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Complimentary Pindara Magazine ISSUE TWELVE 2018
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From the CEO Editorâ€™s Desk Pindara News HEALTH Glaucoma Surgery No Health Without Mental Health
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Top 10 Motives to Seek Weight-Loss Surgery Bariatric Surgery Improving health
Humans of Pindara Dr Andrew Cary
The Trials of IVF
LIFESTYLE 5th Avenue Jewellers
12 Endometriosis A Real Pain 38 16 40
Baby Love Top products for the best start
New Birth Suites at Pindara Search for Spinal Injury Cure
20 Health + Beauty
Nutrition for Seniors Top 10 myths
Sudden Cardiac Death
Keeping Kids Safe
Latest Fashion From Marina Mirage
Changing Lives in Peru
ISSUE 12 | 2018
Luxury Noosa Escape Discover paradise
Motoring 78 Featuring the hottest rides Gizmo Guide
At the Movies Our pick at the flicks
Healthy Treats Smoothie recipes you must try
82 Gizmo guide The season's coolest technology
Taxman Pays for Education 100 OMB talks savvy estate planning
Pindara Magazine | 3
FROM THE CEO
Pindara Group of Hospitals Trish Hogan CEO Pindara Group of Hospitals Published by Journey Developments Cover Photography Marc Iversen Editor in Chief Kate Bennett
From the CEO Trish Hogan CEO, Pindara Group of Hospitals As the new year begins we can reflect on the year that was. In the later part of 2017 we have completed a number of redevelopment projects within the hospital, including the construction of brand new birthing suites within the Maternity Unit that offer expectant mothers and their partners an exceptional birth experience. The suites offer luxury, comfort and privacy and incorporate state-of-the-art medical and monitoring equipment that enables our doctors and midwives to handle any situation that arises during the progression of labour. The Oncology Ward relocated and now encompasses a number of new features that provide our patients with more comfortable and convenient surroundings in which they can receive their care. The new features include a lounge area where patients can sit comfortably with friends and family and a new fully equipped kitchen/dining space where patients and visitors can share a meal together. A new beverage bar stocked with gourmet coffee, tea and niceties will be installed in the ward soon. Pindara also saw the opening of the new Parkwood Specialists Centre located at the Parkwood Village Health Precinct. This opening brings specialist medical services closer to the Northern Gold Coast Community with orthopaedics, gastroenterology, paediatrics and gerontology currently consulting from the centre. Another new addition to Pindara in 2017 was the establishment of a Clinical Trials Unit.
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Medical research and providing patients with the best treatment opportunities possible is an important focus of Ramsay Health Care as an organisation and Pindara is excited to be part of this direction. Further research continuing at Pindara this year is that of ENT Surgeon Dr Brent McMonagle who is a lead investigator on the Olfactory Cell Transplantation (OCT) Project, currently underway at Griffith University. The OCT project is looking to develop an effective therapy, and ultimately a cure for spinal injury and paralysis. Dr McMonagle has begun harvesting olfactory cells (cells used to smell) from consenting patients at Pindara that will be used to further this important research. From research to celebration â€“ December marked the one year anniversary of the opening of the new Pindara Emergency Department, with a record number of patients treated over that time. The Pindara Emergency Department is one of the largest and best equipped EDâ€™s on the Gold Coast and will continue to provide exceptional care to the Gold Coast community for many years to come. Congratulations to all involved in making it such a success. Throughout 2018 Pindara will continue to offer patients the very best care and facilities. Warm Regards Trish Hogan CEO, Pindara Group of Hospitals
Assistant Editors Elizabeth Kennedy Marketing Manager Alana Lacey Marketing Officer Pindara Group of Hospitals
Medical Contributors Dr Heather Russell A/Prof Neeraj Gill Dr Brent McMonagle Dr Drew Moffrey Dr Andrew Cary Dr Harald Puhalla Dr Guy Wright-Smith Dr Andrew Letchford Dr Jorrie Jordaan Dr Penelope Isherwood
Editorial Contributors Peter Flowers Jules Ingall Leschen Smaller Theresa Allery Kimberlee French Richard Dawson Sandra Walter Alana Lacey
Editorial Enquiries KennedyE@ramsayhealth.com.au
Advertising Enquiries Phone 0419 909 925 email@example.com
Pindara Magazine is published by Journey Developments. No part of the 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 Magazine. 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 the time of printing. All editorial material is accepted in good faith. We welcome editorial and photographic contributions.
ISSUE 12 | 2018
Obesity affects every system in the body. Surgery can stop weight related health problems in their tracks and reverse the damage within 12 months. Migraines 57% resolved
Depression 55% resolved
Pseudotumor Cerebri 96% resolved
Obstructive Sleep Apnoea 74-98% resolved
High Cholesterol 63% resolved
Asthma 82% improved or resolved
Non-Alcoholic Fatty Liver Disease 90% improved
Heart Disease 82% risk reduction
Metabolic Syndrome 80% resolved
High blood pressure 52-92% resolved
Type II Diabetes 80% resolved
Heartburn 72-98% resolved
Polycystic Ovarian Syndrome 79% resolution of hirsutism 100% resolution of menstrual dysfunction
Stress Urinary Incontinence 44-88% resolved Degenerative Joint Disease 41-76% resolved Gout 77% resolved
Venous Stasis Disease 95% resolved Quality of Life improved in 95% of patients
Mortality 89% reduction in 5-year mortality
Dr Jacobus Jordaan is a Specialist Upper Gastrointestinal and Endocrine surgeon with 25 years of experience. Having performed many thousands of laparoscopic surgical operations, he is among Australiaâ€™s most experienced specialists in minimally invasive bariatric surgery. Dr Jordaan is professionally known for his meticulous surgical technique and attention to detail, exceptionally low complication rate, ethical conduct and warm welcoming manner. He has established a strong multidisciplinary team of dietitians, psychologists, nurses, anaethestists and medical specialists to ensure excellent long-term patient results.
MB ChB MMed Surg(Pret)(Hons) FCS(SA) FRACS
E: firstname.lastname@example.org T: 07 5556 8888 Suite 14 (Level 2) Pindara Place, 13 Carrara St, Benowa QLD 4217 www.surgicalweightlosscentre.com.au | www.jordaansurgical.com.au
FROM THE PUBLISHER
W E L C O M E to Pindara Health + Living Magazine Welcome to Issue 12 of Pindara Health + Living Magazine. There are some great new features in this issue including an informative article by Dr Harald Puhalla on the latest developments in Bariatric surgery and the fight against obesity. We also have an interesting story by Associate Professor Neeraj S Gill on the importance of mental health. A very interesting article by Dr Brent McMonagle on the cure for spinal injuries and a lovely story from Kim and Michael Frost on their journey through IVF and now the birth of their gorgeous daughter Bronte. As well, we have other medical stories detailing the latest advances in glaucoma, endometriosis and an article on the new birth suites at Pindara Hospital. For those who like to get creative in the kitchen there are some innovative ways to make healthy smoothies. My team has worked hard to produce a magazine that includes a wide range of topics and subjects which I hope you will find both interesting and informative. We hope you like it. Kate Bennett Publisher/Editor
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ISSUE 12 | 2018
Private access to the best in Oncology.
R U OK? At Pindara
Every year on the second Thursday of September R U OK Day is celebrated across Australia, shining a light on suicide prevention and mental health. Pindara celebrated the day by encouraging staff to have a conversation with a colleague over coffee and a cupcake at Hudsons Café. Staff also wore a splash of yellow in their uniforms in recognition of the day GOLD FM joined the morning’s activities and spoke to Dr John Gavilan-
Arraez, Psychiatrist from the Southport Private Hospital, about the importance of recognising the issue of suicide within our community, how we can reduce the stigma attached to issues of mental health and the importance of speaking out. The health and well-being of its staff is an important priority for Pindara, and the hospital will continue to support activities such as R U OK Day to encourage a collegial environment where staff can seek help if needed.
New Clinical Trials Unit OPENS
Oncology Ward Refurbishment rooms
Research is an important part of the activity undertaken at Pindara Private Hospital and the addition of the new Clinical Trials Unit on site will further contribute to the research activity already undertaken at the facility. The unit has a newly appointed full time clinical trials co-ordinator who will work closely with specialists, patients and other entities and organisations involved in clinical trials at Pindara. Research undertaken through clinical trials is an essential element in the advancement of medical knowledge and the development of effective treatment regimens for a range of medical issues from cancer to diabetes and beyond.
The Oncology Ward at Pindara has recently moved location and now includes new features that create a more comfortable and convenient environment for patients while receiving care. The ward now includes a patient lounge area and outdoor courtyard where patients and their visitors can comfortably sit and chat together or take in some fresh air. The area also includes a modern kitchen and dining area, providing a convenient space for patients and their visitors to sit and share a coffee or something to eat. A new beverage bar is also soon to be installed and will be fully stocked with selections of gourmet coffee, tea and niceties.
Dignity, Comfort and Care in Pindara’s new end of life ROOMS
Pindara Private Hospital has recently redesigned rooms within its Oncology ward for patients nearing the end of life. The new rooms have been created with care and consideration in order to provide patients with a modern, spacious environment where their comfort, dignity and privacy can be preserved. The rooms are spacious with plenty of area to accommodate large groups of visitors and guests. Comfortable furniture for loved ones and friends to utilise have been incorporated into the room design, and include an electric recliner chair, full sofa bed, armchairs and a desk, creating a space where family and friends can comfortably spend as much time with their loved one as possible. Patients requiring end of life care are looked after by highly trained and qualified staff, who are experienced in the care of patients at this stage in life and who understand the needs and difficulties experienced by loved ones during this time also. Access to comfortable, peaceful surrounds and compassionate, knowledgeable support is essential to end of life care at Pindara.
Pindara opens Medical Specialists Centre at Parkwood Village On August 24, The Pindara Group of Hospitals officially opened the Pindara Medical Specialists Centre at Parkwood Village. Gold Coast Mayor Tom Tate officially opened the precinct and thanked Pindara for their investment in the northern end of the Gold Coast through the provision of excellent access to high quality medical and imaging services for local residents. Parkwood Village has established itself as a well-appointed health and sports hub, and the addition of the Pindara Medical Specialists Centre further cements this reputation. Pindara Group of Hospitals CEO, Trish Hogan, said she
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was delighted to be able to offer expert medical services to the local community and be part of the continuing development of the Parkwood Village precinct. “Pindara is privileged to be part of the expanding infrastructure and services available in Parkwood. This development, will provide residents with a onestop-shop for outpatient specialist services in a convenient location,” Mrs Hogan said. Specialities currently located at the Centre include orthopaedics, gastroenterology, paediatrics and general surgery, with other specialties to follow shortly.
ISSUE 12 | 2018
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PINDARA EMERGENCY DEPARTMENT
0ne year anniversary It has been one year since the new Pindara Emergency Department opened its doors to the Gold Coast community, and we thought it would be fun to share with you some of the interesting facts and figures of the ED throughout its first year. The 27 bed facility is state-of-the-art and includes a specialised emergency resuscitation area, purpose built isolation room for infectious disease control and dedicated paediatric section, making the Pindara Emergency Department one of the best equipped private EDâ€™s in Queensland. Congratulations to all the dedicated doctors, nurses and administration staff who work together every day to make the Pindara Emergency Department such a success.
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ISSUE 12 | 2018
Number of popular Channel 9 reality TV shows the department has featured in. The amount of IV fluid in litres used in the ED over one year â€“ that is enough fluid to fill 2 Olympic sized swimming pools.
The minimum number of education / training hours completed by ED nursing staff in a year.
The number of different kinds of bandages used in the Emergency Department.
Number of years an Emergency Department has now been operating at Pindara. Pindara first opened its Emergency Department in 1987, and was the first private hospital in Australia to do so.
The number of different products available in the ED imprest.
Number of patients who received treatment after being struck by lightning. The length of IV line used in the ED throughout the year - that would stretch from Burleigh Headland to North Burleigh Hill. Number of patients who received treatment for shark bite. The average number of kilometres an ED nurse can walk in a shift.
3 Emergency Department Ailments +
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M I N I M A L LY I N V A S I V E
GLAUCOMA SURGERY Dr Heather Russell | Ophthalmologist
laucoma is a disease of the eye where vision is lost due to damage to the optic nerve, usually as a result of high pressure inside the eye - intraocular pressure (IOP). It is estimated to affect 2.3 percent of the Australian population aged 55 years and over, and remains the second leading cause of blindness worldwide. The level of eye pressure at which damage occurs to the optic nerve varies between people. Lowering IOP is the only effective way to slow glaucoma progression and the resultant visual field loss. Traditionally, medical management with glaucoma drops and/or laser therapy have been the mainstay of treatment for mild to moderate glaucoma. Glaucoma drops effectively lower IOP and have a proven safety record, but they can cause troublesome side-effects such as exacerbation of dry eye disease, which can lead to problems with compliance (correct administration and dosing of drops) and persistence (regularity of use of drops). Furthermore, compliance with glaucoma drops can be further reduced when more than one medication is required.
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ISSUE 12 | 2018
iStent inject stents â€“ size demonstration
In a recent study glaucoma patients, who considered themselves to be compliant with their treatment instructions, were videoed instilling their drops. Twenty percent did not even get a single drop in their eye while 30 percent contaminated the bottle tip by touching the eye. Poor persistence with glaucoma medications compounds the problem with studies reporting that less than 25 percent of patients use their eye drops continuously for 12 months. Selective laser trabeculoplasty (SLT) is a noninvasive, medicationsparing therapy that lowers IOP, however its effectiveness generally decreases over time. This means that repeat treatments are often required to maintain control of IOP. Traditional invasive surgical treatments for glaucoma, such as trabeculectomy and drainage tube surgery, are very effective at lowering IOP but are associated with considerable downtime for the patient, disruption of the surface layer of the eye, and life-long risk of possible serious complications such as leakage from the drainage site, too low IOP, and sight-threatening infection. For these reasons, invasive glaucoma surgery is reserved for those with moderate to advanced glaucoma who have failed to respond to medical and/or laser treatment. Minimally Invasive Glaucoma Surgery (MIGS) is an evolving area of glaucoma surgery which aims to provide a safer and less invasive means of reducing IOP than traditional glaucoma surgery. As it is minimally invasive, it has little or no effect on the surface layer of the eye. This has the advantage of preserving the surface layer should more invasive glaucoma surgery be required in the future. Importantly, unlike traditional glaucoma surgery, MIGS has a rapid recovery time. The microtrabecular bypass stent is a MIGS device that is introduced through the trabecular meshwork in the drainage angle from the inside of the eye. The stent allows aqueous (the fluid that fills the anterior chamber of the eye) to flow out of the eye, bypassing the trabecular meshwork which is the site of outflow resistance in glaucoma. Because MIGS devices are placed using the same wound created for cataract surgery, the two procedures are readily combined. MIGS is suitable for mild to moderate open angle glaucoma or ocular hypertension. The recent Hydrus II study showed that 73 percent of patients receiving the Hydrus Microstent in conjunction with cataract surgery, were medication free at 2 years compared to 38 percent of patients receiving cataract surgery alone. Clinical studies with the iStent inject have shown that when combined with cataract surgery, 92 percent
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Two iStent stents placed through the trabecular meshwork in the drainage angle of the eye.
achieve IOP < 21 without medications compared to 50 percent of those with cataract surgery alone at 24 months. Importantly, use of these MIGS devices has not been shown to increase the risk of complications of cataract surgery. Currently all three devices have TGA approval for treatment of mildmoderate open angle glaucoma in conjunction with cataract surgery. The Hydrus Microstent has additional approval for use in patients who have already had cataract surgery, and for patients with more advanced glaucoma. Both the iStent and the iStent inject have recently been awarded TGA approval for treatment of mild-moderate glaucoma as a stand-alone procedure regardless of whether or not the patient has had prior cataract surgery. When a MIGS device is inserted at the time of cataract surgery, there is minimal additional cost to the patient as the cost of the device is covered by insurance companies. In fact, there is likely to be a cost saving to the patient in the long term when taking into account the cost of glaucoma medications no longer required. At present, there is no Medicare item number for insertion of a MIGS device independent of cataract surgery, so insurance companies will not cover it. This is currently under review by Medicare with a decision expected soon.
THREE MICROTRABECULAR BYPASS MIGS DEVICES HAVE TGA APPROVAL FOR USE IN AUSTRALIA: HYDRUS MICROSTENT (IVANTIS, INC, IRVINE, CA) is approximately the size of an eyelash (8mm) and acts as a trabecular bypass stent and drainage channel scaffold, maintaining its patency. It is made of a nickeltitanium alloy called Nitinol. ISTENT (GLAUKOS, LAGUNA HILLS, CA) measures 1.0mm x 0.3mm and has a similar shape to a snorkel. It is made of heparin coated titanium. ISTENT INJECT (GLAUKOS, LAGUNA HILLS, CA) Is two separate heparin coated titanium stents measuring 360µm x 230µm in a preloaded injector, allowing for easier insertion. These stents are the smallest implantable devices to be used in humans.
MIGS now offers a safer alternative to more invasive procedures for patients with open angle glaucoma who have failed medical management, have poor medication compliance, or who would simply like to decrease reliance on drops. See your ophthalmologist to discuss whether you would be suitable for this revolutionary surgical procedure.
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ISSUE 12 | 2018
NO HEALTH WITHOUT
mental health A/Professor Neeraj Gill | Psychiatrist
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ISSUE 12 | 2018
While we pay significant attention to our physical health, the mental aspect of health is sometimes overlooked. When we do raise mental health issues, most people relate the use of word ‘mental’ to denote mental illness, whereas we need to emphasise more positive and healthy connotations of the understanding of the term. Mental health really encompasses an ability to realise one’s full potential, an ability to cope with the stressors of life and being able to make a contribution to the community and society at large.
t its core, mental health involves having an inner, deeper connection with ‘self’ and being at peace with oneself. The rich Aboriginal culture of Australia portrays mental health as ‘social and emotional wellbeing’, with a deeply ingrained spiritual element. There is a lot to be learned from such holistic models of wellbeing. Modern societies, at times, medicalise and pathologise normal human emotions and behaviours – something that needs to be carefully avoided. We all go through periods of grief, sadness or nervousness due to bereavement, loss or stress; the last thing we need is to apply a psychiatric diagnostic label to those normal human emotions in response to real-life stressors. However, if those emotional or psychological issues become severe or persistent, it is important to seek professional help, to ensure early intervention. Untreated, mental health issues can progress to major depression, anxiety disorders, drug and alcohol abuse/dependence, psychosis and even suicidal tendencies. One in five Australians experience one or more of these types of mental disorders in any given year and more than 2000 people in Australia die by suicide every year. Seeking help during moments of vulnerability is not a sign of weakness, and mental health issues are nothing to feel ashamed or stigmatised about. While social support of family and friends is always a good place to start, professional help may be sought if the emotional/ psychological issues start to cause significant distress or dysfunction. Your General Practitioner (GP) is often well-placed to provide that initial mental health input. The GP can prepare a mental health care plan to refer an individual to a psychologist or the GP/treating medical/surgical specialist may make a referral to a psychiatrist for mental health assessment and input, if needed.
