Healthed Australia

COPD is a leading and largely preventable cause of morbidity among First Nations Australians Smoking cessation must be addressed with cultural sensitivity and clinical nuance Spirometry is essential for accurate diagnosis yet remains severely limited and underutilised Inhaler technique and adherence are critical and frequently overlooked Community-driven, multidisciplinary models are key to delivering culturally care Host: Dr David Lim | Total Time: 44 mins Experts: Philippa Cotter, Physiotherapist & Michael Hewson, Pharmacist Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEST Click here to register for the next oneSee omnystudio.com/listener for privacy information.

Vaginal oestrogen is safe at any age, including over 70, with regular review Use vaginal oestrogen cautiously in younger women; rule out other causes such like vulval dermatitis In breast cancer survivors, vaginal oestrogen is off-label; prefer estriol and involve oncology Vaginal DHEA (Intrarosa) is effective with minimal absorption; lacks long-term safety data; no washout needed when switching The questions answered in this podcast are listed below.They were compiled by GPs and health professionals around Australia who attended Healthed’s face-to-face seminars. What are the main symptoms for women with vaginal atrophy, and what is the general approach when a woman comes to talk about these symptoms? How long can women use vaginal oestrogen for? If you saw a woman over the age of 70, would you feel comfortable allowing her to continue using vaginal oestrogen? Is it safe to use vaginal oestrogen in a younger woman who might be breastfeeding or taking the combined oral contraceptive pill and experiencing vaginal dryness or discomfort? Do you need to take the same precautions for side effects as you would with systemic hormone therapy? For example, if there was a woman who was prone to venous thromboembolism (VTE), is it safe for her to use vaginal oestrogen? Is there any role for vaginal oestrogen in reducing the frequency of recurrent genital herpes outbreaks? Are there situations where you would use vaginal oestrogen in combination with a non-hormonal product for better results? Thoughts on laser treatments, microneedling, or PRP for vaginal or vulval symptoms? In women who present with urethral caruncles, is there a role for vaginal oestrogen as part of the treatment? How long would you try using vaginal oestrogen for that? What about the doses of oestrogen when treating someone who's had breast cancer? What do we have to be mindful of? What about women with a history of endometrial, cervical, or vulval cancer? Can we use vaginal oestrogen if they've got symptoms? Can DHEA (Intrarosa) be used safely in women with a history of cancer? For women without breast cancer, when would you use DHEA instead of oestrogen? Would you ever use both oestrogen and DHEA together? What about using DHEA in conjunction with systemic menopausal hormone therapy? Are there any thoughts around the improvements in libido with the use of DHEA? If you had tried someone on Ovestin (estriol) and wanted to switch to Intrarosa, is a washout period required before starting? Host: Dr Marita long | Total Time: 33 mins Expert: Dr Terri Foran, Sexual Health Physician Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEST Click here to register for the next oneSee omnystudio.com/listener for privacy information.

Reasons why patients might stay in a sexually violent relationship rather than leave Signs that a health provider should look for in patients they suspect or know to be in a sexually violent relationship Long-term outcomes of sexual violence Developing referral networks to assist patients in leaving a sexually violent relationship Host: Dr Terri Foran | Total Time: 36 mins Expert: Dr Ellie Freedman, Sexual Health Physician Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEST Click here to register for the next oneSee omnystudio.com/listener for privacy information.

In this Healthed lecture, Prof Sonia Grover shares her clinical expertise and real-world experience about the best way to assess and manage adolescent girls who present with heavy and/or painful periods. She will also highlight the importance of recognising and treating these patients early to, not only improve their quality of life at the time but also improve their long-term health outcomes including their long-term fertility.See omnystudio.com/listener for privacy information.

In this Healthed lecture, A/Prof Samantha Hocking provides an update on this latest study and what it means for prescribing clinicians who are using these agents as part of their management of patients with obesity.See omnystudio.com/listener for privacy information.

In this Healthed lecture, A/Prof Gino Pecoraro discusses the prevalence and pathophysiology of this condition as well as providing the latest, evidence based recommendations for its treatment. Importantly, he will also be talking about commonly-advertised therapies that have no evidence of effectiveness, and some that have actually been shown not to work.See omnystudio.com/listener for privacy information.

