Goodfellow Unit

In this episode, Dr Silipa Naiqiso discusses endometrial cancer, focusing on its prevalence, risk factors, presentation, and management in primary care. Learn about the latest trends, disparities, and practical tips for early detection and referral.

In this episode, Bruce Arroll discusses the latest insights and practical approaches to managing blood pressure and lipids in primary care, emphasizing risk assessment, treatment strategies, and recent research developments.

In this episode, fertility specialist Dr Devashana Gupta discusses fertility issues encountered in primary care. The discussion focuses on three key areas: Recurrent miscarriage, Male infertility, Lifestyle factors and other environmental influences that affect reproductive outcomes.

In this episode, surgeon Peter Carr-Boyd shares expert insights on gallstones, their symptoms, diagnosis, and management, helping primary care providers better understand when to refer and how to handle common presentations.

In this episode, Devashana Gupta, a fertility specialist, discusses complex fertility cases in primary care, including assessment, diagnosis, and management of various fertility issues. Providing valuable insights for GPs and healthcare providers to better support patients on their reproductive journey.

In this episode, Bruce Arroll explores the management of coexisting heart failure and type 2 diabetes in primary care. Topics include presentation surprises, screening strategies, treatment paradigms, medication nuances, and lifestyle advice.

In this episode, Dr Hasan Bhally discusses the virology, transmission, clinical presentation, diagnosis, and prevention strategies for RSV in older adults, highlighting the importance of vaccination and awareness of complications.

In this episode, Clinical Psychologist Mary Miller introduces a practical framework for navigating the emotional toll of high-stakes roles. Using the example of GPs managing a mistake or complaint, she explores how self-criticism and overwork can make things harder, and offers practical tools that can be put into practice straight away.

In this episode, Carla White, a health literacy expert, discusses how clinicians can navigate challenging consultations involving medical misinformation and distrust of science. They explore practical communication strategies, the Ask Build Check model, and ways to build trust and understanding with patients.

In this episode, Dr Helen Snell, a leading figure in diabetes care in New Zealand, discusses recent updates in type 2 diabetes management, diagnostic criteria changes, new medications, and practical tips for primary care providers.

Jocelyne Benatar (Medical Officer Cardiology) and Cam Kyle (Chemical Pathologist) discuss Familial Hyperlipidemia (FH), its diagnosis, management, and implications for primary care. Learn about genetic testing, risk assessment, and new treatments to improve patient outcomes.

This episode explores the current and future role of artificial intelligence in medicine, focusing on practical applications like transcribing tools, decision support, and ethical considerations. Dr. Yariv Doron shares insights from his experience in psychiatry and primary care, emphasising AI's potential to enhance efficiency and accuracy in clinical practice.

This episode discusses the complexities of refugee health in New Zealand, featuring Dr Karen Chung, a Senior Medical Practitioner at the Mangere Refugee Health Service. The conversation covers the refugee resettlement process, the critical role of primary care, common medical conditions among refugees, cultural sensitivity in healthcare, social support entitlements, and effective communication with interpreters. Dr Chung emphasises the importance of building trust and understanding the unique challenges faced by refugee populations.

In this episode, Dr. Paul Huggan discusses the critical topic of sepsis, its prevalence in New Zealand, and how it presents in primary care settings. He explores the differences between sepsis and standard infections, the criteria for defining sepsis, and the risk factors that make certain populations more vulnerable. The episode emphasises early recognition using red and amber flags, alongside practical management approaches and careful, balanced use of antibiotics. It also highlights emerging research showing how ethnicity and social determinants influence sepsis risk.

In this episode Ole Schmiedel discusses Mounjaro, a new weight loss drug, with a focus on its mechanism of action, practical use, side effects, nutritional considerations, and long-term safety. The conversation provides insights into how Mounjaro differs from previous GLP-1 receptor agonists, expected weight loss outcomes, and the importance of monitoring patients while on the medication.

Massimo Giola, an infectious disease specialist, discusses genital skin problems in males.

In this episode, Dr. Alwyn D'Souza delves into advanced haematology topics relevant to general practitioners. They discuss the significance of ferritin levels, the implications of raised globulins, and the complexities surrounding paraproteins and myeloma. The conversation emphasises the importance of clinical judgment in interpreting lab results and understanding the broader context of patient health.

Professor Ngaire Kerse talks about the challenges of managing multimorbidity and medication complexity in older adults. She discusses the definitions of multimorbidity, the vulnerabilities of older adults to medication issues, and the importance of regular medication reviews, with emphasis on appropriate prescribing and the role of healthcare professionals in supporting older adults in their medication management. The conversation also covers specific medications like statins and aspirin, the management of hypertension, the risks associated with anticholinergic medications, and the need for equitable medication management for Māori and Pacific populations.

In this episode Professor Angela Ballantyne discuss some commonly encountered medical ethics cases in general practice.

Dr Alwyn D'Souza discusses the interpretation of results, and the clinical implications of various blood parameters.