Podcasts about waikato hospital

Some security guards at Waikato Hospital have expired qualifcations, while others lack critical training. That is according to a senior security officer and licenced private investigator who resigned from the Waikato Hospital security team last month. Te Whatu Ora requires contracted security guards to have a current Level Two certificate of approval, but not security staff it employs directly. Steve Buckland spoke to Lisa Owen.

At Te Kuiti Hospital, the cleaners double as security guards; covering both jobs when they are on shift. They've had some training and are approved by the Ministry of Justice but for some on the coal face its not ideal. A nurse, who Checkpoint has agreed not to name, said they need dedicated security. She spoke to Lisa Owen.

An investigation is underway into how a young girl was mistaken for a missing 20-year-old patient and put in a mental health facility under a compulsory treatment order. The 11 year old, who is autistic and non verbal, was taken to the Henry Bennett centre at Waikato Hospital after police wrongly identified her as a much older missing patient. Acting Waikato District Commander Superintendent Scott Gemmell spoke to Lisa Owen.

Dr. Matthew Phillips is a clinical and research neurologist and the director of neurology at Waikato Hospital, Hamilton, New Zealand. His foremost passion is to explore the potential feasibility, safety, and efficacy of metabolic strategies, particularly fasting and ketogenic diets, in creating alternate metabolic states that may benefit people with a variety of neurological disorders. His team conducted the world's first randomized trials involving a ketogenic diet in people with both Parkinson's and Alzheimer's disease, as well as the first published application of a fasting and ketogenic diet protocol in people with amyotrophic lateral sclerosis and Huntington's disease. He is currently conducting a clinical trial in glioblastoma, which combines standard treatments with the most intensive fasting and ketogenic diet protocol ever applied to a group of patients with advanced cancer. Website: www.metabolicneurologist.com Twitter/X: www.x.com/drmclphillips Metabolic Strategies in Healthcare: A New Era https://www.aginganddisease.org/EN/10.14336/AD.2021.1018 Don't forget to like and subscribe to the Plant Free MD channel for more informative and inspiring content!

Today we are going to discuss another Editor's Choice article from the European Journal for Vascular and Endovascular Surgery (EJVES). The title is: Association of Pedal Acceleration Time With Healing and Amputation Free Survival in Patients With Ulceration and Gangrene by Odette Hart et al from The University of Auckland and Waikato Hospital in Hamilton, New Zealand. The article was published as an Editor's choice in the European Journal of Vascular and Endovascular surgery in October 2024. Shownotes:Editor's Choice – Association of Pedal Acceleration Time With Healing and Amputation Free Survival in Patients With Ulceration and GangreneHart, Odette et al.European Journal of Vascular and Endovascular Surgery, Volume 68, Issue 4, 490 - 497https://www.ejves.com/article/S1078-5884(24)00471-4/fulltext

Send us a textDr. Matthew Phillips is a neurologist and Director of Neurology at Waikato Hospital in New Zealand. His emphasis is on applying metabolic strategies in healthcare to heal many difficult disorders at their core through fasting and ketogenic diets.“Change your food, change your life!”Dr. Eric Westman and his Adapt Your Life Academy team are on a mission to empower people around the world to transform their health through the science-backed benefits of low-carbohydrate and ketogenic diets.Dr. Westman is an obesity medicine specialist and trusted expert in the therapeutic power of carbohydrate restriction, and clinical research, and has treated patients using low-carb keto diets for over twenty-five years. He makes keto SIMPLE, so that YOU can LOSE weight, REVERSE chronic disease and GET the RESULTS you want.Get started NOW by grabbing our FREE GUIDE – 10 Tips for Starting Keto Right. 

On the Mike Hosking Breakfast Full Show Podcast for Tuesday 26th of November, a new 24/7 police station is opening in Auckland CBD – Police Commissioner Richard Chambers joined the show to discuss. The Prime Minister joined Mike live in studio for a chat about the economy, Waikato Hospital, and when we will get details of the new ferry deal. Arguably one of the greatest ever authors, John Grisham has a new book out and specifically requested to talk to Mike about it - so how do we turn that offer down? Get the Mike Hosking Breakfast Full Show Podcast every weekday morning on iHeartRadio, or wherever you get your podcasts. LISTEN ABOVE See omnystudio.com/listener for privacy information.

I remember about 25 years ago there was an absolute hoo-ha at the Grey Lynn Countdown, because staff there were speaking to one another in their own tongue in the common staff room. And there was a complaint from somebody who spoke English —that was the language they spoke, and they didn't speak any other languages— and they took great offence to people speaking in their mother tongue in the staff room. They said it made them feel uneasy, they didn't know what they were talking about, and you can imagine the brouhaha resulted - who was right? Who was wrong? Now, so many years later, a memo has been sent around Waikato Hospital asking nurses to speak English only when they're on the wards. Concerns have been raised about other languages being used by nurses and the exclusive use of English in all clinical settings is safer for treating people, according to the memo. And I quote, “each nurse is required by Nursing Council New Zealand to achieve competency both in the written and spoken language of English. Consistent use of one language reduces the possibility of missed care, misunderstanding of clinical requirements and enhances safe teamwork.” And I totally get that. I totally understand that where there are issues of clinical safety clear communication is utterly vital. There must be an unequivocal understanding between medical staff and patients around the treatment of patients. But when you're chatting to one another or to patients who might share your background and share your language, I really don't see where the problem is. It's a real lesson in humility, as many of you will know, to go to a country where English is not the lingua franca. Especially when words are your thing, where your way of expressing yourself, where your way of participating in the world is through language. All of a sudden you go to a place where there's another language spoken, you don't speak it, and you are reduced to a basic, basic level of conversation. Despite your very best efforts to learn a few words before you go, quite different when you get there, and you are reduced to absolutely fundamental basic communication. You can't explain yourself; you can't expound on your ideas; you can't express nuance. It's incredibly frustrating and very, very good for your humility. And gives you, I think a deeper understanding of what it must be like to come to New Zealand, to set up your home here, to set up your life here, to work here and to have English as a second language. More credit to the people who do pass their English proficiency when they've come from somewhere else. Blimmin' sure I wouldn't be able to pass my Mandarin proficiency or my Hindi. You know so much more than what you're communicating, and yet all the person hears on the other end is a basic one-dimensional other. So any chance you get to be you, to be all of the you rather than the basic you, I can understand why people would take that. Again, at no point should clinical safety be compromised. At no point should a patient's treatment be in any way misinterpreted because there is a lack of understanding, but if you have the time to talk to somebody in their own language, in their first language, wouldn't you take it? I mean, anybody who's lived overseas must know what that is like and the relief when you when you start to build upon the basic structural foundation of the language you're learning, to be able to offer more of yourself through words is immense. So to people have chosen to make their life in this country who have learned English at school, quite different to using it in day-to-day life, more credit to you. Where clinical safety is paramount, English must be spoken, but if you've got a bit of downtime, can you possibly blame somebody for wanting to be all that they can be through the expression of their own language? See omnystudio.com/listener for privacy information.