In this Healthed lecture, Prof Paul Griffin provides an update on which viruses are currently causing disease and which are predicted to pose a threat this winter. He will also discuss the latest recommendations in terms of vaccinations and target populations, as well as advising how best to manage some of the challenges faced by clinicians advocating immunisation. See omnystudio.com/listener for privacy information.

Be alert to atypical symptoms, such as fatigue or reduced exercise tolerance, particularly in younger patients Serial Holter monitoring and attention to atrial ectopy burden can guide suspicion Wearables like the Apple Watch and Samsung Galaxy Watch are effective adjuncts for rhythm detection Early ablation may be appropriate, even in younger patients with a low CHA₂DS₂-VASc score, if they are symptomatic Collaboration between healthcare professionals and Electrophysiologists is essential to optimise patient outcomes The questions answered in this podcast are listed below.They were compiled by GPs and health professionals around Australia who attended Healthed’s face-to-face seminars. Atrial fibrillation – it's not an uncommon arrhythmia in Australia, is it? What are some of the environmental factors that have been identified as contributing to atrial fibrillation, apart from COVID? Why are we picking up more cases of atrial fibrillation? Are patients becoming more symptomatic? Obstructive sleep apnoea doesn't cause atrial fibrillation, but can it make it permanent? How can the pulmonary veins cause a cardiac arrhythmia? What are the indications for treating patients with ablation? How is it managed? What's the current thinking? How far should a healthcare professionals go in trying to detect atrial fibrillation in patients with unusual symptoms? Host: David Lim | Total Time: 32 mins Expert: Prof Rukshen Weerasooriya, Sub-specialist Cardiac Electrophysiologist Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEST Click here to register for the next oneSee omnystudio.com/listener for privacy information.

In this episode: Lips are a high-risk anatomical site for actinic damage and non-melanoma skin cancers Differentiation is critical - inflammatory, neoplastic, allergic, autoimmune, and drug-induced causes should all be considered Early recognition, appropriate biopsy, and referral can prevent serious complications Patch testing is useful in chronic cases, and laser resurfacing is an option for recurrent lesions Host: Dr David Lim, GP and Medical Educator Expert: Dr Philip Tong, Dermatologist Total time: 25 mins Register for our fortnightly FREE WEBCASTS Every second Tuesday | 7:00pm-9:00pm AEST Click here to register for the next oneSee omnystudio.com/listener for privacy information.

EDS subtypes, prevalence and genetic testing The risks of EDS and red flags Counselling before genetic testing and family planning Patient support requires a multidisciplinary approach Host: Dr Rebecca Overton | Total Time: 37 mins Expert: Dr Kunal Verma, Cardiologist Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEST Click here to register for the next oneSee omnystudio.com/listener for privacy information.

Emphasise pulmonary rehabilitation in the routine management of COPD, as it improves exercise capacity, reduces exacerbations, and enhances quality of life Prioritise vaccinations and ensure patients with COPD are up to date with critical vaccinations, including influenza, pneumococcal, and COVID-19, as these significantly reduce the risk of exacerbations and hospitalisations Focus on self-management and action plans, empowering patients with COPD to monitor symptoms and manage exacerbations early Involve a multidisciplinary team in COPD care, including physiotherapists, pharmacists, and social workers. Regularly check inhaler technique and ensure patients have access to the necessary resources for comprehensive care Host: Dr David Lim | Total Time: 32 mins Expert: Prof Ian Yang, Director of Thoracic Medicine Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEST Click here to register for the next oneSee omnystudio.com/listener for privacy information.

Current situation with measles in Victoria, nationally, and regionally Clinical features and diagnosis of measles Managing measles in general practice Vaccination guidelines Public health considerations Use of immunoglobulin for immunosuppressed patients Host: Dr Rebecca Overton | Total Time: 29 mins Expert: Prof Nigel Crawford, Chair of ATAGI Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AESTSee omnystudio.com/listener for privacy information.

The questions answered in this podcast are listed below. They were compiled by GPs and health professionals around Australia.1. What is your approach to a young person wanting oral contraception?2. From what age can you use oral contraception for menstrual control?3. Can you run packs together?4. What if they want to treat acne or hirsutism?5. What is the difference between Zoely and Nexstellis?6. Are they both body-identical?7. What is the thrombosis risk of these oral contraceptive pills?8. What about pills containing drospirenone, such as Yaz and Yasmin?9. What about Zoely?10. A previous attendee asked: I was concerned to be notified a while ago of an increased risk of meningioma in people taking Zoely. Is Zoely still a safe pill?11. Is there still a role for cyproterone pills in this group, given the small increased risk of meningioma?12. What is the current evidence about meningioma and progesterone? Host: Dr Terri Foran | Total Time: 28 mins Experts: Dr Sara Whitburn, General Practitioner and Dr Sarah Callister, General Practitioner Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEST Click here to register for the next one See omnystudio.com/listener for privacy information.

