The Good GP

Talking HealthTech
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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.

  1. 1 DAG SIDEN

    Cardiac amyloidosis recognition and diagnosis for GPs

    In this episode, host Dr Krystyna De Lange speaks with Sydney-based cardiologist Dr Natasha Gorrie from St Vincent's Hospital and the Victor Chang Cardiac Research Institute. They discuss cardiac amyloidosis, an under-recognised cause of heart failure in older adults and a condition with evolving diagnostic and treatment approaches. Dr Natasha Gorrie outlines the basics of amyloidosis, emphasising that it is an umbrella term for disorders characterised by the deposition of abnormal protein fibrils in tissues and organs. Key Points: Understanding Amyloidosis: The pathology and range of organ involvement; why diagnosis depends on identifying the causative protein.Epidemiology and Prevalence: Recent recognition that transthyretin-related amyloidosis (ATTR) is more common than previously thought, with prevalence as high as one in six in certain heart failure populations.Key Clinical Clues: Red flag features in patients (particularly those over the age of 65), including heart failure with preserved ejection fraction, left ventricular wall thickening, atrial fibrillation, aortic stenosis, carpal tunnel syndrome, and unexplained changes in blood pressure medication requirements.Diagnostic Pathway: The importance of timely suspicion, appropriate specialist referral, and the role of the monoclonal screen (serum and urine electrophoresis and serum free light chains) to rule out AL (light chain) amyloidosis. The role of bone scintigraphy and when tissue biopsy is indicated.Therapeutic Options: Overview of disease-modifying treatments available for different amyloid subtypes, including the PBS-approved medication tafamidis for ATTR cardiac amyloidosis.The GP’s Role: GPs are essential for early suspicion, referral, initiation of screening tests, and, following diagnosis, ongoing care; including regular review, heart failure management, coordination of multidisciplinary care, and supporting the patient’s mental health and quality of life. Dr. Natasha Gorrie also highlighted an upcoming Australian Prescriber article (due for publication mid 2026) on cardiac amyloidosis, which expands on today’s discussion with practical flowcharts and insights into the central role of GPs. Well worth checking out! https://australianprescriber.tg.org.au/ Links & Resources: St Vincents Heart Health Amyloidosis page: https://www.svhhearthealth.com.au/conditions/cardiac-amyloidosisAustralian Amyloidosis Network: https://aan.org.au 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!

    29 min.

  2. 20. APR.

    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!

    16 min.

  3. 13. APR.

    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 agentsWA Country Health Service Anaesthetic Services, Pre-operative Assessment and Investigations Guideline(good summary)Australian Diabetes Society Periprocedural DKA with SGLT-2 inhibitorAustralian 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!

    14 min.

  4. 6. APR.

    Managing Winter Respiratory Infections with Nasal Sprays

    In this episode, Julia Rawlinson speaks with Professor Paul Little, is a Professor of Primary Care Research at the University of Southampton and a practising GP with over 20 years of clinical experience, about his landmark research on acute respiratory tract infections and its relevance for general practice. Professor Little summarises the Lancet Respiratory Medicine trial involving nearly 14,000 participants at risk of respiratory infections. The trial compared usual care, two nasal sprays (Vicks First Defense and isotonic saline), and a digital lifestyle intervention. Both nasal sprays resulted in fewer days ill, reduced antibiotic use by around 30%, and were well tolerated. The saline spray was highlighted as a first-choice option due to its effectiveness and minimal side effects. Giving practical advice on counselling patients to use nasal sprays at the first sign of illness, with discussion around challenges to adherence and the rationale for early use. They also explore the antiviral mechanism of saline spray and the continued value of stress management and physical activity in infection prevention. Professor Little discusses how setting realistic expectations about infection duration can help reduce unnecessary presentations and prescribing, and how these simple interventions contribute to antibiotic stewardship in primary care. Links & Resources: https://www.southampton.ac.uk/people/5wzg2s/professor-paul-little#publications12 month follow-up of a randomised open label trial of nasal sprays and a behavioural intervention for respiratory tract infections (RTIs) in primary care: https://eprints.soton.ac.uk/507356/ 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!

    15 min.
  5. Essential Guide to Lung Cancer Screening for Australians

    30. MAR.

    Essential Guide to Lung Cancer Screening for Australians

    In this episode of This Could Save Your Life podcast, Dr Catherine Bourke discusses the new lung cancer screening program in Australia and its importance for early cancer detection. Dr Bourke explains that lung cancer remains the leading cause of cancer-related death in Australia, largely because most cases are detected too late. She reviews recent evidence supporting screening, such as the Nelson Study and National Lung Screening Trial, which show significant reductions in mortality with the use of low-dose CT. Key eligibility criteria for the screening program are ages 50–70, current or recent smokers (within 10 years of quitting), and a history of at least 30 pack-years. Providing guidance on enrolment, the screening process, and clarifies pack-year calculation. She also addresses misconceptions about lung cancer only affecting smokers and explores the impact of stigma and nicotine dependence. Detailing the essentials for general practice, including how to refer patients, what to expect from the CT scan process, and how results and nodule management protocols inform follow-up and specialist referral. GPs are encouraged to support eligible patients to participate for better outcomes through early detection and advances in lung cancer treatment. Links & Resources: The heart of Australia: https://heartofaustralia.com.au/National lung cancer cancer screening program: https://www.health.gov.au/our-work/nlcsp?gclsrc=aw.ds&gad_source=1&gad_campaignid=23576447207&gbraid=0AAAAA_Hdu8ldTc75J8nw1zqot-Q-9Peic&gclid=Cj0KCQjw7IjOBhDyARIsAFzrWQz0u-84xCTnyQspBM7pE0tkVszhnlnMuCMcyRVZOJ8uSpoG3AjwAUwaAkBoEALw_wcB This Could Save Your Life Podcast is under The Good GP podcast, 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!

