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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.

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.

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.

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.

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.

Meatsauce shares how he would fight off a lioness if he were attacked by 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.

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.

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.

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.

SCAD is the leading cause of heart attacks in women under 50, often caused by bleeding in the artery wall that leads to tearing SCAD is linked to genetic factors affecting collagen and tissue strength, with emotional stress being a common trigger Diagnosis can be challenging, as young women with chest pain aren't typically suspected of having heart attacks; troponin testing is crucial for detection Unlike atherosclerosis, SCAD is treated conservatively with beta blockers (preferably long-term) and limited use of antiplatelet therapy. The risk of recurrence is 20-30%, and prevention includes beta blockers, treating high blood pressure, and screening for fibromuscular dysplasia. Host: Dr David Lim | Total Time: 44 mins Experts: Dr Jason Kovacic, Clinical Cardiologist 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.

Hr 2 - The best and worst of NFL free agency day oneSee omnystudio.com/listener for privacy information.

Hr 2 - The best and worst of NFL free agency day oneSee omnystudio.com/listener for privacy information.

Radiation therapy plays a big role as a curative treatment option for prostate cancer External Beam Radiation Therapy (EBRT) and Brachytherapy are the two primary types of radiation therapy used to treat prostate cancer Surgical isn’t the only option, radiation therapy can also cure some prostate cancers Advantages of radiation therapy – outpatient procedure, doesn’t involve anaesthetics, less potential side effects etc Healthcare professionals play a crucial role in the early stages of prostate cancer diagnosis. They are encouraged to discuss radiation therapy as a treatment option and refer patients to a radiation oncologist for further evaluation and treatment planning Host: Dr David Lim | Total Time: 42 mins Experts: Prof Sandra Turner, Staff Specialist Radiation Oncologist and A/Prof Lucinda Morris, Radiation Oncologist 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.

Sam Monson of The 33rd Team talks the Titans options at number oneSee omnystudio.com/listener for privacy information.

Sam Monson of The 33rd Team talks the Titans options at number oneSee omnystudio.com/listener for privacy information.

In this episode: Understand dermatological patterns and how to approach cases of linear skin rash in practice Linear psoriasis, lichen planus and other potential causes of linear plaques in both children and adults Recognise the importance of distribution patterns, patient history, diagnostic techniques (including use of dermoscopy) and potential treatments Potential differential diagnosis and case studies explained for a simpler understanding of the above Host: Dr David Lim, GP and Medical Educator Expert: Dr Philip Tong, Dermatologist Total time: 29 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.

Listen to Kylie’s extensive journey of recovery from Long COVID, including her debilitating symptoms and emotional turmoil Explore the critical role her General Practitioner and Long COVID clinic played in her recovery Understand the importance of empathy, patient support and multidisciplinary care in recovery Important insights into how to manage Long COVID patients, highlighting the need for understanding, patience and tailored treatment plans Host: Dr David Lim | Total Time: 48 mins Guest: Kylie Trounson, Senior Associate and A/Prof John Litt AM, 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.

The Commission is shifting focus from simple weight metrics to the impact of obesity on health Clear clinical criteria have been established for defining obesity as a disease, making it easier to assess and manage patients, stratify treatments, and guide future policies and research priorities The importance of early intervention to prevent progression to organ dysfunction The Commission aims to reduce stigma for those living with obesity and improve access to care Provide guidance for policymakers and potentially create an obligation to fund and treat obesity as a defined clinical disease Host: Dr David Lim | Total Time: 38 mins Expert: Dr Catherine Bacus, Bariatric 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.

Important management issues and investigations required when a patient presents acutely after sexual assaults Importance of comprehensive clinical notes The process of referral to a tertiary hospital or service for forensic investigations Potential for anonymous reporting of sexual assault in New South Wales Ensuring that a patient is safe after leaving the consultation Host: Dr Terri Foran | Total Time: 24 mins Expert: Dr Ellie Freedman, Sexual Health 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.

Personalised device selection: Tailor the right device to the specific needs of your patient Avoid blanket approaches: Act as “device detectives” and collaborate with your patient to find the best solution Prioritise device education: Inadequate device education can result in emergency department visits, so it's crucial to ensure patients are well-informed on proper usage Comprehensive consideration: Evaluate all factors that may impact your patient before deciding to switch their inhaler device Host: Dr David Lim | Total Time: 31 mins Experts: Prof Omar Usmani, Respiratory Medicine 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.