In this Healthed lecture, Dr Terri Foran will cover some of the evidence-based non-hormonal and non-pharmacological options for the treatment of the most common troublesome menopausal symptoms - namely vasomotor and vulvovaginal symptoms. In addition, she will also be discussing some of the commonly used alternative therapies that have no evidence of benefit. See omnystudio.com/listener for privacy information.

In this Healthed lecture, Dr Adam Nelson will discuss how and when these LDL-c levels should be assessed and managed. And how low can and should we go? In addition, Dr Nelson will outline the evidence behind the latest cholesterol target recommendations and give suggestions on how best to convince patients of the need to manage this asymptomatic risk factor to reduce their chances of a future cardiovascular event.See omnystudio.com/listener for privacy information.

In this Healthed lecture, Prof Brendon Yee explains how GPs and specialists can work together to ensure effective management, balancing road safety with appropriate return-to-driving protocols after successful treatment.See omnystudio.com/listener for privacy information.

In this Healthed lecture, Dr Anita Munoz highlights the importance of identifying those people at risk of deteriorating muscle health and the benefit of early intervention. In addition, she will present an algorithm that assists in the assessment and management of at-risk patients, including the evidence-based recommendations for diet and exercise to both prevent and treat sarcopenia. See omnystudio.com/listener for privacy information.

Avoid routine or reflexive therapeutic drug monitoring (TDM) unless there is a specific clinical indication Be vigilant about enzyme induction and inhibition interactions when prescribing anti-seizure medications Proactively counsel women of childbearing age about the teratogenic risks associated with anti-seizure medications Discuss reproductive risks with men taking valproate, especially if planning to conceive Refer patients of reproductive age to epilepsy specialists early to optimise treatment and family planning Host: Dr David Lim | Total Time: 48 mins Expert: Dr Moksh Sethi, Neurologist Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEST Click here to register for the next oneSee omnystudio.com/listener for privacy information.

Breast pain is common and is often managed with reassurance, education, topical NSAIDs, and stress-reduction strategies Triple test remains the gold standard for evaluating breast symptoms, with a diagnostic accuracy of over 99.6% when performed correctly Perimenopause brings breast changes, including fibrocystic changes and increased fat, which can affect cancer risk Online risk calculators like org and iPrevent are valuable tools for assessing true breast cancer risk, highlighting that lifestyle factors have more impact than family history Risk-reduction strategies include daily exercise, limiting alcohol, maintaining a healthy weight, and considering individualised approaches to menopause hormone therapy Host: Dr Marita Long | Total Time:25 mins Expert: Dr Virginia Barid, Women's Health GP Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEST Click here to register for the next oneSee omnystudio.com/listener for privacy information.

Types and grades of pelvic organ prolapse Aetiology of pelvic organ prolapse Current recommendations for surgical and non-surgical management of prolapse How to prevent recurrence after surgical treatment of pelvic organ prolapse? Role of hysterectomy in managing pelvic organ prolapse Host: Dr Terri Foran | Total Time: 33 mins Expert: Prof Christopher Maher, Urogynaecologist Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEST Click here to register for the next oneSee omnystudio.com/listener for privacy information.

Move away from a "CPAP-for-all" model; consider mandibular advancement splints (MAS), weight loss, positional therapy, or surgery based on patient context Custom-fitted mandibular splints are effective for mild-moderate obstructive sleep apnoea (OSA) and generally well tolerated Refer patients to experienced dentists and evidence-based devices via local sleep clinics Significant weight reduction (eg. via GLP-1s) may lessen OSA severity or change device needs New devices enable monitoring of usage and Apnoea-hypopnoea index (AHI), supporting compliance and follow-up care Host: Dr David Lim | Total Time: 35 mins Expert: Prof Peter Cistulli, Professor of Sleep Medicine Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEST Click here to register for the next oneSee omnystudio.com/listener for privacy information.

