Purple Pen Podcast

In this episode, we're joined by Dr Mariya Farah Kitson, Consultant Rheumatologist at the Osteoporosis Refracture Prevention Clinic at Royal North Shore Hospital, for a deep dive into the diagnosis and management of osteoporosis. We explore why osteoporosis remains significantly underdiagnosed, current recommendations for bone mineral density (BMD) screening, and the ongoing osteoporosis care gap that leaves many patients untreated after fragility fractures. Dr Kitson also explains the role of secondary fracture prevention services and why menopause represents a particularly high-risk period for accelerated bone loss and fracture risk in women. The conversation also unpacks the evolving treatment landscape for osteoporosis, including discussions around denosumab, its PBS and other indications, and important considerations regarding duration of therapy and rebound vertebral fracture risk following discontinuation. Dr Kitson compares the mechanisms of action of denosumab and bisphosphonates, outlines current recommendations for safely stopping denosumab, and discusses where newer therapies such as romosozumab fit into contemporary osteoporosis care. We also touch on the emerging role of biomarkers in fracture risk assessment and treatment monitoring, offering listeners an up-to-date and clinically relevant overview of osteoporosis management.   Further Links  ASBMR - The American Society for Bone and Mineral Research - https://www.asbmr.org/Default.aspx  International Osteoporosis Foundation https://www.osteoporosis.foundation/ 

In this episode, dermatologist Dr Francis Lai joins us to unpack everything you need to know about scabies — what it is, how it spreads and why some communities are more at risk. We break down diagnosis, treatment options, common myths and what to expect during recovery. Practical, evidence‑based advice for clinicians, parents and anyone dealing with this incredibly itchy but entirely treatable condition.

Kristin speaks with two pharmacists working in menopause care: Bo Kim, clinical pharmacist and founder of EmpowHer Menopause in Perth Jarrah Anderson, Clinical Lead at MedCast and member of the Quality Use of Medicines Alliance In this episode Types of menopausal hormone treatment (MHT) When different MHT options are used in perimenopause and menopause. Safety conversations Current thinking on precautions and contraindications, and how to explain risks and benefits clearly. Access and cost in Australia PBS considerations, affordability and opportunities for pharmacist support. Bio‑identical and body‑identical hormones Why it matters for patient communication. Testosterone in menopause care What the evidence says about when it can be used and practical issues with prescribing and access. Non‑hormonal therapies Options for symptom management, including the emerging medicine fezolinetant. Links: Medcast Qhub - quality use of medicines resources - https://medcast.com.au/qhub    Australian Menopause Society Complementary medicines and therapies: options for menopausal symptoms - https://hub.menopause.org.au/Play?pId=3234710f-e5db-4aa1-bff8-ae98449fffad    Guide to MHT/HRT Doses - https://hub.menopause.org.au/Play?pId=6ecead60-db26-4dfc-a662-794d7b39ef59   Jean Hailes  Perimenopause and menopause symptom checklist https://jeanhailes.org.au/wp-content/uploads/2026/01/Perimenopause-and-menopause-symptom-checklist_TGD.pdf

This International Women's Day (IWD) we a focused on women's health. In this episode, Kristin speaks with Professor Susan Davis, AO, MBBS, FRACP, PhD, FAHMS, Head Monash University Women's Health Research Program, Endocrinologist, leading menopause researcher. Prof Davis is Director of the Women's Health Research Program in the School of Public Health and Preventive Medicine, