Goodfellow Unit

Mastering Health Literacy

Wed, 03 Jun 2026 00:00:00 +1200

In this episode, Carla White, a health literacy expert, discusses how clinicians can navigate challenging consultations involving medical misinformation and distrust of science. They explore practical communication strategies, the Ask Build Check model, and ways to build trust and understanding with patients.

Type 2 Diabetes Management

Wed, 20 May 2026 00:00:00 +1200

In this episode, Dr Helen Snell, a leading figure in diabetes care in New Zealand, discusses recent updates in type 2 diabetes management, diagnostic criteria changes, new medications, and practical tips for primary care providers.

Familial Hyperlipidemia

Wed, 06 May 2026 00:00:00 +1200

Jocelyne Benatar (Medical Officer Cardiology) and Cam Kyle (Chemical Pathologist) discuss Familial Hyperlipidemia (FH), its diagnosis, management, and implications for primary care. Learn about genetic testing, risk assessment, and new treatments to improve patient outcomes.

A.I. Medical Co-Pilots

Wed, 22 Apr 2026 00:00:00 +1200

This episode explores the current and future role of artificial intelligence in medicine, focusing on practical applications like transcribing tools, decision support, and ethical considerations. Dr. Yariv Doron shares insights from his experience in psychiatry and primary care, emphasising AI's potential to enhance efficiency and accuracy in clinical practice.

Refugee health

Wed, 08 Apr 2026 00:00:00 +1200

This episode discusses the complexities of refugee health in New Zealand, featuring Dr Karen Chung, a Senior Medical Practitioner at the Mangere Refugee Health Service. The conversation covers the refugee resettlement process, the critical role of primary care, common medical conditions among refugees, cultural sensitivity in healthcare, social support entitlements, and effective communication with interpreters. Dr Chung emphasises the importance of building trust and understanding the unique challenges faced by refugee populations.

Sepsis

Wed, 25 Mar 2026 00:00:00 +1300

In this episode, Dr. Paul Huggan discusses the critical topic of sepsis, its prevalence in New Zealand, and how it presents in primary care settings. He explores the differences between sepsis and standard infections, the criteria for defining sepsis, and the risk factors that make certain populations more vulnerable.

The episode emphasises early recognition using red and amber flags, alongside practical management approaches and careful, balanced use of antibiotics. It also highlights emerging research showing how ethnicity and social determinants influence sepsis risk.

Obesity management approaches

Wed, 11 Mar 2026 00:00:00 +1300

In this episode Ole Schmiedel discusses Mounjaro, a new weight loss drug, with a focus on its mechanism of action, practical use, side effects, nutritional considerations, and long-term safety. The conversation provides insights into how Mounjaro differs from previous GLP-1 receptor agonists, expected weight loss outcomes, and the importance of monitoring patients while on the medication.

Male genital skin conditions

Wed, 25 Feb 2026 00:00:00 +1300

Massimo Giola, an infectious disease specialist, discusses genital skin problems in males.

Haematology insights

Wed, 11 Feb 2026 00:00:00 +1300

In this episode, Dr. Alwyn D'Souza delves into advanced haematology topics relevant to general practitioners. They discuss the significance of ferritin levels, the implications of raised globulins, and the complexities surrounding paraproteins and myeloma. The conversation emphasises the importance of clinical judgment in interpreting lab results and understanding the broader context of patient health.

Older adults and medication management

Wed, 28 Jan 2026 00:00:00 +1300

Professor Ngaire Kerse talks about the challenges of managing multimorbidity and medication complexity in older adults.

She discusses the definitions of multimorbidity, the vulnerabilities of older adults to medication issues, and the importance of regular medication reviews, with emphasis on appropriate prescribing and the role of healthcare professionals in supporting older adults in their medication management.

The conversation also covers specific medications like statins and aspirin, the management of hypertension, the risks associated with anticholinergic medications, and the need for equitable medication management for Māori and Pacific populations.

Medical ethics

Wed, 14 Jan 2026 00:00:00 +1300

In this episode Professor Angela Ballantyne discusses some commonly encountered medical ethics cases in general practice.

Full blood count

Wed, 26 Nov 2025 00:00:00 +1300

In this episode, Dr. Alwyn D'Souza delves into the intricacies of the full blood count, discussing its significance, interpretation of results, and the clinical implications of various blood parameters.

Measles outbreak

Wed, 12 Nov 2025 00:00:00 +1300

Nikki Turner discusses the key role of vaccination in eradicating measles, focusing on what immunisation actually protects against, and the crucial role primary care plays in the containment of the current measles outbreak.

Fibroids

Wed, 29 Oct 2025 00:00:00 +1300

In this episode, Dr Jessica Dunning discusses fibroids, including symptoms, diagnosis, and treatment options. We explore the implications of fibroids on women's health, particularly regarding fertility and the various medical and surgical interventions available, along with the importance of individualised care.

Grief: A personal journey

Wed, 15 Oct 2025 00:00:00 +1300

In this episode, clinical psychologist Suze Malcolm discusses the complexities of grief, emphasising its individualised nature and the importance of understanding the emotional responses to loss.

Suze highlights the significance of listening and validating the experiences of those grieving, while also addressing common misconceptions and traps that clinicians may fall into. The conversation explores various therapeutic approaches, cultural considerations, and the dual process model of grief, ultimately reinforcing the idea that grief is a normal human experience that requires compassionate support.

Palpitations

Wed, 01 Oct 2025 00:00:00 +1300

In this episode, Dr Niall Foley discusses Palpitations and what the patient often means when they use the term.

Long-term effects of child cancer treatment

Wed, 17 Sep 2025 00:00:00 +1200

Awras Majeed discusses the Late Effects Assessment Programme (LEAP) in New Zealand, a national service providing long-term surveillance for young people who have completed childhood cancer treatment.

Foetal Anti-Convulsant Syndrome

Wed, 03 Sep 2025 00:00:00 +1200

In this episode Jamie Speeden covers Foetal Anti-Convulsant Syndrome (FACS), focusing on its causes, diagnosis, and the role of general practice in managing the condition.

Thyroid nodules

Wed, 20 Aug 2025 00:00:00 +1200

Ben Chan discusses thyroid nodules and the recent changes in assessment and management.

Kindness in healthcare

Wed, 06 Aug 2025 00:00:00 +1200

Nicki Macklin discusses kindness and leadership, covering how kindness in healthcare is different from simply "being nice".

Polycystic Ovary Syndrome

Wed, 23 Jul 2025 00:00:00 +1200

In this episode, Ruveena Kaur discusses Polycystic Ovary Syndrome (PCOS), covering its diagnosis, metabolic and reproductive health impacts, and long-term management. It highlights weight stigma, eating disorders, effective treatments, and the importance of inclusive, evidence-based care.

Managing uncertainty in the consultation

Wed, 09 Jul 2025 00:00:00 +1200

In this episode, Dr Lucy O’Hagan explores how healthcare professionals navigate uncertainty in consultations, from diagnostic ambiguity to effective patient communication. It covers strategies for gathering information, using reasoning tools, and managing not knowing while maintaining patient trust.

HPV-related head and neck cancer

Wed, 25 Jun 2025 00:00:00 +1200

In this episode, Ben Chan, consultant Head and Neck surgeon, discusses HPV (Human Papillomavirus) related head and neck cancer.

Hypertensive disorders in pregnancy

Wed, 11 Jun 2025 00:00:00 +1200

In this episode Ruveena Kaur discusses hypertensive disorders in pregnancy, covering its definition, causes, maternal and fetal risks, safe treatments, and monitoring. It also discusses long-term health implications and primary care management.

Travel as an older adult

Tue, 27 May 2025 00:00:00 +1200

Jenny Visser discusses essential travel considerations for older adults, particularly exploring the critical role of vaccinations.

Diabetes care

Wed, 14 May 2025 00:00:00 +1200

Ryan Paul discusses disparities in diabetes care, focusing on how technology can reduce the equity gap.

The nocebo effect

Wed, 30 Apr 2025 00:00:00 +1200

In this episode Dawn White explores how language in healthcare impacts patient outcomes, focusing on the nocebo effect - where words can unintentionally harm.

Violence and adversity

Wed, 16 Apr 2025 00:00:00 +1200

Janet Fanslow talks about adverse childhood experiences, intimate partner violence, and non-partner violence in New Zealand and how these issues impact long-term health. We are learning that people’s experience of violence and adversity as children and throughout the lifecourse has long-term health effects. Janet explores what we mean when we talk about experiences of violence and what we are learning about the health effects.

Coeliac disease

Wed, 02 Apr 2025 00:00:00 +1300

In this episode Suzanne Aitken discusses gluten-free diets in patients living with Coeliac disease.

Navigating Work and Income

Wed, 19 Mar 2025 00:00:00 +1300

In this episode, Cathy Stephenson discusses the role of the Ministry of Social Development (MSD) and Work and Income, exploring how to navigate the system to ensure your patients receive the right supports and services.

Travel during pregnancy

Wed, 05 Mar 2025 00:00:00 +1300

Jenny Visser discusses essential travel considerations for pregnant individuals, focusing on a comprehensive pre-travel consultation.

Gut microbiome

Wed, 19 Feb 2025 00:00:00 +1300

Professor Wayne Cutfield discusses the gut microbiome and its impact on conditions like obesity, autism, metabolic disorders, and C.difficile.

Acute altitude illness

Wed, 05 Feb 2025 00:00:00 +1300

Jenny Visser discusses acute altitude illnesses including several conditions that may occur in individuals travelling to high altitudes, usually above 2,500 metres (8,200 feet). Jenny covers the sensible precautions that allow most trips to altitude to be enjoyed safely.

Soālaupule

Wed, 22 Jan 2025 00:00:00 +1300

GP's Mamaeroa David and Va’aiga Autagavaia discuss Soālaupule, an approach that creates equity by sharing power and decision-making. Helping GPs to connect better with families to ensure trust develops, leading to better clinical outcomes.

Novel products of addiction

Wed, 11 Dec 2024 00:00:00 +1300

Jo Lane, an addictions medicine doctor, discusses novel products of addiction, including Kamini Vidrawan Ras, Barshasha and Cool Lip.

Estradiol Gels

Wed, 27 Nov 2024 00:00:00 +1300

Stella Milsom discusses the clinical use of Estradiol gels, focusing on the two available options in New Zealand: Estradiol (Sandrena/ sachets) and Estradiol Hemihydrate (Estrogel pump). Stella will cover dosing, absorption, safety considerations, and the latest updates to Pharmac criteria.

Maternal Mental Health

Wed, 13 Nov 2024 00:00:00 +1300

Mathanki Vivekananda discusses postnatal depression and other mental health conditions.

Menopause hormone therapy

Wed, 30 Oct 2024 00:00:00 +1300

Anna Fenton discusses some more complex cases of menopause hormone therapy in perimenopausal women.

Chest Wall Deformities

Wed, 16 Oct 2024 00:00:00 +1300

Christine Goh discusses the two most common Congenital chest wall deformities. These are characterized by abnormal development and appearance of the chest wall. These can be categorized as rib cage overgrowth or deformities related to inadequate growth, accounting for over 90% of congenital chest wall deformities. In general, most patients are asymptomatic, but cardiopulmonary problems may accompany the disease. The indication for treatment is primarily cosmetic. Treating patients before they reach adulthood increases the chance of success. Surgical treatment can be open or minimally invasive. We will touch on sternal abnormalities briefly.

Diabetes Technology

Wed, 02 Oct 2024 00:00:00 +1300

Ryan Paul discusses continuous glucose monitors and automated insulin delivery devices (aka insulin pumps). From 1 October 2024 CGMs are funded for people with type 1 diabetes and other specific forms of diabetes. The funded devices include: a range of CGMs; two brands of insulin pumps and automated insulin delivery (AID) system algorithms; the associated pump consumables.

