booking

COVID vaccine is here at PartridgeGP.

Check if you are eligible – CLICK HERE***

*** note everyone in SA is now eligible for a vaccine***

South Australia has announced a major step forward in its vaccination rollout, offering both Pfizer and AstraZeneca to anyone aged over 16. Bookings for the two vaccines will be available at state-run clinics from Monday. The state will become the first in Australia to make both vaccines an option for those over 16.

Premier Steven Marshall said as of Monday, 127,000 extra booking slots would open to give younger South Australians the opportunity to get vaccinated.”As of Monday everyone over the ages of 16 can book in for that vaccination,” Mr Marshall said this morning.”We know that (vaccination) is what is going to keep our state safe, and it’s our passport out of the situation that our country currently finds itself in.

Mr Marshall conceded the availability of mRNA vaccines would be a constraint and the appointments would be for September and October, when Pfizer supplies become available. “We’re wanting to increase the demand now, get those bookings into the system,” he said.”Of course there are going to be delays because we do need to wait for additional supplies.”

DON’T WAIT – BOOK HERE

We are receiving approximately 100 doses per week and will be offering appointments to the best of our ability. with this capacity in mind.

These appointments are for an immunisation only. If you wish to discuss your suitability for the vaccine, or an unrelated matter,  a separate appointment must be made. Book online here or phone 82953200.

And that’s it. Any problems with this process – book a usual appointment right here.

PartridgeGP works with you to help you make your best health decisions, and we won’t back away from being your companion, guide, advisor, and sounding board through your health journey. We pride ourselves on great communication and we’re ready to share our professional skills and knowledge with you. This is only MORE important now with new vaccines here to END the pandemic. The way forward is clear: make your appointment with us conveniently online right here – or call our friendly reception team on 82953200.

Better, for you.

Want more?

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

For everyone, we believe that having a usual GP or General Practice is central to each person’s care and recommend that people with any health issues that come to the attention of other health professionals should be advised to attend their usual GP or General Practice rather than a specialised service (ie a place not providing the holistic care a specialist GP would).   If  they say that they don’t have a usual GP or general practice, they should be helped to find one and to actually attend it. Call PartridgeGP on 82953200 or make an appointment online here.

(Hat tip: Dr Oliver Frank)

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

If you’re employed, get a side hustle and get into business. If you’ve already got a business, get a network. Want to get started? Find your tribe here!

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

If you are a great GP or a great Allied Health Professional, and you want to serve your clients or patients to the best of your ability, without worrying about all the non clinical things that get in your way, lets talk. Call Mrs Hayley Roberts on 8295 3200 and have a coffee and chat with us as to how PartridgeGP can help you to help others.

Photo by Linda Eller-Shein on Pexels.com

zeroism

Boom! It’s the start of the working week and it is time to get your thinking on. COVID is the topic and Zeroism is the thought. You can see, in the header picture, two squares on the board, A and B. They look different, but they are the same colour. It’s all in your perception. Why is this relevant? Have a read of this fantastic article from Jonathan Chait.

I’ve written about where we are and how we will get to where we want to be.

Where we were :

Cough into your elbow and clean your phone! Both of these will limit spread of those little virus particles!

Now that you’ve cleaned your phone, and are practicing your social distancing, USE the phone. Telehealth is here via your phone, no special equipment needed.

STAY AT HOME, USE THE PHONE

And then

And then :

When it all turns to custard, as they say in New Zealand, one of the safest places on Earth (as I type), your GP is there for you. Your GP is, really, your best insurance.

If you’re a patient, looking for a great GP, PartridgeGP is here to help you, safely and well. You can book a face to face or telehealth consult right here.

And how we progress :

The Therapeutic Goods Administration (TGA) has provisionally approved the Pfizer/BioNTech COVID-19 vaccine for use in Australia. The Pfizer/BioNTech COVID-19 vaccine will be used initially during the Phase 1a rollout. These vaccine doses will be distributed through 30 to 50 key hospital hubs across urban and rural Australia to priority group 1a. Distribution to residential aged care and disability care facilities will be done through a Commonwealth vaccination workforce in-reach program.

Provisional approval of the University of Oxford/AstraZeneca COVID-19 vaccine is currently anticipated in February 2021, subject to regulatory requirements being met. Both vaccines will progressively be distributed through an expanded number of sites, including general practice clinics, existing Commonwealth GP respiratory clinics, state-run vaccination clinics and pharmacies.

And where we want to be

Photo by Rachel Claire on Pexels.com

As Jonathan Chait says:

Zeroism is an inability to conceive of public-health measures in cost-benefit terms. The pandemic becomes an enemy that must be destroyed at all costs, and any compromise could lead to death and is therefore unacceptable.

Jonathan Chait – links above

We need to do enough, for enough people, in enough different ways, to reduce risk enough. Enough is enough. We may not eliminate COVID but we will eliminate the pandemic. We can then begin to address the economic destruction and all of the weak points highlighted over the last 18 months.

PartridgeGP works with you to help you make your best health decisions, and we won’t back away from being your companion, guide, advisor, and sounding board through your health journey. We pride ourselves on great communication and we’re ready to share our professional skills and knowledge with you. This is only MORE important now with new vaccines here to END the pandemic. The way forward is clear: make your appointment with us conveniently online right here – or call our friendly reception team on 82953200.

