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Recent measles cases in Australia underscore the need for high vaccination rates to prevent outbreaks.Professor Joshua Davis, Senior Staff Specialist in Infectious Disease at Newcastle’s John Hunter Hospital, and Deputy Director of the Hunter Medical Research Institute’s Infection Research Program, discusses what measles is, why it is so contagious, why there is an increase in cases despite Australia reaching herd immunity in 2014, and why vaccinations are so effective in controlling the disease.See omnystudio.com/listener for privacy information.
On this episode of Medical FlyWays, Dr Srishti Dutta reminisces with Radiologist Dr Rajiv Rattan. Dr Rattan trained at University College of Medical Sciences in Delhi, India and received his Radiology training from the University of Rajasthan, India. Dr Rattan talks about entering the medical profession during the economic liberalisation in India, before navigating the cultural and language challenges of working in the Middle East before eventually coming to Australia in 2008. He has since then worked as a Senior Staff Specialist at the Central Coast Local Health district and is also a Conjoint Lecturer at the School of Medicine at the University of Newcastle.
Kristin is joined by Professor Sanjay Swaminathan to talk all things MABs or monoclonal antibodies. Dr Sanjay Swaminathan is a Clinical Immunologist and Allergist, he is a Senior Staff Specialist and Head of the Department of Immunology and Allergy at Westmead and Blacktown Hospitals.
Palliative care is a holistic approach to supporting individuals with life-limiting illnesses – meaning an illness that's active, progressive, or advanced, with little or no prospect of cure.With the support of healthcare professionals – including doctors, nurses, and allied health professionals, palliative care aims to alleviate symptoms, enhance quality of life, and provide emotional, social, and spiritual support to both patients and their families. Palliative care can begin at diagnosis, offering support throughout the illness journey, and can even potentially prolong life.Palliative care is about empowering people to live their lives as fully and comfortably as possible, even in the face of terminal illness.For help with navigating palliative care and bereavement support in South Australia, Palliative Care Connect provides information and links for people with life-limiting illnesses and their family, friends, and carers, as well as health and aged care professionals. Palliative Care Navigators and Bereavement Navigators are available by phone to support South Australians with life-limiting illnesses and their family members, friends, and carers, as well as healthcare professionals.To learn more, visit Palliative Care Connect or call the dedicated Palliative Care Connect Statewide Navigation Service on 1800 725 548 (PALLI8), available Monday to Friday from 8.30am to 4pm.In this segment, we hear from Dr. Peter Allcroft, a Senior Staff Specialist at Southern Adelaide Palliative Services and is a highly respected physician who has dedicated his career to improving the lives of patients with life-limiting illnesses. Kate Swetenham, who is the Director of Nursing at the Department of Health's End of Life Care Team, provides clinical support to programs of work in Advance Care Planning, Palliative Care, Voluntary Assisted Dying and Grief and Bereavement.
A cervical cerclage is one of the key strategies used in reducing the risk of preterm birth in women at high-risk of preterm birth. Dr Adam Bush, Senior Staff Specialist, Obstetrics & Gynaecology, Mater Mothers' Hospital, unpacks the procedure, discussing when a cerclage should be performed, the best way to manage risks and the importance of communication between clinicians. To learn more about Mater, visit mater.org.au.
Introducing you to sMater, a podcast ‘by clinicians for clinicians', brought to you by Mater, one of Australia's leading healthcare providers.Season one focuses on mothers, babies and women's health, featuring world-class Mater obstetricians, neonatologists, midwives and other clinicians on the important topic of pre-term birth prevention. In episode one, we're joined by Dr Huda Safa, Senior Staff Specialist, Obstetrics & Gynaecology, Mater Mothers' Hospital, who shares her invaluable insights into the women at increased risk of preterm birth and how to recognise the warning signs. To learn more about Mater, visit mater.org.au.
This educational podcast will review common patient considerations in the treatment and management of HIV.Launch Date: September 12, 2023Release Date: September 12, 2023Expiration Date: August 31, 2024ACTIVITY DESCRIPTIONIn this podcast, Dr. Julian Gold and a patient will discuss Stigma, Health and ART.FACULTY BIODr. Julian Gold is a Senior Staff Specialist at New South Wales Health Department and a Clinical Professor at the University of Sydney. This podcast provides accredited continuing education credits. To qualify for credit, please read all accreditation information at the provided link below prior to listening to this episode. https://www.practicepointcme.com/CMEHome/patient-voices-in-hiv-management-a-ce-podcast-series
National Pallative Care week is held 21 May – 27 May 2023.This year's theme is “Matters of Life and Death" and shines a light on the people at the heart of quality palliative care – our workforce and volunteers. Palliative care is an approach to treatment that improves the quality of life of patients and their families facing life-limiting illness through the prevention and relief of suffering. Pallative Care involves early identification, assessment and treatment of pain in a holistic, patient-centred way. The Statewide Palliative Care Clinical Network (https://ceih.sa.gov.au/palliative-care) is committed to improve the quality, availability and experience of palliative care for all South Australians.In this segment, we hear from Dr Peter Allcroft, a Senior Staff Specialist at Southern Adelaide Palliative Services and Kathryn Hourigan consumer advocate and community leader at the Barossa Hills Fleurieu Local Health Network (BHFLHN).
