Goodfellow Clinics

In this episode, Paediatrician and Breastfeeding Specialist Abby Baskett discusses tongue tie (ankyloglossia) and its impact on breastfeeding. We cover the prevalence, definitions, assessment tools, and management options, including the intricate details of the frenotomy procedure.

In this episode Helen Kenealy discusses Enduring Power of Attorney – a critical legal aspect that every primary care provider should understand.

Stephen Kara discusses the newly introduced New Zealand 2024 concussion guidelines, including recognizing diverse signs and symptoms. The recovery phase is detailed, encompassing rest, reintroduction, and clearance, featuring a graduated return protocol. 

Nikki Turner, Academic General Practitioner, provides an update on RSV in adults and discusses new RSV vaccinations.

Julia Rucklidge provides an update on the relationship between nutrition and mental health. She explores the current state of mental health in the nation and delves into the role of diet. Additionally, she explores whether a 'good diet' alone is sufficient for optimal mental health, what micronutrients are, and when we should consider them for our patients.

Clinical Neurologist Matthew Phillips provides an update on Functional Neurological Disorder (FND) which is a disorder that arises from abnormal nervous system functioning where there is no identifiable organic disease.

Nicola Keay provides an overview of secondary amenorrhea, highlighting the importance of addressing the concern: Why have my patient's periods stopped? Then asking - Do I need to worry? When is the absence of menstruation considered abnormal? What should I do about it?

Liz Stallworthy provides an update on acute kidney injury (AKI) and acutely rising creatinine.

In this episode, Dr Nicky Keay, an Endocrinologist, discusses unveiling primary ovarian insufficiency and early menopause covering how we navigate these distinct entities with multiple aetiologies.

Geriatrician and General Physician Helen Kenealy discusses how to thrive physically, cognitively, and socially as we age.

Primary Care Liaison Psychiatrist Cheryl Buhay provides an update on Parkinson's disease and the psychiatric considerations that the primary care team need to be aware of.

Geriatrician and General Physician Helen Kenealy discusses frailty, including what frailty is, its prevalence in New Zealand, risk factors, presentation, measurement, and the importance of assessing it. Helen will also discuss practical tools for assessing frailty, adverse outcomes, and effective management strategies.

Dr Susan Seifried discusses the 'Quality Statements to Guide Melanoma Diagnosis and Treatment in New Zealand' developed by the National Melanoma Working Group (NMWG) and MelNet. The latest guidance was released in September 2023. The statements describe what quality care for melanoma should look like in New Zealand based on current global best practice. They aim to reduce the incidence and improve outcomes for melanoma patients and their families.

Cheryl Buhay, Primary Care Liaison Psychiatrist, will discuss what we need to consider when our patient doesn’t respond to antidepressant medications, including medication, illness, and patient factors.

Musculoskeletal pain specialist Giresh Kanji provides an update on fibromyalgia. Fibromyalgia is a collection of symptoms and is best termed a syndrome. The collection of symptoms includes widespread pain, poor sleep, fatigue, brain fog and sometimes depression. A sensitivity to light, sound, touch and smell is also described. There is generalised tenderness, which is how you diagnose the syndrome.

Dr Michael Drane discusses commercial pilot medical certification. Covering clearance to fly, the vacationing pilot, and the pilot with hazardous social behaviours. By the end of this episode, you will know your responsibilities concerning each scenario.

Rob Doughty provides an update on the four pillars of heart failure management. Are your patients on the four pillars of heart failure treatment- if not why not?

Colorectal and General Surgeon Parry Singh discusses common anorectal conditions, including the history, examination and management of haemorrhoids, perianal hematoma, and anal fissures.

Amanda Eng and Jim McLeod provide an update on workplace exposure to carcinogens. The New Zealand Carcinogens Survey reveals for the first time the extent to which New Zealanders experience cancer-causing substances and other exposures in their workplace. The survey, released in March this year, reports that more than half (58%) of all workers are exposed to at least one workplace carcinogen at some level.

In this episode, Jude Ball (a member of the Adolescent Health Research Group) discusses alcohol use in New Zealand’s adolescent population.