Consider a low-carb, healthy-fat diet for patients with metabolic dysfunction Reassess traditional dietary guidelines Monitor for insulin resistance early Emphasise protein and resistance training, particularly in older women Explore remission in type 2 diabetes and its complications Host: Dr Marita Long | Total Time: 29 mins Expert: Dr James Muecke, Ophthalmologist Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEST Click here to register for the next oneSee omnystudio.com/listener for privacy information.

In this Healthed lecture, Dr Adam Nelson explains that weight loss should now be considered a therapeutic target in the same way we treat cholesterol and blood pressure when implementing secondary prevention after a heart attack for instance. Dr Nelson will also present evidence for the effectiveness of GLP-1 agonists in this space and how agents such as semaglutide can and should be included in clinical care according to international cardiology guidelines and even our own TGA recommendations.See omnystudio.com/listener for privacy information.

Overview of ischaemic heart disease (IHD) in women and reasons for under-recognition and under-treatment Traditional risk factors (eg. diabetes, hypertension, smoking) and sex-specific risk factors (eg. PCOS, premature menopause, breast cancer treatment) Non-traditional risk factors such as autoimmune diseases, depression, and psychosocial stress Approaches to reduce cardiovascular risk and effectively assess and manage it in women Host: Dr Rebecca Overton | Total Time: 29 mins Expert: Dr Fiona Foo, Clinical & Interventional Cardiologist Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEST Click here to register for the next oneSee omnystudio.com/listener for privacy information.

In this Healthed lecture, Professor Rod Baber uses a case study to demonstrate how best to assess a woman presenting with troublesome menopausal symptoms. He will then discuss the relevant, evidence-based recommendations for prescribing MHT, including appropriate mode of delivery, dosage, monitoring of effectiveness and side effects, as well as what to do when response is inadequate - it is not just a case of increasing the dose.See omnystudio.com/listener for privacy information.

In this Healthed session, Dr Kathleen McNamee interviews adolescent gynaecologist, Professor Sonia Grover, asking her a series of audience-generated questions related to the use of the COCP in teenagers. Professor Grover will give her opinion on a range of issues from her preferred COCP for teens and skipping periods, to managing pill side effects and the role of the progesterone-only pill. Real world answers to real world problems.See omnystudio.com/listener for privacy information.

In this Healthed lecture, Professor Andrew Sindone discusses the potentially deadly combination of RSV and cardiac disease, the role of vaccination and, importantly, recent changes in RSV vaccine indication. See omnystudio.com/listener for privacy information.

H5N1 is a highly pathogenic avian flu affecting birds globally, with a higher mortality rate than COVID-19 but limited human-to-human spread Australia is the only continent without H5N1 cases, with strong pandemic preparedness, including antivirals and vaccine stockpiles At-risk groups include poultry workers and dairy farmers; exposed individuals should be tested, treated with antivirals, and reported to authorities Symptoms include respiratory and early GI issues; conjunctivitis has been common in U.S. dairy workers Australia’s new CDC has improved outbreak notification systems, using lessons learned from COVID-19 Host: Dr David Lim | Total Time: 27 mins Guest: Prof Adrian Esterman, Epidemiologist and Biostatistician Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEST Click here to register for the next oneSee omnystudio.com/listener for privacy information.

Causes and clinical presentation of Primary Ovarian Insufficiency (POI) Diagnostic approach to POI Key treatment priorities for managing POI Fertility considerations and options for women with POI Long-term health implications of POI Host: Dr Rebecca Overton | Total Time: 34 mins Expert: Dr James Brown, Fertility Specialist & Gynaecologist Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEST Click here to register for the next oneSee omnystudio.com/listener for privacy information.

Expect rising comorbidity of OSA and insomnia Avoid prescribing sedatives in patients with OSA and insomnia Cognitive hehavioural therapy for insomnia (CBT-I) is the first-line treatment for insomnia Support patient adherence to continuous positive airway pressure (CPAP) early Habits are fragile but re-trainable Host: Dr David Lim | Total Time: 50 mins Expert: Dr Rosemary Clancy, Clinical Psychologist Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEST Click here to register for the next oneSee omnystudio.com/listener for privacy information.

How we define heavy menstrual bleeding Most common causes of heavy menstrual bleeding Features from the history that might indicate heavy menstrual bleeding Recommended investigations for a woman presenting with heavy menstrual bleeding Management options for heavy menstrual bleeding and when to refer for specialist opinion Host: Dr Terri Foran | Total Time: 34 mins Expert: Dr M Talat Uppal, Obstetrician & Gynaecologist Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEST Click here to register for the next oneSee omnystudio.com/listener for privacy information.

