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10 Comments on

  1. Rollo Manning // August 9, 2014 at 1:30 am // Reply

    Are there any restrictions on the use of Ivermectin for scabies on the PBS?
    If “yes” what are they?

  2. Most even handed article from Ms Marron I have ever seen. Thank you. It has long been obvious that no one profession has all the answers for everyone. Generally people go to the people they trust first, their GP. When results are not obtained they look elsewhere, and when they find help, often instant, whether they understand or not,[ and who understands HOW antalgics or antibiotics work ], there is an increased chance they will return. The inference that ear problems are otitis media, which is an infection, to which the later connection of antibiotics is made, perpetuates the myth that ear problems are infections, when all the evidence indicates that in the vast majority of cases, there is NO INFECTION, hence the failure of antibiotics. AS well grommets also do NOT have evidence based support for their use. Being such an advocate of EBM I find it strange that Ms M. does not mention this, and may well be why a range of non-drug care gets patient satisfaction in what may well be a multi-factorial problem.

  3. Hygiene messages do not seem to be getting through. Still there are too many Medicos who buckle under the weight of patient’s requests for antibiotics.We need to push messages to promote hand-washing as very few people wash hands after toilet visits. Signs should be installed in toilets;sneezes need to be covered up;door handles are a source of infection;mask utilisation should be encouraged etc etc.

  4. I agree Gerald. As a consultant pharmacist I see inappropriate prescribing continued for years and the excuse given is “oh they are stable on that regime so I don’t want to change anything”. Quality of life is so important for our elderly, often more so than quantity. Even if they have been on something for years it is good to review and remember that what was started when they were in their 50′s or 60′s or 70′s may not be appropriate now they are in their 80′s or 90′s. However I also do not like to see them swallowing heaps of supplements which are expensive to buy and often of questionable value. Minimal medication focusing on quality of life is the way to go in my opinion.

  5. Mouhamad Zoghbi // August 19, 2014 at 10:36 pm // Reply

    Yes It is time!
    It is time to put the interaction before the transaction.
    It is time to put people’s health before the “cheaper brand”.
    I admire your work Gerald, because it is time we support pharmacists to dig deep and remember why they wanted to be a pharmacist? Mainly to support people’s lives and rarely for the money.
    What was the most trusted profession has significantly dropped simply because many pharmacies are placing their own interests before the communities.
    Finally, in a study I conducted with 133 pharmacy members I noticed that many pharmacy assistants usually in their teens or twenties found the elderly customers a pain to work with, they did not have the patience or the training to listen and understand their needs, this lead to frustration from both sides and a lack of care for the elderly.
    It really is time to bring back the community to pharmacy.
    Thanks Gerald.

  6. I have had preliminary discussions about forming “The Australian Integrative Pharmacists Association” as an offshoot of AIMA. This is a preliminary expression of interest, but I would be delighted to keep a record of any interest and liase with AIMA in time. I’m well aware that the Friends of Science and Medicine are infiltrating pharmacy circles, spreading their doctrine. Here’s an opportunity to be informed about complementary medicines in our practices, with an umbrella organisation protecting our opinions and interests.

  7. Keith Bastian // August 25, 2014 at 10:54 am // Reply

    Since the report in Europe some years ago, followed shortly thereafter by similar figures from US and Australia, of sales of non-pharmaceutical products for ‘health’ issues equaling or exceeding ‘mainstream’products, there was a ramp-up of the ‘unproven/unscientific’ claims by the spin doctors for Big Pharma. But immediately the buy-up of the companies producing nutritional products began, and very few are now independent. As this has happened, dosages of the active components has dropped, and many of the herbal ingredients are made from the less vital parts of the plant. So, by making weak products that are contrary to herbal protocols, they make money from less-discerning clients, and can then also say, ‘just as we told you,this stuff does not work’.

  8. To my knowledge, there are no known risk factors, and certainly no known causes, of MND. If the causes were known, researchers would have a better idea of how to treat it but there is no treatment available because causes/risk factors are unknown (except for 10% of cases where there is a family history). It is simply incorrect to provide a list of “actual causes” as you have done. What evidence do you have for these? This smacks of sensationalist journalism based on no evidence whatsoever to support your argument.

  9. This is so true. Good care involves empathy. Listening is all important. Treat the patient not just the disease.

  10. Glad to read this editorial this week. I would like to request you to uphold the need for patient centered care rather than anything else.

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