A Waikato Hospital directive that nurses only speak English in a clinical setting has caused outrage with claims it's a bombastic over-reach. Now the Minister of Health has shot down the memo saying nurses can speak in their own language when appropriate, Natalie Akoorie reports.

Waikato hospital has told nurses to only speak English in clinical settings.

The family of a woman who died after a melanoma procedure in Waikato Hospital in 2010, is shocked by a coroner's finding into her cause of death. Natalie Akoorie reports.

Terry and Jeetz talk about the 3 weirdest stories of the day! It's called the 533! Today includes: Police looking for serial porch pooper, Woman set fires to watch firefighters and flirt, Woman dies Waikato Hospital because cardiac alarm volume was turned down. 

A patient at Waikato Hospital says he has been waiting more than a month for cardiac surgery and has been told it might be at least another three weeks away. The Coromandel man spoke to Natalie Akoorie from his hospital bed.

A woman waited more than 16 hours at Waikato Hospital's emergency department with suspected internal bleeding - only to be referred back to her GP. Natalie Akoorie spoke to the patient while she was in the waiting room

The junior doctors union is accusing Te Whatu Ora of playing down a shortage of medical registrars at Waikato Hospital, and fears the wellbeing of doctors will get worse as a result. Resident Doctors' Association national secretary Deborah Powell spoke to Ingrid Hipkiss.

Do antihistamines help with the itch of dermatitis?   Check out the paper mentioned Nankervis H, Thomas KS, Delamere FM, Barbarot S, Rogers NK, Williams HC. Scoping systematic review of treatments for eczema. Southampton (UK): NIHR Journals Library; 2016 May. PMID: 27280278. Check out the Dermnet NZ page. Authors: Dr Amy Stanway, Department of Dermatology, Waikato Hospital, Hamilton, New Zealand, February 2004; Updated: Honorary Associate Professor Paul Jarrett, Dermatologist, Middlemore Hospital and Department of Medicine, The University of Auckland, Auckland, New Zealand, February 2021. Minor internal update May 2023.   www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals.  Please ensure you work within your scope of practice at all times.  For personal medical advice always consult your usual doctor 

Welcome to Budget Week. Which I am looking forward to. After all the warnings from economists and world agencies like the OECD, that this is the wrong part of an economic cycle to bring in tax cuts, it ill be interesting to see the way they're going to pull it off. Personally, I can't see the budget being nearly as harsh, nearly as radical or nearly as transformational and beneficial as all the politicians say. I've already decided to call it the bad day at the office budget. Which we'll all get through. Meanwhile, we're getting little bones thrown at us to keep the headlines flowing. $50 million odd to hire teachers feels like a small change when you look at the entire education wage budget. My grizzle today is about doctors. The Waikato times weekend paper featured a couple of young doctors at Waikato Hospital and their impossible workload. Both are just 27 years old, 4 years out of school. 10 years into learning their trade. One ended out working alone on a cardiology ward with 100 patients in it. There should have been 3 doctors on duty. The other, a medical registrar, told a similar story about how patients in agony in E.D spent 12 hours waiting for care. Things are not getting better anytime soon. The population is growing, people are living longer, patients are getting sicker and arrive more sick because they haven't seen a GP. Because there's not enough GPs either. Meanwhile our underpaid, over worked 27 year olds have 6 figure student loans to pay off. So when choosing their specialty they often choose the better paying so good by psychiatry, hello dermatology. This perfect storm of dysfunction is the result of decisions made a long time ago. Not just the last regime. Student debt dissuades many except the determined or the already wealthy. Limiting our doctors' numbers. Immigration has been allowed to blow out for decades without any increase in doctors in training. So fewer doctors per person Entry numbers to med school are still embarrassingly low. So once again fewer doctors What have we been thinking for the past 40 years? We have a malaise. Not enough doctors, teachers, police, houses, roads, public transport, energy generation. The list goes on. We're like a 2 bedroom shack trying to house 10 people in it. But every 3 years someone comes in and wallpapers one room. LISTEN ABOVESee omnystudio.com/listener for privacy information.

Junior doctors are picketing outside hospitals around the country this morning as they strike in support of 300 doctors in line for a pay cut. Natalie Akoorie outside Waikato Hospital, Krystal Gibbens is at Wellington Hospital and Tess Brunton is in Dunedin.

Matt is a clinical and research neurologist at Waikato Hospital, Hamilton, New Zealand. His foremost passion is to explore the potential feasibility, safety, and efficacy of metabolic strategies, particularly fasting and ketogenic diets, in creating alternate metabolic states that may benefit people with a variety of neurological disorders. His team conducted the world's first randomized trials involving a ketogenic diet in people with Parkinson's disease and Alzheimer's disease, and is now applying fasting and ketogenic diet protocols in people with Huntington's disease and amyotrophic lateral sclerosis. He is currently conducting a clinical trial in glioblastoma, which combines standard treatments with the most intensive fasting and ketogenic diet protocol ever applied to a group of patients with advanced cancer. Twitter: @drmclphillips Website: metabolicneurologist.com Timestamps: 00:00 Trailer. 00:54 Introduction. 04:32 Clinical assessment includes muscle wasting, twitches, electromyography studies. 08:13 Limited confidence and patient enthusiasm key. Strong rationale. 10:40 Metabolic therapy seeks to improve overall health. 14:42 Fasting improves mitochondria efficiency, aiding weight loss. 17:42 Whole body disorder with inappropriate emotional control. 19:10 Participant noticed benefits of keto diet trial. 22:21 Case report highlights need for further exploration. 25:26 Low fat, high carb diet shows improvement. 28:48 Approach to migraine treatment using diet. 31:34 Continuous monitors and homogenized data in research. 34:51 Mitochondria's role in cancer and metabolic therapy. 36:46 Ketogenic diets reduce cancer cachexia in study. 39:54 Cancer cells consume glucose and amino acids. 44:07 Healthy exercise, rest, and sleep are important. 46:20 Glioblastoma trial and upcoming research in neurodegenerative diseases. 47:48 New Zealand good for small trials, but limited. See open positions at Revero: https://jobs.lever.co/Revero/ Join Carnivore Diet for a free 30 day trial: https://carnivore.diet/join/ Carnivore Shirts: https://merch.carnivore.diet Subscribe to our Newsletter: https://carnivore.diet/subscribe/ . ‪#revero #shawnbaker #Carnivorediet #MeatHeals #HealthCreation   #humanfood #AnimalBased #ZeroCarb #DietCoach  #FatAdapted #Carnivore #sugarfree  ‪