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WHEN PHYSICAL ISSUES CAUSE MENTAL ILLNESS The discipline of psychiatry is sometimes seen as following a narrow ‘bio-medical illness model’ whereas the Royal Australian and New Zealand College of Psychiatrists (RANZCP), in recent practice guidelines for the management of mood and anxiety disorders, highlights a holistic ‘bio-psycho-social-lifestyle model’ of mental health. It is worthwhile discussing these domains of mental health in some detail. The biological domain of mental health/illness is characterised by hereditary vulnerabilities as well as an interface with physical health – the mind-body interface. For example, many physical health issues e.g. diabetes mellitus, hypothyroidism, chronic pain, Parkinson’s disease etc can cause depression; a brain tumor or brain hemorrhage can lead to confusion, paranoia and/or hallucinations; and certain medications e.g. steroids, though much-needed at times, can cause side-effects in the form of depressive, manic or psychotic symptoms. On the other hand, some mental health conditions can lead to bodily symptoms e.g. Irritable Bowel Syndrome and tension headaches secondary to anxiety and stress. Many other disorders may have physical as well as psychiatric signs and symptoms e.g. anorexia nervosa, delirium, dementia etc. Therefore we need to move away from Cartesian mind-body dualism and have a ‘whole of person’ approach to health.
MANAGEMENT OF MENTAL ILLNESS Biological management of mental disorders involves a thorough physical examination and investigations for diagnosis and treatment of any underlying or co-morbid physical health conditions. At times psychiatric disorders need medications such as antidepressants, mood stabilisers or antipsychotic medications, especially when the symptoms are severe and disabling; or when psycho-social-lifestyle interventions alone have not proven to be successful. Other biological treatments like Electroconvulsive Therapy (ECT) or Transcranial Magnetic Stimulation (TMS) are very effective and safe
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treatments for severe depression especially when medication alone has not been enough or the condition is too severe, leading to imminent danger to a person’s life from active suicidal risk or decreased food and fluid intake. Some examples of psychological domain relate to the experiences of emotional warmth versus neglect or abuse in childhood, attachments with parent-figures, identity issues during adolescence and existential issues in middle age. Issues of trauma or loss may impact all age-groups. Those psychological issues may predispose an individual for mental health issues in later life, or precipitate psychiatric conditions. Examples of psychotherapeutic treatments include Cognitive Behaviour Therapy (CBT) which addresses cognitions (e.g. negative thoughts) and behaviours (e.g. relaxation exercises); Mindfulness which teaches being in touch with one’s own thoughts and emotions, by concentrating on ‘here and now’; Interpersonal therapy (IPT) which deals with how people interact in their relationships and issues like role-transition and grief; and Dynamic Therapies, which address deep-rooted repressed psychological issues/conflicts.
SOCIAL ASPECTS The social aspects of mental health include social support of family and friends and a sense of belonging to a community. Social determinants of mental health include education, housing, employment, financial stability/ sustainability and social-connectedness etc. Accordingly, social interventions may include addressing issues e.g. loneliness, bullying, domestic violence or housing/job-related issues. Evidently, if social issues are causing or contributing to mental health issues, holistic treatment would have to include addressing those underlying causative factors.
LIFESTYLE ASPECTS Lifestyle factors involve diet, exercise, drugs and alcohol use as well as hobbies, interests or leisure activities. Alcohol can cause or exacerbate depression and illicit drugs can cause depression, mania or psychosis. Healthy diet and exercise
enhance a sense of well-being. Often, joining a hobby-class or rejuvenating an interest in gardening, painting, music etc or just going for a morning walk can be uplifting. Any diagnostic formulation of mental health conditions requires an in-depth understanding of all of these bio-psycho-social-lifestyle domains; and the management of mental disorders includes addressing all of the above. Mild to moderate mental health issues often need only psychosocial and lifestyle interventions. Psychotropic medication or other biological treatments may be needed for some moderate and most severe mental disorders. While home-based treatment on an out-patient basis is generally the preferred option for treatment of mental health conditions, at times, an inpatient assessment and management of psychiatric disorders may be highly therapeutic and even life-saving.
THE SOUTHPORT PRIVATE HOSPITAL Ramsay Health Care have recently opened a mental health wing in The Southport Private Hospital, which includes a day-program and 22 inpatient beds. The day program provides group therapy based on Cognitive Behavioural Therapy and mindfulness-based therapy, along with occupational-therapy and physiotherapy based group activities. The hospital is also equipped with Transcranial Magnetic Stimulation (TMS) and has a group of psychiatrists guiding bio-psycho-social-lifestyle interventions, delivered through a multidisciplinary team. The psychiatrists are also available to provide consultation-liaison input to general medical/ surgical and rehabilitation patients admitted to Pindara Hospital through the Rehabilitation wing of The Southport Private Hospital. The rising mental health burden in society requires concerted efforts by the private as well as public sector and strong partnerships between primary care and specialist services. In addition we require a whole-of-community response in order to promote positive mental health through raising awareness and stigma-reduction. The Southport Private Hospital is one such step towards easily accessible, person-centered and evidence-based mental healthcare.
ISSUE 12 | 2018
Gold Coast’s newest hospital • Mental Health • Physical Rehabilitation
The Southport Private Hospital – call today to set up a consultation with one of our psychiatrists.* Call 07 5671 8000 or visit southportprivate.com.au *Fees apply. Please contact The Southport Private Hospital for more information.
Pindara ENT Starts New Phase in THE Search for a cure for
Dr Brent McMonagle, ENT specialist at Pindara Private Hospital, has started work on the new phase of the Olfactory Cell Transplantation Project (OCT) â€“ a study aimed at finding a cure for spinal injury and paralysis.
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REGENER ATIVE PROPERTIES OF THE OLFACTORY GLIA ARE OF PARTICULAR INTEREST TO THE RESEARCHERS The OCT Project is a joint initiative of the Griffith University Eskitis Institute for Drug Discovery and the Perry Cross Spinal Research Foundation, and was recently backed by the Queensland State Government with a funding grant of $5 million. This funding was essential in promoting the research into the next phase of discovery and testing. The purpose of the Olfactory Cell Transplantation Project is to further investigate the use of olfactory ensheathing cells in the treatment of spinal cord injury and to develop an effective therapy that will ultimately lead to a cure for paralysis caused by spinal injury. Unlike other cells in different parts of the body, olfactory cells found in the nose (and which enable us to smell), are exposed to a constant barrage of bacteria and toxins that cause them to die. In order for humans to maintain their sense of smell, these olfactory cells must constantly regenerate as part of their normal function. It is these regenerative properties of the olfactory glia that are of particular interest to
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the researchers in the repair of the nerve damage caused by injuries to the spinal cord, and in the restoration of sensation and motor function of patients. The project is currently in the science optimisation phase of the trial where the processes and protocols of cell collection, purification, stimulation and growth are being refined to improve successful implantation. Implantation will involve the use of a specially designed 3D biodegradable scaffold to create a functional nerve bridge. The bridge, specific to the particular patient’s injury, would be created and then implanted. From there it is hoped the cells would continue to grow and create nerve endings that would provide new healthy and functioning neural connections within the spinal cord, which along with a strict regime of physical therapy, would restore sensation and motor function to the patient’s body below the injury site. Part of Dr McMonagle’s role as a lead investigator within the project is the collection of samples of human olfactory epithelium from consenting patients and members of
the community. The tissues retrieved by Dr McMonagle will be collected and the cells extracted before being purified and activated using natural growth factors. The project has recently had a promising discovery relating to the use of a natural product that can stimulate the growth and activity of the olfactory glia. This is an important step in the development of the project, as finding a product that will stimulate the activity of the cells improves their potential for therapeutic use in the treatment of injured spinal cord. Curcumin – a natural product found in the spice turmeric - can potentially stimulate the activity of the olfactory glia. Curcumin’s effect appears to be specific to olfactory cells, indicating they are unique and further reinforces the reasoning behind using these types of cells in the treatment of spinal cord injury.
DR BRENT MCMONAGLE IN THEATRE AT PINDARA
ISSUE 12 | 2018
Alan Mackay-Sim, who proved that olfactory cell implantation was in fact safe in humans an essential discovery in the advancement of the OCT Project and the basis for a 2014 trial undertaken by UK Professor Geoffrey Raisman. Professor Raisman implanted olfactory cells into a Polish Firefighter, Darek Fidyak, who had suffered a significant spinal injury. After the implantation Fidyak showed marked improvement in his motor function and sensory function, despite numerous limitations in the therapy (including the preparation and purification of the cells used). It is thought that improving the purification and preparation of the olfactory cells prior to transplantation will dramatically enhance their effectiveness in the outcomes achieved. During his PhD research Dr McMonagle developed protocols for purifying and transplanting olfactory glia which he will apply and further develop throughout the Olfactory
The cells collected by Dr McMonagle will be used in numerous areas of testing and development within the project, including how to determine the best ways to prepare the cells for transplantation, how best to structure them for transplantation and in determining the best surgical procedure for implantation. Dr McMonagle is currently performing biopsies to extract the olfactory epithelium (which houses the olfactory glia) at the Pindara Day Procedure Centre and in his rooms in Benowa with the consent of eligible patients and volunteers. “I have found many of my patients are happy to be involved in the research project and want to contribute to developing a cure for spinal injury. It is a condition people truly want to see a cure for,” Dr McMonagle said. Dr McMonagle became involved in the Olfactory Cell Transplantation Project while completing his PhD at Griffith University under 2017 Australian of the Year, Professor Emeritus
Cell Transplantation Project. Dr McMonagle’s commitment to research into finding and developing effective treatments for spinal injury is further supported by his position as Scientific Director of the Perry Cross Spinal Research Foundation, an organisation with the stated mission of finding a cure for paralysis. The Perry Cross Foundation has been instrumental in gaining support for the project and is committed to assisting its advancement through clinical trials. Should the current phase of the research project prove successful, it is hoped the team will be able to move forward into phase 1/11a of clinical trials on patients with chronic spinal cord injury. This phase of the research is expected to start sometime in late 2018 and will aim to test the olfactory cell implantation therapy in patients, verify that it improves motor and sensory function without detrimental effect, works across a range of injuries, and discover what physical therapy works best.
Dr Brent McMonagle MBBS, PhD, FRACS (ORL) Dr Brent McMonagle is an ENT surgeon on the Gold Coast with sub-specialty training in otology, neurotology, sinus and skullbase surgery. He has strong research and teaching interests at Griffith and Bond Universities. He has just commenced work on olfactory cell transplants in spinal cord repair, continuing the pioneering work of Prof Alan Mackay-Sim, Australian of the Year 2017, as well as further research in peripheral nerve repair and regeneration.
SPECIALISING IN Hearing Loss • Tinnitus • Otitis Media • Exostoses • Mastoidectomy • Myringoplasty Dizziness • Otosclerosis • Cochlear Implants • Cholesteatoma • Stapedectomy Ossiculoplasty • Nasal Obstruction • Acoustic Neuroma • Facial Palsy • OSA • Rhinitis Adenotonsillectomy • Nasal Polyps • Sinusitis • Pituitary Tumours • Parotidectomy
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CARDIAC DEATH Dr Guy Wright-Smith | Interventional Cardiologist
ost people know of, or have heard of someone who has ‘dropped dead’, that is, died of sudden cardiac death, mostly due to a myocardial infarction. As a 15 year old on my way to school I witnessed a business man drop dead on the train station platform. It was a distressing scene, which I discussed with my father - a general practitioner, who casually said, “People drop dead every day- it is not uncommon.” So why do some people, even those who seem fit and active, simply “drop dead”? The most common cause in adults is acute myocardial infarction, commonly known as a heart attack. Myocardial infarction is the death of cardiac muscle due to lack of oxygen, usually from a blocked coronary artery resulting in decreased blood supply to an area of heart muscle. For centuries it has been known that people who ‘drop dead’ have no palpable cardiac output, i.e. their heart has stopped beating, however full understanding of what caused the heart to stop beating was a mystery. Scientists over the centuries had suspected that a blocked coronary artery might be the cause of a myocardial infarction. In 1958, the new procedure of cardiac catheterisation and coronary angiography, where dye is directly injected into the coronary arteries under X-ray control, allowed visualisation of coronary arteries. This enabled doctors to confirm the cause of myocardial infarction was indeed blocked coronary arteries. So why do coronary arteries suddenly become blocked? We know that coronary arteries are very prone to developing atherosclerosis, but it is not yet completely understood why this occurs. Atherosclerosis is a process where cholesterol is deposited on the inside walls of arteries, forming what is known as a plaque. These plaques can be likened to a pimple, and similar to a pimple on the face, are prone to rupture. When a plaque ruptures a clot can form at the site of the rupture and in some cases the clot is big enough to block the artery. This process can occur rapidly - within minutes.
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“WRITE IT ON YOUR HEART THAT EVERY DAY IS THE BEST DAY IN THE YEAR. NO MAN HAS LEARNED ANYTHING RIGHTLY, UNTIL HE KNOWS THAT EVERY DAY IS DOOMSDAY.” - R ALPH WALDO EMERSON, 1803-1882
ISSUE 12 | 2018
WE KNOW THAT CORONARY ARTERIES ARE VERY PRONE TO DEVELOPING ATHEROSCLEROSIS, BUT IT IS NOT YET COMPLETELY UNDERSTOOD WHY THIS OCCURS.
Each year, around 54,000 Australians suffer a heart attack. This equates to one heart attack every 10 minutes.
For 30 percent of people with coronary artery disease their first symptom is sudden cardiac death.
The size of the plaque prior to rupture is unrelated to the probability of rupture and occlusion, (the blockage or closing of a blood vessel), with studies having shown that most myocardial infarctions occur from minor plaques that caused <40% narrowing of the artery. A blocked coronary artery due to plaque rupture means that blood can no longer flow to that area of heart muscle, starving it of oxygen. The problem is that in some people the heart does not tolerate this very well, the sudden loss of oxygen can cause the heart to stop beating instantly (asystole). In others the sudden lack of oxygen results in ventricular tachycardia (VT) or ventricular fibrillation, (VF- a twitching of the heart muscle). The twitching of VT or VF does not allow the heart to beat properly and pump the blood as it normally does, resulting in no cardiac output – no heartbeat. Unless you receive immediate CPR (cardio pulmonary resuscitation) and defibrillation then unfortunately there is no recovery from asystole, VT or VF. For 30 percent of people with coronary artery disease their first symptom is sudden cardiac death. So how do we prevent this, what can we do as individuals, health practitioners, government, parents and children? Many people ask me this question, they ask me for the test to find the “vulnerable plaque” as we have come to call it and stop it from rupturing unexpectedly. Currently we do not have any tests that can reliably identify or predict which coronary plaques are vulnerable. Any test would necessitate knowing the natural history of such plaques and being able to show that intervening on a presumed vulnerable plaque, by some approach, such as a stent was safer and more cost-effective than the best medical therapy alone. At present, this is unknown. We still do not know the natural history of a presumed vulnerable plaque, and a plaque that looks vulnerable on an initial evaluation may change at some later point and appear stabilised. Ongoing studies are trying to address this question.
So, what can we do, if there is no definitive test that can predict plaque rupture, acute myocardial infarction and sudden cardiac death? We do have some tests which can help, but again these help predict risk based on population data collected from various countries. Individual risk is a different matter. Exercise stress tests, CT coronary angiography, coronary calcium scans, and diagnostic coronary angiography all have a role in predicting overall risk, but not in predicting individual sudden cardiac death. The role of these tests is best discussed with your GP. Remember, as with any test, there needs to be clear understanding of the reason for the test and the implications of the result. These tests have inherent problems, false negatives, false positives, intra-observer reporting, and sometimes profound implications that were unforeseen with no additional clinical benefit. We do know the best approach to lowering the chance of sudden cardiac death involves addressing an individual’s risk factors, some of which are modifiable, some are not. Unmodifiable risk factors include being a male, getting old and family history. I tell all of my patients, make sure you are not male, don’t get old and have parents who live into their 90s! Modifiable risk factors include smoking, obesity, exercise and a healthy diet. It is also always best to see your GP to discuss other factors like blood pressure, cholesterol level and diabetes – all of which can impact on your risk of sudden cardiac death. In 2018, sudden cardiac death will continue to occur, it’s reported all the time when famous people die suddenly, but most of us know of someone, friend, relative or acquaintance who has suffered sudden cardiac death. We do not have a test to find the vulnerable plaque and prevent sudden cardiac death, but we do have population studies about lowering overall risk, and this is currently the best we can offer - risk factor modification. Unfortunately often victims of sudden cardiac death have no known risk factors and few, if any symptoms, so remember any day could be Doomsday.
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Taking care of your greatest asset together.
SERVICING HOSPITALS • JOHN FLYNN • GOLD COAST PRIVATE • PINDARA
Dr Ben Anderson
Cardiothoracic Surgeon MMBS BMedSci FRACS
• Adult Cardiac & Thoracic Surgery • Minimally Invasive Valve Surgery • Minimal Access Sympathectomy for Hyperhidrosis • Minimal Access Lung Resection • Nuss Bar for Pectus • Percutaneous Valve Surgery
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Phone (07) 5598 0789 Fax (07) 5598 0790 26 | Pindara Magazine
ISSUE 12 | 2018
SLEEP TIGHT Are you sleeping well? Are you showing symptoms of sleep disorders? An underlying sleep condition could be the cause of your restless night. Sleep disorders are a large and under-recognised problem in Australia. Although many people realise the importance of getting enough sleep, many are unaware that sleep disorders can lead to serious health problems. Some of the more recognised sleep disorders include obstructive sleep apnoea (OSA), insomnia and restless legs syndrome (RLS). Obstructive sleep apnoea is characterised by repetitive episodes of upper airway obstruction that occur during sleep, usually associated with a reduction in blood oxygen saturation. Sleep disordered breathing disrupts the normal sleep pattern and will benefit from medical attention. This can occur many times throughout the night and most people are completely unaware that it is happening. Whilst OSA is being increasingly identified, it is thought that over 70% of individuals with the condition remain undiagnosed. Studies show that 1 in 5 adults suffer mild OSA and 1 in 15 have at least moderate OSA.
