After making a fool of myself in the first 30 seconds, Dr Tony and I have a good yarn about prostate cancer history, examination, investigations and treatments with the last 10 minutes covering the evidence for PSA testing for screening. 

For more on PSA screening guidelines and types of PSA testing, DRE in screening and lifestyle medicine interventions in early prostate cancer - check out my earlier podcast on this topic.

NB For DRE in this talk the take home point is - not necessarily for screening, but if the PSA is elevated then DRE is a part of your work up and helpful before referring.  

Enjoy all

I caught up with my old friend and GP registrar Dr Nadim Cody in Central QLD and we talked about his experiences with Medicins San Frontieres (Doctors Without Borders) in PNG and various regions of Sudan.  Informative, touching, hopefully helpful are three ways to describe the talk.  Humble, wise and an inspiration are three words I would use to describe Nadim.  

I apologise for some mic bumping noises, more at the beginning then they are pretty sporadic. 

Enjoy

On December 1 2017 the cervical screening program changes from the current pap smears to HPV testing with a change in frequency and follow up.  Join gynaecologist Dr Kelvin Larwood and I having a casual yarn over the new guidelines.  

A/Prof Bittoun gave one of the most useful workshops I have ever done at the recent Australasian Society of Lifestyle Medicine conference on smoking cessation. I had to interview her to share some of the principles with you. 

With 15% of Australians still smoking and 21% in disadvantaged areas - this is still a major disease determinant - but were the people who have already quit the low hanging fruit?  Why is it so hard for the rest to stop?

Today we cover some incredibly important and interesting content:

1. Renee shares some of her history in dealing with "Big Tobacco"

2. Smoking history

3. Nicotine physiology - positive and negative effects of nicotine, withdrawal effects, fast vs slow metabolisers, bell curve of blood nicotine levels, effect on liver metabolism, blood glucose and medication

4. Nicotine replacement therapy - when to use, how to use, how to increase, how long to use and how to reduce

5. Champix (varenicline) use - the EAGLES trial and use with NRT

6. Brief mentions of behaviour change (we ran out of time!)

Further reading:

http://aascp.org.au/health-professionals/resources/guidelines/

Today we are joined by Dr Hans Seltenreich Gastroenterologist and Hepatologist and founder of the Coastal Digestive Health clinic on the Sunshine Coast, QLD.  We have a yarn about the gut microbiome/microbiota and the role of faecal transplants.  In particular:

1.  What is the microbiome?

2. What is it impacted by?

3. What are its roles in the human body?

4. What is its role in disease?

5. What is the role of faecal transplants?

As always - enjoy.