Aortic stenosis – How TAVI is revolutionising management

How health professionals must auscultate for murmurs in all patients over 65 years, and refer for an echo or to a cardiologist, How the symptoms of chest pain, syncope and dyspnoea appear late, and the prognosis is very poor with 50% mortality in two years, TAVI being a safe, effective, and highly cost-effective treatment for patients with aortic stenosis, and how we should be referring our patients earlier for consideration of this procedure and its current availability for only privately insured patients, unfortunately

Management of pelvic organ prolapse

Symptoms that may suggest pelvic organ prolapse, the role of the primary care provider, investigations indicated in its management and when to refer a woman for a specialist opinion

Gastro-oesophageal reflux medications

The rate at which health professionals direct patients with intermittent Gastro-oesophageal Reflux Disease (GORD) to an alginate/antacid combination, how extensively do we review current medications, and how they are taken to ensure the symptoms may not be iatrogenic, and whether to start with a short 7-day course of proton pump inhibitors (PPIs) or just write a prescription.

Oral appliances for obstructive sleep apnea (OSA)

Jaw advancement splints offering an effective alternative to those who cannot use or tolerate a CPAP device, with two-thirds of patients deriving complete or partial resolution of OSA, The importance of referring to a multidisciplinary care team comprising of a GP, a sleep physician and a dentist for the best results

Low carbohydrate diets to manage T2D

How Type 2 Diabetes (T2D) remission sounds impossible, but is achievable and endorsed by Diabetes Australia in their “Type 2 Diabetes Position Statement” October 2021, and The compelling and beneficial impact of introducing a low carb dietary intervention to patients with T2D, rather than surgery or prescribing more drugs.

Management of a persistent neck mass in an adult

The incidence of oropharyngeal cancers is rapidly rising, and the major causes are HPV infection (HPV16 subtype) and smoking – How to diagnose, investigate and refer patients with a lump in the neck, and the ongoing role of health professionals