In this Healthed lecture, Dr Fiona Chan will detail how health practitioners can assess and advise drivers on their visual competency to drive based on Australian guidelines. The talk will include the specific Australian regulatory driving criteria, including aspects of visual acuity, visual fields and double vision. Dr Chan will also advise practitioners on when and how to refer patients to relevant authorities.See omnystudio.com/listener for privacy information.

In this Healthed lecture, Dr Daryl Cheng will outline the details of the new program - the RSV vaccine offered to pregnant women as well as the monoclonal antibody offered to at-risk infants. Dr Cheng will focus on who can get what and when, and provide evidence of the safety and effectiveness of these anti-RSV products.See omnystudio.com/listener for privacy information.

In this Healthed lecture, Dr Terri Foran will discuss the evidence on testosterone therapy and outline an approach to patient selection, optimal dosing, monitoring therapy and guiding treatment expectations. See omnystudio.com/listener for privacy information.

In this Healthed lecture, Professor Jason Ong will present, through a series of case studies, what is happening in Australia in terms of STIs - which infections are prevalent, how do they present and who is most at risk. Importantly, Professor Ong will also discuss the latest Australian guideline recommendations on the detection, diagnosis and treatment of patients with an STI in primary care so cases can be identified earlier and the spread of these diseases contained.See omnystudio.com/listener for privacy information.

Approaches for healthcare professionals to initiate conversations when strangulation is suspected Integrating sociocultural sensitivity into screening procedures Identifying safety concerns and long-term physical effects for women in abusive relationships Best practices for healthcare professionals to document strangulation incidents to support potential legal action, now or in the future Recommended investigations, referral pathways, and available support services Host: Dr Rebecca Overton | Total Time: 24 mins Expert: Dr Frances Chen, General Practitioner Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEST Click here to register for the next oneSee omnystudio.com/listener for privacy information.

Always perform chest auscultation for respiratory complaints - the presence of lung crackles is a red flag for interstitial lung disease (ILD) requiring further investigation Refer early to respiratory specialists once ILD is suspected, to prevent permanent lung damage Partner with specialists managing ILD patients to monitor medication side effects, optimise vaccinations, and coordinate multidisciplinary care Advise patients on preventive measures, including smoking cessation, proper protection during DIY projects, and infection prevention Host: Dr David Lim | Total Time: 30 mins Experts: A/Prof Yet Hong Khor, Respiratory and Sleep Physician Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEST Click here to register for the next oneSee omnystudio.com/listener for privacy information.

Starting the discussion around pelvic floor dysfunction and incontinence The current medical and surgical treatment options for pelvic floor dysfunction, prolapse and incontinence Choosing the ‘right treatment for the right patient’ who presents with pelvic floor dysfunction New developments in the treatment of pelvic floor dysfunction and incontinence Host: Dr Terri Foran | Total Time: 30 mins Expert: Dr Salwan Al-Salihi, Urogynaecologist, Obstetrician and Gynaecologist Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEST Click here to register for the next oneSee omnystudio.com/listener for privacy information.

Apply "right treatment at the right time" for scoliosis, choosing between scoliosis specific exercises, bracing, or surgery based on the patient's needs Screen adolescents (girls 10-14, boys 11-16) during routine exams for back curvature, shoulder height, and waist alignment, as well as a positive Adam's Forward Bend Test Urgently evaluate severe back pain that limits attendance or needs regular analgesics, especially with headaches Refer patients with curves >15 degrees to a health professional specifically trained in scoliosis management, as early referral is appropriate Stay informed on motion-preserving surgical options for younger patients, where the aim is often to avoid fusion surgery before the spine has finished growing Host: Dr David Lim | Total Time: 38 mins Expert: Dr Mike Selby, Spinal and Orthopaedic Surgeon and Dr Jeb McAviney, CEO of ScoliCare Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AESTSee omnystudio.com/listener for privacy information.

