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4 episodes with sydney children
5 episodes with sydney children
2 episodes with sydney children
4 episodes with sydney children
2 episodes with sydney children
2 episodes with sydney children
2 episodes with sydney children
2 episodes with sydney children
Reference: St Peter, et al. Appendicectomy versus antibiotics for acute uncomplicated appendicitis in children: an open-label, international, multicentre, randomized noni-inferiority trial. The Lancet. Jan 2025 Date: March 19, 2025 Guest Skeptic: Dr. Camille Wu is a paediatric surgeon based at Sydney Children's Hospital where she is the Head of Department. She is also on the […] The post SGEM#476: Cuts like a Knife or Antibiotics for Pediatric Appendicitis first appeared on The Skeptics Guide to Emergency Medicine.
There is evidence that six months or more off the job leads to some loss of practical skills and knowledge and certainly, many doctors a loss of self-confidence. People take time out from medical practice for many different reasons but career breaks to raise children are more common than ever before. Paediatrics is one specialty where female representation exceeds 70 percent and it is also becoming more common for new fathers to take leave as primary carers. Senior staff at Sydney Children's Hospital have developed a day-long workshop to help medics brush off the cobwebs before they return to practice. It involves rehearsal of specific skills, refreshers on calculation and interpretation tasks and a high-fidelity critical care simulation. Just as importantly, there is open discussion and mentorship to support the transition back to work. The program is called Paediatric Returnees after Maternity or Extended Leave (PRAM) this podcast was recorded during a live workshop at the Kids Simulation Centre, Randwick. GuestsWorkshop participants: Elodie, Eliza, Emma, April, Stephanie, Lucy and Paula. PRAM creators:Dr Josephine Goodyer FRACP (Sydney Children's Hospital, Randwick) Dr Sasha Symonds FRACP FACEM (Sydney Children's Hospital, Randwick) Renee Byrne (Sydney Children's Hospital, Randwick) ProductionProduced by Mic Cavazzini DPhil. Music licenced from Epidemic Sound includes ‘Elm Lake' by Elm Lake, ‘Quiet Waters' by Walt Adams, ‘Illuminations 4' by Johannes Bornlöf, ‘Feeling Minnesota by Gavin Luke, and ‘Maybe This Time' by Major Tweaks. Image by Maskot licenced through Getty Images. Editorial feedback kindly provided by RACP physicians Sasha Taylor, Stephen Bacchi,Simeon Wong, Zac Fuller, Hugh Murray, Aidan Tan, Sern Wei Yeoh, Sasha Taylor and Stella Sarlos. Thanks also to RACP staff Arnika Martus and Kathryn Smith. 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.
Welcoming Alesha Hope Chief Executive Officer of the Hawkes Bay Foundation to Purposely. Alesha's career spans corporate finance, fundraising, and philanthropy, all shaped by her early experiences growing up on a family orchard. She has seen firsthand the value of resilience, hard work, and community support—principles that continue to guide her work.Originally from Hawkes Bay, Alesha saw both the challenges and rewards of the primary sector firsthand. Her parent's resilience and dedication to providing opportunities for those who worked with him left a lasting impression. These early experiences shaped her desire to build a career that combined professional skills with a sense of purpose.She first pursued a diploma in Speech and Drama before living in British Columbia and later working in Dublin, Ireland. Her career took a new direction when she moved to Sydney and joined Bank of America Merrill Lynch in corporate access. In this role, she developed the ability to align objectives and create meaningful connections, skills that later became valuable in fundraising.Seeking greater fulfilment, Alesha transitioned to the Sydney Children's Hospital Foundation, where she gained experience in philanthropy and fundraising. Under the mentorship of Lindsay Rice, she developed a deeper appreciation for the sector and a strong commitment to professional fundraising.During the COVID-19 pandemic, Alesha returned to New Zealand and joined Cranford Hospice in Hawkes Bay. There, she played a key role in a capital campaign to build a new hospice facility, deepening her understanding of philanthropy in her home region.Now leading the Hawkes Bay Foundation, Alesha is focused on building a sustainable fund to support the community's diverse needs. The foundation's mission is to foster healthy, thriving, and resilient communities by inspiring a culture of giving and sharing. She is committed to ensuring the foundation grows and adapts to meet the evolving needs of the region.Her leadership style is built on collaboration, transparency, and a strong understanding of the local community. She believes that harnessing the generosity and loyalty of the people of Hawkes Bay is key to the foundation's success. Under her guidance, the foundation aims to build a lasting legacy for future generations.Outside of work, Alesha enjoys spending time with her family and taking part in the community life of Hawkes Bay.
In this episode of Game Over: c*ncer, hosts Dana Nichols and Val Solomon dive into the complex and emotional tightrope of balancing hope and reality in pediatric cancer. Joining the conversation is Dr. Claire Wakefield, a psychologist, researcher, and professor specializing in pediatric psycho-oncology. Dr. Wakefield leads the Behavioral Sciences Unit at UNSW and Sydney Children's Hospital, one of the largest pediatric cancer survivorship research groups in the world. Together, we explore the psychological and emotional challenges families face when navigating new treatment options, clinical trials, and difficult medical decisions. Dr. Wakefield shares her insights on ethical best practices, shared decision-making, and the evolving landscape of pediatric cancer care—ensuring that families receive not only medical support but also the guidance and resources needed for their well-being. Key Topics Covered:- The intersection of pediatric cancer treatment, psychology, and hope - How families process and make decisions about clinical trials - The impact of new medical technologies on patient experiences - Supporting children and parents through the hardest moments - The global disparities in pediatric cancer treatment and efforts to bridge the gap This thought-provoking conversation is a must-listen for anyone passionate about advancing pediatric cancer research and supporting families in the fight. Support the mission visit us at: https://www.cannonballkidscancer.org to make a gift and help fund innovative research.----------------------------------Podcast Produced by Hi Hello Labs: Website: https://www.hihellolabs.com/
When we change environments to support neurodivergent children, everyone benefits. In this preview of Saturday's interview with Professor Adam Guastella from Sydney Children's Hospital, discover why viewing autism as a 'disorder' might be missing the point, and learn how the right support systems can transform outcomes. Plus, understand why insufficient support leads to troubling patterns of bullying and underachievement. Quote of the Episode: "When people have changed environments to be more inclusive to support children with autism and other neurodevelopmental needs, those environments are really good for everyone." Key Insights: Focus should be on changing environments, not just children. Inclusive environments benefit all children. Support needs are both environmental and individual. Better support leads to better educational outcomes. Lack of support correlates with higher bullying rates. Academic underachievement often relates to poor support. Professional collaboration improves outcomes. Early intervention and support are crucial. Resources Mentioned: Sydney Children's Hospital at Westmead Brain and Mind Centre, University of Sydney Self-Determination Theory research Happy Families Action Steps for Parents: Focus on environmental adaptations that support learning. Build collaborative relationships with support services. Ensure appropriate support systems are in place early. Look for ways to create inclusive spaces that benefit everyone. See omnystudio.com/listener for privacy information.
DISCREPANCIES IN HEALTHCARE with Clare PearsonIf there was one thing you think society should talk more about, what would it be? “I wish society would talk about the real discrepancies in healthcare that existing for children living in regional Australia compared to those living in the city.”_____Clare Pearson is the CEO at Little Wings, a charity based at Bankstown Aerodrome and providing FREE air and ground transport for seriously ill children from regional and rural NSW, ultimately, providing access to life-saving medical treatment via the Sydney Children's Hospital Network and John Hunter Children's Hospital.Clare has dedicated her career to the not-for-profit sector; fulfilling roles as CEO in the anti-human trafficking and disability industries. Clare is a qualified psychologist, specialising in child and adolescent welfare, and passionate about working in community based projects aimed at making a difference in the lives of children and their families.Clare is also the author of a book titled, Threads of Hope, with the goal of celebrating the lives of human trafficking survivors. Ultimately, shining a light on the devastating scars humans have battled, the survivor stories of triumph and the incredible work, passion and intervention offered by Australians in creating change, raising the voice of those unable.Clare is a strong believer in the power of people, whereby a united effort can affect meaningful and significant change on a local and global level. She's a fascinating human so let's go meet her…For more information about Clare, check out these places;-Instagram: Little WingsLinkedIn: Clare PearsonWebsite: https://www.littlewings.org.au/Head 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;- hello@michellejcox.com
Welcome to the very first ever, TFM art art-show… This episode was recorded at Saint Cloche Gallery in Paddington thanks to the wonderful Kitty Clark, where artists Evi O, Toni Clarke, and Daimon Downey shared their art alongside their food memories in front of a live audience.Oxtail Ragu, Rocket Pasta, and Rice Pudding were on the menu, as were plenty of laughs and insights into the minds and workings of Evi, Toni and Daimon. As Evi says “How you treat a piece of meat shows a lot of you. When you go to showing love, a piece of meat goes a long way”...so get stuck in! Social causes of the artists are; Evi O - Indigenous Literacy Foundation and the Australian Wildlife ConservancyDaimon Downey - Moss Foundation and Sydney Children's HospitalToni Clarke - Medecins San Frontiers (Doctors Without Borders) ***This podcast episode references drug use. If you need support please contact drugaware.com.au***To find out more about the project and Savva - head to threefoodmemories.comInsta - @savvasavasEmail us at threefoodmemories@plated.com.au, we'd love to hear from you!
Small Biz Matters: People, Policy, Purpose ~ Episode #231 Broadcast date: 30 April 2024 Host: Alexi Boyd, Small Business Advocate & Policy Advisor Guest: Gina Cass-Gottlieb, Chair, Australian Competition Consumer Commission Competition is a major part of law reform which affects all small businesses. Whether it's a small grocer in a regional town or a newsagent in a major city's shopping centre, having a level playing field is paramount to small business community survival. And without it, there is a serious impact on communities themselves. A reduction in foot traffic as a new shopping mall is built nearby, changes to infrastructure which bypasses a regional town's city centre in an effort to improve traffic, a big box retailer moving into the middle of town... these changes not only affect small businesses but their ability to grow, hire more people and continue to support their community. So, who's thinking of small businesses when these laws are being designed? It's the ACCC. The Australian Competition Consumer Commission's role has unique powers to administer and enforce the 2010 Competition and Consumer Act and other legislation promoting competition. Whether it's a big giant company gobbling up the competition with view for a bigger market share or a multinational company buying land to lock out their smaller competitors, or a large shareholder led conglomerate sidestepping competition laws by moving into a different segment the ACCC is keeping an eye on them to level the playing field. Today we welcome Gina Cass-Gottlieb, Chair of the ACCC to tell us about the important work they are conducting to ensure small business voice and perspective is heard in these complex negotiations. PEOPLE – Can you explain the unique powers of the ACCC? What are the benefits to small business to have a strong, vigorous competition in their sector? POLICY - Often the public reads about multiple enquiries into aspects of competition (in this instance the grocery sector); ACCC, Treasury, sometimes ACTU. Is it necessary? Isn't this a duplication? How do ACCC enquiries differ? the franchising code of conduct is administered by the accc and was recently reviewed by a former deputy chair of the ACCC, Dr Michael Schaper. It's endorsed the ACCC's suggestion to move to a licensing system. Where are we up to with that proposal? PURPOSE - The law regarding unfair contract terms has recently been amended to improve protections for SB. How's that working out? Should small businesses fear the ACCC? After all, many see the sale of the business as succession planning and don't want any limitations placed on this as a possibility for their business. Can you explain the merger reform and this will benefit small business? How will increased regulation not mean more red tape? Gina Cass-Gottlieb commenced her 5-year appointment as Chair of the Australian Competition and Consumer Commission (ACCC) on 21 March 2022. Before she joined the ACCC Gina was a senior and founding partner of Gilbert and Tobin's competition and regulation team. Gina has over 25 years' experience advising on a large number of merger, competition and regulatory matters in Australia and New Zealand. She is widely recognised as one of Australia's leading competition and regulatory experts. Gina was appointed by the Commonwealth Treasurer to the RBA's Payments System Board in 2013 and again inin 2018. Gina was appointed to the Financial Regulator Assessment Authority in September 2021 and for 10 years Gina was a director on the board of the Sydney Children's Hospitals Foundation. Gina chairs the Digital Platforms Board and Financials Service Inquiry Board, and is a member of the Consumer Data Right Committee, Enforcement Committee, Infrastructure Committee and Communication Committee, Mergers Review Committee and the East Coast Gas Market Board, Electricity Markets Inquiry Board and Supermarkets Inquiry Board. Gina is also a member of the Bureau of the OECD Competition Committee. Gina holds Bachelor of Economics and Laws degrees from the University of Sydney and was a Fulbright Scholar at UC Berkeley from 1986 to 1987, obtaining a Master of Laws degree, majoring in US competition law, comparative constitutional law, financial institutions regulation and securities regulation. Gina is the first female Chair of the ACCC since it was established as an independent statutory authority in 1995.
