The GP Show (Dr Sam Manger)

Joel Salatin has been called "America's best farmer" by Time magazine.  He is a self-described Christian libertarian environmentalist capitalist lunatic farmer (his words, not mine!).  He runs Polyface Farms and has helped develop the movement of regenerative agriculture, written 12 books, done multiple TED and TEDMED talks, featured in Michael Pollan's bestselling book The Omnivores Dilemma and multiple award-winning documentaries like Food Inc, and he is the Editor of The Stockman Grass Farmer.

Today we talk about the symbiotic connection between the land, soil, animals and our health. 

More info at www.polyfacefarms.com

Joel Salatin's TED talk (one of them): https://www.youtube.com/watch?v=4Z75A_JMBx4

A different regenerative agriculture method called agroforestry by Ernst Gotsch that is not dependent on animals (this is a beautiful short film) https://www.youtube.com/watch?v=gSPNRu4ZPvE&vl=en

If you find these podcasts valuable, rating it 5 stars and leaving a review in iTunes or Facebook is a huge help.

For more podcasts and resources for both health professionals and patients including websites, courses, apps, books and more, please check out www.thegpshow.com

You can join The GP Show Podcast Facebook page here.

If you would like to provide feedback or request a topic you can contact us or complete a quick survey here.

Thank you for listening and supporting.

Kim Poyner is a practice nurse, health coach and previously an ICU nurse.  She is the Founder of MediCoach, winner of the 2015 APNA Best Practice Award in Nursing for Chronic Disease Management, and presenter of Care Co-ordination, Care Planning and Coaching in General Practice. Kim has been invited to work with the World Health Organisation on obesity prevention and has presented multiple workshops on health coaching with the Australasian Society of Lifestyle Medicine.

This is an episode I suggest you listen to many times as Kim shares some absolute pearls of wisdom about helping patients on their health journey.  Today we discuss:

-What is health coaching?

- What is the evidence base?

- Some myths and facts about behaviour change

- How do we help people "not ready" to change

- A range of clinical pearls and tips on behaviour change

- Resources

She has no conflicts of interest to declare outside of being the Founder of MediCoach.

Resources:

http://medicoach.com.au/

https://journals.sagepub.com/doi/full/10.1177/1559827617708562

Textbook/training book = Coaching Psychology Manual by Margaret Moore - https://www.booktopia.com.au/coaching-psychology-manual-moore/prod9781451195262.html 

More information and workshops @ https://www.lifestylemedicine.org.au/

www.facebook.com/thegpshow.podcast 

Rating 5 stars +/- a review on itunes is a great help.

Enjoy Friends

This episode is only relevant really to RACGP registrars and their respective supervisors who are teaching them so sorry to everyone else!  But it is a source of significant anxiety (and requests to me to do an episode on) so I have covered it.

I shall cover the RACGP criteria of an excellent candidate (public info), the common mistakes I see registrars make and break down each area in more detail i.e. history, examination, investigations, differentials and management, and finally some further resources

Good luck everyone, but remember - your training is about learning to be a great GP, not just passing exams!

Dr Petra Skeffington is a clinical psychologist at the Cygnet Clinic in Perth.  She has a PhD from Curtin University and a Masters Certificate in Global Mental Health: Trauma and Recovery from Harvard Medical School.  She is the Western Australian State Chair for the Australian Psychological Society (APS) College of Clinical Psychologists, and Head of Psychology, Exercise Science, Chiropractic and Counselling (PESCC) at Murdoch University in Western Australia. 

Today we are discussing trauma and PTSD.  Please note this episode includes content of trauma and may be triggering for some people.

Dr Petra is speaking at the upcoming APS Clinical Psychologists Conference "Complexity in Practice" in Brisbane May 15-17. 

If you find these podcasts valuable, rating it 5 stars and leaving a review in iTunes or Facebook is a huge help.

For more podcasts and resources for both health professionals and patients including websites, courses, apps, books and more, please check out www.thegpshow.com

You can join The GP Show Podcast Facebook page here.

If you would like to provide feedback or request a topic you can contact us or complete a quick survey here.

Thank you for listening and supporting.

Dr Santosh Sanagapalli is a Consultant Gastroenterologist at the St. Vincent's Hospital campus.  Santosh trained in NSW and did subspecialty training in oesophageal disorders during a clinical research fellowship at the University College London Hospital, UK.  He performs a variety of diagnostic and therapeutic endoscopic procedures and has subspecialty expertise in the diagnosis and treatment of disorders of the oesophagus such as reflux, hiatus hernia and conditions affecting the swallowing: achalasia, eosinophilic oesophagitis, strictures and others.

Details about our JCU lifestyle medicine and health coaching masterclass on October 7/8 in Brisbane can be found here.  Available for all health professionals, with CPD for most included. 

Interested in studying lifestyle medicine, health coaching and new models of care in health and wellbeing?  Check out the JCU postgraduate courses: Grad Cert, Grad Diploma, and Master. 

If you find this podcast valuable then subscribing, sharing, rating it 5 stars and leaving a review is appreciated.

If you would like to send in your thoughts, insights, opinions, provide feedback or request a topic, please contact me via thegpshow.com 

Thank you for listening and your support.

Dr Sandro Demaio is a medical doctor, CEO of VicHealth and globally-renowned public health expert.  He is a Medical Officer for the Department of Nutrition for Health and Development at the World Health Organization. He is also the author of the Doctor’s Diet and co-hosts the ABC television show Ask the Doctor.  In his pro bono work, Dr Demaio co-founded NCDFREE, a global social movement against chronic disease which reached more than 2.5 million people in its first 18 months.

Natalie Molino is the Executive Director of the Sandro Demaio Foundation with a Masters of Public Health and Bachelor of Biomedicine from the University of Melbourne.  She started in this area by working for Norway’s leading health and climate start-up, EAT. During this time, she worked with leading UN organisations, independent policy institutions and the Governments of Norway and Sweden to realign food system priorities for people and planet.  The Sandro Demaio Foundation was established in early 2018. Together with their team, they are using their expertise and experience in public and global health to change the way we think about food and chronic disease.

If you find these podcasts valuable, rating it 5 stars and leaving a review in iTunes or Facebook is a huge help.

For more podcasts and resources for both health professionals and patients including websites, courses, apps, books and more, please check out www.thegpshow.com

If you would like to provide feedback or request a topic you can contact us or complete a quick survey here.

Thank you for listening and supporting.

Professor David Hunter is a rheumatology clinician-researcher whose main research focus has been clinical and translational research in osteoarthritis (OA). He is the Florance and Cope Chair of Rheumatology and Professor of Medicine at the University of Sydney and the Royal North Shore Hospital and Consultant Rheumatologist at North Sydney Orthopaedic and Sports Medicine Centre. He is ranked as the world’s leading expert in osteoarthritis on Expertscape.com since 2014. He is on the editorial board for Arthritis and Rheumatology, Osteoarthritis and Cartilage, Arthritis Care and Research and part of the review committee for OA for the American College of Rheumatology, EULAR and OARSI scientific meetings. Dr Hunter has over 400 peer-reviewed publications in international journals, numerous book chapters, is the section editor for UpToDate Osteoarthritis and has co-authored a number of books.  He is also Co-Chair of the recent RACGP Osteoarthritis guidelines. 

This was a thoroughly enjoyable and informative discussion around osteoarthritis pathophysiology, imaging, prevention and treatment.  There was a bit of mic rustling when David speaks but this stops at ~11:25mins (to be exact!).

Resources mentioned:

Patient program - https://www.myjointpain.org.au/

RACGP guidelines = 2018 Royal Australian College of GPs Guidelines: https://www.racgp.org.au/your-practice/guidelines/musculoskeletal/hipandkneeosteoarthritis/

Warm up programs to prevent injuries:

PEP: https://www.aclstudygroup.com/pdf/pep-program.pdf

FIFA 11 training:

Shorter version - https://www.tmphysio.com/wp-content/uploads/2017/08/FIFA-11-_Poster_EN_Druck_2015.compressed.pdf

Longer version - https://www.kort.com/uploadedFiles/KORT/Content/Services/Sports_Medicine/Concussion_Management/FIFA-the-11-Booklet.pdf

Other resources:

Some published references:

• Clinical algorithms to aid osteoarthritis guideline dissemination. Osteoarthritis Cartilage. 2016 Sep;24(9):1487-99.
• Osteoarthritis: Models for appropriate care across the disease continuum. Best Pract Res Clin Rheumatol. 2016 Jun;30(3):503-535.
• Therapy: Are you managing osteoarthritis appropriately? Nat Rev Rheumatol. 2017 Dec;13(12):703-704.
• Lower extremity osteoarthritis: optimising musculoskeletal health is a growing global concern: a narrative review. Br J Sports Med. 2018 Jul 20.

Multimedia options:

• Annual Florey Public Lecture: https://www.youtube.com/watch?v=vY__ApcQOOc
• Article author Professor David Hunterdiscussed appropriate osteoarthritis management. Short video:https://vimeo.com/108976519
• Podcast from Radio National Health Report: Everything you ever wanted to know about osteoarthritis:https://www.abc.net.au/radionational/programs/healthreport/everything-you-ever-wanted-to-know-about-osteoarthritis/8664218

An online electronic educations module for RACGP for CPD points:

https://www.racgp.org.au/education/courses/activitylist/activity/?id=54640&q=keywords%3dosteoarthritis%26triennium%3d17-19

As always – rating this podcast 5 stars and leaving a review in iTunes is great help.

Enjoy Friends

Dr Peter Tenni is widely recognised as one of Australia's leading clinical pharmacy practitioners and trainers with over 40 years’ experience. He is a clinical senior lecturer at the University of Tasmania, a Director of Medscope and Director of Consultant Pharmacy Services.  He is the lead author of the deprescribing guides from the PHN Primary Health Tasmania which we are going to discuss today and will be updated on the website after May 9th.  These cover a range of principles and specific medications from opioids, benzo, PPIs, statins, aspirin, antihypertensives, antihyperglycaemics and many more. 

I am very grateful for these because there is no shortage of guidelines on how to prescribe more medication but very few on how to get people safely and beneficially off medication in an evidence-based manner. 

We discuss the general need and principles of deprescribing and then focus on two high-risk medications; opioids and benzodiazepines.  You can visit the website to view the current guidelines directly and these are soon to be updated.

https://www.primaryhealthtas.com.au/resources/deprescribing-guides/

As always rating 5 stars in iTunes is a great help.

Many thanks

Enjoy friends.

Dr Dean Ornish is a Clinical Professor of Medicine at the University of California, Founder and President of the non-for-profit Preventative Medical Research Institute, Founder of the only USA-medicare lifestyle-based program; the "Reversing Heart Disease" program, he has published extensively over 35 years in major journals such as The Lancet, JAMA and NEJM, he is listed by Forbes Magazine as one of the most powerful teachers in the World, and is author of 7 books including his latest book "UnDo It", which he wrote with his wife Ann Ornish.

https://undoitbook.com/

https://www.ornish.com/

Today we discuss his new book, how simple lifestyle changes can reverse most chronic diseases and the 4 major components of his lifestyle based program; food, movement, stress management and connection.

If you are interested in the lifestyle medicine movement and want to be apart of it = use the code "TheGPShow" at the checkout to get $110/50% off your first year of membership with the Australasian Society of Lifestyle Medicine.

https://www.lifestylemedicine.org.au/

Code: TheGPShow (not case-sensitive)

More information @ www.facebook.com/thegpshow.podcast 

As always - Rating 5 stars +/- a review on iTunes is a great help and all I ask for this free resource.

Enjoy Friends

On December 1 2017 the cervical screening program changes from the current pap smears to HPV testing with a change in frequency and follow up.  Join gynaecologist Dr Kelvin Larwood and I having a casual yarn over the new guidelines.  

Today I am joined by exercise physiologist Tim Douge to discuss what role EPs play in disease management and prevention and how GPs and allied health can work more closely to benefit patients.  

Professor Sir Michael Marmot is Professor of Epidemiology at University College London, Director of the UCL Institute of Health Equity, and Past President of the World Medical Association.

He is the author of The Health Gap: the challenge of an unequal world (Bloomsbury: 2015) and Status Syndrome: how your place on the social gradient directly affects your health (Bloomsbury: 2004).  Professor Marmot holds the Harvard Lown Professorship for 2014-2017 and is the recipient of the Prince Mahidol Award for Public Health 2015. He has been awarded honorary doctorates from 18 universities.

