Auricle - New tech brings back family meal time - Barwon Health
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Auricle EDITION 2 / 2021 New tech brings back family meal time 05 13 19 24 New CT Scanner Ford site transforms into New research targets Coronavirus Emergency community vaccination hub endometriosis symptoms Relief Fund – one year on
. CONTENTS Fun facts 02 Message from the Chief Executive Here’s a snapshot of the Public 02 Interns learn the ropes of health management Affairs and Communications WHAT’S NEW 03 Getting greener team’s output since the beginning Cutting speech pathology waiting times of the pandemic (1 March 2020 Satisfaction guaranteed with Clinical Engineering New StaffCare Women’s Health service through 7 May 2021): Introducing the Barwon Biobank and Data Lake New laser machine for urology surgeries New CT scanner 06 New tech brings back family meal time 07 DEPARTMENT SPOTLIGHT | Oncology Rehabilitation THE HEART OF THE MATTER | Royal Commission 08 sets path for new approach to mental health 11 Milestone for innovative ICU services 12 New theatres a healthy boost for Geelong patients 12 Pocket hearts for bereaved families to hold close COVID-19 Vaccine 13 Ford site transforms into community vaccination hub MEDIA INQUIRIES – 604 14 New vaccination hub evokes fond memories forJoe PHOTOS TAKEN – 14,504 THE HEART OF THE MATTER 15 | Clinical trials can transform community health FACEBOOK REACH - 4,070,626 Research at Barwon Health 18 Australian-first study reveals gender differences in footy injuries VIDEOS PRODUCED - 323 17 Research into sterilising pacifiers and food allergies published POSTERS AND SIGNAGE 19 New research targets endometriosis symptoms 19 Announcing the BH DU PHD program PRODUCED – 155 MEMOS AND CIRCULARS 20 MEDICAL MYTHBUSTERS | COVID-19 vaccination PRODUCED - 159 20 Virtual word offers therapeutic remedy to isolation 21 Test Tracker streamlines waiting game Cover: Lance Collins, who has MND, is able to enjoy OT training videos take safer care to online audience 21 meals with his family again, thanks to the assistance 22 Staff acknowledgements of his Obi Robotic Feeder. Image: Geelong Advertiser. 22 Dr Renee Sheedy honoured with scholarship award 23 Lasting Legacy Tree unveiled www.facebook.com/barwonhealth 23 Refurbished cancer patient accommodation www.twitter.com/barwonhealth 23 Barwon Health Foundation provides boost to Room 64 podcast 24 Coronavirus Emergency Relief Fund – one year on www.instagram.com/barwon_health 24 Alex is a marvel www.linkedin.com/company/barwon-health 25 Length of service Auricle is edited and produced by Barwon Health’s Public Affairs and Communications Department. Barwon Health 01
. the McKellar Centre, which is a fantastic of the vaccination program with carefully community-funded project supported by the planned logistics, administration, promotions Barwon Health Foundation that will make a and services. After just over three months difference to families across the Barwon South of the rollout, the Barwon South West Public West region. The community will be pleased Health Unit has administered more than to see the recent State Government budget 80,000 vaccine doses, with more than 43,000 announcements for Barwon Health Surf at the former Ford site in just two months. It Coast Community Hospital and the expansion was a huge effort to transform the Norlane of paediatric services in the Emergency site into a community vaccination hub, and Department. The Barwon Women’s and it’s very rewarding to see hundreds of people Children’s also continues to progress with vaccinated there each day. Message from the detailed planning well advanced. We have been fortunate to experience a taste In response to the Royal Commission into of “normal” life again; however, the past month Chief Executive Mental Health, it’s been encouraging to see or so has shown how quickly this virus can significant investment in mental health spread and impact our community. The latest Now that we’re midway through the year, it’s that will make our services more accessible restrictions have taken a toll on everyone in the instructive and interesting to look back at what in the community. This includes the recent community and I want to specifically thank our has changed compared to the first six months announcement for a new five -storey staff who have shown agility and resilience in of 2020. The pandemic continues to devastate Mental Health and Drug and Alcohol Services the way they have responded to the changes. some communities around the world, and we Community Hub in central Geelong, which will I am enormously proud of the way Barwon have seen in Victoria how quickly we can both help people in our region get better access to Health has responded to the recent challenges, adjust to “normal” life again, only to return community based treatment and support. The whether it is keeping our aged care residents to the restrictions that are required during a Hub will complement our new Mental Health safe, responding to more people seeking care significant outbreak. Hospital in the Home program, as well as the in the emergency department, or delivering new acute mental health unit at the McKellar Of course, there has also been a lot happening more babies. I appreciate all the work and Centre that is now in the construction planning outside of COVID-19. Here at University commitment of our staff in responding to our phase. Hospital Geelong, Building B has opened two community. of the newly refurbished operating theatres A huge part of our success in keeping COVID-19 to create more capacity for elective surgery, out of Geelong has been the fantastic efforts while the Swanston Centre redevelopment is of the community and all of our healthcare progressing well, with new inpatient rooms, a workers across the Barwon South West revamped therapy space and new courtyard region. We are now working with rural health now complete. Construction has also started services, the Primary Health Network and on our new Kids Rehabilitation Centre at other community providers on the rollout Frances Diver | Chief Executive INTERNS LEARN THE ROPES OF HEALTH MANAGEMENT Three management interns have “We’re doing work with Barwon Health’s strategy planning team, but other interns joined Barwon Health for a six- around the state are working in service month program aimed to develop provision, risk, policy, and other departments future leaders for the health system. that cover the business side of healthcare,” he said. The Australasian College of Health Service Health management interns Lucy Bertino, Management (ACHSM) program offers “We have received a great level of support and Sabrina Pilla and Harrison Thorn have clinicians and graduates the opportunity to we’re lucky to be able to work with members joined Barwon Health for six months. develop knowledge and understanding of of the executive and staff across the the health sector, as well as skills relevant to organisation, both clinical and non-clinical.” “It’s a program that not only benefits the health management. Barwon Health Strategy and Planning adviser interns, but is also a great investment in Intern Harrison Thorn said the program Simon Montomery said the ACHSM interns developing future leaders in the health system was about introducing people into the had made meaningful contributions during and brings support and new perspectives management side of healthcare, equipping their time at Barwon Health. across a range of our projects,” he said. them as future health managers. Auricle 02
