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Fighting cancer by day, taking on Gladiators by night

Fighting cancer by day, taking on Gladiators by night

Janice Sideroudakis is our senior hospital scientist managing the Cytology Laboratory at Nepean Hospital. But in her spare time, she’s been taking on Gladiators in the Channel Ten revival of the popular TV show.

Cytol­ogy involves diag­nos­ing patients’ cells under the micro­scope and is main­ly used to screen for cancer.

Jan­ice describes her job at the Nepean Lab­o­ra­to­ry as incred­i­bly rewarding.

“I’m look­ing for indi­ca­tions as to whether it’s a benign or malig­nant process. This work ulti­mate­ly dic­tates a patient’s treat­ment and care plan, and hope­ful­ly gets them well soon­er,” she says.

“I love col­lab­o­rat­ing with fel­low sci­en­tists, pathol­o­gists, radi­og­ra­phers, radi­ol­o­gists and the med­ical care team to ensure our patients receive the best care possible.

“Also, our pathol­o­gy team here at Nepean Hos­pi­tal, from the most senior to junior roles, are just an amaz­ing bunch of peo­ple, which makes com­ing to work joy­ful and fun, despite our seri­ous jobs.”

A woman sits at a desk looking through a microscope with a cytology textbook on the table.
Jan­ice Sider­oudakis helps doc­tors diag­nose and treat can­cer as head of the cytol­ogy lab­o­ra­to­ry at Nepean Hospital.

So what got Jan­ice onto a show like Gladiators?

She watched the show as a teenag­er and even got to meet one of the orig­i­nal Glad­i­a­tors – her favourite, Vul­can – at a shop­ping centre.

“My eldest daugh­ter, Sama­ra (10 years old), encour­aged me to try out as she real­ly believes in my fit­ness and thought I would do well,” Jan­ice explains.

“I have also been in pre­vi­ous real­i­ty TV fit­ness com­pe­ti­tions like lead­ing the 3‑person team in “Spar­tan” in 2018 and a game of chase in “Ulti­mate Tag” in 2021.

“Although, I did not progress past round 2 in those com­pe­ti­tions, due to injuries and pres­sure, they were both a lot of fun and a great expe­ri­ence. Com­ing to do a third real­i­ty TV fit­ness com­pe­ti­tion, I thought I would just enjoy it, try my best and have fun, as I am get­ting old­er, and it may be the last time I will ever be select­ed for such a competition.”

We’re not so sure about that – Jan­ice made it all the way to the grand final of Glad­i­a­tors and was lead­ing the final race when she fell and was over­tak­en by her rival contender.

A woman wearing gym gear yells while a flame shoots up beside her.
Jan­ice came very close to win­ning this year’s revival of the Glad­i­a­tors TV show.

She was one of the small­est con­tenders on the show – but at 42 is incred­i­bly fit. We asked Jan­ice what she does to keep in shape.

“I exer­cise 6 days a week, with half an hour of car­dio to warm up. Always skip­ping rope with a mix­ture of run­ning, row­ing and cycling pri­or to doing heavy weights and fin­ish­ing off with Cross­Fit or high-inten­si­ty work­outs. I have just recent­ly gone back to Jiu­jit­su again 3 times a week as well.

“I am a high­ly ener­getic per­son and love to train hard and burn all that excess ener­gy. Many peo­ple who see me train­ing for the first time have always asked what com­pe­ti­tion I am train­ing for as they’ve nev­er real­ly seen some­one go as hard, every sin­gle time.”

At the end of the Glad­i­a­tors grand finale, Jan­ice was joined by her daugh­ters and hus­band. She says the sup­port of her fam­i­ly is key.

“My fam­i­ly are my biggest fans and sup­port group and just love see­ing me com­pete gen­er­al­ly but are so proud for me to have been select­ed in this re-make of Gladiators.”

As for new chal­lenges, Jan­ice doesn’t plan to slow down any­time soon.

