Episodes
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In this episode of The Good GP, host Rebecca Goadby interviews Dr Andrew Martin, a consultant paediatrician at Perth Children's Hospital and an expert in paediatric lipid disorders. Dr Martin has led a paediatric lipid disorders clinic for the past 15 years, specialising in the detection and management of children and adolescents with familial hypercholesterolemia (FH) to prevent coronary artery disease.
Dr Martin explains what FH is and discusses its prevalence in children. Sharing that around 20,000 children under the age of 16 are affected by FH in Australia, and emphasises the genetic nature of this condition, highlighting its autosomal dominant inheritance pattern.
They then shift to the critical role GPs can play in diagnosing FH in children. He notes that most children are diagnosed following the identification of an adult index case in their family and underscores the importance of cascade genetic testing, which GPs can facilitate using a Medicare Benefits Schedule (MBS) item number.
Elaborating on the management strategies for FH in children, starting with heart-healthy lifestyle changes and progressing to pharmacological interventions, primarily statins, from the ages of 8 to 10. He highlights that early intervention with statins can significantly reduce the risk of future coronary events.
Additionally, Dr Martin describes the forthcoming launch of FH Australia, a national peak body aimed at supporting individuals and families with FH. Explaining that this organisation will provide resources, education, and advocacy, serving as a valuable resource for both patients and healthcare professionals.
The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network
If you have any questions or would like to contact The Good GP, send an email to [email protected]
Mentioned in this episode:
Proudly supported by Medtech Global:
The Good GP Podcast is sponsored by Medtech Global, they help GPs be GPs by working with clinicians in Australia and New Zealand to develop Patient Management Systems and healthcare technology. Visit the link for more information:
Medtech Global
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In this episode of The Good GP, Dr Sean Stevens interviews Dr Hester Wilson, GP & Chief Addiction Medicine Specialist for New South Wales, and Dr Chris Davis, a GP with a special interest in alcohol and other drugs and founder of Clean Slate. They discussed addiction medicine, particularly alcohol use disorders, and the innovative solutions offered by the Clean Slate program.
Dr Hester Wilson begins by explaining the prevalence of alcohol consumption in Australia, highlighting that while most people drink within safer guidelines, a significant percentage exceed these limits. She also discusses the health risks associated with alcohol use, including its role as a toxin and its contribution to medical conditions such as cancer.
Dr Chris Davis outlines the benefits of a home detox compared to residential inpatient detox, emphasising patient acceptability and cost-effectiveness. He explains how the Clean Slate program works, detailing the importance of support systems, the role of the GP, and the use of telehealth for safe detoxification. Dr Davis also touches on the program's affordability and accessibility options, including private insurance rebates and government funding.
Delving into patient selection criteria for home detox and the comprehensive, ongoing support provided by the Clean Slate program. Dr Wilson elaborates on the collaboration between the Clean Slate program and general practitioners, as well as its integration with the RACGP Addiction Specific Interest Group.
Dr Davis concludes by sharing future plans for Clean Slate, which includes expanding access to vulnerable populations and forming the Digital Alcohol Alliance to further improve treatment accessibility.
The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network.
If you have any questions or would like to contact The Good GP, send an email to [email protected].
Mentioned in this episode:
Proudly supported by Medtech Global:
The Good GP Podcast is sponsored by Medtech Global, they help GPs be GPs by working with clinicians in Australia and New Zealand to develop Patient Management Systems and healthcare technology. Visit the link for more information:
Medtech Global
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In this episode, host Dr Krystyna de Lange welcomes Associate Professor Erin McMenimen, a clinical dermatologist with appointments at the University of Queensland Medical School and Princess Alexandra Hospital, to discuss Hidradenitis Suppurativa (HS).
Defining HS as a chronic auto-inflammatory condition, highlighting its similarities to inflammatory bowel disease and psoriasis. A/Prof McMenimen explains the disease's pathophysiology, noting that inflammation starts in the hair follicles and leads to scarring and sinus tract formation. Key associated factors are smoking, obesity, family history, and secondary infections.
They then shift to the signs and symptoms of HS, emphasising the importance of early recognition by GPs. A/Prof McMenimen outlines the diagnostic criteria, focusing on abscesses and boils in body folds and the significance of multiple episodes over time.
She also explains the Hurley staging system used to assess HS severity and describes the impact of HS on patients' quality of life, including pain, mental health issues such as depression and anxiety, and social isolation.
