Episode 142. Common problems in Psychiatry with Dr Usman Riaz (part 2)
From the RACGP Health of the Nation report; depression, anxiety, and sleep disturbances are amongst the most commonly seen presentations of mental disorders in general practice. About 1 in 8 people in the world live with a mental disorder which often involves significant disturbances in thinking, emotional regulation, or behaviour.
From the RACGP Health of the Nation report; depression, anxiety, and sleep disturbances are amongst the most commonly seen presentations of mental disorders in general practice. About 1 in 8 people in the world live with a mental disorder which often involves significant disturbances in thinking, emotional regulation, or behaviour.
Globally it is estimated that 5% of adults suffer from depression, affecting women a little more than men.
Anxiety disorders affect a similar number of people, characterised by excessive fear, and worry and related behavioural disturbances.
Bipolar disease is characterised by periods of depressive episodes alternating with periods where manic symptoms prevail. Affecting less than 1 % of the population, suicide risk is increased.
Addiction disorders embrace a long list of destructive habits. Post traumatic stress disorder (PTSD), schizophrenia, disruptive behaviour, and dissocial disorders as well as neurodevelopmental disorders are amongst the many conditions presenting clinically and often requiring psychiatric assessment.
I was also interested to discover more about the adverse effects of social media on teenage and young adults’ mental health and in this podcast, and was curious to explore some of the mental health conditions presenting commonly in primary practice and to understand the place of therapies available. It was a privilege to interview psychiatrist Dr Usman Riaz for this episode.
Dr Muhammad Usman Riaz is a fellow of The Royal Australian and New Zealand College of Psychiatrists and has sub-specialised in addiction psychiatry. He Holds a Master of Public Health with a major in Occupational Health and Safety from Monash University and Master of Psychiatry from the University of Melbourne. He is Director of Medical Service at The Langmore Centre in Berwick operated by St John of God Hospital. Please welcome Usman to the conversation.
REFERENCES:
Dr Usman Riaz-www.sjog.org.au
World Health Organization-Mental Disorders. Who.int
Selective Serotonin Reuptake Inhibitors-Stat Pearls www.ncbi.nlm.nih.gov
Episode 141. Common problems in Psychiatry with Dr Usman Riaz (part 1)
From the RACGP Health of the Nation report; depression, anxiety, and sleep disturbances are amongst the most commonly seen presentations of mental disorders in general practice. About 1 in 8 people in the world live with a mental disorder which often involves significant disturbances in thinking, emotional regulation, or behaviour.
From the RACGP Health of the Nation report; depression, anxiety, and sleep disturbances are amongst the most commonly seen presentations of mental disorders in general practice. About 1 in 8 people in the world live with a mental disorder which often involves significant disturbances in thinking, emotional regulation, or behaviour.
Globally it is estimated that 5% of adults suffer from depression, affecting women a little more than men.
Anxiety disorders affect a similar number of people, characterised by excessive fear, and worry and related behavioural disturbances.
Bipolar disease is characterised by periods of depressive episodes alternating with periods where manic symptoms prevail. Affecting less than 1 % of the population, suicide risk is increased.
Addiction disorders embrace a long list of destructive habits. Post traumatic stress disorder (PTSD), schizophrenia, disruptive behaviour, and dissocial disorders as well as neurodevelopmental disorders are amongst the many conditions presenting clinically and often requiring psychiatric assessment.
I was also interested to discover more about the adverse effects of social media on teenage and young adults’ mental health and in this podcast, and was curious to explore some of the mental health conditions presenting commonly in primary practice and to understand the place of therapies available. It was a privilege to interview psychiatrist Dr Usman Riaz for this episode.
Dr Muhammad Usman Riaz is a fellow of The Royal Australian and New Zealand College of Psychiatrists and has sub-specialised in addiction psychiatry. He Holds a Master of Public Health with a major in Occupational Health and Safety from Monash University and Master of Psychiatry from the University of Melbourne. He is Director of Medical Service at The Langmore Centre in Berwick operated by St John of God Hospital. Please welcome Usman to the conversation.
REFERENCES:
Dr Usman Riaz-www.sjog.org.au
World Health Organization-Mental Disorders. Who.int
Selective Serotonin Reuptake Inhibitors-Stat Pearls www.ncbi.nlm.nih.gov
Episode 125. The Art of Pilates with Samantha Wood
Pilates is a form of low-impact exercise that aims to strengthen muscles while improving postural alignment and flexibility. It can be practised with or without equipment and the movements reinforce slow precise actions and breath control. The exercises strengthen and stabilise the core which is the body's foundation allowing one to move efficiently while improving posture flexibility and mobility.