Detective Inpector Darrell Harpur speaks to Lisa Owen about a teenager fighting for his life in Waikato Hospital after police say he was purposely hit by a car and repeatedly run over near a sport field in Ngaruawahia. Police have set up a portal where you can upload any footage or images related to the incident here:https://taupiri.nc3.govt.nz/

The general election might be behind us, but voters in East Hamilton face a by-election as local councillor Ryan Hamilton leaves to become an MP. There's a St John's ambulance staff member onsite at Waikato Hospital's Emergency Department every weekday to try to reduce the wait time of arriving patients. And action is underway to keep several low-lying Firth of Thames settlements above water for the next 100 years.

Mike Williams talks with Adam White, director of the 2023 Waikato Hospital variety revue, Virus Ridiculus! The show is booked in for two performances at Clarence Street Theatre, October 19 and 20th. Virus Ridiculus! highlights the many varied talents of staff of the Waikato Hospital and surrounding hospitals and also other medical personnel. It is a show full of comedy, music dancing etc. Interested in takling part? Contact Adam by emailing adam.white@waikatodhb.health.nz

Metabolic neurology is a growing field focusing on the connection between metabolic and neurologic health, and encompasses neurodegenerative diseases like Alzheimer's, Parkinson's, other types of dementia, and more. Dr. Matthew Phillips is leading the way as a clinician and researcher exploring the use of metabolic therapies, like intermittent fasting and nutritional ketosis to help treat and prevent neurocognitive diseases. Dr. Phillips shares with us what he has learned from his research studies, and what he feels are the top tips for neurologic and brain health. He also explores how metabolic therapies can, and should, usher in a new era of healthcare. Expert featured in this episode: Dr. Matthew Phillips, clinical and research neurologist at Waikato Hospital in NZ https://www.metabolicneurologist.com/ Twitter: @drmclphillips Papers Referenced: Randomized crossover trial of a modified ketogenic diet in Alzheimer's disease https://pubmed.ncbi.nlm.nih.gov/33622392/ Metabolic Strategies in Healthcare: A New Era https://pubmed.ncbi.nlm.nih.gov/35656107/ Low-fat versus ketogenic diet in Parkinson's disease: A pilot randomized controlled trial https://movementdisorders.onlinelibrary.wiley.com/doi/full/10.1002/mds.27390 Metabolic Therapy Program In Conjunction With Standard Treatment For Glioblastoma Multiforme https://clinicaltrials.gov/study/NCT04730869?a=1 Follow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry. Learn more about metabolic psychiatry and find helpful resources at https://metabolicmind.org/ About us: Metabolic Mind™ is a nonprofit initiative incubated by Baszucki Group. Our mission is to provide education and resources in the emerging field of metabolic psychiatry, including ketogenic interventions for mental disorders. Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications. #MetabolicMind #KetoForMentalHealth #MetabolicPsychiatry #Dementia#AlzheimersDisease#KetoForDementia#MetabolicNeuroscience #KetogenicMetabolicTherapy #NutritionalKetosis#MentalIllnessTreatment#mentalhealthismetabolichealth #ParkinsonsDisease

There are question marks hanging over Waikato Hospital's continuously congested emergency department with ambulances again forced to wait with sick patients. St John had to declare what they describe as a "major incident" on Monday night, caused by delays in transferring patients to the hospital. Te Whatu Ora confirmed its emergency department was at 103 percent occupancy at the time with a total 143 patients, one of the busiest periods it has experienced. This is the second instance this month in which the hospital's pinched ED department has resulted in formal notices being issued. New Zealand chair of the Australasian College for Emergency Medicine Dr Kate Allan spoke to Corin Dann.

Many experts are saying the age of eligibility for New Zealand's bowel screening programme should be lowered. New Zealand has one of the highest rates of bowel cancer in the world, and it kills over 1200 Kiwis each year. A new study says cases picked up through the screening programme are 50 percent less likely to become fatal. Co-author and Waikato Hospital colorectal surgeon Dr Jesse Fischer says there's 'indisputable' evidence that screening under-60s will save lives. "Since the programme's been introduced, we've essentially been missing 20 percent of the cancers we could've been finding if we were screening from the age of 50." LISTEN ABOVESee omnystudio.com/listener for privacy information.

