Product Manager

Our new Product Manager will be based in our Product Management branch in our Brisbane Business Centre. We’re looking for a knowledgeable, well-rounded Product Manager who has experience in delivering engaging consumer applications (web and mobile).

So, are you ready to be a part of this dynamic environment?

Our Brisbane Business Centre is located in the Centre of Queensland’s bustling state capital and is within walking distance of Central Station and a variety of cafes, restaurants, and CBD-shopping. This office supports a key customer, vendor, government and industry engagement space, providing modern, open and collaborative workspaces for our software development, software support, and customer and commercial group operations.

If you’re ready to be at the cutting edge of medical software development and applications apply here.

How to help your patients manage Hayfever in 2018. View from a Doctor’s Desk – Dr Lisa Surman

Hayfever is the most common allergic disorder in Australia. It is estimated to affect 15% of the population. The symptoms can cause significant disruption to sleep, concentration, learning and daily function for children and adults. The cause is a reaction to wind pollinated tress, grasses and weeds, house dust mites, animal dander and mould spores.

The Australasian Society of Clinical Immunology and Allergy (ASCIA) has new guidelines for managing seasonal allergic rhinitis (hayfever) and offers the following advice for hayfever sufferers:

  • Intranasal corticosteroid sprays are the mainstay of management and have a potent action on inflammation and symptoms when used regularly and need careful attention to the way in which they are used. The different brands vary in strength and effectiveness, A diagram of the effective way to use the inhalers is available at http://www.allergy.org.au/patients/allergic-rhinitis-haay-fever-and-sinusitis/allergic-rhinitis-treatment-plan.pdf The American Allergy Guidelines published last year recommend intranasal corticosteroids alone should be used to treat hayfever in people 12 years and over as trials have demonstrated no additional benefit from taking oral antihistamines. The earlier the spray is started after symptoms start, the quicker control is gained
  • Combination medications containing antihistamine and intranasal corticosteroid offer combined advantages and usually reduce symptoms faster
  • Antihistamine oral medications help to reduce symptoms such as sneezing, itchy and irritated eyes, but are less effective in controlling nasal blockage and dribble. The advantage of antihistamines is their flexibility
  • Intranasal saline washouts can be useful, removing the allergens, clearing the inflammatory mucus, are safe and effective and inexpensive
  • Oral leukotriene antagonists (eg Singulair) can be used for children who also have asthma, there is no government subsidy for nasal symptoms alone. Studies have also demonstrated no additional benefit in symptoms control when used with oral antihistamines in controlling symptoms than using intranasal steroids alone.
  • Effective management of allergic rhinitis is an important part of asthma management
  • Allergen immunotherapy (desensitisation) is effective in reducing the frequency and severity of the symptoms and requires a referral to a Specialist. The desensitisation involves the regular administration of commercially available allergen extracts to promote tolerance. This can be done by subcutaneous injection or liquid drops or sprays. Treatment usually occurs over 3-5 years to produce long term benefit. Individuals will experience different degrees of benefit. On average there may be a 50% reduction in symptoms and/or medication use.
  • A brief course of oral steroids (3 to 7 days) is rarely required, but may be considered with severe nasal obstruction or short term rescue from severe symptoms.
  • Depo corticosteroids are not recommended due to their short duration of effect and potential for local and systemic side-effects (eg depo-Medrol injection). These were used commonly some years ago in Australia and are still given in some countries.
  • Oral or intranasal decongestant can be used short term to control symptoms, but after 3 days can cause a rebound nasal obstruction

Unproven tests and inappropriate methods include IgG testing, cytotoxic food testing kinesiology, Vega testing, electrodermal testing, pulse testing and costly avoidance strategies. There is no Medicare rebate for these tests, these methods are not recommended by ASCIA or the WHO.

Dietary manipulation has no evidence of benefit for hayfever, food elimination eg cow’s milk or wheat is not recommended and can result in serious nutritional deficiencies in young children. Restricting dairy products is popular, but no study has demonstrated any reduction in mucus production with dairy elimination. Some cases of rhinitis associated with preservatives have been described, no diagnostic testing are available to confirm this.

Alternative medicines are not regulated in Australia. There is no Medicare or Pharmacological rebate available and no evidence to support the accuracy in diagnosing allergic disorders. The therapeutic effectiveness of acupuncture, vitamin supplements, homeopathy and physical treatments such as chiropractic manipulation has not been demonstrated.

For more detailed information about specific areas relating to allergies, see allergy.org.au

Dr Lisa Surman, CBD West Medical Centre, Perth, WA

Member of Best Practice Software’s Clinical Leadership Advisory Committee

“Often patients spend time talking about current medical and social issues, taking valuable time away from dealing with what they have really come in to discuss. One of our solutions is to direct them to news articles on our website written by a doctor in our Practice that outline current issues and offer strategies to manage the problem and links to relevant, reputable websites”.

