The New Zealand General Practice Podcast

Dr Dave takes Dr Jo on a trip through sore eyes, syphilis, peripheral neuropthy, heart failure, how to take a BP, naltrexone and long covid, endometriosis and ovarian cancer, ACC via text, clinical gems and health equity.

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