In this podcast, Becky Taylor and Blake Kesby discuss spinals and epidurals, what they are, what the difference is, and how to manage patients going into labour requesting an epidural. Becky and Blake discuss when you might encourage spinals and epidurals, considerations to keep in mind, anaesthetic contraindications, and risks. They also cover an approach to postdural puncture headache (PDPH).

Summary Writers:  Becky Taylor and Jane McDonnell

Script Writer:  Jane McDonnell

Editor:  Blake Kesby

Interviewer:  Becky Taylor

Interviewee:  Blake Kesby
About Dr Rebecca Taylor
Rebecca (Becky) Taylor is a 5th year O&G trainee. Originally hailing from the UK, she trained at the University of Edinburgh where she also completed her internship and residency, before moving to Australia. She undertook her basic O&G training at Royal Prince Alfred Hospital in Sydney and is currently undertaking a six-month fertility fellowship at Westmead Hospital. When Becky’s not knee-deep in amniotic fluid she is a keen swimmer and free diver, a terrible cook and married to an anaesthetist she met at a Cat One Caesarean.
About Dr Blake Kesby
Blake Kesby is a Consultant Anaesthetist at Royal North Shore Hospital in Sydney, Australia. He has a special interest in medical education, particularly simulation-based training. When he's not putting people to sleep he's a keen free diver, an excellent cook, and married to the O&G Reg who roped him into this podcast.

What I wish I knew about spinals and epidurals as an O&G Resident

onthewards.org produces podcasts that provide junior doctors with the practical knowledge, skills and confidence to deliver the best patient care.  Follow onthewards on twitter at https://twitter.com/onthewardsorg, Facebook https://www.facebook.com/onthewardssydney/, Instagram https://www.instagram.com/onthewards/, LinkedIn https://www.linkedin.com/company/onthwewards

Medicine

Science & Medicine

Health & Fitness

In this podcast, Jules Willcocks chats to Dr Hinemoa Elder about her reflections on wellbeing, racism and health equality in our healthcare systems.



Summary Writer:  Theoni Haralabopoulos

Script Writer:  Jules Willcocks

Editor:  Jules Willcocks

Interviewee:  Hinemoa Elder

Interviewer:  Jules Willcocks


About Dr Hinemoa Elder
Hinemoa Elder Ngāti Kurī, Te Rarawa, Te Aupōuri and Ngāpuhi. MBChB, FRANZCP, PhD, MNZM, is a New Zealand child and adolescent psychiatrist and fellow of the Royal Australian and New Zealand College of Psychiatrists. She works at Starship Children’s Hospital in Auckland. She is a deputy psychiatry member of the NZ Mental Health Review Tribunal. She has a PhD in Public Health (2012)  in which she developed tools for Māori whānau (extended families) with Traumatic Brain Injury and was also the recipient of a Health Research Council of NZ Eru Pomare Post Doctoral Fellowship. The approaches she developed are used in rehabilitation in the community. She continues to work in TBI and dementia research. She received the MNZM for services to Māori and to Psychiatry in 2019. She is an invited member of the Busara Circle, a group of senior international women leaders which forms a critical support for the Homeward Bound project, a global leadership programme for women in science, of which she is an alumni, travelling to Antarctica with the project in 2019. Dr Elder is a Board member of The Helen Clark Foundation, a non-profit, non-partisan public policy think tank which generates public policy research and debate. She is a board member of the RANZCP Foundation. Dr Elder is the Patron of ’Share my Super” a charity aimed at ending child poverty in NZ. Dr Elder has written two best-selling books published by Penguin Random House. “Aroha. Māori wisdom for a contented life lived in harmony with our planet’, was named on the Oprah Winfrey Book club in 2021.  ‘Wawata. Daily wisdom guided by Hina the Māori moon, is currently the number one best selling non-fiction book in NZ. Dr Elder is also regularly invited to give keynote presentations. She was an invited speaker to the Rhodes Healthcare Forum, Oxford University in 2019. Hinemoa has a background in theatre and dance. She performed in a NZ play at the Edinburgh Festival, Assembly Rooms in 1986. She is a past Chair of Auckland Theatre Company Trust and the inaugural Chair of Te Taumata a Iwi The Arts Foundation. Hinemoa also worked in NZ childrens' television in the early 1990s.


