win 4 helicopter flips at the middelburg dokter airshow nadine...their buffalo run soon. on...

eMALAHLENI • MIDDELBURG

WIN 4 Helicopter flips at the Middelburg

Airshow

se glimlag laat verkoues verdwyn

JULY 2016SHOPPING, PEOPLE AND LIFESTYLE IN YOUR NEIGHBOURHOOD

Dokter Nadine

& Medical healthy livingtips and ideas

CONTENTS

Issue 87July 2016

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ManagerRoland KoleskyTel: 013 243 1434EditorTobie van den Bergh [email protected]: 013 243 1434AdvertisingLizelle BothaTel: 079 890 [email protected] Manager Henriëtte PieterseTel: 013 243 [email protected] ReadingRonel Badenhorst

GET IT HEAD OFFICENational Group EditorKym [email protected] Sales ConsultantShirley FrattaroliCell: 083 633 [email protected]

Distribution Get It eMalahleni • Middelburg is distributed free of charge. For a full list of where it is available phone 013 656 2490.Published by CTP Limited

38

OUT AND ABOUT02 Pencil these dates into your July diary.

REVIEW03 What’s new on the book, movie and music scenes

WISH LIST05 Keep warm and snuggle in

SOCIAL06 Hospice vroue kuier saam met Jakkie Louw07 Lady Bikers Day 08 Bursary fund a beacon of hope.09 Hoe hanteer ons?10 Tails wagging for Cansa.11 Train race launch12 HGH en HTS se “ou manne” wys hul slag op die rugbyveld & Nathi & Monde grace the stage13 In die Davi teater word herinne-ringe gemaak

PEOPLE14 Dr. Nadine se hart klop warm vir pasiënte. 16 Engelhande van Hospice.

BEAUTY18 Into the blue

HEALTH20 Life Midmed making life better 22 Why the Queen can’t find the gap24 Magda Nieuwoudt is ‘n toonbeeld van gesonde lewe 26 What does your medical aid offers you? Ask the experts!.27 Cosmos Hospital - Committed to making life better30 Sr. Mariska Blom is ‘n suster met ‘n mamma-hart.32 Rochell Reyneke reken jou lyf begin in jou kombuis.34 Dr. Riekert Swart explains chrèche syndrome.

COMPETITIONS38 Win 4 helicopter flips at the 2016 Mid-delburg Air Show

FOOD AND DRINK40 Broodlose Burger

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Keep warm this winter with a run, bike ride or some Glühwein

2CANSA Highveld’s very first Day at the Races 2016! A Day filled

with fashion, fun and many more! This magnificent day will be held at Event City, Middelburg. Loads of prizes up for grabs!!! For more information please contact: Andries Du Preez - 072 249 9424 or [email protected]

2Round Table Powerlines 239 is having their Buffalo Run soon.

On Saturday, July 2, all participants can gather at the River Crescent Centre, eMalahleni. Entries open at 06:30 and the race will start at 08:00. The 4.9km fee will be R40, 10km, R60 and for the brave, the 21.1km will be R80. The 10km and 21.1km runners must have a valid licence as per ASA on the day, but temporary licences will be avail-able at R25.Everyone who crosses the finish line will receive a medal and there are also great prizes up for grabs. The funds raised by this event will be in support of the less fortunate in the eMalahleni community.For any further enquiries, don’t hesi-tate to contact Charl Venter on 071 519 8742.

9 The Gorge Trail Running Series and 18km Mountainbike ride for

families.This series is a must for any trail runner and people who love nature and the outdoors. Entries are as follows:Avontuur Vallei Trail (18km): R100.Wild Camp Trail (10km): R90.Wetland Trail (6.5km): R80.Bobbejaan Loop Trail (2.5km): R50.Avontuur Vallei MTB Ride (18km): R80.

9Lynette Beer was een van vier direkteure vanuit ’n suksesvolle

internasionale groep maatskappye waar sy alleenlik verantwoordelik was vir die persoonlike ontwikkeling en groei van personeel en bemarking.

‘Seeds of Inspiration’ - Venster tot jou persoonlikheid saam met Lynette, vind plaas op Saterdag 9 Julie, 10:30 vir 11:00, by die AP Kerk, 7 Ritastraat, eMalahleni. Die koste beloop teen R120 per persoon. Skakel gerus vir Marcelle op 082 771 7338 of Irene op 079 484 0351 vir meer inligting.

12The Professional Businessmen Association Club (Probus Club)

will be celebrating their 25th anniver-sary this year.The anniversary celebration will take place on July 12 at the MOTH Cottages Hall at 12:30 for 13:00 and all members are called on to attend.Rodney Francis, one of the founding members of Probus will be attending the lunch, as well as Bob Smith, a 20-years member and former Witbank Club president.The newly elected committee will also be announced at the luncheon and guests are welcome to stay for lunch.For more information please contact Barry Scruton on 082 224 9488.

15 NG Kerk, Dennesig hou ’n gholfdag by Middelburg Buiteklub. Afslaan

is om 10:00. Die formaat is Betterball Scramble. Vir besprekings bel die Pro Shop by 013 243 4863. Enige navrae rakende die gholfdag of persone wat betrokke wil raak as borge, kan Christo bel by 082 376 6158.

16 Christmas in July at Anelli’s Tea Garden - Big 5 Guest House at 115

Woltemade Street. This function will start at 10:00. Naturally there will be Winter Warmer Food and a Mini market. Craft beer and Glühwein tasting is something to look forward to. Barney and Dianne will supply live music. Contact 082 671 8882 - Group bookings welcome.

25The search for Miss & Mrs Mid-delburg & Witbank is on.

Entries will be closing on Monday 25 July! Entry forms available at Middelburg Mall & Highveld Mall’s Info Desks. Please con-tact: Andries Du Preez - 072 249 9424 or [email protected]

23 Middelburg Aero Club is hosting the Air Show at Middelburg Airfield. This is the third time around for Middelburg. The Airshow will be com-

plemented by static displays, stalls and food and beverages for all.There will be several Aeroplane displays, as well as helicopter flips. More details can be seen on page 38. Entrance is R70 for adults, R30 for children (Pre-Primary free).Middelburg Airfield is situated about 6km out of town and is a perfect setting for an Air Show. The runway layout is ideal and there is ample space for accom-modating everything and everybody.For more information visit www.middelburgaeroclub.com

02 Get It eMalahleni • Middelburg July 2016

Review Review

July 2016 Get It eMalahleni • Middelburg 03

Don’t miss it!

READ: HOW TO SURVIVE A SHIPWRECKBy Jonathan MartinLife is turbulent. On that, we can all agree. Disappointed dreams, broken relationships, identity crises, vocational hang-ups, wounds from the past, there are so many ways life can send us crashing up against the rocks.In this deeply personal book, Jonathan Martin draws from his own stories of failure and loss to find the love that can only be discovered on the bottom. How to Survive a Shipwreck is an invitation to trust the goodness of God and the resilience of your soul. Jonathan’s clarion call is this: No matter how hard you’ve fallen, no matter how much you’ve been hurt, help is on the way, just when you need it most.With visionary artistry and pastoral wisdom, Jonathan Martin reveals what we’ll need to make it through those uncharted waters, how we can use these defining experiences to live out of our depths, and why it will then become impossible to go back to the half-life we once lived.

LUISTER: SHONEIL – NOOIT OF NOUDie tema van hierdie CD is die sangeres en liedjieskrywer ShoNeill se leuse. Op hierdie debuutalbum bied sy ’n dosyn gevoelliedjies wat haar talent blink ten toon stel. Tussen die treffers is haar Afri-Visie-komposisie, ‘Vas dans.Die treffer ‘Agter die deur’ is al op 34 radiostasies landwyd gehoor en drie van haar byderwetse musiekvideo’s speel op kykNET Musiek. Nege liedjies op die album is haar eie komposisies. Haar liedjie ‘Crazy’ is in die gewilde kort film ‘Vrek’ gebruik. Haar Engelse liedjie ‘Switch on your love’ is uitgereik op die Byron Keno-kompilasie-album. ShoNeill se stemrykheid blink op haar eiesoor-tige weergawes van die wêreldtreffers ‘Break my stride’, ‘What’s up’ en ‘Nothing compares’. Hierdie album is propvol moderne ritmes, sweettappende dansgroewe en smeulende vertolkings.

WATCH: ICE AGE: COLLISION COURSE 3DIce Age: Collision Course is an upcoming 2016 American 3D computer-animated family adventure film produced by Blue Sky Studios. It is the fifth instalment in the Ice Age film series and a sequel to 2012’s Ice Age: Continental Drift.This time Scrat’s epic pursuit of his elusive acorn catapults him outside of Earth, where he accidentally sets off a series of cosmic events that transform and threaten the planet. To save themselves from peril, Manny, Sid, Diego, and the rest of the herd leave their home and embark on a quest full of thrills and spills, highs and lows, laughter and adventure while travelling to exotic new lands and encountering a host of colourful new characters.Don’t miss the opportunity to spoil the children with this 3D animated movie that will be released on July 15.

Enter at: Middelburg Information Centre - Walter Sisulu Street; Highveld Mall Info Kiosk - Mandela Road, eMalahleni; Visit our website www.gtr.co.za or E-mail [email protected]

Wish ListKeep warm and snuggle in

Put the radiance backThe winter has a negative effect on our skin. Skin dries out in the winter for several reasons, one being when the air outside is cold and dry; the water in your skin evaporates more quickly. In fact, your skin loses more than 25% of its ability to hold moisture in the win-ter. Then we also tend to take warmer showers. A long shower may sound great after being out in the cold, but the combination of hot water and soaking can strip your skin of its pro-tective oils. Get It recommends L’Oréal Age Perfect Extraordinary Facial Oil to restore suppleness, radiance and tone for firm, flawless skin. You will find this product at Clicks. Details: 013 692 4072.

No more cold feetSnoozies is a hot topic Get It can talk about for hours. Snoozies are cosy foot coverings, a cross between slippers and socks. This is a perfect gift or a super treat as a self pur-chase. All have unique, stylish outer fabrics or fleece prints double sherpa lined inners and some even have cute pom-poms and bows. They have non-slip soles and are machine washable. No more cold feet if you dash to Cardies to get your pair. Details: 013 697 1529.

Coffee makes everything possibleFor the real coffee connoisseur, House of Coffees is the number one selling filter coffee brand in South Africa. They bring you the best blends full of rich flavour and delicious aromas, using only the finest 100% pure coffee from selected coffee estates around the world. Their range is designed to cater for all taste profiles and occasions. This month we focus on a new indulgent selection of creamy, flavoured, cappuccino style, instant hot coffee drinks. Our favourite is without a doubt, the Coco-Choc Cappuccino. This perfect coffee blend is available at Pick n Pay. Details: 013 692 3550.