Join the She Wasn't Born Yesterday Facebook Group where we chat further about this topic with Janet and Amelia along with hundreds of other members in the group. See you there! About the Guest: Kristina Keneally is the former New South Wales Premier and Labour Senator. She was dedicated to public service, with a focus on tackling significant issues such as stillbirth, a cause she holds close following her personal experience. Keneally is the CEO of the Sydney Children's Hospital Foundation and has played an instrumental role in creating awareness and instigating change around the underrepresented issue of stillbirth in Australia. Episode Summary: In this episode of “She Wasn't Born Yesterday,” former NSW Premier and Labour Senator Kristina Keneally joins hosts Amelia and Janet for a moving conversation about pregnancy loss, and how to move forward after such tragic experiences. The episode tackles the complexities of stillbirth, an issue Keneally has committed to addressing both personally and politically. Keneally shares her own story of pregnancy loss and the challenges in dealing with stillbirth publicly while serving in the public eye. The discussion covers aspects ranging from the emotional effects on families, to medical practices, cultural sensitivities, and legislative changes in Australia. Including the positive impact of a Senate inquiry into stillbirth, initiated by Keneally, and its resulting strides towards a national action plan to reduce stillbirth rates—an initiative the guest has passionately campaigned for. Key Takeaways: Pregnancy loss, specifically stillbirth, is a significant but underrepresented issue in family life, with six babies a day stillborn in Australia. Kristina Keneally's personal experience with stillbirth has fueled her dedication to raising awareness and pushing for public health reforms. Keneally's advocacy led to a Senate inquiry into stillbirth, bringing the issue into the national discourse and resulting in a national action plan aiming to reduce stillbirth rates in Australia. Cultural sensitivity and the varying responses to stillbirth across different communities highlight the complexity of addressing this issue. Support for parents experiencing stillbirth, such as paid parental leave and bereavement counseling, is still inconsistent and requires more attention and standardisation. Notable Quotes: “It's like I joined a club I didn't know existed, I don't really want to be a member of, and I can't get out of it.” “If you can survive giving birth to your child who has died, and you can bury her…you've got an inner strength that all the other slings and arrows of life, you suddenly like, you know what? I've survived something far worse than this.” “Christina Keneally wears same dress twice.”—Reflecting the often trivial public scrutiny faced by women in politics. “My third child owes his life to the autopsy that was performed on his older sister.” Resources: Stillbirth Foundation Australia website: Referenced for further information on stillbirth advocacy and resources. Be sure to listen to the full episode for an in-depth view into the heartrending topic of stillbirth and how incredible people like Kristina Keneally are working tirelessly to create change. Stay tuned for more enlightening content from “She Wasn't Born Yesterday.” For more episodes and insightful conversations, follow our podcast and join us on our journey to explore life's complexities for women over 40. Support the show, a product of Hope Media: https://hope1032.com.au/donate/2211A-pod/See omnystudio.com/listener for privacy information.
On this week's episode I am super excited to be introducing you to our next special guest Paige Trbojevic. Paige is a 26-year-old female who was diagnosed with Type 1 Diabetes from the age of four. Having managed her diabetes since she was 12-13 Paige now speaks about her past struggles with food, body, and diabetes management. Through modifying her food choices from such a young age Paige started to categorise food as good or bad. When transitioning into her teenage years Paige had to weigh her foods, was regularly weighed by her diabetes team, and had to count the amount of carbohydrates that was in her food to balance her sugar levels. Noticing that she couldn't eat foods freely like other kids her age and being concerned about her insulin levels Paige began to restrict her food to be what she thought was being a “better diabetic”. However, in conjunction with body image concerns this then turned into laxative use, purging, and diabulimia where Paige was formally diagnosed with Anorexia Nervosa just before her 15th birthday. During her struggles with disordered eating Paige lost her period for 5 years, struggled with Osteopenia and had experienced significant strains on her close relationships. Going through periods of not taking her insulin Paige jeopardised her health and her life. On today's episode Paige talks about the amazing treatment she received through the two years she spent within Sydney Children's Hospital's outpatient program. Where she was seen by a Social Worker, a Nurse and Paediatrician in conjunction with her diabetes treatment team, a psychologist, and her GP. This is where Paige received the right support she needed to completely recover from disordered eating. Where Paige was then able to find her identity outside of the eating disorders and build a wonderful life for herself. Amazingly, Paige is now a Qualified Hospital Social Worker, is grateful for her body, and has so many beautiful relationships that she is able to nurture alongside taking care of her health. On that note, please enjoy our next lovely guest, Paige! Podcast summary: 1. Being diagnosed with diabetes type 1 at a young age 2. Modifying food for a health condition 3. Co-occurring eating disorders and health concerns 4. Seeing a paediatrician alongside Eating Disorder Treatment 5. Seeking support from a treatment team Links from the episode: BodyMatters Australasia Website: https://bodymatters.com.au/ BodyMatters Instagram: bodymattersau Butterfly Foundation Helpline: Call their National Helpline on 1800 33 4673. You can also chat online or email
In this episode, I have the great pleasure to speak with the very talented Yulius Santoso who was born and raised in Surabaya, Indonesia. He has previously lived and worked in Japan, China, Malaysia, and Singapore. He is currently based in Sydney, Australia. Yulius runs a consulting business and also teaches at The University of New South Wales. Like many photographers, Yulius initially took up photography with his iPhone. It was the desire to capture the essence of daily life and to deliver photo of the day images - one photo each day, without fail. Yulius is inspired by street photography greats such as Henri Cartier-Bresson and the desire of capturing a decisive moment. Yulius is the Founder of the Sydney Charity Photowalk, a grassroots movement for the local community of photographers to come together and raise funds for worthwhile causes. In 2023, the group raised just over $6500 for The Sydney Children's Hospital. Approximately 150 photographers attended, and the next photo walk is scheduled for Feb. 2024. He is also the Founder of The Edit Challenge, a group of photographers from around the world that work together to improve their editing skills. To see Yulius' work, please visit his Instagram account at... YULIUS (@photosbyyulius) • Instagram photos and videos The Edit Challenge on Instagram THE EDIT CHALLENGE (@theeditchallenge) • Instagram photos and videos Listen in on the conversation and if you like what you hear, please take a moment to follow and rate the show highly so that I may continue to bring you more content on a regular basis. Thank you so much! And remember, Keep walking and keep clicking!
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In today's episode Sharon chats with Melinda, Child Psychologist. In this episode they cover what a child psychologist does, how they can support our beautiful ADHD kids and some strategies to help. Key Points and Timestamps: 1.50 What does Melinda do and why does she do it?4.30 Play based therapy5.20 Why do children see a child psychologist?8.50 Questions that parents should ask their child's psychologist11.00 Appointment avoidance12.30 Strategies that Melinda uses for kids with ADHD14.20 Sensory seeking and avoiding - empowering your child to meet their own sensory needs16.40 School strategies - what will your psychologist help with?19.00 How all the therapies communicate with each other?20.40 Melinda's advice to parents when they receive negative feedback about their children24.00 Safeguarding our kids against the increased risk of suicide, addition and incarceration26.33 Advice for parents of teenagers and recognising "I can't" v "I wont"28.20 Melinda's 3 key things you can do now to help your children Melinda is the Director and Principal Psychologist at Muse Psychology. As a child and adolescent psychology practice, Melinda and the Muse team work closely with young people and their families in helping overcome barriers, embrace personal strengths, and achieve positive change. Melinda's has spent all her professional career working with children and parents. Prior to becoming a psychologist, Melinda spent 17 years as an accredited piano teacher, as well as 5 years as a volunteer music therapist at Sydney Children's Hospital Randwick. Melinda has extensive experience working with various childhood presentations including neurodiversity, mood issues, and trauma. In Muse Psychology's 3 years of operations, it has been named as a finalist for the past two consecutive years in both the ‘Australian Small Business Champion Awards' as well as the ‘The Local Business Awards'. Melinda is a mother of two children and a very loved one-eyed + 100% blind dog named Baxter. Website | www.musepsychology.com.au/Email | info@musepsychology.com.au Facebook | www.facebook.com/musepsychologyInstagram | www.instagram.com/musepsychology/LinkedIn | www.linkedin.com/company/muse-psychology/
Hello and welcome to the much anticipated third trimester diaries!! In this episode we're sharing little snippets we've recorded over the course of Emma's third trimester updating us on how she's been feeling, all the birth prep that's been going on and so much more! We discuss iron infusions, reflux, all those super uncomfortable aches that come along with being heavily pregnant. We also talk about Emma's journey with her private midwife and what she's doing to prepare for a home birth. We discuss Emma's amazing Mother's Blessing ceremony and why we thing every expecting Mum should have one of these! Tune in for all the goss and of course lots of lols along the way!This week's sponsor: This week is sponsored by Snuggle Hunny. Snuggle Hunny have the most incredible range of GOTs certified organic swaddles, onesies, accessories and bedding for your littles using unique and beautiful designs that are all bespoke prints specially created for Snuggle Hunny. The incredible Snuggle Hunny range also make the perfect gift for any expecting parents, and are our go-to for birth announcements. Snuggle Hunny is a family run business run by Julie and husband Tom who are so passionate about what they do. Snuggle Hunny also works with a range of charities and hospitals such as Sydney Children's Hospital Foundation and Heart Kids to support other families through their beautiful brand.Head to snugglehunnykids.com.au and use the code BABYBRAIN for 20% off your first order valid until October 6th.If you want to keep up to date with all things Baby Brain, make sure to follow us on socialsInstagram: @babybrain.podcast Tiktok: @babybrainpodcastFacebook: Baby Brain PodcastSee omnystudio.com/listener for privacy information.
"We trained pregnant and never pregnant women and we tested them on their memory for these items immediately after they learned them and then we tested them two weeks later, looking at their long term autobiographical memory. What we found was that for the immediate test, the pregnant women did better than the never pregnant women on the baby relevant items, but they had equal performance on the adult oriented items. That gives some support to our hypothesis that when you actually test for benefits in cognition for ecologically relevant items you see them in pregnancy. But very surprisingly to us, I think the most interesting finding was that when we tested memory two weeks later, the pregnant women do better than the never pregnant women on all of the items. They were retaining much more information across time than the never pregnant women. This was evidence for a general cognitive enhancement during pregnancy that was not specific to ecologically relevant items." Episode Description: We begin with a description of what 'mommy brain' is as it is understood in the lay and the scientific literatures. Subjectively, many women describe memory deficits during and after pregnancy, yet objective measures generally do not demonstrate these changes. Bridget's and others' research found that rather than 'deficit' what is taking place is an evolutionarily advantageous specialization of the brain orienting the mother to the revolutionary task of birthing and caring for a new human being. We discuss the brain changes in father's brains that appear to be related to the degree of caretaking in which they are immersed. We discuss neural plasticity, the adult recapitulation of one's own childhood experiences, and the interface with depression and anxiety during these periods of flux in one's life. We close with Bridget sharing with us the importance to her of sharing accurate scientific findings with the general public as well as her wish list for future research. Listen to EPISODE 1: THE MICROBIOME IN CHILD DEVELOPMENT WITH BRIDGET CALLAGHAN, Ph.D. Our Guest: Bridget Callaghan, Ph.D., is an Assistant Professor of Psychology at UCLA who studies how early life experiences influence interactions between mental and physical health across the lifespan, influencing intergenerational patterns of well-being. She received her Bachelor's degree in Psychology, her Masters in Clinical Psychology, and her Ph.D. at the University of New South Wales, Australia. She has worked clinically in the field of developmental psychology and completed her postdoctoral training at Columbia University in New York in 2019. Dr. Callaghan's research has been generously funded through the National Institutes of Mental Health, Brain Behavior Research Foundation, and National Health and Medical Research Council of Australia. She is the recipient of the APS Rising Star Award, the Federation for the Association of Brain and Behavioral Sciences Early Career Impact Award, and the Kucharski Young Investigator Award. She has active collaborations with researchers at New York University, the University of New South Wales and Sydney Children's Hospital in Australia, Telethon Kids Institute Australia, and the University of Fukui in Japan.
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In this week's episode I'm talking fearless female leadership with Clare Pearson, CEO for Little Wings. Little Wings is a charity based at Bankstown Aerodrome that provides FREE air and ground transport for seriously ill children from regional and rural NSW, ultimately, providing access to life-saving medical treatment via the Sydney Children's Hospital Network and John Hunter Children's Hospital. Clare is a strong believer in the power of people and believes a united effort can affect meaningful and significant change on a local and global level. In this episode we talk about: *Clare's journey as a female leader in a male dominated industry * Tips for women seeking leadership roles * The lessons and experiences Clare's taken from her work *What it means to work in a role of purpose Don't forget to leave a review on Apple Podcasts! I read and love every single one! Ready to take BIG, BOLD action to level up in your business and create a life you love? Join ⚡️SHIFT⚡️Program; a 3 month 1:1 private coaching. https://www.thebookdoula.com.au/offers/fFYB6HnH The ⚡️SHIFT⚡️ PROGRAM is an opportunity to let go of the old stories holding you back in business, drop imposter syndrome once and for all and stop self sabotaging your own potential and results. You'll learn how to promote in a way that feels authentic and aligned (and most importantly, gets results). Let's help you take that next shift, pivot and level up. Secure your spot here: https://www.thebookdoula.com.au/offers/fFYB6HnH Did you enjoy this episode? Please leave a review on the Apple Podcast app!
Đúng dịp Harmony Day tại Úc, Sydney Children's Festival sẽ được tổ chức vào chủ nhật 12/3/2023 từ 11am đến 5pm tại Tumbalong Park, Darling Harbour. Sự kiện năm nay hứa hẹn sẽ nhiều điều thú vị.
Lentigo maligna – a subtype of in situ melanoma – presents diagnostic and treatment challenges for clinicians. In this podcast, Dr Michael Rtshiladze leads a multidisciplinary discussion to unravel our understanding of the pathology, diagnosis and management of lentigo maligna, including: clinical and histological presentation tools to diagnose and monitor lesions the impact of different types of biopsies the importance of mapping the extent of lesions the challenge of surgical management in cosmetically sensitive areas the role of radiation therapy and topical treatments when to refer your patient. The discussion concludes with a case study to summarise key learnings. This podcast is suitable for Plastic Surgeons, General Surgeons, Dermatologists, Oncologists, Pathologists, GPs, Nurses and other healthcare professionals. SPEAKERS Dr Michael Rtshiladze - Plastic and Reconstructive Surgeon, Melanoma Institute Australia, Royal Prince Alfred Hospital, The Prince of Wales Hospital, St George Hospital and Sydney Children's Hospital Dr Robert Rawson - Pathologist, Melanoma Institute Australia and Royal Prince Alfred Hospital Prof Pascale Guitera - Dermatologist, Melanoma Institute Australia | Director, Sydney Melanoma Diagnostic Centre at Royal Prince Alfred Hospital | Professorial Research Fellow, The University of Sydney Prof Angela Hong - Radiation Oncologist, Melanoma Institute Australia | Clinical Professor, The University of Sydney RESOURCE AND REFERENCE Lentigo Maligna Patient Information Brochure Crouch G, Sinha S, Lo S, Saw RPM, Lee KK, Stretch J, Shannon K, Guitera P, Scolyer RA, Thompson JF & Ch'ng S. Clinical outcomes following surgical treatment of lentigo maligna of the head and neck. Eur J Surg Oncol. 2021 May;47(5):1145-1151. Please note that this podcast was accurate at the time of recording (December 2022) 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.
