Podcasts about sydney adventist hospital

Associate Professor and Breast Surgeon, Nicholas Ngui joins John Stanley to discuss the DENETTE (definitive neoadjuvant endocrine therapy for non-metastatic breast cancer in the elderly) study at Sydney Adventist Hospital. Which is aimed at elderly women who have been diagnosed with operable breast cancer that will however, not be undergoing surgery. Listen to John Stanley live on air from 8pm-12am Monday to Thursday and Friday's 7pm-11pm on 2GB/4BC    See omnystudio.com/listener for privacy information.

 Today we are discussing transcatheter aortic valve implantation, also known as TAVI.  TAVI that has become pivotal in the cardiology space since its introduction in 2002, and today we'll compare TAVI to surgical aortic valve replacement. We'll also discuss the importance of shared decision making.  This podcast is sponsored by Medtronic. The views expressed in this podcast are not necessarily those of Medtronic.  To learn more, we are joined by consultant cardiologists Dr Jason Sharp & Dr Dennis Wang from the Sydney Adventist Hospital to discuss some key updates in the TAVI space.

September is Prostate Cancer Awareness month. An emerging treatment known as Focal Therapy treats prostate cancer while sparing healthy tissue.  Doctor Ahmed Goolam, an Urological Surgeon at Sydney Adventist Hospital takes us through the benefits and side effects of of focal therapy.   Listen to John Stanley live on air from 8pm-12am Monday to Thursday on 2GB/4BCSee omnystudio.com/listener for privacy information.

We're only beginning to understand many neurodegenerative diseases such as dementia and Parkinson's Doctor Brian Owler from Sydney Adventist Hospital joins John to talk about Deep Brain Stimulation treatment that is used to relieve symptoms. Listen to John Stanley live on air from 8pm-12am Monday to Thursday on 2GB/4BCSee omnystudio.com/listener for privacy information.

Professor Stephen Pillinger, a colorectal surgeon at Sydney Adventist Hospital joins John to discuss a project which is analysing robotic inguinal hernia repair, showing this robotic approach has a number of significant benefits for patients. See omnystudio.com/listener for privacy information.

Doctor Christos Apostolou from Sydney Adventist Hospital on Robotic surgery becoming more common and treatment for gallbladder removal See omnystudio.com/listener for privacy information.

Over 15 thousand Australians are affected by bowel cancer every year, and like most diseases, if you catch it early, your odds of a healthy recovery are greatly improved. Doctor Henry Cheung from Sydney Adventist Hospital joins John to talk about the warning signs for bowel cancer, and the treatment that's available. Listen to John Stanley Live on air from 8pm-12am Monday to Thursday on 2GB/4BCSee omnystudio.com/listener for privacy information.

Obstetrician and Gynecologist Doctor Peter Wood from the Sydney Adventist Hospital joins John to discuss Perimenopause and Menorrhagia. Listen to John Stanley live from 8pm-12am, Monday to Thursday on 2GB/4BCSee omnystudio.com/listener for privacy information.

2 in 5 Australians will be diagnosed with cancer before they turn 85. Most of us will know somebody who has cancer. Craig Lynch is the Robitic and Colorectal Surgeon at the Sydney Adventist Hospital, he joins John to talk about new chemotherapy treatments he uses. Listen to John Stanley 8pm-12am from Monday to Thursday on 2GB/4BCSee omnystudio.com/listener for privacy information.

Often there are signs that you might be having issues with your heart, but if you're not looking for them, they can be easy to miss. Doctor Andrew Sherrah from The Sydney Adventist Hospital join John to talk about the risks of thoracic aortic aneurysms and dissections, and how you can prevent them. Listen to John Stanley live from Monday to Thursday 8pm-12am on 2GB/4BCSee omnystudio.com/listener for privacy information.

Silent reflux is a common condition that can often be overlooked, and undiagnosed. It can have serious impacts on your lungs. Associate Professor Gregory Falk is from Sydney Adventist Hospital he joins Bill Woods to talk about how to identify silent reflux, and how to treat it. Listen to John Stanley live from Monday to Thursday 8pm-12am on 2GB/4BCSee omnystudio.com/listener for privacy information.