Our latest podcast explores the innovative approach of neoadjuvant immunotherapy - administering checkpoint inhibitor immunotherapy before the surgical removal of melanoma. This promising approach is creating a buzz among multidisciplinary clinicians and researchers globally as the potential benefits for melanoma patients are being realised. Although neoadjuvant therapy is well established in oncology, using immunotherapy in melanoma has revolutionised patient outcomes through significant improvements in overall survival rates. In this engaging podcast, MIA's Prof Georgina Long AO leads a discussion with multidisciplinary world leaders in the neoadjuvant space to discuss: the benefits of checkpoint inhibitor immunotherapy the role of the pathologist in the assessment of neoadjuvant tissue the impact of surgical decision-making as neoadjuvant becomes mainstay treatment options for treatment-refractory patients the role of checkpoint inhibitor immunotherapy in non-melanoma skin cancer. The discussion concludes with case studies to summarise key learnings. This podcast is suitable for Medical Oncologists, Oncologists, Surgeons, Pathologists, Dermatologists, GPs, Oncology Nurses and other healthcare professionals. SPEAKERS: Prof Georgina Long AO - Co-Medical Director, Melanoma Institute Australia | Chair, Melanoma Medical Oncology and Translational Research, Melanoma Institute Australia and Royal North Shore Hospital, The University of Sydney Prof Richard Scolyer AO - Co-Medical Director, Melanoma Institute Australia | Pathologist, Melanoma Institute Australia, Senior Staff Specialist, Royal Prince Alfred Hospital | Clinical Professor, The University of Sydney A/Prof Alexander Menzies - Medical Oncologist, Melanoma Institute Australia, Royal North Shore and Mater Hospitals | Associate Professor of Melanoma Medical Oncology, The University of Sydney A/Prof Alexander van Akkooi - Associate Professor in Melanoma Surgical Oncology, Melanoma Institute Australia and Royal Prince Alfred Hospital, The University of Sydney KEY CLINICAL TRIALS SWOG PRADO OpACIN-neo NADINA FURTHER EDUCATION The critical role of standardised pathological assessment in neoadjuvant therapy for melanoma: A guide for Pathologists Please note that this podcast was accurate at the time of recording (February 2023) but may not reflect the rapidly evolving treatment landscape and approvals in Australia. MIA's Education Program is proudly supported through unrestricted educational grants from MSD, Bristol Myers Squibb and HEINE.
This week on Policy Forum Pod, Clare Skinner and Lesley Russell join us to explore where the opportunities exist for meaningful reform of Australia's healthcare system, especially in emergency medicine. What factors have contributed to Australia's healthcare system being under-funded, under-resourced, under-staffed, and sometimes under-valued? Is the current funding model fit for purpose as patients' requirements become increasingly complex? And where should the government start when it comes to widescale reform? On this episode of Policy Forum Pod, Dr Clare Skinner and Dr Lesley Russell join Professor Sharon Bessell and Dr Arnagretta Hunter to discuss why Australia's healthcare system is on the brink of crisis and what policymakers can do to address the challenges the sector faces. Clare Skinner is President of the Australasian College for Emergency Medicine, the not-for-profit organisation responsible for training emergency physicians and advancement of professional standards in emergency medicine, and a Senior Staff Specialist in Emergency Medicine.Lesley Russell is an Adjunct Associate Professor at the Menzies Centre for Health Policy at the University of Sydney. She was a health policy adviser to the federal Australian Labor Party and as health policy adviser on the Energy and Commerce Committee in the United States House of Representatives. She was also a Senior Policy Adviser to the US Surgeon-General during the Obama Administration.Arnagretta Hunter is the Human Futures Fellow at ANU College of Health and Medicine, a cardiologist, physician, and a Senior Clinical Lecturer at ANU Medical School.Sharon Bessell is Professor of Public Policy and Director of both the Children's Policy Centre and the Poverty and Inequality Research Centre at ANU Crawford School of Public Policy.Full show notes at policyforum.net. Policy Forum Pod is available on Acast, Apple Podcasts, Spotify, Stitcher, Subscribe on Android or wherever you get your podcasts. We'd love to hear your feedback for this podcast series! Send in your questions, comments, or suggestions for future episodes to podcast@policyforum.net. You can also Tweet us @APPSPolicyForum or join us on the Facebook group. Our GDPR privacy policy was updated on August 8, 2022. Visit acast.com/privacy for more information.