In this weeks episode of "Pushing the Limits" we have the incredible Dr Matthew Phillips who calls himself a Metabolic Neurologist. After spending over 15 years studying and working in clinical practice with patients with neurodegenerative conditions and cancer etc he decided to extend. his approach from just using medications to manage the disease by diving into the study of the metabolic dysfunction that underlies many of these ailments or that contributes to these diseases. He uses these Metabolic Strategies as Therapies in Cancer and Neurodegeneration and is and has done various clinical trials using his approach His foremost passion is to explore the potential feasibility, safety, and efficacy of metabolic therapies, particularly fasting and ketogenic diets, in creating alternate metabolic states that enhance neuron bioenergetics and may lead to improvements in not only the symptoms, but also function and quality of life, for people with Parkinson's, Alzheimer's, and a variety of additional neurological disorders. Upon completing his Neurology training in Melbourne, Dr. Phillips realised that he had no interest in going the usual route of further specialising in a particular neurological disorder. He wanted to specialise in a therapy, but no such fellowship existed. Thus, he bought a one-way ticket to the other side of the world and departed the medical system, travelling and working in different places for three years, creating his own self-taught fellowship during which he learned about a variety of therapeutic possibilities that he had never previously considered. Upon completing his 3-year "fellowship" it became apparent too him that metabolic strategies, particularly fasting and ketogenic diets, were promising therapeutic options for a range of disorders. He re-entered the medical system by commencing work as a neurologist in New Zealand, where his colleagues have helped him to apply these strategies to a number of humanity's most difficult neurological disorders so as to determine whether they are feasible, safe, and can make an impact in terms of helping patients. This has resulted in his team conducting a world-first randomised controlled study of a ketogenic diet in Parkinson's and he now has a study underway for Glioblastoma patients. The Canadian-born, Australian-trained neurologist ultimately wishes to help create a new field of Metabolic Neurology that emphasises applying metabolic strategies in healthcare so as to potentially heal many difficult disorders at their core, with the overarching goal being the improved health and enhanced nobility of humanity. In this episode you will learn: How fasting is a part of our  evolutionary history and how it benefits us in modern day society. In a world we are led to believe we have to eat 3 to 6 times  a day to stay healthy. What is a keto diet and how do we implement it We do a deep dive into mitochondria, what they are and how their function goes way beyond the traditional view of them as "powerhouses of the cell" only. What happens in the body when we fast or adopt a ketogenic lifestyle and. how it can help us with many disease processes from cancer to Multiple sclerosis to Parkinsons, Dementia, Alzheimers and more. The benefits he has experienced in his own N of one experiment The problems with "Germ Theory" and what "Terrain Theory" is How to build immune health through fasting Working within the limitations of the current medical paradigm How mitochondrial dysfunction precedes genetic mutations in disease processes and how we might address this. You can find out more about Dr Matthew Phillips work  and current research, publications etc  at https://www.metabolicneurologist.com/   BIO Matt is a clinical and research neurologist at Waikato Hospital, Hamilton, New Zealand. His foremost passion is to explore the potential feasibility, safety, and efficacy of metabolic strategies, particularly fasting and ketogenic diets, in creating alternate metabolic states that may benefit people with a variety of neurological disorders. His team conducted the world's first randomized studies in people with Parkinson's and people with a diagnosis of Alzheimer's. He is currently conducting a clinical trial that combines intensive fasting with a ketogenic diet alongside standard treatments in patients with glioblastoma.   Health Optimisation and Life Coaching with Lisa Tamati Lisa offers solution focused coaching sessions to help you find the right answers to your challenges. Topics Lisa can help with:  Lisa is a Genetics Practitioner, Health Optimisation Coach, High Performance and Mindset Coach. She is a qualified Ph360 Epigenetics coach and a clinician with The DNA Company and has done years of research into brain rehabilitation, neurodegenerative diseases and biohacking. She has extensive knowledge on such therapies as hyperbaric oxygen,  intravenous vitamin C, sports performance, functional genomics, Thyroid, Hormones, Cancer and much more. 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Youtube   Order Lisa's Books My latest book Relentless chronicles the inspiring journey of how my mother and I defied the odds after an aneurysm left my mum, Isobel, with massive brain damage at age 74. The medical professionals told me there was absolutely no hope of any quality of life again. Still, I used every mindset tool, years of research and incredible tenacity to prove them wrong and bring my mother back to full health within three years. Order your copy here:  RELENTLESS - How A Mother & Daughter Defied The Odds   Our NMN Bio Flagship Longevity Range A range by molecular biologist Dr Elena Seranova NMN: Nicotinamide Mononucleotide, an NAD+ precursor Researchers have found that Nicotinamide Adenine Dinucleotide or NAD+, a master regulator of metabolism and a molecule essential for the functionality of all human cells, decreases dramatically over time.   What is NMN? 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A Discussion of Magnetic Resonance Imaging Based Dual Lead Cardiac Resynchronization Therapy. Prashanthan Sanders, MBBS, PhD, FHRS of the University of Adelaide as he discusses Magnetic resonance imaging based Dual lead cardiac Resynchronization therapy: A prospective Left Bundle Branch Pacing Study (MADURAI LBBP study) by Heart Rhythm 2023 Late-Breaking Abstract Author Shunmuga Sundaram Ponnusamy. He is joined by guests Rakesh Gopinathannair, MA, MD, FHRS of the Kansas City Heart Rhythm Institute and Martin K. Stiles, MBChB, PhD, FHRS of Waikato Hospital, Cardiology. This episode of The Lead was recorded in front of live audience at Heart Rhythm 2023 in New Orleans, Lousiana. https://www.hrsonline.org/education/TheLead Host Disclosure(s): P. Sanders: Honoraria/Speaking/Consulting Fee: Abbott, Boston Scientific, Medtronic; Research (Contracted Grants for PIs Named Investigators Only): Abbott, Becton Dickinson, Boston Scientific, CathRx, EBR Systems, Medtronic, Microport Scientific Corporation, PaceMate   Contributor Disclosure(s): R. Gopinathannair: Honoraria/Speaking/Consulting Fee: Abbott, Boston Scientific, Biosense Webster M. Stiles: Honoraria/Speaking/Consulting Fee: Medtronic, Cyrix Medical, Pfizer, Sanofi

As my son marched off for a lung X-ray for a chest infection yesterday, I wondered just how dire the health system was going to get this winter.  As the weather starts to cool, many are picking up change-of-season coughs and colds and when I look at what happened in post-Covid winters overseas, I worry about how bad it might get here too.  Health NZ says it's ‘bracing' for a tough winter. But it's not just sickness that may come our way which is worrying, but our ability to cope with it. There is the state of our hospitals, the workforce of frontline health workers, the shortage of nurses, the overworked doctors and the lack of GP's in many regions. It was reported that Health NZ's Chair Rob Campbell was warning that ‘the reformed health system was still grappling with ‘systemic problems' that would affect the level of service it could give in the colder months.' Systemic problems. Why are they not being identified immediately and the troubleshooting to fix it underway?  Remember the waiting time debacle last year? Hours upon hours of people going unseen, some leaving without ever getting attended to, in very publicised cases a couple of deaths due to being overlooked in chaotic and crowded EDs. It was just October that headlines read “Emergency wait times worst on record..”, “Long wait times in ED's lead to deaths..”, “Middlemore abnormally busy..”, “Damning Middlemore report..”,  “Waikato Hospital wait times worst in 5 years..”, ”Crazy wait times continue..”. So does that give us much hope for this coming winter? Because what's changed? Just because something is not on the news anymore doesn't mean it is not still happening in places.  Health NZ [was quoted] saying, "We will be operating in a position where some of our physical resources in emergency departments are not adequate to the demand and our staffing levels are not adequate.  "We can't promise to fix those in the short term but for this winter we're making the emergency provisions that we think are going to be adequate." So even four months after the headlines of worst-ever waiting times, they say they still can't promise a fix. It is reported there are eight emergency department 'hotspots' in Whangārei, Auckland, Middlemore, Tauranga, Palmerston North, Wellington, Christchurch, and Invercargill hospitals.  Well, they're all major hospitals in major communities, so let's hope extra resourcing is poured into those areas for a start. Opposition Health spokesperson Dr. Shane Reti told journalists ‘the system was already in crisis.. with a “tired and strained” workforce, and he was worried this year's winter burden could come at a cost.' But we're already paying the price for neglected health care. New Zealand recorded an increase in deaths of 10 percent last year – partly attributable to all the sick people parked up unable to access healthcare during the pandemic with closed surgery and health services partly due to an ageing population and other factors.  But in a first-world country I think we should be able to expect a decent health service, and not be told it's going to be ‘adequate' at best.  See omnystudio.com/listener for privacy information.