Natalie is joined by Dr Ian Bilmon, a senior consultant Haematologist working at Westmead Hospital and Sydney Adventist Hospital to do a deep dive into haemochromatosis. They cover: What is heriditary haemochromatosis or iron overload? How is haemochromatosis managed? What other conditions are patients with haemochromatosis at risk of? Who else is at risk of iron overload and how is it managed?   Avid Purple Pen listeners may recognise Dr Bilmon who has been on our podcast previously.  Check out episode 70 where Ian goes back to Haematology Basics.

This week in Night's weekly health clinic, we speak about brains.  Dr Jun Kim, a Neurosurgeon from Sydney Adventist Hospital, joined John Stanley to discuss brain aneurisms and how they can be treated. See omnystudio.com/listener for privacy information.

Urologist Dr James Symons from Sydney Adventist Hospital joins Joe Hildebrandt. See omnystudio.com/listener for privacy information.

In this “Breathe Easy Critical Perspective” podcast, Dr. Dominique Pepper interviews Dr. Simon Finfer. They discuss Dr. Finfer's recent 2022 publication in the NEJM about balanced crystalloids versus saline in critically ill adults. Dr. Finfer is a founding member of the ANZICS clinical trials group and the Director of Intensive Care at Sydney Adventist Hospital in Australia.

Did you know one in every two Australian men and women will be diagnosed with cancer by the age of 85? According to the Cancer Council, in 2020, it was estimated that there were just under 150,000 new cases of cancer diagnosed in Australia.  A diagnosis of cancer can be accompanied by intense emotions including shock, fear and anxiety for the patient and family members. Sydney Adventist Hospital provides support for all those in the community affected by cancer, primarily through our San Cancer Support Centre. The San Cancer Support Centre was founded in 1993 and has been providing a wide range of services to the community, including support groups, education, counselling, workshops, bereavement support, and resources and information ever since.  San Cancer Support Centre Coordinator Michelle Gardiner joins Luke Grant to share more information about this amazing facility.  See omnystudio.com/listener for privacy information.

Sydney Adventist Hospital's Emergency Care Department opened in May 1996 – as the first private Emergency Care facility on Sydney's North Shore. 25 years on and San's Emergency Care Unit is the largest and busiest private emergency facility in NSW, treating approximately 18,000 patients each year.  It has been recorded that during March last year daily presentations to Emergency Care departments in Australia fell by 38%. With Covid cases on the rise once again, don't delay your care.  The San's EC unit is safe, operational and well prepared to handle healthcare emergencies including coronavirus cases.  Director of the San's Emergency Care Unit, Dr Greg McDonald, joins John Stanley.  See omnystudio.com/listener for privacy information.

This week is National Palliative Care Week, a topic that is not widely spoken about. The theme this year is “Palliative Care It’s more than you think.” This aims to raise awareness about the many benefits of quality palliative care. National Palliative Care Week provides an opportunity to talk about the topic that effect many of us, with one in three Australians having had a family member receive palliative care. The week also gives the chance to thank all those that work and volunteer in palliative care areas all across Australia.  San Palliative Medicine Specialist, Dr Sam Steele joins John Stanley to discuss palliative care.   See omnystudio.com/listener for privacy information.

Heart disease is the leading cause of death in Australia.  Around 2.4 per cent of people report living with heart disease, accounting for almost 580,000 people. Structural and Interventional Cardiologist Dr Elizabeth Shaw from Sydney Adventist Hospital joins John Stanley to discuss the common disease. You can learn more about what causes heart disease and how you can make the right lifestyle choices to keep your heart healthy at Sydney Adventist Hospital’s FREE Healthy Hearts Webinar where San specialists including Dr Shaw and other allied health professionals will speak about what causes heart disease, help to understand your cardiac risk factors, and lifestyle choices for a healthy heart. The webinar will be held on Thursday the 29th of April and you can sign up at https://www.sah.org.au/event-detail?id=387  See omnystudio.com/listener for privacy information.

