The Good GP

Pre-anaesthetic medication medication management for GPs

Tue, 14 Apr 2026 03:30:00 +1000

In this episode of The Good GP, host Julia Rawlinson welcomes Dr Erin Horsley, an experienced GP anaesthetist, to provide practical guidance on pre-anaesthetic medication management for general practitioners. Focusing on how to prepare patients for elective surgery by knowing which medications to pause, continue, or adjust.

Highlights include:

SGLT2 inhibitors: Advice on withholding these medications prior to surgery, especially for diabetic patients, due to risk of euglycaemic diabetic ketoacidosis.
Diabetes medications and insulin: Specific instructions for perioperative management in procedures such as colonoscopy and gastroscopy.
GLP-1 receptor agonists: Discussion on Ozempic, Wegovy, and Mounjaro. They emphasise that stopping them is not routinely required. Instead, they recommend clear fluid fasting protocols.
Anticoagulants and antiplatelet agents: Practical approaches for managing DOACs, warfarin, and antiplatelet therapy based on procedure risk, including guidance on bridging and specialist consultation.
Other medications: Tips on ACE inhibitors, opioids, and pain medications regarding continuation or withholding.
Useful GP actions: An accurate medication list, allergy documentation, and direct communication with anaesthetic teams or pre-admission clinics.

Providing concise, evidence-based recommendations for medication management in the perioperative setting to assist GPs and ensure safer outcomes for their patients.

Links & Resources:

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information. You can also find us on our Instagram page: @thegoodgppodcast. Follow us for more updates!

Managing Winter Respiratory Infections with Nasal Sprays

Tue, 07 Apr 2026 03:30:00 +1000

In this episode, Julia Rawlinson speaks with Professor Paul Little, is a Professor of Primary Care Research at the University of Southampton and a practising GP with over 20 years of clinical experience, about his landmark research on acute respiratory tract infections and its relevance for general practice.

Professor Little summarises the Lancet Respiratory Medicine trial involving nearly 14,000 participants at risk of respiratory infections. The trial compared usual care, two nasal sprays (Vicks First Defense and isotonic saline), and a digital lifestyle intervention. Both nasal sprays resulted in fewer days ill, reduced antibiotic use by around 30%, and were well tolerated. The saline spray was highlighted as a first-choice option due to its effectiveness and minimal side effects.

Giving practical advice on counselling patients to use nasal sprays at the first sign of illness, with discussion around challenges to adherence and the rationale for early use. They also explore the antiviral mechanism of saline spray and the continued value of stress management and physical activity in infection prevention.

Professor Little discusses how setting realistic expectations about infection duration can help reduce unnecessary presentations and prescribing, and how these simple interventions contribute to antibiotic stewardship in primary care.

Links & Resources:

https://www.southampton.ac.uk/people/5wzg2s/professor-paul-little#publications
12 month follow-up of a randomised open label trial of nasal sprays and a behavioural intervention for respiratory tract infections (RTIs) in primary care: https://eprints.soton.ac.uk/507356/

Essential Guide to Lung Cancer Screening for Australians

Tue, 31 Mar 2026 03:30:00 +1000

In this episode of This Could Save Your Life podcast, Dr Catherine Bourke discusses the new lung cancer screening program in Australia and its importance for early cancer detection. Dr Bourke explains that lung cancer remains the leading cause of cancer-related death in Australia, largely because most cases are detected too late. She reviews recent evidence supporting screening, such as the Nelson Study and National Lung Screening Trial, which show significant reductions in mortality with the use of low-dose CT.

Key eligibility criteria for the screening program are ages 50–70, current or recent smokers (within 10 years of quitting), and a history of at least 30 pack-years. Providing guidance on enrolment, the screening process, and clarifies pack-year calculation. She also addresses misconceptions about lung cancer only affecting smokers and explores the impact of stigma and nicotine dependence.

Detailing the essentials for general practice, including how to refer patients, what to expect from the CT scan process, and how results and nodule management protocols inform follow-up and specialist referral. GPs are encouraged to support eligible patients to participate for better outcomes through early detection and advances in lung cancer treatment.

Links & Resources:

The heart of Australia: https://heartofaustralia.com.au/
National lung cancer cancer screening program: https://www.health.gov.au/our-work/nlcsp?gclsrc=aw.ds&gad_source=1&gad_campaignid=23576447207&gbraid=0AAAAA_Hdu8ldTc75J8nw1zqot-Q-9Peic&gclid=Cj0KCQjw7IjOBhDyARIsAFzrWQz0u-84xCTnyQspBM7pE0tkVszhnlnMuCMcyRVZOJ8uSpoG3AjwAUwaAkBoEALw_wcB

This Could Save Your Life Podcast is under The Good GP podcast, a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

Eating Disorders: Management in Primary Care

Tue, 24 Mar 2026 03:30:00 +1000

In this episode, Dr Krystyna de Lange is once again joined by Dr Karen Spielman and Dr Rachel Kalman, GPs with a special interest in eating disorders, for part two of this series on eating disorders. Their conversation centres on the ongoing management of patients with eating disorders in general practice.

Dr Kalman provides guidance on the frequency and nature of medical monitoring, including when to order blood tests and ECGs. Dr Spielman discusses how to assess and respond to medical instability, particularly cardiovascular risks and rapid weight loss, while emphasising clinical judgment and individualised care.

They discuss common medical complications associated with eating disorders, such as cardiovascular, gastrointestinal, and endocrine issues, along with practical tips for symptom management and patient education. The importance of the GP’s role in long-term management, continuity of care, and maintaining hope for recovery.

A detailed walkthrough of the Eating Disorder Treatment Plan (EDP), addressing eligibility, use of templates, and the expanded access to psychological and dietetic support. They encourage GPs to utilise the EDP and Medicare Safety Net to make comprehensive care more accessible for patients.

Dr Rachel Kalman also discusses the review of an eating disorder management plan. Please note that this review can occur via a psychiatrist or paediatrician, not a psychologist as mentioned in the episode.

Links & Resources:

Inside Out Institute GP Hub: https://gp.insideoutinstitute.org.au
CEED Table for medical monitoring: https://ceed.org.au/wp-content/uploads/2025/03/Medical-Monitoring-in-Eating-Disorders.pdf
Eating Disorders Family Australia: https://edfa.org.au
Sick Enough Book by Dr Jennifer L. Guadiani: https://www.sickenough.com

Eating Disorders: Screening and Assessment

Tue, 17 Mar 2026 03:30:00 +1000

In this episode, Dr Krystyna de Lange speaks with Dr Karen Spielman and Dr Rachel Kalman about the screening and assessment of eating disorders in general practice. This is the first episode of a two part series on eating disorders. Both Dr Spielman and Dr Kalman have a special interest in psychological medicine, specifically eating disorders and work with the Inside Out Institute for Eating Disorders.

In this episode, there is a discussion about the importance of early recognition and intervention, noting the high morbidity, mortality, and economic impact of eating disorders. High-risk groups for GPs to consider are identified and include young people, those involved in visual sports, hormonal change periods, neurodivergence, and comorbid mental health conditions.

Screening strategies are explored, including the Inside Out Screener, a validated, patient-friendly tool designed for primary care. Giving practical advice on engaging patients in open, non-judgmental conversations about their relationship with food.

Dr Rachel Kalman outlines how to conduct a thorough assessment, including relevant history, physical examination, and investigations such as blood tests, ECG, and bone density scans. The importance of sensitive communication about test results and understanding medical and psychiatric risk factors is emphasised.

This equips GPs with practical approaches and reliable resources for early screening and assessment of eating disorders.

Links & Resources:

Inside Out Institute GP Hub: https://gp.insideoutinstitute.org.au
Inside Out screening tool: https://insideoutinstitute.org.au/screener
Eating Disorder Examination Questionnaire (EDE-Q): https://insideoutinstitute.org.au/resource-library/eating-disorder-examination-questionnaire-ede-q
Centre for Clinical Interventions including patient information and worksheets: https://www.cci.health.wa.gov.au/resources/looking-after-yourself/disordered-eating
Eating Disorders Family Australia: https://edfa.org.au
Sick Enough Book by Dr Jennifer L. Guadiani: https://www.sickenough.com

Metabolic Dysfunction Associated Steatotic Liver Disease (MASLD)

Tue, 10 Mar 2026 03:30:00 +1000

In this episode of The Good GP, Dr Krystyna de Lange welcomes Dr Jonathon Mitchell, hepatologist from Cairns Base Hospital, to discuss metabolic dysfunction-associated steatotic liver disease (MASLD), formally known as Non Alcoholic Fatty Liver Disease or NAFLD. They explore the updated terminology, highlight the role of GPs in diagnosis and management, and frame MASLD as largely a metabolic rather than a primary liver disease.

Dr Mitchell outlines the main risk factors for MASLD, including excess weight, metabolic syndrome, dietary quality, and family history. The importance of screening for other liver conditions in patients with abnormal LFTs, including viral hepatitis, autoimmune liver diseases, haemochromatosis, and coeliac disease.

Non-invasive fibrosis assessment, primarily through the FIB-4 score, is discussed as an accessible tool for GPs. Liver biopsy is rarely required and reserved for cases with diagnostic uncertainty. Management focuses on lifestyle interventions, mainly dietary change and weight loss, with no approved pharmacological treatments currently available in Australia. Monitoring frequency depends on fibrosis status and response to lifestyle changes.

They reinforce the importance of holistic care in primary practice, addressing both liver health and associated metabolic risks.

Links & Resources:

https://www.racgp.org.au/afp/2013/july/fatty-liver-disease

Your First Antenatal Visit: What Every Pregnant Woman Should Know for a Healthy Pregnancy

Tue, 03 Mar 2026 03:30:00 +1000

In this episode of This Could Save Your Life Podcast, Dr Anna Mullins and Dr Catherine Bourke provide a comprehensive and practical overview of the first antenatal visit, building on their previous discussion about preconception care. Aimed at supporting GPs to deliver optimal care at this early stage of pregnancy.

Opening with the importance of timely antenatal care, ideally within the first 10 weeks of pregnancy, and the benefits of early and regular antenatal visits on maternal and child health outcomes. Dr Mullins and Dr Bourke detail the process of confirming pregnancy dates, discussing past obstetric history, and creating a supportive environment for patients to express any concerns or fears regarding the current pregnancy.

Outlining the value of taking a thorough medical history, including a review of current medications and the management of any chronic medical conditions.

Lifestyle factors including smoking, alcohol intake, illicit drug use, and exposure to passive smoking were also discussed, and the role of the GP in facilitating cessation and support services where required. Screening for intimate partner violence was also discussed as a standard part of the first antenatal visit.

Preventative health advice with evidence-based guidance on folic acid and iodine supplementation; calcium and low-dose aspirin for women at risk of preeclampsia.

Encouragement of regular aerobic and strength exercise unless contraindicated. Referral to women’s health physiotherapy, particularly for pelvic floor assessment and education, is also recommended.

Nutrition, weight management, management of pregnancy-related symptoms such as nausea, vomiting, and constipation, and the importance of maintaining dental health were also discussed. They also emphasise the role of multidisciplinary care and the involvement of GPs, physiotherapists, dentists, and obstetricians in high-quality antenatal care.

Current state of play of ADHD for GPs in Australia

Tue, 24 Feb 2026 03:30:00 +1000

In this episode of The Good GP, Dr Sean Stevens interviews Dr John Kramer OAM, an experienced rural general practitioner and Chair of the RACGP ASD, ADHD, and Neurodiversity Specific Interest Group, they talked about the evolving role of GPs in ADHD care in Australia.

Covering the recent Victorian reforms allowing specialist GPs to diagnose and manage ADHD, and what these changes mean nationally. Dr Kramer explains the current complexities of state-based stimulant prescribing regulations and ongoing efforts to establish a more consistent, national approach.

Dr Stevens shares insights from Western Australia’s training initiatives, demonstrating high interest from general practitioners. Giving practical advice for GPs starting out in ADHD diagnosis and management, such as the importance of a detailed developmental history, identification of comorbidities, and collaboration with specialists.

Dr Kramer concludes by encouraging GPs to consider a greater role in ADHD care, emphasising the positive impact well-supported general practice can have on patient outcomes.

Links & Resources:

RACGP

https://www.racgp.org.au/advocacy/position-statements/view-all-position-statements/health-systems-and-environmental/adhd-initiation-modification-continuation-by-gps
https://gpl.racgp.org.au/d2l/le/lessons/7367/units/13000
https://gpl.racgp.org.au/d2l/le/lessons/7367/units/12650

AADPA

https://aadpa.com.au/
https://aadpa.com.au/adhd-resources/
https://aadpa.com.au/free-adhd-clinical-resources/

OTHER SOURCES

https://aci.health.nsw.gov.au/projects/adhd-in-general-practice
https://beyondgp.com.au/
https://aaadhdig.com.au/

INTERNATIONAL

https://www.caddra.ca/
https://www.additudemag.com/

CONSUMER GROUPS

https://www.adhdaustralia.org.au/
https://adhdfoundation.org.au/
https://www.adhdwa.org/

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information. You can also find us on our instagram page: @thegoodgppodcast. Follow us for more updates!

Travel Medicine in the post-pandemic era

Tue, 17 Feb 2026 03:30:00 +1000

In this episode of The Good GP, host Dr Sean Stevens speaks with Professor Nick Zwar, Chair of the RACGP Travel Medicine Specific Interest Group, to discuss the state of travel medicine in Australia post-COVID-19 pandemic.

Professor Zwar outlines how the pandemic led to a sudden halt in international travel and impacted travel medicine practice. Many have adapted by shifting their focus back to general practice, advising patients stranded overseas, and planning for a resumption of travel. He also notes the practical implications, such as unused vaccine stock and the adoption of telehealth.

Also discussing the resumption of international travel, with Australians returning to pre-pandemic travel levels, including higher-risk activities like cruise ship travel. They observe that despite the risks of infectious diseases, most patients are eager to travel and may not be as concerned about COVID-19 as practitioners might expect.

Looking ahead, Professor Zwar identifies several challenges in travel medicine. These include changing patterns of infectious diseases (notably respiratory infections, dengue fever, Japanese encephalitis, and measles), emerging threats like monkeypox (Mpox), and the increasing prevalence of antimicrobial resistance affecting management of traveler's diarrhoea. He also highlights the complexity of advising immunocompromised travellers, particularly those on biological therapies.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information. You can also find us on our instagram page: @thegoodgppodcast. Follow us for more updates!

Exploring female sexual dysfunction

Tue, 10 Feb 2026 03:30:00 +1000

In this episode of The Good GP, Dr Krystyna de Lange is joined by Anisa Varasteh, a clinical sexologist, psychotherapist, and former president of the Society of Australian Sexologists, to discuss the topic of female sexual dysfunction and its management in general practice.

Anisa Varasteh provides a thorough overview of the multifaceted nature of female sexual dysfunction, emphasising the complex interplay between biological, psychological, relational, and social factors. Highlighting the impact of chronic stress, nervous system overload, and the relational context on sexual function. Psychological factors such as anxiety, depression, trauma, and body image concerns are explored, as well as the influence of cultural myths and social conditioning on female sexuality across the lifespan.

Anisa identifies everyday factors influencing desire and arousal, including sleep deprivation, mental load, lack of pleasure outside of sex, unresolved grief, and body image issues. She shares practical strategies for GPs when supporting patients, such as normalising fluctuations in desire, exploring the biopsychosocial context, shifting the focus towards pleasure and connection, and promoting nervous system regulation. Early referral to sexologists or related professionals is suggested, as is the value of providing patients with language and frameworks to have open conversations with their partners.

The episode concludes with strategies for empowering patients to discuss their sexual wellbeing without shame or guilt and the benefits of reframing intimacy outside the goal of intercourse.

Potential questions to use in assessment of sexual function:

What is the concern, and what does it mean to the patient?
Is there distress around it?
How long has it been present?
What is the impact on their life or relationship?
In what contexts is it not present?
Have they sought help before?
How is their general health and mental wellbeing?
How do they feel in their relationship?
Why is this a concern now?

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If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information. You can also find us on our instagram page: @thegoodgppodcast. Follow us for more updates

Preconception Care: Expert Tips for Planning a Healthy Pregnancy

Tue, 03 Feb 2026 03:30:00 +1000

In this episode of This Could Save Your Life Podcast, hosts Dr Catherine Bourke and Dr Anna Mullins provide an overview of preconception care, and the key considerations for GPs when supporting patients who are planning a pregnancy.

Key discussion points include:

Initial Assessment: Consider age, reproductive history, and duration of attempts to conceive. Referral for fertility investigation recommended for women over 35 trying for 6 months, or any age trying for 12 months, or women aged 40+.
Review of Medical History: Assess chronic conditions: diabetes, hypertension, cardiovascular disease, epilepsy (and medication management), thyroid disease, polycystic ovarian syndrome, and asthma.
Medication Management: Identify and remove teratogenic medications prior to conception (e.g., isotretinoin, some weight loss medications). Recognise medications that are safe/necessary during pregnancy (such as inhalers for asthma).
Dietary Advice: Encourage a balanced diet rich in vegetables, lean meats, fruits, grains, nuts, and dairy; minimise processed foods.
Alcohol Consumption: Advise abstinence from alcohol in the period of actively trying to conceive and during early pregnancy.
Lifestyle Modification: Smoking cessation strongly recommended for both partners to improve fertility and prevent harm to the fetus and child.
Pre-Pregnancy Investigations: Which include routine tests: full blood count, iron studies, electrolytes, liver and kidney function. Check immunity to rubella and varicella; advise vaccination if necessary before pregnancy.
Consultation Advice: Recommending dedicated, extended preconception consultations to address medical, lifestyle, and individual patient factors.

Links & Resources:

For information about listeria is: https://www.betterhealth.vic.gov.au/health/healthyliving/food-poisoning-listeria
For information about fragile x: https://www.cdc.gov/fragile-x-syndrome/index.html

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information. You can also find us on our instagram page: @thegoodgppodcast. Follow us for more updates!

RACGP Hackathon 2026: Building Real Solutions for Everyday GP Challenges

Thu, 22 Jan 2026 03:30:00 +1000

In this episode of The Good GP podcast, Dr Ramya Raman, Vice President of the RACGP and GP, is joined by Dr Sean Stevens, Chair of the RACGP Digital Health and Innovation Specific Interest Group, and Dr Amandeep Hansra, Deputy Chair and esteemed digital health expert, for a discussion about the upcoming RACGP Hackathon event.

Beginning with the introduction of what a hackathon is, particularly in the context of general practice. Dr Amandeep describes hackathons as intensive, collaborative events where clinicians, technologists, and entrepreneurs come together to solve real-world problems faced in general practice and develop practical solutions.

The unique focus of the RACGP Hackathon on clinically-relevant issues, highlighting the importance of clinician-led innovation. Reflecting on previous events, including the significant outcomes for past participants such as product development, enhanced professional networks, and entry into healthcare innovation accelerator programs.

Dr Sean mentions who should consider applying, emphasising that the hackathon is not only for those with technical expertise but is open to any general practitioners interested in innovation, regardless of experience in technology or entrepreneurship.

They address the broader challenges facing general practice, including workforce shortages, burnout, patient complexity, and emerging disruptive technologies. Discussing the role of innovation and digital solutions in maintaining the central importance of general practice and improving patient care.

Key event information:

The RACGP Hackathon will be held in Sydney from 13th to 15th March, 2026
Applications close on 29th January, 2026
Successful applicants will have the opportunity to compete for a significant cash prize (to be announced) and potential entry into an innovation accelerator program.

Join the RACGP Hackathon here: https://hackathon26.au/

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information. You can also find us on our instagram page: @thegoodgppodcast. Follow us for more updates!

Paediatric Squints in General Practice

Tue, 20 Jan 2026 03:30:00 +1000

In this episode, host Dr Maria Li is joined by Dr Parth Shah, an adult and paediatric ophthalmologist based in Canberra and Sydney, to discuss paediatric squints, also known as paediatric strabismus.

Beginning with an overview of why paediatric squints can seem daunting for general practitioners, and the importance of a systematic approach to assessment. Outlining GPs responsibilities when encountering a child with possible eye misalignment: diagnosing whether a true squint or pseudo-squint is present, assessing visual function, and determining the urgency of referral to a specialist.

Practical steps for eye examination in babies, particularly at the routine six-week check. Dr Parth Shah offers guidance on inspecting eye alignment, performing the corneal reflex test using a pen torch or ophthalmoscope, and checking the red reflex to rule out conditions such as congenital cataract.

As babies develop, the use of dynamic tests such as the cover test becomes more reliable, generally from three to six months of age, allowing for assessment of fixation and equal visual development between the eyes. GPs are advised to initiate urgent referral at any stage if there is concern about poor visual function, abnormal red reflex, or significant limitations in eye movement.

Further exploring referral processes, noting that detailed documentation of GP observations, supported by photos or videos from parents, greatly assists ophthalmology triage and assessment.

Links & Resources:

http://www.squintclinic.com/
https://www.schn.health.nsw.gov.au/eye-problems-children-factsheet
https://www.aapos.org/resource-catalog/educational-resources
https://medicinetoday.com.au/mt/2017/april/feature-article/assessing-eye-problems-children – GPs can access this article via a free online Medicine Today subscription.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Beyond Needles: Benefits and Insights Into Intranasal Vaccines

Tue, 13 Jan 2026 03:30:00 +1000

In this episode, host Dr Sean Stevens is joined by Dr Paul Effler, Senior Medical Advisor at the WA Department of Health and Adjunct Dr at the University of Western Australia. Dr Effler is an experienced public health physician with extensive expertise in vaccine safety surveillance and has been a longstanding member of the WHO Global Advisory Committee for Vaccine Safety.

They explore the use of intranasal vaccines for influenza and COVID-19, which are now available in Australia. Dr Effler explains the mechanistic advantages of intranasal vaccines compared to traditional intramuscular injections, highlighting their ability to create mucosal immunity at the site where respiratory pathogens enter the body. Offering the dual possibility of preventing both clinical infection and onward transmission which is a key public health benefit.

Practical aspects of administering intranasal vaccines in general practice are discussed, including ease of use, absence of sharps and associated risks, and specific technique considerations.

Looking ahead, they also covered potential future developments in intranasal immunisation, including vaccines for RSV and pertussis, and the promise of platforms that do not rely on live attenuated virus. Dr Effler describes emerging models of self-administration and the possible implications for increasing vaccine uptake, while reaffirming the ongoing role of GPs in supporting safe and effective immunisation.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Chlamydia: Why Early Detection and Treatment Matters

Tue, 06 Jan 2026 03:30:00 +1000

In this episode of This Could Save Your Life Podcast, hosts Dr Catherine Bourke and Dr Anna Mullins discuss Chlamydia trachomatis, the most common sexually transmitted infection (STI) in Australia. Providing an in-depth, evidence-based overview tailored for general practitioners.

Key discussion points include:

Epidemiology: Chlamydia remains highly prevalent in Australia, with over 100,000 recorded cases in 2024. The majority of cases occur in individuals aged 15 to 29.
Clinical Presentation: The infection is frequently asymptomatic, with 85-90% of individuals not displaying symptoms. When present, symptoms can include vaginal or penile discharge, dysuria, pelvic pain, testicular pain in men, intermenstrual or post-coital bleeding in women, and, less commonly, conjunctivitis and reactive arthritis.
Complications: Untreated chlamydia can result in serious complications such as pelvic inflammatory disease (PID) and infertility in women, epididymo-orchitis in men, and other sequelae including ectopic pregnancy, premature birth, and low birth weight in affected pregnancies.
Screening Recommendations: Outlining current Australian guidelines, recommending annual opportunistic screening of all sexually active women under 25, women with new partners over 25, sexually active men based on individual risk, anyone who requests screening, and individuals with a history of STIs or higher risk exposures.
Treatment: Uncomplicated chlamydia is typically treated with a one-week course of doxycycline. Complicated or extra-genital infections may require longer courses or intravenous antibiotics.
Contact Tracing: The importance of notifying and treating recent sexual partners (up to six months prior), offering tools such as anonymous online partner notification services to aid this process.
Prevention: Reinforcing the importance of barrier protection and patient education to reduce STI transmission.

Best practices for managing finger fractures in GP

Tue, 30 Dec 2025 03:30:00 +1000

In this episode of The Good GP, host Dr Tim Koh is joined by Dr Jeff Ecker, an orthopaedic surgeon with over 35 years of experience specialising in complex hand and wrist conditions. Focusing on the assessment and management of finger fractures, an injury commonly encountered by general practitioners, but often associated with diagnostic dilemmas and management challenges.

Dr Ecker highlights the potential seriousness of finger fractures, noting that even minor injuries can result in permanent impairment, significant hand dysfunction, and long-term complications if not managed appropriately. Discussing the importance of maintaining a high index of suspicion with finger injuries, recognising that early recognition and appropriate follow-up are essential to achieving optimal outcomes.

Providing the typical types of finger fractures and their clinical features. Subungual hematoma and associated terminal phalanx fractures. Mallet finger deformities (with and without fractures). PIP (proximal interphalangeal) joint injuries and their complications, such as boutonniere and swan neck deformities. Along with less common injuries around the MCP (metacarpophalangeal) joint

Dr Ecker provides practical tips for clinical assessment, stressing the importance of plain X-rays in all suspected cases, and the utility of CT scans or ultrasound if there is diagnostic uncertainty or persistent symptoms. He also addresses when to refer to a specialist, focusing on signs of instability, articular involvement, or tendon injury.

The episode concludes with practical advice on materials and techniques for conservative fracture management, with an emphasis on working closely with qualified hand therapists and prioritising early functional use.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Wrist pain assessment and arthritis management in GP

Tue, 23 Dec 2025 03:30:00 +1000

In this episode of The Good GP Podcast, host Dr Tim Koh is joined by Dr Jeff Ecker, an experienced orthopaedic surgeon based in Perth, to discuss the complexities of assessing and managing wrist conditions in general practice.

Dr Ecker outlines the importance of a thorough history and clinical assessment in patients presenting with wrist pain, emphasising that pain may originate from structures beyond the wrist itself, such as the distal radioulnar joint or even referred from the neck. He highlights common causes of wrist pain that GPs are likely to encounter, including arthritis, ligament injuries, and overuse conditions, and discusses the challenges associated with diagnosis.

Focusing on wrist arthritis, as a common cause of pain in older patients. He described key clinical features and examination findings, alongside considerations for distinguishing arthritis from other conditions. The approach to imaging, including the use of CT scanning to detect bony changes and calcium pyrophosphate deposition, is covered. He also outlined management options, from conservative measures, through to surgical intervention.

Dr Ecker stresses the importance of patient-centred decision making, informed consent, and multidisciplinary collaboration between surgeons, therapists, and GPs. Surgical options including arthroscopy, joint replacement, and wrist fusion are explained, with considerations for patient selection and postoperative rehabilitation.

They conclude with practical advice for GPs supporting patients to maintain function and quality of life, emphasising resilience, adaptation, and the value of ongoing measurement and rehabilitation.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Assessing and managing wrist fractures in GP

Tue, 16 Dec 2025 03:30:00 +1000

In this episode of The Good GP Podcast, host Dr Tim Koh is joined by Dr Jeff Ecker, an experienced orthopaedic surgeon based in Perth with over 35 years of expertise in complex hand and wrist conditions. Discussing the assessment and management of wrist fractures, with advice tailored for general practitioners.

Exploring the most common wrist fractures encountered in general practice, particularly among older adults after low-energy falls. Dr Ecker emphasises a careful history and examination, and attention to associated injuries to the elbow and shoulder. He also discusses the challenges of seemingly minor wrist injuries in younger patients and the need for an accurate and early diagnosis to prevent complications such as non-union and advanced arthritis.

Reviewing imaging strategies, with recommendations on when to use plain X-rays, CT scans, or MRIs based on clinical suspicion and fracture characteristics. Dr Ecker calls attention to the limitations of MRI, especially in detecting ligamentous wrist injuries, and the need for ongoing clinical vigilance.

They also talked about management principles for minimally displaced wrist fractures, and the practical use of back slabs, thermoplastic splints, ensuring proper hand function throughout immobilisation.

Effective analgesia choices and the critical role of rehabilitation in preventing stiffness and chronic pain syndromes were also discussed. Concluding with practical considerations for managing wrist fractures in aged care settings, reinforcing the need for individualised assessment and the avoidance of age-related bias in treatment planning.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Foetal Rhesus Testing: Guidelines, Timing, and Practice Tips for GPs

Tue, 09 Dec 2025 03:30:00 +1000

In this episode of The Good GP, host Dr Krystyna de Lange is joined by Dr Tegan Allin, rural generalist and GP obstetrician from Thursday Island live from the GP25 Conference, to discuss the topic of foetal rhesus screening and recent changes in Australian guidelines.

They began with an overview of anti-D prophylaxis and its importance for women who are rhesus negative. Dr Tegan Allin explains the pathophysiology of rhesus disease, risks associated with sensitisation during pregnancy, and the traditional approach of universal prophylaxis with anti-D immunoglobulin.

They then shift to the new availability of non-invasive prenatal screening (NIPS) for foetal rhesus status. Dr Tegan Allin describes how this serum-based test examines cell-free foetal DNA in maternal blood from 11 weeks gestation. With sensitivity and specificity over 99%, it allows for more targeted administration of anti-D only to those carrying a rhesus positive fetus.

Covering key practicalities of ordering foetal rhesus screening, including the appropriate gestational window (after 11 weeks and before 29 weeks), the importance of lab-specific request forms, and consideration of slight lab-to-lab differences in recommended timing.

Highlighting the ongoing changes in first trimester antenatal management and the need for GPs to remain up to date with evolving testing protocols. Reinforcing the necessity of confirming neonatal rhesus status at birth via cord blood testing, even when negative results are obtained antenatally.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Tired of traffic, long commutes, and feeling stuck in the grind? The Mudgee Region is calling. The Doctors 4 Mudgee Region initiative is working to attract and support GPs and registrars looking to build rewarding, sustainable careers in one of NSW’s most sought after regional destinations, just 3 hours from Sydney. With financial incentives of up to $45,000 for fellowed doctors and lifestyle concierge support for all relocating practitioners, there’s never been a better time to make the move. Learn more at www.doctors4mudgee.com.au

Doctors 4 Mudgee Region

Managing Obesity: GLP-1 Medications, Patient Goals, and Long-Term Health

Tue, 02 Dec 2025 03:30:00 +1000

In this episode of The Good GP, host Dr Sean Stevens is joined by Dr Terri-Lynne South live from the GP25 Conference, to deliver an overview of obesity management, with a specific focus on the use of GLP-1 and GIP dual incretin therapies in general practice.

Dr Terri-Lynne South outlines the current Therapeutic Goods Administration (TGA)-approved indications for these treatments in Australia. These include use in patients with type 2 diabetes, overweight with complications, chronic kidney disease and type 2 diabetes, obesity with obstructive sleep apnoea, and secondary prevention of cardiovascular disease. Noting that this field is rapidly evolving, with recent changes in indications and ongoing international developments.

Addressing the importance of setting realistic patient expectations regarding weight loss outcomes and the duration of treatment, emphasising that clinical obesity is a chronic, complex condition requiring long-term management. Evidence shows that weight loss achieved with GLP-1 therapies can be maintained over four years if the patient remains adherent, while early discontinuation often leads to significant weight regain.

Practical strategies for managing common side effects, mainly gastrointestinal symptoms like nausea and constipation, are described in detail. Dr Terri-Lynne South provides useful tips for patients, including hydration, dietary modifications, and mindfulness around portion size and satiety cues.

The importance of a multidisciplinary approach is reinforced, including psychological assessment (screening for eating disorders, depression, anxiety, and complications like sleep apnoea), dietitian involvement, and possible referral to exercise physiology and psychology services where also clinically indicated.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Cervical Cancer Screening Made Simple: What Every Woman Needs to Know

Tue, 25 Nov 2025 03:30:00 +1000

In this episode of This Could Save Your Life Podcast, hosts Dr Anna Mullins and Dr Catherine Bourke provide a comprehensive overview of cervical cancer screening and prevention.

They start with the epidemiology of cervical cancer, outlining that it affects approximately 1 in 175 women or people with a cervix. Explaining the anatomy of the cervix and discussing the primary cause of cervical cancer: human papillomavirus (HPV) infection. They clarify that while HPV is very common and transmitted through sexual contact, most strains are cleared by the body and only a subset are associated with cancer development.

Covering common patient questions regarding HPV transmission, family history, and the relevance of these factors to individual risk. They emphasise that unlike many other cancers, a family history does not increase risk for cervical cancer.

Practical advice is presented around recognising possible symptoms of cervical cancer, such as abnormal vaginal bleeding, pelvic pain, and changes in vaginal discharge.

Exploring the details of cervical screening in Australia, which has shifted from Pap smears to HPV-based testing. Outlining the process and options for HPV testing, including both clinician-collected and self-collected swabs.

