HRT use. Summary Myomectomy is a safe and effective alternative to hysterectomy for the treatment of women with symptomatic fibroids. While the outcomes for abdominal and laparoscopic myomectomy are similar the laparoscopic procedure produces a more rapid recovery and less adhesions. It is possible to resect large fibroids laparoscopically but the outcome is influenced by the experience of the surgeon. UAE is an effective and safe option for appropriately selected women who wish to retain their uteri. This option is more commonly performed in America but is also available in Australia. It should not be recommended for a woman considering a future pregnancy. Fibroids should not be automatically considered the cause of the infertility but in appropriately selected cases the removal of the fibroids appears to improve fertility. HRT may cause a modest increase in fibroids size but this is not an indication to withhold HRT in women who desire HRT treatment. There is no reason to recommend or support a hysterectomy for asymptomatic fibroids for any reason. pm
Summer - Autumn | 2014
Women’s Health
50
Pindara Magazine
Summer - Autumn | 2014
Women’s Health
Golden Child Pindara babies born into the lap of luxury.
Luxury and style are not usually two words associated with postnatal recovery after childbirth, but Pindara Private Hospital has introduced a new postnatal package that is all about style and luxury, and new mothers are soaking it up and loving every second.
A
nd what’s not to love? Mothers choosing an exclusive Pindara Palazzo Platinum Package enjoy a host of extras that include more spacious Regal Suite accommodation whilst in hospital and an automatic upgrade to the Palazzo Versace Hotel for two nights.
Once at the Palazzo Versace Hotel, new mums and dads relax and bond with their baby in the lap of luxury. An experienced Pindara maternity nurse is on hand to provide around-the-clock support should they need assistance. All mothers’ meals are included and a portable baby cot and linen, change table and bath products are supplied. Parents have access to all Palazzo Versace facilities and special rate postnatal spa treatments. The package even includes a chauffeured transfer service from Pindara to Palazzo Versace, provided by James Frizelle Automative Group.
pindaramagazine.com.au
Pindara Magazine
51
Women’s Health
An experienced Pindara maternity nurse is on hand to provide aroundthe-clock support should you need assistance.
52
Pindara Magazine
The automatic upgrade to Palazzo Versace is offered to a mother who has been given the all clear by her obstetrician, to be discharged from hospital on day three, (post-delivery), or day four, (following a Caesarean), into Palazzo Versace hotel. Baby’s discharge also has to be authorised by the paediatrician. If at any point a medical complication arises, the maternity nurse can arrange readmission to Pindara Private Hospital after consultation with the paediatrician or obstetrician on call. Availability of the Pindara Palazzo Platinum Packages is limited and cannot be pre-booked, however expressions of interest are encouraged and accepted. Additional out-of-pocket fees apply. pm
Summer - Autumn | 2014
Women’s Health
A Pindara Private Hospital Regal Suite offers mothers: • More spacious hospital room • Sofa bed for partner • Free meals for partner • All day Regal Suite room service • Mini-bar and fruit bowl on arrival • Daily newspaper • Robes, slippers & personal toiletries for new mum and partner • Plus an automatic upgrade to a Pindara Palazzo Platinum Package, which includes: -T wo nights accommodation for two adults and baby, in a superior room at Palazzo Versace Hotel
pindaramagazine.com.au
- 24-hour maternity nurse support -P rivate transfer from Pindara Private Hospital to Palazzo Versace Hotel -A ll mother’s meals including morning and afternoon tea, from a special set menu - Portable baby cot & linen; baby bath & bath products - Free car parking -A ccess to all Palazzo Versace facilities - Special rate postnatal spa treatments - Daily room servicing -S pecial rate for extended stay or extended family bookings
Pindara Magazine
53
Children’s Health
As bronchiolitis is contagious, it’s very important that you keep your baby away from other children during his/her infectious period.
54
Pindara Magazine
Summer - Autumn | 2014
Children’s Health
Focus on Children’s Health The early childhood illnesses you are likely to encounter as a new parent Becoming a new parent is daunting enough, but when your child becomes ill, it can take all the strength you have not to fall apart! From the common cold, to diarrhoea and gastroenteritis, being informed and prepared can make the world of difference to keeping sane during your little one’s sick period.
Bronchiolitis What is it? Bronchiolitis is a viral infection that causes inflammation of the small air passages in the lungs (bronchioles). It most commonly effects children under six months up to a year old and often comes in waves during the colder months.
Causes Bronchiolitis is usually caused by a virus known as respiratory syncytial virus (RSV), which is spread by sneezing, coughing or personal contact.
Symptoms At first, you may think your child is suffering from a cold: a runny nose and sneezing, and perhaps a mild fever has your little man or miss feeling under the weather. But soon your child develops a cough and his/her breathing becomes rapid and laboured and is accompanied by a wheezing sound. These are all signs your baby is suffering from bronchiolitis. If he/ she seems distressed, is struggling to breathe and/or is not feeding well, it’s advised to seek immediate medical treatment.
Treatment Mild cases can be managed at home with minimal medical intervention. Offer your baby smaller feeds, more frequently, to keep his/her fluids up. Try and make sure your baby rests as much as possible. Only administer child’s paracetamol (as per dosage instructions on the package) if your child appears uncomfortable. If the bronchiolitis is more severe, hospitalisation may be required so that your child can receive fluids intravenously or via tube into the stomach and oxygen to assist with breathing. As bronchiolitis is contagious, it’s very important that you keep your baby away from other children during his/her infectious period.
pindaramagazine.com.au
Pindara Magazine
55
Children’s Health
The danger of diarrhoea in young children is the loss of fluids from the body, which can quickly lead to dehydration.
Diarrhoea What is it?
Fluids and Feeding
Diarrhoea is an increase in the frequency, runniness or volume of the faeces. It is a common symptom in children with viral or bacterial infections and allergies, and can be a side effect of antibiotics being taken to help treat these viruses, infections or allergies. The danger of diarrhoea in young children is the loss of fluids from the body, which can quickly lead to dehydration. This can be life threatening and the child must be watched closely because he/she can get worse very quickly.
The most appropriate fluids contain a mixture of special salts (electrolytes) and sugars. Oral rehydration solution can be purchased from pharmacies and should be mixed only with water and according to manufacturers’ instructions.
Causes Acute diarrhoea may be a symptom of infection of the digestive system (gastroenteritis), which is usually caused by a virus, but sometimes is caused by bacteria or parasites. It may also occur in association with other communicable diseases such as measles and malaria.
Treatment In many cases the condition is self-limiting and resolves in a few days. A child with diarrhoea who is drinking well and who is alert and responsive can usually be looked after at home. The most important treatment for diarrhoea in young children is to provide fluids, which will not cure the diarrhoea but will prevent dehydration. Duration of the illness depends on what organism is the cause and what treatment is used. The child is infectious for as long as the organism is in their faeces, whether or not they are ill. Viruses, bacteria and parasites in the faeces of an infected child may be passed on directly by germs on the hands. They may also be spread indirectly via objects, surfaces or contaminated foods. Children are more likely than adults to be affected and may suffer one or more episodes per year. You should take your child to see a doctor if: • he/she looks unwell • vomiting is frequent and he/she can’t keep anything down • the vomit is brown or green • there is lots of watery diarrhoea • the diarrhoea is increasing • you can see blood in the diarrhoea • there is severe stomach pain • he/she develops a high fever • he/she is under six months of age • he/she is difficult to wake • he/she has diarrhoea and vomiting and refuses extra fluids
56
Pindara Magazine
Children who refuse oral rehydration solution should be encouraged to drink water. They may also be given diluted drinks such as: • diluted cordial 10ml + 150ml water • diluted soft drink 50ml + 150ml water • diluted fruit juices 50ml + 150ml water The aim is to give as much fluid as normal as well as replacing the fluid that is being lost. As a guideline: • children aged less than two years should start with 15mls every 15 minutes while awake • older children can be given 50 – 100ml every 30 minutes The fluids should be given slowly, eg. one teaspoonful every one to two minutes for a child aged less than two years. If the child vomits, wait ten minutes, then give the fluid more slowly, eg. one teaspoonful every two to three minutes. Breastfeeding should be continued whenever possible. Offer the breast more often and give babies boiled water between feeds. If bottle-feeding, offer oral electrolyte solutions or other suitable fluids first (see above). If the child is hungry, offer normal strength formula as well and allow the child to eat food. Weight loss may occur if feeding is not continued. Therefore, food should be re-introduced within 24 hours, even if the diarrhoea has not settled. Suitable foods include bread, plain biscuits, potatoes, rice, noodles, vegetables, plain meats, fish and eggs. Other foods such as dairy foods and sweet foods such as jelly, honey and jam can be gradually re-introduced. It’s best to avoid: • Undiluted fruit juice and cordial, or fizzy drinks, ‘sports drinks’ or ‘energy drinks’, as they may make the diarrhoea or dehydration worse. • Drugs to stop the vomiting or diarrhoea, as they may slow down the recovery of the bowel and cause serious side effects. • Antibiotics, as they may prolong the infection and are rarely needed except for certain bacterial or parasitic infections.
Children’s Health
pindaramagazine.com.au
Pindara Magazine
57
58
Pindara Magazine
Summer - Autumn | 2014
Children’s Health
Older children and adults may breeze through a bout of hand, foot and mouth disease with few, if any, symptoms. Health Outcome Viral diarrhoea is very infectious and can rapidly spread to other young children. Therefore, a child with diarrhoea should be excluded from any childcare facility until there has not been a loose bowel motion for 24 hours and the child is well. Any parents or carers experiencing vomiting or diarrhoea and who are likely to handle food in the facility should also be excluded until they have not had any vomiting or diarrhoea for 48 hours. If there are more than two cases with loose bowel motions in the same childcare facility, the nearest Population Health Unit should be notified.
Prevention There are no specific treatments/vaccinations to prevent infection with the organisms that commonly cause diarrhoea in Queensland. The most important means of prevention is to ensure that food is properly stored, prepared and cooked and to maintain good hygiene standards. With any type of diarrhoea it is crucial that: • Parents and carers wash their hands thoroughly after changing infants’ nappies, after supervising children at the toilet, after going to the toilet themselves, and before preparing or handling food. • Children should also wash their hands after going to the toilet and before eating. • Babies’ bottles should be cleaned and sterilised. • Meat products should be cooked well and raw meat should not be given to young children. • Raw meat and chicken should be stored in a covered container at the bottom of the fridge and meat juices should not contaminate other food.
Hand, Foot and Mouth Disease What is it? Hand, foot and mouth disease is also known as coxsackie virus infections. The disease is very common in childhood and is easy to identify by its telltale mouth sores and rash on the feet and hands. It is caused by an enterovirus, which is extremely common; in fact they are second only to common cold viruses. Hand, foot, and mouth disease spreads through contact with an infected person, or through contact with the secretions of an infected person. Most hand, foot and mouth disease infections are not serious and resolve themselves with little or no treatment in about a week to ten days. Severe hand, foot, and mouth disease can lead to meningitis, but this is very rare.
Prevention Like any virus, hand, foot and mouth disease is best prevented through proper hygiene by teaching kids to wash their hands with soap and water. Avoid exposure to other children who have the virus and notify your child’s
pindaramagazine.com.au
school or childcare centre if your child is diagnosed with hand, foot and mouth disease to avoid spreading the virus to other children. Hand, foot and mouth disease tends to spread quickly in childcare situations.
Symptoms Older children and adults may breeze through a bout of hand, foot and mouth disease with few, if any, symptoms. The virus is most common in children under ten. Children who contract hand, foot and mouth disease may display some or all of the following symptoms: • Fever • Mouth sores that turn into ulcers • Rash on the soles of the feet and palms of the hand • Sore throat • Joint pain • Headache • Children wearing nappies may also experience the rash on their bottom
Treatment For the most part, you don’t need to do anything if your child has hand, foot and mouth disease, other than make him comfortable and avoid spreading the virus to other children. Keep him home from school or child care until the blisters heal over. You can give him paracetamol for the fever or minor aches that may accompany the virus. Make sure that he gets lots of rest and fluids. Call the doctor if your child experiences an unusually high fever, or has joint pain and/or bad headaches. These may be signs that his illness needs medical treatment.