. WHAT’S NEW Speech pathologists Alice Stewart, Amy Tischhauser, and Courtney Skontra with the new endoscopy equipment. CUTTING SPEECH PATHOLOGY GETTING GREENER WAITING TIMES The arrival of new endoscopy equipment will Biodegradable denture of finding sustainable options dramatically reduce the waiting list for speech that reduce the organisation’s pathology services at Barwon Health. cups, paper pill cups and carbon footprint, resulting in new sugar cane injection trays products, including the sugar Speech pathologist Courtney Skontra said the new are Barwon Health’s latest cane injection trays that are endoscopy stack and two videoscopes would play a pivotal move to become more now being used for the COVID-19 role in service expansion. environmentally-friendly. vaccination rollout. “The new equipment will see significant growth in Other initiatives have also endoscopy-based assessment and treatment of The recent switch to these eco- adapted a “reduce, reuse and swallowing, voice and some upper airway conditions, such friendly products will cut back on recycle” approach, such as as paradoxical vocal fold movement, in both inpatient and significant waste, with 1.5 million removing single use medicine outpatient settings,” she said. plastic pill cups previously used cups, and patients bringing every year. Credentialed senior speech pathologists will advance their their own overnight bag instead scope of practice, dramatically reducing the waiting times Barwon Health’s latest strategic of receiving a disposable for these services, while (Ear, Nose and Throat service) ENT plan has outlined the importance thermoplastic patient clothing bag. continues to support the services for medical opinion and follow-up as required. SATISFACTION GUARANTEED WITH CLINICAL ENGINEERING Congratulations to Clinical The department is responsible for managing satisfaction, compliance to regulatory a wide range of medical devices and requirements, managing resources, employee Engineering for receiving ISO technologies throughout Barwon Health engagement and continuous improvement. 9001 re-certification following an sites, its affiliates and other medical sites in This marks 19 years since first being issued independent audit for high quality Geelong and surrounding areas. with the certification and an average and standards. This re-certification achievement confirms customer satisfaction score of 9.7 for the a commitment to quality, customer past 10 years. Barwon Health 03
. NEW STAFFCARE WOMEN’S HEALTH SERVICE Barwon Health’s StaffCare before moving to Geelong and entering general practice in 1994. To book an Women’s Health service is now appointment, Barwon Health employees operating on Tuesday, Wednesday should book via HotDoc (https:// www. and Thursday each week. hotdoc.com.au/medical-centres/ geelong-VIC-3220/barwon-health-staff- Led by Dr Margaret Somerville, all aspects care/doctors). Alternatively, staff can of women’s health are catered for in the email staff.care@barwonhealth.org.au, or service, including family planning, pre- phone 4215 3220. pregnancy counselling, pregnancy advice, and menopause advice. Dr Somerville Pictured: StaffCare Women’s Health has previously worked at St Vincent’s service GP Dr Margaret Somerville. Hospital and the Royal Women’s Hospital INTRODUCING THE BARWON NEW LASER MACHINE FOR BIOBANK AND DATA LAKE UROLOGY SURGERIES A new initiative is developing a Barwon Health has secured a new system for healthcare providers state-of-the-art laser machine that and researchers to analyse data can vaporise painful kidney stones and samples, while protecting and support the treatment of men consumer privacy. with prostate conditions. Vast quantities of data and biological The Lumenis MOSES 2.0 laser device is the samples are collected on a daily basis first of its kind in any Australian hospital at Barwon Health and researchers have and will use the very latest medical laser identified that these samples could be technology to manage about 350 urology used to continually improve services, as patients each year. well as to discover new treatment and Director of urological surgery Richard Grills The equipment’s main benefit is a cost prevention strategies. with the Lumenis MOSES 2.0 laser device. effective approach that allows for quicker The Barwon Health and Deakin University operations and reduced recovery time in “On top of offering a quicker surgical procedure, partnership has launched the initiative hospital, leading to shorter waiting lists, this device will allow patients with urinary tract called the Barwon Biobank and Data Lake. according to Barwon Health’s urological stones to spend less time in hospital and it surgery director Richard Grills. The Data Lake will link a request for reduces the need for follow-up procedures. research consent to a highly-protected Mr Grills said the device had equipped the “Patients requiring surgery for urinary environment in which people with region to better manage patients with urinary problems related to non-cancerous prostate approved projects can work on (but never tract calculi and benign prostatic disease. disease will be able to be treated in less time, remove) de-identified data and samples. “The fact that University Hospital Geelong often with day stay procedures, with results Researchers are now seeking input has made this technology available to public that will reduce bleeding and the risk of blood from the community to help design and health patients demonstrates Barwon Health’s transfusion. Ultimately, this means less time implement the Data Lake. To get involved, commitment to innovation and having the away from work and family, and an earlier email research@barwonhealth.org.au. best equipment for our patients,” he said. return to normal activities.” Auricle 04