Screening start age (25) and end age (74) are clarified, as well as earlier screening for those sexually active before age 14, and the importance of starting screening upon sexual activity.

They also discussed cervical cancer prevention through vaccination. Referencing the development of the Gardasil vaccine in Australia, its almost 100% effectiveness against several HPV strains, and its routine administration to both girls and boys under the National Immunisation Program.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Attacking adrenal health pseudoscience: Sorting disinformation from fact

Tue, 18 Nov 2025 03:30:00 +1000

In this episode of the Good GP, host Dr Maria Li welcomes back Dr Katherine Wyld, endocrinologist, for the third and final part of the series on hormone pseudoscience. Focusing on adrenal hormone-related misinformation, commonly encountered both in general practice and on social media.

Dr Wyld tackles the adrenal hormone-related prevalent misinformations, including:

The widespread misinformation about adrenal hormones, especially related to cortisol, circulating on social media and online platforms. Cortisol testing requires careful consideration of context and timing, as cortisol levels fluctuate significantly throughout the day.
Dr Wyld clarifies that single-point cortisol measurements are rarely clinically meaningful, and that salivary and urine cortisol tests should only be used in specific, evidence-based situations.
Dutch testing (dried urine testing for hormones) is not supported by endocrine societies due to lack of evidence, questionable logic, and high cost.
“Adrenal fatigue” is not a real or recognized medical condition; there is no scientific evidence or data to support this concept.
High cortisol is commonly blamed for stress, anxiety, weight gain, and fatigue, but it is rarely the cause unless clear evidence of Cushing’s syndrome is present. Features of Cushing’s syndrome to look for include diabetes, hypertension, significant unexplained weight gain, skin changes, and proximal myopathy.

Sharing strategies for GPs when faced with unfamiliar symptoms or patient requests based on pseudoscientific information. Dr Wyld encourages clinicians to be honest about knowledge gaps, consult reputable sources, and maintain open communication with patients.

Links & Resources:

Endocrine Society of Australia - https://www.endocrinesociety.org.au/
US Endocrine Society - https://www.endocrine.org/
Adrenal Fatigue patient handout - https://www.endocrine.org/patient-engagement/endocrine-library/adrenal-fatigue

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Clarifying menopause pseudoscience: Sorting disinformation from fact

Tue, 11 Nov 2025 03:30:00 +1000

In this episode of The Good GP, host Dr Maria Li continues her conversation with Dr Katherine Wyld, a Queensland-based endocrinologist, exploring the topic of menopause pseudoscience and its impact on patient care. This second part in the hormones series explores the growing prevalence of misinformation around menopause and hormone therapy, and practical guidance for general practitioners.

Dr Wyld discusses several areas of menopause care commonly affected by false or misleading information, including:

The use of hormone monitoring during treatment. Dr Wyld clarifies that routine measurement of estrogen and progesterone levels is not recommended for guiding menopause treatment. Dosing should be based on symptoms.
Testosterone therapy in menopause. Evidence supports its use only for hypoactive sexual desire disorder; benefits for other menopause symptoms are not proven. Common side effects include acne, excess hair growth, and skin oiliness.
Bioidentical hormone therapy. The term is unregulated and used as a marketing tool. Standard, regulated formulations are safer and more effective.
Use of high-dose estrogen. Prescribing above recommended limits increases risk and is not backed by safety data. Referral to a specialist is advised for complex cases.
Strategies for GPs when encountering unfamiliar therapies or requests for non-evidence-based treatments.When unsure, consult guidelines or colleagues and use trusted resources for evidence-based answers.

They aim to support GPs in navigating menopause-related consultations, equipping them to communicate clearly, critically evaluate new trends, and provide safe, evidence-based care to their patients.

Links & Resources:

Australian Menopause Society - https://www.menopause.org.au/
British Menopause Society - https://thebms.org.uk/
International Menopause Society - https://www.imsociety.org/
Bioidentical Hormone Therapy information sheet - https://menopause.org.au/health-info/fact-sheets/bioidentical-hormone-therapy?highlight=WyJiaW9pZGVudGljYWwiXQ==
Menopause complementary therapy information sheet - https://menopause.org.au/hp/information-sheets/complementary-medicines-and-therapies-for-hot-flushes
Prof Susan Davis Instagram - https://www.instagram.com/professorsusandavis/?hl=en

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Understanding Prostate Cancer: Early Detection and Risk Factors Explained

Tue, 04 Nov 2025 03:30:00 +1000

In this episode of This Could Save Your Life podcast, hosts Dr Anna Mullins and Dr Catherine Bourke delve into the topic of prostate cancer, which affects one in five men by the age of 85. Emphasising the importance of understanding this common yet complex disease, particularly focusing on the significance of early screening.

Dr Mullins and Dr Bourke begin by explaining the function and anatomy of the prostate gland, highlighting its role in fertility and common changes that occur with age. The nature of prostate cancer, distinguishing between slow-growing forms, which may not require treatment but need surveillance, and more aggressive types that can be life-limiting if not treated early.

Gaining insights into the symptoms associated with prostate cancer, such as urinary difficulties, blood in urine or semen, and unexplained weight loss. They also address risk factors, including age, genetics, family history, and the role of obesity in aggressive cancer forms.

They also provided an overview of the screening process, which involves the PSA (Prostate-Specific Antigen) blood test, now recommended over the previously standard digital rectal examination. They clarify the importance of screening guidelines based on risk categories, to ensure that everyone is informed about the appropriate age to begin testing based on individual risk profiles.

They discuss potential false positives in PSA testing, the next steps if a high PSA level is detected, and the significance of individual consultations for family history outside standard categories. While prevention of prostate cancer remains challenging due to a lack of modifiable risk factors, the importance of screening and early detection is underscored to improve patient outcomes.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Breaking through thyroid health pseudoscience: Sorting disinformation from fact

Tue, 28 Oct 2025 03:30:00 +1000

In this episode of The Good GP, host Dr Maria Li welcomes Dr Katherine Wyld, a Queensland-based endocrinologist, for the first installment of a three-part hormones series addressing health misinformation in endocrinology. The episode focuses on thyroid and thyroid hormone-related pseudoscience, which is increasingly prevalent in social media and online health discussions.

Dr Wyld shares her experiences from clinical practice, and the most common misinformation trends, including:

The use of thyroid extracts, supplements, and compounded thyroid treatments marketed as “natural” alternatives to standard therapy.
The popularity of reverse T3 testing as a perceived superior diagnostic, despite a lack of supporting clinical evidence.
The rise of restrictive diets (such as gluten-free and lactose-free) claimed to improve thyroid health without population-level evidence.
The use of urine iodine level assessment in individual diagnosis, its limitations, and when it may or may not be appropriate.

Explaining why thyroxine (T4) remains the gold standard treatment for hypothyroidism, emphasising its safety, efficacy, and consistent dosing.

Dr Wyld covers strategies for GPs when responding to patient requests for non-evidence-based tests and treatments. Providing practical advice on how to educate patients, maintain rapport, while reinforcing the value of evidence-based care. As well as when to consider referral to an endocrinologist for complex cases.

Links & Resources:

American Thyroid Association - https://www.thyroid.org/
Thyroid test (including reverse T3) patient information sheet - https://www.thyroid.org/thyroid-function-tests/
ESA position statement on thyroid extracts / desiccated thyroid - https://www.endocrinesociety.org.au/downloads/20200903%20ESA_Position_Statement_Natural_Desiccated_Thyroid_Peter_R_Ebeling.pdf

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Health of the Nation: General Practice Insights and Challenges in Australia

Tue, 21 Oct 2025 03:30:00 +1000

In this episode of The Good GP, host Dr Tim Koh welcomes Dr Michael Wright, President of the RACGP, for a discussion centred on the recently released Health of the Nation report. Now in its ninth year, the report serves as a key barometer for the state of general practice in Australia, covering trends in service provision, access, key challenges, and broader implications for practitioners.

Key Points:

Australian GPs delivered over 170 million services last year and saw nearly 23 million Australians, with more than 2 million visits each week.
Survey data show 99% of patients reported being able to access a GP when needed, although some were unable to see their preferred GP, at their preferred time, or faced out-of-pocket costs.
The top reason for GP consultations is psychological conditions (e.g., depression, anxiety).
GPs are treating older populations and more chronic illnesses, resulting in longer and more complex consultations. Now lasting close to 20 minutes.
Despite increased workload and complexity, per-person expenditure on general practice has remained flat for a decade, while hospital spending has increased.
Nearly one-third of GPs have witnessed racism within the health system, and one in five have experienced it personally.
The RACGP is committed to recognising, measuring, and addressing racism, guided by findings from its Aboriginal and Torres Strait Islander faculty.
Continued efforts are needed to ensure long-term sustainability and quality care for Australian communities.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Chronic Rhinosinusitis in Primary Care: Practical Tips from ENT Surgeon Dr Jo-Lyn McKenzie

Tue, 14 Oct 2025 03:30:00 +1000

In this episode of The Good GP, host Dr Krystyna de Lange is joined by Dr Jo-Lyn McKenzie, an ENT surgeon, researcher, and university lecturer based in Brisbane, for a discussion on chronic rhinosinusitis and its management in primary care.

Dr McKenzie begins by outlining the key clinical features that distinguish chronic rhinosinusitis from other common nasal conditions. Highlighting the importance of chronic nasal obstruction and persistent discharge, and that chronicity, which is greater than three months of symptoms, is a critical factor in making the diagnosis. Dr McKenzie also addresses the challenges of differentiating between chronic sinusitis and allergic rhinitis, its differences in symptom persistence, the nature of the discharge, and the utility of detailed history-taking.

They discuss the value and technique of medical management in the general practice setting. Detailing the use of high-volume saline nasal irrigation and intranasal corticosteroids as first-line treatments, providing practical tips to improve patient compliance and effectiveness. She stresses the importance of correct technique and regular use, addressing common misconceptions about side effects.

Referral to ENT is discussed, with Dr McKenzie explaining when specialist review is indicated. She also comments on the accessibility of ENT services in both public and private settings.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Dementia Prevention: The Role of Health, Lifestyle, and Awareness

Tue, 07 Oct 2025 03:30:00 +1000

In this episode of This Could Save Your Life podcast, hosts Dr Catherine Bourke and Dr Anna Mullins explore the important topic of dementia prevention. With an aging population, dementia is becoming increasingly prevalent.

The episode delves into what dementia actually is, addressing common misconceptions that it is solely a memory issue. They explain that dementia is a progressive condition characterised by a range of symptoms including memory changes, shifts in mood or behavior, and challenges in thinking.

Highlighting early signs of dementia, Dr Mullins categorises symptoms into memory changes, alterations in thinking, and shifts in personality, mood, or behavior. Notably, unusual placement of everyday items and confusion about time and place are also discussed. They stress the importance of early intervention and the benefits of speaking to a healthcare provider for advice, treatment, and supportive resources.

For those seeking proactive ways to prevent dementia, Dr Bourke introduces the CogDrisk tool from Neuroscience Research Australia, which provides evidence-based guidance on reducing risk factors. Prevention strategies cover a lifespan perspective, addressing early life education, lifestyle choices like managing cholesterol, diabetes, and blood pressure, as well as the significance of addressing hearing and vision issues. They also highlight depression, traumatic brain injuries, and social isolation as risk factors.

The episode also includes the importance of lifestyle habits like exercise, healthy eating, and maintaining social connections, alongside addressing any existing health conditions. Concluding with a reminder to take control of one's health and to utilise the available resources for reducing dementia risk.

Links & Resources:

https://www.dementia.org.au/get-support/national-dementia-helpline
https://www.dementia.org.au/
https://cogdrisk.neura.edu.au/

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Things I wish I knew as a New Fellow

Tue, 30 Sep 2025 03:30:00 +1000

In this special live episode of The Good GP, Dr Sean Stevens and Dr Catherine Bourke are interviewed by Dr Bethany Reynolds, Chair of the WA New Fellows Committee, at the RACGP Early Career GPs Conference in the Swan Valley, on Whadjuk Nyongar Country. Discussing key lessons and insights for GPs transitioning from fellowship training to early career practice.

Key topics covered:

Business and Administration for New Fellows: The importance of setting aside funds for the first tax bill when transitioning to contractor status, and key considerations for thinking about oneself as a business, setting appropriate fees, and effectively communicating billing with patients.

Understanding Risk and Wellbeing: Discussing not only financial and legal risks but also the psychological demands of general practice. Which includes practising within a supportive team environment and prioritising professional longevity.

Shaping Your Practice and Case Mix: Exploring practical strategies for finding enjoyment and meaning in daily work. Mentioning the value of understanding personal drivers (ikigai), developing niche areas of clinical interest, and using support networks and mentors for ongoing professional development.

Managing Challenging Consultations: Strategies for handling heart-sink patients and complex consults, and the importance of setting boundaries, reframing expectations, and developing strong consultation management skills.

Mentorship in Early Career: Both Dr Stevens and Dr Bourke share their experiences with mentors and the benefits of both formal and informal mentorship relationships. Encouraging to seek out mentors in various aspects of general practice and practice ownership.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Perinatal Mental Health: Impacts on Families and How GPs Can Help

Tue, 23 Sep 2025 03:30:00 +1000

In this episode of The Good GP, host Dr Julia Rawlinson is joined by Dr Lynette Griffiths, GP registrar and perinatal clinical psychologist, and Dr Erin Seeto, clinical and counselling psychologist and Clinical Services Manager at the Gidget Foundation. Discussing the topic of perinatal mental health, focusing on the impact on families, the healthcare system, and the broader community.

Beginning with an overview of the prevalence and spectrum of perinatal mental health conditions, covering not only postnatal depression and anxiety but also a range of issues such as PTSD, birth trauma, OCD, and the significance of intrusive thoughts. Highlighting the effects of untreated perinatal mental health issues, including disruptions to parent-infant bonding, relationship stress, and risks to the mental and physical wellbeing of children.

Providing practical strategies and advice for GPs to support and assess parents. The importance of routine screening for mental health concerns during both antenatal and postnatal visits. As well as the necessity of validating parents’ experiences, normalising mental health struggles, and engaging both mothers and partners in screening, to which their mental health may be different across genders.

Discussing key resources and support available for families and GPs across Australia, including telehealth services, group programs, public mental health services, and helplines such as those provided by the Gidget Foundation and PANDA.

Links & Resources:

For Clients:

Fact Sheets: https://www.gidgetfoundation.org.au/resources/fact-sheets

Blogs: https://www.gidgetfoundation.org.au/gidget-blog

Podcast: https://www.gidgetfoundation.org.au/resources/1-in-5-mothers-1-in-10-fathers

Real Stories: https://www.gidgetfoundation.org.au/real-stories/gidget-angel-stories

For Health Professionals:

How To Refer: https://www.gidgetfoundation.org.au/health-professionals/how-to-refer-a-patient

Resource Library: https://www.gidgetfoundation.org.au/resource-library

Other support services: https://www.gidgetfoundation.org.au/support/other-support-services

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

When Morning Sickness Isn’t Mild: Hyperemesis Gravidarum Talks with Dr Katherine Wyld

Tue, 16 Sep 2025 03:30:00 +1000

In this episode of The Good GP, host Dr Maria Li speaks with Dr Katherine Wyld, an obstetric physician and endocrinologist, about hyperemesis gravidarum (HG). Outlining the distinction between common nausea and vomiting in pregnancy and the more severe and debilitating hyperemesis gravidarum.

Dr Wyld discusses the prevalence of HG, affecting about 1% of pregnancies, and its risk factors such as the history of HG and multiple gestations. She reviews tools for assessment, including the PUQE score, and says the need for clinical judgement, particularly where weight loss and electrolyte abnormalities are present.

Discussing management strategies as well; starting with single agents for mild cases, but initiating multiple antiemetics and supportive care early for moderate to severe cases. Dr Wyld covers the safety of first-line medications, as well as practical prescribing tips, monitoring frequency, and the importance of regular dosing.

Providing guidance on when to refer or escalate care, including red flag symptoms and criteria for hospital admission. They also talked about the mental health impact of HG, the importance of patient education and support, and assurance regarding typical pregnancy outcomes for most women with HG.

Links & Resources:

Summary of nausea & vomiting and Hyperemesis, including medication list: SOMANZ-Management-of-NVP-Position-Statement-Updated-Oct-2023-FINAL-1.pdf

Patient information sheets (including PUQE score):
Hyperemesis-gravidarum.pdf
NauseaAndVomitingInPregnancy_2024.pdf

List of obstetric physicians: Obstetric Physicians - Society of Obstetric Medicine Australian and NZ

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Overweight, Obesity, and Your Health: What GPs Want You to Know

Tue, 09 Sep 2025 03:30:00 +1000

In this episode of This Could Save Your Life podcast, hosts Dr Anna Mullins and Dr Catherine Bourke delve into the topic of overweight and obesity. Exploring the intricate relationship between body weight and health, emphasising that body fat alone does not define an individual's health status. Along with the importance of considering various health aspects, including mental, emotional, and social well-being, beyond just physical health.

Dr Bourke and Dr Mullins provide an overview of the multi-faceted causes of obesity, highlighting genetic, lifestyle, and environmental factors. Explaining that obesity is a chronic disease influenced by a society that promotes sedentary lifestyles and convenient access to high-calorie foods.

They also cover the different methods used to assess whether someone is overweight or obese, including waist measurement, waist-to-hip ratio, and Body Mass Index (BMI), noting the situations where these tools may provide inaccurate results. They further explain the health risks associated with being overweight or obese, such as high blood pressure, diabetes, and certain cancers.

Addressing the challenges of weight loss, Dr Mullins and Dr Bourke discuss the body's natural mechanisms that work against weight loss, and they emphasise the need for a personalised approach to treatment. They explore various interventions, including dietary changes, exercise, medication, and bariatric surgery, and stress the importance of seeking professional medical advice for weight management.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

HIV PrEP in General Practice: Prescribing and Reducing Stigma with Dr Brad McKay

Tue, 02 Sep 2025 03:30:00 +1000

In this episode of The Good GP, host Dr Krystyna de Lange is joined by Dr Brad McKay, a Sydney-based GP with extensive experience in HIV treatment, to discuss HIV pre-exposure prophylaxis (PrEP) and its vital role in general practice. This episode is produced in collaboration with the Australian Society of HIV, Viral Hepatitis and Sexual Health Medicine (ASHM).

Dr McKay provides an in-depth overview of what PrEP is, who it is suitable for, and addresses common misconceptions about patient eligibility. Discussing that while PrEP has traditionally been targeted towards gay men and men who have sex with men, there are other groups at risk of HIV who may benefit, including heterosexual individuals, people with partners living with HIV, and people who inject drugs. They emphasise the importance of a non-judgmental and inclusive approach, encouraging GPs to routinely take sexual histories and offer PrEP when appropriate, reducing stigma and improving patient outcomes.

Providing practical guidance on baseline investigations, including HIV, Hepatitis B and C, syphilis, gonorrhoea, chlamydia screening, and renal function assessment. Dr McKay explains the considerations for both daily and on-demand PrEP regimens, outlining which patients are suitable for each based on sexual practices, and addresses key points around adherence and management of missed doses. He also touches on newer options such as long-acting injectable PrEP, providing insights into future directions for HIV prevention in Australia.

Includes advice for GPs on ongoing follow-up, including recommendations for quarterly review, repeat sexual health screening, and renal monitoring.

Links & Resources:

ASHM HIV PrEP Decision Making Tool: https://ashm.org.au/wp-content/uploads/2025/07/ASHM_HIV_PrEPtool__July-2025_WEB.pdf
ASHM National PrEP Guideline: https://ashm.org.au/wp-content/uploads/2025/08/ASHM-PrEP-guidelines-2025_FINAL.pdf
PrEP Access Now website: https://www.pan.org.au/

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network – the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Practical Guide to Pharmacological Osteoporosis Treatment with Dr Karen Magraith

Tue, 26 Aug 2025 03:30:00 +1000

In this episode of The Good GP, Dr Krystyna de Lange is once again joined by Dr Karen Magraith, for the second part of a two-part series focusing on the pharmacological management of osteoporosis. Dr Magraith is a member of the Medical and Scientific Advisory Committee with Healthy Bones Australia and the immediate past president of the Australasian Menopause Society.

They begin with a review of the clinical criteria for initiating pharmacological treatment in osteoporosis, highlighting the latest RACGP and Healthy Bones Australia guidelines. Outlining which patient groups should be considered for treatment, including those with minimal trauma fractures, based on T scores, and those assessed using FRAX risk calculations.

Providing insights into choosing between these treatments, taking into account the patient's age, fracture risk profile, comorbidities, potential adherence, cost, and PBS eligibility. Discussing risk-benefit considerations for each class of medication, as well as patient education, monitoring for side effects, and specific prescribing considerations such as dental health and renal function.

Dr Magraith addresses the importance of ongoing monitoring, including when to repeat bone mineral density testing, the rationale behind “drug holidays” for bisphosphonates, and the need for continuous therapy with denosumab. Highlighting key guidance points around therapy duration, transitioning between agents, and when to involve specialist care.

Links & Resources:

Healthy Bones Australia fact sheets - https://healthybonesaustralia.org.au/your-bone-health/
Australasian Menopause Society Practitioners Toolkit for the Management of Menopause - https://www.menopause.org.au/hp/information-sheets/practitioners-toolkit-for-management-of-the-menopause
RACGP and Healthy Bones Australia Clinical Guidelines - https://healthybonesaustralia.org.au/health-care-professionals/guidelines-statements/

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Osteoporosis Screening and Diagnosis for GPs: Insights from Dr Karen Magraith

Tue, 19 Aug 2025 03:30:00 +1000

In this episode of The Good GP, Dr Krystyna de Lange is joined by Tasmanian General Practitioner and medical educator Dr Karen Magraith for a two-part series on osteoporosis. Discussing on the current Australian approaches to osteoporosis screening, assessment, and diagnosis, with emphasis on practical considerations for GPs.

Dr Magraith outlines the latest guidelines from the RACGP and Healthy Bones Australia, including distinctions between population screening and case finding for osteoporosis. Providing criteria for bone density assessment, such as age thresholds, specific medical conditions, and medication use. Identifying patients with minimal trauma fractures is highlighted, as well as groups who may be at high risk due to factors like glucocorticoid use, early menopause, and various systemic diseases.

They also discussed the use of risk assessment tools, namely the FRAX and Garvan calculators, to better predict fracture risk in patients with non-modifiable and lifestyle-related factors. Dr Magraith also provides a clear overview on interpreting bone mineral density (BMD) reports, including the significance of T-scores and Z-scores and when to investigate for secondary causes of osteoporosis.

Dr Magraith emphasises patient education and non-pharmacological management strategies, including nutrition (adequate calcium and protein intake), vitamin D sufficiency, exercise (resistance, impact, and balance training), and falls prevention.

Links & Resources:

Healthy Bones Australia fact sheets - https://healthybonesaustralia.org.au/your-bone-health/
Australasian Menopause Society Practitioners Toolkit for the Management of Menopause - https://www.menopause.org.au/hp/information-sheets/practitioners-toolkit-for-management-of-the-menopause
RACGP and Healthy Bones Australia Clinical Guidelines - https://healthybonesaustralia.org.au/health-care-professionals/guidelines-statements/

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Foreskin Hygiene and Problems in Boys: Key Tips for GPs with Dr Bhavesh Patel

Tue, 12 Aug 2025 03:30:00 +1000

In this episode of The Good GP, host Dr Tim Koh speaks again with Dr Bhavesh Patel, a Queensland-based paediatric surgeon, about foreskin problems in boys, an area where general practitioners often face questions from families but might have limited training or exposure.

Dr Patel outlines the normal development of the foreskin, clarifying common misunderstandings around the expected age of retraction. He explains that full retraction occurs at a median age of 10.4 years, with wide normal variation, and describes how outdated perceptions have contributed to anxiety and misinformation among families.

Giving practical advice for parents regarding hygiene and caring for the foreskin, he emphasises avoiding forced retraction and outlining appropriate bathing routines. They identify normal findings such as the presence of smegma and occasional ballooning during urination, and distinguish them from signs that may indicate pathology.

Treatment options were also discussed, starting with conservative management such as topical steroid creams, highlighting a regime that achieves a high rate of success. Dr Patel also touches on the management of preputial adhesions and when to consider surgical intervention.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

The Essential Four-Year-Old Health Check: What Every Parent Needs to Know

Tue, 05 Aug 2025 03:30:00 +1000

In this episode of This Could Save Your Life podcast, hosts Dr Catherine Bourke and Dr Anna Mullins delve into the importance of the four-year-old health check. The value of continuing care from pregnancy through the first five years of life and how these regular check-ups play a critical role in monitoring a child's health and development.

Anna and Catherine provide a detailed overview of the key components involved in a four-year-old health check. Including screening for developmental milestones across four major areas: gross motor function, cognition and fine motor skills, communication, and social and emotional development. They emphasise that early intervention helps in addressing any concerns that may arise during these assessments.

They also covered the physical examination aspect of the health check, focusing on ears, eyes, dental, growth charts for height and weight, and the importance of discussing bowel health with children and their families.

They share insights into preventative health measures for this age group, topics such as sun safety, sleep hygiene, screen time, physical activity, and the benefits of reading with children. Along with the significance of these measures in promoting long-term health and school readiness.

Links & Resources:

https://raisingchildren.net.au/toddlers/nutrition-fitness/physical-activity/physical-activity-how-much
https://raisingchildren.net.au/babies/play-learning/media-technology/screen-time

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Scrotal Problems in Boys: Key Tips for GPs With Dr Bhavesh Patel

Tue, 29 Jul 2025 03:30:00 +1000

In this episode of The Good GP, host Dr Tim Koh is joined by Dr Bhavesh Patel, a Queensland-based paediatric surgeon, to discuss the assessment and management of scrotal problems in boys, a common area of concern for general practitioners.

Dr Patel outlines the common scrotal issues encountered in newborns and children, including hydroceles, inguinal hernias, undescended testes, and varicoceles. He explains the typical presentations of these conditions and highlights key distinctions, such as the differences between retractile and undescended testes, as well as the nuances of diagnosing these conditions in a clinical setting.

Providing guidance on the natural history and management of hydroceles, saying that most hydroceles resolve without intervention within the first 1–2 years of life.

On the subject of undescended and retractile testes, Dr Patel advises on clinical assessment, the importance of careful examination, and when follow-up is necessary. They also address counselling parents regarding potential long-term risks, monitoring strategies, and indications for referral.

Additionally, they also covered the evaluation of inguinal hernias presenting as scrotal swellings and the differential diagnosis of other less common scrotal conditions, such as lymphatic malformations and testicular tumours.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Beyond the Label: Rethinking Penicillin Allergy in General Practice

Tue, 22 Jul 2025 03:30:00 +1000

In this episode of The Good GP, host Dr Maria Li welcomes Dr Arthur Price, an immunologist based in Wellington, New Zealand, to discuss penicillin allergy—one of the most frequently reported and commonly misunderstood drug allergies in general practice.

Dr Price clarifies the true prevalence of penicillin allergy, explaining that while approximately 10% of patients admitted to hospital carry a penicillin allergy label, only about 10% of those actually have a genuine allergy. Emphasising that most patients with a penicillin allergy label can be safely de-labelled after proper assessment.

They address the typical presentations of penicillin allergy. Outlining three main patient groups: those who clearly are not allergic based on history (such as patients with only gastrointestinal side effects or late-onset rashes), those with uncertain or vague histories (including childhood reactions where details are unclear), and those with definitive immediate or severe delayed reactions (such as anaphylaxis or severe cutaneous adverse reactions like Stevens-Johnson syndrome). Dr Price provides practical advice on history-taking to help GPs risk stratify and identify true penicillin allergy, including key questions to ask about timing, symptoms, and the nature of the reaction.

Discussing the investigation and referral pathways for suspected penicillin allergy. Dr Price recommends that patients with unclear or potentially significant histories should generally be referred to an immunologist for assessment, rather than managed solely in primary care. He highlights the limitations of current tests and the importance of specialist input.

For general practitioners, Dr Price advocates a proactive approach to reviewing penicillin allergy labels and encourages considering referral for possible de-labelling where appropriate. They highlight the value of accurate documentation and patient education in ensuring safe and effective future care.

Links & Resources:

The ASCIA guidelines Arthur referred to in the podcast:

https://www.allergy.org.au/images/stories/hp/info/ASCIA_HP_Consensus_Penicillin_Allergy_2020.pdf

Aimed at immunologists, so while GPs may find it useful for context and interest, it’s not something intended for day-to-day practice in primary care

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Oral Allergy Syndrome Unpacked: From Food Triggers to Management Strategies

Tue, 15 Jul 2025 03:30:00 +1000

In this episode of The Good GP, host Dr Maria Li speaks with Dr Arthur Price, a clinical immunologist with expertise spanning food allergy and immunodeficiency, on the frequently overlooked condition known as oral allergy syndrome (OAS).

Dr Price begins by defining oral allergy syndrome as a mild form of food allergy where symptoms—typically oral itching—are limited to the mouth, lips, and throat following the consumption of raw fruits, vegetables, or certain nuts. He highlights the prevalence of OAS, noting that it affects up to 10% of the general population and is even more common among patients with hay fever and eczema.

Covering typical clinical presentations seen in general practice, commonly triggered foods (such as apples, stone fruits, and hazelnuts), and the distinct lack of systemic symptoms in classic OAS cases.

They provide practical advice on recognising OAS, taking a thorough history, and distinguishing it from more severe or systemic food allergies. Dr Price emphasises the importance of a clinical diagnosis and discusses why routine allergy testing is seldom indicated unless the case is atypical. They also talked about the management of OAS, the role of dietary avoidance, the use of antihistamines if symptoms do not resolve quickly, and reassurance regarding the very low risk of severe or life-threatening reactions.

Discussing the impact of food preparation (e.g. tolerance of well-cooked fruits vs. raw forms), when to consider referral to allergy specialists, and how to support patients in making sensible, evidence-based decisions about food avoidance while maintaining good quality of life.

Links & Resources:

https://www.allergyuk.org/wp-content/uploads/2022/03/Oral-Allergy-Syndrome-v5.pdf
https://www.allergy.org.au/patients/food-other-adverse-reactions/oral-allergy-syndrome
https://www.bsaci.org/wp-content/uploads/2024/03/Pollen-Food-Syndrome-PIL.pdf

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Lung Cancer Screening Launch: Eligibility, Process, and GP Guidance with Dr David Manners

Tue, 08 Jul 2025 03:30:00 +1000

In this episode of The Good GP, host Dr Julia Rawlinson is joined by Dr David Manners, respiratory consultant and lung cancer and bronchoscopy subspecialist at Midland Hospital, to discuss the National Lung Cancer Screening Program launching across Australia on 1 July. To outline the rationale behind the new guidelines, highlighting that lung cancer remains the leading cause of cancer-related mortality in Australia, typically presenting at a late stage when curative treatment is less likely.

Dr Manners explains the evidence base for low-dose CT screening, referencing the US-based NLST and European Nelson studies, both of which demonstrated a significant reduction in lung cancer mortality among high-risk individuals. He also provides an overview of international screening efforts, comparing Australia’s rollout with programs in the US, Europe, and Canada.

Eligibility criteria for the Australian program are detailed: patients aged 50 to 70 years, with a smoking history of 30 or more pack years, and for ex-smokers, having quit within the past 10 years. The reporting pathway and follow-up guidelines for detected nodules are also covered, including the importance of family history in risk assessment.

They also covered why the Australian eligibility criteria were chosen, based on international evidence and local health economics analysis, and emphasises that the screening program is intended for asymptomatic individuals.

For further information and resources about the National Lung Cancer Screening Program, please refer to the resources below:

CPD and training: https://lungfoundation.com.au/health-professionals/training-and-events/national-lung-cancer-screening-program-health-workforce-education/?utm_source=Google&utm_medium=PerformanceMax&utm_campaign=NLCSP_2025&utm_content=PMAX&gad_source=1&gad_campaignid=22441651848&gbraid=0AAAAABIcwmqPnfnhOcrfcfcgRcZryqtqb&gclid=EAIaIQobChMI-vuFxd-TjgMVtahmAh2vtAmiEAAYASAAEgLwK_D_BwE
Programme Guidelines - pdf download: https://www.health.gov.au/sites/default/files/2025-04/national-lung-cancer-screening-program-guidelines.pdf
Pack year calculator: https://www.mdcalc.com/calc/10187/pack-years-calculator

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

A Deep Dive into Diabetes Management: How Exercise and Diet Can Change Your Life

Tue, 01 Jul 2025 03:30:00 +1000

In this episode of This Could Save Your Life podcast, Dr Catherine Bourke and Dr Anna Mullins delve into the topic of diabetes mellitus, focusing primarily on type 2 diabetes and its prevention. They begin with what diabetes is and the key differences between type 1 and type 2 diabetes. Type 1 diabetes is described as an autoimmune condition where the body attacks its own insulin-producing beta cells, whereas type 2 diabetes is more linked to lifestyle and genetic factors over a prolonged period.

