As an aside, I've seen hernias develop and recur in men who have gone on restrictive diets, eg vegan, with consequent sarcopenia. One upside of getting through the gate to the top paddock is that good nutrition has many benefits. ------------------------------ ... See more

Hi Damian. I chair the college's Digital Health Committee and also do research with POLAR, one of the three services (with Primary Sense and PenCS) providing the service you value. Your concerns are excellent and are not new. And it is a complicated ... See more

thank you, this is useful!, bloods work up and monitoring locally wont be an issue. ------------------------------ Sione Akauola ------------------------------ See more

Hey Ashley, Cultural Safety is about minority cultures of several kinds, not just Aboriginal and Torres Strait Islander people. And it's about us as doctors as much as its about or First Nations or other cultural minority patients. I can improve ... See more

Thanks for yet another thought-provoking case Minh Reflecting on the cost of options to confirm a diagnosis or safety net this case , it occurs to me that the ability to confirm anterior tarsal tunnel with POCUS ,and then relieve the pain with a targeted ... See more

Thanks heaps, Minh. I'll give it a go. Anything I can do in clinic or at a home visit saves my patients so much suffering. ------------------------------ Susan Tyler-Freer Moon Street Medical Centre BROOKLET NSW 61 (02) 66862611 ------------ ... See more

Good points all. I agree with Christina, I would have reported during the consult with the mother present, explaining it's required and documenting that the injury could have multiple causes. The threshold is met when you follow the MRG flowchart ... See more

Thanks for the excellent summary ! I would add the following . The cost vs benefit analysis compared with standard care favours nasal lidocaine in my opinion . Lidocaine is cheap vs triptans . Compared with aspirin its similar but in vomiting patient ... See more

Your experience as an ACRRM Rural Generalist is sought. Sharing your feedback with the policy team regarding the recent Medicare changes, will help guide the College's submission and reinforce advocacy that represents you, your patients and your communities. ... See more

I must reluctantly admit that I do not engage with the ACRRM website or forums as much as I probably could (or should), as the website is clunky and dysfunctional. I'm a registrar, and I don't believe that I had even seen that there's a ... See more

Thanks for the info Ganni. Congratulations on achieving your Fellowship, and nominating a few areas where you think you need to increase your knowledge. You have made your learning plan for 2026 already! ------------------------------ Liz Dodd ---- ... See more

Hi Guys, Good luck with your exam prep! We passed our EMStamps last year thanks to forming a study group! I can definitely recommend forming your own and practicing osce cases as often as you can! I also highly recommend attending the formal EMStamps ... See more

Progress update . Reviewed this pt yesterday . Last SIJ bilateral injection lasted 2.5months ! repeated yesterday discussed options moving forward : RFA sacral nerves , SIJ fusion or new bone graft procedure , switch injectate to hypertonic dextrose ... See more

fwiw, at woolworths : probably already have salt at home.... :) ------------------------------ Ashley Collard agent provocateur ------------------------------ See more

I'm sure someone from ACRRM will reply. But you can't generally change practices during the term. Unless there are serious concerns, and even then, it can be hard to do. Talk to your ACRRM team about why and see what they say. Frankie ------------------------------ ... See more