October Newsletter 2017

October Newsletter

This month we’re featuring a real power couple who has done so much for this state that will be remembered for years to come!

We all know someone/personally have a bowel disease but how difficult is it to live with?

All the pictures you’ve been waiting for from Michelle’s wedding!

This month enjoy a different take on the regular old fritters – Crispy Lamb, Pea and Mint Fritters!

Contents

corehealth Monthly Special
corehealth Inspiration
Regular Champions
Let’s Talk Health – Can we managae/how difficult is it to live with bowel disease?
Recipe of the Month – Crispy Lamb, Pea and Mint Fritters

corehealth Monthly Special

We’re doing a bit of spring cleaning and clearing out all of our old stock! We’re selling our old foam rollers and magic circles for just $25 each, buy one now before they’re all gone!

For newsletter subscribers only. Make sure to mention this edition of the newsletter to redeem your offer. Talk to staff for any additional information.

corehealth Inspiration

“Before you put on a frown, make absolutely sure there are no smiles available”

– Jim Beggs

corehealth Regular Champions

Susan and Robert

This month’s regular champion is NOT about one client, rather it’s two clients. It’s about two people who quietly have devoted themselves to do things for all of us may it be in a direct or indirect connection.

Have you ever wandered in the national parks appreciating the wonderful country, wildlife and views this amazing country has to offer?
Have you ever asked yourself who are the people that make it possible for you to find your way along the trails and in these parks at ease and with safety?
We are extremely lucky to come across two of the most fit, knowledgeable and experienced outdoors couple Susan and Robert.

Susan and Robert both PASSED THIER 80TH BIRTHDAY and have done some amazing work throughout the years and continue to surprise us with their motivation and commitment to the environment and cultural / natural history.

Susan was involved with the department of environment for 25 years which involved wildlife, vegetation surveys and park management. Whereas, Robert oversaw senior scout groups which involved regular trips to Tasmania (Federation Peak) before topographic maps and GPS existed, requiring a vast knowledge of the terrain and environment. Furthermore, he ran a landscaping business for over 30 years managing both private and government enterprises such as linear park.

After years of experience in this environmental field, for the past 25 years and still ongoing, Susan and Robert are now part of an organisation called Friends of Parks. This is an independent not-for-profit, membership based association which promotes national, conservation and recreation parks, cultural sites and cultural heritage in South Australia. Susan and Robert’s role has them looking after walking trails in the Flinders Ranges, Mt Osmond, and the natural areas of the Barossa Valley.

Susan and Robert state that there is usually a lot of information for town walks, but not bush walks, which is where they come in, trying to expose the public to the magical traits of the outdoor hikes and walks. Robert undertook to design and install day, or half day self-guided bush walks for the Royal Geographical Society of SA for the average walker for inclusion in their guidebooks. This was extremely physical work with some teams of volunteers to assist, but was hindered with limited access to machinery. From this work, there are now 16 popular walks over 140km in the flinders ranges on parks land or Arkaroola, which are maintained by Susan and Robert and the Walking Trails Support Group volunteers.

Before computers Susan was responsible for providing primitive maps and descriptive, interpretive notes for the walks to point out things of interest. Digital improvements have allowed the enhancements of the maps to improve design and layout.

A typical visit to maintain a park or walking trail usually entails work to remove blockages, such as fallen trees, stone barriers from flooding creeks, overhanging weeds, lost markers, clearing earth drains and the foot pad. Luckily the footpad for the walks was completed years ago. However, there is usually carrying of heavy equipment involved when going to remote areas. This can include carrying chain saws, crowbars, scrapers, shovels, replacement markers and weed sprayers which can sometimes be as long as 6km before arriving to the work destination. On the rare occasion, Susan and Robert have carted seat materials, information panels, wooden posts and chains and on two occasions have had to wheel a heavy generator up hill to dig the hard ground. Usually, teams of 2, 4 or 6 people head off for the day to accomplish some of these tasks and generally stay in shearers quarters courtesy of Parks. However, they are always glad to return home to warm dry accommodation, a hot meal, a glass of wine and some lively conversation.

As you can tell this couple just can’t stay still and clearly enjoy the physical demand and dedication to the outdoors. Nevertheless, as if the above is yet to impress you enough, Susan and Robert have just completed the development of the Flinders Ranges Walks App which is available from Google Play and the AppStore. Yes, they have developed a computer and smart phone app! Which provides maps and walking notes for 16 walks in the Flinders Ranges.

We would love to thank Susan and Robert for all their hard work and commitment to the maintenance of these natural parks. A lot of us would use these walks on a regular basis not knowing all the hard work that goes into the maintenance and maps / information. All of us here at CoreHealth hope we are as active and passionate as Susan and Robert well into our 80’s.

– Written by Matt Gray

Let’s Talk Health

Irritable Bowel Syndrome – Collitis – Crohn’s disease

– Written by Amir Sela

Can we manage / how difficult is it to live with bowel disease / Crohn’s disease?

We all know / heard friends / colleagues complain about being bloated, having difficulties to breathe after a meal or even considering cancelling travels arrangements due to bowel discomforts, fear of “ruining” the experience of travelling for our partners / family etc.