Dr Bourke and Dr Mullins highlight the symptoms of diabetes such as excessive thirst, hunger, frequent urination, and the more severe long-term risks like cardiovascular disease, kidney failure, and nerve damage. They emphasise the significant impact both types of diabetes can have on individuals' quality of life.

They focused on the causes of type 2 diabetes, discussing the interplay between genetic predispositions and lifestyle choices. Along with emphasising the risk factors that contribute to developing type 2 diabetes, including a sedentary lifestyle, poor diet, obesity, smoking, and certain medical conditions.

They also explain that pre-diabetes is a stage where intervention can successfully prevent the progression to full-blown diabetes. Dr Bourke and Dr Mullins advocate for weight loss, regular exercise, and possibly guided dietary changes as effective measures to prevent diabetes or even put it into remission.

They outlined who should be screened for diabetes, focusing on risk stratification based on various factors such as age, weight, family history, and ethnicity. Dr Bourke provides guidance on the screening process, especially for those in high-risk categories.

Links & Resources:

https://www.health.gov.au/resources/apps-and-tools/the-australian-type-2-diabetes-risk-assessment-tool-ausdrisk/tool

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Latest Alzheimer’s Treatment Advances Explained by Dr Marita Long

Tue, 24 Jun 2025 03:30:00 +1000

In this episode of The Good GP, Dr Krystyna de Lange is joined by Dr Marita Long, to discuss recent advances in the treatment of cognitive impairment, particularly mild cognitive impairment due to Alzheimer’s disease.

Dr Long outlines the approval of the first anti-amyloid therapy in Australia—approved by the TGA for use in patients with mild cognitive impairment or early Alzheimer’s dementia. Covering the evidence base for this new therapy, focusing on data from the Trailblazer Two clinical trial, which demonstrated a modest slowing in cognitive decline for patients treated with the anti-amyloid agent compared to placebo. Dr Long emphasises that these are not curative treatments, but may offer an extended period of independence and delay transition into residential care, especially if administered at an earlier stage of disease.

They also addressed the challenges in identifying suitable patients for anti-amyloid therapy, given the complexities in diagnosing mild cognitive impairment and Alzheimer’s disease. Dr Long provides practical tips for GPs on recognising early cognitive symptoms and outlines the importance of thorough cognitive assessments and timely specialist referral for further diagnostic evaluation and access to new therapies.

Accessibility and eligibility criteria for anti-amyloid therapy were also discussed, including the current requirements for specialist confirmation of an Alzheimer’s diagnosis (often via PET scan), and certain exclusions, such as high vascular risk or mixed dementia pathology.

Dr Long also provides an overview of how these new disease-modifying therapies compared to existing symptomatic treatments (such as cholinesterase inhibitors), and notes the ongoing evolution of practice as further data become available.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Childhood Grief in Australia Early Intervention, and Supporting Young People Through Loss

Tue, 17 Jun 2025 03:30:00 +1000

In this episode of The Good GP, Dr Sean Stevens and Dr Julia Rawlinson are joined by Dr Lauren Breen, community psychologist, researcher, and professor at Curtin University, and Shelly Skinner, CEO and founder of Lionheart Camp for Kids, to discuss childhood grief.

They explore the prevalence and impact of childhood bereavement in Australia, it is estimated that approximately 235,000 children have lost one or both parents. They emphasise that it is important for GPs to recognise and address grief in children and adolescents.

Dr Breen outlines the developmental differences in how children, adolescents, and adults experience and express grief. Covering common presentations in children, such as somatic symptoms (e.g., headaches, stomach aches, sleep disturbances). Adolescents may display increased anxiety, vigilance, or engage in risk-taking behaviours.

Communication is highlighted as a key intervention: encouraging open conversations within families and using direct language around death can support healthy grieving.

Shelly Skinner shares insights from Lionheart Camp for Kids on the value of early interventions, including upskilling not just parents, but also grandparents, teachers, and coaches, to ensure grief literacy across the community.

GPs are reminded that while grief is not a medical condition, it is both common and significant. Early, ongoing, and comprehensive support—both within the family and with community organisations—can minimise negative impacts and foster resilience and growth in bereaved children and their families.

Links & Resources:

Lionheart Camp for Kids is a not-for-profit organisation empowering bereaved children, teens and families to navigate their grief journey through education, peer-support, strength-building and resilience. See the website: https://lionheartcampforkids.com.au/ for lots of information about programs and other resources.
Lauren Breen’s website: https://www.drlaurenbreen.com/ also has lots of resources like infographics and videos relevant to supporting grieving children, teenagers and young adults.
Lauren and Shelly’s study on the questions bereaved children ask about death and grief can be found here: https://doi.org/10.1007/s10826-023-02694-x.
Lauren’s study on what works to reduce anxiety and depression for grieving youth can be found here: https://doi.org/10.1016/j.jad.2023.05.032.
Supporting Adolescents in Loss Project SKIL is a website that hosts a free, CBT-based, online treatment for grieving teenagers. You can find it here www.sailgrief.com. Curtin University researchers are also developing a similar one for grieving children, and people can sign up here: www.skilgrief.com

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Exploring Innovation and Collaboration at the Digital Health Festival with The Good GP

Tue, 10 Jun 2025 03:30:00 +1000

In this episode of The Good GP, host Dr Sean Stevens is joined by colleagues from the Innovations Specific Interest Group at the Digital Health Festival (DHF25). Dr Amandeep Hansra, Janice Tan, Darren Foo, Kimberly Hamilton, and Mel Smith, all share their experiences and insights from the conference and recent RACGP Hackathon.

Key Points:

Dr Amandeep Hansra highlights the increased GP participation and the growing movement among clinicians to innovate and improve healthcare delivery in DHF25.
Kimberly Hamilton shares her first experience at the RACGP Hackathon, describing the collaborative environment, solution-focussed discussions, and getting inspired seeing peers developing innovative ideas.
Mel Smith comments on the positive momentum and pride among GPs at the hackathon, and their drive for practical solutions.
Darren Foo outlines findings from a recent study comparing AI-generated scribe documentation to human-generated documentation in simulated general practice settings. Results suggest that AI documentation was rated as higher quality, he highlights the need for more robust research to inform future practice.
Janice Tan shares insights from moderating a panel on building trust in digital health solutions. She included the importance of trust and trustworthiness, cautioning against hype cycles, and collaboration among patients, clinicians, and industry.

They conclude with reflections on the benefits of networking at such events, the importance of collaborative problem-solving, and anticipation for future opportunities including the next RACGP Hackathon, Creative Careers in Medicine in Melbourne, and GP25 in Brisbane.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Navigating Cholesterol Levels: How to Protect Your Heart

Tue, 03 Jun 2025 03:30:00 +1000

In this episode of This Could Save Your Life podcast, hosts Dr Catherine Bourke and Dr Anna Mullins delve into the essential topic of high cholesterol and cardiovascular risk assessment. They explore how cholesterol impacts cardiovascular health and the strategies GPs can adopt to manage and mitigate these risks.

They begin with an overview of the Australian Cardiovascular Risk Calculator, which integrates various risk factors such as cholesterol levels, blood pressure, and lifestyle habits to estimate a patient's risk of experiencing a cardiovascular event within the next ten years. Dr Bourke and Dr Mullins discuss the significance of this calculator in routine GP practices for patients aged 45 to 79 who do not have existing cardiovascular diseases.

Delving deeper into the subject, Dr Mullins explains the vital role cholesterol plays in the body and differentiates between good (HDL) and bad (LDL) cholesterol. They also emphasise the importance of non-fasting cholesterol tests and how these more accurately reflect typical cholesterol levels.

Extending to lifestyle approaches that can positively influence cholesterol levels, including exercise, healthy eating patterns, and the avoidance of smoking and excessive alcohol consumption. Specific dietary recommendations are provided, such as incorporating whole grains, legumes, and healthy fats while also the nuances of dairy consumption and its impact on cholesterol levels.

Dr Mullins and Dr Bourke stress the importance of individual patient assessments, especially noting familial risk factors and potential genetic influences on cholesterol.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Understanding DoxyPep: STI Prevention Strategies with Dr Christine Dykstra

Tue, 27 May 2025 03:30:00 +1000

In this episode of The Good GP, host Karin Sekhon is joined by Dr Christine Dykstra, a specialist sexual health physician at Royal Perth Hospital and Sexual Health North. They discuss the emerging topic of doxycycline post-exposure prophylaxis (Doxy-PEP) for the prevention of bacterial sexually transmitted infections (STIs).

Dr Dykstra provides an overview of Doxy-PEP, describing it as the use of 200 mg doxycycline taken within 24 (but up to 72) hours after at-risk sexual contact, primarily to reduce the risk of bacterial STIs such as syphilis and chlamydia in target populations. The emerging gonococcal resistance to tetracyclines issue was also addressed.

Focusing on identifying appropriate candidates for Doxy-PEP, with current data supporting its use predominantly in gay and bisexual men and trans women at high risk—particularly those who have had syphilis or two bacterial STIs in the past year.

They also discussed the potential risks, primarily antimicrobial resistance, and the importance of patient education and regular STI testing as part of safe Doxy-PEP prescribing.

Dr Dykstra also discusses the level of awareness and uptake of Doxy-PEP in Australia, which remains low, and reinforces the importance of clinician engagement in providing accurate information and safe prescribing for those who may benefit.

Links & Resources:

ASHM Decision Making Tool (March 2025): https://ashm.org.au/wp-content/uploads/2025/04/WEB-DoxyPEP-DMT-March-2025-Update.pdf
ASHM 2023 Concensus Statement: https://ashm.org.au/initiatives/doxy-pep-statement/
NSW Health Decision aid for consumers: https://www.health.nsw.gov.au/sexualhealth/Pages/doxy-pep-tool.aspx
Recent study about acceptibility of DoxyPEP in Australia: https://pmc.ncbi.nlm.nih.gov/articles/PMC11723483/

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Lyrebird Health: Revolutionising GP Paperwork with AI

Tue, 20 May 2025 03:30:00 +1000

In this episode of The Good GP, Dr Sean Stevens speaks with Kai Van Lieschout, founder of Lyrebird Health, to discuss the evolution of AI scribing tools for general practice. Kai shares his motivation for starting Lyrebird Health, noting the significant administrative burden faced by GPs and the potential for technology to enable doctors to focus more on clinical care.

Discussing the current state of AI scribes, with Dr Stevens highlighting substantial improvements in accuracy and utility, especially regarding integration with clinical workflows and software such as Best Practice. Kai explains how Lyrebird Health’s AI scribe technology leverages secure, sovereign Australian servers and recent advancements in AI models, resulting in enhanced reliability and better integration with local practice management systems.

They also talked about further planned integrations, including with Cubiko, which will enable real-time verification of eligible Medicare Benefits Schedule (MBS) item numbers by checking both practice records and federal PRODA systems. The aim is to provide GPs with greater certainty and efficiency in both clinical and administrative tasks while supporting compliance. The new features discussed in this episode will soon be available for release in May. Sign up to Lyrebird to keep updated on the official release dates!

Offering practical insights for GPs interested in digital health innovations that directly address day-to-day administrative burdens, providing real-world examples of how these tools can be incorporated into general practice workflows.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

First Episode Psychosis - What GPs Need To Know Part 2

Tue, 13 May 2025 03:30:00 +1000

In this episode of The Good GP, host Dr Karin Sekhon is joined once again by Dr Gordon Shymko, a psychiatrist based in Perth, to discuss what general practitioners need to know about the management of first episode psychosis in young people.

Dr Shymko outlines the key principles in the management of early psychosis, including the importance of early detection and effective relapse prevention. He describes the gold standard of care as a multidisciplinary, holistic approach, incorporating not only medication management with antipsychotics but also assertive case management, psychological interventions, family support, and wraparound ancillary services such as peer support and vocational guidance.

They also covered the considerations regarding the choice of antipsychotic medication, including the use of newer atypical antipsychotics and long-acting injectable (depot) preparations to improve adherence—particularly in the context of limited insight, which is common in this patient group.

For GPs, Dr Shymko highlights the ongoing role in supporting the patient’s physical health, addressing issues such as metabolic monitoring, sexual health, and contraception, as well as assisting with broader aspects of care when appropriate.

Links & Resources:

Orygen - GP Guide to Early Psychosis (free PDF guideline): https://oyh.org.au/our-services/training-resources/free-downloads-youth-mental-health-resources/gp-guide-early
Orygen - paid training modules (not specifically aimed at GPs, but may be helpful): https://www.orygen.org.au/Training/Resources/Psychosis/Modules
RACGP Articles:
https://www1.racgp.org.au/newsgp/clinical/the-importance-of-early-intervention-in-youth-psyc
https://www.racgp.org.au/afp/2013/september/emerging-psychosis-in-adolescents
Headspace Early Psychosis Program Information: https://headspace.org.au/services/early-psychosis/

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

First Episode Psychosis - What GPs Need To Know Part 1

Tue, 06 May 2025 03:30:00 +1000

In this episode of The Good GP, host Dr Karin Sekhon is joined by Dr Gordon Shymko, a psychiatrist and clinical director of the Perth Headspace Youth Early Psychosis Program. Dr Shymko brings over 30 years of clinical experience in psychiatry, with a special interest in the management of psychotic disorders and early intervention in youth.

They focused on the topic of first episode psychosis (FEP) and what general practitioners (GPs) need to know to identify and support patients presenting with these conditions. Dr Shymko highlights the crucial role of GPs in early detection, as they are often the first point of contact for young people experiencing subtle changes or distress suggestive of psychosis.

Key topics covered in this episode include:

Clinical features and presentation of first episode psychosis, include recognising changes in functioning, paranoia, delusional themes, and auditory hallucinations.
They discussed the typical age of onset and differences between genders.
The concept of prodromal symptoms and the importance of knowing the patient's baseline functioning.
The relative rarity of psychotic disorders compared to more common mental health presentations, and the significance of conducting a thorough history to uncover less obvious psychotic or manic symptoms.
The role of family history in identifying risk of psychosis.
Recommended organic screening and investigations, and indications for brain imaging or neurological examination.
Guidance on referral pathways for patients with suspected psychosis, including when to refer to public mental health services, Headspace Early Psychosis Programs, and private psychiatrists, depending on acuity and available resources.

They also discussed the challenges GPs face in accessing specialist mental health services for their patients, and the importance of early intervention in improving long-term outcomes for young people experiencing psychosis.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Managing High Blood Pressure: Tips for a Heart-Healthy Lifestyle

Tue, 29 Apr 2025 03:30:00 +1000

In this episode of This Could Save Your Life podcast, hosts Dr Anna Mullins and Dr Catherine Bourke delve into the crucial topic of cardiovascular disease focusing on prevention. They discuss the importance of understanding risk factors, both modifiable—such as high blood pressure, high cholesterol, and lifestyle factors—and non-modifiable, like age, ethnicity, and family history, to effectively prevent these diseases.

They talked about hypertension, or high blood pressure, a major risk factor for cardiovascular disease. Its definition, measurement, and implications when left untreated. Emphasising the importance of regular blood pressure checks from age 18 and the need for medical consultation when readings are elevated.

They then highlight lifestyle strategies for managing high blood pressure, including smoking cessation, regular physical activity, adopting a DASH diet, maintaining a healthy weight, and reducing alcohol consumption. These strategies underscore the role of general practitioners in guiding patients towards healthier lifestyle choices and mitigating cardiovascular risks.

Links & Resources:

Heart Foundation Australia: https://www.heartfoundation.org.au

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Exploring Voluntary Assisted Dying: GP Training and Patient Assessment

Tue, 22 Apr 2025 03:30:00 +1000

In this episode of The Good GP, host Dr Krystyna de Lange is joined by Professor Liz Reymond and Dr Megan Ashcroft to explore the topic of voluntary assisted dying (VAD). Professor Reymond, a palliative care physician and director of the Queensland Voluntary Assisted Dying Support and Pharmacy Service, along with Dr Ashcroft, a Brisbane-based GP who has a special interest in VAD services, share their insights and expertise on this evolving aspect of healthcare.

Beginning with an overview of the legal landscape for voluntary assisted dying in Australia. Professor Reymond explains the prescriptive nature of VAD laws, the similarities and differences across states, eligibility criteria, and the rigorous reporting and assessment processes involved. Dr Ashcroft further adds in by outlining the criteria for assessing patient eligibility and the intricacies of decision-making capacity.

They then delve into the GP's role in VAD, emphasising the importance of understanding the capacity and mental health evaluations required when considering VAD requests. They both offer practical advice on navigating this complex area, with a focus on the respectful and compassionate care of patients at the end of life.

They also mentioned resources and support available for GPs who are or wish to be involved in providing VAD services, including training requirements and the significance of community and practitioner networks.

Links to state specific voluntary assisted dying resources:

QLD: https://www.qld.gov.au/health/support/voluntary-assisted-dying
NSW: https://www.health.nsw.gov.au/voluntary-assisted-dying/Pages/eligibility.aspx
ACT: https://www.act.gov.au/health/topics/end-of-life-and-palliative-care/voluntary-assisted-dying-in-the-act
Victoria: https://www.health.vic.gov.au/patient-care/voluntary-assisted-dying
Tasmania: https://www.health.tas.gov.au/health-topics/voluntary-assisted-dying
SA: https://www.sahealth.sa.gov.au/wps/wcm/connect/public+content/sa+health+internet/services/community+and+specialised+services/voluntary+assisted+dying/voluntary+assisted+dying+in+south+australia
NT: https://haveyoursay.nt.gov.au/vad
WA: https://www.health.wa.gov.au/voluntaryassisteddying

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Measles Outbreak Preparedness: Essential Knowledge for GPs

Tue, 15 Apr 2025 03:30:00 +1000

In this episode of The Good GP Podcast, host Dr Tim Koh is joined by Dr Ramya Raman, Vice-President and Chair of RACGP Western Australia, to provide a timely update on measles, focusing on diagnosis and prevention.

Dr Raman highlights the rarity of measles in general practice due to successful immunisation programs, achieving substantial herd immunity. She discusses the current changes in the environment that have resulted in declining vaccination rates, leading to increased outbreaks globally.

Dr Raman emphasises the importance of understanding risk factors, such as incomplete vaccination and immune system vulnerabilities, and how measles can spread, given its high contagion rate.

Listeners are guided through the typical presentation of measles, with a focus on the prodrome phase, characterised by symptoms such as fever, cough, choriza, and conjunctivitis, followed by a distinctive rash. The conversation touches on clinical challenges GPs might face in identifying measles, especially when considering varying skin tones and season-specific viral rashes.

Dr Raman provides practical advice for GPs on suspecting and testing for measles, including the use of PCR tests and IgM serology. Additionally, there are recommendations for containing potential measles cases through patient isolation, proper protective measures, and public health notifications, highlighting the need for vigilance and proactive measures in general practice.

Check out the video of this episode: https://www.youtube.com/watch?v=GLPeUHYewdA

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Hepatitis B: Screening, Phases, and Treatment Insights with Dr Joshua Hanson

Tue, 08 Apr 2025 03:30:00 +1000

In this episode of The Good GP, host Dr Krystyna de Lange is joined by Dr Joshua Hanson, a general and infectious disease physician based in Cairns, Australia. Providing in-depth discussion on Hepatitis B, focusing on screening, diagnosis, and management strategies for general practitioners.

Dr Hanson highlights the importance of screening for hepatitis B in Australia. He explains the hepatitis B tests recommended for screening and their interpretation, the importance of the hepatitis B surface antigen test as a key indicator of chronic infection.

They shifted to the initial assessment of patients newly diagnosed with hepatitis B. Dr Hanson describes the critical aspects of evaluating liver health, the potential impact of co-morbid factors such as alcohol use and smoking, and the significance of family history. They cover the various phases of hepatitis B infection, emphasising the need for general practitioners to determine the patient’s phase for effective management.

They also address the ongoing monitoring of hepatitis B patients, explaining the importance of regular clinical reviews and liver function tests. Dr Hanson discusses the need for routine checks to detect any progression of the disease or development of complications, such as fibrosis or liver cancer.

Links & Resources:

Bpostive: a free resource examining all aspects of HBV care for clinicians working in primary care, collated by ASHM: https://hepatitisb.org.au/

Decision making in hepatitis B: https://ashm.org.au/resources/decision-making-in-hepatitis-b/

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Breast Cancer Awareness: Screening, Prevention, and Risk Factors

Tue, 01 Apr 2025 03:30:00 +1000

In this episode of This Could Save Your Life podcast, hosts Dr Catherine Bourke and Dr Anna Mullins delve into the topic of breast cancer screening. They discuss the importance of both screening and testing and elucidate the difference between the two.

They begin by outlining what screening entails, emphasising that it’s for individuals with no symptoms of breast cancer, aiming to detect any irregularities early. Describing the screening process, including mammograms and other radiological tests, and discussing the symptoms that may necessitate further testing, such as nipple inversion, skin dimpling, and nipple discharge.

Dr Bourke and Dr Mullins then provide an overview of accessing breast cancer screening in Australia. Sharing practical advice on booking screenings, the importance of finding a comfortable experience, and the role of early detection plays in effective treatment and better outcomes.

They then discuss the individual risk factors for breast cancer. Advocating for the iPrevent calculator, developed by the Peter MacCallum Cancer Centre, as a valuable tool for assessing personal risk and determining appropriate screening measures. They also touched upon the genetic and familial aspects of breast cancer risk and the significance of maintaining a healthy lifestyle.

Finally, they shared tips on lifestyle changes that can reduce the risk of breast cancer. Exercise, smoking cessation, moderate alcohol consumption, and maintaining a healthy weight are highlighted as key preventive measures. Along with the regular physical breast examinations and awareness of changes.

Links & Resources:

Breast cancer risk assessment and risk management decision support tool:

iPrevent- Peter MacCallum Cancer Centre: https://www.petermac.org/patients-and-carers/health-services-for-cancer-patients/cancer-prevention/iprevent

Breast screening services:

Western Australia: Breast Screen WA:https://www.breastscreen.health.wa.gov.au
South Australia: Breast Screen SA: https://www.breastscreen.sa.gov.au
Victoria: Breast Screen VIctoria: https://www.breastscreen.org.au
New South Wales: Breast Screen NSW: https://www.breastscreen.nsw.gov.au
Queensland: Breast Screen Queensland: https://www.breastscreen.qld.gov.au
Northern Territory: Breast Screen NT: https://nt.gov.au/wellbeing/cancer-services/breastscreennt
Australian Capital Territory: Breast Screen ACT: https://www.canberrahealthservices.act.gov.au/services-and-clinics/services/breastscreen-act

This Could Save Your Life Podcast is under The Good GP podcast and is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Your Guide to Emergency Contraception: Insights from Dr Alison Creagh

Tue, 25 Mar 2025 03:30:00 +1000

In this episode of The Good GP podcast, host Dr Karin Sekhon is joined by Dr Alison Creagh, a GP with a special interest in women's and sexual health. Dr Creagh shares her knowledge on the topic of emergency contraception, discussing its importance and available options.

They explain emergency contraception and its use in situations of unprotected sex or contraceptive failure. Dr Creagh outlines the three main options: two oral pills and the copper IUD. She highlights the copper IUD as the most effective method and addresses its limited accessibility and costs. For the oral pills, levonorgestrel and ulipristal, Dr Creagh explains their effectiveness, availability over-the-counter, and the potential side effects.

Discussing when to begin contraception after an emergency contraceptive method, considerations between the two pill options, and notable barriers to access in Australia. Dr Creagh emphasises the need for GPs to be informed about local resources and suggests patient resources to enhance understanding and access to emergency contraception.

Dr Creagh notes the importance of informing patients about emergency contraception, particularly for newly sexually active individuals and those using ongoing contraceptive methods. Which is essential for GPs looking to deepen their knowledge and improve patient care in the context of emergency contraception.

Link & Resources:

CLINICIANS:

Therapeutic Guidelines: https://www.tg.org.au/
FSRH guidelines: https://www.fsrh.org/Public/Public/Standards-and-Guidelines.aspx?hkey=86c80484-36fe-4d6d-96c6-05cdc8e7b8da

PATIENTS:

SHQ Information Sheets: https://shq.org.au/resources/health-info/info-sheets/
SHQ Emergency Contraception Information Sheet: https://shq.org.au/resources/health-info/info-sheets/emergency-contraception/

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialization. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Understanding Irritable Bowel Syndrome: A Multidisciplinary Discussion Part 2

Tue, 18 Mar 2025 03:30:00 +1000

In this episode of The Good GP, join host Dr Krystyna De Lange as she revisits the topic of Irritable Bowel Syndrome (IBS) with the multidisciplinary team from the Integrated Care Clinic for Disorders of Gut Brain Interaction at the PA Hospital in Brisbane. Following the previous episode focusing on the medical aspects of IBS, they explore the broader approach to managing IBS through diet, exercise, and psychological support.

Isabella Kibbe, a dietitian, delves into the low FODMAP diet, and its role in managing IBS symptoms and offers practical dietary strategies for GPs.

Exercise physiologist Jake O'Brien discusses the role of physical activity in alleviating IBS symptoms, such as improving motility and reducing bloating, alongside its holistic benefits, including stress reduction and enhancement of overall quality of life.

Psychologists Dr Paul Stanley and Elena Bild focus on the psychological aspects of IBS management through trauma-informed care, the significance of establishing rapport, acknowledging patients' experiences, and using cognitive behavioral techniques to address gut-directed anxiety.

The episode reinforces the importance of a patient-centred and holistic treatment approach to IBS and emphasises the impact of non-medical interventions in improving patient outcomes.

Links & Resources:

Nutrition Education Materials Online (NEMO), IBS resources for patients/clinicians: Managing Irritable Bowel Syndrome (IBS) (health.qld.gov.au)
Dietitians Australia 'Find an Dietitian' Tool - filter Dietitians by clinical area of work and location Find a Dietitian (dietitiansaustralia.org.au)
Monash FODMAP resources: About FODMAPs and IBS | Monash FODMAP - Monash Fodmap

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Understanding Irritable Bowel Syndrome: A Multidisciplinary Discussion Part 1

Tue, 11 Mar 2025 03:30:00 +1000

In this episode of The Good GP, host Dr Krystyna de Lange discusses Irritable Bowel Syndrome (IBS) with Dr Alireza Ahmadvand, a GP, and Professor Gerald Holtmann, a consultant gastroenterologist and director of the gastroenterology and hepatology department at the PA Hospital. This episode is part one of a two-part series exploring IBS from a multidisciplinary approach.

Dr Ahmadvand discusses the differential diagnoses for IBS symptoms in primary care. This includes chronic infections, inflammatory bowel diseases, medication-induced diarrhea, colorectal cancer, and more. They evaluate red flags and initial investigations to distinguish between organic and functional gastrointestinal issues.

Professor Holtmann highlights the importance of understanding patient expectations and provides clarity on diagnosing disorders of gut-brain interaction. He highlights the role of thorough communication and the need to address both the physical symptoms and psychological impact on the patient.

They also delve into the emerging role of the gut microbiome in disorders of gut-brain interaction. Professor Holtmann discusses the relevance of the microbiome composition and the challenges involved in using stool microbiome reports for diagnostic purposes. He elaborates on the potential of targeting the microbiome to improve IBS symptoms through specific treatments, including antibiotics and probiotics.

They conclude with an exploration of pharmacological interventions. Professor Holtmann shares insights on using low-dose tricyclic antidepressants, herbal medicines, and probiotics for IBS management, emphasising the need for balanced treatment strategies that weigh risk and benefit carefully.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Bone Health Basics: Tips to Prevent Osteoporosis and Improve Longevity

Tue, 04 Mar 2025 03:30:00 +1000

In this episode of This Could Save Your Life podcast, hosts Dr Catherine Bourke and Dr Anna Mullins discuss a critical and often overlooked aspect of health: Bone Health. They begin with clarifying the terms osteoporosis and osteoarthritis, which are often confused by patients.

Dr Bourke and Dr Mullins present statistics highlighting the grave consequences of untreated osteoporosis, reinforcing the urgent need for awareness and early diagnosis. While also outline the risk factors, including age, family history, hormonal imbalances, vitamin D deficiency, and low body weight.

Emphasising the importance of prevention through nutrition, particularly calcium intake, lifestyle changes such as quitting smoking and reducing alcohol consumption, and specific exercises like resistance and balance training. Practical advice is provided to help patients incorporate these into their daily routines. They also discuss the bone mineral density test (DEXA scan), which is crucial for diagnosing osteoporosis and monitoring bone health over time.

They then discussed treatment, including medications and multi-disciplinary care involving GPs, dietitians, and exercise physiologists. The long-term impact of fractures on independence and quality of life is stressed, making this a valuable resource for GPs aiming to improve patient outcomes in bone health.

Links & Resources:

Healthy Bones Australia: https://healthybonesaustralia.org.au

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Understanding Sepsis: Key Risk Factors and Early Recognition for GPs with Dr Emily Gordon

Tue, 25 Feb 2025 03:30:00 +1000

In this episode of The Good GP Podcast, host Dr Krystyna de Lange is joined by Dr Emily Gordon to discuss the topic of sepsis within the primary care setting. Dr Gordon, a respected general practitioner and previous recipient of the RACGP Queensland GP of the Year award, shares her expertise to help GPs better identify and manage this life-threatening condition.

From definition and causes of sepsis, highlighting its potential to come from infections in common areas such as the lungs, skin, urinary tract, or gastrointestinal tract. Dr Gordon emphasises the importance of early detection through recognising both red and amber flag symptoms, which could suggest the onset of sepsis.

Dr Gordon provides guidance tailored for GPs on how to respond effectively if sepsis is suspected. They explore the key risk factors and vulnerable patient populations who may be at heightened risk for sepsis.

Dr Gordon introduces practical resources including a new sepsis screening tool for adults, designed to aid primary healthcare providers in accurately identifying sepsis early and ensuring prompt and appropriate management. This tool, currently available in the pilot project phase in Queensland, underscores the significance of education and vigilance in improving patient outcomes.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Greener and Sustainable Respiratory Care: Reducing Carbon Footprint in Healthcare

Tue, 18 Feb 2025 03:30:00 +1000

In this episode of The Good GP, host Dr Sean Stevens discusses environmentally sustainable respiratory care with Dr Brett Montgomery, a GP and Senior Lecturer with expertise in environmental medicine, and Clinical Professor John Blakey, Head of the Department of Respiratory Medicine at St. Charles Gardener Hospital.

Dr Montgomery outlined the key environmental challenges associated with respiratory care, particularly the carbon footprint of Australia's health system. Emphasising the impact of pharmaceuticals, particularly the global warming potential of hydrofluorocarbons in traditional metered dose inhalers. He mentions the importance of accurate diagnosis and alternative treatment options, including dry powder inhalers or soft mist inhalers to reduce environmental impact.

Clinical Professor John Blakey shares his perspective on aligning environmental concerns with optimising respiratory care. Stressing the importance of accurate diagnosis to avoid unnecessary treatments and outlines how optimising treatment can lead to better asthma control and reduced environmental footprint. He also addresses challenges related to spirometry in general practice, particularly changes brought about by the COVID-19 pandemic.

They conclude with practical advice for GPs on implementing changes to reduce their respiratory prescribing's environmental impact while maintaining optimal patient care.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Your Guide to Bowel Cancer Screening and Reducing Your Lifetime Risk

Tue, 11 Feb 2025 03:30:00 +1000

Welcome to This Could Save Your Life podcast! With hosts Dr Anna Mullins and Dr Catherine Bourke, a podcast focused on preventative health and health tips for both patients and the general public.

Dr Mullins and Dr Bourke commence by sharing their backgrounds in general practice and exercise physiology, highlighting their joint interest in preventative healthcare. Explaining the three types of prevention: primary, secondary, and tertiary, and briefly outline the structure and objectives of the podcast, aiming to cover a range of important health topics.

For this episode, they focus on bowel cancer screening. They discuss the symptoms that may indicate bowel cancer and the difference between screening tests and diagnostic tests. They outline the importance of recognizing individual risk factors, such as family history, and explain the updated guidelines for bowel cancer screening in Australia, now recommending testing from age 45 for those at average risk.

Describing the process of obtaining and completing the Faecal Occult Blood Test (FOBT) kit. Dr Mullins and Dr Bourke emphasise the simplicity of the test and provide practical guidance on obtaining the kit, either online or by phone, and what to do if a patient has misplaced or not completed their kit.

