The Good GP

• Your Guide to Emergency Contraception: Insights from Dr Alison Creagh

  In this episode of The Good GP podcast, host Dr Karin Sekhon is joined by Dr Alison Creagh, a GP with a special interest in women's and sexual health. Dr Creagh shares her knowledge on the topic of emergency contraception, discussing its importance and available options.They explain emergency contraception and its use in situations of unprotected sex or contraceptive failure. Dr Creagh outlines the three main options: two oral pills and the copper IUD. She highlights the copper IUD as the most effective method and addresses its limited accessibility and costs. For the oral pills, levonorgestrel and ulipristal, Dr Creagh explains their effectiveness, availability over-the-counter, and the potential side effects.Discussing when to begin contraception after an emergency contraceptive method, considerations between the two pill options, and notable barriers to access in Australia. Dr Creagh emphasises the need for GPs to be informed about local resources and suggests patient resources to enhance understanding and access to emergency contraception.Dr Creagh notes the importance of informing patients about emergency contraception, particularly for newly sexually active individuals and those using ongoing contraceptive methods. Which is essential for GPs looking to deepen their knowledge and improve patient care in the context of emergency contraception.Link & Resources:CLINICIANS: Therapeutic Guidelines: https://www.tg.org.au/FSRH guidelines: https://www.fsrh.org/Public/Public/Standards-and-Guidelines.aspx?hkey=86c80484-36fe-4d6d-96c6-05cdc8e7b8daPATIENTS: SHQ Information Sheets: https://shq.org.au/resources/health-info/info-sheets/SHQ Emergency Contraception Information Sheet: https://shq.org.au/resources/health-info/info-sheets/emergency-contraception/The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialization. Learn more at www.talkinghealthtech.com/podcast/networkIf you have any questions or would like to contact The Good GP, send an email to [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information.

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• Understanding Irritable Bowel Syndrome: A Multidisciplinary Discussion Part 2

  In this episode of The Good GP, join host Dr Krystyna De Lange as she revisits the topic of Irritable Bowel Syndrome (IBS) with the multidisciplinary team from the Integrated Care Clinic for Disorders of Gut Brain Interaction at the PA Hospital in Brisbane. Following the previous episode focusing on the medical aspects of IBS, they explore the broader approach to managing IBS through diet, exercise, and psychological support.Isabella Kibbe, a dietitian, delves into the low FODMAP diet, and its role in managing IBS symptoms and offers practical dietary strategies for GPs. Exercise physiologist Jake O'Brien discusses the role of physical activity in alleviating IBS symptoms, such as improving motility and reducing bloating, alongside its holistic benefits, including stress reduction and enhancement of overall quality of life.Psychologists Dr Paul Stanley and Elena Bild focus on the psychological aspects of IBS management through trauma-informed care, the significance of establishing rapport, acknowledging patients' experiences, and using cognitive behavioral techniques to address gut-directed anxiety.The episode reinforces the importance of a patient-centred and holistic treatment approach to IBS and emphasises the impact of non-medical interventions in improving patient outcomes.Links & Resources:Nutrition Education Materials Online (NEMO), IBS resources for patients/clinicians: Managing Irritable Bowel Syndrome (IBS) (health.qld.gov.au)Dietitians Australia 'Find an Dietitian' Tool - filter Dietitians by clinical area of work and location Find a Dietitian (dietitiansaustralia.org.au)Monash FODMAP resources: About FODMAPs and IBS | Monash FODMAP - Monash FodmapThe Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/networkIf you have any questions or would like to contact The Good GP, send an email to [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information.

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• Understanding Irritable Bowel Syndrome: A Multidisciplinary Discussion Part 1

  In this episode of The Good GP, host Dr Krystyna de Lange discusses Irritable Bowel Syndrome (IBS) with Dr Alireza Ahmadvand, a GP, and Professor Gerald Holtmann, a consultant gastroenterologist and director of the gastroenterology and hepatology department at the PA Hospital. This episode is part one of a two-part series exploring IBS from a multidisciplinary approach.Dr Ahmadvand discusses the differential diagnoses for IBS symptoms in primary care. This includes chronic infections, inflammatory bowel diseases, medication-induced diarrhea, colorectal cancer, and more. They evaluate red flags and initial investigations to distinguish between organic and functional gastrointestinal issues.Professor Holtmann highlights the importance of understanding patient expectations and provides clarity on diagnosing disorders of gut-brain interaction. He highlights the role of thorough communication and the need to address both the physical symptoms and psychological impact on the patient.They also delve into the emerging role of the gut microbiome in disorders of gut-brain interaction. Professor Holtmann discusses the relevance of the microbiome composition and the challenges involved in using stool microbiome reports for diagnostic purposes. He elaborates on the potential of targeting the microbiome to improve IBS symptoms through specific treatments, including antibiotics and probiotics.They conclude with an exploration of pharmacological interventions. Professor Holtmann shares insights on using low-dose tricyclic antidepressants, herbal medicines, and probiotics for IBS management, emphasising the need for balanced treatment strategies that weigh risk and benefit carefully.

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• Bone Health Basics: Tips to Prevent Osteoporosis and Improve Longevity

  In this episode of This Could Save Your Life podcast, hosts Dr Catherine Bourke and Dr Anna Mullins discuss a critical and often overlooked aspect of health: Bone Health. They begin with clarifying the terms osteoporosis and osteoarthritis, which are often confused by patients. Dr Bourke and Dr Mullins present statistics highlighting the grave consequences of untreated osteoporosis, reinforcing the urgent need for awareness and early diagnosis. While also outline the risk factors, including age, family history, hormonal imbalances, vitamin D deficiency, and low body weight.Emphasising the importance of prevention through nutrition, particularly calcium intake, lifestyle changes such as quitting smoking and reducing alcohol consumption, and specific exercises like resistance and balance training. Practical advice is provided to help patients incorporate these into their daily routines. They also discuss the bone mineral density test (DEXA scan), which is crucial for diagnosing osteoporosis and monitoring bone health over time.They then discussed treatment, including medications and multi-disciplinary care involving GPs, dietitians, and exercise physiologists. The long-term impact of fractures on independence and quality of life is stressed, making this a valuable resource for GPs aiming to improve patient outcomes in bone health.Links & Resources:Healthy Bones Australia: https://healthybonesaustralia.org.auThis Could Save Your Life Podcast is under The Good GP podcast and is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

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• Understanding Sepsis: Key Risk Factors and Early Recognition for GPs with Dr Emily Gordon

  In this episode of The Good GP Podcast, host Dr Krystyna de Lange is joined by Dr Emily Gordon to discuss the topic of sepsis within the primary care setting. Dr Gordon, a respected general practitioner and previous recipient of the RACGP Queensland GP of the Year award, shares her expertise to help GPs better identify and manage this life-threatening condition.From definition and causes of sepsis, highlighting its potential to come from infections in common areas such as the lungs, skin, urinary tract, or gastrointestinal tract. Dr Gordon emphasises the importance of early detection through recognising both red and amber flag symptoms, which could suggest the onset of sepsis.Dr Gordon provides guidance tailored for GPs on how to respond effectively if sepsis is suspected. They explore the key risk factors and vulnerable patient populations who may be at heightened risk for sepsis.Dr Gordon introduces practical resources including a new sepsis screening tool for adults, designed to aid primary healthcare providers in accurately identifying sepsis early and ensuring prompt and appropriate management. This tool, currently available in the pilot project phase in Queensland, underscores the significance of education and vigilance in improving patient outcomes.The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/networkIf you have any questions or would like to contact The Good GP, send an email to [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information.

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