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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.

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.

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.

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.

Medication reviews are vital for optimising treatments, preventing adverse drug events and improving quality of life Differences between Home Medicines Review and Residential Aged Care Medication Review Which situations and what frequency are best for initiating medication reviews Clear communication with the pharmacist, starting from a detailed referral and reviewing pharmacist recommendations are crucial for a successful medication review Clinical, economical and patient-centred benefits Medicare funded, therefore benefits the health system overall Host: Dr Marita Long | Total Time: 19 mins Expert: Dr Peter Tenni, Clinical Pharmacist 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.

Why Australian women tend to have poorer cardiac disease outcomes than their male counterparts The intricacies of INOCA, ANOCA and MINOCA and how they are diagnosed Spontaneous coronary artery dissection and its outcomes Takotsubo cardiomyopathy: Diagnosis, treatment and potential recurrence Host: Dr Terri Foran | Total Time: 29 mins Expert: Dr Fiona Foo, Clinical and Interventional 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.

Supporting an autistic child in primary care involves a holistic, individualised and family-centred approach where healthcare professionals play a pivotal role Early relationship with family and child is critical in understanding their emotional state using the first principle of rapport building Guide family through initial process, supporting them through all issues related to sleep, school, vaccinations, allied health etc. Be the resource for the family, guiding them what to rely on; including websites, support groups etc. Ensure you see the child when they’re well too; regular interaction builds long lasting trust Host: Dr Tim Jones | Total Time: 29 mins Expert: Dr James Best, 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 questions answered in this podcast are listed below.They were compiled by GPs and health professionals around Australia. What are the major classes of Endocrine Disrupting Chemicals (EDCs) that we are exposed to now in our everyday lives? What are the major routes of ingestion in terms of how they enter our bodies? You mentioned hormonal effects and obesity. What are some of the main effects in which these chemicals do impact our health and our bodies? How do these EDCs impact reproductive function and fertility? How can we assess people's exposure? Is there a way we can test? And are there resources available for patients to start to consider their past exposure? If you're seeing patients with reduced fertility, is this something that you would now ask about and screen for test? If you were to test and find that someone had high levels of these environmental toxicants in their system, is there a way that they can try to eliminate them from their bodies? What are some tips that we can use in our everyday lives, but we can also pass on to our patients to try and minimise our exposure? Would using water jugs that have a filter be a useful and effective way of trying to reduce exposure to these sorts of chemicals? Washing fruit and vegetables, is there any added value by giving them a rinse with some soap before consuming them? What about other chemicals in the home, like air fresheners or pesticides? How should we treat them in terms of precautions to reduce our ingestion? Do you give your patients any resources to help them look at their exposure and reduce their exposure? Host: Dr Rebecca Overton | Total Time: 23 mins Expert: A/Prof Mark Green, Reproductive Biologist 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.

Both social isolation and loneliness are shaped by social determinants of health and can exacerbate existing chronic conditions Understand the concept of ‘social prescribing’ and how that positively impacts social isolation and loneliness Regularly monitor patients' social and emotional wellbeing By recognising the profound impact of social isolation and loneliness, healthcare professionals can help improve quality of life and long term health outcomes Host: Dr Marita Long | Total Time: 24 mins Expert: Dr Rosanne Freak-Poli, Epidemiologist 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 there still a role for hepatitis B and C screening? Are hepatitis B and C no longer considered sexually transmitted infections, especially in men who have sex with men? How regularly should hepatitis B and C screenings be performed? Is syphilis serology positive at the time of primary ulcers? What are the cardiovascular risks for patients with HIV, and how does the use of statins fit into this? Would you consider using statins based on HDL levels, or would you only prescribe them for high LDL levels? What are the options when patients with resistant Mycoplasma genitalium have not responded to multiple treatments? What is the primary mode of transmission in human outbreaks of Mycoplasma genitalium? What are the different strains of Mpox that have emerged over the years? What are the key differences between strain 1B and 2B in terms of virulence, treatment, and symptoms? How many cases of Mpox have been reported in Australia to date? What is the incubation period for Mpox? Which age groups in Australia have seen the highest number of Mpox cases? What is the fatality rate for Mpox in Australia? Given the current epidemic, has Mpox been declared a public health emergency What advice would you give if you suspected a patient has Mpox? Who should be receiving the Mpox vaccine at this time? There's been some misinformation on social media about the WHO imposing mega lockdowns due to Mpox. Could you clarify and debunk this? What services are currently available to healthcare professionals that we as GPs may not be aware of? Just to clarify: Central and West African regions have historically been endemic for Mpox?   Host: Dr David Lim | Total Time: 25 mins Expert: Prof Jason Ong, 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.

