GP Voice

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Diabetes Management – GPs as good as Diabetes Centres!

13th November 2018, Dr Chee L Khoo

70-80% of patients with type 2 diabetes (T2D) are managed in primary care in Australia. Patients managed in hospital based outpatients have the advantage of multi-disciplinary team care. They have dietitians, credentialled diabetes educator (CDE), physiotherapists and of course, the endocrinologist in the team. On the other hand, we, as GPs, have the advantage of knowing our patients and their families’ social environment.…

“Trust me, I am a doctor” – don’t take that for granted!

15th August, 2018, Dr Chee L Khoo

Opinion article 

“Trust me, I’m a doctor” is so universally accepted that we don’t even have to say it. Patients know that they can trust us implicitly. What are we asking patients to trust us with though? The current debate or argument about the pros and cons of opt-in or opt-out with MyHealthRecord may endanger the trust patients have in their doctors.…

Acute knee injuries – importance of history taking and simple examination

June 15, 2018 Dr Chee L Khoo

Someone once said “If at the end of taking the history, you do not have the diagnosis, take the history again”. This is particularly relevant when we come to knee injuries. In 90% of the time, when I see someone with a knee injury, I have a fair idea what I am looking for in the examination before I even touch the patient.…

Insurance Claims Made Easy (with help from some friends)

Don’t we all hate the paperwork and the hassle of insurance claims – workers compensation, CTP or similar. And to have to chase after the unpaid invoices months after the case have closed. Since, January this year (I think), there have been some positive changes to the whole NSW Workcover system. Is it just me? I don’t recall being notified about the changes.…

A smart vaccine fridge is no match against the bean counters

June 1, 2018, Dr Chee L Khoo

Imagine if your vaccine fridge sends you a message if the fridge temperature veered outside its set range of 2-8 degrees Celsius. You would say “now that’s technology”. And imagine you could do all that for a little more than A$100. Well, that’s exactly how my vaccine fridge at the practice is “wired” up to do.…

Hepatitis C treatment in general practice – my first case

May 15, 2018, Dr Chee L Khoo

Kylie was known to have chronic hepatitis c infection for many years. She had been busy for the last 2-3 years being pregnant. We talked about anti-viral treatment as soon as she finished with breast feeding her last baby. She had heard about these wonder drugs curing her hepatitis C infection.

When Kylie was ready, we went through the motions:

Pre-treatment Asssessment – the 6 Cs

  1. Complications of liver disease
  • Co-factors for liver disease progression
  • Signs of liver disease
  • Presence of cirrhosis -consider Fibroscan for any patient with hepatitis C.

“Health, performance and conduct concerns among older doctors” – A set up in progress?

April 15, 2018,  Dr Chee L Khoo

If it was a headline conclusion in any other medical publication, we would be combing the study looking for holes, validity, statistical significance and clinical relevance. We would be checking that the conclusions drawn were correct and valid conclusions that arose from the data. But when it was the Medical Board which released the headline, most of us, kind of, accepted the conclusions of the study without questions.…

Complementary vs Conventional Medicine – it doesn’t have to be like that!

April 2018, Dr Chee L Khoo

The term complementary medicine refers to a group of diagnostic and therapeutic disciplines that exist largely outside the institutions where conventional health care is provided and taught. The wide range of disciplines classified as complementary medicine makes it difficult to find defining criteria that are common to all.

In Germany, a significant proportion of doctors have additional qualifications in chiropractic, homeopathy and naturopathy.…

How to get lounge access when flying economy

March 2018, Dr Chee L Khoo

If you earn more than $76,000 per annum and you would like lounge access when flying economy overseas on the cheap, read on. I don’t know about you but I can only afford economy class when flying overseas. I can’t really justify spending 4 times the economy fare to be pampered. Really, I just need lounge access.…

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.…

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). …

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