Catching up with the team at the National Health Co-op at Kambri Part 2

We caught up with Dr. Michael Tedeschi (GP) and Stefanie Lekkas (Accredited Practicing Dietitian) to find out more about their roles at the National Health Co-op at Kambri …

Stefanie Lekkas commenced her work at the National Health Co-op as an Accredited Practicing Dietitian (APD) in 2014, having obtained both her Food Science and Nutrition degree and Master of Dietetics from Deakin University in Melbourne. She lifts the lid on what the job entails …

How did you get into your field of work?

I’ve always been interested in food – in eating well and being healthy. It all came about because one of my teachers at high school suggested it – I think I was in Year Nine at the time. I went on to do my Bachelor degree and my Masters and I’ve been working as a dietitian for about seven years.

How long have you worked at Kambri?

I’ve been here for around two years now, since March 2019. I did a full year face-to-face with clients, and then when COVID hit I started working from home doing phone and video consults.

Who are your clients?

I see staff and students, for a whole range of reasons. Anything you can think of that’s to do with food and anything you can think of that’s to do with the digestive system.

When I have new patients the first thing I tell them is that I’m not going to put them on a diet! I know the word ‘diet’ is in the job title, but I’m what you might call a non-diet dietitian. Unless of course there’s a specific reason why you have to be on a strict diet such as coeliac disease or a diagnostic diet for irritable bowel syndrome.

What conditions do you treat?

I get all sorts of conditions at all sorts of stages and ages.

I see students who have recently been diagnosed with something, for example, Polycystic Ovarian Syndrome is a common one. Fatty Liver is becoming more common, even in our younger population. Hypertension or high blood pressure, prediabetes, diabetes.

I see people for what I would call disordered eating, which is not quite eating disorders, although there are some students with eating disorders that I do see as well, in conjunction with psychologists, because that’s not a one-man show.

I see students who have just moved out of home and they’ve never cooked for themselves before – they’ve found themselves with a small kitchen and they’re not quite sure what to do with it, or they’re finding that eating out every day is either not good for their hip pocket or not good for the blood test results that their doctors have ordered for them.

It’s about how we improve health outcomes in a practical kind of way.

How many patients would you see in a typical day?

I’ve got space for eight 45-minute consultations. On Mondays I finish early so I have seven, but usually it’s eight and it’s pretty well packed!

What’s your favourite part of the job?

Getting to talk about food is pretty fun! I love it. My favourite part, however, is when a patient has a breakthrough for themselves. I often talk about intuitive eating and mindful eating and being in touch with your own body’s cues, and you get those moments where someone comes in and shares how they have been able to connect with themselves and actually listen to what their body’s telling them, and that’s always really cool because they repeat to you what you were about to tell them. That’s really heartening.

Also I love the times when I get to be a detective. My role turns from educator and counsellor, which is the more classic interpretations of what a dietitian does, and then there’s this new thing that I get to do – to be a diet detective. Someone comes in and says, “I feel bloated in the afternoons and I have issues with x&y” and we go through what it is that they might be eating and we can do a bit of detective work to figure out whether it’s foods that are triggering these symptoms or whether it’s some other environmental factors, or stress.

You’re not just looking at what the person is eating but how they’re eating and why they’re eating, and how can we tweak that to be better for the patient.

What are some of your favourite foods?

Oh, I suck at picking favourites because I like so many things! My mum makes a traditional Greek Cypriot dish called Pastitsio. It’s like Greece’s answer to lasagne. It’s made with penne pasta, mince and bechamel sauce.

A lazy Sunday morning breakfast would be some crepes with some fresh fruit, or a savory crepe with melted cheese. And then, I guess it depends on the weather, we might do some slow cooked lamb shanks or go for a more Japanese-style meal – our take on sushi, with some fresh fish from the Farmers Market. It really varies at my place.

What do you enjoy about working in the Kambri precinct?

It’s so pretty. Number one, it’s just lovely to be around. We’ve got the creek right under our noses, and the building itself that we’re in is really new, so everything is shiny and fancy. We’ve got beautiful windows and I think that’s so important for wellbeing – working somewhere where you can see the outside world and get some natural light. I love working there because, depending on the time of year I can get away with not turning my lights on and doing my consulting with natural light, which is awesome.

