Drugs, diagnostics, liver compresses in a Swiss alpine spa ... Three international experts talk about treating post-acute sequelae of covid-19 (PASC).
Long covid treatment is as complicated as the condition.From experimental drug trials to NHS-approved pathways, three experts from the US, UK and Australia share their treatment approaches.One thing all guests agree on is that long covid needs more research. Beyond that, views diverge widely.Is exercise counterproductive? How should inflammation be treated? When should you refer to a long covid clinic? Why is a nationally agreed pathway imperative?We asked Associate Professor Anthony Byrne from at the long covid clinic at St Vincent’s hospital in Australia; Dr Bruce Patterson, former Stanford University professor and cofounder of private clinic IncellDx in the US; and Dr Melissa Heightman, clinical lead for the long covid clinic at the University College London Hospital.

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A leading Australian mental health expert says the old way of “diagnose and refer” is not working and GPs could hold the key.

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Brain fog, fatigue, type-2 diabetes, respiratory and cardiac conditions and mental illness are all potential leftovers following a case of covid.With a condition so new and so little understood – and unlikely ever to have a simple solution – doctors are largely in the dark about long covid, so the Tea Room is producing this series of podcasts to shed what light we can.This first episode welcomes two researchers who expand our knowledge about long covid’s underlying biological processes and what health modelling predicts.

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Physical examinations are hampered by telehealth, but after an extensive literature review, experts have curated the best workarounds to optimise diagnosis.In this episode of The Tea Room we introduce Tele-Presence 5 – a guideline for doctors to coach patients through self-examinations via telehealth. We are joined by Professor Stephen W. Russell, physician and researcher from the University of Alabama at Birmingham.Professor Russell demonstrates how to talk a patient through a physical self-examination for ailments including shoulder pain and sore throat. He also touches on new virtual care technology in the United States.

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Population health can be improved through the way new suburbs are designed but doctors’ voices are largely unheard by developers.This is, however, slowly changing and doctors are uniting to push governments to make dwellings and towns healthier.Medical journalist Mariella Attard joins us in The Tea Room this week. She says that clever urban design is a powerful lever that can reduce both Australia’s chronic disease burden and acute health issues such as early labour and death caused by heat waves.Handy links that Mariella speaks about in the podcast are below:Australian Urban Observatory: provides in-depth information about local government areas to help you, help patients plan healthier lifestyles.Doctors for the Environment Australia are an organisation of doctors who lead campaigns and projects to improve public health by promoting care for the environment.Planning Australia's healthy built environments by Dr Jennifer Kent from the University of Sydney School of Architecture.

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Upcycling: it’s keeping femoral heads and placentas out of landfill while providing surgeons with gold-standard void fillers and dressings.It’s a grief-free process for the living donors and is managed rigorously by the Australian Tissue Donation Network.Deb Stracey, former registered nurse and chief executive of the Australian Tissue Donation Network, joins us in The Tea Room this week.Ms Stracey talks us through the lab process of turning femoral heads into “crunch”, which is prized by orthopaedic surgeons as a “gold standard” void filler. The amnion in placentas is also sought after by surgeons for intraoperative dressings.

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The adventure of starting your own clinic or buying into one is loaded with significant opportunity and risk.Accountant Daniel Heath, of DPM Financial Services, says that too many work agreements in clinics are based on handshakes because most doctors are trusting types or absorbed in the medical aspects of the practice. Given the challenges of the past two years, this is understandable, but it does create problems despite the best of intentions.In this episode of The Tea Room Daniel Heath is joined by lawyer Josh Flett, of Fletcher Clarendon, in a short interrogation of the biggest issues their doctor clients bring to them.From service agreements to superannuation to exit strategies, Dan and Josh give the lowdown on the high price of not having sufficient taxation and legal frameworks in a clinic.

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As we recorded this episode the State Emergency Service had thirteen current Evacuation Orders and Warnings for people in Northern NSW Wales. This follows a month of devastation by floods and heralds that it’s not over yet.Throughout this disaster medical practices in the region have pushed through to keep serving their communities.The Medical Republic journalists, Ruby Prosser Scully and Holly Payne have been covering this natural disaster and its impact on the people and medical practice in the region. Medical journalist Ruby Prosser Scully reported from Lismore after the first round of flood waters receded.

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As we recorded this episode the State Emergency Service had thirteen current Evacuation Orders and Warnings for people in Northern NSW Wales. This follows a month of devastation by floods and heralds that it's not over yet.

Throughout this disaster medical practices in the region have pushed through to keep serving their communities.

The Medical Republic journalists, Ruby Prosser Scully and Holly Payne have been covering this natural disaster and its impact on the people and medical practice in the region.

Besides death and taxes, there’s something else you can count on, and that’s an Asthma Handbook update.Version 2.2 will be led by a fresh face, the new Chair of the Australian Asthma Handbook Guidelines Committee, GP Professor Nick Zwar.

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