COVID-19 Update 7 May 2020

I hope you are staying safe and well and not too stir crazy with the last month of lock down!

After a month of mainly telehealth, I am excited to be able to reopen most clinics to physically see clients in rooms! Kippa-Ring is the main exception.

All the clinic locations are practising infection control guidelines including lots of hand washing and sanitising, physical distancing, frequent cleansing of hard surfaces including desk tops, door handles and other touch points.

So starting next week, clients have the option of physically coming into rooms (which will be lovely for me to catch up with you), continue with Telehealth (telephone or video consults) or home visits.

Here is a summary of options:

Medicare clients

In room consultation or Telehealth (telephone or video consults).

In rooms, the initial consultation fees are higher than the Medicare rebate, but reviews for Pensioners and Health Care Card holders can be bulk billed.

Any Telehealth consultations for Medicare clients are bulkbilled.

New clients will still need to be provided with an Enhanced Primary Care Program Referral form for Individual Allied Health Services under Medicare from your Doctor – if possible ask the Doctor to fax the referral to 3263 8498.

Gold Card Veterans

In room consultation, Telehealth (telephone or video consults) or home visits.  Ideally, home visits conducted in a private area outside your home (patio) is the best way.  I sanitise my hands and equipment before coming into your home environment.

New Gold Card holding Veterans need a D904 referral from your Doctor before the consultation. If possible ask your Doctor to please fax the referral to 3263 8498.

Clients with Private Health Funds

In room consultation, Telehealth (telephone or video consults) or home visits. Most health funds have approved Telehealth up until 30 June 2020. You can choose what consultation suits you best.

NDIS

Participants have the choice of Telehealth, in room or home visit consultations. If you are an NDIS participant, family member, plan manager or support worker with questions, feel free to call me and discuss.

My Health for Life Program

The My Health for Life Program is a group program (now over Zoom) that is a free Qld Health funded program for people over 45 (or women that have had gestational diabetes in the past, or indigenous Australians over 18). If you would like to make lifestyle changes (healthy eating, more exercise, coping better etc) this might be an option to relieve boredom or help reduce feelings of loneliness during this time of isolation. Participants set their own health goals but get the support from the group.  If you would like to see if you are eligible, call me on 0409 628 551 and I can do a quick survey to find out.  The program is for 1 hour each week for 9 weeks with a final follow up 3 months later.

 How to book a Telehealth appointment?

Appointment times are between 8am to 5pm Monday to Friday. To arrange an appointment :

Phone or text:   0409 628 551

Email:               info@dietitianservicesqld.com.au

How to book an  appointment at one of the rooms?

Feel free to call the clinics to book the appointments or call me on 0409 628 551.

Stay safe, look after your physical and mental health and take care, Cathie Lowe.

COVID-19 and Dietitian Services Qld update

Good afternoon,

I hope everyone is staying safe, well and coping with the anxieties and stress that come from having to work or not having work.  As you would all be aware the government and health authorities are encouraging people that are still working to work from home if possible and encouraging people over 70 to self isolate and anyone with health problems over 65 to self isolate as well.

The physical distancing measures are one of the most important measures that can be used at the moment until a vaccine or treatments can be discovered that reduce the spread of COVID-19.  Meetings of more than 2 people are banned in outdoor and indoor settings except the health sector.   As a Dietitian, I can provide a quality dietetic service over the phone or via videoconferencing (eg Zoom, Skype, FaceTime) to comply with helping keep people at home (including me)  to help reduce the spread and ‘flatten the curve’.  (Also, I would hate to unknowingly pass on corona virus to anyone.)

So come and join me in the world that the young generation have always known – the virtual world!  The benefits will be the ability to walk to your pantry or fridge and show me food labels, more flexibility with booking in appointments with me, being able to wear your pjs (if you want to) for the consult and I get to meet some of your family and pets!  The downside includes trying new technology for the first time, but it gets easier the more you try.  I have been using Zoom with clients and can send details on how to download it to your computer or smart phone – most clients have found it easy to use and then go on to use it to maintain other social circles (eg family, church groups, craft groups).

Medicare clients

Existing clients that haven’t used up their approved Dietitian consultations, can swap straight over to Telehealth and the consult is free as it will be fully bulk billed.

New clients provided with an Enhanced Primary Care Program Referral form for Individual Allied Health Services under Medicare from your Doctor – need to send a photo, or fax or email the referral and then the consult is free (fully bulk billed).

Gold Card Veterans

The Department of Veterans’ Affairs have approved Telehealth, I am just waiting for them to send through details of how they want the system to work.

