Organ Donation

AN Irymple lawn bowler has put a torrid few years behind him by taking gold at the Australian Transplant Games, an event which also put his experience into a wider context.

Greg Brown became sick in late 2019 and immediately knew it was polycystic kidney disease, a hereditary condition that saw his mother require dialysis and which claimed the life of his grandfather.

Faced with the situation, wife Lou - a nurse at Mildura Cardiology - put up her hand to donate a kidney.

Expecting her kidney to go onto the donor exchange - the Australian and New Zealand Paired Kidney Exchange program - doctors instead found hers was a sufficient match, and arrangements were made to remove one of Greg's kidneys in 2021 and replace it with one from Lou's.

However the COVID-19 pandemic intervened and doctors at Royal Adelaide Hospital, and elsewhere, postponed transplant procedures as long as they could due to the risk to immunosuppressed patients.

Other hurdles emerged, concerns about whether a skin cancer removal Lou had undergone was a risk was eventually deemed safe due it not having been a severe-end type.

As Greg's kidney capacity wavered between 11 and 13 per cent he continued to work - a mine manager who has worked at Gingko and Snapper, Mindarie and Arumpo Bentonite, and before that at BHP in New Zealand.

"I don’t know how he did it. He just kept putting one foot in front of the other. It was automatic pilot for both of us," Lou said.

As the kidney capacity slumped to seven per cent, and just one week off from being put on dialysis, the renal transplant team gave the green light for an April 2023 transplant surgery.

Lou went in first, at 8.30am, with the successful removal of a healthy kidney and then Greg went in at noon.

"I was raring to go, I'd had enough, they tested my blood pressure and it never went up," he said.

Nine hours later he woke up with an assortment of lines connected to his body and nurses conducting an assortment of tests at 15-minute intervals.

But by the next morning the test were out to one-hour intervals, and he finally fell asleep.

"That’s when I woke up and I said ‘geez, I feel good’, and that was about 12 hours since I had been warded," he said.

"I thought I haven't felt this good in a long time, as long as I could remember."

Lou, having had major abdominal surgery, was finally given the all-clear to visit her husband and was similarly impressed.

"I was amazed at how he looked," she said.

The next few days were trying though, as doctors encouraged the two patients to get up and about, but they pushed through and were able to relocate back to their friends' home in Adelaide, although they would have to endure daily 7am visits to Royal Adelaide for several weeks.

Fast-forward to October last year, and both recipient and donor had signed up for the transplant games in Canberra, and joined 500 other transplant recipients, living donors, families of cadaver donors and patient supporters at a grand opening ceremony amid the city's annual Floriade flower and entertainment festival.

"There I learned I got off pretty lightly compared to a lot of people," Greg said.

"There were kids as young as four. People with multiple organ transplants.

"I was talking to a guy about his kidney, saying my remaining one was 2.3kg and his was like a football, 8kg when a normal one is 400g."

But it was speaking to the families of cadaver donors that was the most emotional, and inspiring.

"There was a trophy presented for the Spirit of the Games by a lady whose husband was cadaver donor. I don't think there was a dry eye in the place," Lou said.

"Over 90 per cent of transplants are from cadaver donors," Greg added.

While Greg missed out on a medal in the pairs bowling, the former Waikato district, New Zealand, champion of champions took gold in the a competitive singles event while Lou, who was also born in NZ, scored two silvers in the rowing and a gold and bronze in petanque.

But the pair were not really concerned about winning, but celebrating lives post-transplant, and after the games sharing some important messages about transplants.

"If you are a registered organ donor (in the event of death), tell your families," Greg said.

Lou said don't be fearful of becoming a living donor.

"It's obvious to be scared but don’t be scared, it’s amazing. It’s amazing the whole process. The people you put your life's hands into, they know what they are doing. They do it like we clean our floors. It’s a very routine thing for them to do, but they don’t treat you like that, they treat you like your special."

The couple have their eye on the next transplant games in Australian in 2026 and may attend the games in Canada this year, and a trip to NZ is planned while Greg will be back to Royal Adelaide every three months but envisions time for "a little bit of bowling".

Story and photo courtesy of Sunraysia Daily 4.1.25

Dr Rohan Navani

Rohan has pursued a global medical education with studies across Melbourne, Mumbai, Philadelphia and Oxford, graduating Dux of his Doctor of Medicine course at The University of Melbourne in 2019. He subsequently completed his basic physician training at The Alfred Hospital. Next year, he is moving towards sunny Gold Coast as a Cardiology Advanced Trainee after which he hopes to pursue an international fellowship (and further travel!). Rohan is also interested in medical education and research, having published first-author manuscripts in leading journals such as The American Journal of Cardiology and Australia’s local Heart, Lung & Circulation.