Children’s Health
Gastroenteritis
Children with gastroenteritis can continue to be infectious for days or weeks after they have recovered.
What is it? Gastroenteritis is the inflammation of the stomach and intestines, which may be caused by bacteria (such as campylobacter, salmonella and shigella), viruses (such as rotavirus or norovirus) or parasites (such as giardia and cryptosporidium). The main symptoms are diarrhoea and vomiting which usually manifest one to three days after the initial contact with the bacteria or the virus. Parasitic infections take about five – 15 days. Gastroenteritis is highly infectious and can be passed from child to child very easily. Gastroenteritis usually spreads when hands, food, objects and surfaces become contaminated with faeces or vomit and the infectious organism is transferred to the mouth when eating, drinking or touching the mouth. For some viruses, spread can also occur via small airborne particles circulating in the air during or after vomiting attacks. The organisms may also be found in contaminated water or food. Children with gastroenteritis are very infectious while they are feeling unwell and they can continue to be infectious for days or weeks after they have recovered.
Treatment Your doctor will advise you if your child requires any treatment. Most gastroenteritis infections resolve without treatment. It is very important to drink plenty of fluids to avoid dehydration.
Control Children should not return to childcare or school until diarrhoea has ceased for 24 hours.
Prevention Hand washing and good hygiene practices are essential to stem the spread of gastroenteritis. Hands should be washed with soap and water for at least 15 seconds and dried thoroughly on a disposable or clean towel before handling food and after going to the toilet. Because the vomit or diarrhoea can be very infectious, it is most important that any spills are cleaned up
60
Pindara Magazine
quickly and appropriately in the following manner. Protect yourself: • Wear gloves if possible. • Cover any cuts and abrasions on your hands. Your skin is a protective barrier against you becoming infected from infectious organisms. • After cleaning up, wash hands with soap and water for at least 15 seconds and dry thoroughly on a disposable or clean towel. Cleaning up spills: • Where possible, mop up the spills using disposable paper towels or rags which can then be thrown away. Seal these items in a plastic bag before placing in the rubbish bin. • Good cleaning with hot water and detergent is sufficient to clean up after most gastroenteritis spills. • It is important to clean all surfaces and objects soiled or possibly soiled during the illness with hot soapy water, rinsing well before drying. This may include toilets, benches, showers, floors, toys, wash basins, taps and door handles. • Clean and dry the mop thoroughly after use (sunlight is excellent). • Washable linen and clothing, once any solid material has been removed, can be cleaned by machine washing, with usual laundry detergent, on the hot cycle. Avoid over-loading the machine as this may interfere with rinsing. Additional treatment before or after washing is generally unnecessary and may bleach coloured fabrics. • Some items may not be suitable for washing, e.g. blankets, mattresses and pillows. Where possible, dry clean if soiled or alternatively leave in the sunlight for several hours after cleaning off areas, which are visibly soiled. Cleaning up is very important. Poor cleaning up will just spread the virus and increase the risk of infection. pm
Summer - Autumn | 2014
www.JordaanSurgical.com.au
www.SurgicalWeightlossCentre.com.au
Children’s Health
Preparing your child for hospital All the dos and don’ts.
62
Pindara Magazine
Summer - Autumn | 2014
Children’s Health
A
visit to hospital can be frightening for a person of any age, but it can be especially frightening for a child. To help prepare a child for hospital it is important to tell them, honestly and truthfully, why they need to go to hospital before they get there.
Time to ask questions, and time for discussion with parents or their friends gives the child information and assurance. A child will most likely ask the same questions several times and each time the question is answered, they will absorb a little more information and gain reassurance. Simple words are best; be careful using humour or making jokes about going to hospital. Joking can confuse and frighten a child. Hospital themed role-play is a more helpful option. Depending on the age of your child, hospital play activities such as bandaging a teddy, listening to family members’ heartbeats or practising taking medicine can help prepare a child. Reading books together about going to hospital can also be helpful. Involve your child in packing for hospital. Make sure you include a favourite doll, blankie, teddy, or other comfort item with them to hospital. You might want to pack a favourite activity, or maybe a new one especially for hospital. Tell your child’s school, kindergarten, or childcare centre about their admission to hospital. They will also be able to help prepare your child. Reassure your child that you will be coming and staying with them. This can also be a scary and tiring experience for a parent. Do as much as you feel comfortable with in caring for your child. For example, helping to shower/bathe, feed, cuddle, and play with your child on the ward, as well as going with them for medical procedures, tests, or treatments. Feel free to speak to your child’s nurse about how much you want to be involved. Usually, you will be able to stay overnight in the hospital ward with your child. This will generally be in a sofa bed or a reclining chair next to your child’s bed. Parents can be with their child at all times on the ward. Ask the ward staff about visiting times for other family members and visitors. You will have a direct phone number and phone near your child’s bed so that others can speak to you or your child while they are in hospital.
Tips • Be honest about telling your child why they need to go to hospital.
•A llow plenty of time for readjustment when your child returns home again.
•N EVER threaten your child • Involve the child in the preparations for hospital e.g. let with a return to hospital, as a punishment. them pack their bag or choose new pyjamas to take with them. • I f your child is under six years of age, tell your child a couple • Allow plenty of time for play of days beforehand. and questions about going to hospital. • I f they are more than six years • Talk to your child’s school, kindergarten / child care centre.
pindaramagazine.com.au
old, tell them a week or two beforehand.
When Your Child Goes Home A visit to hospital is a big event in a child’s life, even if it is only for a day procedure. It is not unusual for a child’s behaviour to change after they leave hospital. They might be clingy, attention seeking or have ‘babyish’ behaviours (like sucking their thumb), which they had grown out of. With time, patience and understanding, your child will soon return to their normal self. Siblings may also be clingy, or show attention-seeking behaviours. It has been different for them too, so allow time for their questions and try to also involve them in events. Again, allow your child plenty of time to ‘play’ about being in hospital. They have more information and experience now, and need to play out these experiences to make sense of, and cope with them. pm
Simple words are best; be careful using humour or making jokes about going to hospital. Joking can confuse and frighten a child.
General Health
the real cost of medical tourism Is it safe to consider major surgical procedures as holiday fantasies? Story Dr Dilip Gahankari
64
Pindara Magazine
Summer - Autumn | 2014
General Health
M
edical tourism is currently a billion dollar industry worldwide and many less developed countries are cashing in on unsuspecting, poorly informed people from developed countries, offering these procedures as ‘no frills holiday packages’. Australia is certainly a prime target for promotion of medical tourism for countries such as Thailand, Malaysia, India, Indonesia and the Philippines. Recently, NIB - one of the country’s major private health insurance providers - floated the idea of sending their insured clients overseas for surgery, however, as far as I am aware, no definite information is provided on how they would organise the follow up of these patients in Australia and specifically who would pay for the revision procedures for patients who may need corrective surgery for any complications. It is human nature to look for ‘bargain deals’. This is especially true, when the cost of certain elective or cosmetic procedures in Australia may be considered to be disproportionally higher than the cost of these procedures in less developed countries mentioned above. Australians are pretty fortunate to be living in a country with a very high standard of health service available to most people – that is either paid for in public system or is subsidised by Medicare or a private fund in the private sector. Not many developed countries can boast of such a robust health service that we currently enjoy.
pindaramagazine.com.au
Plastic or cosmetic surgery and dental surgery are probably the most targeted areas by the overseas hospitals and medical tourism companies. A staggering number of patients travel on ‘holidays’ to these overseas destinations, have very little work up done, have very little post-operative care provided and have absolutely no follow up organised. Those who have a good result are then used to promote the industry and the unfortunate ones who require further corrective procedures, management of significant infections, or who had poor cosmetic or functional results are largely ignored by the media and the tourism companies. Furthermore, there are no avenues for these patients to complain. The common story is that they can’t even get past the reception desk when they call the hospitals for more information or for advice. What is more alarming is that often there is no adequate documentation and no proper follow up instructions given to these patients. Some of these procedures are almost unethical or illogical. Some patients have told me that the medical tourism operators advised patients that if they had complications they should report it to their GP, who could then refer them to the public hospital and they would be looked after ‘at no further expense’ to them. How convenient!
Pindara Magazine
65
General Health
A staggering number of patients travel on ‘holidays’ to these overseas destinations, have very little work up done, have very little post-operative care provided and have absolutely no follow up organised. Over the years, I have had a fair share of patients with such complications. Examples are many, but some of the most interesting ones are as follows:
‘J’
had an abdominoplasty procedure performed in one of the reputed Bangkok hospitals. Post-operatively, within days, she claims that she noticed blackened change of skin under her umbilicus. This concern was dismissed by her surgeon and she was advised to return back to Australia. She reported to Pindara A & E, with foul smelling discharge and blackening of nearly half the skin in the lower abdomen. She was referred to me and has so far required three operations, including removal of the substantial skin over her lower tummy and a large skin graft, and is likely to need at least one more major procedure for reconstruction. Fortunately she was privately funded and the taxpayer estimated expense so far has run past the $20,000 mark; nearly three to four times more than what she paid for the ‘budget’ abdominoplasty procedure.
‘K’
was seen a few years ago by me for ugly scars over her face and behind her ears and forehead. Her story was funny though tragic! She is a lady in her late thirties. She had an accident while travelling in a tuk-tuk in Thailand. She had a cut on her forehead for which she was taken to a ‘well known’ hospital for suturing of the cut on the forehead. All she remembers after “some sleeping drugs were administered” (her words – not mine), is someone asking her about doing a facelift at the same time while she was under. She apparently signed the consent and allowed it to be charged to her credit card (that she did not remember). She woke up with a suture on her forehead cut and a ‘facelift’. According to her, this did nothing to her face but caused fairly significant scarring in front and behind her ears – which required numerous injections of steroids and scar revision procedure.
‘N’
is a local Gold Coaster who went to Delhi, India, where a facelift surgery was performed. His reason for a consult with me within a couple of months of his surgery was significant asymmetry between the two sides, with one side much more tightly strung back than the other. The scars were sub optimal too.
‘P’
is a Caucasian lady in her late forties, who had an abdominoplasty procedure performed in a wellknown hospital in Kuala Lumpur, Malaysia. She woke up from general anaesthetic with second and third degree burns from diathermy (electrically induced heat), which took three months to heal and produced bad scarring.
