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

Here is a recent article on the concept of neurogenic inflammation from the perspective of keloid scars.I wonder what is going on in the deeper tissue at the edge of hernia repair mesh and suspect it is a similar process-deliquent sensory axons . https://pmc.ncbi.nlm.nih.gov/articles/PMC11940183/ ... See more

The Australian Parliament in conducting an inquiry into Australia's regional aviation sector – and we want to hear from you, and what you have heard in your community. Any service impacts or changes that impacted your patients, you, or your community? ... 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

Steroids have already been started by Sione with little effect it sounds . I think long term steroids are more harmful than a trial of a DMARD as next step . Certainly a rheumatologist would be advising that . So why wait I agree. Regardless of what option ... See more

@Dr Liz Dodd had an interesting discourse with claude (my new best friend), on the subject of cultural sensitivity, which in part concluded : So your whole thread here - from the XDA forum incident to the doctor's forum censorship to the Minchin ... 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

this one is for minh, if he looks at this thread ------------------------------ Ashley Collard agent provocateur ------------------------------ See more

good work; fwiw keep the idea of questran in your formulary - it is excellent for assisting with diarrhoea ------------------------------ Ashley Collard agent provocateur ------------------------------ See more

Many years ago (1988) I spent some time on the dole and thoroughly recommend it to whoever drafts these letters. I understand the work test is a bit harder now. Back then I did half a days work, put in my form and then headed to Brissie with two miniature ... See more