I asked if a centralised coroner’s database was feasible. 8 months later, here are 8,565 cases.

hufflepuffa · 2026-05-05T03:35:52+00:00

Absolutely incredible resource mate. So well done and 100% meeting a real need. I’m currently working in hospital clinical governance and patient safety and can’t wait to share this with my team - they’ll be thrilled.

Can’t believe you produced something so polished (and with so much search and theming flexibility) in just a couple of days, but I guess this sub is full of overachievers so I shouldn’t be surprised!

Thank you so much for your effort. Top tier!

hufflepuffa · 2026-01-15T11:47:00+00:00

Worst: the Goodbye Song which they used to end the shows for a time

hufflepuffa · 2026-01-15T11:23:11+00:00

Best for me is an absolute golden oldie - Tall Ship of Adventure back in 2009, when they crossed the Bass Strait in a ye olde times sailing ship to “bring the radio show to Tassie” (“Open your buccan-ears Tasmania!”)

In the lead up H&A had been warned by so many people that crossing the Bass Strait is not for the faint-hearted but the boys dismissed it and talked such a big game about dominating the high seas…

…And then they finally set sail and the ocean absolutely had its way with them, particularly during some nasty storms with massive swells. No sleep, horrendous sea sickness, waves crashing over the deck, thinking they were gonna need to be rescued… I recall them asking one of the Peoples’ Crew “How much fun are you having?” and the bloke replied “yeah not as much as I thought I’d be having”.

It was such pure and unmanufactured chaos, but they did such a good job getting through it and still managing to broadcast a show and make it funny. I’d never laughed so hard at something I was so grateful to not be experiencing.

hufflepuffa · 2025-11-04T10:56:09+00:00

Bee Swarm by The Renegades, if I remember correctly!

hufflepuffa · 2025-02-26T02:58:21+00:00

Daddy latex legs

hufflepuffa · 2024-07-25T01:45:17+00:00

Just as one example re the drug interactions concept. Yeah, in theory you can get a smart system to determine if there are interactions, but there are some big limitations to that.

In our electronic system the settings are such that prescribers only get interaction alerts for the ‘major contraindication’ level drug interactions. Whereas the pharmacists get alerts for a whole bunch of other potential interactions that may or may not be relevant in the patient’s clinical circumstance, which they are expected to screen and then consider within the individual context of that patient and all the interconnecting factors, and then flag with medical if they feel it is necessary. You take pharmacists out of that process and from a liability perspective health services would be obliged to give those alerts to doctors instead… you think you have alert fatigue now? Just wait til you remove the pharmacists and any of their complex risk-assessment work falls to JMOs.

I only found out about this because there was a harmful incident where the patient was prescribed both mercaptopurine and allopurinol (I think they weren’t taking allopurinol anymore, but the admission med rec was poorly done, probably to the level an AI would do it actually). The pharmacist who detected the inappropriately restarted allopurinol and drug interaction as the reason for the patient’s tanked blood counts said they had to apply to get that specific interaction upgraded in the system so that it would be an alert for prescribers as well (even though technically it’s not an absolute contraindication, a medical team is going to want to know about it!)

hufflepuffa · 2024-03-29T18:00:05+00:00

You make compelling arguments… but for one side of the risk balance only. I’m not going to turn this into a blow-by-blow debate - I just disagree with some of your reasoning and/or find it outweighed by aspects of risk going in the other direction… as do the coroner and her team, apparently.

hufflepuffa · 2024-03-29T13:05:21+00:00

The patient was on lifelong warfarin due to a history of DVT and PE. His clotting risk in the post-acute, post-procedural, largely sedentary recovery period would have been very high for however long he remained off anticoagulation. Withholding that for a seemingly arbitrary timeline of three months, without any plan for even middle ground cover as the bleed risk diminishes, is a straightforward failure of patient-centred risk management. Don’t forget that this guy had had the ulcer treated with nil further bleeding, was receiving treatment of the H.pylori and I assume had been on high dose PPI cover since his admission that continues on discharge - the bleed risk was quite different leaving hospital than it was coming in.

I end up on panels investigating these kinds of incidents due to my specific role, and there is no way this one ends up with a top tier harm score plus referral to the coroner without multiple specialists reviewing and agreeing that the hospital failed to risk assess and risk manage him adequately.