Heart failure is a clinical diagnosis with specific signs. If unsure, N-terminal pro b-type natriuretic peptide (NT-proBNP) levels can help rule it out Differences between brain natriuretic peptide (BNP) and NT-proBNP, and how to apply each of them to your heart failure patients In patients with chronic kidney disease, NT-proBNP levels should be within context of renal dysfunction Serial measurements of NT-proBNP are associated with prognosis, guidance and response to heart failure treatment Only one NT-proBNP test per patient per year is reimbursed; additional tests must be self-funded Host: Dr David Lim | Total Time: 39 mins Experts: Prof Andrew Sindone, Cardiologist A/Prof Ralph Audehm, 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.

Understand the extent of iron deficiency in older adults and why we see higher rates in this cohort Tiredness is not normal in older adults, do not hesitate to test for iron deficiency How best to investigate and interpret pathology results Iron deficiency is not a diagnosis on its own, a cause must be identified, sometimes in conjunction with a specialist Understand the best ways to treat iron deficiency in your practice including making a follow-up management plan Host: Dr Marita Long | Total Time: 37 mins Expert: A/Prof Pradeep Jayasuriya, 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.

The impact of anxiety on school attendance in primary school kids, including separation anxiety, bullying, and online gaming addiction, etc. To what extent are mental health challenges covert or overtly raised by families? With the pressures of general practice, what are the key areas you could enquire about that set the tone for ongoing support of the child and examples of open probing questions? Practical strategies to manage ‘screen time’ and its impact on children Best approaches for exploring ‘bullying at school’ with the child and family Host: Dr Tim Jones | Total Time: 33 mins Expert: Dr Andrew Leech, 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.

Common causes of acute migraine, its pathogenesis and factors / triggers implicated in the onset of acute migraine Types of migraine that require more urgent management than others Approach to treating migraine based on its frequency Best practices for using medications to manage frequent migraines Encourage patients to have a formal detailed migraine ‘diary’, and its use in the treatment of migraines Current advances in acute migraine treatment Host: Dr David Lim | Total Time: 37 mins Expert: Prof Richard Stark, Neurologist 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: What are the red flags when examining lesions in fingers or toes? Why is it important to examine fingers and toes at the same time? What ethnicities and age groups of patients are at higher risk of skin lesions? When looking at longitudinal melanonychia, what signs indicate patient needs to be referred to a Dermatologist? “Furrows are friendly, ridges are risky” – understand this mnemonic used commonly by Dermatologists Taking a clinical photograph of the lesion is always helpful in monitoring, even for patients, as most of these lesions grow slowly Host: Dr David Lim, GP and Medical Educator Expert: Dr Philip Tong, Dermatologist Total time: 24 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.