Professor Marmot has led research groups on health inequalities for over 40 years. He chairs the Commission on Equity and Health Inequalities in the Americas, set up in 2015 by the World Health Organizations’ Pan-American Health Organization (PAHO/ WHO).  He was Chair of the Commission on Social Determinants of Health (CSDH), which was set up by the World Health Organization in 2005, and produced the report entitled: ‘Closing the Gap in a Generation’ in August 2008. Professor Marmot served as President of the British Medical Association (BMA) in 2010-2011, and is President of the British Lung Foundation. 

In 2000 he was knighted by Her Majesty The Queen, for services to epidemiology and the understanding of health inequalities.

Today we discuss his 2015 book The Health Gap: the challenge of an unequal world, available at Bloomsbury - https://www.bloomsbury.com/uk/the-health-gap-9781408857991/

If you find this podcast valuable, rating it 5 starts and leaving a review on iTunes, Spotify or Facebook is a huge help.

You can find more podcasts, information and social media at www.thegpshow.com 

If you would like to provide feedback or request a topic, please Contact Us.

Thank you for listening and supporting.

Professor Morgan is a Gumilaroi man from Walgett western NSW. He is a highly respected and acknowledged Aboriginal educator/researcher who has worked extensively throughout Australia and internationally in the field of Aboriginal knowledge and learning for over forty years. Professor Morgan is currently Chair of the Board of Aboriginal and Torres Strait Islander Studies, Education and Research (BATSIER) and also serves, as Conjoint Professor with the Wollotuka Institute with the University of Newcastle (UON).  He is the inaugural Chair of the Council of the World Indigenous Peoples Conference on Education (WIPCE), and a national board member of the Australasian Society of Lifestyle Medicine.

Today we have a general yarn around cultural healing and transformation, so all people can be respected, empowered and collectively contribute to a better world.

For further conversations on this topic, please listen to episode #89 with Professor Gregory Phillips on Aboriginal & Torres Strait Islander knowledge for the modern world @ https://thegpshow.com/podcastvault/

Further reading:

https://www.reconciliation.org.au/wp-content/uploads/2017/11/Lets-Talk...mythbusting-PDF.pdf

http://www.shareourpride.org.au/sections/beyond-the-myths/index.html

https://www.sbs.com.au/topics/voices/culture/article/2016/12/07/heres-truth-about-free-ride-some-australians-think-indigenous-peoples-get

https://humanrights.gov.au/our-work/questions-and-answers-about-aboriginal-torres-strait-islander-peoples

If you find these podcasts valuable, rating it 5 stars and leaving a review in iTunes or Facebook is a huge help.

For more podcasts and resources for both health professionals and patients including websites, courses, apps, books and more, please check out www.thegpshow.com
Facebook: @TheGPShow.podcast
Twitter/Instagram: @drsammanger (new)
Youtube: Dr Sam Manger (new)

If you would like to provide feedback or request a topic you can contact us or complete a quick survey at www.thegpshow.com

Thank you for listening and supporting.

Dr Rob Park is a GP and just about to complete his fellowship of pain medicine and Master of Pain Medicine. He is the past head examiner for the Applied Knowledge Test RACGP fellowship exam. He has designed and presented conferences on musculoskeletal clinical education, has a Master of Clinical Education, teaches with Griffith University and completes independent expert medical assessments for AHPRA.

Some tools discussed:

Brief pain inventory 

Pain catatrosphising scale 

Patient self-efficacy questionnaire 

More "pain" info, including websites mentioned, videos, images and courses at https://thegpshow.com/bookshelf/painmedicine/

Interested in studying lifestyle medicine, health coaching and new models of care in health and wellbeing?  Check out the JCU postgraduate courses: Grad Cert, Grad Diploma, and Master. 

If you find this podcast valuable then subscribing, sharing, rating it 5 stars and leaving a review is appreciated.

If you would like to provide feedback or request a topic, please contact me via thegpshow.com 

Thank you for listening and your support.

Dr. Jeremy Howick BA, MSc, PhD is a Senior Researcher at the University of Oxford.  He has over 75 academic publications and is the author of a new book called 'Doctor You'. He is also Director of the Oxford Empathy Programme at the University of Oxford. He was recently awarded the British Medical Association Dawkins and Strutt award to pursue research on the health benefits of empathic care. 

More info @ http://www.jeremyhowick.com

Enjoy Friends

Dr Scott Blair-West has been a consultant psychiatrist since 1993 specialising in anxiety disorders and obsessive compulsive disorder (OCD). He currently works in private practice and is also the co-founder and Medical Director of the inpatient OCD program at The Melbourne Clinic, the only inpatient OCD program in Australia. He is also a Senior Fellow at the University of Melbourne.

Some resources:

1. Treating OCD: A Clinician's Guide to Getting Unstuck Paperback by Dr Celin Gelgec
2. Getting Over OCD Second Edition A 10-Step Workbook for Taking Back Your Life by Jonathan S. Abramowitz

Interested in studying lifestyle medicine, health coaching and new models of care in health and wellbeing?  Check out the JCU postgraduate courses: Grad Cert, Grad Diploma, and Master. 

If you find this podcast valuable then subscribing, sharing, rating it 5 stars and leaving a review is appreciated.

If you would like to provide feedback or request a topic, please contact me via thegpshow.com 

Thank you for listening and your support.

Professor Michael Kidd is an Honorary Professor of Global Primary Care with the Southgate Institute for Health, Society and Equity at Flinders University.  He is now Professor and Chair of the Department of Family and Community Medicine at the University of Toronto in Canada, and Director of the new World Health Organization Collaborating Centre in Family Medicine and Primary Care.   He has over 30 years experience as a General Practitioner working in inner city, rural and remote practices with special interests in the care of people with HIV, mental health and Indigenous Health. He was the Executive Dean of the Faculty of Medicine, Nursing and Health Sciences at Flinders University. He is a past president of the World Organization of Family Doctors (WONCA) and past President of the Royal Australian College of General Practitioners (RACGP).  

His latest book "Every Doctor" with Leanne Rowe can be found here:

https://www.amazon.com/Every-Doctor-Healthier-Patients-Medicine/dp/1138497851

Today we discuss his two books "First: Do No Harm" and "Every Doctor", the concepts of self-care, the carers paradox, how we can develop the relationships with ourselves, our family and our work, and some of the principles and foundations of resilience. And there are a few tangents as well.

Enjoy Friends

Dr Joe Kosterich is a GP, educator, speaker, author, media presenter and health industry consultant including to HealthCert Education. He is an Adjunct Professor at the University of Western Australia and lectures at Curtin Medical School. Joe is the Chairman of the Australian Tobacco Harm Reduction Association, Clinical Editor of the Medical Forum Magazine and  writes for numerous medical and mainstream publications and is also a regular presenter on radio and television.

This podcast on Men's Health is sponsored by HealthCert Education, found at https://www.healthcert.com/. If you want to upskill further in this area, you can save $200 on the Men’s Health course fee with the special code GPSHOW200 in November (get in quick!). You can access more information at healthcert.com/gpshow. 

HealthCert Education also provides a range of professional certificates up to professional diplomas in a wide range of topics, including mens health, womens health, medical nutrition, mental health, MSK and sports medicine and in a number of other disciplines.

Past relevant episode: "#140 Rites of Passage" with Dr Arne Rubenstein and some relevant books: Making of Men by Dr Arne Rubenstein, Rites de Passage by Arnold Van Gennep, Archetypes of Initiation by Robert Moore, and specifically for women The Heroine's Journey by Maureen Murdock. 

If you find this podcast valuable, subscribing, sharing, rating it 5 stars and leaving a review is a huge help.

If you would like to provide feedback or request a topic, please Contact Us.

Thank you for listening and supporting.

Dr Joseph Firth completed his PhD at The University of Manchester in the United Kingdom. His initial research projects investigated the physiological and psychological effects of physical activity in young people with mental illness. Since then, his research has expanded to cover multiple aspects of health behaviours (including physical activity, sedentary behaviour, sleep, technology and diet) and the interaction this has with mental illness and brain health - particularly in young people. Dr Firth has published over 100 peer-reviewed articles in leading medical journals and recently headed The Lancet Psychiatry Commission on a blueprint for protecting physical health in people with mental illness.

Full commission: https://www.thelancet.com/commissions/physical-health-in-mental-illness

There are no conflicts of interest to declare.

Enjoy friends.

Dr Ken Maguire is a Rheumatologist FRACP, Fellow of the Australian Sports Medicine Federation and Fellow of the Australian College of Sports Physicians.

Today we cover a lot of ground, but as always - there is a lot more to cover!

- Presenting features of RA

- Causes

- Brief review of workup and differentials (please note - not a complete list of differentials and workup required)

- Lifestyle management

- Clinical tips

- Medication management

And more

Enjoy friends.

Justin Coleman GP MPH is a man of many talents.  He is a GP who works in Aboriginal and Torres Strait Islander health in Brisbane and is a writer who looks sceptically at health interventions where the evidence suggests they might not actually be worthwhile. This is part of his broader interest in the public health concept of equity – fair access to primary health care for everyone.

He was President of the Australasian Medical Writers Association (AMWA) from 2010-15. He has published more than a thousand articles in around 40 Australian and international newspapers, magazines and journals. He is the author of four book chapters and three regular newspaper columns. He is also Editor of the Diabetes Management Journal and Senior Lecturer at the University of QLD and Griffith University.  In 2014, Justin founded a campaign which encouraged doctors to avoid seeing visiting pharmaceutical representatives at their surgeries called the No Advertising Please campaign

https://drjustincoleman.com/ 

No conflicts of interest to declare :)

Re: the Ochre rural recruitment drive I mentioned at the beginning:

 recruitment@ochrehealth.com.au

Regardless = rural medicine rocks = get into it!

This is a replay of the listener-favourite podcast with the pioneer Professor Lorimer Moseley to supplement the other podcasts released on chronic pain.  Enjoy!

Professor Lorimer Moseley is a clinical scientist investigating pain in humans. After posts at The University of Oxford, UK, and the University of Sydney, Lorimer was appointed Professor of Clinical Neuroscience and Chair in Physiotherapy at the University of South Australia. He is also Senior Principal Research Fellow at NeuRA and an NHMRC Principal Research Fellow. He leads the Body in Mind Research Group, based at the University of South Australia which investigates the role of the brain and mind in chronic pain.  He has published over 310 papers, six books for clinicians and patient workbooks, and numerous book chapters/. He is a strategic adviser for PAIN, associate Editor for the Journal of Pain, the European Journal of Pain and the British Journal of Sports Medicine.

More "pain" info, including websites mentioned, videos, images and courses at https://thegpshow.com/bookshelf/painmedicine/

Interested in studying lifestyle medicine, health coaching and new models of care in health and wellbeing?  Check out the JCU postgraduate courses: Grad Cert, Grad Diploma, and Master. 

If you find this podcast valuable then subscribing, sharing, rating it 5 stars and leaving a review is appreciated.

If you would like to provide feedback or request a topic, please contact me via thegpshow.com 

Thank you for listening and your support.

Dr David McIntosh, MBBS, FRACS, PhD, is a Ear Nose Throat Surgeon with a special interest in sleep disorders and airway obstruction.  He is also author of a book called "Snored to Death".  

We had a great conversation about sleep and airway obstruction in kids, adults and pregnant women covering;causes of airway obstruction, impacts on cognition/behaviour/physical conditions, history and exam features, misdiagnosis, management and referral.  

https://www.facebook.com/snoredtodeath/ 

Enjoy Friends! 

Dr Garth McLeod is a General and Bariatric Surgeon based on the Sunshine Coast, with subspecialty training in obesity and metabolic surgery. He provides his patients with access to integrated and interdisciplinary health care to optimise the outcomes of surgery and maintain weight loss.

Find out more about the specific procedures, including the intragastric balloon here: https://www.drgarthmcleod.com.au/intragastric-balloon/

Interested in studying lifestyle medicine, health coaching and new models of care in health and wellbeing?  Check out the JCU postgraduate courses: Grad Cert, Grad Diploma, and Master. 

If you find this podcast valuable then subscribing, sharing, rating it 5 stars and leaving a review is appreciated.

If you would like to send in your thoughts, insights, opinions, provide feedback or request a topic, please contact me via thegpshow.com 

Thank you for listening and your support.

