The New Zealand General Practice Podcast

Dr Dave this month covers the Sustaining GP Wellbeing toolkit for local GPs in Canterbury, the importance and process of adverse reaction reporting via BPAC, a safety alert about genetic susceptibility to general anaesthetics in patients of Venezuelan maternal origin, permanent changes to Cremation Regulations for deaths in long-term residential or specialist palliative care, new ACC Return to Wor...

This month Dr Dave teaches Dr Jo about Youth issues, Choking, Sexual violence disparities and Looksmaxxing. There us an update on Insulin and Abnormal uterine bleeding guidance. There is some reassuring news about MHT and all-cause mortality. Brief intersting topics like Dry eye and vitamin D, topical anaesthesia for IUD placement, and  "Jess’s rule" aimed at preventing delays in diagnos...

Dr Dave teaches Dr Jo about recent clinical updates on diabetes diagnosis, whole-body MRI screening, sepsis management, privacy law changes, smartphone effects on youth, safe prescribing resources, prescribing alerts, and thanks to Dr Andre Bonny for his resource on alcohol-related harms in New Zealand.

Apologies for the delayed publication and sound quality this month - hopefully this is still useful. Dr Dave teaches Dr Jo about · UTI in children, Gynaecomastia, Fournier gangrene, Zoledronic acid in the elderly, GLP-1 Ras – skin and eyes, Coffee after AF ablation, Paracetamol in pregnancy, Morphine and breathlessness and our equity focus this month is on , CVD risk assessments, and Cancers and e...

Dr Dave teaches Dr Jo about Dengue fever, adhd pre-testing and monitoring, that statins are (probably) not as bad as people make out, and that antdepressants may not be the cause of as much cardiovascular issues as previoulsy thought. There is also a reminder about CKD and informing patients even if it is mild, adult sinusitis, sepsis, 12 month prescribing, and ADHD respurces. They finish with the...

Dr Dave catches Dr Jo up on Measles clinical signs, testing, management, complications, and vaccination advice, NSAID use in CKD and Methotrexate without folic acid. Disability Allowance updates  – special food form, CGM funding considerations.  Cremation Regulations exemption extended  – process and applicability.  Concussion Guidelines  – new ANZ guidance and assessment tools.  RNZCGP position s...

Dr Dave teaches Dr Jo about Restless leg syndrome, Pregabalin prescribing, Ryeqo for endometriosis, Nortriptyline, Signs in acute coronary syndrome, SCAD a new HQSC cultural resource and other Resources for STI patient info, Herpes guidelines, Cybersecurity for primary care and the Miscarriage Matters website.

Dr Dave teaches Dr Jo about Valproate in women of childbearing age Triple whammy Macrolides + statins Carotid artery POCUS Insomnia meds New sepsis guidance Pharmac SA updates Alzheimer disease advances Research Review gems BNP levels on Pasifika patients Varenicline for vaping cessation and Vitamin K2 for nocturnal leg cramps

Dr Dave teaches Dr Jo about Suicide prevention with new NHS and NICE guidance discouraging risk stratification tools and instead emphasising relational safety, a biopsychosocial approach, dynamic safety planning, inclusivity, and clear communication. Dr Dave covers paediatric gastroenteritis, a recent NEJM study confirms oral ondansetron’s effectiveness in reducing vomiting in children, with NZFC...

Dr Dave teaches Dr Jo about Malnutrition detection and management, the Breast screening age extension, Serum estradiol measurement in menopause, Anticoagulant monitoring equity concerns, Prostate cancer screening and digital rectal exam, Optimal Cancer Care Pathways (OCCPs), FIT for Symptomatic bowel pathway, Oral iron tablet supply issue:, and Adrenaline administration by vaccinators. Apologies f...