There are dozens more patients and their sometimes tragic and sometimes almost incredible medical ‘misadventures’. I have treated several patients with infected breast implants, nasal prostheses in Australian patients of Asian origin, poorly executed eye lid procedures, poorly performed liposuction procedures, and more in my plastic surgery practice, spanning over several years. The experience of other plastic surgeons and perhaps other specialists is no different. Quite often, the cost of treatment of these complications to Australian taxpayers runs into many thousands of dollars. I am treating a young Middle-Eastern student next week, who had multiple injections of an ‘off-label’ collagen in the Middle East, producing a significant knobby appearance of his chest. Such procedures are not performed in Australia by any qualified surgeon or doctor. It can be argued that not all procedures performed overseas develop complications, and I am sure there are a lot of patients who do have satisfactory results and a positive experience from surgical procedures overseas. The big question is are these procedures considered a ‘lucky draw’? All medical and surgical procedures have potential risks. The Royal Australasian College qualified surgeons in Australia (myself not excluded) also have our fair share of complications. But, at least we can be relied upon to provide a reasonable level of post-operative care and follow up, and most of us, as a courtesy to our patients, also provide an appropriately suited service to manage these complications and endeavour to get a satisfactory final result. I have no personal reservation for people who wish to have surgery overseas for financial or other reasons, but I do have a reservation about taxpayers (myself included) footing the bill for follow up and management of complications of these thousands of patients. Not only does this seem irrational and illogical, but it is evident that many of these patients seek further treatment in an already over burdened public system, thus potentially depriving other needy patients of their efficient and timely treatment. If medical tourism is here to stay and thrive, can we at least legally compel the ever enthusiastic and entrepreneurial medical tourism companies or agents to pay for the treatment of complications, or follow up, say for an arguable statutory period of at least two years or so after these procedures? I certainly feel and hope that the burgeoning costs of treatment of complications of these patients who have been treated in an unregulated and uncontrolled environment, may eventually make the federal government think about strategies to impose restrictions on these medical tourism operators. pm
Dr Dilip Gahankari MBBS, MCh (Plastic), FRCS (Edin), FRACS (Plastic Surgery) Fellow of Royal Australasian College of Surgeons Member, Australian Society of Plastic Surgeons Member, Australian Society of Aesthetic Plastic Surgeons
66
Pindara Magazine
Summer - Autumn | 2014
General Health
pindaramagazine.com.au
Pindara Magazine
67
Health & Beauty
you beauty this season’s best beauty buys
Jurlique Age Defying Eye Cream
Forever New Black Crystal & Bow Compact Mirror
Mimco Mermaid Love Hand Cream
Stefan Nail Polish
$58 (15ml)
$16.99
$19.95
This nourishing eye cream is designed to help improve skin elasticity and help reduce the appearance of fine lines and wrinkles. Features intense hydration and brightening properties to help diminish dark circles and puffiness.
This stunning compact mirror features all over crystal diamantes with enamel ribbon bow detail. Presented in a white gift box, it will make a beautiful gift for a loved one.
With its nutrient rich formula and tuberose empire aroma, this hand cream protects and improves the appearance of your skin. Suitable for all skin types, it is particularly effective at eliminating dryness.
Discover the incredible range of Stefan nail polishes! You’ll love the long lasting, quick drying formula and unique colours that will add glamour to any outfit.
Pacific Fair Shopping Centre Shop T172, Broadbeach (07) 5526 2010
Marina Mirage Shop 108, 74 Seaworld Drive Main Beach, QLD (07) 5532 793
David Jones Robina Town Centre Robina (07) 5585 2999
68
Pindara Magazine
$9.95
Stefan Hair Fashions Pacific Fair Shopping Centre Broadbeach (07) 5570 3044
Summer - Autumn | 2014
Health & Beauty
Jurlique Herbal Recovery Serum
The Body Shop Hemp Hand Protector
The Body Shop Shimmer Waves
Stefan Polka Dot Blowdryer
$75 (30ml)
$21.95
$39.95
$99.95
This youth defence concentrate serum features a proprietary active complex: Naturadiance PB18+ to help reduce the appearance of fine lines, help increase elasticity, restore radiance and increase hydration. Leaves skin visibly glowing, hydrated and younger-looking.
Give hard-working hands maximum care and protection. This super-moisturising hand cream absorbs into the skin easily, helping to condition, soften and smooth the skin and prevent dryness. Relieves very dry skin to restore moisture and suppleness.
A pretty palette of five shimmering shades for face and cheeks in one neat compact. Dermatologically tested, you can use them together or individually. Shimmer Waves are perfect for highlighting the eyes or giving an all over natural glow.
The Body Shop Shop 4022, Robina Town Centre Robina (07) 5575 7566
The Body Shop Shop 4022, Robina Town Centre Robina (07) 5575 7566
New slimline shape Stefan Professional Ionic 2200W hair dryer will have you looking like you just stepped out of the salon within minutes. Dries hair up to 50% faster with its detachable heat concentrator and two temperature settings. Eliminates the frizzy blow-dried look with its continuous negative ionic output.
David Jones Robina Town Centre Robina (07) 5585 2999
pindaramagazine.com.au
Stefan Hair Fashions Pacific Fair Shopping Centre Broadbeach (07) 5570 3044
Pindara Magazine
69
Nutrition & Fitness
70
Pindara Magazine
Summer - Autumn | 2014
Nutrition & Fitness
Summer Health & Fitness Eating right and staying in shape during silly season. Story Clinical Dietician Shannon Huxtable
S
ummer is the time for backyard barbeques, long days at the beach and outdoor entertaining with friends and family. The warmer months also mean an abundance of fresh fruits and vegetables such as stone fruits, cherries, mangoes, melons, avocados and berries.
All of these fruits have vitamins and minerals important for our health; in particular antioxidants, which scientists believe may help to prevent cardiovascular disease, a range of cancers, diabetes and other diseases. This is one of the components of the ‘Mediterranean diet’ that has been associated with lower incidences of certain types of cancers and cardiovascular disease1. Antioxidants are important in the body for their ability to repair and prevent the stress that comes from when cells are damaged by free radicals. This is a normal process that occurs during breathing, fighting infection and burning glucose, but can be exacerbated by smoking, stress, pollution and sunlight2,3,4 - things that many of us are exposed to on a day to day basis. Free radicals can damage the eye lens, cause inflammation, accelerate the ageing process as well as damage nerve cells and DNA 4. Antioxidants include carotenoids, vitamin C, vitamin E, selenium A and phenolic compounds including flavonoids. These antioxidants have many functions in the body, for example, some carotenoids such as B-carotene are a precursor of vitamin A, which plays a role in our vision, growth and development and immune function. Vitamin C is important for the body’s normal metabolic functions and assists the body to be resistant against infection. Vitamin E, which like vitamin A is a fat soluble vitamin, is a free radical scavenger that protects polyunsaturated fatty acids against oxidation5. Selenium A is important for immune function and thyroid hormone production6.
pindaramagazine.com.au
Pindara Magazine
71
Nutrition & Fitness
Dietary sources of antioxidants include4
Antioxidants are important in the body for their ability to repair and prevent the stress that comes from when cells are damaged by free radicals.
• Allium Sulphur Compounds: leeks, onions and garlic • Anthocyanins: eggplant, grapes and berries • Beta-Carotene: pumpkin, mangoes, apricots, carrots, spinach and parsley • Catechins: red wine and tea • Copper: seafood, lean meat, milk and nuts • Cryptoxanthins: red capsicum, pumpkin and mangoes
It is important to remember to consume a variety of coloured fruits and vegetables daily, as each colour will contain different combination of vitamins and minerals. While we are able to get these vitamins and minerals from a supplement, antioxidants are more effective when consumed from whole foods in a balanced diet. The new Australian Dietary Guidelines have been released this year and they continue to recommend the consumption of two serves of fruit per day and five serves of vegetables for adult women and up to six serves of vegetables per day for men7. I find many people are unable to meet these recommendations due to a number of reasons. If cost is a barrier for you, try to buy fruits and vegetables that are in season, as they are often cheaper and taste better. If fruits are getting too ripe before you are able to eat them store them in the freezer and use them with low fat milk and yoghurt for smoothies or instead of high sugar ice blocks in the summer. Frozen grapes, berries, bananas and mangoes work especially well. If finding the time to eat all this food is the issue, try adding fruit to your cereal at breakfast, making a low fat smoothie, adding extra salad to your sandwich at lunch or using leftover vegetables in a salad the next day. Make sure you use plenty of “free” vegetables like carrots, beans, broccoli, cauliflower, cabbage and zucchini on your plate
72
Pindara Magazine
at lunch and dinner to help fill you up without too many additional calories. Other ways to get extra serves of vegetables into your diet include grating vegetables into pasta sauce, lasagne, stews and casseroles. Beans and legumes including kidney beans, borlotti beans and cannellini beans, as well as chickpeas, can be added into a wide variety of foods. They are great for getting in extra vegetables but are also very cost effective and make the meal go further; a great alternative when you are entertaining on a budget. Canned varieties of these beans and legumes are also a great option. Try and keep those unwanted kilos at bay during summer - Australians gain an average of 0.8 - 1.5kg during the festive season. While this may not sound like a lot, research suggests this weight gain is rarely lost8. The barbeques, days at the beach and entertaining friends and family can mean high calorie snacks, unhealthy meal options and excessive alcohol, often in conjunction with high sugar soft drinks and mixers. For some people this is the time to forget about healthy eating and the exercise program while over indulging. But this doesn’t need to be the case! With a little bit of preparation you can enjoy the wonderful produce Australia has to offer without the extra kilos. Be prepared, have a plan and practise good portion control.
• Flavonoids: tea, green tea, citrus fruits, red wine, onion and apples • Indoles: cruciferous vegetables such as broccoli, cabbage and cauliflower • Isoflavonoids: soybeans, tofu, lentils, peas and milk • Lignans: sesame seeds, bran, whole grains and vegetables • Lutein: green, leafy vegetables like spinach, and corn • Lycopene: tomatoes, pink grapefruit and watermelon • Manganese: seafood, lean meat, milk and nuts • Polyphenols: thyme and oregano • Selenium: seafood, offal, lean meat and whole grains • Vitamin A: liver, sweet potatoes, carrots, milk, and egg yolks • Vitamin C: oranges, blackcurrants, kiwifruit, mangoes, broccoli, spinach, capsicum and strawberries • Vitamin E: vegetable oils (such as wheatgerm oil), avocados, nuts, seeds and whole grains • Zinc: seafood, lean meat, milk and nuts • Zoochemicals: red meat, offal and fish. Also derived from the plants that animals eat.
Summer - Autumn | 2014
Nutrition & Fitness
Top Five Tips to Avoid Summer Weight Gain • Stay hydrated. If you are drinking alcohol at an event make sure you have a glass of water after each alcoholic drink. This will keep you hydrated through the day or night. Where possible, also choose mixers that are lower in sugar, such as tonic or soda water.
• Be prepared with healthy options. Always take a plate of healthy snack options when you are going to the beach or to a gathering. Include things like vegetable sticks with low fat dips and salsas, air popped corn and fresh fruit. • Limit the treats. If you are offered cakes or desserts tell the host that you are very full but would love to taste the dessert, so if there is any leftover when everyone else has been dished out then you will take some home and have it when you aren’t quite so full. When you get home, share the dessert with the family, leave it for another day or take a few bites and then throw the rest out. • Be mindful. When you are taking foods from the nibbles/starters table, use a plate and take the plate back to your seat to eat. By doing this you will be able to see exactly how much you are eating, you will be able to eat slower and be mindful of what you are consuming.
• Control your portion sizes. Use a small plate when dishing out your meal from a buffet. If you are still hungry when you finish you can always go back for seconds. Fill your plate with salads and lean protein, be careful of the salad dressings on offer and creamy potato salads and bakes. Be sure to take your time when you eat so your brain can register that you are full before it’s too late.
About Us The Gold Coast Heart Centre now has 8 specialist cardiologists available for consultation across all 3 locations. We provide a diverse range of services in comprehensive cardiac health care with extensive diagnostic cardiac testing and specialist imaging.
