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The silent revolution happening in healthcare often goes unnoticed by patients, but medical registries have fundamentally transformed how medicine is practiced—particularly in orthopaedic surgery.Join Dr Gavin Nimon ( Host and Orthopaedic Surgeon ) as he interviews Professor Richard Page and they pull back the curtain on these powerful databases that track surgical outcomes across entire populations.

As the former Deputy Director of the Australian Orthopaedic Association National Joint Replacement Registry, Professor Page reveals how these systems have saved approximately $1.2 billion in healthcare costs while dramatically improving patient outcomes. The Australian registry, considered world-class, has tracked over 2.2 million joint replacements with extraordinary detail and accuracy exceeding 99%.

What began with passionate surgeons manually recording data has evolved into sophisticated systems that provide early warning signals when implants underperform. Professor Page shares the fascinating story of how shoulder replacements were integrated into the national registry—initially by surgeons who simply crossed out "knee" on data collection forms and wrote "shoulder" instead. This persistence paid off, with shoulder replacements growing from approximately 1,000 annually to nearly 12,000, making it the fastest-growing joint replacement procedure in Australia.

The registry has revealed crucial insights: total shoulder replacements outperform partial replacements for osteoarthritis, and reverse shoulder replacements have proven remarkably successful despite initial skepticism. These findings directly influence surgical decisions and have reduced revision rates by nearly 4%, sparing hundreds of patients from additional operations.

Looking forward, Professor Page describes an exciting future where registries integrate with AI, smartphone technology, and wearables to provide real-time monitoring of patient function. These powerful databases are evolving from quality assurance tools into platforms for innovative research, international collaboration, and personalized medicine.

Explore this fascinating conversation to understand how systematic data collection is quietly revolutionizing healthcare delivery and improving lives. What other medical advances might be hiding in plain sight within these vast repositories of patient data?

Aussie Med Ed is sponsored by -HealthShare is a digital health company, that provides solutions for patients, General Practitioners and Specialists across Australia.

Aussie Med Ed is sponsored by Avant Medical Indemnity: They state that they offer holistic support to help the doctor practice safely and believe they have extensive cover that's continually evolving to meet your needs in the ever changing regulatory environment.

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Description:
In this episode of Aussie Med Ed, Dr. Gavin Nimon ( Orthopaedic Surgeon ) interviews Dr. Thomas Altree, a respiratory physician, to provide a comprehensive overview of respiratory diseases, including asthma, chronic obstructive pulmonary disease (COPD), interstitial lung disease, and the effects of smoking, vaping, and air pollution.

Topics covered in this episode:

• Common respiratory diseases and their impact on lung function
• The classification of obstructive and restrictive lung diseases
• The risks associated with smoking, vaping, and environmental pollutants
• Diagnostic tools, including spirometry, CT scans, and lung function tests
• Current treatment approaches, including bronchodilators, BiPAP, and emerging monoclonal antibody therapies
• The role of lung transplants in end-stage respiratory disease
  
  

Who should watch?

• Medical students and general practitioners seeking a deeper understanding of respiratory medicine
• Patients and the general public interested in lung health
• Individuals experiencing breathing difficulties, chronic cough, or other respiratory concerns
• This episode provides essential insights into respiratory health and disease management.

If you find this content valuable, please subscribe for more discussions with medical specialists.

Aussie Med Ed – A podcast designed to simplify complex medical topics through expert interviews.

Aussie Med Ed is sponsored by -HealthShare is a digital health company, that provides solutions for patients, General Practitioners and Specialists across Australia.

Aussie Med Ed is sponsored by Avant Medical Indemnity: They state that they offer holistic support to help the doctor practice safely and believe they have extensive cover that's continually evolving to meet your needs in the ever changing regulatory environment.

Send us a text

This episode explores the complexities of myeloid conditions, including myelodysplastic syndromes, myeloproliferative neoplasms, and acute myeloid leukaemia, with insights from Dr. Joanna Czerwinski. Host, Dr Gavin Nimon (Orthopaedic Surgeon) interviews Dr Czerwinski about classification, symptoms, diagnostic approaches, and the latest treatment strategies for managing these conditions effectively.

• Overview of myeloid conditions and their prevalence
• Explanation of the myeloid stem cell line and its relevance
• Classification of myeloid disorders: acute vs. chronic
• Common symptoms and their diagnostic implications
• Key diagnostic tests and investigations required
• Intensive treatment approaches for acute myeloid leukaemia
• Management strategies for chronic myeloid conditions
• Importance of genetic testing in guiding treatment
• Future perspectives on myeloid malignancies and ongoing research

Aussie Med Ed is sponsored by -HealthShare is a digital health company, that provides solutions for patients, General Practitioners and Specialists across Australia.