Why access to timely medical abortion services is so important to Australian women The importance of a patient-centred approach to abortion service delivery Where to obtain the clinical education which will ensure the safe delivery of medical abortion to our patients Managing the private impacts of medical abortion service delivery Setting up optimal conditions for the provision of medical abortion both within the primary care practise and external support systems   Host: Dr Terri Foran | Total Time: 33 mins Expert: Prof Danielle Mazza 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.

Why Long COVID is a large and growing concern as new insights emerge at great speed Understand the proposed mechanisms driving Long COVID, including the two main mechanisms of persistent infection and the role of toxic fibrin induced vascular damage How to clinically assess Long COVID in patients Role of antivirals in reducing the duration, severity and potentially preventing the impact of Long COVID Three hierarchical drivers of preventing the impact of Long COVID, how can this messaging help your patient What should be your tool kit of prevention, when explaining Long COVID to your patients, especially the vulnerable ones Risk of long lasting viraemia in the body causing future chronic conditions Use of CoRiCal, a COVID calculator (including Long COVID); beneficial as a tool in your practice   Host: Dr David Lim | Total Time: 54 mins Experts: Prof Brendan Crabb, Infectious Disease Researcher A/Prof John Litt AM, Public 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.

Educate patients that COVID is current and understanding the simple things patients can practice ensuring they do not get severe infections What are the relevant vaccination guidelines for different age cohorts Key role of antivirals, if started on time; how they reduce severity of COVID as well as Long COVID What are the potential side effects and contraindications of antivirals, and which antiviral should you choose Understand which patients are most vulnerable for Long COVID and what can be done to prevent Long COVID through management plans Understand what measures patients can take to prevent getting COVID   Host: Dr Marita Long | Total Time: 28 mins Expert: Prof Paul Griffin, Infectious Diseases Physician and Clinical Microbiologist 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. Can you start on Ozempic and up titrate to 1 milligram and then switch to Wegovy if one milligram is not enough OR is the goal to up titrate to 2.4 as it is the most effective dose, so prescribing Wegovy instead? How you can switch between Ozempic to Wegovy?  How about switching from semaglutide to tirzepatide, and liraglutide and saxenda? How quickly will you increase the dose and what dose do we aim for? What are your thoughts on patients that are responding to lower doses but are being prescribed a higher dose pen and trying to micro dose with a larger pen. How long do you keep the patients on semaglutide and when do you stop? When do you even think about the intermittent use of such an agent?    Can semaglutide be given for life? Can the medication be given fortnightly instead of weekly? Patients that want to re-start, will they restart at the dose they stopped at or at a lower dose? Is there a BMI target for patients with T2D? Position statement on T2D remission: When are they going to update and add in the GLP ones? Do we use the same dose or higher doses of Wegovy for adolescence?  What do you think about the use of semaglutide for an adolescent with autism or an adolescent using an anti-psychotic medication such as Clozapine who needs to take it on an ongoing basis? Has the use of semaglutide increased the incidence of restrictive eating disorders? Any indication for use in women with polycystic ovarian syndrome?   Host: Dr David Lim | Total Time: 28 mins Expert: 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.

HITH concept enables patients to receive hospital level treatment in their own homes Models vary, but patient benefits include reduced hospital acquired infections, recovery in familiar surroundings with family Healthcare system benefits include reduced hospital bed demand, cost effective and improved outcomes GPs can identify suitable patients for HITH, refer them or collaborate with HITH teams based on management plans Conditions managed vary from infections, to post surgical care, to chronic disease exacerbations and rehabilitation   Host: Dr Marita Long | Total Time: 33 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.