Often this is unfortunately due to our “overeating” habits, which makes us think that we, along with the rest of the developed world suffer from Irritable Bowel Syndrome or heaven forbid Crohn’s disease.

IBS is affecting ONE of TEN of the population of the OECD. This means that in the majority of our entertaining dinner / a lunch party there is likely more than one participant with bowel disease.

IBS is often the umbrella term for multiple intestinal infections / obstructive conditions that can often vary from bloating regularly, to Crohn’s disease and whatever conditions in between. These are conditions that cause chronic inflammation of the digestive systems.

Furthermore, these conditions are often likely to be associated with increased medical / allied health services and costs and the likelihood of disrupted lifestyle, quality of life and associated mental health conditions.

There is one condition that often is not even being diagnosed until every other bowel syndrome has been ruled out due to fact that although we can now test for specific markers of the disease, it can also be present without the usual markers in blood tests etc.

The condition is Crohn’s disease. And no there is no cure for it. And no, there is no one ultimate medication that can be effective for the rest of your life. The medications we are aware of at present, help reducing the inflammation and often need to be changed due to the body “getting used to it” and symptoms resurfacing.

As such the treatment objective plan is for long term and includes 3 stages:

Medication 

1) Reducing the inflammation – medications include steroids which control inflammation for a short period of time and help pause the aggravation – this is likely to have side effects of increased hypertension, blood sugar levels, mood and sleep disturbances, and increase body mass. It is important to note that these medications often slow / stop the production of cortisol, which can be reproduced only when gradually reducing the steroid intake.
A new steroid generation that affects only the inflamed gut rather than the whole body has been introduced and is often a relief for mild / moderate level patients.

2) 5 aminosalicylates medication – are similar and have minimal side effects.

Maintenance of successful inflation Reduction

1) Medication – Immunomodulators – slow release and affect which helps maintain the suppression of the disease. However risks and side effects include vomiting, muscle soreness and small chance of developing lymphoma.

2) Biological treatment medication – the most reliable and with little side effects when comparing to the above medications. – Anti TNF resistant’s – this medication attaches to the molecule that is involved in causing the inflammation in the gut. This include Remicade , Humira and Simpon.

Constant monitoring – incorporate blood tests, GP visits and gastroenterologist monitoring. 

Anyone who reads the above will think that “ok, I don’t have it lets move on”, well unfortunately this is not the case as you are likely to either contract it yourself at some stage and / or have a family member that will contract it which is highly likely to affect your life as well.

So how do you / can you live with it? On daily basis where home / toilet and family support is very close, the side affects / daily life with the disease are likely to be more manageable compared with when one wishes to travel longer than a few days and / or to remote areas.
Often you are bound to “choose” your travelling destination according to advancement and ability of the destination to provide you with assistance / similar treatment medication you will need in Australia.

Fortunately there is some light in the end of the bowel…. 

IBDpassport is a non for profit organisation that has made a massive effort to collate the information you are likely to need to be able to travel around the world under one site.
This includes more than 300 medical associations / centres that specialise in colitis, IBS and Crohn’s that are able to provide you with the up to date treatment should you require it while travelling. a

In the site an abundance of information is available including vaccines needed, diet advice, how to clear border security with your medications and more.

It is important to note that often medication alone fails to improve the life quality of the patients. More recent studies have indicated that the combination of rich in vegetables / fruit and low fat / low processed food diet can help maintain the symptoms at a minimum. Nevertheless, it is crucial to remember that each patient is different in this category and it is important to identify which foods “aggravates” or “calms” your gut prior to planning your travels.

corehealth News

Congratulations Michelle and Liam!

On Saturday Michelle celebrated her 10 year relationship with Liam and got hitched on what was a perfect and emotional day! Just as the rain cleared and the sun shone through the trees, Michelle walked down the aisle and I don’t think there was a dry in the crowd especially not at least in the corehealth family. The day was filled with lots of laughter, tears, sunshine, dancing and delicious food. We all were admiring how stunning Michelle looked in her wedding dress and were amazed at how she still looked so perfect even when she was crying! We were so happy and blessed to a part of their personal and special day and wish the couple all the very best for their future as husband and wife. Michelle will be back soon to tell us all about the wedding and their trip soon!

 

Recipe of the Month

Crispy Lamb, Pea and Mint Fritters

Ingredients

1 cup (150g) self raising (self-rising) flour

1 cup (250ml) milk

2 eggs

1 tablespoon hot English mustard

sea salt and cracked black pepper

2 cups (300g) shredded slow-roasted lamb shoulder

2 cups (80g) finely shredded cavolo nero (Tuscan kale) leaves

1 cup (120g) frozen peas, thawed

½ cup finely chopped chives

¼ cup chopped mint leaves

½ cup (125ml) extra virgin olive oil

lemon wedges, to serve

store-bought or homemade tomato relish, to serve

Method

1. Place the flour, milk, eggs, mustard, salt and pepper in a large bowl and whisk until smooth. Add the lamb, cavolo nero, peas, chives and mint and mix until just combined.

2. Heat a little of the oil in a large non-stick frying pan over medium heat.

3. In batches, cook ?-cups (80ml) of the mixture for 2–3 minutes each side or until golden brown and cooked through, adding more oil as necessary. Serve with lemon wedges and tomato relish. Makes 10–12

– Suggested by Marissa Carter