On the topic of management, They covered lifestyle interventions, including avoiding heat and friction, dietary adjustments, and smoking cessation strategies, followed by stepwise medical treatments like antiseptic washes, topical and oral antibiotics, and anti-androgen therapy. She also discusses advanced treatments for severe cases, including intralesional steroids, de-roofing surgery, and biologics like adalimumab and secukinumab.
A/Prof McMenimen underscores the importance of early referral to dermatologists for effective management and better patient outcomes, advocating for a multidisciplinary approach to care.
Links and Resources:
Dermnet page on HS: https://dermnetnz.org/topics/hidradenitis-suppurativaUQ Dermatology Research Centre page on HS: https://dermatology-research.centre.uq.edu.au/research/hidradenitis-suppurativaHS Patient Brochure: https://dermatology-research.centre.uq.edu.au/files/1915/HS-patient-education-and-treatment-guide-pamphlet.pdfThe Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network
If you have any questions or would like to contact The Good GP, send an email to [email protected].
Mentioned in this episode:
Proudly supported by Medtech Global:
The Good GP Podcast is sponsored by Medtech Global, they help GPs be GPs by working with clinicians in Australia and New Zealand to develop Patient Management Systems and healthcare technology. Visit the link for more information:
Medtech Global
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In this episode, Dr Anna Mullins speaks with Professor Claire Jackson, a professor of general practice and primary care reform at the University of Queensland, about the e-consultation model and its impact on rural healthcare.
Professor Jackson describes the early days of the e-consult model, inspired by a successful program in San Francisco, and how it was initially trialled with positive results at Camp Hill Healthcare. The model, involving advice provided to GPs via a shared electronic medical record and email communication, has since expanded across Western Queensland and includes various clinicians from multiple medical specialties.
Delving into the role of Queensland Health in funding the e-consult model and discusses the importance of scaling the service statewide. Professor Jackson highlights the critical mass of referrals needed for service efficacy, as evidenced by experiences in Canada. She also addresses the challenges faced in getting GPs to notice and use the e-consult service.
They then discuss the broader challenges in general practice, such as administrative workload and funding issues. Professor Jackson reflects on how funding for general practice has evolved over the last 40 years and the current struggle to lobby for affordable support. The conversation emphasises the significance of maintaining a strong patient-GP relationship, especially during changes in practice models, and the unique mentorship and growth opportunities within the profession.
She notes the environmental benefits of e-consults, with a significant reduction in face-to-face visits and carbon footprint in rural areas. Furthermore, over 90% of GPs reported that the e-consult service greatly assisted in their management of cases and provided them with valuable educational advice.
Concluding with a discussion on the expansion plans for the e-consult service and the collaboration with the University of Ottawa to incorporate more specialties, thereby encouraging greater use among GPs.
The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network
If you have any questions or would like to contact The Good GP, send an email to [email protected].
Mentioned in this episode:
Proudly supported by Medtech Global:
The Good GP Podcast is sponsored by Medtech Global, they help GPs be GPs by working with clinicians in Australia and New Zealand to develop Patient Management Systems and healthcare technology. Visit the link for more information:
Medtech Global
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In this episode, host Dr Anna Mullins speaks with Dr Preeya Alexander, a GP based in Melbourne who is passionate about preventative health. Dr Alexander utilises social media to debunk health myths and provide reliable health information to the public. She is also the author of "Rainbow Plate," "Eat Sleep Play Love," and "Full Plate," and the host of the podcast "Happy to Health."
Dr Alexander discusses the motivations behind her social media presence, which began in 2016 as a response to the spread of health misinformation. She shares her experiences managing her clinical practice, media engagements, and the challenges that come with addressing health misinformation online. Despite facing significant negativity from certain groups, including anti-vaccination activists, Dr Alexander remains committed to promoting evidence-based health information.
They also covered her approach to giving practical health advice on social media and her emphasis on preventative health. She highlights the importance of GPs providing small, actionable health tips to their patients, especially in areas like nutrition and physical activity. Discussing her books that focus on parenting and cooking, which provide practical, budget-friendly health advice.
Dr Alexander shares insights into her podcast, "Happy to Health," aimed at the general public. The podcast covers various health topics with expert guests, making complex medical information accessible and engaging for listeners.
