Collins Avenue Medical Center,
138 Collins Avenue,
Dublin 9.

Tel : 8328692 | Email: info@collinsavegp.ie

September – School Stress, Asthma Checks

The return to school is upon us. This can be a stressful time for children and parents alike. Children may find the transition to a new school, a problem with bullying or the start of an exam year daunting. The increasing cost of school books and uniforms can put financial strain on many families leading to stress and tension.
You may be entitled to support in the form of back-to-school grants or family income support supplements. More information is available at www.citizensinformation.ie
If you are concerned about your level of stress or low mood in yourself or your children your GP should be your first port of call outside your family and friends. For lots of teenage friendly advice visit www.letsomeoneknow.ie or www.spunout.ie

Asthma

If your child suffers from asthma this is also a good time for his/her annual check up. The change in season and activities can play havoc with asthma that had been otherwise stable over the summer months. Is your child getting old enough to manage their own inhalers or need a review to make sure they have the correct technique? Is smoking becoming an issue for your teenager? Your asthma nurse or GP would be happy to assess your child’s current status, asthma education and medication dosage – all of which need to change with time as they grow. You can access lots of useful information at www.asthmasociety.ie or arrange to attend the asthma clinic at your GP surgery today.

GP Visit card for Under 6s Scheme

We are happy to say that we are participating in the free GP visit card for the under sixes.
If you wish to register just click on the link

http://www.hse.ie/eng/services/list/1/schemes/mc/gpvc/under6.html

and sign up for either Dr. Mel McEvoy or Dr. Kerry O’Connell

Sun safety, Food safety Sun Care

Summertime has arrived and whether staying at home or travelling to sunnier climes it is important to think of sun safety. Our latitude in Ireland means that the UV index (risk of sunburn) can be high even on overcast days. Unfortunately rates of skin cancer continue to increase year on year making it the most common form of cancer in Ireland.

Skin cancer and premature aging of the skin are caused by the harmful effects of the sun’s UVA and UVB rays on the skin.

So what can you do to protect yourself?
The Australians, used to dealing with extreme sun, have long followed the Slip, Slop, Slap regime..!
Slip on a T Shirt (especially important to keep children in loose cover up clothing)
Slop on the sun cream (at least factor 30 for Irish skin)
Slap on a hat (and sunglasses for eye protection)

Keep well hydrated in the heat and avoid sun-beds which are particularly dangerous for children and have been proven to be linked to malignant melanoma the most dangerous form of skin cancer.

If you have noticed any change in a mole or skin lesion that you are concerned about please do not hesitate to attend your doctor for review. In particular a mole which has a sudden change in size, colour, and shape, bleeding or itching can be a warning sign. For lots of useful tips visit www.cancer.ie/sunsmart/

Food Safety
We will hopefully be engaging in a long lazy summer here at home and if the weather obliges many will be dusting off the Barbeque. Unfortunately a fun afternoon with family and friends is too often marred by problems with food safety resulting in an increase in food poisoning at this time of year. Read more… So make sure your party is remembered for all the right reasons by applying the same hygiene rules to your al fresco dining as you do in your everyday kitchen.
For lots of tips see www.safefood.eu and their useful brochure The A-B-C of BBQ which can be down loaded for free.

April – Get Active!

The evenings are stretching out and for many, training for the Woman’s Mini Marathon is getting under way. If you haven’t yet dusted off your runners there is no better time to get active.
We should all get at least 30 minutes physical activity most days of the week, on top of our usual daily chores. Walking is a great way to start, swimming provides exercise while protecting sore hips, knees or backs and heavy housework and gardening count too!
Variety is the key to sustaining exercise habits so why not take up a new activity today. At this time of year there is one more term of classes before the break for the summer. So do check out your local communities / parish centres or websites to see what classes are on offer.

