New Zealand General Practice Podcast

Dr Dave teaches Dr Jo about driving tests and drug driving, a possible link between the shingles vaccine and reduced risk of dementia, the role of Denusumab in osteoporosis, that BV is an STI, using tranexemic acid for noseblleds, some drug updates, that it's OK to kiss someone if you are gluten intolerant, and about an unfortunate side effect of using a cellphone whilst on the toilet.

Dr Dave educates Dr Jo about hearing loss, ADHD treatment, SSRIS, Coffee and Afib, Derment resources, bits and bobs about pharmac updates and asks to rice or not to rice ?

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 to competitive athletes subject to drug testing, Montelukast, Vitamin D supplementation in pregnancy and infants, and Abortion reversal.

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.

Dr Dave educates Dr Jo about ACC, otitis media, microplastics in his arteries, nsaids, contraceptives and blood clots, MANA tools and apathy in dementia, RSV vaccine, and the benefits of cycling to work in Scotland.

This month Dr Dave educates Dr Jo on issues around dementia and driving, extended use of mirena for contraception, nsaids for short term pain relief after fractures and numerous other topics. Apologies to regular listeners for the delay in publising this episode we both had time away - hopefully the content was worth waiting for !

Dr Dave tells Dr Jo about weird ear creases, why two defibrillators are better than one, why post concussion syndrome doesn't exist anymore, what to think about when a teenager limps, and lots of stuff about medication supply issues.

In which Dr Dave educates Dr Jo about not using ace, arb, and statins in pregnancy, monitoring lithium and clozapine, equity prescribing, medsafe monitoring of vildagliptin, resources from Just a Thought, dermatoscopy, and the latest covid vaccine.

In which Dr Dave educates Dr Jo about Symmetrical drug-related intertriginous and flexural exanthema (SDRIFE), Sodium valproate in people who can father children, Accelerated silicosis, Cyanobacteria, Respiratory Resources, Be wary of the request for metoclopromide and 6 monthly injections for hypertension.

For December 2023 we are revisiting one of our most popular podcasts of all time, where Dr Joe Bourne, now Chief Medical Officer at Manatū Hauora / Ministry of Health shares his leadership story and what keeps him on track.   This is an opportunity to reflect on the Covid19 pandemic from the viewpoint of “the new normal” in which we live and to celebrate what we collectively acheived through that time.   Season 1 of the New Zealand General Practice Podcast is a collection of stories of what brings people joy in general practice, and what they do to increase job satisfaction and the culture of the teams they work in. This episode is taken from Season 2 when we heard more in depth stories from doctors around New Zealand. During the holiday season, take a little time to listen to some of these back issues and think about what you are going to do build the joy in your work in 2024.   Read more about Dr Joe Bourne in New Zealand Doctor:   https://www.nzdoctor.co.nz/article/news/cover-story/bourne-identity-gp

Dr Dave takes Dr Jo on a learning journey from subsidies to medications through to retirement. Of significant note is Dr Jo is RIGHT when he corrects Dr Dave ( this almost never happens so is worth celebrating - when he says at a BMI of 26 or higher the dose of levonorgestrol for emergency contraception should be increased. Enjoy. Find the shownotes at pinnaclepractices.co.nz/resources/

Dr Dave Maplesden educates Dr Jo about Acne, burnout, medication withdrawal, prostate cancer ( again ) adverse reactions and managing symptoms at end of life. Find the shownotes at https://www.pinnaclepractices.co.nz/resources/