North East Valley DGP eNews

No 1101: February 3, 2011
eNews is a weekly electronic newsletter sent to all GP practices (with email addresses) within the NEV catchment. The aim is to provide up to date information relevant to GPs and to disseminate the latest activities and resources from the division. All feedback and enquiries welcome and should be addressed to Patty Marshall. You can also visit our website at: http://www.nevdgp.org.au/.
To subscribe to eNews click on subscribe. To be removed from the eNews distribution list click on Unsubscribe

 

In this issue:

Editorial                                                Deaths at the Division         

Chronic Disease Management            Type 2 Diabetes Clinical Trial Patient Recruitment, Type 1 in the City - Back to School, Better Health Self Management Course, Chronic Disease Management - Nurse Specialist Service, Multilingual Diabetes Resources, 2011 Gwen Scott Diabetes Professional Development Grant Program Community Asthma Program           

Professional Development                 CPD events   

Immunisation                                       Measles Alert, Cancer Council's New Cervical Cancer Vaccine Website   

Information Management                  Medical Director Tips

Items of interest                                  Supporting Someone with Cancer, Electronic Discharge Summaries from the RVEEH, Speech Pathology for Adults. NEMICS newsletter, GP Network News, BECC inpatient waiting times                      

Mental Health                                      Mum’s Wellbeing Group      

News for Practice Staff                       Lifestyle Modification Program Information Session, APNA News 

NPS                                                       New NPS Radar, Medicine Update, QPI/PIP & NPS Audit Update

Paediatrics                                           Got a kid with complex, moderate or severe eczema? Paediatric Gynaecology and Endocrinology   

Women’s Health                                  Ovarian Cancer Awareness, The Jean Hailes PCOS Service            

Positions vacant/wanted                            

Fun stuff                                                        

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A Word from the Editor

Deaths of Dr Rob Currie & Dr Vin Nursey

Most of you will by now be aware that two of the Division’s most active and engaged general practitioners died over the Christmas/New year period.

Dr Rob Currie, the Division’s founding Executive Director and its chairman for ten years, died peacefully on Christmas eve surrounded by his family after battling lung cancer for the past 6 months.

Fortunately, Dr Peter Eizenberg (chairman) and Ken Mansbridge (CEO) had visited Rob at home to present him with “Certificates of Recognition & Appreciation” from the Board of Directors and separately from the staff shortly before he passed away.

Rob displayed his usual good humour and interest as we reviewed nearly 20 years of the Division’s operation. It was an achievement of which he was justly proud. He was valued by all who knew him, and he will be sorely missed.

Dr Vin Nursey, who has coordinated the Divisions Tuesday lunchtime CPD program for many years died unexpectedly on January 22nd.

The variety of Vin’s achievements both in and outside medicine as described at his funeral was truly remarkable. Vin’s areas of interest included flying, sailing, and musicianship, but his abiding interest was in Education, both his own, his families & friends.

Vin achieved many academic distinctions over the years including signing up for a PhD in his eighties. His thirst for knowledge was legendary as were his administrative abilities. A life well lived.

 

Death of Russell Renhard

On Tuesday December 21st, Russell Renhard, the much loved partner of Alison Elliot, our valued and respected Mental Health Program Manager died totally unexpectedly at the Austin Hospital.

Russell was undergoing a stent procedure following the discovery of a tear in his aorta when he died.

The Division staff in particular were devastated by this event which was to be followed shortly after by the loss of two of our highly valued GP members (see above).

The Board and staff of the Division will be on hand to support Alison in whatever way is necessary as she and the boys adjust to this unexpectedly changed circumstance.

 

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Chronic Disease Management

Type 2 Diabetes Clinical Trial Patient Recruitment

The Department of Medicine, Austin Health & Northern Health, at the Heidelberg Repatriation Hospital, headed by Professor Joseph Proietto, conducts clinical drug trials in patients with type 2 diabetes.  Clinical trials are of great importance in the development of new treatments and medications, and without patient volunteers, these new drugs would not enter the market.

We are seeking patients with type 2 diabetes who are having trouble maintaining optimum blood glucose levels.  Patients must be over 18 years of age with an HbA1c > 6.5%, and be willing to enter a clinical trial and comply with its requirements. During the course of a trial your patient will regularly receive study-related medical care from endocrinologists, diabetes education and advice from dieticians and nutritionists.  Patients will attend regular appointments at the Department of Medicine’s clinic at the Heidelberg Repatriation Hospital.

