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Medical News

BP variability a powerful stroke predictor

VARIABILITY in blood pressure readings, commonly regarded as being ‘uninformative and random’, is actually highly predictive for stroke and other adverse outcomes and should be more widely considered when assessing cardiovascular risk, experts say. European researchers found visit-to-visit variability in systolic blood pressure (SBP) was "a powerful predictor of stroke and coronary events independent of mean SBP, and maximum SBP is more predictive than mean SBP". A review of four cohort studies, including around 7000 patients with previous hypertension or transient ischaemic attack, found variability was independently a ...

Blogs

Novel plan to build a better health system

With the medical workforce shortage in Australia looming large, help has come from an unexpected source. The Builders Labourers Federation has put forward a novel plan whereby brickies could provide an alternative point of contact for primary care.The plan has been received enthusiastically in Canberra, where health officials have praised the work of brickies in the field.When interviewed this week, a health spokesperson had the following to say: “I mean, let’s face it – brickies are the backbone of this nation. What better foundation could there possibly be for healthcare than bricks and mortar?”Well, actually, the foundations are in concrete. “Even better! ... see more

Read more from Dr Ron Elisha

Is hypnosis a breath of fresh air for respiratory disorders?

Hypnotists are usually considered to be entertainers from a bygone era, like ventriloquists or hat-and-cane vaudevillians. But this colourful history gives the technique a bad rap when it comes to consideration of its usefulness in clinical settings, proponents say. There is no consensus definition for clinical hypnosis. But practitioners say it has nothing to do with taking control of an unwitting subject by swinging a pocket watch in front of their eyes.On the contrary, all hypnosis is self-hypnosis, they say.In a recent article in a paediatric respiratory journal, Professor Ran Anbar, president-elect of the American Society of Clinical Hypnosis and a New ... see more

Read more from Rada Rouse

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Ask an Expert

A specialist I'm referring to will only communicate by email

Q. A specialist I'm referring to will only communicate by email A: In responding to this I assume that the GP has referred a patient to the specialist, the specialist has examined the patient and the GP is wanting to discuss with the specialist his examination and findings and perhaps inform him of some further developments… see more

Read more from Cheryl McDonald

A patient's family is requesting a deceased patient's notes

Q. What is the legal situation when a patient's family request the notes of a deceased patient? A. When a patient has died, a right which can be exercised by the patient (such as the right to access their medical records) can be exercised by that patient's duly authorised legal representative… see more

Read more from Alison Choy-Flannigan