From The Block NZ to Health NZ roadblocks.  Remember the outspoken, hilarious couple Rachel and Tyson from season one of TV3's The Block NZ?  Despite not winning any money, they were viewer favourites.  During the show, they introduced their gorgeous wee boy Otis to the nation when he was just a kid.  Otis is now 16, and based on what doctors told him in February, he should be dead by now.  He has Desmoplastic small round cell tumours, or DSRCT, and since his surprise diagnosis nine months ago, he's undergone chemotherapy which has been an overwhelming success.  Dozens of cancerous tumours have shrunk, and become dormant.  Just two tumours are still malignant and they can be removed by specialist surgeons at Waikato Hospital.  The problem is, the surgeons won't.  Their reasoning? The dormant tumours in his chest may one day come back and grow.  They 'might'.  So given the New Zealand health system has shafted Otis, Rachel and Ty are trying to raise $300,000 on give-a-little to get the surgery done in Sydney.  That's how bad our system is. It doesn't even want to try to save Otis' life.  Lloyd Burr spoke to Otis and his mum, Rachel Rasch-Hill about what they need from the health system and the public.See omnystudio.com/listener for privacy information.

Our guest today has setout to do accomplish something that decades of research and billions of dollars from the top pharmaceutical companies in the world have failed to do- that is to demonstrably reverse alzheimers disease. And he proposes to validate it  with what is the gold standard of evidence based medicine- the randomized controlled clinical trial.  Matthew Phillips MD is a full-time clinical and research neurologist at Waikato Hospital, Hamilton, New Zealand. His foremost passion is to explore the potential feasibility, safety, and efficacy of metabolic therapies, particularly fasting and ketogenic diets, in creating alternate metabolic states that may improve not only the symptoms, but also function and quality of life, for people with a variety of difficult disorders.*** CONNECT WITH ROBERT LUFKIN MD ON SOCIAL MEDIA ***Web: https://robertlufkinmd.com/  Twitter: https://twitter.com/robertlufkinmdYoutube: https://www.youtube.com/RobertLufkinMD *** SPONSORSHIPS & BRANDS ***We do work with sponsors and brands. If you are interested in working with us for your health industry product or service, please contact us at: https://robertlufkinmd.com/contact  NOTE: This is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have. Never disregard professional medical advice or delay in seeking it because of something you have seen here.  Robert Lufkin MD may at any time and at its sole discretion change or replace the information available on this channel. To the extent permitted by mandatory law, Robert Lufkin MD shall not be liable for any direct, incidental, consequential, indirect or punitive damages arising out of access to or use of any content available on this channel, including viruses, regardless of the accuracy or completeness of any such content. Disclaimer: We are ambassadors or affiliates for many of the brands we reference on the channel. This is for general information and educational purposes only. It is not intended to constitute or substitute for medical advice or counseling, the practice of medicine or the provision of health care, diagnosis, or treatment, or the creation of a physician-patient or clinical relationship. The use of this information is for their own use. If you find this to be of value of please hit that like button to subscribe to support the work that we do on this channel. We take your suggestions and advice very seriously, so please let us know what you'd like to see on this channel. Thanks for watching and we hope to see you next time.Support the show

The death of Matamata based Japanese jockey Taiki Yanagida is being felt widely across the racing industry. He died from injuries suffered in a fall during a race last Wednesday and had been on life support at Waikato Hospital since. Te Akau Racing principal David Ellis says Yanagida was well regarded and highly thought of throughout the racing community. He spoke to Morning Report.

The father of a woman who was sexually abused and tortured when she was fourteen years old by the former multi millionaire property developer Mark Lyon, says he is pleased he is dead. Lyon, who was in his mid 60s, died in Waikato Hospital at the weekend after being transferred from prison, where he was serving a 15 year term for a range of drug and sex related charges. The infamous property developer of the 1980s and 90s turned into a methamphetamine dealer and addict, who had a secret dungeon in Auckland where he abused women and young girls. The father of one victim, who can't be named for legal reasons, spoke to reporter Sally Wenley.

A surgeon says he was hoping for stricter mask mandates that would cover things like big indoor gatherings for the next few months in yesterday's government announcement. The government has announced plans to try to reduce a predicted peak of 1200 patients in hospital a day to 900. It's making masks, RATs and antivirals more widely available. General surgeon's association president Rowan French, who works at Waikato Hospital, says even at 900 a day they would still be under huge stress.

The health crisis has become an excruciating reality for a woman who has waited 11 days for surgery after being placed in the wrong ward. This afternoon the DHB has been forced to apologise after the woman, who suffered two snapped bones in her left leg, had her surgery delayed multiple times. And to make matters worse, in almost two weeks, she lay in the same gown and her hospital sheets were not changed. Katie Todd has Georgina's story.

Waikato nurses who put their hand up to help in MIQ, say they aren't able to get their old jobs back.The nurses who previously worked at Waikato Hospital, understood they'd be able to return to their roles after their MIQ work was done.While other DHBs redeployed their nurses on a secondment basis, those at Waikato DHB were given new permanent positions.Nurses' Organisation Chief Executive Paul Goulter told Mike Hosking it's a shocking situation.“I'd have thought, right across all the DHBs, they'd welcome these people back with open arms and pop them straight back on the roster.”LISTEN ABOVESee omnystudio.com/listener for privacy information.