Perfect for soupJuly is chilly, the days are short and the low temperatures makes you want to hibernate. No wonder we crave comforting food in the dead of winter. Get It went in searching for soup bowls that will spice up your dine setting. We found the most beautiful Vintage Decal bowls at Mr Price Home. These elegant porcelain decal bowls with Mt Vernon script pattern, will compliment any occasion. Whether you’re throwing an elaborate dinner party or just inviting a few friends over for a casual meal, setting a table can be a tricky endeavour, but these bowls will give you the freedom to use any colour tablecloth or serviettes. We also recommend the Vintage Decal dinner plates and side plates. Details: 087 366 2350.

06 Get It eMalahleni • Middelburg April 2016

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Hospice vroue kuier met Jakkie Louw

Voor: An-Marie Koekemoer, Joan Welmans, Marietjie van Niekerk, Irene Bierman, Johan Anderson. Agter: Babsie Hoffman, Ria Roets, Helena Clayton, Alet van Rensburg, Mariaan Kruger, Hetta Henrico, Carol Cullen en Hestie Wheeler. Jakkie Louw heel agter.Mariaan Kruger en Wilton Paulson.

Christa Cass. Lena Prinsloo en Hannelie Walsh.

Jakkie Louw en Marinda Roos.

Mee. Ria Roets en Cindy Coetzee saam met Jakkie Louw. Marietjie van Niekerk.

Jakkie Louw was die gaskunstenaar tydens die Hospicevereniging se jaarlikse vrouetee by Rustique.

Toni Jansen van Vuuren.


For the first time ever in Mpumalanga International Female Ride Day (IFRD) was celebrated in Middelburg on May 5.The group departed from Auto Pedigree, made a pit-stop at the Alzu Petroport en drove to Milli’s where they all had breakfast together.For more information about this yearly event, call Corné at 083 729 8094, Louis at 082 413 6048 or the @Riders of-fice at 013 244 1355.

Lady Bikers Day

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Christene (DolaQ) Steenkamp.

Cornelia (Vlam) Evert.

Corne (Shooter) Pretorius, Lea Adams, Samantha Janse van Nieuwenhuizen, Esmerelda Gericke and Christene (DolaQ) Steenkamp.

The Lady Bikers with their families: Front: Samantha Janse van Nieuwenhuizen, Esmerelda Gericke, Rene de Villiers, Tanya (Daizee) de Kock, Corne (Shooter) Pretorius. Middle: Lientjie Bos, Gerda Bos, Lea Adams, Doug de Villiers, Juanita and Pieter Vogel, Hannes Coetzee. Back: Stuart (Chaos) Kuhn, Sonia and Sakkie Coetzee, Peet Bos, Jacques (JacQ) Steenkamp, Christene (DolaQ) Steenkamp, Cornelia (Vlam) and Conroy (Wolla) Evert, Albert Adams, Sampie and June de Jager, Willem van der Westhuizen, Stefan Pretorius and Jacky Coetzee.

Lientjie Bos was the young-est lady rider (on the back of her dad’s bike). Here she is with her father, Peet Bos.

Corné Shooter Pretorius (Lady Bikers SA Governor) leading the ‘pack’.


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Bursary fund a beacon of hopeThe annual Paul Mthimunye Bursary Fund Gala Dinner was hosted at the Middelburg Banquet Hall, and thousands of rand were pledged towards a noble man, and his efforts to uplift the marginalized. The bursary fund was started by Mr Mthimunye during August 2001, and was officially launched by the former Mpumalanga MEC for Education in the same month of 2003.

Front: Jabulani Jiane (Sofunda Secondary), Back: Smangele Nkosi (LD Moetanalo Secondary), Ida Mohlala (Sozama High), Elna Malatji (Mphanama Secondary) and Lindiwe Gama (Sofunda Secondary).

Front: Eunice Ngcobo (Profes-sional Teachers Union) and Grace Msiza (PEU), Back: Govane Shabangu (Naptosa) and Sidney Malapane (Sadtu).

Sibongiseni Zulu and David Moetanalo.

Queeneth Mkhwanazi and Lela-nie Gibbs of Gibs & Mkhwanazi Inc. Both serve on the Paul Mthi-munye Bursary Fund Committee.

Thabitha Leshilo (SAPS) and Dimakatso Mphahlele (Mphanama Secondary).

Mbusi Morris and Nokthula Jele of Mbusi Morris Productions.

Precious Lekala and Nelly Kunene.

Man of the evening, Mr Paul Mthimunye and wife Dorothy.

Danny Khesa (Everest Funerals) and Ben Mokoena (Congress of the People).

GROBLER ORTHOPEADIC SERVICES

Grobler Ortopediese Dienste was die gasheer vir die bekende Össur - ’n wêreldleier op die gebied van prostetiese, osteoartritis en beseringsop-lossings - wat tans besig is met ’n reeks lesings oor “hoe hanteer ons”.Össur het die multidissiplinêre span van Middelburg beïndruk met ’n lesing oor hoe om enkelbeserings te hanteer. Dit was die eerste lesing in die reeks en die gesprek is by Riverside Estate aangebied.Die multidissiplinêre span het uit dokters, verpleegsters, fisioterapeute, biokinetikuste, arbeidsterapeute, ortotiste, chiropraktisyns, paramedici, sport wetenskaplikes en afrigters bestaan.Ernst van Dyk, SA kampioen rolstoeljaer, handfietsryer en motivering-spreker, was die seremoniemeester en ’n bewys van hoe dienste, soos Grobler Ortopediese Dienste, mense weer in staat kan stel om normaal te funksioneer.Die gaste is deur vier sprekers, Jacqui McCordUys, dr. Cobus Wessels, dr. Paula Wood en prof. Christa Janse van Rensburg, toegespreek in verband met die behandeling van ’n enkelbesering wat nie so ernstig lyk nie, maar wat erge langtermyn gevolge kan hê indien dit nie reg diagnoseer en behandel word nie.

Hoe hanteer ons?

Elani Engelbrecht, Magda Nieuwoudt en Wendy Dippenaar.

Dr. Nadine Jooste, Bosman Grobler, Therese Grobler, Esme de Lange en Eddie de Lange.

Ernst van Dyk en Therese Grobler.

Dr. Rikus Scheepers, Ernst van Dyk en dr. Marike van der Merwe.

GROBLER ORTHOPEADIC SERVICES

23a Bhimy Damane Str. Midmed Parking Area, MiddelburgTel: 013 243 2229 [email protected]

Service with a smile, in style, in a short while

Suppliers of:Orthopeadic Appliances:- Crutches- Wheelchairs- Walking frames

Sport Bracing- Ankle braces, knee braces, finger

splints, back braces, neck braces- Specialized splinting

Pr. 0363200

Custom Made Innersoles:Treatment for:Foot alignment, foot pain, heel pain, arch collapse, pressure areas

Compressions stockings:Sport, flight, medical and varicose veins

Prosthetics:- Upper limb prosthesis- Lower limb prosthesis- Breast prosthesis

Most medical aids are accepted.

Ernst Van Dyk, Jacqui McCordUys, dr. Cobus Wessels, dr. Paula Wood, prof. Christa Janse van Rensburg en Therese Grobler.

Are you a “SUPER” Woman in business?

August edition focus:

To accept the challenge contact Lizelle Botha today 013 656 2490 / 079 890 3917 [email protected]

Deadline 5 July 2016 Publication 25 July 2016

Women in Business

to promote yourself, your business or staff in this popular annual feature!

We challenge you We challenge you

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ederTails wagging for Cansa

Tails were literally wagging at the Wags for Cansa fundraising event, where Amore Vittone stole the limelight alongside the dogs who took part in a glitzy fashion show, to raise much needed funds for cancer research and awareness. The glamorous event was hosted by local Cansa ambassador, Mr Andries du Preez, who ensured once again that the Wags for Cansa evening is set to become the highlight of Middelburg’s social calendar. The evening was characterized by fashion, enter-tainment, good company and of course the Italian flair only Amor can bring to the stage. Attendees were on their feet the whole night, dancing to the music of the Fashionista dressed especially for the evening by YDE. Local pooches, all blinged out, strutted their stuff on the catwalk like professional models, and though everyone held their breath, luckily there were no surprises on stage...

Leoné du Plessis and Zoe.

No omne could outshine Mojo, the French Poodle, though model Peggy Dearlove tried and his owner Zahn Botha almost succeeded.

Maritha and Jan du Preez.

Ms Natasha Venter and Dixie.

Norma and Rassie Venter.

Estelle van Schalkwyk, Quedeane van der Merwe and Heleen Spiro.

Margaret van Huys-steen and Russel van Rensburg.

We challenge you We challenge you

Thursday the 19th of May marked the official launch of The Greatest Train Race 2016.The Greatest Train Race committee, together with the Middelburg Chamber hosted a Business Buzz to officially launch the 2016 Greatest Train Race. The Middelburg Chamber auditorium was filled with business men and women, sponsors and possible sponsors, celebrating the launch of the upcoming event on 20th August.

Train Race Launch

June 2016 Get It eMalahleni • Middelburg 11

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Diphale Motsepe (Steve Tshwete Municipality) with Anna-Marth Ott (Middelburg Chamber of Commerce and Industry).

Front: André Brandmuller, Chantal Bekker (Chair person), Bees Schoeman, Johan Mostert, Chris Roos, Schalk Jacobs and Max Köhler. Back: Elsabé Dawson, Jacques Bekker, Natascha Robberts, Johan de Klerk, Annette de Klerk, John Brislin, Monica Joao, Mary Gavure. Absent: John Moshidi, Eddie Dhlamini, Pieter Cromhout, Hein Koch, Alida Niehaus, Anthony Beale, Anton Meerkotter.

Chantal Bekker, Johan Mostert, Stanley Joubert, Diane van der Walt, Thuli Mthimunye, Eunice Visagie and Mtho Xulu.

Marissa Smith, Stefanie Fourie and Mmabatho Phathakge.

David Grant, Governor of Rotary District 9400.

Bees Schoeman.

Chantal Bekker and Stanley Joubert.

Oud-eerstespan spelers van Hoërskool Generaal Hertzog en die Hoër Tegniese Skool, Witbank het mekaar onlangs weer op die rugbyveld gegroet.Die gees op 13 Mei het hoog geloop, terwyl die ‘ou manne’ gewys het hulle het nog ’n slag op die rugbyveld, al was die asems soms bietjie min en is daar hier en daar ’n steun en kreun gehoor.Die wedstryd, wat in baie goeie gees gespeel is, het geëindig op ’n telling van 29-26 in HTS se guns.

Elwen van Dyk, Shani en Mia Durrant.

Monde Msutwana.

Nathi Mankayi.

Zama Knumalo and Beauty Cebhu.

