The GP Show

Dr Stephen Duckett is an economist and Health Program Director at the Grattan Institute.  He has held top operational and policy leadership positions in health care in Australia and Canada, including as Secretary of what is now the Commonwealth Department of Health. He has a reputation for creativity, evidence-based innovation and reform in areas ranging from the introduction of activity-based funding for hospitals to new systems of accountability for the safety of hospital care. He is a Fellow of the Academy of the Social Sciences in Australia and of the Australian Academy of Health and Medical Science.   Today we discuss the Grattan Institutes State Orange Book 2018: Policy priorities for State and Territories. We discuss the health system spending and variation between states and territories, health system sustainability, waiting lists and the growing need for innovation in health care delivery.  https://grattan.edu.au/report/state-orange-book-2018/

Professor Bruce Arroll is a Professor of General Practice and Primary Health Care at the University of Auckland New Zealand and a practising GP at Greenstone Family Clinic in Manurewa in South Auckland. He does regular general practice at that clinic and also does special consultations using Focused Acceptance and Commitment Therapy (FACT) for people who are feeling stuck in their lives by stress, pain or low energy.  Today we discuss ACT: What is ACT? Principles/philosophy What are its origins? What is the evidence base for different conditions? Techniques that can be used  Good resources for patients and clinicians https://www.brucearroll.com/about https://www.actmindfully.com.au/    There are no conflicts of interest   As always rating the podcast 5 stars in iTunes + leaving a review is a great help   Enjoy Friends

Professor Boyd Swinburn is Professor of Population Nutrition and Global Health in the School of Population Health, University of Auckland. He trained as an endocrinologist but is now a public health physician and conducts research on community and policy actions to prevent childhood and adolescent obesity, and reduce, what he has coined, the ‘obesogenic’ food environment. He is Co-Chair of World Obesity's Policy & Prevention section and Co-Chair of the Lancet Commission on Obesity. He established the World Health Organisation's first Collaborating Centre for Obesity Prevention, at Deakin University in Melbourne and has also contributed to over 30 WHO consultations and reports on obesity.  He leads an international network (INFORMAS) in over 30 countries to monitor and benchmark the healthiness of food environments and the implementation of food policies and actions to reduce obesity.  He is also the patron of the Australasian Society of Lifestyle Medicine and will be speaking at the upcoming June ASLM conference in Auckland.   Today we discuss: - Obesity now and how we got here - change in dietary intake and lifestyle factors, role of big food and marketing etc - What is the success and failure rate of current programs? - What programs have been tried and why have they failed or succeeded? - What are the biological and cultural factors that make managing obesity so hard? - What can we change in the systems AND clinical programs to make them more likely to succeed?    - What are the priorities in weight management programs? What are the benefits of modest weight loss?   Enjoy friends!

Dr Dean Ornish is a Clinical Professor of Medicine at the University of California, Founder and President of the non-for-profit Preventative Medical Research Institute, Founder of the only USA-medicare lifestyle-based program; the "Reversing Heart Disease" program, he has published extensively over 35 years in major journals such as The Lancet, JAMA and NEJM, he is listed by Forbes Magazine as one of the most powerful teachers in the World, and is author of 7 books including his latest book "UnDo It", which he wrote with his wife Ann Ornish. https://undoitbook.com/ https://www.ornish.com/ Today we discuss his new book, how simple lifestyle changes can reverse most chronic diseases and the 4 major components of his lifestyle based program; food, movement, stress management and connection.   If you are interested in the lifestyle medicine movement and want to be apart of it = use the code "TheGPShow" at the checkout to get $110/50% off your first year of membership with the Australasian Society of Lifestyle Medicine. https://www.lifestylemedicine.org.au/ Code: TheGPShow (not case-sensitive)   More information @ www.facebook.com/thegpshow.podcast  As always - Rating 5 stars +/- a review on iTunes is a great help and all I ask for this free resource.   Enjoy Friends

Dr Ron Granot is a specialist neurologist working in Bondi Junction, Sydney.  He is involved in various research projects and has appeared on multiple radio and TV platforms.  He writes a blog on his website https://eastneurology.com.au/ Today we discuss Parkinson's Disease: 1. Pathophysiology 2. Life expectancy 3. Diagnosis, signs and symptoms and investigations 4. Lifestyle treatments 5. Medication options 6. Deep brain stimulation   Dr Granot has no conflicts of interest.   Enjoy friends!