The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network
If you have any questions or would like to contact The Good GP, send an email to [email protected]
Mentioned in this episode:
Proudly supported by Medtech Global:
The Good GP Podcast is sponsored by Medtech Global, they help GPs be GPs by working with clinicians in Australia and New Zealand to develop Patient Management Systems and healthcare technology. Visit the link for more information:
Medtech Global
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In this episode, host Dr Tim Koh welcomes back Dr Michael Wright, Chief Medical Officer for AVANT, for an insightful discussion on the future of general practice. Dr Wright brings his extensive experience and perspective, having grown up in a family of GPs and having served as a GP for over two decades.
Dr Wright delves into the evolving landscape of general practice, comparing the experiences of new GP fellows with those of previous generations. He emphasises the importance of defining the scope of practice for GPs, highlighting the need for comprehensive, coordinated, and continuous care. They also address the pressures on Medicare funding and the necessity for alternative funding models to support the sustainability of general practice.
Dr Wright shares his thoughts on technological advancements, such as AI and data integration, which could significantly transform the way GPs provide care. He also touches upon the rise of corporate ownership in general practices and the need to maintain various practice models to serve diverse populations effectively.
Finally, they discuss the future GP workforce, exploring concerns about declining trainee numbers and the steps required to make general practice a more attractive career path for medical students and junior doctors.
The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network
If you have any questions or would like to contact The Good GP, send an email to [email protected]
Mentioned in this episode:
Proudly supported by Medtech Global:
The Good GP Podcast is sponsored by Medtech Global, they help GPs be GPs by working with clinicians in Australia and New Zealand to develop Patient Management Systems and healthcare technology. Visit the link for more information:
Medtech Global
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In this episode, host Dr. Tim Koh, joins Dr. Michael Wright, Chief Medical Officer for Avant to discuss the emerging role of artificial intelligence (AI) in general practice, specifically focusing on AI scribes.
Dr. Wright outlines the benefits and potential risks of integrating AI scribes into medical practice. He highlights how AI scribes can enhance consultation notes by accurately recording patient interactions, thus allowing GPs to focus more on patient care and less on administrative tasks. However, he also points out the medico-legal and privacy considerations that GPs must keep in mind, such as data storage and compliance with state regulations.
Delving into professional and ethical considerations. Dr. Wright advises GPs to thoroughly investigate how AI scribes function, including data handling and storage, and to ensure patient consent is obtained. He also emphasises the importance of verifying AI-generated notes for accuracy before they are saved as part of the patient’s medical record.
They conclude with Dr. Wright's outlook on the future applications of AI in general practice. He envisions AI supporting administrative efficiency, improving billing processes, and potentially revolutionising how patient data is integrated and utilised across healthcare systems. He encourages GPs to approach AI scribes with an open mind, to trial these tools in their practice, and to be mindful of ensuring that the quality and safety of patient care are maintained.
The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network
If you have any questions or would like to contact The Good GP, send an email to [email protected]
Mentioned in this episode:
Proudly supported by Medtech Global:
The Good GP Podcast is sponsored by Medtech Global, they help GPs be GPs by working with clinicians in Australia and New Zealand to develop Patient Management Systems and healthcare technology. Visit the link for more information:
Medtech Global
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In this episode of The Good GP, hosts Dr Tim Koh and Dr Sean Stevens speak with Geoffrey Sayer, CEO of Medtech, at the Digital Health Festival 2024. Geoffrey introduces Medtech, an electronic health record system designed to service practices in Australia and New Zealand, providing a comprehensive patient practice management system (PMS).
Beginning with an overview of Medtech's capabilities and its market presence. Geoffrey highlights the importance of having a flexible and future-proof PMS that allows for customization and integration with other software applications adaptable to the diverse needs of general practices.
Geoffrey explains the concept of APIs (Application Programming Interfaces) and their role in enabling third-party software to interact with Medtech's system. He introduces Medtech’s Application Layer Exchange (ALEX®), a sandbox environment where developers can create and test new applications that integrate with their PMS. This fosters an ecosystem of innovation, allowing practices to customise their systems to meet specific requirements.
Dr Sean Stevens queries about the potential of an app store for PMS, to which Geoffrey acknowledges the growing trend but emphasises the need for standardised APIs to ensure cross-vendor compatibility. They then explore the technical feasibility for GPs to develop or commission customised applications, enhancing their practice management experience.
Geoffrey predicts a hybrid model of PMS combining local servers with cloud-based services, advancements in inbox management, and an increase in AI-assisted functions. He acknowledges the appetite amongst GPs for more innovative, flexible solutions and the role that smarter data integration, particularly with wearable devices, will play in the future.