. WHAT’S NEW The scanner delivers valuable clinical insights such as improved tissue characterisation and The BMI team has trained to use Barwon Health’s new spectral detector-based CT scanner. visualisation for confident disease management. NEW CT SCANNER A new CT scanner is Last year, Barwon Health received $1.5 • Bariatric capability up to 295kg to provide million Medical Equipment Replacement CT imaging access to a larger patient offering new insight Program funding from the Victorian State population Government to replace a CT scanner to help diagnose • Reduced patient dose and improved at University Hospital Geelong. diagnostic accuracy and image quality diseases using The new system, a Philips ICON Elite Spectral technology not • Advanced technology and additional CT scanner, was installed and began operating support to inpatient and outpatient on 23 March. available anywhere scanning across Barwon Health As the world’s first spectral detector-based CT, else in Australia. • Support to emergency imaging in event the scanner delivers valuable clinical insights of the Emergency Department CT scanner such as improved tissue characterisation failure (eg. stroke imaging - perfusion, and visualisation for confident disease trauma CT, cardiac CT and advanced management. interventional CT) In addition to the availability of spectral • Reliability and timely scanning of acute analysis on every CT scan, the scanner patients and to maintain essential also features: imaging services to the region 24/7. Barwon Health 05
. New tech brings back family meal time A robotic feeding device designed for people with physical challenges has transformed meal times for Highton resident Lance Collins. Lance, 74, has Motor Neurone Disease and is unable to use his arms or hands, which made him reliant on his wife Cecile and healthcare workers for support in everyday tasks. The retired bank clerk, taxi driver and The breakthrough technology remedial masseur was referred to Barwon combines cutting-edge robotics Health’s Motor Neurone Disease (MND) and intuitive feet controls Clinic in March 2020, requiring assisted- to give independence during living equipment and help with dressing, showering, cooking and eating. meals at home and in public. Dining experiences for Lance had become increasingly difficult, until receiving an Obi Feeding Device from Motor Neurone Disease Victoria this year. The breakthrough technology combines cutting-edge robotics and intuitive feet controls to give independence during meals at home and in public. Lance said learning how to use the device had been simple, with a robotic arm selecting Lance Collins, who has MND, is able to enjoy meals with his family again, thanks food from one of four compartments and to the assistance of his Obi Robotic Feeder. Image: Geelong Advertiser. delivering it to him on a spoon. “I can control it with two foot pads and it’s “If you’re going out and sitting down for a “I’m the one who has to live with MND, actually pretty easy to use,” he said. meal, you don’t want to watch someone else but my occupational therapist has the eat first, so it’s given us back part of normal experience to know what might assist me in “It’s good to pack up and take away, so we can life to be able to sit down as a family, eat the household. go out for meals with a bit of planning ahead. together, and talk about our day.” “The saying is ‘there’s no cure, but there’s care’, “It’s a good experience and a bit of an eye- He said his occupational therapy at Barwon and I flip it around to say that I’m going to die opener for everyone else to see that somebody Health had helped determine the Obi Robotic from this, but there’s so much care available with a constraint like I have can find this Feeder as the most suitable device for his needs, that the care I’m receiving is almost a cure.” technical equipment to solve a problem.” along with other home-assistance items. Lance was the face of MND Victoria’s Lance said his wife, who has congenital “There are so many technical advantages for Christmas Appeal last year, with the blindness, had been feeding him first while people these days and when we first looked into fundraising contributing towards the dining, but the robot had brought back the it, we found Obi was the best of the options purchase of the Obi Robotic Device. simple joy of sharing a meal together. for people who can’t use their arms,” he said. Auricle 06
. DEPARTMENT SP TLIGHT Barwon Health’s Oncology Rehabilitation service provides ONCOLOGY REHAB prehabilitation, during- AND TELEHEALTH treatment interventions, and Oncology rehab sessions are run from the Sunrise rehabilitation for people with Centre, but a significant number of interventions are now delivered to patients in their homes a cancer diagnosis. using virtual care options such as telehealth. Running from the Sunrise Centre at GHMBA Distance and time are two reasons patients Stadium, the service offers specialist sometimes chose to complete sessions via intervention with cancer patients, from telehealth. Other reasons include symptom their diagnosis all the way through burden, compromised immunity and challenges treatment, and during their recovery. with body confidence relating to surgery that The team includes physiotherapists, Oncology rehabilitation care can be disfiguring. exercise physiologists, dietitians, clinical co-ordinator Catherine Williams In the past 12 months, clinicians at the Sunrise psychologists and neuropsychologists, Centre have completed more than 1415 telehealth speech pathology, audiology, as well as “We’re seeing people well-prepared for appointments with a 90 per cent attendance rate. occupational therapy and social work surgery and cancer treatments because The Oncology Rehabilitation team is delivering within Barwon Health. of our program, and people tend to eight group sessions via telehealth each week and An eight-week oncology rehabilitation recover faster too. hopes to expand in the future. program was launched in October 2018 and “We get very meaningful feedback from received the Barwon Health Best Care Safe our patients on the enormous impact our Care internal quality award, with growth service has at such a terrible time in their from 24 annual referrals to 40 each month. lives, and this is what drives my sense of Senior physiotherapist and oncology purpose and wanting this service to be rehabilitation care co-ordinator Catherine the best of its kind. Williams said people who were physically “It’s really important to us that as an and emotionally prepared for treatment organisation we provide a consumer- had shown to recover faster. driven service that is about more than “Our rehab program is able to get people just their tumour or disease.” back to what they’re passionate about in life, with a huge sense of support from Physiotherapist April Chiu runs a our team and from each other in a group telehealth session with patients. environment,” she said. Barwon Health 07