Dr April Armstrong is a UWA graduate of Medicine and works in General Practice in Western Australia. She is passionate about the business of medicine and is the founder of the Business for Doctors concept and social media group. April was awarded the WA Telstra Business Woman of the Year 2015 in the start-up category and her rural practice, Collins Street Surgery nominated for the WA Telstra Business Awards 2015. As an owner of two medical practices and numerous investments she brings 25 years of business and investing experience to health professionals wanting to learn more about all facets of business and life in medicine.  https://businessfordoctors.com/ https://www.facebook.com/groups/businessfordoctors/   Conflicts of interest: Obviously Dr Armstrong's expenses are covered during her work for BFD.   More information at www.facebook.com/thegpshow.podcast As always - Rating 5 stars +/- a review on iTunes is a great help     Enjoy Friends  

Dr Darren Morton's keen interest in optimising human functioning led him to complete a Masters and PhD degree in Human Physiology. To date, he is the author of three books and over 50 publications in scientific and medical journals. He is a lead researcher in the Lifestyle Research Centre at Avondale, where he supervises several PhD students and is on the editorial board of the American Journal of Lifestyle Medicine. His latest creation is The Lift Project which incorporates evidence-based strategies from Lifestyle Medicine and Positive Psychology for improving emotional health and wellbeing. https://www.drdarrenmorton.com/ https://www.theliftproject.global/ (use the code "thegpshow" to get 20% off - give it out to your patients!)   Today we discuss "prescribing happiness":   - How do you define happiness?   - Why do we need to start this conversation + benefits of happiness? - How much of happiness is determined by genes vs what we can actually improve? - How to prescribe happiness - positive psychology, motion, food, sleep, relationships, giving, gratitude, nature time - Practical tips " how to start the conversation about happiness with a patient?" - Resources and The LIFT project   If you are interested in the lifestyle medicine movement and want to be apart of it = use the code "TheGPShow" at the checkout to get $110/50% off your first year of membership with the Australasian Society of Lifestyle Medicine. https://www.lifestylemedicine.org.au/ Code: TheGPShow (not case-sensitive)   More information @ www.facebook.com/thegpshow.podcast    As always - Rating 5 stars +/- a review on iTunes is a great help    Conflicts of Interest: Darren obviously profits from The LIFT project.  The GP Show has no affiliation.   Enjoy Friends

Dr Marlene Pearce is a GP, medical writer, podcaster, GP Liaison Officer, Medical Administrator completing her Masters of Health Administration and all round entrepreneurial awesome-type.  Today we cover options, tips and advice for those thinking of expanding their medical and health careers outside of their clinical roles.  This can be rewarding for you, your patients and the health system at large for many reasons.  We briefly discuss: - Medical writing/media - Medical administration/governance - Health consulting for start ups, medical boards, private organisations, private insurance and indemnity organisations - College involvement - Education and teaching - Academia and research   There is much to be said here but hopefully this opens up your awareness of these possibilities and inspires you to try them out.   Enjoying the podcast?  Ranking it 5 stars in itunes is a great help. More information @ www.facebook.com/thegpshow.podcast   Enjoy friends

  Dr Ania Hargrove is a consultant paediatrician with a special interest in children's allergies.  Her practice includes managing eczema, food allergies, hay-fever and asthma. As always we could have spoken for 3 hours... easily!   Today we discuss: - Physiological vs pathological gastroesophageal reflux - Cows milk protein allergy - Other food protein allergies - Brief review of colic, lactose intolerance, sleep - History taking and examination - Investigations - Management principles Further resources and patient handouts: https://www.allergy.org.au/patients/food-allergy/cows-milk-dairy-allergy   More info: https://www.facebook.com/thegpshow.podcast   Enjoy Friends  

This episode is a bit different... Today I am being interviewed by GP, blogger and podcaster Dr Edwin Kruys.  Edwin has a great vision of building bridges between different health professions to the betterment of us all, and I commend this path.  You can find his blog and podcast at: https://doctorsbag.net/ https://bridgebuilders.vision/podcast/   We discuss: What is Lifestyle Medicine? Is Lifestyle Medicine evidence based? Is it alternative medicine? How do we get it practiced more widely? What are some tips and resources?   If you are interested in the lifestyle medicine movement and want to be apart of it = use the code "TheGPShow" at the checkout to get $110/50% off your first year of membership with the Australasian Society of Lifestyle Medicine. https://www.lifestylemedicine.org.au/ Code: TheGPShow (not case-sensitive)   More information @ www.facebook.com/thegpshow.podcast  As always - Rating 5 stars +/- a review on iTunes is a great help and all I ask for this free resource.   Enjoy Friends