Advertise on podcast: The New Zealand General Practice Podcast

This month Dr Dave teaches Dr Jo about.. Peptides, Methotrexate monitoring, HPV vaccination changes, IBS and tricyclic antidepressants , Cognitive screening for fitness to drive, and some brief clinical updates on medication changes. Show notes can be found at https://opotikigp.com/ and My Health Hub https://myhealthhub.co.nz/the-new-zealand-general-practice-podcast/ where you can also watch a video version of the podcast.

Dr Dave teaches Dr Jo about opiate side effects, insulin autoimmune syndrome. more about coffee, urate and cardiovascular risk, MSD extensions, Testosterone in Hypo-Active Sexual Desire Disorder, deprescribing PPIs, Ozempic mouth and measuring flatulence.

Dr Dave this month covers the Sustaining GP Wellbeing toolkit for local GPs in Canterbury, the importance and process of adverse reaction reporting via BPAC, a safety alert about genetic susceptibility to general anaesthetics in patients of Venezuelan maternal origin, permanent changes to Cremation Regulations for deaths in long-term residential or specialist palliative care, new ACC Return to Work Guidelines for elective orthopaedic surgery, the Groov mental wellbeing app, Australian deprescribing guidelines for older people, the updated SPUMS handbook for recreational diving medical assessments, and recent research on gluteus maximus shape predicting type 2 diabetes risk and the gut microbiome’s role in auto-brewery syndrome

This month Dr Dave teaches Dr Jo about Youth issues, Choking, Sexual violence disparities and Looksmaxxing. There us an update on Insulin and Abnormal uterine bleeding guidance. There is some reassuring news about MHT and all-cause mortality. Brief intersting topics like Dry eye and vitamin D, topical anaesthesia for IUD placement, and  "Jess’s rule" aimed at preventing delays in diagnosis are discussed. There is an update on Paediatric asthma and Post vaccination observation and a few laughs along the way.

Dr Dave teaches Dr Jo about recent clinical updates on diabetes diagnosis, whole-body MRI screening, sepsis management, privacy law changes, smartphone effects on youth, safe prescribing resources, prescribing alerts, and thanks to Dr Andre Bonny for his resource on alcohol-related harms in New Zealand.

Apologies for the delayed publication and sound quality this month - hopefully this is still useful. Dr Dave teaches Dr Jo about · UTI in children, Gynaecomastia, Fournier gangrene, Zoledronic acid in the elderly, GLP-1 Ras – skin and eyes, Coffee after AF ablation, Paracetamol in pregnancy, Morphine and breathlessness and our equity focus this month is on , CVD risk assessments, and Cancers and excess body weight We talk about the MCNZ statement on use of AI, GP2GP, Meningococcal disease and The Pitt.

Dr Dave teaches Dr Jo about Dengue fever, adhd pre-testing and monitoring, that statins are (probably) not as bad as people make out, and that antdepressants may not be the cause of as much cardiovascular issues as previoulsy thought. There is also a reminder about CKD and informing patients even if it is mild, adult sinusitis, sepsis, 12 month prescribing, and ADHD respurces. They finish with the virtues of line dancing and owning cats.

Dr Dave catches Dr Jo up on Measles clinical signs, testing, management, complications, and vaccination advice, NSAID use in CKD and Methotrexate without folic acid. Disability Allowance updates – special food form, CGM funding considerations. Cremation Regulations exemption extended – process and applicability. Concussion Guidelines – new ANZ guidance and assessment tools. RNZCGP position statement on 12‑month prescribing – regulatory changes and practice policy guidance. Resources Angina Action Plan (multi‑language) Birth Trauma Screening Tool (City Birth Trauma Scale) Online learning modules for bowel screening Antibiotic stewardship (Te Whata Kura) Adult ADHD – webinar information

Dr Dave teaches Dr Jo about Restless leg syndrome, Pregabalin prescribing, Ryeqo for endometriosis, Nortriptyline, Signs in acute coronary syndrome, SCAD a new HQSC cultural resource and other Resources for STI patient info, Herpes guidelines, Cybersecurity for primary care and the Miscarriage Matters website.

Dr Dave teaches Dr Jo about Valproate in women of childbearing age Triple whammy Macrolides + statins Carotid artery POCUS Insomnia meds New sepsis guidance Pharmac SA updates Alzheimer disease advances Research Review gems BNP levels on Pasifika patients Varenicline for vaping cessation and Vitamin K2 for nocturnal leg cramps

Dr Dave teaches Dr Jo about Suicide prevention with new NHS and NICE guidance discouraging risk stratification tools and instead emphasising relational safety, a biopsychosocial approach, dynamic safety planning, inclusivity, and clear communication. Dr Dave covers paediatric gastroenteritis, a recent NEJM study confirms oral ondansetron’s effectiveness in reducing vomiting in children, with NZFC guidance supporting its use for dehydration-related cases. Privacy and safety intersect in the discussion of HIPC Rule 11, which allows clinicians to disclose health information without consent if there is a serious threat to life or health, provided specific criteria are met and documentation is thorough. In diabetes care, once-weekly insulin icodec is found to be as effective as daily long-acting insulins, though it is not yet approved in New Zealand and is more costly. Insomnia management advances include the approval of lemborexant, a DORA, with evidence supporting its efficacy and safety, though it remains unsubsidised. COPD management is updated with guidance on triple therapy and the role of eosinophil counts, while iron deficiency is clarified with new diagnostic and monitoring recommendations. Finally, Dr Jo learns about some adult ADHD management resources and gets recent insights into QTc-prolonging medications.

Dr Dave teaches Dr Jo about Malnutrition detection and management, the Breast screening age extension, Serum estradiol measurement in menopause, Anticoagulant monitoring equity concerns, Prostate cancer screening and digital rectal exam, Optimal Cancer Care Pathways (OCCPs), FIT for Symptomatic bowel pathway, Oral iron tablet supply issue:, and Adrenaline administration by vaccinators. Apologies for the delayed publication of this epsiode.

Dr Dave talks to us about Desmopressin in nocturnal enuresis in children, ADHD resources, changes to the National Community Referral Criteria for Imaging, CT Imaging and Cancer Risk, greater Covid-19 antiviral eligibility, a reminder re hyperkalaemia, and widened access to meningococcal B vaccine. Apologies for the delayed publication of this episode.

Dr Dave covers Kawasaki Disease, weaning antidepressants, firearms forms, buckle fracture management, carer benefit, mirena use for contraception extension to 8 years, more inhalers per script, resources including Healthify's app store and laughter for dry eyes.

Dr Jo leans the difference between poppers, nangs and nos, and some serious side effects of sniffing gas. Dr Dave share ssome ACC resources, information about accessing records after death and a surprising use for saffron.