About Dr Jules Willcocks
Jules Willcocks is an Emergency Medicine Consultant, the Co-Director of Emergency Medicine Training and the Co-Director of Prevocational Education and Training in Alice Springs Hospital. He is the Deputy Censor for the NT for ACEM and sits on the Specialist Training and Assessment Committee and the Council for Advocacy, Practice and Partnerships at ACEM.


He is interested in bringing out the best in people principally through mentoring and coaching. He firmly believes that wellbeing is a crucial part of this and that you cannot look after someone to the best of your abilities if you yourself are not well.He trained as an executive coach and has a particular interest in the role of personal psychology and how this interfaces with our performance in exams and at work as well as in general day to day living and how all of these tie in to our general wellbeing.

Part 2 – Reflections on wellbeing, racism and health equality

In this podcast, Jules Willcocks chats to Dr Hinemoa Elder about her reflections on wellbeing, racism and health equality in our healthcare systems.



Summary Writer:  Anastasia Barton

Script Writer:  Jules Willcocks

Editor:  Jules Willcocks

Interviewee:  Hinemoa Elder

Interviewer:  Jules Willcocks


About Dr Hinemoa Elder
Hinemoa Elder Ngāti Kurī, Te Rarawa, Te Aupōuri and Ngāpuhi. MBChB, FRANZCP, PhD, MNZM, is a New Zealand child and adolescent psychiatrist and fellow of the Royal Australian and New Zealand College of Psychiatrists. She works at Starship Children’s Hospital in Auckland. She is a deputy psychiatry member of the NZ Mental Health Review Tribunal. She has a PhD in Public Health (2012)  in which she developed tools for Māori whānau (extended families) with Traumatic Brain Injury and was also the recipient of a Health Research Council of NZ Eru Pomare Post Doctoral Fellowship. The approaches she developed are used in rehabilitation in the community. She continues to work in TBI and dementia research. She received the MNZM for services to Māori and to Psychiatry in 2019. She is an invited member of the Busara Circle, a group of senior international women leaders which forms a critical support for the Homeward Bound project, a global leadership programme for women in science, of which she is an alumni, travelling to Antarctica with the project in 2019. Dr Elder is a Board member of The Helen Clark Foundation, a non-profit, non-partisan public policy think tank which generates public policy research and debate. She is a board member of the RANZCP Foundation. Dr Elder is the Patron of ’Share my Super” a charity aimed at ending child poverty in NZ. Dr Elder has written two best-selling books published by Penguin Random House. “Aroha. Māori wisdom for a contented life lived in harmony with our planet’, was named on the Oprah Winfrey Book club in 2021.  ‘Wawata. Daily wisdom guided by Hina the Māori moon, is currently the number one best selling non-fiction book in NZ. Dr Elder is also regularly invited to give keynote presentations. She was an invited speaker to the Rhodes Healthcare Forum, Oxford University in 2019. Hinemoa has a background in theatre and dance. She performed in a NZ play at the Edinburgh Festival, Assembly Rooms in 1986. She is a past Chair of Auckland Theatre Company Trust and the inaugural Chair of Te Taumata a Iwi The Arts Foundation. Hinemoa also worked in NZ childrens' television in the early 1990s.


About Dr Jules Willcocks
Jules Willcocks is an Emergency Medicine Consultant, the Co-Director of Emergency Medicine Training and the Co-Director of Prevocational Education and Training in Alice Springs Hospital. He is the Deputy Censor for the NT for ACEM and sits on the Specialist Training and Assessment Committee and the Council for Advocacy, Practice and Partnerships at ACEM.


He is interested in bringing out the best in people principally through mentoring and coaching. He firmly believes that wellbeing is a crucial part of this and that you cannot look after someone to the best of your abilities if you yourself are not well.He trained as an executive coach and has a particular interest in the role of personal psychology and how this interfaces with our performance in exams and at work as well as in general day to day living and how all of these tie in to our general wellbeing.

Part 1 – Reflections on wellbeing, racism and health equality

In this podcast, Eloise Sobels talks to Dr Josh Case about the intersection of medicine and software, but more broadly about the benefits of walking a different path to those conventionally bestowed upon junior doctors.



