POPULARITY
15 episodes with Royal Adelaide Hospital
3 episodes with Royal Adelaide Hospital
2 episodes with Royal Adelaide Hospital
2 episodes with Royal Adelaide Hospital
2 episodes with Royal Adelaide Hospital
10 episodes with Royal Adelaide Hospital
3 episodes with Royal Adelaide Hospital
3 episodes with Royal Adelaide Hospital
3 episodes with Royal Adelaide Hospital
The Cipher HPI study focuses on continuous, iterative, perioperative, holistic risk evaluation using advanced hemodynamic monitoring data. The study, integrates preoperative and intraoperative data to predict the need for vasopressors or fluid after surgery. We discuss the study's methodology, results, and the potential implications for clinical practice, including the use of machine learning techniques for better risk prediction and resource optimization in critical care settings. The episode emphasizes the importance of utilizing rich patient data throughout the surgical journey to enhance outcomes and support clinician decision-making. Presented by Mike Grocott and Kate Leslie on location at the International Anesthesia Research Society (IARS) and Society of Critical Care Anesthesiologists meeting in Honolulu, Hawaii, with their guest, Alexander (Sandy) Jackson an anaesthetist and intensive care physician who is also a clinican data scientist, currently funded by the UK's National Insitute of Health and Care Research (NIHR), based at the NIHR Southampton Biomedical Research Centre. We mention Guy Ludbrook, Professor of Anaesthesia at the University of Adelaide and Royal Adelaide Hospital, and an occasional presenter here on TopMedTalk. This thought provoking talk from him is a good place to learn more: https://topmedtalk.libsyn.com/the-hidden-pandemic-of-post-operative-complications-ebpom-london-2020-0
Today's guest, Di Mantell, is a powerhouse of purpose-driven leadership and innovation in the Australian healthcare industry. Starting as a nurse unit manager in critical care at just 23, Di now serves as CEO of Celsus, where she oversees the largest infrastructure project in South Australian history—the Royal Adelaide Hospital. Under her visionary leadership, Celsus secured the world's largest sustainability loan of $2.2 billion, aligning healthcare with groundbreaking environmental and social practices.In this conversation, Di Mantell shares her remarkable journey of reinvention and leadership in the healthcare sector. Di discusses the importance of seizing opportunities, embracing change, and the value of continuous learning. She emphasizes the need for sustainability in leadership and reflects on her experiences, challenges, and aspirations for the future.Di was a State Finalist for the Telstra Business Woman of the Year Awards in 2021 a judge for the Telstra Best of Business Awards in 2022 and 2023, a former Mentor for the Australian Mental Health Leaders Fellowship Programs and currently a Mentor for Mentor Walks. Di is on the Health Week Australia Advisory Board, Adelaide Contemporary Experimental Development Committee, and Australian College of Health Service Management South Australian Council, is a graduate of the Australian Institute of Company Directors and a Board Director.I wanted to talk to Di about her trailblazing journey, her commitment to sustainability, and the lessons she's learned about leadership, purpose, and creating impact. TakeawaysSeize opportunities when they arise, as they may not come again.Embrace change and be open to new experiences.Continuous learning is essential for career growth.Volunteer experiences can enhance your CV and skills.Mentorship can reveal strengths you may not see in yourself.Sustainability should be embedded in all organizational practices.Leadership requires a balance of personal and professional commitments.Reflect on your journey without regrets, focusing on growth.Being brave in your career can lead to unexpected paths.Giving back to the community enriches both personal and professional life.For more information about Di, check out these places;-Instagram: Di MantellLinkedin: Di MantellHead to michellejcox.com for more information about the ONE QUESTION podcast, your host or today's guestsConnect with Michelle on Linkedin here:- @MichelleJCoxConnect with Michelle on Instagram here:- @michellejcoxConnect with Michelle on Facebook here - @michellejcoxAND, if you have a burning topic you'd love people to talk more about, or know someone who'd be great to come on the One Question podcast, please get in touch;-
In this episode Shilpanjali Jesudason (Faculty), Head of Unit, Central and Northern Adelaide Renal and Transplantation Service (CNARTS), Royal Adelaide Hospital, CALHN Clinical Professor, University of Adelaide and Rasha Shemies (Trainee) Assistant Professor of nephrology, Mansoura University, Egypt discuss the ISN Train the Trainer Program for Pregnancy and Kidney Disease. The Train the Trainer was designed to help those who have an interest in obstetric nephrology in their region to provide them material, resources and support to up-skill and most importantly be able to also go and teach about obstetric nephrology.
In 2019 a man was referred to Royal Adelaide Hospital with worsening breathlessness and a productive cough. He was a 47 year old electrician with a history of tobacco smoking who'd been well before the onset of symptoms. Over a couple of admissions the patient's condition progressed to type 2 respiratory failure. While the ultimate explanation for this presentation was a bit of a unicorn, the dramatic escalation of examinations and interventions runs through some textbook respiratory medicine; ECMO, infectious diseases, bronchoscopy, CT, interpretation of blood gases and the alveolar gas equation, stenting and ultimately transplantation. This is discussed in the careful manner expected of a long-case presentation in the physician training exams.GuestDr Thomas Crowhurst FRACP (Northern Adelaide Local Health Network)HostsAssociate Professor Stephen Bacchi (Lyell McEwin Hospital; University of Adelaide)Dr Brandon Stretton (Central Adelaide Local Health Network)ProductionProduced by Stephen Bacchi and Mic Cavazzini. Music licenced from Epidemic Sound includes ‘Rockin' for Decades' by Blue Texas and ‘Brighton Breakdown' by BDBs. Image created and copyrighted by RACP. Editorial feedback kindly provided by RACP physicians Aidan Tan and Fionnuala Fagan.Key Reference (spoiler alert)*****Case report of severe bronchial web-like stenoses after 'surviving the unsurvivable' [BMC Pulm Med. 2019] Please visit the Pomegranate Health web page for a transcript and supporting references.Login to MyCPD to record listening and reading as a prefilled learning activity. Subscribe to new episode email alerts or search for ‘Pomegranate Health' in Apple Podcasts, Spotify,Castbox or any podcasting app.
Send us a textToday we have A/Prof Lee-anne Chapple on the show! Lee-anne is here to discuss her role as Senior Critical Care Dietitian at the Royal Adelaide Hospital, and a Research Fellow at the University of Adelaide in Adelaide, Australia. She shares stories about starting a research career when you already have an established clinical role. This episode is a great example of how letting your interests guide your career decisions can lead to fantastic opportunities you never expected. Go to theleadcandidate.com for more info and the interview transcript.
Deepthy Varghese, MSN, ACNP, FNP, Northside Hospital is joined by Hung-Fat Tse, Sr., MD, University of Hong Kong and Glenn Young, MBBS, Royal Adelaide Hospital to discuss the effectiveness of the PRECISE-DAPT score with the CHA2DS2VASC score in predicting thromboembolic risk in nonvalvular atrial fibrillation (AF) patients undergoing transesophageal echocardiography (TEE) before AF ablation. 428 patients were analyzed, with 60 in the thrombogenic positive group and 368 in the thrombogenic milieu negative group. Multivariate logistic regression revealed that the PRECISE-DAPT score independently predicted thrombogenic milieu presence (OR: 1.145, CI: 1.083–1.211, p < 0.001). The study concluded that the PRECISE-DAPT score is a valuable predictor of thromboembolic risk in AF patients undergoing TEE before ablation procedures. https://www.hrsonline.org/education/TheLead https://jafib-ep.com/journal/february-2024-volume-17-issue-1/original-research-the-predictive-value-of-precise-dapt-scores-for-thrombogenic-milieu-of-the-left-atrium-in-patients-awaiting-af-ablation/ Host Disclosure(s): D. Varghese: Nothing to disclose Contributor Disclosure(s): H. Tse: Research: Abbott Medical, Medtronic Inc., Boston Scientific, AstraZeneca, Daiichi Sankyo, Pfizer/BMS, Amgen, Bayer Healthcare Pharmaceuticals, Sanofi, Conoraria/Speaking/Teaching: Abbott Medical, Medtronic Inc., Boston Scientific, AstraZeneca, Daiichi Sankyo, Pfizer/BMS, Amgen, Bayer Healthcare Pharmaceuticals, Sanofi, Boehringer Ingelheim, Biotronik G. Young: Nothing to disclose This episode has .25 ACE credits associated with it. If you want credit for listening to this episode, please visit the episode page on HRS365 https://www.heartrhythm365.org/URL/TheLeadEpisode72
Primary results from ASC4FIRST trial, the first study in chronic myeloid leukemia comparing current standard-of-care frontline tyrosine kinase inhibitors with the novel agent asciminib in newly diagnosed patients, were reported at the 2024 ASCO Annual Meeting. First author Timothy Hughes MD, Consultant Hematologist with the Royal Adelaide Hospital, the South Australian Health and Medical Research Institute, and the University of Adelaide in Australia, reported higher efficacy in terms of major molecular responses and lower toxicity with asciminib. After his talk in Chicago, he met up with Oncology Times reporter, Peter Goodwin.
In the first episode of a special daily series during the 2024 ASCO Annual Meeting, Dr. John Sweetenham shares highlights from Day 1, including exciting data on the CROWN trial in NSCLC, the ASC4First study in chronic myeloid leukemia, and the effects of high-deductible health plans on cancer survivorship. TRANSCRIPT Dr. John Sweetenham: I'm Dr. John Sweetenham, the host of the ASCO Daily News Podcast. I'm delighted to bring you a special series of daily episodes from the 2024 ASCO Annual Meeting and to share my top takeaways on selected abstracts. Today, I'll be reviewing exciting new data in chronic myeloid leukemia, remarkable outcomes for patients with ALK-positive non-small cell lung cancer, and a compelling study on the effects of high deductible health plans on cancer survivorship. My disclosures are available in the transcript of this episode. LBA6500, the ASC4FIRST trial, is a phase 3 combination of asciminib with the current standard of care tyrosine kinase inhibitors, those being imatinib, nilotinib, dasatinib and bosutinib for the first line treatment of patients with chronic myeloid leukemia. The data from this large multinational study, conducted in 29 countries, were presented by Dr. Timothy Hughes from the Royal Adelaide Hospital in Australia. Some patients with chronic phase CML respond well to tyrosine kinase inhibitor therapy, and about one-third may eventually be able to stop therapy and will remain in remission, the so-called treatment free remission or TFR. Unfortunately, almost half of patients eventually need to change therapy due to resistance and intolerance, and most patients will need to remain on therapy for many years, possibly for life. Asciminib is the first BCR-ABL1 inhibitor to specifically target the ABL myristate pocket or STAMP and was designed to be highly potent but also highly specific, thus minimizing side effects and toxicity. In this large trial, which is the first randomized head-to-head comparison of asciminib with other tyrosine kinase inhibitors, 405 patients were randomized 1:1 to receive either asciminib at a dose of 80 milligrams daily or another investigator-selected TKI. The groups were well balanced for all patient characteristics, including ELTS risk. The primary objectives of the study were to compare the major molecular response rate at 48 weeks with an additional analysis for the patients who received imatinib as the investigator-selected TKI. With median follow-up at 16.3 months for patients receiving asciminib and 15.7 months for those receiving the other TKIs, the 48-week MMR rates were 68% for asciminib compared with 49% for the other investigators-selected TKIs. The rates of MR4 after 48 weeks, a deep molecular response which is a prerequisite to be considered for treatment free remission, were 39% for asciminib compared to 21% for the investigator-selected TKI. Tolerability and safety were excellent for asciminib, with only 5% discontinued due to toxicity compared to 10% for the other TKI arm. Frequently observed toxicities with asciminib included thrombocytopenia and neutropenia. The investigators concluded that asciminib is the only agent to show a statistically significant improvement in efficacy and toxicity in this patient group when compared with all other TKIs, and that asciminib has the potential to become the preferred standard of care for the first line treatment of CML. Follow-up on the study continues, but there is no question that these are exciting and probably practice-changing results. The next exciting study, LBA8503, was presented by Dr. Benjamin Solomon from the Peter MacCallum Cancer Centre in Melbourne, Australia. This presentation was an update of the CROWN study for patients with previously untreated advanced ALK-positive non-small cell lung cancer. Lorlatinib is a third-generation brain-penetrating ALK inhibitor which was compared with crizotinib in the CROWN-3 study. This phase 3 study enrolled 296 patients randomly assigned to lorlatinib 100 milligrams once daily or crizotinib 250 milligrams twice daily. The interim results showed a 72% reduction in the risk for progression or death with lorlatinib compared with crizotinib and formed the basis for the March 2021 FDA approval of the drug for metastatic ALK positive non-small cell lung cancer. A subsequent post hoc analysis at three years showed continued progression free survival benefit with lorlatinib compared with crizotinib. Earlier today, Dr. Solomon presented a further post hoc analysis of the study at 60.2 months of median follow-up. Among the entire patient population, the median PFS was not reached with lorlatinib compared with 9.1 months with crizotinib. At 60 months, the PFS rate was 60% with lorlatinib compared with only 8% with crizotinib. The PSF benefits with lorlatinib were seen across all patient subgroups. The improved control of central nervous system metastatic disease, which was observed in the earlier reports, has been confirmed in this recent analysis. Among those patients with baseline brain metastases, the median PFS with lorlatinib was not yet reached compared with six months with crizotinib. More than half of patients with baseline brain metastases were progression free at 60 months. But the benefit of lorlatinib is certainly not confined to patients with brain metastases. Lorlatinib also significantly improved progression-free survival among patients without metastases. At 60 months, 63% of patients without baseline brain metastases assigned to lorlatinib were progression free, compared with only 10% of those assigned crizotinib. These are remarkable results. As Dr. Solomon stated in his conclusion, 60% of patients on lorlatinib are still progression free and 92% are progression free in the brain. No new safety signals were seen and the improved efficacy over crizotinib was seen across all risk groups. These results are unprecedented in patients with ALK-positive non-small cell lung cancer. Concerning data were presented today by Dr. Justin Barnes from Washington University. Dr. Barnes presented results from a retrospective study in Abstract 11005 which showed whether a patient with cancer has high-deductible health insurance can play a role in their survival. Although previous studies have shown care disparities for those with high-deductible plans, this report focuses specifically on effects on survival and concludes that cancer survivors with high-deductible health plans had a greater risk of mortality both overall and from cancer. High-deductible insurance was defined as costing between $1,200 and $1,350 annually for individual insurance, or between $2,400 and $2,700 annually for a family plan. Investigators used data from the U.S. National Center for Health Statistics National Health Interview Survey and linked them to files from the National Death Index to determine mortality rates. Included were more than 147,000 respondents aged between 18 and 84 years who did not have Medicaid. Among these individuals, 5.9% were cancer survivors. The concern for cancer survivors with these plans is that in addition to recurrence that could require costly treatments, there might be issues related to survivorship. Investigators found that overall survival was worse for those with a cancer diagnosis coupled with high-deductible health insurance, with a hazard ratio of nearly 1.5. But when the researchers reviewed data from the general population without a history of cancer, they didn't find any association between high-deductible health insurance and outcomes. According to Dr. Barnes, the leading hypothesis is that patients with cancer who have a high-deductible plan delay workup for a potential new or recurrent cancer diagnosis or postpone or avoid other care. The results also indicated that survival among certain subgroups, such as non-Hispanic white patients, patients with higher incomes, and patients with at least a college or high school education, was worse for those with a high-deductible health plan, not the groups who are typically impacted by care disparities. It is possible that these individuals are more likely to select high-deductible health plans and that having these plans might counteract what might otherwise be adequate access to care. A key take-home from this analysis is that cancer patients and survivors, whatever their racial, ethnic, or socioeconomic status, should have access to health plans with low deductibles and should be informed of the potential risks of their long-term health and survival when covered by high-deductible plans. Join me again tomorrow to hear more top takeaways from ASCO24. If you value the insights that you hear on the ASCO Daily News Podcast, please remember to rate, review and subscribe wherever you get your podcasts. Disclaimer: The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity or therapy should not be construed as an ASCO endorsement. Follow ASCO on social media: @ASCO on Twitter ASCO on Facebook ASCO on LinkedIn Disclosures: Dr. John Sweetenham: Consulting or Advisory Role: EMA Wellness
Five young Victorian children – including two known to child protection – died from malnutrition and neglect in just 17 months during the pandemic. A NSW woman has allegedly been murdered by her ex-partner just over a fortnight after he was granted bail after being accused of raping her three times. Queensland's youth crime epidemic has been laid bare as a new report reveals the number of young criminals jumped 5.2 per cent to more than 11,000 offenders, with 11 of those charged with murder. A West Adelaide footballer is in a serious condition in Royal Adelaide Hospital after an incident at a Port Lincoln hotel on Sunday morning. See omnystudio.com/listener for privacy information.
Five young Victorian children – including two known to child protection – died from malnutrition and neglect in just 17 months during the pandemic. A NSW woman has allegedly been murdered by her ex-partner just over a fortnight after he was granted bail after being accused of raping her three times. Queensland's youth crime epidemic has been laid bare as a new report reveals the number of young criminals jumped 5.2 per cent to more than 11,000 offenders, with 11 of those charged with murder. A West Adelaide footballer is in a serious condition in Royal Adelaide Hospital after an incident at a Port Lincoln hotel on Sunday morning. See omnystudio.com/listener for privacy information.
Five young Victorian children – including two known to child protection – died from malnutrition and neglect in just 17 months during the pandemic. A NSW woman has allegedly been murdered by her ex-partner just over a fortnight after he was granted bail after being accused of raping her three times. Queensland's youth crime epidemic has been laid bare as a new report reveals the number of young criminals jumped 5.2 per cent to more than 11,000 offenders, with 11 of those charged with murder. A West Adelaide footballer is in a serious condition in Royal Adelaide Hospital after an incident at a Port Lincoln hotel on Sunday morning. See omnystudio.com/listener for privacy information.
Five young Victorian children – including two known to child protection – died from malnutrition and neglect in just 17 months during the pandemic. A NSW woman has allegedly been murdered by her ex-partner just over a fortnight after he was granted bail after being accused of raping her three times. Queensland's youth crime epidemic has been laid bare as a new report reveals the number of young criminals jumped 5.2 per cent to more than 11,000 offenders, with 11 of those charged with murder. A West Adelaide footballer is in a serious condition in Royal Adelaide Hospital after an incident at a Port Lincoln hotel on Sunday morning. See omnystudio.com/listener for privacy information.
In this episode, I had the pleasure to sit down with Michael Shacklock DipPhysio, MAppSc, FACP, to discuss Neurodynamics and why and how to integrate this skill set into your chiropractic practice. Michael received his graduate qualification at the Auckland School of Physiotherapy, New Zealand, in 1980. He worked in public hospitals in the medical, surgical, pediatrics, orthopedics, geriatrics, intensive care, and burns areas around New Zealand before being employed in private practices, treating spinal and sports injuries in Nelson with Michael Monaghan and Auckland with Margaret Franklin. In 1985, he moved to Adelaide, Australia, where he worked at the Royal Adelaide Hospital and private practices around Adelaide. He completed a Graduate Diploma in Advanced Manipulative Therapy in 1989 and converted this to a Master's degree at the University of South Australia in 1993. He was awarded a Fellow of the Australian College of Physiotherapists (Australian Physiotherapy Association) for his monograph and international best-seller textbook, Clinical Neurodynamics If you are missing a key patient population dealing with nerve-related conditions, Neurodynamics Solutions may be the tool you need in your clinical tool belt. Training in Neurodynamics Solutions will provide you with the following skills: Understand how nerves movePainless nerve root mobilizationsHow to exclude neurodynamic disordersDifferentiate between musculoskeletal and neurodynamic componentsMake a neurodynamic diagnosisTechnique progressions from low to high functional levelsHow to create, select and perform the best techniques for your patientsManual precision of neurodynamic techniqueHow to detect contraindications for neurodynamic treatmentIf you'd like to find out more about Michael Shacklock and Neurodynamics, visit the website here: https://www.neurodynamicsolutions.com/
Desiree Chappell speaks about about the Perioperative Quality Initiative (POQI) with Mike Grocott, TopMedTalk's co-editor in Chief, Professor of Anaesthesia and critical care at the University of Southampton and Guy Ludbrook, Professor of Anaesthesia at the University of Adelaide and Royal Adelaide Hospital. The Perioperative Quality Initiative is here: https://thepoqi.org/ And there's more information about the Global Summit here: https://www.anzca.edu.au/fellowship/anaesthesia-continuing-education-(1)/perioperative-medicine-special-interest-group For more of our exclusive coverage of the 18th World Congress of Anaesthesiologists (WCA 2024) check out TopMedTalk on our YouTube channel: https://www.youtube.com/@topmedtalk/videos
Labor has been accused of an “outrageous cover up” after refusing to reveal if more convicted criminals have been released from immigration detention over the summer. A Sydney council has been slammed for spending thousands of dollars removing a wooden bench from a north shore naturestrip after the seat sparked a two-year battle between warring neighbours. The Victorian government has quietly dumped a promise to put electronic monitoring devices on dangerous young thugs, insisting the measure is now not needed because there are fewer youth offenders. More than 50,000 offences were committed every month in Queensland last year – the highest rate this century – with assaults, break-ins and car thefts among the crimes on the rise. A man was flown to the Royal Adelaide Hospital in a stable condition after he was bitten by a shark at Elliston on Tuesday afternoon. See omnystudio.com/listener for privacy information.
