pf**er

There are two brands of vaccine available in Australia. The TGA (Therapeutic Goods Association) has advised GPs (the experts) not to mention brand names. ***BREAKING NEWS – common sense has prevailed!*** In the meantime, every man, woman, child, and organisation has been mentioning brand names morning, noon, and night. The vaccine now available in General Practice has a slightly increased risk of blood clotting issues in certain groups. This risk is small, and especially small when viewed next to the medical (and economic) effects of COVID. Apparently the government deems general practice important in vaccine rollout, and so they have an eight page pdf requesting expressions of interest for General Practices to roll out the other brand of vaccine, starting in October.

Their Plan:

Here’s my plan:

A crack group of GPs will identify the governments super secret vaccine storage repository
We will broadcast government messaging to the guards
That will ensure sleep
The place will be unlocked because no one in government adheres to their own probity or privacy standards (failing that I will just have a few drinks and get security to let me in to sleep it off)
Chuck the lot into refrigerated trucks
Then we have 31 days to distribute it
Everyone who wants one gets one

– are you over 16, show Medicare card
– any contraindications – HITS etc, anaphylaxis etc, previous dose etc
– are you or could you be pregnant
– if go, jab, observe 15 mins

#gpssaveaustralia

There is a saying, ‘the fellow who sticks the fork in the socket should get the shock’. If there is no feedback, how will behaviour ever change? Speaking of feedback, we know as doctors and educators, that feedback should be timely – certainly as a parent, giving feedback on behaviour weeks after is useless and even counterproductive. Therefore I suggest the following:

If the Fair Work Act is not fit for purpose (and doesn’t allow employment changes/conditions during a pandemic), then it goes or gets suspended. Blaming low paid, predominantly ethnic and female aged care workers for Melbourne’s latest issues is not giving the shock to the forkers (so to speak).

If a private company and public servants can’t or won’t immunise our elders and those who care for them, then they too can fork off and be replaced by the professionals who should have been funded and supported to do the job properly in the first place – GPs.

As for lockdowns, can we stop the media porn of politicians and unelected health bureaucrats pontificating from upon high. It’s not a daily spam session. What are the criteria (cases/immunisation levels/other) that need to be satisfied to move on? 7 million Victorians deserve better than a daily episode of Big Brother.

There are only two ways we are moving forward: those who want to get vaccinated get vaccinated and/or those who do not vote accordingly. Transparent targets should be set (have an Ethereum smart contract with preset limits ‘if vaccination rate = x%, then borders = open’). Vaccination should be VOLUNTARY and the friction involved should be minimal. When is the dead hand of bureaucracy going to get off the tiller?

*If you want it, get vaccinated 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

fork me

There is a saying, ‘the fellow who sticks the fork in the socket should get the shock’. If there is no feedback, how will behaviour ever change? Speaking of feedback, we know as doctors and educators, that feedback should be timely – certainly as a parent, giving feedback on behaviour weeks after is useless and even counterproductive. Therefore I suggest the following:

If the Fair Work Act is not fit for purpose (and doesn’t allow employment changes/conditions during a pandemic), then it goes or gets suspended. Blaming low paid, predominantly ethnic and female aged care workers for Melbourne’s latest issues is not giving the shock to the forkers (so to speak).

If a private company and public servants can’t or won’t immunise our elders and those who care for them, then they too can fork off and be replaced by the professionals who should have been funded and supported to do the job properly in the first place – GPs.

As for lockdowns, can we stop the media porn of politicians and unelected health bureaucrats pontificating from upon high. It’s not a daily spam session. What are the criteria (cases/immunisation levels/other) that need to be satisfied to move on? 7 million Victorians deserve better than a daily episode of Big Brother.

There are only two ways we are moving forward: those who want to get vaccinated get vaccinated and/or those who do not vote accordingly. Transparent targets should be set (have an Ethereum smart contract with preset limits ‘if vaccination rate = x%, then borders = open’). Vaccination should be VOLUNTARY and the friction involved should be minimal. When is the dead hand of bureaucracy going to get off the tiller?

*If you want it, get vaccinated 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

vaccinate or vote

There are only two ways we are moving forward: those who want to get vaccinated get vaccinated and/or those who do not vote accordingly. Transparent targets should be set (have an Ethereum smart contract with preset limits ‘if vaccination rate = x%, then borders = open’). Vaccination should be VOLUNTARY and the friction involved should be minimal. When is the dead hand of bureaucracy going to get off the tiller?

*If you want it, get vaccinated 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

open

‘No man is an island’, wrote John Donne in 1624. It’s as true today as it was then; perhaps more so in our connected world and economy. Australia is a wealthy island and arguably the best place in the world at any time, and especially during a pandemic. COVID-19 has been to health what the GFC was to the economy in 2008-9. How do we move forward? Jeremy Irons’ character in Margin Call gives three ways: ‘Be first, be smartest, or cheat. I don’t cheat and it’s a hell of a lot easier to be first than smartest’.

