- Written by Dr Hilton Koppe
When I was a final year medical student in 1981, I did an elective term in USA. While I was there, I was introduced to “The House of God”. This irreverent novel about the life of interns and residents in a big teaching hospital became my bible for my first years as a doctor. I have continued to find some of the “Laws of the House of God” to be helpful as I navigate the rocky path of being a human being and a doctor.
“The aim of good medical care is to do as much of nothing as possible,” and “If you don’t take a temperature, you’ll never find a fever” have been particularly helpful signposts in general practice. But the law which I have tried to follow most closely is “Always remember, the patient is the one with the disease.” As someone with a tendency to over empathise, holding these simple words in my mind has been extremely helpful.
A chlamydia testing program at the recent Splendour in the Grass festival near Byron Bay met with a positive response from patrons, with more than 1000 young people attending the NSW Health ‘VIP zone’ to contribute urine samples.
The zone provided participants with a clean toilet, phone charging and the opportunity to freshen up their make-up, according to Marty Janssen from the NSW STI Programs Unit. He said the ‘Down to Test’ team collaborated with the Positive Adolescent Sexual Health (PASH) Consortium and the North Coast HIV and Related Programs (HARP) to enhance the range of sexual health promotion services available to festivalgoers.
“Young people with a negative result were contacted by SMS, while those with a positive result were contacted by a sexual health nurse from NSW Sexual Health Info-Link to inform them of diagnosis, and arrange treatment.
- Written by Andrew Binns
In 1979, when I started in GP practice, some 80% of my patients presented with an acute problem. Now I estimate the same quantum has one or more chronic diseases. The Medibank scheme started in 1975 (it became Medicare under Hawke in 1984) and the standard consultation was described and given a monetary value.
The descriptor basically said take a history, examine the patient, investigate as appropriate, implement a management plan, provide appropriate preventive health care and document this record on the one or more presenting health- related issues.
Fair enough for a sore throat or ‘flu like’ presentation but what about the patient with one or more chronic diseases, who is likely to have multiple medications and many complex physical and/or psychological health issues?
Medical bodies including the AMA and the Colleges of General Practitioners and Physicians are putting their weight behind moves to see practical changes in the way Aboriginal and Torres Strait Islander people are treated in the health, child protection and criminal justice systems. Pressure is also being exerted on government to give greater recognition to the views of Indigenous people from around the country.
These issues were featured prominently at the National Indigenous Incarceration Conference (NIIC), held in Kingscliff in June 2018 and attended by a wide range of mainly Aboriginal and Torres Strait Islander speakers and delegates, both national and local.
Australia is heading towards one in two of the prison population comprising Aboriginal prisoners by 2020. In 1992, the ratio was one in seven.
Amongst the alarming statistics was the revelation that since 2004 the number of Aboriginal Australians in custody has increased by 88 per cent, compared to a 2 per cent increase for non-Aboriginal Australians. Moreover, Australia is heading towards one-in-two of the prison population comprising Aboriginal prisoners by 2020. In 1992, the ratio was one in seven.
The federal government has approved the listing of new diabetes and hepatitis C medications on the PBS, helping patients save thousands of dollars a year.
Referring to the hepatitis C drug Maviret, local MP for Page Kevin Hogan said, “Without the listing, patients could pay more than $50,000 per course of treatment for this medicine.
Maviret works by stopping hepatitis C virus from multiplying and infecting new cells. It belongs to a class of new treatments which provide a cure for well over 90 percent of people treated.”
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