The New Zealand General Practice Podcast

Dr Dave reminds Dr Jo about testosterone, its limited indications and how to manage a patient who is using it. We talk about treatment injury overseas and paying for medical records, the dos and don'ts. Dementia and Asthma are our two equity topics. We finish with a few prescriber updates and a resource for coeliac disease identification.

Dr Dave educates Dr Jo about measles long term impacts, lymphocytosis, death docs and cremation rules, herpes testing and treating, and provides tools for cognitive testing, melanoma counselling and long covid management.

Dr Dave educates Dr Jo about prostate cancer screening, FIT for symptomatic colorectal conditions, infrequent Zolendronate in early menopause, dangers of isotretinoin, This Way Up online CBT, the equity topic this month is around H Pylori, plus a few more clinical snippets !

Dr Dave shares updates on empaglaflozin, fosfomycin, latent autoimmune diabetes, HINTS test for vertigo, pertussis, ADHD, treating family and friends this Christmas, and medical aspects of fitness to drive changes.

Dr Dave takes Dr Jo on a trip through sore eyes, syphilis, peripheral neuropthy, heart failure, how to take a BP, naltrexone and long covid, endometriosis and ovarian cancer, ACC via text, clinical gems and health equity.

Dr Dave teaches Dr Jo about the importance of documenting patient refusals and providing written information about treatment options and consequences. They discuss innovative treatments such as using cooking salt for neonatal umbilical granulomas and duct tape for warts and review a study on habitual coffee drinking and its association with prediabetes remission. Dave introduces Jo to BreastNet NZ, a knowledge base for clinicians about breast cancer, aimed at promoting best-practice care and other topics include the discontinuation of certain diabetes medications, safety netting advice in primary care, nitrofurantoin safety reminders, methylphenidate supply issues, and updated guidelines for Mpox

Dr Dave teaches Dr Jo about the complexities of deprescribing in older adults, focusing on the balance of benefits and risks associated with statins and aspirin for primary prevention of cardiovascular diseases. We'll also discuss the updated guidelines for managing fever in children, emphasizing the importance of evaluating all vital signs and the role of clinical judgment. Additionally, we'll touch on the latest pain management strategies, including updates on opioid choices and the management of complex regional pain syndrome. Finally, we'll highlight the significance of early diagnosis and management of Charcot neuro-arthropathy in diabetic patients.

Dr Dave covers updates on diverticulitis, post natal depression, WINZ and prescribing in pregnancy resources and shares a cautionary tale about abdominal trauma in children

Dr Dave teaches Dr Jo about Heart Foundation resources, Atrial fibrillation and anticoagulation, Liquid morphine formulations, Liraglutide and dulaglutide, Oestrogen patches, Potassium in dietary supplements, Medicine-induced hyponatraemia, pseudoephedrine, Prescribing to competitive athletes subject to drug testing, Montelukast, Vitamin D supplementation in pregnancy and infants, and Abortion reversal.

Dr Dave updates us about the child disability allowance, istretrinoin may not be quite as risky as feared for mental health issues, scabies treatment and how to maximise impact of permethrin, being wary of erectile dysfunction in young men, some medication updates, the EPIC dashboard and how to manage aggressive patients.

Dr Dave educates Dr Jo about ACC, otitis media, microplastics in his arteries, nsaids, contraceptives and blood clots, MANA tools and apathy in dementia, RSV vaccine, and the benefits of cycling to work in Scotland.

This month Dr Dave educates Dr Jo on issues around dementia and driving, extended use of mirena for contraception, nsaids for short term pain relief after fractures and numerous other topics. Apologies to regular listeners for the delay in publising this episode we both had time away - hopefully the content was worth waiting for !

Dr Dave tells Dr Jo about weird ear creases, why two defibrillators are better than one, why post concussion syndrome doesn't exist anymore, what to think about when a teenager limps, and lots of stuff about medication supply issues.

In which Dr Dave educates Dr Jo about not using ace, arb, and statins in pregnancy, monitoring lithium and clozapine, equity prescribing, medsafe monitoring of vildagliptin, resources from Just a Thought, dermatoscopy, and the latest covid vaccine.

In which Dr Dave educates Dr Jo about Symmetrical drug-related intertriginous and flexural exanthema (SDRIFE), Sodium valproate in people who can father children, Accelerated silicosis, Cyanobacteria, Respiratory Resources, Be wary of the request for metoclopromide and 6 monthly injections for hypertension.