This method of exercise is based on the rehabilitation work of Joseph Pilates, born in Dusseldorf in 1883. Joseph Pilates believed that injuries were caused by imbalances in the body and by habitual patterns of imperfect movement and hypothesised that an overcompensation or overdevelopment of another area occurred when a person had a weakness or misaligned area in order to achieve the functional movements desired.
He felt it was critical to correct the misalignment and to re-educate the body to prevent recurrence. His studio in New York allowed him to develop over 600 exercises over his career and he invented various pieces of apparatus to assist with the execution of these in particular his so-called reformer and cadillac with pulleys and springs allowing his method initially called Contrology to be practised with precision and exact repetition.
Joseph Pilates died in 1967 before his method now called Pilates became well known and widely accepted. Today, decades later his approach has gained significant popularity with over 3000 studios in Australia and some 380,000 Australians practising Pilates either regularly or occasionally. His method has been widely adopted by physiotherapists in Australia, North America and Europe with increasing popularity is a testament to its amazing benefits.
Recently I had the pleasure of being introduced to Samantha Wood whilst she was blitzing it at a surfing location in Fiji with her tall athletic partner Jeff. They were both limber, flexible and in the moment and she was immediately recognised as the author of Pilates for Rehabilitation which has become a bible of Pilates based exercises and a comprehensive guide for therapists offering rehabilitation from orthopaedic injuries.
Samantha began her career as a physiotherapist and after a serendipitous meeting with Pilates guru Rael Isacowitz she developed a passion for Pilates and is now world renown in her field lecturing internationally, conducting workshops and convening body and mind retreats as well as running a busy Pilates and PT clinic at The Cypress Center in Pacific Palisades Los Angeles California.
I was very grateful that she was available for this interview to discuss Pilates further, as I believe we should all be familiar with the method and recognise the outstanding benefits it offers our patients.
Please welcome Samantha to the podcast.
References:
Samantha Wood-Cypress Center-Pacific Palisades, Los Angeles. www.samanthawoodphysio.com
Pilates for Rehabilitation -Samantha Wood. Human Kinetics
www.HumanKinetics.com
To be a guest on the show or provide some feedback, I’d love to hear from you: manager@gihealth.com.au. Dr Luke Crantock MBBS, FRACP, is a gastroenterologist in practice for over 25 years. He is the founder of The Centre for GI Health, based in Melbourne, Australia, and is passionate about educating General Practitioners and patients on disease prevention and how to manage and improve their digestive health.
Episode 71. Chronic Pain with Dr Stephen Nutter
Chronic pain affects about 1 in 5 people in Australia and is a common reason for patients to see their doctor and to seek treatment. As patients seek ever increasingly strong pharmacological therapies they may become increasingly depressed, fatigued and dislocated from society.
Chronic pain affects about 1 in 5 people in Australia and is a common reason for patients to see their doctor and to seek treatment. As patients seek ever increasingly strong pharmacological therapies they may become increasingly depressed, fatigued and dislocated from society.
In this episode we have a very interesting conversation with Dr Stephen Nutter, we follow Stephen’s journey from anaesthetist to pain management consultant at Metro Pain Clinic and discuss his approach to –
· Non-pharmacological
· Pharmacological
· Interventional approaches to chronic pain management
Stephen provides us with his personal approach to some common clinical pain syndromes, which we explore as a great introduction to this topic. I am delighted to share the conversation with you.
Useful references include –
To be a guest on the show or provide some feedback, I’d love to hear from you: manager@gihealth.com.au
Dr Luke Crantock MBBS, FRACP, is a gastroenterologist in practice for over 25 years. He is the founder of The Centre for GI Health, based in Melbourne Australia and is passionate about educating General Practitioners and patients on disease prevention and how to manage and improve their digestive health.
Episode 40. Mole mapping and skin cancer surveillance with Dr Archie Xu
Non-melanotic skin cancers and melanoma are the most common cancers affecting humans. At least two in three Australians will be diagnosed with skin cancer before the age of 70 years and the risk is higher for men than women. Whilst basal cell carcinomas and squamous cell carcinomas are more common they are not as lethal as melanomas which are referred to as Australia’s “national cancer”. Indeed in 2020 it is estimated that 16,200 will be diagnosed with melanoma, that is one new case every half hour and a death every five hours.
