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The Good GP

The Good GP

The Good GP, the education podcast for busy GPs; brought to you by Dr Tim Koh, Dr Krystyna DeLange and Dr Sean Stevens.

The Good GP 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.

Disclaimer: The Good GP podcasts are for informational purposes only and do not constitute medical advice. Always seek the advice of a specialist GP or other qualified health provider with any questions you may have regarding a medical condition.

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  • 22 episodes
  • weekly
  • Avg 18 min
  • English

Episodes 22

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  • S1 · E240
    April 20 · 16 min

    Syphilis update in Australia

    In this episode, Dr Tim Koh speaks with Dr Grace Phua, a GP and public health clinician from the Health Department of Western Australia’s Syphilis Response Team, to provide an update on syphilis in Australia and practical guidance for general practitioners. Key Points: Changing Epidemiology: They highlight the recent increase in syphilis, with cases now extending beyond traditional higher-risk groups. All sexually active patients may be at risk, making ongoing awareness in general practice essential. Clinical Presentation: The primary, secondary, latent, and tertiary stages of syphilis, noting the diverse and often atypical presentations. Classic signs such as ulcers and rashes may vary, and neurological symptoms can occur at any stage. Screening and Testing: GPs are reminded to include syphilis serology in routine STI screening and to swab any ulcer for syphilis PCR (using a dry swab and requesting “syphilis PCR” on the form). Pregnant people require syphilis screening in early and late pregnancy, and higher-risk groups need more frequent testing. Serology Interpretation and Treatment: The use of treponemal and non-treponemal tests. Benzathine benzylpenicillin is the recommended treatment. Empirical treatment of contacts, especially for hard-to-reach patients, is encouraged. Further Resources and Support: GPs are advised to access national guidelines and decision-making aids for detailed management and to consult public health units as required. 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/network If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information. You can also find us on our Instagram page: @thegoodgppodcast. Follow us for more updates!

  • S1 · E239
    April 13 · 14 min

    Pre-anaesthetic medication medication management for GPs

    In this episode of The Good GP, host Julia Rawlinson welcomes Dr Erin Horsley, an experienced GP anaesthetist, to provide practical guidance on pre-anaesthetic medication management for general practitioners. Focusing on how to prepare patients for elective surgery by knowing which medications to pause, continue, or adjust. Highlights include: SGLT2 inhibitors: Advice on withholding these medications prior to surgery, especially for diabetic patients, due to risk of euglycaemic diabetic ketoacidosis. Diabetes medications and insulin: Specific instructions for perioperative management in procedures such as colonoscopy and gastroscopy. GLP-1 receptor agonists: Discussion on Ozempic, Wegovy, and Mounjaro. They emphasise that stopping them is not routinely required. Instead, they recommend clear fluid fasting protocols. Anticoagulants and antiplatelet agents: Practical approaches for managing DOACs, warfarin, and antiplatelet therapy based on procedure risk, including guidance on bridging and specialist consultation. Other medications: Tips on ACE inhibitors, opioids, and pain medications regarding continuation or withholding. Useful GP actions: An accurate medication list, allergy documentation, and direct communication with anaesthetic teams or pre-admission clinics. Providing concise, evidence-based recommendations for medication management in the perioperative setting to assist GPs and ensure safer outcomes for their patients. Links & Resources: NSW CEC Guidelines on Perioperative management of anticoagulant and antiplatelet agents WA Country Health Service Anaesthetic Services, Pre-operative Assessment and Investigations Guideline(good summary) Australian Diabetes Society Periprocedural DKA with SGLT-2 inhibitor Australian Diabetes Society Perioperative Diabetes and Hyperglycaemia Guidelines 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/network If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information. You can also find us on our Instagram page: @thegoodgppodcast. Follow us for more updates!

Showing 21–22 of 22 episodes