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BRCA1 and BRCA2 testing - Medicare update for doctors 25-05-2018
Doctor Bulletins

Testing of the genes responsible for familial breast or ovarian cancer is now rebated. Medicare rebates will improve access to genetic testing and it is important to understand the new criteria in order to best support your patients.

Key points:

  • BRCA1 and BRCA2 are the genes most commonly implicated, but familial mutations in other genes such as STK11, PTEN, CDH1, PALB2, and TP53 can also cause familial breast cancer. Mutations in any of these genes can also cause cancers other than breast and ovarian cancers in both men and women.
  • There are a number of settings in which rebated testing of BRCA and other genes responsible for familial breast and ovarian cancer is available:

- Testing an individual with advanced ovarian cancer

- Testing an individual with breast or ovarian cancer and relevant family history

- Testing an individual who does not have cancer but has family history

  • Specific clinical requirements apply for Medicare eligibility.
  • Medicare stipulates that requests for such testing can only be made by a medical specialist or consultant physician. General practitioners cannot order rebated BRCA gene testing.
  • Testing can be performed for patients who do not meet the Medicare requirements, however BRCA gene testing will be privately billed. Sonic Genetics still requires that privately billed tests are requested by a medical specialist or consultant physician and that pre-test counselling with written consent has been completed.
Dexamethasone Suppression test 31-05-2018
Patient Test Collection Instructions

This test measures cortisol before and after dexamethasone to check if a patient's cortisol levels are under normal physiological control. In normal patients, correctly prepared as below, cortisol levels are expected to be suppressed on the post sample.

Hydrogen Breath Test (HBT) 31-05-2018
Patient Test Collection Instructions

This test is used to diagnose intolerance to lactose and/or other carbohydrates (such as sucrose, glucose,xylose, lactulose, fructose, and maltose).

Collection for Breath Hydrogen and Methane Testing is performed at Sullivan Nicolaides Pathology Principal Procedural Centres. For your nearest centre and to make an appointment, please telephone Patient Services Support on 1300 732 030.

Perfluorinated chemical testing - PFAS - PFOS 01-06-2018
Doctor Bulletins

Sullivan Nicolaides Pathology is now testing for the perfluoroalkyl substances including perfluorooctane sulphonate (PFOS) and perfluorooctanoic acid (PFOA).

Syzygy June 2018 14-06-2018

In this edition of Syzygy:

  • National Bowel Screening Program: Results available online with Sonic Dx
  • PFAS investigation area - Svensson Heights, Bundaberg
  • Know Pathology, Know Healthcare: An initiative to provide patients with a better understanding of pathology and healthcare
  • Introducing Dr Rebecca Adams, consultant haematologist
Syzygy July 2018 18-07-2018

In this edition of Syzygy:

  • Changes to Anti-Mullerian Hormone (AMH) assay testing
  • New SNP Publication Gastrointestinal Pathology: New Insights and Advances
  • Introducing Dr Lisa Wilkinson, histopathologist
  • Gallipoli Medical Research Foundation seeking ex-serving personnel to trial a self-assessment tool
  • Sonic Genetics: Free counselling service for preconception carrier screening
Salivary cortisol 31-07-2018
Patient Test Collection Instructions

This test requires a special collection kit.

Bone Marrow Biopsy 01-09-2018
Patient Test Collection Instructions

A bone marrow biopsy is a procedure in which small samples of marrow and bone are taken from the hip under local anaesthesia.

Group B Streptococcus Test 01-09-2018
Patient Test Collection Instructions
This test is performed on pregnant women to detect the presence of genital Group B Streptococcus- a bacterium that is part of the normal flora of approximately 30% of pregnant women but that can, rarely, cause life-threatening blood infections and meningitis in newborns. Group B Streptococcus can also cause disease in pregnant women, the elderly, and adults with other illnesses.
Quantiferon TB Gold Plus Testing 01-09-2018
Patient Test Collection Instructions

Step by step collection instructions

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