Dr Rachel David is the CEO of Private Healthcare Australia, the private health insurance industry’s peak representative body that currently has 22 registered health funds throughout Australia and collectively represents 98% of people covered by private health insurance. Dr David was a medical adviser to the Federal Minister for Health between 1996 and 2000, and subsequently held senior positions with CSL Ltd and McKinsey & Company before taking up her current post in 2015.

...

Interested in addressing the lifestyle and social determinants of chronic disease and wellbeing?  Check out the JCU postgraduate courses: Grad Cert, Grad Diploma, and Master in Lifestyle Medicine including social prescribing, health coaching and implementation science.

Our 3 week online microcredential in Lifestyle Medicine and Mental Health: Life and Mind available here.  

If you find this podcast valuable then subscribing, sharing, rating it 5 stars and leaving a review is appreciated.

If you would like to send in feedback or request a topic, please contact me via thegpshow.com 

Thank you for listening and your support.

Dr Mark Horowitz is a training psychiatrist, split between UK and Australia, working in London as a Clinical Research Fellow in the NHS and an Honorary Clinical Research Fellow at University College London. He has completed a PhD in the neurobiology of depression and the pharmacology of antidepressants at the Institute of Psychiatry, Psychology and Neuroscience at King’s College London and for this received two prizes from the British Association of Psychopharmacology. He is also the lead author of the recently published Maudsley Deprescribing Guidelines, a handbook on how to safely stop psychiatric drugs.

AJGP article Antidepressant prescribing in general practice: A call to action

Royal College of Psychiatrists "Stopping anti-depressants" guidance

YouTube video for patients

NICE guidelines: Depression in Adults Treatment and Management

...

Interested in addressing the lifestyle and social determinants of illness and wellbeing?  Check out the JCU postgraduate courses: Grad Cert, Grad Diploma, and Master in Lifestyle Medicine including social prescribing, health coaching and implementation science.

Our 3 week online microcredential in Lifestyle Medicine and Mental Health: Life and Mind available here.  

If you find this podcast valuable then subscribing, sharing, rating it 5 stars and leaving a review is appreciated.

If you would like to send in feedback or request a topic, please contact me via thegpshow.com 

Thank you for listening and your support.

Professor Julia Rucklidge is a Professor of Clinical Psychology in the School of Psychology, Speech and Hearing at the University of Canterbury and the Director of Te Puna Toiora, the Mental Health and Nutrition Research Lab.  Professor Rucklidge has been researching the interface of nutrition and mental health for 20 years and has published over 150 empirical papers.  Julia is also the recipient of numerous local and international awards and her TEDx talk, ’The surprisingly dramatic role of nutrition in mental health’ has been viewed close to 5 million times, and in 2021 co-authored a book, The Better Brain: Overcome Anxiety, Combat Depression, and Reduce ADHD and Stress with Nutrition.  Her online course is free and available here: University of Canterbury: Mental Health and Nutrition.

Interested in studying clinical and academic lifestyle medicine, health coaching and new models of care in health and wellbeing?  Check out the JCU postgraduate courses: Grad Cert, Grad Diploma, and Master. 

If you find this podcast valuable then subscribing, sharing, rating it 5 stars and leaving a review is appreciated.

If you would like to send in your thoughts, insights, opinions, provide feedback or request a topic, please contact me via thegpshow.com 

Thank you for listening and your support.

Today I talk about a crucially important topic: taking care of yourselves.  This is perhaps more important now than ever before.  As health professionals we are almost conditioned to put other peoples health before our own, and whilst we must continue to care for others to the best of our abilities, we must also care for ourselves.  For without us in this current scenario, no one will be well.

Resources for all areas of lifestyle from food, movement, sleep, stress management, mental health, wellbeing are available on my website http://thegpshow.com/.

I hope this is of use to you.

Today is just me covering an overview of COVID19.  I certainly did not expect episode 100 to be about a new viral pandemic!  But there you have it.  Part 2 will be about self-care in these challenging times.

Today I am covering:

- COVID19 overview: Case fatality rate, symptoms, risk factors, spread, potential treatments

- Public health control: Testing options, Isolation impact

- Private Practice changes

- Community presence and support as health professionals

- Resources are available at http://thegpshow.com/

Stay well friends.

Dr Eli Dabscheck is a respiratory and sleep physician, Department of Allergy, Immunology and Respiratory Medicine at the Alfred Hospital, Melbourne, Victoria.  He holds an adjunct position at Monash University and is the Deputy Chair of the current Chronic Obstructive Pulmonary Disease (COPD) Guidelines Committee.

Today we are discussing the latest COPD-X guidelines, with a focus on the "COP"; confirming the diagnosis, optimising function and preventing deterioration.  

This podcast is available on all podcast apps, Spotify and online.

If you find these podcasts valuable, rating it 5 stars and leaving a review in iTunes or Facebook is a huge help.

For more podcasts and resources for both health professionals and patients including websites, courses, apps, books and more, please check out www.thegpshow.com

You can join The GP Show Podcast Facebook page here.

If you would like to provide feedback or request a topic you can contact us or complete a quick survey here.

Thank you for listening and supporting.

Dr Petra Skeffington is a clinical psychologist at the Cygnet Clinic in Perth.  She has a PhD from Curtin University and a Masters Certificate in Global Mental Health: Trauma and Recovery from Harvard Medical School.  She is the Western Australian State Chair for the Australian Psychological Society (APS) College of Clinical Psychologists, and Head of Psychology, Exercise Science, Chiropractic and Counselling (PESCC) at Murdoch University in Western Australia. 