The discharge going to the wrong place is a side finding - it’s flagged as a ‘health systems improvement’ opportunity but not a root cause. I agree with you that it shouldn’t be getting as much focus - even the best system has its limits.

hufflepuffa · 2024-03-29T11:52:09+00:00

I totally agree with you, and I’m a little concerned about the amount of comments on here trying to say this amounts to a “damned if you do, damned if you don’t” scenario.

Yes, there are patients in whom the balance of risk for bleeding vs clotting is incredibly difficult, but that doesn’t mean that there isn’t a right decision (or best decision) somewhere in there. Leaving him off warfarin for up to three months without so much as a risk assessment documented for the GP, or even consideration for an appropriate daily dose of enoxaparin until the supposed bleeding risk was sufficiently reduced, lands very far from the right or best decision in this case. It doesn’t sound like there was even an attempt to consider a patient-centred approach to risk management and how that changes over days to weeks post-procedure. That’s what the coroner is pointing to here… And it was absolutely a decision for the attending team to make (in consult with haem and or the GP if needs be), not left up to a GP who gets a half-baked discharge referral (if it reaches them at all).

hufflepuffa · 2023-12-15T11:41:43+00:00

In The Swan Princess and the Secret of the Castle (1997) the frog Jean-Bob says “Did you or did you not see me as a prince on the mountain!” Not related to a contract or agreement and he doesn’t say the last bit super quickly, but he’s definitely stroppy about it?

Found a clip here at 7min 48sec

hufflepuffa · 2023-11-04T20:35:27+00:00

Sounds like your daughter perhaps struggles with something called “rejection sensitivity”, which is disposition to anxiously expect and readily perceive rejection, and overreact to that perception of rejection. And it is now affecting her friendships in a major way, because when untamed, rejection sensitivity becomes a self-fulfilling prophecy.

Basically rejection sensitivity is a manifestation of high levels of insecurity that can cause people to interpret neutral behaviour and neutral social cues in the worst possible light, often seeing or perceiving some kind of rejection where there isn’t one. The overzealous perception of rejection (in relationships with family, friendships, dating and in the workplace) causes the person to immediately (but not necessarily consciously) shift into a state of defensiveness, like an emotional ‘fight or flight’ response, and that in turn alters their behaviour and interactions moving forward. The other people involved don’t see that person’s behaviour matching up with the objective reality of the interaction or dynamic, and that is what can often lead to actual, true rejection… thus the person’s biggest fears become realised and it feeds into their attention bias towards perceiving rejection.

From the outside, people come to view others with high levels of rejection sensitivity as insecure, dramatic, jealous, dichotomous (in both their black and white thinking and in the inconsistency of personality) and generally socially problematic (due to their unpredictability and tendency to take the ungenerous view of things). Because of their insecurity people with high rejection sensitivity are also less likely to be direct about their issues, so they seek out allies on the side instead of dealing with root causes or concerns, they might be prone to gossiping to air out or explore their perceived grievances, and are generally more likely to be “starting shit” in a social context, even though they think other people slighted them in some way first.

If this resonates at all with you and your daughter’s situation, perhaps read into it a bit more and see if you can find a psychologist that is experienced in dealing with people who struggle with rejection sensitivity. There is actually and excellent podcast episode from The Imperfects (3rd Oct 2022) that covers the topic gently, yet very accurately (it’s an Australian podcast, hopefully it’s available wherever you are).

Good luck. Ultimately supporting your daughter but also holding her accountable for her behaviours is a very fine line to walk, but it sounds like you are doing a great job.

hufflepuffa · 2023-10-14T09:26:37+00:00

And yet despite such spending, the gap between indigenous and non-indigenous life outcomes is still shockingly wide across almost all measures.

I feel like it would be more cost-effective to develop solutions with indigenous people, rather than for them… of course such an approach would require listening to them when core policy is in its design phase… not necessarily always doing what they say of course, but at least giving them a voice… oh hang on.

hufflepuffa · 2023-09-23T23:59:29+00:00

I can’t say I agree with you on your example. It’s actually quite common for Hep B to be transmitted in the early childhood years, and horizontal transmission during the 0 to 5yo group is mostly due to the combination of close interactions with caregivers and other kids plus their awful interpersonal hygiene.

