Dr Dave reminds Dr Jo about testosterone, its limited indications and how to manage a patient who is using it. We talk about treatment injury overseas and paying for medical records, the dos and don'ts. Dementia and Asthma are our two equity topics. We finish with a few prescriber updates and a resource for coeliac disease identification.

Dr Dave educates Dr Jo about measles long term impacts, lymphocytosis, death docs and cremation rules, herpes testing and treating, and provides tools for cognitive testing, melanoma counselling and long covid management.

Dr Dave educates Dr Jo about prostate cancer screening, FIT for symptomatic colorectal conditions, infrequent Zolendronate in early menopause, dangers of isotretinoin, This Way Up online CBT, the equity topic this month is around H Pylori, plus a few more clinical snippets !

Dr Dave shares updates on empaglaflozin, fosfomycin, latent autoimmune diabetes, HINTS test for vertigo, pertussis, ADHD, treating family and friends this Christmas, and medical aspects of fitness to drive changes.

Dr Dave takes Dr Jo on a trip through sore eyes, syphilis, peripheral neuropthy, heart failure, how to take a BP, naltrexone and long covid, endometriosis and ovarian cancer, ACC via text, clinical gems and health equity.

Dr Dave teaches Dr Jo about the importance of documenting patient refusals and providing written information about treatment options and consequences.

They discuss innovative treatments such as using cooking salt for neonatal umbilical granulomas and duct tape for warts and review a study on habitual coffee drinking and its association with prediabetes remission.

Dave introduces Jo to BreastNet NZ, a knowledge base for clinicians about breast cancer, aimed at promoting best-practice care and other topics include the discontinuation of certain diabetes medications, safety netting advice in primary care, nitrofurantoin safety reminders, methylphenidate supply issues, and updated guidelines for Mpox

Dr Dave teaches Dr Jo about the complexities of deprescribing in older adults, focusing on the balance of benefits and risks associated with statins and aspirin for primary prevention of cardiovascular diseases. We'll also discuss the updated guidelines for managing fever in children, emphasizing the importance of evaluating all vital signs and the role of clinical judgment. Additionally, we'll touch on the latest pain management strategies, including updates on opioid choices and the management of complex regional pain syndrome. Finally, we'll highlight the significance of early diagnosis and management of Charcot neuro-arthropathy in diabetic patients.

Dr Dave covers updates on diverticulitis, post natal depression, WINZ and prescribing in pregnancy resources and shares a cautionary tale about abdominal trauma in children

Dr Dave teaches Dr Jo about Heart Foundation resources, Atrial fibrillation and anticoagulation, Liquid morphine formulations, Liraglutide and dulaglutide, Oestrogen patches, Potassium in dietary supplements, Medicine-induced hyponatraemia, pseudoephedrine, Prescribing

Dr Dave updates us about the child disability allowance, istretrinoin may not be quite as risky as feared for mental health issues, scabies treatment and how to maximise impact of permethrin, being wary of erectile dysfunction in young men, some medication updates, the EPIC dashboard and how to manage aggressive patients.