Sleep disorders are very common Become familiar with breathing disorders that are not obstructive sleep apnoea and non-respiratory sleep disorders Learn how to take a sleep history and how to structure our approach to the sleepy patient Host: Dr David Lim | Total time: 41 mins Guest: Dr Anup Desai, Sleep Physician; Sydney Sleep Centre; Senior Staff Specialist, Prince of Wales Public Hospital Register for our fortnightly FREE WEBCASTS Every second Tuesday | 7:00pm-9:00pm AEST Click here to register for the next oneSee omnystudio.com/listener for privacy information.
The role of pathologist in the diagnosis and treatment of melanoma is pivotal to optimal patient care. With so many disciplines relying on the pathologist for accurate diagnoses and critical pathological information, we decided to reach out to our clinical melanoma community to ask them for their critical pathology questions.In this podcast, Prof John Thompson AO and Prof Fergal Moloney pick at the brain of the world's leading melanoma Pathologist, Prof Richard Scolyer AO, as they discuss:The clinical information needed to aid diagnosisThe role of artificial intelligence and computing in pathologyOverdiagnosis of melanomaThe problem of partial biopsiesDiagnosing borderline lesionsWhat is a melanocytoma and how should it be managedWhat is an irritated naevusDysplastic naevi and appropriate managementThis podcast is suitable for GPs, Dermatologists, Surgeons, Oncologists, Pathologists and other healthcare professionals.SPEAKERSProf Richard Scolyer AO - Co-Medical Director, Melanoma Institute Australia | Pathologist, Melanoma Institute Australia, Senior Staff Specialist, Royal Prince Alfred Hospital | Clinical Professor, The University of SydneyProf John Thompson AO - Emeritus Professor of Melanoma and Surgical Oncology, The University of Sydney | Member, Melanoma Institute AustraliaProf Fergal Moloney - Consultant Dermatologist, Melanoma Institute Australia and Mater Misericordiae University Hospital | Clinical Professor, University College, DublinPlease note that this podcast was accurate at the time of recording (June 2022) but may not reflect the rapidly evolving treatment landscape and approvals in Australia.For more practice-changing education, visit our Melanoma Education Portal.MIA's Education Program is proudly supported through unrestricted educational grants from: MSD, Bristol Myers Squibb, Novartis and HEINE.
“If people know what you're doing, they will come out of the woodwork. If the commitment's there and you really want to do it, it's definitely possible.” This episode is sponsored in part by Telecom Consultants, Buzz to the Rescues, and Maddie's Fund. Stacy speaks with Carla Betlem, a professor at Rochester Institute of Technology where she has been performing TNR for nearly 15 years. Carla along with several RIT students came together to establish a campus club, Caring Hearts For RIT Cats, which provides care, comfort, and security to the feral cats on and surrounding RIT's campus. Caring Hearts, which became an official college club in 2019[1], has over 400 student members involved. The club operates as a nonprofit entity and has a board of directors, along with various committees and subcommittees. Carla describes how this club was founded, how its members communicate, and the importance of training others to become leaders. She stresses the importance of educating students about the resources available in caring for their pets, as well as the importance of having them involved in caring for RIT's cats. Carla also provides advice for individuals that would like to begin a similar program at their own university. To learn more about Caring Hearts for RIT Cats, visit their Facebook, Instagram, or website. You can also connect with them through email at caringhearts@rit.edu. If you enjoyed this episode, you may also enjoy Stacy's earlier interview with Dr. Emily Cobb. | Episode 50.
Japanese Encephalitis is likely to become endemic in Australia Strategies to minimise the serious but rare neurological outcomes will include keeping away from pigs, mosquito population control, mosquito bite avoidance measures and vaccination How to diagnose and more about the vaccine Host: Dr David Lim | Total time: 36 mins Guest: Dr Bernard Hudson, Microbiologist and Infectious Diseases Physician; Senior Staff Specialist, The Department of Microbiology and Infectious Diseases, Royal North Shore Hospital 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.
