A new Medical Clinic launching this month will be a breath of fresh air for women. It could not come at a better time as our country battles the current health stumbling blocks of COVID. 

The initiative, delivered by Australian Skin Face Body is headed by Dr Renuka Balasubramaniam. The holistic approach this female-focused provider offers is radically different from the health standard, with consultations lasting a full hour as opposed to just minutes and health plans being created based on individual needs instead of generalized categories. 

12.8 million women in Australia make up just over 50 percent of the Australian population and almost half the Australian workforce. Based on the Australian Health Survey, -only 1 in 4 (26%)women had spoken to their GP about their emotional and psychological health. The National Health Survey shows that 1 in 2 Australian females have one or more of the ten selected common chronic conditions. A disturbing presentation of information. These chronic conditions including arthritis, asthma, back problems, cancer, chronic obstructive pulmonary disease, diabetes, heart, stroke and vascular disease, chronic kidney disease, osteoporosis and mental health conditions.

Over the years in general practice, Dr Balasubramaniam found that she attracted female patients and this focussed on everything from internal medicine, mental health to hormone disruptions encompassing all phases of life. The common theme ushered in the genius idea for a women-focused clinic with an extended time frame. 

“So often, time constraints, or interruptions, and general practice appointments prohibits women the space needed to discuss at length medical things perhaps they may feel embarrassed about. We want to help them hold their ground without being interrupted, be open about what is bothering them without being judged. We look at all facets, and then we make a management plan and activate this right away. We look at day-to-day living, lifestyle, work, personal life, relationships, holistically means covering all different aspects; including primary medical care. Integrating treatment is important, so there is a seamless approach to healthcare,” says Renuka. 

There is no time wasting either! “There’s a lot of homework; when women make an appointment, our team will email them through a thorough questionnaire. This is because I want these appointments to be targeted, not wasting time. I want to get that historical health picture to really hone in and develop some areas for targeting and management, and utilize the amazing up to date tech facilities at ASFB to meet health care needs and goals,” says the passionate physician. 

So what happens in this hour of power? 

Dr Balasubramaniam explains; 

“There is intensive health goal mapping. Why are they coming to see me? What needs to be done, what has been done in the past? For many women, they may have had a health concern and have not been happy with the management plan in place, or perhaps it was not resolved, or they have sat on a problem and not had expectations met, or perhaps they have had a negative experience.” 

“We work as a team to reach a common goal. But, ultimately, they are the boss; I am working for them to help them achieve better quality and healthier lifestyle. They need to take control of their health. I am there to help them do this!” 

How do I make an appointment?

The women’s health clinic is a private service, the reception team at ASFB can provide fee information upon booking your initial appointment or making an enquiry. Medicare rebates are available.

No referral is necessary to see Dr Renuka.

You can book a Women’s Health and Wellbeing session with Dr Renuka by calling 1300 502 732

References and further reading:

https://www.abs.gov.au/statistics/labour/employment-and-unemployment/labour-force-australia/latest-release#data-downloads

https://www.aihw.gov.au/reports/men-women/female-health/contents/how-healthy/chronic-conditions

https://www.aihw.gov.au/reports/men-women/female-health/contents/how-does-the-health-of-females-and-males-compare

https://consultations.health.gov.au/population-health-and-sport-division-1/establishing-a-national-womens-health-strategy/supporting_documents/Evidence%20ReviewThe%20current%20state%20of%20womens%20health.pdf

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Written by Montanna Macdonald

These Asiatic black bear cubs’ names are Nikko and Nara, the cutest two bear cubs you have ever seen saved by organisation FOUR PAWS; a bear rescue mission in Vietnam. 

FOUR PAWS is a global animal welfare organisation supporting animals, creatures who are victims of human battery in varied and horrific ways. The organisation is a noble one, and their work includes projects in emergency rescue and ongoing care for a great range of different animals. 

This year, FOUR PAWS Vietnam rapid response team saved two bear cubs from smugglers from the illegal wildlife trade. The legal and illegal wildlife trade in Vietnam is a billion dollar industry. Bile farming is the process of breeding bears in captivity. The terrible conditions are made even more atrocious by the shocking bile extraction process from the bear’s gallbladder while alive; only to be sold in markets, restaurants, online and used in pseudo-traditional medicines. 