Further Information     Patient Recruitment Fax Form

 

Type 1 in the City - Back to School

Presented by Diabetes Australia – Vic. Rebecca Gebert from the Royal Children’s Hospital will discuss some strategies to help you feel more confident in leaving your child with type 1 diabetes in someone else’s care.

Wednesday 9 February at Charles Latrobe Theatre, Royal Melbourne Hospital, Grattan Street, Carlton. Free for DA–Vic members plus one guest. $15 for non-members. Bookings essential: 1300 136 588

 

Better Health Self Management Course

This course will be running at Banyule Community Health Service in West Heidelberg from February the 24th – March 31st. It runs over 6 weeks, sessions are 2.5 hours, 10am-12.30pm. It will benefit individuals with a chronic condition, by promoting participants’ confidence, skills and ability to manage their health on a day-to-day basis. It is based on the concept of self management and is backed by extensive research (see http://patienteducation.stanford.edu and www.crd.unimelb.edu.au/academic/selfmgt.html). Please note that participants need to reside within Banyule. For further information and referrals, please contact: Service Access Department 9450 2000.

 

Chronic Disease Management - Nurse Specialist Service

Care Plans and Health Assessments including all CDM allied health referrals and recalls professionally completed by a Nurse Specialist. Our prompt, confidential service can be conducted in the clinic using your preferred patient management program or as a home visit with documentation using standard Division templates. Small and large lists accepted. Enquiries to glendac@pbhealth.com.au or call on 0448 681 048.

Multilingual Diabetes Resources

The Cultural Diversity Program at Diabetes Australia – Vic provides resources for Victorians from culturally and linguistically diverse backgrounds.

·        Resources – in 8 different languages

·        Pictorial guide to healthy eating – for people who have difficulty reading

For more information: Kim O’Brien on (03) 9667 1733 or email kobrien@diabetesvic.org.au  

2011 Gwen Scott Diabetes Professional Development Grant Program

Diabetes Australia – Vic announces that this round is now open for applications. The grant program aims to provide health professional members of DA–Vic with greater skills to assist people with diabetes. The program is one of the benefits of membership for health professionals and is available to all health professional members – regardless of their level of expertise in diabetes care or years of membership of our organisation. For more information about the program visit our website: www.diabetesvic.org.au. If you have any queries email shunt@diabetesvic.org.au

Community Asthma Program

CAP is currently experiencing a longer waiting time of approx 6-8 weeks.
If you are referring a family & they require urgent contact, please note this on your referral form so that intake can prioritise them accordingly.

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Continuing Professional Development

Term 1 GP Lecture Program

Meetings are held each Tuesday starting at 12.30pm in the Lecture Theatre, Ground Floor, North Wing, Heidelberg Repatriation Hospital, West Heidelberg. (enter Gate 9, Waterdale Rd). Refreshments will be provided. Allocated CPD:  2 points/hour

It is with sadness that we inform you of the death of Dr Vin Nursey who was the Course Leader of our GP Lecture Series. Dr Nursey passed away on Saturday 22nd, January, 2011 at Warringal Hospital.

Vin had almost completed the program for Term 1, 2011 and we will go ahead with these lectures. A decision will be made at our next Board Meeting on February 22nd, as to the future of the Tuesday GP Lecture Program.

Feb 8 - Wound Management - Sr Jan Rice

For full term Tuesday lecture program click here

Update on Chronic Conditions & Rehab - Acute to Community Setting

Saturday 12th February 8.30am - 3.30pm at Charles La Trobe Lecture Theatre, Royal Melbourne Hospital, City Campus. Cost: $100 ($50 for non-medical staff). A one day interactive update on the management of common chronic conditions (from the acute through to the community setting), including diabetes, osteoporosis, COPD, heart failure, wounds and continence. This expert update is appropriate for GPs, GP registrars, nursing and allied health. Presented by RMH Rehabilitation Medicine Department & GP Liaison. Endorsed by the Faculty of Rehabilitation Medicine. RACGP Category 2 points applied for. For details or to register contact Kathie Vezzoso on phone 03 8387 2146 or email: kathie.vezzoso@mh.org.au. More information available from the GP Access web pages on the Melbourne Health website.

