Health Check Magazine Issue 13 September - November 2019

PHYSICAL VS. CHEMICAL SUNSCREEN

HOW TO CHOOSE THE RIGHT ONE FOR YOU

ASK A PHARMACIST KNOW YOUR STROKE RISK

THE POWER OF EMPATHY

ISSUE 13 SPRING 2019

UPSKILL YOUR ABILITY

S E V E I L E R

S I T I R H T R A O E T S O

N I A P P U E FLAR NE W

E L B A L I UNTER VA

CO A E H T D N I H E B

For the temporary relief of pain and/or inflammation. This medicine may not be right for you. Read the label before purchase. Follow the directions for use. Incorrect use could be harmful. If symptoms persist, talk to your health professional. Ask your pharmacist - they must decide if this product is right for you. *1x400mg Nurofen 400 Double Strength tablet relieves pain for up to 8 hours. Malmstrom et al, 1999; Malmstrom et al, 2004; Mehlisch et al, 2010 (Sponsored by RB).

29873-0319 2

CONTENTS

Spring is here and we’re excited to spend more time outdoors getting some much-needed vitamin D. Don’t forget to slip, slop, slap as the weather warms up; we explain the difference between physical and chemical sunscreen on page 6. Do you know your stroke risk factor, or that 80% of strokes can be prevented? Find out more about one of Australia’s biggest killers on page 4. Plus, we give you some easily actionable tips on improving your empathetic abilities (page 13).

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ASK A PHARMACIST: STROKE

PHARMACIST FOCUS

THE POWER OF EMPATHY

WAYS TO DE-STRESS AT WORK

OUR PEOPLE OUR COMMUNITY

WHAT’S ON IN YOUR BLOOMS THE CHEMIST

6 8

PHYSICAL VS CHEMICAL SUNSCREEN

MIGRAINES THREE HEALTH PERSPECTIVES

14 19 22 23

THE IMPORTANCE OF MENTAL HEALTH SERVICES IN RURAL COMMUNITIES

MILD ACHES AND PAINS

ESSENTIAL HEALTH CHECKS FOR WOMEN

WHAT’S ON IN YOUR COMMUNITY

Disclaimer: All material included in Health Check magazine is provided as general information and is not intended, nor may it be construed, as medical advice or instruction. Information and opinions expressed are believed to be correct and accurate to the best knowledge and judgement of the authors. Readers should consult their appropriately qualified health care professional prior to taking any action or inaction in relation to the content contained herein.

Editor: Annette Williams | Writer: Emily Facoory | Designer: Ivan Botic H E A LT H C H E C K M A G A Z I N E | S P R I N G 2 0 1 9

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ASK A PHARMACIST

STR KE

by Casey Shannon, Blooms The Chemist Pharmacist

STROKE IS A MEDICAL EMERGENCY AND TIME IS CRITICAL. CALL 000 IMMEDIATELY IF YOU WITNESS THE SIGNS OF STROKE.

FACE – Check their face. Has their mouth drooped? Ask the person to smile and see if one side is drooping.

ARMS – Can they lift both arms?

SPEECH – Is their speech slurred? Do they understand you? Ask the person to repeat a simple sentence.

TIME IS CRITICAL – If you see any of these signs, call 000 now!

A stroke occurs when a blood vessel in the brain is blocked or ruptures which stops the flow of blood and oxygen to the brain causing brain cells to die or become permanently damaged. On average, there is a stroke every 10 minutes in Australia1. Chances of survival of a stroke improve with early recognition and early treatment.

A stroke is not a heart attack – know the difference:

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STROKE

HEART ATTACK

Location

Blocked blood vessel in the brain

Blocked blood vessel to the heart

Symptoms

Mental Confusion Disrupted Speech Face, Arm or Leg Paralysis Blurred Vision Headache

Chest Pain Body Aches Shortness of Breath Cold Sweats

TYPES OF STROKES There are three main types of strokes: 1. Ischemic Stroke: also known as a cerebral infarction, occurs when the artery transporting oxygen-rich blood to the brain experiences a blockage causing brain cells to die.

Blockages can be caused by narrowing of the arteries or by small blood clots.

2. Haemorrhagic Stroke: occurs when an artery in the brain becomes weak and ruptures. Blood spills into or around the brain which damages cells and tissues due to swelling and increased pressure. Haemorrhagic strokes are less common but are responsible for approximately 40% of all stroke deaths2. Haemorrhagic strokes can be classified due to the location of the bleed. a. Subarachnoid haemorrhage – ruptured blood vessel between the surface of the brain and the skull b. Intracerebral haemorrhage – ruptured blood vessel inside the brain

3. Transient Ischemic Attach (TIA): also known as a ‘mini-stroke’. TIAs result from a temporary blockage of blood supply to the brain, usually only lasting a few minutes. Symptoms of stroke can be seen during this period of blood-flow interruption however the symptoms resolve within 24 hours. These strokes are a serious warning sign that a stroke may happen in the future, so they should not be ignored3.

