Medical matters
The Kareena Private Hospital Newsletter
Kareena Private Hospital
86 Kareena Road, Caringbah NSW 2229
www.kareenaprivate.com.au
02 9717 0000
Issue 21
October 2013
New Developments
Commence at Kareena!
Kareena Private Hospital is
currently undergoing an exciting
new redevelopment to the hospital
to improve patient services and
expand the existing building. The
new development at Kareena
Hospital, costing over $20 million
will include 6 new consulting suites,
an additional Operating Theatre and the inclusion of
the single rooms across existing wards including the
Maternity unit. Kareena Private Hospital will become
a modern 150 bed facility offering patients the highest
possible standard of care.
The development will allow Kareena Hospital to add to
its current services Neuro spinal surgery, Ophthalmic
surgery and bariatric surgery most of which until now
Sutherland Shire residents have had to travel outside the
Shire to avail themselves of these services in a private
hospital setting.
The street presence of Kareena Hospital will change as a
new building that faces the Kingsway will be constructed
above the existing car park. The Surgical ward which
currently has 18 beds will increase to 36 beds. A second
Operating Theatre will be partially constructed (cold shell
stage) for future growth, and the Maternity Unit will
receive an additional Special Care Nursery cot with 18
private postnatal rooms.
Also included in the developments are expansions
for both the Pharmacy and Stores Departments,
and relocation of the ICU Unit and Medical Records
Department.
Kareena Private Hospial CEO, Steven Schultze said
“We’re very excited about this development and
for the future of Kareena Private. This development
will provide an increase to not only health services
in the Shire but also Increased employment
opportunities for the local community with the
addition of approximately 100 nursing and ancillary
positions ”.
Kareena Private Hospital’s Hotline
for acute medical, surgical &
respiratory admissions.
Ring the below number to speak to our
experienced Bed Manager to arrange
admissions under one of our VMOs.
02 9717 0182
9am-9pm 7 days
86 Kareena Rd
Caringbah 2229
In this
issue
• CEO Report
• Breaking Down the Ezi Access pathway
• New Developments commence at Kareena
• Surgical Updates by Dr Francis Chu
• New VMOs
Kareena Private
Maternity Video!
The ‘Having a Baby at Kareena Private Hospital’
video has been well received by our maternity
patients. The video was recently uploaded to the
Kareena website and has already received over
2,200 views. The video is an overlook of the
maternity facilities, services and care our
obstetric patients can expect to experience when
staying at Kareena. Take a look on our website if
you haven’t checked out the video yet!
www.kareenaprivate.com.au
Introducing Kareena Private
Hospitals new GP Liaison Officer
Lauren Sharpe!
Kareena Private Hospital
has newly appointed
Lauren Sharpe to the
position of GP Liaison
Officer.
Lauren has extensive
experience in GP
relations and in her role
as GP Liaison will
facilitate improved
communication and collaboration between
Kareena Private Hospital and general practice,
improving the patient pathway.
Kareena Private Hospital understands that our
local General Practitioners are interested in
developments that affect their patients; new
services and consultants, clinic changes and
equipment.
Over the coming month, Lauren will be visiting
all the general practices and would be happy to
discuss our latest developments, introduce new
consultants, provide lunch time education and
explore collaborative opportunities.
For any queries please don’t hesitate to contact
Lauren Sharpe on 0439070220 or at
SharpeLauren@ramsayhealth.com.au
Medical matters
Breaking Down the Ezi Access Pathway
Ezi Access Pathway
Kareena Private Hospital has a pathway to assist in GPs and their patients’ admission process, known as Ezi Access Pathway.
When you are unable to make contact with a Kareena Specialist to arrange the acute admission of your patient then the Ezi Access pathway
will assist to facilitate the direct admission of medical patients. It is required that you have assessed the patients and they have a diagnosis
which requires admission.
Direct admissions organised via a Kareena Specialist by yourself will remain unchanged.
In order to initiate an Ezi Access pathway, all you have to do is phone the Bed Manager on 9717 0182 who will obtain patient details and
transfer you to the Senior Medical Officer who will ask you a series of questions about the patient. They will then liaise with a Kareena
Specialist to accept the care of your patient. Once this confirmation is accepted, from the Kareena Specialist and a bed is available, the Bed
Manager will liaise with you regarding admission protocols for patients.
If your patient is acutely unwell or unstable we recommend that you call 000 for an ambulance. This is essential in the case of chest pains or
cardiac related issues.