For December 2023 we are revisiting one of our most popular podcasts of all time, where Dr Joe Bourne, now Chief Medical Officer at Manatū Hauora / Ministry of Health shares his leadership story and what keeps him on track.   This is an opportunity to reflect on the Covid19 pandemic from the viewpoint of “the new normal” in which we live and to celebrate what we collectively acheived through that time.   Season 1 of the New Zealand General Practice Podcast is a collection of stories of what brings people joy in general practice, and what they do to increase job satisfaction and the culture of the teams they work in. This episode is taken from Season 2 when we heard more in depth stories from doctors around New Zealand. During the holiday season, take a little time to listen to some of these back issues and think about what you are going to do build the joy in your work in 2024.   Read more about Dr Joe Bourne in New Zealand Doctor:   https://www.nzdoctor.co.nz/article/news/cover-story/bourne-identity-gp-cmo-doctor-interrupted-lands-safely-community-care?check_logged_in=1   Shownotes The Daily Show with Trevor Noah https://www.youtube.com/channel/UCwWhs_6x42TyRM4Wstoq8HA Fighting Talk https://www.bbc.co.uk/programmes/b0070hvs/episodes/downloads Kermode and Mayo Film Review podcasts https://www.bbc.co.uk/programmes/b00lvdrj https://www.kermodeandmayo.com/ "This too shall pass" – Tom Hanks https://www.youtube.com/watch?v=nikdylGBoFI      

Dr Dave takes Dr Jo on a learning journey from subsidies to medications through to retirement. Of significant note is Dr Jo is RIGHT when he corrects Dr Dave ( this almost never happens so is worth celebrating - when he says at a BMI of 26 or higher the dose of levonorgestrol for emergency contraception should be increased. Enjoy. Find the shownotes at pinnaclepractices.co.nz/resources/

Dr Dave Maplesden educates Dr Jo about Acne, burnout, medication withdrawal, prostate cancer ( again ) adverse reactions and managing symptoms at end of life. Find the shownotes at https://www.pinnaclepractices.co.nz/resources/

More snippets of clinically useful information for New Zealand General Practices. This month assessing capacity, HPV, Opioid prescribing, ferrinject complications, pneumonia in children, menopause hormone treatment, goldilocks and the 4 BP cuffs and just keep breathing Dr Dave.

https://ubuntu2024.com/ Ubuntu 2024 is a joint conference between The Network: Towards Unity for Health (TUFH) and Rural WONCA (The Working Party on Rural Practice). It's bringing together the TUFH 2024 Annual Conference for TUFH, which is celebrating it's 45th anniversary in 2024, and the 20th WONCA World Rural Health Conference!This conference is being co-hosted by 5 partners in Cape Town, South Africa:University of the Western Cape; University of Cape Town; Stellenbosch University; Cape Peninsula University of Technology and the Department of Health and Wellness – Western Cape Government. This joint conference has been named Ubuntu 2024; referring to the meaning of Ubuntu “I am, because you are”. Ubuntu 2024 will be a fully hybrid conference. We strongly recommend attending  in person, but for those unable to travel, we will provide the opportunity for virtual participation.

Dr Dave Maplesden takes Dr Jo Scott-Jones on another sojourn through important clinical updates for New Zealand General Practice. This month varicella and pregnancy, identifying "the green pill", implicit bias and racism, corneal melting ( I know ! ) , nasopharyngeal cancer, funded menigococcal vaccine, colorectal cancer, and pocus for paediatric fractures.

Dr Dave updates Dr Jo about superficial venous thrombosis, ACE inhibitors and angioedema, scabies treatment with Ivermectin, complications with use of Allopurinol, pain relief in leg ulcers, ethical issues around breast screening, and the complementary use of light piano music and topical hop cream.

Dr Dave Mapelseden educates Dr Jo about stopping antidepressants, miconazole gel and warfarin interactions, lung cancer early detection, use of PPI in crying children, aspirin and primary prevention of CVD, winter illness resources and new guidance for men who are fertile and using sodium valproate.