Treatment and Management Options
Obstructive sleep apnoea and other sleep disorders can be diagnosed with comprehensive and objective sleep testing, available from Genesis SleepCare at Pindara Private Hospital. Treatment and management options are available for sleep disordered breathing and can greatly assist patients. Experienced Sleep Specialists at Genesis SleepCare are able to recommend and implement treatment options, while providing comprehensive follow-up and support. For further information about your sleep health please contact Genesis SleepCare QLD on Free Call: 1800 155 225 or visit www.genesissleepcare.com.au/qld
CHANGING LIVES IN
By Dr Drew Moffrey | Obstetrician/Gynaecologist
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ISSUE 12 | 2018
LEFT: LOCAL PERUVIAN CHILDREN
I recently returned to the Gold Coast from a two week trip to Peru. During that time I affiliated with a local charity called DB Peru which works to provide womenâ€™s health clinics in the far reaches of the Amazon River.
eru has one of the worst cervical cancer rates in the world and we know rates of cervical cancer are greatly reduced with screening. However given the isolation of these villages and limited access to basic health care, much less regular cervical cancer screening, reducing that rate is not a simple or easy matter. This is why the clinics and services organised by DB Peru are so important in these remote communities. Often these clinics are the only chance for women in these communities to access any health care at all. Since my return many people have congratulated me on the work I did in Peru and helping these women, but I actually feel it is the other way around. The work DB Peru does is amazing and I feel privileged to be able to contribute to a small part of it. The Peruvian people are such a lovely natured people, they have such a generous spirit, made more amazing by the fact they have so little to begin with and they are so willing to give what they can and share what they have. We would attend a patient in their house and you see they have little food but they still offer you the best of what they have and are so grateful for any small thing. The sum of the childrenâ€™s worldly possessions consists of a couple of t-shirts and shorts, one pair of shoes and a soccer ball and yet they are the happiest most delightful children, always running around with a smile on their faces. Australians often take their health care for granted, being able to see a doctor at any time. It is a luxury so many people in other areas of the world would love to have. Even something simple like a small cut on the leg can be life threatening over in Peru, given the chance of serious infection. Whereas here in Australia it is a simple matter of attending your local doctorâ€™s clinic or Emergency Department. Seeing
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the difficulty of others in accessing basic medical services really makes you appreciate the great health system we have here in Australia. HPV screening takes on a new meaning when you have to travel for hours up the Amazon River to reach these remote villages. Some of the villages I visited were in the Napo region of the Amazon which is hours away from the nearest city, Iquitos. These villages vary in size from 50 to several hundred people. There is no electricity, nor running water or plumbing and the toilets are communal. DB Peru is a volunteer organisation whose mission it is to partner with local communities to provide access to healthcare, knowledge and service delivery in order to improve living conditions for the people of Peru. DB Peru work with the indigenous people to improve their limited access to healthcare. They have routinely been working in 28 villages in the lower Napo River region since 2002. Those villages represent more than 6,000 people, with 60 percent being children. DB Peru brings primary and emergency healthcare, women’s health clinics, dental clinics and medicines to the villages along the Napo River. By bringing health services and basic care closer to the people, we are decreasing the need for the people to leave their villages, families and homes in possibly compromised conditions. My clinic’s main goal was to provide as many opportunities as possible for the women to have a HPV sample taken. Every woman in the village was able to come and have the specimen taken which involves an examination similar to a pap smear. I would then also perform colposcopy, which is looking at the cervix under a microscope and applying a solution that shows any abnormal cells. If I identified abnormal cells I was able to treat it with cryotherapy – a procedure which uses carbon dioxide to freeze the abnormal cells. This treatment is done without anesthetic and has minimal risks associated with it. It also has good rates of cure for abnormal cervical cells. It is not the best treatment available, but in the circumstances and given the extreme isolation these women face, it is simply impossible to do any more and cryotherapy will stop the abnormal cells from progressing to cancer. The difficulties lie mostly with the remote locations of these communities. There is no communication possible before our arrival so when we arrive we
BOTTOM LEFT: CLINIC SET UP BOTTOM RIGHT: DR MOFFREY’S DAUGHTER ASSISTING AT ONE OF THE BUSY CLINICS
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ISSUE 12 | 2018
ABOVE: DR MOFFREY WITH LOCAL MEDICAL STAFF AFTER AN EDUCATION SESSION.
try to encourage as many women as possible to attend. Thankfully DB Peru has been doing clinics in some form in the region for nearly 15 years so the relationship they have built with the village elders ensures most community members are receptive to participating in the clinics. The day starts out with an information session for the village, educating them about what we will be doing during the day, but also providing education about other health measures they should be taking. We set up our clinic in a building within the village that is private, something not as simple as you might expect, as most buildings arenâ€™t built with four walls, in order to access air flow to cool things down. In one village we used the school kitchen as that was the only building available and they literally had to put out the cooking fire for us to hold our clinic. We used the studentâ€™s desks as our examination table and set up amongst the pots and the pans. The work DB Peru does is life changing, not just for the villages and patients but also for the volunteers - to see these people with such minimalistic lifestyles who are so happy and appreciative, makes me very thankful we live in Australia. I cannot wait to return and am looking forward to taking some of my colleagues with me on the next trip. If you would like to find out more about the charity DB Peru or to make a donation please go to their webpage at http://dbperu.org
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TOP 10 MOTIVES TO SEEK WEIGHT-LOSS SURGERY Dr Jorrie Jordaan | Bariatric Surgeon
The factors that motivate people to seek surgical solutions for weight-loss can, and should, be used to form accurate clinical assessments and sustainable treatment plans. This understanding can help foster patient adherence to follow-up care and improve a sustainable long term outcome for recipients.
3. SEEKING IMPROVED HEALTH Some seek surgery to improve their health or to prevent ill-health, especially where there has been a family history of premature death due to health-related issues.
4. WITNESSING THE TRANSFORMATION OF A PREVIOUS RECIPIENT One person said it “was like a revelation” when she observed her friend’s reduced appetite after receiving bariatric surgery.
5. REACHING A CERTAIN WEIGHT This often acts as a trigger for people to seek surgery to aid weight-loss.
6. CONTINUED FAILED WEIGHT-LOSS ATTEMPTS Often people had lost weight through other interventions but been unable to sustain the loss in the longer term.
7. ENCOURAGEMENT FROM A SIGNIFICANT OTHER This can directly or indirectly impact the decision to have surgery. A recent Australian study of people who had already received, or were on the waitlist to receive, bariatric surgery, highlighted the top reasons for seeking weight-loss surgery. Taking the time to understand a patient’s motivation to seek surgery could make the difference in encouraging them to adhere to their long term follow up care. So, what are the top 10 factors that motivate people to seek weightloss surgery?
1. AN IMPROVEMENT IN MOBILITY When simple daily activities like walking, dressing, cutting toenails or picking things up from the floor becomes problematic due to excess weight.
2. THE EMOTIONAL IMPACT OF EXCESS WEIGHT Rather than health, the embarrassment and emotional impact of carrying excess weight is a big factor, especially for women.
8. ENCOURAGEMENT FROM A HEALTH PROFESSIONAL Discussing having bariatric surgery with a GP and feeling they have their sanction often means that patients feel comfortable continuing with this path of enquiry. Other medical specialists can also influence patients to have bariatric surgery by providing information or initiating a referral.
9. ENCOURAGEMENT FROM SOMEONE WHO HAS HAD THE SURGERY Previous recipients of bariatric surgery often influence others to follow the same path, which also suggests that the uptake of surgery may be spreading within social networks and online forums.
10. ATTENDING AN INFORMATION SESSION Attending information sessions conducted by a bariatric surgeon often gives patients the extra comfort that they are making the right decision.
Reference: Sharman Melanie J., Venn Alison J., Hensher Martin, Wilkinson Stephen, Palmer Andrew J., Williams Danielle, and Ezzy Douglas. Bariatric Surgical Practice and Patient Care. September 2016, 11(3): 104-09. http://online.liebertpub.com/doi/10.1089/bari.2016.0004
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ISSUE 12 | 2018
ADVANCED BRAIN CANCER TREATMENT THAT’S CLOSE TO HOME New cutting-edge Stereotactic Radiosurgery treatment is now available at GenesisCare on the Gold Coast. This advanced technique treats localised tumours with pin-point accuracy. Brain cancer patients can look forward to reduced treatment times and fewer side effects like headaches and hair loss. Find out more about this world-class treatment, call 07 5552 1400 or visit genesiscancercareqld.com.au Our experienced team including Dr Natalia Mitina & Dr David Schlect have delivered Stereotactic Radiation Therapy in Queensland for almost 20 years.
MRI CT - Computed Tomography General X-Ray General Ultrasound Vascular Ultrasound Pregnancy Ultrasound Mammography Nuclear Medicine Echocardiography Fluoroscopy PRP Injections Dental
Proudly Servicing the Community for 50 Years Since 1967, South Coast Radiology has evolved to become the largest standing radiology group on the Gold Coast, and one of the largest and long standing radiology organisations in South East Queensland with 13 convenient locations spanning across the Gold and Tweed Coast. South Coast Radiology has been servicing patients at Pindara Private Hospital for almost 20 years, and John Flynn Private Hospital since their opening in 1993. The long-standing and trusted relationships formed has ensured patients have access to uncompromised patient care of the highest quality. South Coast Radiology remains the Gold Coast’s leader in diagnostic medical imaging, and with the recent opening of SCR Smith Street in Southport continues to expand patient access to meet the growing needs of the community.
Pindara Private Hospital | John Flynn Private Hospital | Oxenford | Palm Beach | Robina | Runaway Bay | Southport Smith Street | Varsity Lakes | The Women’s Imaging Centre | Tweed Heads | Darling Downs | Mackay 5580 8588
W E I G H T- L O S S S U R G E R Y CHANGES LIVES AND IMPROVES HEALTH Dr Harald Puhalla | General Surgeon
For those who are severely overweight, weight-loss surgery - also called bariatric surgery - may be the key to leading a happier, healthier life.
ccording to prominent Gold Coast weight-loss surgeon, Dr Harald Puhalla, bariatric surgery is a proven, welldocumented method that has the potential to save and change lives. Science has shown that dieting compared to surgery is much less successful, particularly in the long-term. In one of the longest studies to date, initiated in July 2000 with a 12-year follow up period, researchers compared bariatric surgery (gastric bypass) with conservative management in obese patients. The Weight and Metabolic Outcomes 12 Years After Gastric Bypass study was published in the New England Journal of Medicine in September, 2017. The study showed that surgery was associated with much greater weight-loss and a diabetes cure rate of 51 percent but only 7 percent per cent of patients who received usual care were in diabetes remission. Dr Puhalla said that while diet and lifestyle measures will always be the first attempt to lose weight, bariatric surgery is an option for patients who are unable to lose sufficient weight with diet and exercise to achieve their health goals. A new study shows there are financial benefits to losing weight in addition to the benefits to overall health. Researchers at the Johns Hopkins Bloomberg School of Public Health in the US released a report in September that states that people can save up to $A40,000 within their lifetime if they lose weight. Maintaining a healthy weight can result in greater productivity, lower the risk of disease and lower medical costs. The World Health Organisation regards obesity as a chronic disease, linked to coronary heart disease, diabetes, cancer and fertility. According to Dr Puhalla, obesity is only partly caused by lifestyle factors “Scientists discovered that there is a genetic predisposition to obesity,” he said. “These genetic factors in combination with poor food 34 | Pindara Magazine
choices and reduced physical activity make it even harder to sustain a healthy weight. “For those who would benefit to gain control of their weight, bariatric surgery has become a very safe treatment option which offers a better quality of life, improvement or cure from illnesses associated with obesity and potentially longer life expectancy.” Weight-loss operations are usually performed laparoscopically (keyhole surgery). The expected weight-loss is difficult to predict and varies between patients. The sleeve gastrectomy is the most common operation performed for obesity in Australia. Patients can expect to lose about 75 percent of excess weight (weight above normal range) in the first year and roughly 60 percent after five years. Other procedures, such as Omega Loop gastric bypass (mini gastric bypass), achieve an excess weight-loss of around 85 percent in one year and about 72 percent in five years. Those who undergo the Roux-en-Y gastric bypass, which is considered the “Gold Standard” in weight-loss surgery, may lose 77 percent excess weight after one year and 69 percent after five years. Patients who undergo revisional bariatric surgery should expect less procedure specific weight-loss. Despite being the most successful tool to sustain long-term weight-loss, bariatric surgery is often called “the easy way out” for people who are unable to lose substantial weight with diets and exercise. According to Dr Puhalla, it is important to understand that for these people, surgery is the only option to achieve a healthy life. “There is also the myth that bariatric surgery is cosmetic surgery,” he said. “Many people who are obese suffer from depression due to a bodydysmorphic picture. “By losing significant excess weight after surgery the physical
appearance changes resulting in increased confidence.” In the long term, after surgery when substantial weight-loss has been achieved and people are able to experience an active and happier life, it is highly recommended to continue on regular multivitamins and have annual check-ups. Research has shown that this gives people the best long-term outcome. “A holistic approach, including a careful patient assessment and recommending the best suitable procedure and involvement of an experienced team, is necessary to offer patients the best longterm outcome,” Dr Puhalla said.
ISSUE 12 | 2018
Weight-Loss Surgery Specialist Dr Harald Puhalla is a highly experienced Surgeon who is known for his holistic approach and attention to detail. He has helped hundreds of people to achieve their weightloss goals to start a healthier and happier life.
Benefits of Weight-Loss Surgery
Better quality of life Prolonged life expectancy (calculated from the age of 40 years) Increases physical activity Improved fertility female (polycystic ovarian syndrome) and male Decreased risk for diabetes hypertension, heart attacks and strokes Decreased risk of developing thirteen different types of cancer (e.g. large bowel, ovarian)
If you have been treated for obesity related health conditions, after weight-loss surgery the substantial and sustained weight-loss leads to no or reduced medication for:
Omega loop gastric bypass
- Type-2 diabetes - Hypertension - High cholesterol - Osteoarthritis/Joint pain
Roux-en-Y gastric bypass
Revisional bariatric surgery (e.g. failed lap band)
Consulting at: Gold Coast Private Hospital Ground Floor, Suite 7, 14 Hill Street, Southport, QLD 4215 Regular Operating Lists: Pindara Private Hospital and Gold Coast Private Hospital Phone: (07) 5563 1360 | www.weightlossoperation.com.au Email: email@example.com
Dr Andrew Letchford | Orthopaedic Surgeon Dr Andrew Letchford is among the ďŹ rst surgeons in Australia to offer patients the revolutionary Robotic Arm Assisted Surgery. A leading name in arthroplasty (joint replacement), knee reconstructions, sports injuries and acute orthopaedic trauma, he is breaking new ground with the RoboticArm Assisted Surgery for partial knee replacements. This ground-breaking procedure is available at Pindara Private Hospital, part of the Ramsay Group. Robotic-Arm Assisted Surgery is a robotic arm and associated computer software used during a partial knee replacement, a procedure designed to relieve the pain caused by joint degeneration due to osteoarthritis in one or two compartments of the knee. By selectively targeting the part of your knee damaged by osteoarthritis, Dr Letchford can replace the diseased part of your knee while helping to spare the healthy bone and ligaments surrounding it. The Robotic Arm Assisted Surgery software provides Dr Letchford with a 3D model specific to your knee which he uses to pre-plan your partial knee replacement. The use of this specific plan allows him to remove only the diseased bone, preserving healthy bone and soft tissue, and assists in positioning the implant based on your unique anatomy. â€œRobotic Arm Assisted Surgery affords us absolute accuracy,â€? said Dr Letchford. â€œThe surgeonâ€™s hand is guiding the arm, however we cannot go outside the boundaries we have set. It is accurate to 0.2 millimetres. It means that postoperatively, because we are creating a much smaller incision, the patients recover a whole lot quicker. It used to be that this type of surgery required a patient to be in hospital for about a week. With this new procedure my patients are routinely going home on the second day after surgery. When they come back to see me two weeks after surgery, they are moving more normally, with a much wider range of motions.â€?
TIPS TO IMPROVE
50 percent of age related joint degeneration is thought to be related to disuse. So keep in mind the old adage of use it or lose it, is pertinent here. Maintaining muscle strength prevents abnormal and dysynchronous joint movement which leads to rapid, sometimes exponential joint degeneration, same as in any mechanical setting. So maintaining muscle strength is imperative in reducing joint wear. Excess body mass makes joint reaction forces larger, so try to keep to a healthy weight range. Be as ďŹ t and healthy as you can while maintaining a happy and healthy lifestyle. Appropriate exercise is important, so run if you can, when you canâ€™t run, walk, when you canâ€™t walk, swim, when you canâ€™t swim, cycle. At age 50 many peoples knees donâ€™t like running but walking, swimming and cycling are effective substitutes. Finding a low impact exercise that works for you is the key.
All of the above is much easier if it is done in a fun friendly environment. There is a quote in Christopher McCandlessâ€™s story â€˜Into the Wildâ€™ that is apt: â€œHappiness isnâ€™t real unless it is sharedâ€?. So organise yourself to be with a group of friends and ďŹ nd a common shared love of exercise or some form of energy burning activity. This will turn a resolution into a permanent lifestyle choice.
Telephone: 07 5527 1818 Fax: 07 5526 4788 www.dr-andrew-letchford.com.au
ENDOMETRIOSIS A REAL PAIN
Dr Penelope Isherwood | Obstetrician/Gynaecologist
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ISSUE 12 | 2018
SYMPTOMS SYMPTOMS OF ENDOMETRIOSIS CAN VARY GREATLY, BUT SOME OF THE MOST COMMON SYMPTOMS CAN INCLUDE: PELVIC PAIN AROUND THE TIME OF PERIOD AND AT OTHER TIMES AROUND A WOMAN’S CYCLE PAIN DURING INTERCOURSE OR DIFFICULTY HAVING SEXUAL INTERCOURSE PAIN WITH BOWEL MOVEMENTS OR URINATION EXCESSIVE BLEEDING INFERTILITY
ndometriosis is a common gynaecological disease, affecting one in ten Australian women. The disease mostly affects women in their reproductive years, between 15 and 50, but has been documented in girls as
young as eight. Endometriosis occurs when tissue similar to that which lines the uterus – the endometrium- grows outside of the uterus. The tissue can be found to grow in various locations, but is generally found in the pelvis. Often the condition causes pelvic pain and infertility. While the exact cause of endometriosis is still unknown, there are a number of factors which are thought to play a role in the development of the disease. The family or genetic history of a woman is often a factor, and the genes involved can be inherited from either the mother or father. Women with the specific genes are eight times more likely to develop endometriosis than other women in the community. Environmental effects including toxins, viruses etc could play a part, the type of endometrium a woman has and the occurrence of retrograde menstruation (the flow of menstrual blood back into the fallopian tubes and into the pelvic cavity during menstruation) could also be contributing causes of the disease. A woman’s experience of endometriosis is very individual and the symptoms can often be mistaken for other conditions such as irritable bowel or pelvic inflammatory disease; which is why a thorough investigation may be necessary. The only way to definitively diagnose endometriosis is through laparoscopy – a surgical procedure where a biopsy of tissue is taken and then sent to pathology in order to confirm the diagnosis. There is no “cure” for endometriosis but there are a number of treatments that can be used to alleviate symptoms. Medications are a common form of treatment and include the use of pain relieving medications and anti-inflammatories. Hormonal treatments such as the contraceptive pill and progestogens can also be used. In more severe cases surgical intervention may be necessary to treat symptoms. Laparoscopy is the most common procedure and involves a surgeon making small incisions in the abdomen to access the site and remove the endometriosis tissue. Occasionally laparotomy (opening of the abdomen with a larger incision) is required, however this kind of surgery is generally avoided if possible. Complimentary treatments and alternative therapies are also commonly used in the treatment of the symptoms of endometriosis. Physiotherapy, acupuncture, homeopathy, yoga practice and psychology can all be effective in helping to alleviate the chronic pain associated with the disease. While there is no hard scientific evidence of the effectiveness of these treatments, many women find combining these therapies with other treatments can help in reducing their symptoms. It is important to remember there is no need for women experiencing pain and discomfort to suffer in silence. Women should feel confident to see their doctor if they have any concerns about symptoms they are experiencing and have their symptoms properly investigated. Pindara Magazine | 39
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NEW BIRTH SUITES OPEN AT
Throughout 2017, Pindara was working on a special project within the Maternity Unit which has now come to completion – two new state-of-the-art and luxurious birth suites.
he birth suites have been created with mothers and their families at the centre of the design concept. What has been created is an exact balance of features that incorporate all the familiar and comfortable elements of a home like environment with the experience, security and capability of a modern hospital setting. Tucked away from the general hub bub of the hospital, the birth suites are intimate hideaways within the Maternity Unit, providing comfort, care and privacy to expectant families. “It is our goal at Pindara to provide mothers with the best and most luxurious birthing experience possible. Patient and professional feedback were at the centre of the design concept and this input has enabled us to create a beautiful balance of form and function for our mothers,” said Pindara’s CEO, Trish Hogan. The birth suites are spacious, enabling mothers to utilise the space how they would like and without having to negotiate around various pieces of medical and monitoring equipment. The increased space also allows our experienced maternity staff to better care for and support the mother throughout labour as their access to equipment does not impede the mother’s birth experience. Mothers and their partners are able to adapt the birth suite environment to suit their individual needs. Lighting can be controlled to create the appropriate ambience and reduce external stimuli; a personal music selection can be played through high quality Bluetooth speakers, and a selection of alternate therapies including salt lamps and a selection of aromatherapy oils are also available for use by the mother during labour. Many of Pindara’s midwives are hypnobirthing practitioners and can lead mothers through relaxation, meditation, breathing and positive affirmation techniques throughout labour.