The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network.
If you have any questions or would like to contact The Good GP, send an email to [email protected].
Mentioned in this episode:
Proudly supported by Medtech Global:
The Good GP Podcast is sponsored by Medtech Global, they help GPs be GPs by working with clinicians in Australia and New Zealand to develop Patient Management Systems and healthcare technology. Visit the link for more information:
Medtech Global
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In this episode, host Dr Catherine Bourke is joined by Dr Gill Cowen, a multi-talented expert with roles including a senior lectureship at Curtin Medical School and a clinical research fellow at the Curtin Health Innovation Research Institute, to discuss advancements in concussion management.
Defining concussion and elaborating on the latest Australian Sports Commission concussion guidelines released in February 2024. They covered various aspects of concussion, including preventive measures in sports, the importance of strict adherence to game rules, and the role of mouthguards and helmets. Dr Cowen clarifies that loss of consciousness is not required for a concussion diagnosis and outlines the serious conditions that GPs must not overlook.
Gaining insights into available diagnostic tools such as the post-concussion symptom score, SCAT 6, and the Vestibular Ocular Motor Screening Tool (VOMS). Dr Cowen also updates on current recommendations for post-concussion management, moving away from complete rest and instead advocating for relative rest and limited screen time in the initial 48 hours. They also discussed return-to-play protocols, particularly the revised 14-day symptom-free period before re-engaging in contact sports and a minimum 21-day interval for returning to play.
They emphasise a conservative approach to repeated concussions within a season and acknowledge ongoing research on chronic traumatic encephalopathy (CTE) and its association with repetitive head trauma. Dr Cowen highlights that, in the current absence of predictive tools, a cautious management approach should be employed.
References:
Concussion guidelines: https://www.connectivity.org.au/clinical-guidance/health-guidelines/Concussion Fact Sheets: https://www.connectivity.org.au/guidance-for-clinicians/fact-sheets/Free short concussion courses: https://www.connectivity.org.au/courses/State Head Injury Unit Concussion Program: https://www.nmhs.health.wa.gov.au/Hospitals-and-Services/Public-Health/Head-Injury/ConcussionmTBI Healthpathway: https://wa.communityhealthpathways.org/246668.htmVestibular oculomotor screening (VOMS): https://www.youtube.com/watch?v=CJF6kJcFGqESport-related concussion: https://sma.org.au/resources/concussion/The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network
If you have any questions or would like to contact The Good GP, send an email to [email protected].
Mentioned in this episode:
Proudly supported by Medtech Global:
The Good GP Podcast is sponsored by Medtech Global, they help GPs be GPs by working with clinicians in Australia and New Zealand to develop Patient Management Systems and healthcare technology. Visit the link for more information:
Medtech Global
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In this episode of The Good GP, host Dr Anna Mullins welcomes back Dr Chris Conyard, an upper limb surgeon based in Brisbane, to discuss elbow tendinopathies. He shares his expertise on the natural history of elbow tendinopathies, their examination, and effective management strategies.
They begin with an overview of elbow tendinopathies, including their prevalence, clinical presentation, and challenges associated with treatment. Dr Conyard highlights the importance of rest and specific eccentric loading exercises in rehabilitation and explains the typical clinical course.
Delving into the physical examination of the elbow, touching on specific tests such as Cozen's test to diagnose tennis elbow and techniques for identifying golfer's elbow. They discuss the relevance of imaging in diagnosis, specifically when it should be considered, particularly in cases of suspected arthritis or when initial management fails.
Dr Conyard also provides valuable insights into non-operative management, including the use of topical NSAIDs, physiotherapy, and braces. He advises caution against steroid injections and suggests PRP injections as a potential second-line treatment. Concluding with advice on when to refer patients to specialists and the utility of specific imaging and nerve conduction studies.
The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network
If you have any questions or would like to contact The Good GP, send an email to [email protected]
Mentioned in this episode:
Proudly supported by Medtech Global:
The Good GP Podcast is sponsored by Medtech Global, they help GPs be GPs by working with clinicians in Australia and New Zealand to develop Patient Management Systems and healthcare technology. Visit the link for more information:
Medtech Global
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In this episode, Dr Anna Mullins speaks with Dr Chris Conyard, an orthopaedic surgeon with a fellowship in upper limb surgery, about the management of rotator cuff tears and frozen shoulders.
