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The Goodfellow Unit (University of Auckland)

Goodfellow Unit

A Medicine , Health & Fitness and Science podcast

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About the show

The Goodfellow Unit Podcast is an educational resource designed for healthcare professionals, particularly those in primary care. Produced by the Goodfellow Unit at the University of Auckland, this podcast delivers concise, evidence-based discussions on a wide range of clinical topics relevant to general practice. Episodes feature expert interviews and practical insights designed to enhance patient care, support ongoing professional development, and keep clinicians current with the latest guidelines. Its focus is on making complex medical information clear and actionable for everyday practice.

Newest episodes

The future of obesity management

37 min

This episode explores the evolving understanding of obesity as a complex medical condition, discussing new treatments, societal perceptions, and strategies for equitable care. Dr Rosemary Hall shares insights on medication, surgery, and the importance of destigmatising obesity.

CKD and Gout

44 min

In this episode, Professor Rob Walker discusses the latest insights into chronic kidney disease and gout, as well as the importance of holistic management strategies. He explores treatment approaches, risk assessment, and debunks common myths to improve patient outcomes.

Long-term obesity management

30 min

In this episode, Dr Nilu Hewapaterana discusses the evolving understanding of obesity, treatment options including GLP-1 medications, and long-term management strategies for patients with obesity and related conditions.

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All episodes

The newest 50 of 212 episodes

The future of obesity management

37 min

This episode explores the evolving understanding of obesity as a complex medical condition, discussing new treatments, societal perceptions, and strategies for equitable care. Dr Rosemary Hall shares insights on medication, surgery, and the importance of destigmatising obesity.

CKD and Gout

44 min

In this episode, Professor Rob Walker discusses the latest insights into chronic kidney disease and gout, as well as the importance of holistic management strategies. He explores treatment approaches, risk assessment, and debunks common myths to improve patient outcomes.

Long-term obesity management

30 min

In this episode, Dr Nilu Hewapaterana discusses the evolving understanding of obesity, treatment options including GLP-1 medications, and long-term management strategies for patients with obesity and related conditions.

Endometrial cancer

28 min

In this episode, Dr Silipa Naiqiso discusses endometrial cancer, focusing on its prevalence, risk factors, presentation, and management in primary care. Learn about the latest trends, disparities, and practical tips for early detection and referral.

Blood pressure and lipid management

1 min

In this episode, Bruce Arroll discusses the latest insights and practical approaches to managing blood pressure and lipids in primary care, emphasizing risk assessment, treatment strategies, and recent research developments.

Fertility challenges

28 min

In this episode, fertility specialist Dr Devashana Gupta discusses fertility issues encountered in primary care. The discussion focuses on three key areas: Recurrent miscarriage, Male infertility, Lifestyle factors and other environmental influences that affect reproductive outcomes.

Gallstone disease

24 min

In this episode, surgeon Peter Carr-Boyd shares expert insights on gallstones, their symptoms, diagnosis, and management, helping primary care providers better understand when to refer and how to handle common presentations.

Fertility discussions

33 min

In this episode, Devashana Gupta, a fertility specialist, discusses complex fertility cases in primary care, including assessment, diagnosis, and management of various fertility issues. Providing valuable insights for GPs and healthcare providers to better support patients on their reproductive journey.

Heart failure and diabetes

29 min

In this episode, Bruce Arroll explores the management of coexisting heart failure and type 2 diabetes in primary care. Topics include presentation surprises, screening strategies, treatment paradigms, medication nuances, and lifestyle advice.

RSV in older people

30 min

In this episode, Dr Hasan Bhally discusses the virology, transmission, clinical presentation, diagnosis, and prevention strategies for RSV in older adults, highlighting the importance of vaccination and awareness of complications.

Making mistakes

34 min

In this episode, Clinical Psychologist Mary Miller introduces a practical framework for navigating the emotional toll of high-stakes roles. Using the example of GPs managing a mistake or complaint, she explores how self-criticism and overwork can make things harder, and offers practical tools that can be put into practice straight away.

Mastering Health Literacy

34 min

In this episode, Carla White, a health literacy expert, discusses how clinicians can navigate challenging consultations involving medical misinformation and distrust of science. They explore practical communication strategies, the Ask Build Check model, and ways to build trust and understanding with patients.

Type 2 Diabetes Management

30 min

In this episode, Dr Helen Snell, a leading figure in diabetes care in New Zealand, discusses recent updates in type 2 diabetes management, diagnostic criteria changes, new medications, and practical tips for primary care providers.

Familial Hyperlipidemia

38 min

Jocelyne Benatar (Medical Officer Cardiology) and Cam Kyle (Chemical Pathologist) discuss Familial Hyperlipidemia (FH), its diagnosis, management, and implications for primary care. Learn about genetic testing, risk assessment, and new treatments to improve patient outcomes.

A.I. Medical Co-Pilots

26 min

This episode explores the current and future role of artificial intelligence in medicine, focusing on practical applications like transcribing tools, decision support, and ethical considerations. Dr. Yariv Doron shares insights from his experience in psychiatry and primary care, emphasising AI's potential to enhance efficiency and accuracy in clinical practice.