Herpes Zoster Ophthalmicus

Wed, 18 Sep 2024 00:00:00 +1200

Rachael Niederer answers some of the common questions surrounding Herpes Zoster Ophthalmicus(HZO), also known as shingles.

Chronic kidney disease

Wed, 04 Sep 2024 00:00:00 +1200

Early detection and intervention are crucial for managing CKD and mitigating its complications. Liz Stallworthy discusses screening at-risk individuals, the use of appropriate tests and ongoing monitoring of CKD in the NZ context.

Low carb diets

Wed, 21 Aug 2024 00:00:00 +1200

General Practitioner Marcus Hawkins and Dietitian/Researcher Caryn Zinn discuss therapeutic low carbohydrate dietary interventions to optimize health in primary care.

Perimenopause Management

Wed, 07 Aug 2024 00:00:00 +1200

Anna Fenton (gynaecological endocrinologist) discusses optimising perimenopause management.

Maternal immunisation

Wed, 24 Jul 2024 00:00:00 +1200

Amber Young and Esther Willing discuss protecting babies through immunisation of hapū māmā in pregnancy and in the newborn period in Aotearoa New Zealand.

Neck lumps in adults

Wed, 10 Jul 2024 00:00:00 +1200

In this episode, Rajan Patel discusses the critical red flags associated with neck lumps in adults. He covers when an urgent referral is necessary and what patients can expect during their visit to a neck surgeon for a red flag neck lump.

Tongue Tie (Ankyloglossia)

Wed, 26 Jun 2024 00:00:00 +1200

In this episode, Paediatrician and Breastfeeding Specialist Abby Baskett discusses tongue tie (ankyloglossia) and its impact on breastfeeding. We cover the prevalence, definitions, assessment tools, and management options, including the intricate details of the frenotomy procedure.

Enduring power of attorney

Wed, 12 Jun 2024 00:00:00 +1200

In this episode Helen Kenealy discusses Enduring Power of Attorney – a critical legal aspect that every primary care provider should understand.

Concussion Guidelines 2024

Wed, 29 May 2024 00:00:00 +1200

Stephen Kara discusses the newly introduced New Zealand 2024 concussion guidelines, including recognizing diverse signs and symptoms. The recovery phase is detailed, encompassing rest, reintroduction, and clearance, featuring a graduated return protocol.

RSV in adults

Wed, 15 May 2024 00:00:00 +1200

Nikki Turner, Academic General Practitioner, provides an update on RSV in adults and discusses new RSV vaccinations.

Nutrition and mental health

Wed, 01 May 2024 00:00:00 +1200

Julia Rucklidge provides an update on the relationship between nutrition and mental health. She explores the current state of mental health in the nation and delves into the role of diet. Additionally, she explores whether a 'good diet' alone is sufficient for optimal mental health, what micronutrients are, and when we should consider them for our patients.

Functional neurological disorder

Wed, 17 Apr 2024 00:00:00 +1200

Clinical Neurologist Matthew Phillips provides an update on Functional Neurological Disorder (FND) which is a disorder that arises from abnormal nervous system functioning where there is no identifiable organic disease.

Secondary amenorrhea

Wed, 03 Apr 2024 00:00:00 +1300

Nicola Keay provides an overview of secondary amenorrhea, highlighting the importance of addressing the concern: Why have my patient's periods stopped? Then asking - Do I need to worry? When is the absence of menstruation considered abnormal? What should I do about it?

Acute kidney injury

Wed, 20 Mar 2024 00:00:00 +1300

Liz Stallworthy provides an update on acute kidney injury (AKI) and acutely rising creatinine.

Primary Ovarian Insufficiency

Wed, 06 Mar 2024 00:00:00 +1300

In this episode, Dr Nicky Keay, an Endocrinologist, discusses unveiling primary ovarian insufficiency and early menopause covering how we navigate these distinct entities with multiple aetiologies.

Thriving in golden years

Wed, 21 Feb 2024 00:00:00 +1300

Geriatrician and General Physician Helen Kenealy discusses how to thrive physically, cognitively, and socially as we age.

Psychiatric aspects of Parkinson's

Wed, 07 Feb 2024 00:00:00 +1300

Primary Care Liaison Psychiatrist Cheryl Buhay provides an update on Parkinson's disease and the psychiatric considerations that the primary care team need to be aware of.

Frail patients

Wed, 24 Jan 2024 00:00:00 +1300

Geriatrician and General Physician Helen Kenealy discusses frailty, including what frailty is, its prevalence in New Zealand, risk factors, presentation, measurement, and the importance of assessing it.

Helen will also discuss practical tools for assessing frailty, adverse outcomes, and effective management strategies.

Melanoma

Wed, 10 Jan 2024 00:00:00 +1300

Dr Susan Seifried discusses the 'Quality Statements to Guide Melanoma Diagnosis and Treatment in New Zealand' developed by the National Melanoma Working Group (NMWG) and MelNet. The latest guidance was released in September 2023. The statements describe what quality care for melanoma should look like in New Zealand based on current global best practice. They aim to reduce the incidence and improve outcomes for melanoma patients and their families.

Antidepressants augmentation

Wed, 13 Dec 2023 00:00:00 +1300

Cheryl Buhay, Primary Care Liaison Psychiatrist, will discuss what we need to consider when our patient doesn’t respond to antidepressant medications, including medication, illness, and patient factors.

Fibromyalgia

Wed, 06 Dec 2023 00:00:00 +1300

Musculoskeletal pain specialist Giresh Kanji provides an update on fibromyalgia.

Fibromyalgia is a collection of symptoms and is best termed a syndrome. The collection of symptoms includes widespread pain, poor sleep, fatigue, brain fog and sometimes depression. A sensitivity to light, sound, touch and smell is also described. There is generalised tenderness, which is how you diagnose the syndrome.

Pilot Medicals

Wed, 29 Nov 2023 00:00:00 +1300

Dr Michael Drane discusses commercial pilot medical certification. Covering clearance to fly, the vacationing pilot, and the pilot with hazardous social behaviours. By the end of this episode, you will know your responsibilities concerning each scenario.

Heart failure - the four pillars

Wed, 15 Nov 2023 00:00:00 +1300

Rob Doughty provides an update on the four pillars of heart failure management. Are your patients on the four pillars of heart failure treatment- if not why not?

Anorectal conditions

Wed, 01 Nov 2023 00:00:00 +1300

Colorectal and General Surgeon Parry Singh discusses common anorectal conditions, including the history, examination and management of haemorrhoids, perianal hematoma, and anal fissures.

Workplace carcinogen exposure

Wed, 18 Oct 2023 00:00:00 +1300

Amanda Eng and Jim McLeod provide an update on workplace exposure to carcinogens.

The New Zealand Carcinogens Survey reveals for the first time the extent to which New Zealanders experience cancer-causing substances and other exposures in their workplace. The survey, released in March this year, reports that more than half (58%) of all workers are exposed to at least one workplace carcinogen at some level.

Alcohol and adolescents

Wed, 04 Oct 2023 00:00:00 +1300

In this episode, Jude Ball (a member of the Adolescent Health Research Group) discusses alcohol use in New Zealand’s adolescent population.

Safe to fly?

Wed, 20 Sep 2023 00:00:00 +1200

Michael Drane discusses clearing your patient to fly safely. What you need to consider and how you go about clearing your patient with medical conditions to fly.

Death Certification

Wed, 06 Sep 2023 00:00:00 +1200

In this episode, Gary Clearwater discusses certifying death and completing the required documentation in NZ for individuals aged >28 days old. This includes death following assisted dying. If cremation is requested, a cremation certificate must also be completed.

Statin therapy in 2023

Wed, 23 Aug 2023 00:00:00 +1200

In this episode, pharmacist prescriber Linda Bryant discusses statin use in New Zealand today, how it has changed and its future place.

Blocked and congested noses

Wed, 09 Aug 2023 00:00:00 +1200

Nick Lilic discusses the common clinical syndromes that cause nasal congestion, overviewing conservative management, and when to consider surgical options.

Firearms licensing

Wed, 26 Jul 2023 00:00:00 +1200

In this episode, Kendra Hill and Inspector Kirsten Price discuss firearms licensing: the roles and responsibilities of health practitioners and police; how to make a notification, and what happens once a notification is made.

Nurse practitioners

Wed, 12 Jul 2023 00:00:00 +1200

In this episode, Chelsea Willmott discusses nurse practitioners in New Zealand and the growing role they play in primary care practice.

Paediatric vulval conditions

Wed, 28 Jun 2023 00:00:00 +1200

In this episode we have a case based discussion with Dr Saman Moeed, covering 4 common paediatric vulval conditions. Vulvovaginitis, labial fusion, vulval pain, lichen sclerosis and worms.

Exercise and brain health

Wed, 14 Jun 2023 00:00:00 +1200

Dr David Moreau discusses the latest on exercise to optimise brain health.

Vulval pain in young women

Wed, 31 May 2023 00:00:00 +1200

In this episode, Saman Moeed discusses vulval pain or vulvodynia in young women and possible underlying conditions.

Psychotherapy

Wed, 17 May 2023 00:00:00 +1200

In this episode Aaron O’Connell (clinical psychologist) discusses psychotherapy, CBT, ACT, FACT and the modality we should suggest to patients.

Alcohol use in New Zealand

Wed, 03 May 2023 00:00:00 +1200

In this episode, Guyon Espiner (Investigative Journalist/Author) will discuss his journey from being a heavy yet controlled drinker to his abstinence from alcohol. A patient's journey and perspective.

Silicosis

Wed, 19 Apr 2023 00:00:00 +1200

Dr Alexandra Muthu discusses silica dust causing health issues like accelerated silicosis, which is an emerging occupational disease caused by exposure to high concentrations of respirable crystalline silica from unsafe work with engineered stone.

Spinal muscular atrophy

Wed, 05 Apr 2023 00:00:00 +1200

Dr Gina O’Grady provides an update on spinal muscular atrophy (SMA), including how prompt recognition of hypotonia and timely referral means disease modifying therapies can be started early, which may alter prognosis and longevity.

Cardiovascular risk reduction

Wed, 22 Mar 2023 00:00:00 +1300

In this episode Dr Taisia Cech and Dr Marissa Kelaher discuss cardiovascular risk reduction with lifestyle medicine principles.

Myalgic Encephalomyelitis/CFS

Wed, 08 Mar 2023 00:00:00 +1300

In this episode Dr Cathy Stephenson and Rose Silvester discuss the impact of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) on young people.

ME/CFS is a poorly understood, yet relatively common medical condition, that can profoundly affect the lives of those who suffer from it. Sadly for decades myths have persisted around the aetiology and pathophysiology of ME/CFS, with many health providers historically even doubting its existence, and confusion still reigns when it comes to an evidence-based approach to management. So here to unpick some of the myths, and help us with an approach to assessing and supporting young people who develop ME/CFS are Dr Cathy Stephenson, a GP who has developed a special interest in the condition, and Rose Silvester, a mum of two teenage boys who are affected by it. We are also delighted to have special guest to give us insight.

Child abuse

Wed, 08 Feb 2023 00:00:00 +1300

In this episode, Dr Juliet Soper will discuss child abuse, talking to families and child protection agencies about possible child abuse. We discuss strategies to support you to have these difficult conversations.

Vegan Babies

Wed, 25 Jan 2023 00:00:00 +1300

In this episode, Dr Taisia Cech and Dr Marissa Kelaher will discuss how to optimise nutrition in the prenatal period for expectant parents, and in the first 1000 days.

Sentinel Injuries

Wed, 11 Jan 2023 00:00:00 +1300

In this episode, Juliet Soper discusses sentinel injuries. including what to lookout for and when to report.

