The GP Show

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/

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Many thanks

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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 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 Stephen Duckett is an economist and Health Program Director at the Grattan Institute. He has held top operational and policy leadership positions in health care in Australia and Canada, including as Secretary of what is now the Commonwealth Department of Health. He has a reputation for creativity, evidence-based innovation and reform in areas ranging from the introduction of activity-based funding for hospitals to new systems of accountability for the safety of hospital care. He is a Fellow of the Academy of the Social Sciences in Australia and of the Australian Academy of Health and Medical Science.

Today we discuss the Grattan Institutes State Orange Book 2018: Policy priorities for State and Territories. We discuss the health system spending and variation between states and territories, health system sustainability, waiting lists and the growing need for innovation in health care delivery.

https://grattan.edu.au/report/state-orange-book-2018/

Dr Stephen Duckett is an economist and Health Program Director at the Grattan Institute.  He has held top operational and policy leadership positions in health care in Australia and Canada, including as Secretary of what is now the Commonwealth Department of Health. He has a reputation for creativity, evidence-based innovation and reform in areas ranging from the introduction of activity-based funding for hospitals to new systems of accountability for the safety of hospital care. He is a Fellow of the Academy of the Social Sciences in Australia and of the Australian Academy of Health and Medical Science.  

Today we discuss the Grattan Institutes State Orange Book 2018: Policy priorities for State and Territories. We discuss the health system spending and variation between states and territories, health system sustainability, waiting lists and the growing need for innovation in health care delivery. 

https://grattan.edu.au/report/state-orange-book-2018/

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/

There are no conflicts of interest

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

Enjoy Friends

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/ 

There are no conflicts of interest

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

Enjoy Friends

Professor Boyd Swinburn is Professor of Population Nutrition and Global Health in the School of Population Health, University of Auckland. He trained as an endocrinologist but is now a public health physician and conducts research on community and policy actions to prevent childhood and adolescent obesity, and reduce, what he has coined, the 'obesogenic' food environment.

He is Co-Chair of World Obesity's Policy & Prevention section and Co-Chair of the Lancet Commission on Obesity. He established the World Health Organisation's first Collaborating Centre for Obesity Prevention, at Deakin University in Melbourne and has also contributed to over 30 WHO consultations and reports on obesity. He leads an international network (INFORMAS) in over 30 countries to monitor and benchmark the healthiness of food environments and the implementation of food policies and actions to reduce obesity.

He is also the patron of the Australasian Society of Lifestyle Medicine and will be speaking at the upcoming June ASLM conference in Auckland.

Today we discuss:

- Obesity now and how we got here - change in dietary intake and lifestyle factors, role of big food and marketing etc

- What is the success and failure rate of current programs?

- What programs have been tried and why have they failed or succeeded?

- What are the biological and cultural factors that make managing obesity so hard?

- What can we change in the systems AND clinical programs to make them more likely to succeed?

- What are the priorities in weight management programs? What are the benefits of modest weight loss?

Enjoy friends!

Professor Boyd Swinburn is Professor of Population Nutrition and Global Health in the School of Population Health, University of Auckland. He trained as an endocrinologist but is now a public health physician and conducts research on community and policy actions to prevent childhood and adolescent obesity, and reduce, what he has coined, the ‘obesogenic’ food environment.

He is Co-Chair of World Obesity's Policy & Prevention section and Co-Chair of the Lancet Commission on Obesity. He established the World Health Organisation's first Collaborating Centre for Obesity Prevention, at Deakin University in Melbourne and has also contributed to over 30 WHO consultations and reports on obesity.  He leads an international network (INFORMAS) in over 30 countries to monitor and benchmark the healthiness of food environments and the implementation of food policies and actions to reduce obesity. 

He is also the patron of the Australasian Society of Lifestyle Medicine and will be speaking at the upcoming June ASLM conference in Auckland.

Today we discuss:

- Obesity now and how we got here - change in dietary intake and lifestyle factors, role of big food and marketing etc

- What is the success and failure rate of current programs?

- What programs have been tried and why have they failed or succeeded?

- What are the biological and cultural factors that make managing obesity so hard?

- What can we change in the systems AND clinical programs to make them more likely to succeed?   

- What are the priorities in weight management programs? What are the benefits of modest weight loss?

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.

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