From the MRI report, he has had a number of events over the years, so I'm not surprised it's longstanding. Not an expert on male HRT, but he is still borderline low so I wouldn't blame that initially. I'm sure many people will blame it, but that's just ... See more

Wow! Hope it gets up. ------------------------------ Jane Atkinson Baywest Medical Centre Camp Hill QLD ------------------------------ See more

All pretty solid. Alcohol control is the big challenge. I see it as the main cause of Type 2 DM also, above and beyond obesity. They go hand in hand, of course. ------------------------------ Kenneth Hornsby ------------------------------ See more

blood stained fluid may not be a good sign unless it is traumatic in nature Atypical squamous cell ?malignant in nature? I would think it might be from lung in origin. ------------------------------ Christina Port Dianella GP Super Clinic 61 (03) ... See more

Here https://karger.com/nps/article/doi/10.1159/000550863/944325/A-Randomized-Controlled-Trial-on-the-Efficacy-of This is the third RCT to show equivalence between IV ketamine & ECT for major depression with suicidality . Could this ever be offered ... See more

I have dealt with WIP payments before and had very good help from the following Contact us with questions about eligibility for the WIP Doctor Stream. Contact Services Australia with questions about payment calculation enquiries. Health and Aged Care ... See more

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