RISK FACTORS Risk factors of stroke can be classified as modifiable and non-modifiable. This means that you can treat or control modifiable risk factors however other risk factors such as age and gender cannot be controlled4.

MYTH

FACT

There is no treatment for stroke

Time is critical for the treatment of stroke. Call 000 immediately if you notice signs of stroke.

You cannot prevent a stroke

20% of strokes cannot be prevented, therefore, 80% of strokes ARE preventable.

Strokes are not genetically linked

A non-modifiable risk factor of stroke is genetics.

Strokes occur in the heart

Blockage of an artery in the heart is a heat attack. Blockage of an artery in the brain is a stroke.

Stroke only affects the elderly

Stroke can happen anywhere, at any time to anyone.

The symptoms of a stroke went away so there is nothing to worry about

Paying attention to the warning signs of a stroke and seeking medical attention immediately may help prevent a stroke.

HOW CAN YOUR PHARMACIST HELP? Talk to your local Blooms The Chemist Pharmacist about your individual risk factors and the implementation of strategies that may help to reduce the chances of suffering from a stroke. Your Pharmacist can perform a stroke risk assessment which involves screening tools to determine your blood pressure and a short questionnaire to assess your risk of developing a stroke over the next five years.

MODIFIABLE RISK FACTORS FOR STROKE

References 1 National Stroke Foundation, April 2013, Know the Signs of Stroke 2 National Stroke Association, 2019, Hemorrhagic Stroke, American Heart Association 3 Australian Institute of Health and Welfare 2013, Stroke and its management in Australia: an update, Cardiovascular Disease Series No.37, Cat. No. CVD61. Canberra: AIHW 4 Deloitte Access Economics: The economic impact of stroke in Australia, 13 March 2013, National Stroke Foundation H E A LT H C H E C K M A G A Z I N E | S P R I N G 2 0 1 9

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Physical vs Chemical Sunscreen Sunscreen is without doubt the most important accessory for Summer. Considering that Australia has one of the highest rates of skin cancer in the world it’s vital that you choose the right product for your skin and sun care needs.1

CHEMICAL SUNSCREEN

While the range of available sunscreen options may be overwhelming, there are two main types of sunscreen; physical and chemical. Physical sunscreens work by sitting on top of the skin and deflecting UVA and UVB rays, while chemical sunscreens absorb the UVA and UVB rays.

- Most common type of sunscreen and easily available

UVA rays refer to ultraviolet radiation and can penetrate into the deeper layers of the skin, causing skin ageing and wrinkling.2 UVB rays are ultraviolet B-rays that cannot infiltrate beyond the skin’s superficial layers, however they contribute towards delayed tanning and burning.3 While both physical and chemical sunscreen types are extremely important in providing sun safety, they have very different attributes.

PHYSICAL SUNSCREEN Pros - Starts to work as soon as it’s applied to the skin - Isn’t likely to irritate the skin, which is great for people with sensitive skin - Has a longer shelf-life - Is less likely to clog the skin Cons - May leave a white cast on the skin (titanium dioxide and zinc oxide are common ingredients in physical sunscreen) making it less suitable as a makeup base - Needs to be applied accurately to the skin, ensuring all exposed areas are covered

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Pros - Has a thinner consistency and spreads easily - Can be more resistant to water or sweat

Cons - May cause irritation due to the chemicals in the formula and may not be ideal for sensitive skin - It takes about 20 minutes for chemical sunscreen to fully absorb into the skin - Needs to be reapplied more frequently Another important aspect to consider when choosing your sunscreen is its SPF (Sun Protection Factor) and whether it is broad spectrum. Sunscreens that are broad spectrum SPF protect the skin from both UVA and UVB rays, whereas a sunscreen with just SPF listed on the packaging only provides protection against UVB rays. The two main types of SPF factor are SPF30 and SPF50+. SPF30 blocks out 96.7% of UVB rays while SPF50+ blocks out 98% of UVB rays.4

WHICH TO CHOOSE? It all depends on your skin type and lifestyle.

The most important thing to keep in mind is that whichever sunscreen you choose, it should be broad spectrum, preferably SPF30 or higher, and you need to reapply it consistently.

Chat to your local Blooms The Chemist team who can help you choose the right sunscreen for your skin.

Sun Smart. https://www.sunsmart.com.au/skin-cancer/ skin-cancer-facts-stats 2,3 https://www.who.int/uv/faq/whatisuv/en/index2.html 4 About SPF50+ sunscreen. https://www.cancer.org.au/ preventing-cancer/sun-protection/preventing-skincancer/spf50sunscreen.html 1

PHARMACIST Andrew Leslie FOCUS

Blooms The Chemist Casey Central

How long have you been a Pharmacist with the Blooms The Chemist network?

I’ve been a Pharmacist for over 14 years, having graduated with a Master’s degree in Pharmacy from the University of Newcastle and then interning in hospital pharmacy. I’ve been with Blooms The Chemist for nine years, initially joining the team at Blooms The Chemist Maitland.

What made you want to become a Pharmacist?