Today we are discussing trauma and PTSD.  Please note this episode includes content of trauma and may be triggering for some people.

Dr Petra is speaking at the upcoming APS Clinical Psychologists Conference "Complexity in Practice" in Brisbane May 15-17. 

If you find these podcasts valuable, rating it 5 stars and leaving a review in iTunes or Facebook is a huge help.

For more podcasts and resources for both health professionals and patients including websites, courses, apps, books and more, please check out www.thegpshow.com

You can join The GP Show Podcast Facebook page here.

If you would like to provide feedback or request a topic you can contact us or complete a quick survey here.

Thank you for listening and supporting.

Joel Salatin has been called "America's best farmer" by Time magazine.  He is a self-described Christian libertarian environmentalist capitalist lunatic farmer (his words, not mine!).  He runs Polyface Farms and has helped develop the movement of regenerative agriculture, written 12 books, done multiple TED and TEDMED talks, featured in Michael Pollan's bestselling book The Omnivores Dilemma and multiple award-winning documentaries like Food Inc, and he is the Editor of The Stockman Grass Farmer.

Today we talk about the symbiotic connection between the land, soil, animals and our health. 

More info at www.polyfacefarms.com

Joel Salatin's TED talk (one of them): https://www.youtube.com/watch?v=4Z75A_JMBx4

A different regenerative agriculture method called agroforestry by Ernst Gotsch that is not dependent on animals (this is a beautiful short film) https://www.youtube.com/watch?v=gSPNRu4ZPvE&vl=en

If you find these podcasts valuable, rating it 5 stars and leaving a review in iTunes or Facebook is a huge help.

For more podcasts and resources for both health professionals and patients including websites, courses, apps, books and more, please check out www.thegpshow.com

You can join The GP Show Podcast Facebook page here.

If you would like to provide feedback or request a topic you can contact us or complete a quick survey here.

Thank you for listening and supporting.

Dr Frank Meumann is a GP with 40 years’ experience and a senior medical educator with General Practice Training Tasmania. He received the 2010 GPET Medical Educator of the Year award for excellence in GP registrar training, and he is the past president of the Balint Society of Australia and New Zealand.

Today we cover an important but often overlooked topic - health professionals reconnecting and supporting each to manage the often difficult natures of our/their jobs, improving doctor-patient relationships and enhancing self-reflection and communication skills.  this seems particularly relevant to the current bushfire and drought crisis in Australia.  One well-established format is Balint Groups, and more can be found here; https://www.balintaustralianewzealand.org/

Book mentioned in the podcast = "Skills for Communicating with Patients, 3rd Edition", Jonathan Silverman, Suzanne Kurtz, Juliet Draper

If you find these podcasts valuable, rating it 5 stars and leaving a review in iTunes or Facebook is a huge help.  

For more podcasts and resources for both health professionals and patients including websites, handouts, courses, apps, books and more, please check out www.thegpshow.com 

You can join The GP Show Podcast Facebook page here.

If you would like to provide feedback or request a topic you can contact us or complete a quick survey here. 

Thank you for listening and supporting.

Dr Guy Leschziner is a consultant neurologist at London Bridge Hospital, the Cromwell Hospital and within the Department of Neurology and Sleep Disorders Centre at Guy's and St Thomas' Hospitals. He is the clinical lead for the Sleep Disorders Centre, Guy's Hospital, one of Europe's largest sleep units. He has presented a three-part series on BBC Radio 4 and BBC World Service on the brain and sleep - "Mysteries of Sleep" and filmed "The Secrets of Sleep" for Channel 4 Television. 

Today we discuss his most excellent recent book "The Nocturnal Brain: Nightmares, Neuroscience and the Secret World of Sleep".

Website - http://www.guyleschziner.com

More resources including apps, assessment tools etc at www.thegpshow.com under "Sleep"

Rating 5 stars in iTunes and leaving a positive review is very helpful and much appreciated.

Enjoy friends,

Professor Amanda Barnard is a GP, member of the National Asthma Council Board and Chair of the Australian Asthma Handbook guideline committee, Australia's national guidelines for asthma management.  She is interim head of the School of Rural Medicine, a Charles Sturt University and Western Sydney University joint program in medicine.  She has written and researched widely and is currently a member of the General Practice Advisory Group for the Lung Foundation Australia. An awarded teacher and educator, Amanda currently serves on a number of state and national bodies with education, training, rural workforce and health system briefs.

Australian Asthma Handbook = www.asthmahandbook.org.au

"How-to use" inhalers educational videos = https://www.nationalasthma.org.au/living-with-asthma/how-to-videos

Contents:

1. Review and management of wheezing and asthma in children from 0-12 years
2. Definitions of good vs poor control
3. How often to review
4. Reducing medications
5. General principles of asthma management
6. Referring and resources

Enjoy friends

Dr Greg Rowles is a General Practitioner from Riddells Creek in rural Victoria, and a member of an Expert Group which developed and reviewed Version 16 of the Antibiotic Guidelines.

Today we discuss:

• Antibiotic stewardship and practical GP considerations in antibiotic prescribing including shared decision making, penicillin hypersensitivity, paediatric recommendations etc
• Ear nose throat: Acute otitis media and tonsillitis update
• Respiratory: Community-acquired pneumonia update
• Genitourinary: UTI and STI update
• GIT: Diverticulitis and parasite update
• Dermatology: Cellulitis, bite wounds, diabetic foot infection

And tangential questions in-between!