Join Joseph Ischia, Amy Teh and Nick James as they discuss radiation to the prostate in metastatic prostate cancer. Dr Amy Teh is the Lead Regional Radiation Oncologist at the ICON Cancer Centre for NSW/ACT, a consultant Radiation Oncologist at the Sydney Adventist Hospital and a Clinical Senior Lecturer at the Sydney Medical School, The University of Sydney. A member of TROG and ANZUP Clinical Trials Group, Dr Teh is lead site-investigator for the RAVES, ENZARAD, DASL-HiCap prostate cancer trials at the Sydney Adventist Hospital and has led the Prostate Brachytherapy Program at the Sydney Adventist Hospital, and also the Radiation Oncology Research Committee Co-Chair for the ICON Cancer Centre. Professor James is Consultant in Clinical Oncology at the Queen Elizabeth Hospital Birmingham and Professor of Clinical Oncology at the University of Birmingham. Professor James is internationally renowned for his work in Urological Cancer, particularly on the ground-breaking STAMPEDE trial, which has been used to evaluate, to date, 10 different therapies for advanced prostate cancer in more than 10,000 men. He is a regular educational speaker at conferences worldwide, recently including the American Society of Clinical Oncology, European Society of Medical Oncology and European Association of Urologists Annual Meetings. Results from STAMPEDE with both first line docetaxel chemotherapy and abiraterone have shown that big survival gains can be made by using existing treatments in novel settings. These findings have been practice changing worldwide.

We are on the countdown to Christmas, and it’s the season of giving. After the year we have had, we thought it might be worth finding out about community giving – donations to good causes – who gives and why, how that’s changed, and what impact has COVID had. Not unsurprisingly, a report by Fund Raising Australia indicates that donations during the COVID crisis have declined, but thankfully it’s also clear COVID has made us reflect on what is really important in life, reaffirmed the need for connection, and the need for people to feel they have a purpose. Karen Gair is Managing Director of the San Foundation which supports Sydney Adventist Hospital by funding additional equipment, services and resources, that otherwise mightn’t be available. Karen joins John Stanley. See omnystudio.com/listener for privacy information.

This is a fascinating area that might sound like futuristic science fiction - but there is now increasing studies and evidence that there are definitive links between gut health, and brain health – and links that work both ways. The gut is home to trillions of good and bad bacteria and can produce chemicals with a direct impact on your brain while similarly the brain can talk to the gut because there is a communication and signalling system between the two.  This concept that you might have a ‘brain in your gut’ is revolutionising medicines’ understanding of the links between digestion, mood, health and even the way people think.  ‘Mind health’, 'gut health', and 'heart health', and how these influence and talk to each other are being discussed at a free Health & Wellness online Webinar by 3 Sydney Adventist Hospital medical specialists on Thursday night 3rd December. Gastroenterologist Dr Eliot Roach joins John Stanley to talk 'gut health'.  See omnystudio.com/listener for privacy information.

It’s hard to imagine an event which has more united the world, than COVID-19, and the virus that causes it – SARS CoV2.  It’s been an invisible worldwide foe which doesn’t discriminate any sex, colour, continent, race or creed.  Equally it has united experts to stop transmission and prevent infection -with Hospitals like Sydney Adventist thrilled that proactive planning has minimised risk ensuring people don’t have to put off healthcare thanks to very obvious and effective screening processes which we’ve seen community wide.  Interestingly while it has been an invisible enemy, those involved in finding an answer and prevention, can ‘see’ COVID-19.  Professor Bill Rawlinson AM is an infectious diseases expert in virology and molecular biology associated with Sydney Adventist Hospital - and Senior Medical Virologist and the Director of Serology and Virology Division at Prince of Wales where the largest number of tests performed in public health laboratories are done. See omnystudio.com/listener for privacy information.

Second only to lung cancer in causing cancer deaths in women, breast cancer is the most common type of cancer in women in Australia, with an estimated 19,974 new cases likely to be diagnosed by the end of 2020.  A major concern is that during the pandemic people have deferred screening which could delay diagnosis – which is particularly sad given that finding breast cancer early means there are more treatment options and chances of survival are greatest. Breast cancer awareness is important for women of all ages, and their partners play an important role in helping highlight awareness that could be life-saving and equally while breast cancer in men is uncommon at less than 1% of all breast cancers, men should also be vigilant. Sydney Adventist Hospital breast surgeon Dr Sandra Krishan joins John Stanley to revisit what it is, and what we all should be looking out for.  See omnystudio.com/listener for privacy information.

The sad reality that we have an ageing population, and ageing causes physiological changes to our bodies that just can’t be avoided. One such condition is Benign Prostatic Hyperplasia, or enlarged prostate, affecting an estimated 50% of men aged 51 to 60, 60% of men aged 60 plus and 70% of men aged 70 or older. It can disrupt sleep, lifestyle and activities as it causes the frustrating and confusing symptoms of feeling the need to urinate but being slow or unable to, or the need to constantly be looking out for a bathroom. Luckily thanks to a new surgical procedure , the first of its type in Australia done at the Sydney Adventist Hospital last week, the condition can be treated without the side effects of traditional surgeries that might deter men from trying to fix the problem. Professor Henry Woo has been a constant pioneer in bringing in new procedures to treat enlarged prostate who performed 4 of the surgeries last week and removed the 4 devices on Monday and is the only doctor in Australia trained to do the procedure. He joins John Stanley. See omnystudio.com/listener for privacy information.

