- Written by Staff
Book Review - Reviewed by Robin Osborne
(Profile Books 282 pp)
In an earlier review I described Atul Gawande’s The Checkist Manifesto as required reading for those in the medical profession or any line of work that entails identified outcomes, team work and the serious consequences, professional or financial, of error.
The same may be said of this discussion of end-of-life issues, which he encapsulates in the sub-title, ‘Illness, Medicine, and What Matters in the End.’
Dr Gawande explains, “This is a book about the modern experience of mortality – about what it’s like to be creatures who age and die, how medicine has changed the experience and how it hasn’t, where our ideas about how to deal with our finitude have got the reality wrong.”
The backdrop is that, “no single disease leads to the end; the culprit is just the accumulated crumbling of one’s bodily systems while medicine carries out its maintenance measures and patch jobs… The curve of life becomes a long, slow fade.”
He describes this process as One Damn Thing After Another, the ‘ODTAA syndrome’ wherein the “pauses between crises can vary. But after a certain point, the direction of travel becomes clear.”
- Written by Staff
The closure of the Labor-initiated After Hours GP Helpline, managed by the government’s HealthDirect scheme, will help fund a new payment model aimed at encouraging GPs to treat patients outside of business hours.
Announced by Health Minister Sussan Ley on 22 May, the new model will encourage practices to apply for a Practice Incentives Programme (PIP) after-hours incentive from the Federal Government.
The new model will “build on existing infrastructure and provide general practices with a nationally consistent, streamlined, less administratively burdensome way to receive funding for delivering after hours services”.
- Written by Jayden MacRae, CEO Patients First
Jayden MacRae is the CEO of Patients First, the New Zealand organisation charged with improving both the quality and ease of transmission of data in the New Zealand health sector. In this article he highlights the importance of face to face conversations with practices in the successful implementation of the NZ's "Shared Care Record".
The need to win the hearts and minds of GPs one-at-a-time and face-to-face was one of the key lessons I learned while leading one of New Zealand’s first regional electronic Shared Care Record (SCR) implementations.
I spent the better part of 18 months having practice meetings in early mornings, lunch-times and after work across close to 100 practices that covered 450,000 patients and a geographical region of 15,500 km2.
- Written by Jesse Morgan, Embrace Exercise
Tim has been part of the Embrace Exercise Physiology team since 2012 and covers the Gold Coast, Tweed Heads and Pottsville areas.
Tim specialises in the fields of rehabilitative services for musculoskeletal conditions and chronic disease management with an emphasis on developing sustainable behaviour change. He focuses on in-home services for ‘at risk’ individuals, aiming to improve symptoms and quality of life for debilitated and elderly individuals.
Tim also has a strong interest in working with patients looking to improve their life through sustained weight loss. He believes that good health is earned every single day and that we should not take it for granted.
When not working, Tim enjoys competing in his weekly basketball competition and exercising at the gym.
To refer a patient for in home treatment please contact Tim by phone on 0432 401 328 or send a fax to 07 5636 1012.
- Written by Dr Rohit Singh, Radiologist, NCR
CT coronary angiography (CTCA) is a non invasive test for assessment of coronary arteries to exclude coronary artery disease (CAD). It involves administration of intravenous contrast, and imaging the heart with multi slice computed tomography (CT). This is done over multiple heart beats, in the same part of the cardiac cycle (with help of ECG gating). This data is then assembled to review the coronary arteries in multiple planes.
Clinical assessment prior to the scan by the referring physician is important in selecting suitable candidates for the test.