The Good GP

In this episode of The Good GP Podcast, host Dr Tim Koh is joined by Dr Ramya Raman, Vice-President and Chair of RACGP Western Australia, to provide a timely update on measles, focusing on diagnosis and prevention.

Dr Raman highlights the rarity of measles in general practice due to successful immunisation programs, achieving substantial herd immunity. She discusses the current changes in the environment that have resulted in declining vaccination rates, leading to increased outbreaks globally.

Dr Raman emphasises the importance of understanding risk factors, such as incomplete vaccination and immune system vulnerabilities, and how measles can spread, given its high contagion rate.

Listeners are guided through the typical presentation of measles, with a focus on the prodrome phase, characterised by symptoms such as fever, cough, choriza, and conjunctivitis, followed by a distinctive rash. The conversation touches on clinical challenges GPs might face in identifying measles, especially when considering varying skin tones and season-specific viral rashes.

Dr Raman provides practical advice for GPs on suspecting and testing for measles, including the use of PCR tests and IgM serology. Additionally, there are recommendations for containing potential measles cases through patient isolation, proper protective measures, and public health notifications, highlighting the need for vigilance and proactive measures in general practice.

Check out the video of this episode: https://www.youtube.com/watch?v=GLPeUHYewdA

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network.

If you have any questions or would like to contact The Good GP, send an email to [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information.

In this episode of The Good GP, host Dr Krystyna de Lange is joined by Dr Joshua Hanson, a general and infectious disease physician based in Cairns, Australia. Providing in-depth discussion on Hepatitis B, focusing on screening, diagnosis, and management strategies for general practitioners.

Dr Hanson highlights the importance of screening for hepatitis B in Australia. He explains the hepatitis B tests recommended for screening and their interpretation, the importance of the hepatitis B surface antigen test as a key indicator of chronic infection.

They shifted to the initial assessment of patients newly diagnosed with hepatitis B. Dr Hanson describes the critical aspects of evaluating liver health, the potential impact of co-morbid factors such as alcohol use and smoking, and the significance of family history. They cover the various phases of hepatitis B infection, emphasising the need for general practitioners to determine the patient’s phase for effective management.

They also address the ongoing monitoring of hepatitis B patients, explaining the importance of regular clinical reviews and liver function tests. Dr Hanson discusses the need for routine checks to detect any progression of the disease or development of complications, such as fibrosis or liver cancer.

Links & Resources:

• Bpostive: a free resource examining all aspects of HBV care for clinicians working in primary care, collated by ASHM: https://hepatitisb.org.au/

• Decision making in hepatitis B: https://ashm.org.au/resources/decision-making-in-hepatitis-b/

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network.

If you have any questions or would like to contact The Good GP, send an email to [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information.

In this episode of This Could Save Your Life podcast, hosts Dr Catherine Bourke and Dr Anna Mullins delve into the topic of breast cancer screening. They discuss the importance of both screening and testing and elucidate the difference between the two.

They begin by outlining what screening entails, emphasising that it’s for individuals with no symptoms of breast cancer, aiming to detect any irregularities early. Describing the screening process, including mammograms and other radiological tests, and discussing the symptoms that may necessitate further testing, such as nipple inversion, skin dimpling, and nipple discharge.

Dr Bourke and Dr Mullins then provide an overview of accessing breast cancer screening in Australia. Sharing practical advice on booking screenings, the importance of finding a comfortable experience, and the role of early detection plays in effective treatment and better outcomes.

They then discuss the individual risk factors for breast cancer. Advocating for the iPrevent calculator, developed by the Peter MacCallum Cancer Centre, as a valuable tool for assessing personal risk and determining appropriate screening measures. They also touched upon the genetic and familial aspects of breast cancer risk and the significance of maintaining a healthy lifestyle.

Finally, they shared tips on lifestyle changes that can reduce the risk of breast cancer. Exercise, smoking cessation, moderate alcohol consumption, and maintaining a healthy weight are highlighted as key preventive measures. Along with the regular physical breast examinations and awareness of changes.

Links & Resources:

Breast cancer risk assessment and risk management decision support tool:

• iPrevent- Peter MacCallum Cancer Centre: https://www.petermac.org/patients-and-carers/health-services-for-cancer-patients/cancer-prevention/iprevent

Breast screening services:

• Western Australia: Breast Screen WA:https://www.breastscreen.health.wa.gov.au
• South Australia:  Breast Screen SA: https://www.breastscreen.sa.gov.au
• Victoria: Breast Screen VIctoria: https://www.breastscreen.org.au
• New South Wales: Breast Screen NSW: https://www.breastscreen.nsw.gov.au
• Queensland: Breast Screen Queensland: https://www.breastscreen.qld.gov.au
• Northern Territory: Breast Screen NT: https://nt.gov.au/wellbeing/cancer-services/breastscreennt
• Australian Capital Territory: Breast Screen ACT: https://www.canberrahealthservices.act.gov.au/services-and-clinics/services/breastscreen-act

This Could Save Your Life Podcast is under The Good GP podcast and is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

In this episode of The Good GP podcast, host Dr Karin Sekhon is joined by Dr Alison Creagh, a GP with a special interest in women's and sexual health. Dr Creagh shares her knowledge on the topic of emergency contraception, discussing its importance and available options.

