Have you ever opened a Christmas present to find it wasn’t quite what you expected?
I confess, I hate Secret Santa. I’ve been scarred more than once. One time a group of my friends decided it would be good to do a Secret Santa. I spend an hour or two making sure that I found a present for my secret santa that was good quality, something small but meaningful. After all, no one wants to get some dud present. In the end I bought this person a small sampler of some good quality chocolates – something discreet, tasteful and universally enjoyed.
In return, I got a tin of cat food … and not even good quality cat food, but the cheapest generic cat food from the worst supermarket chain.
Stunned, I remember stammering, “But … I don’t have a cat …” (For the record, my friends were very unsympathetic and…
Although we are blessed in Australia with a truly great outdoors, when other factors come into play such as bad weather or lack of means to drive to a beach or similar, children have a wonderful way of being quiet and calm one moment and the next being as animated as a Tasmanian Devil (think the Disney cartoon kind). They also appear to take to, and welcome routine and sometimes practicality.
David completed his nursing and medical degrees at Flinders in 2010. He subsequently spent 4 years in Darwin, Hervey Bay, and Port Lincoln completing his fellowship in rural and remote general practice. He spends 1 week each month as an emergency physician in Broken Hill. He’s married to Kerri and has 2 boys, Aiden aged 9 and Mason aged 11. In his spare time he enjoys marathon running (very slowly) and silver smithing.
Dr David is a Fellow of the Australian College of Rural and Remote Medicine, which is the other qualification that fully qualified General Practitioners in Australia can have. ACRRM defines a General Practitioner as the doctor with core responsibility for providing comprehensive and continuing medical care to individuals, families and the broader community. Competent to provide the greater part of medical care, the general practitioner can deliver services in the ambulatory care setting, the home, hospital, long-term residential care facilities or by electronic means – wherever and however services are needed by the patient.
There has been a change in Canberra. Is an election coming?
If you suffer from premature election, you may feel the need for better healthcare. Primary care consistently delivers better bang for your buck – whether via the tax system or from your own pocket. Sometimes there is a gap – read on and watch the video.
In 1996 Oxycontin a drug more powerful than Heroin hit the medical marketplace. It was touted as the cure for any pain, without addiction and without risk. Drug Companies have made many millions from this drug, at the cost of many deaths.
In 2018 we face an evolving crisis following America down a slippery slope, that will cost us our relatives, parents, sons, and daughters if we don’t change.
Partridge Street General Practice is proud to be a low prescriber of opioids, narcotics, and other medications that have NOT been shown to be effective and safe. We will be happy to discuss better options with you right here.
TRACY BOWDEN: Dr Joseph is a strong believer in continuity of care.
DR PETER JOSEPH: For patients, they come in and they don’t have to explain things to you, that happened years ago, because you know it.
You learn what’s going on in the family and how that affects their health.
You can also pick subtle changes.
What are the solutions?
Dr Stephen Dick suggests the following:
The service is not viable financially and is attached with a burden of being on call 24/7, and having to deal with untrained staff triaging patients who are quite sick with chronic diseases. The fix: 1. GPs to operate on a salaried basis to service nursing homes, including a callout fee. The FFS model is broken, utterly, utterly broken, when it comes to aged care.
2. Legislated nurse to patient ratios – both RN to patient and carer to patient ratios.
3. Nursing homes to provide an imprest of basic medications, such as antibiotics and opioids, for after hours issues.
4. Pharmacies to be contracted to provide medications for the residents from a nationally standardised medication chart on a capitated basis – NO MORE OWING SCRIPTS.
5. Get an accreditor with teeth to do spot inspections and severe fines for companies that flout the rules. First offence – $50,000 fine. Second offence – $200,000 fine, resident fees non-payable and the CEO of the responsible corporation placed under house arrest until rectified. Third offence – Home shut down, bonds repaid in full to residents within 30 days, and residents to stay bond-free when and if the facility reopens.I guarantee that if a hospital suddenly had to find 80-odd hospital beds they’d find a solution quick smart.
6. Diets to be individualised and supervised by a dietitian and speech pathologist.
7. Responsibility for the nursing home to provide access to physio, OT, speech, podiatry, optometry in addition to DT.
8. Homes to have a standardised kit out of medical equipment, such as a diagnostic set, ECG machine, local anaesthetic and suture material, biopsy sets, and a room with a printer and wireless access to a network so that we can attend without having to bring every. Little. Piece. of equipment.
I suggest some simple rules for Aged Care facilities: