General Medical issues thread

[Quickstatus]

Non healing wounds on legs in the elderly should be reviewed ASAP and maybe a referral to a Wound Clinic near you. All major hospitals have Wound Clinics.

Also depending on situation consider Vascular, diabetic and dermatological referral.

 

[Flashback]

I have a thin spot on my shin where I hit it on the corner of the open dishwasher door. As it didn't seem to ever properly heal I showed to GP on a visit - her advice was to slap moisturiser on it frequently. I do try to remember but.....

Am I the only one who hates moisturiser? Hate the greasy feel it leaves on your hands and also where you placed it. Even the expensive "non greasy" stuff. Or is that just me being neuronspicy?

 

[prozac]

Am I the only one who hates moisturiser? Hate the greasy feel it leaves on your hands and also where you placed it. Even the expensive "non greasy" stuff. Or is that just me being neuronspicy?

Olive oil is cheaper ... well it used to be.

 

[love_the_life]

Olive oil is cheaper ... well it used to be.

When I had radiation therapy, the hospital said it was likely I would get burned skin but not to worry as they would given me some oil to massage in. I was imagining something along the lines of almond oil or similar but what they actually supplied was a small bottle of olive oil. Another woman undergoing the same treatment joked that a lettuce leaf and bit of vinegar and we could be considered a tossed salad.

 

[tgh]

I managed to drill a decent hole in my heel a week from walking 5k in slip ons…
It was very unhappy initially and it passed my mind that I may not heal as I expected due to age.
Fortunately at 10 days it is all healed and clean but I have resolved to remember that I am no longer bulletproof

 

[love_the_life]

Am I the only one who hates moisturiser? Hate the greasy feel it leaves on your hands and also where you placed it. Even the expensive "non greasy" stuff. Or is that just me being neuronspicy?

I do try to pat off the excess so it is not greasy.

 

[prozac]

When I had radiation therapy, the hospital said it was likely I would get burned skin but not to worry as they would given me some oil to massage in. I was imaging something along the lines of almond oil or similar but what they actually supplied was a small bottle of olive oil. Another woman undergoing the same treatment joked that a lettuce leaf and bit of vinegar and we could be considered a tossed salad.

Olive oil has been used by Mediterranean communities for moisturising skin and hair for centuries. Many have lovely skin.

 

[Flashback]

When I had radiation therapy, the hospital said it was likely I would get burned skin but not to worry as they would given me some oil to massage in. I was imaging something along the lines of almond oil or similar but what they actually supplied was a small bottle of olive oil. Another woman undergoing the same treatment joked that a lettuce leaf and bit of vinegar and we could be considered a tossed salad.

Ah, Mrs cove gave some tips on radiation therapy too. I'll have to put them back in touch with the folks for a more local reminder.

 

[love_the_life]

When I had radiation therapy, the hospital said it was likely I would get burned skin but not to worry as they would given me some oil to massage in. I was imagining something along the lines of almond oil or similar but what they actually supplied was a small bottle of olive oil. Another woman undergoing the same treatment joked that a lettuce leaf and bit of vinegar and we could be considered a tossed salad.

Oh, I should have said, the said radiation therapy (after 6 months of chemo) was now almost 35 years ago so I guess I can count myself as one of the lucky ones.

 

[prozac]

Oh, I should have said, the said radiation therapy (after 6 months of chemo) was now almost 35 years ago so I guess I can count myself as one of the lucky ones.

Wow, I think you can. Well done.
I am probably repeating myself, but I responded so well to 6 months of chemo that I didn't need to have the planned radiation. Can't tell you how relieved I was.

 

[Quickstatus]

Olive oil has been used by Mediterranean communities

Coconut oil in others and among oil workers I think it was a parrafin like substance found with oil extraction

 

[RooFlyer]

Am I the only one who hates moisturiser? Hate the greasy feel it leaves on your hands and also where you placed it. Even the expensive "non greasy" stuff. Or is that just me being neuronspicy?

Me too (but on the shin - who cares), but no to moisturiser on face etc. I go for the rugged John Wayne Burt Reynolds look.

 

[prozac]

Coconut oil in others and among oil workers I think it was a parrafin like substance found with oil extraction

Didn't notice paraffin being used by the Rolex wearing brigade on my rigs.

 

[prozac]

Hahaha

 

[Flyfrequently]

Coconut oil in others and among oil workers I think it was a parrafin like substance found with oil extraction

Coconut and Johnson’s Baby Oil was the sunscreen of choice in the ‘70’s @Quickstatus - now paying for the sins of my youth

 

[drron]

I'm a bit of a wooze. I have always used moisturiser. Have only just started to have a few wrinkles.
But because I also have sebborrhoeic dermatitis likely to be due to my autoimmune family tendency. If really bad a steroi_ cream for a couple of days settles it down.

 

[QF WP]

Non healing wounds on legs in the elderly should be reviewed ASAP and maybe a referral to a Wound Clinic near you. All major hospitals have Wound Clinics.

Also depending on situation consider Vascular, diabetic and dermatological referral.

Had that last year as a 57 yo - wound 50c size on inner R calf. Referral to Dermatologist and he cut it out with wound (now healed) the size of a tennis ball.

 

[Quickstatus]

when can a pharmacist refuse to fill a script

Yes they can:
If they believe it is unsafe - dosage, potential interactions with other medicines, for a purpose other than indicated
If the prescription is written ineligibly

No pharmacist is legally compelled to provide supply, and occasionally legally required to refuse - especially when the purpose not in accordance with the therapeutic standards, or ethical obligations.

In cases where supply/dispensing is refused/ queried, the pharmacist must contact the prescription author to query.

Separating the power to prescribe from supply is a good thing. It is supposed to be a check. If a pharmacist blindly supplies a script, then there are no checks.

Did you know that for S3 medicines supplied without prescription, the pharmacist is actually required to personally hand over to the the person going to use it.

 

[Quickstatus]

@JohnK
The issue with Xanax (alprazolam = benzodiazepine):

While i appreciate and empathise with your situation
That Xanax remains on the PBS suggests there is a role for these medicines. However it remains that these medicines are highly risky and highly addictive
In 2014 it was reclassified from S4 to S8 which significantly reduced consumption
In 2017 the PBS pack size was reduced from 50 to 10 with no repeats possible and the tablet reduce from 2mg to 1mg

Overall the PBS prescriptions dropped by 50% according to RACGP, but there are private prescription and non prescription supply as you have alluded to.
In general benzodiazepines are still the number 2 cause of unintentional deaths from overdose
Unintentional deaths from overdose also exceed the road toll
It is a complex issue and just restricting supply is not the only answer

Australia Annual overdose report 2024 by Pennington Institute

 

[Pushka]

Did you know that for S3 medicines supplied without prescription, the pharmacist is actually required to personally hand over to the the person going to use it.

yep. MrP was getting his own script.