Clients with Private Health Funds

Check with your individual health fund to confirm that they will give you a rebate for a telephone or videoconferencing consultation.  Usual fees apply for consultations $120 (or $110 pensioner) for initial consults and $65 (or $60 for pensioners) for review consults. Rebates from the funds vary.

NDIS

Has always supported Telehealth consultations.  If you are not confident we can talk on the telephone or type on your favourite messaging service.  Ask your support workers or plan managers for help if you would like support to set up Telehealth options with me.  It is possible to set up Auslan interpreters via Zoom as a group telehealth option.

Stuck at Home and Getting Bored?  You might be eligible for the My Health for Life Program

The My Health for Life Program is a group program (over Zoom) that is a free Qld Health funded program for people over 45 (or women that have had gestational diabetes in the past, or indigenous Australians over 18) that would like to make lifestyle changes (healthy eating, more exercise, less smoking, less alcohol, coping better, reducing waistlines) where participants set their own goals but get the support from the group.  If you would like to find out if you are eligible send me an email or give me a call and I can do a quick survey to find out.  The program is for 1 hour each week  for 9 weeks with a final follow up 3 months later.

How to book an appointment?

Appointment times are generally between 8am to 5pm Monday to Friday but I’m open to providing evening appointments if needed.

To arrange an appointment:

Phone: 0409 628 551

Text: 0409 628 551

let me know days and times that would suit you, I’ll text back 3 options

Email: info@dietitianservicesqld.com.au

let me know days and times that would suit you, email through any referrals

Stay safe and take care,  Cathie Lowe.

 

 

Dietitian Services Qld and COVID-19

Good morning everyone,

I hope you are keeping safe and well, practising excellent hand washing techniques and keeping safe personal distances when out and about.

COVID-19 is causing a lot of anxiety in the community and I would strongly recommend reading the Commonwealth Health Department Updates at   https://www.health.gov.au/  and the Qld Health Updates at https://www.qld.gov.au/health/conditions/health-alerts/coronavirus-covid-19  to get a balanced view.

The final link I’ve attached is a 30 minute online training course that anyone can do  to learn more about how to practice good hygiene (two great clips on hand washing and hand sanitising) https://www.health.gov.au/resources/apps-and-tools/covid-19-infection-control-training

At present, the clinics are open and I’m still seeing clients.  Each clinic is practising infection control including frequent cleaning of hard surfaces, safe distancing measures, provision of hand sanitisers to clean your hands.  If you do have a fever, dry cough, sore throat, fatigue or shortness of breath, I would ask you not to come in for your appointment.  Instead contact your GP on the phone to decide best action, go to one of the Qld Health Fever clinics or call the National Coronavirus Helpline 1800 020 080 if you think you are at high risk due to recent travel overseas.

For clients that are self isolating, or at high risk (due to age or other chronic health conditions), I am able to do telephone consults or videoconferencing (Skype, Zoom, FaceTime) if you would like to have a consultation.  Medicare and Department of Veterans’ Affairs clients are not able to use telehealth options for Dietitians.  I am able to do home visits for Veterans’, to be careful of your health, I am consulting with clients outdoors (eg patio) with correct social distancing.  If you would like to make a consultation for any telehealth or home visits please call me on 0409 628 551.

Regards,  Cathie Lowe.

 

 

Festive Mexican Rice Salad

I have been experimenting with this salad as it has Christmas colours, has mexican flavours and a great source of fibres.

If you use the cooked brown rice from the supermarket and start grilling your corn while layering the rest of the ingredients, this salad can be finished in 15 minutes.  Put with grilled salmon (and chilli sauce) and you have a very quick easy meal.

Ingredients

2 cups cooked brown rice (buy prepared packet)

1/2 tspn ground cumin

400g can drained kidney beans

30g baby spinach leaves

1/2 diced red or green capsicum

200g punnet of cherry or other small tomatoes – halve the tomatoes

1/2 Spanish onion, sliced

2 cobs of corn

1 avocado

1 tbsp. lite sour cream

chilli powder to taste

cayenne powder to taste

handful fresh parsley

1/2 lemon juiced

1 tbsp. extra virgin olive oil

Method

Heat a non stick pan and start grilling corn cobs (takes about 10 minutes), turn every few minutes.

In a salad bowl, layer the brown rice and sprinkle cumin over top, then kidney beans, spinach leaves, diced capscium, tomatoes and onion.

Mix lemon juice and olive oil and sprinkle over the salad.

Once the corn has been grilled, slice the corn from the cob and sprinkle over the salad.