Conflict of interest: Dr Rowles is obviously associated with the Therapeutic Guidelines.  However, there are no conflicts of interest for myself/The GP Show podcast.   I did NOT receive any financial payment for this episode.  

Enjoy friends.

Professor Sir Michael Marmot is Professor of Epidemiology at University College London, Director of the UCL Institute of Health Equity, and Past President of the World Medical Association.

He is the author of The Health Gap: the challenge of an unequal world (Bloomsbury: 2015) and Status Syndrome: how your place on the social gradient directly affects your health (Bloomsbury: 2004).  Professor Marmot holds the Harvard Lown Professorship for 2014-2017 and is the recipient of the Prince Mahidol Award for Public Health 2015. He has been awarded honorary doctorates from 18 universities.

Professor Marmot has led research groups on health inequalities for over 40 years. He chairs the Commission on Equity and Health Inequalities in the Americas, set up in 2015 by the World Health Organizations’ Pan-American Health Organization (PAHO/ WHO).  He was Chair of the Commission on Social Determinants of Health (CSDH), which was set up by the World Health Organization in 2005, and produced the report entitled: ‘Closing the Gap in a Generation’ in August 2008. Professor Marmot served as President of the British Medical Association (BMA) in 2010-2011, and is President of the British Lung Foundation. 

In 2000 he was knighted by Her Majesty The Queen, for services to epidemiology and the understanding of health inequalities.

Today we discuss his 2015 book The Health Gap: the challenge of an unequal world, available at Bloomsbury - https://www.bloomsbury.com/uk/the-health-gap-9781408857991/

Dr Louise Tulloh, sports physician, has been practicing sport and exercise medicine for over 20 years and is currently working at North Sydney Sports Medicine.  Louise is the immediate Past-President of the Australasian College of Sport & Exercise Physicians (ACSEP), and has worked with multiple national sports teams and sporting events.

...

Interested in studying clinical and academic lifestyle medicine, health coaching and new models of care in health and wellbeing?  Check out the JCU postgraduate courses: Grad Cert, Grad Diploma, and Master. 

If you find this podcast valuable then subscribing, sharing, rating it 5 stars and leaving a review is appreciated.

If you would like to send in your thoughts, insights, opinions, provide feedback or request a topic, please contact me via thegpshow.com 

Thank you for listening and your support.

This episode is to supplement my interview with Dr David Unwin and is just with me reviewing and discussing some areas in more detail that David and I ran out of time to cover, including:

• Pathophysiology of DMT2 and different dietary considerations
• Environmental and farming practices
• Ending the Diet Wars

Some further reading for those that want it:

Environmental considerations: https://www.lifestylemedicine.org.au/content/is-the-path-to-health-the-same-path-to-environmental-sustainability/

Nutrition: Principles Before Position Part 3: The externalities of our food choices https://thegpshow.com/musings/pntpart3/ 

University of Oxford Grazed and Confused report: https://www.oxfordmartin.ox.ac.uk/downloads/reports/fcrn_gnc_report.pdf 

UK Sustainable Food Trust: https://sustainablefoodtrust.org/articles/grazed-and-confused-an-initial-response-from-the-sustainable-food-trust/

EAT Lancet: https://eatforum.org/ and https://www.thelancet.com/journals/lanplh/article/PIIS2542-5196(20)30055-3/fulltext 

2019 Nutrition Therapy for Adults With Diabetes or Prediabetes: A Consensus Report from the American Diabetes Association https://care.diabetesjournals.org/content/diacare/early/2019/04/10/dci19-0014.full.pdf

Diabetes Australia position statement on low carb approaches https://static.diabetesaustralia.com.au/s/fileassets/diabetes-australia/dbd70857-a834-45b0-b6f1-ea2582bbe5c7.pdf

Metabolic ward studies/randomised controlled feeding studies on various dietary composition:

https://www.ncbi.nlm.nih.gov/pubmed/29844096

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4951141/

Other paper on dietary composition: https://jim.bmj.com/content/65/8/1102

Five Stages of Evolving Beta-Cell Dysfunction During Progression to Diabetes https://diabetes.diabetesjournals.org/content/53/suppl_3/S16

Combination of saturated fats with high GI carbs causing further disease that saturated fats alone in "Saturated fat, carbohydrates and cardiovascular disease", 2011 https://www.ncbi.nlm.nih.gov/pubmed/21978979

Insulinogenic response of foods https://www.ncbi.nlm.nih.gov/pubmed/9356547

Personalized Nutrition by Prediction of Glycemic Responses https://www.ncbi.nlm.nih.gov/pubmed/26590418

Dietary carbohydrate intake and mortality: a prospective cohort study and meta-analysis (observational) https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(18)30135-X/fulltext

High/low animal protein diets and CVD:

https://www.ncbi.nlm.nih.gov/pubmed/11108325

Dr Ornish Lifestyle Heart Disease Reversal study https://www.ncbi.nlm.nih.gov/pubmed/9863851

Other potentials for low carb approaches:

The Therapeutic Potential of Ketogenic Diet Throughout Life: Focus on Metabolic, Neurodevelopmental and Neurodegenerative Disorders, 2019, Professor Sarnyai et al  https://www.ncbi.nlm.nih.gov/pubmed/31493223

Adherence to diets: 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4302176/

https://pubmed.ncbi.nlm.nih.gov/29522789/ 

https://www.mdpi.com/2072-6643/12/5/1251 

Enjoy friends

Dr David Unwin is a GP based in the UK.  He is a Royal College of General Practitioners (RCGP) clinical expert in diabetes, RCGP National Champion for Collaborative Care and Support Planning in Obesity & Diabetes, Ambassador for the All Party Parliamentary Group on Diabetes, Founder member of The Public Health Collaboration Senior Collaborator NNEdPro at Cambridge (Need for Nutrition Education / Innovation Programme) and NHS Innovator of the year 2016.  He has published multiple times on his low carb cohort and in 2017/18 his practice saved £57,000 on drugs for type 2 diabetes, hypertension and other conditions by offering patients a dietary alternative to medications.