Kareena Private Hospital will continue to have experienced medical support on site 24 hours a day. In addition we have recently engaged
the services of Intensive Care Specialists to support our Level 1 Intensive Care Unit
The Ezi Access Process
Phone Ezi Access
02 9717 0182
Transferred to Bed Manager and Senior Medical Officer (SMO)
In order to expedite the screening process thus ensuring your patient
is assessed as quickly as possible, our risk assessment check will
require you to answer a few questions. The more information you or
your patient can provide, the faster we can arrange admission.
•
•
Detailed history of the patient including;
– Medications
– Past medical history
– Consultant determine
– Infection status
– DVA details
– DOB
Private health insurance details. We can check the level of cover
and advise the patient of any out-of-pocket expenses.
Which Patients are
Suitable for Ezi Access?
The Ezi-Access pathway is
suitable for patients requiring
hospitalisation for:
•
•
•
•
•
•
Management of diabetes;
Anaemia for investigation;
Mild heart failure;
Mild renal impairment (GFR>50);
Cellulitis;
Pneumonia.
Any patient who has the following
condition/s would be excluded from
the pathway:
•
•
•
•
•
•
•
•
Acutely unwell or unstable;
Chest pain;
Symptoms of acute appendicitis;
Diabetic Keto-acidosis;
Haematemesis;
PR bleeding;
Acute renal failure;
Psychosis.
Introducing our newest Specialists
The following VMO’s have been accredited at Kareena
Private this year.
•Dr. Chin GOH – Respiratory & Sleep
Medicine
•Dr. Sonya JESSUP – Gynaecology
(Fertility)
•Dr. Abel Czarina MENDOZA-CRUZ –
Paediatric Endocrinologist
•Dr. Murtaza JAMNAGERWALLA –
General Surgeon/Colorectal
•Dr Jai SUNGARAN – Orthopaedic
Surgeon
•Dr Tony BUSHATI – Obstetrician &
Gynaecologist
•Dr Alejandra IZURIETA – Obstetrician &
Gynaecologist
•Dr Ali GHAHREMAN – Neurosurgeon
•Dr Matthias JAEGER – Neurosurgeon
•Dr Robert NGUYEN – Gastroenterologist
•Dr Andre SAFVAT – Plastic &
Reconstructive Surgeon
•Dr Amira SANKI – Plastic Surgeon
•Dr Simon GREENBERG – ENT Surgeon
•Dr Katrin SJOQUIST – Medicine –
Oncology
•Dr David WONG – Cardiologist
•Dr Greta LEE – Gastroenterologist
Using the Consulting
Suite
•Dr Shanel SHARMA – Ophthalmologist
•Dr Daya SHARMA – Ophthalmologist
•Dr Zoltan Szomor
Our Bed Manager, can be contacted on
(02) 9717 0182, 7 days 9am – 9pm
to arrange admission for your patient.
Medical matters
CEO Report
Welcome to the October issue and the commencement of the run down to Christmas. Thank you for your
support of Kareena in a very busy year. I’m sure our new GP Liaison person has or will shortly be visiting you
to advise in person some of the changes happening at Kareena. The building program has now commenced
but it is very much business as usual. We are doing our utmost to ensure patient services are not negatively
impacted and encourage you to keep utilising Kareena and its services.
New EZI FIND
Directory
Kareena Private Hospital has recently released
a current listing of all active specialists. If you
missed out on receiving a hard copy listing
please contact the hospital on 9717 0326.