Professor Craig Pennell is Chair in Obstetrics and Gynaecology and Professor in Maternal-Fetal Medicine at the University of Newcastle (John Hunter Hospital). He is also a senior researcher at Hunter Medical Research Institute HMRI in the Mothers and Babies Research Centre within the Priority Research Centre in Reproductive Health and Chair of the National Scientific Advisory Group of Red Nose.   His research can best be categorised into personalised medicine in perinatal health and the developmental origins of health and disease. His research is focussed on the use of genetics and genomics to predict and prevent preterm birth and non-communicable diseases.  Over his research career, he has written more than 200 papers with 4 in Nature, 19 in Nature Genetics and 5 in Nature Communications.

Today we discuss the Developmental Origins of Health and Disease (DOHaD).

Further resources:

1. https://dohadsoc.org/
2. DOHaD 2019 conference October 20-23 Melbourne = https://dohadsoc.org/dohad-world-congress/
3. Patients: https://thousanddays.org
4. www.telethonkids.org.au
5. https://www.telethonkids.org.au/information-for/parents-and-families/

Further episodes at www.facebook.com/thegpshow.podcast

Rating the podcast 5 stars and leaving a review in iTunes is a great help.

Enjoy Friends

Dr Alexander Lehn is a neurologist with special interests in functional neurological disorders, movement disorders and cognitive neurology.  He is also a Senior Lecturer at the University of Queensland. 

Functional Neurological Disorders account for the second most common presentation to neurological clinics.  They also may overlap and integrate with many other common disorders such as chronic pain, irritable bowel syndrome and chronic fatigue.  Their management and understanding exemplify the crucial importance of treating a person as a whole, not just a sum of their parts.

Resources cited:

http://neurosymptoms.org/

https://fndaustralia.com.au/resources/resources/educational-videos.html

If you find this podcast valuable, rating it 5 starts and leaving a review on iTunes, Spotify or Facebook is a huge help.

You can find more podcasts, information and social media at www.thegpshow.com 

If you would like to provide feedback or request a topic, please Contact Us.

Thank you for listening and supporting.

(Replay) Professor Gregory Phillips is the CEO of Abstarr consulting and Professor of First People’s Health in the School of Medicine at Griffith University.  Gregory is from the Waanyi and Jaru Aboriginal Australian peoples and comes from Cloncurry and Mount Isa. He is a leading change maker, thought leader and medical anthropologist.  He developed an accredited Indigenous health curriculum for all medical schools in Australia and New Zealand, founded the Leaders in Indigenous Medical Education (LIME) Network, and co-wrote a national Indigenous health workforce strategy. He established the Aboriginal and Torres Strait Islander Healing Foundation Ltd in the wake of the federal apology to Indigenous Australians, has advised federal ministers on Indigenous health inequality and was honoured in 2011 with an ADC Australian Leadership Forum Award. 

More info at:

http://abstarr.com/

Dianne Cross is a Senior Operations Officer with Queensland Ambulance Service.  She is an intensive care paramedic and currently on the PHN clinical council of the Central QLD and Sunshine Coast.  She headed the initial "Spot On" initiative which aims to deliver patient cases to GPs and their "medical homes" to avoid unnecessary hospital transfers. 

We discuss the types of paramedics, the phone triage process, referral pathways and common frustrations for GPs and paramedics (at least from my point of view).

Enjoy my friends

Twitter @GPShowpodcast

Facebook The GP Show Podcast

Commonly known as the ‘queen of common sense’, Maggie Dent has become one of Australia’s favourite parenting authors and educators. Maggie is regularly featured on parenting blogs, podcasts and news sites, as well as being heard on commercial and ABC radio. She also appears regularly on national TV. Maggie is the host of the ABC podcast Parental As Anything.  She is the author of seven major books, including her bestselling 2018 book Mothering Our Boys and her 2020 release From Boys to Men. Maggie is the proud mother of four wonderful sons, and an enthusiastic and grateful grandmother.  Find more at https://www.maggiedent.com/

In this episode we are discuss her new book Parental as Anything.

If you find this podcast valuable, rating it 5 stars and leaving a review is appreciated.

If you would like to provide feedback or request a topic, please Contact Us.

Thank you for listening

Dr Michael Tam is a GP, Senior Lecturer at The University of Sydney, Discipline of General Practice and Founder of "Morsels of Evidence - EBM for GPs" at evidencebasedmedicine.com.au

Today we get into some pearls and common errors in EBM.  

Dr. Michelle May MD is the Founder of Am I Hungry? Mindful Eating Programs and Training, and author of the award-winning book series, Eat What You Love, Love What You Eat, that teaches mindful eating for yo-yo dieting, diabetes, binge eating disorder, bariatric surgery, and students.  Michelle is an Associate Professor at Arizona State University where she teaches mindful eating.

You can find more information at:

www.AmIHungry.com (scroll down to access the first chapter of her book for free)

www.MichelleMayMD.com

Interested in studying lifestyle medicine, health coaching and new models of care in health and wellbeing?  Check out the JCU postgraduate courses: Grad Cert, Grad Diploma, and Master. 

If you find this podcast valuable then subscribing, sharing, rating it 5 stars and leaving a review is appreciated.

If you would like to send in your thoughts, insights, opinions, provide feedback or request a topic, please contact me via thegpshow.com 

Thank you for listening and your support.

Dr Marita Long is a GP and GP clinical educator for Dementia Training Australia.  Before being a GP she was a paediatric and maternal health nurse for 20 years - what an excellent mix!

Today we discuss diagnosing dementia.  This episode is a taster to some of the workshops Dr Long and Dr Hilton Koppe run, in particular with two PHN workshops on June 8th (Brisbane North) and June 11th (Gold Coast) coming up soon.

Brisbane - https://www.brisbanenorthphn.org.au/page/news-and-events/events/upcoming/recognising-diagnosing-and-managing-dementia-in-general-practice/

Gold Coast - https://www.healthygc.com.au/Events/4109.aspx

Today we discuss:

- Why we need to discuss dementia

- Early signs

- Inclusion and exclusion criteria

- Screening tools

- Tests for reversible causes

- Implications for carers

- Resources for clinicians and patients

Further resources below.

As always rating the podcast 5 stars in iTunes and leaving a review is a great help.

Enjoy Friends

Courses and education resources: 

Wicking Dementia Research and Education Centre - Understanding Dementia MOOC

https://www.utas.edu.au/wicking/understanding-dementia 

 Wicking Dementia Research and Education Centre - Preventing Dementia MOOC

http://www.utas.edu.au/wicking/preventing-dementia

Dementia Training Australia online courses 

https://www.dta.com.au/online-dementia-courses/  

GP Supervisors Australia

Webinars (3) on diagnosing dementia, managing dementia and advanced (Stage 3) dementia

(NB Search through archive listing at bottom of page in link below)

https://gpsupervisorsaustralia.org.au/webinars/ 

Teaching plans for GP supervisors to use with their registrars

(NB Enter term Dementia into search function to find teaching plans on dementia)

https://gpsupervisorsaustralia.org.au/teaching-plans/ 

Dementia Australia

 Providing support, information and services for people living with dementia, carers, family and health professionals

 National Dementia Helpline – 1800100500

https://www.dementia.org.au/ 

Replay from 2019: Professor Bruce Arroll is a Professor of General Practice and Primary Health Care at the University of Auckland New Zealand and a practising GP at Greenstone Family Clinic in Manurewa in South Auckland. He does regular general practice at that clinic and also does special consultations using Focused Acceptance and Commitment Therapy (FACT) for people who are feeling stuck in their lives by stress, pain or low energy. 

Today we discuss ACT:

1. What is ACT? Principles/philosophy
2. What are its origins?
3. What is the evidence base for different conditions?
4. Techniques that can be used 
5. Good resources for patients and clinicians

https://www.brucearroll.com/about

https://www.actmindfully.com.au/ 

If you find this podcast valuable, rating it 5 stars and leaving a review on your podcast app is appreciated.

If you would like to provide feedback or request a topic, please Contact Us.

Thank you for listening.

Professor Jane Burns is Professor of Innovation and Industry at the University of Sydney. In 2010 she raised $35 million as the founder and CEO of Young and Well CooperativeResearchCentre an organisation that over its five years drove industry focused research and development to explore the role of new and emerging technology in improving wellbeing.  She has a PhD in Medicine from the Faculty of Medicine (Public Health and Epidemiology) University of Adelaide. She was the 2015 Winner, Social Enterprise and Not-For-Profit Award Category, Inaugural Westpac/Financial Review 100 Women of Influence.

She has a special interest in disability care, veterans and mental health and how innovative technologies can be integrated into healthcare.  We have a brief yarn discussing online platforms, apps, avatars, biometric devices, virtual reality, AI, personalised medicine implications.  There was so much more to cover but this may stimulate your creative thinking in this space!

Some of the mention platforms:

https://headtohealth.gov.au/

https://highres.dva.gov.au/highres/#!/home

https://www.patientslikeme.com/

https://au.reachout.com/

http://www.c25k.com/ 

Professor Burns conflicts of interest include: 

Chair of VVCS, chair of soldierly and CEO of emotion21 

Enjoy Friends

Dr Scott Masters is a GP and Head of the RACGP Musculoskeletal Special Interest Group.  We have a yarn about many topics revolving around MSK conditions, with a general focus on back pain, including:

1. Role of examination

2. Role of imaging

3. Role of injections

4. Role of surgery

5. Red flags

Enjoy friends

Dr John Stevens is a health sociologist and Associate Professor in the School of Health and Human Sciences at Southern Cross University (SCU). He is also a Registered Nurse and the director of a number of companies engaged in health education and research, working closely with Primary Health Networks. In the past, John has been Head of the School of Nursing and Health Practices, the Director of Post Graduate studies (which included the first ever Master’s Award in Lifestyle Medicine) and Director of Professional Development and Enterprise, at SCU. John was a founding member of the Australasian Society of Lifestyle Medicine and has pioneered research and clinical practice in Shared Medical Appointments (SMAs), which we discuss today.

Apologies for some glitches in the audio - issues with the primary recording software so I had to use the "plan B" software which is never as good.

More info @ https://www.lifestylemedicine.org.au/shared-medical-appointments

Articles:

https://www.racgp.org.au/afp/2014/march/shared-medical-appointments/

https://www1.racgp.org.au/ajgp/2018/january-february/programmed-shared-medical-appointments-(1)

A great example of SMAs in mother and infant health: https://possumsonline.com/programs/shared-medical-appointments

Conflict of interest: John receives payments for the teaching of some SMA programs.

Further episodes at www.facebook.com/thegpshow.podcast 

Available on all podcast apps

Rating the podcast 5 stars and leaving a positive review in iTunes is a great help and much appreciated.

Enjoy Friends 

A/Professor Megan Munsie PhD is the Deputy Director for the Centre for Stem Cell Systems at The University of Melbourne and the Head of the Education, Ethics, Law & Community Awareness Unit at Stem Cells Australia www.stemcellsaustralia.edu.au

Stem cell therapy is something I am being asked more and more about so I did some research and came across A/Prof Munsie.  Are they just another snake oil or do stem cells hold great opportunity for treating a wide range of severe and common disorders?  Today we find out:

- What are stem cells

- What conditions is there consistent evidence in treatment?

- What treatment avenues are we exploring?

- Where is it too early to be recommending stem cells?

- The occurrence of commercial exploitation 

- Risks, cost and ethics of stem cell therapy

Below is a list of helpful resources:

• NHMRC Quick Guide for GPs: Stem Cell Treatments
• NHMRC Stem Cell Treatments: Frequently Asked Questions
• Australian Stem Cell Handbook (co-developed by National Stem Cell Foundation of Australia and Stem Cells Australia)
• Patient Handbook - International Society for Stem Cell Research _ multiple languages
• Stem cell treatment and regulation - a quick guide for consumers - Therapeutic Goods Administration
• A Closer Look At Stem Cells website (also developed by ISSCR)
• EuroStemCell Factsheets about what are stem cells and how they could help different conditions
• MOVE - Stem Cell Treatments (PDF also available; co-developed with Stem Cells Australia and relates to muscle, bone, joint applications)
• Australasian College of Sports and Exercise Physicians - Position Statement on MSCs

Professor Maria Fiatarone Singh is a geriatrician whose research, clinical, and teaching career has focused on the integration of medicine, exercise physiology and nutrition as a means to improve health status and quality of life across the lifespan. She has held the inaugural John Sutton Chair of Exercise and Sport Science in the Faculty of Health Sciences, and continues to hold her Professorship at the Sydney Medical School, University of Sydney.

Today we are discussing optimising movement in older adults for healthy ageing.

