Tuesday, September 30, 2008

The most Fantabulous

Stephen K. Amos starts his shows here in Adelaide at the Arts Theatre tomorrow.. I got my tix.. how about you? See you there....
Book Now

or if the stupid link doesn't work, go to Venuetix direct

Stephen K. Amos - Book Now!

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Saturday, September 27, 2008

In case you don't believe me that it was packed to the rafters with Anoraks...

here's a small selection of geeks on a hill....

we were quite a distance away, thankyou zoom lens, and had trouble finding a spot to park, and a couple of minutes after we arrived, there was simply no more room for cars on any perimeter road there... plus, we didn't know the quarry road was open :-(

there were geeks on a hill, and I never heard their propellors spinning...

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Welcome to Blogging Ree of Flowers are Me! photography fame :-)

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Anorak Alert!!!

We went to Adelaide Airport today for the landing and take-off of the new Qantas Airbus A380

it was geeklicious!!!

PS: It was completely packed out - good to know I live in a city of complete nerds!!!!

you know the drill - if you click on the little piccies, big ones appear!! Yay!! :-)

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Friday, September 26, 2008

Have tix for Heath Franklin's Chopper: "Harden the Fuck up Australia" tour in Nov,

and Stephen K Amos in a couple of weeks!!!!


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Because I can...

flippin like a pancake, poppin like a cork,
Fleagle, Bingo, Drooper and Snork...

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Saturday, September 20, 2008

Because I think the word needs to be spread, here is an unauthorised excerpt to whet your appetite that has been condensed from here:





by Dr Barry J Durrant-Peatfield

M.B., B.S., LR.C.P., M.RCS.

Approved Civil Aviation Medical Examiner

The clinical syndrome of thyroid deficiency is very much more common than is generally realized; Barnes, in several publications, drew attention to this in the last two decades, as has the present writer more recently. One reason for this, is a tendency to think of hypothyroidism and myxoedema as one of the same thing, when this is quite wrong. Myxoedema, as doctors were taught in medical school, is the end result of a progressive disease process resulting in more or less total absence of thyroid hormone; whose symptoms and signs are no doubt perfectly familiar. But this state of deficiency has to start somewhere, winding down over a variable period to the terminal state of myxoedema. Symptoms and signs will naturally vary according to the extent of the level of deficiency reached. Clearly, a 10% loss may have little to show for it; whereas a 25% loss may have several very definite symptoms and signs; and a 40% loss even more so. Furthermore, patients show very individual response to any given level of dysfunction; while one may complain of excessive fatigue and weight gain, another may be more troubled by depression and menstrual problems.

That the diagnosis is all too frequently missed, is an inevitable result of this fundamental misunderstanding, and is commonly the result of an incomplete clinical appraisal in favor of the standard thyroid function tests. These tests are the real problem in diagnostic failure since there are inherent problems in interpreting blood levels of thyroxine and/or thyroid stimulating hormone (TSH) when blood levels may differ widely from tissue blood levels. Since the diagnosis may very properly, and easily, be made clinically, unreliable blood levels should NOT take precedence over clinical judgment.

Equally unsatisfactory is the acceptance by doctors and patients alike of poor response to thyroid replacement.

The present writer has been constantly alarmed and dismayed by hypothyroid patients who for years, all too often, have been obliged to accept a much less than satisfactory amelioration of their illness, being taught to expect no more than some improvement. It is perfectly possible that complete and long lasting remission should be obtained, and neither doctor nor patient should accept anything less. Further, the response should be monitored, not just by the doctor, but by the patients themselves. Since there often is a dynamic situation, the patients should be educated and taught to monitor themselves, making their own adjustments to dosage. In this connection, frequent monitoring by blood tests may be quite misleading and unhelpful. Surely it must be more satisfactory for the physician to ask the patients how they feel; and guide the informed patient in establishing the right dosage levels of replacement therapy.

One of the most taxing problems in diagnosis is the multiplicity of symptoms, which need not be rehearsed here. It is all too easy to pigeonhole the polysymptomatic patient as one of the heart sink variety, and much too often, for example, inappropriately prescribe anti-depressants. Thyroid deficiency may cause all sorts of major and minor symptoms and their very frequency should raise an index of suspicion for thyroid deficiency. The simple Basal Temperature Test, (see below), wrongly derided by many authorities, can provide valuable clinical backup. Finally, there is nothing wrong with a thoughtfully planned trial of treatment with an informed and cooperative patient.

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Tuesday, September 09, 2008

Definitely worth a read...

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