Diagnostic Cardiac Testing Stress Echocardiography Blood Pressure Monitoring Event Loop Recording
Transthoracic Echocardiography Exercise Stress Testing
TILT Table Testing
Transosophageal Echocardiography Holter Monitoring ECG Reports
Cardiologist Consultations Dr Vijay Kapadia Dr Mathew Williams Interventional and Pacing Cardiologist General Cardiologist Dr Kang-Teng Lim Dr Michael Greenwood General and Electrophysiology Cardiologist Interventional Cardiologist Dr Tony Lai Dr John Bou-Samra Interventional Cardiologist General, Pacing and Heart Failure Cardiologist Professor Jonathan Chan - Multi-Modality Cardiac Imaging and General Cardiologist Welcoming Interventional Cardiologist Dr Ashok Gangasandra for consultation at our John Flynn rooms in 2014
Rooms
ALLAMANDA PRIVATE HOSPITAL
21 Spendelove Street Southport 4215
JOHN FLYNN PRIVATE HOSPITAL
Suite 6A, John Flynn Medical Centre Inland Drive, Tugun 4224
Phone: 5531 1833
PINDARA SPECIALIST SUITES
Suite 2.09, Level 2 Carrara St, Benowa 4217
www.gchc.com.au
Nutrition & Fitness
We should be consuming a variety of nutritious foods from each of the five food groups every day, while limiting foods high in saturated fats, added salt, added sugars and alcohol. During the holiday’s, don’t forget to reward yourself for the little achievements and don’t get down on yourself when you slip up. Summertime doesn’t have to be the time to lose sight of healthy eating or physical activity. We should be consuming a variety of nutritious foods from each of the five food groups every day, while limiting foods high in saturated fats, added salt, added sugars and alcohol. Try and stay healthy and hydrated this summer. When heading down to the beach, it is important to take nutritious foods with you and to keep hydrated. Pack an esky with fresh or frozen fruits, sandwiches, crackers with homemade dips like hummus or guacamole and water. By doing this, there will be less temptation to have high fat takeaways or other snack foods. While these foods are ok for treats, they shouldn’t be consumed on every trip down to the beach. This goes not only for trips to the beach but other day trips including to theme parks, trips up and down the coast or in to the hinterland. This little tip will not only save you those unwanted calories but it will also save you money.
Some healthy alternatives to pack include: • Fresh fruit salad • Sandwiches or wraps with salad and lean protein • Fresh salads with lean protein • Water crackers with low fat dips and salsas • Chilled or frozen tubs of low fat, low sugar yoghurt Frozen fruit kebabs (can simply be made by threading chunks of your favourite fruits on to a skewer or paddle pop stick, covering in cling wrap and freezing until required) • For a refreshing alternative to plain water, simply cut up your favourite fruits and place at the bottom of a flask, add ice and fill with water Don’t forget to add ice to the esky to keep your food cool and at a safe temperature for consumption. It’s important to also stay active and maintain your exercise program. Keep on track with your physical activity and you will feel more refreshed and have more energy. It is also a great way to burn those extra calories from overindulging in food and alcohol. It’s not all about sweating it out in the gym or pounding the pavement. While this is a good option for those who enjoy it, there are so many other options around. Summer is a great time to get the family out of the house and enjoy the beautiful weather. 1. P itsavos C., et al. Adherence to the Mediterranean diet is associated with total antioxidant capacity in healthy adults: the ATTICA study. Am J Clin Nutr 2005;82:694-9. 2. http:www.saga.co.uk/health/healthy-eating/ understandingantioxidants.aspx [accessed December 17, 2013] 3. Rao A., & Rao L. Carotenoids and human health. Pharmacological Research 2007;55:3:207-16 4. http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/ pages/Antioxidants [accessed December 18, 2013]
74
Pindara Magazine
The best way to get the family active is to make it fun and enjoyable. Try: • Swimming at the beach or the local pool (always ensure you swim between the flags - these are the safest areas for swimming and the lifeguards can see you) • Bike riding or walking along the shorefront • Learn to surf - you’re never too old! • Stand up paddle boarding • Beach touch football These are all great ways to stay active and have fun during your downtime in the warmer months. Get some friends or family members together as this will make the activity much more enjoyable and social. Many local councils have free or low cost activities running year round. Simply look on their website or go into your local council office to find out more. Don’t forget, it’s always advisable to consult with your GP before embarking on any kind of exercise program. pm
Shannon Huxtable APD AN Clinical Dietitian | A/Clinical Educator Certified Personal Trainer 5. Escott-Stump S., & Mahan L. Krause’s Food, Nutrition, & Diet Therapy 11th Edition. 2004 Elsevier (USA) 6. R ayman P. The importance of selenium to human health. The Lancet 2000;356:9225:233-241 7. Australian Dietary Guidelines. Department of Health and Ageing, National Health and Medical Research Council. Australian Government 2013 8. F oodsense. Consumer Reports on Health: Dodge holiday weight gain without missing the merriment. Dec 2002
Summer - Autumn | 2014
Nutrition & Fitness
Yoghurt Berry Cups
Mango & Prawn Salad
Serves 4
Serves 4
Ingredients
Ingredients
400g low fat, low sugar vanilla or natural yoghurt
400g cooked tiger prawns
400g mixed berries, fresh or frozen (you can use any combination of berries or any other fruits that are in season)
1 avocado
50g flaked almonds (lightly toasted)
1 bag of washed mixed lettuce or baby spinach
Method Add 50g mixed berries to the bottom of four small glasses, add 100g yoghurt to each glass. Top with the remaining berries and sprinkle with flaked almonds. This is a great alternative to high calorie ice creams, custards and frozen yoghurts. As a twist if you would like a more frozen dessert simply place filled glasses into the freezer until frozen. Remove from freezer five minutes before serving and add almond flakes. To counteract the tartness of the natural yoghurt make sure you choose sweet fruits in season.
2 mangoes
1 punnet cherry tomatoes 2 Lebanese cucumbers 1tbs honey 2tbs sweet chilli sauce 1 lime 40g toasted and crushed macadamias to garnish Method Peel and devein prawns, cut into 2cm chunks. Dice mangoes and avocado into 2 cm pieces. Place mango, avocado and prawns into a bowl and gently combine. Wisk together, honey, sweet chilli sauce and the juice of 1 lime. Place dressing to the side until needed. Wash salad ingredients thoroughly. Slice cucumbers and halve cherry tomatoes. Place a handful of lettuce, Âź of the tomatoes and cucumber on each plate and top with the prawn mixture. Drizzle dressing over the salad and sprinkle crushed macadamias over the top to serve. Alternatively, use the prawn mixture on top of a lean grilled piece of chicken or fish. Avocado and mangoes can be sliced instead of diced.
pindaramagazine.com.au
Pindara Magazine
75
Gizmo guide
gizmoguide
Chillsner Beer Chiller
$40 Presenting the one and only in-bottle, drink-through beer chiller - Chillsner by Corkcicle. Just freeze, insert into any bottled beer and never suffer through another warm brew. Respect the beer. Chillsner is perfect for parties and pretty much any occasion where beloved beers are enjoyed. Top3 by Design www.top3.com.au 1300 867 333
76
Pindara Magazine
Forever New Jet Setter Travel Adaptor
GoPro Hero3
$24.99
Smaller, lighter, mightier still. Introducing the smallest, lightest, most powerful GoPro yet. Featuring video resolutions up to 4K, 12MP photos up to 30 frames per second, built-in Wi-Fi, SuperViewÔ and Auto Low Light modes. Waterproof to 131’/40m.
This gorgeous interchangeable travel adaptor can be used in the UK, USA and throughout Europe and can conveniently be stored away in its own white croc carry case with rose gold detail. Also available in porcelain/black. Pacific Fair Shopping Centre Shop T172, Broadbeach (07) 5526 2010
$439
Camera House Shop 12, Pacific Fair Shopping Centre Broadbeach (07) 5538 1191
Forever New Blue Valentine iPhone Case
$12.99 Enchance your iPhone 5 with this beautiful pastel toned, paisley print phone case from Forever New. Sure to set off any outfit and protect your iPhone from everyday wear. Pacific Fair Shopping Centre Shop T172, Broadbeach (07) 5526 2010
Summer - Autumn | 2014
Gizmo guide
Corkcicle.ONE Wine Chiller
$36 Meet the next generation of cool. Forged out of stainless steel with the signature icicle look, Corkcicle.ONE includes a pour through feature and state-of-theart aerator that instantly expands the aromatic profile of your wine as you pour. Corkcicle.ONE cools down room-temp reds and maintains chilled whites at the perfect temperature. Top3 by Design www.top3.com.au 1300 867 333
pindaramagazine.com.au
Voile Spaghetti Measure
$35 It’s never easy to know how much spaghetti you should boil, especially when you have many guests. Bring to boil the perfect amount of pasta with this handy tool. Just set how many servings you should have, and use this tool to easily measure the amount. A gadget that should be in everyone’s kitchen! Royal Design www.royaldesign.com/au 1800 813 640
Smiggle Retro Graphic Headphones
Smiggle Boom Box Speaker
$29.95
Boom the tunes with this brand new brightly designed, portable Boom Box Speaker by Smiggle. Compatible with all music players with a 3.5mm jack, USB and battery powered so you can let the kids have their own disco anywhere with this great little machine!
Show the world your love for music and relive the good old days with the Retro Graphic Headphones. Spoilt for choice with a range of funky designs to choose from, each with super comfy padded earphones. Pacific Fair Shopping Centre Shop 71, Broadbeach (07) 5570 6542
$49.95
Pacific Fair Shopping Centre Shop 71, Broadbeach (07) 5570 6542
Pindara Magazine
77
Open 6am till late
Urban Fix Espresso
Villa Capri Homewares
Blackboard Coffee Roasters
Love my Nail
Mow Hair
Waterfront
Dining
The Fish Emporium - Fresh & Cooked
Bldg 1
Ov
er
17
0u
nd
oma
The Market Bldg 3
erc
ove
rc
St
Via R
An exciting new waterfront shopping experience with unrivalled parking convenience.
Mayďƒželd Chocolates
arp
ark
Bldg 2
s
Key to store openings: Open Exciting new outlets opening shortly
Pe
ter
sP
l
Manolas Bros Delicatessen
Capri Pharmacy
Yobrella - Frozen Yoghurt
The Greener Grocer
The Sushi Bar
Gourmet Meats on Via Roma
8
177 Olga’s - Health & Organics
Barber Bros & Co
Undercover carparks
Moss n Stone - orist
The Market Bldg.3 The Greener Grocer - Supermarket Bldg.3 The Fish Emporium - Fresh & Cooked Bldg.3 Gourmet Meats on Via Roma Bldg.3 Siena Bakery - Kiosk store Bldg.3 Manolas Bros Delicatessen Bldg.3 Mayeld Chocolates Bldg.3 Blackboard Coffee Roasters Bldg.3 Olga’s - Health & Organics Bldg.3 Yobrella - Frozen Yoghurt Bldg.3 Sapori di Gelato - Gelato Bar
Dining & Entertaining
Health & Fitness
Bldg.3 Edgewater Dining and Lounge
Bldg.2 Funk Fitness 24/7
Bldg.2 Pomodoro Pizzeria
Bldg.1 Dentist@Capri
Bldg.3 Madame Wong’s Teppanyaki
Bldg.3 Olga’s - Naturopath
Bldg.3 Gourmet & Traditional Burgers Bldg.1 Urban Fix Espresso
Retail
Bldg.2 Olli and Luca - Restaurant
Bldg.3 Moss n Stone - Florist
Bldg.1 Shiro Sushi Cuisine
Bldg.2 Villa Capri Homewares Bldg.1 5th Avenue Jewellers
Bldg.3 Rice Haus - Japanese
Bldg.3 Capri on Via Roma - Wine & Beer
Bldg.3 Yummy Yum Cha - Dumplings Bldg.3 The Sushi Bar
Beauty
Follow us www.facebook.com/caprionviaroma
@caprionviaroma
Services
Convenience
Bldg.2 Love my Nail - Nail Bar
Bldg.1 Woods Hatcher - Solicitor
Ph: 55 387 228
Bldg.1 Capri Post Ofce
Bldg.2 Barber Bros & Co
Bldg.1 Travelscene - Travel Agent
Bldg.1 Capri Pharmacy
Bldg.2 Mow Hair
Bldg.1 Hamilton Davis - Real Estate
15 Via Roma, Isle Of Capri www.caprionviaroma.com.au
CAPRI20040
Marina Berths
TRAVEL
Eco AND the
city Ramada Couran Cove Island Resort is one of Australia’s best-kept secrets. The eco resort is a Gold Coast destination with a real difference. Situated on South Stradbroke Island it’s an island resort experience of tranquil seclusion, yet only a 15-minute ferry ride away from the hustle and bustle of the Gold Coast.
