The GP Show

“Back pain is a functional problem. How can surgery fix a functional problem?  It's like asking a mechanic to fix a car that is being driven by a bad driver.  One is structural, the other is functional.” – Dr David Johnson Dr David Johnson is a brain and spinal neurosurgeon now practicing at St Andrew’s War Memorial Hospital. He has had a pioneering role in the establishment of multidisciplinary spinal practices and holistic care for neurosurgical patients. He has launched three Functional Movement Training Centres in Queensland and now one of the world’s leading in-house hospital facilities at St Andrew’s War Memorial Hospital, having already delivered his NeuroHAB Back Pain Rehabilitation Program successfully to over 500 patients.  Dr Johnson’s expertise covers a wide range of brain and spinal neurosurgery including low back, sacro-iliac and neck pain management, minimally invasive key hole techniques, neuro-oncology, acute cerebro-vascular surgery, brain and spine trauma, trigeminal neuralgia, pituitary surgery, CSF diversion surgery and pain neurostimulation surgery. http://www.citytocoastneurosurgery.com.au/    Some additional resources: "Our Doctor's Education Night - Back Pain" https://youtu.be/dO7x2Pj7iBY "Functional Movement Training Centre - Our patients journey to restoring their lives. Inspiring." https://youtu.be/xLAQDcJGHMI "Trailer: Paradigm Shift Back Pain Lecture" https://youtu.be/JjTbpgpihT0 "BACK PAIN....NeuroHAB Works" https://youtu.be/Rhfu5u2KNXA "How much can I lift Doc? Why this is a silly question." https://youtu.be/eLCrfUlymIA "Pillars of Health Podcast with Nicci. Transforming from Chronic Back Pain patient to Athlete" https://youtu.be/V4f9RF4rjSc   Other listed experts in the episode that you can check out: Gray Cook Dr Stuart McGill Kelly Starrett   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 David L. Katz, MD, MPH, FACPM, FACP, FACLM is the founding director (1998) of Yale University’s Yale-Griffin Prevention Research Center, Past-President of the American College of Lifestyle Medicine, and Founder/President of the True Health Initiative.  Katz earned his BA degree from Dartmouth College (1984); his MD from the Albert Einstein College of Medicine (1988); and his MPH from the Yale University School of Public Health (1993). The recipient of many awards for his contributions to public health, he has received three honorary doctorates. He holds 5 US patents, with others pending.  He invented the research method known as “evidence mapping;” is the principal inventor of the Overall Nutritional Quality Index (ONQI™) algorithm; and invented the dietary intake assessment method called Diet Quality Photo Navigation(https://www.dqpn.io/).  In 2018, Katz was selected as the new Chair for the annual Art & Science of Health Promotion conference.  He has authored roughly 200 peer-reviewed publications, many hundreds of health columns both on-line and in print, and 16 books to date including leading textbooks in both nutrition and preventive medicine.  Katz is recognized globally for expertise in nutrition, weight management and the prevention of chronic disease. http://davidkatzmd.com/ Today we discuss his latest book "The Truth About Food: why pandas eat bamboo and people get bamboozled" which can be found on Amazon and kindle at  https://www.amazon.com/dp/B07H8N32NX?ref_=pe_3052080_276849420 He has no conflicts of interest, except all profits from the book sales go to the not-for-profit True Health Initiative.     There are few areas that get as heated as nutrition and food. In this podcast we try to build bridges and consider that there is a lot more in common to different healthy eating philosophies than there is different.  We discuss the importance of a whole-food way of life, the bias and fallacies that can and has influenced this discussion, the approaches to nutrition statistics, the industries/media/egos/ideologies that may influence the food system, the environmental impact of food, reconnecting with real whole food and much more.   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