I’ve always had a keen interest in the health sciences and I’ve always enjoyed spending my time with people. Pharmacists are essentially the most accessible healthcare professionals and have great exposure to the public, giving us an amazing opportunity to improve our patients’ health outcomes through exceptional primary healthcare, whether that be with the right advice on medication or health, or simply recognising when a medical referral is needed. Pharmacy allows me to be involved in and give back to my local community.

What is the most important thing you’ve learnt as a Pharmacist?

A smile goes a long way, empathy is everything and you should always seek to understand before seeking to be understood.

How do you like to relax or spend your free time?

I believe that striking the right work/life balance is always key to being happy. I love travelling and the outdoors, and can often be found surfing, running, cycling, and practising yoga. I also love a good backyard BBQ! What’s the best thing about your community?

The ethnic diversity and the family culture that Melbourne fosters is beautiful, and you can see that from sporting events such as the AFL. Families are included in everything and diverse culture is included in every aspect of life in Melbourne. I feel so lucky to now call Melbourne my home.

What are your favourite places to visit in your local community?

The Royal Botanical Gardens is always a favourite place of mine to visit and to walk my dog. It really showcases the true beauty of Melbourne and makes me feel so grateful that I’m able to experience it.

What are five things you couldn’t live without?

My partner, my dog, Ventolin, my mum’s hugs and the great outdoors, including a surf.

What’s the number one health tip you’ve learnt over the years?

Stay active, both mentally and physically, and learn to love life for all its good and bad.

Tell us something unexpected about you and quote to live by.

Something unexpected- I’m one of ten children! A quote I strive to live by- “Happiness is a state of mind; you have to choose it.”

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MIGRAINES THREE HEALTH PERSPECTIVES

IT’S HEADACHES AND MIGRAINE AWARENESS WEEK FROM 1–7 SEPTEMBER, SO WE CHATTED WITH THREE HEALTH PROFESSIONALS ABOUT THE CAUSES AND TREATMENT OF MIGRAINES. 8

PHARMACIST

PHYSIOTHERAPIST

Casey Shannon has been a Pharmacist with Blooms The Chemist for over five years. She is passionate about delivering a holistic approach to each individual patient by focusing not only on medications but also the big picture of their health.

Rob Wallis is the director of The Sydney Headache and Migraine Centre. Working as a physiotherapist for the past 30 years, he started to focus on migraine and headache treatment over the past eight years, eventually overcoming his own migraine issues.

What treatments would you recommend to patients who suffer from migraines?

What do you believe causes migraines?

The most effective treatment approach for migraines is a combination of both medication and nonpharmacological treatments.

Common non-pharmacological treatments include: • Rest in a quiet dark room • A cold pack over the forehead or behind the head – this targets the supraorbital and greater occipital nerves • Massage and neck stretches • Staying hydrated • Relaxation techniques Pharmacological treatments differ for individuals depending on their medical history, current medications, allergies and if they have tried any medications which have failed in the past. It is always best to talk to your doctor as well, as this will help you develop an individualised treatment plan for your migraines.

How can patients reduce the occurrence or severity of migraines?

Developing a migraine management plan which involves lifestyle modifications, medications and other complementary therapies would benefit anyone who suffers from migraines. People with migraines need to keep regular habits as change can trigger attacks. I would suggest the following habits: 1.

Eat regular meals and know which foods could trigger your migraine 2. Have a regular sleep schedule 3. Limit caffeine 4. Stay hydrated by drinking 1.5 to 2 litres water daily 5. Engage in regular physical exercise – 30 to 40 minutes, 3 to 4 times a week 6. Relaxation techniques e.g meditation, yoga, breathing techniques 7. Acupuncture 8. Avoid known migraine triggers 9. Improve workplace ergonomics including good posture when using a computer and take regular short breaks

The research tells us that it’s a nerve or a neurological based problem within the brain. When parts of the brain become too sensitive, they can trigger a response that causes the migraine. The four big symptoms are light and noise sensitivity, nausea, and vomiting, but there can be a whole range of different responses. Neck pain is also a common symptom; around 65% to 70% of people will report neck problems with their migraines.

Are there different types of migraines?

The biggest differentiation is some people will get a migraine with an aura and then some people get a migraine without an aura. An aura is where there is some sort of visual change that the person gets before the headache starts. This gives them an indication that they are about to get a migraine. People can see floating lights, zigzag patterns and some people’s visual fields will change. This usually occurs 15 to 30 minutes before their migraine is about to start.

What treatments would you recommend to patients who suffer from migraines?

We look at treatment of the very upper part of the neck to try and determine whether that is contributing to the migraine, as it can impact on the nerve sensitivity in the brain. We will also recommend that people look at things like their diet and exercise.

Do you believe that migraines can be linked to other health conditions?

I think that there is a relationship with things like insomnia that can affect the brain which can also have an impact on migraines. Also the same areas of the brain associated with migraines are also associated with anxiety and depression, so there may be a link with those mental health conditions.

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NATUROPATH Peta Teuma holds a Bachelor of Health Science (Naturopathy) and truly believes in the power of natural therapies.

What do you believe are some common triggers for migraines?

