Sam Harkus's Avatar

Sam Harkus

@samharkus.bsky.social

Audiologist | Aboriginal hearing health | Check ears & hearing six-monthly in young Aboriginal children/respond fast & well to long term probs.

80 Followers  |  58 Following  |  14 Posts  |  Joined: 08.08.2023
Posts Following

Posts by Sam Harkus (@samharkus.bsky.social)

Preview
Tammy Shipley drank 67 glasses of water before her death in custody from water intoxication, inquest hears The state coroner will examine why police failed to identify the Aboriginal mother of five’s acute mental health conditions at the time of her arrest, despite having previously detained her under the ...

Just so sorry and aggrieved to read this. In how many ways was Ms Shipley let down by people not following the systems meant to protect her. Another day, another Black death in custody.

www.theguardian.com/australia-ne...

23.02.2026 09:43 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

@croakeynews.bsky.social is this of interest to you?

14.02.2026 09:16 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Preview
Validating the Parent-evaluated Listening and Understanding Measure (PLUM): caregiver observations reliably reflect long-term otitis media-related hearing status in young Aboriginal and Torres Strait ... We aimed to establish how accurately the Parent-evaluated Listening and Understanding Measure (PLUM) identifies longer-term otitis media (OM)-related hearing status in young Aboriginal and Torres S...

The just-published paper on PLUM accuracy is free & open access: doi.org/10.1080/1499...

14.02.2026 04:33 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

The PLUM is free to access πŸ‘‰πŸ½ www.plumandhats.nal.gov.au

14.02.2026 04:33 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

This also strengthens parents’ & caregivers’ ability to advocate for their child β€” family-centred practice that recognizes parents often know something is wrong before our tests confirm it.

PLUM makes space for that knowledge to inform decisions.

14.02.2026 04:33 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
Post image

The exchange works both ways. Parents share observations we can’t access through clinic tests.

Through the conversation, they learn about listening as a developmental skill β€” what to watch for and nurture at home.

14.02.2026 04:33 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
Post image

What makes this possible is parents bringing their expert knowledge of their child’s listening behaviors to the conversation. PLUM creates a structured way to capture it.

14.02.2026 04:33 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
Post image

The PLUM listening skills checklist drastically shortens this timeline.

A child with bilateral OM who is β€œnot yet on track” is 46 times more likely to have persistent infection with hearing loss >30 dB HL.

14.02.2026 04:33 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

As per the guidelines, the family is asked to return in 3 mths if they think their child still has OM, then get a hearing test, then back to GP, who will consider whether Ear Specialist referral is needed.

Suddenly 4-5 months has passed β€” an ETERNITY at this developmental age ⏳

14.02.2026 04:33 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

For Australian primary care practitioners seeing young Aboriginal kids, picking concerning ear infections (otitis media/OM) lasting > 3 mths from short-term ones is tricky. Often, there are no symptoms.

Our OM guidelines are an essential tool: otitismediaguidelines.com/resources/Gu...

14.02.2026 04:33 β€” πŸ‘ 3    πŸ” 1    πŸ’¬ 1    πŸ“Œ 1
Post image

πŸ“£ New accuracy evidence for the PLUM listening skills checklist now avail, free & open access πŸŽ‰

Young Aboriginal kids with ear infection (otitis media) found β€˜not yet on track’ on PLUM are 46 x more likely to need Ear Specialist referral. V useful tool for primary care πŸ’‘

doi.org/10.1080/1499...

12.02.2026 11:57 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Preview
Otoacoustic emissions for the preliminary screening of otitis media in children: a systematic review using a diagnostic test accuracy approach To summarise the accuracy of otoacoustic emissions (OAE) testing relative to other methods used to screen for otitis media and related conditions in children.Systematic review and meta-analysisSix ...

JUST PUBLISHED πŸ§’πŸ‘‚ Our systematic review found otoacoustic emissions (OAE) testing has moderate–high accuracy for screening otitis media in children. TEOAE has a role in primary care screening, but more studies are needed due to heterogeneity. www.tandfonline.com/doi/full/10....

14.01.2026 22:22 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
Post image Post image

Those teeny tiny wax filters in the tips of hearing aids - never knew they were mini screens until this week when I used my phone to check whether this one was blocked. Revelation + a learning moment for us both - my client suddenly GOT what it is/what it does/why to check/clean/change πŸ’‘

26.07.2025 01:57 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
Post image

Cheers.

11.01.2025 22:34 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Post image

Rolling Penny cafe, Newtown. A great place to think & write on a hot Sydney day. Just starting to form the story for a paper on the relationship between presence & nature of parent/caregiver concern and their child’s ear health & hearing clinical results, to talk about with team members later.

11.12.2024 23:45 β€” πŸ‘ 3    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0