Interested in studying lifestyle medicine, health coaching and new models of care in health and wellbeing?  Check out the JCU postgraduate courses: Grad Cert, Grad Diploma, and Master. 

If you find this podcast valuable then subscribing, sharing, rating it 5 stars and leaving a review is appreciated.

If you would like to send in your thoughts, insights, opinions, provide feedback or request a topic, please contact me via thegpshow.com 

Thank you for listening and your support.

Dr Alana Gall is a proud Truwulway woman, a Pakana (Tasmanian Aboriginal) from the north-east coast of Lutruwita (Tasmania). Alana is passionate about Indigenous peoples' holistic health and wellbeing globally. She has a background with degrees in nutritional medicine, Master of Research and a PhD. Alana is a Postdoctoral Research Fellow in the National Centre for Naturopathic Medicine at Southern Cross University, and an Honorary Research Fellow at both the University of Queensland and Menzies School of Health Research. She is the Co-Vice Chair of the World Federation of Public Health Associations Indigenous Working Group, and the Vice President-Elect for Aboriginal and Torres Strait Islander Health at the Public Health Association of Australia.  Alana pioneered the use of individual yarns with a think-aloud component, called the ‘think-aloud yarn’, and co-developed the Key Principles to Co-Design with First Nations peoples, which have informed the development of Cancer Australia's Australian Cancer Plan and will underpin its implementation. She leads a research program that centres around First Nations Australians traditional medicines and healing practices, with the aims of protecting and preserving these medicines for future generations and improving accessibility for all First Nations communities across Australia.

National survey focused on First Nations traditional medicines:

• First Nations Patient survey: https://scuau.qualtrics.com/jfe/form/SV_8rakLaErMmT4QyW
• Health Sector survey: https://scuau.qualtrics.com/jfe/form/SV_819HrxWE5RUglP8

Please consider completing the survey/s above. 

Interested in studying lifestyle medicine, health coaching and models of care in health and wellbeing?  Check out the JCU postgraduate courses: Grad Cert, Grad Diploma, and Master. 

If you find this podcast valuable then subscribing, sharing, rating it 5 stars and leaving a review is appreciated.

If you would like to send in your thoughts, insights, opinions, provide feedback or request a topic, please contact me via thegpshow.com 

Thank you for listening and your support.

Dr Daniel Kraft is a Stanford and Harvard trained physician-scientist, Board Certified in both Internal Medicine & Pediatrics, and inventor, entrepreneur, and innovator. With over 25 years of experience in clinical practice, biomedical research and healthcare innovation, Kraft has served as Faculty Chair for Medicine at Singularity University since SU’s inception, and is the founder and is chair of Exponential Medicine, a program that explores convergent, rapidly developing technologies and their potential in biomedicine and healthcare. He has done multiple TED talks and articles available on his websites and social media:

https://danielkraftmd.net/

https://twitter.com/daniel_kraft

https://www.facebook.com/daniel.kraft

https://www.digital.health/

Next Exponential conference on November 4-7, 2019, San Diego

https://exponential.singularityu.org/medicine/

A few technical glitches in this episode, ironically.  So it ends ~4 minutes early and abruptly, my apologies.  So I took the opportunity to return to my interests in medical history to share a brief story of the ECG, defibrillator and a few other past technologies that we use today.

As always - rating 5 stars in iTunes is a great help.

Enjoy friends

Dr Emily Amos is a General Practitioner, International Board Certified Lactation Consultant, 200hr yoga teacher, university tutor and registered mindfulness meditation teacher. She hosts health professional wellbeing services and retreats with Dr Lucy Burns at https://wholeheartedmedicine.com.au.  She also has a podcast called mind.life.me.

You can find more information and her free “7 Days of Mindful Self Care” mini-course at

www.dremilyamos.com

Interested in Lifestyle Medicine, health and wellbeing? Check out the Australasian Society of Lifestyle Medicine conference (in person!) in Cairns July 29-31. https://www.lifestylemedicine.org.au/conference/

Interested in studying Lifestyle Medicine, health coaching, and many aspects covered in this podcast?  Check out the JCU postgraduate courses in Lifestyle Medicine: https://www.jcu.edu.au/courses/master-of-lifestyle-medicine 

If you find this podcast valuable then subscribing, sharing, rating it 5 stars and leaving a review is a huge help.

If you would like to provide feedback or request a topic, please contact me via thegpshow.com 

Thank you for listening and your support.

Professor David Muller is an interventional cardiologist at St Vincent’s Hospital in Sydney with a special interest in structural heart disease, complex coronary stenting, peripheral vascular intervention, valvular heart disease and transcatheter aortic valve implantation (TAVI), and he performs research at the University of New South Wales.

Today we are discussing aortic stenosis, and I do a ~15 minute introduction on the history of surgery - because it is quite amazing how far we have come!

Disclaimer: Professor Muller received no payment for the podcast (nor did I!) however does receive honoraria as a Medical Advisory Board member/consultant to most of the TAVI companies including Medtronic, Abbott and Edwards. Also research funding from the same companies.

If you find this podcast valuable, rating it 5 stars and leaving a review on iTunes, Spotify or Facebook is a huge help.

You can also find me and lots more resources on www.thegpshow.com

If you would like to provide feedback or request a topic, please Contact Us.

Thank you for listening and supporting.

Dr Campbell Thorpe is a psychiatrist working in child and youth mental health with the Alfred Hospital and in private practice, for the last 20 years. He is the Consultant Psychiatrist with the Victorian Centre of Excellence in Eating Disorders, and is currently the Head of Clinical Services, Headspace Early Psychosis Program, South Eastern Melbourne.   And he is clinician and trainer in the open dialogue practice, more information at https://opendialoguecentre.org.au/training-implementation/.

Interested in studying lifestyle medicine, health coaching and new models of care in health and wellbeing?  Check out the JCU postgraduate courses: Grad Cert, Grad Diploma, and Master. 

If you find this podcast valuable then subscribing, sharing, rating it 5 stars and leaving a review is appreciated.

If you would like to provide feedback or request a topic, please contact me via thegpshow.com 

Thank you for listening and your support.

Professor Robyn Littlewood is the CEO of Health and Wellbeing Queensland and has more than 25 years’ experience working in paediatric obesity prevention, nutrition and dietetics.  Dr Littlewood holds a raft of formal qualifications in dietetics, business, research and executive leadership from Queensland University of Technology (QUT), James Cook University and The University of Queensland (UQ). These include a PhD, Master of Business Administration, Master of Medical Science and Graduate of the Australian Institute of Company Directors. In 2020 Robyn was awarded for her work with the QUT Outstanding Alumni Award. 

Today we discuss her experience and insights in working at a State level to support the communities towards health and wellbeing.

Interested in lifestyle medicine and health coaching? Check out the Australasian Society of Lifestyle Medicine conference (in person and online) in Cairns July 29-31. 

Interested in studying lifestyle medicine, health coaching and new models of care in health and wellbeing?  Check out the JCU postgraduate courses: Grad Cert, Grad Diploma, and Master. 

If you find this podcast valuable then subscribing, sharing, rating it 5 stars and leaving a review is appreciated.

If you would like to provide feedback or request a topic, please contact me via thegpshow.com 

Thank you for listening and your support.

Dr Ania Hargrove is a consultant paediatrician with a special interest in children's allergies.  Her practice includes managing eczema, food allergies, hay-fever and asthma.

As always we could have spoken for 3 hours... easily!  

Today we discuss:

- Physiological vs pathological gastroesophageal reflux

- Cows milk protein allergy

- Other food protein allergies

- Brief review of colic, lactose intolerance, sleep

- History taking and examination

- Investigations

- Management principles

Further resources and patient handouts: https://www.allergy.org.au/patients/food-allergy/cows-milk-dairy-allergy

More info: https://www.facebook.com/thegpshow.podcast

Enjoy Friends

Today I am joined by A/Professor David Colquhoun, Cardiologist, Lipidologist, President of the QLD Heart Foundation, Co-President of the Clinical and Preventative Council of the Cardiac Society of Australia and New Zealand, and Senior Lecturer at the University of Queensland School of Medicine.  He has dedicated his life to reducing cardiovascular disease, and pleasingly with a strong focus on improving lifestyle factors.

Part 1 - Cholesterol and CVD risk,
Lipid "hypothesis" - is it still a hypothesis?
Cholesterol physiology,
Measuring sub-fractions and receptor ratios - is there a point?
Reducing cholesterol LDL and CVD risk with medication statins, ezetemide and lifestyle,
Measuring fasting vs non fasting cholesterol,
Cholesterol relevance in age - is it a risk or protective factor?
Do statins reduce risk regardless of cholesterol?

Part 2 - CVD risk assessment and treatment,

Risk assessment and importance of using overall risk instead of single factors,
Calcium score scan use,
Risk calculation in those >75 years,
Risk assessment and treatment options including mediterranean diet, exercise, mental health, social isolation, even owning dogs versus cats!
Fibrates and triglycerides,

Statins and side effects = what's the evidence?

Further reading:

https://www.heartfoundation.org.au/images/uploads/publications/Absolute-CVD-Risk-Full-Guidelines.pdf 

CVD risk, low LDL and artherosclerosis regression https://www.mja.com.au/system/files/issues/ham00039.pdf

Fasting vs non-fasting cholesterol testing - https://www.rcpa.edu.au/getattachment/0961c6d1-ec80-4500-8dc0-de516500e05b/Lipid-and-lipoprotein-testing.aspx

Mediterranean Diet and CVD - https://www.ncbi.nlm.nih.gov/pubmed/26528631

https://academic.oup.com/eurheartj/article/37/39/2999/2414995

http://www.bmj.com/content/337/bmj.a1344

Calcium Score Scans - http://www.csanz.edu.au/wp-content/uploads/2016/11/CAC_Position-Statement_Exec-Summary_ratified-4-August-2016.pdf

Evidence and resources for part 2 will be placed in part 2 show notes

Cheers all

Non-invasive prenatal testing is becoming more common and cost effective.  It detects more than 99% of fetuses with Trisomy 21, and more than 95% of fetuses with Trisomy 18, Trisomy 13 or abnormalities of sex chromosomes. These are much better detection rates than we observe with conventional first trimester screening for these trisomies (85% for trisomy 21, 50% for trisomy 18, and 50% for trisomy 13)

Further reading:

https://www.racgp.org.au/afp/2014/july/noninvasive-prenatal-testing/

It was a pleasure to have on the show Dr Paul Grinzi who is a GP in Victoria.  He juggles a few roles, balancing his clinical work in both rural and urban GP clinics with part-time medical education work. He's recent past chair of the RACGP Vic Drug & Alcohol committee and the key educator for the Victorian Government's 'Medication Assisted Treatment of Opioid Dependence' training program.

Today Paul gives us an overview of opioid dependence/use disorder, how to approach patients, being mindful of stigma and medication assisted treatment options suboxone and methadone including indications, use, side effects, common barriers and where to find further training.

Further training in this area is very accessible now often via online programs.  Contact your State/Territory drugs of dependence unit for more information.

Enjoy friends

Dr Graham Emblen is a leading GP with ~40 years experience in rural and urban GP, medical education, communication skills, governance, obstetrics and surgery. Graham has been an educator with GPTQ for over a decade and is currently the Director of Education.

Today we discuss one of the most fundamental and important skills in health: communication and connection.

For the Master/Grad Diploma/Grad Cert in Lifestyle Medicine at James Cook University, check out:

Sign up to the Webinar on January 24 to explore the courses further here 

https://www.jcu.edu.au/courses/master-of-lifestyle-medicine/

https://www.jcu.edu.au/courses/graduate-diploma-of-lifestyle-medicine

https://www.jcu.edu.au/courses/graduate-certificate-of-lifestyle-medicine

https://thegpshow.com/lmtraining/

If you find this podcast valuable, subscribing, sharing, rating it 5 stars and leaving a review is a huge help.

If you would like to provide feedback or request a topic, please Contact Us.

Thank you for listening and supporting.

Dr Bronwyn King is an Australian oncologist and in 2010 founded and became CEO of Tobacco Free Portfolios, a not-for-profit organisation that collaborates with the world’s largest financial organisations to drive global change towards tobacco-free finance.  In 2017 Bronwyn was made the Inaugural Distinguished Fellow in a joint initiative between Kings' College London and the University of Melbourne. She also became a “Diplomat of the Global Charter” of the World Federation of Public Health Associations and was made a VicHealth Champion. In 2019 she was awarded an Order of Australia (AO) for distinguished service to community health and named 2019 Melburnian of the Year.