Contact details for all specialists are also
available at
www.kareenaprivate.com.au
Kareena Private Hospital SEPTEMBER 2013
general enquiries:
02 9717 0000
hospital facsimile
hospital admissions
imaging
pathology
Visiting
medical officers
www.kareenaprivate.com.au
GENERAL SURGERY
Dr Kenneth Chan
9580 3833
Dr Philip Conroy
9540 7082
Dr Chris Dedousis
0414 812 603
Assoc. Prof. Peter Gonski
9540 7109
Dr Stephen Phoon
9531 1633
Dr Juliani Rianto
0433 022 525
Dr Andrew Bean
Dr James Chau
Dr Francis Chu
Hepato-biliary
Dr Tony Ethell
Dr Douglas Fenton-Lee
Dr Stephanie Inder
Breast/Endocrine
Dr Murtaza Jamnagerwalla
Dr Vytauras Kuzinkovas
Dr Joe Lizzio
Dr Ken Loi
Upper GI & Obesity
CARDIOLOGY SERVICES
Dr Garry Helprin
Dr Eugene Loh
Dr Joseph Matthews
Dr Mark Nallaratnam
Dr Mark Pitney
Dr Ananth Prasan
Dr Shiva Roy
Dr Mark Sader
Dr Robert Smith
Dr David Wong
Dr John Woolridge
9796 2266
9525 9266
9525 9266
9526 8820
9525 9266
9526 8820
9525 9266
9531 2476
9525 9266
9525 9266
9525 1151
8566 1000
9540 5238
DENTAL
Dr Michael Burke
9520 8811
ENDOCRINOLOGY
Dr Abel Czarina Mendoza Cruz
(Paediatric)
9526 8111
Dr Steve Thornley
9526 8111
EAR, NOSE & THROAT SURGERY
Dr Andrew Bridger
Dr Ian Cole
Dr Alan Evans
Dr Sean Flanagan
Dr Simon Greenberg
Dr Edward (Ted) Smith
9525 3500
9525 3500
9526 8000
9380 5900
9587 9811
9525 3500
GASTROENTEROLOGY
Dr Anthony Donaghy
Dr Robert Elliott
Dr John Freiman
Dr Matthew Hall
Dr Jason Hui
Dr Greta Lee
Dr Robert Nguyen
Dr Alastair Tait
Dr Benjamin Terkasher
9540 5238
9553 1120
9524 8779
9587 8813
GYNAECOLOGY
Dr Danny Chou
9587 3388
Dr Soak Foong
9399 3899
Dr Sonya Jessup (Fertility) 0421 540 500
Dr Gregory Robertson
9588 1546
HAND & WRIST SURGEON
COLORECTAL SURGERY
Dr Steven Gan
Dr Sanjay Kariappa
9525 1145
9524 5869
9525 4100
9531 6660
9524 7114
9525 4899
9525 4222
9524 0229
9525 0255
9524 0229
9524 0229
9525 4899
Dr Stuart Myers
9650 4382
NEUROSURGERY
Dr Mark Davies
Dr Ali Ghahreman
Dr Matthias Jaeger
9553 9822
9553 4480
8738 4090
OBSTETRICS & GYNAECOLOGY
Dr Tony Bushati
Dr Norman Chan
Dr Ludmilla Collins
Dr Robertson Gregory
Dr Amanda Henry
Dr Chandra Krishnan
Dr Marcela Martin
A/ Prof. Gamal Matthias
Dr Ken Roper
Dr Ian Simpson
Dr Andrew Zuschmann
8018 5080
9525 8265
9526 8873
9588 1546
9382 6515
9524 3133
8567 6980
9524 3696
9524 2129
9540 4676
9526 7477
ONCOLOGY & HAEmOTOLOGY
Dr Patricia Bastick
Dr Tracey Dunlop
Dr Matthew Links
Dr Kiran Phadke
Dr Raj Ramakrishna
Dr Katrin Sjoquist
9553 9588
9540 8150
9113 3910
9526 8111
9553 1272
9562 5025
QA +CPD 4 category 2 points in the RACGP 2011-2013 triennium
86 Kareena Road, CARINGBAH NSW 2229
OPHTHALmIC SURGERY
9525 6731
9525 5322
9524 7778
‘Hands On’ – With Plastic and
Reconstructive Surgeons
Dr Andre Safvat & A/Prof Anand Deva
Thursday, 14th November 2013
Time: 6:30pm- 8:30pm
Venue: Conference Room,
Kareena Private Hospital
Register: With Lauren Sharpe on 0439070220
Or online at www.kareenaprivate.com.au
02 9525 1606
t: 02 9717 0182
t: 02 9717 0267
t: 02 9717 0288
medical consUltants/specialists’ listing – Kareena priVate hospital
AGED CARE & REHABILITATION
GP Education Register Now!