Slice half the avocado and layer on top.

Mash the other half avocado with lite sour cream, chilli and cayenne pepper and place on top of the salad and sprinkle with parsley.

Serves 6

 

Nutritional Information

Per serve Energy 1340kJ, Protein  10g, Fat 11.8g, Carbohydrate 37.3g Fibre 11g

 

My Health For Life Program at Stafford

I’m excited to announce that I will be facilitating a My Health for Life Program at Minds4Health in Stafford starting on Friday 5th October.

The My Health for Life Program is a free program for people over 45 that are at risk of developing a chronic health disease and would like to make lifestyle changes to live healthier and reduce their risk.

The (mainly) group program provides support to participants while they decide and start making lifestyle changes that they want to make. Many participants find the group program very supportive. Support people are welcome and encouraged to come to the program.

The program consists of one individual consultation with the facilitator and 5 group sessions over 6 months.

If you would like to be eating healthier, moving more, coping better, smoking less or not at all, drinking alcohol moderately or losing weight this program might be for you.

The program is funded by Queensland Health and there is a quick survey that can be done over the phone with Cathie to see if you are eligible.

Cathie Lowe is a My Health for Life Facilitator and an Accredited Practising Dietitian. If you would like to know more about the program and eligibility please contact Cathie directly on 0409628551 or emailenquiries@minds4health.com.au or for general information call My Health For Life on 137475.

Tradie Tucker Tips – Keep it Simple

Jamie and Mark Witte (MJ Witte Builder) are brothers (and my cousins) and both are chippies and builders.  When I heard it was Tradie Health Month I thought of them as I know they eat and enjoy healthy lunches.

‘Nothing special gets done here’ was Mark’s comment and he keeps healthy eating simple by taking leftovers or meat and salad or sandwiches and fruit.  Jamie said one of his favourite lunches was a salad including lettuce, grated carrot, cheese, boiled egg, tin of tuna with mayo or salad dressing.

Mark packs fruit and nut mix or several pieces of fruit for his snacks. He keeps it simple while getting plenty of energy to get him through the day.

In following the KISS principles of these tradies they are following basic healthy eating principles of picking a mix of foods for health and energy:

  • Protein – leftover lean meat or chicken, canned tuna or salmon, hard boiled egg, cheese, 3 bean mix, baked beans, nuts (occasionally salami or ham)
  • Energy – fruit, dried fruit, canned fruit, bread, bread rolls, wraps, crackers, leftover rice or rice cups, leftover pasta
  • Vegies – lettuce, spinach leaves, carrot, tomato, cucumber, celery, corn, radish, leftover roasted pumpkin or sweet potato, beetroot, or leftover stir fry vegetables
  • Plus Flavour – herbs, spices, salad dressing, sprinkle of nuts or seeds

Looking forward to hearing other Tradie Tips on healthy eating while on the tools.

“I’m sick of my bloating, abdo pain and diarrhoea. What foods can help me fix this?”

I do a lot of work with clients that have tummy and bowel problems and wanted to share 4 tips for someone thinking about seeing if foods upset them.

Common symptoms that clients report are diarrhoea and urgency to go (knowing where all the toilets are at shopping centres), abdominal pain, bloating (that can feel like you are pregnant), some people experience constipation or alternating diarrhoea and constipation.  None of these symptoms are pleasant on a day to day basis!

 

 

Tip 1.

Go to your Doctor (and they may refer you on to a Gastroenterologist) to make sure there isn’t any medical reason for your symptoms.

It’s much easier to experiment with food changes after you’ve had all the tests. For example, if you cut out wheat before having investigations for coeliac disease you could potentially prevent a diagnosis and put up with symptoms for years.

If I haven’t talked you into going to the doctor yet, here are some stats. One in 100 Aussies have Coeliac disease, 1 in 250 has Crohn’s disease or Ulcerative Colitis, Endometriosis can mimic irritable bowel symptoms and occurs in 1 in 10 women.

Tip 2.

Start keeping a food, exercise, stress and symptom diary.

Yes this could take 15 minutes out of your day BUT it helps to see if there are any patterns. You can see how often your symptoms are happening, notice if stressful days have an impact, notice if severity of symptoms change.  Food is harder to track as the transit time from food going in your mouth to coming out the other end (sorry no polite way of talking about this) could be up to 48 hours.  Dietitians however, would look at the diary and see trends in fibre consumption, fibre type, hydration levels, caffeine consumption, fat content of meals, FODMAP content (more on this later) of the diet, salicylate and amine content of foods you usually eat and it helps us make some decisions on what food strategies to try first.

