Healthed Australia

Listen to Kylie’s extensive journey of recovery from Long COVID, including her debilitating symptoms and emotional turmoil Explore the critical role her General Practitioner and Long COVID clinic played in her recovery Understand the importance of empathy, patient support and multidisciplinary care in recovery Important insights into how to manage Long COVID patients, highlighting the need for understanding, patience and tailored treatment plans   Host: Dr David Lim | Total Time: 48 mins Guest: Kylie Trounson, Senior Associate and A/Prof John Litt AM, General Practitioner Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEDT Click here to register for the next oneSee omnystudio.com/listener for privacy information.

The Commission is shifting focus from simple weight metrics to the impact of obesity on health Clear clinical criteria have been established for defining obesity as a disease, making it easier to assess and manage patients, stratify treatments, and guide future policies and research priorities The importance of early intervention to prevent progression to organ dysfunction The Commission aims to reduce stigma for those living with obesity and improve access to care Provide guidance for policymakers and potentially create an obligation to fund and treat obesity as a defined clinical disease   Host: Dr David Lim | Total Time: 38 mins Expert: Dr Catherine Bacus, Bariatric General Practitioner   Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEDT Click here to register for the next oneSee omnystudio.com/listener for privacy information.

Important management issues and investigations required when a patient presents acutely after sexual assaults Importance of comprehensive clinical notes The process of referral to a tertiary hospital or service for forensic investigations Potential for anonymous reporting of sexual assault in New South Wales Ensuring that a patient is safe after leaving the consultation   Host: Dr Terri Foran | Total Time: 24 mins Expert: Dr Ellie Freedman, Sexual Health Physician   Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEDT Click here to register for the next oneSee omnystudio.com/listener for privacy information.

Personalised device selection: Tailor the right device to the specific needs of your patient Avoid blanket approaches: Act as “device detectives” and collaborate with your patient to find the best solution Prioritise device education: Inadequate device education can result in emergency department visits, so it's crucial to ensure patients are well-informed on proper usage Comprehensive consideration: Evaluate all factors that may impact your patient before deciding to switch their inhaler device   Host: Dr David Lim | Total Time: 31 mins Experts: Prof Omar Usmani, Respiratory Medicine   Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEDT Click here to register for the next oneSee omnystudio.com/listener for privacy information.

Heart failure is a clinical diagnosis with specific signs. If unsure, N-terminal pro b-type natriuretic peptide (NT-proBNP) levels can help rule it out Differences between brain natriuretic peptide (BNP) and NT-proBNP, and how to apply each of them to your heart failure patients In patients with chronic kidney disease, NT-proBNP levels should be within context of renal dysfunction Serial measurements of NT-proBNP are associated with prognosis, guidance and response to heart failure treatment Only one NT-proBNP test per patient per year is reimbursed; additional tests must be self-funded   Host: Dr David Lim | Total Time: 39 mins Experts: Prof Andrew Sindone, Cardiologist  A/Prof Ralph Audehm, General Practitioner   Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEDT Click here to register for the next oneSee omnystudio.com/listener for privacy information.

Understand the extent of iron deficiency in older adults and why we see higher rates in this cohort Tiredness is not normal in older adults, do not hesitate to test for iron deficiency How best to investigate and interpret pathology results Iron deficiency is not a diagnosis on its own, a cause must be identified, sometimes in conjunction with a specialist Understand the best ways to treat iron deficiency in your practice including making a follow-up management plan   Host: Dr Marita Long | Total Time: 37 mins Expert: A/Prof Pradeep Jayasuriya, General Practitioner Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEDT Click here to register for the next oneSee omnystudio.com/listener for privacy information.

The impact of anxiety on school attendance in primary school kids, including separation anxiety, bullying, and online gaming addiction, etc. To what extent are mental health challenges covert or overtly raised by families? With the pressures of general practice, what are the key areas you could enquire about that set the tone for ongoing support of the child and examples of open probing questions? Practical strategies to manage ‘screen time’ and its impact on children Best approaches for exploring ‘bullying at school’ with the child and family   Host: Dr Tim Jones | Total Time: 33 mins Expert: Dr Andrew Leech, General Practitioner   Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEDT Click here to register for the next oneSee omnystudio.com/listener for privacy information.

Common causes of acute migraine, its pathogenesis and factors / triggers implicated in the onset of acute migraine Types of migraine that require more urgent management than others Approach to treating migraine based on its frequency Best practices for using medications to manage frequent migraines Encourage patients to have a formal detailed migraine ‘diary’, and its use in the treatment of migraines Current advances in acute migraine treatment   Host: Dr David Lim | Total Time: 37 mins Expert: Prof Richard Stark, Neurologist   Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEDT Click here to register for the next oneSee omnystudio.com/listener for privacy information.

