We’ve had a success with My Health Record at BallaratOSM !

We’ve had a success with My Health Record at BallaratOSM !!!

After some years of trying to get some specialist value from this federal government initiative, we can now link to it through our practice management software – Genie.

With a small degree of luck – we’re hoping to speed up our accessing patients radiology results. Sure if we know which radiology provider was used, we can see the pattient’s images – whether they were done at Lake Imaging, Ballarat Base Hospital, Sovereign Radiology, Healthcare (Eureka), Vision Radiology, or and of the country hospitals we deal with, where commonly Bendigo Radiology, or one of our above providers have radiology centres. The problem is, patients often don’t remember where!

GP Referral that come through with the radiology result does help us – we will look at the image, we just need to know where it was done, and the radiology reports invariably have this !

We look forward to learning other things from the patients My Health Record, the experiment with it is starting !!

Returning to Exercise after COVID-19

The ongoing COVID-19 pandemic has wrought havoc in all of our lives. Sporting teams and competitions have not been immune to this, as the sight of empty stands and endlessly changing fixtures will attest.

As we all get more used to ‘living with COVID-19’, most sporting competitions have been able to recommence in one form or another. At a community level this is vital for all the benefits that social sport brings: keeping people active and connected in an otherwise difficult time. But as things open up and more of us are exposed to the virus, care needs to be taken with returning to sport after COVID-19.

Anyone with a positive diagnosis of COVID-19 should follow the relevant local rules with regards to isolation, follow-up testing and notification of authorities. If they are unwell they should seek advice from their usual doctor or from emergency services as required. Once the person has recovered and completed the required period of isolation, there are some guidelines for a safe return to exercise.

 

  1. If the person had very mild symptoms, such as less than 2 days of mild fever and common cold symptoms only, they should still rest from exercise for 7-10 days after testing positive. After that, they should recommence exercise gradually, and watch for any new or unusual symptoms with exercise. In this case, no special tests are recommended.
  2. With more severe symptoms e.g. shortness of breath, chest pains, palpitations or more than 2 days of fevers or chills, more significant assessment is required. This also holds for people with pre-existing asthma or chronic fatigue. In this case, being seen by a doctor is strongly recommended. Depending on the symptoms, some tests may be suggested, such as blood tests for heart muscle inflammation, an ECG (heart rhythm trace) or echocardiograph (heart ultrasound). If these are normal and all symptoms have resolved, then a safe return to sport can be expected. People in this situation should still take it easy when restarting exercise. If any of these tests come back abnormal, further assessment and testing may be needed. A return to exercise should only be undertaken in consultation with appropriately qualified medical advice, such as a Sports Physician or a cardiologist (heart specialist).
  3. Any new symptoms with exercise, especially chest pain, shortness of breath or palpitations, need to be assessed with blood tests and ECG or echo.
  4. People with severe COVID-19 (i.e. needing hospitalisation) will also need a careful medical checkup before returning to activity. The return to exercise will need to be overseen by appropriate specialists

Coming back after a couple of weeks off can be enough to increase the risk of injury because of a loss of strength and fitness. Getting back into exercise will be great for the mental recovery from illness, but taking it easy will help the process go smoothly. 

References: Jewson J, McNamara A, Fitzpatrick J. Life after COVID-19: The importance of a safe return to physical activity. Aust J Gen Pract 2020;49 Suppl 40. doi: 10.31128/AJGP-COVID-40.
Baggish A, Drezner JA, Kim J, et al. Br J Sports Med 2020;54:1125–1135. doi:10.1136/bjsports-2020-102516

Walking the walk

In March this year Australia’s most decorated male track and field athlete and Ballarat legend Jared Tallent announced his retirement from competitive athletics.

Continue reading

Osteochondritis Dissecans

Osteochondritis Dissecans is a relatively common childhood problem in the knee. The name means bone and cartilage breaking away from the underlying bone. It most commonly heals by itself, but in adults, or adolescents over the age of 14, it seems more likely to break off than to heal. It is less common in girls, but the upper age cutoff for might be lowe

Continue reading

Physiotherapy and Telehealth

You may have noticed this week that I have been performing Physiotherapy with Telehealth using telephone and zoom as a way of exercising social distancing but still continuing essential care for patients.

Continue reading

Tips for coping with Coronavirus Anxiety

Feelings of worry and unease can be expected following a stressful event, such as the recent declaration of a global pandemic, however, it is important that we learn to manage our stress before it turns to more severe anxiety and panic.

Continue reading