Goodfellow Unit: Recent Episodes
Goodfellow Unit
Interviews with New Zealand experts featuring topical and relevant information for primary health professionals.
In this episode Ruveena Kaur discusses hypertensive disorders in pregnancy, covering its definition, causes, maternal and fetal risks, safe treatments, and monitoring. It also discusses long-term health implications and primary care management.
Jenny Visser discusses essential travel considerations for older adults, particularly exploring the critical role of vaccinations.
Ryan Paul discusses disparities in diabetes care, focusing on how technology can reduce the equity gap.
In this episode Dawn White explores how language in healthcare impacts patient outcomes, focusing on the nocebo effect - where words can unintentionally harm.
Janet Fanslow talks about adverse childhood experiences, intimate partner violence, and non-partner violence in New Zealand and how these issues impact long-term health. We are learning that people’s experience of violence and adversity as children and throughout the lifecourse has long-term health effects. Janet explores what we mean when we talk about experiences of violence and what we are learning about the health effects.
In this episode Suzanne Aitken discusses gluten-free diets in patients living with Coeliac disease.
In this episode, Cathy Stephenson discusses the role of the Ministry of Social Development (MSD) and Work and Income, exploring how to navigate the system to ensure your patients receive the right supports and services.
Jenny Visser discusses essential travel considerations for pregnant individuals, focusing on a comprehensive pre-travel consultation.
Professor Wayne Cutfield discusses the gut microbiome and its impact on conditions like obesity, autism, metabolic disorders, and C.difficile.
Jenny Visser discusses acute altitude illnesses including several conditions that may occur in individuals travelling to high altitudes, usually above 2,500 metres (8,200 feet). Jenny covers the sensible precautions that allow most trips to altitude to be enjoyed safely.
GP's Mamaeroa David and Va’aiga Autagavaia discuss Soālaupule, an approach that creates equity by sharing power and decision-making. Helping GPs to connect better with families to ensure trust develops, leading to better clinical outcomes.
Jo Lane, an addictions medicine doctor, discusses novel products of addiction, including Kamini Vidrawan Ras, Barshasha and Cool Lip.
Stella Milsom discusses the clinical use of Estradiol gels, focusing on the two available options in New Zealand: Estradiol (Sandrena/ sachets) and Estradiol Hemihydrate (Estrogel pump). Stella will cover dosing, absorption, safety considerations, and the latest updates to Pharmac criteria.
Mathanki Vivekananda discusses postnatal depression and other mental health conditions.
Anna Fenton discusses some more complex cases of menopause hormone therapy in perimenopausal women.
Christine Goh discusses the two most commonCongenital chest wall deformities. These are characterized by abnormal development and appearance of the chest wall. These can be categorized as rib cage overgrowth or deformities related to inadequate growth, accounting for over 90% of congenital chest wall deformities. In general, most patients are asymptomatic, but cardiopulmonary problems may accompany the disease. The indication for treatment is primarily cosmetic. Treating patients before they reach adulthood increases the chance of success. Surgical treatment can be open or minimally invasive. We will touch on sternal abnormalities briefly.
Ryan Paul discusses continuous glucose monitors and automated insulin delivery devices (aka insulin pumps). From 1 October 2024 CGMs are funded for people with type 1 diabetes and other specific forms of diabetes. The funded devices include: a range of CGMs; two brands of insulin pumps and automated insulin delivery (AID) system algorithms; the associated pump consumables.
Rachael Niederer answers some of the common questions surrounding Herpes Zoster Ophthalmicus(HZO), also known as shingles.
Early detection and intervention are crucial for managing CKD and mitigating its complications. Liz Stallworthy discusses screening at-risk individuals, the use of appropriate tests and ongoing monitoring of CKD in the NZ context.
General Practitioner Marcus Hawkins and Dietitian/Researcher Caryn Zinn discuss therapeutic low carbohydrate dietary interventions to optimize health in primary care.