With over 70% of cases occurring in women, there is thought to be an association with female hormones, and that migraines may be triggered by the onset of menstruation. Women can experience migraines with each menstrual cycle and cease after menopause. Other triggers may be stress, sensory (smells and bright lights), sleep changes and weather conditions. Different foods can have an impact on the occurrence of migraines with common triggers being alcohol, caffeine, chocolate, artificial flavours, tyramine rich foods such as aged cheese and cured meats and even fasting due to lower blood sugar levels.

What treatments would you recommend to patients who suffer from migraines?

As a naturopath and health professional I would start with an extensive history of the patient. I would work first to recommend any necessary dietary changes. This may include removing or reducing any of the trigger foods listed above.

If the sufferer is female, assess if the migraines are showing a pattern with the menstrual cycle. If a cyclical pattern is established, I would recommend herbs that may help to regulate the hormonal cycle such as Vitex angus castus. Vitex has been used in Western herbal medicine to regulate menstrual issues. Talk to your pharmacist about the best Vitex supplement for you.

CO enzyme Q10 and Riboflavin (B2) may be of benefit due to their role in the production of energy. Feverfew is a herb that has traditionally been used in Western herbal medicine for the treatment of migraines. While current scientific evidence is inconclusive, it remains a common supplement for migraines.

1

Headache Australia. https://headacheaustralia.org.au/migraine/migraine-acommon-and-distressing-disorder/ 2

Headache Australia. https://headacheaustralia.org.au/what-is-headache/ prevalence-and-cost-of-headache/ 3

The diagnosis and treatment of chronic migraine. https://www.ncbi. nlm.nih.gov/pmc/articles/PMC4416971/ Role of magnesium in the pathogenesis and treatment of migraine. https://www.researchgate.net/profile/Alexander_Mauskop/ publication/24187322_Role_of_magnesium_in_the_pathogenesis_ and_treatment_of_migraine/links/557984a808ae75363756f14d.pdf

4

5

Use of Vitex agnus-castus in migrainous women with premenstrual syndrome: an open-label clinical observation. https:// www.ncbi.nlm.nih.gov/pubmed/22791378

6 Sex differences in the epidemiology, clinical features, and pathophysiology of migraine. https://www.sciencedirect.com/ science/article/abs/pii/S1474442216302939 7

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Usefulness of nutraceuticals in migraine prophylaxis. https://www. ncbi.nlm.nih.gov/pubmed/28527067

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12

The Power

of Empathy

THE WORD ‘EMPATHY’ WAS ADAPTED BY ENGLISH PSYCHOLOGIST EDWARD B. TITCHENER FROM THE GERMAN WORD ‘EINFÜHLUNG’ (“FEELING INTO”). EMPATHY IS THE ABILITY TO UNDERSTAND OTHER PEOPLE’S EMOTIONS AND SHARE WHAT THEY ARE THINKING OR FEELING. CULTIVATING EMPATHY CAN ALLOW THE DEVELOPMENT OF MORE FULFILLING RELATIONSHIPS AND OPEN YOUR MIND TO NEW WAYS OF THINKING. Active listening is a talent that can be incredibly useful in developing your empathetic skills. When you are actively listening, you are fully present in the moment. You are understanding what the person is really saying as opposed to listening just to respond. Boost your active listening skills by reflecting or rephrasing what your conversation partner has said. For example 'What I’m hearing you say is…’ or ‘So what you’re saying is…’. This can help you to clarify and fully comprehend what they are trying to say. Engaging in the conversation by nodding and smiling will affirm to the other person that you are involved and interested in the exchange.

According to research people who read fiction are more attuned to other’s emotions.1 This is because when we read fictional narratives we are subconsciously observing and analysing what the characters are thinking and feeling. Results from the research also showed that reading fiction is linked to increased social ability, whereas avid readers of non-fiction are likely to become proficient at a specialised type of study.2 Cultivating curiosity is another way of building empathy, whether that be through advancing your studies, taking up a hobby that you’ve always wanted to try or embarking on a new project that may be outside your comfort zone. Following your curiosity and creating new experiences can assist in changing your perspective.

Empathy is just one emotional ability that has a significant impact on our interpersonal relationships. By actively working to cultivate your empathetic skills, you can learn to improve and sustain healthy connections with others across all areas of your life.

1,2

Changing our Minds. https://greatergood.berkeley. edu/article/item/chaning_our_minds

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THE IMPORTANCE OF MENTAL HEALTH SERVICES IN RURAL COMMUNITIES 3 million Australians are living with anxiety or depression and one in seven Australians will experience depression in their lifetime.

October is Mental Health Month, with the theme for 2019 being ‘Share the Journey,’ encouraging people to connect with others and reach out if they’re struggling or when they know that someone might need their help.

This is important especially in our rural communities where there may be fewer resources. People in regional areas also face a unique variety of stressors. This increasing prevalence of mental health concerns have highlighted a tangible need for improvements in the range and availability of mental health services in our rural communities.

