AZ vaccine and clots – number crunching time

13th April 2021, Dr Chee L Khoo

Every time the government overpromise and underdeliver, we are the ones that have to deal with the public whose expectations have been led unnecessarily high for political reasons. With the issue of clots relating to the AZ vaccine on the front page over the last week or so, patients are now utterly confused and look to their GP for advice as to where and when to proceed.…

AZ vaccine and clots – media hype?

27th March 2021, Dr Chee L Khoo

cerebral venous sinus thrombosis (CVST)

It all started when the Austrian regulatory authority suspended the use of a batch of AstraZeneca (AZ) vaccine on March 9th after a patient was diagnosed with multiple thrombosis and died 10 days after vaccination, and another was hospitalised with pulmonary embolism after being vaccinated. At least 16 other countries follow suit and suspended the use of AZ vaccine.…

Covid-19 vaccine roll out – time for some pre-planning

27th February 2021, Dr Chee L Khoo

time for panic yet?

Even though there should be no panic in the roll out, as more and more is being flashed across our TV screen, patients may start queuing up at the practice agitating to be first to be vaccinated. We all still have our normal patients to look after everyday and we need some pre-planning to avoid being snowed under and causing stress to GPs and their staff.…

Covid-19 vaccines and pregnancy – what do you need to know?

13th February 2021, Dr Chee L Khoo

Covid-19 vaccine

As often occurs with new medications and vaccines, pregnant individuals were excluded from the clinical trials for these vaccines. As the vaccine roll out begins, women who are pregnant or planning to become pregnant will want to discuss the safety of the vaccines with their GP. We better be up to date with the relevant issues so that we can have a meaningful discussion with our patient.…

Game changer to EOI for Phase 1B vaccine roll-out

2nd February 2021, Dr Chee L Khoo

To jab or not to jab

Since my last post on the expression of interest (EOI) in participating in the Phase 1B covid-19 vaccine roll out, there have some changes and clarification to the silly announcements that may make it more acceptable to submit the EOI:

The National Booking System (NBS) has not been created yet and is unlikely to be ready in time for the launch of Phase 1B (if at all).…

The big Covid-19 vaccine roll out con – don’t fall for it

24th January 2021, Dr Chee L Khoo

The big vaccine roll-out con

PERSONAL OPINION

Is it deliberate that we are given 10 days lead time to submit an expression of interest (EOI) to participate in the national Covid-19 vaccine Phase 1b roll-out? 18 pages of information released on a Friday afternoon in the hope that we might skim over the details and sign up without reading the fine print?…

A message to all GPs from Dr Kerry Chant

Dear Colleague  

NSW Health would like to thank you for your continued work in the response to COVID-19.  In order to continue to identify any undetected cases and break chains of transmission, we need to remain vigilant.  The key to achieving this is to test people with even the very mildest symptoms of COVID-19.  While testing rates have been relatively high in recent weeks, we need to continue to encourage testing and remain on high alert. …

Covid-19 vaccination – is herd immunity achievable?

12th January 2021, Dr Chee L Khoo

Covid-19 vaccination

So, here we are. It’s almost 12 months since the beginning of the Covid-19 pandemic. A number of vaccines will become available within weeks. GPs can’t be the sole provider of the vaccines but we will a major part of the vaccination roll out program. We haven’t heard much from NSW Health on how the program will be rolled out, which will be the first subgroups we will be vaccinating nor will the vaccine ordering system be better than last year’s influenza vaccination program.…

Covid-19 vaccines – what are the issues?

27th November 2020, Dr Chee L Khoo

Covid-19 vaccine

Coronaviruses compose a family within the Nidovirales order and replicate by use of a nested set of mRNAs. Four seasonal human coronaviruses (229E, NL63, OC43, and HKU1) have been identified as causing up to a third of community-acquired upper respiratory tract infections. Yet our knowledge about the immune response against this family of viruses is very limited.…

Does wearing a facemask cause hypoxia?

14th November 2020, Dr Chee L Khoo

facemasks

It’s been at least 12 weeks since we started to wear facemasks at the practice full time with all face to face consultations. I must admit that during the first week, I did feel a bit suffocating with the mask on. I remember having to stop mid-sentence to catch my breath. I could sympathise with many patients, particularly patients who has COPD, asthma or heart failure.…