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.…

Taking the hassles out of workers comp referrals

28th November 2020, Spectrum Radiology

paperwork galore

Don’t we hate it? Paperwork, approvals, waiting for more forms, more tick boxes, scan and fax and more waiting. That is what happens frequently with workers comp cases when patients need more investigations. What if you can get someone else to do it? Someone else other than you practice staff.

You now have a choice.…

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.…

Multi-use lancet device for blood glucose monitoring – URGENT cautionary tale

27th October 2020, Dr Chee L Khoo

blood glucose monitoring

Some of you would have read about the use of the multi-use lancet devices for testing different individuals that was in mandatory quarantine in Victoria between March and August this year. The lancets were disposable but the device holding the lancets were not. I thought everyone knew. I was wrong. Judging by the comments online after the publication of that issue in the Medical Republic, I suspect many of you don’t actually know the infection risk these devices pose and I felt the imperative to write this urgent article.…

Hypoglycaemia in non-diabetics – is it a problem?

hypoglycaemia

27th September 2020, Dr Chee L Khoo

We know that hyperglycaemia is associated with increased cardiovascular mortality. We also know that in patients with diabetes, hypoglycaemia is also associated with increased cardiovascular morbidity and mortality. What about patients who don’t have diabetes and have low blood glucose (<4.0 mmol/L)? I am sure we all have patients who do not have diabetes but on screening blood tests, have BSL lower than 4.0 mmol/L.…

Do you know this giant lurking in SWS?

27th August 2020, Dr Chee L Khoo

I first met him in December 2014 just before he started work at Western Sydney University in 2015. For someone who has just arrived in south west Sydney, I was most impressed to see how well he grasped the problems we have with the quality of care in patients with diabetes in our area.…

Acne – are dietary factors relevant?

25th August 2020, Dr Chee L Khoo

diet and acne

Moderately severe to severe acne can have significant psychological harm associated with low self-esteem, poor perception of one’s body, social isolation, and depressive symptoms. Patients often believe that consumption of various food contribute to their acne development and severity. Although chocolate, fatty foods, and milk are frequently thought to be responsible is there any evidence on the role of nutrition in acne?…

Deleting ECG item numbers in primary care – whose idea was it?

27th July 2020, Dr Chee L Khoo

GP: the brains behind ECGs

Just pause and think for just one minute. Over the last 12 months, how many atrial fibrillations have you picked up incidentally on ECG? How many silent old acute myocardial infarct have you seen on ECG in a patient with diabetes? How many ST and T wave changes have you seen on ECG which suggest ischaemia which requires further investigations?…

Medical Nutritional Therapy – why are you not prescribing it?

26th July 2020, Dr Chee L Khoo

Whenever we think about management of hyperglycaemia in patients with type 2 diabetes (T2D), we usually think about the most efficacious hypoglycaemic agent we can find (and on the PBS). If you look carefully at most management guidelines, lifestyle measures appears at the very top of the algorithm, side by side metformin. Sadly, it is often not the most prominent and usually, dismissed as an important part of the treatment algorithm.…