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Hope: from Home Birth to Hospice

Home birthing and hospice care.  Birth and death, aside from taxes, the only certainties in life!  These may not seem to be related topics, but they are.  Stay with me and I shall explain. Let us start with home birth.  There has been a bit of banter in Broome and online about the modern controversy […]

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Any Place for Race on the Coalface?

Last month (Feb 25th 2016) the New England Journal of Medicine published this editorial “Perspective” titled: “Dealing with Racist Patients.” In the article the authors – Drs Kimani,  Alexander K. Smith, Bernard Lo  and Alicia Fernández present this case vignette: A 77-year-old white man with heart failure arrives in the emergency department of an urban hospital […]

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Own the Patient (Clinical Case 126)

It is January – so in Australia that means it is the time of year when all of the junior doctors in the country rotate into new jobs, hospitals and towns.  Here in Broome we have taken on a brand new cohort of super-smart residents [and welcomed back some old faces]. Inspired by some discussions […]

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UKCTOCS: Ovaries, P-values & Questions

Ovarian cancer is a horrible disease.  It is often asymptomatic until late in its course and then causes a lot of suffering.  This is a disease with an extraordinarily high morbidity and currently has a 5-year survival of only 40%.  So wouldn’t it be excellent if we could find this disease early in it’s course, […]

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Antibiotic Awareness Week: What’s your spiel?

Welcome back!  It is ANTIBIOTIC AWARENESS WEEK here in Australia. The slogan I have been pushing with my trainees is: “Take time to have the chat, Don’t just write the script.” Of course, that “chat” can turn nasty!  We have trained generations of families to expect, crave and depend upon the magical pills to cure […]