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From Climate to COVID, a Year Like No Other

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From Climate to COVID, a Year Like No Other medicDECEMBER 2020 SAVOLUME 33 NUMBER 6 2020 vision From climate to COVID, a year like no other PANDEMIC PERSPECTIVES • SUGAR, NOT SWEET • BUSHFIRE medicSAIMPACTS | 1 CULTURE WARS • DECRIMINALISING ABORTION • COMMITTEE UPDATES ULTRASOUND Ultrasound for Endometriosis Taking pelvic ultrasound to the next level Endometriosis affects one in ten females, but the diagnosis is often delayed and a static pelvic ultrasound may be reported as normal. The targeted use of dynamic transvaginal pelvic ultrasound for women experiencing pelvic pain is more likely to detect endometriosis. Left endometrioma Uterus Dynamic Pelvic Ultrasound at Dr Jones & Partners + Screening questionnaire to identify risk factors for endometriosis Endometrioma For at risk patients: Fixation + Structural assessment for adenomyosis and endometriomas + Dynamic transvaginal pelvic ultrasound to detect fixation of the uterus or ovaries Right endometrioma fixed to uterus + Posterior fornix assessment for deep infiltrating endometriosis involving the Pouch of Douglas, recto vaginal septum and bowel A normal ultrasound does not exclude widespread superficial endometriosis, but a dedicated dynamic pelvic ultrasound is significantly more likely to detect changes associated with endometriosis earlier. How To Refer Bowel nodule A pelvic ultrasound in the diagnosis of Deep Infiltrating Endometriosis is Medicare rebated. It can be referred by both GPs and Specialists (request Pelvic Ultrasound "Query Endometriosis" or "Dynamic Pelvic Ultrasound"). For patient information about Transvaginal Pelvic Ultrasound visit: For bookings call 1800 375 663 drjones.com.au/pelvis-female-ultrasound or visit drjones.com.au/book 2 | medicSA Doctor Led • Patient Focused • Quality Driven drjones.com.au Australian Medical Association (South Australia) Inc. Level 1, 175 Fullarton Road, Dulwich SA 5065 PO Box 134 North Adelaide SA 5006 Telephone: (08) 8361 0100 Contents Facsimile: (08) 8361 0199 5 President’s message – an unforgettable year Email: [email protected] Website: www.amasa.org.au 9 Standing firm – the AMA argues for climate action Executive contacts 12 Blinding errors – Australian of the Year Dr James President Muecke talks sugar Dr Chris Moy: [email protected] 14 AMA(SA) advocacy: medicSA • Time for change – AMA(SA) and the support for Editorial decriminalisation of abortion Editor: Dr Philip Harding • From the top – Board roles in preventing bullying Managing Editor: Karen Phillips 18 Where there’s smoke – the health effects of Australia’s Advertising worst bushfires [email protected] 21 The costs of COVID – a year in review Production Typeset and printed for the AMA(SA) by • From the President Douglas Press Pty Ltd. • Helping the healers ISSN 1447-9255 (Print) • Climatic collisions ISSN 2209-0096 (Digital) • The mental toll Cover artwork by Catherine Waite. • Turning to technology Computer image fizkes (iStock). • Exit strategies ‘Zoom’ images: Top row, from left - AMA(SA) Vice-President • Grief and the grieving and Council Chair Dr Michelle Atchison 45 Council news during a Zoom Council meeting, bushfires on Kangaroo Island (image Blue Razoo), 49 In committee, 2020 AMA(SA) President Dr Chris Moy. 55 Book review – Andrew Wakefield’s awful legacy Middle row, from left – Professor Nicola Spurrier and Health and Wellbeing Minister Stephen 60 Vale – remembering Dr Ian Steven Wade in one of their first coronavirus media and Dr Brenton Mollison conferences, the virus (image Rost-9D, iStock), AMA House after the May fire. Bottom row, from left – Australian of the Year Dr James Muecke, AMA(SA) Culture and Bullying Summit keynote speaker Professor Michelle Tuckey, AMA Federal President Dr Omar Khorshid. Disclaimer Neither the Australian Medical Association (South Australia) Inc nor any of its servants and agents will have any liability in any way arising from information or advice that is contained in medicSA. The statements or opinions that are expressed in the magazine reflect the views of the authors and do not represent the official policy of the Australian Medical Association (South Australia) unless this is so stated. Although 24 all accepted advertising material is expected to conform to ethical standards, We’ve all been in it together … and we’ve all found ways to try and cope such acceptance does not imply with the pandemic and its ramifications. One trend that has brought smiles endorsement by the magazine. to faces of many people, adults and children alike, in South Australia has been the placement of teddy bears and their stuffed peers in windows All matter in the magazine is covered by and gardens, to provide some sunshine in the lives of passers-by in the copyright, and must not be reproduced, dreary days of lockdown. It’s been a bit of fun for the doctors and staff of stored in a retrieval system, or transmitted Chandler’s Hill Surgery – but