Refugee Health

24 min

This episode discusses the complexities of refugee health in New Zealand, featuring Dr Karen Chung, a Senior Medical Practitioner at the Mangere Refugee Health Service. The conversation covers the refugee resettlement process, the critical role of primary care, common medical conditions among refugees, cultural sensitivity in healthcare, social support entitlements, and effective communication with interpreters. Dr Chung emphasises the importance of building trust and understanding the unique challenges faced by refugee populations.

Sepsis

32 min

In this episode, Dr. Paul Huggan discusses the critical topic of sepsis, its prevalence in New Zealand, and how it presents in primary care settings. He explores the differences between sepsis and standard infections, the criteria for defining sepsis, and the risk factors that make certain populations more vulnerable. The episode emphasises early recognition using red and amber flags, alongside practical management approaches and careful, balanced use of antibiotics. It also highlights emerging research showing how ethnicity and social determinants influence sepsis risk.

Obesity management approaches

35 min

In this episode Ole Schmiedel discusses Mounjaro, a new weight loss drug, with a focus on its mechanism of action, practical use, side effects, nutritional considerations, and long-term safety. The conversation provides insights into how Mounjaro differs from previous GLP-1 receptor agonists, expected weight loss outcomes, and the importance of monitoring patients while on the medication.

Haematology insights

40 min

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.

Older adults and medication management

33 min

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.

Medical ethics

32 min

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

Full blood count

38 min

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

Measles outbreak

20 min

Nikki Turner unpacks measles containment, vaccination's role in eradication, and how you can change the outbreak's trajectory.

Fibroids

28 min

Dr Jessica Dunning explores fibroids - symptoms, diagnosis, treatment, fertility impact, and why care must be individualised.

Grief: A personal journey

52 min

Psychologist Suze Malcolm explores grief’s complexity, cultural nuances, and why compassionate, individualised support matters.

Palpitations

44 min

Dr Niall Foley breaks down palpitations - what patients mean, key assessments, and why most cases are benign with reassurance.

Foetal Anti-Convulsant Syndrome

30 min

Dr Jamie Speeden explains Foetal Anti-Convulsant Syndrome. Its causes, diagnosis, prevention, and the GPs vital role in management.

Thyroid nodules

23 min

Ben Chan explores thyroid nodules, recent changes in assessment and management, and what GPs need to know about risk and follow-up.

Kindness in healthcare

25 min

Nicki Macklin explores kindness in healthcare. Why it’s more than being nice, & impact on safety, wellbeing, & leadership culture.

Polycystic Ovary Syndrome

21 min

Ruveena Kaur unpacks PCOS. Diagnosis, metabolic & reproductive impacts, treatment, & the need for inclusive, evidence-based care.

HPV-related head and neck cancer

25 min

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

Hypertensive disorders in pregnancy

18 min

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.

Travel as an older adult

23 min

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

Diabetes care

24 min

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

The nocebo effect

18 min

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

Violence and adversity

19 min

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.

Coeliac disease

21 min

In this episode Suzanne Aitken discusses gluten-free diets in patients living with Coeliac disease.

Navigating Work and Income

1 hr 0 min

In this episode, Cathy Stephenson discusses the role of the Ministry of Social Development (MSD) and Work and Income, exploring how to navigate the system to ensure your patients receive the right supports and services.

Travel during pregnancy

33 min

Jenny Visser discusses essential travel considerations for pregnant individuals, focusing on a comprehensive pre-travel consultation.

Gut microbiome

27 min

Professor Wayne Cutfield discusses the gut microbiome and its impact on conditions like obesity, autism, metabolic disorders, and C.difficile. 

Acute altitude illness

33 min

Jenny Visser discusses acute altitude illnesses including several conditions that may occur in individuals travelling to high altitudes, usually above 2,500 metres (8,200 feet). Jenny covers the sensible precautions that allow most trips to altitude to be enjoyed safely.

Soālaupule

40 min

GP's Mamaeroa David and Va’aiga Autagavaia discuss Soālaupule, an approach that creates equity by sharing power and decision-making. Helping GPs to connect better with families to ensure trust develops, leading to better clinical outcomes.

Novel products of addiction

28 min

Jo Lane, an addictions medicine doctor, discusses novel products of addiction, including Kamini Vidrawan Ras, Barshasha and Cool Lip.

Estradiol Gels

29 min

Stella Milsom discusses the clinical use of Estradiol gels, focusing on the two available options in New Zealand: Estradiol (Sandrena/ sachets) and Estradiol Hemihydrate (Estrogel pump). Stella will cover dosing, absorption, safety considerations, and the latest updates to Pharmac criteria.

Maternal Mental Health

20 min

Mathanki Vivekananda discusses postnatal depression and other mental health conditions.

Menopause hormone therapy

24 min

Anna Fenton discusses some more complex cases of menopause hormone therapy in perimenopausal women.

Chest Wall Deformities

12 min

Christine Goh discusses the two most common Congenital chest wall deformities. These are characterized by abnormal development and appearance of the chest wall. These can be categorized as rib cage overgrowth or deformities related to inadequate growth, accounting for over 90% of congenital chest wall deformities. In general, most patients are asymptomatic, but cardiopulmonary problems may accompany the disease. The indication for treatment is primarily cosmetic. Treating patients before they reach adulthood increases the chance of success. Surgical treatment can be open or minimally invasive. We will touch on sternal abnormalities briefly.

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