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Specific pieces of art and a natural colour palette have also been selected for the suites, furthering the creation of a tranquil environment through subtle colour therapy. Art in various shades of blue, gold and muted blush pinks in soft formations have been incorporated to help calm and soothe. Natural product finishes with pastel blue hues have been specifically selected to link a sense of luxury with wellness and tranquillity. Each of the two new suites includes an inbuilt circular bath, providing deep water immersion as a natural option for the management of pain during labour. Set against the window of the private courtyard the baths take advantage of the available natural light and the peaceful garden view. Mothers are able to step down into the bath safely and smoothly - there is no need to clamber in or out. The circular shape allows patients to wade comfortably within the bath, experiencing a sense of weightlessness and either moving or staying still dependent on what feels right. The baths include an adjustable shower head which can be used to flow warm water across the mother’s back for relaxation or to massage specific areas of pain, such as the lower back. A mobile hoist is also located above the bath so that mothers can easily move in and out of the bath as needed. A tranquil garden setting surrounds the birth suites, providing a serene outlook and secluded haven through which to wander as birth progresses. Featuring restful spaces for relaxation and meditation, the courtyard has been designed in a classic style with complementing plants and foliage. In addition to creating a relaxed and calming environment the birth suites also feature the latest in medical technology allowing for expert care where complications arise and also offer a level of preparedness should things take an unexpected course. New to Pindara Maternity, the birth suites will now house the K2 Monitoring system which tracks foetal well-being during labour. The monitor is a high-end monitoring and clinical decision making tool which tracks baby’s heart rate and feeds this and other observational information on the mother through to the central monitoring system which can be accessed in real time by the midwives and attending Obstetrician. Obstetricians can check on mother and baby’s progress from wherever they are through the use of the K2 app and are able to liaise with nursing staff remotely about any concerns. Dr Andrew Cary, Obstetrician and Gynaecologist at Pindara for almost 25 years, said the K2 Monitoring system was an excellent addition to the new birth suites and added an extra level of care for mother and baby. “The system allows me to monitor the progress of my patients at any time, day or night, 42 | Pindara Magazine
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and from anywhere. I can see how things have been tracking and how advanced my patient’s labour is even before I arrive at the hospital. If there are any concerns, I can discuss these with the midwives in real time as we both have access to the same immediate information,” said Dr Cary. The suites also feature brand new CTG and telemetry units used for tracking foetal wellbeing. The telemetry units are Wi-Fi enabled and send regular updates to the midwives. Birthing mothers are able to wear these monitors throughout their labour if required. The units do not hinder movement and can even be submerged in the bath. Continuous use of the monitoring equipment is usually only required if there are any concerns about mother or baby. The suites have also been fitted with brand new Cosy Cots – a specialised infant resuscitation unit that can be used immediately upon birth should baby need assistance to breathe or encouragement to adjust to their new environment. Pindara’s Special Care Nursery is just steps away and experienced paediatricians are on call if baby requires any specific help after birth. In addition to the natural pain relief remedies available, the birth suites also incorporate equipment for the use of medical pain relief, including Nitrous Oxide. This pain relief option can be used together with warm water immersion, under supervision. Morphine and Epidural are also available as pain relief options and mothers can discuss these with their midwife and obstetrician throughout labour. The births suites also incorporate a number of physical birthing aids such as fit balls, birth stools and birthing/labour bars for use throughout labour. Aids can help a woman support her weight and shift into more comfortable positions as her labour progresses. Within the birth suites, mothers can spread out and create different spaces as they desire – the increased size (double their previous footprint) of the birth suites easily accommodate whatever is required. After delivery and some time to connect, families are moved to the main section of the Pindara Maternity Unit; where a welcome platter, luxury MOR toiletry items, bathrobes, a special celebration dinner and king sized bed await patients of our regal suites. Families can continue the VIP treatment in Pindara’s Community Maternal Postnatal Program at Palazzo Versace.
EXPECTANT FAMILIES CAN TOUR THE NEW BIRTH SUITES, ACCOMPANIED BY ONE OF PINDARA’S EXPERIENCED MIDWIVES EACH SATURDAY. PLEASE PHONE THE MATERNITY UNIT ON 55 88 9888 TO ARRANGE AN APPOINTMENT.
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E XC LU S I V E P R I VAT E A G E D C A R E
– Private Aged Care –
The very best in Private Aged Care in a luxury environment
Cherish comfort and independence â€“ youâ€™ll love life at The Henley Private Aged Care while having peace of mind courtesy of 24-hour nurse care.
The Henley on Broadwater is proud to present The Henley Private Aged Care. Enjoying magnificent views over the Gold Coast Broadwater, the 12 boutique suites represent the very best in private aged care in a luxury environment on the sun-drenched Gold Coast. Located within The Henley Lifestyle Resort the suites set a new benchmark for private aged care.
For all enquiries please contact 0488 006 677 or firstname.lastname@example.org 70 Marine Parade, Southport, Queensland, 4215 | thehenley.com.au
*Whilst all details have been carefully prepared, no warranty given either expressly or implied by the vendors or their agents in respect of the accuracy of the photographs, information and illustrations. Photographs, information and illustrations are indicative only for presentation purposes and are subject to change. They should not be relied upon as an accurate representation of the final product. Specification may change at anytime.
WHY THE GOOD LIFE IS
MORE THAN JUST A DREAM AT THE HENLEY Patrick Smith has clear and noble motivations as he strives to deliver a great retirement experience for his residents. He wants them to be happy and healthy. He wants them to be active and engaged socially. And he wants to live up to his responsibility to provide superior accommodation, amenities, supported living and care at The Henley on Broadwater lifestyle resort on the Gold Coast. “Quality is really important,” says Patrick, the Managing Director of The Henley and co-owner with his business partner Kris Ivey. “It enables us to sleep well at night knowing we are providing the very best to those people who choose to call The Henley their home.” The Henley on Broadwater is leading the trend towards multi-storey retirement living whereby residents enjoy apartments with great ocean views and a luxury hotel feel, while also having the peace of mind that first-class support and care services are available if required. Located adjacent to the Broadwater Parklands and on the doorstep of a vibrant retail, entertainment and leisure precinct, The Henley gives residents access to the best beaches, restaurants, shops and attractions the Gold Coast has to offer. On site, they can access the resort’s bistro, a swimming pool, a gymnasium and hairdressing salon, a men’s shed and a sky deck community including a herb and vegetable garden and bowling green. For Patrick, it is all about creating a vibrant environment that allows residents to lead a fulfilling retirement. “At The Henley our vision is to take a holistic perspective and consider all the elements that deliver a good life in retirement and to then work very hard with our community to support them,” he says.
BUSINESS SMARTS, PLUS COMPASSION Patrick’s background in health and business makes him ideally suited to lead The Henley. He started his professional career as a community pharmacist and, after running a number of successful businesses, purchased the former Grande Pacific site on the Broadwater in 2014 and set about developing a marketleading lifestyle resort. Patrick endorses a four-plank strategy for retirees seeking a good life. First, striving for an active life is essential, whether that is socially or physically 46 | Pindara Magazine
or both. That is why The Henley offers wellbeing and fitness options such as water-based programs with a physiotherapist, gym sessions with an exercise physiologist, walking and gentle exercise groups, yoga, tai chi, seniors Zumba and line dancing. “And because it’s so social we’re really starting to see the participation growing and people feeling the benefits of these activities” Patrick says. Second, residents should feel as though they are part of the community, off-site and on-site. The Henley’s central location in a vibrant tourism area complements this goal, as do the efforts of a social committee that organises live entertainment, happy hours, barbecues, bus trips and boat cruises. Third, Patrick wants residents to be able to live independently in their own home while being able to make their own life and healthcare choices. This is delivered through a home-care philosophy that provides 24-hour nursing support, if needed, along with assistance in areas such as doing laundry and other household chores. “It supports you to do what’s important in your life without allowing care to become your life,” Patrick says. Fourth and finally, with only a minority of residents receiving care support, The Henley team aims to provide an environment in which residents do not feel as though they are living in an aged-care facility.
FOOD FOR THOUGHT Perhaps nothing better illustrates Patrick’s commitment to excellence than the attention to quality food at The Henley. Residents can dine in at The Henley Bistro, or browse from an a la carte room-service menu which changes weekly. Chefs prepare fresh, dietician-approved meals every day and Patrick firmly believes that the focus on food and nutrition makes a statement that the management team cares about the residents. “Great food and equally good service underline our belief that nourishment and wellbeing are so important to a happy and healthy life in retirement.” More broadly, Patrick believes owners of retirement living and lifestyle resorts need to understand why they are in business – it is not just to provide real estate, but to have a higher philosophy around delivering an atmosphere in which retirees can thrive and lead a positive life.
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THE HENLEY PRIVATE AGED CARE With most apartments in The Henley on Broadwater having been sold, Patrick and his team are now unveiling their final offering, The Henley Private Aged Care – 12 boutique suites that represent the very best in aged care accommodation and services. For Patrick, the focus will continue to be on excellence because it makes sense for his business model and also gives him satisfaction. “We’re very proud of what we’ve created with The Henley Private Aged Care. It is an intimate hotel like environment of 12 luxury suites with views over the Southport Parklands and Broadwater, most with private balconies. What makes it truly unique is the ability to continue to participate in and enjoy the vibrancy of The Henley. Supporting residents to continue to lead full lives is our goal, even when care needs escalate.” “On a personal level it has been a deeply rewarding few years to get to the point where we have this wonderful property and a genuine partnership between the residents and our staff.”
For more information about The Henley on Broadwater Lifestyle Resort or The Henley Private Aged Care, please call 0488 006 677 or visit www.thehenley.com.au
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THE TOP TEN
MYTHS REGARDING NUTRITION FOR SENIORS
Below Ngaire has shared the top 10 myths when it comes to nutrition for seniors:
1. YOUR STOMACH SHRINKS AS YOU AGE “Although your appetite may change, your stomach doesn’t shrink when you get older.”
In-home care provider Home Instead Senior Care is launching its newest resource, Nutrition for Seniors, this month. The resource is a guide to healthy habits for eating well in old age and was developed with respected dietitian and author Ngaire Hobbins. “I was thrilled to be asked by Home Instead to work with them to prepare Nutrition for Seniors. Research has found that up to 30% of older people living in the community are either malnourished, or at risk of malnutrition,” says Ngaire. “This is not their fault; it is often a consequence of our lack of awareness that the nutrition needs of seniors are unique and eating patterns must change with age to support physical and mental capacity. It can also be partly a consequence of social isolation and/or reduced physical/cognitive capacity, which is where the invaluable support of home and community care services such as Home Instead Senior Care comes to the fore.” 48 | Pindara Magazine
2. WEIGHT-LOSS IS HEALTHY “Unfortunately this is not the case when we are older. Instead, dieting or unintentional weightloss should be avoided in our later years. A bit of extra padding in later age is beneficial to support your body and brain in the years ahead.”
3. YOU NEED TO EAT LESS AS YOU GET OLDER “While your metabolism slows and your energy output decreases, food and eating is what protects and fuels you and is your key to ageing well.” ISSUE 12 | 2018
GETTING ENOUGH OF THE PROTEIN-RICH FOODS, AS WELL AS A R ANGE OF FOODS ACROSS THE OTHER FOOD GROUPS, IS VERY IMPORTANT TO MAINTAIN YOUR HEALTH AND WELLBEING AS YOU AGE
4. YOU ONLY NEED TO EAT WHAT YOU FEEL LIKE
7. ONLY DRINK WATER WHEN YOU’RE THIRSTY
“The ageing process can play tricks on our appetite and as a result, older people might eat less than their bodies really need. An outright loss of appetite is not normal, and could be symptomatic of an underlying health problem. Try to eat small meals regularly throughout the day, even if you don’t always feel like it.”
“If you feel thirsty you are already dehydrated and that’s a problem as neither your body nor brain can work at peak capacity. Dehydration can bring on confusion and delirium, hampers kidney function and worsens a multitude of other conditions.”
5. YOU SHOULD FOLLOW A LOW-FAT DIET “Fat is an important source of calories and some seniors might need to eat a bit extra to maintain weight. Fats found in foods such as olive oil, nuts, seeds, avocado, and oily fish are ideal.”
6. YOU NEED TO EAT MORE VEGETABLES “Whilst nutrient-rich vegetables continue to be essential in your diet, protein foods need to be at the centre of your plate with the vegetables surrounding it. Protein keeps our muscles, our immune system, our body organs and brains working and renewing minute by minute.”
8. SUPPLEMENTS ARE SUFFICIENT “Most supplements promoted to help you live longer, boost memory and fight off dementia fail to live up to their claim. What’s more, many interact with common medications or just don’t work the way they would if you consumed them from food instead. You could spend a lot of money for no gain when you could do better by simply eating correctly.”
9. YOU MUST ALWAYS EAT A ‘PROPER MEAL’ “Eating three full meals a day can be a struggle if you have a loss of appetite or find cooking too difficult. Five or six small meals or well-chosen snacks can be just as beneficial.”
10. MALNUTRITION IS A NORMAL PART OF THE AGEING PROCESS “Malnutrition is not normal and it’s important that you don’t dismiss the warning signs as being part of ‘old age’.” Aloysa Hourigan, Senior Nutritionist and Accredited Practising Dietitian from Nutrition Australia says, “Keeping food choices both nutritious and simple and easy to prepare is the way to go. Getting enough of the protein-rich foods, as well as a range of foods across the other food groups, is very important to maintain your health and wellbeing as you age. If getting to the shops and preparing meals is difficult, then think about either using the prepared meals you can buy in the supermarket, or some of the nutritious home-delivered meal options. If you prefer to prepare your own meals, you can find some additional nutritious food ideas and healthy eating tips on Nutrition Australia’s website: www.nutritionaustralia.org.” Ngaire says, “This booklet gives seniors and those who care for them insight into the way nutrition needs change with age and offers practical, sensible advice and guidance to help support the physical and cognitive health of older people.” For more information visit www.homeinstead.com.au
About Home Instead Senior Care Home Instead Senior Care is a global network of locally owned and independently operated franchises. It was founded in Nebraska in 1994 by Paul and Lori Hogan. It is now a global home care franchise with offices throughout Europe, Asia and the Pacific. There are currently over 1,000 offices around the globe. Husband and wife Martin and Sarah Warner founded Home Instead Senior Care in Australia in 2004. It now
has a national network of 25 independent offices in Australia with over 1,600 employees and this number is growing. Home Instead Senior Care’s services include assistance with personal care, light household duties, meal preparation, medication reminders, and transport to appointments, shopping and social outings. The team take personal responsibility for providing the best in-home
care and support to meet their clients’ needs and are committed to addressing the individual and national challenges of Australia’s ageing population. Nutrition for Seniors forms part of series of senior care resources developed by Home Instead Senior Care, designed to educate and empower seniors and their families throughout their ageing journey. Pindara Magazine | 49
SKY HIGH - VIDERE Videre Restaurant at RACV Royal Pines Resort has many attributes. Wonderful food and superior service are a given but it is the added extra of the panoramic view of the Gold Coast that gives diners a never to be forgotten experience. The resort’s signature modern dining restaurant, is located on level 21 and takes dining to a whole new level – quite literally. The 70+ seat venue boasts two generous Chef’s tables, a modern open plan kitchen, and a dedicated bar area that adjoins the restaurant and overlooks the Gold Coast hinterland. Award winning Chef de Cuisine, Grant Parry, has constructed a menu based on modern Australian cuisine with a focus on presentation and exciting fresh produce. Diners are spoiled for choice with an extensive a la carte menu, as well as three, five and seven course degustation menus, with a selection of these including the art of gueridon (or trolley) service. Grant’s favourite dish is a cured kingfish with avocado puree, radish, fennel and tomato dressing – fresh produce treated simply to create a palate pleasing taste. “I love this dish as it is super fresh and is a great warm weather dish. It’s a perfect example of Asian flavours with French technique that make it such a hit with our diners.”
R ACV ROYAL PINES RESORT SIGNATURE HOLE Measuring 172 metres from the Tournament tees the 7th hole of the Gold course, or 16th hole of the PGA Championship layout, is known as the ‘Million Dollar Hole’. Water borders the left side of the hole from tee to green and any ball slightly left or short will almost certainly find a watery grave. The combination of a well struck shot and the right club selection is a must on this hole. Any ball that catches the slope between the centre and left hand bunkers, or even a shot that lands on the front left portion of the green, has the potential to find the water. The ideal line off the tee is directly over the bunker located at the front centre of the green. To get close to a flag located at the back of this two tiered green, take the same line but one extra club and let the tier, which sits at an awkward angle, feed the ball to the back portion of the putting surface. A difficult chip awaits if the green is missed long or to the right so there really isn’t a bail out side on this difficult par 3. Players are understandably overjoyed if a birdie putt awaits after the tee shot is struck.