Pain can be acute or chronic with 1 in 5 Australians suffering with pain from injury, cancer, arthritis or other conditions restricts activities they are able to do, and costing an estimated $73.2 billion plus, per year. Traditional treatments include medication like opioids, physical therapy, psychological treatment and in some cases surgery. Dr Shravani Gupta is an anaesthetist and acute pain specialist and the head of the Acute Pain Service from Sydney Adventist Hospital and joins John Stanley. See omnystudio.com/policies/listener for privacy information.

This week is Australian Women’s Health Week…a  week when attention is deliberately drawn to the myriad of health conditions that affect women, and the availability of proactive health and well-being promoting information and tips on how to achieve and maintain good health. It’s promoted by the association ‘Jean Hailes for Women’s Health’, which has been appointed by the Australian Government as a national digital source of public health information for women. But it’s often General Practitioners from local health centres who are at the coalface helping women identify and manage their health. Dr Bronwyn Edwards from the Fox Valley Medical & Dental Centre at Sydney Adventist Hospital joins John Stanley to discuss, in particular, the health of plus 50 year old women. It is important given we are all living longer, and need to be remain well and agile to look after ourselves and our families. See omnystudio.com/policies/listener for privacy information.

Today is the first day of Spring -a time when grass pollen can play havoc and cause hay fever so it is appropriate that this week is also Asthma Week. Australia has one of the highest rates of asthma in the world with 1 in 10 – over 2 million Australians suffering with the coughing, wheezing and shortness of breath, and which if not managed properly can be fatal. Unfortunately, the last 6 months with COVID-19 restrictions have particularly impacted Asthma testing and diagnosis because it can generate droplets that might put GP’s at risk. The problem is that lung function testing is as critical to a respiratory physician to help diagnose Asthma as an ECG to a cardiologist to diagnose a heart condition. Dr Samatha Herath is a respiratory physician at Sydney Adventist Hospital who now has a lung testing laboratory in her rooms. She speaks with John Stanley See omnystudio.com/policies/listener for privacy information.

The past week has been Wound Awareness Week. The problem of wounds in Australia has been called a hidden epidemic with an approximate 420,000 Australians suffering from chronic wounds, estimated to cost them each more than $4000 a year to treat – nationally that’s more than $3 billion annually. In addition to these financial costs, chronic wounds can be incredibly debilitating and painful, impacting a person’s health, finances and quality of life. Hard to heal wounds require a thorough patient and wound assessment by a trained specialist.   Melissa Ward is a Clinical Nurse Consultant at Sydney Adventist Hospital’s dedicated Wound Care Clinic. See omnystudio.com/policies/listener for privacy information.

A new tool with a 99% success in helping clean procedural and clinical areas of bacteria and viruses, like COVID 19, is now in use at the Sydney Adventist Hospital. The cleaning system, called THOR, uses UV C light, looks like the R2D2 robot from Star Wars and is an addition to the existing systems that already mean the Hospital has excellent minimal infection rates, but Sydney Adventist Hospital Head of Orthopaedic surgery Dr Rod Brooks was a key advocate for the new surface disinfection system because bone or joint infections can be particularly debilitating and hard to eradicate. The system, funded by the San Foundation’s kind donors, was ordered long before COVID 19 but its arrival is very fortuitous. Dr Brooks joins John Stanley. See omnystudio.com/policies/listener for privacy information.

This week is anxiety disorders awareness week. Mental health disorders affect around 20% of Australians aged 16-65 each year with anxiety disorders the most common affecting an estimated 14% of the population. We all know that coronavirus has rapidly changed the way we live, work and communicate. Response measures, such as restrictions on social gatherings and closures of workplaces, have significant impacts for Australians and may cause stress, anxiety and concern in many people. Dr Richa Rastogi, psychiatrist from Sydney Adventist Hospital, is with John Stanley to help explain exactly what anxiety disorder is, how it differs from normal anxious moments, the impact of COVID-19, and how early identification and treatment does make a difference. See omnystudio.com/policies/listener for privacy information.