More info at https://tobaccofreeportfolios.org/

Today we discuss her inspirational work that has led to 85% of investment funds in Australia being Tobacco Free by default and this flowing onto the rest of the world. 

Amazing.

If you find this podcast valuable, rating it 5 stars and leaving a review on iTunes, Spotify or Facebook is a huge help.

You can also find me and lots more resources on www.thegpshow.com

If you would like to provide feedback or request a topic, please Contact Us.

Thank you for listening and supporting.

Today is just me covering an overview of COVID19.  I certainly did not expect episode 100 to be about a new viral pandemic!  But there you have it.  Part 2 will be about self-care in these challenging times.

Today I am covering:

- COVID19 overview: Case fatality rate, symptoms, risk factors, spread, potential treatments

- Public health control: Testing options, Isolation impact

- Private Practice changes

- Community presence and support as health professionals

- Resources are available at http://thegpshow.com/

Stay well friends.

Today I am joined by Dr Johanna Lynch, GP, completing a PhD in primary care mental health assessment, post graduate training in grief and loss and a special interest in trauma and attachment.

At least 1 in 8 consults in GP is related to mental health and this is increasing. According to the World Health Organization, unipolar depressive disorders alone were ranked as the third leading cause of the global burden of disease in 2004 and will move into the first place by 2030.

Upskilling in mental health care is crucial in all areas of GP, not just classic mental illness but also in behaviour change, giving difficult diagnosis and managing treatments and expectations.

What i love about talking with health professionals are their varied interests and developed skills. Johanna is a GP who has dedicated her life to mental health, and she is a treasure trove of wise analogies and useful resources.  As usual we barely scratched the surface.   The learning never stops...

Further reading:

Australian Society of Psychological Medicine (ASPM) - https://www.aspm.org.au/

CORE assessment tool = Clinical Outcomes in Routine Evaluation - Outcome Measure http://www.coreims.co.uk/About_Measurement_CORE_Tools.html
https://www.sussex.ac.uk/webteam/gateway/file.php?name=core.pdf&site=322

Mood Assessment Program (MAP) - https://www.blackdoginstitute.org.au/education-training/health-professionals/mood-assessment-program

Internal Family Systems - Dr Richard Schwartz -https://www.selfleadership.org/

Dr Alex Gyani is the Director of Research and Methodology for the Asia Pacific region at the Behavioural Insights Team, also known as the Nudge Unit. He has worked in a diverse set of fields around the world from domestic violence, energy regulation, health system efficiency, obesity, financial regulation, employment services and education. His PhD focused on encouraging people with anxiety and depression to seek treatment using a mobile phone app and encouraging psychological therapists to use evidence-based treatments. In 2018, he was named one of Apolitical’s 100 Future Government Leaders. 

As per the introduction, a paper on the ethics of nudging is: Bart Engelen (2019) Ethical Criteria for Health-Promoting Nudges: A Case-by-Case Analysis, The American Journal of Bioethics, 19:5, 48-59, DOI: 10.1080/15265161.2019.1588411

For the Master/Grad Diploma/Grad Cert in Lifestyle Medicine at James Cook University, check out:

Sign up to the Webinar on January 24 to explore the courses further here 

https://www.jcu.edu.au/courses/master-of-lifestyle-medicine/

https://www.jcu.edu.au/courses/graduate-diploma-of-lifestyle-medicine

https://www.jcu.edu.au/courses/graduate-certificate-of-lifestyle-medicine

If you find this podcast valuable, subscribing, sharing, rating it 5 stars and leaving a review is a huge help.

If you would like to provide feedback or request a topic, please Contact Us.

Thank you for listening and supporting.

Dr Ewen Mcphee has been a rural family doctor and GP obstetrician in Emerald, Central Queensland since 1989.  Ewen is President of the Australian College of Rural and Remote Medicine (ACRRM), past President of the Rural Doctors Association of Australia (RDAA) and a Senior Fellow for JCU GP Training.

Today we discuss general practice and rural general practice, the pros, the cons, getting doctors into the country, and the future of GP.

If you find these podcasts valuable, rating it 5 stars and leaving a review in iTunes or Facebook is a huge help.

For more podcasts and resources for both health professionals and patients including websites, courses, apps, books and more, please check out www.thegpshow.com
Facebook: @TheGPShow.podcast
Twitter/Instagram: @drsammanger (new)
Youtube: Dr Sam Manger (new)

If you would like to provide feedback or request a topic you can contact us or complete a quick survey at www.thegpshow.com

Thank you for listening and supporting.

After making a fool of myself in the first 30 seconds, Dr Tony and I have a good yarn about prostate cancer history, examination, investigations and treatments with the last 10 minutes covering the evidence for PSA testing for screening. 

For more on PSA screening guidelines and types of PSA testing, DRE in screening and lifestyle medicine interventions in early prostate cancer - check out my earlier podcast on this topic.

NB For DRE in this talk the take home point is - not necessarily for screening, but if the PSA is elevated then DRE is a part of your work up and helpful before referring.  

Enjoy all

Dr Alexander Lehn is a neurologist with special interests in functional neurological disorders, movement disorders and cognitive neurology.  He is also a Senior Lecturer at the University of Queensland. 

Functional Neurological Disorders account for the second most common presentation to neurological clinics.  They also may overlap and integrate with many other common disorders such as chronic pain, irritable bowel syndrome and chronic fatigue.  Their management and understanding exemplify the crucial importance of treating a person as a whole, not just a sum of their parts.

Resources cited:

http://neurosymptoms.org/

https://fndaustralia.com.au/resources/resources/educational-videos.html

http://thegpshow.com/

Interested in studying lifestyle medicine, health coaching and new models of care in health and wellbeing?  Check out the JCU postgraduate courses: Grad Cert, Grad Diploma, and Master. 

If you find this podcast valuable, please rate it 5 stars in iTunes, Spotify, Stitcher and other podcast apps. 

Enjoy friends.

(Replay) Dr Dean Ornish is a Clinical Professor of Medicine at the University of California, Founder and President of the non-for-profit Preventative Medical Research Institute, Founder of the only USA-medicare lifestyle-based program; the "Reversing Heart Disease" program, he has published extensively over 35 years in major journals such as The Lancet, JAMA and NEJM, he is listed by Forbes Magazine as one of the most powerful teachers in the World, and is author of 7 books including his latest book "UnDo It", which he wrote with his wife Anne Ornish.

https://undoitbook.com/

https://www.ornish.com/

In this episode we discuss his new book, how simple lifestyle changes can reverse most chronic diseases and the 4 major components of his lifestyle based program; food, movement, stress management and connection.

If you find this podcast valuable, rating it 5 starts and leaving a review on iTunes, Spotify or Facebook is a huge help.

You can also find me on Twitter or Instagram @drsammanger, and YouTube.

If you would like to provide feedback or request a topic, please Contact Us.

Thank you for listening and supporting.

Dr Liana Lianov, MD, MPH is the President and Founder of the Global Positive Health Institute (GPHI).  Liana is board certified in both internal medicine and preventive medicine, has a psychiatry fellowship, and serves as President of the Positive Health and Wellness Division of the International Positive Psychology Association. Her recent book is Strengths in the Mirror.

One of my favourite PERMA worksheets from the University of Arizona.

TED talks on positive psychology

Strengths Profiling at VIA- survey for >18 yrs and 10-18 yrs.

Interested in lifestyle medicine and health coaching? Check out the Australasian Society of Lifestyle Medicine conference (in person and online) in Cairns July 29-31. 

Interested in studying lifestyle medicine and health coaching?  Check out the JCU postgraduate courses: Grad Cert, Grad Diploma, and Master. 

If you find this podcast valuable then subscribing, sharing, rating it 5 stars and leaving a review is appreciated.

If you would like to provide feedback or request a topic, please contact me via thegpshow.com 

Thank you for listening and your support.

Dr Hung The Nguyen was the 2021 RACGP GP of the year.  He is a General Practitioner in the Aboriginal Community Controlled Bunurong Health Service.   Hung was the inaugural Censor for the RACGP National Aboriginal and Torres Strait Islander Health Faculty and sits on multiple boards including as Chair of the VACCHO GP Expert Advisory Group, a Councillor on the AMA Victoria Council, Therapeutic Guidelines, Health Education Australia Limited, and is the President of the Australasian Society of Lifestyle Medicine.

Interested in studying lifestyle medicine, health coaching and new models of care in health and wellbeing?  Check out the JCU postgraduate courses: Grad Cert, Grad Diploma, and Master. 

If you find this podcast valuable then subscribing, sharing, rating it 5 stars and leaving a review is appreciated.

If you would like to send in your thoughts, insights, opinions, provide feedback or request a topic, please contact me via thegpshow.com 

Thank you for listening and your support.

A short episode with me and a bit of fun discussing the history of hospitals across the world.  

If you find this podcast valuable then subscribing, sharing, rating it 5 stars and leaving a review is appreciated.

If you would like to provide feedback or request a topic, please contact me via thegpshow.com 

Thank you for listening and your support.

Dr John Sykes is a GP in Sydney, trained in the UK, a certified nutritionist with Mac-Nutrition Universal and a Trustee and Director of the British Society of Lifestyle Medicine.

Today we discuss physical activity vs sedentary behaviour.

Moving Medicine – a useful resource for clinicians that gives advice on how to discuss exercise for several different medical conditions: https://movingmedicine.ac.uk

Parkrun – Information about the volunteer-led association of Parkrun and how to get involved: https://www.parkrun.com

International Obesity Conference October 16-18 via ANZOS-ASLM-ICCR mentioned at the beginning of the podcast:

http://anzos-aslm-iccr.org/

David Katz Lifestyle Medicine Masterclass October 19:

http://anzos-aslm-iccr.org/post-conference-masterclass-with-dr-david-katz/

Podcast with Dr David Katz "The Truth About Food" - http://thegpshow.libsyn.com/the-truth-about-food-with-dr-david-katz-md

Use the code "thegpshow" when becoming a member of ASLM and the first year is only $110.  

https://www.lifestylemedicine.org.au

Enjoy Friends.

Dr Genevieve Yates is a medical educator, a GP and a writer. Currently she is the RACGP Queensland Censor, RACGP Expert Committee member (Pre-Fellowship Education) and senior examiner, a performance assessor for AHPRA and a member of MDA National’s Education Services Advisory Group (ESAG). She also works as an educator/ facilitator for MDA National and the Black Dog Institute. She is passionate about putting creativity into medicine, and medicine into creativity.

Today we discuss assessing fitness to drive, predictive factors for risky driving, assessment tools, legalities of reporting and much more.  

Some further resources:

Dr Yates youtube clip - https://genevieveyates.com/2015/09/03/dont-just-sign-on-the-dotted-line-assessing-fitness-to-drive/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5257216/

https://www.racgp.org.au/afp/2012/april/dementia-and-driving/

Trail test - www.rgpeo.com/media/53150/trails%20a%20and%20b.pdf.

Drive Safe Drive Aware app = https://www.pearsonclinical.com.au/products/view/563

https://www.pearsonclinical.com.au/files/245101432704685.pdf

https://fmf.cfpc.ca/wp-content/uploads/2017/10/S183_Driving-and-Dementia_Practical-tips-for-the-family-physician.pdf

Dr Melita Cullen is a GP who has a special interest in paediatrics and the NDIS. She also has 2 children utilising the NDIS so has both professional and personal knowledge and insight into this process.  

Today we discuss the National Disability Insurance Scheme (NDIS) including:

1. What is the NDIS and who is eligible?
2. What are the funding packages and what can participants use them on and not use them on? How much can they receive? 
3. Who is controlling what the person is allocated and how/where it is used?
4. What is the process for people applying for the NDIS?
5. What is this process like for people (first-hand experience)
6. How do GPs and health professionals complete a form successfully? 
7. How much evidence do we need?
8. Are there adult and paediatric functional assessment tools?
9. Are there templates we can use?
10. What is the Early Childhood Early Intervention (ECEI)?
11. Are GPs renumerated for it? (short answer - yes if the patient in consult with you based on time) 
12. Can we appeal the decision made?
13. Are there regular reviews and how long does it continue for?
14. What resources are available to help health professionals complete these?  