They explain emergency contraception and its use in situations of unprotected sex or contraceptive failure. Dr Creagh outlines the three main options: two oral pills and the copper IUD. She highlights the copper IUD as the most effective method and addresses its limited accessibility and costs. For the oral pills, levonorgestrel and ulipristal, Dr Creagh explains their effectiveness, availability over-the-counter, and the potential side effects.

Discussing when to begin contraception after an emergency contraceptive method, considerations between the two pill options, and notable barriers to access in Australia. Dr Creagh emphasises the need for GPs to be informed about local resources and suggests patient resources to enhance understanding and access to emergency contraception.

Dr Creagh notes the importance of informing patients about emergency contraception, particularly for newly sexually active individuals and those using ongoing contraceptive methods. Which is essential for GPs looking to deepen their knowledge and improve patient care in the context of emergency contraception.

Link & Resources:

CLINICIANS: 

• Therapeutic Guidelines: https://www.tg.org.au/
• FSRH guidelines: https://www.fsrh.org/Public/Public/Standards-and-Guidelines.aspx?hkey=86c80484-36fe-4d6d-96c6-05cdc8e7b8da

PATIENTS: 

• SHQ Information Sheets: https://shq.org.au/resources/health-info/info-sheets/
• SHQ Emergency Contraception Information Sheet: https://shq.org.au/resources/health-info/info-sheets/emergency-contraception/

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialization. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information.

In this episode of The Good GP, join host Dr Krystyna De Lange as she revisits the topic of Irritable Bowel Syndrome (IBS) with the multidisciplinary team from the Integrated Care Clinic for Disorders of Gut Brain Interaction at the PA Hospital in Brisbane. Following the previous episode focusing on the medical aspects of IBS, they explore the broader approach to managing IBS through diet, exercise, and psychological support.

Isabella Kibbe, a dietitian, delves into the low FODMAP diet, and its role in managing IBS symptoms and offers practical dietary strategies for GPs. 

Exercise physiologist Jake O'Brien discusses the role of physical activity in alleviating IBS symptoms, such as improving motility and reducing bloating, alongside its holistic benefits, including stress reduction and enhancement of overall quality of life.

Psychologists Dr Paul Stanley and Elena Bild focus on the psychological aspects of IBS management through trauma-informed care, the significance of establishing rapport, acknowledging patients' experiences, and using cognitive behavioral techniques to address gut-directed anxiety.

The episode reinforces the importance of a patient-centred and holistic treatment approach to IBS and emphasises the impact of non-medical interventions in improving patient outcomes.

Links & Resources:

• Nutrition Education Materials Online (NEMO), IBS resources for patients/clinicians: Managing Irritable Bowel Syndrome (IBS) (health.qld.gov.au)
• Dietitians Australia 'Find an Dietitian' Tool - filter Dietitians by clinical area of work and location Find a Dietitian (dietitiansaustralia.org.au)
• Monash FODMAP resources: About FODMAPs and IBS | Monash FODMAP - Monash Fodmap

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information.

In this episode of The Good GP, host Dr Krystyna de Lange discusses Irritable Bowel Syndrome (IBS) with Dr Alireza Ahmadvand, a GP, and Professor Gerald Holtmann, a consultant gastroenterologist and director of the gastroenterology and hepatology department at the PA Hospital. This episode is part one of a two-part series exploring IBS from a multidisciplinary approach.

Dr Ahmadvand discusses the differential diagnoses for IBS symptoms in primary care. This includes chronic infections, inflammatory bowel diseases, medication-induced diarrhea, colorectal cancer, and more. They evaluate red flags and initial investigations to distinguish between organic and functional gastrointestinal issues.

Professor Holtmann highlights the importance of understanding patient expectations and provides clarity on diagnosing disorders of gut-brain interaction. He highlights the role of thorough communication and the need to address both the physical symptoms and psychological impact on the patient.

They also delve into the emerging role of the gut microbiome in disorders of gut-brain interaction. Professor Holtmann discusses the relevance of the microbiome composition and the challenges involved in using stool microbiome reports for diagnostic purposes. He elaborates on the potential of targeting the microbiome to improve IBS symptoms through specific treatments, including antibiotics and probiotics.

They conclude with an exploration of pharmacological interventions. Professor Holtmann shares insights on using low-dose tricyclic antidepressants, herbal medicines, and probiotics for IBS management, emphasising the need for balanced treatment strategies that weigh risk and benefit carefully.