In this episode Dr Dave covers pelvic mesh, PSA testing guidance, polypharmacy, COPD Guidelines, Diabetes, Vit D and pre-diabetes, Topirimate in pregnancy ( again - because its important !). he gives Dr Jo news about progesterone only pills and breast cancer risk, and updates prescribing for ADHD. Video of the podcast can be found on the Pinnacle website www.pinnaclepractices.co.nz/resources along with the show-notes which are also available from opotikigp.wordpress.com

In this episode Dr Dave teaches Jo about Syphilis, Death, Opioids, Drug Driving, Phenobarbitone and how to Breathe. Video and of the podcast are available on www.pinnaclepractices.co.nz/resources along with the show-notes which are also available at https://opotikigp.wordpress.com

Dr Dave Maplesden updates Dr Jo Scott-Jones on resources for practice reflection and education https://www.akohiringa.co.nz/ and helps him with constipation, insomnia, prescribing cephalosporins, lithium in diabetes and metoclopromide. Video of the podcast can be found on the Pinnacle website https://www.pinnaclepractices.co.nz/resources/ along with shownotes, which are also available on https://opotikigp.wordpress.com/ .

Dr Dave Maplesden teaches Dr Jo about asymptomatic bacteruria, Ramadan and diabetes, when not to investigate a soft tissue mass, meningococcal B vaccine for people in residences, epipen funding, unmet need and post partum diabetes screening.

In this episode Dr Jo learns about cybersecurity, UTIs, ramipril, topirimate in pregnancy, cellulitis, sleep disorders and more from Dr Dave Maplesden.

Dr Dave teaches Dr Jo about hepatitis C, medical abortion, assisted dying, pancreatic cancer quetiapine and life in general, in this final clinical snippets epsiode of the year. Listen out for the December end of year special quiz edition coming out before Christmas.

Dr Dave Maplesden and Dr Jo Scott-Jones discuss clinically important updates for New Zealand primary care clinicians. This month's takeaway messages include to always think of three things especially when one diagnosis leaps out at you as obvious.

Dr Dave Maplesden and Dr Jo Scott-Jones share clinically important updates for New Zealand General Practice. This month we discuss a blood test for cancer, reducing the frequency of recurrent bladder infections, regulations about viewing a body after death, managing test result and the PSA, and Dr Dave gives us all three quickies.

Dr Dave Maplesden and Dr Jo Scott-Jones share clinically important updates for New Zealand General Practice. This month we discuss recognising sepsis, the role of paracetemol and ibuprofen in febrile convulsions, actinic keratosis, assisted dying and HIV prevention. Dr Jo learns that thick actinic keratoses have a higher cancer risk than he thought, and Dave leaves Jo speechless for once.

Dr DAve Maplesden and Dr Jo Scott-Jones discuss treatment of nosebleeds when people are anticoagulated, a CBT online resource, molnupirivir and the need for contraception, a rare event resulting from vaccination into the sub acromial bursa, another reason not to use antibiotics unless really needed, TB and refugees, medicine supply issues and falling asleep during consultations.

Dr Dave Maplesden and Dr Jo Scott-Jones discuss use of PPIs, mask wearing, scabies, an interesting suture technique, yet another caution around duromine, and covid issues.

Dr Dave Maplesden and Dr Jo Scott-Jones discuss eating disorders, weight loss, depo provera, smoking cessation, chronic pain and psychosis associated violence.

Dr Dave Maplesden and Dr Jo Scott-Jones discuss ACC treatment injury, concussion, dog bites and the medical value of avocado.

Dr Dave Maplesden, Dr Jo Scott-Jones discuss Naloxone, OCP and risk of PE, Ovarian Cancer Diagnosis amongst other topical clinical updates with contributions from audience members Dr Marlene Bezuidenhout and Dr Natalie Clarke.

Dr Dave Maplesden educates Dr Jo Scott-Jones with some snippets of important clinical information this month with a vaguely anatomical theme.

Dr Dave Maplesden and Dr Jo Scott-Jones discuss antibiotic stewardship tips and tricks, Emoquol 100 a screening test for mood assessment, covid and pregnancy, covid and budesonide, covid and myocarditis, and nothing to do with covid Melanoma follow up.

In this episode Dr Dave Maplesden tests Dr Jo Scott-Jones on key "snippets" of the "clinical snippets" from 2021. This is a great opportunity to test how much you actually retained from the podcast in the past year - see if you can beat Dr Jo - and to be honest, that isn't going to be hard !

Dr Dave Maplesden and Dr Jo Scott-Jones talk about frailty of old age, medicinal cannabis, a new use for Empagliflozin, Penicillin allergy, Baclofen and a touch of the covid19s.