Sibongile Mahlangu.

Madelaine en Ivan Tiearney.

Belinda Engelbrecht, Gerald Snell, Luaan Engelbrecht, Trevor en Annalize van Vollenstee en Dorothy Barrett.

Joe en Keanu van Niekerk.

Moira Outram, Stephane en Rachelle Botha.

HGH en HTS se ‘ou manne’ wys hul slag op die rugbyveld

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Nathi & Monde grace the stageNathi and Monde stole the show in eMalahleni. The Ridge Casino hosted the two stars on May 8 and it was the perfect event for a mom’s night out on the eve of Mother’s Day. The Venue was packed and Monde who grew up in eMalahleni had a warm welcome from all the local fans.

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Nathi & Monde grace the stage

Die Davi Teater het sy deure amptelik oopgemaak. Chris Chameleon wat die eerste inskrywing in dié teater se dagboek op Saterdag 4 Junie gemaak het, het gesê hy is so dankbaar dat Gerda Nobbs, eienaar van The Blue Room waar die teater geleë is, se idée vergestalting gekry het. Dié teater bied aan kunstenaars die kans om hul kreatiwiteit vlerke te gee.

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In die Davi teater word herinneringe gemaak

Chris Chameleon en Susan Erasmus.

Annett Hall, Meisie Ludik en Drieka Roets.

Stan Kruger.

Marna Terblanche.

Chris Chameleon en Anette Viljoen.

Chris Chameleon en Anette Vickery. Anri en Johann Erasmus.

Pastoor Ledge en Breggie Saunders.


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Dié oud-hoofdogter van Hoërskool Middelburg gee werklik vir haar pasiënte om, kom jy sommer gou agter.

“Jy moet bereid wees om ’n pad met mense te stap en hul héle prentjie in te kleur. Dit is iets wat deesdae baie maklik verlore gaan.”

Na haar jare by MHS het sy keuring by MEDUNSA gekry om medies te studeer en sy het haar gemeenskapjare by Chris Hani Bragwanath Hospitaal gedoen – die derde grootste hospitaal ter wêreld.

En dit is létterlik ’n mediese druk-koker: daar is ’n gemiddeld 160 pasiënte per maand wat koeëlwonde het en daar is meer as 350 noodgevalle. Elke dag.

“Dit was aanvanklik intimiderend, maar tog ’n baie goeie leerskool en ’n tydperk wat ek vir niks sal verruil nie. Bara raak amper soos jou tweede huis as jy so lank daar is.”

“Dr. Nadine”, soos sy deur inwoners gedoop is, het by die staat aangebly en in psigiatrie gespesialiseer. Sy is tans besig met haar diploma in dié mediese rigting by die Universiteit van die Witwa-tersrand.

“Ek kry met pasiënte te doen wat met angs en depressie sukkel, of selfs aan skisofrenie of verslawing ly. Dit beteken vir my só baie as ek mense kan help.”

Maar jy moet ook nie die waarde van ’n algemene praktisyn onderskat nie, maan sy.

“Spesialiste fokus byvoorbeeld net op kinders, óf ’n spesifieke mediese kwes-sie. Daarteenoor moet jou huisdokter kennis oor ’n breë spektrum mediese aangeleenthede hê. En dit is nie altyd so eenvoudig soos wat dit lyk nie.”

Wat is ’n dokterspreekkamer nou sonder lekkergoed vir die jongspan? En op haar lessenaar is daar omtrent ’n em-mer vol suigstokkies.

“Hoe dan anders? Ek het ’n baie sagte plekkie vir kinders in my hart en deur bloot net na die dokter te kom, verdien hulle al ’n suigstokkie!”

Natuurlik het sy ook net lof vir haar oud-skool. Buiten haar akademiese prestasies, was sy ook op die atletiekveld in aksie, het provinsiale tennis gespeel én vir die eerste dogtershokkiespan uitgedraf.

“Omdat my pa ’n melkery besit het,

se hart klop warmDr. Nadine

Wanneer jy by dr. Nadine Jooste se spreekkamer instap, word jy met ’n helder glimlag ontvang wat sorg dat jy byna van jou verkoue vergeet.

was my bynaam ’n effens voorspelbare ‘Melkie’. As dinge egter spannend op die hokkieveld geraak het, het juffrou Rachel MacDonald dié bynaam luid-keels na ‘Mééélk’ verander,” onthou sy laggend.

Die tyd by Laerskool Staatspresi-dent C.R. Swart en Hoërskool Mid-delburg het duidelik vir die perfekte boustene vir haar mediese loopbaan gesorg en sy het in April 2015 terug na Middelburg getrek en praktiseer by Drs. Van Rensburg en Vennote.

“Die wete dat ek ’n verskil in iemand se lewe kan maak, laat my in die oggende met ’n glimlag opstaan. Ek lééf my passie hier in Middelburg. Dit is wat ek nog altyd wou doen,” sluit sy die onderhoud af met ’n glimlag nét so warm as waarmee sy jou gegroet het.

Een ding is seker: dr. Nadine Jooste kan nie net ’n stetoskoop laat goed lyk nie; sy laat élke pasiënt (jonk én oud) beter voel.

• Sy het gedurende Juniemaand ’n Botox- en fillerwerkswinkel deur dr. Mauricio de Maio (plastiese chirurg van Brasilië) in Kaapstad bygewoon.

vir pasiënte

Dr. Nadine


Hospice is afgelei van die Latynse woord, “Hospes”, wat beteken om uit te reik na dié wat lei, “die laaste tyd van jou lewe.”

Die Hospicevereniging het in 1999 hul deure in Middelburg geopen, met sr. Judy Toüa aan die stuur van sake.

Sy is vandag nog die bestuurder en saam met haar regterhand, sr. Corné Adendorff, hanteer hulle hierdie organ-isasie wat deur die gemeenskap vir die gemeenskap begin is.

Hul dienste is beskikbaar vir die hele groter Middelburg, asook alle kragstasies en plase in die omgewing.

Volgens sr. Toüa is hulle ’n outonome, onafhanklike organisasie wat die pasiënt bystaan vanaf die oomblik wat hulle met kanker gediagnoseer is, tot by die herstelpad.

In die geval wat die siekte te ver gevorder is, stap hulle ’n pad met die terminale pasiënt en sy familie.

Hul 24 uur dienste vir terminale pasiënte sluit in:

• Professionele pyn- en simptomebe-heer.

• ’n Hospi-tuisversorgingsdiens deur vrywillige werkers en susters Toüa en Adendorff.

• Adviserende verpleging.• Sterwensbegeleiding en berading

aan die families.Hul Hospi-tuisversorgingsdiens

behels dat hulle letterlik “die hospitaal na die pasiënt toe vat.”

’n Hospitaalbed, asook rippelmatras word voorsien, om die pasiënt gemak-liker te laat lê. Hulle verskaf ook bed-panne, krukke, rolstoele en looprame aan Hospice pasiënte.

Ander pasiënte, wat nie versorg word deur Hospice nie, kan hierdie toerusting teen ’n minimale bedrag by hulle huur.

Hul versorging by die pasiënt se huis, sluit in: bedbaddens en voorkoming en

behandeling van bedsere en kankerwonde.

“Ons bied hierdie diens aan kankerpasiënte, ongeag of hulle mediese fondse het of nie.”

Sr. Toüa sê dat daar drie tipes behan-deling van kanker is, wat insluit: chirur-gie, chemoterapie en bestraling.

By die Middelburg Hospicever-eniging kan pasiënte Dinsdae gehelp word met chemoterapie (mediese fonds pasiënte).

Op hierdie dag kom die praktyk van Drs Alberts, Bouwer en Jordaan na Middelburg waartydens die pasiënte gesien en chemoterapie vanaf 08:00 gedoen word. Volgens sr. Toüa hanteer hulle soms tot 15 pasiënte vir chemoterapie per dag.

Aangesien van die pasiënte vir etlike ure moet sit met die chemo-behan-deling, maak die vrywilligers seker dat hulle iets te ete en drinke kry en gesels opbeurend met almal.

In die Wintermaande word ’n snoesige kombersie oor hul bene gegooi en kan die pasiënte selfs kies uit ’n mus en ’n serp. Hierdie komberse en mussies word geskenk deur organisasies soos die Vrouelandbou Unie en persone wat die Hospice ondersteun.

Omdat die organisasie geen subsidies ontvang nie, is hulle totaal afhanklik van die gemeenskap se helpende hand en hul eie fondsinsamelingsprojekte vir oorlewing.

Van hierdie projekte sluit onder andere in:

• Die jaarlikse Hospicetee deur vrywilligers. Vanjaar was Jakkie Louw die gaskunstenaar by die tee wat by Rustique (Riverside) gehou is.

• Hul maandelikse pannekoekdag by die organisasies se kantore in Kogel-straat. Die Hospice pannekoektent word ook gereeld gesien by funksies en

sportby-eenkomste.

• Donasies uit die gemeen-skap.

• Pink Trees for Pauline projek wat hanteer word deur Lee Brandmuller en Jacqueline de Kok.

Die span word verder by-gestaan deur die Hospice Raad wat hulle help met hul fondsin-samelingsprojekte en die administra-tiewe sy van die vereniging.

Hospice Middelburg se kantore is Maandae tot Vrydae oop en vir navrae, bel hul sekretaresse, Marlene Steenkamp, by 013 243 5713.

Pasiëntsorg navrae kan gerig word aan sr. Toüa by 083 231 5831 of sr. Adendorff by 079 697 7043.

• Hospice het tans dringend nuwe Lazy Boy banke nodig vir die pasiënte om ge-maklik te sit tydens chemoterapie. Indien iemand betrokke wil raak met die skenk van ’n bank, kan hulle die kantoor bel.

Engelhande van Hospice

Terminale kankerpasiënte en hul

families ken die engelhande van die Hospicevereniging se susters en vrywilligers. Maar

wat beteken Hospice en watter dienste lewer hulle in ons

gemeenskap?

Die hartklop van Hospice, en sommige van hul vrywilligers, by van die toerusting wat vir pasiënte gebruik word. Voor: sr. Corné Adendorff, Ria Roets, Carol Cullen, Chrissie Kruger, sr. Judy Toüa, Suzie Janeke. Agter: Marlene Steenkamp, Babsie Hoffman, Martie Lotter, Helena Clayton, Hetta Henrico, Corrie Velthuizen, Alet van Rensburg, Marie Grobler, Annatjie de Klerk, Jean Welman, Kleintjie Scholtz, Andrea Swart en Helena van Rensburg.

Die nuut verkose Hospiceraad. Voor: Ria Roets (sekretaresse), Mariaan Kruger, Nesia de Beer, sr. Judy Toüa. Middel: Sr. Corné Adendorff, Josef van Eeden (ondervoorsitter), Hanlie Holtzhausen (tesourier). Agter: Dr. Theunis Prinsloo (voorsitter), dr. Joe Alberts, Gerrie de Lange en Danie Sauer (tesourier).