The first TOGA Podcast for 2022 is about the need for a national clinical quality registry in lung cancer. A/Professor Emily Stone, the Deputy Chair of TOGA, is a Respiratory Physician, Senior Staff Specialist and Head of Thoracic Medicine within the Department of Thoracic Medicine and Lung Transplantation at St Vincent's Hospital Sydney. She is a conjoint Senior Lecturer at the University of New South Wales and the Chair of the St Vincent's Hospital Lung Cancer Multidisciplinary Team. Emily is joined by Professor Rob Stirling, Respiratory Physician from the Alfred and Monash University who is the lead for the Victorian Lung Cancer Registry (VLCR) and also Professor Fraser Brims, Respiratory Physician from Sir Charles Gairdner Hospital and Curtin University Medical School and Institute of Medical Health.The high burden of disease and poor outcomes in lung cancer necessitate provision of optimal and timely care to ensure the best possible outcomes for people with lung cancer. A national clinical quality registry will reduce unwarranted variation in care by benchmarking performance and evaluate strategies designed to improve care, such as the expected lung cancer screening program. Registries are not just about collecting data. Examples of varied care in lung cancer and a vision of what a clinical quality process should look like for lung cancer is explored in this podcast, together with an urgent call to action to demand funding for a national Clinical Quality Registry for lung cancer.
The field of melanoma has experienced a paradigm shift in recent years, with advancements in both diagnosis and management driving improved patient outcomes. Through the power of research, day-to-day practice continues to be transformed.In this lively podcast, two of Australia's leading melanoma experts Prof Richard Scolyer AO and Prof Georgina Long AO discuss:how melanoma management has transformed in the last decadethe challenge of diagnosing melanoma for clinicians and pathologists, and practical ways to help make accurate assessmentsthe importance of stagingwhy sentinel node biopsies are importanthow multidisciplinary care enhances patient outcomesemerging evidence on neoadjuvant treatment and how this will change the way melanoma is managedthe challenge of supportive care and where to find help.In this practical discussion, resources and further education for deeper dives into specific topics are also mentioned, with links below.This podcast is suitable for oncologists, surgeons, dermatologists, skin cancer GPs, GPs, nurses and other healthcare professionals.SPEAKERSProf Georgina Long AO - Co-Medical Director, Melanoma Institute Australia | Chair, Melanoma Medical Oncology and Translational Research, Melanoma Institute Australia and Royal North Shore Hospital, The University of SydneyProf Richard Scolyer AO - Co-Medical Director, Melanoma Institute Australia | Pathologist, Melanoma Institute Australia, Senior Staff Specialist, Royal Prince Alfred Hospital | Clinical Professor, The University of SydneyDanielle Fischer - Education Program Manager, Melanoma Institute AustraliaLINKS TO RESOURCESMelanoma Risk Prediction ToolsProf John Thompson's presentation: Update on melanoma stagingOrder or download a pocket-sized Melanoma Staging CardProf Richard Scolyer's presentation: Melanoma near misses: Clues to diagnosisDermoscopy module: Techniques in melanoma assessmentInteractive game: DermChallenge: Management.Debate: To shave or not to shave when biopsying melanomaPodcast: Multidisciplinary management of primary melanomaPresentation by Dr Rob Rawson and Dr Michael Rtshiladze: The melanoma pathology report and its impact on clinical managementWiki melanoma guidelines: Clinical practice guidelines for the diagnosis and management of melanomaInteractive module: The current role of sentinel node biopsy in the management of melanomaDebate: The role of sentinel node biopsy is overstated in melanomaSNB Melanoma Risk CalculatorPresentation by A/Prof Robyn Saw and Dr Tom Pennington: Optimal initial management of melanoma in primary care settingsPresentation by Prof Georgina Long: Neoadjuvant therapy in melanoma: The perfect modelPodcast: Neoadjuvant therapy in melanoma with Georgina LongPodcast: The complexities of adjuvant therapy in melanomaPodcast: Management of brain metastases in melanomaHospital Support Services DirectoryMelanoma Support Service DirectoryPatient resources: Patient guides and video for early stage patients
Drugs that target cancer gene mutations or rearrangements have improved outcomes for patients with many different cancers, including lung cancer, melanoma, and others . The challenge is being able to identify these genomic changes in a timely and efficient manner. Next-generation sequencing (NGS) based tumour comprehensive genomic profiling (CGP) that detects a wide range of genomic aberrations is one method being utilized to match patients to relevant targeted therapies against several oncogenic drivers, particularly for lung cancer. Several in-house as well as commercial testing panels are now available that help Medical Oncologists understand the cancer genomic profile of their patients. This information helps inform whether there these patients are likely to respond to a targeted agent, either as standard of care or as part of a clinical trial.In this Podcast, we will discuss some of the challenges that exist in being able to identify these molecular changes. The value of comprehensive genomic profiling for lung cancer patients in Australia will be discussed including the TOGA ASPiRATION study, an observational cohort study to assess the clinical impact of CGP in metastatic lung cancer patients. Professor Nick Pavlakis, TOGA Chair and Senior Staff Specialist in the Department of Medical Oncology at Royal North Shore Hospital and conjoint Professor in the Faculty of Medicine University of Sydney, is joined by Professor Stephen Fox, Head of the Molecular Pathology Laboratory, also currently Director of Pathology at Peter MacCallum Cancer Institute and Professorial Fellow in the Department of Pathology, The University of Melbourne.https://thoraciconcology.org.au/aspiration/Thank you to Roche for sponsoring this Podcast.
