188 SPECIALIST CENTRE

Physical exercise could improve symptoms of Alzheimer’s, dementia

Wed, 29 Jul 2015 01:29:32 +0000

Three studies have demonstrated that physical exercise might not just reduce the risk of Alzheimer’s disease and vascular dementia; it might be an effective form of treatment as well.
The findings of the new randomized controlled trials were presented at this year’s Alzheimer’s Association International Conference (AAIC) in Washington, D.C.

“Based on the results we heard reported today at AAIC 2015, exercise or regular physical activity might play a role in both protecting your brain from Alzheimer’s disease and other dementias, and also living better with the disease if you have it,” reports Maria Carrillo, chief science officer of the Alzheimer’s Association.

http://www.medicalnewstoday.com/articles/297287.php

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Spring Insight – GP talks

Fri, 07 Nov 2014 06:08:59 +0000

GP Talks – “Spring Insight”- bring a friend
Rescheduled: Wednesday, 19 November
6.00 pm to 7.30 pm – in the Atrium

RSVP to [email protected], or P 585 0190
Arriving: You will be met at the door and guided to the Atrium to refreshments and seating.

Agenda
6.00 start – 6.30 Dr Elizabeth Walker, Neurologist
Epilepsy in Young Women
6.30 – 7.00 Dr Peter Vann, Vascular Surgeon
Aortic Pathologies and Treatments
7.00 – 7.30 Professor Neil Johnson, Gynaecologist & Fertility Specialist
President Elect, International Endometriosis Assn.
Endometriosis and Fertility Update
Introducing Mr Julian Holland, Specialist Ear Nose Throat Surgeon, Thursday mornings at 188
We welcome in advance of this evening specific topics for discussion

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Neil Johnson honorary clinical professor appointment

Thu, 28 Aug 2014 02:45:06 +0000

We would like to congratulate Professor Neil Johnson on his honorary appointment as a clinical professor with the University of Adelaide.
Neil has been going over to the University of Adelaide on a visiting academic role every month or so and the University have recently confirmed his honorary title. It is a nice acknowledgment of Professor Johnson’s work in the field of Gynaecology and Fertility.

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Holistic Approach to Minimally Invasive Gynaecology and Fertility Treatment

Thu, 07 Aug 2014 03:21:02 +0000

Holistic Approach to Minimally Invasive Gynaecology and Fertility Treatment
Neil Johnson, Gynaecologist and Fertility Specialist.

Endometriosis.
My strong interest in endometriosis – a challenging condition that can profoundly impact women’s lives – has led me into rewarding involvements with Endometriosis New Zealand (ENZ) and the World Endometriosis Society (WES). I was privileged to convene the WES consensus on management of endometriosis (http://humrep.oxfordjournals.org/content/28/6/1552.full.pdf+html), a distillation of a vast literature of evidence (http://humrep.oxfordjournals.org/content/28/6/1552/suppl/DC1). This was a unique consensus, focused around a meeting in Montpellier, France, at the last World Congress on Endometriosis in 2011, as different perspectives were presented in one forum: clinicians, surgeons, scientists, as well as women with endometriosis. Non-consensus also emerged, in which previously accepted treatments were challenged. A philosophical shift to consideration of endometriosis and pelvic pain as a continuum of disease, thus avoiding exclusion of women lacking laparoscopic confirmation, was highlighted. That women with endometriosis may require individualised care over a long-term period, where priorities change owing to the type and severity of symptoms, impact of these symptoms, current or future fertility wish and lifestyle factors, was emphasised. New concepts in treatments emerged: supplements accepted to be evidence-based effective treatments such as vitamins (B1 and B6), minerals/salts (magnesium) and fish oils; the concept of long term prevention with agents such as Mirena, OCPs, GnRH-analogues, even combined treatment with more than one of these agents; Lipiodol fertility treatment, the theme of my MD thesis, was acknowledged for the first time by an international group; principles of networks expertise for women with intractable disease and the invaluable roles of endometriosis organisations such as ENZ (http://www.nzendo.co.nz/) were highlighted. For the future, most promise lies with GnRH antagonists (such as Elagolix, for which we have a multi-centre trial underway), selective progesterone-receptor modulators and aromatase inhibitors.

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Metformin use in women with polycystic ovary syndrome

Thu, 17 Jul 2014 00:18:27 +0000

Polycystic ovary syndrome (PCOS) is an endocrinopathy characterised by increased resistance to insulin. Metformin is one of the longest established oral insulin sensitising agents. For decades its use was restricted to management of type 2 diabetes. However, in the past two decades, its properties as an insulin sensitising agent have been explored in relation to its applicability for women with PCOS. Metformin is an effective ovulation induction agent for non-obese women with PCOS and offers some advantages over other first line treatments for anovulatory infertility such as clomiphene. For clomiphene-resistant women, metformin alone or in combination with clomiphene is an effective next step. Women with PCOS undergoing in vitro fertilisation should be offered metformin to reduce their risk of ovarian hyperstimulation syndrome. Limited evidence suggests that metformin may be a suitable alternative to the oral contraceptive pill for treating hyperandrogenic symptoms of PCOS including hirsutism and acne. More research is required to define whether metformin has a role in improving long term health outcomes for women with PCOS, including the prevention of diabetes, cardiovascular disease and endometrial cancer.

Neil Johnson, Gynaecologist and Fertility Specialist

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New specialists at the 188 Centre

Wed, 11 Jun 2014 00:42:41 +0000

Endocrinologist Ajith Dissanayake and Rheumatologist Hassan Mubark now provide services from 188. Please see their profiles.

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188 Specialist Centre Website

Thu, 08 May 2014 22:00:30 +0000

188 Specialist Centre has been operating at EastMed Integrated Medical Centre since 1998. The Centre is under a new management since August 2013.
We installed new database and communication systems in the last 8 months, upgraded computer’s system and brought together a professional and enthusiastic administrative team who support our consultants and help patients with their enquiries.
Our new website aiming to provide information about our specialists and service we offer to our patients.

Our goal is offering comprehensive medical specialist service, covering all aspects of health-related problems to the Eastern Bay and Auckland region community.

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