Mnr. Hennie Venter het gereeld vir che-moterapie gekom by die Hospicevereni-ging. Hy word by-gestaan deur sr. Judy Toüa.

You can’t have winter blues when you’re

rocking a pair of Supergas … how cool

are these paint-the-town red Supergas, worn

by Australian Abbey Lee Kershaw – the

new face of Supergas Womensware AW16.


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1. Avon eyeshadow in Carnival Fever, R84.90. Details: www.avon.co.za • 2. Dermalogica Special Cleansing Gel, R580. Details: www.dermalogica.co.za • 3. Bodyography lipstick in Jo, R230 from selected Placecol and Perfect 10 salons. Details: www.bodyography.co.za • 4. Creightons Argan Body Cream, R65 from selected Dis-Chem stores • 5. !QMS Revitalizing Lift-o-Firm Body Cream, R920. Details: www.futurethis.co.za • 6. MATIS Radiant Cleansing Water, R430, Details: 011-305-600 • 7. Essie nail polish in Bell Bottom Blues, R125 from selected beauty salons. Details: www.essie.com • 8. Creme Classique Advanced Anti-ageing Cell Repair Serum, R650. Details: www.cremeclassique.co.za • 9. Avon Anew Clinical Line Corrector Targeted Filler, R441. Details: 0860-10-23-45

Into the blueBrush away the winter blues with our top nine

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It started off very small, with no casualty unit, only a few patient beds and a small number of theatres. The current hospital building was previously the old Crocker’s shop and was bought by Mr Fred Coetzee.History of Life Midmed HospitalIn 1996 Presmed became a shareholder of Midmed Private Hospital and merged with the then called Afrox Healthcare Limited in 1999. In 2005 Afrox Healthcare Limited sold its healthcare division and became Life Healthcare Group Holdings. Over the years the hospital has been managed by various leaders including Mr Coetzee, Dr Redge Janse van Rensburg, Dr Hartley, Dr Quintus Richter and Dr Gert Bodemer. Midmed Private Hospital then changed its name to Life Midmed Hospital in 2011.Growth over the years Through the years Life Midmed Hospital showed good growth. The hospital started with a 4-bed ICU and has grown into a 16-bed ICU. Among other additions in

Life Midmed hospital making life better

Life Midmed Hospital, the only private hospital in Middelburg, has grown significantly since their doors opened in 1990.

2010 were an eight-bed Neonatal ICU, a medical ward, a mixed ward, a paediatric ward and a maternity ward. Part of the first phase upgrades of the hospital included an upgraded radiology unit.Looking to the futureLife Midmed Hospital’s patients will soon have access to our newly improved facilities, ensuring that they continue to receive quality care in a more spacious and modern-looking environment.

The hospital has been undergoing a massive revamp since 2015, which includes an extra 10-bed ICU unit, two new adult wards and a brand new hospital entrance, which will be much safer and easier to access from the new secured parking area.

The modern eight-bed renal dialysis unit has been operational since 2015 and accommodates acute and chronic renal patients. A combination of the highly qualified and competent staff and state-of-the-art equipment give every patient quality care and excellent

GET IT ADVERTORIAL

treatment.The newly built doctor’s building has been com-

pleted. For an extensive list of specialists practising at Life Midmed Hospital, please contact Helani Nel on 013 283 8733 or visit our website at www.lifehealthcare.co.za

“The hospital building project is on schedule and renovations are expected to be completed before the end of this year, whereas the old administrative building will start with its revamp in due course,” said Hennie Viljoen, hospital manager of Life Midmed Hospital.

Part of the facelift to Life Midmed Hospital includes other areas, like the pharmacy, paediatric ward and the kitchen which will impact on how Life Midmed Hospital delivers market leading quality care to our patients.

“In line with the Group’s philosophy of patient centred care, we believe that these improvements will further enhance the patient experience and we are look-ing forward to serving our patients and community in our newly renovated facility,” ended Viljoen.

Corner of Joubert and OR TamboMiddelburg, 1050Tel 013 283 8700 / Fax 013 282 8383www.lifehealthcare.co.za

Specialised renal care,right on your doorstep.

Treatment services offered at this specialised facility include: chronic haemodialysis and haemodiafiltration; acute dialysis; continuous renal replacement therapy (CRRT); and

slow continuous therapies.

Services can be accessed through three different channels: referral from a specialist or general practitioner to the nephrologist; referral directly from the treating nephrologist; direct contact with the unit manager at the renal dialysis unit.

Life Healthcare case managers will gladly assist with the authorisation process.

Life Midmed Hospital opened

a state-of-the-art renal

dialysis unit in August 2015 to assist patients

in acute or chronic kidney

failure.

The renal dialysis unit can be contacted on 013 243 1171

2675 Midmed Renal advert new.indd 1 2015/08/13 9:34 AM

Dr Zelda Henning 013 283 8715

Dr Kgeswalatau B Senamela 013 243 7559

Dr Anton de Munnik 013 243 0082

Dr Matthys J van Wyk 013 282 1265

D Dewalt R Tromp 013 243 3257

Dr Deon A van der Merwe 013 243 1446

Dr Owen Hawkey 013 243 0057

Dr Nhlanhla C Mashabane 013 243 7784

Dr Wynand Joubert 013 282 7967

Dr Lodewikus P Vermeulen 013 653 8328013 283 8874

Dr Nico van Greunen 013 653 8328013 283 8874

Dr Derek Bisset 013 243 5546

Dr Riekert Swart 013 243 1033

Dr Augustine Chaumba 013 243 1768

Dr Dusan Tatomir 013 282 4493

Dr Otto E Beyer 013 283 8728

Dr Rachael de Zeeuw 013 243 1171

Dr Abraham J Visser 013 656 5511

Gynaecologist / Ginekoloog

General Surgeon / Algemene Chirurg

Paediatrician / Pediater

Orthopaedic Surgeon / Ortopeed

Physician / Internis

Urologist / Uroloog

Dermatologist / Dermatoloog

Visiting specialists / Besoekende spesialiste

Maxilla Facial Surgeon / Mond- en kaak Chirurg

Ear-, nose- and throat specialist / Oor-, neus- en keel spesialis

Nephrologist / Nefroloog

Neurosurgeon / Neurochirurg

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It is all about service quality, but the thing is this, we as emergency medi-cine practitioners see this whole busi-ness from a total different perspective.For one we can be certain, Prof Bof-

fard will call this whole phenomenon a snake!

So I went to get a second opinion. The Marketing professor called this the “service quality expectation gap”.

It made sense: as provider I have certain expectations and so does my patient. These two sets of expectations are different - the “gap”.

Although I do not disregard the expectations of our patients, the very nature of our business dictate us to do things in a certain way - even if this will mean “poor service” from a marketing perspective.

Without referring to someone specific the following situation arises on a fre-quent base:

Mr Mike Migraine presents at the A&E, he explains to the triage officer that he has been experiencing another relentless migraine for the past hour. The triage officer request Mike to open a file while waiting for the doctor (who happen to be busy resuscitating another family’s loved one in ICU).

Within 10 minutes Mrs Dora Disloca-tion enters the unit - she was chasing after a thug who grabbed her purse, she fell and dislocated her shoulder.

The triage officer explained that the doctor would see her in 15 minutes.

The doctor, who is now trying to explain that the sixteen year old girl died from severe complications as a result of cerebral malaria, is called by a registered nurse (RN) saying that “the unit is starting to get busy and we are expecting an am-bulance within an hour - traumatic am-putation of the arm, apparently ripped of by a tractors’ PTO shaft”.

Cutting short the “breaking of bad news” the doctor rash down to A&E. As he enters the unit the triage officer ac-companies Mr Harry Heart-attack to the resuscitation bed.

As Harry removed his, now sweat soaked, shirt an ECG is done - bad news. Harry will eventually be the proud win-ner of a helicopter ride to one of the few cardiac units in the country.

While working on Harry, the doctor is informed that Mandy Malingering is (again) waiting on the other resuscitation bed - another fake epileptic attack.

The drama continued, but at the end

Mike went home without pain, Dora’s shoulder was back in place and Harry’s coronary artery was pumping blood again.

The doctor is heading back home - although a busy day at the “office”, all patients were managed within target times (triage) and all, except one, had a favourable out come.

When the lights go out at home he still thinks about the young girl that died - if she only took the prescribed prophy-laxis.

Three weeks later and the complaints is piling up: “I had to wait more than 90 minutes with a terrible headache, the doctor was on the telephone - some medical aid had an issue to fly a person around.

“Why should I suffer because of another patient’s poor medical aid? To make matters worse they helped at least three patients before me!

“I would say one of them was serious - she had a kind of epileptic attack! When I tried to complain to the sister-in-charge she just looked at me and say I must write this complaint because she needs to go, a farm worker injured his arm. Re-ally, does anyone care?”

Well, this is a long story, but at least explain the point: Emergency Medicine and Service Quality rarely co-exist in the

I can still hear Prof Schreuder in our honours class in Services Marketing say: “it is all about the gap!” Guess I misunderstood him and ended up studying medicine. I have studied through the whole human body looking for this “gap”. Believe it or not, I finally found the gap in our local accident and emergency unit (A&E).

The professional team at Middok 24/7 at Life Midmed Hospital. Front: Dr. Christiaan Burger, Dr John Welsh and Jaryd Keys (Porter). Middle: Sr Selina Sikho-sana, Prudence Sekone (Enrolled Nurse), Thembi Mthombeni (Enrolled Nurse), Sr Mariska van Staden, Sr Thembi Lusenga. Back: Sr Lorinda Koekemoer, Sr Mari-Louise Joubert, Sr Mariska van Niekerk, Sr James Kiotope, Sr Lize le Roux, Sr. Carolyn Henderson (Casualty Unit Manager, Thembi Mashego (Enrolled Nurse Auxiliary), Sr Joleen Scheepers, Roelien Els (Stock Controller) and Amanda Maluleke (Enrolled Nurse Auxiliary).

find the gapWhy the Queen can’t

same place.Speaking globally all A&E Units

endorse the concept of “triage”, derived from the French word “trier”, meaning “to sort”.

This concept was adopted from the military to sort between the large num-bers of casualties on the battlefield. The country of freedom, dreams and consum-erism started with the idea that a patient is a client. It came back to bite them (as usual) and A&E now became better known as “All and Everything” instead of “Accident and Emergency”.

Simply adding more doctors was not the solution. To create a balance between scarce skills and funding issues a process was adopted (triage) to assign an objec-tive priority to each patient coupled with a target time to see the doctor.