There is new evidence that demonstrates that even if you are overweight but active, that improves your health outcomes immensely. So, do not let the fact that you are overweight cloud your views on the benefits of becoming a little fitter. It is in small steps that there is progress, one begins to enjoy exercise and the “feel good factor” encourages us to do a little more.
As the summer looms improving your activity level will have the added impact on your children. We are all aware that children who are active are easier to deal with, happier in themselves and as a result there is more happiness in your life.

www.getirelandactive.ie

Men’s Health

To all the Men out there – when was the last time your body had its own ‘NCT’? If you have not had a check up for some time, have noticed a new symptom that you may have been ignoring or simply want to get fitter this year, why not start into spring with a check up by your doctor

Women in Ireland are still outliving their male counterparts by a whopping 5 years. Part of the reason is they are more pro-active about visiting the doctor when they have a health worry.

Naturally some men can find attending the doctor with certain symptoms embarrassing such as problems with passing urine or changes in their bowels but these are the very things that need to been seen early so that in most cases simple tests or reassurance can be provided.

Men continue to suffer from more heart disease than women and our busy, stressful lives can often leave little time for healthy eating or exercise. There are lots of simple things that you can do to lower your risk of developing heart disease in the future. Most of these relate to making small changes to your lifestyle, eating and exercise habits which can have health benefits for all the family. If you don’t know where to start why not see your doctor for advice.

Men can find talking about stress, feelings of depression or loneliness difficult – however a problem shared is truly a problem halved and a visit to your GP can be the simplest starting point to readdress the balance in your life.

 

Safe food, Healthy Eating tips, Alcohol / Family conflict & financial stress

While Christmas in general is a time for catching up with friends and family, enjoying the magic with your children and indulging in some good seasonal fare remember it can be a difficult time of year for some.

Often throwing family together, indoors, for long periods may trigger tensions to arise. Keep the peace and enjoy each other’s company by making sure to give everyone their own space, help out  to spread the chores so you can all enjoy the break, wrap up and get out for a walk, and be aware that excessive alcohol can often trigger arguments that otherwise may not occur.
Useful information is available at www.drinkaware.ie , www.accord.ie, www.aware.ie

The financial demands at Christmas time can be great and a source of added stress in the family. For simple advice that may help MABS (Money advice and Budgeting service) have a useful leaflet available online at www.mabs.ie or see www.citizensinformation.ie for any supports that you may be entitled too.

While enjoying all the traditional festive treats is part of the joys of Christmas a little forward thinking can avoid unpleasant food poisoning or the need to start the New Year with a diet.   www.safefood.eu

Healthy Eating Tips for Christmas Season

Christmas can be a time of indulgence, not just on the big day itself where the average person consumes up to 3 times their required daily calorie intake, but over the extended party season.

Here are a few simple tips to follow to ensure that January can get off to a bright and healthy start.

  • Think about your food carefully when doing Christmas shopping in the run up to the festive season. Avoid stocking up in the weeks before on high calorie snack foods, sweets and drinks.

                

  • When faced with a Christmas party never attend with an empty stomach. This will help you not to over indulge on both alcohol and party foods – easy to do when feeling a little nervous at a social outing. Keep your hands full with a glass or napkin and chat more, graze less!
  • Choose healthier nibbles – avoiding those that are deep fried or cased in pastry which tends to have higher fat content. Stick instead to lean meat or fish such as smoked salmon and low fat dips with fresh vegetables, instead of crisps choose popcorn.

 

  • Enjoy a Christmas drink but choose diet mixers or slim line tonic, light beer or a smaller glass of wine. Don’t drink on an empty stomach. Drink water in between rounds and remember the safe upper limit – 14 units for women, 21 units of alcohol for men, per week.

 

  • For Christmas dinner – Turkey is a naturally lean meat – but avoid eating the skin. Fill up on lovely seasonal fresh vegetables, avoid adding too much salt, gravy or butter and keep an eye on portion size.