Today we discuss Low Carb for Diabetes.  

References:

2019 Nutrition Therapy for Adults With Diabetes or Prediabetes: A Consensus Report from the American Diabetes Association https://care.diabetesjournals.org/content/diacare/early/2019/04/10/dci19-0014.full.pdf

Diabetes Australia position statement on "Low carbohydrate eating for people with diabetes" https://static.diabetesaustralia.com.au/s/fileassets/diabetes-australia/dbd70857-a834-45b0-b6f1-ea2582bbe5c7.pdf

Part 2 will follow this with just me following up on a few points.

Enjoy friends.

Professor Gregory Phillips is the CEO of Abstarr consulting and Professor of First People’s Health in the School of Medicine at Griffith University.  Gregory is from the Waanyi and Jaru Aboriginal Australian peoples and comes from Cloncurry and Mount Isa. He is a leading change maker, thought leader and medical anthropologist.  He developed an accredited Indigenous health curriculum for all medical schools in Australia and New Zealand, founded the Leaders in Indigenous Medical Education (LIME) Network, and co-wrote a national Indigenous health workforce strategy. He established the Aboriginal and Torres Strait Islander Healing Foundation Ltd in the wake of the federal apology to Indigenous Australians, has advised federal ministers on Indigenous health inequality and was honoured in 2011 with an ADC Australian Leadership Forum Award. 

More info at:

http://abstarr.com/

https://www.limenetwork.net.au/

Today we discuss Aboriginal and Torres Strait Islander (ATSI) knowledge in the context of modern healthcare.  

1. The context of history and its impact on ongoing health factors in ATSI peoples
2. Some of the challenges and frustrations faced by ATSI people in healthcare, and in particular the prevalence and impact of unconscious bias/racial bias
3. Positive examples that we can learn about and the resilience and strength demonstrated
4. The differences in approaches to healthcare
5. What is cultural safety?
6. What aspects and values of Aboriginal culture can the health system learn from, adopt and apply?
7. In a clinical setting, how can we change our approach to work with Aboriginal people?  
8. Ongoing resources

Apologies for the less than ideal sound quality (mostly when I am talking) as we had to use a backup recording software.

Enjoy Friends

Dr Joseph Firth completed his PhD at The University of Manchester in the United Kingdom. His initial research projects investigated the physiological and psychological effects of physical activity in young people with mental illness. Since then, his research has expanded to cover multiple aspects of health behaviours (including physical activity, sedentary behaviour, sleep, technology and diet) and the interaction this has with mental illness and brain health - particularly in young people. Dr Firth has published over 100 peer-reviewed articles in leading medical journals and recently headed The Lancet Psychiatry Commission on a blueprint for protecting physical health in people with mental illness.

Full commission: https://www.thelancet.com/commissions/physical-health-in-mental-illness

There are no conflicts of interest to declare.

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 migraines, including:

• Prevalence
• Pathophysiology and risk factors
• Types of migraines 
• Diagnostic features
• Role of investigations
• Management = Acute, lifestyle, prophylaxis including new medications like Erenumab 
• Botox
• Future treatments on the horizon
• Resources for therapists

Some info on biofeedback, relaxation for those interested = https://headaches.org/resources/

Good mindfulness apps = Smiling Minds, Headspace

There are no conflicts of interest to declare.

Enjoy friends.

Dr John Sykes is a GP in Sydney, trained in the UK, a certified nutritionist with Mac-Nutrition Universal and a Trustee and Director of the British Society of Lifestyle Medicine.

Today we discuss physical activity vs sedentary behaviour.

Moving Medicine – a useful resource for clinicians that gives advice on how to discuss exercise for several different medical conditions: https://movingmedicine.ac.uk

Parkrun – Information about the volunteer-led association of Parkrun and how to get involved: https://www.parkrun.com

International Obesity Conference October 16-18 via ANZOS-ASLM-ICCR mentioned at the beginning of the podcast:

http://anzos-aslm-iccr.org/

David Katz Lifestyle Medicine Masterclass October 19:

http://anzos-aslm-iccr.org/post-conference-masterclass-with-dr-david-katz/

Podcast with Dr David Katz "The Truth About Food" - http://thegpshow.libsyn.com/the-truth-about-food-with-dr-david-katz-md

Use the code "thegpshow" when becoming a member of ASLM and the first year is only $110.  

https://www.lifestylemedicine.org.au

Enjoy Friends.

Professor Craig Pennell is Chair in Obstetrics and Gynaecology and Professor in Maternal-Fetal Medicine at the University of Newcastle (John Hunter Hospital). He is also a senior researcher at Hunter Medical Research Institute HMRI in the Mothers and Babies Research Centre within the Priority Research Centre in Reproductive Health and Chair of the National Scientific Advisory Group of Red Nose.   His research can best be categorised into personalised medicine in perinatal health and the developmental origins of health and disease. His research is focussed on the use of genetics and genomics to predict and prevent preterm birth and non-communicable diseases.  Over his research career, he has written more than 200 papers with 4 in Nature, 19 in Nature Genetics and 5 in Nature Communications.

Today we discuss the Developmental Origins of Health and Disease (DOHaD).