Dr. Ruth Mitchell is a Sydney-based neurosurgeon, currently working in Sydney Children's Hospitals network. She has a keen interest in paediatric neurosurgery, brain tumour biology, and injury research. She received the 2019 John Corboy Medal from the Royal Australasian College of Surgeons for her advocacy for diversity and inclusion in surgery. Furthermore, as a passionate advocate for social justice since her childhood, Dr Mitchell has also been awarded a Nobel Peace Prize for the International Campaign to Abolish Nuclear Weapons (ICAN). In this episode, we discuss her work in ICAN and earning the Nobel Peace Prize, juggling when to lean into neurosurgery vs ICAN, the highlights/lowlights of paediatric neurosurgery, diversity & inclusion in surgery, and her experience of gender bias and structural violence in surgery. ICAN: https://www.icanw.org/Books mentioned: Another Day In the Colony - Chelsea Watego https://www.goodreads.com/author/show/21848997.Chelsea_Watego https://www.goodreads.com/book/show/59118034-another-day-in-the-colonyWhite Tears, Brown Scars - Ruby Hamad https://www.goodreads.com/book/show/53260224-white-tears-brown-scarsNot Just Lucky - Jamila Rizvi https://www.goodreads.com/book/show/35019393-not-just-luckyRuth Mitchell Twitter: https://twitter.com/drruthmitchellSupport the showAs always, if you have any feedback or queries, or if you would like to get in touch with the speaker, feel free to get in touch at doctornos@pm.me. Audio credit:Bliss by Luke Bergs https://soundcloud.com/bergscloudCreative Commons — Attribution-ShareAlike 3.0 Unported — CC BY-SA 3.0Free Download / Stream: https://bit.ly/33DJFs9Music promoted by Audio Library https://youtu.be/e9aXhBQDT9Y
For a lot of us, the pandemic years were characterised with the rise of working from home. We've become all too familiar with Zoom fatigue… one of the many new words we have added to our vocabulary over the past two years of the pandemic along with social distancing, doom scrolling and hybrid working. And while many of us are looking forward to socialising IRL (in real life) again, for those of us who are critically ill, these rapid developments in digital technology have meant an end to social isolation. So as these technologies continue to advance and innovate, but we as a society return to face-to-face life, will digital technology completely replace in person supportive care for young people impacted by critical illness? Jennifer CohenDr Jennifer Cohen is a senior research fellow in the School of Clinical Medicine, Faculty of Medicine & Health at UNSW Sydney, and the Evaluation Manger at Canteen, Australia. Cohen has over 18 years experience as a clinical dietitian and researcher and her numerous professional publications focus on her research and clinical interests in the supportive care needs of children and young people with cancer, both during and after treatment. Dr Cohen was named the Australian Dietitian of the Year at the 2019 and Staff Member of the Year for the Sydney Children's Hospitals Network in 2018. For more information, visit unsw.to/JenniferCohenSee omnystudio.com/listener for privacy information.
Kyle & Jackie O's toy drive has relaunched for the 2022 Christmas season! It was kicked off with an $80,000 donation from Toymate and growing. Have a listen to find out how you can donate to the Sydney Children's Hospital. Learn more about your ad choices. Visit megaphone.fm/adchoices
Kyle & Jackie O's toy drive has relaunched for the 2022 Christmas season! It was kicked off with an $80,000 donation from Toymate and growing. Have a listen to find out how you can donate to the Sydney Children's Hospital. Learn more about your ad choices. Visit megaphone.fm/adchoicesSee omnystudio.com/listener for privacy information.
Want to find out more about current developments and approaches in adolescent forensic psychiatry in Australia and NZ? This is the podcast to listen to! Hear from adolescent forensic psychiatrists at the coal face who bring diverse updates in this field for psychiatrists and trainees alike. Associate Professor John KasinathanMBBS (Hons I; Syd), M.Psychiatry, FRANZCP, Cert. Forensic Psych., M.FMH (UNSW), Cert. Child Adol. Psych.Consultant Forensic, Child, Adolescent and Generalist PsychiatristConjoint Associate Professor, UNSW MedicineClinical Director Adolescent Mental Health, Justice Health and Forensic Mental Health Network, NSW HealthMedical Director Adolescent and Young Adult Program, Northside Clinic St Leonards Dr Brendan DaughertyBMed, MPM, FRANZCP, Grad Cert FMH, Cert Child Adol Psych, Cert Forensic PsychConsultant Child and Adolescent, General Adult and Forensic PsychiatristCo-owner and Director, Pandion HealthVisiting Medical Officer, Don Dale Youth Detention Centre, NTDr Joey LeMBBS BSc(Med)Hons FRANZCP Cert Child Adol Psych Cert Forensic Psych MFMHStaff Specialist Psychiatrist, Justice Health and Forensic Mental Health NetworkForensic and Child and Adolescent Psychiatrist, Canberra Health ServicesAuthorised Clinician, Children's Court Clinic, Sydney Children's Hospitals NetworkConjoint Lecturer, UNSW Medicine Feedback:If you have a topic suggestion or would like to participate in a future episode of Psych Matters, we'd love to hear from you.Please contact us by email at: psychmatters.feedback@ranzcp.orgDisclaimer:This podcast is provided to you for information purposes only and to provide a broad public understanding of various mental health topics. The podcast may represent the views of the author and not necessarily the views of The Royal Australian and New Zealand College of Psychiatrists ('RANZCP'). The podcast is not to be relied upon as medical advice, or as a substitute for medical advice, does not establish a doctor-patient relationship and should not be a substitute for individual clinical judgement. By accessing The RANZCP's podcasts you also agree to the full terms and conditions of the RANZCP's Website. Expert mental health information and finding a psychiatrist in Australian or New Zealand is available on the RANZCP's Your Health In Mind Website.
This week we review a recent international review on the topic of life threatening events occurring during electronic gaming. What risks do video games pose for the typical child or child with an arrhythmia condition? What precautions, if any, should be considered? Are there some sorts of games that are potentially more dangerous than others? We speak with the first and senior authors of this international survey - Dr. Claire M. Lawley of Great Ormand Street, London and Dr. Christian Turner of Sydney Children's Hospital in Sydney, Australia. doi: https://doi.org/10.1016/j.hrthm.2022.08.003.
Mental Health education in children is critical to making long term change in society and today's guest is dedicating herself to this cause.Margo Ward is the founder and CEO of KidsXpress Life. Her vision and inspiration for this world-first program was bestowed on her by the children she worked with as Head of Play Therapy at the Sydney Children's Hospital. While working predominantly with chronically ill children within Oncology and ICU, Margo saw the opportunity to broaden the scope of creative approaches to therapy with children, and she began to develop a new model for looking at trauma and grief counselling.In 2005, Margo shared her vision for a unique expressive therapy program with potential investors from the private sector. Margo realised that by uniquely combining music, art, drama and play therapies in a group therapy context, the program would have incredible potential to transform young lives. Investors from across the private & corporate sectors believed in the potential of the program, and so KidsXpress was born. In a short time, Margo established a highly credentialed board (including renowned economist Dr John Hewson as Chair), a talented and passionate team of therapists and sponsors, referral pathways and a robust set of program effectiveness metrics to get the attention of government and other youth support services.In 2011 Margo was awarded a scholarship to attend the Executive Leadership Program at Stanford University, an experience that has not only underpinned the next stages of expansion of her social impact interests but also opened up opportunities to address societal issues on a broader scale.Margo's vision continues to shine through the work of KidsXpress; transforming the lives of hundreds of children, their families and communities through leading expressive therapies.You learn more about Kids Xpress: kidsxpress.org.au...Thanks for listening! We would love your support so we can keep growing this show! Please sign up to nickbracks.com to receive a free chapter of my book. We would love you to subscribe, review, share and comment on the podcast to help us make a difference!The Move Your Mind book & Audiobook is now Available in stories Australia wide and online globally! You can find free chapters & order here: Move Your Mind Book or on my site: nickbracks.comYou can also sign up to our new Move Your Mind community group here: moveyourmind.me or here: Move Your Mind Community You can find all of the other links here: https://linktr.ee/moveyourmind Hosted on Acast. See acast.com/privacy for more information.
My name is Siobhan. I'm 13 and I'm the founder and owner of Our Pixie Friends. I was born at 27 weeks - that's 3 months early! I weighed 843g and I was being resuscitated 3-4 times a day until I had open heart surgery when I was about 1 month old. As a consequence, I have a range of medical conditions, including bowel/bladder dysfunction, sensory processing disorder (dyspraxia) and NVLD - Nonverbal Learning Disorder. I also have allergies, anaphylaxis, eczema, asthma, and surprise, surprise- Generalised Anxiety Disorder! I have also experienced PTSD, depression/obsessive thoughts and had suicidal tendencies after some medication. I used to think, "Why am I the only kid with all this?" I'd get upset when other kids didn't want to hold my hand in line, or their parents wouldn't invite me over because they were afraid I'd have a medical emergency. When I was 6, I realised I wasn't the only kid in the world with medical conditions and I decided I would start a business to help other kids not feel alone and isolated, and encourage other kids to be kind and inclusive. That's when Our Pixie Friends was born. On a trip to the allergist for another round of scary skin prick testing, I brainstormed all my ideas, and by the time I came home, I had an outline of my website, ideas for books and merchandise, and a dream of raising $1 million for medical research and one day having my pixie characters in ambulances so kids experiencing trauma have one of Our Pixie Friends with them. Mum didn't know how to help me, so she just encouraged me to write my ideas down. It wasn't until I was 10 that I finally met a wonderful lady, Sharron Pountney from SLP Consulting, who said she would help me. She registered my companies when I was 10. In July last year, phase one of my website was launched (and I was notified that the character blogs on the website would be added to the Radio Lollipop global playlist for kids in hospital all over the world) and my first book was published. I have 2 more books coming out this year, and I have been working with a haematologist at the Sydney Children's Hospital to develop a pixie with a bleeding disorder (who should be appearing on the website soon). I have also been invited to a number of speaking events including author talks and creative character development workshops at schools, the YES Summit, where I was on the panel to help over 400 high school students and I will be speaking at a Redlands Women in Business event in September. But the best part of my life is when I have an impact on young children. I love seeing their faces light up and hearing how my ideas are helping them.See omnystudio.com/listener for privacy information.
The National Guideline for the Assessment and Diagnosis of Autism Spectrum Disorders in Australia aspires to streamline referral pathways so that children can get the right help as early as possible. But despite the best intentions of many clinicians, there are drivers in the health system that make implementation difficult. There are constraints in the way specialists can be reimbursed for time spent managing a case through the diagnostic process. And the extent of developmental disorders in the community may not be reflected in the depth of training in this area. We also hear about some breaking research into a highly accurate diagnostic screening tool that could reveal just how prevalent ASD is in the community.GuestsDr Paul Hotton FRACP (Staff Specialist in Community Child Health and Child Protection, Sydney Children's Hospital Network; Chair of CCCH at RACP)with input from Associate Professor Josephine Barbaro (Olga Tennison Autism Research Centre, La Trobe University) ProductionWritten and produced by Mic Cavazzini DPhil. Music licenced from Epidemic Sound includes ‘Falling from the Clouds' by Sven Lindvall, ‘Lantern Room (Instrumental)' by Torii Wolf and ‘Not Blue' by Kylie Dailey. Image by Elva Etienne licenced from Getty Images.Please visit the RACP website for a transcript and supporting references. RACP members can claim CPD credits for listening via MyCPD.
In this week's episode, SPA's Senior Advisor - Mental Health and Trauma, Laura Caire, speaks with Anna Kearns and Lauren Hamill from Sydney Children's Hospital, Randwick. Anna and Lauren explore the importance of routine screening and onward referral for families who have unmet basic needs. Please follow the links for resources mentioned by Anna and Lauren in the episode: • Social Interventions Research and Evaluation Network (UCSF) = https://sirenetwork.ucsf.edu/ • Integrating Social Care into the Delivery of Health Care (NASEM) = https://www.ncbi.nlm.nih.gov/books/NBK552597/ • WE CARE (Garg et al.) = https://pubmed.ncbi.nlm.nih.gov/25560448/ • Reframing parenting (Parenting Research Centre) = https://secure-web.cisco.com/1zfQffL2awucZ4PuYfAjb_AHFhBFiBklgaMNBUjNeloT6R4LCc53yA2i8o99YIrUpuEWMmOftFSB_VAsupZKWCDkG4lMbo1wsOacTxGNPDF7NQRtQf7lQccAaSUjxJitTahVTB2rrbHGRDoGOnU3Rslfx2C4jHsREsZY-akHAxdACLnmWwEuQR3fgd0qjvpaFg-a0r16Lb-G8Los_CYGj0GJqWmvSLhshMW77G6CS7aFzlhkQXwMFSC7Sn7mlvq7HPTej3ysKwLAV4kYpWpRtuZjtRZze9PGATfQ0fuqdO-3MG5Y5fuCRFM_C1vOTg0o2f-EhYStpV_kzyk9F4s78C7objeCzhHtUJKLNdMoEZE_TjXA4L1uR7HxKGlxbxqm1WOHnTs_oUvGPEbGHAfG--smpRrh5ceq0s-ZS9mgx_mZyOwZlvnI_nQoNOFIWtByUIdD5DU_as2xFZ8oI_isCLB0VG4w8pt28yTEa6n1MvlQ/https%3A%2F%2Fwww.parentingrc.org.au%2Fprograms%2Freframing-parenting%2F • OASIS Framework (Gurewich, Garg & Kressin) - https://pubmed.ncbi.nlm.nih.gov/32076989/ Speech Pathology Australia acknowledges the Traditional Custodians of lands, seas and waters throughout Australia, and pay respect to Elders past, present and future. We recognise that the health and social and emotional wellbeing of Aboriginal and Torres Strait Islander peoples are grounded in continued connection to culture, country, language and community, and acknowledge that sovereignty was never ceded.
For Sarcoma awareness month we have focussed on hope for the future. The hope that comes from high level research, in order to unlock the questions that have eluded our brilliant scientific minds for over four decades. To finish Sarcoma Awareness Month on a high note, we hear from many of those leading the way in sarcoma research in Australia. Professors David Wood, University of WA, David Thomas, the Garvan Institute, and Glenn Marshall ,Sydney Children's Hospital Randwick, kick the series off this year followed in episode two by insights from Dr Richard Boyle,Head of the NSW Bone Tumour Team, Dr Joost Lesterhuis, Telethon Kids Institute and A/Prof Geoff McCowage from the Westmead children's hospital. Our GDPR privacy policy was updated on August 8, 2022. Visit acast.com/privacy for more information.