Male urinary dysfunction falls into three categories: voiding symptoms (affecting the bladder outlet), storage symptoms (often from an overactive bladder), and red flags requiring urgent referral Benign prostatic hyperplasia shares risk factors with cardiovascular disease and erectile dysfunction, suggesting a holistic approach to assessment and management Minimally invasive prostate surgery offers advantages, including day surgery, faster recovery, less bleeding, and better preservation of sexual function Healthcare professionals should refer patients when medical therapy fails to meet expectations or when red flags are present Early referrals and effective treatments can help patients regain their quality of life Host: Dr David Lim | Total Time: 21 mins Experts: A/Prof Eric Chung, Urological Surgeon Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEDT Click here to register for the next oneSee omnystudio.com/listener for privacy information.

The questions answered in this podcast are listed below.They were compiled by GPs and health professionals around Australia. Is fezolinetant (Veoza) safe for use in older populations, particularly those over 70? Is fezolinetant (Veoza) listed on the PBS? If not, what is its cost? Can fezolinetant (Veoza) be taken alongside other medications, such as thyroxine? How long is it safe for a woman to continue using fezolinetant (Veoza)? Is fezolinetant (Veoza) suitable for use during the perimenopausal stage? Can fezolinetant (Veoza) be used in combination with an estrogen patch or gel for women who still experience vasomotor symptoms? Is fezolinetant (Veoza) safe to use alongside other medications, such as Oxybutynin or SSRIs? Do we have any data on interactions? Is fezolinetant (Veoza) safe for young women with aggressive breast cancer who are undergoing hormone therapy? How should a woman transition from menopausal hormone therapy (MHT) to fezolinetant (Veoza)? Can low-dose MHT be used alongside fezolinetant (Veoza)? For women who have undergone chemotherapy for breast cancer and have abnormal liver function tests post-treatment, should fezolinetant (Veoza) only be started once liver function returns to normal? Should fezolinetant (Veoza) be discontinued if liver function tests become abnormal during treatment? Is there any evidence that fezolinetant (Veoza) helps with memory and concentration issues in menopausal women? Why does fezolinetant (Veoza) cause endometrial hyperplasia? Could you confirm whether the endometrial hyperplasia observed in clinical trials was benign? Is fezolinetant (Veoza) suitable for women with a personal or family history of breast cancer? Is there any data on the effects of fezolinetant (Veoza) beyond 52 weeks? Were women from diverse ethnic backgrounds, beyond America and Europe, included in the trials? What are the recommendations regarding the effect of fezolinetant (Veoza) on liver function? How should liver function be monitored, and when should testing be repeated or the medication stopped? Can GPs prescribe fezolinetant (Veoza), or is it restricted to specialists? Is fezolinetant (Veoza) appropriate for men experiencing hot flushes due to hormone blockers for prostate cancer (off-label use)? Patient Case: I have a patient currently on fezolinetant (VEOZA®), Pristiq, and Tamoxifen. What would you recommend in this case? Patient Case: I have a mid-40s patient suffering from frequent hot flushes every 10-15 minutes, despite being on the maximum dose of MHT. Can fezolinetant (VEOZA®) be used in combination with MHT to target these hot flushes? Also, what are your thoughts on testosterone? Some of my patients use compounded testosterone to manage their symptoms. Would this be helpful for this patient, and can testosterone be used alongside fezolinetant (VEOZA®)? Patient Case: A patient started fezolinetant (VEOZA®) nearly a month ago to address almost hourly sweats and flushes. Initially, she saw a significant improvement for the first 5 days, but now the frequency and severity of symptoms have gradually returned. Is this tachyphylaxis, or should the dosage of fezolinetant (VEOZA®) be increased? Should it be used intermittently? How should I advise this patient? Host: Dr Terri Foran | Total Time: 29 mins Expert: Dr Rod Baber, Obstetrician and Gynaecologist Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEDT Click here to register for the next oneSee omnystudio.com/listener for privacy information.

In this Healthed lecture, Dr Shannon Thomas provides a refresher on the presenting symptoms and signs of PAD, as well as its assessment and diagnosis. He will also outline the latest management options for this condition, including the advances in endovascular surgery that are reducing the risk of leg amputation in severely affected patients.See omnystudio.com/listener for privacy information.

In this Healthed lecture, Professor Rod Baber uses a series of case studies to discuss some of the challenges that clinicians face when managing women with menopausal symptoms. He will outline the appropriate assessment and management of symptomatic women with a history of conditions such as DVT, migraine, or cardiovascular disease, and explain how they can still access the benefits of MHT while minimising risks.See omnystudio.com/listener for privacy information.