Dr Conyard sheds light on the natural history of shoulder conditions, particularly the prevalence and progression of rotator cuff tears. He highlights the significance of various risk factors, including hand dominance, manual labour, diabetes, and smoking. Dr Conyard also discusses the impact of muscle atrophy and fatty infiltration on surgical outcomes.
Providing a detailed overview of the shoulder examination for rotator cuff tears, covering essential tests such as the supraspinatus test, external rotation test, and subscapularis tests. Dr Conyard emphasises the role of functional assessment and the importance of early intervention in acute tears.
They also covered imaging and first-line treatments, including the use of steroid injections. Dr Conyard explains when to consider steroid injections and the implications of repeat injections. He offers guidance on when GPs should refer patients to specialists, particularly in cases of acute tears, symptomatic progression, and failed non-operative interventions.
Dr Conyard addresses the management of frozen shoulder, highlighting the usefulness of steroid injections and hydrodilatation, particularly in the initial phases of the condition. He also discusses when to consider referral for surgical interventions such as manipulation under anaesthesia (MUA) and arthroscopic release, backed by evidence from the UK Frost Trial.
The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network
If you have any questions or would like to contact The Good GP, send an email to [email protected]
Mentioned in this episode:
Proudly supported by Medtech Global:
The Good GP Podcast is sponsored by Medtech Global, they help GPs be GPs by working with clinicians in Australia and New Zealand to develop Patient Management Systems and healthcare technology. Visit the link for more information:
Medtech Global
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In this episode, Dr Krystyna de Lange is joined again by Dr Allison Hempenstall, a General Practitioner and Public Health Physician from Far North Queensland, to discuss acute post-streptococcal glomerulonephritis (APSGN).
Dr Hempenstall begins by defining APSGN and explaining how it is an acute autoimmune kidney condition triggered by a group A strep (GAS) infection. She elaborates on the socio-economic risk factors and the presence of nephrotoxic strains of group A strep that increase susceptibility to APSGN. Comparison is made with acute rheumatic fever, noting both similarities and differences.
Covering the classic triad of symptoms for APSGN – hypertension, haematuria, and oedema – and how to diagnose the condition through clinical presentations and laboratory investigations. Dr Hempenstall explains the importance of identifying haematuria through urine analysis and performing necessary tests for recent strep infections and complement levels (C3 and C4).
They then move to the appropriate management strategies, including the use of intramuscular penicillin for eradicating strep and symptom management through antihypertensives and fluid management. Dr Hempenstall emphasises the necessity of involving paediatricians for cases requiring hospitalisation and mentioning that any persistent hypertension in children should be addressed promptly.
Lastly, outlining longer-term follow-up protocols, stressing the importance of regular blood pressure and urine checks post-diagnosis and the role of health education in preventing future occurrences. Special attention to the importance of contact tracing and prophylactic measures for household contacts in order to curb the spread of nephrotoxic strains of group A strep.
The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network
If you have any questions or would like to contact The Good GP, send an email to [email protected]
Mentioned in this episode:
Proudly supported by Medtech Global:
The Good GP Podcast is sponsored by Medtech Global, they help GPs be GPs by working with clinicians in Australia and New Zealand to develop Patient Management Systems and healthcare technology. Visit the link for more information:
Medtech Global
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In this episode of The Good GP, host Dr Krystyna de Lange is joined by Dr Allison Hempenstall, a General Practitioner and Public Health Physician from Far North Queensland, to discuss acute rheumatic fever and rheumatic heart disease.
Dr Hempenstall begins by defining acute rheumatic fever as an immunological response to group A streptococcus, which can lead to a constellation of symptoms impacting the heart and joints. She explains the progression from acute rheumatic fever to rheumatic heart disease, a condition characterised by permanent valvular damage to the heart following of acute rheumatic fever.
Outlining the symptoms and diagnostic criteria for acute rheumatic fever, referencing the Jones criteria and the helpful tools available such as the Rheumatic Heart Disease Guidelines and the ARF and RHD app. She also provides insight into the criteria's major and minor manifestations, including carditis, polyarthritis, Sydenham’s chorea, Erythema marginatum, subcutaneous nodules, fever, elevated inflammatory markers, and prolonged PR interval on ECG.
Highlighting the necessary steps for diagnosing acute rheumatic fever, including auscultating the heart, documenting fever, performing a 12-lead ECG, and obtaining relevant blood tests. The need for bedside documentation and comprehensive differential diagnosis is also covered.