Kim Poyner is a practice nurse, health coach and previously an ICU nurse.  She is the Founder of MediCoach, winner of the 2015 APNA Best Practice Award in Nursing for Chronic Disease Management, and presenter of Care Co-ordination, Care Planning and Coaching in General Practice. Kim has been invited to work with the World Health Organisation on obesity prevention and has presented multiple workshops on health coaching with the Australasian Society of Lifestyle Medicine. This is an episode I suggest you listen to many times as Kim shares some absolute pearls of wisdom about helping patients on their health journey.  Today we discuss: -What is health coaching? - What is the evidence base? - Some myths and facts about behaviour change - How do we help people "not ready" to change - A range of clinical pearls and tips on behaviour change - Resources   She has no conflicts of interest to declare outside of being the Founder of MediCoach. Resources: http://medicoach.com.au/ https://journals.sagepub.com/doi/full/10.1177/1559827617708562 Textbook/training book = Coaching Psychology Manual by Margaret Moore - https://www.booktopia.com.au/coaching-psychology-manual-moore/prod9781451195262.html    More information and workshops @ https://www.lifestylemedicine.org.au/ www.facebook.com/thegpshow.podcast  Rating 5 stars +/- a review on itunes is a great help.   Enjoy Friends

Dr Jason Kaplan BSc(Med) MBBS(Hons) FRACP FCSANZ FACC is a specialist adult cardiologist and physician with a strong interest in sports and preventative cardiology.  Prior to training in cardiology, Dr Kaplan completed additional advanced training in medical oncology and pharmacology. His training in these areas allows Dr Kaplan to adopt a more holistic approach to patient care, particularly those with multiple medical issues. Dr Kaplan has completed additional training in cardiac imaging in Australia and is a senior clinical lecturer in Medicine in the Faculty of Medicine and Health Sciences at Macquarie University.  He has worked with the NSW Institute of Sport, Olympic athletes and the National Rugby League.  www.drjasonkaplan.com A listener asked me to do an episode on "what do we do if patients refuse their blood pressure and cholesterol medication?".  We live in an interesting time where medicine is rapidly evolving for lots of reasons and often discussions around lifestyle, nutrition and supplements are met with ideology and emotional reactivity.  But we need to have a mature, calm and open dialogue about these things. We need to accept we all (myself included!) need to continue learning and the only way to do that is to be humble and curious yet sensible and look at the evidence critically.  You may agree or you may disagree with some of these points, but appreciate it for what it is.   “Follow the person who seeks the truth; run from the person who says he has found it.” – Václav Havel I must admit though I failed to raise the Mediterranean diet here and it should be noted (as we discussed in the diabetes episode) that this is a great whole foods way of life that is easy to stick to and enjoyable, and good at reducing CVD risk.  Though what we are really discussing in this episode are diet approaches designed to reverse existing coronary artery disease.   Some resources mentioned: - Nice chart incorporating Calcium scores and traditional CVD risk http://www.onlinejacc.org/content/72/4/434 - Risk calculator with various factors http://chd.bestsciencemedicine.com/calc2.html    Conflicts of Interest: Dr Kaplan is an ambassador for the Sydney Running Festival sponsored by Blackmores and Bioceuticals     For more info Interested in lifestyle medicine, nutrition, movement, sleep, stress, relationships and technology in health? Join the movement https://www.lifestylemedicine.org.au/  www.facebook.com/thegpshow.podcast If you like the podcast please rate it 5 stars in itunes - it means a lot. If you want a topic covered = contact me via facebook above or sammangerpodcasts@gmail.com  If you have feedback = also happy to hear it via fb or email. Enjoy friends

A/Professor Martin Healey is the Gynaecology Unit Head at the Royal Women’s Hospital and Clinical Associate Professor in the Department of Obstetrics and Gynaecology at the University of Melbourne.  He also works privately in O&G and infertility/IVF. Today we discuss Endometriosis, including: Prevalence, natural history, potential causes, symptoms, signs, diagnosis, lifestyle treatment options, medications, surgery and fertility.   There are no conflicts of interest to declare.   Enjoy friends.  

Dr Tom Dover is a Endocrinologist and Obstetric Physician in both the public and private sector whilst also doing outreach to Indigenous communities.  Impressively he is also a dietitian and an exercise physiologist (what a dude...).  He practices what he preaches and is a marathon runner having run 20 marathons around the world including in North Korea. Today we have a great conversation about type 2 diabetes including: Prevalence Pathophysiology and insulin resistance Diagnosis Lifestyle treatment = low calorie programs, ketogenic diets, Mediterranean and whole food plant based approaches, fasting, personalised medicine, movement and briefly sleep/stress Oral medications Initiating insulin He has no conflicts of interest to declare. Enjoy friends!    

