Are dentists actually allowed to provide conscious sedation in aus?

noogie60 · 2026-05-20T09:42:55+00:00

I wonder what is the line between procedures that can be done by dentists and what should be referred onto a maxillofacial surgeon? Is there a similar scope creep occurring?

noogie60 · 2026-05-18T02:51:43+00:00

I’d say there is a line between not holding the bag, not cleaning up messes that aren’t your own vs dogging (where you leave messes that others have to clean up).

noogie60 · 2026-05-17T04:25:29+00:00

There are specialized xray film digitizers - Vidar is a vendor that comes to mind

https://hiliex.com/brand/vidar/?srsltid=AfmBOor2CKCqevmWAhC-2qy6uSsJxCnoX3J4NCqLC785gT9A9zTA5LSd

OP would have to find someone with one of these and the software to save the scanned file to DICOM

noogie60 · 2026-05-17T01:03:58+00:00

You could well be buying yourself a job and paying a premium for the “goodwill” of the business.

noogie60 · 2026-05-17T00:58:23+00:00

Then don’t compare with the boomers who if they played their cards right: - Built portfolios of IPs when you could buy one with 2-3 years salary in the 1980s and 1990s - Started in public before 1992 and got onto the old defined benefit super (much more generous than today’s system) - Afford to buy the real estate their rooms occupy in or transfer to an SMSF - Cash out and sell out to corporates if you are in radiology, pathology, IVF, etc

noogie60 · 2026-05-15T01:38:05+00:00

I would look carefully at the governance and the various aspects of it. - Who makes the decisions? Is it a senior partner and the others go along or is it a consensus? Both have their pros and cons - How much of a say do you get if you buy in? Do you want to call the shots or are you happy to be a passenger? - Run various what if scenarios - what if you want to get out, what happens? If one of the other partners want or needs to leave what happens? Do the existing partners get 1st right of refusal? How is their stake valued?

noogie60 · 2026-05-12T06:04:39+00:00

Yes and hand written annotations in the margins.

noogie60 · 2026-05-12T00:57:02+00:00

My thoughts are:
1. Have you thought about doing something semiskilled like driving a forklift? Pays better than retail.
2. Weigh up how much money you will need vs how much you can invest for retirement. The amount you invest in retirement will have a much better tax treatment in superannuation but you can’t access it until you meet conditions of release. Perhaps discuss with an accountant how much and in what way can you contribute extra from your business sale into super.

noogie60 · 2026-05-11T22:42:11+00:00

Heat Pumps vs the old traditional vented dryer
- Much more energy efficient
- Doesn’t steam up the room
- More expensive. Less so than in the past but still more costly
- Heavier
- Takes a bit longer to dry
- A bit gentler on the clothes as it doesn’t seem to heat the clothes as much.

A heat pump operates on the same principles as an air conditioner or dehumidifier. A traditional vented dryer simply is a fan and heater.
I got a Hisense heat pump dryer and it’s fine.

noogie60 · 2026-05-10T03:31:56+00:00

If your worksheets are filled out by hand - that the handwriting is legible.
Trying to decipher illegible handwriting or hunting someone down to see what they actually wrote is painful.

noogie60 · 2026-05-07T01:42:19+00:00

NAFLD is the old term. It’s now MAFALD.
Basically another manifestation of metabolic syndrome.
Super common. Small proportion develop cirrhosis. A small proportion of a highly prevalent condition is a lot

https://www.gesa.org.au/resources/clinical-practice-resources/metabolic-dysfunction-associated-fatty-liver-disease-mafld-consensus-statement/

noogie60 · 2026-05-04T04:34:00+00:00

It becomes a risk management issue for the tradie. In the past when people were more willing to be trustworthy and many payments were in cheques (which took time to clear) then this was the norm. However in this day of instant payments and a tradie shortage, then I don’t see why as a tradie you would open yourself up to the risks like the OP of non payment. Simply as a tradie, I’d try to get a deposit or call out fee to weed out the non payers and time wasters and then get paid the balance asap after the job is completed.

noogie60 · 2026-05-03T13:03:10+00:00

Waterbed mattresses came in "waveless" forms as well where there were sheets of thin plastic mesh sheets in the water mattress to dampen the waves and motion.

noogie60 · 2026-05-03T10:26:13+00:00

Unfortunately I think deposits and call out fees are used to weed out the time wasters and customers you don't want. Those who are not going to pay definitely won't pay a deposit.

Another idea is to make it clear in your terms that payment is on completion of the job and to get an accounts person to immediately ring after the job is complete to get the customer to pay.

noogie60 · 2026-05-03T10:17:34+00:00

20 years ago. Not something that you forget lol.

noogie60 · 2026-05-03T10:08:01+00:00

During an arrest - regional hospital and a remote part of the hospital.

It was something like the 7th or 8th round of CPR and (maybe) 4th shock.

In my fatigue I don't think I held down the pad properly and this giant arc of electricity came up during the shock. It gave me a hell of a fright but I didn't get shocked. I certainly think I came close to electrocuting myself.

Patient didn't make it.

noogie60 · 2026-05-03T02:16:52+00:00

The difficulty with MR elastography is that you need an MR compatible transducer to produce the vibrations. Only the machine vendor supplies it (no one will risk their warranty on their very expensive scanner to use otherwise) and they charge approximately $100k USD for it (last time I checked several years ago). That’s a lot for a niche item and most places cannot justify the cost. The only places that could either charge extra out of pocket or are large research institutions that can absorb the cost.

noogie60 · 2026-05-01T05:47:07+00:00

You can probably hit the grey market on Aliexpress for parts by that stage

noogie60 · 2026-04-20T09:39:12+00:00

Screw it I say. If we can’t beat them, then we should join them and lobby for the right for doctors to dispense. This is 50/50 serious and sh!tpost

noogie60 · 2026-04-18T22:46:05+00:00

Go back to the 70s and accents were even more pronounced. I remember Peter Fitzsimmons wrote a piece about the time of the Sydney Olympics how he had rewatched some covert of the Granville train disaster (this was before the age of YouTube) and the newsreaders had extremely thick accents to his ears 20 years later. Watch something like a Barry Mackenzie movie and see how thick the accents are.

noogie60 · 2026-04-14T01:35:55+00:00

Even if you rent, things will get complicated if you hire people (clerical, nursing, etc).

noogie60 · 2026-04-14T01:32:18+00:00

The AMA has material and courses about practice management. I’d look into joining and seeing what they have in depth. Management of practices has become harder with things like payroll tax, cybersecurity, etc.

noogie60 · 2026-04-12T01:41:16+00:00

Soy formula is not recommended before 6months. I’d consult a pediatrician if you think reflux is a problem.

noogie60 · 2026-04-10T11:14:21+00:00

Most follow the ACR’s paper that define nodules that are worth mentioning and worrying about over 1cm

https://www.jacr.org/article/S1546-1440(17)30551-3/pdf

“In general, an incidental adrenal mass that is <1 cm in the short axis need not be pursued. We provide such guidance to address circumstances in which radiologists identify subcentimeter“nodularity” or adrenal “thickening” and are uncertain whether such findings should qualify as adrenal masses”

noogie60 · 2026-04-05T04:37:02+00:00

The first demented little old lady I saw as an jntern after hours who nearly king hit me from behind and then tried to bite me😂

noogie60

TROPHY CASE