Herpes zoster vaccination - an update

Wed, 14 Dec 2022 00:00:00 +1300

In this episode, Jenny Visser provides an update on the herpes zoster vaccination.

Frailty

Wed, 30 Nov 2022 00:00:00 +1300

In this episode, Geriatrician Victoria Gibson discusses why it’s important to recognise frailty and address reversible factors.

Prostate Screening

Wed, 16 Nov 2022 00:00:00 +1300

In this episode, urologist Jason Du discuses prostate screening. PSA - to screen or not to screen.

Acne management

Wed, 02 Nov 2022 00:00:00 +1300

In this episode, Paul Jarrett discuses acne vulgaris in primary care.

Heart failure: What's new

Wed, 19 Oct 2022 00:00:00 +1300

In this episode, Rob Doughty focuses on what's new in New Zealand's treatment of heart failure.

Hair loss in your female patient

Wed, 05 Oct 2022 00:00:00 +1300

In this episode, Paul Jarrett focuses on hair loss in the female patient- the causes, how to make a diagnosis and the management.

Monkeypox

Wed, 21 Sep 2022 00:00:00 +1200

Dr Julia Scott a Sexual Health Physician and Public Health Medical Officer, and Dr Gary McAuliffe a Clinical Microbiologist and Virologist discuss the recent monkeypox (MPX) outbreak.

Eye trauma

Wed, 07 Sep 2022 00:00:00 +1200

Ophthalmologist Dr Rachael Niederer discusses dealing with eye trauma in general practice.

Toxoplasmosis and the eye

Wed, 24 Aug 2022 00:00:00 +1200

Opthalmologist Dr Rachael Niederer discusses toxoplasmosis and the eye.

Cutaneous warts

Wed, 10 Aug 2022 00:00:00 +1200

Dr Georgina Harvey will discuss cutaneous viral warts. Including common causes, diagnosis and treatment.

Periods: managing their impact

Wed, 27 Jul 2022 00:00:00 +1200

Cathy Stephenson discusses periods and young people: how to minimise their impact.

Youth vaping

Wed, 13 Jul 2022 00:00:00 +1200

Dr Colette Muir talks about youth vaping, what we need to know.

Sexual harm disclosure

Wed, 29 Jun 2022 00:00:00 +1200

Cathy Stephenson discusses how to ask about non-consensual sex and what to do if you get a disclosure.

Child Neglect

Wed, 15 Jun 2022 00:00:00 +1200

Dr Bronwyn Rosie discusses the prevalence of child neglect in New Zealand and dealing with a neglect case in the community.

PTSD

Wed, 01 Jun 2022 00:00:00 +1200

In this episode Cheryl Buhay discusses PTSD. What we need to know and how we can look after ourselves in a pandemic to avoid this diagnosis.

Salivary gland conditions

Wed, 18 May 2022 00:00:00 +1200

In this episode Kevin Smith discusses conditions that affect the salivary glands.

Diabetes - sick day management

Wed, 04 May 2022 00:00:00 +1200

In this episdoes Ryan Paul discusses sick day management in the patient with diabetes.

Meningococcal disease in young people

Wed, 20 Apr 2022 00:00:00 +1200

Nikki Turner discusses meningococcal disease in NZ’s young people. The burden of disease, who gets sick and why. Immunisation will be discussed in depth.

Herpes zoster in the older adult

Wed, 06 Apr 2022 00:00:00 +1200

Tyson Oberndorfer talks about Herpes zoster (or shingles) in older adults, and how GPs play a crucial role in its management.

Fasting with type two diabetes

Wed, 23 Mar 2022 00:00:00 +1300

Ryan Paul discusses fasting in patients with type 2 diabetes. He focusses on planned fasts, rather than illness, including the benefits and dangers of fasting.

T2D - managing CVD risk factors

Wed, 09 Mar 2022 00:00:00 +1300

Rinki Murphy outlines the practical strategies GPs can put in place to enable systematic CVD risk factor management among patients with T2D.

Conversations with young patients about sex

Wed, 23 Feb 2022 00:00:00 +1300

Cathy Stephenson discusses how to have conversations with our younger patients about sex.

Child abuse

Wed, 09 Feb 2022 00:00:00 +1300

Dr Bronwyn Rosie discusses the prevalence of child abuse in New Zealand and dealing with an abuse or neglect case in the community.

HEEADSSS in five minutes

Wed, 26 Jan 2022 00:00:00 +1300

Dame Sue Bagshaw discusses completing a HEEADSSS assessment in a short period of time. What to include, what to exclude and how to build rapport in a consultation.

Relative energy deficiency in sport

Wed, 12 Jan 2022 00:00:00 +1300

Dr Megan Ogilvie discusses how to screen for Relative Energy Deficiency in Sport (RED-S), a clinical syndrome comprising low energy availability (LEA) as a result of over-training and a negative calorific balance. She talks about how to investigate and manage these patients that are often overlooked in our community.

Mild cognitive impairment

Wed, 15 Dec 2021 00:00:00 +1300

Dr Bronwyn Copeland on the role of primary care in diagnosing and managing mild cognitive impairment (MCI).

Assisted dying

Wed, 01 Dec 2021 00:00:00 +1300

Dr Kate Grundy discusses what general practice needs to know about assisted dying and the New Zealand End of Life Choice Act 2019.

Ventilation and filtration of clinics during COVID

Wed, 17 Nov 2021 00:00:00 +1300

Dr Kelvin Ward talks about ventilation and filtration within a covid pandemic and what general practices need to know about multi-layered mitigation of risk.

Last days of life

Wed, 03 Nov 2021 00:00:00 +1300

Kate Grundy discusses Te-ara-whakapiri - symptom management in the last days of life.

Libido in the menopausal woman

Wed, 20 Oct 2021 00:00:00 +1300

Megan Ogilvie discusses women's libido including menopausal hormone treatment, and testosterone supplementation.

Shift work

Wed, 06 Oct 2021 00:00:00 +1300

Fiona Johnston discusses how to thrive when working shifts, including strategies to optimise your sleep quality and quantity.

Diabetes management: a case-based discussion

Wed, 22 Sep 2021 00:00:00 +1200

Dr Rinki Murphy uses a case-based approach to diabetes management incorporating the new Diabetes Management Guidance and discusses where the newly funded dulaglutide fits.

A guide on using Dulaglutide for T2D

Wed, 08 Sep 2021 00:00:00 +1200

In this episode, we provide a practical guide to using Dulaglutide (Trulicity) for managing Type 2 Diabetes (T2D). We start with the importance of lifestyle interventions and weight reduction, then explore the role of pharmacological management and the science behind GLP-1 receptor agonists.

Teenage brain development

Wed, 25 Aug 2021 00:00:00 +1200

Dame Sue Bagshaw discusses teenage brain development and its influences - what this means for the GP - and how to optimise your communication to maximise your consult with the teenage patient.

Covid vaccine hesitancy

Wed, 18 Aug 2021 00:00:00 +1200

Dr Nikki Turner discusses why people are vaccine hesitant and how we can help alleviate concerns and move patients from vaccine hesitant to fully immunised.

Managing depressed and anxious patients

Wed, 11 Aug 2021 00:00:00 +1200

Dr Zuzana Wheeler discusses a case of anxiety and depression. She discusses how this case would be addressed using a lifestyle model (LSM). She overviews where you go to learn more and how to refer on to a LSM colleague.

Alzheimer's Disease: Metabolic strategies to slow and reverse progression

Wed, 28 Jul 2021 00:00:00 +1200

Dr Matthew Phillips discusses metabolic strategies for the treatment of Alzheimer’s disease, including both fasting and the ketogenic diet. He also discusses results from his Waikato trials.

Endometriosis - what's new and important

Tue, 13 Jul 2021 00:00:00 +1200

Simon Edmonds and Michael Wynn Williams discuss improving the diagnosis and management of endometriosis in New Zealand through early recognition of symptoms, empowering primary health care practitioners to make a suspected diagnosis and commence management along with appropriate and timely referral to specialists.

Clozapine and primary care

Wed, 30 Jun 2021 00:00:00 +1200

In this episode, Dr Cheryl Buhay will discuss Clozapine and primary care- what you need to know.

Clozapine is a second generation or atypical antipsychotic prescribed for treatment-resistant schizophrenia. It is usually commenced by secondary mental health services. Clozapine is associated with several side-effects and patients require close monitoring.

GP’s are responsible for caring for these patients and this podcast provides guidance on management and monitoring.

Reversing type two diabetes

Wed, 16 Jun 2021 00:00:00 +1200

Dr Glen Davies is a passionate advocate of lifestyle approaches to reversing chronic disease. Through his prescription of LCHF/ keto diets, he has helped over 100 patients reverse their prediabetes and type 2 diabetes.

Lifestyle medicine

Wed, 02 Jun 2021 00:00:00 +1200

Dr Zuzana Wheeler discusses lifestyle medicine, what it is and if it has a place in our fifteen-minute consultations.

Adult ADHD

Wed, 19 May 2021 00:00:00 +1200

In this episode, Dr Cheryl Buhay will discuss ADHD in adults.

Mentoring in medicine

Tue, 04 May 2021 00:00:00 +1200

Dr Juliet Rumball-Smith (Wāhine Connect) talks about mentoring in medicine and the positive impact it can have.

What's new in sex education

Wed, 21 Apr 2021 00:00:00 +1200

Dr Claire Meehan talks about her work with young people across NZ to understand how they engage with sexual media.

Cow's milk allergy

Wed, 07 Apr 2021 00:00:00 +1200

Dr Annaliesse Blincoe discusses cow’s milk allergies, and their spectrum of presentations.

More GPs with special interests

Wed, 24 Mar 2021 00:00:00 +1300

In this podcast, Dr Louise Kuegler interviews a number of General Practitioners about their special interests, how they developed and how they have had a positive impact on their practice.

Myelodysplastic Syndrome

Wed, 10 Mar 2021 00:00:00 +1300

Dr Anna Elinder Camburn a New Zealand trained Haematologist covers Myelodysplastic Syndrome, discussing risk factors and at what point to be referring to a haematologist.

SGLT2 inhibitors and how we use them

Wed, 24 Feb 2021 00:00:00 +1300

In this podcast, Dr Rick Cutfield discusses the management of type two diabetes mellitus following the introduction of new funded medication in NZ.

He covers the importance of lifestyle, medication, and support at every step, and also the pharmacological management including the new stepwise approach to management.

Indications and precautions of the new classes of subsidised medications: Sodium glucose co-transporter 2 (SGLT-2) inhibitors, and briefly Glucagon like peptide-1 receptor (GLP-1) agonists are also covered.

Transgender physical health

Wed, 10 Feb 2021 00:00:00 +1300

In this second episode, Dr Rona Carroll discusses the medical and surgical initiation and maintenance of gender-affirming hormone treatment, and surgical intervention in the transgender-transitioning patient.

Transgender health and puberty suppression

Wed, 27 Jan 2021 00:00:00 +1300

Dr Rona Carroll will discuss the physical aspects of managing the transgender patient - Taha tinana. In this first of two episodes, we discuss transgender physical health and discuss management up to puberty suppression.

Dysfunctional breathing disorders

Wed, 13 Jan 2021 00:00:00 +1300

In this episode, Dr Stephen Child discusses dysfunctional breathing disorders - including assessment, investigation and management.

Dysfunctional breathing is a term describing a group of breathing disorders in patients where chronic changes in breathing pattern result in dyspnoea and often non- respiratory symptoms in the absence of, or in excess of, organic respiratory disease.

Asthma management in adolescents and adults

Tue, 08 Dec 2020 00:00:00 +1300

In this episode, Dr Stephen Child discusses the NZ Asthma and Respiratory Foundation's 2020 adult and adolescent guidelines.

