Internal medicine journal
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Internal medicine journal · May 2023
Audit of clinical follow-up and complications after acute pulmonary embolism in an Australian Metropolitan Health Service.
We explored post-pulmonary embolism (post-PE) follow-up at a large Australian regional city hospital health service. Over a 12-month period, we identified 195 (49% male) patients with a median age of 62 years. ⋯ Follow-up imaging was arranged in 28% of patients. To deliver high-quality care, we recommend implementing a local post-PE follow-up pathway, which balances individual physician preference with available resources and expert recommendations.
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Internal medicine journal · May 2023
'Tu Souffres, Cela Suffit': Louis Pasteur's (1822-1895) inspirational motto for Sydney's St George Hospital.
In the fiscal year of 1960-1961, board members of Sydney's St George Hospital elected to adopt a new motto for the organisation: 'Tu souffres, cela suffit' - French for 'You are suffering, that is enough'. Today these words are all too familiar to staff members and visitors to St George Hospital, but few are aware of their actual historical significance. Accessible histories of the hospital attribute the motto to the distinguished French microbiologist Louis Pasteur (1822-1895), but the original context of Pasteur's remark is not commonly stated. We set out to record the exact source and history of the hospital's motto alongside its logo, referencing in passing, Louis Pasteur's outstanding legacy to Australian medicine in this bicentenary year of his birth.
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Internal medicine journal · May 2023
Excess Burden of Critical Illness Related to Inflammatory Bowel Disease.
Although inflammatory bowel disease (IBD) is associated with major morbidity and mortality, few studies have evaluated its associated burden of critical illness. ⋯ Patients with IBD suffer a major burden of critical illness.
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Internal medicine journal · May 2023
Consultation with patients for whom English is not their native language.
Good communication with the patient is the cornerstone of effective and efficient consultation. The absence of a common language between the patient and physician negatively impacts the consultation outcome. ⋯ While involving an interpreter may help, it has its downsides and may not be ideal in all situations. Here, we discuss the experiences of various medical practitioners from different cultural and linguistic backgrounds (from Middle Eastern and Asian Countries) in managing non-English-speaking patients with a focus on the impacts of linguistic/cultural barriers in delivering optimal healthcare services and possible solutions to them.
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Internal medicine journal · May 2023
Sentinel cluster of locally acquired Japanese encephalitis in southern Australia.
Prior to January 2022, only a single case of infection with Japanese encephalitis virus (JEV) had been reported on the Australian mainland, acquired in the northern extremity on Cape York. We report the clinical characteristics of the sentinel cluster of cases that confirmed the local acquisition of JEV in southern Australia along the Murray River bordering New South Wales and Victoria.