Not Jeremy Irons

Australia has benefitted from being a wealthy island and we have been spared from the mortality and morbidity of COVID-19. We can see India struggling with this now (click here to help them out!). How can we move forward? Dr Nick Coatsworth, moving on from his widely quoted ‘make your bed‘, says vaccination. Like me, he thinks zeroism is a false god. Like me, he thinks voluntary vaccination is the way to go. What will that take?

Completing the vaccination program in 2021 is plausible, but GPs say additional funding and delivering mRNA vaccines will be crucial to utilising general practice’s ‘untapped capacity’. PartridgeGP is part of this push and you can book your vaccinations right here.

Many of you may have concerns about the vaccines; here is some reading and I will get some more information up in the next couple of days. Let’s get open and move 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 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

clot – UPDATE

UPDATE

Pfizer vaccine exceptions

On 8 April 2021 the Australian Technical Advisory Group on Immunisation (ATAGI) recommended that Pfizer vaccine is preferred over the AstraZeneca vaccine for people aged under 50 years.

In line with this, state vaccination clinics will prioritise: 

·        The Pfizer vaccine for people under 50 years of age, with consideration of priority groups eligible during each phase (see below).  

  • The AstraZeneca vaccine for people aged 50 years and over.

People eligible for COVID-19 vaccination under the South Australian rollout can now make an appointment via the online booking system.

Some people with specific health and vaccination requirements require a GP referral and must use a different vaccination pathway to make their appointment.

People aged 50 years and over

People aged 50 years and over with a history of cerebral venous thrombosis, heparin-induced thrombocytopenia and thrombosis with thrombocytopaenia syndrome should be referred to the RAH Specialist Vaccine Clinic as per the below process.

In line with the Australian Government COVID-19 vaccine rollout, at this time there are no other criteria for a person aged 50 years or over to receive the Pfizer vaccine.

Referrals to the RAH Specialist Vaccine Clinic

People who have the below contraindications should be referred to receive their COVID-19 vaccine at a Specialist Vaccine Clinic. This applies to people both under and over the age of 50. A template referral is attached to this email.

·        Have a history of cerebral venous sinus thrombosis (CVST), heparin-induced thrombocytopenia (HIT), thrombosis with thrombocytopaenia syndrome (TTS) and other situations where it is medically indicated.

·        Have had an immediate severe hypersensitivity reaction (occurring within 1 hour) after first dose of COVID vaccine.

·        Have a past history of anaphylaxis to polyethylene glycol (PEG, Macrogol) (all weights).

·        Have a past history of anaphylaxis to any component of the COVID-19 vaccine or other vaccine.

·        Have a history of severe immediate type 1 allergic reaction (anaphylaxis) to multiple drugs, or multiple unexplained episodes of anaphylaxis.

  • Have a history severe unexplained illness after receiving COVID vaccination requiring hospitalisation for greater than 24 hours.

People with these indications should be referred to:

Specialist COVID Vaccination Clinic Level 3C

Royal Adelaide Hospital, Central Adelaide Local Health Service

Direct line : 08 7074 0787
Direct fax : 08 7074 6135

Email : Health.RAHCOVIDVaccineAdverseEffects@sa.gov.au

Interchangeability of vaccine

As per clinical guidance from the Australian Technical Advisory Group on Immunisation (ATAGI), the Pfizer and AstraZeneca COVID-19 vaccines are not considered interchangeable.

The two-dose course should be completed with the same vaccine. There is no data yet on the efficacy of mixed schedules.

If a person had an anaphylaxis or severe allergic reaction after their first dose of vaccine, they should be referred to the RAH Specialist Vaccine Clinic as per the above process.

For further information, see page 15 of the Australian Technical Advisory Group on Immunisation (ATAGI) Clinical guidance on use of COVID-19 vaccine in Australia in 2021 (v2.0).

AstraZeneca Vaccine Expression of Interest update

Recently an Expression of Interest (EOI) was sought from the GP network, for SA Health’s additional supply of AstraZeneca to support the vaccination of individuals 50 years and older.

We received a large number of responses and we will now work directly with the selected GPs to arrange delivery of up to 1000 extra doses of AstraZeneca.

The selection process was based on the analysis of average AstraZeneca vaccination rates by postcode across the State with those areas which were below the average being prioritised for allocation.

SA Health remains open to ongoing transfer of excess AstraZeneca to the GP network if the opportunity presents and we will refer back to the original EOI’s to support this.

ATAGI update on AstraZeneca

The Australian Technical Advisory Group on Immunisation met this week to review the latest developments relating to the AstraZeneca COVID-19 vaccine and thrombosis with thrombocytopenia syndrome (TTS). You can read the latest statement on the website.

 

 

 

 

 

 

It seems like 2021 is going to be another year that just keeps giving: this months issue, sadly not an April Fools, is the apparent small increase in rare blood clotting problems with one of the COVID vaccine formulations. The problems appear to be low platelets and/or cerebral venous sinus thrombosis.