Better, for you.

Want more?

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

For everyone, we believe that having a usual GP or General Practice is central to each person’s care and recommend that people with any health issues that come to the attention of other health professionals should be advised to attend their usual GP or General Practice rather than a specialised service (ie a place not providing the holistic care a specialist GP would).   If  they say that they don’t have a usual GP or general practice, they should be helped to find one and to actually attend it. Call PartridgeGP on 82953200 or make an appointment online here.

(Hat tip: Dr Oliver Frank)

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

If you’re employed, get a side hustle and get into business. If you’ve already got a business, get a network. Want to get started? Find your tribe here!

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

If you are a great GP or a great Allied Health Professional, and you want to serve your clients or patients to the best of your ability, without worrying about all the non clinical things that get in your way, lets talk. Call Mrs Hayley Roberts on 8295 3200 and have a coffee and chat with us as to how PartridgeGP can help you to help others.

Photo by Linda Eller-Shein on Pexels.com

what’s up doc

We talked about the roadmap – what’s new?

Australia’s COVID-19 Vaccine Roadmap


The Australian Government is expecting approval of safe and effective COVID-19 vaccines by the end of this month, with a rollout to priority groups beginning mid-February. In addition to being able to administer the vaccine when available, healthcare professionals will also be able to receive the vaccine in the following rollout phases:



Phase 1a


Frontline at-risk health care workers including staff in GP respiratory clinics and COVID-19 testing facilities, ambulance staff, paramedics, ICU and emergency department staff and clinical and ancillary support staff
Residential aged care and disability care staff
Residential aged care and disability care residents
Quarantine and border workers

COVID-19 Vaccine Roll-out to RACFs 
*The information provided in this section is relevant to residential aged care facilities (RACFs). Information relating to general practice and other health providers will be distributed as it becomes available. The Australian Government has commenced the COVID-19 vaccine roll-out across Australia, with RACF residents being among the first who can choose to receive the vaccine.  Phase 1a of the vaccine roll-out is due to commence next week in some RACFs, with only the residents of the facilities able to receive the vaccine in the first instance.  The Department of Health has released a COVID-19 vaccine aged care readiness toolkit to assist RACFs in planning for the vaccine roll-out and preparing facilities for vaccination. The toolkit includes a Site Readiness Checklist and Written Consent Form
thanks Adelaide PHN

Aged care workers, residents, families and representatives

Information is available for aged care workers and residents, their families and representatives to help make an informed decision about COVID-19 vaccination.

As with all other vaccines, valid consent is required before administering each COVID-19 vaccine dose.

Workers and residents may choose to talk to a health professional about the benefits and risks of vaccination. This will help to decide if vaccination is suitable.

The following resources will assist in deciding about COVID-19 vaccination:

Some jurisdictions have specific requirements relevant to guardians (or substitute decision-makers) consenting on behalf of another person.

If consenting to participate in the COVID-19 vaccination program on behalf of an aged care resident, refer to the enduring guardianship legislation in your state or territory for more information.

Phase 1b


Adults over 70 years
All other health care workers
Begin to vaccinate Aboriginal and Torres Strait Islander people
Younger adults with an underlying medical condition, including those with a disability
Critical and high risk workers including defence, police, fire, emergency services and meat processing.

Vaccine eligibility checker

The vaccine eligibility checker, hosted by healthdirect, is now live.
Users are asked a number of questions relating to age, location, occupation and underlying medical conditions to determine whether they’re currently eligible for the COVID-19 vaccine.
If you’re eligible to receive the vaccine under phase 1a, vaccinations will be organised by your employer, or facility where you consult, who will contact you to provide further information on how to receive your vaccination.

Some information for those whose first language isn’t English:

The Department of Health have developed a stakeholder pack for multicultural audiences with information on the COVID-19 vaccines.

The pack contains in-language communication resources and key messages to inform and educate everyone in Australia about the COVID-19 vaccines. Resources in the pack include audio files, videos, social media content, posters and factsheets. 

You can also find a letter from Dr Lucas De Toca, Assistant Secretary of the COVID-19 Primary Care Response at the Australian Government Department of Health, about how you can help support in sharing the latest information.


The Therapeutic Goods Administration (TGA) has provisionally approved the Pfizer/BioNTech COVID-19 vaccine for use in Australia. The Pfizer/BioNTech COVID-19 vaccine will be used initially during the Phase 1a rollout. These vaccine doses will be distributed through 30 to 50 key hospital hubs across urban and rural Australia to priority group 1a. Distribution to residential aged care and disability care facilities will be done through a Commonwealth vaccination workforce in-reach program.



Provisional approval of the University of Oxford/AstraZeneca COVID-19 vaccine is currently anticipated in February 2021, subject to regulatory requirements being met. Both vaccines will progressively be distributed through an expanded number of sites, including general practice clinics, existing Commonwealth GP respiratory clinics, state-run vaccination clinics and pharmacies.

