Medical Forum 05/14 Public Edition

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PUBLISHERS Ms Jenny Heyden - Director Dr Rob McEvoy - Director

MEDICAL FORUM MAGAZINE 8 Hawker Ave, Warwick WA 6024 Telephone (08) 9203 5222 Facsimile (08) 9203 5333 Email editor@mforum.com.au www.mforum.com.au

ISSN: 1837–2783 ADVERTISING Mr Glenn Bradbury advertising@mforum.com.au (0403 282 510) EDITORIAL TEAM

INDEPENDENT ADVISORY PANEL for Medical Forum John Alvarez Cardiothoracic Surgeon Peter Bray Vascular Surgeon Joe Cardaci Nuclear & General Medicine Chris Etherton-Beer Geriatrician & Clinical Pharmacologist Philip Green General Practitioner: Rural Mark Hands Cardiologist

Michele Kosky AM Consumer Advocate Mike Ledger Orthopaedic Surgeon Stephan Millett Ethicist Kenji So Gastroenterologist Alistair Vickery General Practitioner: Academic Olga Ward General Practitioner: Procedural

Clinical Contributors

Managing Editor Ms Jan Hallam editor@mforum.com.au (0430 322 066) Medical Editor Dr Rob McEvoy (0411 380 937) rob@mforum.com.au Clinical Services Directory Editor Ms Jenny Heyden (0403 350 810) jen@mforum.com.au Journalist Mr Peter McClelland journalist@mforum.com.au

DR DENNIS 26 CARRAGHER Skin excision – the Halo Graft

DR JOSEPH LEE 29 rTMS – Emerging Treatment for Depression

Supporting Clinical Editor Dr Joe Kosterich (0417 998 697) joe@mforum.com.au

JOHN 30 DR SALMON Barriers to Non-drug Therapy for Chronic Pain

DR TIM PAVY 31 Persistent Pelvic Pain in Women

SYNDICATION AND REPRODUCTION Contributors should be aware the publishers assert the right to syndicate material appearing in Medical Forum on the MedicalHub.com.au website. Contributors who wish to reproduce any material as it appears in Medical Forum must contact the publishers for copyright permission. DISCLAIMER Medical Forum is published by HealthBooks as an independent publication for the medical profession in Western Australia. The support of all advertisers, sponsors and contributors is welcome. Neither the publisher nor any of its servants will have any liability for the information or advice contained in Medical Forum . The statements or opinions expressed in the magazine reflect the views of the authors. Readers should independently verify information or advice. Publication of an advertisement or clinical column does not imply endorsement by the publisher or its contributors for the promoted product, service or treatment. Advertisers are responsible for ensuring that advertisements comply with Commonwealth, State and Territory laws. It is the responsibility of the advertiser to ensure that advertisements comply with the Trades Practices Act 1974 as amended. All advertisements are accepted for publication on condition that the advertiser indemnifies the publisher and its servants against all actions, suits, claims, loss and or damages resulting from anything published on behalf of the advertiser. EDITORIAL POLICY This publication protects and maintains its editorial independence from all sponsors or advertisers.

SERGIO 33 DR STARKSTEIN Diagnosing and Managing Adults with ASD

CHIN-WERN 35 DR CHAN Managing OpioidInduced Nausea

SIMON 37 DR DIMMITT Psychotropics – Are We Overdoing It?

AIMEE 37 MS MUNRO Use Of Co-Testing After Treatment of Cin

Guest Columnists

DR MAX MAJEDI NATHAN 11 The 21 DR GIBSON Pain Perspective Mental Health Can’t Stand Still

MR GEOFF DIVER DR RICHARD YIN 24 Frozen 25 Good in Time – Medicine Can Coroner’s Court Pressures

Stand Still

GRAPHIC DESIGN Thinking Hats

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Medical Forum 05/14 Public Edition by Medical Forum WA - Issuu