There are two types of rescue missions FOUR PAWS do to save these bears. One where bears are voluntarily handed in by owners willing to give up bile bear farming. Two: bears are confiscated from illegal traders. FOUR PAWS act quickly in a short time frame to rescue bears just like Nikko and Nara.

On the 21st of July, FOUR PAWS were notified of two Asiatic black bear cubs that had been confiscated by the environmental police from wildlife smugglers who were trying to sell the cubs online via social media.

On the 22nd of July, the small FOUR PAWS team made an 11-hour journey to Lai Chau Province at the Vietnam border where they rescued the cubs and brought them to their new home, Bear Sanctuary Ninh Binh. 

“Both cubs were very stressed and huffed at anyone trying to approach them. The male is quite protective of the very timid female, hiding in a corner and nestling under him. They will now receive all the care they need to calm down and recover from a turbulent start of their lives. Both cubs are in stable condition, but slightly underweight. Our vets are examining them thoroughly, and once we are sure they are disease-free we will socialise them with another bear cub we rescued earlier this year from similar circumstances,” says Emily Lloyd, Animal Manager at Bear Sanctuary Ninh Binh.

The Vietnamese Government announced on the 24th of July the banning of imports and trade of wild animals.

While this is promising after years of effort from FOUR PAWS and fellow animal welfare NGOs, the organisation hopes the Government’s efforts to enforce the ban will be effective. Still today, there are over 400 farmed bile bears in Vietnam. 

“Although the sale and possession of bear bile are illegal in Vietnam, it still exists as due to weak enforcement of the laws. We hope that this new directive and subsequent revised enforcement efforts will also affect bear farming and eradicate the illegal sale and possession of bile products,” says Kieran Harkin, responsible for Wild Animals in Trade at FOUR PAWS.

The Bear Sanctuary Ninh Binh where Nikko and Nara now live is a wildlife conservation education centre and a beautiful, safe home for these furry friends while they heal and grow. Nikko and Nara have made a fellow friend, bear cub Mochi. 

The sanctuary, which began construction in 2016, now has six outdoor enclosures, three bear houses, a quarantine station and veterinary unit, a feeding kitchen and an admin building.

It can house up to 50 bears now, but once fully finished with construction will be able to provide a species-appropriate home for up to 100 rescued bears. Currently, all 33 Asiatic bears in Bear Sanctuary Ninh Binh were victims of bile farming and illegal trade. 

“Our bears often arrive with a multitude of health issues; some are obese, some emaciated, some are even missing paws or limbs from being trapped in the wild. Dental disease is common along with mobility issues and gallbladder and liver infections from the unsanitary bile extraction process.”

It is admirable the work FOUR PAWS do to give these bears hope for a better life and future. We asked FOUR PAWS spokesperson Elise Burgess, what does a day in the life of the Bear Sanctuary Ninh Binh look like?

For FOUR PAWS, they do a variety of tasks, from essential rehabilitation and quarantine processes for bears newly rescued, to feeding, medication, general enclosure maintenance but also what they call “environmental enrichment”. 

“An essential part of animal care is ‘environmental enrichment’, which is necessary for the optimal physical and psychological well-being of our rescued bears. The five main categories of enrichment are sensory, cognitive, social, physical habitat and food.” 

“Our outdoor enclosures provide a complex environment where the bears can forage for food, dig, climb, swim, play, hide and rest, all things they would naturally do. In the wild bears spend the majority of the time they are awake looking for food. By presenting our bears’ food in different ways such as scattering and hiding it throughout their enclosures or using puzzle feeder toys, for example, we are allowing our bears to express this natural behaviour. Bears are thought to have the best sense of smell of all animals on earth, 2100 times better than humans! Therefore olfactory (scent) enrichment is particularly stimulating for bears, so on certain days our bear caretakers put out different scents such as cinnamon, or peppermint, for the bears to investigate.” 

Now, Ponderers, we hope envisioning bear cubs safe in a beautiful haven sniffing for cinnamon and peppermint brings you all the heart smiles for your day. 

You can donate to FOUR PAWS at their website, and follow them on Instagram, Facebook and Twitter for updates on the incredible work they do with not only bears but other projects around the world. 

If you would like to know more information about the Bear Sanctuary  Ninh Binh, follow them on Facebook, and when international travel is allowed again, go visit Ninh Binh! You can see the bears in their tranquil haven, purchase locally made souvenirs and enjoy some traditional vegetarian and vegan Vietnamese dishes at the onsite restaurant. 

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