COVID-19 and Consulting

Despite the reopening of society, there remains a need to protect both our patients and our staff. As such, we still expect patients to wear masks when in clinic, as is mandated, and to advise us if they have symptoms suggestive of COVID or the flu.

We returned to predominately face-to-face consulting for most (>90%) of patients at the end of 2021. However, our office staff, Tarryn and Mia, will spend some time in the office at East Melbourne, and some time at home. Luckily we're a fully paperless office so the transition to working from home has been manageable. We may have some glitches, please be understanding, and email us using the
contact form. If we don't get back to you, try again. We are implementing contingencies to ensure that we stay connected with our patients in this very difficult time.

We're also aware that waiting times have increased. We're possible, we will provide a date for a consultation. Every referral is triaged, and as you'd expect some issues that a cardiologist assesses are more urgent than others. If you feel that your problem needs to be assessed earlier, please let us know. Also, ask your GP to contact

For patients seen at Reservoir Private we will be following the same plans. For patients seen at Bairnsdale and the Alfred, please contact those rooms.

Vaccine Recommendation

We strongly advocate vaccination. There is very little data that supports not getting vaccinated. If you've had pericarditis in the last 6 months, then let us know. Otherwise, please get vaccinated.

We know that patients with cardiac disease are at increased of death and serious illness if they are infected with COVID. Vaccination markedly reduces that risk. Vaccines are not a cure. They reduce the risk of serious illness and death.

Please get vaccinated.

Here to Help

For consulting where needed, A/Prof Mariani will be using either video consults (Telehealth) to assess your condition. Prior to COVID, he already used Telehealth a lot to help assess and manage many of his country patients. Here's an article about it. We describe Telehealth options below.

If you're concerned, email us or ring the rooms. We'll try and help.

Telehealth and Phone Consults


The Department of Health, through Medicare, enabled doctors, including specialists, to use a new series of item numbers for patient management.

Telehealth is performed via video technology or telephone. As above, Dr Mariani prefers Video Telehealth as there is face-to-face communication, which will be increasingly more important with "social distancing". Appointments can be easily scheduled. Further, as of July 1 2022, Medicare made changes that did not allow telehealth for new or standard review consultations. As such, we have stopped offering phone consultations - except in situations where no other option is available (e.g. urgent result or issue to be communicated, and patient does not have access to Video or can't attend clinic).

Options for telehealth are telemedicine service websites (we will send a link to your email or phone), or FaceTime.

For Patients with Pacemakers, Loop Records and Defibrillators

For patients with pacemakers, loop recorders and defibrillators, we will see you in clinic, or alternatively via remote monitoring.

Remote monitors were typically offered to rural and remote patients, those who found it difficult to attend clinic, and those at high risk and needing more regular review than could be managed in clinic. However, we have a very good system of remote monitoring with a well established infrastructure which we could scale up for patients as needed.

If interested, please contact the rooms, or contact Nick at
remoterhythm.com who manages my remotely monitored patients (virtually all device types can be managed remotely although it only involves interrogation - not reprogramming). Patients via the Alfred Hospital may have their service assessed through them if they were offered a remote monitor at the time of implant.

Here's the link to Nick's service. www.remoterhythm.com
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