Outside of work, Rohan has enjoyed the weather here in Mildura, enjoying runs along the Murray as well as sampling all the restaurants Mildura has to offer to make up for his very basic cooking skills!

Dr William He

Our latest registrar on rotation from the Alfred Hospital is Dr William He. Initially born in New Zealand and raised in Sydney, Will subsequently moved down to Melbourne where he completed his Doctor of Medicine and Bachelor of Medical Science at Monash University. He has since completed basic physician training at the Alfred Hospital, and will continue Advanced Training in General and Acute Care Medicine in 2025 alongside 6 months of Cardiology at Latrobe Regional Hospital. With a keen interest in general cardiology and health equity, Will has found his time in Mildura to be very fulfilling and enjoyable through experiences in outpatient clinic, stress testing, inpatient consults, echocardiography and ECG interpretation. Outside of work, Will enjoys painting, snowboarding, camping and stargazing (particularly taking advantage of Mildura’s beautiful night skies and minimal light pollution!)

Dr Zachary van Tienen

Dr Zachary (Zac) van Tienen is a General Medicine Advanced Trainee currently working as a Cardiology Registrar at Mildura Cardiology, under the auspices of our Cardiologists. He graduated from the University of Tasmania in 2018 and worked at the Launceston General Hospital during internship, subsequently moving to Melbourne to pursue physician training. He completed Basic Physician Training at The Northern Hospital in 2023, before moving to The Alfred Hospital this year to continue Advanced Training. He is passionate about providing quality healthcare in rural/regional communities, and while here is engaged in outpatient clinic reviews and stress testing, as well as providing an inpatient consult service to the Mildura Base Public Hospital."

Dr Ozge Guzelburc

Mildura Cardioloyg welcomes their newest member to the team -Dr Ozge Guzelburc Cardiologist.
Dr Guzelburc was born in Turkey and undertook medical training at the Cerrahpasa Medical Faculty at Istanbul University before completing her cardiology course at the Siyaniersek Hospital Tertiary Cardio-Vascular Centre in Istanbul.
“In Turkey Cardiology it is a five-and-a-half-year course and a separate discipline to internal medicine.
“I went directly into cardiology training, but it also included training in branches of general medicine.”
Following the completion of her training, Dr Guzelburc worked at the Siyaniersek Hospital as a cardiology consultant.
“I also had a short stint of work experience at the Koc University Hospital’s Cardiology Department in Istanbul.”
So, what brought Dr Guzelburc and her family to Australia, and more specifically Mildura?
“We had been considering a move for a long time. I was in contact with Mildura Cardiology as far back as 2017 to explore possible opportunities to work with them,” she recalls.“The plan was that I was going to come to Mildura in 2019 but, for a variety family reasons, and then the pandemic, the move to Australia was delayed.
“I think Mildura is a beautiful city. Coming from Istanbul, I have really fallen in love with the quiet here, the calmness and the clean air.
“I also like the nice weather and love the heat!
“It is a well-organised, beautiful city and a good place to raise a child.”
Dr Guzelburc’s husband is a urologist, and the couple have an 11-year-old son. They too are now living in Mildura.
Dr Guzelburc says she is enjoying being part of the team at Mildura Cardiology.
“It’s a busy practice, and the staff are very friendly and helpful.

Courtesy of MBPH 2024 Heartbeat Magazine Summer Edition

Dr Alan Soward OAM

ALAN Soward was standing beside his 95-year-old mother's bed in 2019, saying his final goodbyes, when his wife Bev asked for a moment alone with her.

When Dr Soward left the room, a smile spread across his mother's face as Bev told her that her son had been nominated for a Member of the Order of Australia award for his decades of work as a cardiologist.

She passed away a few weeks later. Now that process will finally come to fruition when Dr Soward receives the award in the 2024 Australia Day honours list.

Dr Soward graduated Monash University in 1976 the same year he was married going on to train at the Queen Victoria Medical Centre before moving to the Alfred Hospital for two years to complete his cardiology training.

He worked for several years in the Netherlands and after moving back to Australia, took up locum work in Mildura, enjoying it so much he never left.

"I worked here as a cardiologist and set up private practice next to the Mildura private hospital and the practice started off with myself as a doctor and Bev, as everything else," Dr Soward said.

"The result now is the Mildura Cardiology. They employ 20 people, have numerous doctors who come and go and have trained specialists."

"There have been some big changes over the years since it was just Bev and I."

Throughout his storied career, Dr Soward said he always found helping clients the most rewarding part of his day.

"I have loved helping people, it was such an honour to have people tell me about their problems so I could try and work out what was wrong and what could be done to help them," he said.

