Clinical Case 117: Cancer Fishin’


OK – this case is for all the GPs and Internal Medicine types out there.  This is a relatively common scenario…  how do you play it? Here’s the case. Bruce is a 53 y.o. accountant.  He is a little overweight at 89 kg (BMI 31).  He is otherwise relatively well, he cycles to the cafe […]


PODCAST: Shared decision making


Shared decision making. This is one of the hot concepts in healthcare right now.  It is not new – but it is being embraced in many fields as a part of the trend towards more evidence-based practice and the changing culture of medicine where “doctor knows best” is no longer an acceptable platitude. If you […]


Prostate Cancer screening: survival vs. mortality


Hi there In case you missed it – Dr Rob Park has just published an epic review of prostate cancer screening over on the FOAM4GP blog. If you have any exposure to prostate cancer screening in your practice or just are interested in the way modern medicine works – go over and check it out. […]


Relative Absolute Risk

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Gday!  This post is inspired by a few things: A. Dr Andre Bonney (@keeweedoc) who tweeted earlier this week –  B. This article that came out in the Lancet August 16th 2014 on Blood pressure-lowering treatment based on cardiovascular risk: a meta-analysis of individual patient data The bottom line is: “Lowering blood pressure provides similar relative […]


Lactate PK by Dr Laura Castle

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Welcome back to our third and final PK presentation from the recent ACEM Winter Symposium in Broome. Dr Laura Castle is a JMO in the Broome ED and I gave her the challenge of covering everything to do with “lactate” in 6mins and 40 secs.  Now there is a lot of physiology, controversy and practicality […]