Aussie Med Ed is sponsored by Avant Medical Indemnity: They state that they offer holistic support to help the doctor practice safely and believe they have extensive cover that's continually evolving to meet your needs in the ever changing regulatory environment.

Send us a text

Join host Dr Gavin Nimon (Orthopaedic Surgeon) as he unlocks the mysteries of medical statistics and take your clinical decision-making skills to new heights with insights from Dr. Adam Badenoch, an anaesthetist with a Master's in Biostatistics. Discover how essential concepts like central tendency, distribution, and variance can transform your understanding of medical research. Dr. Badenoch explains the significance of numerical and categorical data, and sheds light on how outliers can alter the mean and median, equipping you with the tools needed to critically assess statistical evidence in healthcare.

Venture into the complex world of hypothesis testing, where we explore the importance of the null hypothesis and the scrutiny needed before changing clinical practices. Dr. Badenoch demystifies the role of p-values and addresses common criticisms such as the arbitrary 0.05 significance threshold and publication bias. By emphasizing the necessity of defining clinical importance and analysis methods at the outset of studies, this discussion urges a thoughtful balance between scientific integrity and interpretation.

Our episode culminates with an insightful look into research study design and the indispensable role of statistical tools in evaluating studies. Learn about confidence intervals and their power to reveal the range of plausible values for true population parameters, standing in contrast to p-values. We also touch on the challenges of implementing evidence-based medicine in practice, with a nod to the potential and pitfalls of artificial intelligence in data analysis. This episode is a must for healthcare professionals aiming to refine their statistical acumen and apply evidence-based insights effectively.

Aussie Med Ed is sponsored by -HealthShare is a digital health company, that provides solutions for patients, General Practitioners and Specialists across Australia.

Aussie Med Ed is sponsored by Avant Medical Indemnity: They state that they offer holistic support to help the doctor practice safely and believe they have extensive cover that's continually evolving to meet your needs in the ever changing regulatory environment.

Send us a text

Discover the transformative power of a balanced diet across all life stages with insights from our expert guest, Clinical Dietitian Nick Wray. With nearly three decades of experience in dietetics, Nick joins us to shed light on the importance of macronutrients and micronutrients tailored to individual needs. We promise you'll gain a clear understanding of how dietary requirements shift with age, activity level, and health conditions, as well as the complexities faced when essential food groups are eliminated. Together, we navigate the challenges of maintaining a nutritious diet amidst dietary restrictions and explore the vital roles that proteins, fats, and carbohydrates play in our health.

Hosted by Dr Gavin Nimon (Orthopaedic Surgeon and Host of Aussie Med Ed) the conversation unpacks the nuances of macronutrients and micronutrients, focusing on how these components support energy, muscle building, and overall wellbeing. We emphasize the art of balancing dietary needs for those with specific lifestyles, such as vegans or pescatarians, and why diverse plant-based protein sources are crucial. The discussion takes a closer look at exercise and its impact on nutrient demands, particularly highlighting the increased necessity for protein in muscle-building and carbohydrates for endurance activities. Moreover, we delve into the heart health benefits of healthy fats, especially those found in the Mediterranean diet, and how these contribute to essential fatty acid intake.

Nutrition plays a pivotal role not just in general health, but also in surgical recovery, especially for those who are sarcopenic or malnourished. Nick shares valuable insights into the use of oral protein supplements and multivitamins for aiding recovery, while also addressing common dietary habits that could hinder health, such as excessive carbohydrate and sugary drink consumption. We discuss strategies for managing insulin levels with lower-carb diets and provide practical advice on tailoring nutritional plans based on exercise levels and individual needs. Wrapping up, we touch on the intricacies of food allergies and intolerances, reinforcing the need for personalized dietary assessments to ensure optimal health outcomes.

Aussie Med Ed is sponsored by -HealthShare is a digital health company, that provides solutions for patients, General Practitioners and Specialists across Australia.

Aussie Med Ed is sponsored by Avant Medical Indemnity: They state that they offer holistic support to help the doctor practice safely and believe they have extensive cover that's continually evolving to meet your needs in the ever changing regulatory environment.

Send us a text

Can simplifying complex medical diagnoses be as easy as one, two, three? Join me, Dr Gavin Nimon ( Orthopaedic Surgeon ), as we uncover the secrets of the rule of threes in tackling musculoskeletal hand conditions. Journey through the labyrinth of traumatic, elective, and mixed hand presentations with a new lens that promises clarity for both seasoned practitioners and eager medical students. Discover how categorizing fractures, dislocations, and nerve injuries into structured classifications can transform the way we assess and treat these intricate conditions, making them more approachable and less daunting.