First episode psychosis

Wed, 25 Nov 2020 00:00:00 +1300

In this episode, Dr Cheryl Buhay will discuss first episode psychosis, the importance of early diagnosis and intervention, along with risk factors.

Borderline personality disorder

Wed, 11 Nov 2020 00:00:00 +1300

BPD is relatively common, and management in general practice often time consuming and unrewarding. In this podcast, Dr Cheryl Buhay discusses clues to diagnosis, investigations, and management tips to hopefully make these patients more straightforward to manage, and also more rewarding.

GPs with special interests

Wed, 28 Oct 2020 00:00:00 +1300

In this podcast, Dr Louise Kuegler interviews a number of General Practitioners about their special interests, how they developed and how they have had a positive impact on their practice.

Ophthalmology update

Wed, 14 Oct 2020 00:00:00 +1300

In this podcast, Dr Rachael Niederer overviews three hot topics in ophthalmology, and considers management in the current COVID-19 climate.

Managing stuck or distressed patients

Wed, 30 Sep 2020 00:00:00 +1300

Professor Bruce Arroll suggests ways to identify stress and stressors, and why it’s important to do so.

Sarcoma in children

Wed, 16 Sep 2020 00:00:00 +1200

Delay in diagnosis of sarcoma directly, impacts upon long term prognosis. Using case scenarios, Andrew Graydon overviews the recognition, diagnosis and principles of management of this important type of cancer focusing mainly on the paediatric patient.

Constipation in children

Wed, 02 Sep 2020 00:00:00 +1200

In this podcast, Dr Rebecca Hayman reviews the optimal management of childhood constipation. She discusses pathophysiology, the important clues that can be gained from a comprehensive history and thorough examination, and finally the management including dis-impaction, and why long term maintenance treatment is so important.

Greening your general practice

Wed, 19 Aug 2020 00:00:00 +1200

Dr Dermot Coffey talks about practical environmentally responsible changes you can make in your practice today, to create a sustainable future.

ADHD management

Tue, 04 Aug 2020 00:00:00 +1200

In this second podcast on ADD and ADHD, Dr Colette Muir talks about management in children.

ADHD assessment and diagnosis

Wed, 22 Jul 2020 00:00:00 +1200

Dr Colette Muir talks about assessment and diagnosis of ADD and ADHD in children. She covers comprehensive assessment, supporting families, and the wider context.

Hyperhidrosis - Managing the excessively sweaty patient

Wed, 08 Jul 2020 00:00:00 +1200

Dr Indran Ramanathan discusses managing the patient with hyperhidrosis, from simple lifestyle measures through to surgical interventions.

Asthma in under five-year-olds

Mon, 22 Jun 2020 00:00:00 +1200

Dr David McNamara talks through addressing the challenges and barriers to diagnosis of asthma in the under five-year-old child.

Telemedicine and preventative health

Tue, 09 Jun 2020 00:00:00 +1200

Dr John McMenamin on strategies to enquire, engage and motivate your patient towards better health outcomes.

Side-sleeping in late pregnancy

Wed, 27 May 2020 00:00:00 +1200

Professor Lesley McCowan discusses the impact of maternal sleep position on late stillbirth risk and how the public health message of side sleeping is best in late pregnancy.

Bronchiectasis in children

Wed, 13 May 2020 00:00:00 +1200

Associate Professor Cass Byrnes discusses the chronic wet cough in a child, including equity issues, clinical presentations and investigations.

Discussing coronavirus with children

Tue, 28 Apr 2020 00:00:00 +1200

Nicola Woollaston discusses how to talk to children about COVID-19, strategies to diffuse anxiety for different age groups, and ideas that can be implemented in homes to create calm and supportive environments.

A pain in the foot

Wed, 15 Apr 2020 00:00:00 +1200

Rupesh Puna discusses foot pain throughout the lifespan. He uses a case-based approach highlighting four common conditions:

Sever’s disease
Morton’s neuroma
plantar fasciitis
osteoarthritis of the foot.

Take home messages

Taking a history is crucial to making the diagnosis when a patient has foot pain.
Often imaging is required with foot pain - consider a weight-bearing x-ray to exclude and rule out significant other differentials. If unsure about further imaging modality, please feel free to discuss with your friendly orthopaedic foot surgeon
If local anaesthetic or steroid injections are to be used, we would recommend US guidance for accuracy.
Sever’s disease will resolve when the child stops growing. Ceasing aggravating activities is the key to this. Heel cups and calf stretching exercises can be of some help but we appreciate compliance can be an issue.
The clue to diagnosis of Morton’s neuroma is asking about footwear and the relief that comes with removing tight fitting foot wear. Other common symptoms include burning into the webspace (most often the 3/4 webspace) and a sense of walking on a “mass”.
Plantar fasciitis has many options of treatment and all essentially have similar outcomes at one year - if symptoms are still present after a year an orthopaedic opinion may be sought. First line treatment should involve calf stretching, plantar fascia specific stretching as well as an orthotic or heel pad).
Osteoarthritis of the foot is complex and there are many treatment options other than just fusion for certain joints (1st MTPJ and ankle). Glucosamine may be of benefit early in the disease process. It is worth referring to someone who specialises in the foot and ankle to discuss surgical options when the time is right.

Sleep and babies

Tue, 31 Mar 2020 00:00:00 +1300

Dr Liora Kempler talks about what to expect in the first year of a baby's sleep patterns, and how to set up a healthy sleep regime.

Dementia in Māori - optimising care

Wed, 18 Mar 2020 00:00:00 +1300

Understanding and incorporating Māori world views of health care in a dementia setting with inclusive development of pathways promotes a Māori responsive approach. Dr Makarena Dudley will discuss her recent research into constructs of Mate ware ware (becoming forgetful and unwell) from a Māori understanding of dementia.

Patient resources

Dementia Health Navigator NZ
Living with dementia help sheets Dementia Australia
Alzheimers New Zealand
Dementia NZ
Carers NZ
Age Concern NZ

Sleep in pregnancy

Tue, 03 Mar 2020 00:00:00 +1300

Dr Liora Kempler talks about sleep in pregnancy and in the first year post-partum. What changes a pregnant mother can expect. How to help them optimise their sleep and who they can turn to if they are struggling.

Patient resources

Mothers matter
Sleep on side when baby's inside
Sleep in pregnancy Health Navigator NZ
Postnatal depression and Anxiety Plunket
Postnatal depression - Mental Health Foundation NZ
Pregnancy and Sleep Sleep Health Foundation
Pregnancy and Sleep Sleep Foundation
Sleeping for Two: Complete Guide to Sleeping While Pregnant Sleep Advisor

Goals of care in end-stage dementia

Tue, 18 Feb 2020 00:00:00 +1300

Dr Michal Boyd talks about goals of care in end-stage dementia.

Patient resources

Dementia Health Navigator NZ
Living with dementia help sheets Dementia Australia
Alzheimers New Zealand
Dementia NZ
Carers NZ

The Medication Interest Model (MIM)

Wed, 05 Feb 2020 00:00:00 +1300

A discussion with international expert Dr Shawn Shea MD, on the medication interest model (MIM). Shawn is the Director of the Training Institute for Suicide Assessment and Clinical Interviewing. He is the author of numerous articles and seven books, with The Practical Art of Suicide Assessment being viewed as one of the classic texts in the field of suicidology.

Living well with dementia

Tue, 21 Jan 2020 00:00:00 +1300

Professor Ngaire Kerse talks about living well with dementia. Ngaire is a GP in Auckland, Professor of General Practice and Primary Health Care and the Joyce Cook Chair in Ageing Well at the University of Auckland.

After training in primary care in the USA, completing a Geriatric Medicine Fellowship at the University of Pennsylvania, and GP training in New Zealand, Australia, and then a PhD at the University of Melbourne, she has built a programme of research throughout New Zealand over the last two decades.

Patient resources

Dementia Health Navigator NZ
Living with dementia help sheets Dementia Australia
Alzheimers New Zealand
Dementia NZ
Carers NZ

Urology hot topics

Wed, 08 Jan 2020 00:00:00 +1300

Dr Anna Lawrence talks about hot topics in Urology. Anna is a New Zealand trained Urologist and is the current president of Continence NZ.

Anna's goal is to increase the education and standard of reconstruction in neuro-urology, thereby improving the care of conditions and improving the quality of life for patients.

UTI in pregnancy

Tue, 10 Dec 2019 00:00:00 +1300

Dr Bronwyn Sinclair talks about urinary tract infection (UTI) in pregnancy. Bronwyn is an obstetric physician at Waitemata DHB and National Women’s Hospital in Auckland. She has an interest in the delivery of high end medical care for both general and obstetric patients at the front end of the hospital and works as an Acute Care (General) Physician at North Shore Hospital.

Varicose veins

Wed, 27 Nov 2019 00:00:00 +1300

Dr Sam Dunn discusses varicose veins - vanity or a medical necessity? Sam has completed the diploma of Procedural Phlebology and is the medical director of Palm Clinic in Auckland.

Acute urinary retention

Wed, 13 Nov 2019 00:00:00 +1300

Dr Anna Lawrence is a New Zealand trained Urologist and is the current president of Continence NZ.

Since returning home to NZ, she has been striving to increase the education and standard of reconstruction and Neuro-Urology in NZ, thereby improving the care of conditions and improving the quality of life of patients.

Urinary incontinence in older women

Tue, 29 Oct 2019 00:00:00 +1300

Dr Lucy Fergus discusses urinary incontinence in the older women, focussing on the 80+ years. Lucy is a Geriatrician and Medical Director for Older Persons Health, Rehabilitation and Allied Health Services, Hawkes Bay Hospital. She also works privately at aging well- and offers private geriatric consultations.

Medication update

Wed, 16 Oct 2019 00:00:00 +1300

Professor Bruce Arroll discusses updates in New Zealand medication for general practice. Bruce is a GP in South Auckland, director of the Goodfellow Unit and a Professor in General Practice at the University of Auckland.

Breast health

Wed, 02 Oct 2019 00:00:00 +1300

Dr Erica Whineray Kelly talks about breast health in New Zealand. Erica is an oncoplastic breast cancer surgeon and advocate based in Auckland, New Zealand. Erica co-founded and is the Managing Director of both Auckland Breast Centre (ABC) and Focus Radiotherapy.

The CASE approach to suicide assessment

Mon, 16 Sep 2019 00:00:00 +1200

A discussion with international expert Dr Shawn Shea MD, on the interviewing strategy known as the Chronological Assessment of Suicide Events Approach (CASE approach). Shawn is the Director of the Training Institute for Suicide Assessment and Clinical Interviewing. He is the author of numerous articles and seven books with The Practical Art of Suicide Assessment being viewed as one of the classic texts in the field of suicidology.

Nocebo effect - what is it? And what can we do about it?

Tue, 03 Sep 2019 00:00:00 +1200

Professor Keith Petrie talks about the 'nocebo' effect. Keith is a professor in the Department of Psychological Medicine, University of Auckland and has made significant contributions to health, medicine and psycho-immunology. His Illness Perception Questionnaire (IPQ) is widely cited, and its use has advanced the understanding of how people perceive and respond to illness, with implications for recovery.

Be careful about mental health labelling

Tue, 20 Aug 2019 00:00:00 +1200

Dr Bruce Arroll talks about the distressed patient and taking care when making a diagnosis. Bruce is a Professor in the Department of General Practice and Primary Care at the University of Auckland.

Exercise as medicine

Wed, 07 Aug 2019 00:00:00 +1200

Dr Mark Fulcher talks about using exercise as medicine. Mark is a Sport and Exercise Physician at Axis. Mark has worked extensively in sports medicine and is especially interested in injury prevention and the treatment of concussion. He works closely with ACC and is part of their Sports Collaboration Group which recently released the Concussion Service Guidelines for medical providers in NZ.

