Healthfocus Family Practice in Ingleburn, New South Wales, Australia | Medical service

Healthfocus Family Practice

Locality: Ingleburn, New South Wales, Australia

Phone: +61 2 9829 3033

Address: 4/38 Oxford Road 2565 Ingleburn, NSW, Australia

Website: http://www.khoo.com.au

Likes: 88

Add/Update information

Reviews

Tags

• Medical and health
• Family medicine practice
• Family doctor
• Medical service

25.01.2022 Do drugs or supplements improve sperm quality? The use of medical and nutritional supplements to improve semen parameters and pregnancy rates in couples with idiopathic infertility is big business. But the evidence base for their use in this setting is pretty controversial. Is there any scientific basis to these drugs or supplements? http://khoo.com.au//can-drugs-or-supplements-improve-sper/

25.01.2022 Are eggs ok or not for your health? First, it’s not good, then it’s Ok and now we are not sure. Maybe it is, maybe it isn’t. We are talking about eggs and the association with cardiovascular disease and mortality. It’s stuck in many of our and our patients’ minds that eggs are no good. It doesn’t help when the 2015-2020 Dietary Guidelines for Americans came out with somewhat contradictory recommendations: (1) Cholesterol is not a nutrient of concern for overconsumption and (2) Individuals should eat as little dietary cholesterol as possible while consuming a healthy eating pattern (1). So, are eggs associated with an increase in cardiovascular disease and mortality or not? Read more here http://khoo.com.au//cardiovascular-health-are-eggs-in-or-/

24.01.2022 Confused about saturated fats? You are not alone. We are confused too (well, sort off). http://khoo.com.au//saturated-fats-not-as-evil-as-first-t/

24.01.2022 One of the things I remember quite clearly from medical school all those years ago that still resonates in my mind is this: if you are on the way to an emergency, walk briskly. Do not run. Running will worry your patient or the family and makes the situation worse. Running may get you there a few seconds earlier but it makes very little clinical difference. So, the Australian government rush to make sure mass Covid-19 vaccination is rapidly rolled out is just like running to an emergency. It helps create panic among the population and can make the problem worse. So, when will the vaccine be available? Read more here http://khoo.com.au//covid-19-vaccines-not-coming-to-your-/

24.01.2022 An update: Heathcote Road still closed tonight. Have checked the whole family (and doggie smuggled in) for the night. Have to work out the logistics for tomorrow morning with everyone having to go everywhere. Hopefully, road will be opened tomorrow. Thanks again to all who have offered their generosity. Good to be loved :) ... Could have been worse.

23.01.2022 Learning lots in Berlin at the European Association for the Study of Diabetes (EASD). But took time out last night in the cold (12 degrees!) to participate in a 5km charity run. Achieve a personal best (PB) of 24 mins 15s.

23.01.2022 I have been holding off writing about the coronavirus so far as I didnt think that I have the expertise. I would be out of my depth. Its been coming up to three months since the world woke up to Wuhan. Its been 6 weeks since Australia banned all flights from China. It was only a matter of time before the virus run rampant in Australia causing mayhem. It was a matter of when rather than if. You would have thought and expect that with a lead time of 3 months that we would ha...ve a disaster plan in place by now. According to the Collins dictionary, a plan is: a method of achieving something that you have worked out in detail beforehand. Was there ever a plan? A reactive response is not a plan! Or more precisely, did they plan to equip GPs to handle the crisis. I mean, we are supposedly, the frontline medical staff saving Australia. Read my take of Australias preparedness for the crisis http://gpvoice.com.au//coronavirus-disaster-plan-is-there/

22.01.2022 Every so often I tell friends and colleagues that I run marathons and they look at me strangely and ask "why". Then the usual questions about my heart and my knees etc. Nope so far so good. Yes, a few runners of all distances do suffer from sudden death from time to time but in general, the number are significantly less than the general population who dont run dropping dead. What about triathlons? Now thats a different category altogether. If you participate in triathlons ...or know someone that does, worth reading this article: http://sswgpl.com.au/html/triathlondeaths.html

22.01.2022 Latest Update: Finally able to go home. Back to comfy bed tonight. Thanks to all that have open their hearts to a family in distress. Healthfocus is not open tomorrow, Tuesday 17th April as I have a scheduled medical check up. All well just routine grease and oil change. Back on Wednesday as per normal.

20.01.2022 People who dont exercise sometimes argue that fit athletes die at sporting events and thats why they "dont exercise". Actually, runners overall have a lower sudden death rates than the general population. A recent study by US Triathlon (USAT) found that triathletes actually are at higher risk of dying during their sport than the general population. http://sswgpl.com.au/html/triathlondeaths.html Guess what they die of?