Matt is a full-time clinical and research neurologist at Waikato Hospital, Hamilton, New Zealand. His foremost passion is to explore the potential feasibility, safety, and efficacy of metabolic strategies, particularly fasting and ketogenic diets, in creating alternate metabolic states that may improve not only the symptoms, but also function and quality of life, for people with a variety of difficult neurological disorders. You can find him at https://www.metabolicneurologist.com/ This episode is hosted by Dr. Shawn Baker MD. Find him at https://shawn-baker.com 00:00 Introduction 03:26 Metabolic strategies 06:27 Randomized control trial in Parkinsons disease, Alzheimers 08:08 Ketones the molecule of interest? 10:02 The orchestra 15:50 Dementia becoming more prevalent 18:00 When can we detect dementia? 20:01 Ketogenic diet and beyond 24:57 Cancer cachexia 28:11 Glucose ketone index 31:10 Dr. Phillips' plan 35:01 Keto in New Zealand 38:35 Neurology perspective 43:15 Alzheimers and dementia, lipids and LDL 47:05 Fixation on biomarkers 51:29 Doing the right thing for health vs conformity 54:20 Patient with Huntington's https://revero.com Invest In Revero: https://republic.com/revero Fill Out the Food Reaction Survey: https://www.questionpro.com/t/AUBnjZpQqC Book a Carnivore Coach: https://revero.com/book-a-coach/ Book a Coaching Session: https://revero.com/book-a-coach/ Carnivore Shirts: https://merch.revero.com Subscribe to our Newsletter: https://revero.com/subscribe/ Join the Community: https://revero.com/join/ . ‪#revero #shawnbaker #Carnivorediet #MeatHeals #HealthCreation #humanfood #AnimalBased #ZeroCarb #DietCoach #FatAdapted #Carnivore #sugarfree ‪

** Initially, this special recording was only accessible to my close family members as I especially launched it for them on Dad's birthday date - 31st Dec. But as my Dad was and is still a HUGE part of my life and a big reason I continue standing strong - I've decided to keep this on a timeline for everyone's listening.  I'm sure you appreciate that this is very dear and special to me, and the intro / recording is not as 'sharp' as previous Podcasts. ** This showcases a deep love a daughter has for her Dad and keeping his spirit alive, forever.  RIL Dad, we all love you so so much and Happy Birthday.  *Palaivete Private Pasisi* was born on Friday 31st December 1948, a New Year's eve baby.  Dad was born in Papuaka, Mutalau, Niue Island.  Dad told us his Mum Sialemata remembered the firecrackers going off while she was in labor with him. So, effectively Dad started his life off with a big bang and was a celebration of life right from the very beginning - no wonder he liked to party so much (and so hard too) ;). Subsequently, Dad's life ended with a bigger bang when diagnosed with pancreatic cancer on Friday 5th February 2021, the cause of his sudden death at Waikato Hospital, Hamilton NZ almost 5 weeks later, on the night of 11th March. As a baby, Dad was adopted by his Uncle Tau and Aunty Moka (now deceased), and they named him Private after their friend's rank in the army who had returned from World War II, the reason behind his beautiful and unique name - which he proudly carried in his persona. I was privileged and blessed to have recorded these conversational snippets during the last 2 days of Dad's life, alongside my beautiful mum Mata and sisters Noeline and Ahi (Justin & little JJ).  Don't ask me why I hit record on my phone, a lot of things are unexplainable during that time, but here it is, mixed in with some meaningful Niuean and praising songs from during the honouring services prior to and on the day of Dad's funeral 17-3-21 - a very special tribute for a very special man - our Dad and a father figure/good friend to everyone he met along the way.  All, by the grace of God - thank you Lord. Happy New Year everyone.  May it be extra special for you and your loved ones.  Love, Marie (Dad's fave middle :) daughter).

Dementia mate wareware is one of the greatest health challenges facing Aotearoa New Zealand.Around 70,000 New Zealanders live with dementia right now, which is set to more than double by 2050. This increase is expected to be much faster for Māori, Pasifika and Asian communities.In September, Alzheimers NZ launched the Dementia Economic Impact Report 2020, produced by a team of researchers from the University of Auckland. This latest study has just confirmed what a monumental challenge dementia will be for Aotearoa New Zealand.Existing dementia support services are woefully inadequate now, and are nowhere near what's required to cope with this growing challenge.In this episode, we discuss the impact of dementia with two of the researchers behind the report, Etu Ma'u and Makarena Dudley, who are both Senior Lecturers at Auckland University.Etu Ma'u comes from Tonga. As well as lecturing, he is a specialist old age psychiatrist at Waikato Hospital. He also has a strong interest in dementia risk reduction and in equity, particularly for Pacific populations.Makarena Dudley (Te Rarawa, Te Aupōuri, Ngāti Kahu) has been researching mate wareware dementia in Māori since 2015, focusing on the development of a theory of dementia from a Māori worldview, a dementia screening tool specifically for Māori, and an app for awareness and prevention.

The Waikato District Health Board was told its IT security was inadequate and severely compromised just months before a massive ransomware attack that brought Waikato Hospital to its knees. The internal security document dated December last year also warned that lack of training meant staff posed an unintentional threat to IT systems. The DHB says the document was only a draft that had not been finalised, reviewed or presented to management or governance. Local Democracy Reporter Natalie Akoorie has been looking through the document.

In our discussions in recent years about Alzheimer's disease, certainly one dietary recommendation seems to gain the spotlight and that is a diet that helps produce ketones. To be fair, most of the support for a ketogenic diet thus far has been theoretical although early animal research has been supportive. Now, I'm excited to report that an actual interventional trial using the ketogenic diet in Alzheimer's patients has been completed and has demonstrated quite remarkable results. The study, performed by my friend Dr. Matthew Phillips in New Zealand, demonstrated significant improvement in a variety of parameters in Alzheimer's patients who were placed on a ketogenic diet in comparison to their standard diet. Here is the actual study.  Many of you may remember Dr. Phillips as he appeared on the podcast in the past describing his results of using a ketogenic diet, successfully, in Parkinson's disease. Here's more information about him. ==== Matt is a full-time clinical and research neurologist at Waikato Hospital, Hamilton, New Zealand. His foremost passion is to explore the potential feasibility, safety, and efficacy of metabolic therapies, particularly fasting and ketogenic diets, in creating alternate metabolic states that may improve not only the symptoms, but also function and quality of life, for people with a variety of difficult disorders.

The National Party's spokesperson for police says the government needs to tackle attacks on police.A police officer was shot Friday night in Hamilton during a routine traffic stop. He received injuries to his arm and shoulder, but is in a stable condition in Waikato Hospital.National's Simeon Brown says we need stiffer punishments for people who assault officers.National put the policy to parliament earlier this year but it was ultimately rejected.Brown says the legislation is essential, and those who attack police officers are attacking those who are supposed to keep us safe.Meanwhile, Prime Minister Jacinda Ardern says she is watching what happens as other countries "experiment" with reopening their borders to vaccinated travellers before deciding on what to do here.Singapore, Canada, Australia and the United Kingdom have all recently unveiled plans around living with the virus in their communities to certain degrees.In the UK, Prime Minister Boris Johnson announced an end to Covid-19 restrictions by July 19 despite surging case numbers and conceding there would be more deaths, an approach Covid-19 Response Minister Chris Hipkins said would not occur here.Last week, Australian Prime Minister Scott Morrison laid out a four-phase plan to reopen to the world, and Singapore has stated Covid will be treated like other endemic diseases such as flu.Asked in the House by Act Party leader David Seymour what New Zealand's equivalent to the Australian roadmap was, Ardern said Australia's plan did not have the levels of vaccination or the timelines in which things would happen."Everything that we're seeing around the world at the moment is experimental."At the moment, we don't necessarily have an evidence and research base to draw on.Listen above as Morgan Godfrey and Lorna Subritzky discuss the week's news with Francesca Rudkin on The Sunday Panel

It's two weeks since a major cyber security attack against Waikato Hospital crippled services and raised concerns about confidential patient information. IT security expert Daniel Ayers says big questions remain about how safe people's health records are and what action is being taken. He spoke to Philippa Tolley.