Labor has been accused of an “outrageous cover up” after refusing to reveal if more convicted criminals have been released from immigration detention over the summer. A Sydney council has been slammed for spending thousands of dollars removing a wooden bench from a north shore naturestrip after the seat sparked a two-year battle between warring neighbours. The Victorian government has quietly dumped a promise to put electronic monitoring devices on dangerous young thugs, insisting the measure is now not needed because there are fewer youth offenders. More than 50,000 offences were committed every month in Queensland last year – the highest rate this century – with assaults, break-ins and car thefts among the crimes on the rise. A man was flown to the Royal Adelaide Hospital in a stable condition after he was bitten by a shark at Elliston on Tuesday afternoon. See omnystudio.com/listener for privacy information.
Labor has been accused of an “outrageous cover up” after refusing to reveal if more convicted criminals have been released from immigration detention over the summer. A Sydney council has been slammed for spending thousands of dollars removing a wooden bench from a north shore naturestrip after the seat sparked a two-year battle between warring neighbours. The Victorian government has quietly dumped a promise to put electronic monitoring devices on dangerous young thugs, insisting the measure is now not needed because there are fewer youth offenders. More than 50,000 offences were committed every month in Queensland last year – the highest rate this century – with assaults, break-ins and car thefts among the crimes on the rise. A man was flown to the Royal Adelaide Hospital in a stable condition after he was bitten by a shark at Elliston on Tuesday afternoon. See omnystudio.com/listener for privacy information.
Labor has been accused of an “outrageous cover up” after refusing to reveal if more convicted criminals have been released from immigration detention over the summer. A Sydney council has been slammed for spending thousands of dollars removing a wooden bench from a north shore naturestrip after the seat sparked a two-year battle between warring neighbours. The Victorian government has quietly dumped a promise to put electronic monitoring devices on dangerous young thugs, insisting the measure is now not needed because there are fewer youth offenders. More than 50,000 offences were committed every month in Queensland last year – the highest rate this century – with assaults, break-ins and car thefts among the crimes on the rise. A man was flown to the Royal Adelaide Hospital in a stable condition after he was bitten by a shark at Elliston on Tuesday afternoon. See omnystudio.com/listener for privacy information.
In a tragic incident that has sent shockwaves through the Australian sporting community, former world champion and two-time Olympian cyclist Melissa Hoskins, 32, lost her life after being struck by a car in Adelaide. Following the announcement of her death by the Australian Olympic Committee, it was soon reported that her husband, Rohan Dennis, 33, a former Olympian and world champion himself, has been arrested and charged in relation to the incident. Hoskins, who represented Australia in the team pursuit event at both the 2012 London and 2016 Rio de Janeiro Olympics, was involved in the fatal accident on Saturday. She was rushed to the Royal Adelaide Hospital but tragically succumbed to her injuries. According to the South Australia Police, a 33-year-old man, known to the victim, was arrested following the crash that occurred in the Adelaide suburb of Medindie after 8 p.m. on Saturday. He has been charged with causing death by dangerous driving, driving without due care, and endangering life. The police statement did not disclose the identities of the individuals involved, but various media outlets have widely reported them as Rohan Dennis and Melissa Hoskins. The police report further reveals that the woman suffered serious injuries and subsequently passed away in the hospital, marking the 114th life lost on South Australian roads this year, compared to 71 at the same time last year. The driver has been bailed to appear in the Adelaide Magistrates Court on 13 March. A spokesperson for the South Australia Police declined to confirm the identities involved, stating, "We are unable to confirm identities in SA." Additionally, a contact listed on Rohan Dennis' website has yet to respond to inquiries for comment. The couple, who tied the knot in 2018, had retired from their cycling careers and were parents to two children, as depicted in Dennis' Instagram account. His last post on Christmas featured a family photo in front of a decorated tree, captioned, "Merry Christmas from our family to yours." Melissa Hoskins had achieved considerable success in her cycling career, with a notable highlight being her team pursuit gold medal at the 2015 world championships in France. Her contribution to the sport extended beyond her competitive years, as AusCyling chief executive Marne Fechner stated, "Melissa described her team pursuit gold medal at the 2015 world championships as the highlight of her career, but for the rest of us, the highlight was just having her around. Although she retired in 2017, her presence as an alumnus of the sport has been felt and appreciated by many in the cycling and riding community." As the investigation into this tragic incident unfolds, the Australian sporting world mourns the loss of a talented athlete and extends its sympathies to the family and friends of Melissa Hoskins, while her husband, Rohan Dennis, faces legal proceedings related to the charges brought against him. Want to listen to ALL of our podcasts AD-FREE? Subscribe through APPLE PODCASTS, and try it for three days free: https://tinyurl.com/ycw626tj Follow Our Other Cases: https://www.truecrimetodaypod.com The latest on Catching the Long Island Serial Killer, Awaiting Admission: BTK's Unconfessed Crimes, Delphi Murders: Inside the Crime, Chad & Lori Daybell, The Murder of Ana Walshe, Alex Murdaugh, Bryan Kohberger, Lucy Letby, Kouri Richins, Malevolent Mormon Mommys, Justice for Harmony Montgomery, The Murder of Stephen Smith, The Murder of Madeline Kingsbury, and much more! Listen at https://www.truecrimetodaypod.com
Hidden Killers With Tony Brueski | True Crime News & Commentary
In a tragic incident that has sent shockwaves through the Australian sporting community, former world champion and two-time Olympian cyclist Melissa Hoskins, 32, lost her life after being struck by a car in Adelaide. Following the announcement of her death by the Australian Olympic Committee, it was soon reported that her husband, Rohan Dennis, 33, a former Olympian and world champion himself, has been arrested and charged in relation to the incident. Hoskins, who represented Australia in the team pursuit event at both the 2012 London and 2016 Rio de Janeiro Olympics, was involved in the fatal accident on Saturday. She was rushed to the Royal Adelaide Hospital but tragically succumbed to her injuries. According to the South Australia Police, a 33-year-old man, known to the victim, was arrested following the crash that occurred in the Adelaide suburb of Medindie after 8 p.m. on Saturday. He has been charged with causing death by dangerous driving, driving without due care, and endangering life. The police statement did not disclose the identities of the individuals involved, but various media outlets have widely reported them as Rohan Dennis and Melissa Hoskins. The police report further reveals that the woman suffered serious injuries and subsequently passed away in the hospital, marking the 114th life lost on South Australian roads this year, compared to 71 at the same time last year. The driver has been bailed to appear in the Adelaide Magistrates Court on 13 March. A spokesperson for the South Australia Police declined to confirm the identities involved, stating, "We are unable to confirm identities in SA." Additionally, a contact listed on Rohan Dennis' website has yet to respond to inquiries for comment. The couple, who tied the knot in 2018, had retired from their cycling careers and were parents to two children, as depicted in Dennis' Instagram account. His last post on Christmas featured a family photo in front of a decorated tree, captioned, "Merry Christmas from our family to yours." Melissa Hoskins had achieved considerable success in her cycling career, with a notable highlight being her team pursuit gold medal at the 2015 world championships in France. Her contribution to the sport extended beyond her competitive years, as AusCyling chief executive Marne Fechner stated, "Melissa described her team pursuit gold medal at the 2015 world championships as the highlight of her career, but for the rest of us, the highlight was just having her around. Although she retired in 2017, her presence as an alumnus of the sport has been felt and appreciated by many in the cycling and riding community." As the investigation into this tragic incident unfolds, the Australian sporting world mourns the loss of a talented athlete and extends its sympathies to the family and friends of Melissa Hoskins, while her husband, Rohan Dennis, faces legal proceedings related to the charges brought against him. Want to listen to ALL of our podcasts AD-FREE? Subscribe through APPLE PODCASTS, and try it for three days free: https://tinyurl.com/ycw626tj Follow Our Other Cases: https://www.truecrimetodaypod.com The latest on Catching the Long Island Serial Killer, Awaiting Admission: BTK's Unconfessed Crimes, Delphi Murders: Inside the Crime, Chad & Lori Daybell, The Murder of Ana Walshe, Alex Murdaugh, Bryan Kohberger, Lucy Letby, Kouri Richins, Malevolent Mormon Mommys, Justice for Harmony Montgomery, The Murder of Stephen Smith, The Murder of Madeline Kingsbury, and much more! Listen at https://www.truecrimetodaypod.com
In a tragic incident that has sent shockwaves through the Australian sporting community, former world champion and two-time Olympian cyclist Melissa Hoskins, 32, lost her life after being struck by a car in Adelaide. Following the announcement of her death by the Australian Olympic Committee, it was soon reported that her husband, Rohan Dennis, 33, a former Olympian and world champion himself, has been arrested and charged in relation to the incident. Hoskins, who represented Australia in the team pursuit event at both the 2012 London and 2016 Rio de Janeiro Olympics, was involved in the fatal accident on Saturday. She was rushed to the Royal Adelaide Hospital but tragically succumbed to her injuries. According to the South Australia Police, a 33-year-old man, known to the victim, was arrested following the crash that occurred in the Adelaide suburb of Medindie after 8 p.m. on Saturday. He has been charged with causing death by dangerous driving, driving without due care, and endangering life. The police statement did not disclose the identities of the individuals involved, but various media outlets have widely reported them as Rohan Dennis and Melissa Hoskins. The police report further reveals that the woman suffered serious injuries and subsequently passed away in the hospital, marking the 114th life lost on South Australian roads this year, compared to 71 at the same time last year. The driver has been bailed to appear in the Adelaide Magistrates Court on 13 March. A spokesperson for the South Australia Police declined to confirm the identities involved, stating, "We are unable to confirm identities in SA." Additionally, a contact listed on Rohan Dennis' website has yet to respond to inquiries for comment. The couple, who tied the knot in 2018, had retired from their cycling careers and were parents to two children, as depicted in Dennis' Instagram account. His last post on Christmas featured a family photo in front of a decorated tree, captioned, "Merry Christmas from our family to yours." Melissa Hoskins had achieved considerable success in her cycling career, with a notable highlight being her team pursuit gold medal at the 2015 world championships in France. Her contribution to the sport extended beyond her competitive years, as AusCyling chief executive Marne Fechner stated, "Melissa described her team pursuit gold medal at the 2015 world championships as the highlight of her career, but for the rest of us, the highlight was just having her around. Although she retired in 2017, her presence as an alumnus of the sport has been felt and appreciated by many in the cycling and riding community." As the investigation into this tragic incident unfolds, the Australian sporting world mourns the loss of a talented athlete and extends its sympathies to the family and friends of Melissa Hoskins, while her husband, Rohan Dennis, faces legal proceedings related to the charges brought against him. Want to listen to ALL of our podcasts AD-FREE? Subscribe through APPLE PODCASTS, and try it for three days free: https://tinyurl.com/ycw626tj Follow Our Other Cases: https://www.truecrimetodaypod.com The latest on Catching the Long Island Serial Killer, Awaiting Admission: BTK's Unconfessed Crimes, Delphi Murders: Inside the Crime, Chad & Lori Daybell, The Murder of Ana Walshe, Alex Murdaugh, Bryan Kohberger, Lucy Letby, Kouri Richins, Malevolent Mormon Mommys, Justice for Harmony Montgomery, The Murder of Stephen Smith, The Murder of Madeline Kingsbury, and much more! Listen at https://www.truecrimetodaypod.com
This piece works as a summary of our coverage of Anesthesiology 2023, so far. It's the annual meeting of the American Society of Anesthesiologists (ASA); it's the largest and most important gathering of anesthesiologists in the world and we're your free front row seat. For more on the ASA go here: https://www.asahq.org/ Check out our YouTube page for a record of the live stream video of this podcast: https://www.youtube.com/@topmedtalk7687/streams Presented by Desiree Chappell, our lead US presenter, a Certified Registered Nurse Anesthetist (CRNA) and Vice President of Clinical Quality for NorthStar Anesthesia, Mike Grocott, Professor of Anaesthesia and Critical Care Medicine at the University of Southampton and an NIHR Senior Investigator, and Guy Ludbrook, Professor of Anaesthesia at the University of Adelaide and Royal Adelaide Hospital. The team take a minute to review some of this year's coverage of Anesthesiology 2023 and look forward to some of the conversations still to come here on TopMedTalk's podcast feed. Some of the highlights mentioned in this piece include: Anesthesiology as a career, "the future of the profession"; https://topmedtalk.libsyn.com/anesthesiology-as-a-career-in-the-2020s-anes23 The piece on Howard University; https://topmedtalk.libsyn.com/opportunities-in-anesthesiology-anes23 The discussion about pricing; https://topmedtalk.libsyn.com/physician-payments-and-medicare-anes23 The conversation about sustainability; https://topmedtalk.libsyn.com/or-sustainability-end-tidal-control-anes23
"What is anestheiology going to look like in the next ten years?" This is a no holds barred conversation about the future of our profession, as a career, particularly for those who are looking at how and why they should embrace some of the seismic changes we currently face. Presented by Desiree Chappell, Mike Grocott, and Guy Ludbrook, Professor of Anaesthesia at the University of Adelaide and Royal Adelaide Hospital with their guest George W. Williams II, Chair of the ASA Comittee on Critical Care Medicine, and Professor of Anesthesiology at The University of Texas Health Science in Houston. -- Our coverage of Anesthesiology 2023, continues. It's the annual meeting of the American Society of Anesthesiologists (ASA); it's the largest and most important gathering of anesthesiologists in the world and we're your free front row seat. For more on the ASA go here: https://www.asahq.org/ Check out our YouTube page for the live stream video of this podcast: https://www.youtube.com/@topmedtalk7687/streams
Our coverage of Anesthesiology 2023, continues. It's the annual meeting of the American Society of Anesthesiologists (ASA); it's the largest and most important gathering of anesthesiologists in the world and we're your free front row seat. For more on the ASA go here: https://www.asahq.org/ Check out our YouTube page for the live stream video of this podcast: https://www.youtube.com/@topmedtalk7687/streams This piece is presented by Desiree Chappell, our lead US presenter, a Certified Registered Nurse Anesthetist (CRNA) and Vice President of Clinical Quality for NorthStar Anesthesia, Mike Grocott, our Editor in Chief, Professor of Anaesthesia and Critical Care Medicine at the University of Southampton and an NIHR Senior Investigator, and Guy Ludbrook, Professor of Anaesthesia at the University of Adelaide and Royal Adelaide Hospital with their guest John W Beard, Chief Medical Officer at GE Healthcare - Patient Care Solutions. We mention 'The Portrait Mobile product launch, live from the ESAIC' piece, which you can find here: https://topmedtalk.libsyn.com/the-portrait-mobile-product-launch-at-the-esaic-topmedtalk The paper referenced in this piece, "Cost savings through continuous vital sign monitoring in the medical-surgical unit" is here: https://www.tandfonline.com/doi/full/10.1080/13696998.2023.2219156
Our coverage of Anesthesiology 2023, continues. It's the annual meeting of the American Society of Anesthesiologists (ASA); it's the largest and most important gathering of anesthesiologists in the world and we're your free front row seat. For more on the ASA go here: https://www.asahq.org/ Check out our YouTube page for the live stream video of this podcast: https://www.youtube.com/@topmedtalk7687/streams Presented by Desiree Chappell, Mike Grocott, and Guy Ludbrook, Professor of Anaesthesia at the University of Adelaide and Royal Adelaide Hospital with their guest John W Beard, Chief Medical Officer at GE Healthcare - Patient Care Solutions. with their guest David Hovord GE Healthcare Consultant, Clinical Assistant Professor, Michigan Medicine.
What is the future of TopMedTalk, where will we find our new Editor in Chief? This podcast has all the answers. Make sure you are subscribed to this podcast so you don't miss a minute of our coverage of the annual meeting of the American Society of Anesthesiologists; Anesthesiology 2023. It's the largest and most important gathering of anesthesiologists in the world and we're your free front row seat. For more on the ASA go here: https://www.asahq.org/ Also, check out our LIVE FREE VIDEO STREAM here: https://www.youtube.com/watch?v=JPpwNqaVXP8 This podcast features Desiree Chappell, our lead US presenter, a Certified Registered Nurse Anesthetist (CRNA) and Vice President of Clinical Quality for NorthStar Anesthesia, Monty Mythen, Senior Vice President Medical Affairs, Edwards Lifesciences, Critical Care, Emeritus Professor of Anaesthesia and Critical Care, University College London, Mike Grocott, Professor of Anaesthesia and Critical Care Medicine at the University of Southampton and an NIHR Senior Investigator and Guy Ludbrook, Professor of Anaesthesia at the University of Adelaide and Royal Adelaide Hospital.
The annual meeting of the American Society of Anesthesiologists; Anesthesiology 2023, it's the largest and most important gathering of anesthesiologists in the world and we're your free front row seat. For more on the ASA go here: https://www.asahq.org/ Make sure you subscribe to TopMedTalk and follow along as all our conversations from the conference make their way to you. In this piece we're getting a feel for the conference on our second day there, featuring Desiree Chappell, our lead US presenter, a Certified Registered Nurse Anesthetist (CRNA) and Vice President of Clinical Quality for NorthStar Anesthesia, Mike Grocott, Professor of Anaesthesia and Critical Care Medicine at the University of Southampton and an NIHR Senior Investigator, Monty Mythen, Senior Vice President Medical Affairs, Edwards Lifesciences, Critical Care, Emeritus Professor of Anaesthesia and Critical Care, University College London, and Guy Ludbrook, Professor of Anaesthesia at the University of Adelaide and Royal Adelaide Hospital.
Our coverage of the annual meeting of the American Society of Anesthesiologists; Anesthesiology 2023, continues. The largest and most important gathering of anesthesiologists in the world and we're your free front row seat. Hear how and why both local and state level advocacy has recently helped move our discipline forward. For more on the ASA go here: https://www.asahq.org/ Presented by Mike Grocott, TopMedTalk's Editor in Chief and Guy Ludbrook, Professor of Anaesthesia at the University of Adelaide and Royal Adelaide Hospital with their guest Michael M. Beck, ASA Committee on Governmental Affairs, Chair, ASA Committee on Governmental Affairs Task Force on State Advocacy, Managing Board Member, Mountain West Anesthesia, Intermountain Healthcare – Riverton Hospital, The Orthopedic Specialty Hospital, Salt Lake City, Utah.