She says hav­ing knee surgery just over a year ago allowed her some down­time to con­cen­trate on com­plet­ing her Mas­ters in Health Ser­vice Man­age­ment, which is she is just about to finish.

She’s also deter­mined to gen­er­ate more inter­est in cytology.

“Cytol­ogy is a very niche pro­fes­sion and I plan to teach more stu­dents our craft and sup­port emerg­ing cytol­ogy scientists.”

Pathologist and infectious diseases expert makes Australia Day honours list

Dr Matthew O’Sullivan AM from our Westmead laboratory has been appointed a Member of the Order of Australia for services to medicine.

He was involved in treat­ing some of the first COVID-19 patients in Aus­tralia and has now been hon­oured for his years of work in the field of infec­tious diseases.

Dr O’Sullivan is the Super­vis­ing Pathol­o­gist at our Micro­bi­ol­o­gy Lab­o­ra­to­ry at West­mead Hos­pi­tal, where he is also Head of the Depart­ment of Infec­tious Diseases.

He has a clin­i­cal inter­est in staphy­lo­coc­cal infec­tion, trop­i­cal med­i­cine, HIV, infec­tions in immuno­com­pro­mised hosts and diag­no­sis, and in the man­age­ment and clin­i­cal bio­con­tain­ment of infec­tious dis­eases, such as Ebo­la and COVID-19.

His research inter­est is in geno­typed-based sur­veil­lance of pathogens respon­si­ble for hos­pi­tal-acquired infections.

A man working in a laboratory.
Dr Matthew O’Sul­li­van at work in the lab.

In ear­ly 2020 at the start of the COVID-19 pan­dem­ic, Dr O’Sullivan trav­elled to Christ­mas Island to help man­age 278 Aus­tralians who were quar­an­tined there.

“We did a rapid assess­ment of every evac­uee as they arrived and iden­ti­fied those who need­ed fur­ther test­ing,” Dr O’Sullivan said.

“We actu­al­ly set up a lab­o­ra­to­ry on the island, which was a major achieve­ment and sup­port­ed the whole operation.

“That meant we could do the pri­ma­ry test­ing there and have results with­in hours, rather than a three-day wait if we need­ed to send them to the mainland.

“We also did check-ups every day, but a lot of our work became keep­ing peo­ple occu­pied and enter­tained for the two weeks of isolation.”

We’re proud to have you on our team Dr O’Sullivan, con­grat­u­la­tions on this well-deserved honour!

A man stands with his arms crossed in front of shelves filled with equipment.
Dr O’Sul­li­van was part of the team that went to Christ­mas Island at the start of the COVID-19 pandemic.

 

World leading pathologist and oncologist named joint Australians of the Year

NSW Health Pathology’s Professor Richard Scolyer AO and his colleague, oncologist Professor Georgina Long AO, have been named joint 2024 Australians of the Year.

Two Aus­tralians chang­ing the world for the better!

We’d like to con­grat­u­late our very own world-renowned melanoma pathol­o­gist Pro­fes­sor Richard Scoly­er AO and his col­league, oncol­o­gist Pro­fes­sor Georgina Long AO, on being named 2024 Aus­tralians of the Year.

Prof Scoly­er is NSW Health Pathology’s Senior Staff Spe­cial­ist in Tis­sue Pathol­o­gy and Diag­nos­tic Oncol­o­gy at the Roy­al Prince Alfred Hos­pi­tal and he and Prof Long are Co-Med­ical Direc­tors at Melanoma Insti­tute Australia.

Their endur­ing part­ner­ship has saved thou­sands of lives from melanoma, known as Aus­trali­a’s nation­al cancer.

Less than a decade ago, advanced melanoma was fatal – but thanks to Richard and Georgina’s immunother­a­py approach, which acti­vates a patient’s own immune sys­tem, it has become a cur­able disease.

Prime Min­is­ter Antho­ny Albanese pre­sent­ed the pair with the award on 25 Jan­u­ary 2024 at a cer­e­mo­ny in Canberra.

In their accep­tance speech they both called for more work to be done to address ris­ing rates of melanoma.