Further resources:

1. https://dohadsoc.org/
2. DOHaD 2019 conference October 20-23 Melbourne = https://dohadsoc.org/dohad-world-congress/
3. Patients: https://thousanddays.org
4. www.telethonkids.org.au
5. https://www.telethonkids.org.au/information-for/parents-and-families/

Further episodes at www.facebook.com/thegpshow.podcast

Rating the podcast 5 stars and leaving a review in iTunes is a great help.

Enjoy Friends

Dr Melita Cullen is a GP who has a special interest in paediatrics and the NDIS. She also has 2 children utilising the NDIS so has both professional and personal knowledge and insight into this process.  

Today we discuss the National Disability Insurance Scheme (NDIS) including:

1. What is the NDIS and who is eligible?
2. What are the funding packages and what can participants use them on and not use them on? How much can they receive? 
3. Who is controlling what the person is allocated and how/where it is used?
4. What is the process for people applying for the NDIS?
5. What is this process like for people (first-hand experience)
6. How do GPs and health professionals complete a form successfully? 
7. How much evidence do we need?
8. Are there adult and paediatric functional assessment tools?
9. Are there templates we can use?
10. What is the Early Childhood Early Intervention (ECEI)?
11. Are GPs renumerated for it? (short answer - yes if the patient in consult with you based on time) 
12. Can we appeal the decision made?
13. Are there regular reviews and how long does it continue for?
14. What resources are available to help health professionals complete these?  

Resources:

Dr Melita Cullen's paediatric functional assessment form (also relevant parts for adults as well) = https://drive.google.com/file/d/1BKlAJD5fRMkRCbXB7eVXHLi8-zKPnpOY/view?usp=sharing 

PHN (this the best one I can find as it has examples/templates of functional impairments from page 16 of the document [or 23/60 of the pdf]) http://www.brisbanenorthphn.org.au/content/Document/BNPHN_Understanding_Your_Role_NDIS_GP_Toolkit_May2018_FINAL_WEB.pdf

RACGP NDIS booklet - (you may need to login to the RACGP website) https://www.racgp.org.au/running-a-practice/practice-resources/general-practice-guides/ndis-information-for-general-practitioners

NDIS - https://www.ndis.gov.au/applying-access-ndis/how-apply/information-gps-and-health-professionals

Further episodes at www.facebook.com/thegpshow.podcast

Rating the podcast 5 stars and leaving a review in iTunes is a great help.

Enjoy Friends

Professor Hay is an academic psychiatrist who is recognised internationally for her expertise in reducing the personal and public health burden of eating disorders and obesity. She has over 200 peer-reviewed publications, written and co-edited several books, and has won several awards, notably the 2015 Australian and New Zealand Academy Lifetime Achievement award. In 2013 she was elected Fellow of the International Academy for Eating Disorders. She is the founding Editor-in-Chief of the first online journal in her research area Journal of Eating Disorders. She is a past-President of the Australian Academy for Eating Disorders.

Today we discuss binge eating disorders (BEDs) and their relevance to obesity.

• How do we define BEDs?
• How common is it?
• Are there subtypes and diagnostic criteria?
• What are the signs and symptoms of BED?
• What are the causes and risk factors?  
• What are the treatment options?
• Resources for patients and therapists

Resources:

Patients: Butterfly Foundation with a national helpline = https://thebutterflyfoundation.org.au/

Resources for health professionals:

CCI = https://www.cci.health.wa.gov.au/Resources/Looking-After-Yourself/Disordered-Eating

National Eating Disorder Collaboration = nedc.com.au

Overview basic guideline = nedc.com.au/research-and-resources/show/mental-health-first-aid-eating-disorders-first-aid-guidelines 

There are no conflicts of interest to declare.

More episodes @ www.facebook.com/thegpshow.podcast/

Enjoy friends

Dr John Stevens is a health sociologist and Associate Professor in the School of Health and Human Sciences at Southern Cross University (SCU). He is also a Registered Nurse and the director of a number of companies engaged in health education and research, working closely with Primary Health Networks. In the past, John has been Head of the School of Nursing and Health Practices, the Director of Post Graduate studies (which included the first ever Master’s Award in Lifestyle Medicine) and Director of Professional Development and Enterprise, at SCU. John was a founding member of the Australasian Society of Lifestyle Medicine and has pioneered research and clinical practice in Shared Medical Appointments (SMAs), which we discuss today.

Apologies for some glitches in the audio - issues with the primary recording software so I had to use the "plan B" software which is never as good.

More info @ https://www.lifestylemedicine.org.au/shared-medical-appointments

Articles:

https://www.racgp.org.au/afp/2014/march/shared-medical-appointments/

https://www1.racgp.org.au/ajgp/2018/january-february/programmed-shared-medical-appointments-(1)

A great example of SMAs in mother and infant health: https://possumsonline.com/programs/shared-medical-appointments

Conflict of interest: John receives payments for the teaching of some SMA programs.

Further episodes at www.facebook.com/thegpshow.podcast 

Available on all podcast apps

Rating the podcast 5 stars and leaving a positive review in iTunes is a great help and much appreciated.

Enjoy Friends 

Dr Judy Lovas has a PhD from the Faculty of Medicine at the University of Sydney and a background in psychology, tertiary education, massage therapy, research and clinical practice.  Judy’s interest in health science and her passion for high quality education brought her to create Art & Science of Relaxation in 2010.

University of Sydney Psychoneuroimmunology-based Relaxation Therapy online course

Monday, 09 October 2023 to Wednesday, 01 November 2023

Details about our JCU lifestyle medicine and health coaching masterclass on October 7/8 in Brisbane can be found here.  Available for all health professionals, with CPD for most included. 