We hear about amazing advances in technology to help diagnose previously undiagnosed conditions, yet this relatively straightforward advance could help explain why the 6-per-thousand people–in Sydney that’s more than 4 people per hour, each hour, every day -  faint. It’s the arrival and use of a ‘tilt table’ at the Sydney Adventist Hospital’s Blackouts and Faints Clinic. The Clinic opened last year opened as a one-stop-shop to help diagnose what causes blackouts and faints, previously significantly underdiagnosed. It’s a condition which if you are aged 75, you are 3 times more likely to have, yet which if diagnosed may be able to be managed or stopped preventing traumatic falls, or if its caused by cardiac issues, even death. Dr Graham Tanswell; cardiologist, electrophysiologist, and Director of the Blackouts and Faints Clinic at Sydney Adventist Hospital, joins John Stanley. See omnystudio.com/policies/listener for privacy information.

Traditionally, conservative treatments such as medication including opioids, physical therapy, psychological treatment, and in some cases surgery might have once been the only options or the patients were told to go and live with the pain . This was before revolutionary advances, based on the fact that the body is a complex bio-electrical-mechanical system. Pain signals transmitted via electrical impulses into the spinal cord and then into higher brain centres for us to perceive pain, in combating the body’s own electrical impulses the idea of using electricity to fight the pain has been experimented for decades if not centuries.  Egyptians used electromagnetic fish to treat a variety of pain conditions. In more recent times the use of electrical impulses via spinal cord stimulation, (where nerves intersect), to block pain signals to the brain has been tested and proven to be an effective way of combating chronic pain. Majority of these devices were able to deliver lower frequencies where pain was replaced by tingling, of course this was not effective for many , nor tolerable for some. In the last week there has been another significant advance with an Australian first implantation of a device at Sydney Adventist Hospital, a device that for the first time enables the delivery of a range of electrical impulses from as low as  2 hertz ( in strength) to 10,000 hertz - and all the levels in between. This new device can be used to treat a wider range of pain – pain caused by back or nerve problems, sciatica, diabetic neuropathy, abdominal pain, pelvic pain or cancer and published reports from its overseas usage suggest it can reduce pain by up to 80%, and in up to 80% of the people who use it. Specialist interventional pain physician Dr Vahid Mohabbati, who did the implantation of the device at the San on a woman in her early 40’s who was debilitated by chronic back and leg pain despite multiple back surgery, joins Luke Grant to discuss the revolutionary therapy.

JulyEYE is national eye health awareness month raising awareness of the need to protect against eye injury and seek attention for eye disease. 500,000 Aussies over 40 live with some form of vision impairment   - by 2020 it will be 800,000. The risk of eye injury can be minimised by the wearing of eye protection and could help reduce the estimated 30% of all eye injuries are suffered by people doing activities like do it yourself home maintenance and renovations, car repairs and gardening. Equally seeking medical advice for eye disease could help the 1 Australian who every 65 minutes is estimated to lose all or part of their vision, since 75% of vision issues are treatable or preventable.  Opthalmologist Dr Con Moshegov operates at San Day Surgery Hornsby - the sister institution of the Sydney Adventist Hospital, and joins John Stanley to discuss why we should keep eyes on our eyes.

Our number 1 killer, one Australian dies every 27 minutes from heart diseases like hardening of the arteries, heart failure and valve problems. In the last 100 years there have been brilliant advances in heart surgery – the heart lung machine and bypass surgery have revolutionised heart surgery and in turn other areas of medicine.  Surgeon Dr Emily Granger is one of only 13 female cardiothoracic surgeons in Australia and was one of the surgeons involved in the ‘Heart in a Box’ pioneering heart surgery. Sydney Adventist Hospital, which has completed 18,000 cardiac surgeries since 1979 when it became the first private hospital in NSW to offer a fully integrated cardiac program, has recently completed a $1 million refurbishment of a state of the art cardiothoracic operating theatre that Dr Granger says is an ‘operating theatre for the future’. She joins John Stanley on Nights to detail their state of the art cardiothoracic theatre for heart surgery.