Summary Writer:  Jenny Wei

Script Writer:  Eloise Sobels

Editor:  Eloise Sobels

Interviewee:  Josh Case

Interviewer:  Eloise Sobels


About Dr Josh Case
Along with being a doctor, Josh is also a software developer who hopes to empower other doctors and medical students to build new software, even those without a background in technology. Josh is passionate about making the world’s hospitals safer and more efficient, and teaching clinicians how to code.


About Dr Eloise Sobels
Eloise is a Junior Doctors based in New South Wales, Australia.  Before embarking on her Medical degree, she completed an undergraduate in Medical Science (Hons) from Flinders University and worked in a Clinical Pathology Laboratory testing and reporting on blood results. Ellie has a passion for team-based medical care and is currently working on research into Multidisciplinary Team based care for End-Stage-Kidney-Disease patients. Ellie is an avid dog lover and enjoys any beach related activity.

Non-traditional pathways, innovation and software

In this podcast Elie Matar talks with Robert Gerber, a leading Interventional Cardiologist, about the benefits of locum work .



Summary Writer:  Theoni Haralabopoulos

Script Writer:  Elie Matar

Interviewee:  Robert Gerber

Interviewer:  Elie Matar


About Dr Robert Gerber
Dr Robert Gerber graduated from Guy’s, King’s and St Thomas’ Medical School which is part of King’s College London in 2000. He holds dual accreditation in Cardiology and General Internal Medicine. He currently works in Wangaratta North Eastern Health as a Physician and General Cardiologist and in Bendigo Health as an Interventional Cardiologist. He has expertise in hypertension and heart failure as well as heart rhythm disturbances and dyslipidaemia.

Bob is an expert in the field of intravascular ultrasound (IVUS) guided stent implantation and is also trained in implanting pacemakers and implantable cardio-defibrillators (ICDs) as well as coronary stents. He has maintained his credentialing by performing these procedures on a regular basis in Australia and New Zealand.

Bob has performed over 2000 cardiac procedures over a 25-year career in Cardiology and General Internal Medicine in New Zealand, Australia and the United Kingdom where he maintains and holds accreditation. In his spare time, he enjoys cycling, trail-running and time with the family.


About Dr Elie Matar
Dr Elie Matar is a Neurology Advanced Trainee and a NHMRC postgraduate scholar based in Sydney, Australia. He is a Clinical Lecturer with the University of Sydney and has a strong passion for medical education and clinical research. Having co-founded a hospital clinical redesign committee, Elie believes junior doctors have an important responsibility in pioneering innovation to improve the healthcare systems within which they work.

Locuming

In this podcast Chris Elliot speaks with Paediatric Rheumatologist, Rebecca James, about the development of the concept 'Patient Design Thinking' and why it has such profound impacts on the delivery of care no matter which specialty.



Summary Writer:  Eloise Sobels

Script Writer:  Eloise Sobels

Interviewee:  Rebecca James

Interviewer:  Chris Elliot


About Dr Rebecca James
Dr Rebecca James is a Paediatric Rheumatologist and Healthcare Improvement Fellow at Queensland Children’s Hospital. She completed her paediatric training at the Royal Children’s Hospital in Melbourne, before moving to the UK for extended fellowships in several London hospitals and later to work as a consultant at St Thomas'. She returned to Australia in 2018 and completed a Healthcare Improvement Fellowship through Clinical Excellence QLD in 2021. She is interested in healthcare quality and safety, particularly how health services engage with patients in service design and provision, as well as issues around access to care and medications, both domestically and globally.


About Dr Chris Elliot
Chris is a Consultant Paediatrician who works in a teaching hospital in Sydney and in private rooms. As well as clinical medicine he is enthusiastic about health communication and teaching. Chris is a Conjoint Lecturer for the University of New South Wales and writes the occasional article on child health for mainstream media. He also teaches Advanced Paediatric Life Support and sits on the Editorial Board of the Journal of Paediatrics and Child Health. Chris completed his Internship at Bankstown Hospital and Paediatric training through the Sydney Children’s Hospitals Network. On the days when he is not at work he enjoys playing with his children, and also when they play by themselves.

What I wish I knew about spinals and epidurals as an O&G Resident

Download our free app to listen on your phone