Interested in studying lifestyle medicine, health coaching and new models of care in health and wellbeing?  Check out the JCU postgraduate courses: Grad Cert, Grad Diploma, and Master. 

If you find this podcast valuable then subscribing, sharing, rating it 5 stars and leaving a review is appreciated.

If you would like to send in your thoughts, insights, opinions, provide feedback or request a topic, please contact me via thegpshow.com 

Thank you for listening and your support.

Kim Poyner is a practice nurse, health coach and previously an ICU nurse.  She is the Founder of MediCoach and the winner of the 2015 APNA Best Practice Award in Nursing for Chronic Disease Management.  Simon Matthews is a psychologist and fitness coach with a special interest in behaviour change and lifestyle interventions.  He is also CEO of WellCoaches Australia.

This episode is by demand as many people contacted us after my first episode with Kim asking for advice on how to put health coaching into practice.

Previous episode on Health Coaching = http://thegpshow.libsyn.com/health-coaching-and-behaviour-change-with-kim-poyner-practice-nurse-and-health-coach

http://medicoach.com.au/

https://wellcoachesschool.com/

Behaviour Change Agent Program Dates 2019:
Melbourne 13 September 2019,
Sydney 20 September 2019,
Brisbane 11 October 2019,
Auckland NZ 18 October 2019

via - wellcoachesaustralia.com.au/ 

 Conflicts of interest: Kim owns medicoach and Simon is the CEO of Wellcoaches Australia and hence receive payment for their work in training.

More episodes @ www.facebook.com/thegpshow.podcast 

Rating 5 stars +/- a review on iTunes is a great help.

Enjoy Friends

Liz Turnbull is a solicitor for the Illawarra Legal Centre and on the Social Security Rights Network.  Today we discuss the disability support pension and what health professionals can do to support their patients.

1. What is the DSP and how much is it?
2. Carers allowance vs carers payment
3. What are the requirements of the DSP?  
4. For health problems - how does one qualify for the DSP?
5. What constitutes as enough evidence for the points system?
6. What should be in letters from GPs and health professionals?  
7. Can people work on the DSP?
8. What is the process and timeline for lodging a DSP? 
9. How long until it is reviewed?
10. Can people appeal the decision?

Social Security Rights Network factsheets (see DSP): http://www.nssrn.org.au/factsheets/, http://www.nssrn.org.au/wp/wp-content/uploads/2017/02/Disability-Support-Pension.pdf

Impairment tables:

https://www.dss.gov.au/sites/default/files/documents/05_2012/dsp_impairment_final_tables.pdf

More episodes @ www.facebook.com/thegpshow.podcast

As always – rating this podcast 5 stars and leaving a positive review in iTunes is hugely appreciated.

Enjoy friends.

Dr Tim Sharp (aka Dr Happy) has three degrees in psychology, including a PhD. He is an Adjunct Professor in Positive Psychology within the School of Management, Faculty of Business at the University of Technology Sydney as well as an Adjunct Professor in the School of Health Sciences, RMIT. He is the founder & CHO (Chief Happiness Officer) of The Happiness Institute, Australia’s first organisation devoted solely to enhancing happiness in individuals, families and organisations.  He is also a writer and podcaster with book titles including "The Happiness Handbook”, “100 Ways to Happiness: a guide for busy people” and “100 Ways to Happy Children: a guide for busy parents”. He has consulted for Twitter, Ernst & Young, Telstra, Westpac and many more. 

www.drhappy.com.au  

www.facebook.com/TheHappinessInstitute/ 

Today we discuss positive psychology.

Enjoy Friends.

Professor Michael Kidd is an Honorary Professor of Global Primary Care with the Southgate Institute for Health, Society and Equity at Flinders University.  He is now Professor and Chair of the Department of Family and Community Medicine at the University of Toronto in Canada, and Director of the new World Health Organization Collaborating Centre in Family Medicine and Primary Care.   He has over 30 years experience as a General Practitioner working in inner city, rural and remote practices with special interests in the care of people with HIV, mental health and Indigenous Health. He was the Executive Dean of the Faculty of Medicine, Nursing and Health Sciences at Flinders University. He is a past president of the World Organization of Family Doctors (WONCA) and past President of the Royal Australian College of General Practitioners (RACGP).  

His latest book "Every Doctor" with Leanne Rowe can be found here:

https://www.amazon.com/Every-Doctor-Healthier-Patients-Medicine/dp/1138497851

Today we discuss his two books "First: Do No Harm" and "Every Doctor", the concepts of self-care, the carers paradox, how we can develop the relationships with ourselves, our family and our work, and some of the principles and foundations of resilience. And there are a few tangents as well.

Enjoy Friends

Dr Marita Long is a GP and GP clinical educator for Dementia Training Australia.  Before being a GP she was a paediatric and maternal health nurse for 20 years - what an excellent mix!

Today we discuss diagnosing dementia.  This episode is a taster to some of the workshops Dr Long and Dr Hilton Koppe run, in particular with two PHN workshops on June 8th (Brisbane North) and June 11th (Gold Coast) coming up soon.

Brisbane - https://www.brisbanenorthphn.org.au/page/news-and-events/events/upcoming/recognising-diagnosing-and-managing-dementia-in-general-practice/

Gold Coast - https://www.healthygc.com.au/Events/4109.aspx

Today we discuss:

- Why we need to discuss dementia

- Early signs

- Inclusion and exclusion criteria

- Screening tools

- Tests for reversible causes

- Implications for carers

- Resources for clinicians and patients

Further resources below.