They also talked about lifestyle and dietary interventions to lower the risk of bowel cancer, including quitting smoking, engaging in regular exercise, maintaining a healthy weight, moderating alcohol consumption, and making specific dietary choices such as reducing red and processed meat while increasing fibre and potentially, dairy intake. As well as the role of aspirin and calcium supplements in risk reduction.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Managing Eczema Effectively: Non-Pharmacological and Pharmacological Treatments with Dr Ian Coulson

Tue, 04 Feb 2025 03:30:00 +1000

Join your host Dr Krystyna de Lange for this episode of The Good GP Podcast, featuring Dr Ian Coulson, a consultant dermatologist from the United Kingdom and editor-in-chief of DermNet. This is part two of a two-part series on eczema, produced in collaboration with DermNet.

Dr Coulson outlines essential non-pharmacological management techniques for eczema, emphasising the importance of using emollients correctly. He introduces the concept of GTBR (Get the Basics Right) to ensure that these steps are followed closely. Providing insights into selecting the correct type of emollient based on individual patient needs and preferences.

Moving to the pharmacological management of eczema, Dr Coulson explains the appropriate use of topical corticosteroids. He offers practical advice on choosing the right potency and type of corticosteroid, and the concept of weekend treatment to maintain control. He also touches on the importance of avoiding steroid overuse and educates on steroid withdrawal syndrome.

For cases where eczema is more severe or unmanageable, Dr Coulson discusses advanced treatment options like phototherapy and systemic agents like cyclosporine, azathioprine, and methotrexate.

Dr Coulson's emphasis on a holistic approach—combining both baselines with advanced treatments—could help GPs with practical strategies to manage eczema more effectively in their practice.

The Good GP is proud to collaborate with DermNet on this podcast. In early 2025 DermNet is launching a new platform designed specifically for healthcare professionals called DermNet PRO. It features a new search tool, the ability to save pages, and access a host of volunteer opportunities. It’s 100% free and coming in early 2025. Join the waitlist now: (https://pro.dermnetnz.org/).

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Understanding Eczema: Types, Classification, and Presentation with Dr. Ian Coulson

Tue, 28 Jan 2025 03:30:00 +1000

Join your host Dr Krystyna de Lange for this episode of The Good GP Podcast, featuring Dr Ian Coulson, a consultant dermatologist from the United Kingdom and editor-in-chief of DermNet. This is part one of a two-part series on eczema, produced in collaboration with DermNet.

Dr Coulson provides an overview of eczema, its different types, and classifications. The differences of eczema and dermatitis, with exceptions such as perioral dermatitis. He classifies eczema into endogenous and exogenous types and explains their varied etiologies and common presentations, including atopic eczema, seborrheic eczema, irritant eczema, allergic contact dermatitis, and more.

Discussing atopic eczema, focusing on its onset, clinical features in different age groups, and the differences between acute and chronic eczema. Dr Coulson shares insights into identifying eczema mimics, such as fungal infections, scabies, and even cutaneous lymphoma, emphasising the importance of careful history-taking and examination.

Dr Coulson then outlines the investigations that may be required for patients with eczema. He covers mycology testing, biopsy considerations, and the limited value of allergy tests like PRIC and RAST in the context of eczema management.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Live from GP24: Prescribing Exercise for Falls Reduction and Pelvic Floor Health with Dr Anna Mullins

Tue, 21 Jan 2025 03:30:00 +1000

In this special episode of The Good GP, recorded live at GP24 in Perth, host Dr Krystyna de Lange interviews Dr Anna Mullins on the topic of prescribing exercises for falls reduction and pelvic floor health.

Dr Anna Mullins is a Brisbane-based GP with a passion for lifestyle medicine and preventative health. As a former exercise physiologist, she emphasises how simple exercises can benefit patients with cardiovascular disease, metabolic disorders, mental health issues, and even cancer.

Dr Mullins highlights the importance of muscle strengthening and balance training, especially in the elderly. Dr Mullins outlines practical exercises that can easily be incorporated into daily routines, such as performing modified push-ups against a wall.

They delve into exercises aimed at reducing falls risk in elderly patients. Describing specific exercises such as balancing on one foot, Tai Chi, and yoga, which not only improve physical health but also offer social connection benefits. Muscle strengthening activities like modified push-ups, squats, and core exercises, which are essential for maintaining functional independence and preventing falls.

Discussing maintenance pelvic floor health, especially in postnatal care. Dr Mullins shares techniques for activating pelvic floor muscles and core strength early in the postnatal phase, with starting these exercises soon after childbirth.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Live from GP24: Understanding Inflammatory Bowel Disease with Dr Luca Crostella

Tue, 14 Jan 2025 03:30:00 +1000

In this special episode of The Good GP, recorded live at GP24 in Perth, host Dr Tim Koh talks with Dr Luca Crostella, an experienced gastroenterologist, about the diagnosis of inflammatory bowel disease (IBD).

Providing an insightful overview of IBD, including Crohn's disease and ulcerative colitis. Dr Crostella highlights common symptoms such as pain, bleeding, and urgency, and explains the diagnostic challenge posed by the variable nature of these diseases.

They delve into the diagnostic markers and tests for IBD, such as ESR, CRP, and fecal calprotectin levels, along with the role of endoscopic findings. Emphasising the difference of IBD from other conditions like irritable bowel syndrome (IBS) and non-steroidal anti-inflammatory drug (NSAID).

Dr Crostella shares practical tips for general practitioners on how to handle patients with suspected IBD and outlines the pre-referral investigations that can be beneficial. The implications of smoking and obesity in the prognosis of IBD and the potential role of diet in disease management.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Live from GP24: Sleep Apnea Insights with A/Prof Ramesh Balasubramaniam and Dr Francesco Piccolo

Tue, 07 Jan 2025 03:30:00 +1000

In this special episode of The Good GP, recorded live at GP24 in Perth, host Dr Sean Stevens engages in a conversation with Associate Professor Ramesh Balasubramaniam and Dr Francesco Piccolo on the management of obstructive sleep apnea (OSA).

Associate Professor Ramesh Balasubramaniam, an Oral Medicine Specialist and Discipline Lead in Oral Medicine at UWA, and Dr Francesco Piccolo, a respiratory and sleep specialist at Midland, share various approaches to diagnosing and treating obstructive sleep apnea. Discussing patient-specific factors that influence the choice of therapy, including the use of CPAP (Continuous Positive Airway Pressure) and mandibular advancement devices.

Dr Piccolo emphasises the importance of thorough clinical evaluation and insights into the sleep study reports, the severity of obstructive sleep apnea, and the associated symptoms and comorbidities that influence treatment decisions. Prof. Balasubramaniam discusses the role of patient preference in treatment adherence and the importance of follow-up and monitoring.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Doctor as Patient: Dr. Nick Hummel's Prostate Cancer Journey

Tue, 17 Dec 2024 03:30:00 +1000

In this episode of The Good GP, Dr Krystyna de Lange engages in a conversation with Dr Nick Hummel, a respected and experienced GP from the Sunshine Coast in Queensland, on his experience of becoming a patient following his prostate cancer diagnosis.

Dr Hummel shares his journey, the process leading up to his diagnosis, and the various medical procedures and challenges he has faced since. He explores the importance of being up to date with preventative health and screening measures and taking into consideration full personal and family history in conjunction with a GP.

He highlights the importance of comprehensive, multidisciplinary care and underlines the necessity of not neglecting one's own health as a medical professional. Emphasising the value of being proactive about health insurance, planning for unexpected medical leave, and consulting with one's own GP regularly.

Through his experiences, Dr Hummel aims to raise awareness among GPs about the critical importance of self-care, regular health screenings, and managing their health risks responsibly. Providing practical advice for other doctors who may be navigating similar health challenges.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Understanding Rosacea: Key Triggers, Diet, and Treatment Insights with Dr Louise Reiche

Tue, 10 Dec 2024 03:30:00 +1000

In this episode of The Good GP, host Dr Sean Stevens is joined by Dr Louise Reiche, a seasoned general dermatologist from Palmerston North to discuss the management of rosacea.

Giving insights into the key lifestyle and dietary triggers that affect rosacea. Dr Reiche covers the impact of spicy food, alcohol, caffeine, and environmental changes on facial redness experienced by patients. Emphasising on the importance of sun protection as a primary method for managing rosacea.

Shifting to the benefits of the Mediterranean diet and general wellness practices. Dr Reiche explains how a plant-rich, anti-inflammatory diet can help reduce the inflammatory response related to rosacea, components such as extra virgin olive oil and walnuts that benefit the gut microbiome and subsequently, the skin.

Treatment options for rosacea with sun protection being a cornerstone of management. Dr Reiche discusses practical sun protection strategies and the role of topical and oral retinoids, topical azelaic acid, and ivermectin in treating the condition. The shift from oral antibiotics to other treatments due to concerns about antibiotic resistance and the gut microbiome were also examined.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Pneumococcal Disease Essentials: What Every GP Should Know with Dr Linny Kimly Phuong

Tue, 03 Dec 2024 03:30:00 +1000

In this episode of The Good GP, host Dr Tim Koh is joined once again by Dr Linny Kimly Phuong, a paediatric infectious diseases physician, researcher, and academic tutor, to discuss Pneumococcal Disease. Being the subject of her PhD, Dr Phuong brings her extensive knowledge and experience on this topic.

Dr Phuong outlines the different clinical manifestations of Pneumococcal Disease, dividing them into invasive and non-invasive categories. Non-invasive diseases include otitis media and sinusitis, while invasive diseases can result in conditions like complicated pneumonia, meningitis, bacteremia, bone and joint infections, endocarditis, and peritonitis.

Discussing the significance of the strep pneumoniae bacteria, which is commonly found in the nasopharynx of healthy individuals. Dr Phuong explains the switch from carriage to disease manifestation and highlights the risk factors for invasive Pneumococcal Disease, including extremes of age, immunocompromise, chronic health conditions, and certain lifestyle factors.

They then turn to pneumococcal vaccines, and the differences between conjugate and polysaccharide vaccines, their valencies, and their impact on clinical practice. Dr Phuong emphasises the importance of vaccination in reducing morbidity and mortality related to Pneumococcal Disease, particularly in young children and older adults.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Unpacking Kawasaki Disease: Diagnosis and Management with Expert Dr Linny Kimly Phuong

Tue, 26 Nov 2024 03:30:00 +1000

In this episode of The Good GP, Dr Tim Koh is joined by Dr Linny Kimly Phuong, a paediatric infectious diseases physician, researcher, and academic tutor, to discuss Kawasaki disease.

They began by explaining Kawasaki disease as an inflammatory vasculitis with potential long-term cardiac consequences. Dr Phuong notes that one child is diagnosed with Kawasaki disease every day. While the disease is more common in children under the age of five, it can present at any age and across all ethnic groups, with a higher incidence in children of Asian ethnicity.

They discussed the clinical picture of Kawasaki disease, commonly remembered by the mnemonic "CRASH and burn." This includes Conjunctivitis, Rash, Adenopathy, Strawberry tongue, and Hand/feet changes—all accompanying a prolonged fever. Dr Phuong emphasises the importance of recognising these symptoms even if they do not manifest simultaneously.

They move onto diagnosis, highlighting the absence of diagnostic tests and the reliance on clinical evaluation supported by laboratory tests such as full blood count, inflammatory markers, and liver function tests. Dr Phuong also elaborates on differential diagnoses, including both infectious (e.g., scarlet fever, adenovirus) and non-infectious conditions (e.g., drug hypersensitivity, systemic juvenile idiopathic arthritis).

Finally, outlining the long-term clinical impact of Kawasaki disease, emphasising the importance of treatment with intravenous immunoglobulin and low-dose aspirin to reduce the risk of coronary artery aneurysms. Highlighting the necessity for long-term cardiology follow-up due to the potential for severe complications like coronary artery stenosis and myocardial infarction.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Effective Management of Gut-Brain Interaction Disorders with Dr Alireza Ahmadvand

Tue, 19 Nov 2024 03:30:00 +1000

In this episode, Dr Krystyna de Lange hosts Associate Professor Dr Alireza Ahmadvand, a practising GP with a special interest in gastroenterology at the Princess Alexandra Hospital in Brisbane, to discuss disorders of gut-brain interaction (DGBI).

Dr Ahmadvand elaborates on what DGBIs are and provides the latest insights into the pathophysiology, mentioning conditions such as irritable bowel syndrome and functional dyspepsia. He explains the diagnostic criteria and the importance of recognising these conditions in general practice, and highlights the role of GPs in identifying and ruling out structural abnormalities before considering a DGBI diagnosis.

They also covered the multifactorial nature of these disorders, including the impact of psychological and psychosocial factors, such as stress, anxiety, and depression, and the interactions between gut microbiome and gut function. Dr Ahmadvand outlines when GPs should consider DGBIs and what red flags to watch for, emphasising the importance of comprehensive evaluations and specialist collaboration.

For management, Dr Ahmadvand advocates for a multidisciplinary approach involving dietitians, psychologists, exercise physiologists, and gastroenterologists to provide holistic care. Pharmacological treatments, diet modifications, and psychological interventions, such as Cognitive Behaviour Therapy, are also mentioned as part of a comprehensive management plan.

Lastly, Dr Ahmadvand points GPs towards the Rome Foundation's criteria, the Gastroenterological Society of Australia, and patient-focused platforms like Gut Foundation Australia and the IBS Network. He also encourages keeping alongside of the latest research through journals like Neurogastroenterology and Motility.

Links & Resources:

Rome Iv Diagnostic Criteria For Fgids

https://theromefoundation.org/rome-iv/rome-iv-criteria/
https://theromefoundation.org/resources/rome-iv-criteria-booklet/ (downloadable booklet in PDF)

Patient Education Material

Irritable Bowel Syndrome (IBS)

Resources From The Australian Journal Of General Practice

The lived experience of irritable bowel syndrome: A focus on dietary management

https://www1.racgp.org.au/ajgp/2022/june/the-lived-experience-of-irritable-bowel-syndrome

Research Instruments/Projects

Valid Instrument for Evaluating Symptoms in the Clinical Setting - Structured Assessment of Gastrointestinal Symptoms Scale (SAGIS)

https://link.springer.com/article/10.1007/s10620-017-4599-6

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Public Hospital Virtual Clinics: Empowering GPs and Improving Patient Access

Tue, 12 Nov 2024 03:30:00 +1000

In this episode, Dr Sean Stevens hosts a discussion on the topic of public hospital virtual clinics with three distinguished guests: Dr Morgan Rayner, a new fellow GP, Associate Professor Joanna Lawrence, a paediatrician at the Royal Children's Hospital in Melbourne and Director of the Victorian Virtual Specialist Clinic (VVSC), and Dr Dominic Mallon, an immunologist at Fiona Stanley in Perth and founder of the Virtual Immunology Clinic.

They explore the origins, purposes, and operational models of the Victorian Virtual Specialist Clinic and the Virtual Immunology Clinic. Associate Professor Joanna Lawrence discusses how the VVSC was established to enable GPs to access specialist expertise more swiftly, to reduce wait times for patients and enhance the ability of community physicians to manage patient care efficiently. Dr Dominic Mallon shares insights into the Virtual Immunology Clinic, how it has successfully reduced patient wait times and facilitated timely access to specialist care, especially in rural areas.

Dr Morgan Rayner also provides a first-hand account of using virtual consult services as a junior registrar, discussing the benefits of building relationships with specialists and improving patient care through timely consultations.

The VVSC is available to any GP working in Victoria. The collab-consult model is a free 20-minute case conference with a specialist (with or without the patient). The collab-consult enables GPs to access timely expert advice to support managing their patients in the community. CPD can be claimed for participating in a case conference. Booking is easy through https://vvsc.org.au/ or email VVSC@nh.org.au.

The Virtual Immunology Clinic is available to any GP in WA who is in or very near the Fiona Stanley Hospital Catchment area for public hospital outpatients services (South Metro, South West, Great Southern)

The link to register, log in and refer is: South Metropolitan Health Service - SMHS Online Services Portal https://smhs.health.wa.gov.au/Our-services/SMHS-Online-Services-Portal

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Understanding PMS and PMDD: Managing Premenstrual Disorders with Professor Jayashri Kulkarni

Tue, 05 Nov 2024 03:30:00 +1000

In this episode of The Good GP, Karin Sekhon speaks with Professor Jayashri Kulkarni, a renowned psychiatrist, about premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD).

Professor Kulkarni explains the distinctions between PMS and PMDD, emphasising that PMS is more prevalent and generally involves physical symptoms like bloating and headaches, while PMDD affects a smaller percentage of women and includes severe psychological symptoms such as major depression, anxiety, and brain fog. She talks about the genetic and environmental factors contributing to PMDD, highlighting a specific gene complex that may be activated by trauma.

Discussing the primary pharmacological treatments for PMDD, Professor Kulkarni advises starting with hormonal treatments like the combined oral contraceptive pill; she recommends the pill "Zoely" for its balanced hormone levels. She also elaborates on the use of SSRIs like sertraline for additional support and gives a stepped approach to treatment, including the possible need for hormone replacement therapy (HRT) or menstrual suppression in complex cases.

They also touched on the potential role of complementary therapies and the importance of holistic care, involving psychological support and lifestyle modifications. Professor Kulkarni provides guidance on when GPs should consider referring patients to specialists and emphasises the collaborative role of GPs in managing PMDD effectively.

If you want to learn more about this topic, consider the HER Centre Australia's online short course on Women's Mental Health: https://www.monash.edu/medicine/translational/psychiatry/short-courses/womens-mental-health

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

The Rise of Self Collection: Insights into Cervical Screening with Dr Rebecca Starkie

Tue, 29 Oct 2024 03:30:00 +1000

Join The Good GP host Dr Krystyna de Lange in an episode with Dr Rebecca Starkie as they discuss the topic of cervical screening and the self-collection method in Australia.

Dr Starkie, a GP, practice owner, academic, medical educator, and researcher with a specific interest in women's health, shares her expertise on the success of self-collection for cervical screening. With the uptake of self-collection, especially among older women and those in remote areas, we have seen a reduction in barriers to cervical screening and improved access

They delve into the eligibility criteria for self-collection, discussing those who can opt for this method and those who still require clinician-collected samples. Expected changes in guidelines for the cervical screening program are also touched upon, emphasising the upcoming recommendations for test-of-cure processes.

Sharing insights for GPs on how to effectively explain and guide patients through the self-collection process, including the use of instructional resources and addressing possible patient concerns. Dr Starkie offers practical tips for handling abnormal test results and troubleshooting sampling challenges.

Dr Starkie recommended adopting a whole-of-team approach in general practice to support cervical screening efforts, underscoring the importance of involving practice managers, nurses, and reception staff in creating a positive patient experience.

Links & Resources:

https://acpcc.org.au/practitioners/resource-hub/

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Fertility Management: Common Issues and Advice for GPs with Dr Jana Combrinck

Tue, 22 Oct 2024 03:30:00 +1000

In this episode of The Good GP, host Dr Karin Sekhon is joined by Dr Jana Combrinck, an experienced women's health GP working in Perth and the current GP lead of Oasis Fertility Centre. They delve into the GP's role in fertility management.

Dr Combrinck discusses the prevalence of fertility issues, noting that one in six couples of reproductive age in Australia are affected by subfertility. Identifying advanced maternal age as a common cause, along with conditions such as polycystic ovarian syndrome (PCOS), ovulation disorders, and endometriosis. She emphasises the importance of considering male factors, which are responsible in at least 50% of cases.

Giving insights on the process for couples experiencing infertility. Dr Combrinck outlines a systematic approach, which includes taking a thorough history, conducting necessary blood tests, and performing imaging investigations. For male patients, a semen analysis is recommended as the first step.

Dr Combrinck also discusses the medications and supplements that GPs can prescribe to aid in fertility. For PCOS patients, metformin and myoinositol are suggested as first-line treatments. She provides a comprehensive guide on the use of letrozole for ovulation induction, emphasising the need for close monitoring. Supplements like CoQ10 and melatonin are recommended for women with reduced ovarian reserve, and Menivit is suggested for male patients with suboptimal semen analysis.

They also touched on when to refer patients to a fertility specialist. Referral timelines vary based on the age of the female partner and any known fertility-impacting conditions.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Mpox (monkeypox) Explained: Current Risks, Prevention Strategies, and Public Health Response with Dr Alex Shivarev

Tue, 15 Oct 2024 03:30:00 +1000

In this episode of The Good GP podcast, host Dr Karin Sekhon talks to Dr Alex Shivarev, a public health physician from the WA Department of Health, to discuss the emerging public health concern of monkeypox, now also referred to as Mpox. Providing insights for GPs on the epidemiology, transmission, and clinical manifestations of the monkeypox virus, along with the distinction between the clade Ib and clade IIb strains.

Dr Shivarev explained what monkeypox is, its origins, and the different strains that have emerged. Discussing the recent increase in monkeypox cases globally and the response from both international bodies and local health authorities. He also highlighted the differences in transmission routes and the populations most at risk, including gay, bisexual, and other men who have sex with men.

Dr Shivarev mentions the vaccination with the JYNNEOS vaccine, which is available and recommended for eligible individuals. He also provided detailed guidance on the clinical presentation and diagnosis of monkeypox, emphasising the importance of history-taking and examination findings in identifying potential cases.

Lastly, they touched upon the future of monkeypox outbreaks and the potential for control measures to prevent further spread. Dr Shivarev reassures listeners that the risk of a wide-scale outbreak akin to the COVID-19 pandemic is low, given the effective public health measures in place and the community's prior successful response to the 2022 outbreak.

Resources and Links:

ASHM Mpox Resource Toolkit - https://ashm.org.au/resources/mpox-resource-toolkit/
Mpox Quick guide for primary health care workers WA - https://www.health.wa.gov.au/~/media/Corp/Documents/Health-for/Infectious-disease/Monkeypox/Monkeypox-quick-guide-for-clinicians.pdf
Mpox (monkeypox) (health.wa.gov.au) (clinician focus)
Mpox (monkeypox) (healthywa.wa.gov.au) (consumer focus)

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Managing Pelvic Pain and Incontinence: Dr Judith Thompson on the Importance of Pelvic Floor Physiotherapy

Tue, 08 Oct 2024 03:30:00 +1000

In this episode of The Good GP, host Karin Sekhon engages in an insightful conversation with Dr Judith Thompson, specialist continence and pelvic health physiotherapist and clinical director of BodyLogic Pelvic Health Clinic in Perth. She shares her knowledge on the benefits of pelvic floor physiotherapy and its broad applications across various stages of life and conditions.

Dr Thompson elaborates the training in becoming a pelvic health physiotherapist and outlines the range of conditions managed, including bladder and bowel continence, pelvic organ prolapse, and pelvic floor dysfunction in both women and men. They also covered management strategies for men post-prostate surgery and children with continence issues.

They also talked about the management of endometriosis-related pelvic pain. Dr Thompson explains the holistic approach taken, considering bladder, bowel, and pain management, and emphasises the importance of exercise, pelvic floor muscle assessment, and pacing plans. She also addresses the psychosocial elements, using tools like the 3PSQ for early identification of psychological factors influencing pain.

Financial barriers to accessing pelvic physiotherapy were also discussed, with Dr Thompson offering practical advice on leveraging public system referrals, EPC programs, and telehealth services to make treatment more accessible. Highlighting resources such as the Matilda app for endometriosis care and the Coast to Country program for rural patients.

Dr Thompson also touched upon the often-overlooked needs of young men experiencing lower urinary tract symptoms and pelvic pain, advocating for early physiotherapy assessment and holistic management.

Links & Resources:

The Pelvic Pain Psychological Screening Questionnaire (3PSQ) - https://www.wmhp.com.au/sites/default/files/3PSQ.pdf
Matilda Health - Home | Endometriosis surgery: care before and after to optimise outcomes. (matilda.health)
Coast to Country Pelvic Health Clinic - https://pelvichealth.physio/wp-content/uploads/2023/12/Poster.pdf

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

GP24 Preview: Exploring Wellbeing and Digital Health with Dr Jenny Brockis and Dr Amandeep Hansra

Tue, 01 Oct 2024 03:30:00 +1000

In this episode of The Good GP, host Dr Sean Stevens sits down with Dr Jenny Brockis and Dr Amandeep Hansra to discuss their upcoming keynote presentations at GP24 in Perth. Providing insightful perspectives on the evolving landscape of general practice and the essential role that GPs play in the healthcare system.

Dr Jenny Brockis introduced her keynote address, "Happy, Healthy, and Fulfilled: Reimagining Practitioner Wellbeing," where she emphasises the importance of self-care for general practitioners. She discusses the complexities and challenges GPs face today, including the rapid changes in medical information, the increasing prevalence of chronic diseases, and evolving patient expectations. Dr Brockis advocates for a shift in practice to better support GP wellbeing to prevent burnout and ensure the highest quality of patient care.

Dr Amandeep Hansra shares her experiences in the digital health and innovation space and shares a preview of her keynote. Dr Hansra talks about her journey towards integrating digital solutions in general practice and the significant impact it can have on patient care. She highlights upcoming initiatives, including a hackathon designed to foster innovative solutions from frontline GPs. Dr Hansra also discusses her role as the Chief Clinical Advisor for the Australian Digital Health Agency, focusing on how government initiatives are building foundational tools to enhance digital health innovation.

Early bird registrations for the GP24 in Perth close on Monday, 7th of October. Visit racgp.org.au to secure your discounted rates!

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Understanding Dementia: Risk Factors and Prevention with Dr Marita Long

Tue, 24 Sep 2024 03:30:00 +1000

In this episode of The Good GP, host Dr Krystyna de Lange is joined by Dr Marita Long, as they discuss dementia risk factors and prevention.

Dr Long says that dementia is a chronic disease, with its pathology starting 20 to 30 years before symptoms appear. Delving into the importance of intervention and maintaining brain health throughout life, Dr Long explains that dementia encompasses multiple symptoms with around 100 different causes, of which Alzheimer’s disease is the most common in Australia.

They then focus on non-modifiable risk factors, such as age and sex, noting that women are twice as likely as men to develop dementia. Exploring the global modifiable risk factors identified by the Lancet Commission, which include educational attainment, hearing impairment, traumatic brain injury, alcohol, obesity, smoking, hypertension, depression, social isolation, physical inactivity, diabetes, and air pollution. Data from the Lancet Commission implies that addressing these modifiable risk factors could prevent or delay 40% of dementia cases globally.

Dr Long suggests beneficial lifestyle practices such as maintaining a varied diet, regular exercise, limited alcohol consumption, no smoking, and consistent social engagement to help prevent dementia. The BrainTrack app, developed by Dementia Australia, is highlighted for its role in raising brain health awareness and measuring cognitive performance through interactive travel games aimed at promoting timely diagnosis of dementia.

They then addressed the increasing concerns about memory changes and dementia worries, suggesting opportunities for risk factor assessment during health assessments and at various life stages, including among individuals with intellectual disabilities and the Indigenous population. The COG DRISK online assessment tool, developed in Australia, is recommended for its comprehensive evaluation of modifiable dementia risk factors, providing a personalised risk score and tailored brain health recommendations for individuals over 40.

Resources mentioned in the episode:

Dementia in Practice podcast - https://dta.com.au/news/2021/dementia-in-practice-now-were-talking/
Dementia Training Australia website (free online courses and resources) - https://dta.com.au/
Dementia Australia - https://www.dementia.org.au/
Lancet article on dementia risk factors - https://www.thelancet.com/article/S0140-6736(20)30367-6/fulltext
CogDRisk Tool - https://cogdrisk-tool.neura.edu.au/
Preventing Dementia Mook - https://www.utas.edu.au/wicking/preventing-dementia
Dementia Braintrack app - https://www.dementia.org.au/braintrack
Cognitive training - https://www.cognifit.com/
Cognitive training - https://www.brainhq.com/

Some extra resources Dr Marita Long recommends:

https://www.mup.com.au/books/secrets-of-womens-healthy-ageing-paperback-softback
https://lisamosconi.com/the-menopause-brain

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Familial Hypercholesterolaemia in Children: Insights from Dr Andrew Martin

Tue, 17 Sep 2024 03:30:00 +1000

In this episode of The Good GP, host Rebecca Goadby interviews Dr Andrew Martin, a consultant paediatrician at Perth Children's Hospital and an expert in paediatric lipid disorders. Dr Martin has led a paediatric lipid disorders clinic for the past 15 years, specialising in the detection and management of children and adolescents with familial hypercholesterolemia (FH) to prevent coronary artery disease.

Dr Martin explains what FH is and discusses its prevalence in children. Sharing that around 20,000 children under the age of 16 are affected by FH in Australia, and emphasises the genetic nature of this condition, highlighting its autosomal dominant inheritance pattern.

They then shift to the critical role GPs can play in diagnosing FH in children. He notes that most children are diagnosed following the identification of an adult index case in their family and underscores the importance of cascade genetic testing, which GPs can facilitate using a Medicare Benefits Schedule (MBS) item number.

Elaborating on the management strategies for FH in children, starting with heart-healthy lifestyle changes and progressing to pharmacological interventions, primarily statins, from the ages of 8 to 10. He highlights that early intervention with statins can significantly reduce the risk of future coronary events.

Additionally, Dr Martin describes the forthcoming launch of FH Australia, a national peak body aimed at supporting individuals and families with FH. Explaining that this organisation will provide resources, education, and advocacy, serving as a valuable resource for both patients and healthcare professionals.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Reducing Alcohol Harm in Australia: Home Detox with Dr Chris Davis and Dr Hester Wilson

Tue, 10 Sep 2024 03:30:00 +1000

In this episode of The Good GP, Dr Sean Stevens interviews Dr Hester Wilson, GP & Chief Addiction Medicine Specialist for New South Wales, and Dr Chris Davis, a GP with a special interest in alcohol and other drugs and founder of Clean Slate. They discussed addiction medicine, particularly alcohol use disorders, and the innovative solutions offered by the Clean Slate program.

Dr Hester Wilson begins by explaining the prevalence of alcohol consumption in Australia, highlighting that while most people drink within safer guidelines, a significant percentage exceed these limits. She also discusses the health risks associated with alcohol use, including its role as a toxin and its contribution to medical conditions such as cancer.

Dr Chris Davis outlines the benefits of a home detox compared to residential inpatient detox, emphasising patient acceptability and cost-effectiveness. He explains how the Clean Slate program works, detailing the importance of support systems, the role of the GP, and the use of telehealth for safe detoxification. Dr Davis also touches on the program's affordability and accessibility options, including private insurance rebates and government funding.

Delving into patient selection criteria for home detox and the comprehensive, ongoing support provided by the Clean Slate program. Dr Wilson elaborates on the collaboration between the Clean Slate program and general practitioners, as well as its integration with the RACGP Addiction Specific Interest Group.

Dr Davis concludes by sharing future plans for Clean Slate, which includes expanding access to vulnerable populations and forming the Digital Alcohol Alliance to further improve treatment accessibility.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Navigating Hidradenitis Suppurativa with A/Prof Erin McMenimen on The Good GP

Tue, 03 Sep 2024 03:30:00 +1000

In this episode, host Dr Krystyna de Lange welcomes Associate Professor Erin McMenimen, a clinical dermatologist with appointments at the University of Queensland Medical School and Princess Alexandra Hospital, to discuss Hidradenitis Suppurativa (HS).

Defining HS as a chronic auto-inflammatory condition, highlighting its similarities to inflammatory bowel disease and psoriasis. A/Prof McMenimen explains the disease's pathophysiology, noting that inflammation starts in the hair follicles and leads to scarring and sinus tract formation. Key associated factors are smoking, obesity, family history, and secondary infections.

They then shift to the signs and symptoms of HS, emphasising the importance of early recognition by GPs. A/Prof McMenimen outlines the diagnostic criteria, focusing on abscesses and boils in body folds and the significance of multiple episodes over time.

She also explains the Hurley staging system used to assess HS severity and describes the impact of HS on patients' quality of life, including pain, mental health issues such as depression and anxiety, and social isolation.

On the topic of management, They covered lifestyle interventions, including avoiding heat and friction, dietary adjustments, and smoking cessation strategies, followed by stepwise medical treatments like antiseptic washes, topical and oral antibiotics, and anti-androgen therapy. She also discusses advanced treatments for severe cases, including intralesional steroids, de-roofing surgery, and biologics like adalimumab and secukinumab.

A/Prof McMenimen underscores the importance of early referral to dermatologists for effective management and better patient outcomes, advocating for a multidisciplinary approach to care.

Links and Resources:

Dermnet page on HS: https://dermnetnz.org/topics/hidradenitis-suppurativa
UQ Dermatology Research Centre page on HS: https://dermatology-research.centre.uq.edu.au/research/hidradenitis-suppurativa
HS Patient Brochure: https://dermatology-research.centre.uq.edu.au/files/1915/HS-patient-education-and-treatment-guide-pamphlet.pdf

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Improving Patient Care: Professor Claire Jackson on the Future of E-Consult Services

Tue, 27 Aug 2024 03:30:00 +1000

In this episode, Dr Anna Mullins speaks with Professor Claire Jackson, a professor of general practice and primary care reform at the University of Queensland, about the e-consultation model and its impact on rural healthcare.