In this Healthed lecture, Dr Penny Browne, GP; Senior Staff Specialist in General Practice, Hornsby Hospital, Sydney; Chief Medical Officer, Avant and Georgie Haysom, Lawyer; Head of Research, Education and Advocacy, Avant, outline the significant risk management issues that GPs need to address: informed consent, supervision of others giving the vaccine, patients from other practices, eligibility, assessment and record-keeping, reporting of adverse events, cold-chain breach. These issues and more will be discussed in detail to assist you and your practice to stay safe and free of unnecessary liability. See omnystudio.com/listener for privacy information.
Vol 214, Issue 2: 1 February 2021. Professor Bogda Koczwara is a medical oncologist and Senior Staff Specialist at Flinders Medical Centre. She discusses late mortality, cancer and cardiovascular disease, to accompany her coauthored research. With MJA news and online editor, Cate Swannell.
In support of the National Breast Cancer Foundation, our Catalyst Webinar/Podcast series was taken over by our virtual Pink Ribbon event where we heard from three remarkable guests who work in the medical innovation and wellness spaces. Our guest speakers were:Prof Sarah Hosking - CEO of the National Breast Cancer Foundation. In continuing our tradition of our Pink Ribbon event, Prof Hosking updated us on NBCF's current focus and gave an insight into the challenges and achievements in running a not-for-profit business during Covid-19.Prof Sandra O'Toole - Head of Translational Breast Cancer Research, The Garvan Institute of Medical Research & Senior Staff Specialist, Royal Prince Alfred Hospital. Prof O'Toole shared her story and firsthand experiences of hospital life and continuing breast cancer research during Covid-19. - See accompanying slides hereDr Jemma King - Founder BioPsychAnaltyics, Research Fellow University Queensland and Lecturer Sydney University MBA.Dr King is a specialist in the field of Human Behaviour, Stress and Emotional Intelligence. She shared her top 4 practical, science based hacks, that you can start using right away to support you in living a healthier lifestyle. - See accompanying slides hereBreast cancer is the most commonly diagnosed cancer in Australia. The National Breast Cancer Foundation funds world-class research into the detection, prevention and a cure of breast cancer. The NBCF is committed to funding research to reach one determined goal: zero deaths from breast cancer by 2030. Watchers and listeners are invited to donate to the National Breast Cancer Foundation to help further research into prevention and cure. Herbert Smith Freehills will make our usual gift donation to the Foundation.
In support of the National Breast Cancer Foundation, our Catalyst Webinar was taken over by our virtual Pink Ribbon event where we heard from three remarkable guests who work in the medical innovation and wellness spaces. Our guest speakers were: Prof Sarah Hosking - CEO of the National Breast Cancer Foundation. In continuing our tradition of our Pink Ribbon event, Prof Hosking updated us on NBCF’s current focus and gave an insight into the challenges and achievements in running a not-for-profit business during Covid-19. Prof Sandra O’Toole - Head of Translational Breast Cancer Research, The Garvan Institute of Medical Research & Senior Staff Specialist, Royal Prince Alfred Hospital. Prof O'Toole shared her story and firsthand experiences of hospital life and continuing breast cancer research during Covid-19. See accompanying slide here - https://sites-herbertsmithfreehills.vuturevx.com/20/21553/landing-pages/nbcf-pink-ribbon-prof-otoole.pdf Dr Jemma King - Founder BioPsychAnaltyics, Research Fellow University Queensland and Lecturer Sydney University MBA. Dr King is a specialist in the field of Human Behaviour, Stress and Emotional Intelligence. She shared her top 4 practical, science based hacks, that you can start using right away to support you in living a healthier lifestyle. See accompanying slide here - https://sites-herbertsmithfreehills.vuturevx.com/20/21553/landing-pages/pink-ribbon-dr-king.pdf Breast cancer is the most commonly diagnosed cancer in Australia. The National Breast Cancer Foundation funds world-class research into the detection, prevention and a cure of breast cancer. The NBCF is committed to funding research to reach one determined goal: zero deaths from breast cancer by 2030. Watchers and listeners are invited to donate to the National Breast Cancer Foundation to help further research into prevention and cure. Herbert Smith Freehills will make our usual gift donation to the Foundation. - https://shoutforgood.com/fundraisers/herbertsmithfreehillsPRB
