- Written by Dr Nathan Kesteven
The Northern Rivers General Practice Network has continued to support and advocate on behalf of general practitioners over the last 12 months. It has represented general practice through its membership of the North Coast Primary Health Network and from members’ participation in the Northern Clinical Council of the NCPHN.
Areas of particular focus for the NRGPN in the Council have been information and communication technology, Aboriginal health, improved care of refugees and arguing for better integration of health care between the NSW State run local prison system and the better funded and organised Medicare system.
In advance of an annual general meeting postponed for several weeks because of the region’s bushfires the Northern NSW Local Health District, covering the area from Tweed to the Clarence, released a yearly snapshot of its achievements for 2018-19
Declaring the ambitious goal of working towards being the “leading regional local health district in Australia” the LHD said it provided healthcare for more than 300,000 people in Northern NSW. It added that significant growth meant the region’s population is projected to grow by eight per cent over the next decade.
- Written by Robin Osborne
Robin Osborne meets local cabinet maker Colin Fardon, a master craftsman in the making.
A chance meeting at a party in Brisbane has resulted in Casino-born woodworker Colin Fardon selling his milestone creation for the astounding sum of $68,000 and in the process deciding to become a cabinet maker full-time.
“Now I can give up the day job and follow the dream,” Colin joked as he carefully handled one of the beautifully crafted drawers from his inlayed collector’s cabinet titled “Three Little Birds”.
The work is part of the exhibition Chesta Drawz and the LowBoys that ran recently at Lismore Regional Gallery. The other works, less ambitious in scale but also superbly executed, were by passionate locals – including former Lismore City councillor Brian Henry - who had studied with nationally acclaimed cabinet maker and local resident Geoff Hannah. Geoff’ latest masterpiece was in the show, while in a nearby room stood his million-dollar (literally) creation the ‘Hannah Cabinet’, the subject of an intensive fundraising effort aimed at keeping this wonderful work in Lismore.
Colin said he had trained with Geoff for one day a week for 16 years (Colin is now aged 31). The master had never raised his voice or expressed a cross word.
- Written by Dr Jowita Anna Kozlowska | Specialist Physician | Lismore Base Hospital
In recent years breakthrough advances have occurred in the management of ischaemic stroke, greatly improving clinical outcomes. Along with the availability of clot retrieval for acute management of stroke there have been advances in stroke secondary prevention. The following article summarises the highlights of the talk given on the Modern Management of Stroke at the Nordoc conference in June 2019 and focuses on recent updates in the field.
Facts about stroke:
Stroke is one of Australia’s biggest killers and a leading cause of disability, killing more women than breast cancer and more men than prostate cancer (1). Even when patients survive, most suffer a disability that impedes their carrying out the activities of daily living unassisted (2). Therefore, it is of utmost importance to look for new ways and strategies to reduce the detrimental consequences of stoke.
One of the breakthrough advances has been the implementation of clot retrieval in the management of stroke caused by a large vessel occlusion. A series of clinical trials published in 2015 showed consistently that endovascular treatment, in combination with best practice medical treatment, was superior to the latter treatment alone for patients suffering acute occlusion of the internal carotid artery or the main stem of the proximal middle cerebral artery. The number needed to treat in most studies ranges between 3 to 7 to achieve a positive outcome and functional independence (3,4,5,6,7).
The proliferation of health related apps – more than 3 million available so far, with 200 new ones being created daily - has prompted a warning that the app jungle is almost impossible for consumers to negotiate safely. Moreover, many app products are ineffective or inaccurate, thus exposing users to major health complications as well as posing a privacy risk through personal data being hacked or misused.
According to the Health Informatics Society of Australia, the peak body for the digital health community, the huge number of apps is confusing for consumers who often find it hard to decide which apps are evidence based. An app store search for diabetes apps delivers a plethora of choices that leaves most potential users uncertain and possibly feeling negative about the value of any apps in the self-management of their disease.
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