80
Pindara Magazine
TRAVEL
pindaramagazine.com.au
Pindara Magazine
81
TRAVEL
T
here is something truly surreal about having an eco experience with your family literally 40 minutes drive from one of Australia’s largest cities and just moments from Australia’s Gold Coast. But to truly understand this resort you must understand the nature of its existence.
Billionaire American philanthropist Chuck Feeney bought the site and built Couran Cove Resort 14 years ago. With over $300 million spent on its design and development, the resort has gone on to win more than 50 domestic and international awards for excellence in eco-tourism.
“They can use all the facilities of the resort including the swimming pool, the restaurant, the nature walk through the rainforest and the coffee shop,” explains Craig. “We aim to make Couran Cove the most family friendly resort in Queensland and for all our friends with boats that means the welcome mat is permanently out.” Our family eco escape began with an early rendezvous with the Ramada Couran Cove ferry, which departed on time from the Salacia
Situated on South Stradbroke Island, the resort is surrounded by over 22 kilometres of unspoilt surf beach to the east, natural broadwater frontage to the west and a spectacular island rainforest in the middle. In late 2012 the resort was purchased by Brisbane businessman Craig Dowling and has undergone a steady and purposeful transformation under the management of one of the world’s largest hotel and resort groups, Wyndham Hotel Group. Since the purchase, Craig and his team have spent the last 12 months and several million dollars ‘polishing the jewel’ and it is now about to be marketed nationally and internationally. Rebranded as Ramanda Couran Cove Island Resort and with the refurbishment and upgrades that have been undertaken we will finally see Couran Cove realise its full potential, according to Craig. “The resort is the best-kept secret in Queensland, but true to form the area’s boaties have been right onto it for some time,” he said. The marina at Ramada Couran Cove Island Resort comprises 74 protected berths capable of accommodation vessels in excess of 85 feet in length.
82
Pindara Magazine
Summer - Autumn | 2014
TRAVEL
Waters Marina. After a gentle 15-minute ferry ride along the stunning Gold Coast Broadwater, we arrived to a bustling hive of activity in the brilliantly designed Couran Cove Marina. From the moment you arrive at the resort you notice the striking main resort buildings and restaurants jutting out over the marina, giving patrons amazing views of the marina and Broadwater. We disembark the ferry and make our way up the boardwalk to the main reception are and foyer. The staff at the resort were relaxed and extremely friendly, making us feel at home immediately. After a short walk to our accommodation block we settled in to our well-appointed self-contained waterfront marina suite. The resort was designed by architects who understood and shared the vision of combining the Australian ‘beach and bush’ holiday in a relaxed, yet stylish way. Architects used the natural settings of the island to guide their design. The immediate surrounds, whether they were lagoon, surf or forest, were of primary importance. The style is typically Queensland, adopting a very recognisable school of architecture in Australia today. It is characterised by the use of light, natural materials and an emphasis on climate, the natural environment of the location and a relaxed living style.
pindaramagazine.com.au
Pindara Magazine
83
TRAVEL
The style is simple, pure, sustainable and practical and reflects Australian traditions and heritage in architecture. All materials are from sustainable resources with an emphasis on timber and glass. The guiding motto for everyone involved with designing and building the resort was as nature would have it. Having spent the morning relaxing on our balcony overlooking the lagoon, we decide to take in some of the resort’s sights by foot. One of the joys of Couran Cove is getting around without the need for a car. Everything is within an easy stroll. Bike hire is also available for adults and kids. Biking and walking is where this resort really
The resort was designed by architects who understood and shared the vision of combining the Australian ‘beach and bush’ holiday in a relaxed, yet stylish way.
comes into its own. There is a network of walking paths that transverse the island from the Broadwater to the Surf Beach. Make your way to the eastern side of the resort where you will be amazed by the deserted 22 kilometres of beach. Opening the door to our bungalow we are greeted by an Agile Wallaby feeding just outside our suite, adding to the wonderful fauna experience. Needless to say, our two very young daughters thought this was the greatest discovery of all and after what felt like an eternity explaining the wallaby wasn’t a dog like we have at home, we made our way down the boardwalk. Our first stop is the rainforest walk, which takes you through the ancient Cabbage Tree Palm Rainforest. At night, the walk takes on another personality and you may be lucky enough to spot the resident bandicoots, echidnas and squirrel gliders. Halfway through, the boardwalk gives way to an impressive three-storey tower, which once carefully scaled, gives you a wonderful perspective of the rainforest and its surrounds from above. On our return to the resort it’s time for some lunch at the Poolside Café on Spa Island, which is nestled in an oasis of swimming pools at the heart of the resort’s lagoon, offering the family a fantastic selection of a la carte meal options. Sitting by the 25-metre heated lap pool, the kids
84
Pindara Magazine
Summer - Autumn | 2014
TRAVEL
are excited to get into the vast childrens pool that offers plenty of shade for the little ones and a selection of fun activities to keep them occupied. It’s not long before the rest of the afternoon passes us by as we sip our mocktails by the pool. We were told that 2014 would see the refurbishment of a fully-equipped gym, surf club, day spa and other exciting features and developments including a Kids’ Club providing fully supervised sports and creative activities for children visiting the resort. For the active guests, the resort provides exceptional sporting and recreational facilities set in the most enticing of natural locations. Guests can enjoy tennis, basketball, lawn bowls and even putt putt golf. Early in the evening we stroll along the boardwalk to the Boardwalk Bar & Café, which is the resort’s central bar and meeting place. Situated in the heart of the resort’s main arrivals building, the café features waterfront views overlooking our marina and lagoon. During the day, the Boardwalk Bar & Café has something for everyone, with a range of fresh café influenced dishes and a selection of gourmet sandwiches. But by night, the atmosphere
is a unique Australian island resort waterfront-bar style of entertainment. We have found nature and culture blend harmoniously together in this truly Australianstyled resort. Waking each morning to the gentle sounds of nature, the call of native birds, the breeze through abundant Banksia and rainforest, and the hushed roll of the distant surf combined to give us the most relaxing and enjoyable family trip we’ve had in a long time. Sadly, after an amazing couple of days it’s time to leave but not before one last enjoyable ferry
trip back to the mainland. Ramada Couran Cove Island Resort has been the perfect escape. From couples to families and nature enthusiasts to conference and event organisers, Ramada Couran Cove Island Resort promises a unique natural getaway with endless possibilities. We’ll be back, but next time it will be for longer. pm
For more information visit www.courancove.com.au Reservations 07 5597 9999
MOTORING
86
Pindara Magazine
Summer - Autumn | 2014
MOTORING
x5 e
hilarating
When it was first released in 1999, the BMW X5 created the Sports Activity Vehicle segment and shaped a whole new vehicle movement amongst premium vehicle manufacturers.
T
he all-new BMW X5 raises the standard, presenting a faster, more efficient, more intelligent and highly specified vehicle to the Australian vehicle market.
“When it was first launched, the BMW X5 set the benchmark and, both locally and internationally, it has led the segment ever since. The BMW X5 continues to outsell all other competitors and this will only accelerate now that the new model has arrived. The all new BMW X5 is more refined than ever, with a host of new features, new styling and advanced technology,” said Beric Lynton, Dealer Principal of Bruce Lynton. While demonstrating similar proportions to its predecessor, the new BMW X5 sports a whole new look. The sharper, more stylised lines of the new BMW X5 are easily identified, and new creases and bold lines combine with a broader kidney grille, new headlight and tail light design and newly available colours. Two new character packages called ‘Design Pure Experience’ and ‘Design Pure Excellence’ bring the new BMW X5 in line with the design language expressed on the newest generation of BMW vehicles.
pindaramagazine.com.au
Pindara Magazine
87
MOTORING
The new BMW X5’s smart new styling has a functional edge, with newly introduced Air Curtains, designed to reduce drag, positioned at the outer edge front apron of the vehicle. These stylish new features direct the air around the wheel arches where it creates a curtain of air over the wheels before making its escape through Air Breathers in the side panels. The new BMW X5 has received a considerable upgrade to its drivetrains. The xDrive30d and xDrive50i variants of the new BMW X5 both generate more power than their predecessors and all models available benefit from greater fuel economy and an improved 0 – 100 km/h sprint. The new BMW X5 xDrive30d incorporates a range of improvements that offer an even better balance between performance and fuel consumption. The 3.0-litre diesel engine, whose BMW TwinPower Turbo technology comprises VNT turbocharging and common rail direct injection, now develops maximum power of 190 kW (+ 10 kW), and maximum torque of 560 Newton metres (+ 20 Nm). Reaching 0-100 km/h in just 6.9 seconds (– 0.7 seconds), the average fuel economy in the EU test cycle has been improved by 1.2 litres per 100 kilometres– to 6.2 l/100 km, with CO2 emissions of 162 g/km (– 33 g/km). The BMW X5 xDrive50i now develops 10% – or 30 kW– more power (330 kW) than its predecessor, combined with a 16% reduction in average fuel consumption. The improvement is due to the new-generation V8 engine
88
Pindara Magazine
Summer - Autumn | 2014
MOTORING
The sharper, more stylised lines of the new BMW X5 are easily identified, and new creases and bold lines combine with a broader kidney grille, new headlight and tail light design and newly available colours. with BMW TwinPower Turbo technology, which, in addition to twin turbochargers and High Precision direct petrol injection, now also includes VALVETRONIC variable valve timing, resulting in improved response and efficiency. Maximum torque is now 650 Newton metres (+ 50 Nm), which is delivered between 2,000 and 4,500 rpm. The new BMW X5 xDrive50i completes the 0-100 km/h sprint in 5.0 seconds (– 0.5 seconds), and returns average fuel consumption of 10.5 litres per100 km – that’s a 2.0 litre per100 km improvement. CO2 emissions are down 48 grams per kilometre, at 244 g/km according to the EU test cycle. At the top of the model line-up, the BMW X5 M50d also benefits from the latest in technical know-how. This M Performance Automobile retains the 3.0-litre straight-six unit featuring M Performance TwinPower Turbo technology with three-stage turbocharging. And although it has identical outputs to its predecessor of 280 kW and 740 Nm, the 0–100 km/h time of the BMW X5 M50d has improved by 0.1 seconds to 5.3 seconds, and the average EU fuel consumption is down a significant 0.8 litres to just 6.7 litres per 100 km. The C02 emissions have similarly improved and are now at 177
pindaramagazine.com.au
g/km, demonstrating a reduction of 22 g/km versus the previous model. All engines in the new BMW X5 line-up are combined as standard with an eight-speed automatic transmission, which includes the extremely fastshifting eight-speed sports automatic version for the BMW X5 xDrive50i and BMW X5 M50d variants. The improvements in the new BMW X5 don’t stop there. The standard specification levels on all variants of the new BMW X5 are truly impressive. The entry level to the range, the BMW X5 xDrive30d is packed with features commensurate with a top of the range vehicle and well above that of the outgoing model. The increase in standard specification for this model versus the predecessor includes an upgrade to 19-inch alloy wheels, BMW Individual exterior line aluminium satinated and the inclusion of a new exterior Design Pure Experience package. Visibility and awareness for the driver has been improved by the inclusion of Bi-Xenon headlights, LED front fog lights, high-beam assist and anti-
Pindara Magazine
89
MOTORING
90
Pindara Magazine
Summer - Autumn | 2014
MOTORING
dazzle interior and exterior mirrors. Additionally, the head-up display, Driving Assistant package which includes lane departure warning, forward collision warning as well as pedestrian warning with light city braking function, rear view camera and 360 degree surround view increase the safety credentials of this new model. Standard electric front seat adjustment and automatic tailgate functionality further enhance the comfort and convenience of the BMW X5. Also included are the navigation system professional with voice control, internet functionality and HiFi loud speaker system, all of which substantially improve the standard infotainment experience of the BMW X5 xDrive30d. Stepping up to the BMW X5 xDrive50i not only brings with it enthralling and improved V8 performance, but a host of additional standard equipment which is new to this model variant. Visually, the increase in specification on this model is clearly notable by the new styling for the standard 20-inch alloy wheels, Design Pure Excellence package for the exterior and standard metallic paint. The internal upgrade on the BMW X5 xDrive50i is even more distinguishable over the predecessor, with one of the interior Design Pure packages included as a no cost option. Ceramic surrounds for the controls and the striking BMW Individual leather instrument panel further enhancing the vehicle’s quality and exclusivity. The more sporty performance of the higher powered BMW X5 xDrive50i is reflected in the inclusion of the ‘professional’ adaptive suspension package that adds dynamic performance control and dynamic drive to the dynamic damper control and rear axle air suspension. Further additions to the BMW X5 xDrive50i include adaptive LED headlights, LED front fog lights, surround view and head up display, along with Driving Assistant Plus which includes active cruise control with stop&go. The driver and occupants will certainly notice the additional comfort and convenience of the comfort access system, automatic tailgate operation and front seat heating, as well as the increased infotainment provided by the harman/kardon surround sound system, internet functionality and DAB+ digital radio.