In terms of management, Dr Hempenstall focused on creating a culturally safe environment and initiating treatment for suspected acute rheumatic fever promptly. This includes administering intramuscular penicillin and managing symptoms with paracetamol, with specialist consultation as needed. She also stresses the importance of early echocardiograms and the involvement of public health units.
For long-term management, Dr Hempenstall discussed the necessity of secondary prophylaxis with penicillin injections and regular echocardiograms. She emphasises the continuing role of primary care practitioners in follow-up care, ensuring adherence to prophylaxis schedules, and coordinating ongoing specialist reviews and yearly dental checks.
The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network
If you have any questions or would like to contact The Good GP, send an email to [email protected]
Mentioned in this episode:
Proudly supported by Medtech Global:
The Good GP Podcast is sponsored by Medtech Global, they help GPs be GPs by working with clinicians in Australia and New Zealand to develop Patient Management Systems and healthcare technology. Visit the link for more information:
Medtech Global
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In this episode of The Good GP, host Dr Krystyna de Lange welcomes back Dr Tim Jones, a General Practitioner and medical educator with a special interest in general paediatrics. Dr Jones shares his expertise on toddler sleep challenges, providing valuable insights and practical advice for GPs on how to address common sleep issues in young children.
Dr Jones discusses the variability of toddler sleep, emphasising the importance of sleep quality over quantity. He explains that while the average three-year-old requires about 12 hours of sleep per night, this can range from as little as nine hours to as much as 15 hours. The focus is on ensuring that the child is happy, healthy, and well-rested.
Dr Jones talks on the common presentations of toddler sleep issues in a general practice setting. He discusses the importance of thorough history-taking and screening for underlying medical conditions that might affect sleep, such as obstructive sleep apnea, eczema, and allergies. He emphasises the role of family dynamics, daytime sleep patterns, screen use, sugar intake, and physical activity in influencing sleep behaviour.
Various sleep strategies are explored, including addressing nighttime fears, managing dependency on specific items or people, and handling early morning wake-ups. Dr Jones highlights techniques like worry boxes, monster traps, and the "camping out" method to help children feel safe and transition to independent sleep.
Addressing the cautious use of pharmacological interventions, particularly melatonin, emphasising the lack of long-term safety data and potential side effects. He advises focusing on behavioural and environmental techniques before considering medication.
Dr Jones shares a valuable resource for practitioners: the Murdoch Children's Research Institute's "Sleep with Kip" website,
(https://sleepwithkip.com/) which offers evidence-based resources to support early childhood sleep.
The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network
If you have any questions or would like to contact The Good GP, send an email to [email protected]
Mentioned in this episode:
Proudly supported by Medtech Global:
The Good GP Podcast is sponsored by Medtech Global, they help GPs be GPs by working with clinicians in Australia and New Zealand to develop Patient Management Systems and healthcare technology. Visit the link for more information:
Medtech Global
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In this episode, Dr Krystyna de Lange continues the conversation on menopause with Dr Marita Long, discussing pharmacological management for troublesome menopausal symptoms.
Dr Long begins by addressing non-hormonal pharmacological options for women who either cannot use hormones or choose not to. She covers medications such as SNRIs (Venlafaxine or Desvenlafaxine), SSRIs, Gabapentin, Clonidine, and introduces Fesolinatant, a new treatment option recently approved by the TGA.
They then shift to hormonal menopause replacement therapy (MHT). Dr Long outlines which patients are suitable for hormonal therapy and which are not. She explains the different regimes, including cyclical and continuous treatment, emphasising the importance of matching therapy to the patient's specific needs based on their menopausal status and the presence of a uterus.
Covering the variety of hormone delivery methods available, such as oral, patches, and gels, noting the benefits and considerations of each form. Highlighting the importance of tailoring the approach to the patient's risk profile, particularly concerning cardiovascular health and breast cancer risk.
They concluded with Dr Long recommending effective resources such as the Australasian Menopause Society and Jean Hales for Women's Health, providing valuable information for both healthcare professionals and patients.
The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network.
If you have any questions or would like to contact The Good GP, send an email to [email protected].
