Recent articles

Cholesterol Tests – non fasting is OK

Tools for Practice this week confirmed that it is unnecessary (? and cruel) to make our patient fast for a cholesterol test. The differences between fasting and non fasting levels are not clinically significant. Bottom-line: Minimal differences exist between fasting and non-fasting HDL, LDL, and total cholesterol (TC). Also, non-fasting HDL and non-HDL levels correlate […]

Explaining a new primary care focus to the community of Counties Maukau

Explaining a new primary care focus to the community of Counties Maukau

Counties Manukau District Health Board has oversight of health delivery in South Auckland and surrounding areas. Their ‘The System Integration Programme is ‘an initiative that will strengthen our healthcare system through a more local and integrated patient experience.’ They have developed this video to explain to their community how they will be affected by this […]

Mailbox for Mac

Mailbox for Mac

Mailbox is an innovative mail client for iOS that had an enormous impact when it was released last year. I remember being 500,000th in line for an invitation to be a beta tester. Mailbox makes it easier to achieve Inbox Zero – that sweet spot where your inbox is empty of all messages. This doesn’t […]

Improvement Science – Testing Change and the PDSA Cycle

This article is part of a new series on Improvement Science and Practice Coaching The PDSA Cycle is the key to improvement, but is often poorly understood.(and no, Ken, it doesn’t stand for “Please Don’t Say that Again”) A PDSA is a process in which we use small, simple steps to test a change idea. The […]

If you come to our hospital missing a finger, no one will believe you until we get a CT scan, an MRI and an orthopedic consult

In this TED talk, physician and writer Abraham Verghese talks about the power of the ritual in medical consultation. The power of human touch is a powerful healing tool that is put at risk by our reliance on investigations and imaging.

The cost of one admission to hospital is more than 15 years worth of GP consultations

Should we be discouraging people from seeing their general practitioner? Calculating from federal government figures: The cost of one admission to a public hospital is more than the government would spend on 15 years worth of GP consultations It is cheaper to pay for someone to see their GP every week for a year than […]

Strange But True – Vintage Medical Procedures and Weird Looking Equipment

Strange But True – Vintage Medical Procedures and Weird Looking Equipment

So Bad So Good presents a selection of strange medical procedures and freakish looking equipment from our recent past. What do we do now that will look weird in the future? Tanning babies at the Chicago Orphan Asylum, 1925, to offset winter rickets Physiotherapy 1920’s style Blood Transfusion 1978 More at So Bad So Good, […]

Diabetes Follow Up – Three months or six months?

Diabetes Follow Up – Three months or six months?

Diabetes Obes Metab. 2014 Mar 17. doi: 10.1111/dom.12288. [Epub ahead of print]: Effectiveness and cost-effectiveness of 3-monthly versus 6-monthly monitoring of well-controlled type 2 diabetes patients: a pragmatic randomised controlled patient-preference equivalence trial in primary care (EFFIMODI study). Wermeling PR1, Gorter KJ, Stellato RK, de Wit GA, Beulens JW, Rutten GE. In this study of […]

Mediterranean Diet wins again!

Mediterranean Diet wins again!

Diabetes Care. 2014 Apr 10. [Epub ahead of print] The Effects of a Mediterranean Diet on Need for Diabetes Drugs and Remission of Newly Diagnosed Type 2 Diabetes: Follow-up of a Randomized Trial – Esposito K1, Maiorino MI, Petrizzo M, Bellastella G, Giugliano D. There can now be little doubt that we all need to […]

The GP as CEO – Private Health Insurance, Accountable Care Organisations and GP Federations

The GP as CEO – Private Health Insurance, Accountable Care Organisations and GP Federations

An increasing number of primary care physicians are using physician lead ‘accountable care organisations’ as a powerful opportunity to retain their autonomy and make a positive difference for their patients — as well as their practices’ bottom lines