Category: Primary Care

Rheumatic ❤️ Disease

‡ Yesterday I saw a four-year-old boy with school sores. The day before my colleague saw a 16-year-old girl with a fever and knee pain. Last week our visiting paediatric cardiologist saw an eight-year-old girl with a new cardiac murmur. Last month our clinic health worker saw a 25-year-old male receiving...

Of Art and Uncertainty

“In order to make progress, one must leave the door to the unknown ajar.” Richard Feynman...

Silos in health care: how can we master them?

A friend of mine recently had a baby.  Let’s call her Amy.  She lives in one of Australia’s many quaint country towns. This week, in addition to managing the usual sleep deprivation and adjustment that comes with a newborn, she also had several appointments to attend.  She saw her...

The Torres Approach to Hepatitis B

Chronic hepatitis B (CHB) is widespread in the Torres Strait. Over the last few years there has been a focused effort within the medical team to devise a strategy to ensure safe and appropriate diagnosis and management of CHB. Extensive consultation with the local workforce and relevant specialists guided...

Magnesium. What’s in it for ATSI?

As we improve our preventative health screening practices in Remote Indigenous Health we inevitably encounter incidental abnormalities in routine pathology. Given our limited resources and developing recall systems, what do we do about them? Hypomagnesemia is a common finding in population screening in the Torres Strait.  Epidemiological studies have...

Reflections & Resources from the RACGP QLD Clinical Update

I escaped the rock recently and spent the long weekend in Brisbane.  In addition to the usual mainland activities (eating out, shopping, attending the local cinema and more shopping), I attended the RACGP Qld Clinical Update. I often come home from conferences feeling reinvigorated and inspired, but I never...

Preventative Medicine: Healthy Kai Kai & Deadly Exercise

As primary healthcare doctors we have the privilege of educating and promoting good health amongst our patients. We know that preventive medicine is essential in reducing the morbidity and mortality of chronic disease including the most commonly seen here in Torres Strait Islanders: cardiovascular disease, diabetes and chronic kidney disease....

The Pressure Is On: Will Australia Adopt New Hypertension Guidelines?

The Evidence: A randomised trial of intensive versus standard blood-pressure control The Summary: The SPRINT trial was a randomised, controlled trial comparing the safety and efficacy of intensive lowering of systolic blood pressure (SBP) to less than 120mmHg, compared with standard management to less than 140mmHg. The study included...

Iron Deficiency Anaemia

As we improve our preventative health screening practices in Remote Indigenous Health we inevitably encounter incidental abnormalities in routine pathology. Given our limited resources and developing recall systems, what do we do about them? The ABS report that remote indigenous populations are 2-3 times as likely to suffer from...

Incidental Eosinophilia

As we improve our preventative health screening practices in Remote Indigenous Health we inevitably encounter incidental abnormalities in routine pathology.  Given our limited resources and developing recall systems, what do we do about them?  Over the next few weeks we will address a handful of common queries and a...