Dr Peter Cohen
Dr Michael Newman
Dr Allan Rosenberg
Dr Shanel Sharma
Dr Daya Sharma
PAEDIATRIC SURGERY
9525 5190
9540 4586
9525 8477
9387 5300
9387 5300
ORAL & mAXILLOFACIAL SURGERY
Dr Anthony Anker
Dr Michael Bowler
Dr David Sherring
9526 1133
4942 1211
9526 1133
ORTHOPAEDICS
Dr Michael Dixon
9525 2055
Knee & Hip
Prof Ian Harris
9570 1412
Dr Paul, R Hitchen
9524 2177
Shoulder & Knee
Dr Hugh Jones
9553 1616
Shoulder, Knee & Hip
Dr Anthony Keeley
9587 4720
Hip, Knee, Sports Injuries & Trauma
Dr Anthony Leong
9525 2055
Knee & Hip
Dr Samuel MacDessi
8307 0333
Knee & Hip
Dr David Maxwell
9540 2959
Spinal
Dr Mark Ridhalgh
9525 1800
Knee/Shoulder/Joint
Dr Stephen Rimmer
9524 3000
Hip & Knee
Dr Ron Sekel
9588 6399
Dr Jai Sungaran
9525 3444
Hand Surgery
Dr Zoltan Szomor
8568 6700
Dr Siew-Piau Tan
9524 5888
Hip & Knee
Dr John Trantalis
9525 2055
Shoulder & Elbow & Trauma
Dr Allen Turnbull
9525 2055
Knee & Hip
PAEDIATRICS
Dr Eric Coudounaris
Dr Anthony Dilley
Dr Paul Joshua
Dr Jean Li-Kim-Moy
Dr Shan Jin Ong
Dr Glenn Stephens
9540 5344
9540 4409
9540 5344
9524 8128
9540 9000
9524 8128
Dr Guy Henry
9650 4422
PHYSICIAN - CLINICAL
ImmUNOLOGY & ALLERGY
Dr Ron Walls
9525 9564
PHYSICIANS - RESPIRATORY &
SLEEP mEDICINE
Dr Con Archis
Dr Chin Goh
Dr George Hamor
Dr Greg Katsoulotos
Dr Andrew Ng
Dr Graham Radford
Dr Eric Wong
9553 7711
9580 5011
9526 8222
9553 0006
9540 9886
9524 7155
9540 9886
PHYSICIANS - RESPIRATORY mEDICINE
Dr Chris Dedousis
Dr Steven Lindstrom
0414 812 603
9531 4222
PHYSICIANS - RHEUmATOLOGY
Dr Jeffrey Eisman
Dr Anne-Louise Leslie
Dr Louis McGuigan
Dr Stephen K W Phoon
9524 4912
9524 7114
9524 1076
9531 1633
PLASTIC SURGERY
A/Prof Anand Deva
Dr Adrian Knox
Dr Ilias Kotronakis
Dr Darrell Perkins
Dr Andrew Safvat
Dr Amira Sanki
Dr Leana Teston
9542 8391
9553 9188
9588 2494
9587 0871
9542 8391
9588 2494
9708 3511
UROLOGY
Dr Tru Ngo
Dr Bill Papadopoulos
Dr Gerard Testa
9525 0383
9588 3239
9525 6455
VASCULAR SURGERY
Dr Raymond Englund
Dr Lubomyr Lemech
Dr Andrew Lennox
9588 7432
9587 5552
9525 9255
www.kareenaprivate.com.au
GP Practice Nurse
Education Evening
Kareena Private Hospital would like to
invite all Practice Nurses to join us for
an education evening looking at Infant
and Child Health.
Wednesday 16th October 2013
Presentations starting at 7pm,
dinner from 6:30pm.
Kareena Private Hospital, 86 Kareena Rd
Caringbah 2229.
RSVP to Lauren by 9th Oct 2013 at
This is not a comprehensive list of specialists with
visiting rights to this hospital. Please contact Kareena
Private Hospital on 02 9717 0000 to ascertain if your
preferred specialist is accredited here. Please note that
General Practitioner (GP) referral is required in order
to facillitate specialist consultations.
SharpeLauren@ramsayhealth.com.au
limited spaces available so get in quick!
Medical matters
The current management of gallstones
by Dr Francis Chu
Suite 106, 26-28 Gibbs Street
Miranda, NSW, 2228
Phone : 02 9524 7778
Fax : 02 9540 3385
Surgical Updates
In a new three part lecture series Dr Francis Chu will
update the current surgical management of gallstones,
abdominal wall hernias and liver cancer.
The current management of
gallstones:
Gallstones are a common surgical condition. It has
been stated that up to 20% of women and 10% of men
have gallstones. The current risk factors for developing
gallstones include:
•Female
•Increasing age
•Pregnancy/oral contraceptive pill
•Family history
•Obesity
•Diabetes
•Increased serum cholesterol
The majority of gallstones seen in Australia are cholesterol
stones, which account for approximately 80% of the
population. However 20% have pigmented stones which
are usually smaller in size but more in number.
Asymptomatic stones:
Although the prevalence of gallstones is high in our society,
the majority of these patients are asymptomatic and do not
require any surgical management or intervention. However
there should be a few caveats to this.
Firstly, in those patients with multiple small gallstones
(especially pigmented), they have increased risk of
passing the stones into the common bile duct and hence
presenting with choledocholithiasis. Secondly, females
of childbearing age diagnosed with gallstones should
consider elective surgery prior to falling pregnant. Another
high risk group are those patients with large stones greater
than 2cm for more than 20 years duration as these patients
are at increased risk of developing gallbladder cancer.