Lightbox Radiology Courses

Gain CPD points & confidence in radiology interpretation with Lightbox Radiology Education. RACGP accredited. Courses include Chest X-Ray Interpretation, Emergency X-Ray Interpretation and Acute Medical & Surgical CT Interpretation. Visit www.lightboxradiology.com.au for course details and dates. Exciting venues for 2011 include Yarra Valley / Brisbane / Sydney / Melbourne / Bali / Queenstown / Noosa.

Update from the experts… in Age-related Macular Degeneration, Glaucoma & Diabetes and the eye

Tuesday 8th March 6pm for 6.30pm start at The Royal Victorian Eye And Ear Hospital, Gisborne Street, East Melbourne. Registration form

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Immunisation

Measles Alert for GPs and Emergency Departments - 27 January

The Department of Health (DH) has been notified of 6 confirmed cases of measles, some of which were in travellers, others where the source of infection is not known. A number of cases have been in the community while infectious, so with an average incubation period of 10 to 14 days until onset of rash, secondary cases may now be appearing.

Children or adults born during or since 1966 who do not have documented evidence of receiving 2 doses of a measles containing vaccine or documented evidence of laboratory confirmed measles are considered to be highly susceptible to measles. See full alert here

The Cancer Council's New Cervical Cancer Vaccine Website is now live and ready for use

This website and the printable and video resources on it are not intended to replace any you currently use at a State level. However Cancer Council encourages you to promote the availability of the website and resources to schools, parents and girls. Cancer Council developed this website and the resources on it with the Victorian Cytology Service (operators of the National HPV Vaccination Program Register) and Melbourne Sexual Health Centre, to provide information to parents, girls, schools and health professionals about HPV vaccination, with the aim of increasing uptake of the vaccine. All of the resources on the website can be adapted in line with individual needs. www.cervicalcancervaccine.org.au 

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Information Management

Medical Director Tip - Changing specialists in a referral

If a patient returns to you and wants to go to another specialist after you have already saved and printed a referral, it is easy to change the information rather than creating a new referral from scratch.

1.   Click on the Correspondence (Letters) tab (between results and Old scripts).

2.   Locate the referral and double click on the referring doctor’s name (this is you) – this will open the “old” letter.

3.   Highlight and delete the specialist’s name and address but leave the cursor where the “new” specialist’s details are to go.

4.   From the View menu select Data Toolbar – the Data Toolbar is now displayed on the right.

5.   Click on the + sign next to Addressee. Double click on Full Details – this will display all the specialists in your address book. Locate and then double click on the “new” specialist and this will be placed in the new referral.

6.   Delete the old date and type in today’s date. Delete and replace the salutation (the name after Dear…).

7.   Print and Save the letter – when prompted save it as a new letter.

This weeks IM problem - Misfiling investigation results

Question: One of our doctors has checked a result and placed it into the wrong patient’s file. Their names are very similar. We now have an 8 year old showing his mother's needle aspiration of her breast. How do I set about rectifying it? Is it easier to ask the Pathology laboratory to send another result electronically and then delete the wrong one in the boys file or is there a better way?

Answer: Your solution would work but there is an easier solution. You can open the boy’s file, and then click on the Results tab. Right click on the incorrectly filed result and select Move result. From the patient list select the mother and then click OK.

Go back to the boys result, right click on the incorrect result and select Delete.

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Items of Interest

Supporting Someone with Cancer

This forum will provide strategies to cope with the emotional impact of cancer plus tips and techniques for talking about difficult issues. Carers Victoria will outline their services and how they may be able to assist you. Who should attend? Anyone who is caring for, or supporting, someone with cancer.