The degree of perceived urgency from the patient’s side plays little role in a changing the priority level. In practical terms this might include a nasty head-ache or crying child that take second place to another life on the edge.

It is well accepted in America, Aus-tralia, Europe and South Africa that a patient with a low triage score can wait for 240 minutes!

At Middok24/7 the triage protocol is easy to understand and highly efficient: the triage officer meet you at the door to take a brief history and a set of physi-ological measurements.

This will give an objective screen-ing of all patients in order to prioritize everyone. With “life or death” conditions excluded, a request to start the registra-tion process will be made.

While opening the file, the triage score will be discussed with a senior experienced healthcare worker. The score will then either be confirmed or changed

according to senior advice.Seems like a mouth full, but the

system is designed “for the greater good” - saving lives not earning satisfaction scores.

If still not certain about this unit in the “Platteland”, have a look at the following facts:• Nearly all medical practitioners holds a post-graduate qualification. These include post-graduate diploma in EM, masters degree in clinical pharmacology or family medicine.• All practitioners are Advanced Cardiac Life Support and Paediatric Life Sup-port accredited, some as experienced providers. Ongoing studies include E-FAST certification (a new concept of sonar being used in high priority cases to reduce time to diagnosis) and Member-ship of the Royal College of Emergency Medicine (UK).• Our unit is certified as a stroke unit with the Boerhinger initiative known as “mysstroke.co.za”.Other hospitals include Life Cosmos and Life Groenkloof (the latter being the only registered unit in Pretoria).• The heart attack protocol is fast and very successful. The process that includes initial evaluation, rescue thrombolysis (to buy critical time), stabilization, transfer and up until exiting the cardiac theatre with a stent can be done within four hours.Driving straight to the cardiac unit will add no benefit. While you drive without thrombolysis, the heart basically dies due to a lack of oxygen.Once you get to the city a cardiac work-up still needs to be done. At the end of the day you will be unstable and the time from your heart attack and a stent place-ment will be longer. The damage to the

heart ends up significantly worse.• With one of the highest number “Prior-ity 1” cases per doctor in the Life Hospital group, the doctors can be regarded as highly experienced in managing critical injured patients.We have a very good team of dedicated doctors, but recently had to say good-bye to one of them. The grass is quite green in Europe, or that was the impres-sion. On a recent visit I was handed a London newspaper. Some of the reports were: • “..the number of people waiting longer than four hours in hospital accident and emergency units...rose by a third...”• “...thousands of patients are waiting more than 18 weeks for operations... and at a particular hospital there were 5 524 patients waiting (last week) on a trolley for a ward bed between four and 12 hours...”• “Sick patients have been forced to wait up to eight hours in ambulances queuing outside A&E units...”

Not quite my cup of tea. I can proudly say that I am part of an emergency medi-cine team that can be matched-up with the worlds’ best units.

You see my dear Queen, at this unit all patients are treated as royalty!


‘Vra jouself af of jy volheid wil lewe tot op jou oudag’

’n Toonbeeld van ’n gesonde lewe

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As jy die toonbeeld van ’n ge-sonde lewe wil sien, hoef jy nie verder as Magda Nieuwoudt te soek nie.

Nie net het hierdie jong vrou ’n ge-sonde liggaam nie, maar huisves sy ook ’n gesonde gees, hart, siel en buitengewone sterk kop.

Magda is ’n sportwetenskaplike by Hoërskool Middelburg en ’n aspirant driekampatleet wat op pad is om ’n pro-fessionele driekamper te word.

Van haar prestasies sluit in, die 2015 Ironman 70.3 wêreldkampioenskap in Oostenryk waar sy 33ste in haar ouder-domsgroep gekom het, haar onlangse oorwinning tydens die MiWay SunCity Ultra en nog vele meer.

Magda het ’n BSc graad in Mens-like Bewegingskunde en Voeding, en honneursgraad in BSc Sportwetenskap wat sy aan die Noordwes Universiteit se Potchefstroomkampus verwerf het.

Get It het met Magda gaan gesels oor ’n paar van haar geheime oor ’n gesonde lewe.

“Van kleins af het die menslike lig-gaam my geïnteresseer en wou ek ge-sond lewe. Toe ek nog baie klein was, het ek altyd die hoender se velletjie afgehaal en sou dit nie eet nie - dit was nou voor ek die lae koolhidraat en hoë vet leefstyl begin volg het,” lag Magda.

Nog nooit kon jy haar bederf met ’n wegneemete of uiteet nie.

Van graad vier af het Magda elke maand die Runner’s World ontvang en het dit gelees soos haar tweede Bybel.

“Al die fisiologiese inligting het my fassineer. Wat om te doen, wat om te eet

en wat nie. Ek dink ek het onbewuste-lik reeds besluit dat ek eendag fisiolo-gie en voeding sal gaan studeer.”

“Hoe jy grootword het beslis ’n invloed op jou lewe en ek glo dit het bygedra tot my keuse van ’n gesonde lewe. My twee ouer broers het rugby gespeel en ook tweekamp gedoen.”

Magda het ook nog altyd self sport gedoen en het reeds in graad 6 besluit dat sy ernstig gaan begin oefen en eendag wil kompeteer in sport.

“Ek het elke dag voor skool gaan hardloop en elke middag na skool ook geoefen. Ek sou selfs my laaste periode by die skool mis om te gaan oefen, want netnou oefen iemand meer as ek,” vertel Magda laggend.

“Ons het elke Saterdag rugby gekyk en sodra dit halftyd is, sou ek dan gou in daardie 10 min my drie kilometer roete gaan doen het. Sondae het ek ‘gerus’ wat behels het dat ek ’n easy run gaan doen het.”

Magda sê jy moet die liggaam ken en verstaan as jy werklik goed wil oefen.

“Ek het op universiteit die teorie vinnig deurgegaan en dan dadelik daarna gaan oefen. Soos ek geoefen het, het ek vir myself gesê wat nou presies met my liggaam gebeur.”

Magda oefen deesdae by Trifactri, ’n driekampoefengroep wat deur die professionele driekamper, Lucie Zelen-kova, afgerig word. Haar droom is om eendag ’n professionele driekamper te wees en sy oefen elke week tussen 20-27 ure – dit is nou terwyl sy ’n voltydse werk het en naweke op die sportveld

moet wees vir die leerlinge.“Jy moet nooit sê jy’t nie tyd om te

oefen nie. Alles in die lewe is op tyd en juis daarom sal jy alles kan inpas. Dit is vreemd hoe baie jy kan doen as jy eers bewus word van tyd.”

’n Gesonde lewe is vir Magda so een-voudig soos ’n besluit wat jy neem.

“Moenie te veel daaroor redekawel nie. Besluit dit en doen dit. Op die ou einde gaan dit eintlik oor jou gees wat gesond is. Daar is niks lekkerder as om gemaklik te voel in jou eie self nie. As jy gemaklik is in jou eie self, kan jy enigiets in die lewe doen.”

Maar ’n mens bly maar ’n mens sê Nieuwoudt en vertel dat sy wel ’n swak-punt vir kondensmelk en koekies het.

Magda ontspan wel ook graag wan-neer sy ’n tydjie kry en, glo dit of nie, sy is ’n groot aanhanger van die kunste.

“Gee vir my ’n smaakvolle toneelstuk of musiekvertoning, en ek ontspan heerlik. Maar my gunsteling is om blok-kiesraaisels in te vul met ’n glas goeie rooiwyn in die hand - vir die antioksi-dante, jy weet.”

Magda glo dat sy op 80-jarige ouder-dom steeds aan die Ironman sal deel-neem en som die besluit om gesond te lewe soos volg op:

“Vra jouself af of jy volheid wil lewe tot op jou oudag. Dit wat jy eet, kan of sleg of goed wees vir jou liggaam. Jy word ouer en sal sterf omdat jou liggaam degenereer, so jy wil alles in jou vermoë doen om daardie proses te vertraag. Genoeg slaap, reg eet, oefen en jou Godsdiens moet alles in balans wees om gesond te kan lewe.”

’n Toonbeeld van ’n gesonde lewe

Make sure you talk to the ex-perts, Medical Aid consultants Nesia and Chantelle de Beer, to ensure that your medical

aid option still meets your needs.When last did you ask yourself the follow-ing questions:• On which medical scheme option am I

currently?• Is it still the correct choice according to

my current situation?• Can medical insurance be a solution if I

can’t afford medical aid anymore?Under the umbrella of Healthcare Consulting and Financial Services, there are two consultants on your doorstep to answer these questions.CMAC is an independent South African Healthcare Consultancy, specialising in medical aid and associated products.They have a national footprint of well-trained, accredited consultants to assist their clients.Nesia and Chantelle can assist you with:• Medical Scheme contracts. According

to Nesia they have contracts with 21 medical schemes to ensure they ad-dress their clients needs.

• Gap cover. They have negotiated special tariffs with some of the largest product suppliers to ensure the best rates.

• Medical Insurance Products. For some clients medical aid cover became just

too expensive and they have to look at other ways to obtain cover.

• Dental insurance. With the limited ben-efits for specialised dentistry offered by medical schemes, these options fill the gap.Nesia is the CMAC’s national top

consultant.As part of her and Chantelle’s service

offering, they have been assisting em-ployer groups like Eskom, mines and local government, in implementing the most suitable medical cover for their employ-ees.

Their continued support ensures that the employer has peace of mind that

employees are well taken care of.“We have an open door policy.

Individual clients in search of a benefit option to suit their needs or medical scheme members struggling to under-stand their current medical scheme of-fering, are welcome to visit us at our of-fice on the first floor at the Wonderpark Centre for a comprehensive comparison and analysis.”

Their office hours are Monday to Friday from 08:00-16:00 and for more information, call Nesia at 082 388 3130 or Chantelle at 082 386 5060 or Veronica Harmse (secretary) at 013 243 5116.

• Their services are free of charge!

Do you really know what your medical aid benefits entail and are you prepared for shortfalls?

Ask the experts!

Consultant Chantelle de Beer.

Veronica Harmse - secre-tary.

Consultant Nesia de Beer.

What does your medical aid offers you?

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Accredited with the Council for Medical Schemes, Org35 & the Financial service Board, FSP 17112 T’s & C’s apply

Nesia de Beer 082 388 3130 Chantelle de Beer 082 386 5060

Is your medical aid too expensive?Find the right medical aid and option that’s best for your family AND your pocket.

* Free comparisons * Professional advice

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Life Cosmos Hospital is a member of Life Healthcare, one of the largest private hospital groups in South Africa, operating 62 acute care facilities across the country. Life Healthcare is recognised throughout the health industry for its high calibre healthcare professionals and excellent facilities.

