Goodfellow Clinics

In this episode, Dr. Alwyn D'Souza delves into advanced haematology topics relevant to general practitioners. They discuss the significance of ferritin levels, the implications of raised globulins, and the complexities surrounding paraproteins and myeloma. The conversation emphasises the importance of clinical judgment in interpreting lab results and understanding the broader context of patient health.

Professor Ngaire Kerse talks about the challenges of managing multimorbidity and medication complexity in older adults. She discusses the definitions of multimorbidity, the vulnerabilities of older adults to medication issues, and the importance of regular medication reviews, with emphasis on appropriate prescribing and the role of healthcare professionals in supporting older adults in their medication management. The conversation also covers specific medications like statins and aspirin, the management of hypertension, the risks associated with anticholinergic medications, and the need for equitable medication management for Māori and Pacific populations.

In this episode Professor Angela Ballantyne discuss some commonly encountered medical ethics cases in general practice.

Dr Alwyn D'Souza discusses the interpretation of results, and the clinical implications of various blood parameters.

Nikki Turner discusses the key role of vaccination in eradicating measles, focusing on what immunisation actually protects against, and the crucial role primary care plays in the containment of the current measles outbreak.

In this episode, Dr Jessica Dunning discusses fibroids, including symptoms, diagnosis, and treatment options. We explore the implications of fibroids on women's health, particularly regarding fertility and the various medical and surgical interventions available, along with the importance of individualised care.

In this episode, clinical psychologist Suze Malcolm discusses the complexities of grief, emphasising its individualised nature and the importance of understanding the emotional responses to loss. Suze highlights the significance of listening and validating the experiences of those grieving, while also addressing common misconceptions and traps that clinicians may fall into. The conversation explores various therapeutic approaches, cultural considerations, and the dual process model of grief, ultimately reinforcing the idea that grief is a normal human experience that requires compassionate support.

In this episode, Dr Niall Foley discusses Palpitations and what the patient often means when they use the term.

Awras Majeed discusses the Late Effects Assessment Programme (LEAP) in New Zealand, a national service providing long-term surveillance for young people who have completed childhood cancer treatment.

In this episode Jamie Speeden covers Foetal Anti-Convulsant Syndrome (FACS), focusing on its causes, diagnosis, and the role of general practice in managing the condition.

Ben Chan discusses thyroid nodules and the recent changes in assessment and management.

Nicki Macklin discusses kindness and leadership, covering how kindness in healthcare is different from simply "being nice".

In this episode, Ruveena Kaur discusses Polycystic Ovary Syndrome (PCOS), covering its diagnosis, metabolic and reproductive health impacts, and long-term management. It highlights weight stigma, eating disorders, effective treatments, and the importance of inclusive, evidence-based care.

In this episode, Dr Lucy O’Hagan explores how healthcare professionals navigate uncertainty in consultations, from diagnostic ambiguity to effective patient communication. It covers strategies for gathering information, using reasoning tools, and managing not knowing while maintaining patient trust.

In this episode, Ben Chan, consultant Head and Neck surgeon, discusses HPV (Human Papillomavirus) related head and neck cancer.

In this episode Ruveena Kaur discusses hypertensive disorders in pregnancy, covering its definition, causes, maternal and fetal risks, safe treatments, and monitoring. It also discusses long-term health implications and primary care management.

Jenny Visser discusses essential travel considerations for older adults, particularly exploring the critical role of vaccinations.

Ryan Paul discusses disparities in diabetes care, focusing on how technology can reduce the equity gap.

In this episode Dawn White explores how language in healthcare impacts patient outcomes, focusing on the nocebo effect - where words can unintentionally harm.

Janet Fanslow talks about adverse childhood experiences, intimate partner violence, and non-partner violence in New Zealand and how these issues impact long-term health. We are learning that people’s experience of violence and adversity as children and throughout the lifecourse has long-term health effects. Janet explores what we mean when we talk about experiences of violence and what we are learning about the health effects.