As always rating the podcast 5 stars in iTunes and leaving a review is a great help.

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Courses and education resources: 

Wicking Dementia Research and Education Centre - Understanding Dementia MOOC

https://www.utas.edu.au/wicking/understanding-dementia 

 Wicking Dementia Research and Education Centre - Preventing Dementia MOOC

http://www.utas.edu.au/wicking/preventing-dementia

Dementia Training Australia online courses 

https://www.dta.com.au/online-dementia-courses/  

GP Supervisors Australia

Webinars (3) on diagnosing dementia, managing dementia and advanced (Stage 3) dementia

(NB Search through archive listing at bottom of page in link below)

https://gpsupervisorsaustralia.org.au/webinars/ 

Teaching plans for GP supervisors to use with their registrars

(NB Enter term Dementia into search function to find teaching plans on dementia)

https://gpsupervisorsaustralia.org.au/teaching-plans/ 

Dementia Australia

 Providing support, information and services for people living with dementia, carers, family and health professionals

 National Dementia Helpline – 1800100500

https://www.dementia.org.au/ 

Professor David Hunter is a rheumatology clinician-researcher whose main research focus has been clinical and translational research in osteoarthritis (OA). He is the Florance and Cope Chair of Rheumatology and Professor of Medicine at the University of Sydney and the Royal North Shore Hospital and Consultant Rheumatologist at North Sydney Orthopaedic and Sports Medicine Centre. He is ranked as the world’s leading expert in osteoarthritis on Expertscape.com since 2014. He is on the editorial board for Arthritis and Rheumatology, Osteoarthritis and Cartilage, Arthritis Care and Research and part of the review committee for OA for the American College of Rheumatology, EULAR and OARSI scientific meetings. Dr Hunter has over 400 peer-reviewed publications in international journals, numerous book chapters, is the section editor for UpToDate Osteoarthritis and has co-authored a number of books.  He is also Co-Chair of the recent RACGP Osteoarthritis guidelines. 

This was a thoroughly enjoyable and informative discussion around osteoarthritis pathophysiology, imaging, prevention and treatment.  There was a bit of mic rustling when David speaks but this stops at ~11:25mins (to be exact!).

Resources mentioned:

Patient program - https://www.myjointpain.org.au/

RACGP guidelines = 2018 Royal Australian College of GPs Guidelines: https://www.racgp.org.au/your-practice/guidelines/musculoskeletal/hipandkneeosteoarthritis/

Warm up programs to prevent injuries:

PEP: https://www.aclstudygroup.com/pdf/pep-program.pdf

FIFA 11 training:

Shorter version - https://www.tmphysio.com/wp-content/uploads/2017/08/FIFA-11-_Poster_EN_Druck_2015.compressed.pdf

Longer version - https://www.kort.com/uploadedFiles/KORT/Content/Services/Sports_Medicine/Concussion_Management/FIFA-the-11-Booklet.pdf

Other resources:

Some published references:

• Clinical algorithms to aid osteoarthritis guideline dissemination. Osteoarthritis Cartilage. 2016 Sep;24(9):1487-99.
• Osteoarthritis: Models for appropriate care across the disease continuum. Best Pract Res Clin Rheumatol. 2016 Jun;30(3):503-535.
• Therapy: Are you managing osteoarthritis appropriately? Nat Rev Rheumatol. 2017 Dec;13(12):703-704.
• Lower extremity osteoarthritis: optimising musculoskeletal health is a growing global concern: a narrative review. Br J Sports Med. 2018 Jul 20.

Multimedia options:

• Annual Florey Public Lecture: https://www.youtube.com/watch?v=vY__ApcQOOc
• Article author Professor David Hunterdiscussed appropriate osteoarthritis management. Short video:https://vimeo.com/108976519
• Podcast from Radio National Health Report: Everything you ever wanted to know about osteoarthritis:https://www.abc.net.au/radionational/programs/healthreport/everything-you-ever-wanted-to-know-about-osteoarthritis/8664218

An online electronic educations module for RACGP for CPD points:

https://www.racgp.org.au/education/courses/activitylist/activity/?id=54640&q=keywords%3dosteoarthritis%26triennium%3d17-19

As always – rating this podcast 5 stars and leaving a review in iTunes is great help.

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Terry Swanson is a Nurse Practitioner specialist in Wound Management, Service Provider for South West Healthcare Wound Management Services and Vice Chair of the International Wound Infection Institute.  In short - a guru of wound management!

Today we discuss the new Therapeutic Guidelines "Ulcer and Wound Management".  https://www.tg.org.au/

1. General principles when approaching a wound

2. History to consider in healing 

3. Examination of a wound and investigations

4. Aims of ulcer and wound management

5. Dressing types and principles

6. Specific wound management - arterial, pressure, venous, infected, hypergranulation, wet, dry etc etc 

More resources at the International Wound Infection Institute - http://www.woundinfection-institute.com/

Conflicts of Interest: Terry received an honorarium for her time (not from me!) and advises on various wound products. In all her correspondence she ensures the following is clear "Due to my affiliations with companies and organisations nationally and internationally there may be a perceived or actual conflict of interest.  These conflicts will be managed in the public’s best interests."

Thanks all, rating 5 stars in iTunes is a great help +/- a review for this free resource.

