NeuroMoves exercise physiologist Sam Mitchell with the RT300 Functional Electrical Stimulation Ergometer that assists with arm and leg rehabilitation for patients with illnesses such as paraplegia, quadriplegia and stroke.

Stroke survivor Murray Shergold, a chipper 70-year-old from Woodburn, was told by specialists in Brisbane that he should not expect to ever walk again after suffering a stroke.

Now, just months later and after weekly sessions on the RT300 Functional Electrical Stimulation Ergometer in the NeuroMoves gym at Southern Cross University Health Clinic, Murray is beginning to walk without a stick.

To say he’s pleased is putting it mildly, and the same goes for his wife Jean, who runs a local nursing service as well as an orchid business.

“I’ve got energy and I’m continuing to get better,” Murray said at the official opening of the facility that has been operating since last March.

“The difference has been incredible,” Jean Shergold told GPSpeak. “We thought he’d be wheelchair-bound for the rest of his life, but the progress has been absolutely amazing.”

Life be in It campaign, Australia 1977

“It’s all in your head”, noted rogue London neurosurgeon, Henry Marsh, on a recent visit to Australia.

As someone whose tamperings have altered more people’s memories and capabilities than nearly any other, he speaks with some authority. Marsh asserts that the brain is the ultimate integrator of the psyche and the soma, and that its role in formulating our perceptions is paramount.

Nevertheless, convincing patients that the brain is where they feel their calf pain is a common and often difficult task for GPs.

“The problem’s in your back where your sciatic nerve is getting squished. However, you feel the pain is coming from where the nerve goes, and that’s down your leg. You're actually aware of the pain because of the nerves going the other way, up to your brain.”

“That’s not much comfort, doc. How about some pills to get rid of the pain?”

Statistics from NSW Health have confirmed the clinical impression of many North Coast GPs that the flu season has hit early this year. They report the predominant strain is influenza A (H3N2) but levels of influenza B have also increased in recent weeks.  

While the symptoms of influenza are similar to many viral infections with sore throat, cough, nasal discharge and blockage, the high temperatures, lethargy and myalgia of influenza that last for four or five days have been common presentations in recent weeks.

The availability of PCR testing for viral antigens on nasal and throat swabs has been a significant advance in the rapid diagnosis of respiratory tract infections. However the clinical utility of this testing is lessened as the prevalence of influenza rises in the general community.

Dr Kim Kerr is a Northern Rivers GP and, like her husband Dr Charlie Hew, a running enthusiast.

Fourteen members of the Lismore Runners group travelled to China recently to participate in their chosen version of the Great Wall of China run, a full marathon, half-marathon, 10 km or 5 km. We ranged in age between 55 and 70 years.

The first ‘wall’ was obtaining our Chinese visas – two of us had applications rejected and needed to fly to Sydney for new passports, receiving the visas with only two days spare.

When we flew into Beijing we had a few days to sightsee before the actual run. Of course Tienanmen Square was one of the first places we visited. Our guide warned us not to mention the words Taiwan, Tibet, or tanks/riots while in the square, as there were lots of people listening - the walls have ears! - and she could get into trouble.

Indeed, each light post had about six CCTV cameras watching us, and we were given to believe that there were lots of plain clothes police officers around.

Dr Ian McPhee, @iGas2, Co-instigator of the twitter hashtag #MH4Docs

The medical profession is best placed to help colleagues encountering mental health issues, writes Dr Ian McPhee*, a self-confessed ‘black dog’ sufferer.

In recent times there has been a broad, very public focus brought to the matter of doctors' mental health. Not at all unreasonably, it is the plight of hospital-based, junior doctors that has captured the bulk of attention. Something has happened to make JMO life even more stressful. It isn't just the long hours - we all endured those - nor is it exam pressures, likewise experienced by everyone.

Medicine, as much as it might be the same in so many respects, has begun eating its young.