Symptoms:
We all know the classical symptoms of gallstones could
be from dull nausea after eating, to biliary colic as well
as cholecystitis. An interesting point to note is that of
those patients presenting with symptomatic gallstones
approximately 10% will also have stones in their common
bile duct. Of these, only 50% actually present with
abnormal liver function tests.
Surgical management:
In the mid 90’s there was a movement away from open
cholecystectomy to one of laparoscopic cholecystectomy.
This is now the standard of care. More than 95% of
patients with symptomatic gallstones can be treated via
laparoscopic approach. However there will be up to 5%
of patients where the surgery is either inappropriate or too
difficult and has to be converted to open surgery.
The current change in surgical management is the
treatment of common bile duct stones. Traditionally an
ERCP (endoscopic retrograde cholangiopancreatography)
is used to manage common bile duct stones.
However, with the advent of laparoscopic common
bile duct exploration via a dormia basket or a direct
choledocoscopy, up to 80% of patients with common bile
duct stones can be managed in the same setting as the
laparoscopic surgery. Only 20% of patients with common
bile duct stones fail a laparoscopic approach and will
require a post operative ERCP.
There are certain surgeons offering single incision
laparoscopic surgery (SILS) although this is still in the early
stages of development and its efficacy will need to be
addressed in the future.
Complications:
Apart from the general complications of surgery including
bleeding, infection etc patients undergoing laparoscopic
cholecystectomy are at risk of developing either a bile
leak or common bile duct injury. These injuries are
rare accounting for only 0.5 to 1% of all laparoscopic
cholecystectomies.
Once the injury has occurred, the patient should be
managed in a dedicated hepatobiliary unit as the
management of these complications can be complex and
may require combination of either ERCP, biliary drainage or
a formal operation which involves excision of the common
bile duct.
Summary:
In summary, the management of gallstones has come a
long way in the last 20 years. The key updates to note in
the last five years is that the majority of patients even with
common bile duct stones can be managed in one sitting
with laparoscopic surgery.
VMO Profiles
Dr Sonya Jessup
BHB MBChB FRANZCOG MRM
Ferility Specialist and Gynaecologist
331- 337 Kingsway, Caringbah NSW 2229
All appointments: 1300 899 850
Fax: (02) 9822 7919, Mobile: 0421 540 500
www.drsonyajessup.com.au
With over 10 years experience as a Fertility Specialist and Gynaecologist in public and
private practice Dr Sonya Jessup now practices at specialist rooms in Caringbah and
Hurstville.
Previously a director of a fertility clinic in Brisbane, Dr Jessup has joined with Demeter
Fertility and provides an exceptional standard of fertility care and IVF services. She also
offers a full range of gynaecological consults and surgery.
Dr Jessup gained her specialist qualifications as a Fellow of the Royal Australian and
New Zealand College of Obstetricians and Gynaecologists in 2004 after completing all
her training at the Royal Women’s Hospital in Melbourne. Dr Jessup worked as a Fellow
in Reproductive medicine and endocrinology for three years before going on to achieve
a Masters of Reproductive Medicine (UNSW).
Dr Jessup has managed thousands of IVF cycles over the last 10 years and her
background in reproductive endocrinology allows her to expertly manage patients with
complicated fertility requirements.
An experienced Gynaecologist, Dr Jessup sees a wide range of patients from young
women with polycystic ovarian syndrome or endometriosis to women requiring
complicated laparoscopic surgery for large ovarian cysts. LLETZ procedures, tubal
ligation and reversals, myomectomy, hysterectomy, vaginal prolapse repair, cavaterm
endometrial ablation, labioplasy, hysteroscopy and curettes are all part of Dr Jessup’s
routine practice.
Dr Chin Goh
BSc(Med) MBBS FRACP
Respiratory and Sleep Medicine
Suite 103
26-28 Gibbs St Miranda 2228
All appointments: (02) 9540 5755,
Fax: (02) 9540 1455
Dr Chin Goh graduated from University of New South Wales (UNSW) in 2004. After
completing his residency years at St. George and Sutherland Hospitals, he committed to
basic and advanced physician trainings at Concord Repatriation and Network Hospitals.
He completed his final year of training in Respiratory and Sleep Medicine back at
St. George Hospital, and obtained his Fellowship of Royal Australasian College of
Physicians in 2012.
Currently, Dr Goh is a Research Fellow at St George Hospital Sleep Unit, in conjunction
with UNSW and St. George Clinical School. He is also a visiting consultant physician to
Wagga Wagga, supporting the health of rural communities.
Dr Goh consults in all areas of Respiratory and Sleeping Disorders, with special interests
in interventional pulmonology, respiratory failures and sleep disordered-breathing. In
fact, his higher degree research is in the area of sleep apnoeas in orthodontic patients.