This is a huge moment in the calendar for us here at TopMedTalk, the annual meeting of the American Society of Anesthesiologists; Anesthesiology 2023. TopMedTalk will be bringing you the best of our coverage on this podcast stream. We also invite you to join us on our free live video stream, here: https://www.youtube.com/watch?v=c0-b3WagONQ This piece features Desiree Chappell, our lead US presenter, a Certified Registered Nurse Anesthetist (CRNA) and Vice President of Clinical Quality for NorthStar Anesthesia, Mike Grocott, Professor of Anaesthesia and Critical Care Medicine at the University of Southampton and an NIHR Senior Investigator and Guy Ludbrook, Professor of Anaesthesia at the University of Adelaide and Royal Adelaide Hospital.
With David Duncker (Host), Hannover Medical School, Hannover - Germany & Dominik Linz (Host), Maastricht University Medical Centre (MUMC), Maastricht - The Netherlands & Michael Lloyd (Guest) - Emory University in Atlanta - USA & Prashanthan Sanders (Guest) - Centre for Heart Rhythm Disorders at the University of Adelaide and the Royal Adelaide Hospital, Adelaide - Australia.
TopMedTalk continues tracking the incredibly important work done by Perioperative Quality Initiative (POQI), check out their website here: http://thepoqi.org/ This piece acts as an introduction to this year's POQI - 12. Recorded at the Evidence Based Perioperative Medicine (EBPOM) Ireland conference this piece features an exclusive conversation between Desiree Chappell and Mike Grocott speaking with Guy Ludbrook, Professor of Anaesthesia at the University of Adelaide and Royal Adelaide Hospital and Andrew Shaw, Chairman, Department of Intensive Care and Resuscitation at The Cleveland Clinic, Cleveland, Ohio.
Former Qantas boss Alan Joyce the most wanted man in Australia. Embattled NSW backbench MP Tim Crakanthorp is one of the biggest spenders on business class flights in the state, racking up $9,000 on flights to Darwin and nearly $18,000 in office travel expenses in four months. Premier Daniel Andrews has resigned as Victoria's Premier, stepping down from the role from 5pm on Wednesday. Adam Reynolds has spoken passionately about his love of the Broncos and Brisbane, admitting he thought he could never embrace another club like his cherished South Sydney Rabbitohs. The Royal Adelaide Hospital could free up 40 beds and cut ramping if it improved its efficiency in discharging patients, an independent investigation has found.See omnystudio.com/listener for privacy information.
Former Qantas boss Alan Joyce the most wanted man in Australia. Embattled NSW backbench MP Tim Crakanthorp is one of the biggest spenders on business class flights in the state, racking up $9,000 on flights to Darwin and nearly $18,000 in office travel expenses in four months. Premier Daniel Andrews has resigned as Victoria's Premier, stepping down from the role from 5pm on Wednesday. Adam Reynolds has spoken passionately about his love of the Broncos and Brisbane, admitting he thought he could never embrace another club like his cherished South Sydney Rabbitohs. The Royal Adelaide Hospital could free up 40 beds and cut ramping if it improved its efficiency in discharging patients, an independent investigation has found.See omnystudio.com/listener for privacy information.
Former Qantas boss Alan Joyce the most wanted man in Australia. Embattled NSW backbench MP Tim Crakanthorp is one of the biggest spenders on business class flights in the state, racking up $9,000 on flights to Darwin and nearly $18,000 in office travel expenses in four months. Premier Daniel Andrews has resigned as Victoria's Premier, stepping down from the role from 5pm on Wednesday. Adam Reynolds has spoken passionately about his love of the Broncos and Brisbane, admitting he thought he could never embrace another club like his cherished South Sydney Rabbitohs. The Royal Adelaide Hospital could free up 40 beds and cut ramping if it improved its efficiency in discharging patients, an independent investigation has found.See omnystudio.com/listener for privacy information.
Former Qantas boss Alan Joyce the most wanted man in Australia. Embattled NSW backbench MP Tim Crakanthorp is one of the biggest spenders on business class flights in the state, racking up $9,000 on flights to Darwin and nearly $18,000 in office travel expenses in four months. Premier Daniel Andrews has resigned as Victoria's Premier, stepping down from the role from 5pm on Wednesday. Adam Reynolds has spoken passionately about his love of the Broncos and Brisbane, admitting he thought he could never embrace another club like his cherished South Sydney Rabbitohs. The Royal Adelaide Hospital could free up 40 beds and cut ramping if it improved its efficiency in discharging patients, an independent investigation has found.See omnystudio.com/listener for privacy information.
Professor Shaun Jackson the lead researcher at the Heart Institute joins Will and Lucy with news a trial is set to begin with new medication to treat strokes. The Royal Adelaide Hospital is taking part in the trial.See omnystudio.com/listener for privacy information.
In this session, I am speaking with Neel Bhanderi on the advantages of high-fidelity training within clinical practice. In the conversation, we examine the concepts of analogs of reality and how it has multifactorial benefits through the integration of handover simulation, debriefing, stress inoculation, skill acquisition under stress, communication under applied stress, and much more. To do this I have Dr. Neel Bhanderi with me. Neel is the Head of Education and Training at MedSTAR retrieval HEMS service based in Adelaide. He is also a Consultant in Emergency Medicine at the Royal Adelaide Hospital. Neel trained as an Emergency Physician and worked as a Consultant at St George's Hospital Major Trauma Centre in London for several years and for Kent Surrey and Sussex (KSS) Air Ambulance. In 2016, Neel emigrated to Australia where he works as an Emergency Specialist at the Townsville Hospital in North Queensland and is currently the head of education for MedSTAR retrieval service. In the conversation, we examine: • Why high-fidelity simulation is useful & Neels approach to multi-modal simulation. • What components of training do MedSTAR focus on (Skills based, assessment-based, comms based or all three) – templates of training outcomes used. • How Neel approaches the training debrief. • How Neel creates incremental training stressors within the operational teams. • Environmental stress training methods (operational Task and environmental noise). • Approach to micro versus macro tasks • Comms under pressure within the training environment • Handover and how MedStar simulates this (filming, use of the checklist, analyzing) • Training relationship with case review (identifying training needs from case review). • How Neel is changing training in the short term (other elements such as personality and characterological traits). Please enjoy this wide-ranging conversation with a fantastic guest. For more on MedSTAR and the work they do please see here: https://saambulance.sa.gov.au/work-with-us/who-we-employ/medstar-emergency-medical-retrieval/ * We will resume with the human factors series next week
South Australia's long covid clinic loves GPs and keeps them close.Dr Angela Molga is a clinical pharmacologist and geriatrician at the long covid clinic at Royal Adelaide Hospital.“We engage the GPs very early on, from the moment we receive the referrals. The patients are kept updated on the length of the waitlist and we also send them out resources specifically around self-rehabilitation,” she says.Dr Molga says the average age of the patients who were seen in the South Australian clinic last year was 47 years old.“These were previously healthy people. Little contact with the healthcare system, but now have multiple chronic issues. They have to change their lifestyle significantly, and then this also impacts their mental health,” she says.Also on The Tea Room medical reporter Cate Swannell shares the nitty gritty details of the long covid parliamentary inquiry report.Although long covid fails to get a mention in the federal budget Cate says the long covid parliamentary inquiry is pushing for $50 million. She says the RACGP has welcomed the recognition of GPs in the report.“They also have pointed out that many recommendations reflect what the RACGP has been calling for, for a long time. Particularly around data collection and research,” Cate says.Cate says the report seemed to hinge on the establishment of a national Centre for Disease Control which we saw confirmed in this week's federal budget.“They're also talking about expanding the list of eligibility for antivirals and there is a call for the establishment of a multidisciplinary advisory body to oversee the impact of poor air quality and ventilation on the economy,” Cate says.Join The Medical Republic at an interactive live webinar that will equip you with the knowledge and tools to treat long covid patients.Ask questions about including diagnostics and assessment, guidelines, billing and item numbers, and how to create a long covid clinic in a community practice.The expert panel include doctors treating long covid in family practices, leaders of tertiary care teams, clinical researchers and public health specialists. Hosted on Acast. See acast.com/privacy for more information.
South Australia's long covid clinic loves GPs and keeps them close.Dr Angela Molga is a clinical pharmacologist and geriatrician at the long covid clinic at Royal Adelaide Hospital.“We engage the GPs very early on, from the moment we receive the referrals. The patients are kept updated on the length of the waitlist and we also send them out resources specifically around self-rehabilitation,” she says.Dr Molga says the average age of the patients who were seen in the South Australian clinic last year was 47 years old.“These were previously healthy people. Little contact with the healthcare system, but now have multiple chronic issues. They have to change their lifestyle significantly, and then this also impacts their mental health,” she says.Also on The Tea Room medical reporter Cate Swannell shares the nitty gritty details of the long covid parliamentary inquiry report.Although long covid fails to get a mention in the federal budget Cate says the long covid parliamentary inquiry is pushing for $50 million. She says the RACGP has welcomed the recognition of GPs in the report.“They also have pointed out that many recommendations reflect what the RACGP has been calling for, for a long time. Particularly around data collection and research,” Cate says.Cate says the report seemed to hinge on the establishment of a national Centre for Disease Control which we saw confirmed in this week's federal budget.“They're also talking about expanding the list of eligibility for antivirals and there is a call for the establishment of a multidisciplinary advisory body to oversee the impact of poor air quality and ventilation on the economy,” Cate says.Join The Medical Republic at an interactive live webinar that will equip you with the knowledge and tools to treat long covid patients.Ask questions about including diagnostics and assessment, guidelines, billing and item numbers, and how to create a long covid clinic in a community practice.The expert panel include doctors treating long covid in family practices, leaders of tertiary care teams, clinical researchers and public health specialists. Hosted on Acast. See acast.com/privacy for more information.
Dr James Muecke https://www.instagram.com/drjamesmuecke/ Lieutenant Governor of South Australia Australian of the Year 2020 Chairman of @SightForAll Director of @medthink_ Photographer at @jsmuecke charidy.com/sightforall22/BoardandMembers James is an eye surgeon based in Adelaide. He is a visiting consultant and senior lecturer at the Royal Adelaide Hospital and Women's and Children's Hospital. James has a special interest in blindness prevention, ophthalmic research and education in the developing world. James was a co-founder and Director of the Vision Myanmar Program. He received an ‘Outstanding Service in Prevention of Blindness Award' by the Asia-Pacific Academy of Ophthalmology in 2011. He was awarded a Member of the Order of Australia in 2012 and received a South Australian Community Achievement Award. In 2015 James was the recipient of the Ernst Young Social Entrepreneur of the Year Award. James delivered the Hollows Lecture at the 2016 RANZCO Congress. In November 2019, James was announced SA Australian of the Year 2020. In January 2020, James received the 2020 Australian of the Year Award. https://sightforall.org/ If you or a loved one have some aches and pains setting in, or an injury that needs support to heal, consider topping up your body with Canes Deer Velvet. It's packed full of amazing nutrients that the body uses in maintaining the immune system, bones, joints, circulation and general well-being. Find out more at www.canesdeervelvet.com and use code "STAGROAR252" for a 20% introductory discount. DrinkLMNT.com/STAGROAR for your "Free Sample" Just Pay for Shipping https://drinkarepa.com/collections/all-products Ārepa. The world's smartest brain food. 100% natural. Caffeine free. Effects you can feel. Use the code "STAGROAR" at checkout for 20% off your order! Instagram https://www.instagram.com/ryanoconnornz/ Instagram https://www.instagram.com/stagryan/ Twitter https://twitter.com/stagryan Tik Tok @ryanstagoconnor Facebook https://www.facebook.com/WaiKeto/ Blog https://stagryan.com/ Website: https://www.stagroar.co.nz/
This piece looks at how The National Institute for Health and Care Research (NIHR) is taking an active role in perioperative medicine and surgery; addressing unanswered questions and ensuring research is both inclusive and extensive in the UK health industry. How have the NIHR moved medicine forward and what lessons can be learned from the recent COVID-19 crisis? Presented by Lucy Chappell, Professor, Chief Scientific Adviser to the Department of Health and Social Care and Chief Executive of the National Institute for Health and Care Research (NIHR) with contributions and questions from the audience and panel including; Mike Grocott, Professor of Anaesthesia and Critical Care in Southampton and Director of the NIHR Biomedical Research Center in Southampton, Guy Ludbrook, Professor of Anaesthesia at the University of Adelaide and Royal Adelaide Hospital and Ramani Moonesinghe OBE, Professor of Perioperative Medicine at University College London and a Consultant in Anaesthetics and Critical Care Medicine at UCL Hospitals.
Besieged clinicians have called the doctors' union to inspect the Royal Adelaide Hospital over alleged safety breaches three times this week, as the health system continues to buckle under stress.City business owners say it is lucky no one was killed when large perspex panels and metal framing fell from the facade of a high-rise CBD building during the state's wild weather. Adelaide resident Chris Harwood embraced his brother Stephen for the first time in 67 years. The last time the siblings were together was in 1955, in their home town of Launceston, Tasmania.Izak Rankine is on the verge of becoming a Crow.See omnystudio.com/listener for privacy information.
Swimming champion Kyle Chalmers was so mentally scarred from a media storm surrounding his relationship with national teammates Emma McKeon and Cody Simpson earlier this year he penned a detailed letter announcing his retirement from the sport. Teachers have called for principals to resist pressure to stop suspending or expelling students who engage in violent behaviour. Australia's most expensive building, the $3.2bn new Women's and Children's Hospital, will cost almost three times the state's flagship Royal Adelaide Hospital on a per-bed basis.The Australian Opals capped off a program-defining World Cup campaign with a bronze medal in a fitting farewell for Lauren Jackson, the country's greatest player. For updates and breaking news throughout the day, take out a subscription at advertiser.com.au See omnystudio.com/listener for privacy information.
Dr. Ingrid Nielsen is one of my favourite guests because every time we connect, she inspires me to do better, think better and be better. She's 75 going on 22, a Psychiatrist, marathon runner, weight trainer and problem-solver, who works under extreme pressure in the emergency department of the Royal Adelaide Hospital. She's regularly called the ‘C' word, told to ‘F' off daily and in the middle of the mayhem (people often present to the ED in psychosis), she calmly does what's required to help people in pain. As always, this was a fun chat and Ingrid even shared a personal story about a recent surgery she had that went horribly wrong (she's okay now). Enjoy.See omnystudio.com/listener for privacy information.
South Australians are topping the nation as ‘non believers' The 2021 Census found over 806,000 South Australians answered “no religion”, a large increase on nearly 600,000 in 2016. The Prime Minister arrived for the NATO Summit in Madrid- sending the message if Beijing tries to impose its will “by force” it would face a unified resistance from the same countries standing against Russia's illegal invasion of Ukraine. The $2.4bn Royal Adelaide Hospital emergency's department is in crisis. With doctors saying this Monday was the worst on record And a primary school in Adelaide's east has issued a public health alert after lead-based dust fell from the ceiling in one of its buildings. See omnystudio.com/listener for privacy information.
Di Mantell, CEO of Celsus, the Royal Adelaide Hospital on blazing the trails from leadership to building sustainable social infrastructure and dissolving the hierarchy from the very top. She shares how she champions diversity, challenges the norms of what leadership should look like and celebrates every win of her team along the way. Key Insights (01:29) How did Di start her leadership journey? Di originally trained as a registered nurse, from there her leadership journey began as she pursued leadership roles in nursing. She became a health service manager and eventually took on an executive director nursing role, which provided her an opportunity to understand regional and remote health. Following that she was seconded to represent 22 regional health services and negotiate the nurses' wage case. She then got the opportunity to build a hospital from scratch in WA for which she got headhunted to go to SA to work on the new hospital for the Royal Adelaide. She is now the CEO of Celsus which is a private partner in the Royal Adelaide. (12:28) Why is it important for women to be visible for their achievements in leadership? Di thinks people need role models to base their leadership on, to see similarities in skills and show examples of overcoming barriers. If somebody can't ‘see it' then it's difficult to ‘become it'. (21:11) What tool can Di share to the audience to add to their Leadership Toolbox? Di shared two things. First, you have to in invest in yourself. Whether it's studying or playing golf, it's important to look after yourself so you can give back. Lastly, offer mentoring as a way to give back. Di found through mentoring you learn just as much from the mentees. Important Resources and Links If you'd like to learn more about how CommBank is supporting the growth of women in business visit https://www.commbank.com.au/women-in-focus.html Host of the Leading Women podcast, Shivani Gopal is a serial entrepreneur, speaker and advocate on a mission to create a more equal world. She's recognised as a leading business thought leader helping professional women navigate their careers, businesses and financial success. As the Founder and CEO of The Remarkable Woman and Co-Founder of Upstreet, Shivani was recently awarded the 2022 NSW Excellence in Women's Leadership Award and the Top 50 Small Business Leaders award, As a dedicated advocate for gender equality and for closing the wealth gap for everyday Australians, Shivani launched “Equality 2050”; a campaign to achieve gender equality within our lifetimes. If you're interested in learning more about Shivani visit her website: https://www.theremarkablewoman.com.au/ The Leading Women podcast is proudly brought to you by Commonwealth Bank. The series is produced by Nicole Hatherly, recorded at RadioHub Studios with post production by Cooper Silk and Iain Wilson. Things you should know: Guests featured in the podcast are speaking from their personal experiences only. As this podcast has been prepared without considering your objectives, financial situation or needs, you should, before acting on the content consider its appropriateness to your circumstances. CommBank does not necessarily endorse the views of a particular individual or guarantee the accuracy of the information provided.
Did you know that your skin is the largest organ in your body?Our skin is a complex organ with multiple important roles. When something goes wrong with our skin, as opposed to say plaque building up in our arteries, often we can't hide it and that can cause not only discomfort but also embarrassment. The health of our skin can play an enormous role in how we feel about ourselves and has the potential to impact our mood.That is why I am honoured to speak with skin expert, dermatologist, Dr Emma Ryan. Emma will help us understand how our skin is made up, what factors can impact the appearance of our skin and how best to care for our skin.We'll focus in on that common skin condition affecting many of our teens, acne, including its causes, how it can impact self-esteem and best treatment options available.Mature skin is the other topic we cover in depth. Emma explains how and why our skin ages and gives an excellent overview of treatments available to help improve the appearance of ageing skin from cosmeceuticals and laser and even Botox.Dr Emma Ryan is a Fellow of the Australasian College of Dermatologists and visiting specialist at the Royal Adelaide Hospital, Women's and Children's Hospital and Alice Springs Hospital. She also has a private proactive in Adelaide, Adelaide Skin & Eye Centre. Emma practices both medical and surgical dermatology. Her particular interests include paediatric dermatology, acne and acne scarring, cancer surveillance, inflammatory skin disease and cosmetic dermatology.LINKS MENTIONED IN THE EPISODEEmma's private practice, Adelaide Skin & Eye Centre: https://asec.net.au/our-doctors/emma-ryan/All About Acne: https://acne.org.au/about/Sunsmart App: https://www.cancersa.org.au/prevention/sunsmart/sunsmart-resources/sunsmart-apps/sunsmart-app/HOW YOU CAN SUPPORT THE PODCASTPlease tell your friends about the podcast and share it with them.Follow me on Instagram @vibrant_lives_podcastFollow my Facebook page: @vibrantlivespodcastIf you could rate and review the podcast on Apple Podcasts, that would be super helpful.Check out ways you can support the podcast on my website: https://vibrantlivespodcast.com/be-involved/
Standing on the podium to give a presentation can be a daunting task. Sharing your knowledge and research with a room of strangers is often not easy. Virtual audiences, while perhaps less fear-inspiring, can be even harder to engage. Dr. Glastonbury shared tips on how to conceive and prepare your next presentation and then present so that you can connect with your audience, share your expertise, and enjoy the experience. Learning Objectives: Upon completion of this activity, participants were able to: Understand the elements of a presentation that make it meaningful and memorable for an audience. Recognize basic slide techniques that ease the cognitive load of your audience. Develop a clear process & also inspiration, for planning their next presentation. Presenter: Christine M. Glastonbury, MBBS, is a Professor of Radiology & Biomedical Imaging, Otolaryngology-Head & Neck Surgery, and Radiation Oncology at the University of California, San Francisco. Dr. Glastonbury is a Neuroradiologist with a particular academic and clinical interest Head & Neck (HN) Imaging, and specifically HN cancer. She works closely with the Radiation Oncologists and HN surgeons on a weekly basis to optimize the care of HN cancer patients at UCSF. She has written and published multiple books, more than 130 articles and received multiple awards for teaching, mentoring and for education exhibits at scientific meetings. Dr. Glastonbury completed her medical degree and Radiology training at the University of Adelaide and the Royal Adelaide Hospital in South Australia before completing a fellowship at the Hammersmith Hospital in London. She then completed two years of Neuroradiology Fellowship and a year of Body Fellowship at the University of Utah, Salt Lake City before moving to San Francisco in 2001. At UCSF Dr. Glastonbury is the Vice-Chair for Academic Affairs and served as interim Chief of Neuroradiology for nearly 4 years until August 2021. She is the director of Mentoring in Radiology, a member of the Radiology Diversity Committee, and a co-founder and strong advocate for UCSF Women in Radiology. Dr. Glastonbury serves on the Executive Council of the American Roentgen Ray Society and on the Executive Committee for the American Society of Head and Neck Radiology where she is also the Treasurer. She is the Program President for the Symposium Neuroradiologicum XXII of the World Federation of Neuroradiological Sciences in May 2022. Click here for webinar.
