- Written by David Guest, NRGPN Chairman
- Published: 24 August 2014
Over the last two months the North Coast Medicare Local (NCML) has held a series of meetings up and down the coast with its member organisations and local groups of GPs. The painful process of transitioning from Divisions of General Practice has largely consumed the energies of the NCML for the last two years and it is only now that a number of the programs relevant to general practice are coming on stream.
Options for improved support for After Hours Care, which has been a protracted and difficult issue for the NCML, were discussed at the joint NRGPN Board / NCML executive meeting on 10 July 2014. The Board has argued for continuing assistance in cold chain maintenance, sterilisation, IT support and other matters pertinent to passing GP accreditation.
- Written by Max Osborne; Max is a regular cyclist, amateur club racer and carbon fibre enthusiast.
- Published: 17 August 2014
Because of its strength and light weight, Carbon Fibre technology has taken hold of the cycling world, but it does have a downside, as Max Osborne explains.
Most of us know the meaning of ‘carbon’ and ‘fibre’, but when they’re brought together in a manufacturing process the combination holds unprecedented benefits for products as diverse as the aircraft in our skies and the bicycles on our roads.
So what is this seemingly magical product?
Carbon fibre reinforced plastic (CFRP) consists of thousands of individual strands of raw carbon filaments that are bundled together and typically woven into a fabric that is coated in a resin or ‘plastic’. A stack of multiple fabric layers are then cured at high temperature and pressure in a process which compacts the fibres and hardens the resin to develop a stiff and strong composite material.
- Written by Andrew Binns
- Published: 10 August 2014
In the past, Palliative Care (PC) has tended to focus on terminal cancer, but as general practitioners well know, patients with other non-malignant chronic diseases also need a primary care team approach to support the complex needs of providing terminal care. In 2010/2011 the Northern Rivers GP Network was commissioned to undertake a 12-month Rural Palliative Care Project aimed at addressing best practice end of life care for sufferers of a chronic disease.
Badged ‘MyChoice’, it was aimed at developing a framework for managing end of life care. The intention was to give patients the opportunity to articulate their choices and enhance the control they have over their terminal care. The project officer (PC Clinical Nurse Consultant Kate Stirling) led the way in developing this document in consultation with local GPs and the NCAHS PC team based at St Vincent’s Private Hospital Lismore.
- Written by Robin Osborne
- Published: 21 August 2014
Most people would be delighted to have run 90 km in just over 12 hours, but it’s the ‘just over’ part that disappoints local GP Charlie Hew who would possess a medallion marking the completion of the Comrades Ultra-Marathon in South Africa had he been a mere eight minutes faster.
At least he had the satisfaction of breasting the finishing line, for until recent times any runner still on the course after twelve hours faced locked gates at the stadium. This year’s winner, it might be noted, completed the course in just five-and-a-half hours.
Dr Hew is not complaining, however, as the South African weather in June was unseasonably hot and humid: “I didn’t train enough in the heat,” he says over a bottle of water and a chai latte in a Lismore café, having just finished a morning 20 km run.
Moreover, he had never run 90 km before – his longest training run, he says, was 56 km, which just happens to match his age.
- Written by Robin Osborne - Commentary
- Published: 21 August 2014
While echoing the Prime Minister’s words about the government considering “an adjustment here and an adjustment there” in order to see the Federal Budget pass through the Senate, Finance Minister Mathias Cormann – Joe Hockey’s fellow cigar smoker - gave nothing away in a breakfast interview with ABC RN’s Fran Kelly.
Asked to comment on the Budget’s proposed - and widely opposed - GP co-payment of $7.00, he said, “Let’s see what will and won’t go through [the Senate]”.