The questions answered in this podcast are listed below.They were compiled by GPs and health professionals around Australia. What are the risks posed by cardiovascular disease when you’re considering menopausal management? What do you consider high risk cardiovascular disease? For example, if a woman has a strong family history of heart disease but a zero-calcium score. Does the use of menopausal hormone therapy reduce the risk of cardiovascular disease and death? Can you diagnose menopause in a woman with amenorrhea, or very irregular periods by doing a progesterone challenge test. Any tips on how to diagnose? Is a persistent high temperature, greater than 39 degrees a vasomotor symptom, because they're suggesting that thermoregulation might be affected? Are you aware of any evidence on cannabidiol oil in treating menopausal symptoms? Can androgen deficiency cause hot flashes, fatigue or their mood? Could you provide more information on where patients can find evidence supporting the use of cognitive behavioural therapy for managing vasomotor symptoms? Additionally, it would be helpful to know if there are online services available that patients can access for this treatment How can you best treat brain fog? Is it reasonable to use different pharmacological agents that target specific symptoms, such as urinary urgency or hot flashes, before considering hormonal treatments? Is this an appropriate approach to managing symptoms? What indicators would there be for treating a woman with Vulvovaginal syndrome of menopause with something like Intrarosa dehydroepiandrosterone (DHEA) instead of Avastin or Estradiol tablets? Would you recommend or suggest starting local oestrogen creams for a patient above 60-years-old for atrophic, vaginitis or dryness? Is there any upper limit? How long can you safely use these vaginal preparations? Can you cut hormone patches when you're weaning someone off menopausal hormone therapy or when the patient just can't obtain the right dose. Is it okay to cut the patches (i.e in half, or thirds)? Why should paroxetine be avoided for the treatment of hot flushes in tamoxifen users and is there anything else we should be avoiding in these patients? Are there any effective treatments for a woman who presents between late 60-70 years old for management of hot flushes that have come back after settling and, should we be using menopause hormone therapy or starting them on non-hormonal therapy? Patient case: I've got a patient classed as BI-RADS D who's currently on menopausal hormone therapy. How should we monitor her? Patient Case: I have a few patients who are starting ashwagandha based on information from social media and blogs. Are there any research studies on its effectiveness? What exactly is ashwagandha, and is it beneficial for managing menopause symptoms? Additionally, are there any potential risks associated with its use? Is there any feedback, data or experiences supporting the efficacy of happy mammoth supplement? Selective serotonin reuptake inhibitors (SSRIs) can sometimes cause sweating as a side effect and is this ever an issue when you're trying to use it for hot flushes? Does Mirtazapine have a role in the management of vasomotor symptoms? Could you please discuss the use of Prometrium per vaginally and the recommended doses when you give it by that route? If you're on a standard or higher dose of something like Estraderm, is there a need to increase the Prometrium dosing on the higher dose? Do you need to give double the dose or give it more often? Can you please clarify the role of Tibolone in menopause, including its relative benefits and risks? I'm having trouble with resistance of some of my patients to start menopause or hormone therapy due to being told by their breast physician, surgeon, and friends that no woman with even a moderately increased risk of breast cancer should ever be on menopause hormone. How would you recommend that we advise these patients? Patient Case: I've got a 40-years-old who's perimenopausal and presents with hot flushes, mood swings, night sweats and brain fog. She has a history of Churg-Strauss syndrome. What is the best option for her treatment? Patient Case: I see lots of perimenopausal patients who have already started menopause hormone therapy and have irregular periods. However, on menopausal hormone therapy they get regular periods and they feel better, do they need contraception advice? Do you need to use contraception if you're on menopausal hormone therapy? Host: Dr Terri Foran | Total Time: 38 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.

The questions answered in this podcast are listed below.They were compiled by GPs and health professionals around Australia. Tell us exactly what we're talking about when we say peripheral artery? What about the incidence of peripheral arterial disease? Is it improving because less people are smoking or are you seeing no change in the incidents? How do these diseases present to general practitioners? How do mesenteric arteries and renal arteries present? If a patient developed small bowel infarction what is the mortality rate? What could help GPs lower the threshold and increase index of suspicion? How bad do your kidneys need to be before you start developing peripheral artery disease? What about the presence of some very significant proteinuria? Would you rate carotids as a peripheral arterial disease? How hard should GPs look for other vascular disease in a patient who either has peripheral arterial disease or coronary arterial disease or cerebral vascular disease? What are the red flags? Case: A patient with significant peripheral arterial disease who is being managed by a cardiologist and is stable enough for medical treatment, with no immediate need for surgical intervention. What lies ahead for these patients, apart from managing their cardiovascular risk factors? What are the chances that they recur? How many times can you redo small arteries? When discussing medical treatment, are you referring to the full range of polypharmacy, including medications for hypertension (antihypertensives), cholesterol management (statins), and blood clot prevention (antiplatelet drugs like aspirin)? And if so, are some medications more effective than others in these cases? Are there any special considerations for GPs when managing patients who are on both a DOAC and an antiplatelet agent, or those on triple therapy? Host: Dr David Lim | Total Time: 39 mins Expert: Dr Shannon Thomas, Vascular and Endovascular 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.

Natural history of Long COVID, although up to 95% patients will improve their symptoms; it is a long process Role of vaccination in prevention of Long COVID in patients at higher risk Role of Metformin in prevention of symptoms of Long COVID and how it is best used in clinics Type of rehabilitation patients with Long COVID need Impact on interpersonal relationships and the role of family and community General practitioners and allied health can together make a significant improvement to patient outcomes Host: Dr David Lim | Total Time: 41 mins Guest: Prof Steven Faux AM, Rehabilitation and Pain 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.

Understand the different types of seizures, including the most common seizure mimics Red flags that healthcare professionals should prioritise and rule out significant pathology Understand how to prioritise investigations based on the presenting history of the patient Critical to minimise delay between first seizure activity and a specialist review, whether in the public system or private clinic Host: Dr David Lim | Total Time: 33 mins Expert: Dr Moksh Sethi, Neurologist & Epilepsy 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.

a Pardon of a MS-13 killer helps no oneSee omnystudio.com/listener for privacy information.

As you plan your next week, think about what you enjoyed in the last oneSee omnystudio.com/listener for privacy information.