Children's Teeth

Wed, 24 Jul 2019 00:00:00 +1200

Dr Katie Bach talks about children's teeth and why you need to get involved in their dental health. Katie currently works as a paediatric dental consultant at both Greenlane Clinical Centre and Starship Hospital as well as working privately at Kidz-Teeth in Auckland.

Discussing death and dying

Wed, 10 Jul 2019 00:00:00 +1200

Dr Kathryn Mannix talks about death and dying and the taboos associated with what is an inevitable part of everybody’s life. Kathryn is a palliative care physician a qualified cognitive behavioural therapist and is an award winning author of the thought provoking book “With the End in Mind”.

Exercise for the treatment of depression, anxiety and insomnia

Tue, 25 Jun 2019 00:00:00 +1200

Dr Giresh Kanji talks about the importance of exercise in the management of depression and insomnia in general practice. Giresh is a musculoskeletal pain expert in Auckland. He’s founder of the New Zealand Pain Foundation and has many years of experience researching and managing pain. His PhD explored the causation of headache disorders, the migraine gene and the role of the sympathetic nervous system in chronic pain.

Case Study

A 42 year old advertising account manager and mother of 1 comes to see you. She is distressed as is going through an employment dispute at work. She works 14 hours a day, 6-7 days a week. She isn’t sleeping well. She drinks a bottle of red wine a night and is experiencing depressed mood and is anxious.

You discuss the options; one of which is incorporate some daily exercise, ideally at least 30 minutes of moderate to vigorous exercise each day.

She ask if it will work? Is exercise enough?

Diabetes management in the older or frail adult

Tue, 11 Jun 2019 00:00:00 +1200

Dr Rick Cutfield discusses diabetes management in the older or frail adult. Rick is the Clinical Director of the Endocrinology & Diabetes Division at Waitemata DHB and works privately at Mercy specialist group in Epsom. He is active in teaching, clinical research and all aspects of diabetes, endocrinology and general medicine.

Case Study

Mrs F is 84 and has type 2 diabetes for many years with excellent control HbA1c 49 mmol/min. She lives alone, and says she has no problems. She eats 3 meals per day. She walks daily.

Her exam reveals a slim woman with BMI 19 and no neuropathy with BP 120/78 and no postural drop. Visual acuity is 6/6 (R) and 6/9 (L).
However you notice she pushes up with both and to get out of the chair and is slow to move to the examination bed. You notice bruising on her knees and upper thigh and arm and she admits to a couple of falls going to the toilet.
Her medication list includes an ACE inhibitor, a statin, Glipizide 10 mg b.d., Metformin 850mm b.d. and also Isophane insulin 12u at bedtime.
She has an LDL cholesterol of 1.9 and an eGFR of 38 ml/min with urine microalbumin of 42 mmol/L.

Endometriosis

Tue, 28 May 2019 00:00:00 +1200

Anil Sharma talks about the management of endometriosis in primary care. Anil is a private gynaecologist working in Auckland at Ascot Central and has special interests in endometriosis, abnormal uterine bleeding and urogynaecology.

Improving treatments for depression

Tue, 14 May 2019 00:00:00 +1200

Pim Cuijpers talks about the challenge of improving treatments for depression. Pim is Professor of Clinical Psychology at the Vrije Universiteit Amsterdam (The Netherlands), and Head of the Department of Clinical, Neuro and Developmental Psychology. He is the world’s leading expert in the meta-analyses of reviews of psychotherapies.

Sudden unexpected death in infancy (SUDI)

Wed, 01 May 2019 00:00:00 +1200

Dr Christine McIntosh talks about sudden unexpected death in infancy (SUDI). Christine is a general practitioner working as GP liaison in children’s health at CMDHB and is a senior lecturer at the University of Auckland. Christine is passionate about SUDI prevention and has been researching this topic for over 16 years.

Pre-diabetes

Tue, 16 Apr 2019 00:00:00 +1200

Professor Bruce Arroll discusses pre-diabetes and preventing progression to type 2 diabetes. Bruce is a GP in South Auckland, director of the Goodfellow Unit and a Professor in General Practice at the University of Auckland.

Measles in New Zealand

Wed, 03 Apr 2019 00:00:00 +1300

Nikki Turner discusses the management of measles in New Zealand. Nikki is an academic General Practitioner and an Associate Professor in the Department of General Practice and Primary Care, University of Auckland. She works part time as a GP in Wellington and is Director of the Immunisation Advisory Centre (IMAC).

Menopause - Anna Fenton

Tue, 19 Mar 2019 00:00:00 +1300

Anna Fenton discusses the management of menopause. Anna is a gynaecological endocrinologist at Canterbury DHB where she is clinical lead for bone densitometry. She is a member of the pharmacology and therapeutic advisory committee for endocrinology and is past president of the Australasian Menopause Society.

Chronic pancreatitis

Tue, 05 Mar 2019 00:00:00 +1300

Professor John Windsor talks about chronic pancreatitis. John is a trained general surgeon who has had further fellowship training in hepato-biliary and pancreatic, gastro-oesophageal and laparoscopic surgery. He works at Auckland City Hospital and the University of Auckland. Privately he works at Mercy Hospital in Auckland and specialises in pancreatic, bilary, gastric and oesophageal surgery.

What's new in sexual health

Wed, 20 Feb 2019 00:00:00 +1300

Nicky Perkins talks about what's new in sexual health. Nicky is a specialist in sexual health medicine practicing at the Auckland Sexual Health Service and privately at Omnicare Women’s Health Clinic.

Nicky is actively involved in teaching and research. In addition to general sexual health medicine, she is interested in chronic genital and sexual pain, vulvovaginal disease and genital dermatology.

Nicky practices from a whole person perspective and has completed post-graduate training in MindBody Medicine.

Concussion management in children

Tue, 05 Feb 2019 00:00:00 +1300

Stephen Kara talks about concussion management in children. Stephen has an interest in sports related concussion and has commenced work at Axis Sports Medicine Clinic, focussing on the assessment and management of community based concussion.

Stephen is in his 9^th season as doctor for The Blues Super Rugby Team, having been involved with rugby medicine since 2004. He has held previous roles with Auckland Rugby and has travelled as team doctor for NZ Under 19 Teams and Māori All Blacks. He works full-time within the realm of rugby medicine, is an educator for World Rugby in pitch-side immediate care and is Chairman of Sports Medicine NZ.

Vaginal discharge and bacterial vaginosis

Fri, 25 Jan 2019 00:00:00 +1300

Nicky Perkins talks about vaginal discharge. Nicky is a specialist in sexual health medicine practicing at the Auckland Sexual Health Service and privately at Omnicare Women’s Health Clinic.

Nicky is actively involved in teaching and research. In addition to general sexual health medicine, she is interested in chronic genital and sexual pain, vulvovaginal disease and genital dermatology.

Nicky practices from a whole person perspective and has completed post-graduate training in MindBody Medicine.

Acute pancreatitis

Wed, 09 Jan 2019 00:00:00 +1300

John Windsor talks about acute pancreatitis. Professor John Windsor is a trained general surgeon who has had further fellowship training in hepato-biliary and pancreatic, gastro-oesophageal and laparoscopic surgery. He works at Auckland City Hospital and the University of Auckland. Privately he works at Mercy Hospital in Auckland and specialises in pancreatic, bilary, gastric and oesophageal surgery.

The Happiness Trap

Wed, 26 Dec 2018 00:00:00 +1300

Dr Russ Harris talks about the happiness trap. Russ is an international best-selling author of a self-help book titled The Happiness Trap. He is a world expert in acceptance and commitment therapy. Russ started his career as a GP and is now a published author. He also works as a therapist and trainer.

Optimisation of care of older patients

Wed, 12 Dec 2018 00:00:00 +1300

Lucy Fergus talks about optimisation of care in our older patients. Lucy is a Geriatrician and medical director for older person’s health, rehabilitation and allied services at Hawkes Bay Hospital.

Syphilis in pregnant women & congenital syphilis

Wed, 05 Dec 2018 00:00:00 +1300

Massimo Giolo talks about congenital syphilis and screening during pregnancy. Massimo is a Consultant Physician working at Bay of Plenty DHB, with specialist training in infectious disease medicine as well as sexual health.

The number of cases of syphilis has more than doubled between 2015 and 2017, with the number of congenital syphilis cases rising. Increased screening is crucial to interrupt the spread of syphilis and to reduce the risk of long-term effects from undiagnosed syphilis.

Syphilis in New Zealand

Tue, 27 Nov 2018 00:00:00 +1300

Massimo Giolo talks about the re-emergence of syphilis in NZ. Massimo is a Consultant Physician working at Bay of Plenty DHB, with specialist training in infectious disease medicine as well as sexual health.

Over recent years there has been a progressive increase in syphilis, both within New Zealand and internationally. This increase is being seen across all age groups, ethnicities, and most regions in New Zealand.

The number of cases of syphilis has more than doubled between 2015 and 2017. Increasing testing is crucial to interrupt the spread of syphilis and to reduce the risk of long-term effects from undiagnosed syphilis.

Pancreatic cancer

Wed, 14 Nov 2018 00:00:00 +1300

John Windsor talks about pancreatic cancer. Professor John Windsor is a trained general surgeon who has had further fellowship training in hepato-biliary and pancreatic, gastro-oesophageal and laparoscopic surgery. He works at Auckland City Hospital and the University of Auckland. Privately he works at Mercy Hospital in Auckland and specialises in pancreatic, bilary, gastric and oesophageal surgery.

Ovarian cancer

Tue, 30 Oct 2018 00:00:00 +1300

Dr Anil Sharma talks about ovarian cancer. Anil is a specialist gynaecologist working in private practice at Auckland Central Urogynaecology in Auckland.

Deprescribing medications

Thu, 25 Oct 2018 00:00:00 +1300

Leanne Te Karu talks with us about deprescribing medications. Leanne is a prescribing pharmacist with over 25 years experience across a wide range of settings. She has worked for the quality safety commission and also BPAC. Leanne was a founding member of the Māori pharmacists association and was the inaugural recipient of clinical pharmacist of the year award. Within the general practice environment she aims to optimise safe prescribing while decreasing mortality.

Case

A 76 year old Māori female. She has a past medical history of hypertension, depression, hyperlipidemia, osteoporosis and gout which is currently in remission.

She is taking multiple medications including an ACE inhibitor, a beta-blocker, a statin, benzodiazepine and an SSRI. She was also on a bisphosphonate. Periodically she takes a PPI and a Non-steroidal.

Recently she has had falls. She appears to be frail. She presents with her family asking if she can stop some of these medications.

Breastfeeding - Abby Baskett

Tue, 16 Oct 2018 00:00:00 +1300

Dr Abby Baskett talks about breastfeeding. Abby is a Paediatrician and International Board Certified Lactation Consultant and works as a Paediatric emergency specialist at Starship Childrens Emergency Department.

New drug treatment for heart failure

Fri, 28 Sep 2018 00:00:00 +1200

Professor Rob Doughty talks about a new combination medicine to New Zealand for the management of congestive heart failure - ‘Entresto’ Sacubitril/ Valsartan. Rob is a cardiologist and holds the Heart Foundation Chair in Heart Health at the University of Auckland. He practices at Auckland City Hospital where he is the leader of the heart failure service and privately at the Auckland Heart group.

Choosing Wisely

Tue, 18 Sep 2018 00:00:00 +1200

Dr Lynn McBain and Dr Richard Medlicott talk about the Choosing Wisely campaign in New Zealand. Lynn is an Associate Professor and Head of Department of Primary Health Care & General Practice at the University of Otago. She also is a partner at Brooklyn Medical Centre. Dr Richard Medlicott is the Medical Director at the RNZCGP. He is a GP from Island Bay in Wellington with a keen interest in health IT, health governance and extreme sports.