Professor Jackson describes the early days of the e-consult model, inspired by a successful program in San Francisco, and how it was initially trialled with positive results at Camp Hill Healthcare. The model, involving advice provided to GPs via a shared electronic medical record and email communication, has since expanded across Western Queensland and includes various clinicians from multiple medical specialties.

Delving into the role of Queensland Health in funding the e-consult model and discusses the importance of scaling the service statewide. Professor Jackson highlights the critical mass of referrals needed for service efficacy, as evidenced by experiences in Canada. She also addresses the challenges faced in getting GPs to notice and use the e-consult service.

They then discuss the broader challenges in general practice, such as administrative workload and funding issues. Professor Jackson reflects on how funding for general practice has evolved over the last 40 years and the current struggle to lobby for affordable support. The conversation emphasises the significance of maintaining a strong patient-GP relationship, especially during changes in practice models, and the unique mentorship and growth opportunities within the profession.

She notes the environmental benefits of e-consults, with a significant reduction in face-to-face visits and carbon footprint in rural areas. Furthermore, over 90% of GPs reported that the e-consult service greatly assisted in their management of cases and provided them with valuable educational advice.

Concluding with a discussion on the expansion plans for the e-consult service and the collaboration with the University of Ottawa to incorporate more specialties, thereby encouraging greater use among GPs.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Tackling Health Misinformation: Dr Preeya Alexander’s Multi-Faceted Approach to Health Education

Tue, 20 Aug 2024 03:30:00 +1000

In this episode, host Dr Anna Mullins speaks with Dr Preeya Alexander, a GP based in Melbourne who is passionate about preventative health. Dr Alexander utilises social media to debunk health myths and provide reliable health information to the public. She is also the author of "Rainbow Plate," "Eat Sleep Play Love," and "Full Plate," and the host of the podcast "Happy to Health."

Dr Alexander discusses the motivations behind her social media presence, which began in 2016 as a response to the spread of health misinformation. She shares her experiences managing her clinical practice, media engagements, and the challenges that come with addressing health misinformation online. Despite facing significant negativity from certain groups, including anti-vaccination activists, Dr Alexander remains committed to promoting evidence-based health information.

They also covered her approach to giving practical health advice on social media and her emphasis on preventative health. She highlights the importance of GPs providing small, actionable health tips to their patients, especially in areas like nutrition and physical activity. Discussing her books that focus on parenting and cooking, which provide practical, budget-friendly health advice.

Dr Alexander shares insights into her podcast, "Happy to Health," aimed at the general public. The podcast covers various health topics with expert guests, making complex medical information accessible and engaging for listeners.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

What Lies Ahead for General Practice: Exploring the Future of GPs with Dr Michael Wright

Tue, 13 Aug 2024 03:30:00 +1000

In this episode, host Dr Tim Koh welcomes back Dr Michael Wright, Chief Medical Officer for AVANT, for an insightful discussion on the future of general practice. Dr Wright brings his extensive experience and perspective, having grown up in a family of GPs and having served as a GP for over two decades.

Dr Wright delves into the evolving landscape of general practice, comparing the experiences of new GP fellows with those of previous generations. He emphasises the importance of defining the scope of practice for GPs, highlighting the need for comprehensive, coordinated, and continuous care. They also address the pressures on Medicare funding and the necessity for alternative funding models to support the sustainability of general practice.

Dr Wright shares his thoughts on technological advancements, such as AI and data integration, which could significantly transform the way GPs provide care. He also touches upon the rise of corporate ownership in general practices and the need to maintain various practice models to serve diverse populations effectively.

Finally, they discuss the future GP workforce, exploring concerns about declining trainee numbers and the steps required to make general practice a more attractive career path for medical students and junior doctors.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Maximising Efficiency: How AI is Revolutionising GP Practices with Dr Michael Wright

Tue, 06 Aug 2024 03:30:00 +1000

In this episode, host Dr. Tim Koh, joins Dr. Michael Wright, Chief Medical Officer for Avant to discuss the emerging role of artificial intelligence (AI) in general practice, specifically focusing on AI scribes.

Dr. Wright outlines the benefits and potential risks of integrating AI scribes into medical practice. He highlights how AI scribes can enhance consultation notes by accurately recording patient interactions, thus allowing GPs to focus more on patient care and less on administrative tasks. However, he also points out the medico-legal and privacy considerations that GPs must keep in mind, such as data storage and compliance with state regulations.

Delving into professional and ethical considerations. Dr. Wright advises GPs to thoroughly investigate how AI scribes function, including data handling and storage, and to ensure patient consent is obtained. He also emphasises the importance of verifying AI-generated notes for accuracy before they are saved as part of the patient’s medical record.

They conclude with Dr. Wright's outlook on the future applications of AI in general practice. He envisions AI supporting administrative efficiency, improving billing processes, and potentially revolutionising how patient data is integrated and utilised across healthcare systems. He encourages GPs to approach AI scribes with an open mind, to trial these tools in their practice, and to be mindful of ensuring that the quality and safety of patient care are maintained.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Digital Health Festival 2024: Medtech's Geoffrey Sayer on Transforming GP Software Systems

Tue, 30 Jul 2024 03:30:00 +1000

In this episode of The Good GP, hosts Dr Tim Koh and Dr Sean Stevens speak with Geoffrey Sayer, CEO of Medtech, at the Digital Health Festival 2024. Geoffrey introduces Medtech, an electronic health record system designed to service practices in Australia and New Zealand, providing a comprehensive patient practice management system (PMS).

Beginning with an overview of Medtech's capabilities and its market presence. Geoffrey highlights the importance of having a flexible and future-proof PMS that allows for customization and integration with other software applications adaptable to the diverse needs of general practices.

Geoffrey explains the concept of APIs (Application Programming Interfaces) and their role in enabling third-party software to interact with Medtech's system. He introduces Medtech’s Application Layer Exchange (ALEX®), a sandbox environment where developers can create and test new applications that integrate with their PMS. This fosters an ecosystem of innovation, allowing practices to customise their systems to meet specific requirements.

Dr Sean Stevens queries about the potential of an app store for PMS, to which Geoffrey acknowledges the growing trend but emphasises the need for standardised APIs to ensure cross-vendor compatibility. They then explore the technical feasibility for GPs to develop or commission customised applications, enhancing their practice management experience.

Geoffrey predicts a hybrid model of PMS combining local servers with cloud-based services, advancements in inbox management, and an increase in AI-assisted functions. He acknowledges the appetite amongst GPs for more innovative, flexible solutions and the role that smarter data integration, particularly with wearable devices, will play in the future.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

The Latest in Concussion Management: A Conversation with Dr Gill Cowen

Tue, 23 Jul 2024 03:30:00 +1000

In this episode, host Dr Catherine Bourke is joined by Dr Gill Cowen, a multi-talented expert with roles including a senior lectureship at Curtin Medical School and a clinical research fellow at the Curtin Health Innovation Research Institute, to discuss advancements in concussion management.

Defining concussion and elaborating on the latest Australian Sports Commission concussion guidelines released in February 2024. They covered various aspects of concussion, including preventive measures in sports, the importance of strict adherence to game rules, and the role of mouthguards and helmets. Dr Cowen clarifies that loss of consciousness is not required for a concussion diagnosis and outlines the serious conditions that GPs must not overlook.

Gaining insights into available diagnostic tools such as the post-concussion symptom score, SCAT 6, and the Vestibular Ocular Motor Screening Tool (VOMS). Dr Cowen also updates on current recommendations for post-concussion management, moving away from complete rest and instead advocating for relative rest and limited screen time in the initial 48 hours. They also discussed return-to-play protocols, particularly the revised 14-day symptom-free period before re-engaging in contact sports and a minimum 21-day interval for returning to play.

They emphasise a conservative approach to repeated concussions within a season and acknowledge ongoing research on chronic traumatic encephalopathy (CTE) and its association with repetitive head trauma. Dr Cowen highlights that, in the current absence of predictive tools, a cautious management approach should be employed.

References:

Concussion guidelines: https://www.connectivity.org.au/clinical-guidance/health-guidelines/
Concussion Fact Sheets: https://www.connectivity.org.au/guidance-for-clinicians/fact-sheets/
Free short concussion courses: https://www.connectivity.org.au/courses/
State Head Injury Unit Concussion Program: https://www.nmhs.health.wa.gov.au/Hospitals-and-Services/Public-Health/Head-Injury/Concussion
mTBI Healthpathway: https://wa.communityhealthpathways.org/246668.htm
Vestibular oculomotor screening (VOMS): https://www.youtube.com/watch?v=CJF6kJcFGqE
Sport-related concussion: https://sma.org.au/resources/concussion/

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Elbow Health: Managing Elbow Tendinopathies with Dr Chris Conyard

Tue, 16 Jul 2024 03:30:00 +1000

In this episode of The Good GP, host Dr Anna Mullins welcomes back Dr Chris Conyard, an upper limb surgeon based in Brisbane, to discuss elbow tendinopathies. He shares his expertise on the natural history of elbow tendinopathies, their examination, and effective management strategies.

They begin with an overview of elbow tendinopathies, including their prevalence, clinical presentation, and challenges associated with treatment. Dr Conyard highlights the importance of rest and specific eccentric loading exercises in rehabilitation and explains the typical clinical course.

Delving into the physical examination of the elbow, touching on specific tests such as Cozen's test to diagnose tennis elbow and techniques for identifying golfer's elbow. They discuss the relevance of imaging in diagnosis, specifically when it should be considered, particularly in cases of suspected arthritis or when initial management fails.

Dr Conyard also provides valuable insights into non-operative management, including the use of topical NSAIDs, physiotherapy, and braces. He advises caution against steroid injections and suggests PRP injections as a potential second-line treatment. Concluding with advice on when to refer patients to specialists and the utility of specific imaging and nerve conduction studies.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Shoulder Health: Rotator Cuff Injuries and Frozen Shoulder with Dr Chris Conyard

Tue, 09 Jul 2024 03:30:00 +1000

In this episode, Dr Anna Mullins speaks with Dr Chris Conyard, an orthopaedic surgeon with a fellowship in upper limb surgery, about the management of rotator cuff tears and frozen shoulders.

Dr Conyard sheds light on the natural history of shoulder conditions, particularly the prevalence and progression of rotator cuff tears. He highlights the significance of various risk factors, including hand dominance, manual labour, diabetes, and smoking. Dr Conyard also discusses the impact of muscle atrophy and fatty infiltration on surgical outcomes.

Providing a detailed overview of the shoulder examination for rotator cuff tears, covering essential tests such as the supraspinatus test, external rotation test, and subscapularis tests. Dr Conyard emphasises the role of functional assessment and the importance of early intervention in acute tears.

They also covered imaging and first-line treatments, including the use of steroid injections. Dr Conyard explains when to consider steroid injections and the implications of repeat injections. He offers guidance on when GPs should refer patients to specialists, particularly in cases of acute tears, symptomatic progression, and failed non-operative interventions.

Dr Conyard addresses the management of frozen shoulder, highlighting the usefulness of steroid injections and hydrodilatation, particularly in the initial phases of the condition. He also discusses when to consider referral for surgical interventions such as manipulation under anaesthesia (MUA) and arthroscopic release, backed by evidence from the UK Frost Trial.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Post Strep Glomerulonephritis: Diagnosis and Management Tips from Dr Allison Hempenstall

Tue, 02 Jul 2024 03:30:00 +1000

In this episode, Dr Krystyna de Lange is joined again by Dr Allison Hempenstall, a General Practitioner and Public Health Physician from Far North Queensland, to discuss acute post-streptococcal glomerulonephritis (APSGN).

Dr Hempenstall begins by defining APSGN and explaining how it is an acute autoimmune kidney condition triggered by a group A strep (GAS) infection. She elaborates on the socio-economic risk factors and the presence of nephrotoxic strains of group A strep that increase susceptibility to APSGN. Comparison is made with acute rheumatic fever, noting both similarities and differences.

Covering the classic triad of symptoms for APSGN – hypertension, haematuria, and oedema – and how to diagnose the condition through clinical presentations and laboratory investigations. Dr Hempenstall explains the importance of identifying haematuria through urine analysis and performing necessary tests for recent strep infections and complement levels (C3 and C4).

They then move to the appropriate management strategies, including the use of intramuscular penicillin for eradicating strep and symptom management through antihypertensives and fluid management. Dr Hempenstall emphasises the necessity of involving paediatricians for cases requiring hospitalisation and mentioning that any persistent hypertension in children should be addressed promptly.

Lastly, outlining longer-term follow-up protocols, stressing the importance of regular blood pressure and urine checks post-diagnosis and the role of health education in preventing future occurrences. Special attention to the importance of contact tracing and prophylactic measures for household contacts in order to curb the spread of nephrotoxic strains of group A strep.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Acute Rheumatic Fever and Rheumatic Heart Disease: Key Insights from Dr Allison Hempenstall

Tue, 25 Jun 2024 03:30:00 +1000

In this episode of The Good GP, host Dr Krystyna de Lange is joined by Dr Allison Hempenstall, a General Practitioner and Public Health Physician from Far North Queensland, to discuss acute rheumatic fever and rheumatic heart disease.

Dr Hempenstall begins by defining acute rheumatic fever as an immunological response to group A streptococcus, which can lead to a constellation of symptoms impacting the heart and joints. She explains the progression from acute rheumatic fever to rheumatic heart disease, a condition characterised by permanent valvular damage to the heart following of acute rheumatic fever.

Outlining the symptoms and diagnostic criteria for acute rheumatic fever, referencing the Jones criteria and the helpful tools available such as the Rheumatic Heart Disease Guidelines and the ARF and RHD app. She also provides insight into the criteria's major and minor manifestations, including carditis, polyarthritis, Sydenham’s chorea, Erythema marginatum, subcutaneous nodules, fever, elevated inflammatory markers, and prolonged PR interval on ECG.

Highlighting the necessary steps for diagnosing acute rheumatic fever, including auscultating the heart, documenting fever, performing a 12-lead ECG, and obtaining relevant blood tests. The need for bedside documentation and comprehensive differential diagnosis is also covered.

In terms of management, Dr Hempenstall focused on creating a culturally safe environment and initiating treatment for suspected acute rheumatic fever promptly. This includes administering intramuscular penicillin and managing symptoms with paracetamol, with specialist consultation as needed. She also stresses the importance of early echocardiograms and the involvement of public health units.

For long-term management, Dr Hempenstall discussed the necessity of secondary prophylaxis with penicillin injections and regular echocardiograms. She emphasises the continuing role of primary care practitioners in follow-up care, ensuring adherence to prophylaxis schedules, and coordinating ongoing specialist reviews and yearly dental checks.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Toddler Sleep Troubles: Insights and Solutions from Dr Tim Jones

Tue, 18 Jun 2024 03:30:00 +1000

In this episode of The Good GP, host Dr Krystyna de Lange welcomes back Dr Tim Jones, a General Practitioner and medical educator with a special interest in general paediatrics. Dr Jones shares his expertise on toddler sleep challenges, providing valuable insights and practical advice for GPs on how to address common sleep issues in young children.

Dr Jones discusses the variability of toddler sleep, emphasising the importance of sleep quality over quantity. He explains that while the average three-year-old requires about 12 hours of sleep per night, this can range from as little as nine hours to as much as 15 hours. The focus is on ensuring that the child is happy, healthy, and well-rested.

Dr Jones talks on the common presentations of toddler sleep issues in a general practice setting. He discusses the importance of thorough history-taking and screening for underlying medical conditions that might affect sleep, such as obstructive sleep apnea, eczema, and allergies. He emphasises the role of family dynamics, daytime sleep patterns, screen use, sugar intake, and physical activity in influencing sleep behaviour.

Various sleep strategies are explored, including addressing nighttime fears, managing dependency on specific items or people, and handling early morning wake-ups. Dr Jones highlights techniques like worry boxes, monster traps, and the "camping out" method to help children feel safe and transition to independent sleep.

Addressing the cautious use of pharmacological interventions, particularly melatonin, emphasising the lack of long-term safety data and potential side effects. He advises focusing on behavioural and environmental techniques before considering medication.

Dr Jones shares a valuable resource for practitioners: the Murdoch Children's Research Institute's "Sleep with Kip" website,

(https://sleepwithkip.com/) which offers evidence-based resources to support early childhood sleep.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Managing Menopausal Symptoms: Hormonal and Non-Hormonal Strategies with Dr. Marita Long

Tue, 11 Jun 2024 03:30:00 +1000

In this episode, Dr Krystyna de Lange continues the conversation on menopause with Dr Marita Long, discussing pharmacological management for troublesome menopausal symptoms.

Dr Long begins by addressing non-hormonal pharmacological options for women who either cannot use hormones or choose not to. She covers medications such as SNRIs (Venlafaxine or Desvenlafaxine), SSRIs, Gabapentin, Clonidine, and introduces Fesolinatant, a new treatment option recently approved by the TGA.

They then shift to hormonal menopause replacement therapy (MHT). Dr Long outlines which patients are suitable for hormonal therapy and which are not. She explains the different regimes, including cyclical and continuous treatment, emphasising the importance of matching therapy to the patient's specific needs based on their menopausal status and the presence of a uterus.

Covering the variety of hormone delivery methods available, such as oral, patches, and gels, noting the benefits and considerations of each form. Highlighting the importance of tailoring the approach to the patient's risk profile, particularly concerning cardiovascular health and breast cancer risk.

They concluded with Dr Long recommending effective resources such as the Australasian Menopause Society and Jean Hales for Women's Health, providing valuable information for both healthcare professionals and patients.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Menopause Insights: Assessment and Non Pharmacological Management Strategies with Dr Marita Long

Tue, 04 Jun 2024 03:30:00 +1000

In this episode of The Good GP Podcast, host Dr Krystyna de Lange welcomes back Dr Marita Long to discuss the important topic of menopause. With her extensive experience in women's health, Dr Long provides clear and concise definitions that help demystify the terminology surrounding menopause.

Explaining key terms such as menopause, perimenopause, premature menopause, and premature ovarian insufficiency. She outlines the clinical nuances and the symptomatic variations that can occur during these different stages. Providing an in-depth look at the symptoms that women may experience during the perimenopause to post menopausal transition, including mood changes, sleep disturbances, hot flashes, and cognitive changes like brain fog.

Moving into the assessment phase, Dr Long dives into the appropriate investigations and when they are indicated. She emphasises the importance of a comprehensive evaluation for women in the midlife phase, noting when hormonal evaluations might be necessary and when they can be misleading or unneeded.

The discussion also covers non-pharmacological management strategies, focusing on lifestyle modifications such as exercise, diet, stress management, and self-care practices. Dr Long highlights how interventions like cognitive behavioural therapy (CBT) and certain lifestyle changes can alleviate symptoms and improve overall well-being during this critical time.

They aim to equip general practitioners with the knowledge and tools needed to support women going through menopause more effectively and empathetically, reinforcing the importance of individualised care and thorough assessment.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Understanding the Intricacies of LFTs in Clinical Practice with Dr Chanika Ariyawansa

Tue, 28 May 2024 03:30:00 +1000

In this episode of The Good GP, hosts Dr Sean Stevens and Dr Tim Koh are joined by Dr Chanika Ariyawansa, a WA-trained chemical pathologist with additional training in genetic pathology. Dr Ariyawansa, who holds significant roles in the Australian Association of Clinical Biochemistry, delves into the nuances of liver function tests (LFTs), exploring patterns and implications of abnormal results.

Firstly, with an examination of the prevalence and general patterns of abnormal LFTs, highlighting the commonality of mild and transient abnormalities. Dr Ariyawansa clarifies common misconceptions regarding LFTs, emphasising that not all markers in the standard LFT panel are liver-specific or directly assess liver function.

They also explain in detail individual LFT components such as bilirubin, ALP, GGT, AST, and ALT. The guest expert also categorises potential abnormalities into hepatocellular, cholestatic, mixed, and non-hepatic causes, with practical insights on each. Special attention is given to non-hepatic causes, analytical causes, and how these might influence LFT interpretation.

Dr Ariyawansa's expertise shines as she discusses managing patient anxiety around abnormal LFT results and the practical aspects of educating patients about their liver health. She stresses the utility of resources such as the Pathology Tests Explained website for patient education.

Wrapping up with an engaging Q&A session addressing specific scenarios like non-drinking patients with isolated raised GGT and the impact of statins on LFTs. She answers with clinical relevance, offering listeners practical strategies for understanding and communicating complex test results in their practice.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com.

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Exploring Tuberculosis: A Deep Dive with Infectious Disease Expert Dr. Desmond Chih

Tue, 21 May 2024 03:30:00 +1000

In this episode of The Good GP, guest host Dr Catherine Bourke engages with Dr Desmond Chih, an esteemed infectious disease physician and microbiologist, in a comprehensive discussion about tuberculosis (TB). Dr Chih offers an in-depth exploration of the distinctions between latent and active tuberculosis, drawing from his extensive experience at Western Diagnostics Pathology, St John of God Hospital, and Royal Perth Hospital.

Focusing on the fundamental differences between latent TB, which involves a non-symptomatic infection contained by the immune system, and active TB, which is characterised by symptoms such as a prolonged cough, fevers, weight loss, and lymph node enlargement. Dr Chih elaborates on the diagnostic techniques, including the Tuberculin skin test and the QuantiFERON-TB Gold test, utilised to detect these conditions.

They then shift the discourse to the epidemiology of TB in Australia, discussing the incidence of active and latent TB predominantly among migrants and the crucial public health responses required. They also touch upon the global concerns related to TB, such as multidrug-resistant strains, and the implications these have on both treatment and containment strategies.

Addressing prevention strategies, particularly the importance of screening for latent TB in individuals who are about to undertake immunosuppressive therapies. The specialists responsible for prescribing these treatments are noted for their diligence in preemptive screenings to prevent the activation of latent TB infections.

Lastly, the conversation covers the management of active TB, reaffirming the use of the conventional four-drug regimen while also mentioning newer drug alternatives for resistant strains. Concluding with Dr Chih responding to listener questions about the risk factors and treatment options specific to various TB scenarios, providing a well-rounded perspective on managing this significant global health issue.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Identifying and Treating Thrombocytopenia: Expert Advice for GPs

Tue, 14 May 2024 03:30:00 +1000

In this episode of The Good GP, host Dr Tim Koh welcomes distinguished guest Professor Chan Cheah, a clinical and laboratory-based haematologist with a special interest in lymphoma. Professor Cheah, who practises at Sir Charles Gairdner Hospital and works with Western Diagnostic Pathology, explores the challenges and considerations of managing thrombocytopenia in general practice.

Professor Cheah begins by explaining what thrombocytopenia is and discusses its prevalence. He addresses common causes and sheds light on the pitfalls like pseudothrombocytopenia—where an artificial drop in platelet counts occurs due to platelet clumping in EDTA-treated tubes. Important advice is shared on how a different anticoagulant, such as citrate, can be used to overcome this issue.

He also explains the various age-related factors that should guide a GP's differential diagnosis process and details how different conditions might mimic or contribute to thrombocytopenia. He discusses important associated conditions such as Immune Thrombocytopenic Purpura (ITP), medication-induced reductions, and other infections that can manipulate platelet counts.

They then pivot to the necessary diagnostic steps and laboratory investigations that are vital in assessing a patient with low platelets. Professor Cheah rounds off the discussion by covering urgent conditions like thrombotic microangiopathies and other haematological abnormalities, stressing the importance of urgent and precise diagnosis in severe scenarios.

Join Professor Chan Cheah in uncovering the critical aspects of diagnosing and managing low platelet counts, a commonly encountered yet complex issue in general practice.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

From City to Country: Michael Clements and Kaylene Girgenti on Adopting Rural Clinics

Tue, 07 May 2024 03:30:00 +1000

In this episode, host Dr Sean Stevens welcomes Dr Michael Clements and Dr Kaylene Girgenti to discuss the practicalities and benefits of rural GP outreach. Dr Girgenti is a GP obstetrician with a unique practice split between Townsville and remote Karoombara Health Centre, which she commutes to by plane. Dr Clements is not only a pilot but also the Vice President of the RACGP, Chair of the Rural Faculty, and a practice owner of Clements Medical in Townsville and Magnetic Island.

Dr Girgenti shares her motivations behind taking on rural work, emphasising the diversity and fulfilment it adds to her practice, alongside the notable appreciation from the communities she serves. She encourages early career GPs to seek diversity and engage with diverse work environments that rural practice presents.

Dr Clements discusses the journey of integrating remote services into his practice, explaining the initial challenges and the rewards that result from providing critical services to underserved areas. He outlines the strategic approach to adopting a rural clinic from the perspective of an urban practice and the role of funding and clinical governance.

They also touched upon the dynamics of GP service in rural areas, including the importance of continuity of care and the value it brings to both the community and the healthcare provider.

Concluding with advice for urban GPs looking to extend their services to rural communities, highlighting the potential of such a model for adding excitement, scope, and a sense of mission to their practice.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

LARCs: Navigating Side Effects and Fertility Concerns with Dr Alison Creagh

Tue, 30 Apr 2024 03:30:00 +1000

In this episode of The Good GP, host Dr Sean Stevens along with Dr Rebecca Goadby interview Dr Alison Creagh, renowned for her expertise in intimate partner violence and contraceptive management. Alison addresses managing the side effects of long-acting reversible contraceptives (LARCs), focusing on contraceptive implants and intrauterine devices (IUDs).

Alison discusses the common issue of unpredictable bleeding with contraceptive implants, providing detailed insights into identifying potential causes, assessing the pattern of bleeding, and discussing management options with patients. She highlights the significance of ruling out abnormal causes and offers a range of strategies, including reassurance, combined pill usage, anti-inflammatory and hormonal options, and considering alternative contraceptives, if necessary. Additionally, she provides guidance on addressing weight gain, headaches, loss of libido, and concerns around fertility associated with long-acting contraceptives, dispelling myths and offering practical advice to reassure patients.

Their discussion then delves into challenges related to IUD insertions, addressing potential pain, bleeding, and cramping post-insertion. Alison outlines strategies for pain management during insertion, discusses the normality of bleeding patterns post-insertion, and shares management options for heavier bleeding or cramping.

The conversation concludes with Alison demystifying fertility concerns associated with LARCs, providing clarity on the rapid return to normal fertility post-discontinuation of contraceptive methods.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialization. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Exploring Progesterone Only Pills: Understanding Old and New Types with Dr Alison Creagh

Tue, 23 Apr 2024 03:30:00 +1000

In this episode of The Good GP, Dr Sean Stevens and Dr Rebecca Goadby welcome Dr Alison Creagh to discuss the differences between older progesterone-only pills - such as levonorgestrel and norethisterone - and the newer drospirenone ones. Alison outlines how the older pills primarily work through cervical mucus and, to some extent, blocking ovulation, while the newer drospirenone pills are more effective at blocking ovulation and have a wider window of time for pill intake. The impact on bleeding is also highlighted, with the drospirenone pills leading to more regular bleeding during the withdrawal section.

Discussing the cost and payment options for the different pills, with the older pills being more cost-effective for those with healthcare cards, while the newer ones are more forgiving in terms of timing. Additionally, contraindications and missed pill windows for the two types of pills are explored, with specific attention to potassium levels in relation to the newer drospirenone pills.

Alison further delves into the advice for the missed pill window and the potential side effects for both types of progesterone-only pills. The variability in individual responses to these pills is highlighted, as well as the potential need to try different types if hormonal side effects arise.

The episode concludes with Sean Stevens thanking Alison Creagh for her valuable insights and highlighting the important takeaways from the discussion.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Addressing Intimate Partner Violence: A Conversation with Dr. Alison Creagh on The Good GP

Tue, 16 Apr 2024 03:30:00 +1000

In this episode of The Good GP, host Dr Sean Stevens is joined by Dr Alison Creagh, a GP specialising in women's health and sexual and reproductive health, with over 20 years of experience in this field. Alison sheds light on the issue of intimate partner violence and its impact on the health of those affected, particularly women. She discusses how intimate partner violence differs from domestic violence and emphasises the importance of GPs in addressing this prevalent issue.

Delving into why patients may be reluctant to discuss intimate partner violence with their GPs and offers insights into how GPs can effectively broach this sensitive topic with their patients. Alison provides practical guidance on identifying potential signs of intimate partner violence and outlines gentle and effective approaches for GPs to initiate conversations with their patients.

Furthermore, Alison shares valuable resources and support services available to GPs and patients dealing with intimate partner violence, emphasising the need for confidentiality and sensitivity in handling such cases. Concluding with the discussion on additional learning opportunities and resources for GPs to further their understanding and approach in addressing intimate partner violence.

Resources for Getting Help on Intimate Partner Violence across Australia:

National

1800 RESPECT

Counselling, information and referral for people experiencing abuse, friends and family and health

professionals.

1800 737 732

MensLine Australia

For men with concerns about abuse, including those who are abusive.

1300 789 978

White Ribbon

Lists national helplines available according to needs.

whiteribbon.org.au/helplines

ACT

Domestic Violence Crisis Service

02 6280 0900

NSW

NSW Domestic Violence Line

Counselling and referrals for women experiencing DV

1800 656 463

NSW Department Communities and Justice

Online information source, with quick exit buttons

https://dcj.nsw.gov.au/children-and-families/family-domestic-and-sexual-violence.html

Women’s Domestic Violence Court Advocacy Services

Provide information, advocacy and referrals for women and children, and support accessing restraining orders

legalaid.nsw.gov.au/about-us/our-partners/womens-domestic-violence-court-advocacy-program

Domestic, family and sexual violence page from NT government

Lists local support services according to region

nt.gov.au/law/crime/domestic-family-and-sexual-violence/get-help-for-domestic-family-and-sexual-violence

QLD

DVConnect Womensline

Support, accommodation, counselling and referrals for women experiencing family or domestic violence

1800 811 811

DVConnect Mensline

Support, counselling and referrals for men affected

1800 600 636

Government Domestic & Family Violence page

Information about services available

qld.gov.au/community/getting-support-health-social-issue/support-victims-abuse/domestic-family-violence

Domestic Violence Prevention Centre

Counselling, practical support, safety planning and referrals

07 5532 9000

Domestic and family violence & sexual assault support services

Listings of supports available for specific issues

sa.gov.au/topics/family-and-community/safety-and-health/domestic-violence-and-sexual-assault/support-services

Domestic Violence Crisis Line

Crisis counselling, support and accommodation referrals

1800 800 098

TAS

Family Violence Counselling and Support Service

Information, support, safety planning, assistance with police, referrals

1800 608 122

health.tas.gov.au/health-topics/family-violence/family-violence-counselling-and-support-service-fvcss

VIC

Family Violence Statewide Support Services

Lists the relevant support services available

vic.gov.au/family-violence-statewide-support-services

Safe Steps

Crisis support, information and accommodation

1800 015 188

Crisis Care

Information and counselling for people in crisis

1800 199 008

Women’s Domestic Violence help

Information, referral, support, police liaison

1800 007 339

Men’s Domestic Violence help

For men who have experienced abuse themselves, or are concerned about their own abusive behaviour,

or been served with a restraining order

1800 000 599

Centre for Women’s Safety and Wellbeing

Searchable information about who can provide help:

cwsw.org.au/directory

Women’s Legal Service WA

Useful resources on legal issues

Wlswa.org.au

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

The Evolving Landscape of Telehealth: GPs Adaptation, Challenges, and Legal Considerations

Tue, 02 Apr 2024 03:30:00 +1000

In this episode, host Tim Koh is joined by Dr Michael Wright, Chief Medical Officer for Avant Mutual and Chair of RACGP Expert Committee on Funding and Health System Reform, to discuss the do's and don'ts of telehealth consulting. They delve into the guidelines set by the Medical Board of Australia, the legislative requirements for Medicare billing, and the considerations for conducting telehealth consultations effectively.

Michael emphasises the importance of maintaining the standard of care, patient identification, consent, and privacy protection in telehealth consultations. He also addresses the challenges and limitations of telehealth, including the need to transition to face-to-face consultations when necessary, staying compliant with Medicare billing requirements, and protecting oneself from potential issues and complaints related to telehealth consultations.

Discussing the implications of patients accessing medical advice from outside of Australia and the responsibilities of GPs practising telehealth while travelling abroad. Exploring the use of other forms of communication, such as SMS, electronic messaging, and email, in patient consultation and information provision.