Experts (if Norman Swan can be called an expert in anything other than denigrating GPs, rabble rousing, and accepting fat paycheques) are divided on the issue:

Norman Swan of the ABC: stop current phase 1a vaccinations in nursing homes, stop phase 1b vaccinations with current vaccine, redirect phase 1a vaccine to those at risk.

Professor Tim Kleinig: We have been fooled by randomness and this is likely unconnected.

Professor Michael Kidd: 425000 doses given so far; too soon to tell.

Breaking news

Melbourne man in hospital with rare blood clots post vaccine, read on…

Authorities say they’re monitoring the situation closely after the rare condition was reported.

Do as I say not as I do.

Sometimes medical advice from your GP can come across this way. Sometimes we get the opportunity to walk the walk as well as talk the talk. It’s been a super challenging week for our front desk team at PartridgeGP as they have had to field a huge number of calls from people about the vaccine and phase 1b rollout. The government has hugely mismanaged this, mainly through micromanagement and a lack of appreciation for the fact that GPs have been doing the majority of vaccinations in this country for the last 20+ years. We are efficient and excellent.

government – big spend writ small

Still, I don’t dwell on the failings of control freakery from public servants. We could be here all day. Instead I spent 20 minutes having my first dose of COVID-19 vaccine under phase 1b of Australia’s vaccination program!

Many of you may have some concerns about rare blood clotting issues and pauses in vaccination programs elsewhere. The RACGP addresses these concerns here and below (spoiler: not very much to worry about in almost all cases):

The Australian Technical Advisory Group on Immunisation (ATAGI) on safety of the Oxford University/AstraZeneca COVID-19 vaccine, ATAGI has issued further advice related to the suitability of the Oxford University/AstraZeneca vaccine for people with a history of clotting conditions.
 
The updated advice stems from reviews conducted by the Therapeutic Goods Administration (TGA), European Medicines Agency (EMA) and World Health Organization, which pored over data from millions of recipients following reports of blood clots in some European countries.
 
As of 16 March, the EMA had reported 18 cases of cerebral venous sinus thrombosis (CVST) from millions of vaccine recipients, leading several European countries to pause their rollout of Oxford University/AstraZeneca vaccines.
 
However, the subsequent reviews have concluded that the benefits of the vaccine continue to outweigh the potential risks.
 
‘There is no increase in the rates of general thromboembolic disorders after vaccination over expected rates, noting these conditions occur commonly in the absence of vaccination,’ ATAGI states.

So, if you want to discuss further and you’re one of our regular PartridgeGP patients, book a normal appointment here (usual appointment, remember we are a private billing practice).

If you’ve heard enough and just want to get in the line for phase 1b vaccination, go through the process here!

REMEMBER, WE ONLY HAVE 80-100 VACCINES A WEEK AND BEING RUDE TO OUR AWESOME FRONT DESK STAFF WON’T CHANGE THIS.

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

brief

Nearly 50 years ago, two icons of the modern age combined – The Rolling Stones and Andy Warhol. The cutting edges of popular music and contemporary art. Warhol once said, ‘in the future, everyone will be famous for 15 minutes’. This 15 minutes of fame concept has almost outlived his art. Regardless of whether this is true or not, The Rolling Stones are still going and Warhol’s 15 minutes is 50 years plus and counting.

the famous album cover – ‘sticky fingers’

PartridgeGP is set up to give you your 15 minutes of fame with every appointment – we don’t feel your health can be meaningfully addressed in smaller segments. Sometimes, we can be very focussed with shorter appointments (our upcoming COVID and influenza vaccination clinics, for example), but 15 minute minimum appointments have served well so far. PartridgeGP has been chosen to be one of the practices that may deliver the COVID vaccinations to you in phase 1b of the rollout. We can circle back to Warhol and the Stones now. There is a famous letter, when Mick Jagger decided to engage Warhol – one creative genius knew exactly what to say to another:

micromanaging level : zero

Every GP in Australia has this sort of remit from patients and government – with Medicare rebateable level B consults. Patients are free to see any GP they want (as I am fond of saying, in this country, patients have doctors, not the other way round). GPs are free to set whatever price they deem their service is worth – and can serve any group of patients in the community well. The government generally steps out of the way and avoids micro-managing. This is one of the reasons why having a great GP and great general practice, and using them regularly and appropriately is so good for your health, and why Australians enjoy such good health and primary care.

We await some further paperwork and advice from the Federal Government via Adelaide PHN in regard to exactly what their requirements of us are. Hopefully, their brief will have more in common with Mick’s missive above than the 16 different new item numbers they have generated for the act of marrying vaccines and patients in the community. Otherwise, it could all end like Warhol and the Stones – when Mick Jagger took it upon himself to handwrite the track names over Warhol’s art. Warhol never forgave him and their partnership ended there.

Fingers crossed – sanitised not sticky!

Check which phase you are eligible to be vaccinated in 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, 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.

Photo by Linda Eller-Shein on Pexels.com