Clinician burnout is yet to be properly addressed; how can technology help? Dr May Lin Tan is a general practitioner at Bronte Family Doctors and the Burke Street Clinic. Dr Micah Vincent is an advanced training doctor of general paediatrics at Sydney Children's Hospital Network. Dr Paul Lilburn is an interventional pulmonologist at Prince of Wales Hospital. Dr Travis Bias is 3M's chief medical information officer clinician solutions. 3M Health Information Systems is committed to creating more time to care and leading the shift from volume to value-based care. In this episode titled “Doctors on drivers of clinical burnout and technology's role as a problem solver,” Travis, May, Micah and Paul discuss clinical burnout and the factors that might divert attention from patient care. They also identify areas where technology may intervene to free up time to care for patients. This episode is based on clinician burnout and how its drivers may potentially be quelled with technology's help. Also, hear about the personal burnout experiences of three doctors as they relate their stories and make suggestions for applicable solutions. Check out the episode and full show notes here. To see the latest information, news, events and jobs on offer at 3M, visit their Talking HealthTech Directory here. Keen to take your healthtech to the next level? Become a THT+ Member for access to our online community forum, quarterly summits and more exclusive content. For more information visit here.
The Oncology Podcast - Delivering Oncology News DifferentlyWelcome to episode 7 in ourExperts On Point podcast series brought to you from The Oncology Podcast.Today's episode is all about robots! Yes, the wonderful folks over at Canteen have a new pilot program using telepresence robots to facilitate school-patient connection, reduce isolation and improve well-being for young cancer patients.Rachael Babin learns more with Dr Jennifer Cohen, Evaluation Manager at Canteen. Jennifer is a paediatric dietitian and she worked at the Kids Cancer Centre at Sydney Children's Hospital for 15 years.We hope you enjoy today's episode.For news and podcast updates subscribe to The Oncology Newsletter, a free weekly publication for healthcare professionals with an interest in oncology. Click here to subscribe.PART OF THE ONCOLOGY NETWORK... Join US
Today, instead of guessing what Federal Reserve Chair Jerome Powell is thinking, we asked. Our hosts talk about the newsiest and funniest parts of Kai’s interview with the Fed chairman. Plus, a scientific revelation about sudden infant death syndrome may provide some peace for parents. And, speaking of incredible science, we marvel at mind-blowing new pictures of the black hole at the center of the Milky Way. Here’s everything we talked about today: “Fed Chair Jerome Powell: ‘Whether we can execute a soft landing or not, it may actually depend on factors that we don't control.’” from Marketplace “Researchers Pinpoint Reason Infants Die From SIDS” from BioSpace “World first breakthrough could prevent SIDS” from the Sydney Children’s Hospitals Network “Black hole: First picture of Milky Way monster” from BBC News “Astronomers reveal first image of the black hole at the heart of our galaxy” from Event Horizon Telescope “Sagittarius A*: NASA Telescopes Support Event Horizon Telescope in Studying Milky Way’s Black Hole” from NASA Your donation powers the journalism you rely on. Give today to support “Make Me Smart.” Join us Friday for Economics on Tap. We'll be livestreaming on YouTube starting at 3:30 p.m. Pacific time, 6:30 p.m. Eastern.
Today, instead of guessing what Federal Reserve Chair Jerome Powell is thinking, we asked. Our hosts talk about the newsiest and funniest parts of Kai’s interview with the Fed chairman. Plus, a scientific revelation about sudden infant death syndrome may provide some peace for parents. And, speaking of incredible science, we marvel at mind-blowing new pictures of the black hole at the center of the Milky Way. Here’s everything we talked about today: “Fed Chair Jerome Powell: ‘Whether we can execute a soft landing or not, it may actually depend on factors that we don't control.’” from Marketplace “Researchers Pinpoint Reason Infants Die From SIDS” from BioSpace “World first breakthrough could prevent SIDS” from the Sydney Children’s Hospitals Network “Black hole: First picture of Milky Way monster” from BBC News “Astronomers reveal first image of the black hole at the heart of our galaxy” from Event Horizon Telescope “Sagittarius A*: NASA Telescopes Support Event Horizon Telescope in Studying Milky Way’s Black Hole” from NASA Your donation powers the journalism you rely on. Give today to support “Make Me Smart.” Join us Friday for Economics on Tap. We'll be livestreaming on YouTube starting at 3:30 p.m. Pacific time, 6:30 p.m. Eastern.
On today's show, Dr Marjorie O'Neill sits down with local nurse and member of the nurses and midwives union Skye Romer to unpack and explain why our nurses from Prince of Wales, Sydney Children's Hospital and The Royal have gone on strike for the first time in a decade. We learn about the importance of nurse to patient ratios and why this is an issue everyone in our community should be concerned about, not just nurses.
A massive Easter Egg Hunt is on - Bre Camp from Anglicare gives us the inside scoop on where to find the eggs, Darren Clarke updates us on how you can help the family of young Ivy-Rose, a 2 year old girl who is in Sydney Children's Hospital, and Callum Potts is singing for Starting Fresh in Thomas Brothers Wagga Wagga Takes 2 - some big events over the next 2 weeks for that. See omnystudio.com/listener for privacy information.
Since the start of the pandemic parents were reassured that children were likely to be less affected by the virus. It was less likely they would catch it, and if they caught it their symptoms would be less severe. And while it appears that the latter is still true, the Omicron variant has meant many more children have caught the coronavirus. Dr Nusrat Homaira is a paediatric respiratory epidemiologist at UNSW and Sydney Children's Hospital Randwick. She says that we can make some educated guesses on the long term impact of the coronavirus based on what we know from older respiratory viruses that affect children. See omnystudio.com/listener for privacy information.
If you're diagnosed with Covid-19 in Australia, you will most likely have to complete seven days of mandatory self-isolation at home while you recover, and to ensure you don't pass it on to anyone else during those most infectious first few days. But what happens if you don't feel better after a week and your coronavirus symptoms continue for several weeks, or even months longer? How do you know if you're suffering from 'Long Covid'? The Quicky speaks to an expert in nursing to find out how long your Covid-19 symptoms "should" last, and what to do if you don't recover within a reasonable amount of time. CREDITS Host: Claire Murphy With thanks to: Marilyn Cruickshank - Professor of Nursing (Research) at the University of Technology Sydney, and Director of Nursing Research for the Sydney Children's Hospitals Network Producer: Claire Murphy Executive Producer: Siobhán Moran-McFarlane Audio Producer: Ian Camilleri Subscribe to The Quicky at... https://mamamia.com.au/the-quicky/ CONTACT US Got a topic you'd like us to cover? Send us an email at thequicky@mamamia.com.au GET IN TOUCH: Feedback? We're listening! Call the pod phone on 02 8999 9386 or email us at podcast@mamamia.com.au Mamamia acknowledges the Traditional Owners of the Land we have recorded this podcast on, the Gadigal people of the Eora Nation. We pay our respects to their Elders past and present and extend that respect to all Aboriginal and Torres Strait Islander cultures. Just by reading or listening to our content, you're helping to fund girls in schools in some of the most disadvantaged countries in the world - through our partnership with Room to Read. We're currently funding 300 girls in school every day and our aim is to get to 1,000. Find out more about Mamamia at mamamia.com.au Support the show: https://www.mamamia.com.au/mplus/ See omnystudio.com/listener for privacy information.
Iwan Sunito's story is one of resilience and success. Born in Surabaya, East Java, Iwan spent many childhood years in the small town of Pangkalan Bun in Kalimantan, known also as Borneo, before moving to Australia as a teenager. Iwan completed a Bachelor of Architecture with Honours and a Masters of Construction Management at UNSW and in 1994 he started his own architectural firm. In 1996 Iwan formed Crown Group with business partner Paul Sathio. In the years following Crown Group completed a string of successful projects, weathering the storms of the 2008 global financial crisis and the company is now set to be one of the largest private property developers in Australia with over $5B with of projects in the pipeline world wide. Iwan was the chairman of Indonesia's Tsunami Corporate appeal in 2006 and has been actively involved in fundraising for the Sydney Children's Hospital, the John Fawcett Eye Foundation in Bali and orphanages in Indonesia. Iwan was named 2015 Urban Taskforce Australia Property Person of the Year, one of the highest industry accolades in Australia. He was also a winner in the 2013 Ernst & Young Entrepreneur of the Year awards and awarded the 2013 Congress of Indonesian Diaspora Entrepreneur award. Iwan was appointed to the Global Indonesian Diaspora Board in 2013 and recently spoke at the 2017 Indonesian Diaspora Congress. Iwan is the chairman of the Sydney Christian Worship Centre and B2B, a mentoring programme for young professionals. His first book ‘From Borneo to Bloomberg, A Comeback Story and 13 Principles of Success' was published in 2014. Iwan's top- selling biography ‘Without Borders' by Teguh Sri Pambudi was published in 2016. Iwan lives in Sydney with his wife and three children. In this episode Iwan explain's what is what like growing up in remote Indonesia, how to create your own market segment, establish genuine brand equity & the power of perseverance.
Rare diseases together are not rare! Collectively they affect 1:12 Australians Learn how to suspect and recognise a rare disease We now have a single centre of excellence that is a pathway for referrals, education for all that will serve as a resource hub for patient support groups and a place dedicated to the holistic care of the patient Learn about the government-funded Rare Awareness, Education, Support and Training (RArEST) project Host: Dr David Lim | Total time: 35 mins Guest: Dr Elizabeth Palmer, Clinical Geneticist; Sydney Children's Hospitals Network (SCHN); Lecturer, University of New South Wales 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.
Vol 215, Issue 9: 25 October 2021. Associate Professor Asha Bowen is a paediatric infectious diseases specialist at Perth Children's Hospital; Dr Brendan McMullan is a paediatric infectious diseases specialist at Sydney Children's Hospital; and Dr David Fraile-Navarro is Research Fellow at Cochrane Australia. They discuss new living guidelines for the clinical care of children and teenagers with COVID-19. With MJA news and online editor Cate Swannell. The MJA summary is at https://www.mja.com.au/journal/2021/216/5/clinical-care-children-and-adolescents-covid-19-recommendations-national-covid ... the full guidelines are at https://covid19evidence.net.au/ ...
Seb and Jonno discuss the important role sporting organizations can play in raising awareness of climate change after AFL players united in a call for action while the Premier League delivers another weekend full of talking points and its match-week 3 in the Champions League.Also if you would like to support Seb and Jonno in this years City2Surf run as they fundraise for the Sydney Children's Hospitals Foundation, please use the link below to make a donation.https://city2surf21.grassrootz.com/chw/jonathon-pampinella
In this episode, I speak with Dalia, who has held diverse roles across both non-government and government sectors in all different capacities. Currently, Dalia is a Work Integrated Learning Officer at the University of NSW, identifying and assisting with student placements. She describes it as a privilege to be in these positions, working alongside people with the same values and commitment to equity and social justice, and to witness the resilience and strengths of those she has supported along the way. Dalia hopes her contribution has made a difference in some way and loves the broadness that social work offers. Links to resources mentioned in this week's episode: Making the Most of Field Education (Cleak & Wilson) - https://au.cengage.com/c/isbn/9780170417006/ How To Grow Your Social Worker - https://www.arts.unsw.edu.au/sites/default/files/documents/How%20_to_Grow_a_Social_Worker.pdf Trapeze program, The Sydney Children's Hospital Network - https://www.schn.health.nsw.gov.au/find-a-service/health-medical-services/trapeze This episode's transcript can be viewed here: https://docs.google.com/document/d/1Gt73CMSOak7PI8DWRIlzZXuTsKsBGv5gmSGMRjT9_JI/edit?usp=sharing --- Send in a voice message: https://podcasters.spotify.com/pod/show/socialworkspotlight/message
In this Healthed lecture, A/Prof Avi Lemberg, Paediatric Gastroenterologist; Head, Paediatric Gastroenterology, The Sydney Children's Hospital, explained that the current evidence demonstrates multiple beneficial effects of HMOs including antimicrobial, immune modulation, prebiotic, neurodevelopment and cognition effects. Recently, manufactured HMOs have been approved as food ingredients with fascinating implications for infant formula. This lecture will explore the potential of HMOs to make infant formula a more beneficial alternative when human breast milk is inadequate or unavailable. See omnystudio.com/listener for privacy information.
Seb and Jonno discuss the Sexual Abuse scandal which has rocked women's football while the Newcastle United takeover is completed by Saudi Arabia's Public Investment FundIf you would like to support Seb and Jonno in this years City2Surf run as they fundraise for the Sydney Children's Hospitals Foundation, please use the link below to make a donation. https://city2surf21.grassrootz.com/chw/jonathon-pampinella
Episode 6 – Katie WhitehornKatie and her partner had discussed having a baby in the future, but Corey had other plans and suitably then didn't want to wait to enter the world.Katie's waters broke at 28 weeks whilst on their baby moon up in another state. She made her way to the hospital where the Doctor told her she wasn't leaving Brisbane without a baby(!!)She then went into labour with Corey at 30 weeks, and because Corey was breech, she had a caesarean section. Because he was premature, they then had to stay in Brisbane whilst he was in the newborn intensive care unit (NICU). Two months later, Katie made her way back to Sydney with the baby and one of the nurses on a commercial flight, and was then transferred to St George Private for further care. Once home, Katie and Corey didn't enjoy trying to establish breastfeeding after he'd been fed by pumped breastmilk the entirety of his life, and decided to proceed with formula as it was best for the Corey and Mumma. Corey was diagnosed with bilateral kidney dysplasia, meaning his kidneys have cysts in place of filters. He is currently under the care of Sydney Children's hospital and is undergoing further tests to understand his condition further. Katie went back to work at 6 months and is happy with her decision to do so – particularly during covid times and being unable to enjoy typical, covid free maternity leave activities such as meeting with other mums, kids playing etc. Katie also adds that it does help that Corey is (and always has been!) such a great sleeper. Katie's dog Thor the chihuahua isn't particularly enthralled by the arrival of Corey given he now has to share his mum, which then doesn't give Katie a break cause if she's not being a mum to Corey, she's mumming the dog! Join me for this brave and inspirational story, with huge thanks to Katie for opening up about her journey!And remember you are not alone; it's OK to not be OK. We're in this together and Mumma, YOU got this! Be sure to hit subscribe to hear future episodes, or share with a friend. Otherwise, if you'd like to share your story, send me a DM via Instagram: https://www.instagram.com/newmummapodcast DISCLAIMER:Please note this podcast depicts personal accounts of pregnancy, birth and motherhood. The views expressed are my own and are those of my guests, as such should not be relied upon for educational or medical advice purposes. The content included is not a substitute for health advice by a professional. See acast.com/privacy for privacy and opt-out information.