pindaramagazine.com.au
Vehicle security is also enhanced with the standard fitment of an alarm system. At the top of the range, BMW X5 M50d receives a similar uplift over its predecessor, with the ‘added value’ list including most of the same features as the aforementioned BMW X5 xDrive50i model. This includes adaptive LED head- and fog-lights, Driving Assistant Plus, metallic paint, Design Pure interior package at no additional cost, comfort access system and enhanced stereo system. In addition to this list, the BMW X5 M50d is further improved with a new ‘dynamic’ adaptive suspension package, which combines with M adaptive suspension to enhance the performance credentials and add refinement to the ride and handling of this performance model. The all-new BMW X5 is available to test drive at Bruce Lynton today. pm
At a Glance • Third generation of the world’s best selling premium Sports Activity Vehicle • Three models available including the xDrive30d, xDrive50i and M50d • More equipment means significantly increased level of standard specification • More power for the BMW X5 xDrive30d and BMW X5 xDrive50i
• More fuel savings with up to 16 per cent improved efficiency across the range • More innovative chassis options for added comfort or sportiness • More customisation with all new ‘design world’ character packages • More innovations with extended range of BMW ConnectedDrive features
Bruce Lynton BMW www.brucelynton.bmw.com.au
Pindara Magazine
91
Boating
92
Pindara Magazine
Summer - Autumn | 2014
boating
Prince among pod drives The thoroughly British V48 is the first Princess pleasure boat with pod drives. David Lockwood sings her praises and that of the luxury-cruiser yard.
P
rincess Yachts from Plymouth keeps company with a clutch of prestige brands including Louis Vuitton, Christian Dior, Fendi, De Beers and Krug. This is hardly surprising since the UK boat builder is majority owned by the LVMH Moët Hennessy Group, an investment vehicle of luxury-goods collector and connoisseur Bernard Arnault, the world’s fourth richest man (according to Forbes), and a superyacht owner no less. This association, the deep pockets and substantial investment are now bearing fruit. During the last few post-GFC years, the British boat builder has been busy building bigger, better and ever-more-luxurious boats. This counter-cyclical, pro-active approach to building boats and exciting the market comes at a time when some competitors have been trimming sails and sales. The new Princess V48 continues this journey on pleasure-boating’s Park Lane. Flaunting hitherto new levels of cruising comfort, the V48 is a worldly boat
pindaramagazine.com.au
Pindara Magazine
93
Boating
that will be equally at home tied to a marina in The Med’, parked at Sanctuary Cove, scooting down sunny Sydney Harbour, doing dinner at Docklands in downtown Melbourne, or beating The Doctor across to Rottnest Island. The well-proportioned sportsyacht embodies fine taste and reflects discernment from its owner, who will have gained more than a modicum of success in his or her life. In other words, the V48 has cachet. But it is more than just a lifestyle accessory. In the context of what was a traditional British boat builder, the V48 is a revolution. For this is the first Princess ever with a pair of on-trend pod drives. In a nod to market demands for a joystick docking device, greater accommodation, and fuel efficiency, Princess designed its new V48 around Volvo Penta’s 435hp IPS600s with articulating drives. A fully resin-infused hull is the foundation. It’s a Bernard Olesinski design, which comes as no surprise given the long-time association. But compared with his traditional shaft-driven Princess, the pod-propelled V48 rides higher. The weight savings and exact laminate schedule is a big ‘plus’ from resin infusion, as are efficiency claims from Volvo Penta for its IPS drives. The Swedish engine-manufacturer boasts up to 30% reduced fuel consumption;
94
Pindara Magazine
30% less CO2 emissions; 50% lower perceived noise level; 40% longer cruising range; and 20% higher top-speed. With the engines located well aft, this is also a quiet boat. In fact, water action on the bow is the loudest thing when underway. This writer saw 34.4 knots on the day, in keeping with the factory’s claimed 32-34 knots top speed, while smooth cruise at 3000rpm and 21-22 knots seemed efficient for 117 litres per hour. Fast cruise was clocked at about 28 knots at 3200rpm for 150 litres per hour. Offshore, at 25-26 knots, our crew remained comfortable and the hull proved very dry. It also turns off the wheel in a sportier fashion than some other pod driven boats I’ve run. Because the hull derives a lot of its rigidity from the resin-infused lay-up, the supporting structure can be reduced. This permits space gains in the cabins, with more head and shoulder room and bigger beds that are lower to the ‘ground’ that previous Princess 48s. At the same time, the V48 has a de rigueur full-beam master cabin thanks to the rear engine mounting. Put it all together and this is a high-volume sport yacht with fittingly sporty handling. Yet there was something else that got our attention during detailed analysis. The automotive-like fit and finish extending from the helm station to the
Summer - Autumn | 2014
boating
pindaramagazine.com.au
Pindara Magazine
95
Boating
mullions and house superstructure is a refreshing departure from the usual liner treatment. The moulded panels with complex curves and edgy mattgrey finish create a whole, new and contemporary ambience aboard. It’s in some ways more Italian than English and the fresh feeling was enlivened some more below decks with the use of satin-finished light-oak joinery including the flooring. A new V48 bundled to the high specification of our Australian-optimised test boat will set you back $1,350,590. This boat was bought at the right time and had a sticker price of $1.25 million. Either way, some $239,600 in options were included. The idea was to create a turnkey optimised boat where you really do only need to add fuel, water and fodder. Along with the standard IPS600s, the boat comes with a bow thruster. 11kW Onan generator and 56,000 BTUs of tropical-strength air conditioning to both cabins and bathrooms. The navigational kit was from Raymarine and included twin i70 LCD multifunction displays; a separate 12in chartplotter (ahead of the co-pilot); p70R autopilot with LED display, push-button and rotary knob control; and Shipmate. Suffice to say, the loaded dash was full of intent but also neat since it was designed to harbour this kit from the word get-go. The boat comes with Australian electrical compliancy and all the electrical wiring looms are made in-house. Extra appliances included an icemaker in the cockpit, where you want it, and a dishwasher in the galley. The black-
96
Pindara Magazine
At a Glance Price as tested: New boat $1,350,590 including $239,600 of options as detailed in test above (per exchange rate at time of publishing). Priced from: $1,110,990 million with standard IPS600 pod drives, joystick, 240V Australian-standard electrical system, and lots more. LOA: 15.49m including standard swim platform Hull length: 14.07m Beam: 4.11m Draft: 1.14m (max. with IPS) Weight: Around 17,700kg with full fuel and water Sleeping: 4+2 Fuel capacity: 1,200 litres Water capacity: 364 litres Holding tank: 136 litres Engines: Volvo Penta IPS600s x 2 (D6 435hp) Generator: Onan 11kW Princess Yachts Australia www.princessyachts.com.au Grant Torrens International Marine www.gtim.com.au
Summer - Autumn | 2014
boating
water system was upgraded, while the ground tackle included a stainless steel Ultra anchor and extra chain to measure 50 metres in length. The AV upgraded ran the gamut from the four LED televisions up to 32in with Bluetooth facility to Fusion IP600 with iPod/MP3 compatibility and outdoor speakers. Elsewhere, the boat was furnished with saloon stools, loose rugs, leather helm seats, Avonite galley and bathroom tops. A second door to the second head facilities its day use, while scissor berths in the VIP forward cabin can be converted from singles to a double. A big-ticket addition, the hydraulic swim platform comes with a 400kg carrying capacity, meaning you can tote a tender big enough to take two couples into that waterfront digs. If dining aboard, the cockpit table is adjustable and the upgraded cockpit wet bar has an electric barbecue and sink. A foredeck sunpad was included for doing sundowners on the bow. As if this wasn’t enough, the boat was bundled with China dining ware, David Mellor cutlery, Princess drinking glasses, fluffy towels and fenders.
The well-proportioned sportsyacht embodies fine taste and reflects discernment from its owner, who will have gained more than a modicum of success in his or her life. It really was a just-add-water boat. Yet none of the kit seemed extraneous in what is a very smart integrated design from the pods up. But with a place for everything and everything in its place, the almostminimalist interior is left to sing. Satin light-oak joinery and flooring add to the chic, while a critical eye reveals the fit and finish have been lifted considerably. It could be the Arnault effect. It’s certainly the real deal in pleasure boating from a leading British yard. pm
David Lockwood is Marine Editor at BoatPoint.com.au and boatsales.com.au, and the Boating Writer for the Sydney Morning Herald.
pindaramagazine.com.au
Pindara Magazine
97
MOVIES
Out Now: DVD R
Saving Mr Banks
Thanks For Sharing
The Book Thief
What’s it about? Based on the true story of Walt Disney pursuing P.L. Travers for the movie rights to her novel Mary Poppins. Except it’s not really about that.
What’s it about? A number of people (including Mark Ruffalo and Tim Robbins) are learning to face a challenging and often confusing world as they struggle together against a common demon: sex addiction.
What’s it about? In Germany during WWII, Liesel (Sophie Nélisse), age nine, is sent to live with foster parents (Geoffrey Rush and Emily Watson). She earns her title of “the book thief” after “borrowing” books from the mayor’s wife’s library.
What did we think? A truly wonderful engaging story that warms the heart and moistens the eyes. Nominally the story is about Disney’s pursuit of Travers, but the actual story shows us the world that shaped the author. It’s this side of the movie – rich in characterisation and emotion – that lifts it above an ordinary movie to make it extraordinary. Incredible performances and a wonderful story shine through even the tint of Disney propaganda (in real life Travers hated the final product and when she signed the musical rights away included a proviso that Americans were not allowed to be involved). Don’t miss it! And make sure you watch the credits and some actual recordings of events.
98
Pindara Magazine
What did we think? Thanks For Sharing is a truly earnest movie that neither glorifies or condemns sex addiction. Instead it explores the ‘disease’ through various shades of grey and development. It’s engaging, thought-provoking and, although flawed in some respects, its raw honesty overcomes the shortcomings. Strong performances from Robbins and Ruffalo combined with some sex that is sad rather than erotic take it to a more cerebral – and entertaining – level.
What did we think? There is a lot going on in this film and it sometimes feels like it moves too quickly to form meaningful relationships. This is remedied completely by the end, and the relationships are actually what make this film so beautiful. The narration by Death (Roger Allam) felt a little tedious to begin with (and seriously, Back to the Future owns the flying through clouds opening shot - leave it alone), but it all ties together in one of the most moving final shots of a film I’ve ever seen. Ever. My eyes leaked more than they should have in a public place. Excuse me while I head off to steal the book.
