The GP Show

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

This episode is a bit different...

Today I am being interviewed by GP, blogger and podcaster Dr Edwin Kruys. Edwin has a great vision of building bridges between different health professions to the betterment of us all, and I commend this path. You can find his blog and podcast at:

https://doctorsbag.net/

https://bridgebuilders.vision/podcast/

We discuss:

What is Lifestyle Medicine?

Is Lifestyle Medicine evidence based?

Is it alternative medicine?

How do we get it practiced more widely?

What are some tips and resources?

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

This episode is a bit different...

Today I am being interviewed by GP, blogger and podcaster Dr Edwin Kruys.  Edwin has a great vision of building bridges between different health professions to the betterment of us all, and I commend this path.  You can find his blog and podcast at:

https://doctorsbag.net/

https://bridgebuilders.vision/podcast/

We discuss:

What is Lifestyle Medicine?

Is Lifestyle Medicine evidence based?

Is it alternative medicine?

How do we get it practiced more widely?

What are some tips and resources?

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

"Back pain is a functional problem. How can surgery fix a functional problem? It's like asking a mechanic to fix a car that is being driven by a bad driver. One is structural, the other is functional." – Dr David Johnson

Dr David Johnson is a brain and spinal neurosurgeon now practicing at St Andrew's War Memorial Hospital. He has had a pioneering role in the establishment of multidisciplinary spinal practices and holistic care for neurosurgical patients.

He has launched three Functional Movement Training Centres in Queensland and now one of the world's leading in-house hospital facilities at St Andrew's War Memorial Hospital, having already delivered his NeuroHAB Back Pain Rehabilitation Program successfully to over 500 patients. Dr Johnson's expertise covers a wide range of brain and spinal neurosurgery including low back, sacro-iliac and neck pain management, minimally invasive key hole techniques, neuro-oncology, acute cerebro-vascular surgery, brain and spine trauma, trigeminal neuralgia, pituitary surgery, CSF diversion surgery and pain neurostimulation surgery.

http://www.citytocoastneurosurgery.com.au/

Some additional resources:

"Our Doctor's Education Night - Back Pain" https://youtu.be/dO7x2Pj7iBY "Functional Movement Training Centre - Our patients journey to restoring their lives. Inspiring." https://youtu.be/xLAQDcJGHMI "Trailer: Paradigm Shift Back Pain Lecture" https://youtu.be/JjTbpgpihT0 "BACK PAIN....NeuroHAB Works" https://youtu.be/Rhfu5u2KNXA "How much can I lift Doc? Why this is a silly question." https://youtu.be/eLCrfUlymIA "Pillars of Health Podcast with Nicci. Transforming from Chronic Back Pain patient to Athlete" https://youtu.be/V4f9RF4rjSc

Other listed experts in the episode that you can check out:

Gray Cook

Dr Stuart McGill

Kelly Starrett

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

“Back pain is a functional problem. How can surgery fix a functional problem?  It's like asking a mechanic to fix a car that is being driven by a bad driver.  One is structural, the other is functional.” – Dr David Johnson

Dr David Johnson is a brain and spinal neurosurgeon now practicing at St Andrew’s War Memorial Hospital. He has had a pioneering role in the establishment of multidisciplinary spinal practices and holistic care for neurosurgical patients.

He has launched three Functional Movement Training Centres in Queensland and now one of the world’s leading in-house hospital facilities at St Andrew’s War Memorial Hospital, having already delivered his NeuroHAB Back Pain Rehabilitation Program successfully to over 500 patients. 

Dr Johnson’s expertise covers a wide range of brain and spinal neurosurgery including low back, sacro-iliac and neck pain management, minimally invasive key hole techniques, neuro-oncology, acute cerebro-vascular surgery, brain and spine trauma, trigeminal neuralgia, pituitary surgery, CSF diversion surgery and pain neurostimulation surgery.

http://www.citytocoastneurosurgery.com.au/ 

Some additional resources:

"Our Doctor's Education Night - Back Pain"
https://youtu.be/dO7x2Pj7iBY

"Functional Movement Training Centre - Our patients journey to restoring their lives. Inspiring."

https://youtu.be/xLAQDcJGHMI

"Trailer: Paradigm Shift Back Pain Lecture"
https://youtu.be/JjTbpgpihT0

"BACK PAIN....NeuroHAB Works"
https://youtu.be/Rhfu5u2KNXA

"How much can I lift Doc? Why this is a silly question."
https://youtu.be/eLCrfUlymIA

"Pillars of Health Podcast with Nicci. Transforming from Chronic Back Pain patient to Athlete"
https://youtu.be/V4f9RF4rjSc

Other listed experts in the episode that you can check out:

Gray Cook

Dr Stuart McGill

Kelly Starrett

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

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

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

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

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

Dr Jason Kaplan BSc(Med) MBBS(Hons) FRACP FCSANZ FACC is a specialist adult cardiologist and physician with a strong interest in sports and preventative cardiology. Prior to training in cardiology, Dr Kaplan completed additional advanced training in medical oncology and pharmacology. His training in these areas allows Dr Kaplan to adopt a more holistic approach to patient care, particularly those with multiple medical issues. Dr Kaplan has completed additional training in cardiac imaging in Australia and is a senior clinical lecturer in Medicine in the Faculty of Medicine and Health Sciences at Macquarie University. He has worked with the NSW Institute of Sport, Olympic athletes and the National Rugby League.

www.drjasonkaplan.com

A listener asked me to do an episode on "what do we do if patients refuse their blood pressure and cholesterol medication?". We live in an interesting time where medicine is rapidly evolving for lots of reasons and often discussions around lifestyle, nutrition and supplements are met with ideology and emotional reactivity. But we need to have a mature, calm and open dialogue about these things. We need to accept we all (myself included!) need to continue learning and the only way to do that is to be humble and curious yet sensible and look at the evidence critically. You may agree or you may disagree with some of these points, but appreciate it for what it is.

"Follow the person who seeks the truth; run from the person who says he has found it." – Václav Havel

I must admit though I failed to raise the Mediterranean diet here and it should be noted (as we discussed in the diabetes episode) that this is a great whole foods way of life that is easy to stick to and enjoyable, and good at reducing CVD risk. Though what we are really discussing in this episode are diet approaches designed to reverse existing coronary artery disease.

Some resources mentioned:

- Nice chart incorporating Calcium scores and traditional CVD risk http://www.onlinejacc.org/content/72/4/434

- Risk calculator with various factors http://chd.bestsciencemedicine.com/calc2.html

Conflicts of Interest: Dr Kaplan is an ambassador for the Sydney Running Festival sponsored by Blackmores and Bioceuticals

For more info

Interested in lifestyle medicine, nutrition, movement, sleep, stress, relationships and technology in health? Join the movement https://www.lifestylemedicine.org.au/

www.facebook.com/thegpshow.podcast

If you like the podcast please rate it 5 stars in itunes - it means a lot.

If you want a topic covered = contact me via facebook above or [email protected]

If you have feedback = also happy to hear it via fb or email.

Enjoy friends