Resources & Links:

For Medical Practitioners in General Practice

Stay updated on the latest in healthcare, delivery, and digital health by visiting Talking HealthTech, the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialization. If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Nirsevimab and the RSV Immunisation Strategy: The Good GP Special Episode

Tue, 26 Mar 2024 03:30:00 +1000

In this episode of The Good GP, Dr Sean Stevens welcomes Dr Paul Effler, Medical Coordinator of the Communicable Disease Control Directorate in WA, to discuss the new RSV immunisation, Nirsevimab. They explore the differences between traditional vaccines and Nirsevimab, its effectiveness, safety, target group, and the likelihood of a national rollout. They also dive into the seasonal patterns of RSV and the co-administration of Nirsevimab with other vaccines. Providing valuable insights into the development and potential impact of this new immunisation.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialization. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Cancer Survivorship and Supportive Care: Insights for GPs from Dr Sarah Heynemann

Tue, 19 Mar 2024 03:30:00 +1000

In this episode of The Good GP, Dr Sean Stevens welcomes Dr Sarah Heynemann, a Melbourne-based early career medical oncologist and PhD candidate with Sydney Health Ethics, The University of Sydney. Dr Heynemann brings valuable insights into the changes in cancer care and cancer survivorship over the years. She discusses the impact of advances in cancer therapies, such as immunotherapy and targeted therapies, on the prognosis and quality of life for patients with cancer, particularly those with historically poor prognoses. She emphasises the need for GPs to be aware of the ongoing supportive care needs of patients, even if the tumour appears stable, and highlights the importance of effective communication across multidisciplinary teams for comprehensive cancer survivorship care.

Additionally, Sarah sheds light on upcoming cancer therapies and emphasises the evolving role of GPs in navigating the complexities of cancer care.

Recommending two key resources – the Victorian Comprehensive Cancer Centre’s online course for primary care practitioners and the Australian Cancer Survivorship Centre based out of Peter MacCallum Cancer Centre. She also mentions an recent article in the Journal of Clinical Oncology which provides an overview of the future of survivorship for patients living with metastatic cancer.

Resources & Links:

'Cancer Survivorship for Primary Care Practitioners' VCCC course starts 25th March 2024. Weblink here: https://www.futurelearn.com/courses/cancer-survivorship
Australian Cancer Survivorship Centre based at Peter MacCallum Cancer Centre https://www.petermac.org/patients-and-carers/support-and-wellbeing/life-after-treatment

The article Sarah referenced was published last year in the Journal of Clinical Oncology https://ascopubs.org/doi/10.1200/JCO.22.02212?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Occupational Silicosis: Identifying Risks and Providing Support as a GP

Tue, 05 Mar 2024 03:30:00 +1000

In this episode of The Good GP, Dr. Krystyna de Lange is joined by Professor Lin Fritschi, an epidemiologist with expertise in occupational causes of cancer, to discuss the increasingly topical area of silicosis. They delve into the nature of silica dust, its harmful effects, and the occupational risks associated with it. Lin provides insights into the occupational screening needed for at-risk individuals, warning signs for symptomatic patients, and the counselling and preventative health points crucial for impacted patients.

Lin also sheds light on the mental health implications of silicosis, available compensation and support avenues, and essential resources for GPs to gather more information on the topic. Their discussion addressed the significance and urgency of acknowledging and addressing silicosis in the workplace and provides valuable guidance for healthcare professionals in dealing with affected patients.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

The Complexities of Polypharmacy: The Good GP with Deborah Hawthorne

Tue, 20 Feb 2024 03:30:00 +1000

In this episode of The Good GP Podcast, host Dr Krystyna de Lange engages in a discussion with guest Deborah Hawthorne, a rural-based clinical pharmacist from Northeast Victoria, about the complexities of polypharmacy and the crucial need to reduce unnecessary medications.

Deborah emphasises the integral role of GPs in coordinating patient care and the importance of regularly reviewing medications to align with patient care goals.

The discussion centres on the challenges of polypharmacy, the need for medication review and deprescribing, and practical strategies for GPs to consider in patient care.

Deborah delves into the importance of medication review and deprescribing, emphasising the need to assess current therapeutic impact, potential side effects, and patient satisfaction with medications. She highlights the challenges of deprescribing certain medications and the need to taper them off gradually.

Delving into the rewarding aspect of simplifying medication regimens and the act of deprescribing, encompassing the reduction of medication strength, changing dosing intervals, and identifying prescribing cascades.

Additionally, Deborah mentions the availability of tools and guidelines, such as the:

- Drugs Burden Index Calculator (DBI)

- Beers Criteria

- CEASE

- ERASE

You can find links to deprescribing guidelines at the Australian Deprescribing Network ( https://www.australiandeprescribingnetwork.com.au/) and the Primary Health Network in Tasmania (https://www.primaryhealthtas.com.au/resources/deprescribing-resources/)

Exploring home medication reviews, their benefits, and reasons for referral, such as polypharmacy and cognitive issues. Hawthorne emphasises the value of conducting medication reviews in a patient's home to assess medication use, storage, and techniques and to provide education and confidence in managing medications.

Learn more at: Talking HealthTech

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Top Tips for a Successful Placement in General Practice

Tue, 06 Feb 2024 03:30:00 +1000

In this special episode of The Good GP, Dr Krystyna de Lange is joined by a number of doctors from current GPs in training through to experienced GPs and GP supervisors to share their top tips for having a successful placement in General Practice. Whether you are a GP in training just starting out, a GP supervisor or practice owner who supports trainees or even a GP just wanting a refresh, there is something in this episode for everyone.

Dr Bruce Willett, immediate past Vice President of the RACGP, emphasises the importance of considering the patient in front of you as your responsibility.

Dr Rebecca Loveridge, recently appointed chair of the RACGP GPs in training faculty, recommends creating templates for study notes and exam preparation.

Dr Emmon Mubbashir, a new fellow and international medical graduate, provides insights on the right time to write fellowship exams.

Dr Clay Rowe, an RVTS registrar, shares the importance of preparing for exams from day one and treating each patient consult like an exam question.

Dr Michael Clements, current vice president of the RACGP, stresses the significance of using time as a diagnostic and therapeutic tool in general practice.

Dr Karen Savery, a GP and medical educator, encourages curiosity and asking questions as a key way to learn as a GP.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Transforming Workflow Efficiency: The Potential of AI Transcription Tools like Lyrebird Health

Tue, 02 Jan 2024 03:30:00 +1000

In this episode of The Good GP, host Dr Sean Stevens discusses the innovative use of AI in healthcare with Kai Van Lieshout, co-founder and CEO of Lyrebird Health, and Dr Ryan Vo, a practising GP and co-CEO of Nouveau Health Medical Centre Group.

Delving into the functionality and potential benefits of Lyrebird Health, a medical transcription tool that utilises AI to automate the process of transcribing doctor-patient consultations and generating comprehensive notes in as little as 10 seconds.

Kai explains the distinct features of Lyrebird Health, emphasising its ability to ambiently transcribe entire consultations in the background and automatically generate detailed notes, referrals, and patient letters post-consult.

The vision for Lyrebird Health is to empower healthcare practitioners by streamlining administrative tasks, enabling them to dedicate more time to patient care.

Dr Ryan Vo, as an end-user of Lyrebird Health, shares his experience of significant time savings, improved patient engagement, and enhanced rapport-building with patients. He underscores the tool's potential in streamlining processes, reducing operating expenses, and aiding clinicians in delivering enhanced patient care.

Kai addresses the risks associated with AI in healthcare, highlighting the importance of adherence to regulations governing software as a medical device, data privacy, and security. They also talked about the future potential of AI in general practice, with a focus on automation and how it can enhance patient care, practice efficiency, and streamline workflows.

Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

Build the Career and Lifestyle You’ve Been Looking For, in the Vines.

Doctors 4 Mudgee Region

Celebrate the festive season with a Parkrun!

Tue, 19 Dec 2023 03:00:00 +1000

In this episode of The Good GP, host Dr Tim Koh welcomes Glen Turner, Australia Health Lead of Parkrun Australia, to discuss the global health and social phenomenon that is Parkrun.

As one of the largest weekly 5-kilometre events held in thousands of locations worldwide, Parkrun encourages physical activity, volunteering, and community support. Glenn and Tim delve into the non-competitive and inclusive nature of Parkrun, its relationship with general practitioners through the Parkrun Practices initiative, and the substantial evidence supporting its health benefits for both physical and mental well-being.

They further encourage listeners to participate in Parkrun during the holiday season and share how to find and engage with Parkrun events in their communities.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Artificial Intelligence (AI) and Large Language Models (LLMs) in General Practice

Thu, 07 Dec 2023 03:00:00 +1000

In this episode of The Good GP, Dr Sean Stevens welcomes Dr Roy Mariathas, a RACGP Fellow and digital health entrepreneur.

Roy discusses the rise of artificial intelligence, its applications in healthcare, and the ethical considerations surrounding its use.

He shares insights into the development of generative AI technologies like large language models and provides recommendations for GPs utilising software that incorporates AI.

Roy also reflects on his experience in the Australian Clinical Entrepreneur Programme (AUSCEP) and its impact on his understanding of the intersection between healthcare and technology.

Resource & Links:

An analogy for LLMs/transformers - https://www.linkedin.com/pulse/gps-guide-chatgpt-dr-roy-mariathas-nlsbc/

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

The Unique Aspects of H. pylori in Paediatric Gastroenterology

Tue, 14 Nov 2023 03:00:00 +1000

In this episode of The Good GP, Dr Madhur Ravikumara (Ravi), a paediatric gastroenterologist, joins host Dr Sean Stevens to discuss the topic of Helicobacter pylori (H. pylori) infection in children.

Dr Ravi explains the differences between H. pylori infection in children and adults, highlighting that most children with this infection are asymptomatic. He emphasises that there is no evidence to support treating or eradicating H. pylori in children unless they have peptic ulcer disease. Dr Ravi also discusses the low risk of complications, such as peptic ulcer disease and gastric malignancies, in children with H. pylori infection.

Dr Ravi further explains that the current paediatric guidelines strongly recommend against the test and treat strategy for H. pylori in children. He emphasises that the primary goal of investigating GI symptoms in children is to find the cause and manage it, but there is no specific clinical symptom that indicates the presence of H. pylori. Therefore, routine testing for H. pylori in children is not recommended.

The episode delves into the potential beneficial effects of H. pylori in the stomach lining, such as protection against allergic conditions like asthma, eczema, and eosinophilic esophagitis, as well as a potential inverse relationship with the development of inflammatory bowel disease. Dr Ravi highlights that while these associations do not necessarily indicate causation, experiments have shown specific benefits of H. pylori in mitigating inflammatory bowel disease.

The episode concludes with Dr Ravi addressing the question of when to treat H. pylori in children and the need for further research to determine follow-up protocols and risk factors for gastric cancer in those with H. pylori infection.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network — the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialization. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Links & Resources:

Helicobacter pylori in children: think before you kill the bug!

Joint ESPGHAN/NASPGHAN Guidelines for the Management of Helicobacter pylori in Children and Adolescents (Update 2016)

Pain and Musculoskeletal procedures - sticking what where and why? Pt 2 of 2

Tue, 07 Nov 2023 11:30:00 +1000

In this episode of The Good GP, host Dr. Sean Stevens continues the discussion on interventional pain management with guest Dr. Robin Park, a GP and pain specialist.

Head back to episode 140 of this podcast to catch up on part 1 of this discussion.

In this episode, Robin continues to provide insights on the role of radiologists in performing procedures such as CT-guided interventions and emphasises the importance of clinical expertise in interpreting radiology reports.

He also highlights the need for a multidisciplinary approach and the role of GPs in organising a patient's care before referring to a radiologist or pain specialist.

Robin discusses the types of procedures that radiologists can comfortably perform, including epidural guided injections and nerve root sheath injections. He mentions that some radiologists may also perform radio frequency ablation, although it is less common. He advises that GPs should be comfortable diagnosing and managing the condition before referring to a radiologist. He also mentions the availability of additional training for GPs in musculoskeletal medicine through organisations like the Australian Association of Musculoskeletal Medicine.

The conversation then shifts to the signs that indicate a patient is unlikely to benefit from interventional procedures. Robin highlights the importance of patient motivation and engagement in their own care. Unrealistic expectations and the desire for a complete elimination of pain are factors that may indicate a patient is unlikely to benefit from a procedure.

Robin stresses the importance of effective communication in managing patient expectations and helping them understand the limitations of interventional procedures. He emphasise the need for a comprehensive approach that includes psychological support, physiotherapy, and occupational therapy in conjunction with interventions.

To learn more about interventional pain management and the role of radiologists and pain specialists, tune in to this informative episode of The Good GP.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Pain and Musculoskeletal procedures - sticking what where and why? Pt 1 of 2

Tue, 31 Oct 2023 03:00:00 +1000

In this episode of The Good GP, Dr Robin Park, a GP pain specialist, joins host Dr Sean Stevens to discuss procedures in pain management, in part 1 of a 2 part discussion.

Robin shares his insights on common procedures and how GPs can determine who is likely to benefit from them.

Robin emphasises the importance of a comprehensive approach to pain management, which includes education, allied health input, and pharmacological management.

He stresses the need to view procedures as part of a larger plan that involves rehabilitation. Procedures, such as injections, provide a window of opportunity for patients to engage in rehab and improve their quality of life.

Robin also highlights the importance of managing patient expectations. While patients may desire a quick fix, it is crucial to communicate that procedures alone are not a cure-all. Rehabilitation and hard work are essential components of effective pain management.

Throughout the episode, Sean and Robin discuss various diagnostic procedures, such as diagnostic blocks, that can help confirm the source of pain. These procedures involve injecting local anaesthetic near specific nerves to determine if the pain is alleviated, thus providing diagnostic insight.

Tune in to this educational episode of The Good GP to learn more about procedures in pain management and how they can be integrated into a comprehensive approach to patient care.

Listen out for the second part of this discussion, in an episode to be released next on this feed.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

A GPs role in Preventing Nuclear War, an interview with Tilman Ruff

Tue, 24 Oct 2023 03:00:00 +1000

In this episode of The Good GP, Dr Sean Stevens speaks with Dr Tilman Ruff, an infectious diseases and public health physician, where they discuss the alarming risks of nuclear war and the role of health professionals in preventing it.

Dr Ruff sheds light on the significant threat posed by nuclear weapons and the urgent need for action to prevent their catastrophic consequences. Drawing attention to the recent movement of the Doomsday Clock, Dr Ruff explains the various factors contributing to the elevated risk, including geopolitical conflicts, failure of disarmament efforts, global climate change and escalating cyberwarfare. He emphasises the responsibility of health professionals to advocate for nuclear disarmament and highlights the impact that evidence-based advocacy can have in achieving reductions in nuclear arms.

Throughout the episode, Dr Ruff emphasises the importance of informed discussions and education on the risks of nuclear war. He urges health professionals, medical organisations, and individuals to engage in conversations about this critical issue, integrating it into teaching and organisational activities. Dr Ruff also highlights the potential impact of divestment from companies involved in nuclear weapons production, encouraging listeners to consider moving their funds to institutions that align with their values.

As the episode concludes, Dr Stevens and Dr Ruff emphasise the need for collaboration and engagement at all levels, from individuals to governments. They encourage listeners to support organisations like the Medical Association for Prevention of War and engage with local, state, and federal government levels to advocate for nuclear disarmament and the protection of global health.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Non Invasive Prenatal Testing (NIPT)

Tue, 17 Oct 2023 03:00:00 +1000

In this episode of The Good GP, host Dr Krystyna de Lange is joined by Dr Alison Archibald, a Certified Genetic Counsellor at the Victorian Clinical Genetic Services, to discuss noninvasive prenatal testing (NIPT).

NIPT is a screening test that looks at small pieces of DNA in the maternal blood to identify chromosome conditions in the foetus. This test can be done from about 10 weeks gestation onwards, and it can detect conditions like Down syndrome, trisomy 18, and trisomy 13. It can also determine foetal sex and screen for a wider range of chromosome conditions through genome-wide NIPTs.

Dr Archibald explains that NIPT can be offered to all pregnant women, but it's important to understand that it is a screening test and not diagnostic. False positive and false negative results can occur due to the analysis of placental DNA instead of foetal DNA. Diagnostic tests like amniocentesis should be offered to confirm any chromosome conditions indicated by NIPT. Furthermore, NIPT does not detect genetic conditions caused by smaller changes in DNA or single gene conditions.

The discussion also touches on the differences between NIPT and combined first trimester screening (CFTS). While NIPT is a more advanced screening test with higher sensitivity and lower specificity, CFTS is still a good alternative if the cost of NIPT is a concern. It is important for patients having NIPT to also undergo the 12-13 week ultrasound to assess foetal anatomy. Dr Archibald emphasises the significance of offering the ultrasound alongside NIPT to avoid missing any foetal abnormalities early on.

In terms of counselling patients about NIPT, Dr Archibald suggests explaining that it is a screening test with false positive and false negative results. Patients should be aware of the limitations of NIPT and understand what it does not cover. It is important to discuss the need for diagnostic tests if NIPT indicates an increased chance of a chromosome condition. Ultimately, the goal is to provide patients with comprehensive information about NIPT so they can make informed decisions.

Resources mentioned in this episode:

NIPT 101 (resource for practitioners): https://rise.articulate.com/share/ENEMgJZ0gB6_HRctkNu7cH3mpWMtO74g#/lessons/hw6hg1a8XFU-vCZzL5HC4b3BpYYzAHzd
Your choice decision aid (for patients): https://yourchoice.mcri.edu.au
Down Syndrome Queensland practice resource (for practitioners) https://prenatalscreening.org.au/resources/prenatal-screening-practice-resource/
One screened every minute: https://onescreenedeveryminute.com/

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com.

Upskilling in Trans and Gender Diverse Care: Tips for GPs

Tue, 10 Oct 2023 03:00:00 +1000

In this episode of The Good GP, Dr Sean Stevens speaks with Dr Michelle Dutton, the inaugural chair of the newly established Trans and Gender Diverse Healthcare Specific Interest Group (SIG) at the RACGP.

Dr Dutton shares the goals of the SIG, which revolve around creating a safe and accepting environment for trans and gender diverse people to receive healthcare and empowering GPs to provide comprehensive care. The episode explores the need for upskilling in this area and provides a range of resources, including the trans and gender diverse healthcare page on GP learning and TransHub, a user-friendly resource for clinicians and patients.

Dr Dutton also highlights the importance of joining the SIG to stay updated on educational opportunities.

The conversation also explores the challenges in gender diverse care, with a focus on combating disinformation and stigma surrounding trans identities. Dr Dutton reassures GPs that GP-led care for trans adults, including gender affirming hormone therapy, is supported by major national and international organisations. The episode concludes with a discussion on the power of simple gestures, such as using correct names and pronouns, in making trans patients feel safe and cared for.

To join the Trans and Gender Diverse Healthcare Specific Interest Group (TGD SIG) send an email to gpsi@racgp.org.au

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Paediatrics - nocturnal enuresis (bet-wetting)

Thu, 05 Oct 2023 03:00:00 +1000

In this episode of The Good GP, host Dr Krystyna de Lange is joined once again by Dr Tim Jones, a GP in Hobart with a special interest in general paediatrics.

The topic of discussion is nocturnal enuresis or bedwetting in children.

Dr Jones shares insightful information about the commonality of bedwetting, explaining that by the age of four, one in three children still experience bedwetting, with the numbers decreasing as they get older.

Dr Jones emphasises the importance of addressing the social and emotional impacts of bedwetting, even though it tends to resolve naturally over time.

Dr de Lange asks Dr Jones about his approach to taking a history and conducting an examination when families seek help for bedwetting. Dr Jones highlights the significance of understanding whether bedwetting is a new concern or has always been present, as this can determine the underlying cause. He also discusses the importance of looking for associated conditions such as polydipsia, polyuria, constipation, and obstructive sleep apnea. Dr Jones concludes his explanation by outlining the key aspects of his examination, including palpating the child's abdomen, considering a genital exam, and assessing for signs of spina bifida or tethered cord.

Moving on to management, Dr de Lange asks Dr Jones about the general advice he gives to families once primary bedwetting with no underlying causes has been established. Dr Jones stresses the importance of understanding the parent's perception of bedwetting and tailoring the advice accordingly. He highlights the need to reassure parents that bedwetting is normal and not caused by anything the child is doing. Quoting statistics about the prevalence of bedwetting can help normalise the situation for families. Dr Jones and Dr de Lange also discuss the fact that in many cases, the child themselves are not overly worried about bedwetting unless it has been made a big issue within the family. Reassurance and de-stigmatization are often enough to alleviate concerns. Dr Jones also shares his perspectives on medication management and when medications like Desmopressin and other medications might be prescribed.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Paediatrics - management of behavioural challenges

Tue, 03 Oct 2023 03:00:00 +1000

In this episode of The Good GP, host Dr Krystyna de Lange continues her conversation with Dr Tim Jones about the management of behavioural challenges in paediatric populations.

Dr Jones emphasises the importance of focusing on one issue at a time in order to make a positive difference in the child and family's day-to-day wellbeing. He also encourages GPs to provide safe and supportive spaces for families, advocating for the child's voice and collaborating with allied health supports and learning environments.

Additionally, Dr Jones discusses the value of parenting courses such as the Circle of Security program and the Positive Parenting Program, as well as the accessibility of parenting podcasts for busy families seeking additional information and support.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com.

Paediatrics - assessment of behavioural challenges

Thu, 28 Sep 2023 08:30:00 +1000

In this episode of The Good GP, Dr Krystyna de Lange is joined by Dr Tim Jones, a GP based in Hobart with a particular interest in paediatrics. The focus of today's episode is on the assessment of behavioural challenges in children. Dr Jones discusses the impact of the pandemic on the mental and emotional well-being of children and families, as well as the challenges faced by primary care physicians in providing support and assistance.

Dr Jones shares the various behavioural challenges he has seen in his practice, including difficulties with school reintegration, social fear, and meltdowns, among others. He emphasises the importance of taking a comprehensive approach to assessment and acknowledges the need for dedicated time and space to appropriately address these challenges.

Dr de Lange and Dr Jones also discuss the importance of building rapport with the child and their family during the consultation. Recognising that families may already be overwhelmed, Dr Jones emphasises the need to focus on incremental progress and addressing the most pressing issues.

What to expect at WONCA 2023

Tue, 26 Sep 2023 03:00:00 +1000

In this episode of The Good GP, host Dr Tim Koh interviews Associate Professor Karen Flegg, the President elect of WONCA. They discuss the upcoming WONCA conference in Sydney and why it's a special occasion for Australian GPs, being the 50th anniversary of the Melbourne conference. Karen shares her excitement about meeting colleagues from around the world and attending workshops and sessions to learn from international GPs. She also highlights the importance of environmental issues and the support of WONCA's Working Party on the Environment. The episode concludes with a discussion on how WONCA supports general practice education globally and advocates for the role of GPs in primary healthcare.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

The keys to success for seeing doctors as patients

Thu, 21 Sep 2023 03:00:00 +1000

In this episode of The Good GP, host Dr Sean Stevens chats with Dr Helen Wilcox, a GP, Doctor of Medicine Program Director at UWA and Medical Director of the Doctor’s Health Advisory Service WA, about the nuances of doctors seeking medical care.

In this episode Dr Wilcox emphasises the importance of doctors becoming patients too, highlighting the advantages of objective care, specialist referrals, and legal protections.

They discuss the common hesitations doctors have in seeking their own medical care, such as time constraints and privacy concerns. Practical tips are offered for doctors treating fellow professionals, stressing the need for mutual respect and confidentiality.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network, the premier audio destination for incisive insights and expert opinions in healthcare delivery, digital health, and innovation. Learn more at www.talkinghealthtech.com/podcast/network

For any queries or to get in touch with The Good GP, send an email to thegoodgp@gmail.com.

Atrial Fibrillation - non-pharmacological management

Tue, 19 Sep 2023 03:00:00 +1000

In the final episode of this three-part series on atrial fibrillation (AF), Dr Tim Koh speaks with Dr Ben King from Advara HeartCare about non-pharmacological management. They focus on lifestyle adjustments like weight loss, sleep apnea treatment, and alcohol moderation.

The conversation shifts to procedural options, discussing catheter ablation techniques such as cryoballoon and radiofrequency. Dr King underscores the key role of isolating pulmonary veins. They also touch on pulse field ablation and its use of DC current, as well as the efficacy and limitation of electrical cardioversion and how it may need to be complemented by anti-arrhythmic drugs.

For any queries or to get in touch with The Good GP, send an email to thegoodgp@gmail.com.

Atrial Fibrillation - Medication Management

Thu, 14 Sep 2023 03:00:00 +1000

In this second episode of a three-part series on atrial fibrillation (AF), host Dr Tim Koh and Dr Ben King - Cardiologist and Electrophysiologist at Advara HeartCare, focus on medical management. They discuss stroke prevention, highlighting the criteria for anticoagulant use and the advantages of newer oral anticoagulants (NOACs) over warfarin.

The episode also covers rate control medications like beta-blockers and their impact on exercise-induced tachycardia. Dr King briefly touches on managing AF in patients with other conditions like heart failure and diabetes, as well as the role of lifestyle changes.

For any queries or to get in touch with The Good GP, send an email to thegoodgp@gmail.com.

Atrial Fibrillation - diagnosis

Tue, 12 Sep 2023 03:00:00 +1000

In this episode of The Good GP, host Dr Tim Koh talks with Dr Ben King, a Cardiologist and Electrophysiologist, about navigating the maze of diagnosing atrial fibrillation (AF).

They discuss the common symptoms like palpitations and breathlessness, and delve into the role that wearables play in incidental findings. The conversation also covers important diagnostic steps for GPs, such as confirming via ECG and considering four key areas upon diagnosis: upstream causes, stroke risks, heart failure risks, and symptomatic gains.

Listen to understand the significance of various investigations before making a referral, such as the use of echo, and how it informs treatment choices. They also tackle the challenges in diagnosis, including the necessity for prolonged monitoring in certain cases.

For any queries or to get in touch with The Good GP, send an email to thegoodgp@gmail.com.

Cyber security risks that every GP owner should know

Thu, 07 Sep 2023 03:00:00 +1000

In this episode of The Good GP, host Dr Sean Stevens interviews Jerome Chiew, Vice Chair of the Australian Computer Society in Western Australia and a certified professional in cybersecurity.

Jerome shares insights on the three most common cybersecurity incidents that GPs may experience, including phishing emails, malvertising through search engines, and password compromises through the use of cloud services.

He provides practical advice on how to mitigate these risks, such as enabling two-factor authentication, subscribing to email filtering services, and installing up-to-date antivirus software.

Useful resources and links mentioned in this episode:

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network, offering cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at talkinghealthtech.com/podcast/network.

Have questions or want to contact The Good GP? Send an email to thegoodgp@gmail.com.

Understanding Cushings Syndrome

Tue, 05 Sep 2023 03:00:00 +1000

In this episode of The Good GP Podcast, host Dr Tim Koh speaks with Dr Ranita Siru Sabatino about the complexities of diagnosing and managing Cushing syndrome.

They discuss the variety of symptoms and signs of Cushing syndrome, such as muscle weakness and thin skin, and why it's crucial to understand these for early detection.

They also talk about the challenges in diagnosing the condition due to its overlap with other common ailments like obesity, making it a slippery subject for medical professionals.

Also listen to learn about the recommended diagnostic tests like late-night salivary cortisol and 24-hour urinary free cortisol, emphasising their importance in overcoming the limitations of standard cortisol measurements.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Diagnosing Secondary Hypertension

Thu, 31 Aug 2023 03:00:00 +1000

In this episode, Dr Ranita Siru Sabatino, a clinical endocrinologist and expert in chemical pathology and endocrinology, speaks with host Dr Tim Koh and provides valuable insights into the diagnosis of secondary hypertension.

Dr Siru Sabatino starts by defining what secondary hypertension is and share common indicators that may suggest a patient has secondary hypertension. The discussion covers the prevalence, causes, and risk factors associated with secondary hypertension, including renal and endocrine causes, renal vascular diseases, obstructive sleep apnea, drug and medication causes, and more. Dr Siru Sabatino also highlights the significance of a comprehensive physical examination and the importance of specific investigations to confirm the diagnosis.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Recurrent Staph Infections

Tue, 29 Aug 2023 03:00:00 +1000

Join your host for this episode Dr Krystyna de Lange for a discussion with Dr Angie Berkhout, Paediatric Infectious Disease Specialist about the common infections caused by staphylococcus aureus and the factors that contribute to recurrences.

Learn about the prevalence of MRSA and what GPs need to know about it, including when to consider swabbing and antibiotic choices. Also hear about staph eradication regimes and when they may be indicated.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Wearable technology for health and patient care – Episode 124

Fri, 02 Jun 2023 01:32:23 +1000

In this episode, The Good GP interviews Dr Lauren Cheung, Senior Manager on the Clinical Team at Apple on the role of wearable technology in health and patient care. This episode explores the cardiovascular features of wearables such as the Apple Watch, including the ECG App and irregular rhythm notifications. Resources: Apple Health webpage for clinicians: https://www.apple.com/healthcare/apple-watch/ Whitepaper - Using Apple Watch for arrhythmia detection: https://www.apple.com/healthcare/docs/site/Apple_Watch_Arrhythmia_Detection.pdf

Autism in the paediatric population: Live from GP22 – Episode 123

Fri, 19 May 2023 07:28:09 +1000

In this episode, live from GP22 the RACGP National Conference, The Good GP interviews GP Dr James Best on Autism in the paediatric population. This episode explores what is Autism, how it might present in general practice, approaching the consult, preparing parents and the resources and screening tools available. ** This podcast is recorded live from GP22, therefore the audio is of lower quality. Thank you for your understanding and we hope you enjoy this episode. ** Resources: Autism awareness - https://www.autismawareness.com.au/ Austism what’s next? - https://www.autismwhatnext.com.au/ Raising children network - https://raisingchildren.net.au/autism Book – Australian autism handbook https://www.simonandschuster.com.au/books/The-Australian-Autism-Handbook/Benison-OReilly/9781925183849 AS detect - https://asdetect.org/

Reflective writing for doctor wellbeing – Episode 122

Fri, 14 Apr 2023 05:04:02 +1000

In this episode, The Good GP interviews Dr Hilton Koppe on reflective writing in general practice and its role in doctor wellbeing. Hilton is a GP, medical educator and published author. Resources: - One Curious Doctor, Hilton Koppe: https://www.hiltonkoppe.com/Shop.php - Upcoming events and webinars on writing: https://www.hiltonkoppe.com/events.php - Expressive Writing: Words that heal. James W. Pennebaker and John F. Evans If you have a question or would like to get in touch with The Good GP, please email thegoodgp@gmail.com.au

Female leadership in general practice with Nicole Higgins – Episode 121

Fri, 03 Mar 2023 07:42:34 +1000

In this special episode for International Women's Day, The Good GP interviews RACGP President Dr Nicole Higgins on the topic of female leadership in general practice.