"That gave me a lot of satisfaction and I still like running into people I've cared for over the years at the supermarket or walking up Deakin Avenue, It's very nice.

"I also got great enjoyment from employing people, adding to their lives and giving them a job in a happy and fulfilling workplace."

Dr Soward also played a significant role in ensuring Mildura had access to life saving defibrillators.

"Some years ago, when automatic defibrillators were becoming widely known about, Mildura Cardiology donated defibrillators to sporting and social clubs," he said.

"All in all, we gave about 50 defibrillators.

"One of them was used soon after when a gentleman who was training at one of the ovals had a cardiac arrest and the trainer who was there went and got the defibrillator from the club rooms.

"He pulled a hamstring whilst running over to get it, but he brought the defibrillator back and it was used to save the fellow's life.

"He then had the underlying cardiac problem corrected and he's lived 20 years since in good health."

Dr Soward said he was proud to have been able to provide people with decades of care and honoured to receive an OAM.

"It makes it so much better for regional people to have access to services like cardiology which they would expect to have if they lived in a capital city," he said.

"To have it in a big regional centre like Mildura is very good for people.

"I'm sure it gives people a feeling of reassurance that if they do require treatment, they don’t have to go off to a strange city and are able to have it done locally.

"I felt very humbled when I found out about my nomination and I thought, I just did my job, but obviously others thought that there was some recognition due."

Courtesty of Sunraysia Daily Edition 25.1.24

Dr Amreeta Kaur

Amreeta completed her Bachelor of Biomedicine (Honours) and Doctor of Medicine at the University of Melbourne. She completed her Basic Physician Training at Peninsula Health and is currently in her first year of Advanced Training in General and Acute Medicine at Alfred Health. She is also completing a Masters of Public Health at the University of New South Wales, Sydney as she is passionate about advancing health equity through healthcare delivery.

Amreeta enjoys working in Mildura Cardiology as it provides a broad range of exposure to cardiology cases and she enjoys assisting in echocardiography. She has found it to be a rewarding experience working in Mildura and she hopes to incorporate rural health in her career in the future.

In her free time, Amreeta enjoys going for daily runs along the Murray and going to the gym. She has enjoyed the warm summer in Mildura.



Dr Nathan Wong

Our latest Alfred registrar on rotation from the Alfred Hospital is Dr. Nathan Wong. Nate completed his Bachelor of Medicine/Surgery at Monash University in 2018 and finished his physician training at the Alfred, during which he completed a Masters of Public Health through Newcastle University. He is currently an Advanced Trainee in General and Acute Care Medicine, and will undertake his first year of Cardiology Advanced Training in Geelong in 2024. Nate is interested in all aspects of cardiac care; from managing acutely ill inpatients to minimising cardiovascular risk within a clinic setting. He is particularly enjoying the hands-on experience of scanning with the echo techs and the pearls of wisdom provided by Dr Soward.

Having recently taken up bouldering in his free time, Nate's biggest disappointment on arriving in Mildura was its absence of rock-climbing gyms! Instead, he's spent most of his free time at Sip or Fossey's and makes sure to get down to the driving range on his afternoons off.

Dr Vijayatubini Vijayarajan

Vijaya completed her Bachelor of Medicine and Bachelor of Surgery at the University of Adelaide and is currently completing her final year of Master of Philosophy with University of Sydney. The title of her thesis is “ Demographics, Morbidity and Mortality Outcomes of Cardiac Implantable Electronic Devices”. Her career began at the Northern Adelaide Local Health Network in South Australia and she underwent Basic Physician Training at Illawara Shoalhaven Local Health Network in New South Wales. She is currently a first year General Medicine Advanced Trainee with an interest in cardiology.

Vijaya enjoys all aspects of cardiology and ensures that her patients are managed in a holistic manner. She has special interest in ischaemic heart disease and believes in prevention and aggressive risk factor management is the cornerstone of the treatment of ischaemic heart disease. 

Outside of work, Vijaya enjoys exploring the towns and vineyards around Mildura. She loves the relaxed lifestyle and is greatly appreciative of the welcoming residents in Mildura who have made her feel at home.

Dr Nicky Evans

Nicky completed her Bachelor of Biomedical Science at Monash University then moved to Adelaide to complete her Doctor of Medicine at Flinders University.

She worked at Eastern Health for four years and is now in her first year of Advanced Training in General and Acute Care Medicine at Alfred Health.  

Nicky is enjoying managing patients with a variety of heart problems and improving her skills in echocardiography and ECGs. 

Her favourite thing to do in Mildura was running along the Murray, but now that the path has flooded she is sticking to the gym! She loves the relaxed lifestyle and friendly people here.