Non-melanotic skin cancers and melanoma are the most common cancers affecting humans. At least two in three Australians will be diagnosed with skin cancer before the age of 70 years and the risk is higher for men than women. Whilst basal cell carcinomas and squamous cell carcinomas are more common they are not as lethal as melanomas which are referred to as Australia’s “national cancer”. Indeed in 2020 it is estimated that 16,200 will be diagnosed with melanoma, that is one new case every half hour and a death every five hours.
Skin clinics have emerged embracing mole mapping to assist in the diagnosis and management of melanotic skin cancers as well as non-melanotic skin cancers and we are grateful to have a conversation today with Dr Archie Xu who has been running a suburban skin cancer clinic for many years. He joins us to discuss:
· Mole mapping
· Dermoscopy
· Melanoma and non-melanotic skin cancer
I am most grateful to have had this discussion with Archie on a very important subject particularly relevant to our sun-drenched outdoor lifestyle. Please join me with Archie.
Useful references include:
To be a guest on the show or provide some feedback, I’d love to hear from you: manager@gihealth.com.au
Dr Luke Crantock MBBS, FRACP, is a gastroenterologist in practice for over 25 years. He is the founder of The Centre for GI Health, based in Melbourne Australia and is passionate about educating General Practitioners and patients on disease prevention and how to manage and improve their digestive health.
Episode 37. Why We Get Fat And What We Can Do About It with Professor Joseph Proietto
The western world faces a very significant obesity epidemic. In Australia, two-thirds of our population or 12.5 million are either overweight or obese and as a consequence may experience many medical sequelae including development of the metabolic syndrome, type 2 diabetes, cardiovascular disease, cerebrovascular disease, osteoarthritis and depression, contributing significantly to our health burden. In the first part of this series, we were joined by Joseph Proietto, Professor Emeritus at the University of Melbourne, the Department of Medicine at Austin Health and an endocrinologist specialising in diabetes and obesity to discuss why we become obese. Professor Proietto joins us again to guide us through a strategy of how to treat and manage obesity and direct our patients toward a healthy body mass index (BMI).
The western world faces a very significant obesity epidemic. In Australia, two-thirds of our population or 12.5 million are either overweight or obese and as a consequence may experience many medical sequelae including development of the metabolic syndrome, type 2 diabetes, cardiovascular disease, cerebrovascular disease, osteoarthritis and depression, contributing significantly to our health burden. In the first part of this series, we were joined by Joseph Proietto, Professor Emeritus at the University of Melbourne, the Department of Medicine at Austin Health and an endocrinologist specialising in diabetes and obesity to discuss why we become obese. Professor Proietto joins us again to guide us through a strategy of how to treat and manage obesity and direct our patients toward a healthy body mass index (BMI).
In this episode Professor Proietto discusses:
· The concept of energy balance
· The influence of exercise
· Dietary approaches including - Very low energy diets that induce a ketogenic state
· Medication used to suppress appetite and assist patients to establish an optimal BMI
Professor Proietto was extremely informative in this conversation navigating steadily and logically through a management strategy that may be applied to our patients experiencing obesity in primary practice. Thank you for joining me in this conversation.
Useful references include:
- www.darebinweightlosssurgery.com.au
- vermontsouthmedicalcentre.com.au
- Body Weight Regulation – Essential Knowledge to Lose Weight and Keep It Off by Joseph Proietto. ISBN 9781514497005. Published 12 August 2016, Publisher Xlibris.
- pubmed.ncbi.nlm.nih.gov
To be a guest on the show or provide some feedback, I’d love to hear from you: manager@gihealth.com.au
Dr Luke Crantock MBBS, FRACP, is a gastroenterologist in practice for over 25 years. He is the founder of The Centre for GI Health, based in Melbourne Australia and is passionate about educating General Practitioners and patients on disease prevention and how to manage and improve their digestive health.
Episode 36. Why We Get Fat with Professor Joseph Proietto
Up to two thirds of Australians are either overweight or obese as defined by body mass index (overweight: BMI 25-29.9, obese: BMI >30) with subsequent significant medical consequences including cardiovascular disease, type 2 diabetes, cerebrovascular disease (metabolic syndrome), osteoarthritis and depression. Becoming overweight and obese involves complex interactions between neurohormonal systems of the gut, neurobiology of the brain (particularly the hypothalamus) and leptin production from adipose sites coupled with an environment where there is an abundance of high glycaemic energy dense foods. Science demonstrates that the overarching controls of obesity are genetic (70%) rather than environmental (30%). Adoption studies relating to monozygotic twins demonstrate this. In view of the metabolic consequences of obesity, understanding why we get fat is extremely important to medical practitioners.