Resources:

Dr Melita Cullen's paediatric functional assessment form (also relevant parts for adults as well) = https://drive.google.com/file/d/1BKlAJD5fRMkRCbXB7eVXHLi8-zKPnpOY/view?usp=sharing 

PHN (this the best one I can find as it has examples/templates of functional impairments from page 16 of the document [or 23/60 of the pdf]) http://www.brisbanenorthphn.org.au/content/Document/BNPHN_Understanding_Your_Role_NDIS_GP_Toolkit_May2018_FINAL_WEB.pdf

RACGP NDIS booklet - (you may need to login to the RACGP website) https://www.racgp.org.au/running-a-practice/practice-resources/general-practice-guides/ndis-information-for-general-practitioners

NDIS - https://www.ndis.gov.au/applying-access-ndis/how-apply/information-gps-and-health-professionals

Further episodes at www.facebook.com/thegpshow.podcast

Rating the podcast 5 stars and leaving a review in iTunes is a great help.

Enjoy Friends

Dr Guy Leschziner is a consultant neurologist at London Bridge Hospital, the Cromwell Hospital and within the Department of Neurology and Sleep Disorders Centre at Guy's and St Thomas' Hospitals. He is the clinical lead for the Sleep Disorders Centre, Guy's Hospital, one of Europe's largest sleep units. He has presented a three-part series on BBC Radio 4 and BBC World Service on the brain and sleep - "Mysteries of Sleep" and filmed "The Secrets of Sleep" for Channel 4 Television. 

Today we discuss his most excellent recent book "The Nocturnal Brain: Nightmares, Neuroscience and the Secret World of Sleep".

Website - http://www.guyleschziner.com

More resources including apps, assessment tools etc at www.thegpshow.com under "Sleep"

Rating 5 stars in iTunes and leaving a positive review is very helpful and much appreciated.

Enjoy friends,

Dr Rupy is a medical doctor specialised in General Practice, does a bit of Emergency Medicine and is a firm believer in the power of food and lifestyle change as medicine.  He set up the https://thedoctorskitchen.com/ out of a passion to inspire everybody about the beauty of food and the medicinal effects of eating well. He creates delicious recipes and brings attention to the clinical research behind the ingredients.  He is the author of two books, regular presenter on TV and radio, and is creating the UK’s first ‘Culinary Medicine’ course, accredited by the Royal College of General Practice.

If you find these podcasts valuable, rating it 5 stars and leaving a review in iTunes or Facebook is a huge help.  

For more podcasts and resources for both health professionals and patients including websites, courses, apps, books and more, please check out www.thegpshow.com  
Facebook: @TheGPShow.podcast
Twitter/Instagram: @drsammanger (new)
Youtube: Dr Sam Manger (new)

If you would like to provide feedback or request a topic you can contact us or complete a quick survey at www.thegpshow.com   

Thank you for listening and supporting.

Jessi Bruns is a Child and Family Dietitian with a special interest in working with children with feeding difficulties and food aversions.

Today we have a yarn about general principles in picky eaters including food aversions, removing stigma around food, overweight children, language, environment and tips around food, and further resources.

Enjoy friends

www.kidsdigfood.com.au

Dr Valter Longo is the Edna M. Jones Professor of Gerontology and Biological Sciences and Director of the Longevity Institute at the University of Southern California –Leonard Davis School of Gerontology, Los Angeles, one of the leading centres for research on ageing and age-related disease. Dr Longo is also the Director of the Longevity and Cancer Program at the IFOM Institute of Molecular Oncology in Milan, Italy.  The Longo laboratory published key findings on a 5-day periodic dietary intervention called Fasting Mimicking Diet (FMD), and showed in randomized clinical trials that FMD reduces the risk factors and markers associated with ageing and diseases. Dr Longo’s most recent studies focus on the use of FMD interventions to activate stem cell-based regeneration to promote longevity. This program can be purchased on prolonfmd.com and all profits go to charities or research.  Dr Longo has received numerous awards for his work and  In 2018 he was named by “Time Magazine” one of the 50 most influential people in health care for his research on fasting-mimicking diets as a way to improve health and prevent disease. books include the best seller “The Longevity Diet”.

Conflict of interest: Professor Longo donates all of the profits from his shares in the L-Nutra company to the Creates Cures Foundation, which is dedicated to helping find low-cost lifestyle therapies for the prevention and treatment of major diseases.

If you find these podcasts valuable, rating it 5 stars and leaving a review in iTunes or Facebook is a huge help.

For more podcasts and resources for both health professionals and patients including websites, courses, apps, books and more, please check out www.thegpshow.com

Thank you for listening and supporting.

Shannon Harvey is an Australian journalist and producer in television, radio and online.  She has a Master’s degree in Communications and has worked for the ABC and Fairfax before starting her own production company, Elemental Media.  She is a filmmaker (The Connection, My Year of Living Mindfully), author ( My Year of Living Mindfully, The Whole Health Life) and hosts a podcast called the Shannon Harvey podcast where she interviews experts around the world on the impact of the mind and mindfulness in health.

https://www.shannonharvey.com/

Today we are discussing a number of things, her experience as a patient diagnosed with significant autoimmune disease, her journey into filmmaking in the areas of mindfulness, the connection between mind and body, and general reflections of healthcare and our direction.

If you find these podcasts valuable, rating it 5 stars and leaving a review in iTunes or Facebook is a huge help.

For more podcasts and resources for both health professionals and patients including websites, courses, apps, books and more, please check out www.thegpshow.com

If you would like to provide feedback or request a topic you can contact us or complete a quick survey at www.thegpshow.com

Thank you for listening and supporting.

I really enjoyed this online conversation with Professor Felice Jacka from the Deakin University School of Medicine and Food and Mood Centre about how food effects our mental health and what clinicians and patients can do about it. 

We reviewed the SMILES trial, a randomised control trial showing healthy food choices like the Mediterranean diet can produce remission in people with major depression disorder, which foods are good and bad for our mental health and the suspected mechanisms of action.

And a lot more!

Dr David L. Katz, MD, MPH, FACPM, FACP, FACLM is the founding director (1998) of Yale University’s Yale-Griffin Prevention Research Center, Past-President of the American College of Lifestyle Medicine, and Founder/President of the True Health Initiative.  Katz earned his BA degree from Dartmouth College (1984); his MD from the Albert Einstein College of Medicine (1988); and his MPH from the Yale University School of Public Health (1993). The recipient of many awards for his contributions to public health, he has received three honorary doctorates. He holds 5 US patents, with others pending.  He invented the research method known as “evidence mapping;” is the principal inventor of the Overall Nutritional Quality Index (ONQI™) algorithm; and invented the dietary intake assessment method called Diet Quality Photo Navigation(https://www.dqpn.io/).  In 2018, Katz was selected as the new Chair for the annual Art & Science of Health Promotion conference.  He has authored roughly 200 peer-reviewed publications, many hundreds of health columns both on-line and in print, and 16 books to date including leading textbooks in both nutrition and preventive medicine.  Katz is recognized globally for expertise in nutrition, weight management and the prevention of chronic disease.

http://davidkatzmd.com/

Today we discuss his latest book "The Truth About Food: why pandas eat bamboo and people get bamboozled" which can be found on Amazon and kindle at  https://www.amazon.com/dp/B07H8N32NX?ref_=pe_3052080_276849420

He has no conflicts of interest, except all profits from the book sales go to the not-for-profit True Health Initiative.  

There are few areas that get as heated as nutrition and food. In this podcast we try to build bridges and consider that there is a lot more in common to different healthy eating philosophies than there is different.  We discuss the importance of a whole-food way of life, the bias and fallacies that can and has influenced this discussion, the approaches to nutrition statistics, the industries/media/egos/ideologies that may influence the food system, the environmental impact of food, reconnecting with real whole food and much more.

If you are interested in the lifestyle medicine movement and want to be apart of it = use the code "TheGPShow" at the checkout to get $110/50% off your first year of membership with the Australasian Society of Lifestyle Medicine.

https://www.lifestylemedicine.org.au/

Code: TheGPShow (not case-sensitive)

More information @ www.facebook.com/thegpshow.podcast 

As always - Rating 5 stars +/- a review on iTunes is a great help and all I ask for this free resource.

Enjoy Friends

Professor David Wilkinson is a GP and skin cancer medicine expert with two decades experience in diagnosis, treatment and surgery, and an extensive body of skin cancer research and publications.  He was Dean of Medicine at The University of Queensland, and Deputy Vice-Chancellor at Macquarie University. Now, as Chief Medical Officer for National Skin Cancer Centres, Professor Wilkinson has trained over 7,000 GPs on the fundamentals of skin cancer treatment with HealthCert.

Interested in lifestyle medicine and health coaching? Check out the Australasian Society of Lifestyle Medicine conference (in person and online) in Cairns July 29-31. 

Interested in studying lifestyle medicine?  Check out the JCU postgraduate courses: Grad Cert, Grad Diploma, and Master. 

If you find this podcast valuable then subscribing, sharing, rating it 5 stars and leaving a review is appreciated.

If you would like to provide feedback or request a topic, please contact me via thegpshow.com 

Thank you for listening and your support.

Associate Professor Craig Hassed is a GP, a Senior Lecturer at the Monash University Department of General Practice, and Co-ordinator of the mindfulness program at Monash University.  He is also the writer of 12 books, researcher and international speaker in this field.  

There are many pearls of wisdom in this episode that are extremely useful to learn and apply.  We discuss the principles of mindfulness, how it applies in clinical practice, its role in mental illness, pain disorders and general healthy living, and resources for therapists and patients.  

This is the first time I have used a program to record a land line phone call so you will notice my voice comes out of one speaker and his out of the other.  I hope it is ok but it sounds fine to me!

Further reading and resources:

https://www.facebook.com/thegpshow.podcast/ 

A/Prof Hasseds books - https://www.monash.edu/medicine/spahc/general-practice/about/staff-students/hassed

Free course - https://www.futurelearn.com/courses/mindfulness-wellbeing-performance

Further training - https://www.monash.edu/medicine/scs/psychiatry/research/southern-synergy/mindfulness/mbct-prof-training 

Dr Jon Kabat Zinn's books e.g. Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and Illness, 2005

Chronic pain - Turk DC, Winter F. The pain survival guide: How to reclaim your life 

Some of the evidence:  https://www.ncbi.nlm.nih.gov/pubmed/26903081, https://www.ncbi.nlm.nih.gov/pubmed/28192793, http://www.bmj.com/content/351/bmj.h6919.full

Professor Julia Rucklidge is a Professor of Clinical Psychology in the School of Psychology, Speech and Hearing at the University of Canterbury and the Director of Te Puna Toiora, the Mental Health and Nutrition Research Lab.  Professor Rucklidge has been researching the interface of nutrition and mental health for 20 years and has published over 150 empirical papers.  Julia is also the recipient of numerous local and international awards and her TEDx talk, ’The surprisingly dramatic role of nutrition in mental health’ has been viewed close to 5 million times, and in 2021 co-authored a book, The Better Brain: Overcome Anxiety, Combat Depression, and Reduce ADHD and Stress with Nutrition.  Her online course is free and available here: University of Canterbury: Mental Health and Nutrition.

Interested in studying clinical and academic lifestyle medicine, health coaching and new models of care in health and wellbeing?  Check out the JCU postgraduate courses: Grad Cert, Grad Diploma, and Master. 

If you find this podcast valuable then subscribing, sharing, rating it 5 stars and leaving a review is appreciated.

If you would like to send in your thoughts, insights, opinions, provide feedback or request a topic, please contact me via thegpshow.com 

Thank you for listening and your support.

Dr Kailas Roberts is a consultant psychiatrist, psycho-geriatrician specialist and expert in cognitive assessment, evaluation and management of dementia. He is the Director of the Your Brain in Mind clinic in Brisbane, the author of Mind Your Brain: The Essential Australian Guide to Dementia (UQP, 2020) and creator of BrainScan, a phone app that allows users to know and address their risk factors for poor brain health and dementia. Today we discuss prevention and treatment of cognitive impairment.

If you would like a deeper dive into the assessment of dementia, please check out the past podcast #77 Diagnosing Dementia with Dr Marita Long GP

Alzheimers Australia Guide and help sheets: https://www.dementia.org.au/resources/the-dementia-guide, https://www.dementia.org.au/resources/help-sheets

Interested in studying lifestyle medicine, health coaching and new models of care in health and wellbeing?  Check out the JCU postgraduate courses: Grad Cert, Grad Diploma, and Master. 

If you find this podcast valuable then subscribing, sharing, rating it 5 stars and leaving a review is appreciated.

If you would like to send in your thoughts, insights, opinions, provide feedback or request a topic, please contact me via thegpshow.com 

Thank you for listening and your support.

