Monash Medical Centre

Monash Medical Centre (MMC) is a teaching hospital in Melbourne, Australia. It provides specialist tertiary-level healthcare to the Melbourne's south-east.

Monash Medical Centre
The main entrance to Monash Medical Centre
Geography
LocationMelbourne, Victoria, Australia
Coordinates37°55′10″S 145°07′17″E
Organisation
Care systemPublic Medicare (AU)
TypeTeaching
Affiliated universityMonash University
Services
Emergency departmentYes
Beds640[1]
History
Opened1987
Links
Websitemonashhealth.org/page/Monash_Medical_Centre
ListsHospitals in Australia

Monash Medical Centre is part of Monash Health, the largest public health service in Victoria.

History

Monash Medical Centre was formed in 1987 with the amalgamation of the Queen Victoria Medical Centre (an obstetric and gynaecological hospital in central Melbourne), Prince Henry's Hospital (a general hospital in South Melbourne) and the Moorabbin Hospital (a general hospital in Moorabbin). It was built on the site of McCulloch House, a nursing home.[2]

Services

Monash Children's Hospital
Main article: Monash Children's Hospital

Cardiology

MonashHeart provides cardiology related services and cardiac care at the Monash Medical Centre, Clayton, and at Dandenong Hospital. MonashHeart is the busiest interventional cardiology service in the state, providing coronary angiography and coronary angioplasty services to the entire south eastern area of the state. MonashHeart is the largest non-invasive imaging service in Victoria, performing nearly 14,000 echocardiograms each year for newborns through to adults.

Acute cardiac inpatient services are provided across the network. There is a 21 bed cardiac care unit at Monash Medical Centre, Clayton, which manages a high case load of ST-elevation acute myocardial infarctions, with a daily case load of 3–4 cases not being unusual; A 12 bed cardiac care unit at Dandenong Hospital, which shares the coronary angiography and angioplasty services with Monash Medical Centre, Clayton; A 24 bed combined cardiology and cardiothoracic unit, Monash Medical Centre, Clayton which manages all the post op cardiothoracic cases, as well as other general cardiology cases.

MonashHeart became a luminary site for the 320-slice Toshiba Aquilion One CT scanner in September 2008, the first health service to do so in the southern hemisphere.

There have been numerous other medical firsts achieved by MonashHeart:

  • first robotic heart operation in the southern hemisphere
  • first Arctic Front case in Australia
  • first WATCHMAN case in Australia
  • first Australian centre approved for independent percutaneous valve replacement

Kidney and pancreatic transplant

Monash Medical Centre is designated a national provider of kidney and pancreatic transplants. This is a legacy of the endocrinology service provided at the former Prince Henry's Hospital, which transferred its services to Monash Medical Centre, Clayton in 1987. It is currently the second largest kidney transplant unit in Melbourne in terms of numbers, after the Royal Melbourne Hospital. In 2011, there were a record number of kidney transplants performed at the Monash Medical Centre, with 92 recorded.[3] The renal ward at Monash Medical Centre has 18 beds and accommodates acutely ill patients with all kidney conditions, including pre- and post- kidney and pancreas transplant patients, (including donors), and vascular access surgery.

Thalassemia

It is the statewide provider of Thalassemia services, for both children and adult populations. Most of the services are provided on an outpatient basis with the clinics located on the 2nd floor of the hospital, next to the allied health offices.

Infectious diseases

Due to its large refugee population in its catchment area, Monash Medical Centre, Clayton provides specialist care for a large number of patients with tuberculosis and non-tuberculous mycobacterial infections. There is a weekly TB clinic that is run every Wednesday, as well as an inpatient service that cares for patients who need to be isolated and treated as an inpatient. The hospital provide specialist care for many patients with tuberculosis, and nontuberculous mycobacterial infections, including infections due to Mycobacterium avium complex, Mycobacterium leprae and Mycobacterium ulcerans. Along with the Western Hospital, which hosts the migrant screening clinic, Monash Medical Centre, Clayton arguably cares for the highest number of inpatient TB patients in the state.