OPEN WEDNESDAY TO SATURDAY FROM 6PM UNTIL LATE, AND ON SATURDAYS & SUNDAYS FOR HIGH TEAS. FOR BOOKINGS PHONE 07 5597 8700.
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Play at the the home of championship Golf.
Be the golfer you dreamed to be... And play where the champions play at RACV Royal Pines Resort. Recently nominated Australia's Best Golf Hotel 2017 by the World Golf Awards, the 27 hole golf course at RACV Royal Pines allows for three unique 18 hole combination golf courses, including a recently redesigned championship course which hosts the Australian PGA Championship.
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9 holes from $55*pp I 18 holes from $95*pp Golf Course Memberships from $2590^pa
For bookings call 1800 886 880 or discover more at racv.com.au/royalpines *Conditions apply. Subject to availability.^Terms and conditions apply. Auto club member price. Autoclub membership includes RACV, RACQ & NRMA. Course availability subject to the demands of tournaments and some large scale events.
L SA 120/40 COTLEW STREET EAST, SOUTHPORT
11 THE LIDO, ISLE OF CAPRI
SA 119/40 COTLEW STREET EAST, SOUTHPORT
SONJA SMITH Director / Principal 0412 751 921 email@example.com
SIMONE TREES Property Manager / Sales Support 0422 400 535 firstname.lastname@example.org
Simone Trees has joined the LUXURE team
Such amazing professionals, Sonja and her team are the best at what they do. We have engaged her services previously and been more than happy with the outcome. We look forward to future successful dealings with these Real Estate dynamos. — Elly McLean, Vendor
a highly personalised service. A people-oriented professional with over 17 years’ real estate experience and in-depth market knowledge. If you’re thinking of leasing your property or would like an updated market estimate, contact us to discuss our competitive fees.
ARTISTS IMPRESSION â€“ INDICATIVE ONLY.
NORTH-FACING THREE BEDROOM WATERFRONT APARTMENTS, NOW SELLING. DISPLAY OPENING SOON.
BE AMONG THE FIRST TO VIEW THE NEW DISPLAY RESERVE YOUR APPOINTMENT TODAY SUNLANDGROUP.COM.AU/PINDARA 1300 400 905
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SUNLAND LAUNCHES ‘THE ENTERTAINER’S COLLECTION’
anaging Director Sahba Abedian said the three-bedroom apartments within Marina Concourse span the entire width of the twin low-rise buildings, overlooking the Royal Pines Marina and golf course to the north, and the Nerang River, gardens, and plaza to the south. “Sunland’s portfolio is designed specifically for the owner-occupier market, which puts it in a distinctive class of its own – large living areas, ample storage, and the high quality craftsmanship and premium locations sought after by this segment,” Mr Abedian said. “At Marina Concourse, our threebedroom collection presents some of the largest new waterfront apartments on the Gold Coast, providing three large bedrooms, two bathrooms, guest powder room and open plan living, dining and outdoor entertaining spaces. High ceilings and full-height windows allow access to stunning views from every angle while at the marina level, a collection of dining, retail and recreation spaces have been created for the enjoyment of residents and the community. Great shopping is close to home and the beaches, dining and retail precincts of Surfers Paradise and Broadbeach are only 15 minutes away.” Marina Concourse is also on the doorstep of several key venues of the 2018 Gold Coast Commonwealth Games. These include the new Carrara Sports and Leisure Centre and the upgraded Carrara Stadium, where the eyes of the world will be focused on the Opening and Closing Ceremonies of the Games and numerous track and field events. More than $110 million has been invested in these new precincts, in addition to significant improvements to local transport infrastructure, all of which are driving an uplift in property values in the area. Mr Abedian said the new Games infrastructure complements the considerable private sector investment in the area, including the new Coles Benowa Village and recent upgrades to Royal Pines Resort.
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Sunland Group has launched its threebedroom collection at Marina Concourse, describing the large waterfront residences as among the finest owner-occupier apartments on the Gold Coast. A new 155sqm luxury display apartment, furnished by King Living, is now open and showcase stunning northfacing waterfront views and exquisite interior and furniture design.
“Sunland is also contributing to the flow of private investment in Benowa with our $82 million redevelopment of the Royal Pines Marina,” he said. Upon completion in mid-2018, Marina Concourse will completely transform the Royal Pines Marina into a vibrant new waterfront residential, retail and leisure destination, only a short walk from Carrara Stadium and Royal Pines Resort. The precinct will feature twin low-rise apartment buildings overlooking the marina, new retail and dining amenity, landscaped gardens, a swim school, and Sunland Group’s Gold Coast offices. Sunland is also currently investigating the potential for a future marina development. A pool and adjacent pavilion, privately nestled between Marina Concourse and the Nerang River, are reserved for the pleasure of residents. Mr Abedian said the abundance of local lifestyle amenities has proven a strong drawcard for downsizers and owner-occupiers who are attracted to Marina Concourse for its privacy as well as its connectivity. Marina Concourse is the final development within Sunland’s 19-hectare master plan at The Concourse at Royal Pines, where the group has delivered six unique residential enclaves over the past eight years. “From each enclave delivered at The Concourse, Sunland has learned how to contribute to greater vibrancy and community life in how the residents are brought together, how the residents engage with the wider community and how the community finds inspiration from such spaces,” Mr Abedian said. “The connection between the interior spaces of each residential precinct and the exterior landscape has been essential to its success, giving each enclave a unique sense of identity and amenity.” The Marina Concourse sales suite is located onsite at Ross Street, Benowa and is open daily from 10am to 4pm. For more information, phone 1300 400 905 or visit www.sunlandgroup.com.au
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ost people know about the four C’s of diamonds - carat-weight, colour, clarity, and cut - but there is another which in many respects is more important – confidence. If you are outlaying money for a valuable jewel, do you have confidence in the person selling that precious gem? At 5th Avenue Jewellers that comes in the form of Nicole and Darren Daley, who’s qualifications and experience mean that you can relax knowing that you are in the safest of hands. Nicole is the daughter of the business founders, Bill and Pamela Hannaford, and has virtually grown up surrounded by jewellery. Determined to learn as much as she could about the business she embarked on a rigorous round of study and became a highly qualified gemmologist. Constantly updating her skills and knowledge, her major concern is learning about the many synthetic stones and how to recognise them. “People constantly tell me that they have purchased something on-line which worries me enormously but you need the kind of specialised testing equipment we have here to ascertain if it is a real stone or not,” she explained. It is a caution worth heeding because what looks like a great deal can often turn out to be a fracture filled Diamond or a synthetic Gemstone.
She also is rightly proud of her own range of designs – Ti Amo. The name means ‘I love you’ in Italian and came from her father’s habit of leaving handwritten gifts and a note to his beloved wife Pamela with those two words. They are truly original - every piece is a one-off, designed and manufactured in house and no piece is ever repeated. Nicole’s husband Darren is one of the most qualified gemmologists and Registered Valuers in the country. In addition he is a highly skilled, manufacturing jeweller, with additional qualifications in the areas of Diamond Technology and Advanced Diamond Grading and has been a teacher, demonstrator and examiner of each of these courses for many years. He is also an avid user of the 3D CAD (Computer Aided Design) system. Anyone who wants a custom made piece can see what they will be getting before the process of manufacturing begins. Due to the wonders of modern technology Darren can take the dimensions of any stone and very quickly produce a 3D image of his or Nicole’s design to enable the customer to see what their piece will look like. Knowledge, experience and good old-fashioned customer service are the corner stones of 5th Avenue Jewellers. A family business that has built an enviable reputation which in turn keeps a steady stream of loyal and new customers returning to the Capri on Via Roma store on the Isle of Capri.
KNOWLEDGE, EXPERIENCE AND GOOD OLD-FASHIONED CUSTOMER SERVICE ARE THE CORNER STONES OF 5TH AVENUE JEWELLERS.
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SOMETHING FOR HER
We have been a family owned and operated business for over 40 years, selling only natural gemstones. We have a fully equipped workshop onsite with 2 master jewellers to design, remake and remodel your old jewellery. Turn unwanted jewellery into something new and different. We also have 2 qualified gemologists and valuers to offer a valuation service as well as advise when selecting the right stone for engagement rings. Selection of vintage and antique jewellery and the home of the exclusive ‘Ti Amo’ collection by Nicole.
WWW.5THAVENUEJEWELLERY.COM.AU SHOP 2G3, CAPRI ON VIA ROMA, ISLE OF CAPRI OPEN 6 DAYS 9AM TILL 5PM.
P 07 5538 6611 E NICOLE@5THAVENUEJEWELLERY.COM.AU FOLLOW US ON FACEBOOK: ‘5TH-AVENUE-JEWELLERS’
KEEPING KIDS SAFE THIS SEASON
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We donâ€™t want to see your kids in our ED with an injury that will dampen the fun of the season; so we have compiled a list of risks to kids and how you can avoid them.
Sunny days and warm weather means more time spent in and around water â€“ pools, lakes, rivers, dams and beaches are meccas for Australian kids, but they can also be a hidden danger. According to the Australian Bureau of Statistics, drowning is the number one cause of accidental death by injury for Australian children aged 1 to 4 years of age, with 1/3 of all drownings in Australia occurring in summer. For this age group, falls into water due to improper supervision or inadequate restriction are the main reasons these accidents occur. These alarming statistics are why it is so important for parents and carers to be especially vigilant about water safety. The Northern Territory Water Safety Awareness Program developed by Royal Life Saving Australia (NT division) suggests four key elements in keeping your kids safe in and around water. Supervision Restricting access Water familiarisation Learn CPR
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IT IS NOT UNTIL AROUND AGE TEN THAT CHILDREN ARE ABLE TO DEVELOP A SENSE OF ROAD SAFETY, AS THEIR CAPACITY TO JUDGE DANGER, SPEED AND DISTANCE ARE UNDERDEVELOPED PRIOR TO THIS. DRIVEWAYS AND MOTOR VEHICLES Road trips, car rides, ice cream trucks and walks to the park are quintessential activities for kids, which is why it is so important to keep them safe around roads and motor vehicles. According to a study by the Australian Bureau of Infrastructure, Transport and Regional Economics, on average seven children aged between 0 to 14 years of age are killed in driveway accidents each year, with a further 60 seriously injured. Pedestrian incidents and improper restraint are the other common causes of traffic related injury to children. It is not until around age 10 that children are able to develop a sense of road safety, as their capacity to judge danger, speed and distance are underdeveloped prior to this. Younger children are also easily distracted and can become highly absorbed in an activity such as chasing a ball. To keep children safe around cars and roads there are some simple things we can do. Ensure your car seat/capsule meets Australian standards and is properly fitted. Make sure children are properly restrained for all car travel (even if it is just down the road). Ensure the cabin is free of heavy items that could move around should you come to an abrupt stop. Before backing out of your driveway complete a visual check around your car, donâ€™t rely on sensors or cameras. Make sure you know the location of all children before moving the car. Separate childrenâ€™s play areas from driveways and never leave children to play next to parked or moving cars in driveways. Model good behaviour when crossing roads and explain to your children how to cross the road safely and why it is important.
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SUN SAFETY Staying safe in the sun is a top priority for Aussie families. It is important to remember younger children can be affected by heat and become dehydrated a lot quicker than adults. Keep a close eye on how your little one is coping as it heats up. Follow our sun safety tips to keep your kids cool and protected. Make sure you apply adequate sunscreen to your child at least 15 to 20 minutes before going out into the sun using at least a SPF 30+ sunscreen. You generally need around seven generous teaspoons of sunscreen to adequately cover your entire body and donâ€™t forget to reapply every two hours. Drink up! It is easy to become dehydrated, particularly when playing sport or enjoying other outdoor activities that increase perspiration. Make sure you offer your little ones regular drinks of water, even if they say they donâ€™t feel thirsty as this will help keep them hydrated. UV radiation is at its highest between 10am and 4pm so try and avoid being in the sun during these times. Seek shade under trees with heavy foliage or make sure you have access to alternate forms of shade such as beach umbrellas or shade tents. The Australasian College of Dermatologists doesnâ€™t recommend widespread regular use of chemical sunscreens on babies under six months of age, so keep young infants out of the sun when you can and ensure they are in appropriate clothing that protects their skin when outside.
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HOUSEHOLD ACCIDENTS With children running around the house, they are bound to get in to an accident or two. While most accidents require nothing more than a magic kiss from mum or dad, sometimes these accidents can be more serious. According to Kidsafe Australia, each year 260 children die in household accidents and a further 58,000 are hospitalised as a result of an accident occurring at home. Children from 0 to 5 years of age are most vulnerable to injury and the majority of accidents occur in the living room, bedroom and kitchen of a child’s own home.
Common causes of injuries occurring in the home include falls, burns/scalds, poisoning, crush and strangulation. The good news is there are a few easy steps you can take to reduce the risk of injury in your home. FALLS – In children under four years of age most falls occur from furniture and stairs. Use barriers such as safety gates on steps and stairs, as well as other areas that might have changes in floor height. Ensure balcony doors and windows are locked or securely screened, with no furniture or stairs nearby where children can get a foothold. BURNS/SCALDS – Hot foods and hot tap water are the most common burns and scalds received by children. Use the back hot plates on the stove and always turn pot handles away from the front to prevent them being pulled from the stove. Kettles should be kept out of reach and parents should consider installing a temperature regulator on their hot water system, keeping the temperature below 50 degrees. POISONING – Medications are the most common form of poisoning in Australian children. Make sure that all medications are kept securely in a locked, high cupboard and do not
leave medications in easily accessed areas such as on kitchen benches, bathroom vanities or in handbags. CRUSH INJURIES – Children do not always use furniture in the way it was intended, so make sure large and heavy furniture items such as TV’s, bookcases, sets of drawers and other cabinets are secured to the wall to prevent them toppling over if climbed on. STRANGULATION/SUFFOCATION – Many common household items can pose as a strangulation/suffocation risk to children including plastic shopping bags, plastic wrap, curtain cords, toys and bedding. Tie a knot in the middle of plastic bags when stored, secure curtain cords and shorten – make sure cots and beds are away from windows and check toys are age appropriate and without long cords or ribbons. It is also a good idea for parents to undertake some form of first aid course. Then you will know what to do and can remain calm in an emergency situation. St. John’s Ambulance Service and the Australian Red Cross regularly run first aid courses aimed at families and carers.
Nurturing Care & Imaginative Education WEEKS TO PREP Call today (07) 5539 6144 Mudgeeraba - Benowa - Bundall | www.GCChildCareCentres.com.au
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HUMANS of Pindara
DR ANDREW CARY OBSTETRICIAN/GYNAECOLOGIST Can you tell me a little about your family back ground? Where did you grow up? What was it like? Any siblings? Were you the first to go into medicine or does healthcare run in your family? I have a strong family background in health care. My father was also an Obstetrician Gynaecologist and my aunt and uncle were also medical practitioners. Whilst my siblings (two brothers and one sister) did not study medicine, it was a natural step for me to follow my father into medicine and in particular into Obstetrics and Gynaecology. Also I have several cousins who work as medical practitioners. Growing up in south east Queensland with time spent between Brisbane and the Gold Coast meant that this was an ideal upbringing and certainly I was exposed to health care in all my formative years. Why medicine – what drew you to it? There are so many ‘easier’ paths and professions – what made you decide on medicine? What made you stick with it through years of study and internship? Medicine was the anticipated path for me from even in the early years of high school and my father painted a picture of the qualities of care in women’s health.
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Why an Obstetrician and Gynaecologist? Women’s health is such a different field of medicine to most other specialities. It is tremendously rewarding to assist a woman from fertility issues through to achieving a complete family. Most women in pregnancy are healthy, content and excited about the prospect of delivering a healthy baby so it is a very upbeat, positive side of medical care. Yet the challenges of pregnancy and childbirth can strike suddenly and need swift decision making and prompt actions to achieve that positive outcome. There can be a sudden immediacy about our need to take corrective measures and this may be stressful for a woman and her partner but the outcome of a healthy mother and baby brings immense rewards for the family and indeed myself. The Gynaecology side of my job essentially translates to “the care of women’s health”. Thus Gynaecology then bookends my work in fertility and pregnancy care. By this I mean that I may see young women for health issues such as period problems prior to any planning of children but I may also care for those who have completed their families or chosen not to have children. The end effect is of an all encompassing caring role for women of all ages and circumstances. This makes my job varied and extremely rewarding, especially when I may care for one woman for all these life journeys.
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Medicine is not a ‘9 to 5’ job - how do you balance work and life? Can you ever truly separate the two?
What do you find most enjoyable or what is the most exhilarating thing about being a gynaecologist and obstetrician?
What have been some of the most memorable, defining and powerful moments of your life – professional and otherwise?
The urgency and immediacy means that my career in medicine is very much removed from a “9-5” job. Over the years of private practice this has lead to the crucial requirement of working closely with trusted colleagues in an on-call roster to guarantee 24/7 emergency care for 365 days of the year. The on-call roster we have developed enables excellent care combined with a work/life balance. I can have time off to enjoy my leisure and more importantly my family whilst I am certain my patient’s needs are fully met.
The most exhilarating aspect of my career is to fulfil the needs and desires of a woman to complete her family.
On a personal note my most powerful moments of my life revolve around my family. I am blessed to have a wonderful relationship and marriage to Fiona for over 30 years and we have been blessed by our three children who have all grown to be wonderful, responsible and talented adults. Professionally I am honoured to have been an integral part of Pindara Hospital for just on 25 years. I am proud of the hospital and the growth in the hospital complex as well as the quality of care provided. I take my roles on hospital committees seriously and am honoured to be the chair of our day surgery facility at Pindara Day Procedure Centre as it embarks on 20 years of service for the Gold Coast.
What has practising medicine taught you about your own life and how you live? Practising Obstetrics and Gynaecology has taught me the importance of family and the essential components of never compromising on outcomes but working within a system that allows you to have time for your own health, own family and leisure time.
What do you find most difficult/ disappointing/frustrating about your work? On the flip side the most difficult or disappointing aspect of my career are the few times that the medical odds have stacked up against someone and despite all our IVF work and other assistance I have fallen short of helping a woman achieve motherhood. Human reproduction is amazing and complex but occasionally success eludes us and this is heart breaking. What are the essential traits of a good gynaecologist and obstetrician? You need to be caring, empathetic, decisive and technically highly skilled.
What kind of music would we find on your iPod? My music tastes are inflicted upon my patients in the operating theatre and the staff who work with me. The music varies from the B’s of The Beatles, Bee Gee’s and Buble through to Crowded House, INXS and the music I grew up with at university and beyond.
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BABY LOVE Check out these brand new products which are designed to ensure that you and your new baby get the best start possible.