Professor Karen Dwyer is a nephrologist and transplant physician with an interest in perioperative medicine.  She is also Deputy Head at the School of Medicine at Deakin University, researcher and marathon runner.

Today we are discussing chronic kidney disease.

If you find this podcast valuable, rating it 5 stars and leaving a review on iTunes, Spotify or Facebook is a huge help.

You can also find me and lots more resources on www.thegpshow.com

If you would like to provide feedback or request a topic, please Contact Us.

Thank you for listening and supporting.

Dr Glen Davies is a GP in New Zealand, and head of the New Zealand chapter of the Australasian Society of Lifestyle Medicine https://www.lifestylemedicine.org.au/.  Those who have been listening will know I have been vocally advocating a change to the models of care in primary care, hospital care and beyond.  Today we are discussing Glen’s leadership with his community and their program called “Reverse Type 2 Diabetes Taupo”, how it came to be, what it includes, the benefits and lessons learnt.

Past relevant podcasts:

Low carb diets for diabetes: https://thegpshow.libsyn.com/91-low-carb-for-diabetes-part-2-diets-and-pathophysiology-of-dmt2-the-environment-and-ending-the-nutrition-wars 

Fasting as Medicine: https://thegpshow.libsyn.com/115-fasting-as-medicine-with-professor-valter-longo 

If you find this podcast valuable, rating it 5 stars and leaving a review on iTunes, Spotify or Facebook is a huge help.

You can also find me and lots more resources on www.thegpshow.com

If you would like to provide feedback or request a topic, please Contact Us.

Thank you for listening and supporting.

In this episode we discuss non-alcoholic fatty liver disease or NAFLD with Dr Jon Mitchell, Hepatologist and Head of Gastroenterology at the Sunshine Coast University Hospital.

We discuss:

- What is NAFLD?

- What is the prevalence?

- How is it caused?

- What is the spectrum and complications of NAFLD?

- What investigations are useful?

- What is the management?

- Is coffee good for the liver? 

- What is the origin of the Fibroscan? 

Professor Lorimer Moseley is a clinical scientist investigating pain in humans. After posts at The University of Oxford, UK, and the University of Sydney, Lorimer was appointed Professor of Clinical Neuroscience and Chair in Physiotherapy at the University of South Australia. He is also Senior Principal Research Fellow at NeuRA and an NHMRC Principal Research Fellow. He leads the Body in Mind Research Group, based at the University of South Australia which investigates the role of the brain and mind in chronic pain.  He has published over 310 papers, six books for clinicians and patient workbooks, and numerous book chapters/. He is a strategic adviser for PAIN, associate Editor for the Journal of Pain, the European Journal of Pain and the British Journal of Sports Medicine.

FORWARD to 15:15 to get to the interview. The first section is about the history of the treatment and understanding of pain.

If you find this podcast valuable, rating it 5 starts and leaving a review on iTunes, Spotify or Facebook is a huge help.

You can find more podcasts, information and social media at www.thegpshow.com 

If you would like to provide feedback or request a topic, please Contact Us.

Thank you for listening and supporting.

Dr Louise Tulloh, sports physician, has been practicing sport and exercise medicine for over 20 years and is currently working at North Sydney Sports Medicine.  Louise is the immediate Past-President of the Australasian College of Sport & Exercise Physicians (ACSEP), and has worked with multiple national sports teams and sporting events.

...

Interested in studying clinical and academic lifestyle medicine, health coaching and new models of care in health and wellbeing?  Check out the JCU postgraduate courses: Grad Cert, Grad Diploma, and Master. 

If you find this podcast valuable then subscribing, sharing, rating it 5 stars and leaving a review is appreciated.

If you would like to send in your thoughts, insights, opinions, provide feedback or request a topic, please contact me via thegpshow.com 

Thank you for listening and your support.

Shivaun is a Health Coach, Certified Trainer & Assessor, Accredited Practising Dietitian (APD), Accredited Nutritionist (AN), Director of Discovery Health Coaching, Director of Accredited Health Coaching Australia, and previous Vice President of the Australasian Society of Lifestyle Medicine.  She delivers online health coaching training courses to health professionals via Accredited Health Coaching Australia with Sharon Curtain.  

Their next course is coming up: 26^th August - 16^th September, use the code VIP1 to get a 10% discount.

Creating Change in 15-minute Consultations – Online Course

This practical, evidence-based training will help health practitioners effectively manage clients who are struggling to adopt healthier behaviours.  This course is ideal for general practitioners, practice nurses, and allied health practitioners working in the primary care setting. 

This course covers:
- The coaching mindset and principles
- Effective questioning and communication techniques to facilitate change                                                                                - Strategies to increase and maintain motivation
- Supporting clients to overcome barriers and challenges
- Exploring resistance and reluctance to change
- How to shift responsibility for action from the health professional to the client     

I have no conflicts of interest to declare here, but obviously Shivaun is running the course so has a COI.

If you find this podcast valuable, rating it 5 stars and leaving a review is appreciated.

If you would like to provide feedback or request a topic, please Contact Us.

Thank you for listening.

Today is a bit different, I am being interviewed by Dr Dana Phang on the Junior Doctor's Corner, which is a great podcast worth checking out at https://www.juniordoctorscorner.com/

Some links from the introduction and please contact me if you are interested at contact@thegpshow.com or www.thegpshow.com 

- Clinical Research Fellow position at the University of the Sunshine Coast Mind and Neuroscience Thompson Institute https://www.usc.edu.au/sunshine-coast-mind-neuroscience-thompson-institute 

- Fiji National University Family Medicine postgraduate training position (live in Fiji and train GPs!) https://fnu.csod.com/ux/ats/careersite/1/home?c=fnu&lang=en-US/eoi/

- The Australasian Society of Lifestyle Medicine virtual conference on December 4-6. https://www.lifestylemedicine.org.au/conference/

If you find these podcasts valuable, rating it 5 stars and leaving a review in iTunes or Facebook is a huge help.

For more podcasts and resources for both health professionals and patients including websites, courses, apps, books and more, please check out www.thegpshow.com

Thank you for listening and supporting.

Professor Gregory Phillips is the CEO of Abstarr consulting and Professor of First People’s Health in the School of Medicine at Griffith University.  Gregory is from the Waanyi and Jaru Aboriginal Australian peoples and comes from Cloncurry and Mount Isa. He is a leading change maker, thought leader and medical anthropologist.  He developed an accredited Indigenous health curriculum for all medical schools in Australia and New Zealand, founded the Leaders in Indigenous Medical Education (LIME) Network, and co-wrote a national Indigenous health workforce strategy. He established the Aboriginal and Torres Strait Islander Healing Foundation Ltd in the wake of the federal apology to Indigenous Australians, has advised federal ministers on Indigenous health inequality and was honoured in 2011 with an ADC Australian Leadership Forum Award. 

More info at:

http://abstarr.com/

https://www.limenetwork.net.au/

Today we discuss Aboriginal and Torres Strait Islander (ATSI) knowledge in the context of modern healthcare.  

1. The context of history and its impact on ongoing health factors in ATSI peoples
2. Some of the challenges and frustrations faced by ATSI people in healthcare, and in particular the prevalence and impact of unconscious bias/racial bias
3. Positive examples that we can learn about and the resilience and strength demonstrated
4. The differences in approaches to healthcare
5. What is cultural safety?
6. What aspects and values of Aboriginal culture can the health system learn from, adopt and apply?
7. In a clinical setting, how can we change our approach to work with Aboriginal people?  
8. Ongoing resources

Apologies for the less than ideal sound quality (mostly when I am talking) as we had to use a backup recording software.

Enjoy Friends

Dr Petra Skeffington is a clinical psychologist at the Cygnet Clinic in Perth.  She has a PhD from Curtin University and a Masters Certificate in Global Mental Health: Trauma and Recovery from Harvard Medical School.  She is the Western Australian State Chair for the Australian Psychological Society (APS) College of Clinical Psychologists, and Head of Psychology, Exercise Science, Chiropractic and Counselling (PESCC) at Murdoch University in Western Australia. 

Today we are discussing the neurobiology of trauma, specifically from a clinical perspective. 

If you find this podcast valuable, rating it 5 stars and leaving a review on iTunes, Spotify or Facebook is a huge help.

You can also find me on www.thegpshow.com, Twitter or Instagram @drsammanger.

If you would like to provide feedback or request a topic, please Contact Us.

Thank you for listening and supporting.

Dr Alexander Lehn is a neurologist with special interests in functional neurological disorders, movement disorders and cognitive neurology.  He is also a Senior Lecturer at the University of Queensland. 

Functional Neurological Disorders account for the second most common presentation to neurological clinics.  They also may overlap and integrate with many other common disorders such as chronic pain, irritable bowel syndrome and chronic fatigue.  Their management and understanding exemplify the crucial importance of treating a person as a whole, not just a sum of their parts.

Resources cited:

http://neurosymptoms.org/

https://fndaustralia.com.au/resources/resources/educational-videos.html

http://thegpshow.com/

If you find this podcast valuable, please rate it 5 stars in iTunes, Spotify, Stitcher and other podcast apps. 

Enjoy friends.

Dr Anne Swain PhD, APD, AN, is the head dietitian at the Allergy Unit, Department of Immunology, Royal Prince Alfred Hospital, Sydney, New South Wales.  Today we are discussing food intolerances.

• What are food intolerances?
• What symptoms do they cause and how? 
• How are they caused/triggered? Where do they come from?
• How are they diagnosed? 
• How are they managed? Can we become "tolerant" again?
• Resources

Elimination Diet Handbook from the Royal Prince Alfred Hospital: https://www.slhd.nsw.gov.au/rpa/allergy/resources/foodintol/handbook.html

If you find these podcasts valuable, rating it 5 stars and leaving a review in iTunes or Facebook is a huge help.

For more podcasts and resources for both health professionals and patients including websites, courses, apps, books and more, please check out www.thegpshow.com
Facebook: @TheGPShow.podcast
Twitter/Instagram: @drsammanger (new)
Youtube: Dr Sam Manger (new)

If you would like to provide feedback or request a topic you can contact us or complete a quick survey at www.thegpshow.com

Thank you for listening and supporting.

Dr Christine Ball is an anaesthetist at the Alfred Hospital in Melbourne and co-manages a Master of Medicine (Perioperative) at Monash University. She is the 2020–2024 Wood Library-Museum Laureate of the History of Anesthesiology. She has been an honorary curator at the Geoffrey Kaye Museum of Anaesthetic History for thirty years.

Today we discuss her 2021 book "The Chloroformist", a fascinating read about the history of anaesthesia and detailed biographies of its pioneers including Dr Joseph Clover. Her book is available at all bookstores including Melbourne University Press. 

Interested in the history of medicine?  I recently discovered and became a member of The Australian and New Zealand Society of the History of Medicine - check it out!  

Interested in studying lifestyle medicine, health coaching and new models of care in health and wellbeing?  Check out the JCU postgraduate courses: Grad Cert, Grad Diploma, and Master. 

If you find this podcast valuable then subscribing, sharing, rating it 5 stars and leaving a review is appreciated.

If you would like to provide feedback or request a topic, please contact me via thegpshow.com 

Thank you for listening and your support.

Professor Mark Bellgrove is the Director of Research at the Turner Institute for Brain and Mental Health, and a Professor in Cognitive Neuroscience in the School of Psychological Sciences at Monash University.  Professor Bellgrove leads a multidisciplinary team studying the biological basis of attention and cognitive control.   In 2016 Professor Bellgrove founded the Australian ADHD Professionals Association (AADPA), an interdisciplinary group devoted to advancing evidence-based diagnosis and treatment of ADHD in Australia.  He recently led the development of the Australian evidence-based clinical practice guideline for ADHD.  

ADHD guideline and factsheets- https://adhdguideline.aadpa.com.au/

ADHD consumer companion - https://adhdguideline.aadpa.com.au/consumer-companion/

ADHD Australia https://www.adhdaustralia.org.au/

COI – requested and pending as per https://aadpa.com.au/conflict-of-interest/

Tools = page 79, free ones include the Swanson, Nolan and Pelham (SNAP) scale for children, and for adults the WHO Adult ADHD Self Report Scale is free

VIA Character Strengths Survey & Character Reports - https://www.viacharacter.org/ 

ADHD coaches = https://adhdcoachesaustralasia.online/

Telecare virtual care provider = https://www.telecare.com.au/ 

Tuning into kids:= https://tuningintokids.org.au/courses/tuning-in-to-kids-online/

Triple P – Positive Parenting Program https://www.triplep-parenting.net.au/au/triple-p/

Dr Arne Rubenstein Rites of Passage podcast and programs https://ritesofpassageinstitute.org/

Dr Jon Jureidini communicating with adolescents and using a genogram podcast

Dr Angela Loucks Alexander Auditory Processing Disorder podcast

Dr Cathy Franklin and Professor Tony Attwood Autism Spectrum Disorder podcast and another

Details about our JCU lifestyle medicine and health coaching masterclass on October 7/8 in Brisbane can be found here.  Available for all health professionals, with CPD for most included. 

