The GP Show

Time to clear the air, smooth the pipes and maybe even save the planet at the same time. The Australian asthma guidelines have changed, and this episode genuinely changed what I'll be reaching for first when I next treat a patient with asthma.
Dr Brett Montgomery, Chair of the National Asthma Council committee behind the Australian Asthma Handbook, joins us to unpack what's new, why the trusty blue puffer isn't so trusty on its own anymore, and the changes that could make a real difference to your practice and your patients.
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Study and learn lifestyle medicine:  Interested in whole of person clinical practice, research and careers that address the lifestyle and social determinants of illness and wellbeing, using lifestyle approaches, behaviour change, health coaching and implementation science?  Check out the JCU College of Medicine postgraduate degrees: Graduate Certificate, Graduate Diploma, and Master in lifestyle medicine.
Dr Sam Manger on YouTube: Using lifestyle as medicine: A new era in chronic disease remission and YouTube: Careers in lifestyle medicine
The 3 week online microcredential in Lifestyle Medicine and Mental Health: Life and Mind available here.

Dr Jason Lam is a GP with a Masters of Sports Medicine and was the inaugural Crichton Dance Medicine Fellow with the Australian Ballet. He is a registrar with the Australian College of Sport and Exercise Physicians and is involved in medical education, publication and research. He is on the Scientific Advisory Board for Connective Tissue Diseases Network (CTDNA) Australia and a member of the new RACGP SIG on Energy Limiting Disorders. He has a special interest in Hypermobility, Ehlers Danlos Syndrome, dysautonomia, Long Covid, ME/CFS, Mast Cell Activation Syndrome and is proud to be a part of The Australian EDS and HSD Network.  He deeply understands the realities of navigating complex, often misunderstood conditions having had lived experience of hypermobility, orthostatic hypotension/POTS and ME/CFS post septic shock.
Episodes resources: 
https://www.drjasonlam.com.au/resources
Open Medicine Foundation Resources and Clinical Guidelines
Visible App - wearable tech for illness, not wellness, designed for MECFS, POTS, EDS and Long Covid
RACGP Energy Limiting Disorders SIG and CPD CHECK
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If you find this podcast valuable, please help by rating the podcast 5 stars and leaving a review in your podcast app.
If you would like to request a topic, please contact us via contact@thegpshow.com 
Thank you for listening and your support.
... 
Study and learn lifestyle medicine:  Interested in whole of person clinical practice, research and careers that address the lifestyle and social determinants of illness and wellbeing, using lifestyle approaches, behaviour change, health coaching and implementation science?  Check out the JCU College of Medicine postgraduate degrees: Graduate Certificate, Graduate Diploma, and Master in lifestyle medicine.
Dr Sam Manger on YouTube: Using lifestyle as medicine: A new era in chronic disease remission and YouTube: Careers in lifestyle medicine
The 3 week online microcredential in Lifestyle Medicine and Mental Health: Life and Mind available here.

Twenty-five years ago, having a baby daughter struggling with severe hives turned GP Dr. Alison Muller into an accidental allergy guru - and general practice has been better for it since. She unpacks IgE vs non-IgE reactions, why 10% of one-year-olds now have a genuine food allergy, why smearing avocado oil on eczema is asking for trouble, and why anaphylaxis rates are up 900% in twenty years. Plus she gives us the practical tips we need such as weight-based antihistamine dosing, the three-ingredient "magic cream" for infected eczema, and why putting your clothes in the dryer for ten minutes might be the cheapest allergy hack around.
If you have ever ordered a RAST and had a result telling you that someone is "allergic to grass" and not really known what to do next, or you've wondered whether desensitisation is worth the needles (and what exactly is involved?!), then this podcast is for you. Alison covers exercise-induced food anaphylaxis, FPIES, and even Neffy - the new nasal adrenaline spray that might finally get more people to use their emergency treatment when it counts. A great one not to miss!
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If you find this podcast valuable, please help by rating the podcast 5 stars and leaving a review in your podcast app.
If you would like to request a topic, please contact us via contact@thegpshow.com 
Thank you for listening and your support.
... 
Study and learn lifestyle medicine:  Interested in whole of person clinical practice, research and careers that address the lifestyle and social determinants of illness and wellbeing, using lifestyle approaches, behaviour change, health coaching and implementation science?  Check out the JCU College of Medicine postgraduate degrees: Graduate Certificate, Graduate Diploma, and Master in lifestyle medicine.
Dr Sam Manger on YouTube: Using lifestyle as medicine: A new era in chronic disease remission and YouTube: Careers in lifestyle medicine
The 3 week online microcredential in Lifestyle Medicine and Mental Health: Life and Mind available here.