June is Bowel Cancer Awareness Month raising awareness of Australia's second deadliest cancer   - with more than 300 Australians diagnosed with it, and more than 100 dying from it, each week. Thankfully lives can be saved through early detection provided it is found early with statistics indicating identification and removal of remove polyps can reduce the incidence of bowel cancer by 60% and reduce deaths by 90%.  Sadly however, new statistical modelling in the face of COVID 19 has conservatively estimated that even a three-month delay in cancer diagnosis and treatment would result in 90 additional deaths and $12 million in additional healthcare costs in Australia over five years. Sydney Adventist Hospital’s Associate Professor Craig Lynch was the first colorectal surgeon in Australia to use robotic surgery to perform colorectal robotic surgery back in 2009 and he and his San colleague Dr Steve Pillinger (their practice is Australian Robotic Colorectal Surgery) are responsible for amongst Australia’s highest volume of robotic colorectal surgery . Even more importantly they are training others, live-streaming a complex case last week so a new generation of surgeons are trained and future patients can also benefit.  Professor Lynch joins John Stanley to discuss the importance of early detection of bowel cancer.

We hear commonly about iron deficiency, but in fact the reverse, an excess of iron, is the most common genetic disorder in Australia with 1 in 200 Australians genetically predisposed to the disorder  People with Haemochromatosis absorb too much iron from their diet.  1st -7th June was Haemochromatosis awareness week. Treatment for iron overload involves the removal of blood to reduce excess iron. Sydney Adventist Hospital linked Fox Valley Medical and Dental Centre General Practitioner Dr Bronwyn Edwards joins John Stanley to discuss the often underdiagnosed condition.

It has been a roller coaster few months where the world has been shocked, challenged, traumatised and changed by COVID 19 with the pandemic playing out like a plot from what many would have previously dismissed as just too fantastical a blockbuster to be true. However it has been all too real. While it is pre-emptive to say that we are over the risk, we are all reminded of humanity uniting together, and there is no greater evidence of this, than in the way our frontline healthcare workers have led the response. Sydney Adventist Hospital has COVID19 positive patients at the moment, but over the last 2 months it has cared for and helped 6 patients recover who presented to their emergency care department. CEO of Sydney Adventist Hospital Brett Goods joins John Stanley to share the planning and expertise behind ensuring a hospital can continue to operate and meet any challenges.

1 in 5 Australian men are likely to receive a diagnosis of prostate cancer before they are 85, so treatment for prostate cancer is clearly something that will impact someone that we know or love. Treatment for prostate cancer can involve surgery, chemotherapy, and radiation therapy. So any advances in technology that improve the accuracy and side effects of treatments can be critical. A good example is the March installation of new radiation equipment at the Icon Cancer Centre onsite at the Sydney Adventist Hospital Integrated Cancer Centre, consistently voted by patients as amongst the best outpatient cancer services in NSW since 2016.  ‘Icon Wahroonga was third in the world and first in the Southern Hemisphere to deliver Artificial Intelligence driven radiation therapy treatment using Varian's Ethos therapy solution. Dr Amy Teh from The Sydney Adventist Hospital joins John Stanley to discuss the breakthrough treatment options.

Last year, the College welcomed urological surgeon, Dr Henry Woo, as an elected Council Member. Based at the Sydney Adventist Hospital, Dr Woo is renowned as a pioneer in the development of therapies for benign prostate disease. He is also Professor of Surgery with the Sydney Medical School of the University of Sydney; he's on the Board of Directors of the Australian and New Zealand Urogenital and Prostate Clinical Trials Group; and he runs Australian Clinical Trials Pty Ltd. He is focused on research into prostate cancer and benign prostate hyperplasia. In this episode, Dr Woo discusses a range of issues, including professionalism in surgery, what he hopes to achieve as Councillor, and reflections on his own work-life balance.

Kristin and Dan get back to basics in Haematology from Dr Ian Bilmon,  a Haematologist & BMT Physician at Crown Princess Mary Cancer Centre, Westmead and Sydney Adventist Hospital  We talk about: the most common haematological malignancies and how they differ How these conditions present, what initial treatment looks like and how the prognosis differs What's on the horizon for Haematology  

