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Nordocs
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Kyleena versus Mirena
Kyleena versus Mirena

The LARCS aren’t singing in Australia

Noteworthy stories in the medical media have highlighted a general lack of education and procedural training for GPs around the topic of long-acting reversible contraceptives (LARCS), used by 12% of women in Australia compared with 15% in comparable countries. 

Although usage has increased in recent times, we still lag behind other countries, and the uptake rate has plateaued rather than increasing.

Details
Written by: Dr Andrew Binns
Published: 29 December 2020

Read more: The LARCS aren’t singing in Australia

PHN

What’s your QI?

In the front line of general practice, Quality Improvement (QI) can be hard to get to. The needs and challenges presented by patient care, service demand, human resources and business viability fill every day to capacity (and that’s before you add a global pandemic into the mix). 

That’s why Healthy North Coast (HNC) launched new online resources in late May via the “Primary Care Impact (PCI)” website, to make it quicker and easier to plan and initiate quality improvement. PCI offers pre-populated quality improvement topics with links to key resources as well as a few basic improvement ideas to get the ball rolling.

It also provides a PDSA (Plan-Do-Study-Act)template embedded with simple strategies to help ensure success. These include canvassing staff on what difference they believe the quality improvement will make, how important it is  to them to do it and how confident they are that the team will succeed.

Details
Written by: North Coast Primary Health Network
Published: 22 December 2020

Read more: What’s your QI?

Blueberries
Photo by veeterzy on Unsplash

Has a superfood become an enviro-vandal?

The fruit commonly associated with Coffs Harbour is the banana, plantations of which have covered the steep hillsides fringing the North Coast town for decades. So celebrated was the crop that it spawned one of Australia’s roadside attractions known as the ‘Big Things’.

Now, changing times and tastes have created a market for a more valuable fruit, the blueberry, a native of North America, and netted plantations have rapidly taken over much of the land previously under bananas.

The industry, like its banana forebear, is dominated by industrious farmers of Sikh Indian background – Woolgoolga hosts the biggest Sikh temple on the east coast, and the State MP is of Sikh heritage.

It is hard to imagine the construction of a ‘Big Blueberry’, especially as the Big Banana Fun Park has been upgraded in recent times, but the popularity of the ‘superfood’ continues to grow.

Details
Written by: Robin Osborne
Published: 17 December 2020

Read more: Has a superfood become an enviro-vandal?

Mungo (Felt pen on Echo newspaper clippings) by Jeni Binns
Mungo (Felt pen on Echo newspaper clippings) by Jeni Binns

Vale Mungo MacCallum

I dipped in and out of Mungo MacCallum’s life for decades, starting with an introduction in the office in (old) Parliament House, Canberra that he shared with my childhood friend, the late Helen Ester (nee Cunningham), an accomplished journalist who held similar views of the Australian political class.

Helen worked for the Inside Canberra newsletter, later launching her own publication, Monitor. Mungo was writing for outlets far and wide. I was astounded that these bright sparks could turn out wonderful stories from such a claustrophobic office.

Mungo and I shared space and time in two media outlets, the quirky Nation Review and ABC radio’s Double J where I interviewed him each afternoon for the Frontline news program: “So, Mungo, what’s been happening in Australian politics today…?”, and off he’d go.

Later, as editor of the Lismore Echo, I engaged him to write a weekly column that we titled, with his amused approval, ‘Political Corrections’.

Details
Written by: Robin Osborne
Published: 12 December 2020

Read more: Vale Mungo MacCallum

year of the rat

Year of the e-Rat

In the Chinese calendar, 2020 was the year of the rat although some would argue it was the year of the bat or perhaps even the pangolin.

According to the calendar, the rat is the first of a 12 year cycle where each year is associated with an animal. There is also a superimposed elemental cycle (of which there are five) and 2020 was the first metal rat in 60 years. The rat is associated with the Northern winter and white, the colour of snow.

As befits the new era of a metal rat, 2020 saw major changes in medical communication technology. Most of what medical practitioners did continued as usual except everything now had an “e-” option.

Patients from many practices started to make e-bookings through one of several online commercial medical booking providers. Log in and find your favourite GP and book for her next available appointment.

Details
Written by: David Guest
Published: 06 December 2020

Read more: Year of the e-Rat

  • Humans, Animals and Covid19: a two-way street (or roundabout?)
  • Whither the PHN?

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