Our belief – delivery of world class healthcare achieved through a combination of unparalleled quality and clinical excellence, along with a true focus on the personal needs of our patients and their families. Constantly subscribing to the core values of the Life Healthcare group, while individually striving to continually improve facilities, standards and technology at Life Cosmos Hospital our priority is to focus on the delivery of a special brand of health and care to patients. Within a world class hospital, this unique approach is what makes the difference.

Committed tomaking life better

LIFE COSMOS HOSPITAL PHARMACYFor your convenience our Retail Pharmacy trading hours are:

Monday to Friday08h30 – 19h00

Saturday, Sunday and public holidays: 09h00 – 13h00 18h00 – 19h00

Contact numbers:013 653 8124013 653 8312

Life Cosmos HospitalCnr OR Tambo and Beatty Streets

eMalahleni Tel 013 653 8000 / Fax 013 653 8005

www.lifehealthcare.co.za

24 hour accident & emergency unit

013 653 8001

3653_Cosmos_Get it advertorial.indd 1 2016/06/13 9:56 AM

Disciplines offered

Advances in Neurosurgery

WITBANK UROLOGY CLINICThe Urology practice of Dr LP Vermeulen and Dr N Van Greunen recently opened new offi ces at Life Cosmos Hospital. The new building promised new consultation rooms, procedure rooms and an administration department, and this promise was delivered. The clinic is equipped with state-of-the-art equipment to ensure excellent patient care and world class service. This is a Centre of Excellence with a multi-disciplinary approach that embraces a full spectrum of urological practice.Dr’s Vermeulen and Van Greunen are devoted to improve health services in the Witbank/Middelburg demographic area. They are currently planning an upgrade to their offi ces at the Life Midmed Hospital.

For more information contact the Witbank Urology Clinic on Tel 013 653 8328

Life Cosmos Hospital recently upgraded one of the theatres into a Neurosurgery theatre to sustain quality care in a world class facility. The upgrade saw the best combination of equipment to offer the latest generation of technology. Neurosurgeon, Dr Gerrit Engelbrecht stated “The equipment includes the Brain Lab, Leica (operating microscope) and Hybrid Neuro Table. The Brain Lab navigation system enables accurate pre-operative planning of procedures and the Leica Operative Microscope allows for better visualisation. As for patient safety and comfort, we have a specialised hybrid operating table with carbon fi bre frame to position our patient for optimal intra-operative fl uoroscopy.

There is also excellent news for individuals with vertebral compression fractures. To provide relief from the pain of a vertebral fracture and prevent further collapse, two types of minimally invasive procedures are available. These procedures, Vertebroplasty and Kyphoplasty, are used in cases of functionally disabling pain caused by a vertebral fracture that does not improve over a number of weeks with pain medication and immobilisation.

For more information contact Tel 031 653 8257

For more information about our disciplines or contact details for our doctors, please contact our marketing and communications co-ordinator, Christelle Matthee on [email protected]

Medical and surgical disciplines Anaesthesiology Dentistry ENT Surgery General surgery Internal medicine Laparoscopic surgery Maxillofacial and oral surgery Neorosurgery Obstetrics and Gynaecology Ophthalmology Trauma practitioner Orthopaedic surgery Paediatrics Urology including lithotripsy

Diagnostic facilities and services Pathology laboratories Radiology unit CT & MRI Mammography

Therapy and ancillary facilities and services Antenatal classes Audiology Dietetics Birth Basics Occupational therapy Prosthetic service Psychologist Wound care clinic


Disciplines offered

Advances in Neurosurgery

WITBANK UROLOGY CLINICThe Urology practice of Dr LP Vermeulen and Dr N Van Greunen recently opened new offi ces at Life Cosmos Hospital. The new building promised new consultation rooms, procedure rooms and an administration department, and this promise was delivered. The clinic is equipped with state-of-the-art equipment to ensure excellent patient care and world class service. This is a Centre of Excellence with a multi-disciplinary approach that embraces a full spectrum of urological practice.Dr’s Vermeulen and Van Greunen are devoted to improve health services in the Witbank/Middelburg demographic area. They are currently planning an upgrade to their offi ces at the Life Midmed Hospital.

For more information contact the Witbank Urology Clinic on Tel 013 653 8328

Life Cosmos Hospital recently upgraded one of the theatres into a Neurosurgery theatre to sustain quality care in a world class facility. The upgrade saw the best combination of equipment to offer the latest generation of technology. Neurosurgeon, Dr Gerrit Engelbrecht stated “The equipment includes the Brain Lab, Leica (operating microscope) and Hybrid Neuro Table. The Brain Lab navigation system enables accurate pre-operative planning of procedures and the Leica Operative Microscope allows for better visualisation. As for patient safety and comfort, we have a specialised hybrid operating table with carbon fi bre frame to position our patient for optimal intra-operative fl uoroscopy.

There is also excellent news for individuals with vertebral compression fractures. To provide relief from the pain of a vertebral fracture and prevent further collapse, two types of minimally invasive procedures are available. These procedures, Vertebroplasty and Kyphoplasty, are used in cases of functionally disabling pain caused by a vertebral fracture that does not improve over a number of weeks with pain medication and immobilisation.

For more information contact Tel 031 653 8257

For more information about our disciplines or contact details for our doctors, please contact our marketing and communications co-ordinator, Christelle Matthee on [email protected]

Medical and surgical disciplines Anaesthesiology Dentistry ENT Surgery General surgery Internal medicine Laparoscopic surgery Maxillofacial and oral surgery Neorosurgery Obstetrics and Gynaecology Ophthalmology Trauma practitioner Orthopaedic surgery Paediatrics Urology including lithotripsy

Diagnostic facilities and services Pathology laboratories Radiology unit CT & MRI Mammography

Therapy and ancillary facilities and services Antenatal classes Audiology Dietetics Birth Basics Occupational therapy Prosthetic service Psychologist Wound care clinic


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“Ek is ’n gekwalifiseerde kraamsuster, of eerder bekend as ’n vroedvrou. Hierdie is my passie,” het sy na haar kantoor gewys. Mariska is oorspronklik van Vereeniging, waar sy in 2000 gekwalifiseer het en vir sewe jaar in die kraamsaal by Medi-Clinic gewerk het. Daarna het haar pad met eMalahleni gekruis en hier het sy vir ongeveer twee jaar in Klipfontein by die Suid-Afrikaanse Nasionale Bloeddiens (SANBD) gewerk. “Dit is hier waar die saadjie geplant is om my eie kliniek te open. Soveel mammas het ingekom en gevra ek moet hulle kinders inent. Maar omdat ek nie by ’n kliniek werksaam was nie, was dit teen die reëls. Ek het begin navorsing en bemarking doen, en kon nie glo dat hier nie so plek is, behalwe die staatkliniek nie. Daar is ’n verskriklike tekort aan medikasie by die staat en die aanvraag is baie hoog vir alternatiewe sisters. Met die opening van ander besighede het my moed in my skoene Te

ks: M

elis

sa N

el.

’n SusterSy blom daar waar sy geplant word, en sr. Mariska Blom se lewenspaadjie het haar in

ons Steenkoolstad kom vestig.

gesak, maar die Here is werklik goed vir my. Ek het ‘dippies’ gehad, alles is nie al-tyd maklik nie. Maar hier is ek steeds,” was Mariska se glimlaggende woorde. Haar raad aan mammas vloei nie uit haar mond nie, maar uit haar hart. Die passie lê vlak in haar oë en ’n hegte band met elke mamma is vir haar ’n vereiste. “Ek sien mos waaraan mammas gewoond is. Kom hier in, sit die kind op die bed en begin die kind se klere uittrek. Ek stop hulle baie vinnig en nooi hulle om by my tafel te kom sit en eers te gesels. Ek hou daarvan om meer van die kind te weet en om ook eers bietjie met mamma te gesels,” het sy verder vertel. Haar twee kinders is die riglyne agter haar advies, aangesien die persoonlike ervaring eerstehands betrokke is by elke mamma wie sy onder haar vlerk neem. “Boeke leer jou net soveel. Elke kind verskil. My dogtertjie is op 32 weke met ’n noodkeiser gebore en het maar ’n

skrale 1.7kg geweeg. Sy is al 11 jaar oud en dan het ek ’n seuntjie van 21 maande. Hy is op sy tyd gebore en albei is perdfris en gesond. Met al die mammas met wie ek praat, sê ek vir hulle wat ek gedoen en gebruik het. Ek verduidelik wat die beste vir my gewerk het, en hoekom. Daar is niks wat my meer grief as mammas wat vir ‘Google’ gaan raad vra nie. Mammas wat sommer net iets probeer wat hulle op Facebook gesien het. Dit is ’n verskrik-like gevaarlike roete om te volg. Ek het ’n Facebook bladsy waarop ek raad aanbied en ek maak ’n punt daarvan om twee keer ’n dag mammas se vragies te beant-woord. Ek is altyd beskikbaar, maar ek trek die streep wanneer mammas bel vir ’n uitslag of ’n hoes of enige soort siekte, as ek nie die kind gesien het nie. Ek is verantwoordelik vir elke stukkie raad wat ek uitdeel en as ek nie die kind gesien het nie, kan ek nie net links en regs sê wat ek dink makeer nie,” het sy ook vertel.

met ’n mamma-hart

Teks

: Mel

issa

Nel

.

Om ’n dokter te word was nooit vir haar ’n opsie nie. Sy het vertel dat dit die persoonlike effek uit haar werk uit haal en haar grootste vrees, was dat sy haar passie sou verloor en ook die persoon-like kontak met haar mammas. “Ek het ook besef dat die aanvraag hoog is vir ’n vroedvrou in eMalahleni, maar ek moes kies tussen dit en my kliniek. Die kliniek lê my nader aan die hart. Ek het nie kans gesien om onbepaalde tye nie by die huis te wees, wanneer ’n vrou moet kraam nie. Ek kan nie my kliniek opgee nie. Ek is te lief hiervoor,” het Mariska ingelas. Voorgeboorte klasse, borsvoedings-kon-sultant, immunisering van babas, advies oor koliek, slaap probleme en ‘potty-train-ing’ is maar net van die goed wat op haar advertensieborde pronk. “Soveel kinders verdrink en ek voel daar is ’n verskriklike groot behoefte aan die soort opleiding vir mammas. Hoeveel kinders val in swembaddens en sit met breinskade na die tyd? Mammas moet kardiopulmonêre resussitasie (KPR)

kan doen om daardie kinders uit die gevaarsone te probeer kry. Ek is ’n KPR en eerstehulp instrukteur, en hierdie oplei-ding gaan ook binnekort begin. Daar is nog baie dinge in die pyplyn waarmee ek besig is. ‘Nanny training’ en ’n mobiele kliniek is net ’n paar dinge wat ek in ge-dagte het,” was haar verdere woorde.Nie net vestig sr. Mariska haar by haar kliniek nie, maar sy gaan ook na skole toe om kinders se immunisasies daar te doen. Sy het verduidelik dat kleuterskole haar mark is en dit is waar die mobiele kliniek sal floreer. Sy doen dit reeds, maar op kleinskaal. “Ek leer my mammas wat ek wou weet met my kinders. Dinge wat nie in die handboek geskryf staan nie en dinge waarop jy as mamma nie voorbe-reid is nie. Ek fokus op die onverwagte en wat jy in sulke situasies moet doen,” het sy ook vertel. Haar warm gevoel wanneer mammas terugkom met ’n tweede of derde kind, is wat haar kliniek se hart laat klop.

