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2009年12月1日星期二

Chinese Parents

Paediatric Audiology

When I studied in university, one lecturer introduced her experience in China, actually in Beijing TongRen Hospital. She said that the big difference is that in China, there are always a big family present in clinic. Both grandparents and other family members will come hospital with the young parents with newborn baby, and all of these family members are keen to provide their comments on medical management. In contrast, in Australia, it is rear to see the grandparents come with young children in hospital. Furthermore, the Chinese parents are always rely on their parents to look after the babies rather than by themselves. At that time, I am not very agree with her, but now in my clinical experience in here, I have to say sometime she is right.

When we have Chinese patients, it is more likely my colleagues want me to see them as the language problem. However, I found the Chinese parents are not ease to deal with. Normally, the mum is very anxieties and no idea how to settle her baby, and usually it is the father to settle the babies, and mum is easy to lost patience if her baby can not be settled. If the test results showed some bad news, mum is always upset for the future but not the current management they need to face and always want to know where is the responsibilities come from.

Today I see a Chinese parents and have all these characteristics. They running late (that is also popular in Chinese parents), could not settle their baby at all. When we found a hearing loss, the question is focus on whether or not people will discriminate the baby when he grow up. I have to work over time. However, I will be happy if they think I am really helpful.

2009年9月29日星期二

eMR Training

Sydney Children's Hospital

Today we attended the training session for the eMR (electrical Medical Record). eMR will be used from the end of this year.

eMR will mixed with current iPM system. At the beginning, start from the the top left corner "clap" sign to open a work sheet (flowchart), then we can edit the case list we want to see. After that, we can check the medical investigation records. We also can search patient from the right side finding sign.

We also can referral paients online. When we do that we need click the patient name three times to make the referral completed.

2009年9月22日星期二

Discuss about clinical policy

Sydney Children's Hospital

Today discussed for clinical policy with Monica, Sally, Andrew and Broiny.

The focus on the reassessment for the patients with mild conductive hearing loss. In the clinical policy, I recommend a reassessment of tympanometry in 3 months even for SWISH babies. The argue is two: one is for children with speech delay, 3 months reassessment maybe too long to monitor and access to speech pathologist, two is for SWISH babies, 3 reassessment might too early to perform any behavioral heairng test.

For the first argument, I would change the policy that if referral doctor mention the speech delay in the referral letter, we would recommend parents to see an ENT specialist directly. (Monica added if there is any risk factors or certain concerns)

For the second argument, I stand for my opinion, we need retest tympanometry rather at early stage than waiting to 10 months old. If there is still a middle ear involvement at reassessment, we would recommend parents to ENT consultation other than do a VROA test if we think the inner ear function is intact.

Finally we finished the clinical policy, I did almost all of things in this clinical policy, I would like to review it after 12 months. I am happy to make a standard for everyone.

2009年9月15日星期二

Telehealth

Telehealth presentation at SCH

Today I did a presentation at Telehealth in SCH. The topic is hearing loss and hearing aids. I prepared the powerpoints with many pictures. I thought it is very good and make it very understandable and interesting. I was very confortable during the presentation.

The other subtopic were:
Broiny: Hearing aids: use and maintenance
Andrew:Tips for managing hearing loss patients.

Today is the last day for Heidi. so sad for our Hearing Support team. She did a very good job.
Hope she is fine in her new job in Westmead adults.