Anna Fenton (gynaecological endocrinologist) discusses optimising perimenopause management.
Amber Young and Esther Willing discuss protecting babies through immunisation of hapū māmā in pregnancy and in the newborn period in Aotearoa New Zealand.
In this episode, Rajan Patel discusses the critical red flags associated with neck lumps in adults. He covers when an urgent referral is necessary and what patients can expect during their visit to a neck surgeon for a red flag neck lump.
In this episode, Paediatrician and Breastfeeding Specialist Abby Baskett discusses tongue tie (ankyloglossia) and its impact on breastfeeding. We cover the prevalence, definitions, assessment tools, and management options, including the intricate details of the frenotomy procedure.
In this episode Helen Kenealy discusses Enduring Power of Attorney – a critical legal aspect that every primary care provider should understand.
Stephen Kara discusses the newly introduced New Zealand 2024 concussion guidelines, including recognizing diverse signs and symptoms. The recovery phase is detailed, encompassing rest, reintroduction, and clearance, featuring a graduated return protocol.
Nikki Turner, Academic General Practitioner, provides an update on RSV in adults and discusses new RSV vaccinations.
Julia Rucklidge provides an update on the relationship between nutrition and mental health. She explores the current state of mental health in the nation and delves into the role of diet. Additionally, she explores whether a 'good diet' alone is sufficient for optimal mental health, what micronutrients are, and when we should consider them for our patients.
Clinical Neurologist Matthew Phillips provides an update on Functional Neurological Disorder (FND) which is a disorder that arises from abnormal nervous system functioning where there is no identifiable organic disease.
Nicola Keay provides an overview of secondary amenorrhea, highlighting the importance of addressing the concern: Why have my patient's periods stopped? Then asking - Do I need to worry? When is the absence of menstruation considered abnormal? What should I do about it?
Liz Stallworthy provides an update on acute kidney injury (AKI) and acutely rising creatinine.
In this episode, Dr Nicky Keay, an Endocrinologist, discusses unveiling primary ovarian insufficiency and early menopause covering how we navigate these distinct entities with multiple aetiologies.
Geriatrician and General Physician Helen Kenealy discusses how to thrive physically, cognitively, and socially as we age.
Primary Care Liaison Psychiatrist Cheryl Buhay provides an update on Parkinson's disease and the psychiatric considerations that the primary care team need to be aware of.
Geriatrician and General Physician Helen Kenealy discusses frailty, including what frailty is, its prevalence in New Zealand, risk factors, presentation, measurement, and the importance of assessing it.
Helen will also discuss practical tools for assessing frailty, adverse outcomes, and effective management strategies.
Dr Susan Seifried discusses the 'Quality Statements to Guide Melanoma Diagnosis and Treatment in New Zealand' developed by the National Melanoma Working Group (NMWG) and MelNet. The latest guidance was released in September 2023. The statements describe what quality care for melanoma should look like in New Zealand based on current global best practice. They aim to reduce the incidence and improve outcomes for melanoma patients and their families.
Cheryl Buhay, Primary Care Liaison Psychiatrist, will discuss what we need to consider when our patient doesn’t respond to antidepressant medications, including medication, illness, and patient factors.
Musculoskeletal pain specialist Giresh Kanji provides an update on fibromyalgia.
Fibromyalgia is a collection of symptoms and is best termed a syndrome. The collection of symptoms includes widespread pain, poor sleep, fatigue, brain fog and sometimes depression. A sensitivity to light, sound, touch and smell is also described. There is generalised tenderness, which is how you diagnose the syndrome.
Dr Michael Drane discusses commercial pilot medical certification. Covering clearance to fly, the vacationing pilot, and the pilot with hazardous social behaviours. By the end of this episode, you will know your responsibilities concerning each scenario.
Rob Doughty provides an update on the four pillars of heart failure management. Are your patients on the four pillars of heart failure treatment- if not why not?