Does each bedside decision you make actually help your patient to feel, function or survive? Have you considered how frightening and intimidating the Intensive Care Unit environment is to your patients and their families? Do you feel empowered by the people you work with and the culture in your ICU?   Simon Finfer loves telling a tale. In this episode you’ll hear the story of the serendipitous and multi-national route Simon took to end up working for 25 years in one of Australia’s premiere Intensive Care Units. An Intensive Care Department where his colleagues and the culture they developed has fostered him to become one of Australia’s prominent intensive care researchers. You’ll also hear how he teaches his junior colleagues to question everything they do at the bedside to ensure their decisions truly help the patient. Simon is a Professorial Fellow in the Critical Care and Trauma Division at The George Institute for Global Health, a Senior Intensivist at Royal North Shore Hospital and Director of Intensive Care at the Sydney Adventist Hospital in Sydney, Australia. He is an Adjunct Professor at the University of New South Wales, a Clinical Professor at the University of Sydney and is a past-Chair of the Australian and New Zealand Intensive Care Society (ANZICS) Clinical Trials Group. Simon is a world leader in Sepsis and is an international expert in the design and conduct of large scale randomised controlled trials in Intensive Care. Simon has collaborated with me (and many others) through the ANZICS Clinical Trials Group, so we caught up at the Group’s recent 20th Annual Meeting on Clinical Trials in Intensive Care at Noosa Heads in Queensland. We had a fascinating conversation in which Simon talked about: His early career in London where he was simply working too hard The circuitous route he took to Royal North Shore Hospital in Sydney The magnificent people-oriented culture inspired by Malcolm Fisher His early collaboration with the George Institute for Global Health How showing you care is what matters most in an end of life discussion His thoughts on having family at the bedside for ward rounds How the golf course is the only place he doesn’t think about patients How moving to a property with animals has brought relaxation and peace The rekindling of his passion for motorbike riding Why he got a Twitter account and how social media is both a force for good and an echo chamber How it’s almost “too easy” to write a paper in modern times The unlikelihood of a magic bullet arriving anytime soon His advice to look after our selves, to embrace uncertainty and to maintain our humanity My genuine hope with this podcast is to inspire and empower you to bring your best self to work and to consider adopting some of the habits and behaviours my guests give their perspectives on, with the ultimate purpose of improving outcomes for all of our patients. Please help me to spread the message by simply emailing your colleagues, posting on social media or rating and reviewing the podcast. Feel free to 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. Thanks for listening on the journey towards mastering intensive care. Andrew Davies   -------------------- Show notes (people, organisations, resources or links mentioned in the episode) 5th SG-ANZICS Asia Pacific Intensive Care Forum: www.sg-anzics.com ANZICS Clinical Trials Group: http://www.anzicsctg.org/ More information about Simon Finfer: https://www.georgeinstitute.org/people/simon-finfer Twitter handle for Simon Finfer: @icuresearch SAFE study: https://www.ncbi.nlm.nih.gov/pubmed/15163774 NICE-SUGAR study: https://www.ncbi.nlm.nih.gov/pubmed/19318384 SMACC: https://www.smacc.net.au/ Mastering Intensive Care podcast: http://masteringintensivecare.libsyn.com/ Mastering Intensive Care at Life In The Fast lane: https://lifeinthefastlane.com/litfl/mastering-intensive-care/ Email Andrew Davies: andrew@masteringintensivecare.com Twitter handle for Andrew Davies: @andrewdavies66