Mentioned in this episode:
Proudly supported by Medtech Global:
The Good GP Podcast is sponsored by Medtech Global, they help GPs be GPs by working with clinicians in Australia and New Zealand to develop Patient Management Systems and healthcare technology. Visit the link for more information:
Medtech Global
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In this episode of The Good GP Podcast, host Dr Krystyna de Lange welcomes back Dr Marita Long to discuss the important topic of menopause. With her extensive experience in women's health, Dr Long provides clear and concise definitions that help demystify the terminology surrounding menopause.
Explaining key terms such as menopause, perimenopause, premature menopause, and premature ovarian insufficiency. She outlines the clinical nuances and the symptomatic variations that can occur during these different stages. Providing an in-depth look at the symptoms that women may experience during the perimenopause to post menopausal transition, including mood changes, sleep disturbances, hot flashes, and cognitive changes like brain fog.
Moving into the assessment phase, Dr Long dives into the appropriate investigations and when they are indicated. She emphasises the importance of a comprehensive evaluation for women in the midlife phase, noting when hormonal evaluations might be necessary and when they can be misleading or unneeded.
The discussion also covers non-pharmacological management strategies, focusing on lifestyle modifications such as exercise, diet, stress management, and self-care practices. Dr Long highlights how interventions like cognitive behavioural therapy (CBT) and certain lifestyle changes can alleviate symptoms and improve overall well-being during this critical time.
They aim to equip general practitioners with the knowledge and tools needed to support women going through menopause more effectively and empathetically, reinforcing the importance of individualised care and thorough assessment.
The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network
If you have any questions or would like to contact The Good GP, send an email to [email protected]
Mentioned in this episode:
Proudly supported by Medtech Global:
The Good GP Podcast is sponsored by Medtech Global, they help GPs be GPs by working with clinicians in Australia and New Zealand to develop Patient Management Systems and healthcare technology. Visit the link for more information:
Medtech Global
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In this episode of The Good GP, hosts Dr Sean Stevens and Dr Tim Koh are joined by Dr Chanika Ariyawansa, a WA-trained chemical pathologist with additional training in genetic pathology. Dr Ariyawansa, who holds significant roles in the Australian Association of Clinical Biochemistry, delves into the nuances of liver function tests (LFTs), exploring patterns and implications of abnormal results.
Firstly, with an examination of the prevalence and general patterns of abnormal LFTs, highlighting the commonality of mild and transient abnormalities. Dr Ariyawansa clarifies common misconceptions regarding LFTs, emphasising that not all markers in the standard LFT panel are liver-specific or directly assess liver function.
They also explain in detail individual LFT components such as bilirubin, ALP, GGT, AST, and ALT. The guest expert also categorises potential abnormalities into hepatocellular, cholestatic, mixed, and non-hepatic causes, with practical insights on each. Special attention is given to non-hepatic causes, analytical causes, and how these might influence LFT interpretation.
Dr Ariyawansa's expertise shines as she discusses managing patient anxiety around abnormal LFT results and the practical aspects of educating patients about their liver health. She stresses the utility of resources such as the Pathology Tests Explained website for patient education.
Wrapping up with an engaging Q&A session addressing specific scenarios like non-drinking patients with isolated raised GGT and the impact of statins on LFTs. She answers with clinical relevance, offering listeners practical strategies for understanding and communicating complex test results in their practice.
The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network
If you have any questions or would like to contact The Good GP, send an email to [email protected].
Mentioned in this episode:
Proudly supported by Medtech Global:
The Good GP Podcast is sponsored by Medtech Global, they help GPs be GPs by working with clinicians in Australia and New Zealand to develop Patient Management Systems and healthcare technology. Visit the link for more information:
Medtech Global
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In this episode of The Good GP, guest host Dr Catherine Bourke engages with Dr Desmond Chih, an esteemed infectious disease physician and microbiologist, in a comprehensive discussion about tuberculosis (TB). Dr Chih offers an in-depth exploration of the distinctions between latent and active tuberculosis, drawing from his extensive experience at Western Diagnostics Pathology, St John of God Hospital, and Royal Perth Hospital.
Focusing on the fundamental differences between latent TB, which involves a non-symptomatic infection contained by the immune system, and active TB, which is characterised by symptoms such as a prolonged cough, fevers, weight loss, and lymph node enlargement. Dr Chih elaborates on the diagnostic techniques, including the Tuberculin skin test and the QuantiFERON-TB Gold test, utilised to detect these conditions.
They then shift the discourse to the epidemiology of TB in Australia, discussing the incidence of active and latent TB predominantly among migrants and the crucial public health responses required. They also touch upon the global concerns related to TB, such as multidrug-resistant strains, and the implications these have on both treatment and containment strategies.