Colorectal and General Surgeon Parry Singh discusses common anorectal conditions, including the history, examination and management of haemorrhoids, perianal hematoma, and anal fissures.
Amanda Eng and Jim McLeod provide an update on workplace exposure to carcinogens.
The New Zealand Carcinogens Survey reveals for the first time the extent to which New Zealanders experience cancer-causing substances and other exposures in their workplace. The survey, released in March this year, reports that more than half (58%) of all workers are exposed to at least one workplace carcinogen at some level.
In this episode, Jude Ball (a member of the Adolescent Health Research Group) discusses alcohol use in New Zealand’s adolescent population.
Michael Drane discusses clearing your patient to fly safely. What you need to consider and how you go about clearing your patient with medical conditions to fly.
In this episode, Gary Clearwater discusses certifying death and completing the required documentation in NZ for individuals aged >28 days old. This includes death following assisted dying. If cremation is requested, a cremation certificate must also be completed.
In this episode, pharmacist prescriber Linda Bryant discusses statin use in New Zealand today, how it has changed and its future place.
Nick Lilic discusses the common clinical syndromes that cause nasal congestion, overviewing conservative management, and when to consider surgical options.
In this episode, Kendra Hill and Inspector Kirsten Price discuss firearms licensing: the roles and responsibilities of health practitioners and police; how to make a notification, and what happens once a notification is made.
In this episode, Chelsea Willmott discusses nurse practitioners in New Zealand and the growing role they play in primary care practice.
In this episode we have a case based discussion with Dr Saman Moeed, covering 4 common paediatric vulval conditions. Vulvovaginitis, labial fusion, vulval pain, lichen sclerosis and worms.
In this episode, Saman Moeed discusses vulval pain or vulvodynia in young women and possible underlying conditions.
In this episode Aaron O’Connell (clinical psychologist) discusses psychotherapy, CBT, ACT, FACT and the modality we should suggest to patients.
In this episode, Guyon Espiner (Investigative Journalist/Author) will discuss his journey from being a heavy yet controlled drinker to his abstinence from alcohol. A patient's journey and perspective.
Dr Alexandra Muthu discusses silica dust causing health issues like accelerated silicosis, which is an emerging occupational disease caused by exposure to high concentrations of respirable crystalline silica from unsafe work with engineered stone.
Dr Gina O’Grady provides an update on spinal muscular atrophy (SMA), including how prompt recognition of hypotonia and timely referral means disease modifying therapies can be started early, which may alter prognosis and longevity.
In this episode Dr Cathy Stephenson and Rose Silvester discuss the impact of Myalgic Encephalomyelitis/CFS on young people.
ME/CFS is a poorly understood, yet relatively common medical condition, that can profoundly affect the lives of those who suffer from it. Sadly for decades myths have persisted around the aetiology and pathophysiology of ME/CFS, with many health providers historically even doubting its existence, and confusion still reigns when it comes to an evidence-based approach to management. So here to unpick some of the myths, and help us with an approach to assessing and supporting young people who develop ME/CFS are Dr Cathy Stephenson, a GP who has developed a special interest in the condition, and Rose Silvester, a mum of two teenage boys who are affected by it. We are also delighted to have special guest to give us insight.
Gynaecological Surgeon Anil Sharma, and Pelvic, Post-op and Endometriosis-Pain Physiotherapist Nicol Ranger discuss the management options for urinary incontinence.
In this episode, Dr Juliet Soper will discuss child abuse, talking to families and child protection agencies about possible child abuse. We discuss strategies to support you to have these difficult conversations.
In this episode, Dr Taisia Cech and Dr Marissa Kehler will discuss how to optimise nutrition in the prenatal period for expectant parents, and in the first 1000 days.
In this episode, Juliet Soper discusses sentinel injuries. including what to lookout for and when to report.
Geriatrician Victoria Gibson discusses why it’s important to recognise frailty and address reversible factors in primary care.
Dr Julia Scott and Dr Gary McAuliffe discuss what to do with a suspected monkeypox case.