Dr Chris Davis is a GP, Co-Founder and CMO of the Clean Slate Clinic, Australia's leading virtual detox and recovery service, and an Addiction Specialist at St Vincent's Hospital, Sydney. He established the Clean Slate Clinic in Sydney for primary care alcohol withdrawal and recovery services, after successfully implementing the model in the UK. His teams inspiring work demonstrates highly effective, more accessible and supportive care in recovery and continues to scale nationally.
https://cleanslateclinic.com/
Cracking Addiction Podcast - https://podcasts.apple.com/au/podcast/cracking-addiction/id1579789505 
Episode #139 of The GP Show where we first met Dr Chris - https://thegpshow.libsyn.com/139-alcohol-recovery-and-the-clean-slate-clinic-with-dr-chris-davis-and-flip-prior
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If you find this podcast valuable, please help by rating the podcast 5 stars and leaving a review in your podcast app.
If you would like to request a topic, please contact us via contact@thegpshow.com 
Thank you for listening and your support.
... 
Study and learn lifestyle medicine:  Interested in whole of person clinical practice, research and careers that address the lifestyle and social determinants of illness and wellbeing, using lifestyle approaches, behaviour change, health coaching and implementation science?  Check out the JCU College of Medicine postgraduate degrees: Graduate Certificate, Graduate Diploma, and Master in lifestyle medicine.
Dr Sam Manger on YouTube: Using lifestyle as medicine: A new era in chronic disease remission and YouTube: Careers in lifestyle medicine
The 3 week online microcredential in Lifestyle Medicine and Mental Health: Life and Mind available here.

Professor Jayashri Kulkarni is one of Australia's leading psychiatrists and researchers specialising in women's mental health. She is the Director of the HER Centre Australia (Health, Education and Research for Women's Mental Health) and Professor of Psychiatry at Monash University. Professor Kulkarni's work focuses on mood disorders across the female lifespan, with particular attention to the neurochemical effects of reproductive hormones on brain function, including perimenopausal depression and premenstrual dysphoric disorder. She is the developer of the Meno-D rating scale and has been a leading voice for over four decades in the recognition and treatment of hormone-related mental illness in women.
This is a supplementary episode to the GP Show's earlier conversation with Professor Kulkarni on perimenopausal mental health, recorded in the same sitting. In it, Dr. Ashlea Broomfield and Professor Kulkarni discuss what distinguishes PMDD from common premenstrual symptoms; the emerging evidence on trauma and gene expression as a mechanism for PMDD onset; why current guidelines default to SSRIs rather than hormonal treatment and the limitations of that approach; practical hormonal treatment options for women with and without contraceptive needs; and the role of trauma therapy alongside hormonal management. Professor Kulkarni argues that PMDD is a brain condition, not an end-organ condition, and that treatment should reflect that.
RESOURCES
"How to Treat PMDD" — Professor Jayashri Kulkarni, Australian Doctor. Read here
UK Guidelines: The Green-top Guideline 48 — Management of Premenstrual Syndrome Green LJ, O'Brien PMS, Panay N, Craig M on behalf of the Royal College of Obstetricians andGynaecologists. Management of premenstrual syndrome. BJOG 2017 ; 124:e73–e105
HER Centre Australia — monash.edu/medicine/her-centre
Perimenopausal Mental Health episode — The GP Show with Professor Jayashri Kulkarni
Fast Facts in Sexual and Reproductive Health with Dr. Sara Whitburn — The GP Show 
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If you find this podcast valuable, please help by rating the podcast 5 stars and leaving a review in your podcast app.
If you would like to request a topic, please contact us via contact@thegpshow.com 
Thank you for listening and your support.
... 
Study and learn lifestyle medicine:  Interested in whole of person clinical practice, research and careers that address the lifestyle and social determinants of illness and wellbeing, using lifestyle approaches, behaviour change, health coaching and implementation science?  Check out the JCU College of Medicine postgraduate degrees: Graduate Certificate, Graduate Diploma, and Master in lifestyle medicine.
Dr Sam Manger on YouTube: Using lifestyle as medicine: A new era in chronic disease remission and YouTube: Careers in lifestyle medicine
The 3 week online microcredential in Lifestyle Medicine and Mental Health: Life and Mind available here.