Addressing prevention strategies, particularly the importance of screening for latent TB in individuals who are about to undertake immunosuppressive therapies. The specialists responsible for prescribing these treatments are noted for their diligence in preemptive screenings to prevent the activation of latent TB infections.
Lastly, the conversation covers the management of active TB, reaffirming the use of the conventional four-drug regimen while also mentioning newer drug alternatives for resistant strains. Concluding with Dr Chih responding to listener questions about the risk factors and treatment options specific to various TB scenarios, providing a well-rounded perspective on managing this significant global health issue.
The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network
If you have any questions or would like to contact The Good GP, send an email to [email protected]
Mentioned in this episode:
Proudly supported by Medtech Global:
The Good GP Podcast is sponsored by Medtech Global, they help GPs be GPs by working with clinicians in Australia and New Zealand to develop Patient Management Systems and healthcare technology. Visit the link for more information:
Medtech Global
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In this episode of The Good GP, host Dr Tim Koh welcomes distinguished guest Professor Chan Cheah, a clinical and laboratory-based haematologist with a special interest in lymphoma. Professor Cheah, who practises at Sir Charles Gairdner Hospital and works with Western Diagnostic Pathology, explores the challenges and considerations of managing thrombocytopenia in general practice.
Professor Cheah begins by explaining what thrombocytopenia is and discusses its prevalence. He addresses common causes and sheds light on the pitfalls like pseudothrombocytopenia—where an artificial drop in platelet counts occurs due to platelet clumping in EDTA-treated tubes. Important advice is shared on how a different anticoagulant, such as citrate, can be used to overcome this issue.
He also explains the various age-related factors that should guide a GP's differential diagnosis process and details how different conditions might mimic or contribute to thrombocytopenia. He discusses important associated conditions such as Immune Thrombocytopenic Purpura (ITP), medication-induced reductions, and other infections that can manipulate platelet counts.
They then pivot to the necessary diagnostic steps and laboratory investigations that are vital in assessing a patient with low platelets. Professor Cheah rounds off the discussion by covering urgent conditions like thrombotic microangiopathies and other haematological abnormalities, stressing the importance of urgent and precise diagnosis in severe scenarios.
Join Professor Chan Cheah in uncovering the critical aspects of diagnosing and managing low platelet counts, a commonly encountered yet complex issue in general practice.
If you have any questions or would like to contact The Good GP, send an email to [email protected]
The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network
Mentioned in this episode:
Proudly supported by Medtech Global:
The Good GP Podcast is sponsored by Medtech Global, they help GPs be GPs by working with clinicians in Australia and New Zealand to develop Patient Management Systems and healthcare technology. Visit the link for more information:
Medtech Global
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In this episode, host Dr Sean Stevens welcomes Dr Michael Clements and Dr Kaylene Girgenti to discuss the practicalities and benefits of rural GP outreach. Dr Girgenti is a GP obstetrician with a unique practice split between Townsville and remote Karoombara Health Centre, which she commutes to by plane. Dr Clements is not only a pilot but also the Vice President of the RACGP, Chair of the Rural Faculty, and a practice owner of Clements Medical in Townsville and Magnetic Island.
Dr Girgenti shares her motivations behind taking on rural work, emphasising the diversity and fulfilment it adds to her practice, alongside the notable appreciation from the communities she serves. She encourages early career GPs to seek diversity and engage with diverse work environments that rural practice presents.
Dr Clements discusses the journey of integrating remote services into his practice, explaining the initial challenges and the rewards that result from providing critical services to underserved areas. He outlines the strategic approach to adopting a rural clinic from the perspective of an urban practice and the role of funding and clinical governance.
They also touched upon the dynamics of GP service in rural areas, including the importance of continuity of care and the value it brings to both the community and the healthcare provider.
Concluding with advice for urban GPs looking to extend their services to rural communities, highlighting the potential of such a model for adding excitement, scope, and a sense of mission to their practice.
The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network
If you have any questions or would like to contact The Good GP, send an email to [email protected]
Mentioned in this episode:
Proudly supported by Medtech Global:
The Good GP Podcast is sponsored by Medtech Global, they help GPs be GPs by working with clinicians in Australia and New Zealand to develop Patient Management Systems and healthcare technology. Visit the link for more information:
Medtech Global
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