Over-65s and the AstraZeneca vaccine

The Therapeutic Goods Administration (TGA) has provisionally approved the AstraZeneca COVID-19 vaccine for use in Australia for people 18 years of age and over.The TGA statement notes, ‘There are currently limited data available for the efficacy and safety in individuals over 65 years of age. However, the vaccine has been shown to create an immune response in this group and can be used based on the efficacy and safety demonstrated in the general clinical trial population. The decision to immunise an elderly patient should be decided on a case-by-case basis’.

In his General Practice COVID-19 update newsletter, Deputy Chief Medical Officer Professor Michael Kidd states, ‘There is no requirement for people over the age of 65 to discuss with their GP whether they should or should not have the AstraZeneca vaccine, unless they are very frail and/or rapidly approaching the end of life. Patients who are very frail, or their carers, are advised to discuss any vaccination with their GP’.
Thanks RACGP

Vaccine safety and effectiveness

All vaccines used in Australia must be approved by the Therapeutic Goods Administration (TGA). The TGA assesses the safety, quality and effectiveness of vaccines before they are registered for use.

Learn more about the safety of COVID-19 vaccines.



COVID-19 vaccines will be free for everyone living in Australia and the Government has made it clear that COVID-19 vaccination will be voluntary – but it is strongly encouraged. More information about training for health professionals will be available in the coming weeks that will cover vaccine specific information, multi-dose vials, infection control, wastage, and adverse event reporting.



More information about the above approach is outlined in the Australian COVID-19 Vaccination Policy and the COVID-19 Vaccines National Rollout Strategy.



The Department of Health developed a new vaccine website so you can stay informed. This website is regularly being updated with more information as it becomes available. Information will also be available in 63 languages. Subscribe to the COVID-19 vaccines updates to ensure you receive the latest updates available on the website. Thanks to the AMA for all of this – become a member!

In summary, version 1.0

PartridgeGP works with you to help you make your best health decisions, and we won’t back away from being your companion, guide, advisor, and sounding board through your health journey. We pride ourselves on great communication and we’re ready to share our professional skills and knowledge with you. This is only MORE important now, in the time of a global pandemic with a new vaccine on the horizon. The way forward is clear: make your appointment with us conveniently online right here – or call our friendly reception team on 82953200.

Better, for you.

Want more?

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

For everyone, we believe that having a usual GP or General Practice is central to each person’s care and recommend that people with any health issues that come to the attention of other health professionals should be advised to attend their usual GP or General Practice rather than a specialised service (ie a place not providing the holistic care a specialist GP would).   If  they say that they don’t have a usual GP or general practice, they should be helped to find one and to actually attend it. Call PartridgeGP on 82953200 or make an appointment online here.

(Hat tip: Dr Oliver Frank)

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

If you’re employed, get a side hustle and get into business. If you’ve already got a business, get a network. Want to get started? Find your tribe here!

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

If you are a great GP or a great Allied Health Professional, and you want to serve your clients or patients to the best of your ability, without worrying about all the non clinical things that get in your way, lets talk. Call Mrs Hayley Roberts on 8295 3200 and have a coffee and chat with us as to how PartridgeGP can help you to help others.

cant

Happy Saturday! January disappeared in a flash, and we are now half way through February. Australia has bought lots of vaccines, and, there is a new contender, a vaccine from Johnson and Johnson – one dose, adenovirus vector, fewer refrigeration issues. Johnson & Johnson’s vaccine comes out of decades of research on adenovirus-based vaccines. Clinical trials showed that a single dose of the vaccine had an efficacy rate of up to 72 percent. It’s going to be a big few months of immunisations! Today though, I’m going to hark back to 1937 and a classic book by Napoleon Hill, ‘Think and Grow Rich’.

Mr Hill interviewed many millionaires in the writing of this book and attempted to distill their habits into some rules and systems that everyone could use to achieve wealth. As an aside here, he merely looked at how they accumulated wealth. He didn’t look at what they did with it. In fact, one well known rule from the book that everyone would do well to adopt is, ‘Nothing substitutes for pleasing conduct’. Be positive, smile, do right by others, serve. This brings good energy to your life and deeds. How does this play out in real life?

Approval rating close to 100%

A practical application of this is to reframe when something is difficult. Rather than saying ‘I can’t’, go with ‘I don’t know how to do that yet’. This lends itself to finding solutions. This is the thinking that has given us vaccines. This is the thinking that gives us progress. This is the thinking that keeps us going forwards.

PartridgeGP works with you to help you make your best health decisions, and we won’t back away from being your companion, guide, advisor, and sounding board through your health journey. We enjoy learning with you and are very happy to say ‘we don’t know how to do that yet’ rather than shutting things down with ‘we can’t’. We pride ourselves on great communication and we’re ready to share our professional skills and knowledge with you. This is only MORE important now, in the time of a global pandemic with a new vaccine on the horizon. The way forward is clear: make your appointment with us conveniently online right here – or call our friendly reception team on 82953200.

Better, for you.

Want more?

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

For everyone, we believe that having a usual GP or General Practice is central to each person’s care and recommend that people with any health issues that come to the attention of other health professionals should be advised to attend their usual GP or General Practice rather than a specialised service (ie a place not providing the holistic care a specialist GP would).   If  they say that they don’t have a usual GP or general practice, they should be helped to find one and to actually attend it. Call PartridgeGP on 82953200 or make an appointment online here.