. “I’ve done the hard work, but the Sunrise Centre staff pushed me and knew what I needed, so I give them credit for it.” Sandra Cox took part in a prehabilitation program at the Sunrise Centre, working with a multi-disciplinary team to improve her fitness prior to major surgery. Drysdale woman Sandra Cox credits her post- “They said the fitter I am, the better I am “I’m going back to concentrate on different cancer recovery to the Sunrise Centre staff going to handle the surgery. I’m home right needs, with an eight-week program to get who knew just how hard to push her while now and should still be in hospital. It’s usually me back up for day to day living. training to improve her fitness. a 16-day stay, but I was home after 11 days. “Being able to get back to work is my next In April, Sandra had surgery for cancer of the “I’ve done the hard work, but the Sunrise goal and the Sunrise Centre will be a big part gastro-oesophageal junction and was told Centre staff pushed me and knew what I of that. she needed to improve her fitness level to needed, so I give them credit for it. “I think there should be more people pushed have the best possible recovery from her “I’ve got an exercise bike at home, but to go there because there’s so much they can procedure. it’s completely different to a controlled do for you.” While she had an active lifestyle previously, environment where they can push you and she said neoadjuvant chemo-radiation had they know how hard to push you so you have taken a toll on her body. a safety net.” “After four weeks of the prehabilitation Sandra said she planned to return to the program at the Sunrise Centre, the Sunrise Centre program for her post-surgery anaesthetist couldn’t believe how much I had rehabilitation. improved,” she said. Auricle 08
. THE HEART OF THE MATTER ROYAL COMMISSION SETS PATH FOR APP R O A NETOWMENTAL HEALTHCH After two years, and more than 8000 submissions from service users, carers, service providers and policy makers, the final report of the Royal Commission into Victoria’s Mental Health System has been tabled in parliament. The Commission was set a significant task – to recommend a design for a new mental health system that will meet the diverse needs of the Victorian community. STEVE MOYLAN | BARWON HEALTH CLINICAL DIRECTOR OF MENTAL HEALTH, DRUGS AND ALCOHOL SERVICES It is important to remember where we are system should work. The Commission has our whole system operates together. There coming from. Since the closure of asylums looked at the whole story, considering how are many reasons for this, including funding in the 1980s and 1990s, the design of our we should promote good mental health constraints and divided responsibilities across mental health care system has remained and connect people to options for self-help, Federal and State governments. But for us more or less the same. However, during this all the way through to providing complex to deliver a better system, it is critical that period our understanding of the causes of sophisticated and responsive care for those reforms drive a whole of system approach to and contributions to poor mental health has most unwell. delivering services, bringing services together grown enormously. At the same time, our in a way that makes it simple and easy for There are significant challenges to achieving community and broader society has become anyone to know how to access the right care this goal. There is an adage that today’s more comfortable discussing, debating and when they need it. This may be as simple as problems result from yesterday’s solutions. advocating for, our mental health needs. It is working towards unifying the front door to Therefore, it is critical we take a long-term therefore not surprising there is a mismatch mental health services in our region – so that view of system reform. between what the community is seeking, all people know where and how to reach out and what the system delivers. For a long time, it has been an unfortunate for help at times of need. reality that mental health care has been The Royal Commission has brought forward delivered without sufficient attention to how a new design for how our mental health Barwon Health 09
. “It will be important to consider the needs of different groups who have traditionally been less well served. More than ever, we recognise there is no “one size fits all” approach to care.” It will be important to consider the needs of different groups who have traditionally been less well served. More than ever, we recognise there is no “one size fits all” approach to care, and we need to work proactively and in partnership with communities such as Aboriginal and Torres Strait Islanders, people from diverse cultural and linguistic backgrounds, the LGBTIQA+ community, and our homeless populations to understand Steve Moylan how services can best provide what they need. Some of these groups have faced discrimination in healthcare systems, while be achieved for our whole community. As we go on this journey as a community others have fallen through the cracks of a The Premier has already committed to together, it is important to note that complex system that has struggled to keep implementing all the recommendations of impacts of mental illness will continue to up its demand. This needs to change. the report, and it’s promising to note there be felt in our community. Our challenge, as has already been a strong investment in an entire community, will be to continue In concert with these changes to the system, mental health from the most recent budget, working together – as one – to grow a society it is vital we embrace prevention and with funding for more beds and programs. At that supports positive mental health for all. promotion of positive social determinants Barwon Health, this includes new inpatient Our challenge, as mental health services, is of mental health. No amount of treatment care options such a Hospital in the Home to develop a system that ensures people from a mental health system can alleviate the program and McKellar Inpatient Unit, receive the care they need, when they need impact that poverty, homelessness, a lack of integration with new primary care options it, in a way that helps them feel better. job opportunities, a degraded environment or including the Head to Help Hub in Norlane, decline in our social fabric has on a person. There has never been a better time to make the development of new community mental a difference to the mental health of our Despite all these challenges, I feel there is health hubs, and expansion to our deeply community. great room for optimism about what can committed and compassionate team. Auricle 10
