GP Voice

voice of general practice

Congenital Hip Dysplasia – how useful is the “click”?

February 2018, Dr Chee L Khoo

Congenital hip dysplasia (CDH)  is a common fear when we examine newborns. A clicky hip is a common reason for further investigations. CDH is actually not very common but how often does a clicky hip lead to a diagnosis of CDH? In other words, how useful is the “click”?

A 20-year prospective, longitudinal, observational study was undertaken to assess the relationship between the presence of a neonatal clicky hip and pathological CDH.…

To err is human… actually, it’s now manslaughter!

February 2018, Dr Chee L Khoo

I am sure you have read about Dr Bawa-Garba who was “thrown under the bus” by the system for her treatment of a 6 year old child with Down’s syndrome who died of sepsis while being treated in hospital. . There have been many discussions in UK and internationally about the ramifications of the court and tribunal’s decisions  but what can GPs in Australia learn from this case?…

CancerSEEK test – not another screening test for cancer

February 2018, Dr Chee L Khoo

“Doc, is there a test for cancer?” I’m sure you have many a patient asking for a blood test to screen for cancer. Some of you may be tempted to order a CEA or a CA-125 without being familiar with their sensitivities and specificities (that’s another story on another day). An international group of researchers recently described a blood test, called CancerSEEK which purportedly can detect eight common cancers.…

Dasiglucagon – the new glucagon

February 2018, Dr Chee L Khoo

Hypoglycaemia is one of the most common endocrine emergencies and the most feared complication of having diabetes. Treatment of severe hypoglycaemia in patients who are unable to take oral treatment is limited to either glucagon or glucose injections both of which requires some experience in playing with syringes and bottles. Dasiglucagon, a novel soluble glucagon analog, is a ready to use rescue pen developed for treatment of severe hypoglycaemia.…

GP Drug & Alcohol Advice & Support Service

We all have patients troubled by alcohol or drugs. We are either approached by the patient or more often than not, family members who are lost in the maze of services out there. Despite being a GP in the area for more than 25 years, I still don’t know what is out there, who needs what, let alone who or where to get help for these patients.…

Non-invasive prenatal testing – what GPs need to know

February 2018, Dr Chee L Khoo

You would have no doubt come across a few patients enquiring about non-invasive prenatal testing. Obviously, this come on top of the “optional” nuchal translucency (NT) with or without maternal serum analysis which has been around for some years. What does non-invasive prenatal tests (NIPT) exclude and what does it not exclude?

So, what doE NIPT test for?…

Diabetes and Oral Health – it cuts both ways!

Patients with diabetes commonly have significant dysfunction of the immune system leading to chronic inflammation in many organ systems. It is not uncommon to see patients with T2D suffering from oral and periodontal disease which has been shown to worsen the diabetes disease. What is less known but shown in many studies is that periodontal disease is associated with development of diabetes.  …

T2D – does it have to be progressive?

February 2018, Dr Chee L Khoo

It’s frustrating isn’t it when managing patients T2D. Patients adhere to diet and lifestyle the best they can, the HbA1c is “on target” but yet we have to keep layering more tablets or injections over time to maintain the constantly deteriorating glycaemic control. Can we do better than accepting without question the “progressive nature of T2D”?…

Chronic Hep B Mx- Fairfield GPs do it better

January 2018, Dr Chee L Khoo

GPs from the Fairfield area did us all proud in south west Sydney. They were part of the B Positive Program which demonstrated that with training, increased community awareness and coordination, primary care patients with chronic hepatitis B received anti-viral treatment which was 3X higher than the average uptake in Australia. The pilot program also increased GP and community awareness of Chronic B Hepatitis (CHB). …

Treatment resistance depression – a solution finally?

Jan 2018, Dr Chee L Khoo

The mainstay for the treatment of major depression disorder (MDD) has been SSRIs since the 1980s. But up to a third of patients with MDD don’t respond to the usual treatment for depression. This is commonly referred to as treatment resistant depression (TRD). The NDMA glutamate receptor antagonist, ketamine is known to have an efficacious and rapid-onset anti-depressant effect in patients with TRD.…

Watchful wait in Aortic Stenosis – waiting for what?

November 2017 – Dr Chee L Khoo:

Aortic stenosis (AS) is the most common valvular heart disorder in Australia. About 3% of people >75 yo have AS and  most are diagnosed on incidental auscultation of the precordium or when echocardiogram is done for other reasons. The valve progressively narrows over years leading to cardiac failure. Sadly, once symptomatic, AS is rapidly fatal and often valve replacement is necessary.…

Articles by Categories

Copyright © 2018 GP Voice