Mental Health

The Mental Health Program of Monash Health is one of the largest mental health services in Victoria providing comprehensive mental health services for all age groups for the people living in the South eastern region of Melbourne. Mental health program works in close collaboration with Monash University School of Psychiatry, Psychology and Psychological Medicine. The Mental Health Program provides 100 acute adult inpatient beds in three hospitals, 20 bed intensive secure and extended care beds, 40 beds community rehabilitation services beds, 8 Mother and Baby and Eating Disorder beds, Crisis Assessment and Treatment Teams (CATT) based at Clayton, Dandenong and Berwick, Community mental health services (CCT, MSTT), Emergency Psychiatric services based at the major hospitals, primary care psychiatry, specialist gender dysphoria services, Child & Adolescent Mental Health Services and extensive Consultation & liaison psychiatry services.

The Mental health program is the largest post graduate training for RANZCP training program in Melbourne. The program employs 45 Consultant psychiatrists and 35 psychiatry trainees. There is an extensive teaching program for all levels of trainees.

Gender dysphoria service

The Monash gender dysphoria service is largest government-funded gender dysphoria health service clinic in Australia.[4]

A joint study by the Monash Medical Centre and the Royal Children's Hospital, found for a cohort of children with gender identity disorder, the condition persisted in only 16% of cases, into adolescence and adulthood.[5] There has been controversy – in one case a man, who underwent gender reassignment surgery and subsequently resumed life as a man, sued the Monash psychiatrists.[6] Some former Monash patients have tried to commit suicide while struggling to live as the opposite sex after irreversible operations.[7]

In 2016, the Andrews government allocated $6.4 million to this Monash gender dysphoria program, which now has 250 referrals per annum.[4]

Intensive care

As a large tertiary referral hospital it provides neurosurgery, cardiothoracic surgery, and houses intensive care units treating neonatal, paediatric and adult patients.

It has a 26 bed Intensive Care Unit (mixed between adults and children), an even larger Neonatal Intensive Care Unit, and 16 peripheral High Dependency Unit beds throughout the hospital. The Intensive Care Unit specialises in both post-cardiac surgery and post-neurosurgical care, as well as severe sepsis and acute medical illness management. It also has a high number of patients with chronic kidney failure related illness.

Ambulances outside ED at MMCC

Emergency

The Emergency Department at Monash Medical Centre Clayton is Victoria's busiest Emergency Department, with 69,951 presentations between July 2011 and June 2012.[8]

Research and training

The hospital is highly involved with advanced medical training, including accredited training programs for all medical specialties and boasts excellent pass rates across all speciality training programs. Eight departments of Monash University are based at Monash Medical Centre.

Monash Medical Centre will stand alongside the planned Monash Health Translational Precinct,[9] a partnership between Monash Health, Monash University, and Hudson Institute of Medical Research.[10]

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See also

References
  1. "Monash Medical Centre".
  2. "Health Victoria News - Department of Health Victoria Australia". www.health.vic.gov.au.
  3. Michell, Tim. "Monash Medical Centre performs 92 kidney transplant operations in 12 months". Waverly Leader. Archived from the original on 30 December 2012. Retrieved 5 November 2012.
  4. McGinn, Christine (26 April 2016). "State Government drops $6.4m at Monash Medical Centre's gender dysphoria health clinic". Herald Sun. Retrieved 25 August 2016.
  5. Hewitt, Jacqueline; et al. (2012). "Hormone treatment of gender identity disorder in a cohort of children and adolescents". Medical Journal of Australia. Retrieved 25 August 2016.
  6. Hagan, Kate (2 March 2009). "Sex change patient sues doctors". Brisbane Times. Retrieved 25 August 2016.
  7. Stark, Jill (31 May 2009). "Sex-change clinic 'got it wrong'". The Sydney Morning Herald. Retrieved 25 August 2016.
  8. http://www.myhospitals.gov.au/hospital/monash-medical-centre-clayton/services/emergency-department/presentations
  9. "Archived copy". Archived from the original on 5 January 2013. Retrieved 21 November 2012.CS1 maint: archived copy as title (link)
  10. Monash Medical Centre Archived 30 August 2007 at the Wayback Machine
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