This exciting panel discussion covers a wide variety of questions, including; what is the definition of high risk patients in your clinic? What is your criteria for referal regarding pre-op patients? Who is in the multidisciplinary pre-op team? How long does each patient appointment last? How should we prioritise antihypertensives? Should anaesthetists be more involved in the postoperative care of patients? This piece is chaired by Dr Ar Kar Aun and features; Imogen Mitchell, Senior Staff Specialist, ICU, the Canberra HospitalDean, ANU Medical School, Vincent D'Intini, Senior staff specialist, Nephrologist, Alfred Hospital Melbourne, and Bobbie Jean Switzer, Professor of Anesthesiology and Director of Perioperative Medicine at Northwestern University in Chicago, Illinois. -- Brought to you by the Perioperative Medicine Special Interest Group (SIG) in association with the Australian and New Zealand Society for Geriatric Medicine and the Internal Medicine Society of Australia and New Zealand at the 7th annual Australasian Symposium of Perioperative Medicine. The Perioperative Medicine Special Interest Group (SIG) has three aims; improve patient safety and outcomes, share knowledge and collaborate with specialty groups, develop the specialty of perioperative medicine with various craft groups. For more information follow this link here: http://www.anzca.edu.au/fellows/special-interest-groups/perioperative-medicine
In today’s podcast lecture, Prof Craig Munns, Senior Staff Specialist in Endocrinology at Westmead Children’s Hospital, will discuss the issue of nutritional rickets and the emerging idea of universal Vitamin D supplementation in pregnancy and early childhood.
How important is it to triage the patient? Which triage tool should we use? How do we determine which of our surgical patients is most at risk? Which procedures carry the highest risks? What should our approach be towards managing patient deterioration? What about when it comes to acute clinical deterioration? What, in terms of research and technology, can we expect in the future to help us? The slides for this piece are here: http://www.anzca.edu.au/documents/03-imogen-mitchell_how-do-we-minimise-failure.pdf Presented by Imogen Mitchell, Senior Staff Specialist, ICU, the Canberra Hospital, Dean, ANU Medical School. -- Brought to you by the Perioperative Medicine Special Interest Group (SIG) in association with the Australian and New Zealand Society for Geriatric Medicine and the Internal Medicine Society of Australia and New Zealand at the 7th annual Australasian Symposium of Perioperative Medicine. The Perioperative Medicine Special Interest Group (SIG) has three aims; improve patient safety and outcomes, share knowledge and collaborate with specialty groups, develop the specialty of perioperative medicine with various craft groups. For more information follow this link here: http://www.anzca.edu.au/fellows/special-interest-groups/perioperative-medicine
Stroke recovery is a marathon; it's not a sprint. Regaining cognitive skills, physical skills, sensory skills, and more takes time and work. During that time, life can be really hard and unpleasant for many folks. The may or may not be able to work. Relationships get turned upside down, and after a while you just want it to go away. Surely, with all the advances in medicine, there must be something…some fancy technology or machine…some magic technique that will fix these problems, right? That leads folks to look for and explore alternatives. It also means that many survivors start pursuing things that don't work. Hyperbaric oxygen therapy appears to be one of those therapies. In Hyperbaric Oxygen Therapy, the patient spends time in a pressure chamber where the air pressure is 2-3X normal and breathes pure oxygen. They get roughly 8-12X as much oxygen as in their normal lives. This, supposedly, should grow new blood vessels in the brain and revive the dead neurons that were killed by the stroke, or drive new growth through neuroplasticity. I saw a number of people asking about it in Facebook groups and twitter feeds, so I began talking with folks to learn more. Strokecast regular, neurologist Dr Nirav Shah, introduced me to one of the world's leading authorities on Hyperbaric Oxygen therapy, Dr. Mike Bennett in Australia. This week I talk with Dr. Bennett about the theory and the research around hyperbaric medicine. We answer the key questions about it -- is it safe, and does it work. The short version is that it is mostly safe, but there is no reliable research demonstrating that it works. The main risk is to the patient's wallet. Bio Professor Bennett is the Academic Head of the Department of Anaesthesia, a Senior Staff Specialist in diving and hyperbaric medicine at Prince of Wales Hospital and Conjoint Professor in the faculty of Medicine, University of New South Wales in Sydney, Australia. He graduated from the University of New South Wales in 1979 and spent his early post-graduate training at the Prince Henry/Prince of Wales Hospitals before undertaking training in Anaesthesia in the UK. He returned to Sydney in 1990 as a retrieval specialist on the Lifesaver Helicopter and here developed an interest in both diving and hyperbaric medicine. He also has a strong interest in clinical epidemiology