North East Valley DGP eNews

No 1008: March 18, 2010
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:
To subscribe to eNews click on subscribe. To be removed from the eNews distribution list click on Unsubscribe


In this issue:

Chronic Disease Management            Diabetes: It’s More Than Glucose Control  

Professional Development                 CPD events   

HMR                                                      Update in hypertension and risk reduction for Acute Coronary Syndrome 

Information Management                  Medical Director Tips

Items of interest                                  Aboriginal Health - National Close the Gap Day, New website for St Vincent’s, The Changes to Medicare Primary Care Items from 1 May, Counselling service for families of children with Autism, Dineen & Westcott Audiologists, GP Network News      

News for Practice Staff                       Setting up Specialist Clinics, The Diabetic Foot and Wound Care Seminar for Nurses          

Paediatrics                                           Royal Children’s Hospital Strategic Plan Survey      

Women’s Health                                  The Ins and Outs of Vaginal and Breast Health                  

Positions vacant/wanted                            

Fun stuff                                                        


Chronic Disease Management

Diabetes: It’s More Than Glucose Control

Diabetes Australia – Vic and Baker IDI Annual health professionals’ symposium. New insights into autoimmunity and type 1 diabetes, coexisting conditions, CAM and new ways of thinking about diabetes management goals. Keynote speakers: Prof Trisha Dunning, Prof Timothy Skinner, Dr Spiros Fourlanos.

Friday 7th May at Sofitel Melbourne. Visit or phone (03) 9258 5053 for more information.


Back to top


Continuing Professional Development

Immunisation Update

Thursday 25th March, 7-9pm (dinner from 6.30pm) at John Scott Meeting House, La Trobe University, Bundoora.

Influenza, Pertussis and Travel Immunisation Update. Presenter: Associate Professor Joseph Torresi. Please note: There has been a change of speaker. Flyer


New Fair Work Australia Awards for General Practice

Wednesday April 14, 7- 9pm (Registration: 6:30pm) at John Scott Meeting House, Latrobe University [Map] Presented by: VHIA for GPs, Practice Managers & Practice Nurses. Click here for flyer.


Term 1 GP Lecture Program

Meetings are held each Tuesday starting at 12.30 in the Lecture Theatre, Ground Floor, Pathology Building, Repatriation Hospital, Austin Health, West Heidelberg. Tea and Coffee provided. Course Leader: Dr Vin Nursey Phone: 9457 1736

March 23 - Paediatric Sports Injuries - Mr Jit Balakumar

For full term Tuesday lecture program click here


Austin Health - Division of Medicine Grand Round

“Problem solving with cardiac MRI” presented by Dr Maurice Molan

Wednesday 24th March 12:30pm John Lindell Lecture Theatre, Level 4, Lance Townsend Building

Opposite Medical Library. PRECEEDED BY lunch in Education Precinct Breakout Area at 12 noon.


Upcoming event at St Vincent’s

Thursday 20th May - “Getting Plastered” – a hands-on casting evening workshop for GPs and PNs. Mr Gerard Powell (orthopaedic surgeon) will be guest speaker. At St Vincent’s Specialist Clinic.


Back to top


Home Medicines Review

HMR meeting - Update in hypertension and risk reduction for Acute Coronary Syndrome

Wednesday 7 April, 7-9pm, refreshments from 6:30pm (main speaker 7.45pm) in Northern Division training room. For GPs, Practice Nurses & Pharmacists.

The session will cover: 

·        Guideline approach

·        Evidence for risk reduction

·        Evidence for use of various antihypertensive drug therapies

·        Emerging concerns regarding frequency of use, adverse effects

·        Adherence issues and Case examples

·        HMRs (Item 900) - Working together GPs, Practice staff, and pharmacists

This session is eligible for 4 CPD points (GPs); 2 CPE points (Pharmacists – Cat 1 activity).

Enquiries to Jenny Gowan on Tel. 8480 4611. RSVP by FaxBack. Click here for flyer.


Back to top


Information Management

Medical Director Tip - Nurses viewing Investigation Results

You may wish your nurses to view investigation results. You do this by going to the Tools menu -> Options… -> Investigations -> Display results to staff tab. This Options setting is for that computer only. Other computers, such as those at reception won’t be allowed to view results unless that option is turned on for their computer.