. Milestone for innovative ICU services ICU nurse Nigel Bellears checks on a patient being treated using the ECMO machine. It has been 10 After the tragic death of a child in April 2011, “Both programs have demonstrated what we can two clinical programs were launched to improve achieve when we work together, and what is required years since Barwon critical care services for Barwon Health patients, to achieve major changes in practice. This includes including a paediatric critical care service and the an multiple departments, executive, and disciplines Health’s Intensive extracorporeal membrane oxygenator “ECMO” service. collaborating, listening, and developing a shared goal. Care Unit embarked Both were unique at the time, with no other non-tertiary Childrens on two ambitious Hospital PICU in Victoria, and no “In the 10-years from 2001 to 2011 we admitted clinical programs regional ECMO service in Australia. 105 children. In the subsequent 10-years, we that have potentially Intensive Care specialist Dr Neil have admitted 1219. Orford, who has had a key role saved many lives. in the programs, said both were “In the 10-years from 2001 to 2011, we provided now established, successful, and ECMO for seven patients, and since then, we’ve recognised nationally as templates been able to provide ECMO for 124 patients.” of new ECMO and PICU service establishment. “Most importantly, both services have allowed critically “There has been an understanding that a ill people from Geelong and South Western Victoria to commitment of years was required, and developing receive the highest quality care in their region, when trust, celebrating small wins, and learning and they are most vulnerable,” he said. adapting when it was difficult. We have built “In the 10-years from 2001 to 2011 we admitted relationships with tertiary high volume providers 105 children. In the subsequent 10-years, we have and government, and we have been transparent and admitted 1219 children, but there have been no accountable for our results. deaths since Easter 2011. “On top of this, we listened to our patients, we have “In the 10-years from 2001 to 2011, we provided ECMO shared their success, and eased their suffering.” for seven patients, and since then, we’ve been able to provide ECMO for 124 patients. Barwon Health 11
. POCKET HEARTS FOR BEREAVED FAMILIES TO HOLD CLOSE Barwon Health maternity staff are making crafts to support the one in four families who experience pregnancy loss. Clinical midwife specialist Edwina McLean said the crochet, felt, and knitted pocket-sized hearts were given to bereaved families after pregnancy loss to provide an extra connection to their “angel babies”. “In maternity, we are trying to make their experience that little bit more bearable,” she said. “Through treasured memory books, photographs and hand and footprints, we try to create as many memories with their baby as possible for them to cherish. “If we can give these crafted hearts to parents while they lay with their baby, we hope they can keep them in their pockets or a special place at Building B theatre staff Katrina Shepherd and Tony Ma prep Shania for her elective surgery procedure. home to hold and feel close to baby again. “We invite volunteers, staff and families to create and donate these hearts so we have New theatres a healthy boost enough to provide multiple to the family. Felt, crochet or knitted hearts are all appreciated for Geelong patients and can be dropped off to the maternity hub or birth suite.” If you or someone you know would like “We expect to perform around 3300 Two additional operating to create some hearts, please contact surgeries per annum initially, growing that edwinajmclean@outlook.com for the patterns. theatres at Barwon Health’s number in the future,” she said. University Hospital Geelong “The project involved refurbishing theatres previously used at the old Geelong Building B have created Private Hospital and reconfiguring the additional capacity for space to include first and second stage recovery, reception, change rooms, staff elective surgery in a huge rooms, equipment stores, offices and an boost for the region. education space. “Our initial focus will be on elective Completed in March, the project was made gynaecological surgery, along with urology possible with funding from the Victorian and general surgery.” Department of Health and the combined efforts of Barwon Health’s Operating A significant recruitment campaign for the Services and Building Services. refurbished theatres netted 30 new staff, including several who have relocated to With Geelong experiencing strong population the region from Melbourne and more still growth, operating services manager Elyse being recruited for. MacDonald said the additional theatres would help address demand for elective The new theatres opened on Monday 29 Some of the crafted pocket hearts that surgery, particularly those deferred due to March and are operational between 7am are given to bereaved families. the COVID-19 pandemic. and 8pm, four days per week. Auricle 12
. COVID-19 VACCINE Ford site transforms into community vaccination hub Ford’s former home Managed and operated by Barwon Health, vaccination at the site from 6 April, in line with Geelong’s community vaccination hub has the the Commonwealth prioritisation. This includes at Norlane has capacity to provide vaccines to more than 10,000 healthcare staff, including disability workers, and people a week. emergency service workers, such as paramedics, transformed from the police, and fire services. Barwon Health worked with Ford Motors site centre of Australia’s developers Pelligra and local contractors to fit Chief executive Frances Diver said the community motor industry into the out the site over three weeks, including improved vaccination hub had the potential to vaccinate more disability access, carpeted floors, new bathroom than 2000 people a day, depending on stock supply. COVID-19 vaccination facilities, resurfaced parking, privacy screens, “The Ford site has a significant place in the history hub that will service the consultation spaces, and general refurbishment. of the Geelong region, so it is fitting that it will majority of the Geelong High-risk priority groups from the 1A and play a vital role as the vaccination hub that will 1B cohorts were the first to receive their help protect our region from COVID-19. and Surf Coast region. BMI PSA David Bridson, a former Ford factory worker, receives a COVID-19 vaccination from immunisation co-ordinator Caroline Poynder. Barwon Health 13
. Managed and operated by Barwon Health, Geelong’s community vaccination hub has the capacity to provide vaccines to more than 10,000 people a week. “Some of our staff members once worked at this site, some for decades before retraining and beginning careers in healthcare after the Ford closure. “It’s fitting that some of them are able to join us Joe Puglia, who spent his career driving trucks for Ford, returned here today to receive their second Pfizer vaccine to the Ford site for his COVID-19 vaccination in April. and see how much work has been done to turn the old administration building into a state-of-the-art vaccination hub. New vaccination hub evokes Book your COVID vaccine appointment by calling 1800 675 398 or book online: https://www.barwonhealth. fond memories for Joe org.au/coronavirus/booking-a-vaccination. When Giuseppe “Joe” Puglia awarded a certificate of excellence before he left,” she said. retired as a truck driver at Norlane’s Ford Motor factory “He even got the job to drive open in 2013, he never expected up the Ring Road with the B-Double “The Ford site has a significant along with the Victorian Premier to return to the site for a Joan Kirner as his special guest. place in the history of the vaccination 13 years later. “He was well respected by all