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Dr Peter Tenni is widely recognised as one of Australia's leading clinical pharmacy practitioners and trainers with over 40 years’ experience. He is a clinical senior lecturer at the University of Tasmania, a Director of Medscope and Director of Consultant Pharmacy Services.  He is the lead author of the deprescribing guides from the PHN Primary Health Tasmania which we are going to discuss today and will be updated on the website after May 9th.  These cover a range of principles and specific medications from opioids, benzo, PPIs, statins, aspirin, antihypertensives, antihyperglycaemics and many more. 

I am very grateful for these because there is no shortage of guidelines on how to prescribe more medication but very few on how to get people safely and beneficially off medication in an evidence-based manner. 

We discuss the general need and principles of deprescribing and then focus on two high-risk medications; opioids and benzodiazepines.  You can visit the website to view the current guidelines directly and these are soon to be updated.

https://www.primaryhealthtas.com.au/resources/deprescribing-guides/

As always rating 5 stars in iTunes is a great help.

Many thanks

Enjoy friends.

Dr Daniel Kraft is a Stanford and Harvard trained physician-scientist, Board Certified in both Internal Medicine & Pediatrics, and inventor, entrepreneur, and innovator. With over 25 years of experience in clinical practice, biomedical research and healthcare innovation, Kraft has served as Faculty Chair for Medicine at Singularity University since SU’s inception, and is the founder and is chair of Exponential Medicine, a program that explores convergent, rapidly developing technologies and their potential in biomedicine and healthcare. He has done multiple TED talks and articles available on his websites and social media:

https://danielkraftmd.net/

https://twitter.com/daniel_kraft

https://www.facebook.com/daniel.kraft

https://www.digital.health/

Next Exponential conference on November 4-7, 2019, San Diego

https://exponential.singularityu.org/medicine/

A few technical glitches in this episode, ironically.  So it ends ~4 minutes early and abruptly, my apologies.  So I took the opportunity to return to my interests in medical history to share a brief story of the ECG, defibrillator and a few other past technologies that we use today.

As always - rating 5 stars in iTunes is a great help.

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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 Mark Bellgrove is the Director of Research at the Turner Institute for Brain and Mental Health, and a Professor in Cognitive Neuroscience in the School of Psychological Sciences at Monash University.  Professor Bellgrove leads a multidisciplinary team studying the biological basis of attention and cognitive control.   In 2016 Professor Bellgrove founded the Australian ADHD Professionals Association (AADPA), an interdisciplinary group devoted to advancing evidence-based diagnosis and treatment of ADHD in Australia.  He recently led the development of the Australian evidence-based clinical practice guideline for ADHD.  

ADHD guideline and factsheets- https://adhdguideline.aadpa.com.au/

ADHD consumer companion - https://adhdguideline.aadpa.com.au/consumer-companion/

ADHD Australia https://www.adhdaustralia.org.au/

COI – requested and pending as per https://aadpa.com.au/conflict-of-interest/

Tools = page 79, free ones include the Swanson, Nolan and Pelham (SNAP) scale for children, and for adults the WHO Adult ADHD Self Report Scale is free

VIA Character Strengths Survey & Character Reports - https://www.viacharacter.org/ 

ADHD coaches = https://adhdcoachesaustralasia.online/

Telecare virtual care provider = https://www.telecare.com.au/ 

Tuning into kids:= https://tuningintokids.org.au/courses/tuning-in-to-kids-online/

Triple P – Positive Parenting Program https://www.triplep-parenting.net.au/au/triple-p/

Dr Arne Rubenstein Rites of Passage podcast and programs https://ritesofpassageinstitute.org/

Dr Jon Jureidini communicating with adolescents and using a genogram podcast

Dr Angela Loucks Alexander Auditory Processing Disorder podcast

Dr Cathy Franklin and Professor Tony Attwood Autism Spectrum Disorder podcast and another

Details about our JCU lifestyle medicine and health coaching masterclass on October 7/8 in Brisbane can be found here.  Available for all health professionals, with CPD for most included. 

Interested in studying lifestyle medicine, health coaching and new models of care in health and wellbeing?  Check out the JCU postgraduate courses: Grad Cert, Grad Diploma, and Master. 

If you find this podcast valuable then subscribing, sharing, rating it 5 stars and leaving a review is appreciated.

If you would like to send in your thoughts, insights, opinions, provide feedback or request a topic, please contact me via thegpshow.com 

Thank you for listening and your support.

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:

1. What is ACT? Principles/philosophy
2. What are its origins?
3. What is the evidence base for different conditions?
4. Techniques that can be used 
5. 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

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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.

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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 

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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.

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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

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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

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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

“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 Santosh Sanagapalli is a Consultant Gastroenterologist at the St. Vincent's Hospital campus.  Santosh trained in NSW and did subspecialty training in oesophageal disorders during a clinical research fellowship at the University College London Hospital, UK.  He performs a variety of diagnostic and therapeutic endoscopic procedures and has subspecialty expertise in the diagnosis and treatment of disorders of the oesophagus such as reflux, hiatus hernia and conditions affecting the swallowing: achalasia, eosinophilic oesophagitis, strictures and others.

Details about our JCU lifestyle medicine and health coaching masterclass on October 7/8 in Brisbane can be found here.  Available for all health professionals, with CPD for most included. 

Interested in studying lifestyle medicine, health coaching and new models of care in health and wellbeing?  Check out the JCU postgraduate courses: Grad Cert, Grad Diploma, and Master. 

If you find this podcast valuable then subscribing, sharing, rating it 5 stars and leaving a review is appreciated.

If you would like to send in your thoughts, insights, opinions, provide feedback or request a topic, please contact me via thegpshow.com 

Thank you for listening and your support.

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.

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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

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