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Orange is a regional town in the Central West region of New South Wales. With a population of more than 39,000, it’s well known for its impressive vineyards and excellent local produce. Blooms The Chemist Orange Pharmacist Melanie Moses understands the importance of people having access to mental health resources in her community.

“Besides our doctors and specialists, we’ve got our mental health care hospital, Bloomfield, that runs a clinic for people suffering from acute mental illness,” Melanie says. However efficient access to mental health services in rural areas is an aspect that needs improvement. “Quicker access to counselling services and more opportunities for people who can’t afford them are things that would make a huge difference to our community.”

The types of stressors that people face living in rural areas can be extremely different compared to people who live in bigger cities. “Some of our community are impacted by the effects of the drought, which can lead to an economic downturn. There are lower employment rates which can create financial hardship and also make it harder to afford mental health services. Reduced accessibility to specialist services or having to travel to get to those services can also be a barrier,” says Melanie.

“As a Pharmacist I see first-hand how our community comes together to support each other in tough times and I see how important these mental health resources can be to people in Orange and other regional areas.”

MENTAL HEALTH RESOURCES To support traditional mental health services, there is a range of resources available in Australia, helping to destigmatise and reduce the apprehension of seeking help concerning mental illness. Many of these resources focus on the importance of connection and relationships in supporting those of us living with mental illness or who are experiencing hardships in their lives.

R U OKAY R U Okay is a suicide prevention charity that helps to empower everyone to meaningfully connect with people around them. Asking ‘Are you okay?’ and listening to a person’s response can help people struggling with life to feel connected.

- Encourage action; ask questions such as 'What’s something you can do for yourself right now? Something that’s enjoyable or relaxing?' or 'How would you like me to support you?' If they have been feeling down for more than two weeks, encourage them to seek help from a health professional.

- Check in with them; follow up with a call after a short while to see how they are going. Stay in touch and be there for them as genuine care can make a real difference to their life. ruok.org.au

BEYOND BLUE Beyond Blue is an organisation that offers support and information regarding mental health to everyone in Australia. They aim to break down the barriers that prevent people from speaking up and reaching out, making sure that mental health is a part of everyday conversation.

Beyond Blue promotes good mental health across a vast range of population groups working with a variety of academic, government and community services in both metro and regional areas. Along with 24-hour telephone support, Beyond Blue also provides an online chat and online forums for further support. beyondblue.org.au 1300 22 4636

HEADSPACE headspace is a mental health support service that provides tailored and holistic mental health support to 12 to 25 year olds.

- There are over 100 headspace centres across Australia that are designed to provide young people with a safe and supportive environment, so they can seek help on a range of issues.

- They also have a National Telehealth Service where young people in regional areas can get access to psychiatrists via video consultations.

- headspace is their national online and phone support service allowing a safe and secure place for people to talk to a professional regardless of their location. headspace.org.au

LIFELINE Lifeline is a national charity that provides access to 24-hour crisis support and suicide prevention services. They also provide mental health support and emotional assistance via telephone, face-to-face appointments and online. If you need someone to talk to urgently, please contact Lifeline on 13 11 14 (open 24 hours).

There are four tips to help you to get the conversation started:

lifeline.org.au

- Ask if they are okay in a friendly and relaxed manner.

1

- Listen without judgement and don’t interrupt the conversation.

https://www.beyondblue.org.au/media/statistics https://www.ruralhealth.org.au/sites/default/files/publications/nrhamental-health-factsheet-dec-2017.pdf 3 https://www.ruok.org.au/how-to-ask 2

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HAYFEVER ALLERGY RELIEF. ALWAYS READ THE LABEL. FOLLOW THE DIRECTIONS FOR USE. IF SYMPTOMS PERSIST TALK TO YOUR HEALTH PROFESSIONAL.

16 CHCANZ.CFEX.19.02.0140c FEB 2019

ASMI 29997-0419

WAYS TO DE-STRESS AT WORK STRESS IS INEVITABLE, ESPECIALLY IN THE WORKPLACE WHERE PRIORITIES SEEM TO POP UP ONE AFTER THE OTHER AND YOUR TO-DO LIST FEELS LIKE A MILE LONG. BUT THERE ARE STEPS YOU CAN TAKE TO MINIMISE YOUR STRESS THROUGHOUT THE DAY. TAKE A WALK Going for a short ten-minute walk can help clear your mind so you come back to work feeling refreshed and in better spirits. According to a study, participants who took lunchtime walks had improved enthusiasm, relaxation, and nervousness at work.1 Whether you take a short walk up the road to grab lunch or a five minute stroll to the coffee shop, take advantage of any opportunities to get your steps in.

BUY YOURSELF A PLANT Plants are a great way to not only brighten up your workspace but also help towards creating a relaxing environment, providing a greener, more aesthetic working space.

CLEAN YOUR DESK Cleaning your workspace can help you organise the clutter that’s piling up on your desk but also assist in your thoughts as well. A study by the Princeton University Neuroscience Institute shows that “our brains like order, and that constant visual reminders of disorganisation drain our cognitive resources and reduce our ability to focus.”2 When participants reorganised their desk space they found it easier to focus and increase productivity.