“Daar was al rotse en klippe in my pad gegooi maar ek stof my skoene af en klim oor. Die Here is baie goed vir my en ek gaan net elke aand op my knieë en sê dankie vir waar ek is. Ek voel goed wanneer mammas terugkom en ek kan help wanneer niemand anders kan nie. ’n Mamma verstaan en ek is bly dat ek an-der kan help. ’n Gelukkige mamma sorg vir ’n gelukkige baba en die gelukkige huis pluk ook die vrugte,” was Mariska se laaste woorde. Oor haar toekomsplanne is sy selfverse-kerd. Maar wanneer die onverwagte haar tref, het sy gesê dat sy altyd planne het en nooit gaan lê nie. Sy het gesê dat wan-neer jy uit jou gemaksone geruk word in vandag se ekonomie, sy beslis die behoefte sal raaksien en aanpas, sou die nood dit in die toekoms vereis. Mariska se moeder-hart het haar gedra tot waar sy vandag is en sy sien uit na nog baie jare met die gemeenskap van ons Steenkoolstad.


Foto

’s en

teks

: Zita

Gol

dsw

ain.R

ochelle Reyneke stem nie saam met hierdie stelling nie. Die 31-jarige vrou met die pragtige lyf glo in ’n gesonde eetplan en

oefening. “Jou eetplan moet vir jou werk. Ek dink

dis die suksesresep. As jy dit vir jouself gaan moeilik maak deur ’n strawwe dieet te probeer volg, gaan jy vinnig moed verloor en dan kom die wiele af.

Rochelle is nie gebore met die

Jou lyf begin in jou kombuis

Byna elke dag hoor jy van iemand wat net nog ’n dieet volg. In dieselfde asem hoor jy van mislukte diëte en motiverings in maer-maak pilletjies wat die vetjies weg smelt of won-derkure wat die hongerpyne stil om maar net weer van vooraf te begin.

pragtige soepel lyf wat menige beny nie. Deur die regte eetplan te volg en gereeld te oefen het die skaal binne ses maande vir haar vertel sy het 16kg verloor. Bo en behalwe vir die kilos wat sy afgeskud het, het sy ook 130cm om haar hele lyf verloor. Vandag pas Rochelle gemaklik in ’n broek grootte van 30 of 32 waar sy voorheen in ’n 38 of 40 denim ingepas het. Haar hempies was voorheen hemde van groot tot ekstragroot, nou wissel dit

na gelang van die maak tussen klein en medium, haar borste is ook vier mate kleiner.

Rochelle se verhaal is een waarmee die meerderheid van vroue hulself vereenselwig. So begin haar verhaal, “In 2014 het ek ’n skaal gehaat, ek was toe 82kg. Na die geboorte van my twee woelwaters, het ek gesukkel om die kilogramme af te skud. Ek het met elke swangerskap so 12kg in totaal opgetel,


Foto

’s en

teks

: Zita

Gol

dsw

ain.

wat nie baie was nie maar wat moei-lik was om elke keer te verloor. Ek het met altwee ’n keiser gekry, wat dit nog moeiliker gemaak het om my lyf terug te kry. Ek was moeg gesukkel om klere te kry wat pas en mooi aan my sit. Ek het omtrent elke klimtoldieet ná die ander gevolg, maar dit wou net nie werk nie,’ eggo sy miljoene ander vroue se nood-kreet.

’n Verjaarsdaggeskenk van haar man, Wynand, het haar hele lewe verander.

“Na baie ure in die winkelsentrum op soek na ’n geskenk, was ek al moedeloos. Maar ek het ’n advertensie in WITBANK NUUS raakgelees en besluit om nie verder te soek nie, ek het my verjaarsdag-geskenk gekry.”

Sy het by ’n gewigsverlies- en gesond-heidskliniek aangesluit, die eerste stap na ’n leefwyse wat sy sonder moeite haar eie gemaak het.

“In Februarie 2014 het ek by die kliniek begin en met ’n eetplan afgeskop. Ek kan met eerlikheid sê ek was dadelik negatief en het gedink dis té streng en dat ek dit nooit sal kan volhou nie. Ons was gewoond aan baie eet, naweke het leë pizzabokse, ‘chips-pakke’ en leë Coke bottels ons asblik versier. My grootste vrees was dat ek honger sou word met die nuwe eetplan, maar inteendeel. Water drink was nie een van my sterk punte in die lewe nie, ek was verslaaf aan Coke.”

Rochelle moes skielik leer hoe om reg te eet en alles was makliker gemaak met die hulp van die personeel by die kliniek wat haar met elke stap ondersteun het.

“Daardie personeel was kwaai en streng,” het Rochelle tong in die kies gesê.

Elke keer wat sy geweeg en gemeet was en hulle kon sien een gram het van iewers af ingesluip, wou hulle dadelik weet of sy die eetplan noukeurig volg.

“Dit was baie hard en moeilik in die begin, maar na ’n paar weke toe ek die

resultate begin sien en voel, was ek net meer gemotiveer. Water is nou omtrent al wat ek drink asook Rooibos, Groentee en Decaf koffie. Ek gaan nêrens sonder my waterbottel nie. Wegneemetes en pizza is nou iets van die verlede en ek drink glad nie meer so vreeslik baie Coke nie. As ons gaan uiteet het sou ons burgers en ‘chips’ bestel, nou bestel ons ’n lekker gesonde ‘wrap’ met slaai en water of koffie,” het sy een van haar geheime gedeel.

Om die vetjies vinniger te laat ver-dwyn, het sy ook begin ‘bootcamp’

Na ses maande het Rochelle aan ’n aanlyn liggaamstransformasie kompeti-sie deelgeneem wat oor 12 weke gestrek het.

“Ek het ’n aanlyn instrukteur gehad wat vir my elke vier weke ’n eet-en oefen-program gegee het. Ek moes elke vierde week vir haar foto’s stuur. Hierdie kom-petisie het vir my daardie ekstra hupstoot gegee en tydens die 12 weke het ek nog 4kg en ’n paar ekstra sentimeters verloor.”

Rochelle het onder die top 30 deelne-mers uit die 250 deelnemers landwyd geëindig. Ongelukkig het sy in die tweede rondte uitgeval.

In Januarie verlede jaar het Rochelle by ’n plaaslike gimnasium aangesluit. Daar is sy gevra of sy sou belangstel om aan liggaamsboukompetisies deel te neem. Vier maande later het sy die lig-gaamsfiksheidkompetisie van die 165cm afdeling gewen en net daar het die kompetisie-gogga gebyt.

Om soos Rochelle te lyk, verg baie deursettingsvermoë. Haar dag begin vroeg in die oggend wanneer sy haar twee woelwatertjies by die skool aflaai. Tussen 07:30 en 08:00 rig sy ‘bootcamp’ af, dan is dit gimnasium toe waar sy op gewigte en kardio konsentreer. As sy klaar geoefen het, gaan sy huis toe waar sy hul besigheid se papierwerk doen, kwotasies en fakture deurstuur en kliënte

bel . Teen daardie tyd knipoog die horlosie al op 13:00 en is dit weer tyd om die woelwaters te gaan haal, dan is dit huis-werk doen. Teen 15:00 sal jy haar weer in die gimnasium kry. Sy moet ook tyd maak vir die kinders se buitemuurse aktiwiteite. Tussen 17:30 en 18:30 rig sy weer ‘boot-camp’ af.

“Ek is 19:00 by die huis. Dit vat my gewoonlik ’n uur om die kinders te bad, kos te gee en teen 20:00 is hulle in die bed. Dan spandeer ek en Wynand kosbare tyd saam terwyl ons, ons etes vir die volgende dag voorberei. Ek eet ses etes ’n dag en elkeen word individueel verpak.”

Wanneer sy voorberei vir ’n kompetisie volg sy ’n spesiale dieet wat afhang van hoe sy wil lyk vir die kompetisie.

“Ek wil nou so bietjie groter word so ek eet heelwat meer proteïene en stysel. My oefen- en eetprogram verander elke vier weke, sodat my lyf nie gewoond raak daaraan nie en heeltyd kan verander. Ons mag geen lekkernye, gaskoeldrank, alkohol, ‘chips’ of sjokolade eet nie. En glo my dis vrek moeilik, want mens raak lus vir daai lekker goedjies. Maar as jy resultate soek moet jy jou eetprogram met 110% volhou. Daar is nie ’n kortpad nie, dis ’n leefwyse.”

Wynand oefen saam met Rochelle en sy beskryf hom as haar grootste inspirasie.

“As dit nie vir Wynand se bystand en ondersteuning was nie, sou ek nie gewees het waar ek vandag is nie. Dis nie maklik om te kom waar ek nou is nie, ek wou al so baie keer opgee en handdoek ingooi. Daar was al baie trane die afgelope twee jaar. Maar hy was daar vir my deur dik en dun en het my aangemoedig en aange-spoor. Hy druk my harder as hy dink ek kan beter doen. Bystand en motivering is die belangrikste om mens te help om aan te gaan. Dit maak die leefstyl net soveel makliker omdat ek en Wynand dieselfde passie deel.”

Dr. Riekert SwartKinderarts/ Paediatrician

Dipl. Nursing(Pret), MBChB(Pret),FCPaed(SA), MMed(Paed)(UFS)

Spreek Ure / Consulting Hours:Monday - Thursday Friday

08h00 - 17h0008h00 - 14h00

Midmed Hospital Joubert Street, Middelburg

Tel: 013 243 1033 Fax: 013 243 0981

Facebook: Dr Riekert Swart

The initial excitement often gives way to the reality of a chronically sick child. This is only made worse by different advices from every-

body around you mixed with a degree of criticism of your parenting skills if not interference by the grandparents.

It is important for you as parent to understand as much as possible about the reasons behind crèche acquired in-fections, their possible prevention as well as reasonable treatment in order to make the right decisions that will affect your child’s and your own wellbeing.What is Crèche Syndrome

Large numbers of kids in a confined space allow organisms such as viruses to spread easily from child to child. Sharing of dummies, bottles, eating utensils and toys help spread disease even though measures are taken to minimize this sharing.