Rashoodz Full Length Rashie and Hat Milton Ashby Monochrome Heart Teether This all natural teether is made in Australia and is the perfect size for an infantâ€™s small hand to grasp. The moving beads will keep them engaged, even if they donâ€™t yet know their fingers are their own. The body is made from beech wood and finished with Livos natural oil, giving a satin gloss finish. The beads are coated in quality Resene stain and water based varnish plus because they are made from real wood, no two are alike.
www.miltonashby.com.au RRP: $35
Haakaa Breast Pump Milkbar Breastpumps specialises in high-quality breastpumps, breastfeeding accessories and baby essentials for mums who want to feed in style. As mothers ourselves, we know how important it is that you are able to care for and nourish your little one with confidence. We are committed to providing you with trusted and high quality products that support and nurture the special bond between mother and baby.
www.milkbarbreastpumps.com.au RRP $29.95
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www.rashoodz.com.au RRP $69.99
Tuutu Baby Box
Itchy Baby co. Starter Pack The Itchy Baby co. has just released its new starter pack comprising all natural products designed to target itchy, dry and sensitive skin on your baby. The starter pack includes the most popular products from our three-step, pharmacist developed, skincare routine which will give your child every chance of experiencing healthy skin. The pack includes;
With long sleeves and legs plus an attachable hat with clips, your baby or toddler will never lose their hat again. The UPF50+ protection means that it will keep your babies delicate skin safe from the sun while the nappy clips allow for easy nappy change or quick access for toilet training. The amazing quality of our swimsuits, which are all chlorine resistant as well, will leave you convinced that you will never buy any other brand again.
1 x natural oatmeal bath soak 1 x natural oatmeal bath soak with marshmallow root 1 x natural oatmeal moisturiser with organic coconut 1 x natural oatmeal face mask with vitamin E
www.itchybabyco.com.au RRP $59.00
Tuutu Baby Boxes are a sustainable, organic and eco-friendly sleeping space for your baby. They are made in Australia from Australian cardboard and everything from the packaging to the accessories are carefully selected to ensure your baby benefits from natural and organic products. All products are gender neutral and suitable for boys and girls.
www.tuutu.com.au | RRP $129-$269
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LaVie Lactation Massager
Sleepy Hugs Sleep Suit
Milkbar Breastpumps is thrilled to launch LaVie Lactation Massager, the first tool designed to relieve clogged milk ducts. The massager is made from medical grade silicone, is BPA free, soft on the skin, easy to hold and has multiple vibration modes. It can also be used in the shower as it is waterproof and can be recharged via USB. The gentle vibrations help to break through the blocked ducts and is a proven technique for improving and restoring milk flow. If symptoms persist please consult your GP.
The Sleepy Hugs sleep suit gives comfort and security to your baby when they have outgrown or dislike tight swaddling, allowing them to sleep deeper, for longer. Made from soft, natural, breathable organic cotton, the Sleepy Hugs sleep suit has fully enclosed arms which helps prevent scratching and is great for eczema. The wide-sack design makes it hip-friendly and fits a hip dysplasia brace. It has a top zipper cover to protect delicate skin and a bottom opening zipper for easy nappy changes.
www.milkbarbreastpumps.com.au RRP $39.95
www.babylovessleep.com.au RRP: $59-$64
What began as a desperate effort by a father to cure his son’s eczema has become one of Australia’s most touching success stories. Grahams Natural was founded by Geoff Graham who, after suffering a lifetime of eczema, discovered that he had passed down the skin condition to his son, Ryan. Dissatisfied with the products on the market such as toxic steroid treatments, Geoff along with his wife Shannon, spent years researching and sampling their own mixtures of all-natural, raw materials until finally they formulated a natural eczema treatment.
www.itcy.net.au | 50g RRP $18.95
Stop the Leaks Did you know that 1 in 3 women suffer incontinence and that 87 percent of all women don’t seek help for their problem? Another misconception is that most people think it is an issue affecting women only after child birth but this is most definitely not the case. Adding to the mix of the diverse range of women dealing with this problem is that 30 percent of athletes suffer SUI (or stress induced urinary incontinence) with gymnastics and basketball rating the highest. Even more staggering is the news that women spend around $390 a year on pads to manage SUI. Now a revolutionary feminine hygiene product which stops bladder leaks and assists weak pelvic floor muscles has just been released. Confidant is an innovative new product which stops the symptoms of SUI in women. Easy to use, discreet and allows women to regain their confidence and decreases the anxiety about potential bladder leaks. Confidant can be used during times of exercise or if you require further support during your daily life. It can be used for up to 24 hours until it needs to be removed and washed. Users can go to the toilet as usual.
Grahams Natural Skin Eczema, Psoriasis & Dermatitis Relief
Someone who is a passionate advocate for the benefits of Confidant is Fitness Superwomen, Caitlin Langford. “It is my secret weapon. It’s basically like a little bladder support device. I first started using one of these after my first bub, under the guidance of my physio. I had bladder prolapse post baby and it was awful,” said Caitlin. “In the scheme of prolapses, it wasn’t that bad, but for a runner, it was pretty much the worst thing that could happen. Now I have my confidence back and I love using it for lifting, squatting, deadlifting and Olympic lifts. Those are the movements which are really heavy on the core and pelvic floor.” The founder of Confidant, is Aasha Venning, a 40 something Mum of two who outlines the reasons for her new product. “I founded Confidant after my own struggle with pelvic floor dysfunction and the realisation that there are better alternatives to the padding problem. After the birth of my second child, now who is now seven years old, I was not able to engage in high
impact physical activity without suffering light bladder leaks. It was possibly one of the most shameful and devastating things that happened to me after childbirth. I had done all the usual pelvic floor exercises and still the issue was not resolving itself. Did you know that just under 50% of women who exercise leak? This is a common issue that no one talks about and people simply pad the problem.” When not in use, Confidant can be stored in a storage container that fits into your handbag or gym bag and it has been specifically designed in three sizes.
confidant.com.au | RRP $49.95
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trials & tribulations 0f Kim Frost talks about the long and difficult journey she and her husband Michael took to create a new life.
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4. Any helpful advice you could pass on to a couple about to begin IVF?
1. How long before you turned to IVF to try and start a family? It was pretty fast. We tried naturally for about four months but when we decided to start trying IVF we never imagined this road. We were thinking that I might fall pregnant even before our wedding date so when it didn’t happen naturally we sought advice and then started down IVF. 2. It can be an emotional and financial toll, did you find this? We just had no idea and really just rolled with the punches because once you start IVF it’s really hard to stop. We had the attitude of ‘whatever it takes’ but trying to make a baby is difficult and no matter what you do, the results are out of your hands. We also tried every trick in the book beside IVF. Every modern theory or old wives tale was tried - I think I’ve taken every lotion and potion possible. We endured a lot of hurdles and heartache but after every failed attempt and negative blow that was dealt to us we asked ourselves what we can do differently next time.
3. How long did it take before you were pregnant? So many people doing IVF can tell you every nitty gritty i.e. how many egg collections, how many embryos they had, how many needles. For us we focused on the positives and kept that definition of insanity which is doing the same thing over and over and expecting a different result. We aligned ourselves with experts that also believed in trying new things each attempt. Eventually little Bronte was conceived after more than three years of nonstop trying.
No one starts IVF as their first choice to make a baby but I would say two things. Firstly, try and do all appointments as a couple. IVF is of course a fine tuned science with so much to take in so if there is two of you there to share the load it helps take the pressure off the ‘Mum to be’. We both attended every single appointment together and there were literally hundreds. Secondly, really do your homework on the specialists in this field. Make sure the doctor is purely a fertility specialist. Keep a positive attitude, be prepared for disappointments and never give up. 5. When you gave birth to Bronte – what were some of the things you can remember about your experience with medical and nursing staff? The joy of falling pregnant was short lived. You would think after the long road we were on that the pregnancy would be the easy part. I was put on bed rest from week six and then was in and out of Pindara for nearly five months before Bronte arrived seven weeks early. We had been referred to Dr Suhad Hassan as our obstetrician. We will be forever grateful to Dr Hassan for her care and attention to my needs and conditions and so thankful that we were referred to her. The nurses and midwives are all fantastic but all the staff including assistants, caterers and cleaners help make the maternity ward great. The special care nurses based in the nursery are like angels sent from heaven.
6. Describe the emotions you both experienced when you found out that you were pregnant? A mixture of disbelief, nervous excitement and relief. The best reaction was from Paddy, Michael’s 10 year old son from his first marriage. We gave him the scans to look at and he was analysing them and then turned to us and spelt out B-A-B-Y with the biggest smile on his face. It was a really magical moment. 7. What is the most surprising thing you have discovered about yourself as a new mother after your IVF journey? It’s not surprising but the instant unconditional love for Bronte and the amazement that I nurtured something so perfect inside me for all those months. I was still so nervous at time of delivery that the anaesthesiologist kept reminding me to smile. Michael is already an awesome dad but to watch his love for Bronte just melts my heart. He has been getting her nursery ready - painting walls, ordering art work, and of course already buying her the best of everything. Paddy is in love with his little sister and it’s like they are connected by some sixth sense. Bronte has completed us as a family. Pindara Magazine | 67
HEALTH & BEAUTY
HEALTH + BEAUTY
Mess No More
Here it is - the gadget all polish addicts and nail art enthusiasts have been waiting for, the genius solution to help eliminate those messy nail polish spills. Introducing the original wearable nail polish holder, tweexy. Be it on your bed, in a chair, at the beach, out walking or in your car, this revolutionary gadget will allow you to take polish anywhere. tweexy securely and comfortably fits all fingers and holds all different types of nail polish bottle sizes and shapes yet is small enough to fit in a makeup bag.
Things Are Hotting Up
Get ready for beach days and sizzling nights, as Bras N Things turn up the heat with the launch of the Blue Ruby SS17 Swim collection. Designed in Australia by the highly acclaimed Josie Iemma and exclusive to Bras N Things in store and online, the Blue Ruby Swim collection features bold statement pieces, sexy lines and fun tropical prints.
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HEALTH & BEAUTY
Best Foot Forward
Many Australians often choose fashion over fit when it comes to their footwear. According to the Australian Podiatry Association, footwear materials and shape are the biggest factors associated with shoe discomfort. On a mission to remedy this age-old affliction, all natural Australian company, Blister Balm, have created the ultimate spot-relief balm to combat shoe chaffing. Blister Balm’s unique waxy formulation is applied to high-friction areas of the feet, in order to ease discomfort, protect from infection and repair skin.
Cleansing one’s skin can be somewhat of a chore but Nerium International brings a refreshing, two-in one approach to facial cleansers with new, Double-Cleansing Botanical Face Wash (RRP $50). This lightweight facial cleanser transforms from a nourishing oil to a light lather with the addition of water, removing both makeup and impurities, leaving behind soft, smooth, comfortably clean and hydrated skin.
Stoned Crystals is the world’s first Natural Crystal Décor Line for the home and workspace. The collection has made a huge splash in the interior scene offering something that tests the conventional use of crystals by making them more accessible. These beautiful organic and tactile objects release the mind from the mundane reactions we have to other objects we pick up.
The NEW K- PROPRIUM line from SKINS are serious tights for serious athletes. They combine premium compression tech with built-in Proprioceptive Power Bands to boost your body’s natural proprioception and power up your performance like never before. Other benefits include an ergonomically shaped waistband that supports and stabilises the lower abdominals and lumbar spine. Also the new ADAPTIVE Technology keeps you feeling warm when it’s cold and cool and dry when it’s hot while the new bonded hems won’t dig into your ankles.
The introduction of Body Wash by Liquid Skin Care (Lqd®) is a continuation of the company philosophy of scientifically advanced, non-irritant products that are designed to deliver. Most body washes contain ingredients such as sulphates and parabens that exacerbate conditions such as rosacea, dermatitis and eczema. Three years of stringent testing in the U.S means that Lqd Body Wash is one of the purest products on the market for sensitive skin. Benefits come from the elimination of all known irritants.
Tea for You
As a nation of coffee addicts, it’s often considered refreshing to forego a cup of java for a therapeutic cup of tea. Tea – served hot or cold – has been found to promote a number of health benefits, including a greater intake of antioxidants, stronger bones, improved digestion, better oral hygiene and a reduced risk of heart attacks and strokes. The Yarra Valley Tea Co. have reinvented the traditional cuppa with their innovative range of certified organic, functional tea blends to assist with digestion, concentration, sleep, energy, relaxation and detoxification.
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ARTS & CULTURE
WHERE ART MEETs LIFE On 6th February The Arts Centre Gold Coast unveiled its new name and new look. Welcome to HOTA, Home of the Arts.
Surrounded by parklands and a lake with Surfers Paradise as the backdrop, HOTA, Home of the Arts is your place for live performances, lakeside strolls, star-gazing, cinema-watching, art and new-ideas. There’s a unique outdoor stage for live events and a refreshed cafe for relaxing and connecting. Plus, all your favourites, like cinemas, theatres and gallery. Discover art—indoors and out. HOTA is that kind of place—where art meets life.
Tim will be followed by a line-up of internationally renowned acts, including classic pop from master craftsman Neil Finn and multi-award winner and pioneer Laurie Anderson in residency. The Concert for the Planet will turn the Gold Coast into a classical music soundscape and see our good friends from Bleach, in a return season of The Spirit of Churaki, as well as the QSO performing live on stage under the stars.
Real events, real people, real experiences
Community, conversation and creativity
To kick things off, HOTA presents a night with the irrepressible Tim Minchin on March 17, in his first Australian concert in years. It’s a rare opportunity to see this brilliant showman and it’s free. To get tickets, sign up to the HOTA ENews before 2am Thursday 8th February (tick to receive emails from HOTA and tick to receive the Fortnightly E-News). At 9am on Thursday 8th February, you will receive an email with a link to reserve tickets.
HOTA’s brand-spanking new outdoor stage is like no other. It’s at the heart of HOTA and will be a magnet for world-class artists. We believe in community, conversation and creativity, so when we’re not presenting amazing live performances, we’ll bring the parklands alive. Experience dance or yoga on the green, parkrun around the lake and our popular Sunday farmer’s markets, all in one place.
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Create, watch, learn, do. Be. We’re now the home to the Gold Coast Film Festival, and are working with The Farm, Bleached Arts and The Walls. We offer freedom, space and time to make something different. And there are more opportunities to come. HOTA is the home for all things creative. A home that brings people together where ideas are transformed into real life experiences. A place where art makes the world a better place.
Our future is bright We’re building momentum for a richer, deeper arts and culture experience for the Gold Coast. There’s so much more to come at HOTA, Home of the Arts.
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Seafolly Australia Sahara Nights Cap Sleeve Maillot $189.95 Available at Sunburn Marina Mirage www.marinamirage.com.au
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Milea Desert Rose Tri Sarong $139.95 Milea Desert Rose Balconette Bra $129.95 Available at Sunburn Marina Mirage www.marinamirage.com.au
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luxury NOOSA ESCAPE
’ve been visiting Noosa since I was a Melbourne schoolgirl escaping the winter cold with my family. I’ve lost count of how many times I have been here, but one thing is for sure, I never tire of coming back. But why? What is it about Noosa specifically? If you have never been, Noosa Heads is a little seaside cove accessible by one road with the Noosa National park at the end of the main street. It has the feel of being on the French Riviera or Italian Riviera. There is a poise and class about this location that makes you feel special when you visit. The main thoroughfare, Hastings Street, has an elegant little village feel, and once you arrive and park the car, you can forget about driving for the rest of your stay. When I’m on holidays, sometimes it is nice to just park the car and park yourself. Where to stay for me is anywhere on Hasting Street. It means everything worth visiting is within walking distance. I’ve stayed in quite a few but my absolute favourite is Seahaven Noosa Resort located on Hastings Street and backing onto the beach. A little out of the hustle and bustle, (which can get crazy in peak season), but you are removed from the “day trippers” and the crowds. It’s only a short walk down towards the Surf Club if you have young ones and want to swim between the flags.
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Seahaven has modern, large style apartments with plenty of space and three swimming pools ideal for an afternoon dip or a lazy day hidden under one of the umbrellas. Yes, it can be pricey but if you aren’t restricted to peak times there are great deals available. If your budget won’t stretch to the beachfront, the other side of the street is still a great location and often half the price. My suggestion would be Mantra French Quarter, a great family resort with a newly refurbished pool area. Dining while in Noosa is another delightful treat. You can go full budget cheap eats and have pizza or fish and chips sitting on the beach or in your hotel. Lots of people seem to do this and, hey, why not, particularly at sunset. One of my favourite places to eat in Noosa is Nosh, about half way down Hastings Street. Really great fish and chips and they also have a huge selection of delicious, fresh salads. Others include The Bakery in the same location which does great bread, cakes and pies so is perfect for a quick snack. Blended, is a little further up the street, and makes the most amazing Acai Bowls. Staying on the healthy theme, Coconut Head down near the National Park looks like a pop up store but is definitely here to stay. Try their in-house, fermented drink called Juno – it’s ideal for cleansing. Another place to try is Providore on Hastings, a modern café with excellent coffee, snacks and great gourmet groceries, take away meals and even meats for the barbeque. For something a bit special, my number one restaurant is Seasons (under the Tingirana Hotel on the beach). It specialises in fresh, local seafood and is the perfect place to enjoy a five star meal with a matching view. Try the seafood antipasto. I have tried many other things on the menu but as a seafood lover this really is to die for. Other outlets to sample are El Capitano for the pizza or the European street style eating at Aromas where the chairs face the street so diners can watch the passing parade. Now that you have sipped and supped it’s time to work off some of that indulgence. You cannot visit Noosa without a trip to the National Park. Start just past Little Cove and take the cliff walk around the coast line to the headland all the way to Sunshine Beach. Care is needed on the second half especially with children. A bit tricky to find, but well worth the effort, are the Fairy Pools in the National Park, roughly a 20 minute walk from the entry to the park. There is no sign, however you often see people from the path sitting on the rocks up high. Once you know where they are, you will return time and time again.
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After a visit to the National Park and a quick dip at Little Cove it’s time to hit the shops. The great thing about shopping in Noosa is that there are many unique boutiques here. Brand staples like Gazman, Tigerlily, Peter Alexander, Witchery and more, but my favourites are some of the long standing boutiques. For homewares, Signature has been in business for 26 years and holds a treasure trove of magnificent items for your home from candles and knick-knacks, to throws, towels and blankets. The owner Gail Hinkley is renowned for her unique coastal style. For other home treasures try Hearts and Minds Gallery with great jewellery, mostly locally handcrafted, artworks, cards and books. On the clothes side you have Longboards and Sea Element for casual beachwear. Bow and Arrow has labels such as Alice McCall, Nobody Denim and Karen Walker. A ‘must stop’ shop is Eliza’s boutique. I passed it by at first because it is tucked away and tiny but make sure you find it. Eliza herself is likely to greet you and with her wonderful stylists will help you find treasures for your wardrobe. She stocks many of the latest fashions from Europe which are only available in her quaint store. The thing that keeps me coming back to Noosa is that I can completely stop, relax and take things at my own pace. Whether you choose to just lay on a lounge chair by the pool and not move for the day, or venture out on an unhurried walk, you leave Noosa feeling like you have travelled to a European resort. It’s my little pocket of heaven for recharging the batteries and sends me into relax mode from the minute I drive over the hill and see the beach in front of me.
