Classifying LUTS into storage or voiding issues and then to overactive or underactive bladder is a very helpful way to structure our approach to assessment and management

If standard therapies fail, and the patient has ongoing symptoms, novel and minimally invasive surgery may be helpful

Climacturia is a reasonably common complication following radical prostatectomy, learn more about this and how to manage it

 

Host: Dr David Lim | Total time: 33 mins

Guest: A/Prof Eric Chung, Urological Surgeon; Associate Professor of Surgery, Macquarie University Hospital and Princess Alexandra Hospital, Brisbane

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Oral iron absorption in patients with chronic inflammatory conditions is very poor

Oncology patients are often iron deficient, but seldom treated

Heart failure patients will benefit greatly from IV iron if deficient

Diagnosing functional iron deficiency without anaemia is easy: normal CRP, ferritin 100 and a transferrin saturation <20%

 

Host: Dr David Lim | Total time: 49 mins

Guests: Dr Patrick Coleman, Nephrologist and General Medicine Specialist

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The conversations to be had with our patients when a decision is made to undertake bariatric surgery

Which surgical procedure is best

What we should look out for in the immediate post-op period

What long term monitoring and supplements are required and

When to refer the patient back to the bariatric surgical team

 

Host: Dr David Lim | Total time: 33 mins

Guests: Dr Michael Talbot, Upper Gastrointestinal and General Surgeon; Specialist in Upper Gastrointestinal Surgery, Bariatric Surgery, therapeutic Endoscopy/ERCP, Oesophageal Physiology and Reflux, Upper GI Surgery

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Humans are now living much more closely with animals and this increases the risk of zoonoses

The management of ringworm, toxoplasmosis, Q-fever is enhanced by closer GP - veterinarian collaboration and the forming of professional relationships

When a GP sees a dog bite, we make sure the patient is treated appropriately, but do we ever think why the dog bit in the first place?

 

Host: Dr David Lim | Total time: 43 mins

Guests: Sandra Steele, Veterinarian; Clinical Epidemiologist

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A very clear and logical approach to goal setting; a must-listen-to podcast for all GPs

Important conversations with our patients along their weight loss journey

Useful advice on how to progress and intensify the management of obesity in our patients

 

Host: Dr David Lim | Total time: 26 mins

Guests: Dr Michael Talbot, Upper Gastrointestinal and General Surgeon; Specialist in Upper Gastrointestinal Surgery, Bariatric Surgery, therapeutic Endoscopy/ERCP, Oesophageal Physiology and Reflux

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Decisions regarding glycaemic control may not be simple as there are situations where you strive for tighter control or settle for less than satisfactory control

There is real art in treating the elderly patient and ensuring the maintenance of quality of life without introducing drug adverse reactions

New medications do give us better choices

 

Host: Dr David Lim | Total time: 35 mins

Guests: A/Prof Michael d'Emden, Endocrinologist; Director of Diabetes and Endocrinology, Royal Brisbane and Women's Hospital

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While evidence for effectiveness in managing mental health disorders is growing, it is resource-intensive and must involve trained psychotherapists in a specialised setup and follow up

There is a lot of misinformation and stigma regarding psychedelics which unfairly penalises those patients with treatment-resistant disorders

 

Host: Dr David Lim | Total time: 46 mins

Guests: Dr Prash Puspanathan, General Practitioner; Neuropsychiatry Fellow, The Alfred Hospital Melbourne

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Managing T1DM is extremely difficult

Patients wearing insulin pumps should be asked if they have a current emergency plan in case the pump breaks down, and fresh supplies of insulin pens

Continuous glucose monitoring tips: first fix the lows, help patients understand and identify causes for the highs and ensure the tube is not blocked and is re-sited every three days

 

Host: Dr David Lim | Total time: 35 mins

Guests: A/Prof Neale Cohen, Endocrinologist; Director of Clinical Diabetes, the Baker Heart and Diabetes Institute, Melbourne

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In this Healthed lecture, Prof Kirsten Black, Academic Gynaecologist and Senior Lecturer at the University of Sydney explains that the pre-pregnancy consultation provides a unique opportunity to highlight the importance of nutrition and lifestyle in achieving the best outcome for both the baby and the mother.

Most would-be pregnant women are aware of the importance of taking folic acid pre-conception to lower the risk of the child having a neural tube defect. But, as Professor Kirsten Black will explain, there are many more evidence-based interventions that can optimise a woman's chances of having a complication-free pregnancy and a healthy, thriving baby. All future mothers need to know about these.

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In this Healthed lecture, Prof Robin Daly, Professor and Chair of Exercise and Ageing at Deakin University explains that sarcopenia has only recently been formally recognized as a disease in and of itself, rather than as an aspect of other diseases.

This recognition should encourage GPs to increase their vigilance. It is common with ageing, sedentary lifestyle, metabolic and cardiovascular disease and should also be looked for in psychiatric conditions and with substance abuse. It carries inherent risks over and above these disease states.

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