Summer - Autumn | 2014
MOVIES
eviews
Journalist and movie critic, Anthony Sherratt, shares his (very) honest reviews of the latest movies on DVD.
Mood Indigo
RED 2
Blue Jasmine
What’s it about? A surreal love story centred around a woman (Audrey Tatou) who suffers from an unusual illness caused by a flower growing in her lungs.
What’s it about? Retired C.I.A. agent Frank Moses (Bruce Willis) reunites his unlikely team of elite operatives for a global quest to … well, does it really matter why?
What did we think? Mood Indigo is a surreal but wonderful visual feast that delights the senses but occasionally fails to engage the heart. Definitely worth seeing if you appreciate foreign films but the unrelenting nature of the unfettered imagination will leave you exhausted by the end. Apparently there’s a much longer director’s cut but I have to say that much surrealism may just be too much for the human brain.
What did we think? There’s always an inherent risk in making a sequel to a quirky surprise movie. Can they sustain the charm without the unexpected character twists of the first film?
What’s it about? A New York socialite (Cate Blanchett), deeply troubled and in denial, arrives in San Francisco to impose upon her sister. She looks a million, but isn’t bringing money, peace, or love …
About Anthony Anthony Sherratt lectures at university in Journalism, reviews movies and writes for various travel publications, all while caring for twins. He’s finally thankful for his insomnia.
pindaramagazine.com.au
RED 2 starts off well as a jaunt that doesn’t take itself seriously. The action is fun, the premise of the character development is plausible and the laughs are present. However a flat middle means the movie drags a bit and the ending is bland. But Helen Mirren steals the show whenever she’s onscreen, mitigating the damage somewhat. We’re left with a movie that’s entertaining enough I suppose but it really lacks depth, emotion and re-watchability.
What did we think? Blue Jasmine is proof that you can appreciate a movie while simultaneously disliking it. There are very strong performances (despite being mostly unlikeable characters) and the plot is good on paper but it simply doesn’t translate to the screen. There’s very little to relate to and even the ‘twist’ (note air quotes) is predictable and robs you of what little character sympathy you have left at the end of this torturous film. Abrupt endings normally annoy me but this one simply came as a relief.
Read more of his reviews at superquickreviews.com
Pindara Magazine
99
FOREWORD
Good Reads
Our top picks of the latest releases.
The Baker IDI Blood Pressure Diet and Lifestyle Plan
Phillippa’s Home Baking
RRP$35.00
As the face and name behind the well-respected bakery, Phillippa Grogan has been producing her delicious range of traditional baked goods for two decades. Now you can too, with more than 140 mouth-watering recipes, tips and heartfelt advice sure to stir up the home baker in all. Phillippa’s recipes abide by time-honoured techniques, allowing the natural flavour of ingredients to reach their richest.
High blood pressure is one of the most common health conditions affecting Australians, and can lead to stroke and heart disease. In this comprehensive guide, the internationally renowned Baker IDI Heart and Diabetes Institute offers scientific advice on diet and lifestyle changes needed to reduce your blood pressure. With more than 80 carefully developed recipes, it proves healthy food can also taste delicious.
100
Pindara Magazine
RRP$49.99
Girl’s Own Survival Guide: How to deal with the unexpected - from the urban jungle to the great outdoors by Ky Furneaux RRP$9.99 From the world’s No.1 stunt woman, Girl’s Own Survival Guide is the essential handbook for any girl or woman, in any situation. Based around the four principles — ‘Be Prepared’, ‘Educate Yourself’, ‘Think Positive’ and ‘Be Adaptable’, Ky imparts her wealth of skills and experience to equip females everywhere. In her accessible style, Ky offers over 100 useful tips and essential advice, making this a must-have for any handbag or rucksack.
Summer - Autumn | 2014
DINING
Review
Canteen Coffee and Canteen Kitchen Reviewed and written by Amanda James
pindaramagazine.com.au
Pindara Magazine
101
DINING
102
Pindara Magazine
Summer - Autumn | 2014
DINING
A cup of our coffee is best described as memorable and we’ve lost count of the number of people, many from the ‘coffee capitals’ of Sydney and Melbourne, who’ve told us it’s the best coffee they’ve ever had. You could arguably say the Gold Coast’s Burleigh Heads, or just ‘Burleigh’ to locals and long time visitors, is the new Byron Bay. There are great falafels to be found, green juices to try, and it’s fast becoming a place for creatives to flock to –be they emerging and seeking to hone their craft, or established and relocating to make a sea change. You’d be amazed at the influx of Australian companies, many of which operate well within the ‘surf culture discourse’, that now call this area their headquarters. Like all creative catchments, there are hip hospitality offerings to be found (all the creatives need somewhere to congregate don’t they?), but none more so than Canteen Coffee, and its sequel, Canteen Kitchen. Canteen Coffee opened in a backstreet and down a laneway in August of 2011, care of Brendan Elcham. From a long line of seasoned coffee wholesalers and operators, Elcham recognised the Gold Coast’s need for a true espresso bar, so he set out to create one where every element of the business was orientated around one product - the coffee. Previously Elcham lived in Sydney and spent time in Melbourne, where holein-the-wall espresso bars occupied institutional status. “They serve as social hubs, and my endeavour was to recreate this in Burleigh Heads,” he says. “Our offering was to resemble a vintage military base - ‘a canteen’. It was the place where soldiers would not only receive their rations and supplies, but would also go for entertainment and recreational activities.” “It was their meeting place.” Always taught you’re better off playing your strong hand and focusing on your strengths, he set out to run a streamlined offering; one with a meticulous operating system to ensure consistency and excellence in every customer’s cup, all made on beans from his family’s business, the long established Deluxe Boutique Coffee Roasters. They source their beans internationally, always focus on seasonality and roast twice a week. Although originally told he’d need to also sell toasted sandwiches or food to survive, and that serving coffee ‘wasn’t enough’, he fast proved critics wrong and exceeded his own high expectations, with Canteen now serving more coffee per day, than most cafés on the coast do in a week. “A cup of our coffee is best described as memorable and we’ve lost count of the number of people, many from the ‘coffee capitals’ of Sydney and Melbourne, who’ve told us it’s the best coffee they’ve ever had.” Canteen Coffee does a roaring takeaway trade, but also caters to those with the time to sip and settle into one of the chairs and wooden benches lining the alleyway. You might too order from a small selection of their baked goods, or if seeking something more savoury and substantial, head next door to their second operation, Canteen Kitchen. It’s a place where beautiful, well-sized and delicious contemporary style meals, with Middle Eastern inspired flavours await.
pindaramagazine.com.au
Opened in April 2013, after the coffee had garnered a somewhat cult-like following, it came to fruition when the small 27 square metre tenancy two doors up, previously a dated internet café, became available. It took six months for Canteen Kitchen to eventuate, with time and consideration given to developing the concept and design of a space that hosted both 50 seats for diners, and an onsite open plan kitchen. Elcham desired for the food to be focused, just like the espresso bar, as well as an extension of himself. “My father is Lebanese and I grew up eating Middle Eastern food. I wanted people to feel as though they were sitting in my family’s dining room, with a view of the kitchen, as we prepared their meals.” The desired dining room reference holds true, with the walls decorated by sepia toned photos of the Elcham family, in Lebanon, post World War Two, when it was considered the ‘Paris’ of the Middle East. It’s a touching nod to generations gone before. Seasonal produce and traditional family recipes combine and give light to the sometimes long lines for a table, particularly on the weekend mornings, as locals and clued in visitors line up for arguably one of the best breakfasts on the coast. Dense slices of artisan made sourdough come with generous avocado chunks sprinkled with pistachio spiked dukkah and creamy labnah. Scrambled eggs sit alongside smoked trout and za’atar flat bread, while lamb koftas match back with beans spiced with cumin, cinnamon and a little chilli. Muesli fiends will take delight in a chunky housemade version served with tangy sheep’s milk yoghurt and seasonal fruit. All boast of being clean, light and fresh. As Elcham notes, “Middle Eastern food has a reputation for being unsexy and primitive. We sex it up a little and move away from the traditional stigma”. Come noon, some of the breakfast dishes remain for the late risers, and are joined by other savoury dishes. Tabouli is reinvented via the addition of pearl barley and smoked eggplant ($14 or $20 with the addition of lamb koftas), and the zesty broad bean and quinoa salad is laced with pomegranate, goat’s cheese, fennel and radish ($16). It’s only made better by the addition of grilled za’atar chicken ($4). The ever-popular lamb kofta burger is piled high with beetroot relish and Lebanese cucumber. Should there be room for a sweet something, Middle Eastern pastries served with seasonal fruits await. Beverages are run out from the coffee premise, and also feature locally made kombuchas and sinfully iced chocolates as well as a host of bottled drinks. Whether a Gold Coast resident, or a visitor here for a short stay, a trip to the slowly but steadily built Canteen empire never disappoints, and the attention to detail is nothing less than impressive. pm Canteen Coffee & Canteen Kitchen. 23 Park Avenue, Burleigh Heads.
Pindara Magazine
103
5588 9000
DINING
Review
Stokehouse Q Brisbane Reviewed and written by Amanda James
pindaramagazine.com.au
Pindara Magazine
105
DINING
106
Pindara Magazine
Summer - Autumn | 2014
DINING
While many of the city’s establishments boast river views, Stokehouse Q is the only one literally perched on the river, the design of which takes great advantage of the unique locale and unimpeded vista. Since opening their doors to Brisbane in November 2012, Stokehouse Q has fast become a favourite of the river city. The sequel to Melbourne’s famed St Kilda original, it has firmly cemented its place as a ‘go to’ for residents entertaining visitors or seeking to celebrate a special occasion. Alternatively, it’s a welcome excuse for dining out when without occasion, but are hankering for an elegant experience, both in the restaurant and on the plate. While many of the city’s establishments boast river views, Stokehouse Q is the only one literally perched on the river, the design of which takes great advantage of the unique locale and unimpeded vista. Designed by award-wining architecture and interior design firm Arkhefield, it’s a bold, yet elegant sculptural building, and one that’s amassed a number of awards. It took home Inside Magazine’s 2012 Interior Design Excellence Award and was named in the global top five of Wallpaper* magazine’s 2013 Design Awards – the only Australian restaurant to feature, placing both the country and Brisbane alongside some of the world’s most renowned dining destinations. The high cantilevered roofs and floor-to-ceiling bi-fold doors, combine to create a space that’s flooded with natural light and provides expansive views up two reaches of the river and across to the CBD. The timber slating that features both on the walls, and ceiling, only plays to emphasise the characteristically Queensland feel. The experience is much like its building and surrounds – sleek, natural and warm. A visit should begin with an aperitif in the Stoke Bar. Occupying the far end of the development, it’s an engaging and buzzing locale both for a quick drink (and perhaps a graze of the superb tasting plates) and a precursor to the dining experience. The cocktails, be they an old classic or contemporary mix, rival those of Brisbane’s celebrated Fortitude Valley cocktail bars and the wine list takes strength from the restaurant’s alignment. A large selection of domestic and international beers both on tap, and by the bottle, is on offer. In the dining room, there’s no label as a ‘bad table’ with all boasting impressive views, and capturing the river’s breeze. When seated and at the table, the waiters are attentive and seamless. They’re refined, yet familiar and take pride in explaining both the specials for that service and personal preferences of the seasonal modern Australian menu - it’s one that places great emphasis on seasonal and local produce. On a recent visit, the specials were just that – special – and made the decision for entrée and main course even more difficult, considering the already alluring menu entries. Lamb shoulder ($26) seasoned with native saltbush was pulled and passed
pindaramagazine.com.au
through gnocchi with peas and green almonds. It proved popular as a first course and did not disappoint, with the tender, rich meat offset by the cleaner, green flavours. The gnocchi was delicate and light. From the current menu, the Queensland spanner crab ($26), served with green gazpacho and a tart verjuice jelly, was received with silence, accentuated by nods of approval. It made for a cooling dish, while a pile of shaved green asparagus, topped with creamy goats curd and the crunch of buckwheat ($22), came across as a celebration of the beauty to be found in simple, clean ingredients. Of the main courses, all were met with acclaim. The Coral Coast barramundi ($38) was pan seared and the skin, crisp. The well-sized fillet plated atop a deconstructed nicoise style salad, served as a perfect summer meal, particularly when dining in the heat. The roasted Riverina lamb, came two ways, both on the rack and the loin. It was plated with crisp, golden parsnips, sautéed kale and garlic ($41), making for a refined take on the lamb roast. The rack was cooked to the requested medium rare. Pork belly ($41) exists on most menus as the indulgent choice, but the beauty of Stokehouse Q’s version is the soft and buttery meat that sits under the salty skin is offset by the welcome addition of radicchio and its bitter, caramelised elements. Post mains, time was taken to linger and finish the excellent bottle of the 2010 Amisfield Pinot Noir ($100). Hailing from Central Otago, it was a difficult selection given the weight of the wine list, which at 22 pages, presents both the best of the domestic and international offerings across all types and varietals. Those that had the room for dessert took to Stokehouse’s signature sweet staple, the impressive ‘Bombe’ ($20) – the combination of strawberry sorbet and white chocolate parfait encased in a creamy Italian meringue and lightly toasted before serving. Those looking to satisfy their requirements for both coffee and sugar enjoyed affogatos ($16). Made on amaretto, the nutty notes worked back with the accompanying biscotti. All the elements of Stokehouse Q combine to ensure the experience meets and then exceeds expectations. From the setting, to what’s served, it’s an instant and lasting impression for all who visit, and a testament both to its surroundings and superb produce. pm
Stokehouse Q. Sidon Street, South Bank, Brisbane.
