hamish

Rural GP, Skier, Programmer, Hater of poorly designed EMR, All tweets my own and not any way reflective of NSW health .

[hamish @CoomaDoc]

Hmmm,

[hamish @CoomaDoc]

Light snow

[Kristi Yamaguccimane @TheWapplehouse]

holy hell

[hamish @CoomaDoc]

@DocOnSkis Seems fairly self explanatory.?

[hamish @CoomaDoc]

@RACGPPresident I give a lot of people private scripts for 6 months supply. Ie 180 tabs of atorvastatin on a private script is $40 from some chemists.

[hamish @CoomaDoc]

@pennydee These are doctors who are super interested in going rural and yet Acrrmm seems to make it really difficult for them. Difficulty with recognition of prior learning.

[hamish @CoomaDoc]

I dont know why Acrrm makes life so difficult for GP registrars.
Talking to yet another Reg yesterday who is looking at swapping to RACGP, who seem to now be more rural friendly than ACRRM.
🙄

[hamish @CoomaDoc]

@pennydee Having to do so much ED training in a city. Having to do ED log books that are undoable for most people. Haveing an Ed ast exam that seems overly hard(for NSW registrars)

[hamish @CoomaDoc]

@DoverMarian @Mark_Butler_MP @RaatusRuth @bronnietaylor @RyanPark_Keira @RACGPPresident @RuralDocDan Yup. If I see a man with bph? ? Incomplete voiding, I do a poc uss in the gp rooms or the nursing home.
So much more efficient, but no Medicare rebate etc. - but I still do them..

[hamish @CoomaDoc]

@JudkinsSimon @allisonBeDemure Agree. If the tourniquet gets contaminated throw it out.
I’m still surprised we let patients have reused cutlery that’s only been in a dishwasher 🙄..

[hamish @CoomaDoc]

@DocOnSkis Unless it’s dogs in a Tesla on pet mode.😎

[hamish @CoomaDoc]

@DocOnSkis It’s pretty amazing.

[hamish @CoomaDoc]

@ACTINOSProject Or just say you have 10 out of 10 pain, , with a hint of chest pain in there , and jump to the front of the line….

[hamish @CoomaDoc]

Saw someone throw a sharp in the recycling bin. It’s the same color as the contaminated waste bin 😬😬. Sharp safely removed, doesn’t seem like a good system.

[hamish @CoomaDoc]

Patient sees me in GP with CHF, I check them out, tweak BP meds and review in a few days.15min

Same pt sees me in hospital, cxr, path, ecg, pivc. Assess. Tweak meds, follow up with GP. At least 90min…..

[hamish @CoomaDoc]

This year 3 people in the Bombala area have died from quad bike accidents.
😐

[hamish @CoomaDoc]

As the long term medical students return to the city, they leave the traditional gift of a fancy glucose tolerance test ….. I think I need a nap.

[hamish @CoomaDoc]

You know there is a rural medical crisis when you ring another rural hospital to transfer a patient, and they refuse the patient, but offer you a job.

[hamish @CoomaDoc]

Told my 99y old patient that he can still use the chainsaw, but not while climbing a ladder.
🙄

[hamish @CoomaDoc]

@Cyclenut66 They work well with yellow duck scrubs, can’t go wrong.

[hamish @CoomaDoc]

Scrubs by dangerfield. Shoes by Birkenstock. 😂