The power of data: Live from GP22 – Episode 120

Mon, 27 Feb 2023 09:03:28 +1000

In this episode, live from GP22 the RACGP National Conference, The Good GP interviews GP and founder of Doctors Control Panel, Dr Anton Knieriemen and Cubiko CEO, Chris Smeed on the power of data. This episode explores the value of data and how GPs can harness data effectively and use it to improve patient care. ** This podcast is recorded live from GP22, therefore the audio is of lower quality. Thank you for your understanding and we hope you enjoy this episode. **

ADHD guidelines – Episode 119

Fri, 27 Jan 2023 00:30:08 +1000

In this episode, The Good GP interviews Professor Mark Bellgrove on the new clinical practice guideline for ADHD. Mark is the Director of Research at the Turner Institute for Brain and Mental Health, Monash University and Author of the new Australian Evidence-Based Clinical Practice Guideline for Attention Deficit Hyperactivity Disorder (ADHD). Resources: - ADHD guidelines: https://adhdguideline.aadpa.com.au/ - RACGP ADHD, ASD and Neurodiversity specific interest group: https://www.racgp.org.au/the-racgp/faculties/specific-interests/become-a-member If you have a question or would like to get in touch with The Good GP, please email thegoodgp@gmail.com.au

Lower urinary tract symptoms (LUTS) in males – Episode 118

Fri, 13 Jan 2023 02:30:51 +1000

In this episode, The Good GP interviews Urologist, Dr Matthew Roberts on the assessment and management of lower urinary tract symptoms (LUTS) in males. This episode explores screening, symptoms, causes and the examination and management of LUTS in males. If you have a question or would like to get in touch with The Good GP, please email thegoodgp@gmail.com.au

Recurrent UTIs – Episode 117

Wed, 04 Jan 2023 09:04:35 +1000

In this episode, The Good GP interviews Urologist, Dr Matthew Roberts on recurrent urinary tract infections (UTIs). This practical episode explores the causes, risk factors, the initial work-up and management including pharmacological and non-pharmacological treatments. If you have a question or would like to get in touch with The Good GP, please email thegoodgp@gmail.com.au

Transgender Medicine: Part 2 – Episode 116

Fri, 25 Nov 2022 06:52:30 +1000

In part-two of this two-part series, The Good GP once again interviews Dr Penny Wood and Dr Sally Murray on transgender medicine. In part two, we explore the approach to the gender affirming therapy including the options, the medications used and the assessment for readiness. Dr Sally Murray is a Sexual Health Physician and Dr Penny Wood is a GP, both with a special interest in transgender medicine. If you have a question or would like to get in touch with The Good GP, please email wa.events@racgp.org.au Resources: GPDU for Gender Affirming Healthcare - www.facebook.com/groups/483154695810266 Auspath - auspath.org.au/standards-of-care/ Equinox - equinoxdotorgdotau.files.wordpress.com/2018/…ormed - consent-guidelines.pdf UCSF - transcare.ucsf.edu/ Transhub - www.transhub.org.au/

Transgender Medicine: Part 1 – Episode 115

Fri, 11 Nov 2022 08:37:51 +1000

In part-one of this two-part series, The Good GP interviews Dr Penny Wood and Dr Sally Murray on transgender medicine. In part one, we explore the GP’s role, psychological support and available resources, guidelines and online forums. Dr Sally Murray is a Sexual Health Physician and Dr Penny Wood is a GP, both with a special interest in transgender medicine. If you have a question or would like to get in touch with The Good GP, please email wa.events@racgp.org.au Resources: GPDU for Gender Affirming Healthcare - https://www.facebook.com/groups/483154695810266 Auspath - https://auspath.org.au/standards-of-care/ Equinox - https://equinoxdotorgdotau.files.wordpress.com/2018/08/equinox-informed - consent-guidelines.pdf UCSF - https://transcare.ucsf.edu/ Transhub - https://www.transhub.org.au/

National Bowel Cancer Screening Program – Episode 114

Fri, 04 Nov 2022 08:53:17 +1000

In this episode, The Good GP interviews Dr Hooi Ee on the National Bowel Cancer Screening Program and the role GPs play. Dr Hooi Ee is a specialist Gastroenterologist and head of Gastroenterology at Sir Charles Gairdner Hospital in Perth. If you have a question or would like to get in touch with The Good GP, please email thegoodgp@gmail.com.au

CT Coronary Calcium Scores In Cardiovascular Risk Assessment – Episode 113

Fri, 28 Oct 2022 02:52:26 +1000

In this episode, The Good GP interviews Dr Vance Manins on CT Coronary calcium scoring. Vance explains CT Coronary calcium scoring and the difference between CT Coronary calcium scores and CT coronary angiography. This episode also covers when to refer for a scan and tips for interpreting the scans and calcium scores for your patients. Dr Vance Manins is a cardiologist with a special interest in advanced cardiac failure and cardiac imaging, particularly all aspects of echo and cardiac CT. Resource: https://www.heartfoundation.org.au/Bundles/For-Professionals/for-professionals-coronary-artery-calcium-scoring If you have a question or would like to get in touch with The Good GP, please email wa.events@racgp.org.au

Internet-based cognitive behavioural therapy (iCBT): Part 2 – Episode 112

Mon, 03 Oct 2022 09:30:18 +1000

In part-two of this two-part series, The Good GP interviews Dr Mike Millard on internet-based cognitive behavioural therapy, or iCBT and This Way Up, the evidence-based online treatment for anxiety and depression. In part two, Mike covers the courses available on This Way Up. We also explore who can access This Way Up and how GPs can refer/prescribe. Dr Mike Millard is a Consultant Psychiatrist and Clinical Director of the Clinical Research Unit for Anxiety and Depression (CRUAD) at St Vincent’s Hospital and the University of NSW. This Way Up: thiswayup.org.au/ If you have a question or would like to get in touch with The Good GP, please email wa.events@racgp.org.au

Internet-based cognitive behavioural therapy (iCBT): Part 1 – Episode 111

Fri, 02 Sep 2022 05:27:04 +1000

In part-one of this two-part series, The Good GP interviews Dr Mike Millard on internet-based cognitive behavioural therapy, or iCBT and This Way Up, the evidence-based online treatment for anxiety and depression. In part one, Mike explains the online treatment, its effectiveness and who is a good candidate for iCBT. Dr Mike Millard is a Consultant Psychiatrist and Clinical Director of the Clinical Research Unit for Anxiety and Depression (CRUAD) at St Vincent’s Hospital and the University of NSW. This Way Up: https://thiswayup.org.au/ If you have a question or would like to get in touch with The Good GP, please email wa.events@racgp.org.au

Doctors and suicide – Episode 110

Wed, 03 Aug 2022 13:22:03 +1000

In this special episode of The Good GP, Dr Sean Stevens speaks with Dr Helen Wilcox and Caroline Morling on doctors mental health and suicide. In memory of Dr Jono Morling, this episode covers the important issue of doctors mental health and suicide. Jono's wife, Caroline, bravely shares Jono's story with the aim of helping other doctors. Resources to assist doctors in need: Doctor's Health Advisory Services provide a confidential, anonymous, 24 hour/7 days a week advice line in each Australian state, staffed by doctors, for doctors and medical students with health or personal problems. You will receive a response from a doctor within 4 hours of a call. Doctor's Health Services: ACT - 02 9437 6552 NT - 08 8366 0250 SA - 08 8366 0250 VIC - 03 9280 8712 NSW - 02 9437 6552 QLD - 07 3833 4352 TAS - 1800 991 997 WA - 08 9321 3098 If it is an emergency and you need to speak to someone immediately then call Lifeline on 131 114.

Prescribing cannabis and its use in non-cancer pain – Episode 109

Fri, 08 Jul 2022 08:49:27 +1000

In this episode, The Good GP interviews GPs and medicinal cannabis prescribers, Dr Jamil Khan and Dr Lewis MacKinnon on prescribing cannabis and its use in chronic non-cancer pain. This episode covers the types of cannabinoids and what can be used in Australia, the evidence and indications for treating chronic non-cancer pain. We also explore the process for GPs to become a registered prescriber and the process involved in prescribing patients and managing their expectations. If you have a question or would like to get in touch with The Good GP, please email wa.events@racgp.org.au

High Intensity Interval Training – Episode 108

Thu, 16 Jun 2022 07:05:49 +1000

In this episode, The Good GP interviews exercise physiologist, Ryan O’Connor on high intensity interval training, or HiiT. This episode covers what is HiiT, the benefits, screening and why prescribe HiiT to your patients. Ryan is a Director of Absolute Balance and regular columnist in ‘Australian Men’s Fitness Magazine’. If you have a question or would like to get in touch with The Good GP, please email wa.events@racgp.org.au

Dementia – Episode 107

Fri, 27 May 2022 08:58:26 +1000

In this special episode, The Good GP interviews the podcasters of Dementia in Practice, GPs Dr Hilton Koppe, Dr Marita Long and Dr Steph Daly. This episode covers who might be assessed for dementia and the assessment in general practice, the screening tools available for GPs and tips for history taking. We also explore the diagnosis framework and the exclusion and inclusion criteria to consider. Resources discussed: - Dementia in training podcast: https://dta.com.au/general-practitioners/#podcast - Supporting slides: https://www.racgp.org.au/FSDEDEV/media/documents/20210415-Key-slides-Demystifying-dementia-webinars.pdf - GP resources: https://www.racgp.org.au/FSDEDEV/media/documents/20211012-GP-Resources-updated.pdf - GP resources page on DTA website: https://dta.com.au/general-practitioners/ Want to learn more? The RACGP and Dementia Training Australia have a three-part webinar series for GPs: www.racgp.org.au/online-events/search-events?series=DemystifyingDementia If you have a question or would like to get in touch with The Good GP, please email wa.events@racgp.org.au

Syphilis update – Episode 106

Thu, 12 May 2022 05:07:11 +1000

In this episode, The Good GP interviews Dr Grace Phua for an update on syphilis. Dr Phua provides an update on the syphilis outbreak over the past few years. We explore the symptoms and presentations, congenital syphilis, testing and treatment. Dr Grace Phua is a GP who works for the Metropolitan Communicable Disease Control under North Metro Health Service. The RACGP recently recorded a syphilis webinar. For more information, access the webinar here: https://www.youtube.com/watch?v=mpFKsMcB5Uw

Neuropathies: Management – Episode 105

Fri, 01 Apr 2022 06:59:23 +1000

In part two of this two-part series, the Good GP interviews Clinical Professor Peter Silbert on the topic of peripheral neuropathy. In this episode, Dr Silbert explores the management of neuropathies in general practice and when to refer. Dr Peter Silbert is a Neurologist at Perth Neurophysiology and has completed advanced training in Neurophysiology. He is a Clinical Professor of Neurology (University of Western Australia) and is on the board of the Neurological Council of Western Australia. Dr Silbert was also the interviewee in our highest rating episode to date, episode 55 on migraine management and treatment.

SPECIAL COVID-19 podcast - Antivirals

Thu, 17 Mar 2022 03:58:13 +1000

In this special COVID-19 episode, The Good GP interviews Kerry Fitzsimons and Claire Italiano on COVID antiviral medications. We explore what antiviral treatments are available for patients with COVID, the contraindications and indications, and the GP's role. Kerry Fitzsimons is the Manager of Medicines and Technology Unit, Clinical Excellence Division, WA Department of Health. Claire Italiano is an Infectious Diseases Physician at Royal Perth Hospital. This episode was recorded on 15 March 2022. As information on COVID-19 changes daily, please note that some of the advice in this podcast may no longer be current by the time of listening.

Neuropathies: Aetiology and Diagnosis – Episode 104

Fri, 11 Mar 2022 08:41:00 +1000

Over the next two episodes, the Good GP interviews Clinical Professor Peter Silbert on the topic of peripheral neuropathy. In this episode, Dr Silbert provides clear insights into the causes, presentations and investigations of peripheral neuropathies, a common GP condition that affects 25% of people over the age of 70. Dr Peter Silbert is a Neurologist at Perth Neurophysiology and has completed advanced training in Neurophysiology. He is a Clinical Professor of Neurology (University of Western Australia) and is on the board of the Neurological Council of Western Australia. Dr Silbert was also the interviewee in our highest rating episode to date, episode 55 on migraine management and treatment.

Genetic Carrier Screening – Episode 103

Tue, 22 Feb 2022 06:22:53 +1000

In this episode, The Good GP interviews Dr Alison Archibald on the topic of genetic carrier screening. We explore what is genetic carrier screening, what it involves and the conditions that can be screened for. Alison also explains the GP’s role in discussing genetic carrier screening with their patients, the genetic carrier screening process and genetic counselling. Dr Archibald is an Certified Genetic Counsellor at the Victorian Clinical Genetics Services (VCGS). Resources discussed Genetic carrier screening 101: https://rise.articulate.com/share/RSsCDVoPbuwQasGE6N9pIuyJUw8N5KES#/lessons/by3y2M9LYzCWv2XrhxyrWku_BYvl4BxE Carrierscreening.org.au: https://carrierscreening.org.au/ Beware the rare module: https://bewaretherare.com.au/carrier-screening/ VCGS: https://www.vcgs.org.au/

SPECIAL COVID-19 podcast - Omicron variant and do we need eternal boosters?

Mon, 10 Jan 2022 02:59:56 +1000

In this special COVID-19 episode, The Good GP interviews podcast regular, Prof Paul Effler on the Omicron variant. We explore what is Omicron, how it behaves and compares to the other variants. We also briefly cover other variants and explore the need for ongoing boosters. Professor Paul Effler is the Senior Medical Advisor, Communicable Disease Control Directorate, WA Department of Health and Clinical Professor, University of Western Australia. This episode was recorded on 9 January 2022. As information on COVID-19 changes daily, please note that some of the advice in this podcast may no longer be current by the time of listening.

SPECIAL COVID-19 podcast - COVID-19 vaccination in children

Fri, 07 Jan 2022 07:59:00 +1000

In this special COVID-19 vaccination episode, The Good GP interviews Dr Angie Berkhout, paediatric infectious diseases physician at the Royal Children's Hospital, on the COVID-19 vaccination rollout in children aged 5-11. In this episode, we cover the vaccinations available for children, schedules, efficacy, contraindications and precautions. We also bust some common myths regarding the COVID-19 vaccine in children. This episode was recorded on 5 January 2022. As information on COVID-19 changes daily, please note that some of the advice in this podcast may no longer be current by the time of listening.

Welcoming the gender diverse community into our practices: Part 2 – Episode 102

Tue, 04 Jan 2022 02:30:12 +1000

In the second part of this two-part series, The Good GP is joined again by Frances Mulcahy. In part two, Fran discusses the practical ways to welcome the gender diverse community into our practices and breaks down some myths around gender medicine.

Welcoming the gender diverse community into our practices: Part 1 – Episode 101

Thu, 23 Dec 2021 01:47:41 +1000

In this two-part series, The Good GP interviews Frances Mulcahy on welcoming the gender diverse community into our practices. In part one, former GP, Fran explains how someone from the gender diverse community may present to their GP and getting terminology and pronouns right in gender medicine.

Self-care special live episode - Episode 100

Fri, 29 Oct 2021 05:17:55 +1000

In this special live episode, the Good GP hosts doctors Tim Koh, Krystyna De Lange and Sean Stevens chat about self-care. How to motivate patients to practice self-care, helping children and teenagers and taking a look at doctors' wellbeing and self-care. This live episode was recorded on 11 August 2021 in celebration of 100 episodes. Enjoying the Good GP? Don't forget to give us a like, a review and a follow. Additional resources: For doctors treating other doctors, we recommend you watch this useful webinar: https://www.racgp.org.au/racgp-digital-events-calendar/online-event-items/on-demand/treating-doctor-patients-tips-and-traps

OCD – Episode 99

Thu, 26 Aug 2021 06:11:35 +1000

In this episode, the Good GP interviews Dr Lena Rennick and Dr Scott Blair-West on OCD. We explore the impacts OCD has on patients and strategies to normalise OCD; screening and detection; managing OCD in primary care and when to refer. Scott Blair-West is a consultant psychiatrist and medical director, OCD Program at The Melbourne Clinic. Dr Lena Rennick is GP registrar in Melbourne. Resources: Mood assessment program: https://moodassessment.com.au/ Exposure and Response Prevention (ERP) Therapy: https://iocdf.org/about-ocd/ocd-treatment/erp/ Acceptance and Commitment Therapy (ACT): https://iocdf.org/expert-opinions/expert-opinion-what-is-act/ Recommended books Jon Abramowitz: http://www.jabramowitz.com/ Jonathan Grayson: https://www.amazon.com/gp/product/042527389X?ie=UTF8&linkCode=sl1&tag=bestpunchingbag-20&linkId=4da9d6c36f1fdaeeb0065f07d9956129&language=en_US&ref_=as_li_ss_tl

Venous disease - Episode 98

Wed, 11 Aug 2021 09:06:10 +1000

In this week’s episode, the Good GP interviews vascular surgeon, Dr Samantha Peden on venous ulcers and chronic venous insufficiencies. We explore the prevalence in certain patients, presentations, the missed diagnoses and tips for differentiating venous and arterial ulcers. We also explore referrals and recommendations for GPs with patients presenting with possible venous disease, arterial disease and the management of venous ulcers, including dressing options. Dr Samantha Peden is a vascular surgeon at the Royal Brisbane, and Women’s Hospital.

Chest imaging and chest nodules – Episode 97

Fri, 06 Aug 2021 09:01:57 +1000

In this week’s episode, the Good GP interviews radiologist, Dr Brendan Adler once again to discuss chest imaging tests and chest imaging nodules. We explore the types of imaging tests and the role they play in the diagnostic process. Brendan also covers chest nodules, the causes, risks, features to look out for and guidelines for follow-up. Dr Adler is a radiologist and CEO of Envision Radiology. Brendan has a special interest in thoracic, musculoskeletal and cardiac imaging.

Incidentalomas - Episode 96

Thu, 29 Jul 2021 11:14:17 +1000

In this week’s episode, the Good GP interviews radiologist, Dr Brendan Adler to discuss incidentalomas. We explore the common imaging that shows incidental findings, what GPs can do to prepare a patient for testing and what features to look out for. We also explore the differences with high resolution and normal resolution tests and what tests yield non-target organ incidentalomas. Dr Adler is a radiologist and CEO of Envision Radiology. Brendan has a special interest in thoracic, musculoskeletal and cardiac imaging.

LARCs - Episode 95

Fri, 23 Jul 2021 08:22:51 +1000

In this week’s episode, the Good GP welcomes back Dr Karin Sekhon to discuss long-acting reversible contraceptives (LARCs). This episode covers LARCs and Intrauterine devices (IUDs). Karin explains how they work, the procedures, contraindications and side effects. We also cover contraceptive injections. Dr Sekhon is a practicing GP with a special interest in women's health. Helpful resources: LARCs RACGP journal article: https://www.racgp.org.au/afp/2017/october/larcs-as-first-line-contraception/ Marie Stopes Australia: https://www.mariestopes.org.au/contraception/larc/ SHQ contraception choices: https://shq.org.au/wp-content/uploads/2021/03/Contraception-choices-2021_final.pdf SHQ LARC flyer: https://shq.org.au/wp-content/uploads/2020/06/SHQ-contraceptive-implant_web2019.pdf SHQ copper IUD: https://shq.org.au/wp-content/uploads/2020/06/SHQ-copper-IUD_web2019.pdf SHQ hormonal IUD: https://shq.org.au/wp-content/uploads/2020/06/SHQ-Hormonal-IUD_web2019.pdf SHQ contraceptive injection: https://shq.org.au/wp-content/uploads/2020/06/SHQ-contraceptive-injection_web2019.pdf

The pill - Episode 94

Tue, 13 Jul 2021 08:04:48 +1000

In this episode, the Good GP interviews Dr Karin Sekhon on the combined oral contraceptive pill. This episode covers approaching the consultation and what to discuss during the consult, how the pill works, the different pills and deciding which one to prescribe. We also cover the non-contraception reasons for prescribing the pill and the contraindications. Dr Sekhon is a practicing GP with a special interest in women's health. Helpful resources: Sexual health quarters COCP flyer: https://shq.org.au/wp-content/uploads/2020/05/Combined-oral-contraceptive-pill-A3-web.pdf Supporting an informed choice: https://www.nps.org.au/news/combined-oral-contraceptive-pills-supporting-an-informed-choice Eligibility chart: https://www.fhi360.org/sites/default/files/media/documents/resource-chart-medical-eligibility-contraceptives-english.pdf Choosing a pill: https://www.nps.org.au/assets/ef8ba906a03e7080-f2801769e605-Choosing-a-combined-oral-contraceptive-pill.pdf

Phototherapy - Episode 93

Fri, 25 Jun 2021 08:04:01 +1000

In this episode, The Good GP interviews Dr Yee Tai on phototherapy for dermatological conditions. This episode covers: - what is phototherapy and how it works - what is involved for the patient and who can be treated - treatment – the conditions it can treat and the effectiveness - risks and side effects Dr Tai is a dermatologist and Mohs surgeon.

Nutritional support for bariatric surgery – Episode 92

Fri, 04 Jun 2021 08:20:29 +1000

In this episode, The Good GP interviews Annalie Houston on nutritional and dietetic support for bariatric surgery patients. This episode covers diet and nutrition considerations in the lead up to surgery, what to expect in the post-operative phase, monitoring vitamin and mineral deficiencies and supplements, and the complications and risks. Annalie Houston is an accredited practicing dietitian and provides dietetic and nutritional support for patients undergoing weight loss reduction surgery.

Building patient engagement – Episode 91

Fri, 07 May 2021 05:07:59 +1000

In this episode, the Good GP interviews Dr Todd Cameron on building patient engagement. This episode explores approaching the first consultation with a new patient and tips to connect with your patients. Dr Todd Cameron is a general practitioner with over 20 years of experience in general practice and founder of M3 Health.

Hypothyroidism in pregnancy – Episode 90

Thu, 15 Apr 2021 08:07:12 +1000

In this episode, the Good GP interviews Professor Creswell (Cres) Eastman on Hypothyroidism in pregnancy. This episode covers how pregnancy affects the thyroid, the complications, case detection, treatment and management. Prof Cresman (Cres) Eastman is a world-renowned endocrinologist and the principal medical advisor to the Australian Thyroid Foundation. He is also the Clinical Professor of Medicine at the Westmead Clinical School, University of Sydney and remains in active clinical practice as a Consultant Physician in Endocrinology and as an aviation medical consultant. Resources: Australian Thyroid Foundation: https://thyroidfoundation.org.au/ American Thyroid Association guidelines: https://www.liebertpub.com/doi/full/10.1089/thy.2016.0457 Journal of Clinical Endocrinology and Metabolism: Management of Thyroid Dysfunction during Pregnancy and Postpartum: An Endocrine Society Clinical Practice Guideline https://academic.oup.com/jcem/article/97/8/2543/2823170?searchresult=1

Valvular Heart Disease – Episode 89

Fri, 26 Feb 2021 02:30:32 +1000

In this episode, the Good GP interviews two cardiac specialists on valvular heart disease, focussing on aortic and mitral valve disease. We explore aortic stenosis and the Transcatheter Aortic Valve Implantation (TAVI) procedure, mitral valve disease and related procedures. Dr Michael Muhlmann is a Consultant Cardiologist and Interventional Cardiologist at Hollywood Private Hospital, Sir Charles Gairdner Hospital, and Joondalup Health Campus Associate Professor Jurgen Passage is Cardiothoracic Surgeon and Head of the Department of Cardiothoracic Surgery at St John of God Hospital Subiaco.

RACGP SPECIAL COVID-19 Podcast - Pfizer Vaccine Update

Thu, 25 Feb 2021 08:38:30 +1000

In this episode, Professor Paul Effler provides information about the risks and benefits of the COVID Pfizer COVID-19 vaccination. While it is not anticipated that this vaccine will rolled-out in general practice given the cold-chain requirements, GPs need to understand the delayed reactions and other side-effects. Professor Paul Effler is the Senior Medical Advisor, Communicable Disease Control Directorate, WA Department of Health and Clinical Professor, University of Western Australia. Information correct as at 24 February 2021.

RACGP SPECIAL COVID-19 Podcast - COVID and influenza vaccination update

Thu, 18 Feb 2021 00:50:26 +1000

In this episode, Professor Paul Effler provides a brief update on the COVID and Influenza vaccinations. Professor Paul Effler is the Senior Medical Advisor, Communicable Disease Control Directorate, WA Department of Health and Clinical Professor, University of Western Australia. Information correct as at 17 February 2021.

Sudden unexpected death in epilepsy (SUDEP) - Episode 88

Fri, 08 Jan 2021 05:48:12 +1000

In this episode, The Good GP interviews Dr Athanasios Gaitatzis on the topic of sudden unexpected death in epilepsy (SUDEP). This episode explores what is SUDEP, the demography and who is most at risk – including a look at the risks in children. We also cover what can be done to modify/reduce the risk of SUDEP and the GP’s role in educating and helping patients understand the risks of SUDEP. Dr Athanasios Gaitatzis is a Neurologist and epileptologist. Dr Gaitatzis works at the Neurology Department at Sir Charles Gairdner Hospital, and at Perron Institute for Neurological and Translational Science. Resources discussed: SUDEP epilepsy action Australia assessment checklist https://www.epilepsy.org.au/sudep-checklist/ https://www.epilepsywa.asn.au https://www.epilepsywa.asn.au/services/#seizure-alert-technologies https://www.epilepsywa.asn.au/services/#epilepsy-grief https://www.epilepsy.org.au https://www.epilepsy.org.au/sudep-checklist/ https://www.epilepsy.org.au/epilepsy-and-risk_sudden-unexpected-death-in-epilepsy-sudep/

Endometriosis management - Episode 87

Thu, 17 Dec 2020 09:46:05 +1000

In episode two of this two-part endometriosis series, The Good GP interviews Associate Professor Anusch Yazdani on the topic of endometriosis management. This episodes covers management recommendations within primary care, the treatment options, when to refer for surgery and complementary medicine. A/Prof Anusch Yazdani is a subspecialist in reproductive endocrinology and infertility and an advanced reproductive endosurgeon.

Endometriosis presentations and diagnosis - Episode 86

Wed, 16 Dec 2020 03:05:08 +1000

In this two-episode series, The Good GP interviews Associate Professor Anusch Yazdani on the topic of Endometriosis. The first episode focuses on endometriosis presentations, including the common and not-so-common symptoms and presentations. This episode also covers investigations and assessment. A/Prof Anusch Yazdani is a subspecialist in reproductive endocrinology and infertility and is an advanced reproductive endosurgeon.

Polycystic Ovary Syndrome: Management - Episode 85

Wed, 25 Nov 2020 07:26:51 +1000

In episode two of this two-part series, The Good GP interviews Dr Ben Kroon on the topic of polycystic ovary syndrome (PCOS). This episode focuses on the principles for managing PCOS, including how to manage the presenting problem and screening for complications. We also cover lifestyle factors and advice, pharmacological management, plus useful resources for GPs and their patients. Dr Ben Kroon is a fertility specialist, gynaecologist and obstetrician. Ben also has a sub specialty in fertility and reproductive endocrinology; one of only a few subspecialists in the country. Suggested resources: Jean Hailes: https://www.jeanhailes.org.au/ Monash university PCOS GP tool: https://www.monash.edu/__data/assets/pdf_file/0010/1459243/pcos-gp-tool.pdf

Polycystic ovary syndrome: Diagnosis - Episode 84

Fri, 20 Nov 2020 06:48:26 +1000

In this two-episode series, The Good GP interviews Dr Ben Kroon on the topic of polycystic ovary syndrome (PCOS). This episode focuses on the diagnosis and differentials of PCOS. This episode explores what is PCOS and the causes. The different approaches for adult and adolescent is also discussed. Part two of the series (Episode 85 - available 24 November) covers the management of polycystic ovary syndrome. Dr Ben Kroon is a fertility specialist, gynaecologist and obstetrician. Ben also has a sub specialty in fertility and reproductive endocrinology; one of only a few subspecialists in the country.

Generalised Anxiety Disorder - Episode 83

Thu, 22 Oct 2020 05:41:33 +1000

In this episode, The Good GP interviews Dr Lisa Chantler on generalised anxiety disorder (GAD). Dr Chantler is a senior clinical psychologist with particular interests in treating depression, anxiety and complex trauma. This episode explores GAD and covers identifying and diagnosing GAD in the primary care setting. This episode also explores the questions GPs can ask patients to help differentiate GAD from other disorders and the key signs to consider. Dr Chantler provides an update on the evidence based methods for treatment and prognosis of GAD. This episode also provides some useful resources to assist GPs and their patients. Resources discussed: Beacon 2.0 https://beacon.anu.edu.au/ GAD-7 https://www.mdcalc.com/gad-7-general-anxiety-disorder-7

Post-Acute COVID - Episode 82

Thu, 24 Sep 2020 01:41:34 +1000

In this episode, The Good GP interviews Professor Tricia Greenhalgh on post-acute COVID-19 in primary care. Tricia is a GP, OBE and professor of primary care health sciences, University of Oxford. This episode explores post-acute COVID presentations in primary care, including the management and rehabilitation of post-acute COVID. Prof. Greenhalgh also explains differentiating between post-acute COVID and other pathologies, including the red flags and testing. This episode concludes with Tricia’s tips from the UK on a potential wave of post-acute COVID here in Australia. This episode was recorded on 26 August 2020. BMJ Article: Management of post-acute covid-19 in primary care: https://www.bmj.com/content/370/bmj.m3026

Lichen Sclerosus - Episode 81

Mon, 07 Sep 2020 04:24:28 +1000

In this episode, The Good GP interviews regular interviewer Dr Krystyna De Lange about lichen sclerosus in females. This episode explores what is lichen sclerosus, how the condition presents and the differential diagnosis and other conditions to consider when a patient presents with symptoms. Krystyna also explains making the diagnosis and the treatment approach and options available.

Perinatal Palliative Care - Episode 80

Thu, 13 Aug 2020 22:00:25 +1000

In this special 'extended-length' episode, The Good GP interviews Sonya Criddle on perinatal palliative care. Sonya is the clinical midwife specialist for the Perinatal Loss Service at King Edward Memorial Hospital. This episode explores what is perinatal palliative care, and explains the three pathways into the model of care and the guiding principles. This episode also explains how the GP can assist in the families in the decision making process. Sonya also explores the role of GPs and outlines how they can help support families during this difficult time. A number of support services are also discussed, including: SANDS: https://www.sands.org.au/ Red Nose: https://rednose.org.au/ Safer baby bundle: https://www.stillbirthcre.org.au/safer-baby-bundle/ Perinatal Palliative Care - Model of care: https://ww2.health.wa.gov.au/~/media/Files/Corporate/general%20documents/Health%20Networks/Womens%20and%20Newborns/Perinatal-Palliative-Care-Model-of-Care.pdf

Stillbirth and neonatal death: Supporting the family - Episode 79

Fri, 17 Jul 2020 01:17:22 +1000

In this two-episode series, The Good GP interviews Dr Ashleigh Smith on the topic of stillbirth and neonatal death. Dr Smith is an O&G registrar practicing in Queensland. This second episode focuses on the psycho-social and mental health aspects of pregnancy loss, including how to communicate with families and supporting families during this difficult time. This episode also explores the resources and services that are available for GPs to recommend to their patients and the medical support GPs can provide, including what to consider with subsequent pregnancies. Part one (Episode 78) explores the medical aspects including the risk factors, causes, presentations and various ways to reduce the risk.

Stillbirth and neonatal death: Causes and reducing risk – Episode 78

Tue, 14 Jul 2020 01:12:56 +1000

In this two-episode series, The Good GP interviews Dr Ashleigh Smith on the topic of stillbirth and neonatal death. Dr Smith is an O&G registrar practicing in Queensland. This episode focuses on the medical aspects including the risk factors, causes, presentations and various ways to reduce the risk. Part two of the series (Episode 79 - available 20 July) covers the psycho-social and mental health aspects including how to communicate with families and supporting families during this difficult time. Resources: Safer baby bundle: https://learn.stillbirthcre.org.au/

Wart treatments - Life hacks for GPs - Episode 77

Mon, 22 Jun 2020 01:04:56 +1000

In this episode of The Good GP, regular interviewer Dr Sean Stevens is interviewed on the topic of ‘Wart treatments - Life hacks for GPs’. This episode covers the tips and tricks for GPs in treating warts. Dr Stevens covers the role of cryotherapy, including tips to minimise damage and the common mistakes made. This episode also explores the treatment of plantar warts and genital warts. Instruction on the use of Upton’s paste: https://www.racgp.org.au/FSDEDEV/media/documents/Faculties/WA/Instruction-on-the-use-of-Upton-s-paste.pdf

Eye disease with Vision Australia – Episode 76

Fri, 15 May 2020 08:47:47 +1000

In this episode, the Good GP interviews orthoptist and relationships manager for Vision Australia, Nabill Jacob, on primary care eye disease. This episode covers the common adult and paediatric eye diseases and the conditions that GPs should be aware of. This episode also cover simple screening tests for vision impairment in adults, and the examination and management of strabismus in infants in general practice. Nabill also explains the signs and symptoms that may indicate vision impairment in children. This episode also explores the low vision services and resources available, and when to refer a patient.

Smoking cessation: NRT in pregnancy and non-NRT treatments - Episode 75

Fri, 08 May 2020 02:11:16 +1000

In this two-part podcast series, the Good GP interviews Kym Yuke, a primary care health worker in Aboriginal and Torres Strait Islander Health on smoking cessation. This episode covers: - advice on prescribing nicotine replacement to a breastfeeding or pregnant patient - alternative options for smoking cessation including Varenicline - resources to help patients during their quitting journey Listen to episode 74 for smoking cessation assessment and NRT treaments.

Smoking cessation: assessment and NRT – Episode 74

Fri, 08 May 2020 02:07:43 +1000

In this two-episode series, the Good GP interviews Kym Yuke, a primary care health worker in Aboriginal and Torres Strait Islander Health on smoking cessation. This episode covers: - assessing a patient’s readiness to quit, assessing their nicotine dependence and the evidence based options to help support patients. - nicotine replacement therapy options, the recommended dosages and the recommended treatment cycle. Part two of the series(Episode 75) covers: - advice on prescribing nicotine replacement to a breastfeeding or pregnant patient - alternative options for smoking cessation including Varenicline - resources to help patients during their quitting journey

RACGP SPECIAL COVID-19 PODCAST | Ethical issues that arise in a pandemic

Tue, 28 Apr 2020 02:53:15 +1000

In this special COVID-19 podcast, the Good GP interviews Prof Angus Dawson on the ethical issues that arise in a pandemic. In this episode, Prof Dawson also explains the publication, An ethics framework for making resource allocation decisions within clinical care: Responding to COVID-19. This ethics framework is designed to help clinicians, hospital administrators and policy makers decide how to allocate clinical health resources as they become scarce within a pandemic. Professor Angus Dawson is Professor of Bioethics and Director of Sydney Health Ethics at the University of Sydney. This episode was recorded on Monday 20 April 2020. As information on COVID-19 changes daily, please note that some of the advice in this podcast may no longer be current by the time of listening. The framework is available here: https://www.apprise.org.au/wp-content/uploads/2020/04/she.-clinical-ethics.-resource-allocation-framework.-version-1.-2-april-2020.pdf

RACGP SPECIAL COVID-19 PODCAST | COVID-19 in the paediatric population

Mon, 20 Apr 2020 09:14:08 +1000

In this special COVID-19 podcast, The Good GP interviews Dr Angie Berkhout, Paediatric Infectious Diseases Fellow, Queensland Children’s Hospital, on COVID-19 and the impacts on the paediatric population This episode looks at the current data and number of cases in the paediatric population, as well as the risk factors, the spread and the symptoms in paediatric cases. This episode also provides practical advice for parents, including advice for breastfeeding mothers. This episode was recorded on Saturday 18 April 2020. As information on COVID-19 changes daily, please note that some of the advice in this podcast may no longer be current by the time of listening.