Pindara Magazine
107
Peter Cooper is a former state bank manager with 30 years in the banking sector. He is now Managing Director of his own company, Cooper Financial Connections.
FInance
How to get the most out of your home loan With the cash rate on hold at two-and-a-half percent, households will continue to enjoy cheaper repayments, but the expert advice is to avoid complacency and consider refinancing or even shifting lenders to get the most out of your mortgage.
Story Jason Oxenbridge
P
rofits at Australia’s largest banks have swelled to a record $27.4 billion this year. According to a recent report, employee numbers at the big four total 170,200. While skyrocket profit growth is one thing our largest financial institutions have in common, each is unique in the way it carves up the mortgage market. What most concerns credit advisers like Peter Cooper is not so much the difference between banks when it comes to servicing your home loan, but the fact that most people are unaware of how best to make the banks work for them. There are significant savings to be found – simply by asking the question – ‘am I getting the best result from my existing lender’? “What’s most worrying is that people think they have to be loyal to their bank because they feel obliged in some way and this is potentially trapping people to debt levels that really should be negotiated,” says Cooper, an adviser with more than 30 years banking experience.
pindaramagazine.com.au
“The difference between getting your dream house sooner or paying off the one you have a lot faster can be as simple as going to the bank next door. People are not always aware that banks have different policies.” Assessment Rate All financial institutions have an obligation to consider interest rate fluctuations. That is why they use (refer to) servicing rates or plug rates in their considerations. This is usually two percent above the rate you are attempting to borrow to purchase or refinance the property. However this varies by lending institution and also by each product within the same institution. Living Expenses Each bank uses a different figure for living expenses and can vary by as much as $200 per month which impacts on borrowing capacity. It depends entirely on the individual banks and what their view of the world is. How much you can borrow depends on which lender and which product you select – a big difference when chasing your dream of home ownership.
Pindara Magazine
109
FInance
How much you can borrow depends on which lender and which product you select – a big difference when chasing your dream of home ownership. Banks vary in what they consider as important criteria, for example: 1) Margin Lending • Some banks consider half the debt based on the servicing rate but ignore the income generated by the investments. •S ome banks ignore both the investment income and the debt altogether in their deliberations. 2) Other Lender Debts • I f you have debts with other lending institutions, it can make a mess of your capacity to borrow. • Some lenders use the existing rate the money is borrowed at from that institution. • Some banks add the two percent buffer and consider it to be principal and interest payments over 30 years. • Some banks will use the fixed rate if interest only or principal and interest payments at the other institution. 3) Credit Cards • Some banks ignore credit card limits if given three-month statements confirming debt is repaid to zero each month. •S ome banks assume the actual limit is fully drawn. • Banks vary the assessment rate on credit cards from two to three percent of the limit per month. Investment Property The banks vary on whether they use 75 or 80 percent of gross rentals in their consideration. The added complexity that comes into play is that some lenders use your gross holiday rent based on historical facts while other lenders ignore the facts and only use what they deem to be a firm permanent weekly rent. In this case some rely on a local agent’s letter while others will only use the figure placed on the valuer report. Income Every bank has a different view on perceived risk. It’s crucial if you have a household where the second income is part-time, temporary, permanent part-time, casual or permanent casual. Banks will use 50 to 100 percent or can simply ignore it altogether. Other sources of income taken into account include any commission, dividends, car allowance, salary packaging or contracts. All these incomes can be excluded or included depending on the lender.
110
Pindara Magazine
Mortgage Insurance Not all banks are charging the same premiums with mortgage insurance. In fact some give you a discount if you are a first home buyer but most don’t. To add to the confusion they have different tiers ranging from $300,000 - $500,000 or $300,000 – $600,000 with each attracting a different premium. There could be as much as $6,000 difference, so seek advice and go with the one that works best for you. Is a Fixed Rate Right for You? What’s missing out there in the debate around the cheapest rates and fees is people. It’s about individuals and a needs analysis – helping people to see the whole picture. There is any number of differences between banks when deciding on fixed rates. Strategically, think about a two to three year plan – it’s easier than planning for five years. Breaking a fixed rate can be expensive if circumstances change. In the Fixed Rate Space, Banks have Different Policies. Firstly, there is the variation between banks based on how much you are able to pay in addition to minimal repayments on fixed rate loans. For example $15,000 per fixed period versus $15,000 per calendar year. Secondly, the differences between banks on the cost to lock the rate, to guarantee the rate at settlement. Some banks will charge a set fee, while others will charge a percentage based on loan amount. Thirdly, some banks will state the rate lock commences upon application for finance, others will be based on unconditional approval, which can take up to four weeks to achieve depending on conditions. Cooper refers to the mortgage space as a ‘minefield’ and advises borrowers to seek professional assistance before making what for most of us, is the biggest financial decision we are likely to make in our lifetime. “You don’t need to be with the one bank – you need the right advice, so let’s sit down and see what the market is offering. Banks change policy all the time. As an individual, you have different needs at various stages of your life,” he says. pm
Summer - Autumn | 2014
FInance
Top 5 Tips 1. Increase Repayments
4. Do Your Homework
2.Don’t Be Afraid to Refinance
5. Seek Advice
Aim to own your property as soon as possible and pay as little interest as you can. Put salary increases, bonuses, Medicare rebates or any spare cash straight on your loan to reduce interest and lessen the time to pay it back. Be prepared to go to a lender with a lower interest rate than your current one. It could be the bank next door. It’s important to reassess your situation every two to three years and get a handle on what’s happening in the market.
3. Avoid Interest Only
If a change in your financial situation has resulted in you paying interest only on your loan, change back to principal plus interest as soon as circumstances permit. Paying that little bit more makes a big difference.
pindaramagazine.com.au
Bank fees can chew into your repayments very quickly, so assess your loan regularly and find a lender who isn’t charging you the earth in unnecessary charges. This can alter the course of your loan. Banks often forget that they should be earning the right to keep you as a customer. Sit down with a credit adviser and assess your needs and work out a plan that suits your current situation. It might even be that you stay with your existing bank – but it’s worth having the conversation if it means saving you thousands of dollars in repayments. For more information visit Cooper Financial Connections www.cooperfinconnect.com.au
Pindara Magazine
111
Visitors to the 2014 Surfers Paradise Festival will experience tantalising food, attentiongrabbing art installations, exhilarating live music and exciting entertainment, as part of the four week festival quickly establishing itself as Australia’s premier beachfront event.
S
taged throughout the Surfers Paradise precinct, the festival running from April 2 to April 26 is a family-friendly event, showcasing entertainment, music, art and food from the best and brightest local talent as well as an eclectic array of cultural offerings and established national talents. Headline events include Launch It, Surf Seafood & Symphony, the Australian Street Entertainment Championships, the Seafire Fireworks Competition, One Way Street Party and Shorts in Paradise Film Festival.
The festival is in its 5th year and provides entertainment for people of all ages and themed weeks ensure it caters to all interests. The Street Parade launches the 2014 Surfers Paradise Festival with a celebration of the Gold Coast’s heart and soul – a lantern parade through the streets of Surfers Paradise. The parade is led by marching bands and includes contingents from the Queensland Police Service, Queensland Fire Brigade, Surfers Paradise traders and businesses, community groups and Gold Coast primary schools. Surf Seafood Symphony on Saturday 12 April is a new event in the Festival line-up for 2014. The event will begin with an international food and seafood experience with marquees lining Cavill Mall and the Surfers Paradise Foreshore. The day culminates in a symphony orchestra performance on the beach stage featuring classical favourites, movie soundtracks as well as performances by some of Australia’s favourite performers – Luke Kennedy (2013 Voice Finalist and member of the Ten Tenors) and Loren Hunter (King Kong – Lead understudy and Sandy in Grease Arena Spectacular). This iconic event will end with a spectacular fireworks show as a fitting finale.
112
Pindara Magazine
The Australian Street Entertainment Championships will see street performers from all over the world showcasing their acrobatic, musical, comedic, dancing, magician and performing skills, vying for the crowd’s attention. The Championships will be held over four days from Friday 18 to Monday 21 April in various locations around Surfers Paradise and all entertainment is free. Performers will be fighting it out for the title ‘Australian Street Entertainer of the Year’ to be announced at the grand final. Launch It is a music festival held right on the Surfers Paradise beach. The main stage will host bands over two nights and one day, with Friday night showcasing Ministry of Sound acts, Saturday night themed quintessential Aussie Rock and Sunday reserved for the finalists of ABC’s show “Exhumed”. This is a ticketed event with very reasonable pricing. More details on the line-up for each show and costs are available at www.surfersparadisefestival.com The One Way Street Party sees Surfers Paradise laneways transformed into interactive galleries featuring the diversity within Gold Coast’s art culture. Showcasing emerging and established local artists from music to street art, fashion to visual and digital art, it celebrates the Gold Coast’s new culture. The event features live music, live art installations, vintage and designer market stalls and family friendly interactive activities. This is a free event and is held on Appel and Alison Street, as well as Neal Shannon Park (above the Surfers Paradise Transit Centre) on Saturday 26 April from 1pm to 10pm. The Shorts in Paradise Film Festival will be held at Neal Shannon Park with the country’s best short films being screened. Fans of Australian cinema can cozy up on a beanbag and indulge in street food from nearby stalls while enjoying films from finalists competing for awards including Best Director, Best Film, Best Editing and Audience Choice. This is a free event and runs from 7pm on Saturday 26 April.
To view a full schedule of events for the 2014 Surfers Paradise Festival, go to www.surfersparadisefestival.com
Summer - Autumn | 2014
get exposed creative / digital / publishing
Gold Coast The Docks. Masthead Way Sanctuary Cove, QLD 4212 Phone 07 5514 8355 Brisbane Level 1. 60 James Street Fortitude Valley, QLD 4006 Phone 07 3358 5831
www.nudecreative.com.au