Wednesday 2nd March, 6-8pm (5.30pm for registration & refreshments) at Room 4.6, Education Precinct, Level 4, Austin Tower, Austin Hospital, 145 Studley Rd, Heidelberg

Bookings are essential by Monday 28th February to Tammy - 9496 3799 or Dianne - 9496 3315

Electronic Discharge Summaries from the Royal Victorian Eye and Ear Hospital

We are excited to announce that for those GPs who have registered with HealthLink and are listed on the HSD, you should be receiving electronic discharge summaries from the Royal Victorian Eye and Ear Hospital from the 20th of January.  I encourage you and your practice manager to read the information on our GP resources web page about how you can ensure you and your practice are ready to receive electronic discharge summaries from us and FAQs at http://www.eyeandear.org.au/healthprofs/gpinfo.asp. If you require further information that cannot be answered by HealthLink (phone 1800 125 036 or go to www.healthlink.net), HSD (http://humanservicesdirectory.vic.gov.au/) or our website resource, please contact our Clinical Systems team by email CSAppSupport@eyeandear.org.au or phone 9929 8999.  You can also provide any feedback via our Clinical Systems team on the above email or phone number.

Speech Pathology for Adults

The Home And Community Care (HACC) Speech Pathologist provides assessment, management and support for individuals with communication and/or swallowing impairment. For further information contact Matthew Bradley on 9430 9117 or email matthewb@nchs.org.au. For referrals contact Service Co-ordinator on 9430 9100.

North Eastern Metropolitan Integrated Cancer Service (NEMICS)

The Summer edition of the NEMICS newsletter is available on the website: www.nemics.org.au.  

GP Network News

This week’s edition includes: Australia Day Honours List for AMA members; GP Super Clinics Consultation; Productivity Commission draft report – Caring for Older Australians; Flood Levy; Celebrate the benefits of AMA Membership.

BECC inpatient waiting times

Wednesday 2/2/2011 Gem 2-4 days, Rehab 0-2 days. For further information/ assistance please contact: Access BECC office on 9495 3443

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Mental Health

Mum’s Wellbeing Group

For pregnant women and mothers at risk of/or diagnosed with ante/postnatal depression with babies under 12 months

Wednesday 1pm– 3pm at Children’s Hub, Banyule Community Health, 21 Alamein Rd, West Heidelberg

Bookings essential.  Contact: Sharleen Cook, Community Midwife/MCHN on 9450 2048

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News for Practice Staff

Lifestyle Modification Program Information Session

Practice Managers and Practice Nurses are cordially invited to attend an information session on the extension to the Lifestyle Modification Program (LMP) for the 40-49 year olds. This is a Commonwealth program aimed at targeting those 40 – 49 year olds who are at risk of developing diabetes and enrolling them in a 6 session diabetes prevention course.

We wish to build on our division’s success and invite key practice managers and practice nurses to continue the recruitment process to this valuable program. An information night and gala dinner will be held on the evening of Wednesday February 23 at John Scott Meeting House. This session is only for those practices that are within the NEVDGP catchment. [Application form]

APNA News

New APNA Promotion

From now until Monday 14 February, anyone who applies for an APNA Best Practice Nurse Award will be eligible to receive $50 off any 2 or 3 day APNA National conference registration! This is an excellent opportunity to get a discount on registration. Simply apply for any Best Practice Nurse Award, and after submitting it you will receive an email detailing how to access the discount.

Best Practice Nurse Awards – deadline extended to Monday 14 February!
Over the Christmas period, applications for the Best Practice Nurse Awards have been low. We would greatly appreciate if you could email your practice nurses and encourage them to apply for an Award, particularly if they didn’t receive a Commonwealth Government scholarship – this is their chance to still receive some funding for education ($5,000) We have had no applications so far for the Musculoskeletal or Continence Care Awards, so nurses would have a high chance of winning this Award if they apply!! It really is simple and will only take 20 – 30 minutes to complete. Please follow this link for more information about the Awards or to apply.

APNA National Conference

Call for Abstracts - The APNA National Conference Call for Abstracts deadline has been extended until 5pm this Monday 17th January. APNA strongly encourages all NiGP Officers, and practice nurses to send in an Abstract. For more information or to access the submission form, follow this link.

 

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National Prescribing Service

New NPS Radar

A new NPS RADAR was launched this week. Click here to view online. RADAR provides timely, independent information about new drugs. 

The February 2011 RADAR covers additions to the PBS, including new listings for nicotine patches and dutasteride, and a change to the listing of varenicline.

Medicine Update

Medicine Update is an online publication for consumers who are taking or considering new medicines, and who want information that supplements discussions with their doctor. It aims to highlight important information about how the medicine is used in therapy, how it compares with other therapies, provide any important safety information and explain the conditions of its listing on the PBS. Each Medicine Update has a companion article for health professionals in NPS RADAR.

