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Trumix.com : Podcast : Health : Unknown

Australian Family Physician

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Language: English
Category: Health / Unknown
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Interview: Indigenous doctors
Dr Aleeta Fejo talks about being an indigenous doctor, efforts to increase the number of indigenous doctors in Australia, and helping out Santa for disadvantaged indigenous children....

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[ Wed, 03 Dec 2008 09:00:00 +1000 ]


Article: Working toward a goal
I thought that this story started when I was 28 years of age, but actually, it started before I was born. I am a Larrakia Traditional Owner, inherited from my father, and I am a Warramunga woman from my mother....

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[ Wed, 03 Dec 2008 09:00:00 +1000 ]


Interview: Brief interventions work in indigenous mental health
Dr Tricia Nagel talks about the successful use of a brief goal setting intervention in remote indigenous communities. You don't need special skills, client self-care is enhanced, and co-morbid disorders are addressed in an integrated way. And it can be used in a wide variety of settings....

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[ Tue, 02 Dec 2008 09:00:00 +1000 ]


Article: Motivational care planning - Self management in indigenous mental health
Detection and treatment of mental illness in indigenous communities is often complicated by cross cultural difference, social complexity and comorbid disorders....

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[ Tue, 02 Dec 2008 09:00:00 +1000 ]


Interview: I've been bleeding from the bowels
GP Dr Andrew Knight talks to Dr Kathryn O'Connor about his approach to assessment and management of case study "Serge" who presents saying "I've been bleeding from the bowels". Patient history is important and open questions are especially helpful in complex presentations. Serge has multiple problems including tiredness, constipation and rectal bleeding. Causes of tiredness are many and varied and basic pathology can help exclude an organic cause. Screening for a psychogenic cause is important a...

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[ Tue, 18 Nov 2008 09:00:00 +1000 ]


Article: 'I've been bleeding from the bowel'
Much undifferentiated illness is seen in general practice. Patients with a vague feeling of general unwellness may have multiple unrelated problems, serious underlying pathology, definite but indefinable pathology, and/or illness of psychological origin....

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[ Mon, 17 Nov 2008 09:00:00 +1000 ]


Interview: Aches and Pains and Osteoarthritis

GP Dr Louise Stone discusses assessment and management of osteoarthritis in General Practice with Dr Kathryn O'Connor. Patient history is important; especially duration and severity of pain. Alternative diagnoses should be considered and excluded. Education and patient self management are vital as the management of osteoarthritis happens mainly outside the consulting room. Treatment modalities include exercise, weight loss, topical and oral medications, appliances. Referral to a surgeon may be r...

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[ Sun, 16 Nov 2008 09:00:00 +1000 ]


Article: Aches, pains and osteoarthritis
Aches and pains are commonly seen in general practice and osteoarthritis may be an underlying cause. Chronic pain can be very distressing for patients and management may be challenging for the general practitioner. Osteoarthritis is a common cause of chronic pain and disability....

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[ Sat, 15 Nov 2008 09:00:00 +1000 ]


Interview: Pathology testing in the tired patient: a rational approach

Dr Michael Harrison discusses pathology testing in the tired patient with Dr Kathryn O'Connor. International guidelines on pathology testing in the tired patient vary and all are consensus rather than evidence based. Dr Harrison discusses the incidence of tiredness, the pick up rate of serious disease for pathology testing in the tired patient and other important reasons for decisions about testing in the general practice setting. He explains that, despite the fact that best practice eludes defi...

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[ Fri, 14 Nov 2008 09:00:00 +1000 ]


Article: Pathology testing in the tired patient - A rational approach
Pathology tests are often ordered by general practitioners to investigate patients with nonspecific complaints such as malaise and tiredness....

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[ Thu, 13 Nov 2008 09:00:00 +1000 ]


Interview: Pandemic influenza

Nick Collins, a GP from Leumeah, New South Wales, discusses planning for pandemic flu and the checklists from his article in October AFP, ‘Plan your pandemic- a guide for GPs’ with Dr Jenni Parsons. The discussion focuses on the practical strategies general practices can employ to both prior to and during a flu pandemic. Although the process can seen daunting, simple starting points of good staff and patient education, maintaining good infection control practices, encouraging good ‘cough etique...

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[ Fri, 31 Oct 2008 09:00:00 +1000 ]


Article: Plan your pandemic - A guide for GPs
Influenza A virus has a range of subtypes characterised by the display of particular surface structures and is associated with significant symptoms and a tendency to cause epidemics and pandemics....

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[ Thu, 30 Oct 2008 09:00:00 +1000 ]


Article: Plan your pandemic - A guide for GPs
Influenza A virus has a range of subtypes characterised by the display of particular surface structures and is associated with significant symptoms and a tendency to cause epidemics and pandemics....

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[ Thu, 30 Oct 2008 09:00:00 +1000 ]


Interview: Improving asthma care
Dr Steven Rudolphy discusses straight forward ways for the busy GP to improve asthma management with Dr Jenny Presser. Although asthma mortality rates in Australia have declined, our 'report card' in asthma management still has basic areas that need improvement, such as medication use and smoking cessation. He also talks about tricky areas - making sure of the diagnosis, differentiating asthma from COPD and wheezing in infants....