Opthalmologist Dr Rachael Niederer discusses dealing with eye trauma in general practice.
Dr Georgina Harvey will discuss cutaneous viral warts. Including common causes, diagnosis and treatment.
Cathy Stephenson discusses how to ask about non-consensual sex and what to do if you get a disclosure.
Dr Bronwyn Rosie discusses the prevalence of child neglect in New Zealand and dealing with a neglect case in the community.
In this episode Cheryl Buhay discusses PTSD. What we need to know and how we can look after ourselves in a pandemic to avoid this diagnosis.
Herpes zoster (or shingles) in older adults, and how GPs play a crucial role in its management.
Rinki Murphy outlines the practical strategies GPs can put in place to enable systematic CVD risk factor management among patients with T2D
Cathy Stephenson discusses how to have conversations with our younger patients about sex.
Dr Bronwyn Rosie discusses the prevalence of child abuse in New Zealand and dealing with an abuse or neglect case in the community.
Dr Megan Ogilvie discusses how to screen for Relative Energy Deficiency in Sport (RED-S), a clinical syndrome comprising low energy availability (LEA) as a result of over-training and a negative calorific balance.
Dr Bronwyn Copeland on the role of primary care in diagnosing and managing mild cognitive impairment (MCI).
Dr Kate Grundy discusses assisted dying and the New Zealand End of Life Choice Act 2019
Dr Kelvin Ward talks about ventilation and filtration within a covid pandemic and what general practices need to know about multi-layered mitigation of risk.
Te-ara-whakapiri -principles and guidance in the last days of life - a discussion with a specific mention of COVID management.
Fiona Johnston discusses how to thrive when working shifts using the four pillars of shift work success
Dr Rinki Murphy discusses type 2 diabetes management with a focus on GLP- 1 receptor agonists.
Dame Sue Bagshaw discusses teenage brain development and its influences - what this means for the GP - and how to optimise your communication to maximise your consult with the teenage patient.
Dr Nikki Turner discusses why people are vaccine hesitant and how we can help alleviate concerns and move patients from vaccine hesitant to fully immunised.
Dr Zuzana Wheeler discusses a case of anxiety and depression. We will discuss how in a LSM model this case would be addressed. We will discuss where you go to learn more and how to refer on to a LSM colleague
In this episode, Dr Cheryl Buhay will discuss Clozapine and primary care- what you need to know.
Dr Zuzana Wheeler discusses lifestyle medicine, what it is and if it has a place in our fifteen-minute consultations.
In this episode we talk to Dr Claire Meehan about her work with young people across NZ to understand how they engage with sexual media.
Dr Louise Kuegler interviews a number of General Practitioners about their special interests
Update on the management of type two diabetes following the introduction of new funded medications in New Zealand.
Dr Rona Carroll discusses the medical and surgical initiation and maintenance of gender affirming hormone treatment and surgical intervention in the transgender- transitioning patient.
In this episode, Dr Stephen Child discusses the new NZ 2020 Asthma and Respiratory Foundation of NZ adult and adolescent guidelines.
Dr Cheryl Buhay will discuss clues to diagnosis, investigations, and management of borderline personality disorder
Dr Louise Kuegler interviews a number of General Practitioners about their special interests
Dermot Coffey talks about practical environmentally responsible changes you can make in your practice.
Dr David McNamara talks through addressing the challenges and barriers to diagnosis of Asthma in the under five year old.
Dr John McMenamin will discuss strategies to enquire, engage and motivate the patient to better health outcomes.
Professor Lesley McCowan discusses the impact of maternal sleep position on late still birth risk and how the public health message of side sleeping is best in late pregnancy.
Dr Liora Kempler talks about sleep and babies - what to expect in the first year and how to set up a healthy sleep regime for a baby.
Dr Margaret Dudley will discuss her recent research into constructs of Mate ware ware (becoming forgetful and unwell) from a Māori understanding of dementia.