In this episode: What are the red flags when examining lesions in fingers or toes? Why is it important to examine fingers and toes at the same time? What ethnicities and age groups of patients are at higher risk of skin lesions? When looking at longitudinal melanonychia, what signs indicate patient needs to be referred to a Dermatologist? “Furrows are friendly, ridges are risky” – understand this mnemonic used commonly by Dermatologists Taking a clinical photograph of the lesion is always helpful in monitoring, even for patients, as most of these lesions grow slowly   Host: Dr David Lim, GP and Medical Educator Expert: Dr Philip Tong, Dermatologist Total time: 24 mins   Register for our fortnightly FREE WEBCASTS Every second Tuesday | 7:00pm-9:00pm AEDT Click here to register for the next oneSee omnystudio.com/listener for privacy information.

The questions answered in this podcast are listed below.They were compiled by GPs and health professionals around Australia. What are the risks posed by cardiovascular disease when you’re considering menopausal management? What do you consider high risk cardiovascular disease? For example, if a woman has a strong family history of heart disease but a zero-calcium score. Does the use of menopausal hormone therapy reduce the risk of cardiovascular disease and death? Can you diagnose menopause in a woman with amenorrhea, or very irregular periods by doing a progesterone challenge test. Any tips on how to diagnose? Is a persistent high temperature, greater than 39 degrees a vasomotor symptom, because they're suggesting that thermoregulation might be affected? Are you aware of any evidence on cannabidiol oil in treating menopausal symptoms? Can androgen deficiency cause hot flashes, fatigue or their mood? Could you provide more information on where patients can find evidence supporting the use of cognitive behavioural therapy for managing vasomotor symptoms? Additionally, it would be helpful to know if there are online services available that patients can access for this treatment How can you best treat brain fog? Is it reasonable to use different pharmacological agents that target specific symptoms, such as urinary urgency or hot flashes, before considering hormonal treatments? Is this an appropriate approach to managing symptoms? What indicators would there be for treating a woman with Vulvovaginal syndrome of menopause with something like Intrarosa dehydroepiandrosterone (DHEA) instead of Avastin or Estradiol tablets? Would you recommend or suggest starting local oestrogen creams for a patient above 60-years-old for atrophic, vaginitis or dryness? Is there any upper limit? How long can you safely use these vaginal preparations? Can you cut hormone patches when you're weaning someone off menopausal hormone therapy or when the patient just can't obtain the right dose. Is it okay to cut the patches (i.e in half, or thirds)? Why should paroxetine be avoided for the treatment of hot flushes in tamoxifen users and is there anything else we should be avoiding in these patients? Are there any effective treatments for a woman who presents between late 60-70 years old for management of hot flushes that have come back after settling and, should we be using menopause hormone therapy or starting them on non-hormonal therapy? Patient case: I've got a patient classed as BI-RADS D who's currently on menopausal hormone therapy. How should we monitor her? Patient Case: I have a few patients who are starting ashwagandha based on information from social media and blogs. Are there any research studies on its effectiveness? What exactly is ashwagandha, and is it beneficial for managing menopause symptoms? Additionally, are there any potential risks associated with its use? Is there any feedback, data or experiences supporting the efficacy of happy mammoth supplement? Selective serotonin reuptake inhibitors (SSRIs) can sometimes cause sweating as a side effect and is this ever an issue when you're trying to use it for hot flushes? Does Mirtazapine have a role in the management of vasomotor symptoms? Could you please discuss the use of Prometrium per vaginally and the recommended doses when you give it by that route? If you're on a standard or higher dose of something like Estraderm, is there a need to increase the Prometrium dosing on the higher dose? Do you need to give double the dose or give it more often? Can you please clarify the role of Tibolone in menopause, including its relative benefits and risks? I'm having trouble with resistance of some of my patients to start menopause or hormone therapy due to being told by their breast physician, surgeon, and friends that no woman with even a moderately increased risk of breast cancer should ever be on menopause hormone. How would you recommend that we advise these patients? Patient Case: I've got a 40-years-old who's perimenopausal and presents with hot flushes, mood swings, night sweats and brain fog. She has a history of Churg-Strauss syndrome. What is the best option for her treatment? Patient Case: I see lots of perimenopausal patients who have already started menopause hormone therapy and have irregular periods. However, on menopausal hormone therapy they get regular periods and they feel better, do they need contraception advice? Do you need to use contraception if you're on menopausal hormone therapy?   Host: Dr Terri Foran | Total Time: 38 mins Expert: Dr Rod Baber, Obstetrician and Gynaecologist Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEDT Click here to register for the next oneSee omnystudio.com/listener for privacy information.