Goodfellow Clinics

Jenny Visser discusses essential travel considerations for older adults, particularly exploring the critical role of vaccinations.

Ryan Paul discusses disparities in diabetes care, focusing on how technology can reduce the equity gap.

In this episode Dawn White explores how language in healthcare impacts patient outcomes, focusing on the nocebo effect - where words can unintentionally harm.

Janet Fanslow talks about adverse childhood experiences, intimate partner violence, and non-partner violence in New Zealand and how these issues impact long-term health. We are learning that people's experience of violence and adversity as children and throughout the lifecourse has long-term health effects. Janet explores what we mean when we talk about experiences of violence and what we are learning about the health effects.

In this episode Suzanne Aitken discusses gluten-free diets in patients living with Coeliac disease.

In this episode, Cathy Stephenson discusses the role of the Ministry of Social Development (MSD) and Work and Income, exploring how to navigate the system to ensure your patients receive the right supports and services.

Jenny Visser discusses essential travel considerations for pregnant individuals, focusing on a comprehensive pre-travel consultation.

Professor Wayne Cutfield discusses the gut microbiome and its impact on conditions like obesity, autism, metabolic disorders, and C.difficile. 

Jenny Visser discusses acute altitude illnesses including several conditions that may occur in individuals travelling to high altitudes, usually above 2,500 metres (8,200 feet). Jenny covers the sensible precautions that allow most trips to altitude to be enjoyed safely.

GP's Mamaeroa David and Va'aiga Autagavaia discuss Soālaupule, an approach that creates equity by sharing power and decision-making. Helping GPs to connect better with families to ensure trust develops, leading to better clinical outcomes.

Jo Lane, an addictions medicine doctor, discusses novel products of addiction, including Kamini Vidrawan Ras, Barshasha and Cool Lip.

Stella Milsom discusses the clinical use of Estradiol gels, focusing on the two available options in New Zealand: Estradiol (Sandrena/ sachets) and Estradiol  Hemihydrate (Estrogel pump). Stella will cover dosing, absorption, safety considerations, and the latest updates to Pharmac criteria.

Mathanki Vivekananda discusses postnatal depression and other mental health conditions.

Anna Fenton discusses some more complex cases of menopause hormone therapy in perimenopausal women.

Christine Goh discusses the two most common Congenital chest wall deformities. These are characterized by abnormal development and appearance of the chest wall. These can be categorized as rib cage overgrowth or deformities related to inadequate growth, accounting for over 90% of congenital chest wall deformities. In general, most patients are asymptomatic, but cardiopulmonary problems may accompany the disease. The indication for treatment is primarily cosmetic. Treating patients before they reach adulthood increases the chance of success. Surgical treatment can be open or minimally invasive. We will touch on sternal abnormalities briefly.

Ryan Paul discusses continuous glucose monitors and automated insulin delivery devices (aka insulin pumps). From 1 October 2024 CGMs are funded for people with type 1 diabetes and other specific forms of diabetes. The funded devices include: a range of CGMs; two brands of insulin pumps and automated insulin delivery (AID) system algorithms; the associated pump consumables.

Rachael Niederer answers some of the common questions surrounding Herpes Zoster Ophthalmicus(HZO), also known as shingles.

Early detection and intervention are crucial for managing CKD and mitigating its complications. Liz Stallworthy discusses screening at-risk individuals, the use of appropriate tests and ongoing monitoring of  CKD in the NZ context.

General Practitioner Marcus Hawkins and Dietitian/Researcher Caryn Zinn discuss therapeutic low carbohydrate dietary interventions to optimize health in primary care.

Anna Fenton (gynaecological endocrinologist) discusses optimising perimenopause management.

Amber Young and Esther Willing discuss protecting babies through immunisation of hapū māmā in pregnancy and in the newborn period in Aotearoa New Zealand.

In this episode, Rajan Patel discusses the critical red flags associated with neck lumps in adults. He covers when an urgent referral is necessary and what patients can expect during their visit to a neck surgeon for a red flag neck lump.

In this episode, Paediatrician and Breastfeeding Specialist Abby Baskett discusses tongue tie (ankyloglossia) and its impact on breastfeeding. We cover the prevalence, definitions, assessment tools, and management options, including the intricate details of the frenotomy procedure.

In this episode Helen Kenealy discusses Enduring Power of Attorney – a critical legal aspect that every primary care provider should understand.

Stephen Kara discusses the newly introduced New Zealand 2024 concussion guidelines, including recognizing diverse signs and symptoms. The recovery phase is detailed, encompassing rest, reintroduction, and clearance, featuring a graduated return protocol. 