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SUBLIME CHOICES: DB11 NOW OFFERED WITH V8 ENGINE
roducing 510PS (503BHP) and 675Nm of torque, the V8 engine’s potency is beyond question, propelling the DB11 from 0-62mph in just 4.0sec and on to a top speed of 187mph. This exceptional performance is matched by impressive efficiency: CO2 emissions of 230g/km1 and an EU Combined fuel economy figure of 28.5mpg. This new V8 derivative brings further significant benefits in markets where car taxation policy is structured around engine capacity, such as China. Aston Martin Chief Technical Officer, Max Szwaj, commented: “As an engineer I find the DB11 a fascinating car. One with great depth of character and ability. Of course the V12-engined variant is an icon - an ultimate, if you like, but the V8 is very much its own car. One with a distinct and carefully crafted character that’s truly seductive. It has been hugely rewarding to put our stamp on this new engine - both in the way it sounds and performs - and to use its impressive attributes as the impetus to reveal a little more of the DB11’s sporting character. To be able
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After its successful global introduction in 2016, Aston Martin’s definitive GT - the acclaimed DB11 - is now available with a 4.0-litre twin-turbocharged V8 engine. Perfectly complementing the DB11’s existing 5.2-litre twin turbocharged V12 engine, this new power plant has provided the opportunity to reveal more of the DB11’s sporting character, while expanding its global appeal with a combination of exceptional performance and improved efficiency.
to offer not one, but two exceptional GT cars is terrific for Aston Martin and our customers. I’m particularly proud that this car is the first to receive an engine supplied by our technical partner, Mercedes-AMG. Not least because thanks to the nature of our relationship with AMG we have been given complete freedom to tailor this exceptional power unit so that it meets the particular needs and demands of an Aston Martin.” The inherent qualities of this light, compact and characterful power unit make it the ideal choice to sit alongside the existing V12 engine. Aston Martin’s engineering team has tailored the V8 engine perfectly for its application in the DB11 with bespoke air intake, exhaust and wet sump lubrication systems. Electronic calibration of the V8 engine has included creating new ECU software and reprogramming the engine and throttle mapping to ensure it possesses the allimportant feel and sound for which Aston Martins are renowned.
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With its rich reserves of effortless performance, the V12-engined DB11 already fulfils the role of consummate high-performance luxury Grand Tourer. This provided the ideal opportunity to explore the more dynamic side of the DB11â€™s character and capabilities with the V8-engine option. To this end Aston Martin engineers designed new engine mounts, which together with the bespoke, slimline wet sump system enables the V8 to be mounted as low as possible for an optimised centreof-gravity. The V8 engine is also lighter and more compact than the V12, which contributes to a saving of 115kg and a kerb weight of 1760kg. With more of that mass centred within the wheelbase, the V8-engined DB11 has an increased sense of agility - a quality that has been fully exploited with detailed revisions to the suspension bushing, geometry, anti-roll bars, springs, dampers and ESP software. By carefully crafting its dynamic character to be distinct from that of the V12, the V8 appeals to those customers drawn to a refined and comfortable GT with a more sporting bias. There are subtle visual differences between the two variants that include a unique alloy wheel finish, dark headlamp bezels and a pair of bonnet vents instead of the quartet featured on the V12. These vents come in a choice of black or titanium-finish mesh, again different from that fitted to the twelve-cylinder variant.
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Inside, both V8 and V12 customers have the same standard equipment levels and the same extensive choice of colour and trim options. They can also elect to enhance the specification of their car via the same Option Packs and Designer Specification packages, plus a suite of Q by Aston Martin - Collection options. Aston Martin President and CEO, Dr Andy Palmer said of the V8-engined DB11: â€œThe DB11 is the most complete and sophisticated car Aston Martin has ever made. Now, with this new V8 engine option we have broadened its appeal by offering a car that will bring the DB11 to more customers around the world while still blessed with the exceptional performance and memorable character that sets Aston Martin apart from its rivals. Having driven the car during its development phase, it is not just the engine that has changed the character of the car, but also the resulting dynamic changes to create a remarkable GT car with its own distinct personality from the V12.â€? In October 2017, Aston Martin also announced a new chapter of the Aston Martin convertible, revealing the all-new DB11 Volante, setting new standards of performance, innovation, engineering and style to create the definitive open-top Sports GT. The DB11 Volante is also powered by a 4.0-litre twinturbo 510PS V8 engine.
ISSUE 12 | 2018
Raise your limits. 720S
McLaren Gold Coast T +61 (0) 7 5509 7110 goldcoast.mclaren.com
Please contact Brand Ambassador Mr James Read on +61 (0) 412 653 624 Official fuel consumption figures in UK mpg (l/100km) for the McLaren Super Series 4.0L (3,994cc) petrol, 7-speed Seamless Shift Dual Clutch Gearbox (SSG): urban 17.1 (16.5), extra urban 38.2 (7.4), combined 26.4 (10.7). Official combined CO2 emissions: 249g/km. The efficiency figures quoted are derived from official NEDC test results, are provided for comparability purposes only, and might not reflect actual driving experience.
gizmo Guide Check out the latest selection of cool gadgets, brought to you by Harvey Norman, Bundall.
Michael Kors Access â€˜Sofieâ€™ Smartwatch Customise your smartwatch with your own photos Smart notifications Activity tracking Interchangeable straps
Xbox One X 1TB Console This is what true power feels like. With 40% more power than any other console, the Xbox One X is a force to be reckoned with. Enjoy intense graphics, fast load times and fluid gameplay.
Crash Test Stop worrying about dropping your new iPhone 8 thanks to tech21 and the launch of its new and enhanced protective range of cases and screen shields for iPhone 8, iPhone 8 Plus and iPhone X. Using a unique threelayer impact absorption system and its proprietary material, FlexShockâ„˘,
Navman Drive Duo Dash Cam and GPS The ultimate two-in-one for your car. A dash cam and GPS in one, the Drive Duo features a 1080p Full HD camera, as well as Premium Driver Alerts, 3D Landmark Guidance and Spoken Safety Alerts.
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tech21 cases are designed to protect drop after drop. Each innovative design is subjected to rigorous testing with cases drop tested 20 times, ensuring durability and long-lasting protection so that users can drop more and care less.
Ring Video Doorbell 2 High definition recording to capture every detail. Durable design built to withstand outdoor weather conditions. 2-way talk, instant mobile alerts, live view on demand and adjustable motion sensors.
ISSUE 12 | 2018
Google Home VoiceActivated Speaker Get answers from Google Enjoy your music Manage everyday tasks Control your smart home Google Home* is powered by the Google Assistant. Ask it questions. Tell it to do things. Itâ€™s your own Google, always ready to help. *Requires Wi-Fi and a compatible device.
GoPro Hero6 Black Edition
12 megapixels 2â€? touch display 4K video at 60 f.p.s. 30 f.p.s. burst Voice control Advanced video stabilisation Built-in Wi-Fi and Bluetooth technology
LittleBits Star Wars Droid Inventor Kit Now your kids can create their very own Droid and bring it to life with littleBits! Comes with everything they need to build and control Droids like the iconic R2-D2â„˘, plus stickers and other accessories.
DJI Mavic Pro Fly More Combo Boasting an impressive obstacle avoidance system, you can take to the skies and shoot incredible 4K videos while accurately avoiding obstructions. Coupled with state-of-the-art Follow Me mode and fold away propellers for portability, the Mavic Pro is the ultimate Adventurerâ€™s drone. Combo includes aircraft, 1 remote controller, 1 propeller guard set, 2 batteries, 1 battery charging hub, 1 16GB MicroSD card and a shoulder bag. In Red.
FitBitÂŽ IONICâ„˘ Smartwatch
Dynamic personal coaching Store and play 300+ songs Built-in GPS Access to popular apps 4 day battery life
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Quadrifoglio A rare mix of stunning good looks coupled with wonderful performance
In 1923, legendary Alfa Romeo race car driver Ugo Sivocci wanted to break a string of secondplace finishes. To prepare for the legendary Targa Florio race in Sicily, he painted a white square with a “Quadrifoglio”, or four-leaf clover, on the front of his Alfa Romeo RL Targa Florio. He finished in first place. In the same year, Sivocci was track testing a new car that didn’t yet bear his lucky symbol. Tragically, he crashed and lost his life thus a legend was born. This marked the beginning of a tradition: all future Alfa Romeo race cars would bear the four-leaf clover on a white triangle —the Quadrifoglio was also used to designate high performance Alfa Romeo street vehicles like the 1963 Giulia TI Super, the 1965 Giulia Sprint GTA and now, the Giulia Quadrifoglio. The revered cloverleaf on the sculpted fender serves notice of the Giulia Quadrifoglio’s caliber: 375 kW generated by an all-new 2.9L Bi-Turbo direct-injection V6, amplified with performance enhancing torque vectoring, Alfa patented sport suspension and Alfa DNA Pro with Race Mode. Race-ready leather Alcantara seats, 19-inch forged wheels, a carbon fibre rear spoiler and an active aero front splitter all add to the Giulia Quadrifoglio experience. Clearly, this is an Alfa Romeo that doesn’t take the word legend lightly.
EXTERIOR The exterior design of the Quadrifoglio amplifies the design of the Giulia by accentuating performance enhancing elements. From the side the Quadrifoglio badge is immediately noticeable as well as the deep gouge in the side that originates from behind the front wheel arch. The Quadrifoglio also rides on light weight 19-inch forged alloys that are wrapped in bespoke Pirelli P Zero tyres. The carbon fibre side skirts are integrated into the body surface. Lastly, the car features six-piston red brake calipers at the front and four-piston red brake calipers at the rear. The front fascia features an aggressive aero treatment
including brake cooling ducts, aero curtain slits as well as a carbon fibre Active Aero Splitter. The bonnet also features heat extractors. The rear of the vehicle is highlighted by a carbon fibre spoiler and a wider, more aggressive rear bumper with a diffuser that wraps around the quad tipped Monza dual mode exhaust system.
INTERIOR Like the exterior, the interior of the Giulia Quadrifoglio is adorned with performance focused materials and design elements such as a red starter button, contrast stitching, leather and Alcantara finishes and carbon fibre trim. The standard sport design leather front seats feature 8-way electric adjustment with power bolsters while the deeply sculpted leather and Alcantara rear seats are designed to accommodate two occupants.
HANDLING & DYNAMICS Australian versions of the Giulia Quadrifoglio are equipped with an 8-Speed Automatic gearbox as standard and manual shifting can be achieved via the column mounted aluminium shift paddles. The small diameter steering wheel with integrated starter button is trimmed in leather with stitching in either red or black, dependent on choice of interior upholstery. An optional steering wheel trimmed with carbon fibre inserts and Alcantara fabric is also available as an option. A new eight-speed automatic transmission, linked to the Alfa™ DNA Pro, makes its debut on the new Giulia Quadrifoglio. The transmission is specifically tuned to deliver a comfortable and efficiency-oriented drive when the car is in Natural and Advanced Efficiency mode while still providing exhilarating responsiveness and driver control when in Dynamic mode and Race mode. The driver can choose to shift manually via the selector or steering column-mounted paddle shifters.
The Giulia Quadrifoglio has an unladen weight of 1,524 kg and a weight-to-power ratio of 4.0 kg/ kW. These extraordinary results were achieved by extending the use of carbon fibre to the roof, bonnet, front splitter, rear spoiler and side skirts. The weight of the Quadrifoglio variant can be reduced further by selecting the available carbon ceramic brake discs and Sparco seats with a carbon fibre rear structural frame. It also features double wishbone front suspension with semi-virtual steering axis developed to guarantee rapid, accurate steering. The caster trail is kept constant in corners and can tackle high lateral accelerations as a result of its always perfect footprint. The rear axle features the Alfalink four-arm layout with an Alfa Romeo patented solution for toe adjustment, to ensure the best performance and comfort. The Active Suspension system continuously adjusts the suspension dampers reducing body movement in all driving conditions. It interacts in real-time with the Chassis Domain Control module and with the Alfa DNA Pro and calibrates its action according to the mode selected. A solenoid valve modifies the hydraulic flow inside each shock absorber, changing the damping characteristics of the suspension setup. The solenoids are wired to the controlling computer which sends them commands depending on the control algorithm. When the DNA is in the ‘Dynamic’ or ‘Race’ driving position, the active damping system maximizes the stiffness. The stiffness is reduced with the ‘Natural’ and ‘Advanced Efficiency’ driving modes. Making its global premier on the Alfa Romeo Giulia, an innovative new electromechanical braking system combines the stability control system and traditional servo to improve brake responsiveness, lower weight, reduce pedal vibrations of the ABS system and make recordbreaking stopping distances possible: 100km/h to a standstill in just 32m. Breathtaking is a word most often used to describe this stunning new addition to the Alfa Romeo garage. Beautiful in appearance, easy to drive and blessed with Alfa’s stunning handling and performance, this is a car begging to be driven.
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At the movies We round up the best flicks hitting cinemas this season.
IN CINEMAS SOON TombRaider.com.au
Fifty Shades Freed Stars: Dakota Johnson, Jamie Dorman, Kim Basinger In cinemas February 8th Jamie Dornan and Dakota Johnson return as Christian Grey and Anastasia Steele in Fifty Shades Freed, the third chapter based on the worldwide bestselling “Fifty Shades” phenomenon. Expanding upon events set in motion in 2015 and 2017’s blockbuster films that grossed almost $950 million globally, the new installment arrives for Valentine’s Day 2018.
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Marvel Studio’s Black Panther Stars: Chadwick Boseman, Michael B. Jordan, Lupita Nyong’o In cinemas February 15th “Black Panther” follows T’Challa who, after the death of his father, the King of Wakanda, returns home to the isolated, technologically advanced African nation to succeed to the throne and take his rightful place as a king. But when a powerful old enemy reappears, T’Challa mettle as king – and Black Panther is tested when he is drawn into a formidable conflict that puts the fate of Wakanda and the entire world at risk. Faced with treachery and danger, the young king must rally his allies and release the full power of Black Panther to defeat his foes and secure the safety of his people and their way of life.
Tomb Raider Stars: Alicia Vikander, Walton Goggins, Hannah John-Kamen In cinemas March 15th Lara Croft, the fiercely independent daughter of a missing adventurer, must push herself beyond her limits when she finds herself on the island where her father disappeared.
3 x $50 movie gift cards to be won thanks to Event Cinemas!
ISSUE 12 | 2018
IN CINEMAS SOON
©2018 Warner Bros. Ent. All Rights Reserved
SEE IT IN 3D & 2D
Ready Player One
Voiceover stars: Daisy Ridley, Margot Robbie, James Corden
Stars: Jennifer Lawrence, Joel Edgerton, Jeremy Irons
Stars: Tye Sheridan, Olivia Cooke, Hannah John-Kamen
In cinemas March 22nd
In cinemas March 1st
In cinemas March 29th
Peter Rabbit makes the jump from beloved storybook character to the big screen in this irreverent, contemporary comedy with attitude. Peter’s feud with Mr. McGregor (Domhnall Gleeson) escalates over both the vegetable treasure in McGregor’s forbidden garden and their rivalry for the affections of the warm-hearted animal lover who lives next door (Rose Byrne). James Corden voices the character of Peter delivering a delightfully entertaining mix of mischief, adventurous spirit, and charm, with Margot Robbie, Elizabeth Debicki, and Daisy Ridley performing the voice roles of the triplets, Flopsy, Mopsy, and Cotton-tail.
When she suffers a career-ending injury, Dominika and her mother are facing a bleak and uncertain future. That is why she finds herself manipulated into becoming the newest recruit for Sparrow School, a secret intelligence service that trains exceptional young people like her to use their bodies and minds as weapons. After enduring the perverse and sadistic training process, she emerges as the most dangerous Sparrow the program has ever produced. Dominika must now reconcile the person she was with the power she now commands, with her own life and everyone she cares about at risk, including an American CIA agent who claims he is the only person she can trust.
When the creator of a virtual reality world called the OASIS dies, he releases a video in which he challenges all OASIS users to find his Easter Egg, which will give the finder his fortune. Wade Watts finds the first clue and starts a race for the Egg.
TO WIN: Email email@example.com with EVENT CINEMAS in the subject line. Include your contact details. Terms and conditions: This competition closes on the 15th March 2018. Pindara Magazine reserves the right to verify the validity of entries. One entry per person for this competition.
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Find yourself a cosy spot and curl up with this season’s top reads.
Wednesdays With Bob
The Stolen Marriage
Derek Rielly and Bob Hawke
On Wednesdays, this past year, the longest serving Labor prime minister has welcomed writer Derek Rielly into his home for animated conversation and indecently fine cigars. At 87, beloved former PM Bob Hawke reflects on a colourful life.
A heart-warming story by the world’s favourite storyteller, Danielle Steel. Past Perfect is a spellbinding story of two families living a hundred years apart who open the door to an unimaginable friendship.
Set in the 1940s a young woman marries a mysterious stranger and moves with him to North Carolina. Trapped in a loveless marriage she must unravel her husband’s secrets and win over a hostile community in this gripping mystery.
This Was a Man
Danger Dolan Countdown
Guinness World Records 2018: Amazing Animals
The seventh and final captivating instalment of the Clifton Chronicles from master storyteller Jeffrey Archer opens with a shot being fired, but who pulled the trigger, and who lives and who dies? Endless plot twists in Jeffrey Archer’s inimitable style.
The Australian YouTube phenomenon presents some of his coolest - and weirdest - epic countdowns gathered from his weekly web show. From the creepiest places in the world to the most useless body parts, find it all in Danger Dolan’s new book.
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If you’re a fan of Grumpy Cat or Biddy the Hedgehog and just can’t resist every fascinating nature story you see on the web, then it’s time to get your paws on this book - the purr-fect book for every animal-lover.
ISSUE 12 | 2018
One More Song
The Bogan Bible
Whether you’re vegetarian, vegan, or just trying to cut down on meat, veggie burgers make a tempting, filling meal. Martin shares recipes packed full of flavour with everything you need to make the perfect plant-based burgers and sides at home.
City boy Harrison Baxter and country girl Edwina Campbell lead completely different lives. When they bump into each other on one of Harry’s flying visits home, their instant mutual attraction seems as pointless as it is intense. Can they find a way to be together?
Bogans - those outrageous and fun-loving Aussies - are everywhere. They have been walking the earth since the days of The Sphinx (check the mullet) and Christianity (long-hair and thongs). This is the ultimate guide to the great Aussie larrikin.
The Reality Checkup
Pub Yarns - The pub, the whole pub, and nothing but the pub
Sea of Strangers
Dr. Andrew Rochford
Written for men of any age, Dr. Rochford covers the most common concerns of all men including exercise, diet, sleep, work, sex, stress, mental health and body image. A frank and straight-to-the-point guide for the modern man.
Colin covers the history, characters, drinking culture and stories of 50 Australian pubs across South Australia, Victoria, New South Wales and Queensland.