This weeks IM problem - Merging duplicate patients

Question: How do you merge duplicate patients?

Answer: There is a comprehensive section on this in the MD help file – I suggest you use this. Clicking on the Merge button on the patient opens the Merge Patients Wizard. You can use the Source field to see where the secondary patient record has come from. This assists you in determining exactly which patient record you need to keep. The following options may be present:

·        Billing - If the secondary patient has come from a billing package.

·        External - If the secondary patient was imported from another file (perhaps from another surgery).

·        Locum - If the patient was imported using a third-party locum service.

·        MD - If the patient was originally created in Medical Director.

·        Pathology - If the patient was created automatically upon importing Investigation Results. If such results are imported for a Patient that doesn't exist, Medical Director will automatically add the patient to the Patient Database.


Back to top


Items of Interest

Aboriginal Health - National Close the Gap Day

National Close the Gap Day will be held on 25 March this year. You can get involved and join the thousands of people around Australia holding events to raise awareness of the Indigenous health crisis. Aboriginal and Torres Strait Islander Peoples are still dying 10 to 17 years younger than other Australians. Click here for Oxfam’s information on Closing the Gap Day.

VACCHO (Victorian Aboriginal Community Controlled Health Organisation) will be hosting a Community BBQ for the National Close the Gap Day on Thursday March 25 from 12 to 2pm at 5-7 Smith Street, Fitzroy. RSVP by 22/3/10 on 9419 3350. Bringing people together for this event will encourage them to learn more, discuss the issues and take action to achieve Indigenous health equality.


New website for St Vincent’s

St Vincent’s has a new website. Our new site has direct access for GPs from the home page and offers information on all specialist clinics, diagnostic services, all aged care and mental health services available at St Vincent’s. The new, cleaner look makes finding referral information much easier. We would appreciate your feedback and any suggestions for material you would like added, please let us know on


The Changes to Medicare Primary Care Items from 1 May

For a series of Question and Answers on these changes visit the Department of Health and Ageing website.


Counselling service for families of children with Autism

Frossa Mrakas is a qualified social worker and professional counsellor with extensive experience in the fields of parenting and autism spectrum disorder and can provide parents and individuals with the following services:

  • Understanding of their child’s diagnosis; Parenting skills; Entitlements in terms of services and financial support; Self-advocacy skills; Coping skills for grief, stress, anxiety; Developing Family resilience
  • Contact Frossa Mrakas on 0418 174545 or


Dineen & Westcott Audiologists

We provide professional, experienced and ethical hearing services including:

      Hearing assessment and care for adults and children over 3 years of age.

      Fitting and fine-tuning of the latest digital hearing aids - our clients consistently report high levels of satisfaction with their hearing aids and the services we provide, well above the industry average (EARTrak™ – an independent hearing aid survey).

      Tinnitus, hyperacusis (sound intolerance) and acoustic shock injury evaluation and rehabilitation, with our research recognised internationally.

      Central auditory processing evaluation.

      Customised earplugs for industry, swimming and musicians.

74 Mount Street, Heidelberg 3084. Tel: 9457 6588, Fax: 9457 6833, Email: or visit


GP Network News

This week’s edition includes: PM addresses AMA Parliamentary Dinner; AMA participates in 12th Annual Health Conference; Primary care debrief for pandemic H1N1 2009.


Back to top


News for Practice Staff

Setting up Specialist Clinics

Small group learning for Practice Nurses on Tuesday 23rd March, 7- 8.30pm (dinner from 6.30pm) at NEVDGP Board room, 1st Floor, Pathology Building, Austin Health, Repatriation Hospital (Map). See flyer for registration. Tel: 9496 4333


The Diabetic Foot and Wound Care Seminar for Nurses

Friday 16 April. 9.30am-4pm at St Michael’s on Collins (Administration Building) 120 Collins Street Melbourne. Presented by Diabetes Australia – Vic - An interactive and informative day for division 1 nurses working in any practice setting to increase their knowledge of diabetes and enhance their skills in managing complex foot wounds and ulcers in patients who have diabetes. Cost: DA–Vic Health Professional member $200 (incl GST). Non member $220 (incl GST). Register two weeks prior to be eligible for early bird rate ($175 and $200 respectively). Bookings essential. Attendance attracts seven CNE points. For further information contact Lyra Lobo on 9667 1728. Click here for flyer and registration.