On today's episode of Jimmy Makes Science Simple on the LLVLC Show, Jimmy peels back the layers on another stack of cutting edge keto research. “The side effects of the drugs they give people with Alzheimer's can make quality of life difficult.” Jimmy Moore In this first clip Jimmy shares from a February 23, 2021 study published in the journal Alzheimer's Research & Therapy entitled “Randomized crossover trial of a modified ketogenic diet in Alzheimer's disease”: https://alzres.biomedcentral.com/articles/10.1186/s13195-021-00783-x New Zealand researchers at Waikato Hospital in Hamilton, New Zealand used a modified ketogenic diet over a 12-week period on patients with a diagnosed case of Alzheimer's disease. Primary outcomes included basic cognitive tests and quality-of-life improvements. Secondary outcomes included cardiovascular risk marker changes. The ketogenic diet beat the low-fat one across the board! Next up Jimmy shares from an April 9, 2021 study published in the Journal of Diabetes Science and Technology entitled “Feasibility of Continuous Ketone Monitoring in Subcutaneous Tissue using a Ketone Sensor”: https://journals.sagepub.com/doi/full/10.1177/19322968211008185 At long last, a continuous ketone monitor (CKM) very similar to how a continuous glucose monitor (CGM) works is currently undergoing research and testing before coming to the market. Just like the CGM, the new CKM will not be measuring blood but rather interstitial fluid which is generally excepted as a proxy for blood readings. In the first-ever human trial of continuous ketone monitoring, they tested 12 healthy individuals eating a low-carb diet and wearing 3 CKM‘s over a 14-day period and comparing those readings to a finger prick blood ketone test (using the Precision Xtra device from Abbott). Watch this video to find out just how accurate the CKM is and a couple of questions that Jimmy has about this new technology. To wrap up this episode, Jimmy shares from a March 12, 2021 study published in the journal Medicine & Science in Sports & Exercise entitled “The Effects of Exercise on Beta-Hydroxybutyrate Concentrations over a 36-h Fast: A Randomized Crossover Study”: https://pubmed.ncbi.nlm.nih.gov/33731648

The Solicitor General has ordered an inquiry into the death of a woman in Waikato Hospital 11 years ago. Seventy-eight-year old Carmen Walker bled to death just hours after a cancer operation in 2010. The post mortem at the time concluded that her heart was not able to pump enough blood. Now the pathologist who gave that diagnosis says he wasn't told about massive blood loss during her surgery and he's changed his mind. RNZ's Andrew McRae reports.

The cyber attack that crashed the Waikato District Health Board's computers and phones has put other DHBs on high alert for any incursions. Five hospitals in the region have had their second day without IT systems, following a major ransomware attack early Tuesday morning. Doctors at Waikato Hospital are reverting to whiteboards and hard copy records to continue treating patients. Amy Williams has the latest.

A cyber attack has shut down internal IT systems, including computers and phones, at Waikato's five public hospitals. The Resident Doctors Association says the attack is understood to involve a type of ransomware called Conti that's just been used to target Ireland's health department.

On today’s episode of Jimmy Makes Science Simple on the LLVLC Show, Jimmy tackles a new study that has important information concerning Alzheimer’s Disease. “I bet all of these participants would have done even better with higher fat intake.” Jimmy Moore Today on Jimmy Makes Science Simple on LLVLC (@jimmymakessciencesimple) I have a February 23, 2021 study published in the journal Alzheimer’s Research & Therapy entitled “Randomized crossover trial of a modified ketogenic diet in Alzheimer’s disease.” READ THE STUDY HERE: Randomized crossover trial of a modified ketogenic diet in Alzheimer’s disease | Alzheimer’s Research & Therapy | Full Text (biomedcentral.com) New Zealand researchers at Waikato Hospital in Hamilton, New Zealand used a modified ketogenic diet over a 12-week period on patients with a diagnosed case of Alzheimer’s disease. Primary outcomes included basic cognitive tests and quality-of-life improvements. Secondary outcomes included cardiovascular risk marker changes. The ketogenic diet beat low-fat by every measure! While I always appreciate new research that shows benefits with nutritional ketosis, I’m always flummoxed by the rationale for why researchers do things the way they do. In this study, they modified the ketogenic approach by lowering the fat to 58% of calories and feeding the participants in excess of 15% of calories from carbohydrate. Since they were measuring a neurodegenerative condition and looking for what effects ketone bodies would play in the brain, it was odd they insisted on a version of keto that only produced mild ketosis. If they examined all the research of epilepsy another neurodegenerative diseases, then they would’ve seen a very different diet—upwards of 90% fat. I think they could have gone in between the diet they chose and the therapeutic diet for epilepsy and shown far greater results. Their concern was compliance with the diet and they included sweets in what they offered. Despite these challenges in the research, I think it’s a pretty good study because we don’t have enough positive papers on Alzheimer’s disease with a ketogenic approach. Hopefully this study proves the efficacy of the intervention and they will do larger scale studies for they can do a more therapeutic level of ketogenic diet. I enjoyed sharing this one with you all today!

A man has died from Covid-19 in Waikato Hospital and there is one new case in managed isolation, the Ministry of Health has confirmed.

A family suffering a double tragedy from Covid-19 are now having to come to terms with what the pandemic has cost them. A revered Raukawa leader and historian Nigel Te Hiko died on Tuesday at Waikato Hospital's intensive care unit. The Tokoroa man caught the virus from his older brother Alan, a worker at the Americold storage facility in Auckland who died two weeks ago at Middlemore Hospital. Both men were in the fifties and their deaths bring the Covid-19 death toll in this country to 25. Nephew Chris Mckenzie spoke to reporter Te Aniwa Hurihunganui about the loss of another uncle.

