Goodfellow Unit: MedTalks

Goodfellow MedTalk Series

Engaging and informative inteviews with specialists providing the latest clinical updates for primary health care. 

Improving the physical health of those with chronic mental illness

Dr Helen Fulcher, Goodfellow GP Advisor talks with Professor Bruce Arroll about improving the physical health of those with chronic mental illness, including:

  • types of health problems, individual and system wide
  • the impact of psychiatric medication on physical health
  • reducing the effect of prescription medication
  • mitigating health issues for patients
  • the role of screening
  • transition to primary care
  • take home messages.

For additional information see:

This MedTalk was recorded in 2017.

Psoriasis

Dr Diana North, Goodfellow GP Advisor talks with Dr Maneka Deo, Specialist Dermatologist about the management of psoriasis in primary care, including:

  • what is it and who gets it
  • causes and types 
  • assessment
  • when to refer
  • treatment, inc medication and treatment goals
  • aggravating factors
  • safe use of steroids, inc strengths and risks
  • treatment of specific areas – limbs, trunk, scalp, face.

  

For additional information on treatment, see:

This MedTalk was recorded in 2017.

Non-melanoma skin cancers

Dr Diana North, Goodfellow GP Advisor talks with Dr Marcus Platts-Mills, Dermatology and Skin Cancer Surgery specialist, about the management of non-melanoma skin cancer in primary care, including:

  • how to determine stage of basal cell carcinoma and squamous cell carcinoma 
  • shave or punch biopsy or straight to excision
  • what topical treatments are available in General Practice
  • how to manage lesions with topical treatments
  • when to refer to a specialist.

  

For additional information on prescribing, see:

This MedTalk was recorded in 2017.

Respiratory Infections

Dr Diana North, Goodfellow Unit GP Advisor talks with Emma Best and Stephen Howie about the management of respiratory illness in children. Emma is a paediatric infectious disease specialist at Starship Hospital and a senior lecturer in the Department of Paediatrics at the University of Auckland. Dr Stephen Howie is a Paediatrician Waitemata DHB Paediatric and Newborn Services.

Topics covered include:

  • antibiotic stewardship
  • duration of course of treatment
  • satrategies to manage respiratory infections 
  • the use of paracetamol in fever and infection
  • recommendations re dosages
  • the management of upper and lower respiratory tract infections: ear infections, common cold, sinusitis, laryngitis/croup, whooping cough
  • use of steroids
  • when to treat with antibiotics
  • when to refer to hospital.

This MedTalk was recorded in 2017.

Asthma in children

Dr Diana North, Goodfellow Unit GP Advisor talks with Dr David McNamara, Paediatric Respiratory and Sleep Medicine Specialist employed at Starship Childrens Hospital in Auckland, NZ. 

Dr McNamara discusses what is new in the diagnosis and management of asthma in children up to 16 years of age. The goals of treatment and using a stepped approach to treatment in children is overviewed, as well as:

  • What issues to discuss with parents and children to educate them about asthma.
  • What is changing with lifestyle advice – dust mites and pets.
  • The role for allergy testing.
  • Using a stepped approach to asthma treatment in children
  • New pharmaceuticals available in New Zealand to manage asthma in children
  • What delivery systems to use with children
  • The use of personalised action plans

  

For additional information, see:

Asthma Management Plans

This MedTalk was recorded in 2017.

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