VITASCIENCE’S STRESS RELEASE VitaScience’s Stress Release helps to support a healthy stress response in the body, with the herb Rhodiola supporting cognitive function, concentration and memory. The Withania herb supports the production of energy whilst Licorice is traditionally used in Western herbal medicine to support healthy adrenal gland function.

ALWAYS READ THE LABEL. FOLLOW THE DIRECTIONS FOR USE. IF SYMPTOMS PERSIST, TALK TO YOUR HEALTH PROFESSIONAL. Changes in work affect in response to lunchtime walking in previously physically inactive employees: A randomized trial. https://www.ncbi.nlm.nih.gov/pubmed/25559067 2 The Case for Finally Cleaning Your Desk. https://hbr.org/2019/03/ the-case-for-finally-cleaning-your-desk 1

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ALWAYS READ THE LABEL. FOLLOW THE DIRECTIONS FOR USE. IF SYMPTOMS PERSIST, TALK TO YOUR HEALTH PROFESSIONAL. 1.R Jackson, Report no. 88-0740-74 June 1989. Funded by Owen/Allercreme. Available from Galderma Australia Ph. 1800 800 765. 2. Mills OH et al. Int. J. Dermatol. 1986;12(25):664-667. BNZ19-06-0096. CHP AUS 30332-0719 18

MILD ACHES AND PAINS IF YOUR JOINTS ARE FEELING TENDER AND SORE, WHETHER THAT BE DUE TO EVERYDAY ACHES AND PAINS, THESE PRODUCTS MAY BE WHAT YOU NEED. Nature’s Own Omega Active is an Omega-3 blend which helps to relieve inflammation and mild joint pain associated with mild osteoarthritis.

Containing glucosamine, zinc and manganese, VitaScience’s Joint Support maintains joint health.

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OUR PEOPLE, OUR COMMUNITY

MUDGEE, NSW

A picturesque region replete with rolling green hills, verdant vineyards and its famous memorial clocktower, Mudgee is the stuff country town dreams are made of. Despite its growing population, Mudgee retains its small-town charm through a community that bands together during tough times to support and uplift one another.

“I first met Alex when I came to Mudgee following a boy, who’s now my husband”, says Sally. “I walked into a pharmacy where Alex was in charge and told her I was looking for an intern Pharmacist position. We worked together for a year and became great friends. When the two pharmacies came up for sale, we joined forces and became Blooms The Chemist Mudgee.”

Blooms The Chemist Mudgee Pharmacists and owners, Alex Keipert and Sally Whiting, have owned the two stores on Church Street since 2011. Friends first and business partners second, both women are proud to be part of the community where they live and work.

“For me there was no question; there was only one person who I would go into business with, and that’s Sally. I wouldn’t have done it if I didn’t have Sal by my side,” laughs Alex. “Our relationship began as a working friendship, and because we’re both Pharmacists and get along like a house on fire, it just made sense.”

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“I didn’t sit down at 17 and think I want to run a business that turns over “x” amount of dollars. I wanted a profession where I could help people. Now when I go to work, I know I’ve helped someone every day and I think that’s a pretty cool job to have.”

Raised in Mudgee from the age of six, Alex has seen first-hand how the town rallies together during a crisis. “We recently had this wonderful fundraiser for the drought, with people raising money to buy a bale for a farmer. The target was 200 bales; they went into the thousands. Everyone was donating; small children were choosing to donate from their little money box. I think that’s a wonderful example of the community spirit in Mudgee.”

The bond between the two has been invariably strengthened as they’ve grown and shared similar experiences, from their chosen profession, to marriage and starting a family at a similar time.

“We were at each other’s weddings. I remember us picking the music that Alex was going to walk down the aisle to one afternoon when it wasn’t too busy in the dispensary,” says Sally.

“Plus, we’re both married to two guys named Ben. We refer to them as ‘your Ben and my Ben’ as it gets confusing!”

Alex and Sally believe their core differences have made their business relationship so successful.

“We both have strengths and weaknesses that we bring to the partnership,” says Alex. “I don’t think Sal has any particularly bad habits. Maybe being over-organised; that would get on people’s nerves after a while, but I love it!

“I’m the people person; it comes easily to me, I really enjoy chatting with our team and our customers. I like to think I’m good at staff morale! I love being in the front of shop, conducting the theatre, as it were.”

Now a Mudgee local after nine years, Sally would never consider living anywhere else.

“I can’t imagine leaving Mudgee; it’s a great place to raise kids, it’s a really interesting mix of people. Sometimes you go to Woolies and you have to say hello to every person in there when you just wanted to do a quick shop; it takes you twice as long. But when I get home and reflect, I think ‘How good is that? To walk down the street and feel like you’re really a part of something bigger than yourself.’”

Owning a small business in a regional area means the pair are acutely aware of the importance of giving back. They’re conscious of supporting the community that supports them.

“It goes beyond writing a cheque”, says Alex. “It’s supporting our local sports teams, doing working bees or charity work and giving your time to organisations that are helping our wider community.”