The death of two brothers from Covid 19 in less than a fortnight has prompted a warning from their family for others to take it seriously. Nigel Huirama Te Hiko died yesterday afternoon at Waikato Hospital's intensive care unit, almost two weeks after his elder brother Alan succumbed to the virus. Catherine Hutton reports.

Dr. Etuini Ma’u and looking after our elderly during COVID19. The impact of the ongoing Covid-19 crisis is deeply affecting our elderly with an increase in anxiety and depression amongst the group, says a leading Pacific old age psychiatrist Dr. Etuini Ma’u, who is based at Waikato Hospital joins us to talk about the impact of COVID19 on our vulnerable folks. Live interview with John Pulu See omnystudio.com/policies/listener for privacy information.

We've just had the first weekend under Alert Level 1 and the impact was felt in hospital emergency departments across the country. Stabbings, assaults and car crashes were just some of the reasons for patients flocking back in. Dr John Bonning is president of the Australasian College of Emergency Medicine and works at Waikato Hospital. He speaks to Susie Ferguson.

Dr Monica Liva  has been working as a general practitioner for 8 years, having worked across a range of health services including Middlemore Hospital, Waikato Hospital, West Fono, the Whanau Ora Community Clinic and the Auckland South Correctional Facility - Wiri Prison. She is now based at Turuki Healthcare in South Auckland. Monica was born and raised in New Zealand. She is of Samoan and Niuean descent and has lived in Mangere for over 30 years. Monica set out to break the stereotype that Pacific people cannot achieve a degree. She succeeded, graduating from the Auckland University in 2006 with a Bachelor of Medicine and Surgery. She also completed her fellowship in 2014. Outside of work Monica enjoys social soccer, CrossFit, Netflix and taking her 4 young children to exercise at the park. She is passionate about seeing Pasifika patients get the best possible care!

Booze is a factor in nearly one in 10 cases dealt with by Auckland City Hospital's emergency department, new research shows.A study published today in the New Zealand Medical Journal found that, in the space of just a year, more than 5000 people showed up at the ED with alcohol-related injuries.These patients were most likely to be men in their 20s and 30s, and to turn up at nights during weekends, public holidays and over the summer months.The study showed how they were often brought in by emergency services and stayed longer in hospital than other patients.Yet they also frequently walked out before a doctor could treat them – and in other cases, they had to be forcibly removed.One recent survey found 92 per cent of ED staff were encountering verbal and physical aggression from drunk patients; for two-thirds of them, that was at least a weekly occurrence."EDs have recognised for a long time that alcohol is an issue for their patients and it's always useful if we have some solid data about the size of the problem," said the study's leader, Professor Bridget Kool of the University of Auckland."It also means we can monitor trends to tell if things are getting worse or better, or if initiatives are working or not."Of more than 70,000 cases that Auckland Hospital's ED saw, about 7 per cent were alcohol-related.And of those patients, two-thirds were men, about half were in their 20s and 30, and 28 per cent came from deprivation.Māori were also over-represented, accounting for 17 per cent of those cases, despite making up just 8 per cent of Auckland District Health Board's population.The cases made up 6 per cent of all those seen in evenings, and then 18 per cent of those treated between 11pm and 7am.Half turned up via emergency services – yet just 8 per cent were classified as having life-threatening injuries.Once at ED, they stayed there an average five hours – two hours longer than the median stay time.Kool said some past interventions, such as St John setting up stations in the city, had led to fewer of these cases reaching ED.Waikato Hospital ED doctor John Bonning said drunk patients continue to be a major problem for his colleagues. Photo / Supplied"That's not solving the problem, but it's saying that maybe some of these people don't need to go to hospital, because they're a burden on emergency departments."While the solution to binge drinking largely lay in public health and community efforts, Kool said EDs had run screening trials with patients."This is where staff will ask patients about their drinking while they're sitting in an ED and thinking, 'God, that was stupid'."They just give them some brief advice and that's been shown to be effective in people's drinking, but these things need to be resourced – and currently, our EDs are already over-burdened."John Bonning, Australasian College for Emergency Medicine (ACEM) president and Waikato Hospital emergency doctor, said alcohol was likely the most preventable public health issue facing EDs."It's an ongoing problem, it's constant and it's certainly not getting better," he said."You're just trying to do your best for patients … and to get these drunk people come in with what's essentially a preventable condition, and get physically and verbally abused, it's really, really challenging."

The development of cycling infrastructure hasn't kept with the rise in cycling numbers.A study shows nearly 1000 cyclists were admitted to hospital between 2012 and 2016 - that number is rising by about 17 per cent every year.Waikato Hospital trauma director, Grant Christey, told Kate Hawkesby he's not opposed to cycling, there just needs to be safer cycling infrastructure.He says there are many benefits to cycling, but the injury rate needs to go down. 

The effects of yesterday's multiple fatality crash are likely to be widespread, a road safety expert says.Eight people were killed when an SUV and a van collided head-on on State Highway one between Taupo and Rotorua.The sole survivor, a 9-year-old boy who was in the van, was taken to Waikato Hospital in a critical condition but was stable last night.Police say it is too early to know what caused the crash but it appeared one vehicle crossed the centreline.Brake spokesperson, Caroline Perry, told Kate Hawkesby those affected by the crash will need overarching support, as they deal with the extremely traumatic event."It's a huge tragedy and traumatic event for everyone involved and suddenly those families are having to deal with sudden and traumatic grief and their lives being changed forever.""There is huge shock involved and people might experience a variety of different emotions, and different people might experience grief differently and there are various different emotions involved at different times.""But what's really important is that people have access to support when they need it to help them go through that grief process."Perry said Brake provides free support and victims support provides emotional support to those who have been affected by crashes.She said crashes don't just affect the families, with first responders also dealing with trauma and shock."Those services do have their own measures in place within their organisations to help personnel deal with the impacts that those crashes have on them.""But there is also a huge ripple effect when it comes to crashes. As well as immediate and extended family, there are also friends, work colleagues, a school community and the wider community that are affected as well and people who have witnessed a crash...so all of those people need support as well."A number of other crashes have taken place on the same stretch of road, something Perry says will impact the community."In some small communities for example, where thet have had a crash happen with somebody local, that entire community may know the person involved and be affected by their death."

There'll be slipping, slopping and slapping on hats around the country at the moment, that's a safety slogan that's lasted over decades. But these days we know even this isn't it enough to protect us from the viciously strong sunshine we get in New Zealand. Melanoma is a killer and sunburn is a leading cause of the cancer. Lynn Freeman spoke to Professor Amanda Oakley, a Dermatologist at Waikato Hospital to find out about recent breakthroughs in skin condition research.