In September 2017, 18 year old Alex Braes went to Broken Hill Base Hospital three times within 24 hours after experiencing significant pain in his knee. It was not until his fourth and final presentation that vital observations were taken of him. By this stage Alex had deteriorated but he wasn't transferred to the closest suitable hospital for his care, which was Royal Adelaide Hospital. Instead he was taken to Royal Prince Alfred Hospital in Sydney and died within an hour of arriving from septic shock.
A slight departure from our usual format. This weeks podcast is an excerpt for 2022's virtual conference. The first of twelve experts on the theme of "THE BASICS OF CHALLENGING SCENES AND SITUATIONS" If you are interested in hearing further fantastic content from our panels sign up here: https://basics-scotland.org.uk/basics-scotland-virtual-conference-2022/ ------------ James takes a look at Major Incidents, the definition, roles of the first doctor on scene and some case discussions following his involvement as a medical incident officer at two recent major incidents. Aims of the podcast 1) To define a major incident 2) To consider the expectations for the first doctor on scene 3) To discuss some cases involving major incidents Biography James is a consultant in emergency medicine based in Crosshouse Hospital, Kilmarnock. Since 2010 he has also had a sessional commitment as a consultant in pre-hospital and retrieval medicine with the Emergency Medical Retrieval Service (EMRS), the adult component of ScotStar, the National Retrieval Service. Prior to starting with EMRS James also worked as a consultant in Emergency Medicine for a 3-year period in Adelaide, South Australia, working both in the Emergency Department of the Royal Adelaide Hospital and with the South Australian Retrieval Service. Following his return from Australia James successfully completed a Masters degree in Aviation Medicine incorporating a Postgraduate Diploma in Aeromedical Retrieval and Transport Medicine at the University of Otago, New Zealand.
Spirometry is mandatory in making a diagnosis of COPD Do not commence all patients with dyspnoea on asthma medications as it is a poor choice for COPD Help all patients to stop smoking The choice of inhale device depends on whether the patient can and will use if they prefer a daily of BD dose and if you consider if the patient requires a LAMA/LABA Symptoms of asthma and raised blood eosinophil counts may prompt the addition of an ICS Host: Dr David Lim | Total time: 38 mins Guest: Prof Hubertus Jersmann, Respiratory and Sleep Physician, The Royal Adelaide Hospital, Alice Springs Hospital and Burnside War Memorial Hospital; Professor, School of Medicine, The University of Adelaide Register for our fortnightly FREE WEBCASTS Every second Tuesday | 7:00pm-9:00pm AEST Click here to register for the next one See omnystudio.com/listener for privacy information.
A vast majority of South Australia's Covid-19 restrictions may be lifted by the start of April as life returns to normal after the Omicron wave. Parents of school boarders are ramping up their calls for an overhaul of Covid-19 isolation rules, as dozens of students are sent home to properties across the state and beyond. South Australia will become the country's biggest manufacturer of satellites as a Silicon Valley-style space park at Adelaide Airport becomes fully funded with a $20m boost from the federal government. And in sport, Rod Marsh has been transferred to Royal Adelaide Hospital from Bundaberg, Queensland, after suffering a heart attack last Thursday. For updates and breaking news throughout the day, take out a subscription atadvertiser.com.au See omnystudio.com/listener for privacy information.
Imagine knowing that there are ingredients in food and drinks that when consumed over time are slowly and silently leading toward type 2 diabetes, fatty liver disease and in the worst case blindness. In this powerful episode with Dr James Muecke AM who is the Lieutenant Governor of South Australia and an Adelaide-based eye surgeon we discuss how a poor diet is the leading cause of death. The startling understanding that type 2 diabetes may be preventable through changing our diet. A pivotal moment happened for James when his patient Neil, woke up and was blind in both eyes, as a result of his type 2 diabetes. Further still, even if you have type 2 diabetes, imagine knowing that it may be possible, in some cases, to change your diet and have remission? James is Australian of the Year for 2020 for his 32 years of humanitarian work. He is using this powerful platform to raise awareness of our poor diet, laden with sugary drinks and ultra-processed foods, which is devastating the health of Australians. Not only is he improving awareness in Australia through his influence with government and other organisations. He and I discuss how we were both addicted to sugar and what we did to reduce it and improve our health.You can learn about what to do about reducing and removing sugar and other carbohydrates from your diet at www.profselenabartlett.comMore about Dr James Muecke here.He graduated with Honors from Adelaide University Medical School in 1988. Following his internship at Royal Adelaide Hospital, James lived and worked as a volunteer doctor in Kenya in 1989. After completing ophthalmology training in Adelaide in 1995, James worked as an eye surgeon in Jerusalem for 12 months. James furthered his expertise with a Fellowship in Ocular Oncology at Moorfields Eye Hospital in London. He returned to Adelaide in 1998 where he has been a Visiting Consultant and Senior Lecturer at Royal Adelaide Hospital (retired 2020) and Women's & Children's Hospital (retired 2016). James established the Ocular Oncology Units at these two centres upon his return. James has taught the diagnosis and management of eye cancer in ten countries in Asia. He founded not-for-profit organization Sight For All in 2008, turning his boundless energy into a fight against blindness in the Aboriginal and mainstream communities of Australia and many of the poorest countries of the world. Sight For All's comprehensive and sustainable projects are now impacting on the lives of over one million people each year.His commitment to social impact and humanitarian endeavors has earnt him a number of awards including an Order of Australia in 2012, the Australian Medical Association's President's Leadership Award in 2013, and Ernst & Young's Social Entrepreneur for Australia in 2015. · Degree of Doctor of the University (honoris causa), University of Adelaide, 2021· Australian of the Year, 2020.· South Australian of the Year, 2019.· University of Adelaide Distinguished Alumni Award, 2019· Ernst & Young Entrepreneur of the Year (Australia, Social Category), 2015· Finalist, Pride of Australia Medal, 2014· President's Leadership Award for blindness prevention in developing countries - Australian Medical Association, 2013.· Rural Health and Wellbeing Award for service to Aboriginal eye health in South Australia, 2012.· Member of the Order of Australia for the provision of eye health services to Asian and Australian Aboriginal communities, 2012.Learn more about Dr James Muecke AM here.https://sightforall.org/about/Support the show (https://www.patreon.com/selenab)
In this Healthed lecture, Respiratory and Sleep Physician at Royal Adelaide Hospital, Prof Hubertus Jersmann, outlines the best approach to assessing patients with COPD to help determine who is suitable for triple therapy and importantly, who is not. Prof Jersmann will also provide details about the risk versus benefit balance for each of the COPD therapies so GPs can make considered prescribing choices for these patients. See omnystudio.com/listener for privacy information.
Today's address is given by The Rev. Nicholas Rundle, the Uniting Church Chaplain at the Royal Adelaide Hospital. Nicholas reflects on today - Halloween, marked on the Christian calendar as "All Saints day" - or "All Souls day". As Nicholas's title might suggest, it's all about the "wheels, circles and cycles" of our lives. Nicholas refers to that cyclic, repetitive wheel marked by "the breath, the tides, the seasons of the Moon and the tides (the highs and lows) of our human lives. He compares it to the outer rim and six spokes of the "wheel" icon our 7 Principles - a "reciprocity" radiating both inwards and outwards from that "sacred centre" of our Unitarian Universalist wheel - the human person, ourselves! The relationships we have in this life reflect a higher and hidden cosmic order, cyclic in nature - to quote Bernard Kastrup: "a universal consciousness out of which the material world emerges for our comprehension". It comes at a time when leaders, now meeting in Glasgow - will make globally significant decisions to reduce carbon emissions by "building bridges" that unite - rather than digging trenches that divide. Only this will secure the unifying rim of our wheel of our 7 UU Principles - "the interdependent web of all existence of which we are all a part". Bridges must reign supreme! Listen on for a very insightful address by Nicholas.
In this episode of Better Thinking, Nesh Nikolic speaks with Joel Sardi about regaining the quality of life after spinal cord injury. Joel Sardi had a fall and broke his C2 & C5, T3, T4 AND T5 vertebrae, also breaking his sternum on the 31st of August 2014. The injury caused irreparable spinal cord damage. He underwent a 6 hour surgery after the accident where the surgeons were able to stabilise his neck fractures and prevent any further spinal cord damage by inserting a titanium cage and fusing C4 to C6. Joel is classified as a “C-5'“ Quadriplegic. The injury that night left Joel a C5 quadriplegic, meaning that there are still some messages getting through the spinal cord and the extent of his recovery is unknown. Joel is paralysed from the shoulders down, has no movement in his legs and his upper body can only activate his biceps, forearms and wrists. With the injury originally occurring in Adelaide where Joel was working, he was brought to the Royal Adelaide Hospital where he stayed for 10 days, before being airlifted to Melbourne's Austin Hospital. He spent the next 12 months at The Royal Talbot Rehabilitation Hospital where he underwent extensive rehab sessions to further improve his skills and learn to adjust to life as a quadriplegic before moving home in August 2015. Episode link at https://neshnikolic.com/podcast/joel-sardi See omnystudio.com/listener for privacy information.
South Australian kids aged 12 to 15 will be eligible for the Pfizer vaccine from Monday but they won't be able to go to one of SA Health's vaccination hubs to get the jab. Serial paedophile Gary John Tipping has appeared in court charged with more child sex offences. AFL great Shaun Burgoyne is returning to his roots, accepting an off field position at Port Adelaide ... And one that might leave a sour taste in the mouth....A Royal Adelaide Hospital patient says she resorted to telling friends to bring her food because her hospital meals were “inedible”. For updates and breaking news throughout the day, take out a subscription at advertiser.com.au See omnystudio.com/listener for privacy information.
This is a story that starts with some of the challenges faced in our world outside the operating theatre and it's about how we might address some of these problems systematically. Healthcare organizations have to deliver high quality, competitive and sustainable results and costs. Good quality perioperative surgery is absolutely critical to maintain the health and well being of our population going forwards; this talk is a step in that direction. Presented by Guy Ludbrook Professor of Anaesthesia at the University of Adelaide and Royal Adelaide Hospital.
Grey Nurses are mysterious figures that appear in hospitals all across the world, regardless of culture or region. Who are they and where do they come from? It's hard to say - but Adelaide, South Australia may be the key to finding out. Follow the Podcast on Instagram: https://www.instagram.com/crimesandwitchdemeanors Submit your feedback or personal stories to crimesandwitchdemeanors@gmail.com Like The Podcast on Facebook: https://www.facebook.com/crimesandwitchdemeanors Episode Transcript: Available below the sources in the show notes Visit the website: https://www.crimesandwitchdemeanors.com Sources: Alison Green's answer to Nurses, have you ever seen the ghost of a recently deceased patient? - Quora. (n.d.). Retrieved May 3, 2021, from https://www.quora.com/Nurses-have-you-ever-seen-the-ghost-of-a-recently-deceased-patient/answer/Alison-Green-104?ch=10&share=081d3000&srid=ua4ka aquilareen. (2019). North Adelaide Calvary Hospital chapel [Photo]. https://www.flickr.com/photos/31967465@N04/48810339713/ at 3:54pm, 31st October 2017. (n.d.). Aldershot's “Haunted” Military Hospital: Who Is The Grey Lady? Forces Network. Retrieved April 29, 2021, from https://www.forces.net/news/aldershots-haunted-military-hospital-who-grey-lady Austin Health: The ghosts that roam our hospitals. (n.d.). Retrieved April 29, 2021, from https://www.austin.org.au/ghoststhatroamourhospitals/ GREY LADY OF NORTH ADELAIDE CITY'S BEST GHOST STORY. (1929, October 17). Register News-Pictorial (Adelaide, SA : 1929 - 1931), 30. History and heritage. (n.d.). Calvary Health Care. Retrieved May 8, 2021, from https://www.calvarycare.org.au/about/heritage/ Museum, O. (2017, September 14). 30 Nurses Share their Most Blood-Curdling Hospital Ghost Stories. The Occult Museum. http://www.theoccultmuseum.com/nurses-share-hospital-ghost-stories/ Paranormal Investigation at the Former Royal Adelaide Hospital—Searching for the 'Grey Nurse'—Review of Adelaide's Haunted Horizons Ghost Tours, Adelaide, Australia. (n.d.). Tripadvisor. Retrieved April 29, 2021, from http://www.tripadvisor.com/ShowUserReviews-g255093-d6948983-r596869442-Adelaide_s_Haunted_Horizons_Ghost_Tours-Adelaide_Greater_Adelaide_South_Australi.html Smith, K. & R.N. (2017, October 31). 8 Terrifying Ghost Stories as Shared by Nurses. Nurseslabs. https://nurseslabs.com/8-ghost-stories-shared-nurses/ Strangways Terrace. (n.d.-a). State Library of South Australia. Retrieved May 11, 2021, from https://collections.slsa.sa.gov.au/resource/B+43308 Strangways Terrace. (n.d.-b). State Library of South Australia. Retrieved May 11, 2021, from https://collections.slsa.sa.gov.au/resource/B+8517 Strangways Terrace. (n.d.-c). State Library of South Australia. Retrieved May 11, 2021, from https://collections.slsa.sa.gov.au/resource/B+7428 Strangways Terrace, North Adelaide. (n.d.). State Library of South Australia. Retrieved May 11, 2021, from https://collections.slsa.sa.gov.au/resource/B+1294 The Grey Nurse. (2011, May 10). Personal Ghost Stories. https://personalghoststories.wordpress.com/2011/05/10/the-grey-nurse/ The Grey Nurse Hospital Ghost Phenomena—Truth or Urban Myth? (2020, March 1). Haunted Horizons Adelaide. https://adelaidehauntedhorizons.com.au/grey-nurse-hospital-ghost/ William Younghusband. (2020). In Wikipedia. https://en.wikipedia.org/w/index.php?title=William_Younghusband&oldid=941797985 Transcript: Hello, and welcome to another episode of Crimes & Witch-Demeanors! The paranormal podcast where we go beyond rehashing wikipedia pages and delve into archival and historic resources to uncover the truth behind our favorite spooky tales. I'm your host and sardonic librarian, Joshua Spellman. N Today's episode has been inspired by recent personal events dealing with hospitals and nurses and the title is of course inspired by Willam. If you know, you know, if you don't, you don't. And that's fine, some of us have our own little club. Today's topic took me on quite the journey (as good research often tends to do): you begin one place and think you know where you're going to land but you wind up in an entirely unintended location. And in this case — that's fine! I mean, that's how the scientific process works. Never try and prove your own hypothesis, be your own worst enemy — like I am in my love life. But today I went from researching phenomenon spanning continents to zeroing in on the homes and hospitals of the beautiful coastal capital of South Australia—Adelaide,. Not a bad place to end up, if you ask me! So settle in, buckle up, we've got a long flight ahead. ____ “Alright, you've got this” Cassie said to herself in the mirror, splashing water on her face. This was her first night on the job as an evening nurse in a new facility — and through a series of unfortunate events — she was the only one on staff. Something like this wouldn't happen back in the city, but things are different when you're in a small town…as Cassie would soon find out. Making her way back out to the nurses station, Cassie paused to look around. The hubbub and bustling activity of the day had all but faded away. By this time, most of the patients were already asleep in their beds, leaving Cassie feeling unnaturally alone. The place felt almost abandoned. Even the smallest of sounds: a patient's distant cough, the water dripping from the leaky faucet, her footsteps on the ground, bounced and echoed through the tiled halls; rising and falling in a cacophony of silence. BZZT! Cassie nearly jumped out of her skin. It was only the call button of a patient requiring assistance. She made her way over to the patient's room “Hi there, I'm Cassie, the new evening nurse, what seems to be the matter” she glanced at the patient's chart “Miss Roebel?” “Oh please dear, call me Trish” the old woman replied “I have the bladder of a small old lady despite being a spry young thing of 79” she chuckled “if you could please help me on over to the lavatory” “Oh, of course!” Cassie replied, rushing to Trish's bedside to help her up. She walked Trish over to the bathroom and onto the toilet. BZZT! Another patient needing assistance. “Do you mind if I go and help them? It can give you your privacy” Cassie asked. “Oh, of course!” Trish replied. “But don't try any funny business and try and get back to bed on your own” Cassie warned, mockingly wagging her finger at Trish. “Aye, aye captain!” Trish retorted as Cassie made her way to assist the other patient. He was an older gentleman who, while trying to get comfortable in bed, had accidentally ripped out his IV. Cassie was still a little nervous and being new, it took her minute to locate the sterile needles. After successfully administering the IV, which took a little longer than expected since the man was afraid of needles, Cassie rushed back over to Trish's room. And that's when she found Trish…tucked neatly into bed, ready for sleep. “Trish…” Cassie started, “I told you to wait for me so I could help you into bed. You could have fallen!” “Oh…but I didn't!” Trish exclaimed, “the other nurse came in and helped me” Confused, Cassie asked with skepticism “The other nurse?” “The one in the grey uniform, with the hat” “Ah, yes. Of course” Cassie replied, not wanting to alarm the old woman “Goodnight Trish” she said as she turned off her light. As Cassie made her way back into the hall, the phone at the nurse's station began to ring. She rushed over to answer, “Hello, Valley County medical center, Cassie speaking” “Oh, hi Cassie! This is Frida, the day nurse, I just wanted to check in and make sure everything is going alright before I headed to sleep, my apologies that we're so short staffed” “Oh, hello Frida! Yes, yes, everything is going alright…but did you happen to have someone else come in to help work my shift? I just came back from a patient who-“ Frida cut her off, “Oh…so you've already seen her then?” “Seen…who?” “Oh, never mind.” Said Frida, “Just something silly. Anyways, have a good night, please call if anything urgent comes up” “Of course, thanks for checking in. Goodnight!” Cassie said, hanging up the phone. What was she on about? But Cassie didn't have time to mull it over as she heard the echo of shuffling of feet. Another patient out of bed? Cassie got up from the nurses station and peered around the corner. There was someone at the end of the long hall. Cassie squinted to see clearer in the dim light, was that Trish? “Trish!” Cassie scolded, walking closer “I told you not to get out of bed on your own” As she made her way closer to the figure she realized it was a nurse. She was dressed in grey from head to toe, with a funny old-fashioned hat. The nurse nodded to Cassie with a wry smile and winked as she tilted her cap. Then, suddenly the woman turned on her heel, walked straight into the adjoining wall and vanished. ___ Stories like Cassie's are not unfamiliar to nurses — regardless of culture or region. Benign nurse figures are often seen roaming hospitals across the world and are referred to as Grey Nurses or Grey ladies because of the color of their uniforms. Are these apparitions the spirits of departed healthcare workers who loved their jobs so much in life that they carry on in death? Which I find hard to believe…while there are many great nurses out there on the front lines saving us from the pandemic I immediately think of all my high school bullies who can barely spell catheter let alone insert one who are now probably all angels of death… Which is actually a great segway while throwing some subtle shade at former cheerleaders—maybe grey nurses are not ghosts at all but instead are inhuman spirits taking on a familiar form, who seek to comfort and care for our sick and dying. I guess that's literally the definition an angel? Well, not the kind that are concentric spinning rings of fire with seventeen glowing eyes that are so horrifying that gazing upon them them will wreck your feeble human mind…you know like kind of angels in the Bible. But you know, grey nurses are like the hallmark, Touched By an Angel type that Christians believe in despite their holy book describing them as horrific creatures. But I digress. While we may not have all the answers to these questions, we can surely try and answer them. Despite being a worldwide paranormal phenomenon, my research kept circling back to hospitals in one city: Adelaide. Specifically, the former Adelaide Royal Hospital, now known as Lot Fourteen and Austin Hospital. Unlike the Windsor Hotel from last week, Austin Hospital has an entire webpage devoted to stories from staff about their ghostly grey nurse. This following story is from their former Divisional Director of Cancer and Neurosciences, Cherie Cheshire…which, by the way, is an amazingly