19.01.2022 The fluvaccine seems to be late again this year. There are a number of good reasons for that. We are now recommending people have their vaccination as close to winter as possible for better protection during the peak flu season late in winter. There are a number of important changes on who gets what. Read more here: http://khoo.com.au//04/when-will-the-2018-fluvaccine-be-/

19.01.2022 You must be utterly confused about the whole Covid-19 vaccine roll out by now. There is conflicting messages out there from different arms of the government - all very scary but yet it's ok to still go ahead? They then say, if you are under 50 years old, just wait for the Pfizer but it will come towards the end of the year. Maybe, maybe not. We have signed up contracts for up to 140 million doses of all sorts of vaccines but some have not have their Phase 3 trials approved, s...ome we have contracts previously that were not enforceable and therefore means nothing with or without a contract anyway while others we are not sure can be manufactured here or not. All these sounds very political to me. Is it more about looking good for the next election? Is it more about covering up the mess in the roll out? Is it more about distracting us from other things happening in Canberra? What are the real issues here? Should you be having the vaccine at all? Read more here: http://khoo.com.au//the-covid-19-vaccine-roll-out-navigat/

19.01.2022 You dont have to be stuck with diabetes. Its frustrating isnt it when managing patients with type 2 diabetes (T2D). Patients adhere to diet and lifestyle the best they can, the sugar control is on target but yet we have to keep layering more tablets or injections over time to maintain the constantly deteriorating glucose control. Can we do better than accepting without question the progressive nature of T2D? http://gpvoice.com.au//27/t2d-does-it-have-to-be-progress/

17.01.2022 The Covid-19 vaccines will become available in a matter of weeks. It is likely that the first trance of people getting it will be frontline health workers and people >65 years old. Because of storage problems, most likely the healthcare workers in the first trance will be getting the Pfizer vaccine via the hospital. The rest including those in the nursing home will get the AstraZeneca/Oxford vaccine. The second trance of people will get theirs after the first trance is finished. Should you have it? Read more here...http://khoo.com.au/

17.01.2022 We often assume that getting "old" equates to getting weak hence the term "old and weak". It doesnt have to be part of getting older. More often than not, we tend to do less, lift less and slow down as we getting older and as a result, muscles wither and we are no longer able to do the things we used to do. As we slow down, we get weaker and are unable to do the things we would like to do. See the vicious cycle that is the beginning of the end. We now has studies confirming that the most efficient exercise is a a combination of aerobic and resistance work: http://khoo.com.au///getting-old-doesnt-mean-getting-weak/

16.01.2022 How to protect yourself from Covid-19 Social contact - zilch. Apart from people living with you, dont go visiting ANYONE. This stops you from getting infection from someone or you giving someone if you have the infection Handwash after each task. Gloves doesnt work. You dont get Covid-19 through the skin when you touch contaminated surfaces. Its when you touch surfaces and then contaminate the rest of your body and clothing which ultimately ends up on your food then gets ...you Covid-19. If you cant wash your hands, sanitiser will do. Facial masks. With the number of cases in Australia still limited (for now?), its debatable when masks for healthy people is necessary but if and when the numbers soar beyond 10,000, would be a good idea to wear one when you go out. Make your own. Leave the commercial ones to healthcare workers. Keep your home clean from the outside world. Leave your shoes outside. Be careful where you "park" your shopping bags and take them home onto your kitchen benchtops. Wash or sanitise hands when you get into the car and before you open your home doors. Dont bring germs home. Always wash hands before you eat whether at home or outside.

16.01.2022 It’s expensive to build pavements for pedestrian use. But if they are so poorly maintained that they are known to the local community to be dangerous and they avoid using it then whole purpose of building pavements is not realised. In the end though, residents still walk on the road and are in danger of being run over by motorised vehicles. It’s a lose-lose situation. So, what does that have to do with Medicare? Medicare began life as Medibank in 1975. Successive governments tinkered with it but basic tenets remain the same. Medicare was intended to provide the ‘most equitable and efficient means of providing health insurance coverage for all Australians’. But is it doing that? Read on here: http://khoo.com.au//a-failing-medicare-is-more-than-just-/

15.01.2022 The younger you are when you are diagnosed with type 2 diabetes the worse your long term outlook is. The risk of cardiovascular events (heart attacks,heart failure, strokes, cardiac death) is 2-3X higher compared with those diagnosed older. http://gpvoice.com.au//the-young-t2d-more-trouble-ahead-t/