his Geelong region, so it is fitting Joe, who also has Alzheimer’s mates at Ford, along with Victoria disease, rolled up his sleeves to Police and Vic Roads, as Dad was that it will play a vital role as receive his first dose of the COVID-19 known as the ‘Celebrity of Ford’.” the vaccination hub that will vaccine on 21 April. Josie said Joe’s family was relieved help protect our region from The 80-year-old was also able to knowing he was going to be experience the previous Ford site’s protected from COVID-19 after COVID-19.” – Frances Diver transformation into the community today’s vaccination. vaccination hub that will service the majority of the Geelong and Surf “Initially, we were nervous, but we Coast region. spoke to his medical team who assured us that it will be the best Managed and operated by Barwon thing for him. It will also ensure our Health, Geelong’s community family can be together after a very vaccination hub has the capacity to difficult year for us. provide vaccines to more than 10,000 people a week. “Dad found last year very challenging. He didn’t quite understand the Joe, born in Sicily in 1940, was concept of not visiting family and well-known during his time at Ford friends and as to why he wasn’t and his daughter Josie recalls his allowed to leave the house. He celebrity status among drivers for his couldn’t comprehend the isolation, impeccable driving record. but with the help of his medical team, The former Ford Motors factory has been transformed into we have been able to keep him happy “Dad still likes to say that he was the Barwon Health’s COVID-19 community vaccination hub. and comfortable.” best truck driver at Ford, and was Auricle 14
. THE HEART OF THE MATTER CLINICAL TRIALS CAN COMMUNITY HEALTH Medical research saves and transforms lives. Many of the advances in healthcare, which we all enjoy, are based on the background research to test new treatments. From penicillin to COVID-19 vaccines, clinical trials have played a pivotal role in the advance of medical care. PAUL LIGHTFOOT | ADRIAN COSTA CLINICAL TRIALS CENTRE DIRECTOR Barwon Health has a long history of fostering mortality rate by age 20. In my role within to people who haven’t had any treatment medical research and running clinical trials. the clinical trials team, I was able to watch options previously. This is now moving to the next level with a 13-year-old boy from a country town As the director of the Adrian Costa Clinical the advent of the Adrian Costa Clinical make incredible progress within months, Trials Centre, I believe we’re in an exciting Trials Centre, made possible by a generous from needing constant parental care, to phase where the site location will soon be donation from the Costa family. Prior to reaching a level of cognitive improvement announced, the first construction is around becoming the centre’s inaugural director, I and freedom from seizures that allowed him the corner, and we now have 10 trials in the was working in neurological clinical trials at to cook his own meals and ride a motorbike start-up phase With more too follow. As part the Austin Hospital. In 2017, my research team around the family farm. It was like turning on of the planning process, I’ve been raising the was tasked with trialling a very old treatment a light bulb. Just like that, this experimental centre’s profile with clinical trial sponsors for weight loss that might be used to treat treatment had transformed his lifestyle and locally and internationally to attract new Dravet Syndome, a rare form of epilepsy. that of his entire family. Witnessing the life- studies, while also connecting with networks changing power of clinical trials has fuelled Children with Dravet Syndrome can across Australia that will direct trials to our my passion for this field and I’m excited to experience violent seizures throughout their service. We’re fortunate to be in a position see the difference Barwon Health’s own lives, starting as young as six months of age. where Barwon Health’s executive team has clinical trials centre will make in the Geelong This condition nearly always leads to the committed to make research a priority for community. We’re in a position where our development of an intellectual disability, the Geelong region. This means that while research can fix problems and offer hope and at that time, there was a 15 per cent some research centres both in Australia and Barwon Health 15
. I was able to watch a 13-year- old boy from a country town make incredible progress within months, from needing constant parental care, to reaching a level of cognitive improvement and freedom from seizures overseas can take months or even years to approve a new trial, we will have a turnaround time measured in weeks to approve new research. This gives us an advantage in securing clinical trials for Geelong. A priority of this centre will be to address the unmet health needs in the community, with an ultimate research goal to deliver more than just results and findings. We Adrian Costa Clinical Trials Centre director Paul Lightfoot. will be developing treatments to improve health, and trialling those with people in the community. For example, we’re interested our reputation as a whole, and makes by COVID-19 teaching us ways to conduct in attracting new neurological research Barwon Health more attractive to specialised important trials without participants leaving for autism and dementia treatments staff with high levels of expertise. their homes. People can now have a “Zoom” that don’t currently exist. While there is consultation, with the medication sent to no standard treatment for Alzheimer’s The Costa Centre will allow us to cover new their home, and that’s a game-changer for a disease, there are many ongoing trials in the ground at Barwon Health, including first-time regional health service. research community that can be viewed as collaborations between different medical a way to treat people who currently don’t fields. These types of clinical partnerships I’ve seen how clinical trials can transform have any other options. The community will explore links that lead to new ways lives and I’m excited to bring that to people in benefits of clinical trials are very large, with of diagnosis and treatment for different our region. With so much potential to provide opportunities to offer new treatments. Many conditions. We’ll also be finding ways to bring new access to people who need life-changing studies have shown that people who are more and better trials to Geelong at earlier treatment, the community has a lot to look part of clinical trials have better health than stages of development, with innovative forward to. I believe the legacy of the Adrian those who aren’t, and more local trials will trials that will test brand new lab-developed Costa Clinical Trials Centre will be one that improve the overall health of the community medicines for the first time. A telehealth holds up hope where there wasn’t any in the by giving access to new treatments where suite at the Costa Centre is another past. For people who have lived with their there previously was none. Our work will innovative feature that will help decentralise injury or illness without any respite, the also provide evidence that can inform the the process of research, providing greater possibility of accessing new treatment is the way healthcare is conducted across the access to for greater regional community first step towards living a healthier life. region, while also offering pathways for involvement. One big change over the next local researchers to stay in the community To support the work of the Adrian Costa 10 years is that trials will become far more rather than moving interstate or overseas. Clinical Trials Centre, contact the Barwon decentralised, with the changes forced Improving our research reputation improves Health Foundation. Auricle 16