For Sally, helping people is the reason she chose to become a Pharmacist.

Discover the unique stories of our people and our community in Mudgee, NSW. View the video on our Facebook page www.facebook.com/ BloomsTheChemistPharmacy There are so many amazing people within our communities around Australia, with wonderful stories we’d love to share. We want to hear your story; get in touch via editor@blooms.net.au

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ESSENTIAL HEALTH CHECKS FOR WOMEN MANY WOMEN FORGET THE IMPORTANCE OF PRIORITISING THEIR OWN HEALTH AND WELLBEING. SCHEDULING REGULAR HEALTH CHECKS AND BECOMING MORE FAMILIAR WITH YOUR BODY MAKES IT HARDER TO MISS ANY WARNING SIGNS. BE BREAST AWARE Regularly self-examining your breasts and booking in screening tests can help to detect breast cancer early. The earlier the detection the more successfully it can be treated.

While your breasts can change throughout your menstrual cycle, there are certain things to look out for. Lumps, redness, changes in the shape and size of the breasts and constant pain in your breast or your armpit are just some of the symptoms to consider. If you notice a change in your breasts you should see your doctor as soon as possible for further examination. It’s encouraged to perform breast selfexams at least once a month and to get screening tests such as mammograms when your doctor recommends them.

CERVICAL SCREENING TEST Recent changes to the screening process means the Cervical Screening Test has replaced the Pap Smear test, however if it’s your first time taking the new Cervical Screening Test you should book in two years after your last Pap Smear. The Cervical Screening Test should be done every five years and detects the human papillomavirus (HPV) which can cause changes to the cells in the cervix.

It’s extremely important to have the test done regularly if you are 25 to 74 years old, have a cervix and have ever been sexually active. Cervical cancer is one of the most preventable cancers and it’s imperative that you commit to regular screening tests which can aid in early detection.

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OTHER IMPORTANT TESTS Bowel cancer screening tests can be done using a simple at-home test and are suitable for people aged 50 to 74.

Australia has one of the highest rates of bowel cancer in the world but if found early nine out of 10 cases of bowel cancer can be successfully treated.

Heart disease kills almost three times as many Australian women than breast cancer. Women can also experience different symptoms of a heart attack compared to men including dizziness, fatigue and vomiting. Reducing the risk of heart disease can be achieved through cultivating an active lifestyle with regular exercise and eating plenty of fruits and vegetables. Get a blood pressure check regularly, particularly if your results are on the higher side.

Consider this article your friendly reminder to book an appointment with your GP to cover any outstanding tests, and take advantage of your local Blooms The Chemist team for quick and easy health checks including blood pressure evaluation, iron testing and blood glucose screening.

1 About the Test. http://www.cancerscreening.gov.au/internet/screening/ publishing.nsf/Content/about-the-new-test 2 National Cervical Screening Program. http://www.cancerscreening.gov. au/internet/screening/publishing.nsf/Content/cervical-screening-1 3 National Bowel Cancer Screening Program. http://www. cancerscreening.gov.au/internet/screening/publishing.nsf/Content/ nbcsp-fact-sheet 4 Risk Factors for Women. https://www.heartfoundation.org.au/yourheart/women-and-heart-disease/risk-factors-for-women 5 Women and Heart Disease. https://www.heartresearch.com.au/heartdisease/women-and-heart-disease/ 6 Health Checks for Women. https://www.betterhealth.vic.gov.au/health/ healthyliving/health-checks-for-women

WHAT’S ON IN YOUR BLOOMS THE CHEMIST Chat with your Pharmacist about our range of Health Services available in-store to help you get a handle on your health.

SEPTEMBER STROKE RISK ASSESSMENT Stroke is one of Australia’s biggest killers and a leading cause of disability.1 Stroke kills more women than breast cancer and more men than prostate cancer.2 The good news is that more than 80% of strokes can be prevented.3 It’s National Stroke Week 2 – 8 September, a timely reminder to get to know your stroke risk. At Blooms The Chemist, we offer a free and quick Stroke Risk Assessment service. This involves screening tools to determine your blood pressure and a short questionnaire to assess your risk of developing a stroke over the next five years.

OCTOBER SLEEP APNOEA One in four Australian adults are at risk of developing sleep apnoea with the condition affecting approximately 10% of females and 25% of males.4 Sleep apnoea can affect anyone, though your risk is higher if you are obese, over 65 years of age or have a family history of the condition. Symptoms can include snoring, constant irritability or falling asleep during the day.5 An at-home sleep test can determine if you have sleep apnoea; ask your local Blooms The Chemist for more information on this condition and testing options.

NOVEMBER SUN AWARENESS CLINIC Too much sun can cause sun damage, premature skin ageing, sun spots and may lead to serious skin conditions such as skin cancer. Get in early and protect your skin this summer. Book in for a personalised skin analysis and consultation with a trained nurse who’ll use specialised light photography to uncover the effects of sun exposure on both the surface and subsurface layer of the face. They’ll also provide personalised skincare recommendations to address any skin concerns. Available at selected Blooms The Chemist stores in November.