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[ Fri, 05 Sep 2008 09:00:00 +1000 ]


Article: Asthma management in general practice - A chronic disease health priority
Asthma mortality rates in Australia have declined over the past 20 years but are not low by international standards. ...

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[ Fri, 05 Sep 2008 09:00:00 +1000 ]


Article: Asthma management in general practice - A chronic disease health priority
Asthma mortality rates in Australia have declined over the past 20 years but are not low by international standards. ...

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[ Fri, 05 Sep 2008 09:00:00 +1000 ]


Interview: Our changing role in cancer management
Associate Professor Geoffrey Mitchell talks with Dr Jenny Presser about the role of the GP at different stages in a patient's cancer journey. The good news is that Australian cancer survivorship is increasing. Part of the improvement in cancer care world-wide is related to the development of a multidisciplinary team approach. There will be increasing opportunities for GPs to be involved in cancer care in the future, and there are some exciting new resources being developed....

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[ Thu, 04 Sep 2008 09:00:00 +1000 ]


Article: The role of general practice in cancer care
The incidence of cancer is rising, so the workload of managing cancer is increasing rapidly. Among the advances in cancer care are advances in coordination of care, with team care being a preferred method....

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[ Thu, 04 Sep 2008 09:00:00 +1000 ]


Interview: Relapse Prevention in Depression
In the longer term over 70% of people who have had depression experience disease recurrence. Dr Cate Howell discusses with Dr Jenny Presser how to identify those most at risk of relapse and recurrence and how to work with patients to improve that risk and develop a relapse prevention plan....

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[ Wed, 03 Sep 2008 09:00:00 +1000 ]


Article: Management of recurrent depression
Depression is a potentially recurring or chronic disorder. The provision of evidence based treatment and effective practice organisation is central to chronic disease management, and these principles can be applied to managing depression....

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[ Wed, 03 Sep 2008 09:00:00 +1000 ]


Interview: The GreenClinic project
Alison Fogarty and Grant Blashki talk about the GreenClinic project and what effect it had on the practices involved....

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[ Fri, 22 Aug 2008 09:00:00 +1000 ]


Interview: Helping practices improve their environment

Don Henry, ACF Executive Director, talks about the importance of projects such as the GreenClinic project....

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[ Fri, 22 Aug 2008 09:00:00 +1000 ]


Article: The GreenClinic pilot - Educational intervention for environmentally sustainable general practice
GreenClinic was a pilot educational program developed by the Australian Conservation Foundation and Doctors for the Environment Australia....

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[ Fri, 22 Aug 2008 09:00:00 +1000 ]


Interview: Assessing upper abdominal pain
Associate Professor Paul Pavli talks to AFP audio about the importance of a good history and examination in rationally selecting investigations to assist in assessing upper abdominal pain....

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[ Thu, 21 Aug 2008 09:00:00 +1000 ]


Article: Rational investigation of upper abdominal pain
Upper abdominal pain is a common problem with an extraordinary diversity of possible causes. Many patients have no structural disease, and making the correct diagnosis can be a challenge. ...

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[ Thu, 21 Aug 2008 09:00:00 +1000 ]


Interview: Upper abdominal pain from a surgical perspective
Mr Sean Mackay discusses with Dr Carolyn O'Shea surgical causes of upper abdominal pain and some of the investigations that can help to make the diagnosis of a surgical cause....

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[ Wed, 20 Aug 2008 09:00:00 +1000 ]


Article: Surgical causes of upper abdominal pain
In Australia, abdominal pain is a common presenting complaint in the general practice setting. Identifying a surgical cause is important and warrants prompt specialist referral....

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[ Wed, 20 Aug 2008 09:00:00 +1000 ]


Interview: Managing acute arrythmias
Dr Jaycen Cruikshank discusses the assessment and management of ventricular tachycardia, supraventricular tachycardia, atrial fibrillation and bradycardia with Dr Kathryn O'Connor. Accurate ECG interpretation is vital and faxing an ECG to a cardiologist or tertiary emergency department can help. The unconscious patient will require rescuscitation as per the Australian Resuscitation Council guidelines and the conscious patient requires IV access, oxygen, continuous cardiac monitoring and definiti...

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[ Fri, 11 Jul 2008 09:00:00 +1000 ]


Article: Initial management of cardiac arrhythmias
Diagnosis of acute arrhythmias requires recognition and interpretation of important electrocardiogram (ECG) findings, and knowledge of Australian resuscitation guidelines....

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[ Fri, 11 Jul 2008 09:00:00 +1000 ]


Interview: Neonatal care before transfer
Dr Kathryn Browning Carmo discusses the role of the GP in managing the neonate before transfer to a tertiary centre with Dr Kathryn O'Connor. Early phone contact with the local Neonatal Emergency Transport Service provides GPs with much needed support and allows initiation of retrieval. Priorities include keeping the infant warm, assessment and management of airway, breathing and circulation, basic investigations and fluid and antibiotic therapy as necessary. It is vital to prepare the family fo...

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[ Thu, 10 Jul 2008 09:00:00 +1000 ]

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