 

  • Get regularly out for a brisk walk – escaping from the house for some fresh air and exercise with the family will keep mind and body feeling fresher and healthier.

Finally please do not forget our elderly friends and neighbours who may need a visit more than ever at this time of year. For more information see our news archive.

Should any of these issues become too much to cope with please do not hesitate to contact your GP for support.

Emergency Services:

Call a Doctor Out of Hours

Our out of hours service is provided by D Doc who can be contacted on 1850 224477. This service is a co-operative staffed by local participating GPs. The service is available Monday to Friday 6pm – 8 am and Weekends and Bank Holidays 24 hours. Consultations are strictly by appointment only.

Contact the Doctor on Call service, to make an appointment or receive phone advice at 1850 22 44 77.

In case of emergency, if you feel you may require immediate hospital treatment, please do not hesitate to contact the emergency services at 999 or 112. All calls are free.

 

We are reviewing our Hours!

We are pleased to announce that we are extending our surgery hours in the Baldoyle Surgery. 

The Surgery will now be open Monday and Tuesday afternoons from 4pm to 5pm.  These times are still under review and we are hoping to extend the hours to include a Friday afternoon surgery after Christmas.

Blue September 2014

Blue September is an initiative that was developed in New Zealand in 2008 by the countries Prostate Cancer Foundation to increase awareness about male cancers.  The initiative has since spread to Australia and the UK and this year it is being widely publicised in Ireland.

The main idea is to increase public awareness about male cancers and to encourage men to go to their doctor for screening tests or if they might develop any symptoms that suggest they may have a diagnosis of cancer.

The statistics are stark in that 1in 3 men will be diagnosed with cancer at some stage of their life and the earlier they present to their GP for diagnosis and treatment the better the chance of cure.  We also know that men in general are not good at going to see their doctor with health problems and we want to change this behaviour.

So don’t put your health on hold, come and see me today.

The big 4 cancers in males are – Prostate, Testicular, Bowel and Lung.  Below I have outlined some symptoms which could suggest each diagnosis.  The men’s health alliance has a good website and gives good information on symptoms of male cancers and self examination techniques.

Testicular Cancer – Most common cancer in 15-34 year old men, 172 men diagnosed per year in Ireland. 

Symptoms

  • Lump in testes
  • Swelling in scrotum
  • Pain in groin/abdomen/ back

Prostate Cancer – 1 in 8 men develop prostate cancer, more common if a close relative has had it.

Symptoms

  • Pain passing urine
  • Difficulty – increased frequency passing urine
  • Blood in urine

Men should come for screening for prostate cancer every 2 years over the age of 50 years.

Bowel Cancer – 2nd most common cancer in men, most cases present over the age of 75 years.

Symptoms

  • Abdominal pain
  • Change in bowel habit .i.e. constipation, diarrhoea, weight loss, blood in bowel motions or a feeling of incomplete emptying of bowel.

Lung Cancer – 3rd most common cancer diagnosed in men, 1261 cases in Ireland per year.

Symptoms

  • Cough lasting more than 2 weeks
  • Coughing up blood
  • Chest pain
  • Loss of appetite -weight loss

 

For more information check out the websites

www.blueseptember.ie

www.menscancer.ie

 

 

Alcohol-The Good, The Bad and The Ugly

In moderate amounts, alcohol can add to the fun of an occasion and help relax.  However, there are many forms of excessive drinking that cause substantial risk or harm to an individual, family or society.

Historically in Ireland we are at risk of hazardous or harmful drinking.  Out attitudes and our culture predispose us to it and now we have access to alcohol that is cheaper in real terms than ever before.

So, it is time once again to look at alcohol and educate ourselves and perhaps look at our attitudes towards alcohol. 

To start we will ask and answer some basic questions.

What is a standard drink?