Interested in studying lifestyle medicine, health coaching and new models of care in health and wellbeing?  Check out the JCU postgraduate courses: Grad Cert, Grad Diploma, and Master. 

If you find this podcast valuable then subscribing, sharing, rating it 5 stars and leaving a review is appreciated.

If you would like to send in your thoughts, insights, opinions, provide feedback or request a topic, please contact me via thegpshow.com 

Thank you for listening and your support.

Dr Rachel David is the CEO of Private Healthcare Australia, the private health insurance industry’s peak representative body that currently has 22 registered health funds throughout Australia and collectively represents 98% of people covered by private health insurance. Dr David was a medical adviser to the Federal Minister for Health between 1996 and 2000, and subsequently held senior positions with CSL Ltd and McKinsey & Company before taking up her current post in 2015.

...

Interested in addressing the lifestyle and social determinants of chronic disease and wellbeing?  Check out the JCU postgraduate courses: Grad Cert, Grad Diploma, and Master in Lifestyle Medicine including social prescribing, health coaching and implementation science.

Our 3 week online microcredential in Lifestyle Medicine and Mental Health: Life and Mind available here.  

If you find this podcast valuable then subscribing, sharing, rating it 5 stars and leaving a review is appreciated.

If you would like to send in feedback or request a topic, please contact me via thegpshow.com 

Thank you for listening and your support.

Professor Alexandra Barratt (MBBS, MPH, PhD) is a Professor of Public Health in the School of Public Health University of Sydney. She has a background in epidemiological research spanning clinical epidemiology and public health epidemiology. She is recognised internationally for her research to quantify the benefits and harms (including overdiagnosis) of cancer screening, particularly breast cancer screening. She is a lead investigator on Wiser Healthcare, an NHMRC funded research collaboration to reduce overdiagnosis and overtreatment in healthcare. Overdiagnosis is one of the biggest drivers of iatrogenic harm, waste and opportunity cost in healthcare and is a serious challenge for citizens, patients and healthcare services around the world.

Please note this episode is about SCREENING, not for those with symptoms, or a family history/genetic predisposition.

Breast cancer decision making tools/info:

https://ses.library.usyd.edu.au/bitstream/2123/16658/1/2017%20updated%20breast%20screening%20DA%20%28Hersch%20et%20al%29.pdf

http://www.cochrane.org/CD001877/BREASTCA_screening-for-breast-cancer-with-mammography

Enjoy friends

Professor Susan Davis is a National Health and Medical Research Council of Australia Senior Principal Research Fellow, Professor of Women's Health in the School of Public Health and Preventive Medicine, Monash University, Consultant Endocrinologist, President of the International Menopause Society, co-founder of the Jean Hailes Foundation and past President of the Australasian Menopause Society.  Just to name a few!

We discuss:

1. Initiating hormone replacement therapy (HRT)
2. Risks and benefits
3. Ceasing HRT
4. Testosterone for women?  Evidence, indications, pros/cons
5. Bioidentical HRT - what is it? evidence, pros, cons
6. Tailored HRT - to bloods/salvia results - evidence? pros/cons?  
7. Good resources

If you find this podcast valuable, rating it 5 starts and leaving a review on iTunes, Spotify or Facebook is a huge help.

You can find more podcasts, information and social media at www.thegpshow.com 

If you would like to provide feedback or request a topic, please Contact Us.

Thank you for listening and supporting.

Dr Jon Jureidini is a child psychiatrist at the Women's and Children's Hospital, Adelaide where he works with ill and disabled children and their families. He heads the University of Adelaide's: Critical and Ethical Mental Health (CEMH) research group within the Robinson Research Institute, and the Paediatric Mental Health Training Unit. 

Today we discuss his latest book co-authored with Leemon McHenry "The Illusion of Evidence-Based Medicine", which is available here.

If you find this podcast valuable, rating it 5 stars and leaving a review on iTunes, Spotify or Facebook is a huge help.

You can also find me and lots more resources on www.thegpshow.com

If you would like to provide feedback or request a topic, please Contact Us.

Thank you for listening and supporting.

Dr Ahmed Kazmi is a UK trained Dermatologist and GP currently based in Melbourne, Australia. He loves all dermatology but has a special interest in hair and scalp disorders, transgender medicine and skin of colour dermatology. He is a keen medical educationalist and enjoys empowering his GP colleagues with dermatology knowledge and skills. He is a clinical senior lecturer at the University of UWA. He is passionate about doctor wellbeing and also often speaks on this topic. When he isn't consulting he moonlights as a professional cabaret artist and comedian.

Website and upcoming show details: www.doctorahmed.net

Twitter/X/Facebook/instagram/YouTube: @drahmedkazmi 

Podcast content and times:

0-26.05 mins = Introduction and doctor's wellbeing

26.05 mins to end = Scalp and hair disorders (seborrheoic dermatitis, dandruff, psoriasis, atopic dermatitis, scalp and hair care)

...

Interested in studying lifestyle medicine, health coaching and models of care in health and wellbeing?  Check out the JCU postgraduate courses: Grad Cert, Grad Diploma, and Master. 

If you find this podcast valuable then subscribing, sharing, rating it 5 stars and leaving a review is appreciated.

If you would like to send in your thoughts, insights, opinions, provide feedback or request a topic, please contact me via thegpshow.com 

Thank you for listening and your support.

Associate Professor Kristin Neff is widely recognized as one of the world’s leading experts on self-compassion, being the first one to operationally define and measure the construct almost twenty years ago.  She received her doctorate from Berkeley, and is currently an Associate Professor in Psychology at the University of Texas. She has two books; Self-Compassion: The Proven Power of Being Kind to Yourself (2011) and her new 2021 book Fierce Self-Compassion: How Women Can Harness Kindness to Speak Up, Claim Their Power and Thrive.

She is also co-founder of the non-profit Center for Mindful Self-Compassion. In conjunction with her colleague Dr. Chris Germer they have developed an empirically supported training program called Mindful Self-Compassion and Teaching the Mindful Self-Compassion Program: A Guide for Professionals.  You can find all her resources, books, guided practices on her website https://self-compassion.org/.

For the Master/Grad Diploma/Grad Cert in Lifestyle Medicine at James Cook University, check out:

https://www.jcu.edu.au/courses/master-of-lifestyle-medicine/

https://www.jcu.edu.au/courses/graduate-diploma-of-lifestyle-medicine

https://www.jcu.edu.au/courses/graduate-certificate-of-lifestyle-medicine

If you find this podcast valuable, rating it 5 stars and leaving a review on your podcast app is appreciated.

If you would like to provide feedback or request a topic, please Contact Us.

Thank you for listening.

Tracey Johnson is the CEO of Inala Primary Care, a charitable general practice in Queensland’s most disadvantaged suburban location and co-founder of Cubiko, a practice dashboard software solution.   The IPC model was named as one of four which should be adopted nationally under the 10 Year Health Reform Process and embraces multi-disciplinary care, social prescribing, shared medical appointments, beacon clinics with hospital partners and a raft of research with universities exploring how practices provide value based care.  She is Deputy Chair of the Primary Care Advisory Group of the Australian Institute of Health and Welfare and she is on the Expert Advisory Panel overseeing the review of general practice incentives.

Interview starts at 5:20 mins

...

Interested in studying lifestyle medicine, health coaching and models of care in health and wellbeing?  Check out the JCU postgraduate courses: Grad Cert, Grad Diploma, and Master. 

For more information on our new 3 week online microcredential in Lifestyle Medicine and Mental Health: https://www.futurelearn.com/courses/lifestyle-medicine-for-mental-health-services. This course is designed to support the innovation of whole of person mental health care in primary, tertiary and community settings. We cover the evidence for lifestyle and social assessment and interventions in mental health, health coaching and behaviour change, medication optimisation to reduce side effects and how to implement lifestyle and social programs in mental health settings.

If you find this podcast valuable then subscribing, sharing, rating it 5 stars and leaving a review is appreciated.

If you would like to send in your thoughts, insights, opinions, provide feedback or request a topic, please contact me via thegpshow.com 

Thank you for listening and your support.

Dr Andrew Leech, is a GP with a diploma in child health and hence a special interest in child health.  He consults for a variety of organisations, including Emerging Minds where you can find some courses on the content we are discussing today called A GP Framework for Child Mental Health Assessment (5-12 years) e-learning course - Emerging Minds

He is also the creator and host of The Kids Health Network, which is a podcast designed for families with an interest in their children's health. A great resource for you and your patients. Find more at www.drandrewleech.com  

If you find this podcast valuable, rating it 5 stars and leaving a review on your podcast app is appreciated.

If you would like to provide feedback or request a topic, please Contact Us.

Thank you for listening.

Dr Jon Jureidini is a child psychiatrist at the Women's and Children's Hospital, Adelaide where he works with ill and disabled children and their families. He heads the University of Adelaide's: Critical and Ethical Mental Health (CEMH) research group within the Robinson Research Institute, and the Paediatric Mental Health Training Unit.  His latest book "The Illusion of Evidence-Based Medicine" is available here.

Today we are discussing how to improve our communication with adolescents in a range of situations.  

If you find these podcasts valuable, rating it 5 stars and leaving a review in iTunes or Facebook is a huge help.

For more podcasts and resources for both health professionals and patients including websites, courses, apps, books and more, please check out www.thegpshow.com
Facebook: @TheGPShow.podcast
Twitter/Instagram: @drsammanger (new)
Youtube: DrSamManger (new)

If you would like to provide feedback or request a topic you can contact us or complete a quick survey at www.thegpshow.com

To check out the LIFT lifestyle medicine online program for your community check  https://www.theliftproject.global/, and contact me if you are interested in launching this or other lifestyle initiatives in your local community.

Thank you for listening and supporting.

Dr Paula Smith-Brown is a PhD-qualified Accredited Practising Dietitian and Clinical Science Lead at Microba, an Australian company and a world leader in the analysis of the gut microbiome. 

For more information on Microba, microbiome testing with professional courses and support check out https://insight.microba.com/

For more information on the online international diabetes revolution summit on July 31st, check out https://www.lifestylemedicine.org.au/diabetes-revolution-summit/

If you find this podcast valuable, rating it 5 stars and leaving a review is appreciated.

If you would like to provide feedback or request a topic, please Contact Us.

Thank you for listening

Dr April Armstrong is a UWA graduate of Medicine and works in General Practice in Western Australia. She is passionate about the business of medicine and is the founder of the Business for Doctors concept and social media group. April was awarded the WA Telstra Business Woman of the Year 2015 in the start-up category and her rural practice, Collins Street Surgery nominated for the WA Telstra Business Awards 2015. As an owner of two medical practices and numerous investments she brings 25 years of business and investing experience to health professionals wanting to learn more about all facets of business and life in medicine. 

https://businessfordoctors.com/

https://www.facebook.com/groups/businessfordoctors/

Conflicts of interest: Obviously Dr Armstrong's expenses are covered during her work for BFD.

More information at

www.facebook.com/thegpshow.podcast

As always - Rating 5 stars +/- a review on iTunes is a great help 

Enjoy Friends

Professor Rhonda Wilson is a Wiradjuri woman, Professor of Nursing at University of Newscastle, Head of the School’s Indigenous Portfolio and Convenor of the Master of Mental Health Nursing.  Dr Cathy Francis has a PhD in environmental science and is completing her Master of Philosophy under Professor Rhonda’s supervision.

Today we are discussing their recent paper “The personal cost of repetitive mental health inquiries that fail to result in change”, published in Collegian in May 2022.

Interested in studying lifestyle medicine, health coaching and new models of care in health and wellbeing?  Check out the JCU postgraduate courses: Grad Cert, Grad Diploma, and Master. 

If you find this podcast valuable then subscribing, sharing, rating it 5 stars and leaving a review is appreciated.

If you would like to provide feedback or request a topic, please contact me via thegpshow.com 

Thank you for listening and your support.