In this episode: Treating scaly erythematous plaques can be straightforward with a thorough history and clinical examination The medical causes of scaly erythematous plaques fall into the papulosquamous category of skin diseases, including eczema, psoriasis, and tinea Where appropriate, investigate further by taking a fungal scraping; if necessary, a biopsy at the edge of the lesion is advisable If the patient is not responding to treatment, consider referring to a dermatologist Host: Dr David Lim, GP and Medical Educator Expert: Dr Philip Tong, Dermatologist Total time: 28 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 ECG signs, changes and symptoms that could potentially be missed?  Is it true that this is where a good relationship with your local cardiologist that we can fax or send to, and have them identify an issue, rather than sit back and then refer? Sustained palpitations can be subjected to own interpretation. How would you define them? As a GP if you were concerned about a patient sitting in front of you, what would you do then and there? How would you address the scenarios below:a. Scenario 1: My practice is not far from the hospital and the partner says I'll drive. b. Scenario 2: You're not near any hospitals. You could even be rural or semi-rural and you need to get that patient to an emergency that is half an hour awayc. Scenario 3: 400-500 kilometres away and you're in a very rural area. Ambulances are difficult. It's a long distance. What would you do? Prevention and risk factors. What are some of the non-ischemic heart disease risk factors that put patients at risk or fatal risk? Case: Patient has not presented with these red flags, including the sustained palpitation, but informs you that he or she was doing a workout of some sort and had a syncopal episode. There's nothing there to suggest anything had happened to them, they just went to ground, had no idea what's going on until they did eventually wake up. How far should we go as GPs in cardiovascular examination and referral, and how quickly should we do that? How many halters should be done in the patient with recurrent syncope before going in with a loop recorder? What about iatrogenic prolongation of the QT intervals? What is Wellen syndrome and what should we know about it?   Host: Dr David Lim | Total Time: 43 mins Guest: Prof Rukshen Weerasooriya, Sub-specialist Cardiac Electrophysiologist 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 Ontario New Democratic party are pitching a new deal for municipalities that include re-uploading big costs to the province. Steve Paikin and John Michael McGrath discuss the plan and react to Marit Stiles's appointment of former Toronto Mayor David Miller to a special position. Mississauga mayor Carolyn Parrish has found herself in hot water over a cancelled vigil to former Hamas leader Yahya Sinwar and comparing him to Nelson Mandela. So, why was Doug Ford's reaction so tame? Ontario has a found another potential site for long term storage for nuclear waste. Steve and JMM discuss why this facility will play a large role in the development of a clean energy future for the province. Steve's column: https://www.tvo.org/article/hockey-hall-of-famer-dick-duff-is-still-telling-stories-at-age-88 JMM's column: https://www.tvo.org/article/opinion-cities-need-a-new-deal-what-should-they-have-to-give-up-to-get-oneSee omnystudio.com/listener for privacy information.

Understand the epidemiology of heart failure (HF) in Australia, including why it is a syndrome rather than a specific disease Leading causes of HF, including how to differentiate between HF with reserved ejection fraction (HFrEF) vs HF with preserved ejection fraction (HFpEF) Pillars of managing both HFrEF as well as HFpEF, what should you look out for whilst up titrating or down titrating treatments Role of healthcare professionals in educating patients and managing the HF health action plan of each patient   Host: Dr Marita Long | Total Time: 32 mins Expert: A/Prof Ingrid Hopper, Heart Failure Physician & Clinical Pharmacologist 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 definition, incidence and the symptoms of long COVID Cluster symptoms to help you understand the different presentations form the patient What risk factors predispose patients to long COVID What investigations as a GP may help you diagnose long COVID Rehabilitation of the patient is key, and it's essential to develop tailored plans while ensuring appropriate referral pathways are in place when needed. How healthcare professions can assist patients to discuss with employers their rehabilitation plan and return to work   Host: Dr David Lim | Total Time: 31 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.

Young people have strokes although the incidence may be lesser than older adults Stroke should be a differential diagnosis when neurological symptoms are at play in young adults Young adults can present with uncommon symptoms and underlying causes After stroke in young patients, think about the invisible challenges, more often present than physical motor injuries Have a dialogue about these invisible challenges, linking them with appropriate services where necessary   Host: Dr David Lim | Total Time: 28 mins Expert: A/Prof Dana Wong, Clinical Neuropsychologist   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.

Social prescribing fosters a sense of community belonging and engagement by linking individuals to local resources Patients can manage chronic conditions more effectively by connecting to support groups Social prescribing directly addresses social determinants of health Consider joining the RACGP Special Interest Group on Social Prescribing as it contributes to the growing body of evidence supporting its positive impact on health outcomes.   Host: Dr Marita Long | Total Time: 22 mins Expert: Dr Kuljit Singh, National Chair (RACGP) 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.

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

New developments in fertility preservation The effect of age on the success of egg freezing The options for fertility preservation in a woman about to undergo oncology therapy that is likely to affect future fertility New techniques in vitro oocyte and ovarian tissue maturation   Host: Dr Terri Foran | Total Time: 32 mins Experts: Dr Violet Kieu, Gynaecologist and Reproductive Endocrinologist A/Prof Kate Stern, Fertility Specialist, Gynaecologist and Reproductive Endocrinologist   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.

Timely health assessments for patients 75 years and older, and vulnerable older adults are key Nurses do care plans regularly for patients 75 years and older, the same should be linked with health assessments Front-of-house clinic staff should articulate the value of health assessments, as they often notice first signs of dementia in the elderly Patient audits should be conducted to identify improvements needed in health assessments of the elderly   Host: Dr Marita Long | Total Time: 25 mins Experts: Dr Chris Bollen, General Practitioner Jane Bollen, Primary Care Registered Nurse 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.

Bruh T-money might have fumbled this oneSee omnystudio.com/listener for privacy information.