Dr Dave Maplesden and Dr Jo Scott-Jones discuss "snippets" of clinical information relevant to New Zealand General Practice in this monthly conversation. This time the conversation is bookended with conscientious objection to assisted dying and termination of pregnancy, and encompasses concussion, prostate cancer and a couple of recommendations for relaxation from the prosaic - The Good GP podcast (https://podcasts.apple.com/nz/podcast/the-good-gp/id1212751478) to the operatic Elīna Garanča – Saint-Saëns: 'Mon coeur s'ouvre à ta voix' from Samson et Dalila (Romantique) https://www.youtube.com/watch?v=noHQXogDsA0

Dr Dave Maplesden and Dr Jo Scott-Jones discuss "snippets" of clinical information relevant to New Zealand General Practice in this monthly conversation. This time, referring patients - the importance of using agreed processes for acute admissions and bowel screening, emaglifozin side effects, boron containing medications, hyperkalaemia, the choice of an ACEi or an ARB, and how not to prescribe Ivermectin for covid.

Dr Dave Maplesden and Dr Jo Scott-Jones discuss "snippets" of information that are important for general practice in New Zealand. This month Acc consent, the end of life choice act, a new statin, acute coronary syndrome in women A video version of this podcast is available on the Pinnacle Practices website here https://www.pinnaclepractices.co.nz/resources/clinical-zoom-meeting-snippets-august-2021/

Dr Dave Maplesden and Dr Jo Scott-Jones discuss "snippets" of clinical information important for General Practice in New Zealand This month asking about alcohol, IQCODE informant questionnaire for dementia, ovarian cancer and more. A video version of this podcast is available on the Pinnacle Practice website here https://www.pinnaclepractices.co.nz/resources/clinical-zoom-meeting-snippets-july-2021/

Dr Dave Maplesden and Dr Jo Scott-Jones discuss "snippets" of information that are important to New Zealand General Practice This month a bleeding risk tool in atrial fibrillation, current medication issues, the End of Life Choice Act and more. A video version of this podcast is available on the Pinnacle Practice website here https://www.pinnaclepractices.co.nz/resources/clinical-zoom-meeting-snippets-june-2021/

Dr Dave Maplesden and Dr Jo Scott-Jones talk about "snippets" of clinical information important to General Practice in New Zealand Vitamin D supplementation in infants, working with sensitive ACC claims, coroner reports, details on the influenza vaccination programme and more. A video version of this podcast is available on the Pinnacle Practice website at https://www.pinnaclepractices.co.nz/resources/clinical-zoom-meeting-snippets-may-2021/

Dr Dave Maplesden and Dr Jo Scott-Jones discuss "snippets" of information that are important for general practice in New Zealand COPD, ACC, Covid vaccine, online death certificates and more

Dr Dave Maplesden and Dr Jo Scott-Jones discuss clinically important "snippets" of information relevant to general practice in New Zealand A video version of this podcast is available on the Pinnacle Practice Website https://www.pinnaclepractices.co.nz/resources/clinical-zoom-meeting-snippets-march-2021/

Joe Bourne Shownotes The Daily Show with Trevor Noah https://www.youtube.com/channel/UCwWhs_6x42TyRM4Wstoq8HA Fighting Talk https://www.bbc.co.uk/programmes/b0070hvs/episodes/downloads Kermode and Mayo Film Review https://www.bbc.co.uk/programmes/b00lvdrj This too shall pass – Tom Hanks https://www.youtube.com/watch?v=nikdylGBoFI Midland Leadership Course https://www.midlandleadership.co.nz/ Find Dr Jo Scott-Jones: On Linked In https://www.linkedin.com/in/opotikigp/ On Wordpress https://wordpress.com/home/opotikigp.wordpress.com On Twitter @opotikigp

Link to Lucy's Eric Elder address. https://www.publish.csiro.au/HC/pdf/HC15925 Te Kāika medical centre. http://www.tekaika.org/ Narrative based medicine. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5851389/ Telephone consultation skills. https://www.gp-training.net/training/communication_skills/consultation/telephone_consultation.htm Virtual health resources https://www.telehealth.org.nz/ The New Zealand Bear Hunt https://bearhunt.co.nz/ Dr Ian McWhinney https://en.wikipedia.org/wiki/Ian_McWhinney Dr Glen Colquhoun https://en.wikipedia.org/wiki/Glenn_Colquhoun Find Dr Jo Scott-Jones: On Linked In https://www.linkedin.com/in/opotikigp/ On Wordpress https://wordpress.com/home/opotikigp.wordpress.com On Twitter @opotikigp