George H. Xanthis is our guest. He's an amazing actor from Australia who plays John in the TV Series, “The Chosen.” You're probably aware… but if not… The Chosen is the first ever multi-season TV series based on the life of Jesus. It's a phenomenon… from a spiritual sense but also from an entrepreneurial perspective. In fact, it's the #1 crowd funded media project of all time! With over $10 million raised… two seasons done and available… and as of today… over 270 million views in over 180 countries. Incredible. And George is in the middle of all of that! Plus, he's a force for good inside AND outside the show. We'll talk about how he got his start in acting, how his journey with “The Chosen” began, what it's been like playing such a significant role and what he's learned about life, work and faith… as a result. Plus, this represents our first interview in this NEW season. So I take a slightly different approach with the conversation… and I think you're going to dig it. So, let's get to the conversation! RESOURCES: Would you like more info on The Chosen? Click here George's Instagram:/www.instagram.com/georgehxanthis If you're an actor and/or you know someone who is… be sure to check out George's “ACT UP!” Podcast: Click here Check out George's efforts to help the Sydney Children's Hospital on Cameo: Click here BIG ANNOUNCEMENT: George's NEWEST role is in FX's newly announced “American Crime Story” called “Impeachment” where he plays George Stephanopoulous. (NOTE: We couldn't talk about this during our interview because he wasn't released to announce it yet.) Check it out here: Click here. Other “RELATED” episodes: A Prayer for YOU and YOUR dreams! www.mitchmatthews.com/314 Hiro's Journey [so far]. What a Puppy's been teaching me about pursuing dreams and living life: www.mitchmatthews.com/322 DREAM BIG… no matter what! (With Amberly Lago): www.mitchmatthews.com/310 The Gift of Being Fully Present [Part 3]: www.mitchmatthews.com/304 More about THIS episode: George Xanthis came through acting training, comedy and improv as well. He even spent some time with the The Groundlings Improv troupe in LA. He's had a lot of different experiences… and he's also got a heart for helping other actors… so he has his own podcast called “Act Up” where he and his guests discuss their craft and specific strategies to navigate everything from the audition room, day-to-day on set as well as performing in front of live audiences. He also believes in giving back… so he's on CAMEO… where he's doing video messages to fans… but he's also raising money for The Sydney Children's Hospital. Plus, he and some of his fellow cast members just did a marathon session on instagram to help raise funds for people who are hurting in Afghanistan. Plus, I asked YOU for your input via Facebook and we got a LOT of response… so I'll be peppering them in during our convo! (Click here to follow me… so YOU can get in on our next “Listener Lightning Round Questions!”) I love the guy… and I think you will too! Let's get to this. MINUTE BY MINUTE: 0:02 Welcome to 333 and what to expect 4:33 Get to know George 8:52 How George got started acting 14:43 What gave George the courage to move to LA 33:31 What life is like on the set 37:30 George's favorite moment filming 49:10 One of the most powerful in The Chosen 52:40 George's final thoughts and advice 58:17 Mitch's minute MITCH'S MINUTE & NOW… I WANT TO HEAR FROM YOU! Okay… obviously… we're doing things a little differently in THIS season. I've added the official “Mitch's Minute” at the end to offer my thoughts. I got fired up… so I think it was more like 7 minutes… but I really wanted to share some of my favorite take aways. How about YOU!? What's something that stood out to you? What's something that grabbed you? What did you think? I'd love to hear from you. Drop a comment below and let me know!
In this Healthed lecture, A/Prof Lemberg, Paediatric Gastroenterologist; Head, Paediatric Gastroenterology, The Sydney Children's Hospital; Director, Children's Inflammatory Bowel Diseases Clinic, The Sydney Children's Hospital, explains the current evidence demonstrating the multiple beneficial effects of HMOs, including antimicrobial, immune modulation, prebiotic, neurodevelopment and cognition effects. Recently, manufactured HMOs have been approved as food ingredients with fascinating implications for infant formula. This lecture will explore the potential of HMOs to make infant formula a more beneficial alternative when human breast milk is inadequate or unavailable. See omnystudio.com/listener for privacy information.
In this Healthed lecture, Dr Wainstein, Paediatric Immunologist and Allergist; Staff Specialist, Sydney Children's Hospital, will cover the definition, clinical presentation, diagnosis and management of anaphylaxis. The common causes and epidemiology of anaphylaxis and anaphylaxis related fatalities will be discussed. The focus will be on the appropriate diagnosis and emergency management of acute anaphylaxis. See omnystudio.com/listener for privacy information.
Scotty Burford is back to break another world record! After playing the world's longest guitar performance in 2018 Scotty is about to deliver 25 consecutive hours of guitar lessons. Scotty's efforts are to raise much needed support for the Sydney Children's Hospital, a wonderful organisation also close to Matt's heart. If you are in Sydney - get on this! If not, you can still support Scotty's work through the attached links: https://www.fundraiseforsydneykids.org.au/fundraisers/scottyburford/scotty-b-teaches-the-world--s-longest-guitar-lesson https://greatscottmusic.com.au/ Thanks to our sponsors, Fretboard Biology and Reverb.com's 'The Pedal Movie'. All sponsorship revenue raised from this episode will be donated in full to The Sydney Children's Hospital through Scotty's event. Fretboard Biology - the online guitar college created by Joe Elliott, ex Head of Guitar at GIT and McNally Smith Music College. Fretboard Biology Guitar Speak Podcast #146 - Joe Elliott - ex guitar head of GIT - launches Fretboard Biology 'The Pedal Movie' - the full length feature film that is all about effects pedals, produced by music marketplace Reverb. The Pedal Movie GSP #154 with The Pedal Movie Directors Michael Lux and Dan Orkin Guitar Speak Podcast Links PayPal Tip Jar Visit us at guitarspeakpodcast.com Subscribe and find previous episodes at: Apple Podcasts Spotify Stitcher Follow us on Facebook & Instagram Buy a T-Shirt! Contact us at guitarspeakpodcast@gmail.com
Wiseberry Heritage is putting on a Race Day at Wyong Race Club on Thursday 13th May 2021. The aim of this day is to raise some much-needed funds for a young 15-year-old local girl Bobbi Jo Dillon who is living with Rett Syndrome. This is a neurological condition that affects all speech, motor, and developmental milestones. Her condition progressively gets worse every year. Some of Bobbi's medical conditions include Epilepsy, Scoliosis, osteoporosis, long/short heart arrhythmia, severe gastrointestinal issues i.e., reflux disorder, constipation, aspiration. There is no cure for Rett Syndrome. It is not considered hereditary or genetic, but just the luck of the draw! It affects each girl differently, so our aim is to keep Bobbi happy and healthy for as long as we can. Girls with Rett Syndrome generally have a shortened life expectancy. Bobbi has 13 different Medical Specialists split between Sydney Children's Hospital at Westmead and Randwick, plus her therapy (Occupational Therapy, Physio and Speech) and care teams. Bobbi cannot walk, does not talk, is completely reliant on her Parents/Siblings and care team for her day-to-day activities. She is wheelchair-bound and the funds we are going to raise from this race day are going towards a house deposit for Bobbi Jo, that can be used towards an investment property that will give her some financial independence for her future. We need the support of the community and local businesses to donate any time, items, vouchers or products that they can. This will be used to auction off on the day. Items can be dropped off at Wiseberry Charmhaven, Wiseberry Heritage, Wiseberry Peninsula, Wiseberry Coastal or Wiseberry Kariong. For more information please call Carley Eldridge (Marketing Manager) Wiseberry Heritage on 0400 481 659 or email celdridge@wiseberrycharmhaven.com.au Looking at buying, selling or investing on the Central Coast? Visit the Wiseberry Heritage Real Estate website to find the right real estate agent or property management team: https://www.wiseberry.com.au/heritage/ Follow us on Facebook: https://www.facebook.com/WiseberryHeritageGroup Stay up to date with Central Coast Real Estate by Subscribing to our Channel! Want to stay up to date on the latest Central Coast properties? Want to make the change and try coastal living? Join the Coastie's Property Preview Facebook page: https://www.facebook.com/groups/coastiepropertypreview --- Send in a voice message: https://podcasters.spotify.com/pod/show/heritage-media/message
Wondering how you can make a real difference in yours and other people's lives? Today, Monique Farmer shared with us how she went from working at Sydney Children's Hospital with kids on mental health, to taking people on kayaking trips, summiting mountains, and on large multi-day adventures with her 7,000+ people community-driven business called Women Want Adventure. She also dove into how anyone, yes anyone, can get to a point where they are no longer afraid of things they're most afraid of. Take a listen to her story on jumping off waterfalls and why a group of full-grown adults burst into tears. Join others in 60+ countries, Save, Download, Collect, or Add this episode. Or listen to it now.
Interview with Jane Walker from kids group Coco and the Cockatoos. Talking about the new album ‘Wild Life', which has ten unique songs about animals from all over the world. All songs are written by ten-year old Sydney schoolgirl Coco Espie and singer/songwriter Jane Walker. Coco has cerebral palsy, so album sales contribute to Sydney Children's Hospitals Foundation, which helps so many sick kids. The songs celebrate different animals, so sales also contribute to Taronga Conservation Society Australia, supporting wildlife conservation around the world. And we are all impacted by the plight of our oceans, so sales support Ocean Recovery Alliance.
“A practical guide to sentences in the Local Court” - a podcast which does exactly what the title says! This excellent informative conversation style podcast is between Robyn and Anna which unpacks what to do to prepare for a plea in mitigation in the Local Court. NOTE: There are several complimentary materials which it is highly recommended that you read before or whilst listening to this podcast. Here is the link Robyn and Anna have combined extensive experience in practising in solely in criminal law and are during this podcast they provide an insightful and excellent guide to what to do, say and prepare on behalf of your client. Robyn Fraser began her legal career with Legal Aid NSW in 2003, and since then has worked in various areas of criminal law practice including Inner City Local Courts, the Indictable Appeals Unit, Parramatta Drug Court, Northern Australian Aboriginal Justice Agency (NAAJA), the Crown Solicitor’s Office (Inquiries team), and the Criminal Indictable Unit at Sydney Central. Robyn is currently the Solicitor in Charge of the Newcastle Regional Office and is an Accredited Specialist in criminal law. Anna Pankhurst started her career as a Tipstaff to a Supreme Court Judge in 2010, then worked at Crown Solicitors Office in the Inquiries and Torts sections. Anna then worked for the Sydney ODPP, before working at the Redfern ALS office where she managed the SCB practice and then the (the Bidura now Sydney) Children’s court. In 2015 Anna moved to Newcastle and returned to the ODPP. In November 2019 she commenced at Coffs Harbour Legal Aid as the Senior Solicitor Crime Practice Manager.
In our second episode for World Antimicrobial Awareness Week 2020, Dan and Kristin spoke to Dr Brendan McMullan. Brendan is a Paediatric Infectious Diseases Specialist and Microbiologist, working at Sydney Children’s Hospital, Randwick, and a Conjoint Senior Lecturer in the School of Women’s and Children’s Health at UNSW. We discuss: the reasons why choice of antimicrobial can be different for children special considerations for paediatric antimicrobial use why kids get more infections than adults strategies for explaining a decision not to prescribe an antimicrobial how Kristin ruined her kindergarten Christmas play
Anne Hathaway's latest film 'The Witches', has copped criticism from an unlikely group - disability advocates. It spawned the social media campaign #NotAWitch and has led to a wider conversation about the portrayal of limb difference and disability onscreen. So what is all the fuss about?In this episode of News Fix, Dr Adrienne Epps from the Sydney Children's Hospital discusses how common limb differences are, actor Alex Barone talks about getting work in Hollywood with six fingers, and filmmaker Ashley Eakin talks about the representation of disabilities in film and on television.Find out more about our guests and limb difference resources at https://7news.com.au/newsfix Hosted on Acast. See acast.com/privacy for more information.
Anne Hathaway's latest film 'The Witches', has copped criticism from an unlikely group - disability advocates. It spawned the social media campaign #NotAWitch and has led to a wider conversation about the portrayal of limb difference and disability onscreen. So what is all the fuss about?In this episode of News Fix, Dr Adrienne Epps from the Sydney Children's Hospital discusses how common limb differences are, actor Alex Barone talks about getting work in Hollywood with six fingers, and filmmaker Ashley Eakin talks about the representation of disabilities in film and on television.Find out more about our guests and limb difference resources at https://7news.com.au/newsfix See acast.com/privacy for privacy and opt-out information.
Anne Hathaway's latest film 'The Witches', has copped criticism from an unlikely group - disability advocates. It spawned the social media campaign #NotAWitch and has led to a wider conversation about the portrayal of limb difference and disability onscreen. So what is all the fuss about?In this episode of News Fix, Dr Adrienne Epps from the Sydney Children's Hospital discusses how common limb differences are, actor Alex Barone talks about getting work in Hollywood with six fingers, and filmmaker Ashley Eakin talks about the representation of disabilities in film and on television.Find out more about our guests and limb difference resources at https://7news.com.au/newsfix See acast.com/privacy for privacy and opt-out information.
An international collaboration led by researchers from the Children's Cancer Institute and the Kids Cancer Centre at Sydney Children's Hospital is using genetic mapping to tailor treatments to individual children.
In this episode: When and how do you start a young child (
The Squiz is your shortcut to the news.“C'mon, c'mon let's stick together"Squiz Shortcuts: https://www.thesquiz.com.au/shortcuts/Squiz Quiz: https://www.thesquiz.com.au/quiz/More details, and links to further reading for all of today's news can be found in The Squiz Today email. Sign up (it's free!) - www.thesquiz.com.au See acast.com/privacy for privacy and opt-out information.