A man and a woman holding trophies stand in front of the Sydney Harbour bridge at night.
Georgina and Richard in Sydney.

“There is noth­ing healthy about a tan. Noth­ing,” Pro­fes­sor Long told the gathering.

“Our bronzed Aussie cul­ture is actu­al­ly killing us.

“So, we call on adver­tis­ers and social media influ­encers – stop glam­or­is­ing tan­ning,” she said.

They also spoke about Richard’s own brain can­cer jour­ney and his deci­sion to put him­self for­ward for an exper­i­men­tal treat­ment program.

In June 2023, when Richard was diag­nosed with incur­able grade 4 brain can­cer, he and Georgina devel­oped a series of world-first treat­ments based on their melanoma breakthroughs.

Richard became the world’s first brain can­cer patient to have pre-surgery com­bi­na­tion immunotherapy.

A man lying in a hospital bed, with the side of his head bandaged, smiling.
Richard Scoyler just after under­go­ing his surgery at Roy­al Prince Alfred Hospital.

By under­tak­ing an exper­i­men­tal treat­ment with the risk of short­en­ing his life, he has advanced the under­stand­ing of brain can­cer and is ben­e­fit­ing future patients.

“I stand here tonight as a ter­mi­nal brain can­cer patient. I’m only 57. I don’t want to die. I love my life, my fam­i­ly, my work. I’ve so much more to do and to give,” Pro­fes­sor Scoly­er said after receiv­ing the award.

“I’m one of the many thou­sands of can­cer patients who’ve trav­elled this path, and thou­sands will follow.

“Devis­ing this world-first exper­i­men­tal treat­ment for my type of brain can­cer was bold and for me, the deci­sion to take on Georgina’s ground-break­ing plan was a no-brainer.

“Here was an oppor­tu­ni­ty for us to crack anoth­er incur­able can­cer and make a dif­fer­ence – if not for me, then for others.”

We wish him all the best on his treat­ment jour­ney and as 2024 Aus­tralian of the Year!

Farewell to Louise Moonen after 40 fabulous years in healthcare!

Immunology Technical Assistant at NSW Health Pathology’s Newcastle laboratory, Louise Moonen, looks back on her career which began in nursing in the 1980s.

Louise began her train­ing as an enrolled nurse in 1982 at St Joseph’s Home Sandgate on the west­ern out­skirts of Newcastle.

“This was a teach­ing hos­pi­tal back in the day, tak­ing in 25 or so appli­cants every year,” she said.

“Being trained by the nuns, who were very strict but com­pas­sion­ate, I believe made us bet­ter and more car­ing nurses.”

Louise then worked as an Occu­pa­tion­al Ther­a­py Tech­ni­cal Assis­tant from 1990 to 1996 and from there moved into pathol­o­gy, work­ing as a tech­ni­cal assis­tant from 1996 to 2023.

She admits her move into pathol­o­gy was quite accidental.

“In 1995 St Joseph’s was to be tak­en over by the Fed­er­al Gov­ern­ment and those who want­ed to retain their ben­e­fits were to be re-employed in sim­i­lar posi­tions at the var­i­ous pub­lic hos­pi­tals in the Hunter.

“Pathol­o­gy was picked for me so off I went.

“It was very daunt­ing at first as there was so much to learn and retain and I need­ed to train at three dif­fer­ent hos­pi­tals – the John Hunter Hos­pi­tal, the Mater and the Roy­al New­cas­tle Hos­pi­tal where I was to be employed.

“The best times of my career were at ‘The Roy­al’ as I’m sure every­one who worked there in the 80s and 90s would agree.

“The lab was small­er, and we were a very close-knit group. Plus, we got to look out at those mil­lion-dol­lar ocean views!”

Since the birth of her son in 1999, Louise has been work­ing in the lab­o­ra­to­ry two days a week, so she’s con­fi­dent she’ll adjust to retired life.

“I’ll have anoth­er day to go to the gym or catch up with friends for cof­fee. Maybe I’ll take up golf and join my hus­band on the course. Trav­el to Cana­da and Croa­t­ia are on our wish list as well,” she says.