In addition little children have an im-mature immune system. They are relative-ly new “earthlings” and as such have not been exposed to all the bugs and germs that an adult has already dealt with and built up immunity against. Hence every virus introduced into the day care centre is most likely unknown to your baby’s immune system and therefore results in a full-blown cold or flu.

Remember also that many children in day care have older siblings in pre-school or school, who are a further outside source for infections brought into the crèche.

Another important point is the ability of viruses to change their appearance (mutate). This allows them to re-infect a child that has already built up immunity to the virus before the mutation. Despite the fascinating abilities of our immune system we have to acknowledge that viruses are in fact two steps ahead of us.

Finally several anatomical features in small children render them more sus-ceptible to infections. This can be simply due to smaller diameters of air pipes in the lungs or length of e.g. the Eustachian tube resulting in bronchiolitis or middle ear infections.

Considering the above conditions, the stage is set for frequently recurring and more often chronic infections in the crèche-going child.

Therefor crèche syndrome is not a disease as such but continuous infec-tions and illnesses that often go over into one another without healthy peri-ods in between.The Maelstrom of Crèche Syndrome

The chronically runny or blocked nose, coughs, raised temperature, lack of appetite, frequent waking at night, fidgeting with the ears, skin rashes, bouts of diarrhoea, sore throats and vomiting become part of your daily life. Feedback from the caretaker that your child is feverish or refuses to eat worsens the already gnawing feeling of guilt. Medical or specialist help often fails to make a difference. Hospitalisation is fre-quently necessary. This in turn puts more

pressure on the parent trying to balance between work, household, family and partner. The resulting stress is further aggravated by confusing and contrarian advice from media, family, friends, col-leagues and medical personnel.

Crèche syndrome does not last forever. Your child’s immune system strengthens and becomes better and better at identifying and dealing with bugs surrounding us. After the first two to four years you will notice that infections become fewer and often less severe. Eventually your child has basi-cally the same number of colds or flu as you have as an adult.

The number of kids in a crèche is directly linked to the frequency of infections. The smaller the number the smaller the pool of organisms. Although children in a small play-group will still share viruses, it is often a distinct episode followed by weeks or even months of no health issues rather than permanent infections that become indistinguishable from one another. Ide-ally groups of not more than five to six children should be sought out.

If at all possible delay, the entry into the crèche until the child is two-and-a-half to three years old. Firstly many of the anatomical shortcomings of very young kids will have been overcome and hence the child will almost have “outgrown” specific “size-related” health problems. Secondly the older child can communicate much better and is able

Crèche Syndrome ExplainedA lot of time and effort goes into the selection and enrolment of your child into the right crèche. Not only is this first step away from parents and home associated with an extra financial burden for the parents but often also with unexpected health problems for the little one.

to e.g. localize pain or cooperate better towards obtaining a diagnosis or during administering treatment.Crèche Syndrome Cannot be Cured. More important than anything else: make peace with the fact that your child’s health is not going to be the same as before they went to crèche. Often the children are less perturbed by their runny nose, cough or temperature than their parents. It is therefor paramount to approach the ensuing medical conse-quences of crèche-going with reason, empathy (for the child and yourself as parent) and above all knowledge. This is equally important for the medical staff that is being consulted.

The desperate parent frequently seeks medical or other help in order to escape the repeated or chronic nature of the child’s symptoms. However parent’s ex-pectations of a completely healthy child can simply not be met. Remember crèche syndrome is “incurable” and you have to accept some symptoms showing that your child’s immune system is working.

Instead parents put pressure on themselves and health professionals to ”cure the incurable”. Both parties are at fault when this results in unnecessary, sometimes harmful and often expensive

tests, investigations and therapies.Due to the ongoing nature of the

child’s symptoms chronic medication is often initiated, which fails to improve the condition. All medication has side effects, which might even cause worsening of your kid’s condition.

Antihistamines or drying-up medica-tion will reduce the runny nose but at the same time thicken mucus in nose, si-nuses and lungs. Thick secretions cannot be cleared so easily by the membranes and can clog passages in nose or lungs leading to worse infections.

Antibiotics are often given liberally for infections caused by viruses, for which they do not work. They will however kill good bacteria in our body. This in turn negatively affects our immune system. Wrong use of antibiotics will also lead to the development of resistance and when it really becomes mandatory to use them they may not be able to eradicate the offending bacteria.

Investigations must have a definite goal and should, depending on the findings, influence further treatment. If regardless of the test result, the treat-ment will be the same, the test might not be warranted. Blood tests are always associated with a painful needle prick.

X-ray and especially CT investigations subject your child to radiation. Especially when such investigations are performed repeatedly it can lead to harmful doses of radiation on the growing child.

Again sound knowledge on your part as parent and mutual trust between you and the doctor will prevent these unfa-vourable scenario.

Treatment must be symptomatic and supportive. Please visit Dr Riekert Swart’s facebook page for more details regarding treatment of crèche syndrome.

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Reg. no: PMT 0091995. Geregistreer by Suid Afrikaanse Raad vir Opvoeders / Registered at South African Council of Educators

54 Hospital Street, Clubville, Middelburg MP, 1050E/pos/E-mail: [email protected]

J.M. de WetPsigometris & Opvoedkundige SpesialisPsychometrist & Educational Specialist

*Aanlegassesserings/Aptitude Tests, *Kognitiewe Assesserings/Cognitive assessments,

*Persoonlikheidsassesserings/Personality Assessments, *Beroepbelangstellingassesserings/ Vocational Interest assessments,

*Skoolgereedheidsassesserings/Scholastic Readiness assessments, *Beroepsberading/Career Counseling,

*Studie metodes & tegnieke werkswinkels/Study methods & techniques workshops (Study Toolbox)...

Next workshop in July holiday - Bookings essentialVolgende werkswinkel in Julie-vakansie - Besprekings noodskaaklik.

Consulti ng hours: Weekdays 08h30 - 18h00 Saturdays 08h00 -11h00 Sundays / Public Holidays 11h00 - 12h00

Also specialising in:• Executi ve Medicals• Aviati on Medical Examinati on• Slender Wonder Weight Loss• Disability Medical Management• Certi fi ed Independent Medical Examiner• Road Accident Fund Medical Reporti ng• “Red Ticket” Examinati on

Specialist Family & Occupati onal Medical Practi ce

Dr’s de Waal, Spoelstra, Beyers and HollandMBChB, M.PRAX.MED. DOHM. ATLS. ACLS

3 Nortey St, Witbank | 013 656 6642 (T) 013 656 3122 (F) | dewaal.spoelstra@lanti c.net

Accepting all medical aids and private patients

MEDICAL

4 Lucky readers will each win a Helicopter Flip at the Airshow!All you have to do is sms AIRSHOW to 33658. (Sms cost R1,50 each) Free sms’ do not apply. Closing date: 20 July 2016.

A healthy number of pilots and air sport enthusiasts are already excited and expected to fly in and

visit this event.An Air show is a perfect catalyst to

bring people of all backgrounds together for a quality day in the open while being entertained by some of South Africa’s best Aviators.

The Air show will be complimented by static displays, stalls and food and beverages for all. At least three charities will benefit from this event and it will cre-ate huge community participation.

Displays will typically include:The Harvard formation flyingPitts special aerobatic display

2016 Middelburg Air Show excites!Middelburg Aero Club is hosting the Middelburg Air Show on 23 July 2016 at the Middelburg Airfield situated about 6km out of Middelburg on the N11 to Loskop Dam.

Static displays of various aircraft will be on show.

Parachutes, micro lights, gliders, jets and more will be on the programme which starts from 10:00 the Saturday morning.

“We are committed to make this years’ Air Show a successful and classy event. Although we are standing in difficult fi-nancial times, we believe that it will grow to embrace and involve the community as a whole. In 2009 Middelburg Air Show was rated in the Top 5 Best Air Shows in South Africa. In 2010 Middelburg Air Show was rated the second best Air Show in South Africa” said Mr Richardt Lovett – the event organiser.

WIN 4 X HELICOPTER FLIPS

GET IT DIRECTORY

Specialist in Design, Manufacture of Kitchens,

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Wrap, Solid & Paint Technique Doors

Tel: 013 656 0835E-mail: fi [email protected] Building, Shop 16, Jeanette Str

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Theo Jacobs083 230 7557

Christa Bezuidenhout083 651 7592

Finishing TouchFinishing TouchKitchens & Cupboards

Pop ‘n-daisy Florist & Guesthouse.

Pop ‘n-daisy Florist & Guesthouse.

Tel: 013 692 7276Fax: 013 692 7998Cell: 083 787 7276

E-mail: [email protected]

54 Hans Strydom AveKlipfontein

Witbank / Emalahleni

• Topsoil • Plaster Sand • Building Sand • Filling • Concrete Mix • River Sand • Paving Sand

Earthmoving & Planthire ie: Tippers, TLB, Excavators,

Rollers, etc.

30 Watermeyer Ext 8, Witbank

Tel: 013 656 5134

www.sand4africa.co.za [email protected]

Cherise Kotze

We move the earth 4 you!

LEGO R Challenge* GaliLEGO * Party’s * Holiday ClubLearn Science, Technology, Engineering and Maths (STEM)

concepts while playing with motorized LEGO R [email protected]

www.youngengineers.co.za082 463 8827

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[email protected]

To advertise in the Middelburg / eMalahleni

Contact Lizelle

Now also on Facebook:

Get It eMalahleni-Middelburg


Teks: Annie van Zyl

BurgerBROODLOSE

Bestanddele1 hamburgerfrikkadel1 kaas1 eier’n paar snye komkommerhandjievol spinasiegroen, rooi en geel soetrissiesuiknoffelsampioeneroomkaasWorcestersous-soutgemengde kruiekokosneutoliepienk Spur-sous (’n klein kroek!)MetodeKerf die soetrissies, uie, sampioene en spinasie fyn en gooi dit in ’n medium verhitte pan met kokosneutolie.Voeg ’n halwe teelepel knoffel en ’n tikkie kruie by. Braai dit liggies in die kokosneutolie en bêre in ’n bakkie.Braai nou die hamburgerfrikkadel in die-selfde pan en sit die sny kaas bo-op. Haal die hamburgerfrikkadel uit en bak nou die eier ook in dieselfde pan.Pak nou die soetrissie-mengsel, ’n paar snye komkommer en die eier bo-op die hamburgerfrikkadel. Sit ’n bietjie roomkaas op die eier en rond dit af met Worcestersous-sout en ’n klein bietjie pienk Spur-sous.

Magda het vir ons een van haar vinnige en heer-like tipiese middagetes gegee om te probeer. Sy volg ’n lae koolhidraat en hoë vet leefstyl - beter bekend as Banting of die Tim Noakes dieet en die skottelgoed is lekker min:

win 4 helicopter flips at the middelburg dokter airshow nadine...their buffalo run soon. on...

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