alliterative name. If you're looking to name a character in a book you're writing I suggest you snatch that name up before somebody else takes it! Anyway, here is her story: “We were supposed to be three nurses on night shift, but we were short staffed and only had two. One patient named Carol had complete paralysis due to MS. She could not take a drink of water herself however suffered from terrible dry mouth. So, the nursing staff attended to her at least hourly to help her sip some water, even overnight. On this shift we were flat out. At around 9.30pm I filled Carol's one litre jug with iced water and gave her a drink. It then got very busy and I didn't manage to go back to her room until midnight. When I did, she only had half a jug of water. She told me the other nurse had been in several times and helped her drink. I knew this wasn't right however checked with the other nurse who said she had not been in the room. When I asked Carol about who helped her with her water again, she said it was the older agency nurse in the old-fashioned grey dress…” This next story from the former director of Nursing and former ICU Unit Manager, Jen Hancock, served as the inspiration to the narrative portion of today's episode: “While working nights on the old 6A in Heidelberg House, the buzzer rang and a lady needed a pan. I took it to her and asked her to buzz when finished. Ten minutes later, there was no buzz, so l went to check. She was lying down in bed half asleep, curtains pulled back. She told me that the other nurse in the grey uniform with a veil had taken it and made her comfortable. I was working with a male Enrolled Nurse. I asked the Registered Nurse who was between the three wards in Heidelberg House, if she knew anyone in a different uniform. She didn't. I was later told it was a common occurrence in Heidelberg House and that patients had often described the grey nurse.” Other nurses reported ghostly occurrences like floating utensils, a hallways that is always ice cold at night, and seeing the grey nurse turn a corner and disappear. The former Royal Adelaide Hospital, which I believe has been converted or demolished in favor of residential and commercial space, also had tales of the Grey nurse. I tried to do some digging, but there isn't much to go on with these stories: no name, no cause of death, no era, no nothing. However, I did manage to dig up an old newspaper article about a ghost story that has been circulating for at least a century and a half: the Grey Lady of Adelaide. This specter is known as the first ghost of Adelaide…which is a little Eurocentric considering there were probably many Aboriginal ghosts prior to the colonization of the area but I digress… the color association here is interesting. Could this Grey Lady and the grey nurses be one in the same? The ghost of the Grey Lady was said to haunt Younghusband Mansion. I was curious where this mansion was located — was it in the vicinity of one of these hospitals? Or perhaps it was demolished and one of the aforementioned hospitals built over top. I found my answer in the October 17, 1929 issue of The Register News-Pictorial. It reads thusly: GREY LADY OF NORTH ADELAIDE - CITY'S BEST GHOST STORY And There Was Another In A Castle WhoLeft Illicit Still Behind ROMANTIC GHOST WHO SAT IN CELLAR SHE haunted the Younghusband mansion, this Grey Lady of North Adelaide, and in the basement each night could be seen, 60 years and less ago, sitting in her chair in her own particular cellar. Memory recalls only that much of this spirit with the romantic title, but when the Nursing Sisters of Calvary Hospital became owners of the Younghusband mansion, they closed the Grey Lady's cellar. And the Grey Lady went out of memory. The Archbishop of Adelaide (Dr. Spence), when he laid the foundation stone of a convent home for the Nursing Sisters of the Calvary Hospital, North Adelaide, revived, perhaps, Adelaide's two sole ghost stories. He recalled that the sisters never saw the Grey Lady but the story, no doubt, added to their discomfort. The acre on which Calvary Hospital stands was first owned by Robert Gouger, the State's first Colonial Secretary. He, too, owned land near the present Gouger street, where he built his home, and there were buried his wife and child. This is the foundation of the story of the Grey Lady, it is thought. However illogical might be the idea of the North Adelaide property being haunted, the story grew, and was known up to 29 years ago, when the Nursing Sisters took over the property from the Baker family. When the old house was pulled down to give place to the present modern structure at Calvary Hospital, the story gained another lease of life. I wanted to learn a little bit more about this mansion and it led me down…quite the path. If you follow the podcast on instagram @crimesandwitchdemeanors then you already know where this is going. The article wasn't very clear on whether Calvary Hospital was the mansion, replaced the mansion, or if the mansion was just used as a convent for the Nuns of Calvary Hospital. In trying to answer these questions, I stumbled across the blog of a man named Allen Tiller. Who, if you've seen the original Teen Titans cartoon, is a dead-ringer for the villain Control Freak. He is quote “a historian, genealogist, author, paranormal investigator, and the 2017 emerging South Australian Historian of the Year.” Quite the decorated man! Now, although his website looks like it was plucked straight from Xanga, awful div transparencies and all, it was useful because it led me to his book, The Haunts of Adelaide: History, Mystery, and the Paranormal REVISED EDITION. The revised part is in all caps so you know it's important. However, I'm grateful for his book because it includes a chapter on the Younghusband Mansion - for which there is virtually no digital resources on. I'm just glad I have Kindle unlimited so I didn't have to pay for it. The entire introduction read like a thread of rage-tweets lambasting the prior publisher. Maybe not the best look, Allen. Save it for twitter. Not the book. It kind of diminishes what credibility you earned. But I'm not the 2017 Emerging South Australian Historian of the Year so you know, I should probably keep my big mouth shut. Here's what I've gleaned for his book: The parcel of land Younghusband mansion was built on was originally purchased tin 1837 by Robert Cock during the first land sale held in Adelaide. Later, Cock sold the land to the first colonial secretary of South Australia: Robert Gouger. Gouger bought the land because he was under the impression that its high elevation would help ease the pain of his ailing wife, Harriet, who was suffering from tuberculosis. They erected a modest wooden cabin on the land but sadly the high elevation proved to offer no health benefits and Harriet, along with her infant child, died. Gouger buried both his wife and child on the land, though they were later moved and interred at West Terrace cemetery. This history is what led to the story of the Grey Lady as outlined in the news article. However, its legacy doesn't end there. In 1842 the land was sold to Edward Stephens and then again in 1846 to William Younghusband. William Younghusband was an Englishman who made a killing investing in the Burra Mines and his house reflected his wealth. Younghusband Mansion at one point was once known as the finest home in Adelaide…though that may be because it was the only one of its kind in the area. The mansion was opulent and grand: it had a ballroom, ornate gardens, secret rooms, underground tunnels, a unique iron fence, and it was outfitted head to toe in cedar. After Younghusband's death in 1865, the house changed hands quite a few times before the the lease came to rest in the hands of Miss Isabella Baker in 1883. Miss Baker had plans to convert the home into a private hospital but she could not do so until the owned the property herself. It took some time, but after six years she finally convinced the remaining trustee to relinquish the property. The mansion became the living quarters of the nuns. The two rooms facing the streets were used as bedrooms, behind them was a box room, below a large basement, and there was another room that had been sealed up. Behind the seal was a room that had not been finished during the Younghusband's occupation of the home. It was full of construction materials, dust, and rocks. During the time the Younghusband's stayed in the house, many people noticed the sealed up room, and because many people knew about Gouger's wife and her baby that died on the property, the legend of the Grey Lady began. The story really took off in 1869 when a newspaper published a story about a ghost spotted sitting in a chair in the basement. Younghusband mansion was eventually torn down and Calvary Hospital was built on the grounds. Could the Grey Lady have become one of the grey nurses? Or is her entity altogether separate? The former Royal Adelaide Hospital was one of the biggest hotspots of grey nurse encounters. Allegedly, a whole floor of the building was closed due to paranormal activity in the 1980's, though no evidence of this exists. It seems a little farfetched. As with most grey nurses, her identity was unknown but her story follows the usual pattern: she was the wife of a doctor who died on the operating table, she died in a car accident on her way to work, she was pushed down the stairs by a mental health patient, or she accidentally delivered a fatal overdose and committed suicide. The Royal Adelaide Hospital has moved to a new building and the old one was partially demolished and partially renovated and converted into shops, apartments, and the new location for the Australian Space Agency. Construction workers on the site witnessed paranormal activity. Allegedly, a number of workers sent messages to our good friend Allen Tiller describing their encounters. Frequently, a “person in blue” was spotted on the upper floors watching the construction staff work. When they called security to find the person, since it's dangerous to be on an active construction site, no one was found. This happened on numerous occasions. Now again. My brain always goes to speedy squatters, and no I'm not talking about me the day after I have chipotle. An abandoned building is the perfect place for someone to seek shelter with little risk of running into anyone. Regardless, the construction workers believe it to be a ghost and the blue outfit could possibly be scrubs. I will say that oftentimes grey can appear blue in certain circumstances. White ladies, men in black hats, and grey nurses…are they distinct spirits who choose to appear in these forms? Or are they archetypes that have been burned into our collective subconscious? It's safe to say we may never learn the identities of these homogenous haunts, if they are ghosts at all. But they do make for fun stories to tell in the dark. Next week's episode is going to be my personal ghost stories and will follow a different format than usual. Next week is my birthday week, and I'm also getting the second dose of my vaccine so I'm planning on feeling icky for a few days and would rather not have to write a few thousand words with a fever! So if that interests you, you have something to look forward to! If you know anyone who would enjoy the show — please share it with them! Word of mouth, and a pyramid scheme, is the best way to grow our family of bibli-ahh-graphers. Follow the podcast's instagram for goodies, and of course, if you're listening on overcast hit that little star icon, if you're an Apple fiend, please leave a kind review! And remember, if you find yourself in a hospital…keep your eyes peeled for a grey nurse, never badmouth previous publishers in your revised edition..its' quite unbecoming…and as always, stay spooky. Bye~
Jess Eaton has been cleared of serious injury after falling aboard Pelonomena in the Port Adelaide Cup at Morphettville Saturday. Adelaide’s leading jockey was taken to the Royal Adelaide Hospital with a cut leg and suspected concussion and had to remain in hospital overnight, but will not require any surgery
Dr Cathy Foley is a physicist and commenced her term as Australia's ninth chief scientist in January 2021. Before that she had a long and distinguished career at CSIRO, where she was appointed chief scientist in August 2018 – only the second woman in that role.Over the course of her career, she has made significant contributions to the understanding of semiconductors and high-temperature superconductors. Her work led to the development of field-deployable superconducting devices that locate valuable mineral deposits by detecting minute magnetic fields (ten million times weaker than the Earth's field).Dr Vikram Sharma is a quantum physicist and the founder and CEO of Canberra-based QuintessenceLabs, which is a world leader in the quantum cybersecurity industry. Vikram is a dual MSc holder – in computer science (from ANU), and management (from Stanford University, California). His doctorate in quantum physics was also awarded by ANU.Dr Johan Verjans is a cardiologist who combines clinical and research work. He's deputy director, Medical Machine Learning, at the Australian Institute for Machine Learning; a senior lecturer at the University of Adelaide attached to South Australian Health and Medical Research Institute; an associate investigator at Adelaide Uni's Centre for Nanoscale Biophotonics; and a consultant cardiologist at Royal Adelaide Hospital.Our guests join moderator Tory Shepherd, an Adelaide-based journalist and broadcaster, to discuss what AI is, its certain prevalence in our future, the variety of real-world applications for which it's already used, and future applications, both already in development and as yet only imaginedFind the science of everything at cosmosmagazine.com
Quality testing of the COVID-19 vaccine is the biggest, but necessary, roadblock in the rollout. Ex-pat in his 40s still in ICU at the Royal Adelaide Hospital after transfer from COVID medi-hotel. New polling shows the Coalition is facing collapse in South Australia. Creditors seek to seize control of Sanjeev Gupta's Whyalla steel operations. South Australia's first, indeed the nation's, first Indigenous ice hockey team is the Kaurna Boomerangs. For updates and breaking news throughout the day take out a subscription at advertiser.com.au See omnystudio.com/listener for privacy information.
A patient infected with a mutant strain of COVID-19 who was hospitalised in Adelaide is now in a critical condition, health authorities have confirmed.The man, in his 40s, is one of 12 people in South Australia with COVID-19, all of whom acquired the virus overseas.SA Health moved the man, who has the South African variant of the virus, from a dedicated quarantine hotel for positive cases to the intensive care unit at the Royal Adelaide Hospital.SA Health confirmed to NCA NewsWire the man's condition had been upgraded from serious but stable to critical.He is the first person in South Australia to be admitted to ICU with coronavirus since May last year.It comes a day after SA acting chief public health officer Michael Cusack said the man had the South African variant, which contains a mutation which appears to make it more contagious.“One person was taken from Tom's Court (medi-hotel) to the Royal Adelaide Hospital this morning because they were unwell and are currently being assessed there,” Dr Cusack said on Saturday.“This is a male in his 40s we believe has the South African variant.“Clearly if someone is deemed unwell enough that they have to go to hospital, we have concerns for their welfare, but obviously they are in the right place.”Dr Cusack said the patient had been suffering shortness of breath.“Whether they're sufficiently short of breath or their lungs are sufficiently impaired that they will need to remain in hospital is still to be determined by the emergency department at the Royal Adelaide,” he said.South Australia recorded just one COVID-19 case on Sunday which was a child who had returned from overseas and is in isolation.The state also administered 145 vaccinations for COVID-19 on Saturday, bringing the total to 28,759.
Reports of domestic violence surged during the coronavirus pandemic according to police statistics. In the six months that South Australians were encouraged to stay inside to stop the spread of coronavirus there were 440 more reports of domestic violence assaults than in the same period in 2019. A man was fighting for life in the Royal Adelaide Hospital last night after contracting COVID-19 while overseas. It comes as health authorities issued a plea on Sunday as the use of QR codes plummeted. Ambulance officers will be given new powers to decide if patients can be treated in their homes, instead of a hospital it's part of a scheme to help ease pressure on the state's emergency departments. South Australian Megan Schutt starred from her opening delivery yesterday as she led Australia to a record-breaking 22nd consecutive one-day international victory over New Zealand. For updates and breaking news throughout the day take out a subscription at advertiser.com.au See omnystudio.com/listener for privacy information.
The spouses of Linda Lavender, Francesco Ferraro, Malcolm Todd and Roger Leaney gather together to remember their beloved family members, who died of COVID-19 in the Royal Adelaide Hospital in April 2020. See omnystudio.com/listener for privacy information.
This is a story that starts with some of the challenges faced in our world outside the operating theatre and it's about how we might address some of these problems systematically. Healthcare organizations have to deliver high quality, competitive and sustainable results and costs. Good quality perioperative surgery is absolutely critical to maintain the health and well being of our population going forwards; this talk is a step in that direction. Presented by Guy Ludbrook Professor of Anaesthesia at the University of Adelaide and Royal Adelaide Hospital.
Lot Fourteen is transforming the old Royal Adelaide Hospital site into a collaborative precinct that is accelerating the state’s innovation, entrepreneurship, research, education, culture and tourism. Between now and 2028, capital and operational expenditure in Lot Fourteen will generate $3.5 billion in economic activity for South Australia. Join Lot Fourteen's State Project Lead, Diane Dixon as she discusses what's coming next for this innovative precinct.
This remarkably prescient conversation was recorded at an Australian National Summit in Adelaide regarding the 'hidden pandemic of postoperative complications'. The dangers presented by them certainly suggest this area needs to be taken more seriously. Although staged in Australia this conversation is of global concern, particularly at a time when the world is realising the benefits of proper perioperative care. For more about the National Emergency Laparotomy Audit go here: https://www.topmedtalk.com/ebpom-2018-12-the-importance-of-cpet-and-nela/ The article mentioned in this piece is here: https://bjanaesthesia.org/article/S0007-0912(18)30654-8/abstract There's a good piece about the summit here: http://theleadsouthaustralia.com.au/industries/health-and-medical/summit-targets-post-op-pandemic/ Presented by Monty Mythen and Mike Grocott with their guest Guy Ludbrook Professor of Anaesthesia at the University of Adelaide and Royal Adelaide Hospital.
Have you heard of Faith Thomas AM (née Coultard)?The Adnyamathanha woman who was born at the Nepabunna Aboriginal Mission in the early 1930’s to an Aboriginal mother and German father, was in the first group of Aboriginal nurses to graduate from the Royal Adelaide Hospital in the 1950's, alongside her friend from Colebrook Home where she had grown up, Lowitja O'Donoghue. Faith nursed in Aboriginal communities right across regional and remote South Australia in the 1960’s and 70’s.But in addition to her nursing career, Faith was the first Aboriginal woman to play test cricket for Australia in 1958, and the first Aboriginal person to represent Australia in any sport when she played for the Australian National team in an international match against England.Film and media company Ninti Media secured funding from NITV this year to complete a documentary they have been working on about Faith’s incredible life.We caught up with Adelaide local Tyson Baird who’s co-producing the film alongside the media company.
En este episodio charlo con Alba Cano, una compañera y amiga enfermera especializada en la sección de arritmias cardíacas del Hospital Clínic de Barcelona. Hablamos sobre su experiencia en el Royal Adelaide Hospital, en Australia, un centro en el que dan gran importancia al cambio de hábitos como parte del tratamiento en los pacientes con fibrilación auricular, la arritmia más frecuente en nuestro medio. Aprenderás qué es la fibrilación auricular, cuáles son los factores de riesgo para desarrollarla, qué consecuencias tiene y cómo el cambio de hábitos guiado por profesionales tiene un papel fundamental en su tratamiento.
Once a fortnight at Lot Fourteen, tools are put down at 10am and construction workers file into the open courtyard or an empty room, where they hear from Aboriginal leaders, educators or anyone with a story to share. The talks are no longer than a smoko break (10-20mins), making them easily digestible; then it’s back to work – with plenty to think about.While the former Royal Adelaide Hospital site is a hub for the wide range of entrepreneurs and the emerging future and creative industries it houses, it’s also the workplace of many construction workers and sub-contractors employed on the next big projects there, such as the Australian Space Agency, and soon the Aboriginal Arts and Cultures Centre.Designed to build a greater understanding between Aboriginal and non-Aboriginal cultures, the Toolbox Yarns series was built specifically for this group, after stemming from discussions during Reconciliation Week - “why do we only talk about reconciliation and race during this week?”.The short fortnightly sessions, a partnership between Aboriginal civil and construction company RAWsa, an Aboriginal civil construction company; Lot Fourteen; the SA Government and the Kaurna Nations Cultural Heritage Association, are open to all construction workers and subcontractors onsite, offering the opportunity to learn about Aboriginal culture and history at work.