15.01.2022 Sorry guys, off to Berlin for a week conference on Diabetes. Its the European Association for the study of diabetes Annual Scientific conference. This is no golf trip (not that I play golf). They are all pretty much 13 hour day, starting from 7.30 am (except Monday) to 6.00 pm followed by more sessions till 8.00 pm. Then some dinners till about 10 pm. Even lunch times are filled with lunch meetings and posters to read. All work no play. Wednesday night is the 5km charity ru...n from 8.30 pm. Couple with 30 mins train ride to conference hall makes the whole day very long. But worth it as there are a lot of networking with similar minded doctors - GPs and diabetes specialists. Will be back on Monday 8th October.

14.01.2022 Its all deja vu, isnt it? I thought we did all this few months ago and with the number of community acquired Covid-19 almost non-existence, we are on the home run. No. We are back to square one. We all did our bit of social distancing, social isolation and hand hygiene and we got there. Suddenly, we are looking at a second wave. Yes, we always fear that there will be a second once we relax the restrictions. In this case, the second wave is primarily related to breach of hot...el quarantine procedures in Victoria which did not even have their health department overseeing the running of the quarantine process. To make things worse, we are know that NSW took too long to close the border and close the border with ample advanced warning to make it pretty much useless. Now its everywhere especially in our neck of woods in south west Sydney. To read more about my rant, go to http://khoo.com.au//covid-19-clusters-in-sws-back-to-cave/ Not happy at all.

14.01.2022 Do all overweight kids develop diabetes? If not, who does? We know that high BMI at a young adult age is associated with type 2 diabetes (T2D) later on in life (1,2). High childhood BMI or low birth weight is also associated with increased risk of adult T2D. The physiology during childhood and during puberty are actually very different. Is the childhood BMI the risk factor or the adult BMI the risk factor? Does the degree of weight gain matter? The BMI Epidemiology Study Got...henburg (BEST Gothenburg) studied the impact of birthweight, childhood and adolescent BMI on adult diseases. They found: High adult BMI and a high childhood BMI are associated with risk of T2D; Overweight kids and a high BMI increase during puberty was associated with increased risk of adult T2D; Overweight adolescents also had a substantially increased risk of T2D compared with men who were never overweight irrespective of whether they were overweight as a child; Men who were overweight both at childhood and young adult age had a nearly four-fold increased risk of adult T2D compared with men that were never overweight; Most interestingly, men who were overweight as kids but skinny up (normalised) during puberty did not have an increased risk of T2D Read more here: http://khoo.com.au//do-all-overweight-kids-develop-diabet/

12.01.2022 Healthfocus is closed from 14th June 2019 to 23rd June 2019. I need a holiday! Will reopen as usual Monday 24th June, 2019.

11.01.2022 Closed Wednesday 17/1/2018 due to meeting whole day. Back to normal Thursday. SMS me on 0413 767 228. Will try to reply during coffee break.

11.01.2022 Most of you would have read about the recent study linking some medications used to treat blood pressure to the risk of lung cancer. This was published in the British Medical Journal last week. it was a bit of a surprise to some extent although once the dust settled, it wasnt that surprising after all. A class of medication called Angiotensin Converting Enzymes Inhibitors (ACEI) causes a build-up of bradykinin in the lungs and bradykinin has been reported to stimulate growth of lung cancers. ACEI also results in an increase in another chemical, substance P and that has been linked to tumour growth. Suddenly, there may be some substance to the study after all. We better explore more. Read more here: http://khoo.com.au//blood-pressure-tablets-and-lung-cance/

11.01.2022 Hope everyone have had a good break and ready to face 2019. Healthfocus reopens today. In the meantime, for those of you that has pile on the weight during the season, perhaps, this recent study might help. "Losing weight is the second hardest thing to do. The hardest is keeping that weight off. With weight loss, hunger increases and energy expenditure decreases as the body adapts physiologically to the weight loss. The kilogram loss is not all fat loss. Some of the losses are muscles and with less muscle bulk, basal metabolic rate also decreases adding further to the decrease in energy expenditure. Before long, the weight starts piling up again. The key then in preventing weight regain is to prevent the reduction in energy expenditure. That all sounds easy, doesnt it?" http://gpvoice.com.au///24/weight-loss-how-to-keep-it-off/