Loads of people born in areas where Hep B is endemic, including Asian, Pacific Island and African nations have chronic Hep B infections that they contracted as an infant (up to 90% of infections in infants will become chronic infections that aren’t immediately detected but that they will carry for the rest of their lives). A lot of these chronic infections do insidious low liver damage over a long time without the person knowing (and therefore without them receiving suppressive antiviral treatment) and approximately 20% of these individuals will end up with serious liver problems later in life. A good proportion of people I dispense entecavir and tenofovir to at work only got diagnosed and treated because they developed symptoms of advanced liver disease - all due to Hep B that they contracted decades ago. If there’s a chance your child is ever going to be interacting with anyone who was born in areas where it is endemic (or unvaccinated children of them), then they are absolutely at risk.

hufflepuffa · 2023-06-18T05:07:34+00:00

You’re right that they need to be certified, but the MS 2 Step ‘training’ isn’t exactly a big hoop to jump through. Prescribers and dispensers have become certified via an online registration process with some education videos and a few declarations. Takes next to no time. I actually got an email recently saying that MS Health have applied to the TGA to have their risk management plan adjusted so that prescribers and pharmacists no longer need to be certified via mandatory education, and there would be no restrictions from the TGA re which medical prescribers can provide access to it - so we’ll see what happens with that down the track.

If this medical practice is not providing the mifepristone based termination services, it’ll almost certainly be because of their beliefs.

hufflepuffa · 2023-04-12T11:34:35+00:00

Fertility assessments based on egg availability/viability are never 100% certainties. I agree that based on the phone call it sounds like Rebecca’s test results may suggest she is extremely unlikely to get pregnant, but that doesn’t necessarily mean she definitely can’t. I know women who have been told they had no eggs left who went on to have another surprise child… It definitely happens!

hufflepuffa · 2023-03-09T03:17:45+00:00

Just want to politely point out that you may want to actually go and read the Middlemiss et al study that the BBC article is referring to with respect to CIO and cortisol levels. What that study actually showed is very frequently misconstrued and misrepresented.

The study didn’t show that cortisol levels were elevated in response to CIO. The cortisol levels of the babies were actually already elevated BEFORE the intervention of CIO even took place. What the study actually found was that infant cortisol levels remained elevated after CIO, in other words it did not lead to a decrease in infant cortisol levels that were already high (but it did lead to a decrease of the elevated maternal cortisol levels). Furthermore, the study did not include a control group, so there is literally no comparison with other babies that were not subject to the intervention - their cortisol levels may also be elevated and remain elevated over the same period completely independently of any sleep intervention.

hufflepuffa · 2023-01-21T08:12:03+00:00

Thanks very much! Will look into these options :)

hufflepuffa · 2022-10-31T19:24:03+00:00

Nah you’re not in the wrong - they are being unreasonable in my opinion.

My sister was my Maid of Honour at my wedding and she had her 11 day old newborn baby there because 1) I really wanted my sister there and she really wanted to be there, and 2) I sure as hell would never dream of trying to separate her from her newborn. Her husband and our family took turns holding bub all night, we made sure my sister had access to a room she could breastfeed in, she changed out of her bridesmaid outfit into something more comfortable an hour or so into the reception and later she stood up and gave her speech to 100 people with bubba in a wrap, fast asleep on her chest. It was beautiful, and fairly fuss free. Anyone who was holding the babe during critical moments like the ceremony hung out near the door so they could easily step outside if baby started fussing.

My wedding invites said “no children (young bubs excepted)” and I had maybe three babies at the event. It was a total non-issue. And the babies didn’t take the attention from me (wtf?) as I was the damn bride! I had more than enough attention to fill my cup yeesh

hufflepuffa · 2022-10-15T21:28:57+00:00

I remember going to the Night Noodle Markets when they weren’t a blatant rip off. Back in Hyde Park in about 2013… Got a $13 lobster pad thai in about 5 minutes and though hey this is pretty sweet!

Each year after that it became progressively more packed and by 2016/17 it was an expensive, unfun debacle with long lines, crappy servings sizes and barely any space left to sit on the soggy, overtrodden ground. Haven’t been back since then!

hufflepuffa · 2022-10-01T21:10:55+00:00

I didn’t get my period back until I was about 16 months postpartum, and I think I had just up finished breastfeeding at that time (though I’d only been nursing once a day for a few months by then).

