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, a knowledge base for clinicians about breast cancer, aimed at promoting best-practice care and other topics include the discontinuation of certain diabetes medications, safety netting advice in primary care, nitrofurantoin safety reminders, methylphenidate supply issues, and updated guidelines for Mpox
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 touch on the latest pain management strategies, including updates on opioid choices and the management of complex regional pain syndrome. Finally, we'll highlight the significance of early diagnosis and management of Charcot neuro-arthropathy in diabetic patients.
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 reversal.
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.
Dr Dave educates Dr Jo about ACC, otitis media, microplastics in his arteries, nsaids, contraceptives and blood clots, MANA tools and apathy in dementia, RSV vaccine, and the benefits of cycling to work in Scotland.
This month Dr Dave educates Dr Jo on issues around dementia and driving, extended use of mirena for contraception, nsaids for short term pain relief after fractures and numerous other topics. Apologies to regular listeners for the delay in publising this episode we both had time away - hopefully the content was worth waiting for !
Dr Dave tells Dr Jo about weird ear creases, why two defibrillators are better than one, why post concussion syndrome doesn't exist anymore, what to think about when a teenager limps, and lots of stuff about medication supply issues.
In which Dr Dave educates Dr Jo about not using ace, arb, and statins in pregnancy, monitoring lithium and clozapine, equity prescribing, medsafe monitoring of vildagliptin, resources from Just a Thought, dermatoscopy, and the latest covid vaccine.
In which Dr Dave educates Dr Jo about Symmetrical drug-related intertriginous and flexural exanthema (SDRIFE), Sodium valproate in people who can father children, Accelerated silicosis, Cyanobacteria, Respiratory Resources, Be wary of the request for metoclopromide and 6 monthly injections for hypertension.
Dr Dave takes Dr Jo on a learning journey from subsidies to medications through to retirement. Of significant note is Dr Jo is RIGHT when he corrects Dr Dave ( this almost never happens so is worth celebrating - when he says at a BMI of 26 or higher the dose of levonorgestrol for emergency contraception should be increased. Enjoy. Find the shownotes at pinnaclepractices.co.nz/resources/
Dr Dave Maplesden educates Dr Jo about Acne, burnout, medication withdrawal, prostate cancer ( again ) adverse reactions and managing symptoms at end of life. Find the shownotes at https://www.pinnaclepractices.co.nz/resources/
More snippets of clinically useful information for New Zealand General Practices. This month assessing capacity, HPV, Opioid prescribing, ferrinject complications, pneumonia in children, menopause hormone treatment, goldilocks and the 4 BP cuffs and just keep breathing Dr Dave.
Dr Dave Maplesden takes Dr Jo Scott-Jones on another sojourn through important clinical updates for New Zealand General Practice. This month varicella and pregnancy, identifying "the green pill", implicit bias and racism, corneal melting ( I know ! ) , nasopharyngeal cancer, funded menigococcal vaccine, colorectal cancer, and pocus for paediatric fractures.
Dr Dave updates Dr Jo about superficial venous thrombosis, ACE inhibitors and angioedema, scabies treatment with Ivermectin, complications with use of Allopurinol, pain relief in leg ulcers, ethical issues around breast screening, and the complementary use of light piano music and topical hop cream.
In this episode Dr Dave covers pelvic mesh, PSA testing guidance, polypharmacy, COPD Guidelines, Diabetes, Vit D and pre-diabetes, Topirimate in pregnancy ( again - because its important !). he gives Dr Jo news about progesterone only pills and breast cancer risk, and updates prescribing for ADHD. Video of the podcast can be found on the Pinnacle website www.pinnaclepractices.co.nz/resources along with the show-notes which are also available from opotikigp.wordpress.com
In this episode Dr Dave teaches Jo about Syphilis, Death, Opioids, Drug Driving, Phenobarbitone and how to Breathe. Video and of the podcast are available on www.pinnaclepractices.co.nz/resources along with the show-notes which are also available at https://opotikigp.wordpress.com
Dr Dave Maplesden updates Dr Jo Scott-Jones on resources for practice reflection and education https://www.akohiringa.co.nz/ and helps him with constipation, insomnia, prescribing cephalosporins, lithium in diabetes and metoclopromide. Video of the podcast can be found on the Pinnacle website https://www.pinnaclepractices.co.nz/resources/ along with shownotes, which are also available on https://opotikigp.wordpress.com/ .
Dr Dave Maplesden teaches Dr Jo about asymptomatic bacteruria, Ramadan and diabetes, when not to investigate a soft tissue mass, meningococcal B vaccine for people in residences, epipen funding, unmet need and post partum diabetes screening.
In this episode Dr Jo learns about cybersecurity, UTIs, ramipril, topirimate in pregnancy, cellulitis, sleep disorders and more from Dr Dave Maplesden.