In Ireland, a standard drink has about 10 grams of pure alcohol in it, such as:

  • 100mls of wine 12.5%
  • A half pint of normal beer
  • An alcopop 275ml bottle
  • A pub measure of spirits

How many drinks in a 750ml bottle of wine 12.4%

A bottle of wine @ 12.5% contains 7 standard drinks.

What about alcohol units?

One unit of alcohol = one standard drink

What is a safe (low risk) alcohol intake?

There are various ways to answer this

  • No more than 2 standard drinks a day
  • No more than 5 days a week, with 2 non drinking days per week

Or

  • Up to 11 standard drinks in a week for women
  • Up to 17 standard drinks in a week for men

What is the contribution of alcohol to weight gain?

Alcohol is not an essential nutrient, so in fact all alcohol calories are empty calories, therefore can be a major factor in weight gain.

Did you know?

  • 200 calories = 1 pint of larger
  • 170 calories = 1 pint of stout
  • 210 calories = 1 pint of cider
  • 130 calories = medium glass of wine (175mls)
  • 80 calories = measure of spirits

So, to burn off a pint of larger you would need to:

  • Walk for 50 minutes
  • Swim for 30 minutes
  • Dance for 35 minutes
  • Play golf for 1hour 20 minutes
  • Do aerobics for 32 minutes

If this has short article has sparked off some questions, please do let us know.  We will try to answer individual questions by email.

Also you can check out some useful links

www.alcoholireland.ie

www.drinkaware.ie

www.alcoholicsanonymous.ie

www.hse.ie/go/alcohol/

www.drinkhelp.ie

 

 

Hay Fever

Hay Fever is a problem at this time of year, it begins for some as early as late March and probably peaks in July and then drops off dramatically.

Hay Fever comes in 3 waves

  • Tree Pollen – late March to mid May
  • Grass Pollen – mid May to July
  • Weed Pollen – June to September

 

Symptoms

  • Sneezing, nasal congestion, clear running nose
  • Eye itchiness, redness & excess tears
  • Clear mucous can cause a cough
  • Loss of sense of smell and occasionally taste
  • In severe cases nose bleeds can occur

 

Remedies

  • Avoidance of allergies is the most helpful .i.e. staying away from freshly cut grass.
  • Using the air conditioning system in your car, keeping the widows closed.
  • Holidaying by the sea, sea breezes are excellent.
  • Use nasal and eye rinses that wash the allergens away.                                                         (Speak with your local pharmacist)

 

  •  Antihistamines

These are generally freely available over the counter.  They have rapid onset of action and are most effective in reducing itch, sneezing and the runny nose.  These are good for “as required use” if your hay fever is not a daily nuisance. They do not relieve your stuffed nose.  Speak to your pharmacist for agent that would best suit your symptoms.

  • Nasal Spray

The most effective agent for nasal congestion is intranasal corticosteroids; these can be used where antihistamines don’t work.

There is an agent of this type that is sold over the counter, otherwise the most effective formulas are available by prescription.

In the past depot steroids were used, however these are now not vogue due to their association with thinning of the bone i.e. osteoporosis

  • Eye Preparations

For the itchy eyes and excess tear production there are eye preparations that contain antihistamines and there is a combination of over the counter products and prescription only products.  Another eye agent that is useful and is sold over the counter is sodium cromogylcate/Opticrom 

  

Practical Advice

So, the plan should be if you are aware when you get your hay fever symptoms you should start treatment that is effective for you approximately 2 weeks prior to this, with which ever agent combats your particular set of symptoms.

For most sufferers of hay fever this management plan helps to get through the season.  Undoubtedly hay fever has a huge impact on quality of life, however then it disappears until the next season. So being prepared is key.

If you have tried all over the counter remedies without success you should make an appointment with your doctor who will be able to help.

 

Long Term Care

In extreme cases where the hay fever/rhinitis is really bothersome to combat once and for all a specialist referral for consideration of immuno therapy may be in order.  This is therapy that involves many visits to a specialist in allergy and takes 3 years.  This treatment is expensive but successful.