Nikki Turner, Academic General Practitioner, provides an update on RSV in adults and discusses new RSV vaccinations.

Julia Rucklidge provides an update on the relationship between nutrition and mental health. She explores the current state of mental health in the nation and delves into the role of diet. Additionally, she explores whether a 'good diet' alone is sufficient for optimal mental health, what micronutrients are, and when we should consider them for our patients.

Clinical Neurologist Matthew Phillips provides an update on Functional Neurological Disorder (FND) which is a disorder that arises from abnormal nervous system functioning where there is no identifiable organic disease.

Nicola Keay provides an overview of secondary amenorrhea, highlighting the importance of addressing the concern: Why have my patient's periods stopped? Then asking - Do I need to worry? When is the absence of menstruation considered abnormal? What should I do about it?

Liz Stallworthy provides an update on acute kidney injury (AKI) and acutely rising creatinine.

Liz Stallworthy provides an update on acute kidney injury (AKI) and acutely rising creatinine.

In this episode, Dr Nicky Keay, an Endocrinologist, discusses unveiling primary ovarian insufficiency and early menopause covering how we navigate these distinct entities with multiple aetiologies.

Geriatrician and General Physician Helen Kenealy discusses how to thrive physically, cognitively, and socially as we age.

Primary Care Liaison Psychiatrist Cheryl Buhay provides an update on Parkinson's disease and the psychiatric considerations that the primary care team need to be aware of.

Geriatrician and General Physician Helen Kenealy discusses frailty, including what frailty is, its prevalence in New Zealand, risk factors, presentation, measurement, and the importance of assessing it. Helen will also discuss practical tools for assessing frailty, adverse outcomes, and effective management strategies.

Dr Susan Seifried discusses the 'Quality Statements to Guide Melanoma Diagnosis and Treatment in New Zealand' developed by the National Melanoma Working Group (NMWG) and MelNet. The latest guidance was released in September 2023. The statements describe what quality care for melanoma should look like in New Zealand based on current global best practice. They aim to reduce the incidence and improve outcomes for melanoma patients and their families.

Cheryl Buhay, Primary Care Liaison Psychiatrist, will discuss what we need to consider when our patient doesn't respond to antidepressant medications, including medication, illness, and patient factors.

Musculoskeletal pain specialist Giresh Kanji provides an update on fibromyalgia. Fibromyalgia is a collection of symptoms and is best termed a syndrome. The collection of symptoms includes widespread pain, poor sleep, fatigue, brain fog and sometimes depression. A sensitivity to light, sound, touch and smell is also described. There is generalised tenderness, which is how you diagnose the syndrome.

Dr Michael Drane discusses commercial pilot medical certification. Covering clearance to fly, the vacationing pilot, and the pilot with hazardous social behaviours. By the end of this episode, you will know your responsibilities concerning each scenario.

Rob Doughty provides an update on the four pillars of heart failure management. Are your patients on the four pillars of heart failure treatment- if not why not?

Colorectal and General Surgeon Parry Singh discusses common anorectal conditions, including the history, examination and management of haemorrhoids, perianal hematoma, and anal fissures.

Amanda Eng and Jim McLeod provide an update on workplace exposure to carcinogens. The New Zealand Carcinogens Survey reveals for the first time the extent to which New Zealanders experience cancer-causing substances and other exposures in their workplace. The survey, released in March this year, reports that more than half (58%) of all workers are exposed to at least one workplace carcinogen at some level.

In this episode, Jude Ball (a member of the Adolescent Health Research Group) discusses alcohol use in New Zealand's adolescent population.

Michael Drane discusses clearing your patient to fly safely. What you need to consider and how you go about clearing your patient with medical conditions to fly.

In this episode, Gary Clearwater discusses certifying death and completing the required documentation in NZ for individuals aged >28 days old. This includes death following assisted dying. If cremation is requested, a cremation certificate must also be completed.

In this episode, pharmacist prescriber Linda Bryant discusses statin use in New Zealand today, how it has changed and its future place.

Nick Lilic discusses the common clinical syndromes that cause nasal congestion, overviewing conservative management, and when to consider surgical options.

In this episode, Kendra Hill and Inspector Kirsten Price discuss firearms licensing: the roles and responsibilities of health practitioners and police; how to make a notification, and what happens once a notification is made.

In this episode, Chelsea Willmott discusses nurse practitioners in New Zealand and the growing role they play in primary care practice.

In this episode we have a case based discussion with Dr Saman Moeed, covering 4 common paediatric vulval conditions. Vulvovaginitis, labial fusion, vulval pain, lichen sclerosis and worms.

Dr David Moreau discusses the latest on exercise to optimise brain health.