“It goes with­out say­ing I will miss my work­mates and the ban­ter and laughs often at my expense!! When you work with col­leagues for a long time they become like fam­i­ly, and you share each oth­er’s joys and sor­rows. No one will call me ‘Lady Louise’ at home like they do in Immunology!”

You will be missed just as much by your col­leagues, Louise – we wish you every hap­pi­ness in retirement!

 

Celebrating 10 years of Point of Care testing

At NSW Health Pathol­o­gy (NSWHP), we man­age the largest accred­it­ed Point of Care Test­ing (PoCT) ser­vice in the world.

This vital ser­vice has been grow­ing since the day we went live in Nar­romine ten years ago, with over 1100 PoCT devices now in 190 health ser­vices across NSW.

PoCT uses mobile devices to analyse pathol­o­gy sam­ples, like blood and sali­va, and pro­vide on-the-spot results at a patient’s hos­pi­tal bed­side or in the com­mu­ni­ty. We help to make sure that patients can get qual­i­ty, reli­able pathol­o­gy tests, at the time they need them the most.

To cel­e­brate the 10-year anniver­sary of PoCT and reflect on just how much the ser­vice has evolved, we caught up with a mem­ber of the orig­i­nal PoCT team who launched our Nar­romine ser­vice in 2013, Gayle Warnock, Act­ing Oper­a­tions Man­ag­er PoCT.

What did the PoCT service look like when you launched the service at Narromine in October 2013?

Pri­or to 2013 when NSWHP began rolling out our PoCT net­work, local point of care test­ing was dis­joint­ed. There weren’t enough ser­vices to cov­er the grow­ing demand, par­tic­u­lar­ly in our rur­al and region­al areas.

How has the PoCT service changed over 10 years?

Our ser­vice has been expand­ing since day one and it is amaz­ing to reflect on what has been achieved.

We’ve added devices in more rur­al and remote hos­pi­tals to ensure more patients in NSW can access urgent and some­times life­sav­ing pathol­o­gy services.

We have worked with our NSW Health col­leagues to con­nect exist­ing PoCT devices that were in reg­u­lar use in hos­pi­tals and clin­ics to elec­tron­ic med­ical records (eMRs) and qual­i­ty man­age­ment sys­tems, help­ing us to pro­vide tru­ly con­nect­ed care.

We’ve con­tin­ued to add new and high­er-qual­i­ty devices to improve our ser­vices as new tech­nol­o­gy and more point of care pathol­o­gy tests became available.

Our POCT ser­vice has matured so much over the past 10 years. We have a com­pre­hen­sive gov­er­nance sys­tem, world lead­ing Qual­i­ty Con­trol (QC) and Qual­i­ty Assur­ance Plan (QAP) man­age­ment tools and have devel­oped sim­pler and more acces­si­ble train­ing sys­tems to sup­port our health care providers and clin­i­cal teams.

We are even now branch­ing out into AI sys­tems and a stronger IT infra­struc­ture to pro­vide bet­ter insights into our PoCT ser­vice. PoCT is not just pathol­o­gy! It’s a com­bi­na­tion of tech­nol­o­gy, peo­ple and data man­age­ment, meld­ing togeth­er to shape what NSW Health and our patients and com­mu­ni­ties need now, and into the future.

What does the growth in PoCT testing mean for clinicians and patients in regional and rural communities?

The avail­abil­i­ty of PoCT can be life­sav­ing for peo­ple in rur­al and remote com­mu­ni­ties. In its most extreme exam­ples, it pro­vides vital emer­gency and pri­ma­ry health ser­vices like the Toll Ambu­lance Res­cue Heli­copter Ser­vice and Roy­al Fly­ing Doc­tor Ser­vice (RFDS) with access to crit­i­cal pathol­o­gy results that give seri­ous­ly injured and unwell patents the best chance at survival.