11.01.2022 While the number of cases of coronavirus infection in Australia remains low, it is rapidly increasing. It is no longer confined to people returning from overseas or who have been in contact with someone known to have coronavirus. ANYONE with ANY symptoms of a flu (sore throat, runny nose, cough, aches and pains with or without fever) may have the coronavirus infection. During this crisis, we will only see patients with symptoms of the flu during the hours of 12 noon and 2pm. ...This is to limit possible spread of the virus in the waiting room. This will also allow us to be prepared when you are seen. You will be instructed to call us when you arrive and remain in your car while waiting for your appointment. We will call you when your turn is up. You will be provided with a mask on arrival and you will then go straight to the consulting room. Dr Khoo will be prepared with his mask on. We appreciate your understanding and cooperation in this chaotic and difficult time

10.01.2022 Healthfocus will be closed from Monday 26th March. We will reopen as normal from Monday 9th April, 2018.

09.01.2022 You are safe at healthfocus family practice As the carnage of Covid-19 is felt across Australia and the rest of the world, I want to take this opportunity to update you on what we are doing at the practice to support you and your family during these challenging times. Your safety and well-being are always top priorities at healthfocus family practice. healthfocus will remain open throughout the Covid-19 pandemic. These are the steps we have taken to protect you from catching ...Covid-19 when you visit us at the practice: Quarantined hours for sick patients strictly enforced No waiting in the waiting room everyone waits in their car, All sick patients are masked All surfaces and equipment are thoroughly cleaned after each sick patient is seen All staff have the appropriate personal protective equipment See the full details of the steps here: http://khoo.com.au//you-are-safe-at-healthfocus-family-pr/

09.01.2022 Weight loss - the case of lost and found We all know how frustrating it is regaining the weight that you have lost. All those hard earned efforts down the drain. You often wonder why it happens to you. Well, you are not alone. Most people who successfully lose weight regain them over months and sometimes years. You sometimes wonder whether it is all worth it. Read more here http://khoo.com.au//lost-weight-but-found-it-again-does-t/

09.01.2022 Are eggs ok or not for your health? First, its not good, then its Ok and now we are not sure. Maybe it is, maybe it isnt. We are talking about eggs and the association with cardiovascular disease and mortality. Its stuck in many of our and our patients minds that eggs are no good. It doesnt help when the 2015-2020 Dietary Guidelines for Americans came out with somewhat contradictory recommendations: (1) Cholesterol is not a nutrient of concern for overconsumption and (2) Individuals should eat as little dietary cholesterol as possible while consuming a healthy eating pattern (1). So, are eggs associated with an increase in cardiovascular disease and mortality or not? Read more here http://khoo.com.au//cardiovascular-health-are-eggs-in-or-/

09.01.2022 The practice is closed on Friday 17th May 2019 because of meeting commitments. We will reopen as usual on Monday 20th May. Apologise for the inconvenience.

07.01.2022 If you have not opt out of the myhealthrecord, please do so now. If you dont know whether you should, please read here. http://khoo.com.au//trust-me-im-a-doctor-please-dont-take/ Do it now. And tell everyone to do the same.

07.01.2022 Covid-19 pandemic - is it over yet? You are probably as worried as I am hearing about the relaxation of the covid-19 restrictions. I am sure we are all worried about the socalled second wave if we loosen the restrictions up too much too soon and we end up like Singapore. Will we? Should we? Are we truly coming out of the other end relatively unscathed compared with many other countries? What are the dangers here? Read more here: http://khoo.com.au///covid-19-in-australia-is-it-over-yet/

05.01.2022 Unfortunately, was unsuccessful in getting to the 2018 London Marathon again. Dear chee khoo, "Commiserations, your application to run in the 2018 Virgin Money London Marathon has been unsuccessful. A record number of 386,050 hopefuls applied to take part in next years event." 386 000 people applied for 40,000 places! 10 times oversubsribed. ... Well, there is always next year.

04.01.2022 Latest Covid-19 hotspots in NSW How does one keep up? Try going to the NSW Health site and you will have to click everywhere to know which are the latest hotspots. Further, it becomes complicated as you read the hotspots what you are meant to do if you were at those venues. Head to khoo.com.au and there is a menu on top which takes you straight to the hotspots page. http://khoo.com.au/index.php/covid-19-hotspots-in-nsw/

04.01.2022 We are closed for holidays. Reopening after ANZAC day, Wednesday 26/4/2017. Be safe. Dont forget to exercise.

04.01.2022 Trust me, Im a doctor is so universally accepted that we dont even have to say it. Patients know that they can trust us implicitly. What are we asking patients to trust us with though? The current debate or argument about the pros and cons of opt-in or opt-out with MyHealthRecord may endanger the trust patients have in their doctors. We should dissect and discuss this trust in the doctor-patient therapeutic relationship. Read more here : http://khoo.com.au//trust-me-im-a-doctor-cant-be-taken-fo/