The Noobie Dentist Podcast – Dr Aaron Thomas Episode Run Time: 00:46:58 Intro In this week’s episode I had the awesome opportunity to chat with Mr. Aaron Thomas (see bio below). Mr. Thomas is an OMFS in Melbourne, Austrlaia and has become an amazing mentor for myself and my co-residents this year. In this episode we talk about the speciality of Oral and Maxillofacial surgery, what it takes to get in, what it takes to get through the program, and what is required to become a successful surgeon. We also talk a little about the history and Dr Aaron discusses some trends on the horizon in the future for the field of Oral and Maxillofacial Surgery. Guest Bio Mr Aaron Thomas is a dual-qualified Specialist Oral & Maxillofacial Surgeon (OMS). Aaron completed his undergraduate dental degree (BDSc) at the University of Western Australia, and upon graduation worked for a year as a fly-in/fly-out dentist serving remote & Indigenous communities throughout Western Australia. He completed his medical degree (MBBS) as well as an Honours science degree (BSci(Dent)Hons) at The University of Adelaide, while concurrently working in the Oral & Maxillofacial Surgery Unit at The Royal Adelaide Hospital and Adelaide Dental Hospital. After the required 2 years working as a medical intern and surgical resident, Aaron was selected into the Victorian & Tasmanian program for specialist OMS training. After 4 years rotating through the major hospitals in Melbourne and Hobart, Aaron passed the Final examinations and was awarded the specialist Fellowship, FRACDS(OMS). He is currently undertaking a subspecialty Fellowship in TMJ Surgery at St Vincent’s Hospital Melbourne; other areas of clinical interest including dentoalveolar surgery, maxillofacial trauma surgery and surgical correction of dentofacial deformity. Guest Details Social Media: Dr Aaron Thomas - LinkedIn Time Stamps [00:03:25] Why Dr Aaron chose healthcare [00:06:03] The history of maxillofacial surgery [00:09:43] The decisions and qualities that led Dr Aaron to OMFS [00:15:17] What to expect from OMFS training [00:18:05] Dr Aaron’s first solo fractured mandible [00:19:45] Achieving excellence in the speciality [00:23:59] OMFS war stories [00:28:54] The options for OMFS surgeons after training [00:32:13] The future of technology in maxillofacial surgery and Virtual Surgical Planning [00:36:22] Does relying on technology lower surgical ability? [00:38:38] Recommendations for choosing and pursuing a speciality [00:41:51] The importance of serving in public hospitals and work-life balance Podcast Details As always, if you enjoyed listening to the Noobie Dentist Podcast, please pass the podcast along to your friends, classmates and colleagues. If you haven’t already, head over to iTunes and give the show a 5-star rating and if you have some time, leave a review! The Noobie Dentist podcast is now available on Spotify, YouTube, noobiedentist.com, the Apple podcast app, Stitcher and any other podcast apps out there! Website: http://www.noobiedentist.com Instagram: @noobiedentist Sponsor Details Ivoclar Vivadent is one of the world's leading and most innovative dental companies, offering a comprehensive range of products and systems that provide you with new opportunities in dentistry – for even more aesthetic and efficient results and better dental care for patients. 'Making People Smile' – It's what they do! To find out more, visit www.ivoclarvivadent.com.au Headline Quote [21:05 - 21:26] I think your approach to what you are trying to achieve with every operation, like, whether you are going for clinical excellence, or the perfect X-ray or, you know, some other kind of technical virtuosity, I think that is less important than remembering that at the end of your scalpel is a patient. Conclusion Were you inspired by Dr Aaron Thomas’s story? Are you considering specialising? Do you have a particular interest in OMFS? We would love to hear your thoughts! Remember to subscribe for more content! Find the Latest Episodes: https://linktr.ee/noobiedentist
Malnutrition is common in ICU, and it stands to reason that it should impact on functional recovery. Lee-anne Chapple is a senior dietician in critical care at the Royal Adelaide Hospital, and an NHMRC Early Career Fellow at the University of Adelaide. She joins Todd on the podcast to discuss her work in protein metabolism in critically ill patients See omnystudio.com/listener for privacy information.
Dr. David Kosenko joins us to talk all things Skin Cancer and Cosmetic, both pre and during Covid. David graduated from Monash University and gained experience in all aspects of medicine and surgery whilst working at leading hospitals in Victoria, Australia. He subsequently completed the Family Medicine Program and has become a Fellow of the Royal Australian College of General Practitioners. He has also had training in Diving Medicine at the Royal Adelaide Hospital. More recently he has developed a special interest in skin care including cosmetic dermatology and specialises in prevention of skin cancers, treatment of pigmentation as well as a variety of anti wrinkle treatment. He enjoys spending time at home with his wife and two sons, as well as pursuing other interests of skiing/snowboarding, scuba diving, four-wheel driving and camping. For more information on David, please click on this link https://www.impresscosmeticmedicine.com.au/ More information about Hanya Oversby can be found on https://hanyaoversby.com.au/
Summary:Tarik Sammour, colorectal surgeon at the Royal Adelaide Hospital and Associate Professor at The University of Adelaide, talks about using visualisation to improve performance and surgical outcomes.Visualisation is used by professionals in many fields to manage stress, enhance focus and communication and may be used in the health sector to improve patient healing, pain management and recovery times.In this episode, Tarik shares his tips on using this powerful tool and also discusses the link between stress, mental health and the bowel, and the importance of mindset and psychology on health and patient outcomes. Episode features:How visualisation and mental rehearsal improve performance.How emotional stress affects the bowel and vice-versa.The influence of mindset and psychology on physical health, recovery and wellbeing.How mindfulness and visualisation may be used for pain management, improved teamwork, risk management and resilience.How we can all use visualisation deliberately as a skill that leads to success.PLUS, Tarik’s insights into using visualisation in everyday work and life! Links and resources:Link to Tarik’s researchA guided visualisation for relaxationA mental rehearsal exercise for performance and skill developmentOne of many articles on mental rehearsalFor more about me and what I do, visit my websiteFollow us on Instagram and FacebookSUBSCRIBE to stay in the loop with upcoming episodes.And, if you enjoyed this episode, please leave us a rating and a review. Thanks! Produced by Jen Hill on Kaurna land. Music by Gary Martin.
Join us for another instalment of STC, presented at grand rounds at the Royal Adelaide Hospital. Unfortunately we had to stay at home in Auckland and do it over Zoom... (because COVID). Josh Inglis and Toby Gilbert gave us a real challenge.
This week, we speak to vaccine development expert Professor Nikolai Petrovsky from South Australia. He is the Director of Endocrinology at Flinders Medical Centre, a Professor in the School of Medicine at Flinders University and the founder of Vaxine Pty Ltd, an Adelaide-based biotechnology company specialising in pandemic vaccine design. Professor Petrovsky joins the MTPConnect podcast to update us on his promising vaccine candidate - COVAX-19, with a recombinant spike protein approach, that has recently successfully completed Phase 1 trials at Royal Adelaide Hospital. It's a thought provoking discussion covering vaccine development, funding, access issues and manufacturing capabilities, future pandemic preparedness and what we can learn from past outbreaks to protect us against other threats like MERS-CoV. He also reveals how the vaccine mapping project funded by MTPConnect as a part of the Industry Growth Centre Project Fund Program helped accelerate their current COVAX-19 research program. Listen for a fascinating chat.
De Australische deelstaat Zuid-Australië is relatief ongeschonden wat betreft de wereldwijde coronapandemie. De deelstaat telt zo’n vierhonderd besmettingen en vier geregistreerde doden. Vanwege de nieuwe uitbraak in Melbourne in de naastgelegen staat Victoria is de grens tussen beide gebieden nu gesloten. In de Dit wordt het nieuws-podcast hoor je de Nederlandse Johan Verjans, cardioloog bij het Royal Adelaide Hospital in de gelijknamige stad vanuit Zuid-Australië.
In this episode of the HYPECAST we had the please of interviewing the 2020 Australian of the Year, James Muecke. James is one of those human beings who achieve more than you thought would be possible, all with the intention of providing more opportunity for those less fortunate. James is an eye surgeon based in Adelaide and a visiting consultant and senior lecturer at the Royal Adelaide Hospital and Women’s and Children’s Hospital. Dr Muecke has a special interest in blindness prevention, ophthalmic research and education in the developing world. He was a co-founder and Director of the Vision Myanmar Program. Just to show you some of the achievements James has received we pulled the following excerpt from the Sight For All website: Dr Muecke received an 'Outstanding Service in Prevention of Blindness Award' by the Asia-Pacific Academy of Ophthalmology in 2011. He was awarded a Member of the Order of Australia in 2012 and received a South Australian Community Achievement Award. In 2015 Dr Muecke was the recipient of the Ernst Young Social Entrepreneur of the Year Award and he delivered the Hollows Lecture at the 2016 RANZCO Congress. In November 2019, Dr Muecke was announced SA Australian of the Year 2020 and was awarded Australian of the Year 2020 in Canberra on 25 January. We hope you enjoy this episode. If you want to get in touch with James or contribute to the Sight For All foundation, please see the below details: https://www.facebook.com/james.muecke https://www.instagram.com/jsmuecke/ https://sightforall.org/ https://medthink.com.au/
CEO at Australian Nursing and Midwifery Federation Elizabeth Dabars joined David and Will after an intensive care nurse at the Royal Adelaide Hospital who has worked on coronavirus patients tested positive for COVID-19 yesterday. See acast.com/privacy for privacy and opt-out information.
Australia’s coronavirus death toll has risen to 45 after 15 people died in the space of 72 hours.The latest deaths were announced by NSW chief medical officer Dr Kerry Chant this morning. One was an 87-year-old woman who was a passenger on the Ruby Princess, bringing the stricken cruise ship’s grim tally to 13.The other was a 90-year-old man, the second resident Opal Care Bankstown to die.Not long after, Victorian Premier Daniel Andrews announced the state’s 11 death, while South Australia reported its first death – the 75-year-old man died at the Royal Adelaide Hospital last night after acquiring COVID-19 interstate.It comes after the announcement overnight that a 90-year-old man who was a resident at the Dorothy Henderson Lodge in Sydney had died – the sixth victim from that aged care facility.Among the wave of deaths announced on Sunday and Monday were Australia’s youngest victims so far, a man in his 50s who died in a Victorian hospital and a 61-year-old man who died at Hornsby Hospital in Sydney.The total number of confirmed COVID-19 cases in Australia is approaching 6000, but federal and state health officials are cautiously optimistic after several days of declining rates of new infections.There are now 5862 total cases, with 2686 in NSW, 1158 in Victoria, 934 in Queensland, 411 in South Australia, 460 in Western Australia, 89 in Tasmania, 96 in the Australian Capital Territory and 28 in the Northern Territory .
This remarkably prescient conversation was recorded at an Australian National Summit in Adelaide regarding the 'hidden pandemic of postoperative complications'. The dangers presented by them certainly suggest this area needs to be taken more seriously. Although staged in Australia this conversation is of global concern, particularly at a time when the world is realising the benefits of proper perioperative care. For more about the National Emergency Laparotomy Audit go here: https://www.topmedtalk.com/ebpom-2018-12-the-importance-of-cpet-and-nela/ The article mentioned in this piece is here: https://bjanaesthesia.org/article/S0007-0912(18)30654-8/abstract There's a good piece about the summit here: http://theleadsouthaustralia.com.au/industries/health-and-medical/summit-targets-post-op-pandemic/ Presented by Monty Mythen and Mike Grocott with their guest Guy Ludbrook Professor of Anaesthesia at the University of Adelaide and Royal Adelaide Hospital.
Welcome to the Scale Model Podcast. In this podcast, we aim to entertain, inform, and promote the hobby of scale model kit building with interviews, reviews, and news about the hobby. The Scale Model Podcast currently is recorded biweekly and is available where your favourite podcasts are found including iTunes, Google Play and Stitcher as well as our website at scalemodelpodcast.com. Let us know if you have any comments or suggestions at scalemodelpodcast@gmail.com or on Facebook at https://www.facebook.com/ScaleModelPodcast We also publish extra video content on the YouTube channel. There is also a Patreon Page at https://www.patreon.com/scalemodelpodcast The money raised will be used to help offset web hosting and other costs. As the podcast grows, we hope to introduce giveaways and other bonuses to Patreon supporters as a thank you for supporting The Scale Model Podcast. Welcome to Episode 31 Sponsored by Goodman Models. Hosts Stuart Clark Anthony Goodman *************************************** Listener Mail Aidan O’Donnell.Just a quick comment with regard to an irritating bout of foot-in-mouth syndrome that I succumbed to recently. A couple of weekends ago, in an all -too – common flash of clumsy stupidity, I managed to mash one of my finger tips. There was much blood and a considerable amount of spousal disapproval along with some the emergence of some of the fatty, stringy bits that normally don’t see daylight. Fast forward a few hours and I was in the Emergency Department of the Royal Adelaide Hospital having my damaged digit looked at by a Doctor. While he was stitching it up I asked him what was the diameter of the thread he was using as it “would do nicely for rigging my 1/72 Berg Aviatik”. While the young Medic was nonplussed, my better half was not impressed. As the injury has put paid to me doing things like gardening and washing dishes it would be fair to say that the milk of human kindness has very much gone sour in that direction. Still looking on the bright side, I can still put some bench time. I should also like to say how useful I’m finding my Super Sanding Blocks. I am currently building an M5A1 and I was able to cleanup the running gear in no time with them! *********** George Redell Love the podcast. A couple of podcasts ago you were talking about Scalemates. I always keep all my models up to date on that website for two reasons. The first and most important is for insurance reasons. If we ever had a fire or something happens at the house that my models got damaged from I would have a list of what I have. I also take periodic pictures of the stash for proof. The second is so I don't buy duplicate kits at shows. Not that I have a massive stash or anything but sometimes as I get older I forget. LOL The other thing I want to mention is what I use as a paint mixer. I have been using this ink mixer I got from Amazon for $10. It is great for tall bottles like Vallejo, Ammo and AK.
Vol 211, Issue 8: 14 October 2019. Professor Toby Coates is the Director of Transplant Medicine at the Royal Adelaide Hospital, and President of the Transplantation Society of Australia and New Zealand. He talks about transplant tourism and the dangers of seeking an organ overseas. With MJA news and online editor, Cate Swannell.
Dr Phil Worley, Chair for the RACS South Australia State Committee, examines the current and future initiatives in South Australia. In recent times, the state has benefited from major medical developments, including the Royal Adelaide Hospital and the South Australian Health and Medical Research Institute. In early September, Port Lincoln will host the SA, NT and WA ASM; this year's theme is 'Robots in Surgery – Tsunami or just the next wave?' The SA, NT and WA Annual Scientific Meeting Dates: 5-7 September Location: Port Lincoln Hotel Details: https://www.surgeons.org/conferences-events/college-calendar/2019-sa-nt-wa-annual-scientific-meeting Contact: 08 8239 1000 or email college.sa@surgeons.org
Most Australian surgeons struggle with shoulder, neck and upper back pain, according to recent research conducted by Dr Katherine Grant and Dr Leong Tiong. Dr Grant is a surgical resident based at Royal Adelaide Hospital and is pursuing a career in general surgery. The research was based on a survey which also showed that female and younger surgeons are more likely to suffer from work-related musculoskeletal disorders (WRMD). Dr Grant discusses the implications of the research and what steps are needed to prevent these disorders.