(Hat tip: Dr Oliver Frank)

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

If you’re employed, get a side hustle and get into business. If you’ve already got a business, get a network. Want to get started? Find your tribe here!

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

If you are a great GP or a great Allied Health Professional, and you want to serve your clients or patients to the best of your ability, without worrying about all the non clinical things that get in your way, lets talk. Call Mrs Hayley Roberts on 8295 3200 and have a coffee and chat with us as to how PartridgeGP can help you to help others.

roadmap

Is there a plan? Yes, there is. More accurately, a roadmap!

Australia’s COVID-19 Vaccine Roadmap


The Australian Government is expecting approval of safe and effective COVID-19 vaccines by the end of this month, with a rollout to priority groups beginning mid-February. In addition to being able to administer the vaccine when available, healthcare professionals will also be able to receive the vaccine in the following rollout phases:



Phase 1a


Frontline at-risk health care workers including staff in GP respiratory clinics and COVID-19 testing facilities, ambulance staff, paramedics, ICU and emergency department staff and clinical and ancillary support staff
Residential aged care and disability care staff
Residential aged care and disability care residents
Quarantine and border workers

Phase 1b


Adults over 70 years
All other health care workers
Begin to vaccinate Aboriginal and Torres Strait Islander people
Younger adults with an underlying medical condition, including those with a disability
Critical and high risk workers including defence, police, fire, emergency services and meat processing.


The Therapeutic Goods Administration (TGA) has provisionally approved the Pfizer/BioNTech COVID-19 vaccine for use in Australia. The Pfizer/BioNTech COVID-19 vaccine will be used initially during the Phase 1a rollout. These vaccine doses will be distributed through 30 to 50 key hospital hubs across urban and rural Australia to priority group 1a. Distribution to residential aged care and disability care facilities will be done through a Commonwealth vaccination workforce in-reach program.



Provisional approval of the University of Oxford/AstraZeneca COVID-19 vaccine is currently anticipated in February 2021, subject to regulatory requirements being met. Both vaccines will progressively be distributed through an expanded number of sites, including general practice clinics, existing Commonwealth GP respiratory clinics, state-run vaccination clinics and pharmacies.



COVID-19 vaccines will be free for everyone living in Australia and the Government has made it clear that COVID-19 vaccination will be voluntary – but it is strongly encouraged. More information about training for health professionals will be available in the coming weeks that will cover vaccine specific information, multi-dose vials, infection control, wastage, and adverse event reporting.



More information about the above approach is outlined in the Australian COVID-19 Vaccination Policy and the COVID-19 Vaccines National Rollout Strategy.



The Department of Health developed a new vaccine website so you can stay informed. This website is regularly being updated with more information as it becomes available. Information will also be available in 63 languages. Subscribe to the COVID-19 vaccines updates to ensure you receive the latest updates available on the website. Thanks to the AMA for all of this – become a member!

In summary, version 1.0

PartridgeGP works with you to help you make your best health decisions, and we won’t back away from being your companion, guide, advisor, and sounding board through your health journey. We pride ourselves on great communication and we’re ready to share our professional skills and knowledge with you. This is only MORE important now, in the time of a global pandemic with a new vaccine on the horizon. The way forward is clear: make your appointment with us conveniently online right here – or call our friendly reception team on 82953200.

Better, for you.

Want more?

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

For everyone, we believe that having a usual GP or General Practice is central to each person’s care and recommend that people with any health issues that come to the attention of other health professionals should be advised to attend their usual GP or General Practice rather than a specialised service (ie a place not providing the holistic care a specialist GP would).   If  they say that they don’t have a usual GP or general practice, they should be helped to find one and to actually attend it. Call PartridgeGP on 82953200 or make an appointment online here.

(Hat tip: Dr Oliver Frank)

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

If you’re employed, get a side hustle and get into business. If you’ve already got a business, get a network. Want to get started? Find your tribe here!

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

If you are a great GP or a great Allied Health Professional, and you want to serve your clients or patients to the best of your ability, without worrying about all the non clinical things that get in your way, lets talk. Call Mrs Hayley Roberts on 8295 3200 and have a coffee and chat with us as to how PartridgeGP can help you to help others.

safe

Many of you will be concerned about COVID19 vaccines – especially the mRNA vaccines (because they are new!). Let’s reclaim copium and hopium and give some more reassuring information.

The TGA has said there is ‘no specific risk’ associated with vaccinating older people, following reports of deaths in Norway.


While the Pfizer/BioNTech vaccine had already been approved for use on 25 January, reports of around 30 deaths among more than 40,000 older Norwegian people who received the vaccine prompted the Therapeutic Goods Administration (TGA) to further investigate its suitability for that cohort. But the regulator has determined that older patients can receive the mRNA vaccine, with no cap on the upper age limit.

‘The TGA therefore has concluded that there is no specific risk of vaccination with the Pfizer/BioNTech COVID-19 vaccine in elderly patients.’ Broader discussions with regulators in North America, the UK and Europe reportedly reached a similar conclusion, while the EMA’s COVID-19 vaccine safety update contains further information that helped the TGA form its decision.