In this episode of This Could Save Your Life podcast, hosts Dr Catherine Bourke and Dr Anna Mullins discuss a critical and often overlooked aspect of health: Bone Health. They begin with clarifying the terms osteoporosis and osteoarthritis, which are often confused by patients. 

Dr Bourke and Dr Mullins present statistics highlighting the grave consequences of untreated osteoporosis, reinforcing the urgent need for awareness and early diagnosis. While also outline the risk factors, including age, family history, hormonal imbalances, vitamin D deficiency, and low body weight.

Emphasising the importance of prevention through nutrition, particularly calcium intake, lifestyle changes such as quitting smoking and reducing alcohol consumption, and specific exercises like resistance and balance training. Practical advice is provided to help patients incorporate these into their daily routines. They also discuss the bone mineral density test (DEXA scan), which is crucial for diagnosing osteoporosis and monitoring bone health over time.

They then discussed treatment, including medications and multi-disciplinary care involving GPs, dietitians, and exercise physiologists. The long-term impact of fractures on independence and quality of life is stressed, making this a valuable resource for GPs aiming to improve patient outcomes in bone health.

Links & Resources:

• Healthy Bones Australia: https://healthybonesaustralia.org.au

This Could Save Your Life Podcast is under The Good GP podcast and is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

In this episode of The Good GP Podcast, host Dr Krystyna de Lange is joined by Dr Emily Gordon to discuss the topic of sepsis within the primary care setting. Dr Gordon, a respected general practitioner and previous recipient of the RACGP Queensland GP of the Year award, shares her expertise to help GPs better identify and manage this life-threatening condition.

From definition and causes of sepsis, highlighting its potential to come from infections in common areas such as the lungs, skin, urinary tract, or gastrointestinal tract. Dr Gordon emphasises the importance of early detection through recognising both red and amber flag symptoms, which could suggest the onset of sepsis.

Dr Gordon provides guidance tailored for GPs on how to respond effectively if sepsis is suspected. They explore the key risk factors and vulnerable patient populations who may be at heightened risk for sepsis.

Dr Gordon introduces practical resources including a new sepsis screening tool for adults, designed to aid primary healthcare providers in accurately identifying sepsis early and ensuring prompt and appropriate management. This tool, currently available in the pilot project phase in Queensland, underscores the significance of education and vigilance in improving patient outcomes.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information.

In this episode of The Good GP, host Dr Sean Stevens discusses environmentally sustainable respiratory care with Dr Brett Montgomery, a GP and Senior Lecturer with expertise in environmental medicine, and Clinical Professor John Blakey, Head of the Department of Respiratory Medicine at St. Charles Gardener Hospital.

Dr Montgomery outlined the key environmental challenges associated with respiratory care, particularly the carbon footprint of Australia's health system. Emphasising the impact of pharmaceuticals, particularly the global warming potential of hydrofluorocarbons in traditional metered dose inhalers. He mentions the importance of accurate diagnosis and alternative treatment options, including dry powder inhalers or soft mist inhalers to reduce environmental impact.

Clinical Professor John Blakey shares his perspective on aligning environmental concerns with optimising respiratory care. Stressing the importance of accurate diagnosis to avoid unnecessary treatments and outlines how optimising treatment can lead to better asthma control and reduced environmental footprint. He also addresses challenges related to spirometry in general practice, particularly changes brought about by the COVID-19 pandemic.

They conclude with practical advice for GPs on implementing changes to reduce their respiratory prescribing's environmental impact while maintaining optimal patient care.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information.

Welcome to This Could Save Your Life podcast! With hosts Dr Anna Mullins and Dr Catherine Bourke, a podcast focused on preventative health and health tips for both patients and the general public.

Dr Mullins and Dr Bourke commence by sharing their backgrounds in general practice and exercise physiology, highlighting their joint interest in preventative healthcare. Explaining the three types of prevention: primary, secondary, and tertiary, and briefly outline the structure and objectives of the podcast, aiming to cover a range of important health topics.

For this episode, they focus on bowel cancer screening. They discuss the symptoms that may indicate bowel cancer and the difference between screening tests and diagnostic tests. They outline the importance of recognizing individual risk factors, such as family history, and explain the updated guidelines for bowel cancer screening in Australia, now recommending testing from age 45 for those at average risk.

Describing the process of obtaining and completing the Faecal Occult Blood Test (FOBT) kit. Dr Mullins and Dr Bourke emphasise the simplicity of the test and provide practical guidance on obtaining the kit, either online or by phone, and what to do if a patient has misplaced or not completed their kit.

They also talked about lifestyle and dietary interventions to lower the risk of bowel cancer, including quitting smoking, engaging in regular exercise, maintaining a healthy weight, moderating alcohol consumption, and making specific dietary choices such as reducing red and processed meat while increasing fibre and potentially, dairy intake. As well as the role of aspirin and calcium supplements in risk reduction.

This Could Save Your Life Podcast is under The Good GP podcast and is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network