A discussion with international expert Dr Shawn Shea MD, on the medication interest model (MIM).
Discuss incidence, aeitiology and a clinical approach to acute retention with a brief discussion on surgical management options. Firstly in men and then in women.
Professor Bruce Arroll discusses updates in New Zealand medication for general practice.
A discussion with international expert Dr Shawn Shea MD, on the interviewing strategy known as the Chronological Assessment of Suicide Events Approach (CASE approach).
Dr Bruce Arroll talks about the distressed patient and taking care when making a diagnosis.
Dr Katie Bach talks about children’s teeth in New Zealand and why you need to get involved in children’s dental health.
It’s a simple truth: we all die- So why has discussing death and dying become so taboo?
Dr Giresh Kanji talks about the importance of exercise in the management of depression and insomnia in general practice.
Anil Sharma talks about the management of endometriosis in primary care. Anil is a private gynaecologist working in Auckland at ascot central and has special interests in endometriosis, abnormal uterine bleeding and urogynaecology.
Professor Bruce Arroll discusses Prediabetes in New Zealand and proventing progression to type 2 diabetes.
Anna Fenton talks about some of the questions menopausal women often ask their primary care practitioner.
Professor Rob Doughty talks about a new combination medicine to New Zealand for the management of congestive heart failure.
Dr Lynn McBain and Dr Richard Medlicott talk about the choosing wisely campaign in New Zealand.
Dr Sam McBride talks about the safe prescribing of medicines that have the potential to cause substance use disorder (SUD)
Bruce Arroll talks about antibiotic use, the prescribing challenges we face and the updates on antibiotic use.
Sara Filoche talks about Non-invasive prenatal testing (NIPT) and its use in general practice.
Diane Phone a pharmacist from middlemore hospital and Angela Moananu a primary care nurse, talk about the “own my own gout” programme.
Linda Bryant talks about a dangerous drug trio known as the triple whammy and its implications in general practice.
Dr Alan Fraser discussed bowel cancer screening, surveillance and general management in primary care.
Dr Giresh Kanji talks about the diagnosis and management of primary headache in general practice.
Dr Thorsten Stanley talks about the diagnosis and management of cow’s milk protein allergy in primary care.
Massimo Giola talks about sexual health issues in gay, bisexual and other men who have sex with men.
Dr Marion Roberts talks about atypical eating disorders in primary care. Marion is a clinical psychologist specialising in eating disorders.
Professor Bruce Arroll discusses depression in primary care and the evidence base for that very first consultation.
Doctor Bruce Arroll discusses the issues around intensive blood pressure control in the elderly.
Professor David Kuhl talks about resilience, avoiding burnout and team work in primary care.
Rob Shieff talks about the removal of alprazolam from the New Zealand pharmaceutical market and issues around benzodiazepine proscribing.
Dr Fiona Horwood talks about non Pharmacological Management of Chronic obstructive pulmonary disease.
Distinguished professor Ian Reid talks about the new guidance on diagnosing and managing osteoporosis in New Zealand.
Emma best talks about how we can reduce the usage of topical antibiotics in primary care.
Professor Alan Barber talks about the diagnosis and management of transient ischemic attacks in primary care.
Dr Paul Jarrett talks with Rachel Jones about the usage of topical steroids in general practice.
Rachel Jones talks to Dr Anil Sharma about abnormal uterine bleeding. Dr Sharma is a Gynaecologist at Ascot central in Auckland.
Rachel Jones talks to Doctor Bruce Arroll about effective treatments for the common cold and how to avoid antibiotic prescriptions. Dr Arroll is Professor of General Practice at the University of Auckland and a GP in south Auckland.
Rachel Jones talks to Doctor Bruce Arroll about the common cold. Dr Arroll is Professor of General Practice at the University of Auckland and a GP in south Auckland.
In this inaugural episode of the Goodfellow Unit podcast, Bruce Arroll interviews Professor Ian Reid an international expert on bone disease.