On a day-to-day lev­el, local PoCT ser­vices help peo­ple to stay in their homes and com­mu­ni­ties and avoid unnec­es­sary trav­el and hos­pi­tal admis­sions. It’s so much bet­ter to be near friends and fam­i­ly when you’re unwell, rather than need to be trans­ferred hun­dreds of kilo­me­tres from home for care.

In more met­ro­pol­i­tan areas, PoCT also helps to break down bar­ri­ers for peo­ple with chal­lenges access­ing health­care. Those who don’t have Eng­lish as a first lan­guage, who strug­gle with trans­port, iso­la­tion, or men­tal health issues. Hav­ing a result straight away when see­ing their spe­cial­ist or clin­ic can help pro­vide the best care to every­one access­ing NSW Health services.

What do you love most about working in the PoCT space?

I love the prob­lem solv­ing! There is nev­er a dull day and I get to work with so many diverse groups both with­in pathol­o­gy and in the clin­i­cal space. We have so many oppor­tu­ni­ties to devel­op sys­tems that real­ly con­tribute to patient care, to pathol­o­gy and even into the growth of PoCT nation­al­ly as our peers in oth­er states devel­op their own systems.

What is your vision for PoCT?

My vision is for PoCT to be a ful­ly con­nect­ed clin­i­cal resource. To sup­port our health care col­leagues, con­nect into clin­i­cal deci­sion tools and patient man­age­ment sys­tems and main­tain a lab­o­ra­to­ry qual­i­ty stan­dard of results.

There are so many new PoCT options avail­able now as tech­nol­o­gy allows for small­er and small­er sys­tems, new diag­nos­tic mark­ers are being found and every­one wants an imme­di­ate answer.

I want to see NSW Health Pathol­o­gy as the lead­ing voice on PoCT. To see us lead the way with val­i­dat­ed high-qual­i­ty sys­tems that pro­vide mean­ing­ful results to peo­ple, no mat­ter where they are in NSW.

 

We are com­mit­ted to devel­op­ing and improv­ing our PoCT ser­vice and can’t wait to watch it con­tin­ue to grow over the next 10 years. Learn more about the ser­vice here.

Using art to connect sorry business with healing at Forensic Medicine

These beautiful painted leaves help families mourning the unexpected or unexplained death of someone close. But they’re also helping to heal the women who paint them.

In a sun-filled room near the shores of Lake Mac­quar­ie a group of First Nations women gath­er to paint, share sto­ries and food, and most of all, to sup­port each other.

The Nikin­pa art group began as a short-term art ther­a­py pro­gram, but sev­er­al years lat­er it’s still going strong, thanks to the women who say it’s help­ing to change their lives for the better.

Aun­ty Bren­da Simon is a proud Wirad­juri woman from the small town of Gulargam­bone in Cen­tral West NSW. All sev­en of Brenda’s chil­dren were tak­en from her by gov­ern­ment author­i­ties in the 1970s, and her sto­ry is now the sub­ject of a pow­er­ful new doc­u­men­tary, The Last Daugh­ter, on Net­flix.

Aun­ty Bren­da attends the art group each week and says paint­ing leaves has helped build con­nec­tions in her community.

An elderly First Nations woman stands in a garden wearing a black shirt with red, yellow and white Aboriginal designs.
Wirad­juri woman, Aun­ty Bren­da Simon says the art group helps to keep her con­nect­ed to the local First Nations community.

“It just gives you that good feel­ing just to come in and sit down, just to paint leaves and get your mind going. I just love it,” she said.

Aun­ty Jill Jes­sop is a Wail­wan woman, also from Cen­tral West­ern NSW, and says the group pro­vides an impor­tant gath­er­ing place for the women, as well as a chance to cre­ate some­thing that makes a big dif­fer­ence in the lives of others.

“It’s a safe place for all women, it’s just been amaz­ing to see how much the women have grown. It’s giv­en them a pur­pose,” Aun­ty Jill said.

The women col­lect the gum leaves either from the local New­cas­tle area, or from across region­al NSW when they trav­el back home to country.