    18 min.

  6. 23. MAR.

    Eating Disorders: Management in Primary Care

    In this episode, Dr Krystyna de Lange is once again joined by Dr Karen Spielman and Dr Rachel Kalman, GPs with a special interest in eating disorders, for part two of this series on eating disorders. Their conversation centres on the ongoing management of patients with eating disorders in general practice. Dr Kalman provides guidance on the frequency and nature of medical monitoring, including when to order blood tests and ECGs. Dr Spielman discusses how to assess and respond to medical instability, particularly cardiovascular risks and rapid weight loss, while emphasising clinical judgment and individualised care. They discuss common medical complications associated with eating disorders, such as cardiovascular, gastrointestinal, and endocrine issues, along with practical tips for symptom management and patient education. The importance of the GP’s role in long-term management, continuity of care, and maintaining hope for recovery. A detailed walkthrough of the Eating Disorder Treatment Plan (EDP), addressing eligibility, use of templates, and the expanded access to psychological and dietetic support. They encourage GPs to utilise the EDP and Medicare Safety Net to make comprehensive care more accessible for patients. Dr Rachel Kalman also discusses the review of an eating disorder management plan. Please note that this review can occur via a psychiatrist or paediatrician, not a psychologist as mentioned in the episode. Links & Resources: Inside Out Institute GP Hub: https://gp.insideoutinstitute.org.auCEED Table for medical monitoring: https://ceed.org.au/wp-content/uploads/2025/03/Medical-Monitoring-in-Eating-Disorders.pdfEating Disorders Family Australia: https://edfa.org.auSick Enough Book by Dr Jennifer L. Guadiani: https://www.sickenough.com 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!

    21 min.

  7. 16. MAR.

    Eating Disorders: Screening and Assessment

    In this episode, Dr Krystyna de Lange speaks with Dr Karen Spielman and Dr Rachel Kalman about the screening and assessment of eating disorders in general practice. This is the first episode of a two part series on eating disorders. Both Dr Spielman and Dr Kalman have a special interest in psychological medicine, specifically eating disorders and work with the Inside Out Institute for Eating Disorders. In this episode, there is a discussion about the importance of early recognition and intervention, noting the high morbidity, mortality, and economic impact of eating disorders. High-risk groups for GPs to consider are identified and include young people, those involved in visual sports, hormonal change periods, neurodivergence, and comorbid mental health conditions. Screening strategies are explored, including the Inside Out Screener, a validated, patient-friendly tool designed for primary care. Giving practical advice on engaging patients in open, non-judgmental conversations about their relationship with food. Dr Rachel Kalman outlines how to conduct a thorough assessment, including relevant history, physical examination, and investigations such as blood tests, ECG, and bone density scans. The importance of sensitive communication about test results and understanding medical and psychiatric risk factors is emphasised. This equips GPs with practical approaches and reliable resources for early screening and assessment of eating disorders. Links & Resources: Inside Out Institute GP Hub: https://gp.insideoutinstitute.org.auInside Out screening tool: https://insideoutinstitute.org.au/screenerEating Disorder Examination Questionnaire (EDE-Q): https://insideoutinstitute.org.au/resource-library/eating-disorder-examination-questionnaire-ede-qCentre for Clinical Interventions including patient information and worksheets: https://www.cci.health.wa.gov.au/resources/looking-after-yourself/disordered-eatingEating Disorders Family Australia: https://edfa.org.auSick Enough Book by Dr Jennifer L. Guadiani: https://www.sickenough.com 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!

    21 min.

  8. 9. MAR.

    Metabolic Dysfunction Associated Steatotic Liver Disease (MASLD)

    In this episode of The Good GP, Dr Krystyna de Lange welcomes Dr Jonathon Mitchell, hepatologist from Cairns Base Hospital, to discuss metabolic dysfunction-associated steatotic liver disease (MASLD), formally known as Non Alcoholic Fatty Liver Disease or NAFLD. They explore the updated terminology, highlight the role of GPs in diagnosis and management, and frame MASLD as largely a metabolic rather than a primary liver disease. Dr Mitchell outlines the main risk factors for MASLD, including excess weight, metabolic syndrome, dietary quality, and family history. The importance of screening for other liver conditions in patients with abnormal LFTs, including viral hepatitis, autoimmune liver diseases, haemochromatosis, and coeliac disease. Non-invasive fibrosis assessment, primarily through the FIB-4 score, is discussed as an accessible tool for GPs. Liver biopsy is rarely required and reserved for cases with diagnostic uncertainty. Management focuses on lifestyle interventions, mainly dietary change and weight loss, with no approved pharmacological treatments currently available in Australia. Monitoring frequency depends on fibrosis status and response to lifestyle changes. They reinforce the importance of holistic care in primary practice, addressing both liver health and associated metabolic risks. Links & Resources: https://www.racgp.org.au/afp/2013/july/fatty-liver-disease 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!

    22 min.
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Om

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.

Oplysninger

  • Kanal
    Talking HealthTech
  • Skaber
    The Good GP
  • Aktive år
    2017 - 2026
  • Episoder
    265
  • Vurdering
    Ikke anstødeligt
  • Copyright
    © Copyright 2026 The Good GP
  • Websted for serie
    The Good GP

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