Dr Dave talks to us about Desmopressin in nocturnal enuresis in children, ADHD resources, changes to the National Community Referral Criteria for Imaging, CT Imaging and Cancer Risk, greater Covid-19 antiviral eligibility, a reminder re hyperkalaemia, and widened access to meningococcal B vaccine. Apologies for the delayed publication of this episode.

Dr Dave covers Kawasaki Disease, weaning antidepressants, firearms forms, buckle fracture management, carer benefit, mirena use for contraception extension to 8 years, more inhalers per script, resources including Healthify's app store and laughter for dry eyes.

Dr Jo leans the difference between poppers, nangs and nos, and some serious side effects of sniffing gas. Dr Dave share ssome ACC resources, information about accessing records after death and a surprising use for saffron.

Dr Dave teaches Dr Jo about driving tests and drug driving, a possible link between the shingles vaccine and reduced risk of dementia, the role of Denusumab in osteoporosis, that BV is an STI, using tranexemic acid for noseblleds, some drug updates, that it's OK to kiss someone if you are gluten intolerant, and about an unfortunate side effect of using a cellphone whilst on the toilet.

Dr Dave educates Dr Jo about hearing loss, ADHD treatment, SSRIS, Coffee and Afib, Derment resources, bits and bobs about pharmac updates and asks to rice or not to rice ?

Dr Dave reminds Dr Jo about testosterone, its limited indications and how to manage a patient who is using it. We talk about treatment injury overseas and paying for medical records, the dos and don'ts. Dementia and Asthma are our two equity topics. We finish with a few prescriber updates and a resource for coeliac disease identification.

Dr Dave educates Dr Jo about measles long term impacts, lymphocytosis, death docs and cremation rules, herpes testing and treating, and provides tools for cognitive testing, melanoma counselling and long covid management.

Dr Dave educates Dr Jo about prostate cancer screening, FIT for symptomatic colorectal conditions, infrequent Zolendronate in early menopause, dangers of isotretinoin, This Way Up online CBT, the equity topic this month is around H Pylori, plus a few more clinical snippets !

Dr Dave shares updates on empaglaflozin, fosfomycin, latent autoimmune diabetes, HINTS test for vertigo, pertussis, ADHD, treating family and friends this Christmas, and medical aspects of fitness to drive changes.

Dr Dave takes Dr Jo on a trip through sore eyes, syphilis, peripheral neuropthy, heart failure, how to take a BP, naltrexone and long covid, endometriosis and ovarian cancer, ACC via text, clinical gems and health equity.

Dr Dave teaches Dr Jo about the importance of documenting patient refusals and providing written information about treatment options and consequences. They discuss innovative treatments such as using cooking salt for neonatal umbilical granulomas and duct tape for warts and review a study on habitual coffee drinking and its association with prediabetes remission. Dave introduces Jo to BreastNet NZ...

Dr Dave teaches Dr Jo about the complexities of deprescribing in older adults, focusing on the balance of benefits and risks associated with statins and aspirin for primary prevention of cardiovascular diseases. We'll also discuss the updated guidelines for managing fever in children, emphasizing the importance of evaluating all vital signs and the role of clinical judgment. Additionally, we'll to...

Dr Dave covers updates on diverticulitis, post natal depression, WINZ and prescribing in pregnancy resources and shares a cautionary tale about abdominal trauma in children

Dr Dave teaches Dr Jo about Heart Foundation resources, Atrial fibrillation and anticoagulation, Liquid morphine formulations, Liraglutide and dulaglutide, Oestrogen patches, Potassium in dietary supplements, Medicine-induced hyponatraemia, pseudoephedrine, Prescribing to competitive athletes subject to drug testing, Montelukast, Vitamin D supplementation in pregnancy and infants, and Abortion rev...

Dr Dave updates us about the child disability allowance, istretrinoin may not be quite as risky as feared for mental health issues, scabies treatment and how to maximise impact of permethrin, being wary of erectile dysfunction in young men, some medication updates, the EPIC dashboard and how to manage aggressive patients.