Management of Resistant Hypertension – new kid on the block
25th May 2026, A/Prof Chee L Khoo All of us have more than a few patients with essential hypertension (i.e. hypertension with no secondary causes) who remain hypertensive despite two or three anti-hypertensives. These are patients who are already on an ACE inhibitor (ACEi) or angiotensin receptor blocker (ARB) plus a calcium channel blocker (CCB) […]
Meniscal injuries without OA – do arthroscopy help?
10th May 2026, A/Prof Chee L Khoo We were taught in medical school that meniscal injuries inevitably need arthroscopic debridement. Of course, these are likely the ones that don’t improve with physical therapy – physiotherapy, hydrotherapy or chiropractic treatment. We don’t see those that got better with conservative measures. We also don’t see what happen […]
National Lung Screening Program – more than just looking for cancer
13th April 2026, NIA Diagnostic Imaging Lung cancer remains the leading cause of cancer-related mortality in Australia, accounting for over 8,500 deaths each year. The National Lung Cancer Screening Program (NLCSP) is a major step forward, using low-dose CT scans to detect cancer earlier in those at high risk. This initiative is designed to reduce […]
Night owls have higher diabetic retinopathy risks
24th February 2026, A/Prof Chee L Khoo We know that suboptimal glucose control is very associated with the incidence and progression of diabetic retinopathy. The duration of diabetes, high systolic BP, smoking, lack of exercise, poor diet and depression are the other risk factors which increase the incidence of diabetic retinopathy as well as the […]
Night owls have higher CV risks – why?
24th February 2026, A/Prof Chee L Khoo People on shift work are at higher risk of cardio-metabolic dysfunction including cardiovascular (CV) diseases. People on rotating day and night shifts are even worse because their body has to adapt to a new time clock every couple of weeks. These people include ambulance officers, police officers and […]
Trigger finger – management options
13th February 2026, NIA Diagnostic Imaging Trigger finger is a common hand condition that often presents in primary care. It often starts as more an annoyance to the patient but eventually, as it deteriorates, affects the normal functioning of the hand. The only management option used to be surgical release of the tendon. We now […]
What is the first major CV event in T2D?
12th February 2026, A/Prof Chee L Khoo When we think about major complications in patients with type 2 diabetes (T2D), we automatically think of an atherosclerotic cardiovascular event. While diabetic kidney disease, diabetic foot disease and retinopathy makes the quality of life miserable the last 5-7 years of their shortened lifespan but it is ASCVD […]
Incretin therapy for CV benefits – here comes the agents
28th December 2025, A/Prof Chee L Khoo We discussed the Lancet Commission’s clinical obesity 12 months ago. Clinical obesity is obesity in the presence of a clinical disease (whether complication or co-morbidity). This is why the PBS is funding semaglutide for patients with obesity and established cardiovascular (CV) disease and not obesity on its own. […]
AF in athletes – the reverse J-curve
25th December, 2025, A/Prof Chee L Khoo With increasing prevalence of obesity, type 2 diabetes, hypertension and obstructive sleep apnoea, we are encountering increasing prevalence of atrial fibrillation in our practice. These are the common risk factors which we associate with a higher risk of developing AF. Surprisingly, there is one group which stands out […]
Should we screen for helicobacter infection in patients on aspirin?
29th September 2025, A/Prof Chee L Khoo I must admit that I have been doing this for many years on an ad hoc basis. I have been screening for helicobacter pylori (HP) infection in patients who need to be on aspirin (primary or secondary prevention of coronary artery disease). This isn’t what is recommended in […]
Fitness and colorectal cancer – is there a connection?
23rd August 2025, A/Prof Chee L Khoo Not very often do you come across two significant studies on the same topic within weeks of each other. Over the last two months, two very interesting trials reported on the influence of exercise and fitness on risk of colorectal cancer (CRC) and the risk of recurrence of […]
What happens if you become frail?
14th July 2025, A/Prof Chee L Khoo It’s amazing how we have learnt to accept declining muscle function and increasing frailty as part of our patients getting older. At GPVoice, we have explored muscle health and sarcopenia many times over the couple of years. We know that declining muscle health is associated not only with […]