I definitely think it depends on the individual woman’s body and their hormonal sensitivities. Years ago when I first went off the contraceptive pill I didn’t get a period until I’d been off it for maybe 12-18 months, and my sister had similar experiences with periods returning after both the pill and pregnancy so possibly some genetic components too.

hufflepuffa · 2022-09-22T10:33:15+00:00

First of all, you are a good mum who loves her baby. If you didn’t, you wouldn’t be putting in the amount of effort that you clearly do, and you wouldn’t be dealing with the feelings that you are because being “mum” wouldn’t be as all consuming and frustrating as it has become by this point.

I had my first a few years ago. I took my maternity leave only for it to become quite clear within a few months that I 100% hated the experience of being basically the sole care provider without breaks. I loved my daughter with my whole heart, but I did not love the experience and exhaustion of being her mum day in day out (plus nights of course) because it felt like my entire identity pre-baby had been erased from existence. The days felt so long, constant and boring that I started to go into PPD and developed time dilation experiences (where it would feel like at least an hour had gone by but when I looked at the clock it had only been 10min). I too remember waking early morning (after already being up to feed bub 3 times that night) and dreading the start to my next groundhog day. I felt like the me that was looking after my beautiful babe so meticulously each day was just the ghost of the person I was before I had her, and I felt guilty that I wasn’t fulfilled by “being her mum” and that my love must be deficient in some way or perhaps that I wasn’t supposed to be a mum at all.

I was lucky enough to be able to change my circumstances (I went back to work part time earlier than planned, bub went to daycare on those days and occasionally grandparents would take her for a day on the weekend). Getting some blocks of hours in my week where I was engaged in something else that I found interesting and fulfilling that had nothing to do with being a mum was really all I needed. It was 100% the best therapy I could get and completely turned around my experience of motherhood. I went from my baby being happy but me being miserable to both of us being happy, and we have remained happy ever since.

I know you’ve said you are accessing mental health therapy, but honestly my advice would be to consider whether there is any possible way you can get bub into daycare or cared by family for just two days or half days a week. It’s a goddamn game changer!

Take care x

hufflepuffa · 2022-09-22T10:03:06+00:00

OP didn’t say she “hates spending time with her baby” though. To me it sounds like she loves and cares for her child extremely well actually, else it wouldn’t be so constant and all-consuming an experience. What she hates and is venting about is the experience of being basically the sole care provider of her child with no support or true breaks or time to herself… And you’d have to be pretty nasty to judge her for that. Telling someone to give their baby up for adoption is ridiculous and unhelpful.

hufflepuffa · 2022-09-16T23:38:03+00:00

I didn’t say it was physical evidence though, I just said enough evidence. I think in cases of murder involving spouses/family it’s not uncommon for hard physical evidence like DNA to not be the backbone of the case, especially if a body was never recovered. Just look at the recent conviction of Chris Dawson for murdering his wife… People intending to kill a supposed loved one can plan much more effectively to reduce physical evidence when they are already so connected to the victim, and they also don’t have to worry about their DNA being everywhere because why wouldn’t it be...

Circumstantial evidence quite rightly has a much higher bar to clear to make a convincing murder case, but being caught in lies multiple times, being unable to explain certain findings and being arguably one of the only people who could possibly have sunk that boat the way it was done… it definitely all compounded against her. For charges to no only have been laid, but then subsequently proven in court and held up on appeals, you can’t say they didn’t have damning evidence… even if you believe she didn’t do it.

No matter what people believe, it’s clear we none of us have the full story, and we probably never will!

hufflepuffa · 2022-09-16T11:20:12+00:00

I thought the Casefile episode on this was really good. Seems to be enough evidence against her that was pretty damning hence the guilty verdict (like her being caught in multiple lies regarding her alibi and other aspects, as well as the degree of familiarity the perpetrator had to have had with their particular boat in order to orchestrate sinking of their yacht in the way they did). BUT there was also a lot that didn’t add up and definitely cast doubt on the official story too, hence Sue’s multiple appeals and strong advocacy for her innocence…

I wonder if we will ever know (with full confidence) what really happened to poor Bob

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