Back to top



Royal Children’s Hospital Strategic Plan Survey

Work has commenced on the development of a new three-year RCH strategic plan which will take in the move to the new RCH occurring next year. As part of a broad consultation process with a range of stakeholders, rural and regional GPs are invited to contribute your views about the direction of RCH by completing an on-line survey at The survey should take approximately 10 minutes to complete and should be completed by the close of business on Tuesday 23 March 2010. Should you have any queries about the strategic planning process, please contact Jane Miller on 9345 5134 or email  


Back to top


Women’s Health

The Ins and Outs of Vaginal and Breast Health

Wednesday 28 April, at 2.15pm Presented by The Jean Hailes Foundation for Women’s Health. Attend via videoconference: Individual and site registrations 03 9927 7777 or email or online Or attend in person at RACP Building, Level 2/417 St Kilda Road, Melbourne. Click here for flyer.


Back to top


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


Bundoora – GP required for 1 session (2-3 hours) per week at an independent living retirement village. There is a fully equipped doctor’s office and computer with Best Practice installed and a nurse to assist with appointments etc. during the session. Call Gill on 8467 0466.


Northcote - F/T P/T 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


Northland Shopping Centre - VR GP's required to work in this GP owned and operated modern medical centre. Opening April/May 2010, a friendly and supportive team environment will be created in this fully modern and computerised medical centre with allied health, pathology and radiology also to be on site. Excellent remuneration and 3 month minimum payments guarantee offered! Significant incentives also offered to clinics or GP's in the immediate area who relocate to the centre. Please contact Dr Rod Aziz on 0412 200 180 or on for more details.

Practice Staff

Ivanhoe - Part-time medical receptionist wanted. Some medical reception experience would be best but good customer/patient communication is essential as well as a friendly, and professional manner; excellent phone manner, communication and computer skills. Please e-mail

Positions wanted

Want help with Care Planning & Health Assessments? - A professional service conducted by a Division 1 RN performing MBS Primary Care Items for doctors local to the NEVDGP. Italian spoken. Call Glenda at HEALTHPOWER on 0448 681 048 or email for further information.


Back to top



Hell Explained by Chemistry Student

The following is an actual question given on a University of Washington chemistry mid term. The answer by one student was so 'profound' that the professor shared it with colleagues, via the Internet, which is, of course, why we now have the pleasure of enjoying it as well :


Bonus Question: Is Hell exothermic (gives off heat) or endothermic (absorbs heat)?

Most of the students wrote proofs of their beliefs using Boyle's Law (gas cools when it expands and heats when it is compressed) or some variant.

One student, however, wrote the following:

First, we need to know how the mass of Hell is changing in time. So we need to know the rate at which souls are moving into Hell and the rate at which they are leaving. I think that we can safely assume that once a soul gets to Hell, it will not leave. Therefore, no souls are leaving. As for how many souls are entering Hell, let's look at the different religions that exist in the world today.

Most of these religions state that if you are not a member of their religion, you will go to Hell. Since there is more than one of these religions and since people do not belong to more than one religion, we can project that all souls go to Hell. With birth and death rates as they are, we can expect the number of souls in Hell to increase exponentially. Now, we look at the rate of change of the volume in Hell because Boyle's Law states that in order for the temperature and pressure in Hell to stay the same, the volume of Hell has to expand proportionately as souls are added.

This gives two possibilities:

1. If Hell is expanding at a slower rate than the rate at which souls enter Hell, then the temperature and pressure in Hell will increase until all Hell breaks loose.

2. If Hell is expanding at a rate faster than the increase of souls in Hell, then the temperature and pressure will drop until Hell freezes over.

So which is it?

If we accept the postulate given to me by Teresa during my Freshman year that, 'It will be a cold day in Hell before I sleep with you,' and take into account the fact that I slept with her last night, then number two must be true, and thus I am sure that Hell is exothermic and has already frozen over. The corollary of this theory is that since Hell has frozen over, it follows that it is not accepting any more souls and is therefore, extinct......leaving only Heaven, thereby proving the existence of a divine being which explains why, last night, Teresa kept shouting 'Oh my God’.


This student received an A+.


Back to top




And remember


            …Too bad that all the people who know how to run the country are busy driving taxis and cutting hair.