Delve into the world of arthritis, tendon issues, and nerve conditions, and learn how to effectively assess ailments like primary osteoarthritis, rheumatoid arthritis, and carpal tunnel syndrome. From the telltale signs of Heberden's nodes to the vexing symptoms of trigger finger, I offer practical knowledge that translates to real-world medical applications. Whether you're a curious listener or a medical professional, this episode delivers valuable insights into the effective management of hand health, enhancing your understanding and approach to these common yet complex conditions.

(This bepisode was also partially produced on the traditional lands of the Jagera people and the Turrbal - Meanjin (Brisbane CBD) as well as Kaurna Land)

Aussie Med Ed is sponsored by -HealthShare is a digital health company, that provides solutions for patients, General Practitioners and Specialists across Australia.

Send us a text

Join Dr Gavin Nimon (Orthopaedic Surgeon) for an enlightening episode with Dr. Joanna Czerwinski, a leading haematologist from Flinders Public Hospital, as she unravels the intricacies of lymphoid malignancies. Get ready to demystify the complexities of lymphocytic leukaemia and lymphoma — two formidable blood cancers that originate from lymphocytes. Dr. Czerwinski clarifies the distinctions between leukaemias, which impact the blood, and lymphomas, affecting the lymphatic system, with a deep dive into chronic lymphocytic leukaemia and acute lymphoblastic leukaemia, the latter being notably the most common cancer in children. Gain insight into how these conditions manifest in clinical practice and the critical symptoms they present, including constitutional symptoms and recurrent infections.

The conversation broadens to explore the landscape of lymphoma varieties, focusing on the nuances between diffuse large B-cell lymphoma (DLBCL) and follicular lymphoma. We explore cutting-edge treatment protocols like R-CHOP chemotherapy and delve into the role of innovative therapies including monoclonal antibodies and Bruton tyrosine kinase inhibitors. Dr. Czerwinski sheds light on the vital role of patient immunity and the risks arising from compromised tumor surveillance, providing a thorough examination of the treatment journey and long-term care. Stay informed on the distinctions between Hodgkin's and non-Hodgkin's lymphomas, their prognosis, and the age-related occurrences that can influence outcomes.

Aussie Med Ed is sponsored by -HealthShare is a digital health company, that provides solutions for patients, General Practitioners and Specialists across Australia.

Aussie Med Ed is sponsored by Avant Medical Indemnity: They state that they offer holistic support to help the doctor practice safely and believe they have extensive cover that's continually evolving to meet your needs in the ever changing regulatory environment.

Send us a text

Ever wondered what really sets Inflammatory Bowel Disease (IBD) apart from Irritable Bowel Syndrome (IBS)? Join Dr Gavin Nimon ( Orthopaedic Surgeon and host) as he explores this complex topic with expert gastroenterologist, Professor Jane Andrews. You'll gain a deep understanding of the crucial differences between Crohn's disease and ulcerative colitis, including their unique pathological features and symptomatic presentations. Discover why it's essential to distinguish IBD from other conditions like gastroenteritis, and how these insights can lead to better patient care and management.

Professor Andrews takes us through the fascinating genetic and pathological nuances of IBD, offering a detailed look at the characteristic non-caseating granulomas of Crohn's disease and the chronic inflammation of ulcerative colitis. We’ll discuss diagnostic tools, the importance of comprehensive clinical evaluation, and the latest advancements in treatment, including the role of biologics, JAK inhibitors, and the ever-evolving field of gut microbiome research. Gain valuable knowledge about the demographic trends in IBD, the impact of diet and lifestyle, and the promising future of patient care.

Finally, listen in as we explore the real-world implications of monitoring and treating IBD, from the significance of regular surveillance to the multidisciplinary approach required for managing severe cases. Professor Andrews shares insights on the collaborative efforts between gastroenterologists and colorectal surgeons, and the critical balance needed in using immunosuppressants. We also touch upon related conditions like IBS and gluten intolerance, offering practical advice for patients dealing with these often-misunderstood issues. Whether you are a medical professional or someone affected by these conditions, this episode is packed with essential information and expert guidance.

Aussie Med Ed is sponsored by -HealthShare is a digital health company, that provides solutions for patients, General Practitioners and Specialists across Australia.

Aussie Med Ed is sponsored by Avant Medical Indemnity: They state that they offer holistic support to help the doctor practice safely and believe they have extensive cover that's continually evolving to meet your needs in the ever changing regulatory environment.