Sea of Strangers invites you to go beyond love and loss to explore themes of self-discovery as you navigate your way around the human heart. Lang Leav’s evocative love poetry speaks to the soul of anyone who is on this journey.
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Pindara CHRISTMAS Starry Night Cocktail Party The stars certainly came out to play at Pindara Hospital’s Christmas party. Around 300 associates and supporters of the hospital attended the annual festive season get together in The
Pavilion at The Star Gold Coast. The theme was Hollywood with lots of red carpet glamour on display during the night.
Dr George Bilios and Ange Bilios
The Star Gold Coast
Dr Helen Green and Dan Rawlings
Dr Mona Kaur and Dr Neeraj Gill
Dr Shannon Webber and Sandy Webber
Dr Terry Hammond and Dr Sarah Goetz
Michelle Curry and Dr Greg Seeley
Trish Hogan and Kathryn O’Reilly
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D AW N A striking, seductive encounter The new Dawn has arrived - a Rolls-Royce like no other. A striking true four-seater, it captures the exhilaration of open-top driving with an interior crafted in anticipation of unforgettable moments between friends. Anything is possible. Contact us to start your journey.
Rolls-Royce Motor Cars Queensland 179 Nerang Road, Southport, Southport, Queensland, 4215 Tel: +61450638046 Brand Manager: James Staniforth www.rolls-roycemotorcars-queensland.com.au ÂŠ Copyright Rolls-Royce Motor Cars Limited 2017. The Rolls-Royce name and logo are registered trademarks.
DREAMY DRAGON SMOOTHIE Elsaâ€™s Wholesome Life by Ellie Bullen (Pan Macmillan)
2 peeled frozen bananas 1 frozen dragon fruit 2 handfuls of ice cubes 1 cup baby spinach leaves Â˝ teaspoon spirulina powder 1 tablespoon cashews or almonds pre-soaked 1 tablespoon natural peanut butter 1 tablespoon cacao powder Â˝ cup soy or almond milk 3 tablespoons shredded coconut 1 tablespoon cacao nibs Place the bananas, dragon fruit, ice cubes, spinach, spirulina, nuts, peanut butter, cacao powder, coconut water, soy or almond milk, and 2 tablespoons of the shredded coconut in a blender and blitz on high until smooth and creamy. Pour into two or three jars or tumblers and top each with the cacao nibs and remaining coconut.
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RASPBERRY COCONUT Smoothie Bowls by Fern Green (Hachette)
150g frozen raspberries 150g frozen mango chunks 250ml unsweetened coconut water 1-2 ice cubes
1 tablespoon chia seeds 2 tablespoons coconut granola 1 tablespoon pumpkin seeds 1 tablespoon sunflower seeds 1 tablespoon honey
Place all ingredients, except toppings, in a blender and blend until smooth. Layer the smoothie in a glass with the granola, pumpkin seeds and sunflower seeds. Top with honey and chia seeds.
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CHOC THICK SHAKE Elsaâ€™s Wholesome Life by Ellie Bullen (Plum)
1 large, peeled frozen banana 1 cup Cashew Milk or other non-dairy milk 2 pitted medjool dates 2 tablespoons coconut yoghurt 1 heaped teaspoon cacao powder 1 teaspoon chopped nuts (almond, macadamia), pre-soaked 2 ice cubes
To Serve 1 tablespoon coconut yoghurt 1 teaspoon cacao nibs 1 tablespoon shredded coconut 1 teaspoon maple syrup 1 teaspoon chopped macadamia nuts, pre-soaked 2 teaspoons roughly chopped dark chocolate Place the banana, milk, dates, coconut yoghurt, cacao, nuts and ice in a blender and blend until smooth. Pour into a tall glass or jar and top with the coconut yoghurt, cacao nibs, shredded coconut, maple syrup, macadamias and dark chocolate. Enjoy with a spoon and a straw.
NEAPOLITAN NICE-CREAM SUNDAE Elsaâ€™s Wholesome Life by Ellie Bullen (Plum)
es Servor twothree
6 peeled frozen bananas 2 tablespoons coconut yoghurt or Almond Milk Â˝ teaspoon vanilla powder Â˝ cup frozen strawberries 2 tablespoons cacao powder 2 tablespoons roughly chopped vegan dark chocolate Place the bananas, coconut yoghurt or almond milk and the vanilla powder in a blender and blitz until smooth and creamy. Scoop two-thirds of the banana/vanilla mixture into a bowl and pop it in the freezer. Add the strawberries to the remaining mixture in the blender and blend until smooth. Transfer to another bowl and place in the freezer. Remove the banana/vanilla mixture from the freezer and return half of that mixture to the blender. Add the cacao powder and blitz for 5 seconds. Divide the chocolate nice-cream among two or three serving bowls and quickly add the banana/vanilla and strawberry nice-creams from the freezer. Scatter the chocolate over the top and dive in immediately! 94 | Pindara Magazine
ISSUE 12 | 2018
LAMB BACKSTRAP WITH SWEET POTATO CHOPPED SALAD From BBQ BEER & B.S. by Merv Hughes. New Holland Publishers.
3 lamb backstraps 400 gr rocket leaves and mixed leaves 2 sweet potatoes, cut into 1 cm cubes (to be roasted) 2â€“3 small beetroot, cooked and cubed 1 small red onion, finely sliced 75 g crumbled feta 3 bacon rashers, cooked and diced 50 g pine nuts, roasted 100 g roasted red capsicum sliced into strips barbecue rub 50 ml olive oil salt and pepper, to taste honey lemon mustard dressing spiced avocado yogurt dressing
Rub the lamb back straps with oil and barbecue rub and let marinate for 30 minutes. Then on a hot grill cook for 3â€“4 minutes each side then rest for 10 minutes. Prepare both the dressings and put them in the fridge until required. Peel and cube the sweet potato, place in a large bowl then microwave for 4â€“5 minutes until tender - dress with enough oil to coat the potato and season with salt and pepper. Then place in a shallow oven tray on a medium hot Barbecue with the hood down for 10â€“15 minutes or until browned. Once done set aside. On a medium hot barbecue cook the bacon to your liking and set aside to dress the salad later. Slice the lamb back strap into thin slices then on a serving platter add the leaves, onion and toss. Next top with the lamb slices, sweet potato cubes, beetroot, feta, capsicum and bacon. When ready to serve top with both the honey lemon mustard, spiced avocado yogurt dressing and pine nuts.
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WHERE HAVE YOU BEEN
ALL MY LIFE! Sandra Walter | General Manager, Gold Coast Spine
am not an early up-taker, it takes me ages to adopt a new piece of technology or gadget. Not that I am waiting and watching to see how it goes. Usually, I’m just too busy to care and too lazy to master the skills needed to navigate a new device. So that magazine article I had saved on the Thermomix sat on my pin board, ignored for years, and invitations to attend a Thermomix demonstration fell on deaf ears. I had attended enough Tupperware and lingerie parties thank you! So, it was a great surprise to my host when I accepted her third invitation to a Thermomix demonstration. I dragged my friend Camille along and we prepared ourselves to fend off high-pressure guilt based sales techniques. That one time I had not been able to avoid buying a $100 camisole to ensure that the lingerie party host made her sales quota was still fresh in my mind. How then was I going to avoid buying a $2000+ appliance when we were the only two guests at the party? Two hours and much eating later, Camille and I had each bought a Thermomix! Looking back, as a business person that can never seem to get the work-life balance right, I don’t know how I managed without my Thermomix. It has saved me time, saved me stress, saved the meal, and literally saved the day! On Friday nights my husband and I like to have an impromptu meal with friends but that decision is usually made late afternoon when all the good restaurants are booked out.
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My solution is to download the Thermomix Bouillabaisse recipe and swing past the Ferry Road Markets just before they close at 6:00pm. I then hit Reef Seafood & Sushi for some mussels and the freshest seafood of the day, pick up some fresh veggies and the pantry items I need, and then grab their last loaf of sourdough. By 7:00pm our friends have arrived, I do about five minutes of prep and we crack open a great pinot to go with the Bouillabaisse that is looking after itself in the Thermomix. About 30 minutes later (with little input from the chef) we are sitting down to a luxury fish stew. The point of difference between the Thermomix and all the pretenders is that Thermomix does what it promises – it is 12 separate appliances. This is not one of those useless all in one gadgets where you use it once and stick it in the cupboard. Yes, they did show me that I could cook a three course meal all at once in my Thermomix but I am not that sort of cook. For me, this is not a gadget, it is a cook’s tool that can be worked into any current recipe or favourite dish and give me faster and more professional results. The Thermomix is really a pet chameleon, it changes its colour to suit your culinary environment. If you are into clean eating it has recipes and functions to suit. My Walnut & Date Bliss Balls are as hard as weigh, chop, roll, refrigerate - all of about five minutes of my time. If I want comfort food, I can be watching my favourite movie with a pot of decadent rice pudding stirring itself in the Thermomix, after I
threw all the ingredients into the bowl in one go as the movie downloaded. If you are worried about additives in your children’s diet, you can start with pure ingredients and end up with flavour that they will gobble up. And, if you are one of those cooks who like the idea of cooking in bulk but can’t face all the prep, you can prep the veggies for ten litres of bolognaise sauce in five minutes and get on with frying off the meat. But hasn’t the Thermomix had some bad press? And isn’t it dangerous? Yes, it needs to be acknowledged that the older TM31 model did have some issues and ended up with a national product recall in relation to a seal. The TM31 has been superseded by the TM5 model and this model has not had similar issues. The astute buyer needs to take a balanced approach and remember that it is a kitchen appliance and, like all appliances, it must be operated according to its instructions or injuries can occur. I can see that you are running out of excuses but ….. it has got to be difficult to clean, right? Not a chance or it would never have passed my appliance test. All components disassemble easily and go straight into the dishwasher. And as to your last excuse, there’s no room on my benchtop, the Thermomix TM5 isn’t the extra small appliance you squeeze in between your blender and food processor. It’s the one appliance above all others that deserves a permanent gig on the bench. In no time you will be shooting down the naysayers and gazing at your pet chameleon with affection, saying where have you been all my life?
ISSUE 12 | 2018
BOUILLABAISSE (TRADITIONAL FISH STEW)
1 brown onion, cut into halves 2 garlic cloves 1 red chilli (deseeded) 4 tomatoes, ripe, cut into halves 1200g fish or chicken stock 100g dry white wine 1 tbsp olive oil 1 pinch saffron
es Serovur f
2 tbsp tomato paste salt & pepper to taste 1500g seafood (mussels, scallops, firm white fish, bugs, green prawns) fresh basil â€“ small bunch roughly torn lemon wedges (to serve) crusty bread (to serve)
Preparation 1. Place onion, garlic and chilli into Themomix bowl and chop 5 sec/speed 6. 2. Weigh/add in all remaining ingredients, except seafood. 3. Cook 20-30 min/Varoma/speed 2 (see Tips) 4. Place Varoma dish into position and add seafood and cover (see Tips) 5. Steam seafood 10-15 min/Varoma/speed 2 (see Tips) 6. Add chopped basil to broth just before serving. 7. Divide broth between individual serving bowls and serve with crusty bread and lemon wedges. TIP! I add the seafood according to its cooking time and gently remove into serving bowls as the rest continue to steam. I cook the mussels last, discarding any that donâ€™t open. All the seafood juices drip through to the bowl and flavour your broth. If the broth looks thin, remove seafood and keep cooking broth 10-15 min Varoma/speed 2.
12 FUNCTIONS WEIGHING + CHOPPING + GRINDING + MIXING + BLENDING + WHIPPING + EMULSIFYING + KNEADING + CONTROLLED HEATING + COOKING + STIRRING + STEAMING WALNUT & DATE BLISS BALLS Approx. 24 balls (keeps refrigerated for 2 weeks)
240g seedless dates 30g walnuts 45g cacao powder Pinch of salt Coating options â€“ desiccated coconut, sesame seeds, cocoa powder, cocoa & chilli powder, chopped nuts
Preparation 1. Weigh all ingredients into bowl 2. Blend 15-20 seconds/speed 9 (check at 3-5 second intervals until it looks like fine crumbs) 3. Roll into walnut sized balls and then roll in coating 4. Refrigerate until firm TIP! Quality does make a difference to taste, buy the best quality cocoa powder you can afford. I recommend Californian Walnuts.
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GETTING MORE INTO SUPERANNUATION POST REFORMS From 1 July 2017, sweeping reforms to superannuation were put into place or proposed. These reforms, among many other things, change and limit the way you can contribute money into super, thus providing ever increasing challenges to boost superannuation to fund retirement.
SUMMARY OF AMOUNTS THAT CAN BE CONTRIBUTED INTO SUPERANNUATION POST REFORMS
The annual non-concessional contributions cap (which is the maximum amount of nontax deductible superannuation contributions that can be made) is $100,000 (down from $180,000 previously). In the past, if you were under the age of 65, you could use the â€˜bring forward rule to contribute up to three years of non-concessional contributions in one year. This has now reduced from $540,000 to $300,000. The concessional contributions cap (which is the maximum amount of tax deductible superannuation contributions that can be made) is capped at $25,000 for any eligible age (reduced from $35,000 or $30,000 depending on age). Further, where your total superannuation balance is $1.6 million or more (per member), you can no longer make certain contributions into your superannuation fund.
Despite these reforms, superannuation remains an effective planning tool for retirement. What does this mean for you? How can you get more into your superannuation fund? This article explores two new ways post reform.
CONTRIBUTIONS FROM THE SALE OF YOUR HOME
â€˜CATCH-UPâ€™ CONCESSIONAL CONTRIBUTIONS
This is quite a generous reform, commonly referred to as the â€˜downsizer contributionâ€™. It can provide you with opportunities to top up your superannuation with cash from the sale of your home. The measure in a nutshell: A contribution of up to $300,000 per member can be made into super on the sale of your home. This means a couple can contribute up to $600,000 between them! You must be age 65 years or older at the time you make the contribution The contribution must be made within 90 days from settlement date You (or your spouse) must have owned your home for at least 10 years before the sale. The contribution will not count towards the caps mentioned above, and are excluded from the total superannuation $1.6 million balance test.
Another opportunity to contribute into super is the â€˜catch-upâ€™ concession. While slightly complex, this change will allow you to effectively look back five years and make additional superannuation contributions where you have not fully utilised your concessional contribution (tax deductible) cap amounts. To be eligible, your individual total superannuation balance needs to be less than $500,000. Importantly, the change will not apply until the income year commencing 1 July 2018. This means that you can only access unused concessional contribution caps from the 2020 income year. This measure may well be worth the wait and is something to speak to your adviser about.
Referring to this reform as the â€˜downsizer contributionâ€™ is very misleading. You do not need to actually downsize at all. In fact, you do not even need to purchase a new home! Please note at the time of writing this article, this reform has not yet passed as law. Once passed, the measure will apply to contracts entered into on or after 1 July 2018.
SUPERANNUATIONS ADVICE RESTRICTIONS From 1 July 2016, financial advice about superannuation must be provided through an Australian Financial Services Licence. Element Business & Accounting Solutions are authorised to provide financial superannuation advice through our wholly owned subsidiary, Element SMSF & Advisory Pty Ltd (authorised through the SMSF Advisers Network Pty Ltd), including advice on establishing self-managed superannuation funds, contribution strategies and pension strategies. ďˆ›
General Advice Warning: Information provided in this article is general in nature only and does not constitute personal advice. The information has been prepared without taking into account your personal objectives or needs. Before acting on any information in this article, you should consider the appropriateness of the information having regard to your objectives and needs.
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ISSUE 12 | 2018
OUR VISION: COMMITTED TO BUILDING YOUR BUSINESS BEYOND TOMORROW The partners of Element Business & Accounting Solutions are using their ‘Big 4’ accounting firm experience to offer expert advice while building long-lasting relationships with their clients. Founder Leschen Smaller says the practice facilitates business and individual growth by taking the time to collaborate, listen and understand each client. “We look beyond the numbers so we can provide more meaningful advice,” she says. “At Element we embrace that change and challenge our clients to think creatively and innovatively about the way in which they do business.” Leschen and Element partners, Theresa Allery and Kimberlee French, share a range of complementary skills that benefit clients in various ways. Leschen focuses on special projects such as R&D Tax Incentive and Export Marketing Grant applications, and three-way cash flow modelling. Theresa, who has a background in corporate tax at PricewaterhouseCoopers, advises on high-end tax matters while Kimberlee focuses on cloud solutions and proactive management / dashboard reporting. The Element partners are also proactive in introducing clients to connections within their network where they see opportunities, and connecting with a panel of high-level consultants for specialist work. “We can’t do it all, but we can certainly bring in trusted experts to help our clients reach their goals,” says Leschen. “One-size-fits-all accounting and advisory has no place in a 21st-century business landscape.”
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Taxman pays for education Save thousands of dollars on private education with savvy estate planning Richard Dawson | OMB Solicitors
You can take advantage of legal tax beneﬁts and save on education costs with a trust. That statement comes from O’Keefe Mahoney Bennett estate planning manager Richard Dawson who says trusts are established in a will and funded by assets of a deceased estate or payments to an estate. “A Testamentary Discretionary Trust (TDT) is otherwise known a lineal descendants trust,” he says. “The trust is controlled by a trustee. The trustee is usually the primary beneﬁciary and able to enjoy the beneﬁts of the trust. TDTs often include other beneﬁciaries. These may be the children and grandchildren of the primary
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beneﬁciary because current tax legislation allows the proceeds of a trust to be distributed to beneﬁciaries.” The benefit of correct estate planning is that tax savings result when the trustee distributes gains to the beneﬁciaries with the lowest marginal tax rate in a particular ﬁnancial year. “These may be the mother, father, child, or grandchild of the deceased which means that the beneﬁciaries pay tax on trust proceeds at normal marginal tax rates. “These beneﬁciaries are usually children as they are unlikely to be earning an income. Therefore signiﬁcant tax savings can be gained by distributing trust income to children because
children aged under 18 years are taxed at marginal adult rates as opposed to adults on high incomes who pay significantly higher tax rates,” Richard says. “Those tax savings from the trust income can therefore be used to subsidise children’s education costs and living expenses. By effective use of estate planning, we can ensure that those savings via the taxman can pay for their education and lifestyle.” For more information on tax effective estate planning contact O’Keefe Mahoney Bennett Solicitors, (07) 5555 0000.
ISSUE 12 | 2018
SIMON BENNETT Partner | QLD Law Society Accredited Specialist – Property Law — Commercial & Residential Conveyancing — Structuring Advice — General Contract Law including shareholding, partnership and joint venture agreements — Commercial & Retail Leasing
— Wills — Powers of Attorney — Estate Planning — Estate Administration — Self Managed Superannuation Funds — Commercial and Residential Conveyancing
— Body Corporate Law — Building Defect Litigation — Assignment of Management Rights — Recovery of Contributions — Strata and Community Title Advice — Objections and enforcement in the Planning and Environment Court
Level 1/9 Seabank Lane, Southport QLD 4215 P (07) 5555 0000 F (07) 5555 0055 E email@example.com W www.omb.com.au
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