The leaves are then dried for sev­er­al weeks and brought into the Nikin­pa art room at Toron­to where the women paint intri­cate designs in a rain­bow of colours.

A First Nations woman stands on a sunny walkway.
Aun­ty Jill Jes­sop says the Nikin­pa Art Group is a safe space for women and has helped them heal and grow together.

“The pick­ing of the gum leaves is a thing, find­ing the right gum leaves. We’re always out in the bush look­ing,” explains Aun­ty Jill.

“A lot of us use the tra­di­tion­al sym­bols, but there’s no right or wrong way, there’s no sto­ry, real­ly to our leaves. It’s the pur­pose of why we do them, that’s our story.”

“A conversation starter”

The gum leaves they paint end up at NSW Health Pathology’s foren­sic med­i­cine facil­i­ty in New­cas­tle, where spe­cial­ist social work­ers sup­port fam­i­lies who are griev­ing after an unex­pect­ed death report­ed to the Coroner.

Fam­i­lies are encour­aged to place the leaves with their per­son and can also take a leaf home to remem­ber them and their ongo­ing connection.

“It’s a real con­ver­sa­tion starter,” said Dan­ny Nugus, Senior Foren­sic Med­i­cine Social Work­er. (pic­tured below – back row, sec­ond from left)

“You get to know the per­son, even if the fam­i­ly are unable to get to New­cas­tle and we’re just talk­ing over the phone. I’ll talk to them about the leaves, and ask what sort of leaves do you think they’d like? They might say, ‘well he was a mad Rab­bitohs fan’, and we’ll find them a leaf with those colours.

“There might be a leaf design with a par­tic­u­lar num­ber of cir­cles, match­ing the num­ber of sib­lings that per­son had, or styles and pat­terns that fit with where they and their mob are from, what their totem is. Each leaf is as unique and pre­cious as the per­son who paint­ed it and the per­son who the leaf finds,” he said.

The leaves pro­vide an impor­tant con­nec­tion for griev­ing First Nations fam­i­lies but are also respect­ful­ly accept­ed by non-Indige­nous families.

For one of the women at the Nikin­pa art group, the leaves were a wel­come sight when she was con­front­ed with the sud­den death of a rel­a­tive and vis­it­ed the New­cas­tle foren­sic med­i­cine facility.

“Not long ago I had to go into foren­sics as a per­son­al expe­ri­ence myself, and we had to say our good­byes,” said Bon­ny Roberts, a Moandik woman from South Australia.

“I went into the fam­i­ly room and here was a bas­ket of our leaves all paint­ed up. Just the warmth of the whole expe­ri­ence of that, it didn’t feel so clinical.

“We had leaves to place with Pop and it was amaz­ing to pick them out. It was just real­ly per­son­al. I’ve seen it from both sides now, and I couldn’t thank the ladies enough when I came back to Nikinpa.”

The art group is now pro­vid­ing art work­shops at schools in the Lake Mac­quar­ie area, teach­ing stu­dents to paint their own leaves.

“The kids get involved and we explain to them what the leaves mean and where they go,” said Bonny.

“We ask them at the end would you like to keep your leaf? Or would you like to donate it? And 90 per cent of them want to donate it, they say, ‘no we want to give it’ and it goes in the foren­sic box.”

NSW Health Pathology’s Foren­sic & Ana­lyt­i­cal Sci­ence Ser­vice Direc­tor Michael Symonds (pic­tured below – back row, far right) expressed his heart­felt thanks to mem­bers of the Nikin­pa art group for shar­ing their sto­ries and their artwork.

“The leaves offer com­fort and mean­ing to bereaved fam­i­lies at Foren­sic Med­i­cine, and we’re hon­oured to have this impor­tant con­nec­tion to the local Indige­nous com­mu­ni­ty,” Mr Symonds said.

A group of men and women outside a building with a Forensic Medicine sign.
Mem­bers of the Nikin­pa Art Group vis­it staff at New­cas­tle Foren­sic Med­i­cine, where their paint­ed leaves pro­vide com­fort to griev­ing families.

 

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