Health Check with Sydney Adventist Hospital - Podcast 3rd September 2016

Health Check with Sydney Adventist Hospital - Podcast 27th August 2016

Health Check with Sydney Adventist Hospital - Podcast 20th August 2016

Health Check with Sydney Adventist Hospital - Podcast 6th August 2016

Health Check with Sydney Adventist Hospital - Podcast 30th July 2016

Health Check with Sydney Adventist Hospital - Podcast 23rd July 2016

Health Check with Sydney Adventist Hospital - Podcast 9th July 2016

Scientific American recently published the article "", an article that proposes that...   ..."recent research suggests it may be possible to reverse mitochondrial decay with dietary supplements that increase cellular levels of a molecule called NAD (nicotinamide adenine dinucleotide)"...   ...and also that...   ..."the mitochondria in muscles of elderly mice were restored to a youthful state after just a week of injections with NMN (nicotinamide mononucleotide), a molecule that naturally occurs in cells and, like NR, boosts levels of NAD"...   Since that article was published I've received an onslaught of questions about this mysterious molecule called NAD. It just so happens that a friend of mine, Thomas Ingoglia, known as one of the best NAD scientists on the planet and is also in contact with the best NAD clinicians on the planet - both with decades of experience second to none. I consider Thomas himself to be one of the most knowledgeable and frequent users of NAD I've ever met, and one of the few that has been playing around with NAD in combination with cryotherapy, blueberry extract, hyperbaric oxygen and other "biohacks" to completely turn him around from being bed-ridden sick and losing half his family in a car crash to being in the best health of his life, including crushing his first Spartan race with me last year (prior to which took high doses of NAD).   Problem is, most NAD clinical researchers are all underground at the moment. The FDA doesn't look kindly at NAD supplement companies and integrative doctors, they are quite skeptical of naturopathy, and their first impulse is to turn these things and others into patentable drugs because that’s the language the FDA speaks. Plus, NAD can be dangerous. Thomas even knows a guy personally (ironically, a Phd in toxicology that poisoned himself due to his own error) who hospitalized himself experimenting with the substances we’re going to be talking about in this podcast episode. So you need to proceed with caution and with the formal clinical information Thomas has opened my eyes to. Along with Thomas, today's podcast features Dr. Ross Grant, Phd. Dr. Grant is perhaps the most prolific authors in the field of NAD, and he specializes on NAD in the brain. He started researching NAD research back in 1994 while being laughed at, when no one was doing NAD research.   Dr. Ross Grant is Clinical Associate Professor at the University of Sydney Medical School and CEO of the Australasian Research Institute, Sydney Adventist Hospital. A biochemical pharmacologist with a Ph.D. in Neurochemistry/Neuropharmacology, Dr. Grant’s research is focused on NAD - specifically the role of oxidative stress - e.g. emotional stress, diet, and exercise - and NAD metabolism on brain cell death and cellular degeneration. A secondary interest is in the effect of exposure to novel nutritional components, such as polyphenols, on human cellular response to oxidative stress, with a goal of detecting and correcting early degenerative biochemical changes associated with aging-related degenerative disease. Dr. Grant is a member of the Australian Society for Medical Research (ASMR), Australian Neuroscience society (ANS), Australian Society of Clinical & Experimental Pharmacology and Toxicology, Nutrition Society of Australia (NSA).   With forty-eight articles published in peer-reviewed scientific journals, Dr. Grant is perhaps the most prolific author in the field of NAD research. In addition to Dr. Grant, we are joined by Dr. Philip Milgram, MD, from the . Dr. Milgram recovered from his own challenges with addiction and now helps other people in recovery from addiction, specifically by using NAD protocols. He trained in 1991 with Vernon Johnson, the man who coined the term “Intervention”. He was certified as a Prevention Specialist by the Certifying Board of Alcohol and Drug Counselors (CCBADC) in 2001, and has three degrees in counseling from UCSD; in Counseling and Interpersonal Communication, Alcohol and Drug Counselor and Advanced Intervention. In addition to NAD Treatment Center, Dr. Milgram served as the original Medical Director of Confidential Recovery and the Pemarro Detox Center. He has also served as the Medical Consultant for The Soledad House Recovery Home for Women and ABC Recovery since they opened. He is a member of the attending staff at Scripps Memorial Hospital in La Jolla and Board Certified in Obstetrics and Gynecology. Dr. Milgram is a member of The American Society of Addiction Medicine, the California Association of Addiction Medicine, International Doctors in AA, Like-Minded Docs Addiction Medicine, The American College of Preventive Medicine, the American Society of Anti-Aging Medicine, and the American Nutraceutical Association.   During our discussion, you'll discover: -An easy explanation of what exactly NAD is and what it does inside your body... -The protocol Thomas used to go from being addicted to opiates and chronically fatigued to completely healed... -How NAD can break addictions to alcohol, food, opiates and more... -The relationship between anti-aging and NAD... -The important difference between Nicotinamide Riboside vs. Nicotinamide (NMN) vs. NAD+... -The best way to "flood your body" with NAD, and why grapes and blueberries are so important when it comes to your NAD levels... -What kind of compounds, foods and lifestyle strategies enhance the effect of NAD... -How NAD can increase your time to exhaustion during exercise by over 15%... -How Thomas used NAD to enhance his performance in a Spartan race... -The best way to test your own NAD levels... -How NAD can be used in the treatment of Lyme Disease... -The best resource for people to delve more into NAD research... -And much more!   Resources from this episode: -   -   - (be careful with dosage on this, as we discuss in podcast!)   - (dosage also discussed in podcast)   -   -   Do you have questions, comments or feedback for Dr. Grant, Dr. Mingram, Thomas Ingoglia or me? Leave your thoughts at  and one of us will reply!

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