Welcome to season two of the Influence Unlocked podcast! To kick things off I’m chatting with a rising star of Australian sport. Amy Parmenter rose to prominence in the professional netball world in 2019 after joining the Giants and rounding out a stellar debut season by winning the Rising Star Award along with the Giants’ Player of the Year. Amy is also dedicated to using her profile to support a good cause and started the Tie Dye Project a few years ago in honour of her Mum, who lost her battle with cancer in 2013. Last year during a visit to Westmead Children’s hospital she befriended fellow ‘netty nerd’ and cancer survivor, 14 year old Molly Croft and was inspired to tie dye more than 1,000 t-shirts in her backyard, selling every one and raising nearly $25,000 for the Sydney Children’s Hospital. Listen in to find out how Amy has been occupying her time while the coronavirus pandemic has been wreaking havoc with professional sports, how she manages performance anxiety, and how setting goals like actually untying her shoelaces when she comes home have helped her reach her ultimate dreams. Amy’s Five in Five shout-out: the Smiling Mind app Amy’s insta: https://www.instagram.com/amyparmenterr/ The Tie Dye Project on insta: https://www.instagram.com/thetiedyeproject_/ Follow the Influence Unlocked podcast on Instagram:https://www.instagram.com/influenceunlockedpodcast/ Follow Samatha Dybac on LinkedIn: https://www.linkedin.com/in/samanthadybac/ Check out the Influence Unlocked podcast videos on YouTube here: https://bit.ly/3fq8dJ5 Producer: Andrew Menczel http://www.piccolopodcasts.com.au/ See omnystudio.com/policies/listener for privacy information.
Still with Sammy // Empathy in motherhood, having a child undergo emergency, high risk surgery and her purpose driven lifeIn this episode, Sam shares one of her biggest challenges as a new mother. At 18 months old, Her son Cooper was diagnosed with Choledochal Cysts, a life threatening condition, and almost didn’t make it. Cooper and Sam stayed at Sydney Children's’ Hospital, Randwick for months, were in and out of high risk surgeries alongside other health challenges.Sam talks about her lowest moments of despair and loneliness having a baby in hopsital, how to trust your motherly instinct and the guidance of medical professionals. Sam also shares how important it is to accept help and support from the hospital community, family and friends.We talk through practical steps Sam put in place during her months in hospital. These helped look after her mental health so she could be her best self for the challenges and overload of information she was dealing with daily.This experience was a shining light and a period of growth for Sam as a woman and mother. She is inspired to live a purposeful, humble and grateful life and hopes to provide comfort for any Mum going through something like this in their motherhood journey.Connect with Sam on Instagram here: www.instagram.com/stillwithsammyVisit Sam’s website here: www.stillwithsammy.com.auDonate to Sydney Children’s Hospital Foundation HEREConnect with Elise Sheree in Instagram here: www.instagram.com/themuminspiredPlease SUBSCRIBE to the Mum Inspired podcast to keep inspired and motivated on your motherhood journey.If you loved this episode please share on your social platforms and leave a 5 star review on your podcast app.Thank you for listening and I’ll see you next week for more inspiring conversations. Chat soon lovely x
On the latest episode of Coogee Voice we are interviewing Brenton McHatton, better known as BJ from Little Jack Horner. BJ shares his experiences of operating a business during COVID-19, his thoughts on activating Coogee Beach as well as what he and his wife Brooke have been doing to support our community during the bushfires, COVID-19 as well as their fundraising for the Sydney Children’s Hospital Foundation.
In this Episode: What is the BRACE trial? What are the off-target benefits of vaccines? Should health professionals be getting the BCG? Measles, marrow suppression and generalised vulnerability to illness Host: Dr David Lim, GP Guest: Dr Rama Kandasamy, Paediatrician, Sydney Children's Hospital; NHMRC Emerging Leader Fellow; Conjoint Lecturer, Infectious Diseases Research, UNSW Total time: 38 mins See omnystudio.com/listener for privacy information.
Richard Glover kicks off the last in our series of TGIF lockdown specials in which are getting to know our TGIF regulars. This week it's the turn of Zoe Coombs Marr who talks about growing up queer in Grafton and the road to her hit Prime show Bossy Bottom, while Anthony Ackroyd dissects the rules of comedy and remembers some emotional moments from his work as a clown doctor at the Sydney Children's Hospital. Next week: Tommy, Jean and Rebecca, back in the studio.
Richard Glover kicks off the last in our series of TGIF lockdown specials in which are getting to know our TGIF regulars. This week it’s the turn of Zoe Coombs Marr who talks about growing up queer in Grafton and the road to her hit Prime show Bossy Bottom, while Anthony Ackroyd dissects the rules of comedy and remembers some emotional moments from his work as a clown doctor at the Sydney Children’s Hospital. Next week: Tommy, Jean and Rebecca, back in the studio.
Richard Glover kicks off the last in our series of TGIF lockdown specials in which are getting to know our TGIF regulars. This week it’s the turn of Zoe Coombs Marr who talks about growing up queer in Grafton and the road to her hit Prime show Bossy Bottom, while Anthony Ackroyd dissects the rules of comedy and remembers some emotional moments from his work as a clown doctor at the Sydney Children’s Hospital. Next week: Tommy, Jean and Rebecca, back in the studio.
Richard Glover kicks off the last in our series of TGIF lockdown specials in which are getting to know our TGIF regulars. This week it's the turn of Zoe Coombs Marr who talks about growing up queer in Grafton and the road to her hit Prime show Bossy Bottom, while Anthony Ackroyd dissects the rules of comedy and remembers some emotional moments from his work as a clown doctor at the Sydney Children's Hospital. Next week: Tommy, Jean and Rebecca, back in the studio.
Adam is a respiratory physician at Sydney Children’s Hospital. He spoke about all things wheezy in Melbourne for DFTB18. In this talk from our London conference, he deals with that bane of parents’ lives – the coughing child.
Introducing Nicole Pates, experienced paediatric physiotherapist who runs her own medical clinic around chronic paediatric developmental and rheumatological problems. Today we are discussing the effects of hypermobility in children. What are the causes? Do children with hypermobility need treatment? Joint Hypermobility means children are able to move their joints beyond normal limits. There are a few tests a GP or physiotherapist might perform to figure this out. It does not always restrict activity, in fact, many famous gymnasts, musicians and circus performers have been able to achieve fame due to their flexibility. The Sydney Children's Hospital Network has created a useful resource that is worth reading: https://www.schn.health.nsw.gov.au/fact-sheets/joint-hypermobility
The Fast Track researchers have just published the results of their pilot study, and they are VERY excited about it! But does this optimism match the actual data? Don’t miss an explosive episode of All Fired Up, as I walk you through this paper step by step, breaking down into plain English what actually happened when 21 teenagers were starved three times a week for 6 months, all in the pursuit of short term weight loss. My guest is the incredible Ruth Leach, whose eating disorder began at the age of 9, when her whole family started fasting for ‘health’. Ruth not only survived her eating disorder, she is now a fierce advocate for everyone at the coal face of this deadly illness. We are LIVID about the lack of information being given to parents and kids who are being introduced to a lifetime of metabolic damage, weight cycling and disordered eating. The Fast Track trial is STILL GOING AHEAD, and we need to keep pushing back against this antiquated, weight biased, dangerous approach to teen ‘health’. Share this one far and wide!! ShowNotes This week we bring you Part 2 of The Fast Track Trial, where we dig into the results of the newly published Fast Track Pilot Study. A pilot study is a mini-version of a larger trial, a practice run for ‘the real thing’, and the results can give you a pretty good idea of what kinds of results we can expect from a larger trial. I really wanted to get a ‘plain English’ summary of what happened in this trial out there. An article in The Age newspaper about the Fast Track controversy stated that: "While the trial is the first of its kind, Professor Baur said it had come off the back of a successful pilot program in which 25 teenagers followed a similar model and saw benefits in their cholesterol, blood pressure, liver and heart function." Which is interesting, because Louise was reading the results of the pilot study at the time, and was noticing that in fact the trial results showed no changes in blood pressure, overall cholesterol, or liver function, and only 1 small change out of 9 measures of heart function. This is quite different to what the media was saying! It is so important to go back to the source and have a look at the scientific studies behind the media soundbytes, so you can fact check and see what actually happened. This should be easy, but in reality it’s not. Reading a study is actually quite complicated, and even when you have degrees and training in science, it can still be quite difficult to make sense of what happened. This is why I am here to unpack it for you! It is important for parents and teenagers who may be being targeted to participate in this trial to clearly understand what is likely to happen as a result of taking part. This is why I am doing this podcast. The article has just been published in the Journal of Nutrition, and the title is “Intermittent Energy Restriction is a Feasible, Effective and Acceptable Intervention to Treat Adolescents With Obesity”. What an impressive and optimistic title! But does the optimism match the data? The pilot trial took place at Sydney Children’s Hospital at Westmead, kids were recruited from the adolescent “O” treatment clinic. 45 kids aged between 12 and 17 were approached, and 30 said yes. There were 25 girls and 5 boys, and the average age of the kids was 15. All of the teens were supposed to have a BMI of 30 or more. In fact, they ranged from a BMI of 27.7 to 52.4, so at least one was well below the weight threshold.** 3 of the kids were from Aboriginal or Torres Strait islander background. 6 of them were born overseas. We don’t know more about the cultural background of the rest of the kids. The experiment ran for 6 months under a dietitian. There were no psychologists or eating disorder specialists involved. For the first 12 weeks all of the kids were placed on Optifast (shakes) and allowed just 600-700 calories a day for 3 days of the week. The rest of the week the kids were told to follow ‘healthy eating guidelines’. After 12 weeks teens were ‘invited’ to either keep starving for 3 days a week, or they could change to starving for 2 or 1 day a week, or they could swap to a ‘continuous prescribed healthy eating plan’ for the next 3 months. 7 of the kids didn’t make it past the 8 week mark. These tended to be ‘heavier’ kids. We don’t know what happened to them after that. 2 more dropped out before the experiment ended, so overall just 21 teens finished the whole 6 months. The kids were given a Fitbit, but were not given any instructions about physical activity. Mysteriously, the pilot paper never discusses the fitbit results. The primary measure they were looking at was weight loss at 12 weeks, with secondary interest in weight loss at 26 weeks, and they also did a range of health marker measures and one 20 item questionnaire which asked about eating disorder symptoms. 28 of the kids were categorised as ‘insulin resistant’ at the beginning of the study. At 12 weeks, and 26 weeks, the study reports weight change, but it’s actually quite difficult to figure out what that means. This is quite common: weight change in scientific papers can be reported in a huge variety of ways, eg BMI change, z score change, % excess weight loss change. Weight change was primarily reported as ‘percentage point change in BMI 95th%ile’, a very confusing statistic which stops everyday people from figuring out what the actual average change in weight was. A researcher can tell you something is statistically ‘significant’ even if it’s not that meaningful in real life. In the paper, it was reported that at 12 and 26 weeks the kids demonstrated a reduction in the percentage point change in BMI 95th%ile. But what does this actually mean in terms of real life weight change? It is impossible to tell. Luckily, the lead author presented her data at a conference where she did talk about the average kg weight loss for 19 of the 21 study completers. At this conference, she reported that after 12 weeks of intermittent starvation, the kids had lost on average 3.5kg. But by 26 weeks, these changes were not maintained; the teens had regained 1.4kg, so in total after 6 months of regular starvation, they were @2kg less than when they started, and they are likely to keep regaining. That’s not a big change, especially given the huge effort, and we know weight will keep coming back. We know this is the norm for most people who diet: dieting triggers a metabolic defence response, and our bodies fight to regain any weight loss. This is not a failure or a problem, it is the body’s built in response to dieting. What a difference between the raw data at a conference and adding the statistical wizadry in the published paper! There’s more to this story: in the paper,” Figure 3” is a graph which represents each of the kids percentage point BMI95th%ile change at 12 and 26 weeks. There’s a cute little diamond which represents each kid. And when you look at Figure 3, you can clearly see that one kid really stuck out from the rest of them: this kid lost WAY more weight at 12 and 26 weeks than the others, who really didn’t lose much at all. And it seems that this kid - this ‘statistical outlier’ - is responsible for changing the story of this data from concluding that weight loss between 12 and 26 weeks was ‘not maintained’ to saying that it was maintained, all because of one child who may in fact be developing an eating disorder right in front of us. Instead of removing this outlier (which is what a lot of researchers would do, because one person’s unusual results are skewing the data, and this isn’t what science is all about), it was left in. The fact that one person had an unusual response was not discussed in the paper. This is why it’s important to read the studies! To see what actually happened. We can also see in the Figure that at both time points, several of the kids had GAINED weight above the starting point - 3 at week 12 and 5 by 26 weeks. This is normal when we look at it from the perspective of the body’s response to starvation, but weight gain was not discussed in the paper. If you have almost a quarter of your sample over shooting with weight gain, it should be discussed!! Worryingly, the results show a significant reduction in height between 12 and 26 weeks. This was not discussed in the paper. This means that the teens' growth cycle is being interrupted. If a growing body is not getting adequate nutrition, the body will stop growing in order to compensate. Any impact of starvation on the teens’ menstrual cycle was not investigated. Given that 25 of the 30 were girls, this is staggering. Metabolic impact of starvation on the teenagers’ growing bodies was not measured or discussed in the paper. 