The Good GP

In this week’s episode, the Good GP interviews radiologist, Dr Brendan Adler to discuss incidentalomas.

We explore the common imaging that shows incidental findings, what GPs can do to prepare a patient for testing and what features to look out for. We also explore the differences with high resolution and normal resolution tests and what tests yield non-target organ incidentalomas.

Dr Adler is a radiologist and CEO of Envision Radiology. Brendan has a special interest in thoracic, musculoskeletal and cardiac imaging.

In this week’s episode, the Good GP welcomes back Dr Karin Sekhon to discuss long-acting reversible contraceptives (LARCs).

This episode covers LARCs and Intrauterine devices (IUDs). Karin explains how they work, the procedures, contraindications and side effects. We also cover contraceptive injections.

Dr Sekhon is a practicing GP with a special interest in women's health.

Helpful resources:

LARCs RACGP journal article: https://www.racgp.org.au/afp/2017/october/larcs-as-first-line-contraception/

Marie Stopes Australia: https://www.mariestopes.org.au/contraception/larc/

SHQ contraception choices: https://shq.org.au/wp-content/uploads/2021/03/Contraception-choices-2021_final.pdf

SHQ LARC flyer: https://shq.org.au/wp-content/uploads/2020/06/SHQ-contraceptive-implant_web2019.pdf

SHQ copper IUD: https://shq.org.au/wp-content/uploads/2020/06/SHQ-copper-IUD_web2019.pdf

SHQ hormonal IUD: https://shq.org.au/wp-content/uploads/2020/06/SHQ-Hormonal-IUD_web2019.pdf

SHQ contraceptive injection: https://shq.org.au/wp-content/uploads/2020/06/SHQ-contraceptive-injection_web2019.pdf

In this episode, the Good GP interviews Dr Karin Sekhon on the combined oral contraceptive pill.

This episode covers approaching the consultation and what to discuss during the consult, how the pill works, the different pills and deciding which one to prescribe. We also cover the non-contraception reasons for prescribing the pill and the contraindications.

Dr Sekhon is a practicing GP with a special interest in women's health.

Helpful resources:

Sexual health quarters COCP flyer: https://shq.org.au/wp-content/uploads/2020/05/Combined-oral-contraceptive-pill-A3-web.pdf

Supporting an informed choice: https://www.nps.org.au/news/combined-oral-contraceptive-pills-supporting-an-informed-choice

Eligibility chart: https://www.fhi360.org/sites/default/files/media/documents/resource-chart-medical-eligibility-contraceptives-english.pdf

Choosing a pill: https://www.nps.org.au/assets/ef8ba906a03e7080-f2801769e605-Choosing-a-combined-oral-contraceptive-pill.pdf

In this episode, The Good GP interviews Dr Yee Tai on phototherapy for dermatological conditions.

This episode covers:

- what is phototherapy and how it works

- what is involved for the patient and who can be treated

- treatment – the conditions it can treat and the effectiveness

- risks and side effects

Dr Tai is a dermatologist and Mohs surgeon.

In this episode, The Good GP interviews Annalie Houston on nutritional and dietetic support for bariatric surgery patients.

This episode covers diet and nutrition considerations in the lead up to surgery, what to expect in the post-operative phase, monitoring vitamin and mineral deficiencies and supplements, and the complications and risks.

Annalie Houston is an accredited practicing dietitian and provides dietetic and nutritional support for patients undergoing weight loss reduction surgery.

In this episode, the Good GP interviews Dr Todd Cameron on building patient engagement.

This episode explores approaching the first consultation with a new patient and tips to connect with your patients.

Dr Todd Cameron is a general practitioner with over 20 years of experience in general practice and founder of M3 Health.

In this episode, the Good GP interviews Professor Creswell (Cres) Eastman on Hypothyroidism in pregnancy.

This episode covers how pregnancy affects the thyroid, the complications, case detection, treatment and management.

Prof Cresman (Cres) Eastman is a world-renowned endocrinologist and the principal medical advisor to the Australian Thyroid Foundation. He is also the Clinical Professor of Medicine at the Westmead Clinical School, University of Sydney and remains in active clinical practice as a Consultant Physician in Endocrinology and as an aviation medical consultant.

Resources:

Australian Thyroid Foundation: https://thyroidfoundation.org.au/

American Thyroid Association guidelines: https://www.liebertpub.com/doi/full/10.1089/thy.2016.0457

Journal of Clinical Endocrinology and Metabolism: Management of Thyroid Dysfunction during Pregnancy and Postpartum: An Endocrine Society Clinical Practice Guideline

https://academic.oup.com/jcem/article/97/8/2543/2823170?searchresult=1

In this episode, the Good GP interviews two cardiac specialists on valvular heart disease, focussing on aortic and mitral valve disease. We explore aortic stenosis and the Transcatheter Aortic Valve Implantation (TAVI) procedure, mitral valve disease and related procedures.

Dr Michael Muhlmann is a Consultant Cardiologist and Interventional Cardiologist at Hollywood Private Hospital, Sir Charles Gairdner Hospital, and Joondalup Health Campus

Associate Professor Jurgen Passage is Cardiothoracic Surgeon and Head of the Department of Cardiothoracic Surgery at St John of God Hospital Subiaco.

In this episode, Professor Paul Effler provides information about the risks and benefits of the COVID Pfizer COVID-19 vaccination. While it is not anticipated that this vaccine will rolled-out in general practice given the cold-chain requirements, GPs need to understand the delayed reactions and other side-effects.

Professor Paul Effler is the Senior Medical Advisor, Communicable Disease Control Directorate, WA Department of Health and Clinical Professor, University of Western Australia.

Information correct as at 24 February 2021.

In this episode, Professor Paul Effler provides a brief update on the COVID and Influenza vaccinations.

Professor Paul Effler is the Senior Medical Advisor, Communicable Disease Control Directorate, WA Department of Health and Clinical Professor, University of Western Australia.

Information correct as at 17 February 2021.