I like that it’s close to things; it’s easy to get to. There are some great little shops to explore – it’s nice that we have variety and plenty of dedicated outdoor space for students and staff to hang around. I like to take a lunchtime stroll along the creek.

The National Health Co-op is located in the Health and Wellbeing Centre, on Level 2 of Building 156. ANU students receive free membership, allowing access to bulk billed GPs and other health services. Visit www.nhc.coop/anu for more information.

Catching up with the team at the National Health Co-op at Kambri Part 1

We caught up with Dr. Michael Tedeschi (GP) and Stefanie Lekkas (Accredited Practicing Dietitian) to find out more about their roles at the National Health Co-op at Kambri …

If you think Dr. Michael Tedeschi has a familiar face, it’s probably because he’s been a GP at the Australian National University for almost a quarter of a century! He took some time out to fill us in on his very busy schedule …

How long have you been a GP?

I’ve been a GP on the Australian National University campus for 24 years, working under the banner of the National Health Co-op since 2018. I’ve been looking after some patients for 20+ years!

I’m also specialist physician at Canberra Hospital – I’ve been there for 41 years. I’m a specialist half my life and a GP half my life!

Why did you get into this field of medicine?

I basically fell into it by accident! I was a lecturer in general practice under the Royal Australian College of General Practitioners and doing a little bit of general practice. The GP who was running the ANU health service is a friend of mine, and he rang me in desperation one day because some of his GPs were sick, one had resigned and one was away. He was on his own and he wasn’t coping. He said, “Would you come and work for a day or two?”

So, I went and worked for him just for a couple of days and I really enjoyed it. It was really fun. And the rest is history. I signed up and became a part-time doctor there and I’ve been there ever since – I think it was late 1997, so it’s a long time ago. When the NHC took over I stayed with them on campus.

What services do you offer at Kambri?

It’s a traditional general practice service, similar to most suburban GPs. The main difference is that we don’t see the general public; we just see current students and current staff.

We don’t see a lot of very elderly people because the patient load is current students and staff members, so we see the sort of spectrum of illnesses you would expect in a young population – mental health issues, sports injuries, that kind of thing.

What’s your favourite part of the job?

I like dealing with young people; I relate well to them. I remember my own student days clearly and I feel young inside, and I think that translates in the way I deal with students. You look older, but you feel the same, so I just relate to this group really well, and enjoy dealing with them.

What do you enjoy about working in the Kambri precinct?

I enjoy the facilities the precinct has to offer. I enjoy the food and the coffee. I enjoy lots of people being around and I love the proximity to the city. I like being able to meet people and seeing old patients on campus. You become a part of university life, which is really nice. It feels like you’ve got your own special following of patients. I enjoy all those aspects.

What have been some of the biggest changes/challenges you’ve seen over the decades?

I’ve never seen anything like COVID! We did a lot of our consults via Telehealth last year – while doable, it isn’t the same. It’s impersonal. To be done well, general practice requires personal contact. It requires you to be in the same room as the person and read their body language, it requires all sorts of subtleties that you don’t get over the phone.

There was that fear around March/April – we were wearing masks, the patient were wearing masks, but we didn’t know whether we would be able to stay open. We did stay open but it was something I had never experienced. Things eased up a lot towards the end of last year – we stopped worrying about it really.

I’m also a clinical senior lecturer at the ANU medical school – that’s one of my other important roles. During COVID, my lecturing has all been done by Zoom, which I’ve never done before. Again, it’s do-able but it’s not the same as lecturing students in person. I’ve been a lecturer since the new ANU medical school was first opened 15 years ago, and I lecture to students across all four years of the medical school.

What are some of your hobbies outside of work?

I love orienteering; that’s my main sport these days. I’m a terrible orienteer – I’m one of the worst in Canberra. They give out a trophy every year for the worst orienteer – it’s called the ‘slow and steady’ award. It’s a giant turtle that you’re allowed to keep for a year on your mantlepiece and I was the recipient of that. I don’t know if you could be proud of that or not!

I love bushwalking. I love travel and I like spending time with the family. I’m looking forward to getting back to travel again!

The National Health Co-op is located in the Health and Wellbeing Centre, on Level 2 of Building 156. ANU students receive free membership, allowing access to bulk billed GPs and other health services. Visit www.nhc.coop/anu for more information.