- Written by Dr Bob Lodge
For such an important body system and one that, in evolutionary terms, has been around for so long, why is it that we know so little about the endocannabinoid system (ECS)? And, why do we so rarely utilise the potential benefits of agonists and antagonists of the ECS? The answers are complex but interference by (misinformed) politicians and the influence of societal cultural beliefs are likely culprits rather than lack of inquisitiveness/failure of scientists and medical researchers.
This article will provide an introduction to cannabinoids in general and to ECS specifically and will touch on our current understanding of cannabinoids in neurological disease. There will be no attempt to discuss the importance of ECS in other fields (e.g. metabolic medicine, psychiatry or oncology) nor to discuss medicolegal issues such as medical prescribing in Australia or cannabinoids and driving. Recreational use of cannabinoids is also outside scope of article.
Dr Peter Silberberg, a GP at Jullums Aboriginal Medical Service in Lismore and Chair of NCPHN’s Northern Clinical Council, has signed up to trial the Orion Shared Care tool to enhance communication between teams of health care professionals. And he recommends other GPs take a look at it.
The Orion Shared Care Tool is a collaboration between the Northern NSW Local Health District, North Coast Primary Health Network (NCPHN) and NSW Health’s eHealth. It is a shared care planning tool for patients with complex and chronic needs. It allows the GP and other team members to create and update a living care plan.
It lets care team members add other information about the patient and makes it easier to securely share information between care team members. The tool integrates with Medical Director and Best Practice for GPs. Other clinicians access it via a web portal.
- Written by Dr Nathan Kesteven
Merry Christmas and a Happy New Year 2019 to all.
This brief report is to inform members about an this issue the the Board has been discussing for some time; the next step for the development of the NRGPN.
On 13th December 2018 at 6.00 pm we are holding a meeting at the Goonellabah Tavern to discuss the proposal to dissolve the Northern Rivers General Practice Network and launch Nordocs in its place.
- Written by David Guest
Secure medical communication started in Australia in the mid-nineties with simple home spun solutions. Since then a number of companies have developed secure communication as a service to medical practitioners. Over the ensuing years some of the early providers have disappeared and there has been consolidation in the market.
The current providers’ systems are incompatible with each other, making it frustrating for end users who complain it is like being on Optus but not being able to call Telstra phones. While it is feasible to bridge data from one provider to another, it is never in an individual company’s interest to enable this.
The fear is losing customers to a rival or worse incurring the technology costs while the rival reaps the income. Discussions aimed at progressing a solution have been ongoing for years but the business problem has yet to be solved.
- Written by David Guest
"China must be very interesting."
"Very big, China."
(Noel Coward, Private Lives, Cathay Hotel, Shanghai, 1930)
Chinese civilisation dates back several millennia. Its history is one of successive dynasties rising and falling as a result of war and conquest. Unlike Western societies its culture has been one of almost continuous development and many of the West’s societal, agricultural and industrial processes started there. On every level, China’s development is continuing at a frenetic rate.
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