. RESEARCH AT BARWON HEALTH Australian-first study reveals gender differences in footy injuries A landmark study has for the first time revealed gender differences in the injuries sustained by community- level footy players. Barwon Health’s Aussie Rules Footy Injury Study team, pictured at the start of the project in 2019: Emergency Department staff Libby Ellis, Russeen Norman, Stephen Gill, Nicole Lowry, Julian Stella, and Richard Page. The Aussie Rules Football Injury Study study The results revealed that: “Instead, we found that concussions were was led by Barwon Health’s Professor Richard shared almost equally between male players • female players had a higher proportion Page, Dr Julian Stella and Dr Stephen Gill, with and female players. of hand/ finger injuries (34.3% v 23.4%), support from Deakin University, the Barwon neck injuries (6.6% v 2.5%) and patella “It was a similar story with ACLs, which Centre for Orthopaedic Research and Education dislocations (2.9% v 0.6%); is a serious knee injury. Women tend to (B-CORE), and the AFL Research Board. have higher rates of ACL injuries; however, • male players experienced a higher The study compares football injuries of we found only a small number of these proportion of shoulder injuries (11.5% v 5.8%), more than 1600 males and females, injuries, and our statistical tests did not skin lacerations (8.0% v 1.7%), and thorax/ presenting to University Hospital Geelong find differences between male players and abdominal/pelvic injuries (5.7% v 2.1%); or one of 12 other south-western Victoria female players.” emergency departments between January • concussion rates were similar between With female players and male players and October 2019. the genders and occurred in 14.1% of all suffering different types of injuries, Dr Gill said patients; Results show female players (comprising it is important to now understand why this is 14.8% of study attendees) experienced more • anterior cruciate ligament (ACL) and how these injuries might be prevented. hand/finger and neck injuries and kneecap injuries were infrequent (1.0%) and not “For example, do female players try and dislocations, while male players endured more significantly different between genders mark the football differently to male players, shoulder and trunk injuries and skin lacerations. (2.1% v 0.9%); which explains the higher number of hand Senior B-CORE research fellow Dr Gill said the • female players received more imaging and finger injuries,” he said. Aussie Rules Football Injury Study was the investigations, such as x-rays and CT “If we can figure this out, then we can first to directly compare football injuries in scans, (83.1% v 74.7%) and analgesia implement targeted, gender-specific injury community-level players. (62.4% v 48.5%); prevention programs.” “Given the increasing number of female footy • a higher proportion of male players The results of the study are reported in the players, it’s important that we understand required admission to hospital (5.0% v Journal of Science and Medicine in Sport the risks involved,” Dr Gill said. 2.1%), usually for surgery. paper ‘Gender differences in female and male “Most research to-date has focused on men, Dr Gill said he was surprised by some of the Australian Football injuries – A prospective so together with the Australian Football findings, particularly around concussions and observational study of emergency League (AFL), we’ve taken a much closer look ACL injuries. department presentations’. at the injuries sustained by female players compared to male players.” “Women have higher rates of concussion than men in some sports, so we were expecting to see that in this study,” he said. Barwon Health 17
. Research into sterilising pacifiers and food allergies published A Geelong study The Barwon Infant Study compared dummy use and “This research should not discourage the cleaning of cleaning methods among infants at six months of dummies, as this is a vital step in keeping a child safe that links sterilising age and those with a confirmed food allergy at one from the more immediate risk of infectious diseases,” year of age in more than 700 participants. Victoria said. pacifiers (or dummies) The study, published in the Journal of Allergy and “There is also no evidence from this study that with an increased Clinical Immunology, found infants whose dummies cleaning dummies by other methods is harmful.” risk of food allergies were sterilised with an antiseptic solution were more likely to have a diagnosed food allergy at the in babies has gained age of one. international “These findings support the growing Centre of Food and Allergy Research recognition. investigator and Murdoch Children’s recognition of the importance of good Research Institute PhD candidate Victoria bacteria, known as ‘microbiome’, Soriano said the link between dummy sterilisation and food allergies warranted in our mouth and gut on healthy further research into how good bacteria growth and development,” in the infant mouth and gut could help prevent food allergies. With food allergies often causing life-threatening “These findings support the growing recognition of the anaphylaxis and affecting up to 10 per cent of infants, importance of good bacteria, known as ‘microbiome’, more research is required to understand how to in our mouth and gut on healthy growth and prevent allergies. development,” Victoria said. The study team has contacted the Royal The research found no increase in risk of food allergy Australasian College of Physicians who are further at one year of age among dummy users when the considering this issue. dummies were washed in tap water, boiling water, put in the parent’s own mouth, or not washed at all before being given to infants at six months of age. Auricle 18