Tip 3

Come in and see an Accredited Practising Dietitian if you want to explore food options. Yes I am a Dietitian so of course I’m going to say this!

Research on low fodmap diets have shown that up to 50 – 76% of people have improvements of symptoms.  Dietitians trained in this area can help. FODMAP stands for fermentable oligosaccharide, disaccharide, monosaccharide and polyols so you can see why we shorten the name.

When experimenting to see if there are food triggers, I will remove foods for 2-4 weeks to see if symptoms improve. As soon as you start excluding foods, there is a risk of making your dietary choices low in vitamins and minerals. A dietitian will reduce the risks by suggesting other nutrient dense foods to eat during the experimental phase.

If you get an improvement on the experimental diet, I will then get you to do some food challenges to find out what foods trigger your symptoms. You are not meant to be on a restricted range of foods forever.

Experimenting with fodmap foods is often the first strategy trialled but other options include trial of probiotics, experimenting with soluble and insoluble fibre intake, looking for possible food intolerance to salicylates and amines (15-71% response), and looking at fat and caffeine consumption and hydration especially in athletes with symptoms.

Tip 4

Only use Australian resources if you research FODMAPs

The simplest way I can explain these foods is that they have fermentable sugars or starches that don’t fully get digested in the small intestine and can cause wind, bloating, diarrhoea and abdominal pain as the bacteria in our large intestine use them and make gas.

If researching FODMAP foods, use the Monash University booklet or mobile app. I have had clients bring in FODMAP apps from Sweden and America and the food supply is completely different and the apps will just add to confusion with conflicting information.

Recent research on FODMAPs and endometriosis

Recent research has found an overlap between endometriosis and fodmap foods. This is another reason for women to have a thorough medical check before coming in to see a Dietitian, but also gives hope that there are some dietary strategies that can be used for endometriosis.

To summarise, if you have these symptoms and your doctor has excluded medical causes, experimentation with foods (with a Dietitian) can reduce your symptoms and identify the triggers.

 

For consultations at the clinics click the Contact Us page.

If you would like a consultation via Skype please contact me on info@dietitianservicesqld.com.au

Further reading

Magge S, Lembo A. Gastroenterol Hepatol 2012 Nov 8(11): 739-745 Low-FODMAP Diet for Treatment of Irritable Bowel Syndrome

Regards, Cathie Lowe

 

Happy Easter and Clinic Sessions

canstockphoto18370566

Wishing you all a safe, happy and mindful Easter break. Whatever Easter foods you enjoy – hot cross buns, chocolate, fish and chips – I hope you can savour every mouthful for it’s taste, smell and texture without being hassled by guilty thoughts.

Clinics scheduled for the next 2 weeks:

Wednesday 23 March

Caboolture morning session    Ph 3036 5205

Chermside afternoon session  Ph 3350 2622

Tuesday 29 March

Redcliffe morning session       Ph 3284 8155

Caboolture afternoon session Ph 3036 5205

Wednesday 30 March

Narangba afternoon session   Ph 3886 9470

All the best from Cathie Lowe and Cathy Purcell and our super admin Tracey.

Great School Lunch Box Poster

canstockphoto0184679School has started and it can start getting hard to think of meals and snacks that children will eat that are healthy for their bodies.

There are lots of fancy meal ideas such as the chicken and salad rice noodle wraps photo HOWEVER parents can spend a lot of time and effort for these meals to be returned home untouched in the lunch box.

Click on the Healthy Together Achievement Program site for a great poster that you can stick on your fridge to help you and your children plan lunch ideas.  Even with fussy eaters I can usually negotiate a healthy lunch if there are enough ideas for them to choose from.

http://heas.healthytogether.vic.gov.au/schools/heathy-lunchboxes

Best wishes from one lunch box packer to another,  Cathie Lowe.

Clinics for January

Happy New Year to everyone.

I hope that if you have been thinking about making eating or exercise changes that you have been thinking of small goals that you can achieve so that you are setting yourself up for success rather than failure.

Clinic availability for the next few weeks:

Narangba clinic    Wednesday afternoon    6 January  ph 3888 9470

Aspley clinic         Monday morning          11 January  ph 3862 9223

Redcliffe clinic      Tuesday afternoon       12 January  ph 3284 8155

Caboolture clinic  Wednesday morning    13 January  ph  3036 5205 or 0409 628 551

Chermside clinic  Wednesday afternoon  14 January  ph 3350 2622

Best wishes,  Cathie Lowe.