The GP Show

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/ 

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Enjoy friends

A/Professor Martin Healey is the Gynaecology Unit Head at the Royal Women's Hospital and Clinical Associate Professor in the Department of Obstetrics and Gynaecology at the University of Melbourne. He also works privately in O&G and infertility/IVF.

Today we discuss Endometriosis, including:

Prevalence, natural history, potential causes, symptoms, signs, diagnosis, lifestyle treatment options, medications, surgery and fertility.

There are no conflicts of interest to declare.

Enjoy friends.

A/Professor Martin Healey is the Gynaecology Unit Head at the Royal Women’s Hospital and Clinical Associate Professor in the Department of Obstetrics and Gynaecology at the University of Melbourne.  He also works privately in O&G and infertility/IVF.

Today we discuss Endometriosis, including:

Prevalence, natural history, potential causes, symptoms, signs, diagnosis, lifestyle treatment options, medications, surgery and fertility.  

There are no conflicts of interest to declare.

 

Enjoy friends.

 

Dr Tom Dover is a Endocrinologist and Obstetric Physician in both the public and private sector whilst also doing outreach to Indigenous communities. Impressively he is also a dietitian and an exercise physiologist (what a dude...). He practices what he preaches and is a marathon runner having run 20 marathons around the world including in North Korea.

Today we have a great conversation about type 2 diabetes including:

1. Prevalence
2. Pathophysiology and insulin resistance
3. Diagnosis
4. Lifestyle treatment = low calorie programs, ketogenic diets, Mediterranean and whole food plant based approaches, fasting, personalised medicine, movement and briefly sleep/stress
5. Oral medications
6. Initiating insulin

He has no conflicts of interest to declare.

Enjoy friends!

Dr Tom Dover is a Endocrinologist and Obstetric Physician in both the public and private sector whilst also doing outreach to Indigenous communities.  Impressively he is also a dietitian and an exercise physiologist (what a dude...).  He practices what he preaches and is a marathon runner having run 20 marathons around the world including in North Korea.

Today we have a great conversation about type 2 diabetes.

Justin Coleman GP MPH is a man of many talents. He is a GP who works in Aboriginal and Torres Strait Islander health in Brisbane and is a writer who looks sceptically at health interventions where the evidence suggests they might not actually be worthwhile. This is part of his broader interest in the public health concept of equity – fair access to primary health care for everyone.

He was President of the Australasian Medical Writers Association (AMWA) from 2010-15. He has published more than a thousand articles in around 40 Australian and international newspapers, magazines and journals. He is the author of four book chapters and three regular newspaper columns. He is also Editor of the Diabetes Management Journal and Senior Lecturer at the University of QLD and Griffith University. In 2014, Justin founded a campaign which encouraged doctors to avoid seeing visiting pharmaceutical representatives at their surgeries called the No Advertising Please campaign

https://drjustincoleman.com/

No conflicts of interest to declare :)

Re: the Ochre rural recruitment drive I mentioned at the beginning:

[email protected]

Regardless = rural medicine rocks = get into it!

Justin Coleman GP MPH is a man of many talents.  He is a GP who works in Aboriginal and Torres Strait Islander health in Brisbane and is a writer who looks sceptically at health interventions where the evidence suggests they might not actually be worthwhile. This is part of his broader interest in the public health concept of equity – fair access to primary health care for everyone.

Dr Robin Youngson is a physician and anaesthetic specialist in New Zealand, internationally renowned for his leadership promoting compassion in healthcare. He is the CoFounder of 'Hearts in Healthcare', a global social movement for health professionals, students, patient activists, health managers and all those passionate about rehumanising healthcare.

Robin was a pioneering leader in patient safety and quality improvement, at both the local and national level. He was a founding member of the national Quality Improvement Committee in New Zealand and was the NZ representative on the World Health Organisation International Steering Committee for Patient Safety Solutions. He also helped launch the WHO strategy for 'People at the Centre of Healthcare' in 2007.

Since 2006, he has been a passionate advocate for human-centered healthcare, compassion and caring. He is the author of the important book 'TIME TO CARE – How to love your patients and your job'.

Website and many resources = https://heartsinhealthcare.com/

COI = All proceeds from the sale of "TIME TO CARE" go towards the Hearts in Healthcare movement.

Enjoy Friends

Dr Robin Youngson is a physician and anaesthetic specialist in New Zealand, internationally renowned for his leadership promoting compassion in healthcare. He is the CoFounder of ‘Hearts in Healthcare’, a global social movement for health professionals, students, patient activists, health managers and all those passionate about rehumanising healthcare.

He is the author of the important book ‘TIME TO CARE – How to love your patients and your job’.  

Website and many resources = https://heart

Professor George Jelinek is Professor and Founder of the Neuroepidemiology Unit (NEU) within the Melbourne School of Population and Global Health at The University of Melbourne. The NEU's charter is to investigate the modifiable lifestyle risk factors that predict the progression of MS with a view to refining a preventive medicine approach to management of the disease.

He was the first Professor of Emergency Medicine in Australasia and Founding Editor of the journal Emergency Medicine Australasia, a MEDLINE-indexed journal that he has edited continuously for nearly 30 years.

After being diagnosed with multiple sclerosis he turned his attention there, and he is currently the Chief Editor in neuroepidemiology for the leading MEDLINE-indexed neurology journal Frontiers in Neurology.

Website/book = https://overcomingms.org/

Conflicts of Interest = He receives royalties for the book.

Interested in Lifestyle Medicine? Become a member. http://lifestylemedicine.org.au/