Visit bloomsthechemist.com.au for more information.

WHAT’S ON IN YOUR COMMUNITY Headache & Migraine Awareness Week 1 - 7 September Women’s Health Week 9 - 15 September R U OK? Day 13 September Blackmores Sydney Running Festival 15 September National Nutrition Week 13 - 19 October World Diabetes Day 14 November Australian Institute of Health and Welfare 2016. Australia’s Health 2016.

Australian Institute of Health and Welfare, 2014. Australia’s Health 2014.

4 Healthy Sleep. https://www.healthysleep.net.au/sleep-apnoea-in-australia/ 5 Snore Australia. https://www.snoreaustralia.com.au/obstructive-sleep-apnoea.php * The provision of points for the Health Checks is subject to such Health Checks being necessary for the customer's legitimate clinical needs and/ or the provision of legitimate therapeutic benefits for the customer. See Ts & Cs for more information.

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NEW SOUTH WALES ALBURY ALBURY WEST END BALLINA BANKSTOWN GRAND MARKET BANORA POINT BATHURST CHASE BATHURST STOCKLAND BELMONT CENTRAL BELMONT CITI BLACKTOWN BURWOOD CAMDEN COOGEE CRONULLA DAPTO DUBBO EDGECLIFF ERINA FIGTREE FORESTVILLE GORDON GOULBURN MARKETPLACE GOULBURN NORTHSIDE GOULBURN PARKSIDE GRAFTON GREEN HILLS GRIFFITH KARABAR KIAMA KINGSFORD LEICHHARDT LISMORE LITHGOW MAITLAND MARRICKVILLE MAYFIELD MILLER MIRANDA MITTAGONG MUDGEE MUDGEE SOUTHSIDE NORTHBRIDGE NOWRA NOWRA JUNCTION ORANGE PADSTOW PENRITH NEPEAN CENTRO PENRITH PLAZA

02 6021 3161 02 6021 3713 02 6686 9202 02 9709 2831 07 5524 2166 02 6331 2599 02 6331 9033 02 4945 4927 02 4945 8878 02 9621 3290 02 9744 9508 02 4655 9370 02 9665 5158 02 9523 6877 02 4262 2122 02 6882 4853 02 9328 1316 02 4365 1155 02 4229 5847 02 9451 5051 02 9498 2587 02 4821 2260 02 4821 1980 02 4821 2186 02 6643 1241 02 4934 7078 02 6962 2527 02 6297 3670 02 4232 1046 02 9663 3900 02 9560 9808 02 6621 4000 02 6352 2141 02 4933 5533 02 9560 2350 02 4967 2211 02 9607 7204 02 9524 7691 02 4871 1818 02 6372 4227 02 6372 9500 02 9958 8646 02 4421 3946 02 4421 3175 02 6362 1267 02 9773 9427 02 4732 1328 02 4721 8117

QUEANBEYAN RAYMOND TERRACE RICHMOND ROYAL RANDWICK SARATOGA SAWTELL SHELLHARBOUR SINGLETON HEIGHTS SOUTH WEST ROCKS SPRINGWOOD ST IVES SURRY HILLS CROWN STREET TAMWORTH TOORMINA TOP RYDE TWEED CITY CENTRAL TWEED CITY TRANSIT UMINA WAGGA MARKET PLACE WAGGA STURT MALL WARILLA WINDSOR WINDSOR RIVERVIEW WOONONA WYONG YOUNG

02 6297 1872 02 4987 5975 02 4578 1557 02 9398 1999 02 4369 1494 02 6653 1227 02 4296 3355 02 6573 1410 02 6566 6155 02 4751 2963 02 9144 6914 02 9310 2631 02 6766 2895 02 6653 1444 02 9809 1661 07 5524 4974 07 5523 3325 02 4341 6906 02 6931 7840 02 6921 2101 02 4295 1233 02 4577 3010 02 4577 3265 02 4285 4500 02 4352 1025 02 6382 2009

QUEENSLAND BUNDABERG GLADSTONE HELENSVALE KENMORE KINGAROY LAKESIDE MT OMMANEY THE PINES

07 4152 5088 07 4972 1992 07 5519 3633 07 3378 5769 07 4162 3777 07 5534 3604 07 3376 8788 07 5598 1415

VICTORIA CASEY CENTRAL CRANBOURNE ROSANNA

03 9704 8166 03 5996 2254 03 9458 1912

WESTERN AUSTRALIA APPLECROSS MEDICAL DIANELLA GERALDTON FOUNTAINS MEDICAL JOONDALUP NORTH PERTH PORT COOGEE

08 9315 5131 08 9276 3455 08 9921 1755 08 9301 2088 08 9328 5762 08 6166 4350

Please refer to our website for up to date store listings

Visit our website bloomsthechemist.com.au Conditions: We reserve the right to correct any errors or misprints. Some products may not be available in all stores. We reserve the right to limit quantities. Products may vary from images shown. Blooms The Chemist Management Services Limited A.B.N 64 003 584 718