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In conversation with Professor Kelvin Kong

Professor Kelvin Kong is a proud Worimi man, the first Aboriginal surgeon in Australia, an otolaryngologist, head and neck surgeon, and an amazing advocate for equality in health delivery in Australia. He holds professorial positions at Macquarie University, the University...

Aboriginal, Torres Strait Islanders and Pacific Islander Ear Care Manual

I was delighted to review this manual, having had the previous privilege of joining its lead author, Professor Harvey Coates, in one of his indigenous ear health clinics just outside Perth, Western Australia. Prof Coates has worked with a broad...

ENT Wallabies

Juggling the demands of elite sport, a boisterous social life on tour and medical academia would seem too much for mere mortals. All in a day’s work for your average Wallaby. Currently I am a Senior Visiting Medical officer at...

Rates of tonsillitis increase as rates of tonsillectomy reduce

This retrospective study sought to determine the effect of reduced rates of tonsillectomy in England and Wales, over a 13-year period, on rate of hospital admissions for the complications of acute tonsil infection (acute tonsillitis and quinsy), and hospital bed-day...

Doing it for yourself: self-management in speech and language therapy

People with stroke aphasia are traditionally discharged from speech and language therapy when they have plateaued; meaning they are making no further progress in language recovery. This service model has been problematic, leading to people being discharged when they are...

Strengthen your communication: better conversations can reduce the risk of frailty

Our population is ageing and, with this, the incidence of frailty is increasing. Frailty is defined as increased vulnerability to stressors resulting in adverse outcomes. Stressors can include communication and swallowing difficulties, yet these are poorly recognised. Management of communication...

In conversation with Prof Peter Friedland – Reflections on an extraordinary career and life

Our illustrious friend, Harvey Coates, hears about Professor Friedland’s amazing personal journey, ranging from horrifying exposure to violence through to his clinical care for (and friendship with) Nelson Mandela and his prevailing passion for teaching. Professor Peter Friedland. Professor Peter...

Telepractice for the delivery of paediatric feeding services

During the current COVID-19 pandemic, telepractice is being heralded as the safest service delivery mode for the majority of outpatient consultations. Patients are reviewed by their healthcare specialist through video consultations, thus avoiding the need for patients to leave their...

Do it like a techy: telepractice in SLT for people with Parkinson’s disease

Parkinson’s disease (PD) is the second most common neurological condition in Australia, and communication difficulties are reported by 90% of people with the condition. Unfortunately, not all people with PD have access to speech and language therapy services due to...

Help or hinder: how and why do SLTs make clinical decisions around swallowing?

Dysphagia is a relatively common consequence of stroke, with estimates between 50% and 60% of people presenting with swallowing dysfunction following stroke. It is associated with pneumonia, malnutrition and dehydration which in turn lead to increased length of hospital admission,...

Risky behaviour: do care homes follow dysphagia recommendations?

A huge proportion of elderly people living in residential care homes will develop dysphagia. In Australia this is estimated at close to two thirds of all residents. It is the role of the speech and language therapist to make recommendations...

How long is too long? Waiting times for speech and language therapy

Waiting lists are a reality of clinical practice, and many health and social care professionals become used to having to cope with this. The authors of this paper addressed this issue by examining written submissions to the 2014 Senate Inquiry...