GP Voice

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Paediatrics

Oral steroids for glue ear?

1st September 2018, Dr Chee L Khoo After acute otitis media, the middle ear effusion usually resolves within days although it may take up to 3 months in some children. However, in up to 8% of kids, the effusion persist beyond the 3 months and…

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Tonsillectomy – do they affect future immunity?

July 1st, 2018, Dr Chee L Khoo I am sure you have been asked by parents of young patients about to undergo tonsillectomy +/- adenoidectomy whether the removal of the tonsils will affect future immunity since the tonsils and adenoids are integral to the body’s…

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Prescribing antibiotics for influenza – are you one of them?

June 15, 2018, Dr Chee L Khoo The most recent stats tell us that antibiotics prescription for viral URTIs have come down. It certainly gives us that warm and fuzzy feel good feeling that finally, the message is getting through in primary care. Well, are…

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Metformin in pregnancy – where are we now?

April 2018, Dr Chee L Khoo Another day, another study published on the good or bad about metformin use in pregnancy. There is a lot of confusion and unknowns about the benefit or safety of metformin to the mother-to-be or to the long-term outcome of…

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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…

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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….

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