NPS encourages health professionals to recommend Medicine Update as a reliable resource to consumers who are seeking more information about a new medicine or considering changing their medicine(s). Three new Medicines Update issues are now available and include reviews on: Exenatide (Byetta) for type 2 diabetes, Denosumab (Prolia) to treat osteoporosis in post menopausal women. And Paracetamol and Caffeine (Panadol Extra) for pain relief. To read the full reviews, go to www.nps.org.au/medicineupdate   

QPI/PIP & NPS Audit Update

The current NPS QPI/PIP year will come to a close on 30 April 2011. Practices who participate in the NPS program with a view to receiving PIP payments, might wish to check the number of activities completed to date and plan those to be completed by end April, relative to Medicare’s expectations for the practice, to ensure the practise qualifies for a PIP payment.

Note 3 Clinical e-Audits are available at this time.  The topics are PPIs (Review of proton pump inhibitor prescribing), Diabetes (Optimising management of type 2 diabetes) and Hypertension (Management of hypertension).  Online enrolment is available at: www.nps.org.au/healthprofessionals.

Please contact Dr Mary Levidiotis for more information: mary@nevdgp.org.au or 9496 4333.

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Paediatrics

Got a kid with complex, moderate or severe eczema?

Expert RCH Eczema nurses provide comprehensive assessment, education and care coordination (with other community supports as needed) through community centre eczema clinics. Community Health Service GPs and the RCH Dermatology Department provide medical support. A comprehensive management plan and referral back to the child's usual GP form the core activities of this clinic. The first consultation requires a full morning - the child and family have an individual assessment followed by group education. Clinics are held at North Yarra Community Health Service (Abbotsford) and Doutta Galla Community Health Service (Kensington).

·        Referral forms & more information: www.rch.org.au/outpatient/directory/index.cfm?fuseaction=home.full&id=122  

·        Consider a private referral – new service, low waiting lists: Melbourne Paediatric Dermatology, Dr Vanessa Morgan & Ms Emma King - tel 9340 5866 (766 Elizabeth Street, Melbourne)

·        RCH Primary Care Liaison www.rch.org.au/kidsconnect  

Paediatric Gynaecology and Endocrinology

Wednesday 2nd March, 7-8.30pm - Paediatric upskilling close to home. Come join your local paediatrician colleagues for an interactive video-conferencing paediatric update.  Registration is essential and there is no charge. Please contact Judith McQueen at the RACP on 03 9927 7710 or Judith.McQueen@racp.edu.au to find a site near you to attend.  The next topic is on May 18th - Chronic headaches.

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Women’s Health

Ovarian Cancer Awareness

February is national Ovarian Cancer Awareness Month, an initiative of Ovarian Cancer Australia to raise awareness of ovarian cancer and its symptoms.

The four most frequently reported symptoms from women diagnosed with ovarian cancer are: Increased abdominal size or persistent bloating; Unexplained abdominal or pelvic pain; Difficulty eating or feeling full quickly; Needing to urinate often or urgently or a change in bowel habits

If women experience these symptoms continuously for more than two weeks, we recommend you conduct a CA125 blood test and a trans-vaginal ultrasound. If you suspect a woman has ovarian cancer please refer her to a gynaecological oncologist.

When women undergo their Pap test, we suggest you tell them about the symptoms of ovarian cancer and ask them if they have experienced any.

To raise awareness of the symptoms of ovarian cancer amongst your clients and staff please order our Symptom Diary (A4 sheet), and display our awareness brochures and posters in your waiting room. If any of your clients has ovarian cancer please refer them to Ovarian Cancer Australia for a range of information and support options. Contact Ovarian Cancer Australia on 1300 660 334 or visit www.ovariancancer.net.au.

The Jean Hailes PCOS Service

The Jean Hailes Foundation for Women’s Health in Clayton has established an evidence based multi-disciplinary specialist service for women with Polycystic Ovary Syndrome.  The service provides education, a lifestyle management program and comprehensive specialist medical assessment and management planning, provided over three visits.  Ongoing management is then transferred back to primary care supported by a detailed management plan. 

