Surrounded by the familiar beeps and glow of the hospital surgical theatres I had a thoroughly enjoyable chat with scrubs-donned Dr Johan Van Den Bogaerde Gastroenterologist and researcher.  We discuss probiotics and the various relevant themes around them.     Topics we discuss include: - What are probiotics and some important principles - How do they work? - Evidence for different conditions - IBD, IBS, diarrhoeal disorders, helicobacter pylori, atopic eczema and others - Research bias  - Working with real people who are suffering but that don't fit the guidelines = the clinicians dilemma   Summary of the POSSIBLE uses: IBD Ulcerative Colitis and Pouchitis - VSL3, E. coli nissle and saccharomyces boulardi may help for remission.  No clear evidence for chron's disease IBS - VSL3, bifido infantis - mixed studies, some positive and some only as good as placebo (~50% reduction in pain) Diarrhoeal disorders (antibiotics associated, childrens diarrhoea, c.dif and preventing travellors diarrhoea) = Lacto. rhamnosus, saccharomyces boulardii and Lacto. reuteri may be of assistance e.g. reduce duration of infectious diarrhoea by

Surrounded by the familiar beeps and glow of the hospital surgical theatres I had a thoroughly enjoyable chat with scrubs-donned Dr Johan Van Den Bogaerde Gastroenterologist and researcher. 

- What are probiotics and some important principles

- How do they work?

- Evidence for different conditions - IBD, IBS, diarrhoeal disorders, helicobacter pylori, atopic eczema and others

- Research bias 

- Working with real people who are suffering but that don't fit the guidelines = the clinicians dilemm

Dr Genevieve Yates is a medical educator, a GP and a writer. Currently she is the RACGP Queensland Censor, RACGP Expert Committee member (Pre-Fellowship Education) and senior examiner, a performance assessor for AHPRA and a member of MDA National’s Education Services Advisory Group (ESAG). She also works as an educator/ facilitator for MDA National and the Black Dog Institute. She is passionate about putting creativity into medicine, and medicine into creativity.

Today we discuss assessing fitness to drive, predictive factors for risky driving, assessment tools, legalities of reporting and much more.  

Some further resources:

Dr Yates youtube clip - https://genevieveyates.com/2015/09/03/dont-just-sign-on-the-dotted-line-assessing-fitness-to-drive/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5257216/

https://www.racgp.org.au/afp/2012/april/dementia-and-driving/

Trail test - www.rgpeo.com/media/53150/trails%20a%20and%20b.pdf.

Drive Safe Drive Aware app = https://www.pearsonclinical.com.au/products/view/563

https://www.pearsonclinical.com.au/files/245101432704685.pdf

https://fmf.cfpc.ca/wp-content/uploads/2017/10/S183_Driving-and-Dementia_Practical-tips-for-the-family-physician.pdf

 

Dr Genevieve Yates is a medical educator, a GP and a writer. Currently she is the RACGP Queensland Censor, RACGP Expert Committee member (Pre-Fellowship Education) and senior examiner, a performance assessor for AHPRA and a member of MDA National’s Education Services Advisory Group (ESAG). She also works as an educator/ facilitator for the Black Dog Institute.

Today we discuss assessing fitness to drive, predictive factors for risky driving, assessment tools, legalities of reporting and much more.

In this episode we discuss non-alcoholic fatty liver disease or NAFLD with Dr Jon Mitchell, Hepatologist and Head of Gastroenterology at the Sunshine Coast University Hospital.

We discuss:

- What is NAFLD?

- What is the prevalence?

- How is it caused?

- What is the spectrum and complications of NAFLD?

- What investigations are useful?

- What is the management?

- Is coffee good for the liver? 

- What is the origin of the Fibroscan? 

 

In this episode we discuss non-alcoholic fatty liver disease or NAFLD with Dr Jon Mitchell, Hepatologist and Head of Gastroenterology at the Sunshine Coast University Hospital.

We discuss:

- What is NAFLD?

- What is the prevalence?

- How is it caused?

- What is the spectrum and complications of NAFLD?

- What investigations are useful?

- What is the management?

- Is coffee good for the liver? 

- What is the origin of the Fibroscan?

It was a pleasure to have on the show Dr Paul Grinzi who is a GP in Victoria.  He juggles a few roles, balancing his clinical work in both rural and urban GP clinics with part-time medical education work. He's recent past chair of the RACGP Vic Drug & Alcohol committee and the key educator for the Victorian Government's 'Medication Assisted Treatment of Opioid Dependence' training program.

Today Paul gives us an overview of opioid dependence/use disorder, how to approach patients, being mindful of stigma and medication assisted treatment options suboxone and methadone including indications, use, side effects, common barriers and where to find further training.

Further training in this area is very accessible now often via online programs.  Contact your State/Territory drugs of dependence unit for more information.

Enjoy friends

It was a pleasure to have on the show Dr Paul Grinzi who is a GP in Victoria.  He juggles a few roles, balancing his clinical work in both rural and urban GP clinics with part-time medical education work. He's recent past chair of the RACGP Vic Drug & Alcohol committee and the key educator for the Victorian Government's 'Medication Assisted Treatment of Opioid Dependence' training program.

Today we review considerations in acute vision loss with our friendly ophthalmologist Dr Russell Phillips.  He was the previous Head of retinal surgery at Flinders Hospital and frequent lecturer at Flinders Medical School.

I feel I must apologise for my ignorance in some areas in this episode and make it clear that it does not reflect the high level of knowledge of some of my fellow GPs. This was partly due to fatigue from an extremely long and busy day at the clinic and running late so I had no time to prep.  Though the positive flip side of this is I think it is more "real".  One of the challenges of general practice is the requirement to know anything at any point in time, which is near impossible.  I think it is better to not pretend we are omniscient and just be genuine in the fact that we all need to brush up on conditions we see infrequently.  So, I decided to leave it as it was. 

Please see previous episodes for more detail on eye history and examination, and red eye.

Conditions we discuss:

Retinal and vitreous detachment

Retinal artery and venous occlusion

Amaurosis fugax

Optic neuritis

Migraines

Visual cortex disease e.g. strokes, lesions

Temporal arteritis/Giant Cell arteritis

Cataracts

and more

 

Today we review considerations in acute vision loss with our friendly ophthalmologist Dr Russell Phillips.  Please see previous episodes for more detail on eye history and examination and red eye.

Conditions we discuss:

Retinal and vitreous detachment

Retinal artery and venous occlusion

Amaurosis fugax

Optic neuritis

Migraines

Visual cortex disease e.g. strokes, lesions

Temporal arteritis/Giant Cell arteritis

Cataracts

and more