. RESEARCH AT BARWON HEALTH New research targets endometriosis symptoms “We are seeking to address this with A new clinical trial will aim to research, which can determine if adding a reduce endometriosis pain by mind-based intervention, such as group psychology treatment, or adding a mind/ comparing the effects of yoga, body intervention, such as group yoga, cognitive behaviour therapy improves quality of life for people with endometriosis and pain. and education. “Our control group will be those having The controlled study, titled HaPPI, has been usual gynaecology care, which can involve designed to improve quality of life and treatment with hormones and surgery, along reduce health care costs for the debilitating with education about endometriosis.” disease that impacts about 700,000 Australians, with a significant impact on the There will be 258 participants recruited healthcare system. from Barwon Health, Monash Health and endometriosis support groups, each running Barwon Health, in partnership with Deakin for eight consecutive weeks with participants University, Monash Health and University of completing online questionnaires to measure South Australia, has received $893,981 from Barwon Health researchers Elesha a variety of health aspects before and after Parigi, Kirsty McColl, and Marilla Druitt the Medical Research Future Fund to conduct the eight-week intervention. are leading the HaPPi study. the randomised trial over five years. The study is open for participants who have a Secondary outcomes include improvement “We already have good evidence that diagnosis of endometriosis and have had pain in pain, mental health, fatigue and sleep; cognitive behavioural therapy is a great for at least six months, at least 18 years of along with improved cost-effectiveness to treatment for pain, and there is some early age, not currently pregnant, no major physical the health system, such as fewer hospital research that yoga can also decrease pain issues/injuries, have not recently completed a presentations, and within society, including associated with endometriosis,” she said. course of therapist led yoga or CBT. fewer sick days. “Our healthcare system was not designed To become a participant, people who Barwon Health obstetrician gynaecologist Dr with an interdisciplinary approach in mind, qualify for the study can contact Marilla Druitt said the study aimed to better and we have known for decades that a thehappistudy@deakin.edu.au. treat the pelvic pain caused by endometriosis, biopsychosocial approach works much better which affects one in nine women aged for most health conditions than a purely between 18 and 44 years in Australia. medical focus. ANNOUNCING THE BARWON HEALTH-DEAKIN UNIVERSITY PHD PROGRAM A Barwon Health and Deakin Growing the next generation of clinician- their candidates will have the opportunity academics is a strategic priority for the BH to apply for further project funding for University (BH DU) PhD Program DU partnership and the Deakin University subsequent years of the project. is offering nursing, allied health Faculty of Health is providing up to five PhD and medical practitioners to scholarships to support the program. Each PhD scholarship will maintain clinical training and Each PhD scholarship will receive $10,000 of receive $10,000 of project roles while developing research project funding in year one, via the Barwon interests and skills. Health Foundation. Supervision teams and funding in year one. Barwon Health 19
. MEDICAL MYTHBUSTERS COVID-19 vaccination clotting. The TGA has advised the vaccine IS THERE ANY CANCER RISK CAN THE VACCINATIONS CAUSE is safe for people aged over 50. ASSOCIATED WITH THE VACCINES? INFERTILITY? No, there is no evidence of the vaccines These are not live vaccines, they’re ARE THERE ANY having any damage to genes that result inactivated to produce protein within LONG-TERM EFFECTS? in cancer. cells or the spike protein on the outside of the virus, so there is no way the vaccine There is no evidence or signal of long- term effects from vaccination, but the DOES THE VACCINE ALTER could affect fertility in a human. It doesn’t only way we’ll know properly is long-term target our fertility systems. YOUR DNA? surveillance. There can be long term consequences from COVID-19 infection, The programming of the Pfizer vaccine DOES THE OXFORD-ASTRAZENECA including fatigue and lung function. stimulates your cells to produce copies of a spike protein found on the outside VACCINE CAUSE BLOOD CLOTS? of the coronavirus. The immune system Blood clotting, or deep vein thrombosis, IS IT TRUE THE VACCINES CONTAIN recognises it, as if you’re manufacturing is very common health issue associated ABORTED FETAL CELLS? an antigen that will produce antibodies with many risk factors. So far, there is to fight against COVID-19. Cells produce evidence that one in 250,000 people The vaccines people are receiving in proteins all the time and there are no receiving the Oxford-AstraZeneca Australia do not contain any stem cells or dangerous mutations. vaccination have experienced blood fetal cells. VIRTUAL WORD OFFERS THERAPEUTIC REMEDY TO ISOLATION Barwon Health’s palliative care “People have been so isolated over the past year and this therapeutic intervention has virtual reality (VR) program has made a huge difference to bridging that gap expanded to bring the immersive and thinking about therapy in different ways. therapy to more patients in the “Most of our patients are too unwell to travel, community. even without travel restrictions in place, so VR has been utilised as a form of diversion VR experiences can help meet the need for therapy at Barwon Health since 2019, people to cross destinations off their bucket with volunteers first learning to use the list, whether they have places they always technology with patients. wanted to go, or they want to return to a Palliative Care Unit patient Leonard Walsh place from their childhood.” enjoys a virtual reality experience in space. Palliative Care program manager Jacqui White said COVID-19 had interrupted a She said palliative care patient Leonard Walsh, a former engineer, recently enjoyed a and we’ll bring them some French food to program partnership with the City of Greater VR experience taking him to a space station. go along with the experience, as part of our Geelong Libraries, encouraging staff to Have a Go initiative. source some healthcare-specific VR “Len talked a lot about watching the moon headsets of its own to continue the program “We’re excited by this technology and landing and a lot of memories of space travel independently. also looking at how it can be used to moments. manage things like anxiety and pain, at a “We’re been working hard to get staff “On the day of his VR experience, he was psychological and mindfulness level.” engaged with VR, with champions for each energised and engaged and it makes such a area of palliative care as we look at how can The device’s library currently has 18 difference to quality of life. we can embed this technology within our immersive options, including city tours, program,” she said. “Other patients might take a VR trip to Paris wildlife and space experiences. Auricle 20
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