and is an experienced clinician and researcher. In 2002 he was the recipient of the Behnke Award for outstanding scientific achievement from the Undersea and Hyperbaric Medical Society. Since 2004 he has been highly involved in the teaching of Evidence-based Medicine within the Medical faculty at UNSW and in 2005 was appointed co-director of the Quality Medical Practice Program there. He is the author of over 150 peer-reviewed publications including 15 Cochrane reviews of the evidence in Diving and Hyperbaric Medicine. Prof. Bennett was the convenor of the Australia and New Zealand Hyperbaric Medicine Group Introductory Course in Diving and Hyperbaric Medicine from its inception in 1999.to 2014. He is an executive member of the Australia and New Zealand College of Anaesthetists (ANZCA) special interest group in diving and hyperbaric medicine, chief examiner for the ANZCA Certificate in diving and hyperbaric medicine and Chair of the ANZCA Scholar Role Subcommittee. He is a past Vice-President of the UHMS and currently the Past President of SPUMS. Hack of the Week -- Rocker Knife Last week, I talked about cutting meat at a restaurant -- don't. This week, let's talk about doing the same thing at home where you may not have a kitchen staff. Sure, at home you can just pick up a hunk of meat with your hands. But sometimes you still want to slice it for some reason. I use a Verti-Grip knife. It's designed for folks with use of one hand. I hold it in my fist, rock it against the meat, and it cuts right through. It doesn't require you to brace what you're cutting with a fork. For a $14 gadget, it works really well. Links Dr. Michael Bennet https://powcs.med.unsw.edu.au/people/professor-michael-bennett Hyperbaric Oxygen Therapy on MedLink http://www.medlink.com/article/hyperbaric_oxygenation_for_the_treatment_of_stroke Hyperbaric Oxygen Therapy for Acute Ischemic Stroke on AHA Journals https://www.ahajournals.org/doi/10.1161/STROKEAHA.115.008296 HBO Evidence http://hboevidence.unsw.wikispaces.net/Stroke Medical News Today -- Hyperbaric https://www.medicalnewstoday.com/search?q=hyperbaric&p=1 DMI Verti-Grip Curved Cutting Kitchen and Dinner Knife https://www.amazon.com/Verti-Grip-Individuals-Strength-Dishwasher-Stainless/dp/B00NZ0ZKES/ref=sr_1_7_a_it Bill on Pure Mind Magic https://victoriamavis.podbean.com/e/60-pmm-changing-your-brain-changing-your-body-wiht-bill-monroe/ Pure Mind Magic A few months back, German podcaster, magician, and mindset expert Victoria Mavis joined me to talk about the intersection between public speaking and magic on my other podcast, 2-Minute Talk Tips. You can find that interview at 2-MinuteTalkTips.com/magic. During December, I had the pleasure of appearing on her show, Pure Mind Magic. We talked about speaking, sure, but much of the conversation was about my stroke story and the power of mindset in recovery. You can listen to it here or subscribe for free to Pure Mind Magic in your favorite podcast app Where do we go from here? Have you tried Hyperbaric Oxygen Therapy? Let us know in the comments at http://strokecast.com/hyperbaric Pick up a Verti-Grip knife if you need to cut thing one-handed. Share this episode with someone in your circle who is interested in alternative therapies with the link http://strokecast.com/hyperbaric Don't get best…get better Strokecast is the stroke podcast where a Gen X stroke survivor explores rehab, recovery, the frontiers of neuroscience and one-handed banana peeling by helping stroke survivors, caregivers, medical providers and stroke industry affiliates connect and share their stories.
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
The sudden life changes that accompany a spinal cord injury can have a massive impact on your mental health. On this episode, Dom explains to us how he struggled and ultimately managed his depression, anger and fear. We also speak to Dr. Adrienne Epps, Senior Staff Specialist and Head of Rehab2Kids at Sydney Children’s Hospital Randwick, for additional strategies for coping with mental health challenges.
Led by Dom, a former member of the Royal Australian Air Force with a C5/6 spinal cord injury, today we’ll get into health and lifestyle, what Dom’s experience has been, and some helpful things to keep in mind. We’ll also be hearing from Dr. Adrienne Epps, Senior Staff Specialist and Head of Rehab2Kids at Sydney Children’s Hospital Randwick, who shares some suggestions and insights from a doctor’s perspective.
Today, we talk to Dom, an advocate for people with disabilities who suffered a C 5/6 spinal cord injury, and Dr. Adrienne Epps, Senior Staff Specialist and Head of Rehab2Kids at Sydney Children’s Hospital Randwick, about love and relationships after a spinal cord injury. This type of injury and the changes that come as a result can take a toll on self-confidence. Listen in as Dom tells us about his experience. For more information on sexuality following spinal cord injury, visit the Agency for Clinical Innovation website.
