27th April 2024, A/Prof Chee L Khoo
PAD is associated with a high incidence of future lower-limb amputations, physical disability, cardiovascular outcomes, other serious health outcomes, reduced quality of life, and mortality (3–8). Some GPs are lucky to have tool that can easily perform ankle brachial index (ABI) as part of a cardiovascular assessment. It is a very simple tool that can detect peripheral arterial disease (PAD).…
27th April 2024, A/Prof Chee L Khoo
Metformin has microvascular (and perhaps, macrovascular) benefits in people with type 2 diabetes (T2D). It crosses the placenta and as with all medications used in pregnancy, we always worry about its potential effects on the offspring in utero. We worry about the metabolic effects of reduced nutrients to the growing baby in there. Current recommendations (RACGP handbook) says that the pros and cons of metformin in pregnancy for women with diabetes (not GDM) are unclear (1).…
13th April 2024, NIA Diagnostic Imaging
At NIA Diagnostic Imaging, we are proudly the only Medical Imaging Provider in Southwest Sydney that has continued to Bulk-Bill ALL Medicare eligible examinations including:
• ALL Obstetric Ultrasounds
• ALL Interventional Procedures performed under Ultrasound or CT guidance
• Biopsy, FNA, Aspiration, Hook Wire Localisation, Pain Management Injections
At NIA Diagnostic Imaging we always aim to prioritise the health of our patients and are compassionate and diligent in our delivery of premium care.…
13th April 2024, A/Prof Chee L Khoo
We are all used to metformin being the first line glucose lowering agent when type 2 diabetes (T2D) is diagnosed. (Well, I know some you also use metformin before diabetes is diagnosed but that’s a different story). Glucose lowering efficacy of metformin is not that terrific as we now have much stronger glucose lowering agents available.…
13th April 2024, South West Radiology
By the time you read this post, South West Radiology Wetherill Park, Stocklands will have opened. This is South West Radiology’s 5th branch in Southwest Sydney in addition to their convenient branches in Campbelltown, Minto, Liverpool and Moorebank.
In addition to the friendly staff, South West Radiology pride themselves in:
1) Providing patients in South West Sydney with enhanced healthcare outcomes via early diagnosis & delivery of personalised radiology services
2) Providing referring physicians with seamless access to high quality diagnostic medical images and reports
3) Providing a supportive and collaborative work culture that promotes staff empowerment and professional development
Now, we have more convenient centres for our patients to go to.…
31st March 2024, A/Prof Chee L Khoo
In case you have not noticed, there was some disquiet in the cardiovascular community this week on the potential harm intermittent fasting can cause. The headline presentation says “8-hour time-restricted eating linked to a 91% higher risk of cardiovascular death”. Well, any study regarding “diets” are always going to be sus.…
28th March 2024, A/Prof Chee L Khoo
We all know that high LDL-C is absolutely and adversely associated with cardiovascular mortality and morbidity. It’s been “proven” again and again in large clinical trials and meta-analyses after meta-analyses. Reducing lipids levels have also been shown to reduce cardiovascular (CV) events in secondary as well as in primary prevention. This is particularly the case in those with intermediate to high CV risks.…
28th March 2024, A/Prof Chee L Khoo
We all know that when type 2 diabetes (T2D) presents at a younger age, they tend to be more aggressive in its progression as well as in the complications it causes. The complications also emerge earlier as well more aggressive. There are more cardiovascular events, more renal events and now, increasingly recognised, more liver complications.…
11th March 2024, NIA Diagnostic Imaging
It is actually not that difficult to diagnose pulmonary embolism. Patients with chest pains, shortness of breath, tachycardia and perhaps, light headedness might suggest pulmonary embolism. However, on their own, those symptoms may be from a number of medical conditions. Only with a high index of suspicion would you consider ordering more investigations looking for pulmonary emboli.…
10th March 2024, A/Prof Chee L Khoo
Myocardial infarction in a patient with minimal coronary artery disease (stenosis <50%) is increasingly being recognised in patients with myocardial injury but no significant coronary obstruction is demonstrated. Myocardial Infarction in Non-Obstructive Coronary Arteries (MINOCA) accounts for approximately 5-10% of all myocardial infarction. The precise pathogenesis is poorly understood. Diagnosing MINOCA is not straightforward and identifying the aetiologies and ongoing management can be challenging.…
7th March 2024, A/Prof Chee L Khoo
There was some kerfuffle recently in the lay press about muscle loss with semaglutide. Great horror? Well, it doesn’t matter how you lose the weight. Any significant body weight loss will incur lean body mass loss (LBM). It’s not unique to GLP1-RA injections. Weight loss from bariatric surgery, dietary restrictions or just healthier eating will do the same.…
29th February 2024, South West Radiology
We all know how important quality and consistency is when we choose where our patients go to for their ultrasound scans. It is even more important when we choose where they go to for their follow up scans to compare with the last scan. This is particularly important when we look at serial ultrasounds during pregnancy.…