13 Jul 2021
TCP can be conceptualised as a half-way house between acute care and being able to manage safely at home.
9 Jul 2021
Have you ever wondered what maybe going on every time one of your students voices their need to visit ‘the sick bay’…? Or perhaps you are curious about how often you do the roll call only to notice one (or perhaps a couple of your students) are continually absent from school….Today I would like to lift the veil on the complex interplay known as ‘school refusal’, which affects up to around 2% of school populations.
5 Jul 2021
What does it mean in practice? I think of lifestyle medicine as the management of chronic diseases within a socio-psycho-bio-medical framework that incorporates the three Fs and the three Ss. .
21 Jun 2021
Binge eating disorder was a diagnosis formulated in the Diagnostic Statistical Manual, 5th edition (DSM5) and represents a step forward towards the formal recognition of food addiction.
8 Jun 2021
Two Servings of Fruit per Day Keeps Diabetes at Bay
4 May 2021
The recently aired Addicted Australia documentary series on SBS provoked a lot of discussion amongst my colleagues on how we as general practitioners and society as a whole treats people with substance use disorders.
14 Apr 2019
Further to a literature review carried out by Austin Health the following list of medications were identified as being associated with a high risk of misuse and or an elevated risk of death.
25 Feb 2019
In due course I would imagine that the gabapentinoids (gabapentin and pregabalin), tramadol and Tapentadol would be considered for monitoring, but these drugs have not yet made it onto the watchlist.
29 Jan 2019
A patient who normally saw Dr…came to me. She needed more of her fentanyl patch. She needed high dose opioids for her right elbow pain. These drugs were the only thing that kept the pain away, and she worked as a hairdresser, so she needed these patches and her other meds to stay in work. “I normally see Dr…This will be quick, I just need a prescription.”
18 Jan 2019
She breezed in and said to me that phrase that I dread. “I normally see Dr…This will be quick, I just need a prescription.”
24 Dec 2018
She breezed in and said to me that phrase that I dread. “I normally see Dr…This will be quick, I just need a prescription.”
14 Dec 2018
I have just started using SafeScript. This is the Victorian Department of Health's response to the current prescription opioid crisis.
7 Dec 2018
More people died last year from prescription drug misuse than did on the roads in Victoria. We as doctors are killing our patients with our prescriptions. Prescription opioids play a big part in this mortality. Most clinically used opioids are full mu opioid receptor agonists.
30 Nov 2018
You’ve decided to start prescribing MATOD. You’ve decided to start prescribing either Suboxone or methadone. Great. Very soon you will develop a following of patients who will become dependent on your prescription, your signature and perhaps most importantly, you.
22 Nov 2018
Patients suffering from chronic non-cancer pain who are on doses of opioid analgesics that exceed the equivalent of morphine 100 mg daily are potentially seven times more likely to die than those not taking opioids to manage their pain.
18 Nov 2018
Most patients with substance use disorder are grateful for the help that I give them. I would challenge anyone to spot the “druggy” sitting in my waiting room.
16 Oct 2018
People often ask me why I do addiction medicine, why do I want drug addicts at my practice. Let me now tell you why.