other impacts haven’t been so entertaining, as in any form by electronic or mechanical Dr Kerry Hancock explains. means, photocopying, or recording, without written permission. Images are reproduced with permission under limited license. medicSA | 3 Dr Divya Sabharwal General practitioner South Australia Leading support in your times of need – it’s why more doctors choose Avant Avant is more than an insurer, we provide holistic support for doctors that helps them practise at their best through challenging times. Award-winning defence Advocating for your interests Financial stability to protect you A 270-strong* team including As Australia’s leading medical defence Avant’s financial stability means we Australia’s largest health law firm organisation, we use our loud and can offer a range of assistance to recognised for their expertise, credible voice to affect positive members and ensure we are here to providing members with on-the- change to health policy, such as on protect doctors for years to come. ground support in six states telehealth and PPE provision during and territories. the COVID-19 pandemic. Join or renew today 1800 128 268 avant.org.au IMPORTANT: Professional indemnity insurance products are issued by Avant Insurance Limited, ABN 82 003 707 471, AFSL 238 765. The information provided here is general advice only. You should consider the appropriateness of the advice having regard to your own objectives, financial situation and needs before deciding to purchase or continuing to hold a policy with us. For full details including the terms, conditions, and exclusions that apply, please read and consider the policy wording and Product Disclosure Statement, which is available at avant.org.au or by contacting us on 1800 128 268. *Accurate as at 30/6/2020. MJN219.4 10/20 (DT-1678) 4 | medicSA 210x297mm_medicSA_OCT20.indd 1 19/10/20 4:29 pm REPORT Life in a year President’s Dr Divya Sabharwal report General practitioner South Australia Dr Chris Moy long with most people, I feel action to reduce the risk of more fear at key moments during this year as if time in 2020 has warped climate-related disasters. As I write this, like no other. and weaved – some days seem it is nearly 40 degrees Celsius, and it is With so much evidence of the trust to have passed in a matter of still November. Action cannot come placed in us, perhaps it is little wonder Ahours, while others have felt like weeks. soon enough. that in mid-November the Governance It is staggering that we are nearly at The immediate threat of the bushfires Institute of Australia’s Ethics Index 2020 the end of what has been for everyone, was still with us as a new and very – a survey of 1,000 Australians – found Leading support in your everywhere, a most tumultuous year. different threat reached our shores. that GPs are, after fire services workers, This time a year ago, AMA(SA) Since the term ‘novel coronavirus’ perceived as the most ethical workers CEO Dr Samantha Mead and I visited entered our consciousness, our lives in Australia and more ethical than doctors and hospitals on Eyre Peninsula and, for many of us, our livelihoods the same survey found a year ago. The times of need – it’s why and witnessed firsthand what we have been turned upside down through AMA is ranked among the top five most knew was the dire situation of health illness, death, and economic impacts ethical organisations in Australia, and practitioners looking to care for patients and uncertainty. There is much said the most ethical member organisation. and communities in that region. We about COVID-19 and its impacts later in We have ‘done good’ this year, and our more doctors choose Avant returned filled with resolve to fight for this issue; here, I’ll just say that while it patients have noticed. genuine improvements after listening has been devastating to so many people, In a year when the challenges have to the personal stories of the region’s we must be thankful that through been immense, our profession has doctors and hearing of the challenges wise, science-based management, stood up and inspired. I hope that Avant is more than an insurer, we provide holistic support for doctors that helps them practise at their best which they had to overcome to care for and a measure of luck, Australia has among the hardship there has been a their communities. had fewer than 30,000 cases while, as through challenging times. reaffirmation in each of us about what it Then came summer and the bushfires I write this, the state of Texas, which is that is important in being doctor. And, that raged across the country and has a population about the same as together as a profession, I would like Award-winning defence Advocating for your interests Financial stability to protect you rightly occupied the nation. The world that of Australia, has had more than A 270-strong* team including As Australia’s leading medical defence Avant’s financial stability means we watched and did what it could to help 1.2 million cases.
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