Substance use disorder (SUD)

Tue, 11 Sep 2018 00:00:00 +1200

Dr Sam McBride talks about the safe prescribing of medicines that have the potential to cause substance use disorder (SUD). Sam is a consultant psychiatrist and addiction specialist at Capital Coast Health Addiction Services. He is the Director of Advanced Training for Addiction Psychiatry and a faculty representative in Addiction Psychiatry at the Royal Australian and New Zealand College of Psychiatrists.

Exercise and children - Dan Exeter

Wed, 05 Sep 2018 00:00:00 +1200

Dr Dan Exeter talks about exercise and children - how much is too much?

Dan is a sports physican at Axis Sports Medicine in Auckland. He is Medical Director for Athletics New Zealand and was one of the doctors with the NZ team at the 2016 Rio Olympic Games. He also has a senior lecturer role at the University of Auckland.

Obstructive sleep apnoea in children

Wed, 22 Aug 2018 00:00:00 +1200

Alex Bartle talks about obstructive sleep apnoea (OSA) in children. Alex is a GP with a masters in sleep medicine who has established New Zealand’s largest sleep clinic. Alex is a member of the Asia Pacific paediatric sleep alliance, the Australasian Sleep Association and a co-author of the NZ guidelines for sleep disordered breathing.

Additional information

Obstructive Sleep Apnoea in childhood (Australasian Sleep Association)

There is some research that suggests nasal steroids may be trialled in children with mild OSA as an alternative prior to adenotonsillectomy (particularly in children with allergic rhinitis). The treatment response needs to be assessed after a six-week course with a caution that the long-term effect of treatment is unknown and monitoring for adverse effects is required. However, intranasal steroids are not recommended as the first line treatment for moderate or severe OSA.

Children who present with ADHD-like symptoms should not only be assessed for OSA but also for behavioural sleep problems which are common and are amenable to non-pharmacological treatment. Click here for ‘On the spot’ management of behavioural sleep problems in children.

New Zealand guidelines for the assessment of sleep disordered breathing in childhood (2015): Summary investigation and management of SDB in children (p46)

Immune checkpoint inhibitors - Rosalie Stephens

Tue, 07 Aug 2018 00:00:00 +1200

Rosalie Stephens talks about immune checkpoint inhibitors; a new cancer treatment. Rosalie is a medical oncologist specialising in the treatment of patients with melanoma, breast and gynaecological cancers. Rosalie works at Auckland Hospital and is also at the New Zealand melanoma unit in Takapuna.

Methamphetamine - Case-based discussions

Mon, 23 Jul 2018 00:00:00 +1200

Dr Vicki Macfarlane talks about methamphetamine use in New Zealand. Vicki worked as a GP for over 19 years in a diverse range of practices before starting her work as an addiction specialist at CADS in Auckland. Her current role is as clinical lead of the detoxification service in Auckland.

Cases:

39 year old Māori male who reports left sided chest pain, present for the last two hours, constant and associated with shortness of breath. Has a history of hypertension and two previous visits to ED with similar chest pain.
25 year old male reports being spied on by gang members, and is having hallucinations and is asking for medication.
24 year old female who is 24 weeks pregnant in her first pregnancy and has been referred by her midwife after disclosing she is taking methamphetamine.
35 year old male, requesting advice on withdrawal from meth. He has been using ½ - 1 gram intravenously 3-4 times a week.
Parents of a 28 year old male, requesting advice for compulsory treatment for their son who using methamphetamine and is at significant risk of harm.

Premenstrual Syndrome (PMS) - Anna Fenton

Mon, 09 Jul 2018 00:00:00 +1200

Anna Fenton discusses the management of premenstrual syndrome in primary care. Anna is a gynaecological endocrinologist at Canterbury DHB where she is clinical lead for bone densitometry. She is a member of the pharmacology and therapeutic advisory committee for endocrinology and is past president of the Australasian Menopause Society.

Growing up in New Zealand Study

Tue, 26 Jun 2018 00:00:00 +1200

Dr Susan Morton talks about the Growing Up in New Zealand study, what we have learned so far and how we should be using this knowledge to reduce inequity and optimise care in New Zealand general practices. Susan is a public health physician specialising in life-course epidemiology and works at the University of Auckland. She is the director and principle investigator for the Growing Up in New Zealand Study.

Antibiotic prescribing challenges

Tue, 12 Jun 2018 00:00:00 +1200

Professor Bruce Arroll talks about antibiotic use, the prescribing challenges that GPs face and updates antibiotic use. Bruce is a professor at the department of General Practice and Primary Health Care at the University of Auckland. He also works in clinical practice at Greenstone Family Clinic in South Auckland.

Non-invasive prenatal testing (NIPT)

Tue, 29 May 2018 00:00:00 +1200

Sara Filoche talks about non-invasive prenatal testing (NIPT) and its use in general practice. Sara is a senior lecturer at the University of Otago. She has a background in biomedical science and is a health services researcher whose work is centred around improving access to health care and reducing health inequalities. Sara also teaches a special topic distance learning paper HASC401 on "Genomic Health and Medicine" At Otago University.

Burns - Jonathan Heather

Tue, 15 May 2018 00:00:00 +1200

Jonathan Heather is a New Zealand trained plastic surgeon working at Counties Manukau plastics unit, the National Burns Centre and privately at the North Shore Plastic and Cosmetic Surgery Clinic. Jonathan talks about burns in primary care.

Epigenetics - Michelle Thunders

Tue, 01 May 2018 00:00:00 +1200

Michelle Thunders talks about epigenetics, genomics and personalised medicine. Michelle is a senior lecturer in the department of pathology and molecular medicine at the University of Otago.

Own my own gout programme

Tue, 17 Apr 2018 00:00:00 +1200

Diane Phone a pharmacist from Middlemore Hospital and Angela Moananu a primary care nurse, talk about their clinic's “own my own gout” programme, where patients connect directly with their pharmacist to manage their gout.

Triple Whammy - Linda Bryant

Wed, 04 Apr 2018 00:00:00 +1200

Linda Bryant talks about a dangerous drug trio known as the triple-whammy and the implications in general practice. Dr Bryant is a practising clinical pharmacist. She also teaches post graduate pharmacy students and is passionate about optimisation and individualisations of medicines therapy. She is chair of the clinical advisory pharmacist association and is currently on the medicines adverse reactions committee for MedSafe.

Acupuncture - Kate Roberts

Mon, 05 Mar 2018 00:00:00 +1300

Kate Roberts discusses the role of acupuncture in primary care. Kate is a practicing acupuncturist in Wellington and is a lecturer at the New Zealand School of Acupuncture. She has a masters in traditional Chinese medicine, is chair of the Acupuncture for Mental Health Clinical Interest Group and sits on the Council of Acupuncture New Zealand.

Bowel Cancer - Alan Fraser

Mon, 19 Feb 2018 00:00:00 +1300

Dr Alan Fraser discusses bowel cancer screening, surveillance and general management in primary care. Alan is a gastroenterologist and Associate Professor of Medicine at the University of Auckland. He is a member of Auckland Gastroenterology Associates based at MercyAscot Specialist Centre.

Tinnitus - Raj Shekhawat

Tue, 06 Feb 2018 00:00:00 +1300

Dr Giriraj Singh Shekhawat talks about tinnitus. Raj is an audiologist and speech language pathologist. His research explores novel ways to manage tinnitus including neural modulation and sound therapy. He is the public relations manager for tinnitus research initiative, a non-profit foundation dedicated to developing effective treatments for all types of tinnitus.

Transgender health

Mon, 22 Jan 2018 00:00:00 +1300

Julie Watson and Joey MacDonald talk about transgender health. Julie works as an educator and as programme lead for Silver Rainbow and has many years of experience working with LGBTI communities.

Joey works as an educator and as a community liaison for mental health services at Auckland District Health Board. Providing information and resources to staff and people accessing services.

Primary headache - Giresh Kanji

Mon, 04 Dec 2017 00:00:00 +1300

Dr Giresh Kanji talks about the diagnosis and management of primary headache in general practice. Giresh Kanji Is a fellow of the Royal College of General Practitioners and a musculoskeletal pain expert in Wellington. He’s founder of the New Zealand Pain Foundation and has many years of experience researching and managing pain. His PhD explored the causation of headache disorders, the migraine gene and the role of the sympathetic nervous system in chronic pain.

Childhood Obesity - Hayden McRobbie

Mon, 13 Nov 2017 00:00:00 +1300

Dr Hayden McRobbie talks about about childhood obesity. Hayden is a Professor of Public Health Intervention and has a PhD in Medical Psychology. He has many years of experience in the provision of behaviour change intervention in weight management. Hayden is the Ministry of Health’s “Raising Healthy kids” Clinical Practice champion for childhood obesity.

Cow’s milk protein allergy in infants - Tosh Stanley

Mon, 06 Nov 2017 00:00:00 +1300

Dr Stanley talks about the diagnosis and management of infants with cow’s milk protein allergy in primary care. 3-5% of infants have this allergy. Tosh is a consultant paediatrician at Wellington Children’s Hospital and runs the paediatric allergy service. He is a senior lecturer at the University of Otago, Wellington.

Cannabinoids for pain management - Giresh Kanji

Thu, 02 Nov 2017 00:00:00 +1300

Dr Giresh Kanji talks about prescribing cannabinoids for pain management in primary care. Giresh is a musculoskeletal pain specialist who competed a PhD in chronic pain in 2013. He is currently performing a randomised control trial in chronic low back pain. He is the editor of the Australasian musculoskeletal medicine, author of fix your back and fix your neck pain headaches and migraine and founder of the New Zealand pain foundation a research charity. He consults from One Health in Auckland.

Workplace bullying - Kate Blackwood

Tue, 03 Oct 2017 00:00:00 +1300

Kate Blackwood discusses workplace bullying in the health sector. Kate is a lecturer in the School of Management at Massey University. She is a member of the healthy workgroup which researches the psychosocial aspects of workplace health and safety. Her PHD explored interventions in workplace bullying in the healthcare sector.

Sexual health issues in gay and bisexual men - Massimo Giola

Mon, 25 Sep 2017 00:00:00 +1300

Massimo Giola talks about sexual health issues in gay, bisexual and other men who have sex with men. Massimo is a sexual health and general infectious disease physician for the Bay of Plenty DHB. He holds a PHD in HIV drugs pharmacokinetics and is on the board of trustees for the New Zealand AIDS foundation.

Oral cancer - Kevin Smith

Tue, 12 Sep 2017 00:00:00 +1200

Kevin Smith talks about oral cancer in primary care. Kevin is a head neck and thyroid surgeon at North Shore Hospital. He is a member of the Auckland head and neck cancer multi-disciplinary team and MercyAscot's head and neck service.

Neck lumps - Rajan Patel

Mon, 04 Sep 2017 00:00:00 +1200

Rajan Patel talks about the diagnosis and management of neck lumps in primary care. Rajan is a head and neck surgeon at MercyAscot hospital and has a keen interest in teaching.

Atypical eating disorders - Marion Roberts

Mon, 28 Aug 2017 00:00:00 +1200

Marion Roberts talks about atypical eating disorders in primary care. Marion is a Clinical Psychologist, Director of Nurture Psychology and Senior Lecturer in primary mental health at the University of Auckland. She began specialising in eating disorders during her doctoral training at the Maudsley Hospital, King's College London and has remained in the field as both a researcher and clinician over the past decade. She has a particular focus on the clinical applications of neurocognitive findings in eating disorders, and ongoing development/delivery of evidence-based treatment for eating disorders.