Get your Practice Ready for Storm Season

Storm season is back with a boom and it’s more important than ever to ensure your Practice is prepared by taking all precautions to protect both your data and hardware.

 The best way to protect both your data and hardware from the effects of a storm is to have an Uninterruptible Power Supply (UPS) in place and to perform your Bp backups regularly.

 If you do not have these available, the next best precaution is to shut down your systems and disconnect power/ethernet cables to prevent damage.

 If you usually leave the server on, we recommended disconnecting this when finishing for the day if no UPS/Surge protection is setup and storms are predicted! Be safe and be prepared!

 

Do You Know What Mental Health Is? View from a Doctor’s Desk – Dr Lisa Surman

World Mental Health Day is today (October 10th) – a chance to look at how we can support our patients’ mental health.

The Do You See What I See? campaign aims to challenge perceptions about mental illness, encouraging everyone to look at mental illness with a more positive light to reduce stigma and make it easier to seek support and help for the one in five Australians affected by mental illness every year.

The campaign has enrolled over 700 organisations asking everyone to make a #MentalHealthPromise and to take a more positive view . The promises that have been made by individuals are at 1010.org.au The website has some suggestions for promises you may like to make and a page to post your own promise and associated image.

Stigma around mental illness remains an issue for Australians, delaying or preventing people from seeking help. The misconceptions and misrepresentations about those who experience mental illness can be damaging, including references about those suffering from mental illness as being incompetent, weak or scary and appear in the media, the arts and conversations at school, work and in the home.

The majority of people affected by mental illness are able to lead contributing and independent lives in the community with treatment and support. The website encourages a different light to look at mental illness, colour and life, resilience, bravery, recovery, hopefulness, courage, contribution and more.

To learn more about mental illness, and provide valuable resources for your patients, there are several organisations with easily accessible online information:

SANE Australia at https://www.sane.org/mental-health-and-illness

Beyondblue at https://www.beyondblue.org.au/the-facts/what-is-mental-health

Headspace at https://www.headspace.org.au/young-people/what-is-mental-health/

World health Organisation at http://www.who.int/features/factfiles/mental_health/en/

To find help: see Mental Health Australia https://1010.org.au/need-help

or mindhealthconnect Guided Search Tool: https://www.mindhealthconnect.org.au/

 

Dr Lisa Surman, CBD West Medical Centre, Perth, WA

Member of Best Practice Software’s Clinical Leadership Advisory Committee

“Often patients spend time talking about current medical and social issues, taking valuable time away from dealing with what they have really come in to discuss. One of our solutions is to direct them to news articles on our website written by a doctor in our Practice that outline current issues and offer strategies to manage the problem and links to relevant, reputable websites”.

Mental Health remains the most common reason for a GP Visit. View from a Doctor’s Desk – Dr Lisa Surman

With this month being Mental Health Month, the focus is on the importance of the mental health of our patients and the resources we can provide, which was highlighted in the Australian Health of the Nation Report.

The recently released annual Royal Australian College of General Practitioners (RACGP) Health of the Nation Report identified the current health trends and issues for General Practice .

Patients see GPs more than any other health professional and 84% visit their GP multiple times a year. Three in every four patents report that their GP always listens carefully, shows respect and spends enough time with them.

Mental health issues such as depression, mood disorders and anxiety remain the most common health issue managed by GPs and was also identified as the health issue causing GPs the most concern for the future, followed by obesity. Mental health and obesity were the key areas the federal government should prioritise for action.

One in four Australians will face a major mental health problem in their life, mental health being the ability to think, feel and behave in a way that allows us to perform at our best – in our personal lives with family and friends, at university at work and in the community. The most common issues are anxiety and depression.

Learning to manage anxiety and/or depression can make a difference to how your patients react to stresses in life and feel calmer. There are many levels and different techniques and tips on how to achieve this :

  • Exercise regularly
  • Eat well
  • Get enough sleep
  • Practice relaxation exercises
  • Reduce alcohol and drug use
  • Spend time with friends
  • Ensure work/study/life balance
  • Use cognitive strategies to deal with stressful thoughts
  • Practice mindfulness to let go of worries
  • Engage in enjoyable and fun activities

Take the opportunity during Mental Health Month to encourage patients to reach out for further assessment, support and referral if required. There are also a host of great resources you can refer them to on the Australian Government’s Head To Health website.

Dr Lisa Surman, CBD West Medical Centre, Perth, WA

Member of Best Practice Software’s Clinical Leadership Advisory Committee

“Often patients spend time talking about current medical and social issues, taking valuable time away from dealing with what they have really come in to discuss. One of our solutions is to direct them to news articles on our website written by a doctor in our Practice that outline current issues and offer strategies to manage the problem and links to relevant, reputable websites”.