Australian Doctor 10th May issue 2024

10 MAY 2024
The country ’ s leading independent medical publication
Stay up to date with the latest at ausdoc . com . au
TWO IN THIS ISSUE
Cellular therapies in haematology
Medicare ’ s Big Bang idea ?
Why this AHPRA safety review is not reassuring
Male factor infertility
HOW TO TREAT , PAGE 19
NEWS , PAGE 5
NEWS ANALYSIS , PAGE 40
THERAPY UPDATE , PAGE 38

Sceptics push paper

Anti-vaxxers say AJGP article reveals the ‘ truth ’.
Heather Saxena POLITICIANS and bloggers who believe the use of COVID-19 vaccines constitutes a criminal act are claiming an article in the RACGP ’ s house journal has exposed the ‘ truth ’ that the vaccines can cause long COVID .
The 1300-word paper was published in the Australian Journal of General Practice ( AJGP ) last month with the title ‘ Long COVID : Sufferers can take heart ’.
It was mostly about how patients with long COVID were bouncing around the health system and how GPs were struggling to treat the deluge of cases .
But high-profile vaccine sceptics , including One Nation senator Malcolm Roberts and YouTuber Dr John Campbell ( PhD ), homed in on one section .
“ There is concern that COVID-19 vaccination per se might contribute to long COVID , giving rise to the colloquial term ‘ long vax ( x )’,” it begins .
“ The spike protein of SARS-CoV-2 exhibits pathogenic characteristics and is a possible cause of post-acute sequelae after SARS-CoV-2 infection or COVID-19 vaccination .
“ COVID-19 vaccines utilise a modified , stabilised prefusion spike protein that might share similar toxic effects with its viral counterpart . “ A possible association between COVID-19 vaccination and the incidence of POTS [ postural orthopaedic tachycardia syndrome ] has been demonstrated in a cohort of 284,592 COVID-19-vaccinated individuals , though at a rate that was one-fifth of the incidence of POTS after SARS-CoV-2 infection .”
This was paraphrasing the conclusions of a Science article and a Cureus study , co-authored by
PAGE 7

Patients like Maria

Dr Louise Stone on the GP patients that other services do not want , cannot help or refuse to see .
EDITORIAL , PAGE 14

More IMGs to fix crisis ?

ANALYSIS Paul Smith SOMETHING of both symbolic and real-world importance was announced by the Medical Board of Australia last month .
It came in a media release that talked of a plan to fasttrack doctors from overseas to work as specialists as a fix for the country ’ s medical workforce crisis .
Overseas GPs are first on the list , followed by anaesthetists , O & Gs and psychiatrists .
Dr Murphy warns of a ‘ sugar hit ’.
The significance , not spelt out explicitly , lies in the fact that these specialists will be brought in without any direct oversight of the specialist colleges : those institutions that , for good or bad , define the standards of what it is to be a specialist doctor in this country .
Until now , they have been left to perform the necessary assessments of individual specialist IMGs wanting to work here to ensure they are PAGE 3

Learn more about LAGEVRIO .

See full page advertisement on back .

Copyright © 2023 Merck & Co ., Inc ., Rahway , NJ , USA , and its affiliates . All rights reserved . Merck Sharp & Dohme ( Australia ) Pty Limited . Macquarie Park NSW . MSDA0103 . AU-ANV-00466 . Issued November 2023 .