RACGP SPECIAL COVID-19 PODCAST | Telehealth update

Thu, 09 Apr 2020 01:55:12 +1000

In this special COVID-19 podcast, The Good GP interviews Dr Aaron Chambers again for an update on telehealth. This podcast covers: - Updates to the MBS for video consultations - Tips for transitioning toward video consultations - Tips and practicalities for carrying out a video consultation - Triaging patients - An update on e-scripts and radiology requests This episode was recorded on Monday 6 April 2020. As information on COVID-19 changes daily, please note that some of the advice in this podcast may no longer be current by the time of listening. Resources:

RACGP SPECIAL COVID-19 PODCAST | Doctors’ mental health

Thu, 02 Apr 2020 01:33:28 +1000

In this special COVID-19 episode, the Good GP interviews Dr Sarah Newman on doctors’ mental health. Dr Newman is an RACGP WA council member and Assistant Director for Doctors’ Health Advisory Service of Western Australia (DHAS WA). This episode explores doctors’ mental health in the setting of disasters and in particular COVID-19. Dr Newman covers how GPs can prepare themselves, including useful tips and resources and explains the three levels of psychological support strategies and mental health care. This episode was recorded on Tuesday 31 March 2020. As information on COVID-19 changes daily, please note that some of the advice in this podcast may no longer be current by the time of listening. More information on DHAS can be found here: http://dhas.org.au/

RACGP SPECIAL COVID-19 PODCAST | Educating patients on self-isolation

Mon, 30 Mar 2020 08:13:02 +1000

In this special COVID-19 episode, the Good GP interviews Dr Penny Burns on self-isolation. Dr Burns is a GP and the RACGP representative on the GP Roundtable with Australia’s Chief Medical Officer. This episode explores what self-isolation means, including the practical advice and resources GPs can provide their patients. This episode was recorded on Monday 30 March 2020. As information on COVID-19 changes daily, please note that some of the advice in this podcast may no longer be current by the time of listening.

RACGP SPECIAL COVID-19 PODCAST | The role of practice nurses during COVID-19

Fri, 27 Mar 2020 07:25:13 +1000

In this special COVID-19 episode, The Good GP interviews Karen Booth, Australian Primary Health Care Nurses Association President, on the role of practice nurses during the COVID-19 pandemic. This episode was recorded on 27 March 2020. As information on COVID-19 changes daily, please note that some of the advice in this podcast may no longer be current by the time of listening. The RACGP managing pandemic toolkit mentioned is available on the RACGP website. https://www.racgp.org.au/download/Documents/Guidelines/Flukit/pandemic-flu-kit.pdf

RACGP SPECIAL COVID-19 PODCAST | GP Registrar examinations update

Thu, 26 Mar 2020 05:36:33 +1000

In this special COVID-19 episode, The GoodGP interviews RACGP GP in Training Faculty Chair, Dr Krystyna De Lange about the postponement of RACGP examinations and the changes and impacts this has on GP registrars as a result of COVID-19. This episode was recorded on 26 March 2020. As information on COVID-19 changes daily, please note that some of the advice in this podcast may no longer be current by the time of listening.

RACGP SPECIAL COVID-19 PODCAST | COVID-19 and disaster management: What GPs can do

Tue, 24 Mar 2020 06:58:20 +1000

In this special COVID-19 episode, the Good GP interviews Dr Penny Burns, GP and disaster medicine specialist, on the disaster management of COVID-19 and what GPs can do to prepare. This episode explains the current situation as of 24 March, the main aims in managing this pandemic and the phases of a pandemic, including what the current phase looks like and what GPs can do to prepare for the next phase. This episode was recorded on Tuesday 24 March 2020. As information on COVID-19 changes daily, please note that some of the advice in this podcast may no longer be current by the time of listening.

RACGP SPECIAL COVID-19 PODCAST | Impacts of COVID-19 on pregnancy

Fri, 20 Mar 2020 09:03:24 +1000

In this special COVID-19 episode, the Good GP interviews obstetrician and gynaecologist Dr Robyn Aldridge on the impact of COVID-19 on pregnant women, pregnancy and the unborn child. This episode covers recommendations for pregnant women including potential changes to their daily activities. This episode also explores changes to consultations and advice GPs can offer pregnant women to help prepare them for labour whilst the COVID-19 pandemic continues. This episode was recorded on Friday 20 March 2020. As information on COVID-19 changes daily, please note that some of the advice in this podcast may no longer be current by the time of listening.

RACGP SPECIAL COVID-19 PODCAST | Practicalities of video consultations

Fri, 20 Mar 2020 02:27:49 +1000

There is an updated podcast on Video consulations and telehealth – recorded on 6 April 2020. In this special COVID-19 podcast, The Good GP interviews Dr Aaron Chambers about video consultations. This podcast covers: - The practicalities of getting started with video consultations - Criteria for new MBS items - Screening patient eligibility for telehealth and video consults - Tips for video consultations and documentation This episode was recorded on Tuesday 17 March 2020. As information on COVID-19 changes daily, please note that some of the advice in this podcast may no longer be current by the time of listening.

RACGP SPECIAL COVID-19 PODCAST | Irrational behaviour in pandemics

Thu, 19 Mar 2020 04:58:09 +1000

The Good GP interviews Professor Julie Leask, current winner of the Australian Financial Review’s 100 Women of Influence, on the psychology and societal behaviour of pandemics, and what we as GPs can do to improve this. This episode was recorded on Wednesday 18 March 2020. As information on COVID-19 changes daily, please note that some of the advice in this podcast may no longer be current by the time of listening.

RACGP SPECIAL COVID-19 PODCAST | WA Health COVID-19 update

Wed, 18 Mar 2020 02:49:45 +1000

In this special COVID-19 episode, the Good GP interviews Professor Paul Effler, Senior Medical Advisor, Communicable Disease Control Directorate, Department of Health, on the current COVID-19 pandemic. This podcast covers: - Flattening the curve and what Australia can learn from other countries - The current implications and recommendations for recovered cases (particularly for recovered GPs) and immunity - Update on preparing patients at higher risk or with comorbidities This episode was recorded on Tuesday 17 March 2020. As information on COVID-19 changes daily, please note that some of the advice in this podcast may no longer be current by the time of listening.

RACGP SPECIAL COVID-19 PODCAST | The effects of COVID-19 on GP training

Mon, 16 Mar 2020 03:38:40 +1000

In this special COVID-19 episode, The GoodGP interviews RACGP GP in Training Faculty Chair, Dr Krystyna De Lange on the effects of COVID-19 on GPs in training. This episode was recorded on Sunday 15 March 2020. As information on COVID-19 changes daily, please note that some of the advice in this podcast may no longer be current by the time of listening.

RACGP SPECIAL COVID-19 PODCAST | Adapting your practice for telehealth

Mon, 16 Mar 2020 03:38:34 +1000

In this special COVID-19 episode, the Good GP interviews Dr Todd Cameron about how GPs can use telehealth to adapt to the coronavirus pandemic. This podcast does not have details about the recent MBS Item numbers; that will be addressed in a future epiode. This episode was recorded on Saturday 14 March 2020. As information on COVID-19 changes daily, please note that some of the advice in this podcast may no longer be current by the time of listening.

ADHD in general practice – Episode 73

Thu, 12 Mar 2020 02:38:19 +1000

In this episode, the Good GP interviews Dr Nicole White, specialist GP with an interest in paediatrics on ADHD in the primary care setting. Dr White has a special interest in children’s health, general family medicine and women’s health and runs medical practice gp4kids in Brisbane. This episode explores ADHD, how the disorder is perceived and the types of patients that present. We also cover the history and examination of ADHD, including potential comorbidities. Dr White explains the assessments that can be used to assist with a diagnosis and the GP management of a patient whilst waiting for specialist review. Useful resources for GPs are also discussed.

PrEP prescribing for HIV prevention – Episode 72

Wed, 19 Feb 2020 08:51:18 +1000

In this episode, the Good GP speaks with Dr Scott Allison about pre-exposure prophylaxis (PrEP) prescribing for HIV prevention. This episode explores what is PrEP, identifying patients that could be considered for PrEP and taking a non-judgmental history. Dr Allison explains the testing required, assessing the suitability of a patient and the practicalities for prescribing. Ongoing monitoring and options for people that do not have access to Medicare subsidies is also covered. Dr Scott Allison is a GP with a special interest in men’s health and sexual health.

Novel Coronavirus - Episode 71

Wed, 05 Feb 2020 04:35:30 +1000

In this episode, WA Health experts Professor Paul Effler and Dr David Spiers discuss the Novel Coronavirus (2019-nCoV) and the current situation as at 4 February 2020. In this podcast, the GoodGP explores the background on the coronavirus and the theories about how a virus such as this can start in the human population. The podcast also covers: • infectivity, transmissibility and severity • what we can learn from the SARS and MERS virus and how this can help us • prevention in Australia and what is happening to try and avoid an outbreak like in China • vaccines • what GPs should do if a patient phones concerned they may be infected • masks, PPE and what is appropriate • what GPs can do to protect themselves and their practices Presenters: Dr David Spiers, QEII Network Head of Department, Microbiology, PathWest Professor Paul Effler, Senior Medical Advisor, Communicable Disease Control Directorate, Department of Health Information correct as at 4 February 2020. For up-to-date information in WA, visit: https://ww2.health.wa.gov.au/Articles/A_E/Coronavirus For GPs across Australia, visit: https://www.racgp.org.au/coronavirus

Pets and vets – Episode 70

Mon, 03 Feb 2020 01:16:00 +1000

In this episode, new Fellow Dr Innes Chester speaks to The Good GP about pets and vets. Prior to becoming a GP, Dr Chester trained as a veterinarian. Dr Chester explains the health benefits of owning a pet and uncovers the risks and things to consider if your patients are thinking about getting a pet. With the suicide rate of veterinarians being four times higher than the rate of the general population, Dr Chester also explains the health challenges of looking after your patients who are vets. We also explore what GPs can learn from vets. For updates on The Good GP podcasts, follow @TheGoodGP on Twitter.

RACGP REGISTRAR SPECIAL | Hacks for GP registrars - Episode 69

Wed, 22 Jan 2020 08:18:51 +1000

In this episode, new Fellow Dr Innes Chester speaks to The Good GP about GP training and the ‘hacks’ for new GP registrars. The 2019 WAGPET Registrar of the Year, Dr Chester provides her tips on how to make life easier as a GP registrar, how to manage worry and how to best prepare for the exams. We also explore the useful learning resources available and what supervisors can do to support registrars. For updates on The GoodGP podcasts, follow @theGoodGP on Twitter.

Breast implants – Episode 68

Fri, 03 Jan 2020 06:00:03 +1000

In this episode, the Good GP interviews Dr Anand Deva on breast implants. Dr Deva is the Director of Cosmetic and Plastic Surgery at the Faculty of Medicine and Health Sciences, Macquarie University and co-director of the Surgical Infection Research Group. In this episode we look at the history of implants, the frequency of the procedures, the risks involved and the recommendations for patient follow-up. Dr Deva also explores the complications that can occur and the symptoms for adverse reactions.

Low libido – When desires don't match. Live From GP19 – Episode 67

Fri, 27 Dec 2019 06:00:23 +1000

In this episode, live from GP19 the RACGP National Conference, The Good GP’s Dr Krystyna de Lange interviews Dr Sama Balasubramanian, a GP working in sexual health and working towards his qualification as a sexual health physician (AChSHM) as well as his Masters in Psychosexual Therapy about low libido. In this episode, we look at what low libido actually means, how to approach the consultation and practical strategies around management.

How to give good injections. Live from GP19 – Episode 66

Thu, 19 Dec 2019 07:07:39 +1000

In this live episode, live from GP19 the RACGP National Conference, Dr Sean Stevens and Dr Krystyna de Lange interview fellow Good GP Dr Tim Koh on how to give injections. With the increased number of patients coming in to get injections such as the flu vaccine, we explore the importance of making injections a better experience for patients. In this episode, the Good GP also looks at what works and what does not, pain and how to manage expectations, injections in paediatric cases and what else GPs can be doing. Dr Koh also provides his top tips to giving injections to both children and adults. ** This podcast is recorded live from GP19, therefore the audio is of lower quality. Thank you for your understanding and we hope you enjoy this podcast. **

Concussion live From GP19 – Episode 65

Tue, 10 Dec 2019 08:10:17 +1000

In this episode, live from GP19 the RACGP National Conference, the Good GP interviews Dr Gill Cowen on concussion. Dr Cowen is a GP and Sports Medicine Physician. Gill is also Chair of the RACGP Sports and Exercise Medicine Specific Interest Group. In this episode, we explore who gets concussion, how to assess for concussion, and what to look for. The importance of managing concussion and the time frame for recovery is also discussed. This episode also explores concussion in the general practice setting, and how you would assess the situation. ** This podcast is recorded live from GP19, therefore the audio is of lower quality. Thank you for your understanding and we hope you enjoy this podcast. **

Changing The World Through Teaching General Practice – Episode 64

Mon, 11 Nov 2019 01:00:04 +1000

In this episode, Dr Tim Koh interviews Professor Donna Mak on ‘changing the world through teaching general practice’. Professor Mak explores the importance of GPs teaching, the benefits of teaching general practice and how this can help change the health care system. This podcast also looks at the different ways GPs can teach general practice.

Advance Care Directives - Episode 63

Fri, 01 Nov 2019 05:06:13 +1000

In this episode, The GoodGP interviews Dr Karen Detering, sleep and respiratory physician, clinical ethicist and Medical Director of Advance Care Planning Australia. Dr Detering discusses the increased interest from the Australian Government in advance care planning, as well as the prevalence and the resistance from patients. This podcast also explores how to minimise the paperwork involved, how to maximise patient understanding and engagement, and other challenges GPs may face and how to address them.

Managing the irritable infant – Episode 62

Tue, 17 Sep 2019 07:27:36 +1000

In the second episode with Dr Krystyna de Lange, the Good GP discusses the management of irritable infants. In this episode, Dr de Lange explains: - the historical treatments in irritable infancy - how colic and reflux fit into the picture of managing an irritable infant - feeding issues and food intolerances/allergies, and - the recommended approach to managing irritable infants. Dr Krystyna de Lange is a practicing GP with a Diploma of Obstetrics and Gynaecology (DRANZCOG), Diploma of Child Health (DCH) and Certificate in Emergency Medicine (EMC). ** The Good GP hosted a live session at the GP19 Conference in Adelaide on Friday 25 October. Look out for those episodes. **

Assessing the irritable infant – Episode 61

Fri, 26 Jul 2019 07:30:53 +1000

In this episode, the Good GP interviews Dr Krystyna de Lange, General Practitioner with a special interest in maternal and infant medicine on the assessment of irritable infants. Dr de Lange covers the definition of the crying or unsettled baby, the prevalence and variability across cultures and assessing the irritable infant. We also explore the factors that may cause an irritable infant and the medical conditions to consider when assessing the infant. Dr Krystyna de Lange is a practicing GP with a Diploma of Obstetrics and Gynaecology (DRANZCOG), Diploma of Child Health (DCH) and Certificate in Emergency Medicine (EMC).

Syphilis – Episode 60

Fri, 05 Jul 2019 07:20:56 +1000

In this episode, The Good GP interviews Dr Donna Mak on Syphilis, including the three current outbreaks in Australia and in particular WA. Dr Donna Mak is a sessional GP at the M Clinic, Associate Professor and Domain Chair, Population and Preventive Health, School of Medicine, The University of Notre Dame, and Public Health Physician, Communicable Disease Control, Department of Health, Western Australia. Dr Mak explains the importance of identifying high-risk people and screening. We also explore the: • Symptoms and presentations, • Testing and diagnosis, and • Treatment, the issue of reinfection and follow-up *Correction: Treatment is injectable Benzathine Penicillin at a dosage of 2.4 million units not grams. This is usually given as two syringes of 1.2 million units. Please contact your local health department for more information. Dr Donna Mak and Dr Benjamin Scalley hosted a webinar on 'Sexually Acquired Syphilis and Congenital Syphilis' in July 2019. The recording is available here: https://www.racgp.org.au/education/professional-development/online-learning/webinars/hiv-and-hepatitis/sexually-acquired-syphilis-and-congenital-syphilis

Familial Hypercholesterolemia – Episode 59

Tue, 25 Jun 2019 01:26:58 +1000

In this episode, Winthrop Professor Gerald Watts discusses Familial hypercholesterolemia (FH) with the GoodGP. Professor Watts is Director and Head of the Metabolic Research Centre and Lipid Disorders Clinic at Royal Perth Hospital and Chair of The FH Australasia Network. Professor Gerald Watts explains to the GoodGP what FH is, the number of cases in Australia (including the number of undiagnosed patients) and outlines the screening methods involved, including reverse cascade and cascade testing. Professor Watts also explains the risks of non-diagnosis and non-treatment, the importance of early detection, when to refer and what else GPs can do to help. Resource: https://vimeopro.com/notredamemedia/fh-awareness FH educational video series developed by Professor Tom Brett, Director of the General Practice and Primary Health Care Research Unit at the University of Notre Dame Australia's School of Medicine.

General Practice In Singapore – Episode 58

Fri, 17 May 2019 02:32:28 +1000

The President of the College of Family Physicians Singapore, Adjunct Professor Tan Tze Lee, joins The GoodGP to discuss general practice in Singapore. In this episode, Adj Prof Tze Lee explains the differences and similarities of general practice in Australia and Singapore including, how the health system works, access to general practice, the cost of visiting a GP, and the cultural and demographic differences. The GoodGP also explores what Australian GPs can learn from the Singapore health system.

Early detection of lung cancer – Episode 57

Thu, 25 Apr 2019 23:00:09 +1000

Prof Jon Emery, Herman Professor of Primary Care Cancer Research at the University of Melbourne, discusses the early detection of Lung Cancer. In this episode, Prof Emery explains the diagnostic challenges, the demographic changes and high risk patients, lung cancer screening and improving lung cancer detection as a GP.

Parkrun and social prescribing – Episode 56

Fri, 12 Apr 2019 08:39:41 +1000

In this episode we welcome Glen Turner who is the Health and Wellbeing Lead for Parkrun Australia. Glen discusses the history behind Parkrun and the associated health and wellbeing benefits and how this can be used for social prescribing in general practice.

Migraine treatment and prevention - Episode 55

Fri, 05 Apr 2019 07:24:04 +1000

In this Migraine episode, Neurologist Dr Peter Silbert discusses migraine treatment and prevention.

Migraine diagnosis and prevention - Episode 54

Fri, 29 Mar 2019 03:49:04 +1000

In this episode of The GoodGP, Neurologist Dr Peter Silbert discusses migraine diagnosis and prevention. Dr Silbert explains how to differentiate migraines from other headaches, what symptoms to identify and the top three symptoms that can help GPs diagnose a migraine. This episode also covers the: - cause of migraines - investigations GPs should and should not be doing - types of migraines - impact of the contraceptive pill.

Influenza vaccine – Episode 53

Fri, 15 Mar 2019 01:22:28 +1000

In this episode, we are joined once again by Adjunct Professor Paul Effler, medical coordinator, Communicable Disease Control Directorate, WA Department of Health to discuss influenza vaccinations. Paul explores the key messages for GPs as we head into flu season including the importance of vaccinations in children under five and in pregnant women. This episode also covers: - the benefits of vaccinations, and how to discuss vaccines with hesitant patients - the upcoming flu season and what does it mean for GPs, and - where to next in influenza vaccines.

Measles in general practice – Episode 52

Tue, 19 Feb 2019 10:11:13 +1000

In this episode, Adjunct Professor Paul Effler, medical coordinator, Communicable Disease Control Directorate, WA Department of Health speaks to The Good GP about measles and measles outbreaks. In this episode, Paul covers the major public health implications of measles, typical presentations, vaccinations and testing.

What is it like to be a GP in Hong Kong – Episode 51

Tue, 05 Feb 2019 07:05:03 +1000

The Good GP interviews Dr Angus Chan, outgoing President of the Hong Kong College of Family Physicians on what it is like to be a general practitioner in Hong Kong. Dr Chan explains the differences to practicing in Australia, including the cultural challenges and work-life balance.

HPV testing in general practice - Episode 50

Mon, 14 Jan 2019 01:39:54 +1000

In the 50th Good GP episode, Dr David Hawkes, Director of Molecular Biology and Biochemistry at the Victorian Cytology Service, discusses HPV testing in general practice and the changes as a result of the National Cervical Screening Program. In this episode, Dr Hawkes explains the reliability of the testing and the rationale for switching from cytology based testing to HPV testing. He also explains the Meijer criteria, the issues of contamination and more.

Artificial Intelligence In General Practice – Episode 49

Tue, 18 Dec 2018 01:20:51 +1000

The Good GP interviews Prof. Justin Beilby, Vice Chancellor at Torrens University Australia and practicing GP, on emerging technologies in general practice including artificial intelligence and virtual reality.

Preventive Activities and The RACGP Red Book - Episode 48

Mon, 19 Nov 2018 04:32:05 +1000

Dr Evan Ackermann, GP and immediate past Chair of the RACGP Expert Committee – Quality Care, speaks with Dr Tim Koh on the RACGP Red Book and preventative activities in general practice.

Managing anxiety, depression or insomnia using eHealth resources – Episode 47

Fri, 26 Oct 2018 04:43:10 +1000

Dr Jan Orman, BlackDog Institute, talks with the GoodGP on managing anxiety, depression and insomnia using eHealth resources. Dr Orman is Sydney based GP with a special interest in mental health and GP Services. **Podcast update – 6 December 2018: The SHUTi program mentioned by Dr Sean Stevens is no longer available due to a clinical study. The GoodGP recommends Sleepio as an alternative.

The Future Of General Practice - Episode 46

Fri, 05 Oct 2018 09:04:09 +1000

Dr Tim Koh and Dr Sean Stevens talk about the future of general practice and the journey of The Good GP podcast.

Acute pain - Episode 45

Fri, 14 Sep 2018 06:03:32 +1000

Dr Rajiv Menon, Specialist Anaesthetist and Pain Medicine Physician, talks about acute pain and acute pain management.

My Health Record - Episode 44

Tue, 14 Aug 2018 03:12:51 +1000

Dr Sean Stevens speaks with Dr Nathan Pinskier, Chair of the RACGP Expert Committee — e-health and Practice Services about My Health Record

Eczema - Episode 42

Thu, 05 Jul 2018 03:55:21 +1000

Dr Richard Loh and Sandra Vale discuss Eczema, including the triggers of Eczema and some practical ways to manage and avoid flare ups.

Food Allergies - Episode 43

Wed, 04 Jul 2018 06:17:30 +1000

Dr Richard Loh and Sandra Vale discuss food allergies, including the introduction of allergenic foods in infants and the best approach to preventing allergies.

The Registrar - Supervisor Relationship - Episode 41 (Open Day Interview)

Fri, 20 Apr 2018 04:06:10 +1000

Dr Sarah Newman talks candidly with The Good GP about the needs of GP registrars during their Australian General Practice Training (AGPT) and the vital role of their supervisor. This interview was recorded in front of a live audience at the RACGP WA Open Day, Sunday 18 March.

Voluntary Assisted Dying - Episode 40

Fri, 23 Mar 2018 07:19:37 +1000

GP Dr Alida Lancee and Palliative Care Physician Dr Derek Eng spoke about voluntary assisted dying with The Good GP at the RACGP WA Open Day.

Euthanasia - Episode 39 [recorded at RACGP WA Open Day]

Thu, 22 Mar 2018 05:04:22 +1000

Associate Professor Meredith Blake spoke about euthanasia at RACGP WA's Open Day. Interviewed by The Good GP before a live audience, she said the issue of euthanasia would never have an answer that would satisfy everyone, but it was an important question to ask and discuss nevertheless.

Drug Company Influence - Episode 38

Tue, 06 Mar 2018 04:44:12 +1000

Dr Justin Coleman talks with The Good GP about pharmaceutical companies and their interactions with general practitioners (GPs). He explains his ‘No Advertising Please’ campaign and the argument against GPs accepting it as ‘normal’ to regularly see drug or pharmaceutical representatives. Justin has served as a member of the Medicine Australia Transparency Working Group for seven years, where he interacted with the pharmaceutical industry around self-regulation, giving him with great insight into the processes involved.

One-Minute Diagnosis - Episode 37

Mon, 19 Feb 2018 07:44:07 +1000

"Every GP loves a catch-up consultation involving simple matters", but there's a time for 'fast thinking' and a time for 'slow thinking', as Dr Justin Coleman discusses with The Good GP.

Waiting Times - Episode 36

Tue, 13 Feb 2018 08:20:03 +1000

How do you improve waiting times for patients? Having long waiting times creates stress for GPs and can be a source of patient complaints. Logistics and operations management specialist, Professor Ken Klassen of Canada's Brock University, discusses strategies for improving GP waiting times with The Good GP.

Chronic Pain - Episode 35

Fri, 09 Feb 2018 06:40:13 +1000

Dr Rajiv Menon, Specialist Anaesthetist and Pain Medicine Physician, talks about chronic pain and chronic pain management.

The Problem With Codeine - Episode 34

Fri, 19 Jan 2018 05:26:12 +1000

What, exactly, is the problem with codeine? Dr Tim Koh discusses codeine with Dr Rajiv Menon, specialist anaesthetist and pain medicine physician.

Cervical Cancer Screening - Episode 33

Fri, 01 Dec 2017 05:03:23 +1000

Speaking about cervical cancer screening and changes to the screening coming into effect from 1 December 2017 is Dr Louise Farrell, King Edward Memorial Hospital's Head of Coposcopy Services and Director of Postgraduate Medical Education, committee member of the Steering Committee for the Renewal Implementation Project (SCRIP)and deputy member of the Reproductive Technology Council.

Exercise and the Heart: The Risks and Benefits - Episode 32

Wed, 08 Nov 2017 06:25:27 +1000

Exercise and the Heart: The Risks and Benefits - Episode 32 by RACGP WA

Coronary CT Angiogram - Episode 31

Mon, 23 Oct 2017 06:21:56 +1000

Cardiologist Dr Lawrence Dembo talks with The Good GP about the reasoning for running CT coronary angiograms and the 'indicators' and 'risk factors' of coronary artery disease.

Arterial And Venous Ulceration - Episode 30

Wed, 06 Sep 2017 07:13:30 +1000

Vascular Surgeon and Head of Department of Vascular Surgery at Royal Perth Hospital, Dr Patrik Tosenovsky, discusses arterial and venous ulceration; the differences between the two, the steps GPs can take and investigations they can perform, and when to refer to a specialist.

Refugee Health - Episode 29

Wed, 23 Aug 2017 00:58:39 +1000

Refugee health GP and Chair of the RACGP Refugee Health Specific Interest Group, Dr Aesen Thambiran, discusses the areas in which GPs should focus on when treating patients from a refugee background. Dr Thambiran discusses the issues around language barriers and the free service on offer to GPs facing this; Translating and Interpreting Service (TIS).

Professor Bruce Robinson & The Fathering Project - Episode 28

Wed, 09 Aug 2017 06:45:42 +1000

A world leader in the study of asbestos related cancers and Western Australian of the Year in 2014, Professor Bruce Robinson, joins Dr Sean Stevens to discuss the Fathering Project; an initiative aimed at helping fathers and father figures realise the importance of their role in a child’s life.

Professor Barry Marshall - Helicobacter pylori bacterium - Episode 27

Wed, 05 Jul 2017 07:01:14 +1000

Professor Barry Marshall returns to talk about his continued research into the bacterium Helicobacter pylori, including failed attempts to infect piglets in 1984 leading him to use himself as the 'animal model'.

Professor Barry Marshall, his professional history & H. pylori - Episode 26

Fri, 23 Jun 2017 01:57:54 +1000

Dr Sean Stevens sits down with Clinical Professor of Microbiology at University of Western Australia and Nobel Prize recipient Professor Barry Marshall. In this episode, Barry talks about life growing up, his pathway to medicine and the start of his collaborative relationship with Dr Robin Warren.

Diabetes - complex problems & patient relationships - Episode 25

Wed, 14 Jun 2017 02:26:22 +1000

GP and past President of Diabetes WA, Dr Barry Fatovich, discusses the complex problem of diabetes, and the importance of building relationships with patients when managing Type 2 diabetes.

Palliative Care - Episode 24

Wed, 31 May 2017 02:42:58 +1000

Dr Sean Stevens speaks with Dr Barry Fatovich, educator and GP who has worked in palliative care with Silver Chain for almost 15 years. They discuss how Barry became involved in palliative care at Silver Chain and what it is that keeps him doing what he does.

Infant death support - Sands Australia - Episode 23

Wed, 17 May 2017 02:07:28 +1000

Dr Sean Stevens speaks with Wayne and Janina Faulkner about their roles with Sands Australia. Sands operates across Australia, supporting anyone affected by the death of a baby; working to improve the care bereaved parents receive by healthcare professionals and breaking the silence and taboo of baby death in today's society.

Advance Care Directives - Episode 22

Thu, 04 May 2017 01:47:54 +1000

Perth GP, Dr Scott Blackwell discusses his work in introducing advanced care directives to Western Australia, having worked in aged care homes and palliative care for over 40 years.

Doctors4Doctors - Episode 21

Wed, 19 Apr 2017 02:18:00 +1000

Approximately only one third of doctors have their own GP. Dr David Oldham discusses the Doctors' Health Advisory, the importance of doctors having access to health care and where to access it.

Immunisation Refusal - Episode 20

Wed, 05 Apr 2017 02:00:57 +1000

Dr Paul Effler joins The Good GP to talk about immunisation refusal and the debate around immunisation.

Homeless Healthcare - Episode 18

Wed, 15 Mar 2017 01:26:08 +1000

Dr Andrew Davies talks about his work as a GP dedicated to working with homeless and marginalised people.

Allergies - Episode 14

Wed, 15 Feb 2017 01:28:21 +1000

Dr Tim Koh chats with Associate Professor Richard Loh, Immunologist and Allergy Specialist.

Anaphylaxis - Episode 13

Wed, 08 Feb 2017 03:46:04 +1000

Associate Professor Richard Loh, Immunologist and Allergy Specialist, talks about anaphylaxis and allergies.

The future of general practice - Episode 12

Wed, 21 Dec 2016 01:17:48 +1000

Dr Tim Koh and Dr Cory Lei once again sit down with Associate Professor Frank Jones to talk the future of general practice.

Antibiotic Awareness Week 2017: Helicobacter pylori - Episode 8

Tue, 15 Nov 2016 05:25:27 +1000

Dr Sean Stevens discusses Helicobacter pylori infection and treatment with Associate Professor Sue Benson, Infectious Diseases Physician and Microbiologist, in acknowledgement of Global Antibiotic Awareness Week

Howard Florey and the discovery of penicillin - Episode 7

Wed, 09 Nov 2016 01:28:06 +1000

Dr Sean Stevens sits down with Associate Professor Sue Benson, Infectious Diseases Physician and Microbiologist, to discuss Howard Florey, penicillin and all things antibiotics just in time for Global Awareness Week, 14-20 November.

Caring for patients in residential care - Episode 6

Tue, 25 Oct 2016 03:59:13 +1000

Dr Tim Koh and Dr Sean Stevens discuss residential aged care with Dr Craig Berg.

Running for health - Episode 5

Wed, 19 Oct 2016 00:51:27 +1000

Dr Tim Koh and Dr Sean Stevens discuss everything running with Dr Craig Berg; from the advantages of running to common running injuries and more.

Professor John Murtagh - Episode 4

Mon, 03 Oct 2016 02:51:30 +1000

Dr Tim Koh and Dr Sean Stevens featuring special guest Professor John Murtagh; academic general practitioner and highly acclaimed author of Murtagh's General Practice.