In this Healthed lectue, cardiologist, Professor Andrew Sindone and endocrinologist, Dr Ted Wu discuss the importance of SGLT2 inhibitors for patients with type 2 diabetes and cardiovascular disease, and the ground-breaking evidence that has seen this class of drugs now be recommended as second-line T2D treatment after metformin, particularly for its cardiovascular benefits. Importantly, the experts will also explain recent PBS changes that have improved access to SGLT2 inhibitors as well as other practical considerations associated with these medications.See omnystudio.com/listener for privacy information.

In this Healthed podcast, Dr Fiona Chan explains that, research has now identified new antibody-mediated demyelinating diseases that have been mistaken for MS in the past. She will focus on two of these conditions in particular, pointing out how they present and in whom, and, importantly, how they can be differentiated from MS and how they should be diagnosed and managed to optimise health outcomes for the patient.See omnystudio.com/listener for privacy information.

Key messages delivered at the ‘So Hot Right Now’ and ‘Feeling the Heat’ meetings at the Sydney Opera House in early March 2025 Controversies about the use of higher dose oestrogen and the potential overuse of testosterone for other than its current indications How these messages might translate into the management of menopause in a general practice setting Host: Dr Terri Foran | Total Time: 45 mins Expert: Dr Rebecca South, Women's Health General Practitioner Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEDT Click here to register for the next oneSee omnystudio.com/listener for privacy information.

In this episode: Nail infections are common, and it’s worthwhile to understand the potential infectious causes and triggers, such as over-washing or underlying nail tumour Nail infections can lead to paronychia or vice versa, causing nail deformities where infections can arise Treating nail infections is simple, provided the diagnosis is correct. Simple infections can be treated with topical treatment, however fungal infections may require antibiotics or anti-fungal agents Host: Dr David Lim, GP and Medical Educator Expert: Dr Philip Tong, Dermatologist Total time: 21 mins Register for our fortnightly FREE WEBCASTS Every second Tuesday | 7:00pm-9:00pm AEDT Click here to register for the next oneSee omnystudio.com/listener for privacy information.

Healthcare professionals should recommend that patients spend time in blue spaces (oceans, rivers) and green spaces (forests, parks) for various health benefits Spending up to 2 hours weekly in nature (about 20 minutes daily) improves mental health, reduces depression and anxiety, lowers blood pressure, and enhances sleep quality Children who spend time in nature show reduced ADHD symptoms, better behaviour and improved physical development Nature exposure benefits all age groups, helping to reduce urban mental health issues and providing social connection for isolated individuals People with limited access to green spaces can create small gardens, use balcony plants, visit community gardens, or simply sit mindfully in local parks for similar benefits Host: Dr David Lim | Total Time: 37 mins Experts: A/Prof Vicki Kotsirilos AM, Specialist General Practitioner Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEDT Click here to register for the next oneSee omnystudio.com/listener for privacy information.

Compression is the mainstay for managing venous leg ulcers and other lower limb wounds with oedema Most patients with poor arterial supply can safely use compression with proper assessment via arterial duplex ultrasound A key contraindication for compression therapy is significant sensory loss or neuropathy due to risk of undetected pressure injuries Starting with light compression (tubular bandages) allows patients to adjust before progressing to stockings or multi-layer systems Managing neuropathic pain with appropriate medications is crucial for ensuring compliance with compression therapy Host: Dr Marita Long | Total Time: 40 mins Expert: Dr Iestyn Lewis, Emergency Physician Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEDT Click here to register for the next oneSee omnystudio.com/listener for privacy information.

Treatments available at public fertility clinics Eligibility criteria for accessing care at a public fertility clinic Age limits attached to access to public fertility services Holistic care for individuals accessing fertility services Host: Dr Terri Foran | Total Time: 28 mins Expert: A/Prof Kate Stern, Fertility Specialist, Gynaecologist and Reproductive Endocrinologist and A/Prof Wan Tinn Teh, Gynaecologist and Fertility Specialist Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEDT Click here to register for the next oneSee omnystudio.com/listener for privacy information.

In this Healthed lecture, Associate Professor Robyn Saw will upskill and update GPs to ensure patients with melanoma have the best chance possible to survive this deadly skin cancer. From identifying high risk patients, to biopsy techniques and appropriate referrals, Professor Saw will be sharing both her expertise and experience on all things melanoma. Not to be missed.See omnystudio.com/listener for privacy information.