To access the service, women must have had a diagnosis of PCOS confirmed via the presence of any two of the following three factors (as per Rotterdam 2003 criteria):

·        Oligo/anovulation

·        Clinical and/or biochemical signs of hyperandrogenism

·        Polycystic ovaries on ultrasound.

For more information download the PCOS Service - GP Information Sheet from the Health Professionals menu at www.managingpcos.org.au   or contact the Project Manager, Tanya Heaney-Voogt at the Foundation on 03 9535 6719 or tanya.heaney-voogt@jeanhailes.org.au.

Referrals to the Jean Hailes PCOS Service can be made by fax to: 03 9562 7477

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Positions vacant/wanted

Please note: only new ads or resubmitted ads will be posted here. All other ads can be found on the website

Positions vacant

Doctors

Fairfield - Seeking FT/PT VR GP or Non VR GP to join our long established family Medical practice.  Friendly and Professional working environment, fully computerized, Excellent remuneration and support. Please contact Liz/Practice Manager on Mobile 0414 768 531.

Ivanhoe Medical Clinic - PT VR GP for 2-4 sessions/week - must include Thursday & Friday afternoons. Modern, large supportive group(10 GPs), FT nurses, computerised, CDMs, no A/Hs, friendly ,flexible, mixed billing. Good remuneration. Contact:- Dr. Stephen Smith or Dr. David Doig – 9499 1245.

Northcote – FT/PT VR GP or Subsequent Trainee GP position. Fully accredited, computerised, long established doctor owned practice in a new purpose built facility with a fabulous work environment. Ancillary Health , Pharmacy and Pathology  services on site. Inquiries Diane Cronin (Practice Manager) 9481 1214. Visit our website www.doctorsofnorthcote.com. 

St Vincent’s - Ellerslie Transition Care Unit. GP required to join our existing team of three GPs supported by a sessional Geriatrician. See here

Thornbury - seeking a VR GP to replace "soon to retire" GP.  A long time established busy, accredited and computerised practice with a friendly and professional working environment, dedicated staff and excellent nurse support. For enquiries, please contact Dr Jenny Andrewes, Dr Danny Lipson or Rose - Practice Manager on 03 9484 2007 or email dundasdr@bigpond.net.au    

Practice Staff

Community Asthma Educator - This full time position will be based at Doutta Galla CH, Moonee Ponds (0.6 EFT) and North Yarra CH, Collingwood (0.4 EFT) but will work with various organisations across the acute and community setting. For further information or to submit an application, please contact the CAP Community Liaison Coordinator, on Ph: 9377 7190 or email Michelle.norman@dgchs.org.au. For a copy of the position description and to apply, please see the Infoxchange website. Closing date: Friday 4th Feb, 2011

Montmorency Medical - Receptionist, permanent part time (initally 1 shift/week) in a busy medical clinic at Sherbourne Road Medical Clinic. Preference to someone with experience in Practice 2000, however training is provided. Ability to cover holiday and sick leave essential. Please contact Kay on 9435 1144 for further information or email resume to smrc@netspace.net.au

Northern suburbs - Audio Typist wanted – Radiology experience. Required 3 -4 days per week. 12 month contract with view to permanent. 9.30am-5.30pm Mon-Fri

Email: deniod@galaxymedicalrecruitment.com.au or contact Galaxy Medical Recruitment on Ph: (03) 8720 7888

Positions wanted

North East/Lower Plenty region - Medical receptionist/Admin Clerk seeking a permanent role. 15 hours per week Mon-Fri (daytime). Immediate start available.

Complete Business Cert III (Medical) I have extensive clerical and office experience. Please contact me via email Vicki at vbrown8@dodo.com.au

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Humour

A real woman

A real woman is a man's best friend. She will never stand him up and never let him down.  She will reassure him when he feels insecure and comfort him after a bad day. She will inspire him to do things he never thought he could do; to live without fear and forget regret. She will enable him to express his deepest emotions and give in to his most intimate desires. She will make sure he always feels as though he's the most handsome man in the room and will enable him to be the most confident, sexy, seductive and invincible...

No wait... Sorry... I'm thinking of whisky.  It's whisky that does all that. Never mind.

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And remember

            It is the man who has done nothing who is sure nothing can be done.