03.01.2022 Thank you to all those who has offered accommodation to me and my family while the fire along Heathcote Road is raging along. I live at Sandy Point and was out when the fire closed the roads yesterday afternoon. Incidentally, everyone was out including the dog. We were having lunch at the Bone Cafe at Leichhardt yesterday which is good and bad. Good in that everyone is safe, bad we cant get home. So far, our home is not threatened and Heathcote Road is still closed. Not sure when we can get home if at all by tonight. Worse of all, just need to check in somewhere for a shower and change of clothes. Streamed movies and pizza is fun so far. Tomorrow will be surgery as usual but come in pair of jeans and (new) T-shirt. Will keep everyone posted.

03.01.2022 Its expensive to build pavements for pedestrian use. But if they are so poorly maintained that they are known to the local community to be dangerous and they avoid using it then whole purpose of building pavements is not realised. In the end though, residents still walk on the road and are in danger of being run over by motorised vehicles. Its a lose-lose situation. So, what does that have to do with Medicare? Medicare began life as Medibank in 1975. Successive governments tinkered with it but basic tenets remain the same. Medicare was intended to provide the most equitable and efficient means of providing health insurance coverage for all Australians. But is it doing that? Read on here: http://khoo.com.au//a-failing-medicare-is-more-than-just-/

02.01.2022 I have been holding off writing about the coronavirus so far as I didn’t think that I have the expertise. I would be out of my depth. It’s been coming up to three months since the world woke up to Wuhan. It’s been 6 weeks since Australia banned all flights from China. It was only a matter of time before the virus run rampant in Australia causing mayhem. It was a matter of when rather than if. You would have thought and expect that with a lead time of 3 months that we would ha...ve a disaster plan in place by now. According to the Collins dictionary, a plan is: a method of achieving something that you have worked out in detail beforehand. Was there ever a plan? A reactive response is not a plan! Or more precisely, did they plan to equip GPs to handle the crisis. I mean, we are supposedly, the frontline medical staff saving Australia. Read my take of Australia's preparedness for the crisis http://gpvoice.com.au//coronavirus-disaster-plan-is-there/

02.01.2022 Covid-19 vaccine roll out the mayhem has started Just as I predicted a few weeks ago, the mayhem of the roll out have started. You would have read about the blame game between the states and the feds about the state of the farce. I knew that once Donald Trump is gone, the journalists would have nothing to report and will be nit picking on the vaccine roll out and add to the chaos. Indeed you now see all sort of chaos out there. Here is something to keep you entertain over ea...ster: http://khoo.com.au//covid-19-vaccine-roll-out-the-biggest/ http://khoo.com.au///when-will-i-get-my-covid-19-vaccines/ http://khoo.com.au//the-great-vaccine-roll-out-did-someon/ See more

01.01.2022 It is always said that you need a thief to catch a thief. Well, you need to know how to catch a flu to avoid catching a flu. I did a small experiment recently to see how to catch a flu. This might be of benefit to some of you (who hasnt caught the flu yet this winter). http://khoo.com.au//index.p/2017/09/10/how-to-get-the-flu/

01.01.2022 Finally, the madness is about to begin. The Covid-19 vaccine roll out has begun. When will you get your jabs? Well, despite all the fanfare that you see in the media yesterday, there is a long way to go yet. Stock availability, stock ordering and stock arrivals are going to determine how quickly you get your vaccination. As previously mentioned, there is no panic. Here is what the schedule is going to look like (we think): http://khoo.com.au//the-covid-19-vaccine-roll-out-what-is/

01.01.2022 Wow, its Christmas already. Just want to wish everyone a merry, safe and healthy christmas and new year. Christmas is a time to reflect. Its time to take stock. Its time to consider those who are less fortunate than we are. Its also time to plan for the next year. Next year is always a better year. I take my own advice. Im off for the year and wont be back till Monday 15th Jan. A bit of a break and time to spend with the family. Of course, planning for next year: how to be a better husband, father and doctor. See everyone next year.

01.01.2022 This Covid-19 vaccine roll out is beginning to get on our nerves. It is looking less and less like a corroborative effect between the federal government and GPs to get as many Australians vaccination as quickly as possible. The keep changing their conditions and keep adding stick to the campaign. This is more a stick and very little carrot. See more here http://khoo.com.au//how-the-department-is-asking-gps-to-a/