Dr Gregory Hundley: Welcome everyone to the June 18th edition of Circulation on the Run. I am Dr Greg Hundley, Professor of Internal Medicine and Director of the Pauley Heart Center at VCU Health in Richmond, Virginia. In today's issue we're deviating from our common format due to some scheduling difficulties. So, rather than our traditional coffee chat in this program I'm going to have a large gulp of coffee and present results from several exciting papers. Then we'll turn over the second half of our program to Dr Carolyn Lam for our feature discussion. Now, I promise this is a one-time deviation and we will return to our common chat format in early July. But, before I launch into my presentations I did want to introduce what will transpire with Carolyn. She will be discussing an exciting paper from the Adelaide Medical School at the University of Adelaide in Australia. Some have wondered whether the persistence of a patent arterial venous fistula post-kidney transplant may contribute to ongoing maladaptive cardiovascular remodeling. To address this issue Carolyn will be discussing with authors whether ligation of this AV fistula may reverse this maladaptive remodeling. And like you, I'm excited to listen to that discussion. But before that let me review several of the other distinctive papers on this issue. The first one is entitled “Individual Treatment Effect Estimation of Two Doses of Dabigatran on Stroke and Major Bleeding in Atrial Fibrillation.” They are the results from the RE-LY trial. The corresponding author is Professor Frank Visseren from the University Medical Center of Utrecht in Utrecht University. The study emanates from the randomized evaluation of long-term anticoagulation therapy or the RE-LY trial. In which high dose dabigatran, that's 150 milligrams twice daily, was found more effective in prevention of ischemic stroke and systemic embolism than low dose dabigatran which is 110 milligrams twice daily. But this occurred at that expense of an increased risk of gastrointestinal bleeds. Importantly however, the absolute treatment effect of dabigatran in both doses, likely differs between individuals. And therefore, individual treatment effect estimation has the potential to identify patients who have a favorable trade off and absolute benefit and harm from dabigatran compared with no treatment, and to select the optimal dose for each individual patient. So in this study, the investigative team derived and validated a prediction model for ischemic stroke and systemic embolism and major bleeding in patients with atrial fibrillation from three treatment arms of the RE-LY study. They had 11,955 individuals in the derivation cohort and 6,158 in the validation cohort. And they evaluated the patient characteristics of sex, age, smoking, anti-platelet drugs, prior vascular disease, diabetes, blood pressure, estimated glomerular filtration rate, and hemoglobin. Dr Gregory Hundley: Well, what were the results? Well the five-year absolute risk reduction, for ischemic stroke and systemic embolus minus the five-year absolute risk increase for major bleeding, when comparing the high to the low dose of dabigatran yielded a net benefit in 46% of patients. And therefore, the authors conclude that the absolute treatment benefits and harms of dabigatran in atrial fibrillation can be estimated based on readily available patient characteristics. And perhaps down the road such treatment effect estimations can be used for shared decision making before starting dabigatran treatment and to determine its optimal dose of administration. Well, how 'bout that? And let's go on to the second paper entitled “Empagliflozin and the Risk of Heart Failure Hospitalization in Routine Clinical Care: A First Analysis from the Empagliflozin Comparative Effectiveness and Safety, or EMPRISE Study. And the corresponding author for this study is Elisabetta Patorno from Brigham and Women's Hospital in the Harvard Medical School. So, as a background in a different study to this, the EMPA-REG OUTCOME trial showed that Empagliflozin an SGLT2 inhibitor was found to reduce the risk of hospitalization for heart failure by 35% on top of standard of care in patients with Type 2 diabetes and established cardiovascular disease. Well, the current study, The Empagliflozin Comparative Effective and Safety or EMPRISE Study was designed to assess empagliflozin's effectiveness, safety, and health care utilization in routine care from the period of time between August of 2014 through September of 2019. And the author's report on the first interim analysis in which they investigated the risk of hospitalization for heart failure among Type 2 diabetic patients initiating empagliflozin vs. sitagliptin. The investigators used two commercial and one federal Medicare claims data source from the U.S. and identified a one-to-one propensity score matched cohort of 16,443 pairs of Type 2 diabetes patients that were greater than 18 years of age initiating empagliflozin or sitagliptin. The average age of the participants was approximately 59 years. And almost 54% of the participants were males and approximately 25% had records of existing cardiovascular disease. So compared to sitagliptin the initiation of empagliflozin decreased the hospitalization for heart failure risk by 50% over a mean follow-up of 5.3 months. And the results were consistent in patients with and without baseline cardiovascular disease for both the empagliflozin 10 milligram or 25 milligram daily dose. Or analysis comparing empagliflozin vs. dipeptidyl peptidase-4 inhibitor class all comers. Thus, in conclusion, in this first interim analysis from EMPRISE, the investigative team showed that compared with sitagliptin the initiation of empagliflozin was associated with a decreased risk of hospitalization for heart failure among patients with Type 2 diabetes as treated in routine care with and without a history of cardiovascular disease. Dr Gregory Hundley: Well, now we're going to turn our attention to red meat. And this next study was entitled, The Consumption of Meat, Fish, Dairy Products, Eggs, and Risk of Ischemic Heart Disease. It's a Perspective study of 7,198 incident cases among 409,885 participants in the Pan European Epic Cohort. And the corresponding author is Professor Timothy Key from The University of Oxford. Some of the background here, met analysis of previous prospective studies have suggested that intake of processed meat maybe associated with a higher risk of ischemia heart disease whereas, unprocessed red meat might not. For dairy products and eggs, systematic reviews of prospective studies have reported no consistent evidence that higher intakes are associated with a higher risk of ischemic heart disease. Other studies have shown that fatty fish consumption may reduce the risk of ischemic heart disease, it is a rich source of long chain N3 fatty acids. And meta-analysis has suggested even an inverse association between overall fish consumption and mortality from ischemic heart disease. So, hear in this cohort: we're going to evaluate all of these. Accordingly Key, and his co-authors report the relationships of these foods with risk of ischemic heart disease in the European prospective investigation into cancer and nutrition, the EPIC study, and that again is a cohort of a half million men and women from nine European countries followed for 12 years to examine the association between the intake of animal foods and the occurrence of ischemic heart disease. The author's found that higher consumption of red, unprocessed and processed meat was positively associated with the risk of ischemic heart disease. None of the other animal foods examined were positively associated with this risk. And intakes of fatty fish, yogurt, cheese and eggs were modestly, inversely associated with the risk. In addition, the red and processed meat were associated with plasma non-HDL cholesterol and systolic blood pressure. And this finding is of interest as possibly these other variables could serve as mediator of the association between red or processed meat and future ischemic heart disease. It is important to note that while these results are of interest to those concerned with the future adverse cardiovascular effects related to the consumption of red meat, one cannot infer causality and other studies would need to be designed to address causal relationships. The last paper that I'm going to present during the coffee gulp, emanates from the basic science arena. And it is entitled The “Shear-Induced CCN1 Promotion of Atheroprone Endothelial Phenotypes and Arthrosclerosis. And the corresponding author is Dr Fan-E Mo from the National Cheng Kung University College of Medicine. Dr Gregory Hundley: The matricellular protein CCN1 has been implicated in arthrosclerosis based on its expression in arterial segments with evidence of arthrosclerosis. And this study evaluated the relationship between sheer stress, both laminar and oscillatory at the site of atherosclerotic liaisons and molecular markers of pathophysiologic process involved in the progression of arthrosclerosis. The authors found that sheer induced CCN1 and its receptor integrin, alpha six, beta one, instigate atheroprone phenotypic changes in endothelial cells via activating NF kappa beta. Because the activation of NF kappa beta further up regulates the expression of CCN1, alpha six, and beta one, atheroprone flow creates a positive feedback to sustain atherogenesis. In addition, disrupting CCN1, alpha 6 beta one engagement by a specific CCN1 mutation, or by a peptide antagonist unhindered atherogenesis in mice. So what are the clinical implications of these findings? That's something Carolyn would ask me. Well, it appears that CCN1 alpha 6 beta one engagement represents a novel therapeutic target for arthrosclerosis. These data demonstrate a causative role of CCN1 in atherosclerosis via modulating endothelial phenotypes. And CCN1 binds to its receptor integrin alpha 6 beta one to activate NF kappa beta, thereby instigating a vicious cycle to persistently promote atherogenesis. Perhaps in the future T1 me medics may further be optimized to treat arthrosclerosis. Well everyone, that concludes the first portion of this June 18 edition of Circulation on the Run and now it's time to move on to Carolyn's discussion of our featured paper. Dr Carolyn Lam: Cardiovascular disease remains the major cause of death in kidney transplant recipients. And today's featured paper has important implications for the management of this cardiovascular risk following kidney transplantation. I'm so excited to be discussing it, and I'm going to let the corresponding author Dr Toby Coates from Royal Adelaide Hospital tell us all about it, and so happy to also welcome our editorialist Dr Patrick Mark from University of Glasgow. Toby, could you please tell us what inspired you to do this remarkable study? Dr Toby Coates: We're very interested in obviously our patients surviving as long as they possible can after kidney transplantation. And we noticed that many of them having had a successful kidney transplant, still had functioning AV fistulas. Now of course the AV fistula, is a connection between the artery and the vein that enabled us to access the circulation after hemodialysis. Which around the world is probably the most, is the most common form of dialysis practice performed. So many of these patients sustained 20 years down the track after successful transplants still had these very large functioning left to right shunts, on the basis of their dialysis history. So we had a couple of patients who developed quite severe cardiac failure and we noticed that when we ligated the AV fistula, their back got dramatically better. So, as a consequence of that, we went to look at the ligature and we couldn't find any randomized control trial that told us what the best thing was to do, post-transplant with these fistulas. So we decided that what we would do be use the state of the art cardiac magnetic resonance imaging, or cardiac MRI to assist the cardiac function with myocardium thickness in our patients and then randomize a group of stable transplant patients to ligation or not. And then follow that up with cardiac MRI six months down the track to see what happened. And so that was the basis of the study that we performed. The first randomized controlled trial of the effect of ligation of the AV fistula on the left ventricular mass, that was the prominent one for trial. Dr Carolyn Lam: You know, Toby, just to let you know right there, I thought it was so incredibly novel. So I'm a heart failure specialist and we know that shunts are associated with high output cardiac failure, and yet, I personally had never questioned this, so I thought this is incredibly novel and it's important. But please, tell us all about the results. Dr Toby Coates: We were delighted to say that there was a very significant reduction in the left ventricle mass. In fact, the main decrease was 22.1 grams compared to the control arm in whom the cardiac mass actually went up 1.2 grams. So, then we mobilized the body surface area, the reduction of the left ventricular mass index dropped by 11.8 grams per metered square. Now, this is quite remarkable for me doing the study because I've never seen an intervention, I've never seen an intervention where every single patient improved with the ligation, every single patient there was an improvement in the cardiac parameters. Never seen anything like it in the pre and post of the ventricular mass it really came down. So that was quite remarkable. And the second thing that really impressed me at the time, was the improvement in the BMP's, and we measured the brain maturated peptide, and being a methodologist that's clearly something that's of interest to us and we saw a substantial reduction. It's statistically significant reduction in BMP as well. The patient themselves, some of them recorded quite significant improvement in exercise tolerance afterwards. And we had, as I mentioned before in a couple of patients, not in the study but outside of the study, subsequently when they're presented with profound right heart failure, the ligation of the AV fistula made a huge difference to them symptomatically. So that was sort of confirming all of the things that we thought along the way. Pleasingly we didn't see any change in kidney function. So, we were concerned that there might have been on the basis of some non-controlled studies in the past, that there might have been a deterioration in the estimated glomerular filtration rate, or eGFR. We didn't see that. And we didn't see any significant change in the blood pressure either. Which is some of us have previously reported. Closing the fistula itself, is a very trivial procedure. It's usually done as an outpatient, so a day procedure. So it's not resulting in coming to the hospital. And the only complications, really were lots of local redness and some pain, potentially from the fistula where in the ligated. So, we thought this was remarkable. An outpatient procedure that could significantly reduce the left ventricular mass by 22.1 grams over the six month period that was associated with minimal side effects and complications. And when you think about that, that's sort of equivalent really to taking an anti-hypertensive medication for six months. That magnitude of reduction with ventricular mass which clearly from the patient's point of view is much preferable to adding more medication to an already over-burdened tablet loading in your patients with kidney transplants. So we were very pleased with that result altogether. Dr Carolyn Lam: Thank you Toby, and we in turn were very pleased to be publishing this in Circulation. Likewise, Patty, if I may, I love your editorial. First, let me tell everybody who's listening out there. Go pick up the editorial and look at the figure. It is so cool. It shows pros and cons of arterial venous fistula ligation in these patients. But could you please share some thoughts Patty? I mean you covered the perspective just so well. Patrick Marks: I must give the credit to my co-author who actually drew the figure himself. So Chris Eaves rather myself. We were really impressed with the study and we're really delighted to write an editorial for it. It's just one of those studies that I have to say, you know, you kick yourself and you wish you'd done it. With all the world of observational data showing that creation of a fistula appears to be associated with an increase in LV mass obstruction by echo and angio and bicartic MR in smalls studies. But it's taken a long stat to move from that to actually doing a randomized control of ligating the fistula in people with you know, stable functioning transplants. We were really, really impressed with Toby and his team for undertaking this study. And until we'd gone through the results, they're really very impressive. The magnitude of reduction LV mass is very impressive and also the changing BMP was really nice to see. One of my comments of the study were, was interesting because as methodologists we are aware of the idea arteriovenous fistula as being the axis for dialysis. And we sometimes feel uncomfortable by ligating this because we know if the transplant was to fail, how much patients need a functioning fistula. And that's the one thing I'm still curious, like and I still offered some comments in the editorial were, that while there's doubt that the cardiovascular benefits demonstrated by Toby's study are really very impressive. I wondered about the implications out with the study came down the line, you know would there be some of these patients whose kidney transplant function would decline? And there may be regret of losing the access. We mentioned there is some inconvenience, it is an operative procedure to loosen the fistula. So there are some things to think about in the study, but overall, I can't help saying just how impressed I am that they managed to do this trial in a proper randomized, controlled trial form. It's really, really impressive in using the cardiac MR endpoint is it seems quite a secure way of assessing this. Dr Carolyn Lam: Those are great points, Patty. Toby, any response to that. Dr Toby Coates: Look it's really very interesting as a transplant pathologist for the last 20 years, one of the biggest, I guess it's a bit of a misconception. When a fistula has been present for 10 or 15 years and still there to come back and try and reuse it for dialysis access after that period of time, in my experience anyway, also very difficult to reuse those fistulas and the surgeons end up having to create a new one anyway. They frequently become quite aneurismal, they get very large and unsightly and the volume of the shunt is significant and often we find that as an access they don't work as well. So I personally don't have a huge concern about closing them. Now I agree with you, these patients were stable, longstanding and we assessed that the risk is, we need to go back onto hemodialysis was small. But you are absolutely right, I mean, it is possible that something could have come out of the blue and maybe a patient would be disappointed that that access that they'd had for so many years was no longer available. So that is, the caveat on the study, but thankfully so far out, some of these patients five or six years down the track, we haven't had anybody need to go back on dialysis, so it's been good. Dr Carolyn Lam: Yeah, it really says to me as well, that patient selection is important exactly like you emphasized, and you, in the editorial Patty. But from a cardiology standpoint, too, are there plans to perhaps do studies with hard, clinical endpoints? What do you think are the next steps? Maybe I'll let Toby go first, then Patty. Dr Toby Coates: We think now with this study done, the next thing is to have a larger study with significant cardiovascular endpoints. Which I obviously would be cardiac failure and acute coronary events. So the two things that would seem in my mind, and I think that needs to be multi-centered, preferable international if we can. And one of the really positive things about the highlight from the American Heart Association is that we've had people reach out to us from France and all around the globe saying that they'd be interested in participating, you know in a multi-centered trial. So, I think that's what we need to do, and clearly you don't it’ll have to be a constant endpoint, or not. I'd be interested in Patty's thoughts about that, right if you had some guidelines and some suggestions. And then obviously would be randomized, controlled trial looking at those hard endpoints with probably some sidearms doing cardiac MRI as well, and potentially more heart functioning tests. So yes, I think this is just the beginning, we do need a hard endpoint trial to really nail this completely. Patrick Marks: Yeah, I'll just come in there and just come on to that Toby. I completely concur with what you said. I think there's been quite a provocative editorial a few years back, and suggesting that while there's lots of studies in chronic kidney disease, end stage renal disease, kidney transplant patients avoid LV mass, really it hasn't yet been translated into actually leading studies in the integration of LV mass and end stage renal failure haven't really yet translated into mortality benefits. And I think we need to move to a bigger study. It's really beautiful that you've been able to demonstrate LV mass falls naturally with ligation. And it's impressive that it just happens so consistently across your population in the intervention arm. But we need to move on to a longer trial with hard clinical endpoints. Certainly heart failure, certainly cardiovascular mortality, [be]cause there's plenty of reasons to believe that producing LV mass in these patients might have benefit both for heart failure, whether that's heart failure, heart injection fraction, or whatever, I'll leave that to Carolyn's judgment to help us with that. But also, if we can reduce LV mass and then we may be able to reduce arrhythmia burden which again is when these things we worry about in end stage renal disease, again, your answer for that is, that in addition to the heart endpoints you should be able to also add in some patient afforded outcomes in a larger study. Or something like an exercise tolerance quota of quality of life. All this has started has journey from the surrogate endpoint of left ventricular mass into a bigger outcome study and I can't wait to see how you get on with it. Dr Carolyn Lam: I can't wait either. And I'm sure the audience is sharing all our enthusiasm as well. Thank you so much Toby and Patty. I really learned so much. You heard it right here on Circulation on the Run. Thank you for joining us this week. Don't forget to turn in again next week. This program is copyright American Heart Association 2019.
Hi Guys and welcome to Finance and Fury the Furious Friday edition. This is part 7, the last episode of the miniseries about all things politics. Sorry it took a while to cover, I wanted to do this topic justice and explain all the steps and outcomes instead of jumping to conclusions. We have covered a lot, there are many bits of the puzzle. Who, what, how, why, and potential outcomes – We have been through the Fabians, the political spectrum and democracy, then how a population is organised (Rules For Radicals), the fair go, then political progress for equality, then how the west got to be in such a good position, and how we may lose it. If you made it all the way through, awesome work. Thanks for listening to me rant on this Final part: What should the government be involved in? What services should they be involved in? To start: Have a quick real-world example to look at US Government Shutdown: It’s been almost a month, shutdown since 22/12/18. It’s the longest in US history, everyone has called it a crisis Over border funding: $5.7bn for a wall, already compromised to make it steel rather than concrete As a comparison: US gave Israel $25bn to help build their wall Total Government spending (the Fed, States, Etc) is $7.56trn: this is $20.7bn spending a day The Wall is a 0.07% cost to the budget for the year Enter the blame game: Irony is Schumer and Pelosi were in favour of a wall: Until Trump came along. Showing it was mainly just talk More political infighting: First time I have seen Democrats oppose spending more of someone else’s money Question: is the US still spinning? Is life going on? The longer that the shutdown occurs, the more people in the US are waking up to how little they need it But not for the Government workers and the IRS (their tax department) Workers aren’t being paid, but they will be. They will get back pay, for the time of the shutdown whilst they were not working. Is that a good deal? But private citizens are stepping in, picking up trash in parks and helping where they can Truth is that the Government has little to do with lives directly, unless It is paying you, it is taxing/regulating you, or it is arresting you Indirectly though, unfortunately, it affects all of our lives Leads to the last part: What should the Government be involved with, or provide for a country? This differs for where you sit on the political spectrum. It’s no secret which side I sit on, I value individual freedom and empowerment rather than the group thinking that everyone should have equal outcome For this episode, I will try and put my bias aside. The measurement for this episode is: has there been a net positive benefit or loss to a country based on Government Intervention? Progress from betterments to our lives, more freedoms, better health, etc or does it detract? Excluded "moral hazards", not saving money because of the knowledge that the State will provide an age pension and subsidised housing, and over-use of "free" health services in the absence of price signals to consumers. All of which isn’t really free Won’t have time to do this topic justice in 30 minutes. I will give the 1,000-foot view. If you are interested in a deeper dive, let me know If I don’t explain something fully, or you disagree, let me know as well! What the Government is good at: Net positives Funding: Science and R&D. For the past 100 years, most advancement is in fields with the most money and manpower Technology and science: Government Funding has been great. Advancements over 100 years have been from this, like medicine, the internet etc Technological advancements in weaponry and nuclear science during the WWII. Government Funded Rocketry and telecommunications during the Space Race. This was all Government Funded Concentrating a large number of engineers and scientists to work together on the same project will, almost every time, produce more net advancement compared to if every member worked alone. DARPA (Defense Advanced Research Projects Agency) Funded things like the Internet, Google and Google maps, Windows, WWW, video conferencing, Siri, GPS, Facebook This is good: there is a measurable benefit, which the population adopted. Through being a demonstrable fact Most major developments come when the government diverts large budgets to achieve progress (rockets and planes). A vast difference in plane technology from WW1 to WW2. Major boost to development, with the failing of technology progress through history, boils down to individuals with no money or ability to share it Okay for measurable technology, like integrated circuits, they’re very competitive. If your circuits are faster and cheaper it can boost profits for your company. Other forms of technological progress. Less quantifiable as potential improvements, the outcomes are unknown If they not seen as profitable less funding from the private sector is likely If research and development are financed by investors, they want to see as high returns as possible But this is only part of the story. The acceleration of technological progress suspiciously correlates with the population growth A higher population creates a higher net number of scientists /engineers, who can provide more research/work China was advanced until the 1400s. There was a trial by error: high populations, then the EU took over with trial by experiment The issue: The Government mandated and Government ran research. Government bodies paid to research problems will always find a problem. What happens if there is no problem? No money, so then there is no social platform to run on As long as the Government doesn’t take over tech or directing the research, but acts as an investor, this could even make money. Just like universities. It’s a double-edged sword: The faster things change, the more creative destruction. This is not a bad thing. For example in the past with farming, too much at once is bad and it creates unrest. The Government doesn’t like it, and the population gets unhappy with them. Other research: $850,784 for a study of Italy’s Catherine de Medici, a noblewoman who became queen consort of King Henry II (King of France) 1519-1559. Is this needed? National Protection and services: All good Police and Firefighters: Emergency services workers all help the population. They protect and keep us safe, and enforce the rule of law. On the Fence: Positive and negatives preface Education and health are perfectly fine But not perfect with funding models: there are no incentives to minimise costs, it’s the opposite. If you don’t use all of your budget, you won’t get more to use next year Infrastructure: On the fence, It is needed but at what cost? East West link in Melbourne: Estimated $800-900m has been spent on a road to never be built NBN: has cost at least $50bn to date and simply a huge high-risk mistake, no private company would ever have built it. (Rudd) The government ignored improvements in wireless technology and continuing moves away from landline. NBN will face stiff competition from 5G mobile technology and sold at a huge loss. Valuation only at $10bn Health: National Health is declining even though we are more advanced than ever Cost blowouts: Royal Adelaide Hospital is the 3rd most expensive building in the world (per square foot) it has 600 beds and cost $2.5bn Still teaching the food triangle that depicts that carbs are great, but stay away from healthy fats and proteins Where do most of the world’s advancements in medical technology and medication come from? The USA. If Americans didn’t have a profit system, we would not have most of the meds or medical tech we do Education: Is great. But, where have you learnt more? At school or on the job? If still at school, it’s hard to answer I am no expert, I need to learn more. I have got a few books by John Gatto and others to finish What I do know so far? Government Education is a new concept in past 100 years, it’s modelled around factory workers Education levels are higher now, looking at literacy rates. Was it government policy, or a changing world? When the Government took over in the early 1900s, the population needed to work, not go to school (Farmers, etc). it forced education they didn’t need, there was low attendance. Today there is a higher % of population in non-trade/construction/manufacturing positions All schools private: More competition, lower fees all around. 35% are independent/ catholic currently But wouldn’t work: not really private, Australia has no-profit schools (private higher education does, there are 170 of them) Australian Average Education is $20-30k for independent schools. One of the highest education costs in the world What might help: Education (Self Education focused on the individual around needs) I went to school in Austria for a while. The system is set up more for the kids’ interests There are nine years of education. Then there are a series of vocational-technical and university tracks to follow University, gymnasium, and Trades like the Polytechnische Schule Putting everyone through the same meat grinder ends up leaving everyone behind, becoming a learned helplessness What it hurts Economic: The quest for equality, where most research funded from the government or special interest groups show the need for government intervention with this In the early-20th century: the view that progress was being stifled by vast economic inequality The cause was minimally regulated laissez-fairecapitalism with monopolistic corporations; Often violent conflict between workers and capitalists would erupt due to the claim, so it needed to be addressed Sherman Antitrust Act: made it illegal for anti-competitive practices (monopolies, cartels, predatory pricing) in the 1890s This was helpful and helped improve competition and remove monopolies But is it obsolete? 60-80% of advertisements through Facebook and Google. Twitter and their competitor Gab just gets shut down 21st Century: Legislation to redistribute, which is not so good. Tax people to pay for things for others, in other words, Social Democracy Welfare state: Reliance on government also increases what revenues governments need Tax: Mandatory financial charge imposed on the taxpayer by the Government From 1915 to 1942 Income taxes were introduced. A relatively new concept in society as previous taxes were on wealth and land ownership Rome had a 1-3% tax on value of wealth owned for citizens, in times of war you got a vote if you paid tax Progress: Everyone gets a vote and can vote for more redistributions, changes voting a bit Equality through social organisation. A change of policy to affect the population, where we get political activism Question: Is it better to let people choose to adopt something or are they forced to? Legislate for compelled compliance in society, introduce laws to control society. Make it the way progressives want Governmental power of the population is increased when some of the population want it Issues: Speech (limits freedom) with racism and ‘speech laws’, or ‘hate speech’ who defines hate? Already illegal to incite violence through speech, telling people to hurt someone Sonja Kruger was taken to court for blasphemy for her comments 2 years ago about a ‘Muslim ban’ in the US Only from nations with links to Terrorism, not Indonesia (1# for Muslims), or Egypt (1# for Arab) Claimant took her to human rights tribunal, she pays costs upfront and taxpayers pay for claimant The individual is the extreme minority. If you don’t protect the individual’s rights you are failing at protecting minorities. Islamophobia or homophobia is incorrect terminology as a phobia is an irrational fear Rewriting history to suit a narrative, Australian History lesson: Labor party was the one who implemented the White Australia Policy, the ALP wanted more direct methods of exclusion than the dictation test Menzies and Holt (two Liberal Conservatives) were the ones to start dismantling it. Interesting how perception changes Environment: Is the improvement in cleanliness from Government Regulations, or from improving technology? Nobody wants to see pollution or to ruin the earth. But for all the taxes on climate change, what benefit is there? Water: Green/ALP opposition to building new water storages. State governments tried to reduce demand by increasing prices (also generating revenue). Haven’t had a dam built for a capital city since Melbourne’s Thomson Dam in 1984 Drought reappeared from 2003 to 2010. There is little scope for further water savings State governments panicked and rather than build dam, they started spending on desalination plants (massively more expensive to build and operate than storage dams that can fill at virtually no cost). Melbourne plant cost $4 billion, Sydney cost $1.803 billion, Gold Coast cost $1.2 billion, and Adelaide plant cost $2.2 billion Sydney plant's costs are more than $500,000 a day, and it has not supplied any water since 2012 Desalination also uses enormous amounts of electricity and (despite not being used) is responsible for adding $100 to $200 annually to household water bills. Electricity: Destroying electricity system, replacing cheap and reliable coal-based generators with wind and solar power. Electricity costs are double those of US and Canada. Power prices have increased 60+% in the last ten years Huge subsidies for renewables and a failure of regulation are the main causes. Subsidies paid to producers of renewable electricity are $3 billion per year, yet power is more expensive Coal and nuclear are the two cheapest sources of base load power Carbon emissions by the rest of the world. Our efforts to reduce "greenhouse" emissions won't work We make up about 1% of global emissions, which is high for our population Australia's shunning of coal or nuclear energy is the equivalent to Saudi Arabia banning the domestic use of its oil. While wanting to regulate prices, we can’t have both (low prices with low supply) Side note: immigration 3rd to 1st world, individuals use 20 times the emissions they did previously. Logically, for lower emissions, against immigration automatically as it increases emissions being produced. How far do we go? Currently, people want the Government to have large involvement in ‘combating climate change’ Religious fervour about it, like modern blasphemy Again, nobody wants to live in a toxic environment (pollution). But, everything is relative. The US in 2009 gave $26.1bn to climate change, $641m was climate science You are a scientist, it is easy funding and good pay. But have to prove that the problem is there, just like before if there is no problem, then no money School kids and protesters demanding the Government drop emissions We are the ones that emit, but they need a parental figure to walk in a fix the problem for them Introducing stresses in their brain which increases cortisol. A constant confusion, fear of climate can lead to long term negative impact on brain development To wrap up this series: A lot of what the Government does can be handled by the private sector If private companies or employees don’t perform, they get replaced. The Government never replaces itself What you can do: Talk about politics (only if you are interested). There is a stigma in society about talking about politics, why? Best way to have population avoid it altogether if it is never spoken about, and then no need to pay attention and removes the possibility of people discussing ideas Same with money, it's impolite to talk about money? Why? Opening facts into the public conversation, it makes people think for themselves, not just repeat false rhetoric Most people know more about what is happening in their favourite tv shows than in politics. The tv show has very little impact on your life compared to current political events. Opens a debate about the issue, rather than silencing one group, everyone should be heard Don’t be afraid to speak your mind, learn as much as you can for what is relevant Make your own path in life and be less reliant on external forces. This is what gives you individual liberty Which is at the heart of financial freedom! If you made it through, thank you very much for listening to this series. I hope it wasn’t boring and was actually interesting. If you have any questions or want me to explore one of these topics further, you can let me know on the contact page here.
