The GP Show

Professor Susan Davis is a National Health and Medical Research Council of Australia Senior Principal Research Fellow, Professor of Women's Health in the School of Public Health and Preventive Medicine, Monash University, Consultant Endocrinologist, President of the International Menopause Society, co-founder of the Jean Hailes Foundation and past President of the Australasian Menopause Society.  Just to name a few! We discuss: Initiating hormone replacement therapy (HRT) Risks and benefits Ceasing HRT Testosterone for women?  Evidence, indications, pros/cons Bioidentical HRT - what is it? evidence, pros, cons Tailored HRT - to bloods/salvia results - evidence? pros/cons?   Good resources   Professor Davis declared conflicts of interest include: Received honoraria from Besins Healthcare, Pfizer and Lawley pharmaceuticals Consultant to Que Oncology and Mayne Pharmaceuticals   Enjoy friends

A/Professor Grant is a Biochemical Pharmacologist in the School of Medical Sciences University of NSW, Clinical Associate Professor at the Sydney Adventist Hospital Clinical School, University of Sydney and Head of the Australasian Research Institute. A/Professor Grant’s research focusses on characterizing, at the molecular level, how lifestyle and environment (e.g. emotional stress, diet and exercise) produce changes in the body’s biochemistry that lead toward either health or disease; including oxidative stress, inflammation and changes in metabolism. A practical goal of this research is identification of early subclinical disease (often linked to accelerated aging) enabling effective intervention before irreparable damage to tissue occurs. A/Professor Grant had no COI to declare. Interested in Lifestyle Medicine?  Check out the Australasian Society of Lifestyle Medicine @ http://lifestylemedicine.org.au/ Enjoy Friends

Dr Pamela Douglas MBBS FRACGP IBCLC PhD is the Medical Director @ Possums Education, www.possumsonline.com, Adjunct Associate Professor of Maternity Newborn and Families Research Collaborative MHIQ @ Griffith University and Senior Lecturer in the Discipline of General Practice @ The University of Queensland.  www.pameladouglas.com.au Today we discuss the concepts of neuroprotective developmental care, the Possums programs for clinicians and parents and the 5 domains of approaching an unsettled infant.  We had lots of technical glitches (cats, dogs, birds, internet etc), just one of those days, but Pamela is as lovely as she is smart, so despite those interruptions - it went well! Enjoy friends

Professor Helena Teede MBBS, PhD, FRACP, FAAHMS is an Endocrinologist at Monash Health, Professor of women's health at Monash Public Health and Medicine, Monash University and the Lead Author of the 2018 "Evidence-based Guideline for the assessment and management of polycystic ovary syndrome (PCOS)".  She is also Director at the National Health and Medical Research Council Centre of Excellence in PCOS, Director at the Monash Centre for Health Research and Implementation (MCHRI) and Executive Director at the Monash Partners Academic Health Sciences Centre. Today we review the latest 2018 PCOS guidelines discussing; prevalence, cause, pathophysiology, diagnostic criteria, other associated symptoms, lifestyle interventions, pharmaceutical treatments, fertility treatments, potential supplements and future treatments and resources for patients and health professionals. A few minor technical glitches due to recording volume, my apologies. Enjoy friends    

Therrie Rosenvald is a psychologist and author of a book called Fight Your Dark Shadow, which has been endorsed by Beyond Blue.  More information can be found at depressionmanaged.com CBT is one of the most evidence based therapies for depression and anxiety.  We discuss the basis of CBT, the cognitive triad, core beliefs, cognitive distortions, automatic cognitive thoughts, the relation between thoughts feelings behaviours and physiology, history taking, principles of treating people with CBT including a few examples of techniques. Further resources: http://www.cci.health.wa.gov.au/ https://www.psychologytools.com/  Christine Padesky "mind over mood" book Judith Beck CBT books Enjoy friends

Dr Louise Welch is a Palliative Care Physician.  We discuss the role of GPs and the Palliative Care team in the end of life, conversations around dying, common bio-psycho-social symptoms and concerns and their brief management, training to be a palliative care doctor and good resources.   Enjoy friends.  

Dr Ken Maguire is a Rheumatologist FRACP, Fellow of the Australian Sports Medicine Federation and Fellow of the Australian College of Sports Physicians. Today we cover a lot of ground, but as always - there is a lot more to cover! - Presenting features of RA - Causes - Brief review of workup and differentials (please note - not a complete list of differentials and workup required) - Lifestyle management - Clinical tips - Medication management And more Enjoy friends.

Professor Alexandra Barratt (MBBS, MPH, PhD) is a Professor of Public Health in the School of Public Health University of Sydney. She has a background in epidemiological research spanning clinical epidemiology and public health epidemiology. She is recognised internationally for her research to quantify the benefits and harms (including overdiagnosis) of cancer screening, particularly breast cancer screening. She is a lead investigator on Wiser Healthcare, an NHMRC funded research collaboration to reduce overdiagnosis and overtreatment in healthcare. Overdiagnosis is one of the biggest drivers of iatrogenic harm, waste and opportunity cost in healthcare and is a serious challenge for citizens, patients and healthcare services around the world. Please note this episode is about SCREENING, not for those with symptoms, or a family history/genetic predisposition. Breast cancer decision making tools/info: https://ses.library.usyd.edu.au/bitstream/2123/16658/1/2017%20updated%20breast%20screening%20DA%20%28Hersch%20et%20al%29.pdf http://www.cochrane.org/CD001877/BREASTCA_screening-for-breast-cancer-with-mammography Enjoy friends

Dr David McIntosh, MBBS, FRACS, PhD, is a Ear Nose Throat Surgeon with a special interest in sleep disorders and airway obstruction.  He is also author of a book called "Snored to Death".   We had a great conversation about sleep and airway obstruction in kids, adults and pregnant women covering;causes of airway obstruction, impacts on cognition/behaviour/physical conditions, history and exam features, misdiagnosis, management and referral.   https://www.facebook.com/snoredtodeath/  Enjoy Friends! 

Jessi Bruns is a Child and Family Dietitian with a special interest in working with children with feeding difficulties and food aversions. Today we have a yarn about general principles in picky eaters including food aversions, removing stigma around food, overweight children, language, environment and tips around food, and further resources. Enjoy friends www.kidsdigfood.com.au