Up to two thirds of Australians are either overweight or obese as defined by body mass index (overweight: BMI 25-29.9, obese: BMI >30) with subsequent significant medical consequences including cardiovascular disease, type 2 diabetes, cerebrovascular disease (metabolic syndrome), osteoarthritis and depression. Becoming overweight and obese involves complex interactions between neurohormonal systems of the gut, neurobiology of the brain (particularly the hypothalamus) and leptin production from adipose sites coupled with an environment where there is an abundance of high glycaemic energy dense foods. Science demonstrates that the overarching controls of obesity are genetic (70%) rather than environmental (30%). Adoption studies relating to monozygotic twins demonstrate this. In view of the metabolic consequences of obesity, understanding why we get fat is extremely important to medical practitioners.
We are privileged to have a conversation in this podcast with Joseph Proietto, Professor Emeritus at the University of Melbourne in the Department of Medicine at Austin Health and an Endocrinologist who specialises in diabetes and obesity. Professor Proietto established the first Obesity Clinic in Victoria at the Royal Melbourne Hospital and is the head of Weight Control Clinic at Austin Health. He was the inaugural Sir Edward Dunlop medical research foundation Professor of Medicine and head of the Metabolic Disorders Research Group in the Department of Medicine, Austin Health, Joseph is on the executive of World Obesity and Chair of the Clinical Care Committee.
In this conversation he discusses:
· Why we become fat
· The role of genetic and epigenetic factors
· Some of the important hormones controlling satiety and hunger
Please enjoy this very interesting and informative conversation with Professor Joe Proietto.
Useful references include:
- www.darebinweightlosssurgery.com.au
- vermontsouthmedicalcentre.com.au
- Body Weight Regulation – Essential Knowledge to Lose Weight and Keep It Off by Joseph Proietto. ISBN 9781514497005. Published 12 August 2016, Publisher Xlibris.
- pubmed.ncbi.nlm.nih.gov
To be a guest on the show or provide some feedback, I’d love to hear from you: manager@gihealth.com.au
Dr Luke Crantock MBBS, FRACP, is a gastroenterologist in practice for over 25 years. He is the founder of The Centre for GI Health, based in Melbourne Australia and is passionate about educating General Practitioners and patients on disease prevention and how to manage and improve their digestive health.
Episode 35. The spleen and postsplenectomy syndrome with Dr Mohammed Al Souffi
The spleen performs a large number of important functions including processing and removal of opsonized pathogens, cellular maintenance, immunoglobulin production and the removal of effete worn out red blood cell. When removed either through trauma or for therapeutic indications the risk of overwhelming post splenectomy infection (OPSI) increases significantly; up to 58 times the general population in the setting of trauma and up to 1,100 times increased risk when for thalassaemia.
The spleen performs a large number of important functions including processing and removal of opsonized pathogens, cellular maintenance, immunoglobulin production and the removal of effete worn out red blood cell. When removed either through trauma or for therapeutic indications the risk of overwhelming post splenectomy infection (OPSI) increases significantly; up to 58 times the general population in the setting of trauma and up to 1,100 times increased risk when for thalassaemia.
The risk of OPSI is particularly high in the first 2-5 years for capsulated bacteria such as Strep pneumonia, Haemophilus influenzae and Neisseria meningitidis. To discuss the functions of the spleen and post splenectomy syndrome in more detail we are joined by expert and very affable general physician Dr Mohammed Al-Souffi, formally trained in Iraq and the United Kingdom before “walking free” to Victoria, where we are very fortunate to welcome him as a colleague and member of the Royal Australian College of Physicians. Mohammed joins us to talk about:
· Functions of the spleen
· OPSI
· Appropriate vaccination post splenectomy
· Management of thrombocytosis
· Spleen registry
I am most grateful to have Mohammed as part of this podcast series. I do hope you can join me in this conversation.
Useful references include:
Spleen.org.au
To be a guest on the show or provide some feedback, I’d love to hear from you: manager@gihealth.com.au
Dr Luke Crantock MBBS, FRACP, is a gastroenterologist in practice for over 25 years. He is the founder of The Centre for GI Health, based in Melbourne Australia and is passionate about educating General Practitioners and patients on disease prevention and how to manage and improve their digestive health.