Do you have too many career interests outside of your basic clinical practice? Are your daily focus areas as few as three? Family, clinical and perhaps one other thing? In this episode Australian intensivist, Marianne Chapman, speaks about how she keeps her life under control by focussing on her big three - family, clinical and research. This allows her to manage the stresses of an intensive care career. She sometimes has to say no very deliberately, and although she finds this hard, it helps her manage the workload. She notices that some of her colleagues seem to want to be experts in several areas, and whilst this may be important at the beginning of our careers, this can be a recipe for disaster for some of us over the longer term. Marianne is a Senior Staff Specialist in Intensive Care Medicine at the Royal Adelaide Hospital and a Clinical Professor of Acute Care Medicine in the School of Medicine at the University of Adelaide, both in Adelaide, Australia. Her clinical research interests include gastrointestinal dysfunction underlying problems with the administration of enteral nutrition and the clinical effects of nutrition in the critically ill. Marianne is an eminent international researcher in this field and has published extensively on these topics. Marianne and I recorded our conversation a little while ago and it’s great to be able to air it now. In the interview, Marianne spoke about: How she sees every clinical encounter as a teaching experience, and how she learns a lot from her senior trainees The feeling of being drained and tired from a busy day teaching at work How caring for the patient and their outcome, whilst improving our knowledge base, helps us become the best we can be What it is like to have moved into a new building at her hospital The benefits of doing multi-disciplinary and collaborative Grand Rounds What role she takes in urgent clinical encounters How deaths in her own family have made her realise that how we approach families can significantly influence grief How huge cost savings may eventuate if intensivists are well-trained in communication with families What words and phrases she uses in communication encounters The pros and cons of 7 day stretches for ICU consultants Why research helps her feel like she is doing better care for patients The difficulties of a research career – which brings a different form of stress to clinical work How she manages stress by remembering that family comes first The value she sees from physical exercise The difficulty associated with looking after colleagues we are worried about How she has balanced family and work over her career Her thoughts on the issues of gender in intensive care How she might manage the transition towards retirement Her concerns about some clinicians having a need to always do something – and that maybe less is better Becoming involved with clinical trials groups is a great way to start a research career My genuine hope with the Mastering Intensive Care podcast is to inspire and empower you to bring your best self to the ICU by listening to the perspectives of such thought-provoking guests as Marianne Chapman. I genuinely believe we can all improve, as both professionals and as human beings, so that we can do the absolute best for the people we are privileged to care for as patients. Please help me to spread the message by simply emailing your colleagues, posting on social media or subscribing, rating and reviewing the podcast. If you wish to connect, leave a comment on the Facebook “mastering intensive care” page, on the LITFL episode page, on twitter using #masteringintensivecare, or by sending me an email at andrew@masteringintensivecare.com. Marianne is an erudite, thoughtful, patient and humble intensivist with an excellent approach to not becoming overloaded. Please enjoy listening to the podcast. Andrew Davies -------------------- Show notes (people, organisations, resources and links mentioned in the episode): ANZICS Clinical Trials Group: https://www.anzics.com.au/about-the-ctg/ TARGET study: https://clinicaltrials.gov/ct2/show/NCT02306746?term=TARGET+nutrition&type=Intr&cntry=AU&city=Adelaide&rank=1 Mastering Intensive Care podcast: http://masteringintensivecare.libsyn.com Mastering Intensive Care page on Facebook: https://www.facebook.com/masteringintensivecare Mastering Intensive Care at Life In The Fast lane: https://lifeinthefastlane.com/litfl/mastering-intensive-care Twitter handle for Andrew Davies: @andrewdavies66 Instagram handle for Andrew Davies: @andrewdavies66 Email Andrew Davies: andrew@masteringintensivecare.com
SHOW NOTES I attended Michael Shacklock’s Upper and Lower Quarter Neurodynamics course in Spring of 2018 and it was one of those seminars that completely changed the way I looked at my patients on Monday morning. Michael presented for four days on some awesome ways we can test to see if a patient has a neuro component to their symptoms. Surprisingly many conditions that have a partial neuro aspect don’t require radiation or pins/ needles! Here’s a few types of cases I’ve found neuro aspects within (at least a percentage): Subacromial Impingement Cases Ankle injury diagnosed in the training room as a deltoid ligament grade 1 Medial Epicondylitis These types of cases would have fallen through the cracks in my eval and I would have been treated them as pure musculoskeletal conditions, but the truth is when I implemented some corrected to the neuro findings, the person improved past that plateau we sometimes find in patient care. I feel very fortunate to have Michael on to share some wisdom with the rest of the sports medicine listeners. Quotes: Spinal cord movement is a looking glass into lumbar nerve root behavior There’s a 66% reduction in spinal cord movement with disc protrusions Flexion will open the foramen and reduce pressure on the nerve Across joints the nerve is more extensible, unrelated to amount of connective tissue Bio: Michael Shacklock: Michael received his graduate qualification at the Auckland School of Physiotherapy, New Zealand, in 1980. He worked in public hospitals in the medical, surgical, paediatrics, orthopaedics, geriatrics, intensive care and burns areas around New Zealand before being employed in private practices, treating spinal and sports injuries in Nelson with Michael Monaghan and Auckland with Margaret Franklin. In 1985 he moved to Adelaide, Australia, working at the Royal Adelaide Hospital and private practices around Adelaide. He completed a Graduate Diploma in Advanced Manipulative Therapy in 1989 and converted this to a Masters degree at the University of South Australia in 1993. He was awarded a Fellow of the Australian College of Physiotherapists (Australian Physiotherapy Association) for his monograph and international best-seller text book, Clinical Neurodynamics, Elsevier, Oxford, 2005. In addition to his neurodynamics book, he has published two other books, Moving in on Pain (Elsevier) and Biomechanics of the Nervous System: Breig Revisited. He also authored, co-authored and mentored numerous research studies, editorials, commentaries and clinical papers in international peer reviewed journals articles which have garnered many international awards, including Visiting Professor of the Faculty of Medicine, Barcelo University, Buenos Aires (see academic activities on ResearchGate). He was a member of the International Advisory Board of the journal Musculoskeletal Theory and Practice (formerly Manual Therapy), United Kingdom and is an Associate Editor of the Journal of Manual and Manipulative Therapy, USA. Michael presents keynote addresses and invited conference lectures, trains staff at elite sports medicine facilities and sports clubs, universities, hospitals and private seminars around the world. His special interests are neurodynamics, measurement of mechanical function of the nervous system, pain and the nervous system and musculoskeletal function. His most valued interest is how to synthesise science and clinical practice using evidence and reasoning. Michael is an active clinician, has 35 years of experience in treating patients and is recognised as an international leader in the diagnosis and treatment of musculoskeletal disorders with a neural aspect. Website: https://www.neurodynamicsolutions.com/ Sebastian’s Youtube Channel Attention Docs and Fitness Professionals: Access your client educational products, banners and posters here. Dr. Sebastian Gonzales is an expert in trouble shooting sports injuries and overuse conditions. This podcast is intended for sports medicine topics to become easier for patients and athletes to understand. Don’t get confused by what your doctor told you in your appointment. If you like in Orange County CA, book an exam with Dr. Gonzales, your Huntington Beach Chiropractor.
One of the complications after abdominal surgery is postoperative ileus, which leads to patient discomfort and morbidity. For years chewing gum was thought to benefit patients after abdominal surgery and help alleviate the symptoms of ileus. Dr Hidde Kroon and a team of medical professionals in the Netherlands conducted a randomised clinical trial to determine whether chewing gum enhances recovery after surgery – by stimulating saliva and gastric juices – and thereby helps reduce the length of hospital stay. Currently on a Fellowship to the Royal Adelaide Hospital, in this episode Dr Kroon discusses the methodology and the results of the trial. A PDF copy of the published paper to which Dr Kroon – titled 'Multicentre randomized clinical trial of the effect of chewing gum after abdominal surgery' – can be accessed and downloaded here: https://www.bjs.co.uk/article/multicentre-randomized-clinical-trial-of-the-effect-of-chewing-gum-after-abdominal-surgery/
Dan sat down with Nashwa Masnoon, a PhD student at the University of South Australia and pharmacist at the Royal Adelaide Hospital, and Professor Sepehr Shakib Director of Clinical Pharmacology at the Royal Adelaide Hospital. Nashwa and Sepehr spoke to Dan about a new web-based tool that they have developed: WIPE (What is Polypharmacy Exactly?). The WIPE tool is being used to gauge opinions of Australian clinicians about what polypharmacy means in practice. Users are presented with cases and asked to rate the risk of medicine-related harm. The results will be used to inform a working definition for polypharmacy in Australia. You can access the WIPE tool here: wipe.logicsquad.net/signup
New high tech automated guided vehicles will be a feature of the new Royal Adelaide Hospital. Health Minister Jack Snelling, Chief Executive of the Department for Health and Ageing Vickie Kaminski and Executive Director of the New RAH Activation Paul Lambert discuss AGVs, public tours of the hospital and the health commitments contained in the state government's recent budget.
The new Royal Adelaide Hospital's ED of Activation Paul Lambert, Director of Commissioning Elke Kropf and Clinical Champion Dr Toby Gilbert discuss plans for moving into one of the world's most modern hospitals, and some of the features of the building.
The first of my series of podcast interviews with keynote speakers from the 2016 ANZICS CTG meeting in Noosa is with Dr Adam Deane Adam is a staff specialist at the Royal Adelaide Hospital in South Australia, and during the conference he presented details on the proposed REVISE trial, set to examine the impact of intravenous pantoprazole on the rates of clinically significant GIT bleeding in ICU patients, and to quantify the potential harms.
Welcome to the second of two live versions of The Adelaide Show Podcast, as part of the Adelaide Podcast Festival. This is NOT our usual format but that will return in episode 186. Tonight, our guest is Brett Monten, our original musical curator, singer/songwriter, and founding member of Voodoo Tattoo. And we'll be discussing the music scene in Adelaide and South Australia. We're also hoping to involve our live audience in a rendition of our theme song. This week, the SA Drink Of The Week is Coopers . Dr Bill Griggs, Director Of Trauma at the Royal Adelaide Hospital will be back with yet another snippet from our interview in episode 183, but this time on the nerdy subject of Geocaching. Nigel will try to stump the audience with IS IT NEWS on the topic of unusual crimes in South Australia. Plus, we'll continue our new segment, 100 Weeks Ago. This week, it's been 100 weeks since Andrew Andrews joined us to reflect on a flare up in xenophobia. And Donnarumma return, this time with their song, Broken, in the musical pilgrimage. And please consider becoming part of our podcast by joining our Inner Circle. It's an email list. Join it and you might get an email on a Sunday or Monday seeking question ideas, guest ideas and requests for other bits of feedback about YOUR podcast, The Adelaide Show. Email us directly and we'll add you to the list: podcast@theadelaideshow.com.au If you enjoy the show, please leave us a 5-star review in iTunes or other podcast sites, or buy some great merch from our Red Bubble store - The Adelaide Show Shop. We'd greatly appreciate it. Support the show: https://theadelaideshow.com.au/listen-or-download-the-podcast/adelaide-in-crowd/ See omnystudio.com/listener for privacy information.
Welcome to the first of two live versions of The Adelaide Show Podcast, as part of the Adelaide Podcast Festival. This is NOT our usual format but that will return in episode 186. Tonight, our guests are Alexis Cattely and Pete Ebdel from The Show on PBA-FM. And we'll be discussing the BAD Diet - a Balanced Audio Diet. How do you get balance in your audio diet? Does it include commercial radio, community radio, the ABC, podcasts, music, or other types? We'll also be wanting to find out what the audience thinks makes a good interview. This week, the SA Drink Of The Week is from Coopers. Dr Bill Griggs, Director Of Trauma at the Royal Adelaide Hospital will be back with a snippet from last week's interview that didn't fit. In it, he goes into detail about how he would re-engineer our roads for better safety outcomes. Steve will try to stump the audience with IS IT NEWS on the topic of unusual crimes in South Australia. Plus, we'll start a regular feature of sharing a snippet from 100 shows ago. This week, it's been 100 weeks since Sharon from Kytons Bakery joined us. We play a tasty slice. And the Power Sprites will take us home with Fly On The Wall in the musical pilgrimage. And please consider becoming part of our podcast by joining our Inner Circle. It's an email list. Join it and you might get an email on a Sunday or Monday seeking question ideas, guest ideas and requests for other bits of feedback about YOUR podcast, The Adelaide Show. Email us directly and we'll add you to the list: podcast@theadelaideshow.com.au If you enjoy the show, please leave us a 5-star review in iTunes or other podcast sites, or buy some great merch from our Red Bubble store - The Adelaide Show Shop. We'd greatly appreciate it. Support the show: https://theadelaideshow.com.au/listen-or-download-the-podcast/adelaide-in-crowd/ See omnystudio.com/listener for privacy information.
Professor Campbell Thompson has 30 years of clinical research and practice in Australia and the United Kingdom. He is currently Senior Consultant in General Medicine practicing at the Royal Adelaide Hospital and Flinders Medical Centre in South Australia. Prior to becoming a General Medical practitioner he spent many years specialising in renal medicine. In this episode, […] The post THP 022: The CSIRO Low Carb Study For Managing Diabetes With Professor Campbell Thompson appeared first on Stephen Anderson.
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To remove a burn you need a six inch blade and a steady hand, our guest Dr John Greenwood says. This is a day in the life of the renowned plastic surgeon and Medical Director of the Adult Burn Centre at the Royal Adelaide Hospital. Dr Greenwood looks after 450 acute burns patients each year across South Australia, Northern Territory and parts of New South Wales and Victoria. He heads up Australia's only mobile burn response unit, and in the aftermath of the Bali bombings worked a 36 hour shift treating victims and saving lives. Working in a world of life and death, Dr Greenwood shares his learnings about the will to live, resilience and responding to trauma. Outside of surgery, Dr Greenwood is leading groundbreaking research and developing innovative new products that will soon achieve his goal to replace the skin graft .. it's fascinating, and includes the development of what we can only describe as a "skin factory". He's an englishman who was crowned an Australian of the Year, and a music lover with a dark sense of humour. We also recommend you check out the Burns Trust and support the work they're doing in the community - visit http://burnstrust.com.au. Rooster Radio is hosted by Andrew Montesi and James Begley. Connect with Rooster Radio - sign up to our mailing list and join our Facebook community: http://roosterradio.biz http://facebook.com/roosterradioHQ For media, content and marketing services, visit: apiroconsulting.com (Andrew Montesi) For leadership and and high performance services, visit: jamesbegley.com.au (James Begley)
Marianne Chapman is a highly accomplished academic intensivist. She gives a very practical talk on how they actually manange the controversial areas of nutrition at the Royal Adelaide Hospital
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