In summary, version 1.0

Australia’s plan is to immunise our vulnerable and valuable elders in aged care first, along with those who care for them. This will be co-ordinated through special teams, and through hospitals, and will use the Pfizer vaccine (an mRNA vaccine with an amazing story I will write about soon).

In the second phase of vaccine rollout, with the Oxford/Astra Zeneca vaccine (a more traditional vaccine), Australian General Practice and PartridgeGP will do our bit to get those who want to be vaccinated protected ASAP, at scale, as safely as we can. Our plans are well advanced. It is super important to us to play our part – and important that people are informed, and not coerced. We can see that countries and areas overseas – the UK, Europe, the US – are being more affected by COVID, and they are having to take more risks than us. We will learn from them. We will have their data and experiences to look upon before we take the plunge ourselves.

Remember, I’ve also written about risk, here, and here. Bayesian thinking is probabilistic thinking – rather than this will or won’t happen, we consider what is more or less likely to happen. This applies to risk. As Jim O’Shaughnessy has said, ‘we are deterministic creatures living in a probabilistic world’. We want certainty. We get probabilities. Vaccines are not 100% effective or 100% safe (NOTHING IS). Neither are masks, nor social distancing, nor even simple hand sanitiser. Yet all of these, little by little, piece by piece, will lower our risk so we can get back to the new normal of life. Better probabilities, not 100% certainty.

Let’s act.

PartridgeGP works with you to help you make your best health decisions, and we won’t back away from being your companion, guide, advisor, and sounding board through your health journey. We pride ourselves on great communication and we’re ready to share our professional skills and knowledge with you. This is only MORE important now, in the time of a global pandemic with a new vaccine on the horizon. The way forward is clear: make your appointment with us conveniently online right here – or call our friendly reception team on 82953200.

Better, for you.

Want more?

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

For everyone, we believe that having a usual GP or General Practice is central to each person’s care and recommend that people with any health issues that come to the attention of other health professionals should be advised to attend their usual GP or General Practice rather than a specialised service (ie a place not providing the holistic care a specialist GP would).   If  they say that they don’t have a usual GP or general practice, they should be helped to find one and to actually attend it. Call PartridgeGP on 82953200 or make an appointment online here.

(Hat tip: Dr Oliver Frank)

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

If you’re employed, get a side hustle and get into business. If you’ve already got a business, get a network. Want to get started? Find your tribe here!

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

If you are a great GP or a great Allied Health Professional, and you want to serve your clients or patients to the best of your ability, without worrying about all the non clinical things that get in your way, lets talk. Call Mrs Hayley Roberts on 8295 3200 and have a coffee and chat with us as to how PartridgeGP can help you to help others.

mutants

Many of you will be concerned about COVID19 mutant strains and many of you will be concerned about the vaccines available. Let’s reclaim copium and hopium and give some more reassuring information.

Don’t panic: New COVID strains are not ‘escape mutants’ and vaccines should still work. The variants have shut down nations and led to surges of new cases and deaths – but experts say current vaccines should still protect against the mutations. New COVID variants are increasing, but experts say there is no need to panic yet.Both the Brazilian and South African variants have a change that can reduce antibody binding, potentially reducing the efficacy of vaccines, as well as making a reinfection more likely. This polymorphism – e484k – is not present in the UK variant. The Brazilian variant has triggered a disastrous new tide of infection in the city of Manaus in the Amazon, where fully 75% of the population contracted the virus last year. This, experts fear, could point to a partial ‘immune escape’ – or suggest people who got milder cases in the first wave are faring worse with this new variant.

If they prove necessary, seasonal COVID vaccines could be available much faster than this first generation of vaccines.

Australia’s plan is to immunise our vulnerable and valuable elders in aged care first, along with those who care for them. This will be co-ordinated through special teams, and through hospitals, and will use the Pfizer vaccine (an mRNA vaccine with an amazing story I will write about soon).

In the second phase of vaccine rollout, with the Oxford/Astra Zeneca vaccine (a more traditional vaccine), Australian General Practice and PartridgeGP will do our bit to get those who want to be vaccinated protected ASAP, at scale, as safely as we can. Our plans are well advanced. It is super important to us to play our part – and important that people are informed, and not coerced. We can see that countries and areas overseas – the UK, Europe, the US – are being more affected by COVID, and they are having to take more risks than us. We will learn from them. We will have their data and experiences to look upon before we take the plunge ourselves.

But are they safe, I hear you ask? Well, I’ve also written about risk, here, and here, but today, as an introduction, I have a very very smart person describe a story where Australia’s contribution to world vaccination DID NOT work. It wasn’t up to scratch, and so they canned it. That should give us no little confidence in what has been approved. Enough of me – handing over to the super smart Ms Maddie Massy-Westropp.

A deal for the Australian government to purchase more than 50 million doses of a promising new COVID-19 vaccine, developed by the University of Queensland (UQ) and global biotechnology company CSL limited, has been abruptly terminated. In a statement to the Australian Stock Exchange on December 11, UQ and CSL announced that the vaccine would not progress to Phase 2/3 clinical trials.