28 of the 30 kids were reported to be ‘insulin resistant’ at the outset of the experiment. This was exactly the same after 6 months of semi starvation. Measures of cardiometabolic risk including cholesterol, blood pressure, and insulin resistance did not change after 6 months of intermittent starvation. Small changes in plasma triglycerides were reported, but these were in the normal range to begin with. A small increase in fasting plasma glucose occurred at 6 months, but overall no changes in insulin resistance occurred. Expensive and complicated vascular structure and function (heart) measures were taken, of 9 vascular measures only one was significantly changed by 6 months - arterial wall thickness. Measures of these factors were not taken for all of the completers. The comments made to The Age newspaper regarding the effectiveness of the Fast Track pilot are not true. The teenagers in the pilot study did not see "benefits in their cholesterol, blood pressure, liver and heart function". At best, one aspect of a secondary marker of heart function improved at 6 months, but the majority of bio-markers were unchanged. Dietary restraint - a measure which can indicate disordered eating and presence of an eating disorder - was significantly increased by 26 weeks. These scores were elevated to start with and became even higher as the starvation diet progressed. The paper does not discuss this at all. Although the paper reported ‘improvements’ in emotional eating and eating for external reasons, these scores were not unusual to begin with, therefore any reductions do not reflect a real life improvement, they are likely just reflecting the fact that the teens were eating less overall. Of 7 measured areas of quality of life, only 2 showed improvement by the end of the 6 months. Interestingly, the results showed that improvements in quality of life were more likely to happen for those kids who did manage to maintain their weight loss at 6 months, the ones who didn’t maintain their weight loss were worse off. Given that we know that all of these kids will continue to regain weight, it seems likely that their quality of life measures will worsen. However, the researchers will not follow them up long enough to find out. So they’ve just reinforced the idea that their self confidence is based on their weight. These outcomes are not great, yet their conclusions are effusive! I am sorry (not sorry) but the conclusions do not match the data. This Pilot study is being used to justify the Fast Track trial, and there is no plain English version out there. My guest Ruth Leach is an eating disorder survivor, her whole family suffered with eating disorder thanks to her dad’s obsession with fasting and his subsequent eating disorder. Ruth is tenacious, she organised a group complaint co-signed by 35 health professionals and people who have experienced eating disorder (many of whom attributed the cause of their disorder to teenage dieting). In the 1960’s Ruth was a ‘fussy eater’ - this would now be labelled as ARFID but back then there was no definition. When Ruth was 9, her dad went on a ‘wacky diet’ to prevent cancer - a fasting diet. The whole family began fasting. Ruth’s sister was 12 when they started fasting, and her growth was impacted - she didn’t grow very tall - Ruth is 8 inches taller than her - and she did not get her period until she was 17. Ruth developed childhood Anorexia, and then developed Bulimia as a teenager. She attributes the fact that she was able to grow taller to the binges she engaged in - they allowed her body the nutrition it craved in order to allow growth. Ruth follows the work of Gwyneth Olwyn, who talks about the concept of ‘extreme hunger’. A lot of people see bingeing as negative, but Ruth’s ‘extreme hunger’ was just her body trying to recalibrate after years of starvation. In Ruth’s early 50’s Ruth’s dad died, from complications of cancer. Even throughout his illness, he kept on fasting - he had an eating disorder. He was hospitalised repeatedly for re-feeding syndrome, and eventually this killed him. At this point Ruth’s eating disorder flared up, and she has been battling Anorexia again. Ruth’s dad did everything ‘right’, but still died of the cancer that fasting was meant to prevent. This is part of the reason the Fast Track study affected Ruth so much. It was only when Ruth’s dad was dying and her symptoms were returning did Ruth realise that it wasn’t just her, but her dad who was eating disordered. Ruth went through years of hell, but is out of her eating disorder now. Ruth became involved in peer support and online eating disorder support networks. Through the process of her recovery, Ruth learned about weight science and the ‘BMI lie” and how the ‘war on obesity’ is a complete beat-up. So much weight bias rampant in the field of ‘obesity’, and also the multi-billion dollar diet and weight loss industry that keeps the beat-up going. One of the reasons the industry is so huge is because our bodies have a built in mechanism to regain weight if we fall below our set point. This theory of set point is well established in science. This ‘war’ against obesity is really a war against biological reality. Ruth is concerned that the Fast Track trial will launch kids into either an eating disorder or a lifetime of disordered eating. The kids will also be introduced to a lifetime of weight cycling, and all of the health issues that come from that. The metabolic impact of repeated dieting causes a lot of the health damage that is attributed to higher weight itself. Ruth’s own life experience, and the experience of everyone in her peer to peer support networks, is that adolescent dieting ‘cost us dearly’. For some, it has cost their lives: Ruth knows of at least 18 people in the last 2 years who have died from their eating disorder. And as teenagers, many of these people did the same thing that the kids in the Fast Track are being told to do. The Fast Track model is utterly a model of anorexia nervosa being sold to larger kids. Ruth’s complaint to the Fast Track ethics committee went into great detail about weight cycling and the risks to metabolic health, and also the risk of eating disorders. It was a very detailed complaint. We already have so many studies which demonstrate this risk. One study mapped out the pathway to developing an eating disorder. This starts with a child feeling dissatisfied with their body and experiencing bad body image, stigmatisation based on weight, and then dieting. So many of these kids have already crossed 3 out of the 4 stages of development of an eating disorder. So when the head researcher says there is no risk, Ruth asks how can you say that when there is good, consistent science based on thousands of people to say otherwise? The study the Fast Track is based on relies on just 21 kids’ results. And there was no follow up so we have no idea what happens to them a few years down the track. The study talks about the kids being placed on a healthy diet, but also says they were drinking Optifast shakes. On what planet is a shake an example of a healthy diet, especially for growing kids! This is an extreme intervention, but to realise in plain English that this means in all likelihood, your child will lose @3.5kg and then put it back on again, and not see any major health improvements - why on earth would you do this to your impressionable teen? This weight cycling aspect is not something the Fast Track parents or kids are being told about. The Fast Track has also been designed to stop following kids up at one year. At year 2 they have the option of reporting in again, but not a lot of effort is going into seeing what happens longer term. We really need to stop doing these short term studies and to design weight loss trials (if we do them at all) to have a 5 year follow up period - this is the only way we’ll be able to see the patterns of eating disorder development. What will the kids do when they overshoot in weight? Why isn’t anyone following people up? This research is already established - The Minnesotta Semi Starvation experiment showed clearly what happens to a starving body when it re-feeds. We really don’t need to keep ‘proving’ the risks, we need instead to stop exposing people to them. Out of the complaints that were lodged and following meetings with eating disorder organisations like the Butterfly, the Fast Track researchers said they would update the parent consent forms to better inform parents of the risks. That was back in February, and still we’ve heard nothing. In 2019, if you’re going to go into a weight loss experiment, you need to know what the science says about what you can reasonably expect in terms of weight loss and regain, and what to expect in regards to risk. This isn’t rocket science, it’s a basic human right! If they wrote down exactly what to expect, I wonder if anyone would sign their kid up! The increases in restraint are concerning, this is a marker of eating disorder development. Regardless of weight, this is a worry. In Ruth’s networks she advises parents to look at sudden weight losses in their kids, regardless of BMI - look at the disordered relationship with food, not the size of the child’s body. The fast Track researchers are saying that their adjustments to the study protocol - as in, checking more frequently for eating disorder markers - will increase safety, but how on earth can you detect an eating disorder behaviour if the study itself encourages disordered eating and rewarding restriction? If we put together the diary of someone with an eating disorder and a journal of the Fast Track kids, they would look almost identical. If someone was getting really sick, they won’t see it ! They will look like weight loss ‘success’ stories. People with eating disorders feel really good, and positive, when they are restricting. They can feel calm, clear headed, and energetic when they are starving. This is not a normal response to starvation, and it’s a deadly response. The Fast Track researchers will not be able to view this as troubling, and the kid will fall through the cracks. How do you get $1.2 million to fund a study with such unimpressive results? The data do not match the conclusions. Even the title of the pilot study is seriously overblowing their actual findings. We need to listen to the American Academy of Paediatrics - where it specifically says discourage dieting, and skipping meals, and encourage healthy eating. It’s not hard. This experiment is unacceptable. It only makes sense through the lens of weight bias. If we’re worried about people’s health, there’s better ways than risking the metabolic damage that comes from weight cycling from crash diets. At this point the Fast Track trial is still continuing, in spite of the enormous global protest. Please sign the petition! Emerging news this week - the Fast Track researchers have published another paper, a meta-analysis which claims or concludes that hospital based weight loss programs for kids and teens definitely doesn’t cause eating disorders. The team have now told the Butterfly Foundation that they are planning to post this study and the pilot study up on the Fast Track website as a way of communicating risk to the parents and teens who might be enrolling. I will dive into this paper & let you know - is there a difference between the data and the conclusions? Spoiler alert: they’re doing it again….. Informed consent is everything, and this is a serious problem with the researchers slapping up their own research as a way of getting around presenting potential participants with straightforward risk information. This brings up the very issues we’ve talked about today - how on earth are parents supposed to be able to read and understand this dense data? That’s why we need the plain English website where we clearly tell people about the risks and likely outcomes. Visit the Fast Track parents information website! ** Via a letter from a legal firm, the Fast Trackers informed me that this statement is incorrect, and that in fact the kids all had an 'age and sex adjusted' adult equivalent of a BMI over 30. No other aspects of my interpretation of the paper (including the interesting tweakery between the presentation figures and the addition of the outlier which changed the results) were challenged by the team. Resources Mentioned: Ruth’s complaint My complaint The Fast Track parent information website Gwyneth Olwyn Sign the Petition Join our fb group Connect with Ruth on Twitter Ruth’s tumbler post The ‘experts in the room’ blog What’s wrong with ‘obesity prevention’ ?
The Fast Track researchers have just published the results of their pilot study, and they are VERY excited about it! But does this optimism match the actual data? Don’t miss an explosive episode of All Fired Up, as I walk you through this paper step by step, breaking down into plain English what actually happened when 21 teenagers were starved three times a week for 6 months, all in the pursuit of short term weight loss. My guest is the incredible Ruth Leach, whose eating disorder began at the age of 9, when her whole family started fasting for ‘health’. Ruth not only survived her eating disorder, she is now a fierce advocate for everyone at the coal face of this deadly illness. We are LIVID about the lack of information being given to parents and kids who are being introduced to a lifetime of metabolic damage, weight cycling and disordered eating. The Fast Track trial is STILL GOING AHEAD, and we need to keep pushing back against this antiquated, weight biased, dangerous approach to teen ‘health’. Share this one far and wide!! ShowNotes This week we bring you Part 2 of The Fast Track Trial, where we dig into the results of the newly published Fast Track Pilot Study. A pilot study is a mini-version of a larger trial, a practice run for ‘the real thing’, and the results can give you a pretty good idea of what kinds of results we can expect from a larger trial. I really wanted to get a ‘plain English’ summary of what happened in this trial out there. An article in The Age newspaper about the Fast Track controversy stated that: "While the trial is the first of its kind, Professor Baur said it had come off the back of a successful pilot program in which 25 teenagers followed a similar model and saw benefits in their cholesterol, blood pressure, liver and heart function." Which is interesting, because Louise was reading the results of the pilot study at the time, and was noticing that in fact the trial results showed no changes in blood pressure, overall cholesterol, or liver function, and only 1 small change out of 9 measures of heart function. This is quite different to what the media was saying! It is so important to go back to the source and have a look at the scientific studies behind the media soundbytes, so you can fact check and see what actually happened. This should be easy, but in reality it’s not. Reading a study is actually quite complicated, and even when you have degrees and training in science, it can still be quite difficult to make sense of what happened. This is why I am here to unpack it for you! It is important for parents and teenagers who may be being targeted to participate in this trial to clearly understand what is likely to happen as a result of taking part. This is why I am doing this podcast. The article has just been published in the Journal of Nutrition, and the title is “Intermittent Energy Restriction is a Feasible, Effective and Acceptable Intervention to Treat Adolescents With Obesity”. What an impressive and optimistic title! But does the optimism match the data? The pilot trial took place at Sydney Children’s Hospital at Westmead, kids were recruited from the adolescent “O” treatment clinic. 45 kids aged between 12 and 17 were approached, and 30 said yes. There were 25 girls and 5 boys, and the average age of the kids was 15. All of the teens were supposed to have a BMI of 30 or more. In fact, they ranged from a BMI of 27.7 to 52.4, so at least one was well below the weight threshold.** 3 of the kids were from Aboriginal or Torres Strait islander background. 6 of them were born overseas. We don’t know more about the cultural background of the rest of the kids. The experiment ran for 6 months under a dietitian. There were no psychologists or eating disorder specialists involved. For the first 12 weeks all of the kids were placed on Optifast (shakes) and allowed just 600-700 calories a day for 3 days of the week. The rest of the week the kids were told to follow ‘healthy eating guidelines’. After 12 weeks teens were ‘invited’ to either keep starving for 3 days a week, or they could change to starving for 2 or 1 day a week, or they could swap to a ‘continuous prescribed healthy eating plan’ for the next 3 months. 7 of the kids didn’t make it past the 8 week mark. These tended to be ‘heavier’ kids. We don’t know what happened to them after that. 2 more dropped out before the experiment ended, so overall just 21 teens finished the whole 6 months. The kids were given a Fitbit, but were not given any instructions about physical activity. Mysteriously, the pilot paper never discusses the fitbit results. The primary measure they were looking at was weight loss at 12 weeks, with secondary interest in weight loss at 26 weeks, and they also did a range of health marker measures and one 20 item questionnaire which asked about eating disorder symptoms. 