Justin Coleman GP MPH is a man of many talents.  He is a GP who works in Aboriginal and Torres Strait Islander health in Brisbane and is a writer who looks sceptically at health interventions where the evidence suggests they might not actually be worthwhile. This is part of his broader interest in the public health concept of equity – fair access to primary health care for everyone. He was President of the Australasian Medical Writers Association (AMWA) from 2010-15. He has published more than a thousand articles in around 40 Australian and international newspapers, magazines and journals. He is the author of four book chapters and three regular newspaper columns. He is also Editor of the Diabetes Management Journal and Senior Lecturer at the University of QLD and Griffith University.  In 2014, Justin founded a campaign which encouraged doctors to avoid seeing visiting pharmaceutical representatives at their surgeries called the No Advertising Please campaign https://drjustincoleman.com/  No conflicts of interest to declare :)   Re: the Ochre rural recruitment drive I mentioned at the beginning:  recruitment@ochrehealth.com.au Regardless = rural medicine rocks = get into it!

Dr Robin Youngson is a physician and anaesthetic specialist in New Zealand, internationally renowned for his leadership promoting compassion in healthcare. He is the CoFounder of ‘Hearts in Healthcare’, a global social movement for health professionals, students, patient activists, health managers and all those passionate about rehumanising healthcare. Robin was a pioneering leader in patient safety and quality improvement, at both the local and national level. He was a founding member of the national Quality Improvement Committee in New Zealand and was the NZ representative on the World Health Organisation International Steering Committee for Patient Safety Solutions. He also helped launch the WHO strategy for ‘People at the Centre of Healthcare’ in 2007. Since 2006, he has been a passionate advocate for human-centered healthcare, compassion and caring.  He is the author of the important book ‘TIME TO CARE – How to love your patients and your job’.   Website and many resources = https://heartsinhealthcare.com/  COI = All proceeds from the sale of "TIME TO CARE" go towards the Hearts in Healthcare movement.   Enjoy Friends

Professor George Jelinek is Professor and Founder of the Neuroepidemiology Unit (NEU) within the Melbourne School of Population and Global Health at The University of Melbourne.  The NEU’s charter is to investigate the modifiable lifestyle risk factors that predict the progression of MS with a view to refining a preventive medicine approach to management of the disease. He was the first Professor of Emergency Medicine in Australasia and Founding Editor of the journal Emergency Medicine Australasia, a MEDLINE-indexed journal that he has edited continuously for nearly 30 years.  After being diagnosed with multiple sclerosis he turned his attention there, and he is currently the Chief Editor in neuroepidemiology for the leading MEDLINE-indexed neurology journal Frontiers in Neurology. Website/book = https://overcomingms.org/  Conflicts of Interest = He receives royalties for the book.   Interested in Lifestyle Medicine? Become a member.  http://lifestylemedicine.org.au/   

Professor Jane Burns is Professor of Innovation and Industry at the University of Sydney. In 2010 she raised $35 million as the founder and CEO of Young and Well CooperativeResearchCentre an organisation that over its five years drove industry focused research and development to explore the role of new and emerging technology in improving wellbeing.  She has a PhD in Medicine from the Faculty of Medicine (Public Health and Epidemiology) University of Adelaide. She was the 2015 Winner, Social Enterprise and Not-For-Profit Award Category, Inaugural Westpac/Financial Review 100 Women of Influence. She has a special interest in disability care, veterans and mental health and how innovative technologies can be integrated into healthcare.  We have a brief yarn discussing online platforms, apps, avatars, biometric devices, virtual reality, AI, personalised medicine implications.  There was so much more to cover but this may stimulate your creative thinking in this space! Some of the mention platforms: https://headtohealth.gov.au/ https://highres.dva.gov.au/highres/#!/home https://www.patientslikeme.com/ https://au.reachout.com/ http://www.c25k.com/  Professor Burns conflicts of interest include:  Chair of VVCS, chair of soldierly and CEO of emotion21    Enjoy Friends