The UQ-CSL vaccine contains the Spike protein, a molecule located on the coronavirus surface. The Spike protein enables the virus to enter human and other animal host cells, where it replicates itself. When the vaccine is administered to a person, the immune system recognises the Spike protein and generates neutralising antibodies which can bind to it. If that person is exposed to COVID-19 in the future, those same antibodies can attack the Spike protein on the coronavirus surface, preventing the virus from entering host cells and replicating. The Spike protein was kept in a stable form in the vaccine using the novel, patented molecular clamp technology which UQ has been developing for the past 10 years.

However, the trial participants also had an immune response against the gp41 component of the vaccine. This has no health consequences at all, but widespread rollout of the vaccine could complicate the HIV screening process. Due to the production of gp41 antibodies, many people who have received the vaccine could falsely test positive on the standard HIV test. Community confidence in vaccine development is critical, with a new survey by The Australian National University showing that 41% of Australian adults would be hesitant about receiving a COVID-19 vaccine. 

A tough decision was made

On December 11, UQ and CSL together announced that clinical trials for their COVID-19 vaccine have been abandoned. Read the whole article here. The famous advert below rings true, and that why I have confidence in Australia’a COVID vaccination program.

PartridgeGP works with you to help you make your best health decisions, and we won’t back away from being your companion, guide, advisor, and sounding board through your health journey. We pride ourselves on great communication and we’re ready to share our professional skills and knowledge with you. This is only MORE important now, in the time of a global pandemic with a new vaccine on the horizon. The way forward is clear: make your appointment with us conveniently online right here – or call our friendly reception team on 82953200.

Better, for you.

Want more?

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

For everyone, we believe that having a usual GP or General Practice is central to each person’s care and recommend that people with any health issues that come to the attention of other health professionals should be advised to attend their usual GP or General Practice rather than a specialised service (ie a place not providing the holistic care a specialist GP would).   If  they say that they don’t have a usual GP or general practice, they should be helped to find one and to actually attend it. Call PartridgeGP on 82953200 or make an appointment online here.

(Hat tip: Dr Oliver Frank)

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

If you’re employed, get a side hustle and get into business. If you’ve already got a business, get a network. Want to get started? Find your tribe here!

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

If you are a great GP or a great Allied Health Professional, and you want to serve your clients or patients to the best of your ability, without worrying about all the non clinical things that get in your way, lets talk. Call Mrs Hayley Roberts on 8295 3200 and have a coffee and chat with us as to how PartridgeGP can help you to help others.

How I Learned to Stop Worrying and Love the Vaccine

Happy Monday! I’ve written about having the correct mindset for a Monday and I’m going to continue in that vein. Many of you will be concerned about COVID19 and many of you will be concerned about the vaccines available. Australia’s plan is to immunise our vulnerable and valuable elders in aged care first, along with those who care for them. This will be co-ordinated through special teams, and through hospitals, and will use the Pfizer vaccine (an mRNA vaccine with an amazing story I will write about soon).

In the second phase of vaccine rollout, with the Oxford/Astra Zeneca vaccine (a more traditional vaccine), Australian General Practice and PartridgeGP will do our bit to get those who want to be vaccinated protected ASAP, at scale, as safely as we can. Our plans are well advanced. It is super important to us to play our part – and important that people are informed, and not coerced. We can see that countries and areas overseas – the UK, Europe, the US – are being more affected by COVID, and they are having to take more risks than us. We will learn from them. We will have their data and experiences to look upon before we take the plunge ourselves.

But are they safe, I hear you ask? Well, I’ve also written about risk, here, and here, but today, as an introduction, I have a very very smart person describe a story where Australia’s contribution to world vaccination DID NOT work. It wasn’t up to scratch, and so they canned it. That should give us no little confidence in what has been approved. Enough of me – handing over to the super smart Ms Maddie Massy-Westropp.

A deal for the Australian government to purchase more than 50 million doses of a promising new COVID-19 vaccine, developed by the University of Queensland (UQ) and global biotechnology company CSL limited, has been abruptly terminated. In a statement to the Australian Stock Exchange on December 11, UQ and CSL announced that the vaccine would not progress to Phase 2/3 clinical trials.

The UQ-CSL vaccine contains the Spike protein, a molecule located on the coronavirus surface. The Spike protein enables the virus to enter human and other animal host cells, where it replicates itself. When the vaccine is administered to a person, the immune system recognises the Spike protein and generates neutralising antibodies which can bind to it. If that person is exposed to COVID-19 in the future, those same antibodies can attack the Spike protein on the coronavirus surface, preventing the virus from entering host cells and replicating. The Spike protein was kept in a stable form in the vaccine using the novel, patented molecular clamp technology which UQ has been developing for the past 10 years.

However, the trial participants also had an immune response against the gp41 component of the vaccine. This has no health consequences at all, but widespread rollout of the vaccine could complicate the HIV screening process. Due to the production of gp41 antibodies, many people who have received the vaccine could falsely test positive on the standard HIV test. Community confidence in vaccine development is critical, with a new survey by The Australian National University showing that 41% of Australian adults would be hesitant about receiving a COVID-19 vaccine. 

