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Pregnancy and Epilepsy

1.Epilepsy does not carry an increased risk of miscarriage or obstetric complications per se. 2. A single fit during pregnancy is unlikely to impose any risk to the fetus nor is pregnancy associated with an increased risk of seizures. 3. Most anti-epileptic drugs are asssociated with incresed adverse outcome 4.Main culprit is Sodium Valproate.

Pregnancy Facts

Child-bearing years span almost four decades, giving the GP ample opportunity to educate and prepare women for pregnancy. ■ 70-90% of women with bipolar disease and 60% of those with major depression will relapse if psychotropic medication is ceased in pregnancy. ■ It is recommended that the HbA1c be maintained at ≤6 in women with diabetes before and during pregnancy. ■ Maternal perinatal depression is a risk factor for premature birth, reduced foetal growth ,PET, poor neonatal bonding and longer-term neurodevelopmental problems. ■ Although there is no established safe level of alcohol, 10-15% of women continue to drink throughout

Diabetes facts

■ Lifestyle interventions can prevent or delay diabetes in half the people who have IGT. ■ Begin risk assessment at age 40, or age 18 in Aboriginal and Torres Strait Islanders. ■ AUSDRISK may overestimate risk in those under 25 years of age and underestimate risk in Aboriginal and Torres Strait Islanders. ■ The risk of developing type 2 diabetes increases by 10-20 times in people with IFG or IGT. ■ 41% of type 2 diabetes patients and 76% of type 2 diabetes patients who are not using insulin never check their BGLs. ■ Only strategies that increase an individual’s skills while providing a supportive environment can produce sustainable lifestyle changes.

Fasting Plasma Glucose Interpretation.

Interpretation of fasting plasma glucose 1.FPG • diabetes unlikely • retest after three years 2.FPG ≥ 7mmol/L • diabetes likely • repeat FPG unless diagnosis unequivocal 3.FPG 5.5-6.9mmol/L • diabetes possible • perform oral GTT • retest annually

DOCTOR LOCUM JOBS AUSTRALIA

LOCUM OPPORTUNITIES AVAILABLE AUSTRALIA WIDE (added 23-Sep-2009) For GPs and specialists. Excellent Rates. Registration required. Contact: Skilled Medical Consultants Ph: 1300 900 100. Email: enquiries@skilledmedical.com

MEDICAL INSURANCE

WHAT IS THE IMPORTANCE OF MEDICAL INSURANCE? WHAT IS INDEMNITY INSURANCE? WHAT IS THE BASIC COVER AND WHEN IS THE EFFECTIVE DATE.? WHETHER IT IS IN FORCE RETROSPECTIVELY? WHAT IS THE COVER YOU CAN GET?

SKIN CARE ADVISE FOR PATIENTS WITH LYMPHOEDEMA.

1. Keep the skin supple using a non-perfumed moisturising cream such as sorbolene. 2. Avoid drying out your skin and consider using a soap-free alternative. 3. Clean any scratches, grazes or cuts immediately using an antiseptic solution, use an antibacterial cream and cover the area with a clean, dry plaster. 4.Use an electric razor for shaving instead of a wet razor. 5.Avoid tattoos and body piercing. 6. Consider ways to protect the skin, such as wearing gloves while washing dishes, gardening or handling pets.