Bulimia nervosa - Marion Roberts

Mon, 21 Aug 2017 00:00:00 +1200

Dr Marion Roberts talks about bulimia nervosa in primary care. Marion Roberts talks about atypical eating disorders in primary care. Marion is a Clinical Psychologist, Director of Nurture Psychology and Senior Lecturer in primary mental health at the University of Auckland. She began specialising in eating disorders during her doctoral training at the Maudsley Hospital, King's College London and has remained in the field as both a researcher and clinician over the past decade. She has a particular focus on the clinical applications of neurocognitive findings in eating disorders, and ongoing development/delivery of evidence-based treatment for eating disorders.

Treating depression

Tue, 08 Aug 2017 00:00:00 +1200

Professor Bruce Arroll discusses depression in primary care and the evidence base for that very first consultation. Bruce is a GP in south Auckland, director of the Goodfellow Unit and a professor in general practice at the University of Auckland.

General Practice roundup

Mon, 31 Jul 2017 00:00:00 +1200

Professor Bruce Arroll discusses a range of topics relevant to general practice, including the use of ondansetron to reduce diarrhoea in irritable bowel disease, treatment of resistant hypertension, strengthening exercise in planter fasciitis, nausea in pregnancy and more.

This roundup is based on the fortnightly Goodfellow Gems. If you do not receive these and would like to, please join Goodfellow to be added to our mail list.

Insomnia

Sun, 23 Jul 2017 00:00:00 +1200

Professor Bruce Arroll talks about managing insomnia in primary care. Bruce is a GP in South Auckland, director of the Goodfellow Unit and Professor in General Practice and Primary Care at the University of Auckland.

What dying people want - David Kuhl

Tue, 11 Jul 2017 00:00:00 +1200

Professor David Kuhl reflects upon about what dying people want, and overviews points from his research: What is the lived experience of knowing that you have a terminal illness. David is a Professor in the Department of Family Practice and Urologic Sciences, Faculty of Medicine at the University of British Columbia.

Coronary heart disease - Rod Jackson

Mon, 03 Jul 2017 00:00:00 +1200

Rod Jackson talks about “where have all the heart attacks gone”. Rod is a professor of epidemiology in the Department of Epidemiology & Biostatistics at the School of Population Health, Faculty of Medical and Health Sciences, University of Auckland.

Acceptance and commitment therapy

Mon, 26 Jun 2017 00:00:00 +1200

Professor Bruce Arroll discusses acceptance and commitment therapy. Bruce is a GP in south Auckland, Director of the Goodfellow Unit and professor in the department of general practice and primary health care at the University of Auckland.

Experiences of men with prostate cancer - David Kuhl

Mon, 19 Jun 2017 00:00:00 +1200

Professor David Kuhl talks about the experiences of men with prostate cancer. David is a Professor in the Departments of Family Practice and Urologic Sciences, Faculty of Medicine at the University of British Columbia.

Intensive blood pressure control in the elderly

Tue, 13 Jun 2017 00:00:00 +1200

Professor Bruce Arroll discusses the issues around intensive blood pressure control in the elderly. Bruce is a GP in south Auckland and professor of general practice at the University of Auckland.

Deprescribing in the elderly - Chris Cameron

Tue, 06 Jun 2017 00:00:00 +1200

Dr Chris Cameron talks about deprescribing in the elderly. Chris is a clinical pharmacologist and general physician at Wellington Hospital. Her interests are in improving safe prescribing practices in RMOs and the rationalisation of prescribing in the frail elderly.

Resilience, avoiding burnout, and team work in primary care - David Kuhl

Mon, 29 May 2017 00:00:00 +1200

Professor David Kuhl talks about resilience and team work in primary care. David is a Professor in the Departments of Family Practice and Urologic Sciences, Faculty of Medicine at the University of British Columbia.

Rational use of beta blockers - Linda Bryant

Mon, 22 May 2017 00:00:00 +1200

Dr Linda Bryant talks about the rational use of beta blockers in primary care. Linda is a Clinical Advisory Pharmacist working part time in a general practice and teaching postgraduate clinical pharmacy. Linda’s PhD investigated clinical medication reviews in primary care and she has advocated strongly for the role of independent clinical pharmacists in PHOs and general practice.

Vertigo - Melanie Collins

Mon, 08 May 2017 00:00:00 +1200

Melanie Collins talks about the management of vertigo in general practice. Melanie is an ENT surgeon at North Shore Hospital and at the ENT group at Mercy Hospital in Auckland.

Alprazolam and benzodiazepine prescribing - Rob Shieff

Mon, 17 Apr 2017 00:00:00 +1200

Rob Shieff talks about the removal of alprazolam (Xanax) from the New Zealand pharmaceutical schedule and issues around benzodiazepine prescribing. Rob is a general adult psychiatrist practising in Auckland. His special interest is in the evaluation and management of anxiety and mood disorders. Rob has considerable experience in psycho-pharmacology and in delivering evidence based forms of psychotherapy.

Non-pharmacological management of COPD - Fiona Horwood

Tue, 11 Apr 2017 00:00:00 +1200

Dr Fiona Horwood talks about non-pharmacological management of Chronic Obstructive Pulmonary Disease. Fiona is Clinical Head for General Medicine and a Respiratory Physician at Counties Manukau DHB.

Osteoporosis update - Ian Reid

Thu, 30 Mar 2017 00:00:00 +1300

2017: Distinguished Professor Ian Reid talks about Osteoporosis New Zealand's Guidance on Diagnosing and Managing Osteoporosis in New Zealand. Ian is a Professor of Medicine and Endocrinology at the University of Auckland and an international expert and research award winner in osteoporosis.

Osteoporosis New Zealand's Guidance on the Diagnosis and Management of Osteoporosis in New Zealand is a user-friendly and highly practical tool providing support to clinicians throughout the health system to deliver evidence-based practice for their patients who are at high risk of sustaining fragility fractures. As an expert panel member involved in the project, Ian shares the primary objectives for developing the guidance.

Key Points - Osteoporosis Guidance

Prevention

Maintain a healthy weight (BMI > 20) throughout life from a balanced diet
Safe, weight-bearing exercise
Don’t smoke, moderate alcohol intake
Vitamin D in frail elderly and veiled women, for prevention of osteomalacia

Detection

Assess fracture risk in women in their 60s, using BMD and FRAX (or Garvan)
Assess fracture risk in all older people with fractures, or other risk factors (e.g. steroid use, family history, falls etc)

Management

Offer treatment when 10-year hip fracture risk is >3%
Oral or IV bisphosphonates are the first-line
Calcium from diet
Re-assess need for treatment at 4-5 years

Chronic Cough - Fiona Horwood

Tue, 28 Mar 2017 00:00:00 +1300

Dr Fiona Horwood talks about the management of chronic cough in primary care. Fiona is clinical head of general medicine and a respiratory physician at Counties Manukau DHB. Fiona overviews the basics of the cough mechanism and its various causes as well as when to seek further tests/interventions.

Sexual health - Nicky Perkins

Wed, 01 Mar 2017 00:00:00 +1300

Dr Nicky Perkins provides an update on sexual health in primary care. Nicky is a specialist in sexual health medicine at the Auckland regional sexual health service.

Managing acute bronchitis in primary care

Tue, 28 Feb 2017 00:00:00 +1300

Professor Bruce Arroll talks about managing acute bronchitis in primary care. Bruce is a General Practitioner in South Auckland, Director of the Goodfellow Unit and Professor of General Practice at the University of Auckland.

Diabetes Diagnosis - Tim Kenealy

Sun, 05 Feb 2017 00:00:00 +1300

Dr Timothy Kenealy talks about diagnosing diabetes in primary care. Tim was a GP in South Auckland for 25 years and is an associate professor of integrated care at the University of Auckland. One of his main research interests is in diabetes in primary care.

Psoriasis - Paul Jarrett

Mon, 23 Jan 2017 00:00:00 +1300

Dr Paul Jarrett talks about prescribing tips for psoriasis. Paul is a consultant dermatologist at Counties Manukau District Health Board and is clinical lead for dermatology teaching in the department of medicine at The University of Auckland.

Topical Antibiotics - Emma Best

Mon, 19 Dec 2016 00:00:00 +1300

Dr Emma Best talks about how we can reduce the usage of topical antibiotics in primary care.

Emma is a paediatric infectious disease specialist at Starship Hospital and a senior lecturer in the Department of Paediatrics at the University of Auckland.

Transient Ischemic Attacks - Alan Barber

Mon, 12 Dec 2016 00:00:00 +1300

Professor Alan Barber talks about the diagnosis and management of transient ischemic attacks in primary care. Alan is lead neurologist for Auckland Hospital Stoke Service and holds the Neurological Foundation of New Zealand Chair in Clinical Neurology at the University of Auckland.

Gout - Nicola Dalbeth

Mon, 28 Nov 2016 00:00:00 +1300

Professor Nicola Dalbeth shares an update on the management of gout. Nicola is a rheumatologist at the University of Auckland and Auckland District Health Board. She is a founding member of the Māori Gout Action Group, chair of the Atlas of Health Care Variance Gout Expert Advisory Group and was clinical lead advisor for the gout clinical pathways and bpac gout treatment guidelines.

Childhood anxiety - Amy Bird

Mon, 31 Oct 2016 00:00:00 +1300

Dr Amy Bird is a clinical psychologist specialising in anxiety disorders. She is also a lecturer in mental health with the Department of General Practice and Primary Health Care at The University of Auckland.

Common childhood orthopaedic problems - Andrew Graydon

Mon, 17 Oct 2016 00:00:00 +1300

Doctor Andrew Graydon talks about common childhood orthopaedic problems. Andrew is a paediatric orthopaedic surgeon at Starship children’s hospital and at Eastwood orthopaedic clinic in Auckland. His areas of interest are general paediatrics, hip foot and ankle surgery along with musculoskeletal oncology.

Nutrition - type two diabetics - Jennifer Crowley

Mon, 10 Oct 2016 00:00:00 +1300

Dr Jennifer Crowley talks about nutrition and advice to give type two diabetics. Jennifers Doctorate in health sciences thesis topic was “New Zealand GPs and nutrition care: perceptions, perceived competence and barriers to provision”. Jennifer is a registered dietitian, registered sports dietitian and secondary teacher with extensive experience in teaching nutrition education.

Osteoarthritis - Dan Exeter

Sun, 02 Oct 2016 00:00:00 +1300

Dr Dan Exeter talks about non-surgical management of osteoarthritis. Dan is a sport and exercise physician based at Axis Sports Medicine clinic in Auckland. He is medical director for Athletics New Zealand and a senior lecturer at the University of Auckland.

Nutrition for cardiovascular disease - Jennifer Crowley

Sun, 18 Sep 2016 00:00:00 +1200

Dr Jennifer Crowley talks about nutrition and advice in cardiovascular disease. Jennifer's doctorate in health sciences thesis topic was “New Zealand GPs and nutrition care: perceptions, perceived competence and barriers to provision”. Jennifer is a registered dietitian, registered sports dietitian and secondary teacher with extensive experience in teaching nutrition education.

Nutrition and weight loss - Jennifer Crowley

Mon, 05 Sep 2016 00:00:00 +1200

Dr Jennifer Crowley talks about nutrition and weight loss. Jennifer's Doctorate in Health Sciences thesis topic was “New Zealand GPs and nutrition care: perceptions, perceived competence and barriers to provision”. Jennifer is a registered dietitian, registered sports dietitian and secondary teacher with extensive experience in teaching nutrition education.

Anorexia - Hiran Thabrew

Mon, 27 Jun 2016 00:00:00 +1200

Dr Hiran Thabrew talks about anorexia nervosa. Hiran is a duel-trained child and adolescent psychiatrist and paediatrician. He is a senior lecturer within the department of psychological medicine at the University of Auckland, and clinician.