A tough decision was made

On December 11, UQ and CSL together announced that clinical trials for their COVID-19 vaccine have been abandoned. Read the whole article here. The famous advert below rings true, and that why I have confidence in Australia’a COVID vaccination program.

PartridgeGP works with you to help you make your best health decisions, and we won’t back away from being your companion, guide, advisor, and sounding board through your health journey. We pride ourselves on great communication and we’re ready to share our professional skills and knowledge with you. This is only MORE important now, in the time of a global pandemic with a new vaccine on the horizon. The way forward is clear: make your appointment with us conveniently online right here – or call our friendly reception team on 82953200.

Better, for you.

Want more?

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

For everyone, we believe that having a usual GP or General Practice is central to each person’s care and recommend that people with any health issues that come to the attention of other health professionals should be advised to attend their usual GP or General Practice rather than a specialised service (ie a place not providing the holistic care a specialist GP would).   If  they say that they don’t have a usual GP or general practice, they should be helped to find one and to actually attend it. Call PartridgeGP on 82953200 or make an appointment online here.

(Hat tip: Dr Oliver Frank)

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

If you’re employed, get a side hustle and get into business. If you’ve already got a business, get a network. Want to get started? Find your tribe here!

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

If you are a great GP or a great Allied Health Professional, and you want to serve your clients or patients to the best of your ability, without worrying about all the non clinical things that get in your way, lets talk. Call Mrs Hayley Roberts on 8295 3200 and have a coffee and chat with us as to how PartridgeGP can help you to help others.

Your best Health Insurance is Your GP v2.0

Yesterday we talked about risk. Risk is mitigated by knowledge and experience. I don’t know who said this, but I’m going to take a wild and crazy guess and say it wasn’t from Terry Pratchett’s wonderful Discworld series. This gives us another way to mitigate risk. Insurance.

Risks come at us everyday in our personal and professional lives. We accept that life involves risk. Risk happens.

‘Life is a risky business, no-one gets out alive’

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Health concerns us all, especially now, and we try to improve our health or at least to manage it. Some risks are foreseeable but some are not. These drive our uptake of health insurance. Health insurance is therefore a bit of a ‘grudge purchase’ – we don’t really want to buy it but we don’t want to do without it. Is it worth the money we pay for it? Some high profile voices say no. A past president of the AMA agrees:

A past president of the RACGP concurred:

if you increase the number of GPs by 1 per 10,000 people the death rate goes down 9%

Dr Bastian Seidel; Past President, RACGP

Your health is your wealth, as the saying goes, and you build wealth by spending wisely.

Some tests, treatments and procedures provide little benefit. And in some cases, they may even cause harm.
Use the 5 questions to make sure you end up with the right amount of care — not too much and not too little.

Do I really need this test, treatment or procedure?

Tests may help you and your doctor or other health care provider determine the problem. Treatments, such as medicines, and procedures may help to treat it.

What are the risks?

Will there be side effects to the test or treatment? What are the chances of getting results that aren’t accurate? Could that lead to more testing, additional treatments or another procedure?

Are there simpler, safer options?

Are there alternative options to treatment that could work. Lifestyle changes, such as eating healthier foods or exercising more, can be safe and effective options.

What happens if I don’t do anything?

Ask if your condition might get worse — or better — if you don’t have the test, treatment or procedure right away.

What are the costs?

Costs can be financial, emotional or a cost of your time. Where there is a cost to the community, is the cost reasonable or is there a cheaper alternative?

Your GP can be a great ally in navigating through the health system, a great support for you in times of need, and a great investment in your health. 

“Patients whose care is well managed and coordinated by their usual GP are less likely to cost the health system more in the long run because their GP-coordinated care will keep them out of hospital.

“Supporting general practice to continue managing these patients – who are growing in number each year – is an investment in health care that can help make the health system more sustainable.”

Past AMA President, A/Prof Brian Owler

PartridgeGP works with you to help you make your best health decisions. We pride ourselves on great communication and we’re ready to share our professional skills and knowledge with you. This is only MORE important now, in the time of a global pandemic with a new vaccine on the horizon. The way forward is clear: make your appointment with us conveniently online right here – or call our friendly reception team on 82953200.

Better, for you.

Want more?

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

For everyone, we believe that having a usual GP or General Practice is central to each person’s care and recommend that people with any health issues that come to the attention of other health professionals should be advised to attend their usual GP or General Practice rather than a specialised service (ie a place not providing the holistic care a specialist GP would).   If  they say that they don’t have a usual GP or general practice, they should be helped to find one and to actually attend it. Call PartridgeGP on 82953200 or make an appointment online here.

(Hat tip: Dr Oliver Frank)

(TL;DR – Get a regular GP or General Practice and use them!)

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

If you’re employed, get a side hustle and get into business. If you’ve already got a business, get a network. Want to get started? Find your tribe here!

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

If you are a great GP or a great Allied Health Professional, and you want to serve your clients or patients to the best of your ability, without worrying about all the non clinical things that get in your way, lets talk. Call Mrs Hayley Roberts on 8295 3200 and have a coffee and chat with us as to how PartridgeGP can help you to help others.