28 of the kids were categorised as ‘insulin resistant’ at the beginning of the study. At 12 weeks, and 26 weeks, the study reports weight change, but it’s actually quite difficult to figure out what that means. This is quite common: weight change in scientific papers can be reported in a huge variety of ways, eg BMI change, z score change, % excess weight loss change. Weight change was primarily reported as ‘percentage point change in BMI 95th%ile’, a very confusing statistic which stops everyday people from figuring out what the actual average change in weight was. A researcher can tell you something is statistically ‘significant’ even if it’s not that meaningful in real life. In the paper, it was reported that at 12 and 26 weeks the kids demonstrated a reduction in the percentage point change in BMI 95th%ile. But what does this actually mean in terms of real life weight change? It is impossible to tell. Luckily, the lead author presented her data at a conference where she did talk about the average kg weight loss for 19 of the 21 study completers. At this conference, she reported that after 12 weeks of intermittent starvation, the kids had lost on average 3.5kg. But by 26 weeks, these changes were not maintained; the teens had regained 1.4kg, so in total after 6 months of regular starvation, they were @2kg less than when they started, and they are likely to keep regaining. That’s not a big change, especially given the huge effort, and we know weight will keep coming back. We know this is the norm for most people who diet: dieting triggers a metabolic defence response, and our bodies fight to regain any weight loss. This is not a failure or a problem, it is the body’s built in response to dieting. What a difference between the raw data at a conference and adding the statistical wizadry in the published paper! There’s more to this story: in the paper,” Figure 3” is a graph which represents each of the kids percentage point BMI95th%ile change at 12 and 26 weeks. There’s a cute little diamond which represents each kid. And when you look at Figure 3, you can clearly see that one kid really stuck out from the rest of them: this kid lost WAY more weight at 12 and 26 weeks than the others, who really didn’t lose much at all. And it seems that this kid - this ‘statistical outlier’ - is responsible for changing the story of this data from concluding that weight loss between 12 and 26 weeks was ‘not maintained’ to saying that it was maintained, all because of one child who may in fact be developing an eating disorder right in front of us. Instead of removing this outlier (which is what a lot of researchers would do, because one person’s unusual results are skewing the data, and this isn’t what science is all about), it was left in. The fact that one person had an unusual response was not discussed in the paper. This is why it’s important to read the studies! To see what actually happened. We can also see in the Figure that at both time points, several of the kids had GAINED weight above the starting point - 3 at week 12 and 5 by 26 weeks. This is normal when we look at it from the perspective of the body’s response to starvation, but weight gain was not discussed in the paper. If you have almost a quarter of your sample over shooting with weight gain, it should be discussed!! Worryingly, the results show a significant reduction in height between 12 and 26 weeks. This was not discussed in the paper. This means that the teens' growth cycle is being interrupted. If a growing body is not getting adequate nutrition, the body will stop growing in order to compensate. Any impact of starvation on the teens’ menstrual cycle was not investigated. Given that 25 of the 30 were girls, this is staggering. Metabolic impact of starvation on the teenagers’ growing bodies was not measured or discussed in the paper. 28 of the 30 kids were reported to be ‘insulin resistant’ at the outset of the experiment. This was exactly the same after 6 months of semi starvation. Measures of cardiometabolic risk including cholesterol, blood pressure, and insulin resistance did not change after 6 months of intermittent starvation. Small changes in plasma triglycerides were reported, but these were in the normal range to begin with. A small increase in fasting plasma glucose occurred at 6 months, but overall no changes in insulin resistance occurred. Expensive and complicated vascular structure and function (heart) measures were taken, of 9 vascular measures only one was significantly changed by 6 months - arterial wall thickness. Measures of these factors were not taken for all of the completers. The comments made to The Age newspaper regarding the effectiveness of the Fast Track pilot are not true. The teenagers in the pilot study did not see "benefits in their cholesterol, blood pressure, liver and heart function". At best, one aspect of a secondary marker of heart function improved at 6 months, but the majority of bio-markers were unchanged. Dietary restraint - a measure which can indicate disordered eating and presence of an eating disorder - was significantly increased by 26 weeks. These scores were elevated to start with and became even higher as the starvation diet progressed. The paper does not discuss this at all. Although the paper reported ‘improvements’ in emotional eating and eating for external reasons, these scores were not unusual to begin with, therefore any reductions do not reflect a real life improvement, they are likely just reflecting the fact that the teens were eating less overall. Of 7 measured areas of quality of life, only 2 showed improvement by the end of the 6 months. Interestingly, the results showed that improvements in quality of life were more likely to happen for those kids who did manage to maintain their weight loss at 6 months, the ones who didn’t maintain their weight loss were worse off. Given that we know that all of these kids will continue to regain weight, it seems likely that their quality of life measures will worsen. However, the researchers will not follow them up long enough to find out. So they’ve just reinforced the idea that their self confidence is based on their weight. These outcomes are not great, yet their conclusions are effusive! I am sorry (not sorry) but the conclusions do not match the data. This Pilot study is being used to justify the Fast Track trial, and there is no plain English version out there. My guest Ruth Leach is an eating disorder survivor, her whole family suffered with eating disorder thanks to her dad’s obsession with fasting and his subsequent eating disorder. Ruth is tenacious, she organised a group complaint co-signed by 35 health professionals and people who have experienced eating disorder (many of whom attributed the cause of their disorder to teenage dieting). In the 1960’s Ruth was a ‘fussy eater’ - this would now be labelled as ARFID but back then there was no definition. When Ruth was 9, her dad went on a ‘wacky diet’ to prevent cancer - a fasting diet. The whole family began fasting. Ruth’s sister was 12 when they started fasting, and her growth was impacted - she didn’t grow very tall - Ruth is 8 inches taller than her - and she did not get her period until she was 17. Ruth developed childhood Anorexia, and then developed Bulimia as a teenager. She attributes the fact that she was able to grow taller to the binges she engaged in - they allowed her body the nutrition it craved in order to allow growth. Ruth follows the work of Gwyneth Olwyn, who talks about the concept of ‘extreme hunger’. A lot of people see bingeing as negative, but Ruth’s ‘extreme hunger’ was just her body trying to recalibrate after years of starvation. In Ruth’s early 50’s Ruth’s dad died, from complications of cancer. Even throughout his illness, he kept on fasting - he had an eating disorder. He was hospitalised repeatedly for re-feeding syndrome, and eventually this killed him. At this point Ruth’s eating disorder flared up, and she has been battling Anorexia again. Ruth’s dad did everything ‘right’, but still died of the cancer that fasting was meant to prevent. This is part of the reason the Fast Track study affected Ruth so much. It was only when Ruth’s dad was dying and her symptoms were returning did Ruth realise that it wasn’t just her, but her dad who was eating disordered. Ruth went through years of hell, but is out of her eating disorder now. Ruth became involved in peer support and online eating disorder support networks. Through the process of her recovery, Ruth learned about weight science and the ‘BMI lie” and how the ‘war on obesity’ is a complete beat-up. So much weight bias rampant in the field of ‘obesity’, and also the multi-billion dollar diet and weight loss industry that keeps the beat-up going. One of the reasons the industry is so huge is because our bodies have a built in mechanism to regain weight if we fall below our set point. This theory of set point is well established in science. This ‘war’ against obesity is really a war against biological reality. Ruth is concerned that the Fast Track trial will launch kids into either an eating disorder or a lifetime of disordered eating. The kids will also be introduced to a lifetime of weight cycling, and all of the health issues that come from that. The metabolic impact of repeated dieting causes a lot of the health damage that is attributed to higher weight itself. Ruth’s own life experience, and the experience of everyone in her peer to peer support networks, is that adolescent dieting ‘cost us dearly’. For some, it has cost their lives: Ruth knows of at least 18 people in the last 2 years who have died from their eating disorder. And as teenagers, many of these people did the same thing that the kids in the Fast Track are being told to do. The Fast Track model is utterly a model of anorexia nervosa being sold to larger kids. Ruth’s complaint to the Fast Track ethics committee went into great detail about weight cycling and the risks to metabolic health, and also the risk of eating disorders. It was a very detailed complaint. We already have so many studies which demonstrate this risk. One study mapped out the pathway to developing an eating disorder. This starts with a child feeling dissatisfied with their body and experiencing bad body image, stigmatisation based on weight, and then dieting. So many of these kids have already crossed 3 out of the 4 stages of development of an eating disorder. So when the head researcher says there is no risk, Ruth asks how can you say that when there is good, consistent science based on thousands of people to say otherwise? The study the Fast Track is based on relies on just 21 kids’ results. And there was no follow up so we have no idea what happens to them a few years down the track. The study talks about the kids being placed on a healthy diet, but also says they were drinking Optifast shakes. On what planet is a shake an example of a healthy diet, especially for growing kids! This is an extreme intervention, but to realise in plain English that this means in all likelihood, your child will lose @3.5kg and then put it back on again, and not see any major health improvements - why on earth would you do this to your impressionable teen? This weight cycling aspect is not something the Fast Track parents or kids are being told about. The Fast Track has also been designed to stop following kids up at one year. At year 2 they have the option of reporting in again, but not a lot of effort is going into seeing what happens longer term. We really need to stop doing these short term studies and to design weight loss trials (if we do them at all) to have a 5 year follow up period - this is the only way we’ll be able to see the patterns of eating disorder development. What will the kids do when they overshoot in weight? Why isn’t anyone following people up? This research is already established - The Minnesotta Semi Starvation experiment showed clearly what happens to a starving body when it re-feeds. We really don’t need to keep ‘proving’ the risks, we need instead to stop exposing people to them. Out of the complaints that were lodged and following meetings with eating disorder organisations like the Butterfly, the Fast Track researchers said they would update the parent consent forms to better inform parents of the risks. That was back in February, and still we’ve heard nothing. In 2019, if you’re going to go into a weight loss experiment, you need to know what the science says about what you can reasonably expect in terms of weight loss and regain, and what to expect in regards to risk. This isn’t rocket science, it’s a basic human right! If they wrote down exactly what to expect, I wonder if anyone would sign their kid up! The increases in restraint are concerning, this is a marker of eating disorder development. Regardless of weight, this is a worry. In Ruth’s networks she advises parents to look at sudden weight losses in their kids, regardless of BMI - look at the disordered relationship with food, not the size of the child’s body. The fast Track researchers are saying that their adjustments to the study protocol - as in, checking more frequently for eating disorder markers - will increase safety, but how on earth can you detect an eating disorder behaviour if the study itself encourages disordered eating and rewarding restriction? If we put together the diary of someone with an eating disorder and a journal of the Fast Track kids, they would look almost identical. If someone was getting really sick, they won’t see it ! They will look like weight loss ‘success’ stories. People with eating disorders feel really good, and positive, when they are restricting. They can feel calm, clear headed, and energetic when they are starving. This is not a normal response to starvation, and it’s a deadly response. The Fast Track researchers will not be able to view this as troubling, and the kid will fall through the cracks. How do you get $1.2 million to fund a study with such unimpressive results? The data do not match the conclusions. Even the title of the pilot study is seriously overblowing their actual findings. We need to listen to the American Academy of Paediatrics - where it specifically says discourage dieting, and skipping meals, and encourage healthy eating. It’s not hard. This experiment is unacceptable. It only makes sense through the lens of weight bias. If we’re worried about people’s health, there’s better ways than risking the metabolic damage that comes from weight cycling from crash diets. At this point the Fast Track trial is still continuing, in spite of the enormous global protest. Please sign the petition! Emerging news this week - the Fast Track researchers have published another paper, a meta-analysis which claims or concludes that hospital based weight loss programs for kids and teens definitely doesn’t cause eating disorders. The team have now told the Butterfly Foundation that they are planning to post this study and the pilot study up on the Fast Track website as a way of communicating risk to the parents and teens who might be enrolling. I will dive into this paper & let you know - is there a difference between the data and the conclusions? Spoiler alert: they’re doing it again….. Informed consent is everything, and this is a serious problem with the researchers slapping up their own research as a way of getting around presenting potential participants with straightforward risk information. This brings up the very issues we’ve talked about today - how on earth are parents supposed to be able to read and understand this dense data? That’s why we need the plain English website where we clearly tell people about the risks and likely outcomes. Visit the Fast Track parents information website! ** Via a letter from a legal firm, the Fast Trackers informed me that this statement is incorrect, and that in fact the kids all had an 'age and sex adjusted' adult equivalent of a BMI over 30. No other aspects of my interpretation of the paper (including the interesting tweakery between the presentation figures and the addition of the outlier which changed the results) were challenged by the team. Resources Mentioned: Ruth’s complaint My complaint The Fast Track parent information website Gwyneth Olwyn Sign the Petition Join our fb group Connect with Ruth on Twitter Ruth’s tumbler post The ‘experts in the room’ blog What’s wrong with ‘obesity prevention’ ?
FASD—Fetal Alcohol Spectrum Disorder presented by Professor Elizabeth Elliot In this episode you will hear from Professor Elizabeth Elliot AM FAHMS on Fetal Alcohol Spectrum Disorder (FASD) and the Law. It is a recording of a seminar she gave to Legal Aid NSW criminal lawyers. Professor Elliot is a Distinguished Professor in Paediatrics and Child Health in Sydney University Medical School; Consultant Paediatrician, Sydney Children’s Hospitals Network (Westmead); a National Health and Medical Council of Australia (NHMRC) Practitioner Fellow; and Fellow of the Academy of Health and Medical Sciences. In this seminar, Professor Elliot provides an update on progress in diagnosing and addressing FASD in Australia. Referrals and more information See the FASD Australia hub for more information and to search for NSW FASD services Sign up to our Law for Community Workers Alerts here
This episode is the recording of an in-house seminar given by Professor Elizabeth Elliot AM FAHMS on Fetal Alcohol Spectrum Disorder (FASD) and the Law. Professor Elliott is a Distinguished Professor in Paediatrics and Child Health in Sydney University Medical School; Consultant Paediatrician, Sydney Children’s Hospitals Network (Westmead); a National Health and Medical Council of Australia (NHMRC) Practitioner Fellow; and Fellow of the Academy of Health and Medical Sciences. In this seminar, Professor Elliot provides an update on progress in addressing FASD in Australia and its relevance to the legal profession.
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.
In early 2017 Rachael and Jonny welcomed their first child into the world, a daughter named Mackenzie. But something was wrong, and at 10 weeks Mackenzie was diagnosed with the terminal genetic disease Spinal Muscular Atrophy Type 1. With 1 in 50 of us carriers of SMA, there’s a chance you or someone you know could be carriers. So why have we never heard of it?Speakers:Rachael CasellaDr Michelle Farrar, child neurologist at Sydney Children’s HospitalAlison McEwen, genetic counsellor and Associate Professor at the University of Technology SydneyProducer: Cheyne Anderson
Segments Include:- Lady rejects proposal at a baseball game- Tom Hanks on a boat with Oprah and the Obamas- Big Fact: AFL inventor stabbed himself with- Mark Holden Interview- Food wastage: Vegetables at Jonesy's house- Amanda discusses 13 Reasons Why TV- Uber driver mixs up with customer a prostitute- Sydney Children's Hospital Foundation Appeal launch- Andrew Mercado's TV Wrap- This week' J&A column in New Idea- Eminem song used in NZ political campaign- GooliesSee omnystudio.com/listener for privacy information.
RN Rebecca Muir, emergency nurse in paediatrics with the Sydney Children’s Hospital, Randwick, on leaving the world of corporate banking to work as an emergency nurse.
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