Depression in adolescents - Sally Merry

Mon, 30 May 2016 00:00:00 +1200

Professor Sally Merry talks about depression in adolescents. Sally holds the Cure Kids Duke Family Chair and is Head of Department of Psychological Medicine at The University of Auckland.

Childhood Eczema - Paul Jarrett

Tue, 24 May 2016 00:00:00 +1200

Dr Paul Jarrett talks about managing childhood eczema. Paul is a consultant dermatologist at counties Manukau DHB and an honorary senior lecturer at The University of Auckland.

Nasal Obstruction - Salil Nair

Tue, 17 May 2016 00:00:00 +1200

Salil Nair talks about Nasal congestion and nasal obstruction. Salil is an ENT surgeon based at counties Manukau DHB and Mercy Hospital Auckland. He is an honorary lecturer at The University of Auckland and teaches internationally on sinus surgery.

Otorrhea - Melanie Collins

Fri, 18 Mar 2016 00:00:00 +1300

Melanie Collins talks about how we manage patients with otorrhea in primary care. Melanie is an otolaryngologist and is based at both North Shore and Mercy hospitals in Auckland. She has published various research articles and has an interest in postgraduate teaching.

Iron deficiency - Ali Jafer

Mon, 07 Mar 2016 00:00:00 +1300

Dr Ali Jafer talks about the management of iron deficiency. Ali is a consultant gastroenterologist for Waitemata DHB and has special interests in small intestine disease, GI bleeding, inflammatory bowel disease and capsule endoscopy.

Hypertension - Matt Dawes

Mon, 29 Feb 2016 00:00:00 +1300

Doctor Mathew Dawes talks about hypertension. Matt is an InternalMedicine Specialist and Clinical Pharmacologist at Auckland City Hospital. He has a background in cardiovascular physiology and hypertension research. He is a senior lecturer at the University of Auckland.

Simple hypertension. Beta blockers now 4th line

Sun, 24 Jan 2016 00:00:00 +1300

Doctor Mathew Dawes talks about simple hypertension and the role of beta-blockers. Matt is an internal medicine specialist and clinical pharmacologist at Auckland city hospital. He has a background in cardiovascular physiology and hypertension research. He is a senior lecturer at the University of Auckland.

Dementia - Professor Ngaire Kerse

Mon, 18 Jan 2016 00:00:00 +1300

Professor Ngaire Kerse discusses dementia. Ngaire is a GP and head of Population Health at the University of Auckland, where she runs an active programme of research in improving the healthcare of older people. Ngaire was awarded a distinguished fellowship of the Royal New Zealand College of General Practitioners in 2011.

Immunisation - Nikki Turner

Wed, 06 Jan 2016 00:00:00 +1300

Dr Nikki Turner talks about immunisation in primary care. Nikki is director of the immunisation advisory centre (IMAC). She is an Associate Professor in theDepartment of General Practice and Primary Healthcare at the University of Auckland. Her special interests are in immunisation, preventative child health and child poverty.

Sore throats and rheumatic fever - Emma Best

Mon, 07 Dec 2015 00:00:00 +1300

Dr Emma Best talks about sore throats and rheumatic fever. Emma is a paediatric infectious disease consultant at Starship children’s hospital in Auckland and a senior lecturer in paediatrics at the University of Auckland.

Irritable bowel syndrome - Ali Jafer

Mon, 30 Nov 2015 00:00:00 +1300

Dr Ali Jafer talks about Irritable bowel syndrome. Ali is a Consultant Gastroenterologist for Waitemata DHB and has special interests in small intestine disease, GI bleeding, inflammatory bowel disease and capsule endoscopy.

Mindfulness - Joel Levey

Mon, 23 Nov 2015 00:00:00 +1300

Joel Levey a mindfulness pioneer explores practices and techniques of mindfulness with Prof Bruce Arroll on his recent trip to New Zealand.

Dyspepsia and heartburn - Paul Frankish

Tue, 10 Nov 2015 00:00:00 +1300

Dr Paul Frankish talks about dyspepsia and heartburn. Paul is a Consultant Gastroenterologist and is Endoscopy Lead for the Waitemata bowel screening pilot. His special interests are in bowel screening, advanced endoscopy and also in training. Paul is an honorary senior lecturer in Gastroenterology at the University of Auckland.

Hoarseness - Randall Morton

Mon, 19 Oct 2015 00:00:00 +1300

Dr Randall Morton talks about the management of hoarseness in primary care.

Topical Steroids - Paul Jarrett

Mon, 21 Sep 2015 00:00:00 +1200

Dr Paul Jarrett talks about the usage of topical steroids in general practice. Paul is a Consultant Dermatologist at the Department of Dermatology, Counties Manukau DHB. He is an Honorary Senior Lecturer in the Department of Medicine at the University of Auckland where he is the clinical lead for dermatology teaching. His current research interests are in cutaneous lupus erythematosus and the psychology of cutaneous wound healing.

Cellulitis - Mark Thomas

Mon, 14 Sep 2015 00:00:00 +1200

Doctor Mark Thomas talks about Cellulitis. Mark is an Infectious Disease Physician at Auckland City Hospital and Associate Professor in the Department of Molecular Medicine and Pathology at the University of Auckland. His current research is directed towards reducing excessive anti-microbial consumption in New Zealand.

Heart Failure - Professor Rob Doughty

Mon, 07 Sep 2015 00:00:00 +1200

Professor Rob Doughty talks about the management of heart failure in general practice. Rob is a cardiologist at Auckland City Hospital where he leads the heart failure service. He holds the Heart Foundation Chair at the University of Auckland and has a special interest in heart failure.

Renal Colic - Andrew Lienert

Tue, 25 Aug 2015 00:00:00 +1200

Andrew Lienert talks about renal colic and renal stones in general practice. Andrew is an Auckland based urologist and director of urology training at Auckland and Counties Manukau DHBs. His special interest include laparoscopic uro-oncology and kidney stone surgery, as well as his expertise in general urology.

Community Acquired Pneumonia - Mark Thomas

Mon, 03 Aug 2015 00:00:00 +1200

Doctor Mark Thomas talks about community acquired pneumonia. Mark is an Infectious Disease Physician at Auckland City Hospital and Associate Professor in the Department of Molecular Medicine and Pathology at the University of Auckland. His current research is directed towards reducing excessive anti-microbial consumption in New Zealand.

Female urinary incontinence - Dr Anil Sharma

Sun, 26 Jul 2015 00:00:00 +1200

Dr Anil Sharma talks about the issue of female urinary incontinence. Anil is a Gynaecologist with a special interest in uro-gynaecology who works at Ascot Central in Auckland.

Management of Adult Depression - David Codyre

Tue, 21 Jul 2015 00:00:00 +1200

David Codyre talks about the management of adult depression in general practice. David is a consultant psychiatrist in primary care in Auckland and clinical lead in mental health for East Tamaki healthcare where he also oversees the GP registrar programme in advanced training in primary mental health.

Haematuria - Andrew Lienert

Mon, 13 Jul 2015 00:00:00 +1200

Andrew Lienert talks about haematuria in general practice. Andrew is an Auckland based Urologist and director of urology training at Auckland and Counties Manukau DHBs. His special interests include laparoscopic uro-oncology and kidney stone surgery, as well as his expertise in general urology.

Yellow flags in acute lower back pain - Gary Collinson

Wed, 08 Jul 2015 00:00:00 +1200

Talking with Dr Gary Collinson about the yellow flags of acute lower back pain in general practice. Gary is a musculoskeletal specialist and a GP in Auckland holding duel fellowship of the Australasian faculty of musculoskeletal medicine and the royal New Zealand College of general practice. Combining both practices provides Gary an excellent insight into musculoskeletal issues that GPs face on a day to day basis.

Acute lower back pain - Gary Collinson

Mon, 06 Jul 2015 00:00:00 +1200

Talking with Dr Gary Collinson about the management of acute lower back pain in general practice. Gary is a musculoskeletal specialist and a GP in Auckland holding duel fellowship of the Australasian faculty of musculoskeletal medicine and the royal New Zealand College of general practice. Combining both practices provides Gary an excellent insight into musculoskeletal issues that GPs face on a day to day basis.

Gout Management

Mon, 15 Jun 2015 00:00:00 +1200

Doctor Bruce Arroll talks about gout management. Dr Arroll is Professor of General Practice at the University of Auckland and a GP in south Auckland.

Palliative care symptom management - Rod MacLeod

Mon, 08 Jun 2015 00:00:00 +1200

Professor Rod MacLeod talks about symptom management in palliative care. Rod is senior staff specialist at HammondCare and conjoint professor in palliative care at the University of Sydney. Many of us will better know him as the author of the palliative care handbook, a much used resource for doctors at the coal face of general practice.

Concussion myths - Dan Exeter

Mon, 01 Jun 2015 00:00:00 +1200

Rachel Jones talks to Dr Dan Exeter about Concussion Myths. Dan has worked with Counties Manukau and Chiefs rugby and as a tournament physician at the ASB Classic and Heineken Open. He has been an event physician for the World Rowing Championships, and ITU triathlon events both in NZ and overseas.

Minimising sports injuries - Mark Fulcher

Thu, 28 May 2015 00:00:00 +1200

Mark is a sports and exercise medicine physician in Auckland, team doctor to the All Whites and the New Zealand Football Ferns. He is also a senior lecturer in Sports Medicine at the University of Auckland.

Knee Injury - Mark Fulcher

Mon, 25 May 2015 00:00:00 +1200

Managing post menopausal bleeding - Dr Anil Sharma

Wed, 20 May 2015 00:00:00 +1200

Dr Anil Sharma gives us his top tips for managing post menopausal bleeding. Dr Sharma is a Gynaecologist at Ascot central in Auckland.

Abnormal Uterine Bleeding - Dr Anil Sharma

Tue, 12 May 2015 00:00:00 +1200

Rachel Jones talks to Dr Anil Sharma about abnormal uterine bleeding. Dr Sharma is a Gynaecologist at Ascot Central in Auckland.

Effective treatments for the common cold

Tue, 05 May 2015 00:00:00 +1200

Rachel Jones talks to Dr Bruce Arroll about effective treatments for the common cold and how to avoid antibiotic prescriptions.

What to do when you have a cold

Take time off work or school.
Do not pass it on, cover your mouth and nose when coughing and sneezing.
Wash your hands regularly.
It may take up to a month for the cough to go away.
Your symptoms should be getting better with time.
See your doctor or go immediately to hospital if you feel very unwell or develop a rash. Or call your GP practice - They will also have an after-hours call service who can advise you.
Get the influenza injection each year. You may be eligible for a free one.
Take regular paracetamol/ibuprofen.
Don’t spend money on expensive cough mixtures - most don’t work very well.l
Use Vicks on your chest and under your nose (there is evidence that this works in over 2-year-olds)- helps with cough particularly with children.
Use over the counter nasal sprays to clear up congestion.
Give honey (there is evidence that it works). 1 tsp for 1-5-year-olds (not for children under 1 year).
Avoid antibiotics they don’t work and cause side effects usually vomiting and diarrhoea.

The common cold

Wed, 01 Apr 2015 00:00:00 +1300

Rachel Jones talks to Dr Bruce Arroll about the common cold.

Topics

Managing patient expectations.
Communicating with patients.
Medication - what works.
Vitamins - what works?
Sources of information for patients.
Thresholds for prescribing antibiotics.

Osteoporosis with Prof Ian Reid

Thu, 19 Mar 2015 00:00:00 +1300

Professor Ian Reid an international expert on bone disease, discusses the latest on osteoporosis.

Topics:

definitions
fracture risk calculators
considerations on lifestyle measures for prevention
making a diagnosis - when to assess risk
determining the best intervention
bisphosphonates
place of HRT
P1NP (Procollagen type I propeptides) test
drug holiday options.