Risk

In 1990 I watched Graham Gooch of England make 333 and 123 in a Test Match against India at Lord’s. It was a different time and a different country. Gooch looked decidedly unathletic (although apparently a fitness fanatic) and I certainly don’t remember the Indian pace attack as anything like the current potent crew. As Gooch approached his three hundredth run, the BBC cut to a horse race showing the usual tin ear of public broadcasters. It was compelling but hadn’t quite reached exciting. For those of you not baptised into the religion of Test Cricket, simply put, one fellow throws a small hard leather ball in a special way (bowling) at some wooden poles (the wickets) from a distance of 22 yards (the pitch) while another fellow (the batsman) uses a wooden club (bat) to prevent this. Other fellows stand around to catch or intercept the ball, and also provide commentary on the batsman’s skill, character, and parentage.

I moved to Australia and one of the instant upgrades was supporting the Australian cricket team. Staying up in 1995 to listen to Steve Waugh wearing bouncer after bouncer after bouncer as Australia finally rolled the West Indies in their own backyard was incredibly exciting. Part of that excitement was risk. The players had arm/chest guards, gloves, pads, boxes, helmets, and increasingly large bats but the spectacle and danger of confronting 140-150 kilometre missiles was enthralling.

It had a lot of value for the players involved and for the audiences in the West Indies, Australia, and around the world. The West Indies are a collection of independent island countries who only come together as the West Indies for cricket. Much the same could be said about Australia and it’s Federation of States (especially in light of recent border shenanigans). Australia had been planning this assault for years. The West Indies were coming off a long period of world domination and were raging against the dying of the light as their great players aged.

Fast forwarding again, I went back to England in 2013 to watch the Australian team play England at Lord’s. One of the Australian players to watch was a star of the future – Phillip Hughes. He didn’t have the most auspicious day at Lord’s but certainly looked a player of the future. It was to be his final Test Match. Hughes was a short man, like many of the great batsmen, and so had become accustomed to bowlers aiming at his chest and head. He was an accomplished player of this style of (short pitched) bowling. Sadly, in 2014, Hughes was batting in a State game and despite all of his protective apparel, was hit in the neck by a short pitched ball. He was incredibly unlucky to be hit in the neck in precisely the wrong spot. Wikipedia recounts:

causing a vertebral artery dissection that led to a subarachnoid haemorrhage. The Australian team doctor, Peter Brukner, noted that only 100 such cases had ever been reported, with “only one case reported as a result of a cricket ball”

The risk that made the matches in the West Indies so enthralling and the risk that added value to that spectacle was the same risk that ended with Phil Hughes’ death. Certainly players, spectators, and officials thought long and hard about this risk afterwards. As a result of this we now have something called a stem guard which is a little bit of plastic that protects that very vulnerable area of the neck. Hopefully this particular type of injury will never happen again with these consequences. The amount of short pitched bowling decreased, for a while, but then returned to previous levels (perhaps regressed to the mean). Then, something else happened. 

Today we can see players like Neil Wagner eulogised for bowling into the batsman’s armpit, shoulder, and head. This line of attack into the batsman’s blind spot can hit them, hurt them, or just put them off their game. Wagner recently won a Test Match for his country like this (with two broken toes).

“Neil Wagner was outstanding,” Stead said. “I’m not sure there are too many individuals that could do what he did in that Test match.

Further statistics during the current Australia vs India test series show a clear advantage gained by short pitched bowling. Furthermore, almost uniquely in top level sport, this involves the some of one team doing what they do best against some of the other team doing what they do worst (bowlers bowling at bowlers batting).  Is this too much risk and who makes this decision and on what basis?

This conundrum – the risk of injury and death versus the benefits of economic value resulting from the spectacle – mirrors some situations we face in medicine and life:

Lockdowns vs Targeted Protection

New Vaccines vs New Viruses

Medication vs Lifestyle

I don’t have a universal answer for this, in cricket, life, or in medicine. I firmly believe that we should have these conversations and come to answers that are transparent and workable. From the macro level in Australia and the world to the micro level in the consult room, I think this is the way we should manage risk. We should be mindful of risk in all of our consultations and all of our dealings with patients. If you would like to be part of a team that can afford and prioritise the time taken to consider risk in each and every consultation and dealing then the way forward is clear: make your appointment with us conveniently online right here – or call our friendly reception team on 82953200 or…

here are the steps!

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

For everyone, we believe that having a usual GP or General Practice is central to each person’s care and recommend that people with any health issues that come to the attention of other health professionals should be advised to attend their usual GP or General Practice rather than a specialised service (ie a place not providing the holistic care a specialist GP would).   If  they say that they don’t have a usual GP or general practice, they should be helped to find one and to actually attend it. Call PartridgeGP on 82953200 or make an appointment online here.

(Hat tip: Dr Oliver Frank)

(TL;DR – Get a regular GP or General Practice and use them!)

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

If you’re employed, get a side hustle and get into business. If you’ve already got a business, get a network. Want to get started? Find your tribe here!

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

If you are a great GP or a great Allied Health Professional, and you want to serve your clients or patients to the best of your ability, without worrying about all the non clinical things that get in your way, lets talk. Call Mrs Hayley Roberts on 8295 3200 and have a coffee and chat with us as to how PartridgeGP can help you to help others.