Dom, who suffered a C5/6 spinal cord injury when he was 23 years old, and Dr. Adrienne Epps, Senior Staff Specialist and Head of Rehab2Kids at Sydney Children’s Hospital Randwick, talk to us about self-care and independence. Though taking good care of yourself may often require the help and assistance of others, it’s important to take an active role in your care and do what you can to regain some of the independence that may have diminished since experiencing an injury. Listen in as Dom tells us about a day in his life and the routine he follows with the help of his care team.
Jane and Dan spoke to Dr James Edwards at MM2017. James is a Senior Staff Specialist in Emergency Medicine at Royal Prince Alfred Hospital in Sydney, he is also the founder of www.onthewards.org which is designed to assist medical practitioners in their earliest days of postgraduate practice. We spoke to James about: FOAM (Free Open Access Medical Education) Different models of education for health professionals Dissemination of research and digital scholarship Quality control issues for open access information
In the first of our special series of episodes live from MM2017, we are talking to A/Prof Thomas Gottlieb, Senior Staff Specialist in Microbiology and Infectious Diseases at Concord Hospital in NSW. A/Prof Gottlieb's presentation at MM2017 is titled "Do More AMS, Pearls from Years in the Life of AMS". We spoke to A/Prof Gottlieb about challenges and wins in antimicrobial stewardship, engaging clinicians and patients and driving behavioural change.
Causes of compulsive behaviour are complex and unexpected. What are they? Our researchers reveal the mental, physical and social origins of addiction and highlight discoveries that are improving people’s lives. Panelists: - Professor Nick Lintzeris, Clinical Professor, Discipline of Addiction Medicine, Central Clinical School, University of Sydney, and Director and Senior Staff Specialist, Drug and Alcohol Services, South East Sydney Local Health District, NSW Health - Professor Kate Conigrave, Conjoint Professor Addiction Medicine, Head, Indigenous Substance Misuse Programs Addiction Medicine, Central Clinical School, University of Sydney - Dr Andrew J. Campbell, Senior Lecturer in Psychology , Faculty of Health Sciences, University of Sydney, e-mental health, cyber-psychology, and child, adolescent and family mental health Held as part of Sydney Ideas Health Forums series on 2 August, 2017: http://sydney.edu.au/sydney_ideas/lectures/2017/health_forums_2017.shtml
Dr Michael Dudley AM is a Senior Staff Specialist in Psychiatry with Sydney’s Prince of Wales Hospital Adolescent Service and Conjoint Senior Lecturer in Psychiatry, University of New South Wales. He primarily works as a clinician to young people, families and parents in an adolescent mental health service. As a conjoint academic, he is involved in teaching suicide prevention and youth mental health to medical students at UNSW, and serves on various boards and committees. He maintains interests in rural and Indigenous suicide and mental health issues, ethics, and the role of religion/spirituality and mental health in contemporary culture. In 2011 Michael became a Member of the Order of Australia (AM) for work in child and adolescent mental health and a range of professional associations and has been acknowledged by the NSW Health Department’s Better Health Awards, Australian and New Zealand Journal of Psychiatry and ReachOut.com. This has included specific recognition for his work on gun control as well as his extensive experience working with youth, Indigenous people, and refugees who are at risk of suicide and self harm. He is a reviewer for the Medical Journal of Australia; the Australian and New Zealand Journal of Psychiatry; Australasian Psychiatry; Social Psychiatry and Psychiatric Epidemiology. His memberships have included the Australian Suicide Prevention Advisory Committee (ASPAC), the Department of Immigration and Citizenship’s Mental Health Advisory Sub-Group and the New South Wales Suicide Prevention Advisory Committee. In 1992 he became a founding Director of Suicide Prevention Australia and was the Chair of the organisation between 2000 and 2015. Under his leadership SPA widened its responsibilities and established its role as the peak body for all organisations and individuals working in suicide prevention. In the last decade, he has been author or co-author on over 40 publications. It is impossible to calculate the value of his research and teachings to the suicide prevention field in Australia. We are honoured to present a LiFEtime Achievement Award to Michael Dudley.
SubjectACT Executive producer Becca Posterino further explores the issue of alcohol fueled violence and speaks to Andrew Diprose who shares his very personal experience. Becca also meets Professor Drew Richardson, Senior Staff Specialist in Emergency Medicine at the Canberra Hospital for an insight into the impact of alcohol related accidents on care staff. Originally broadcast on 15th February, 2016.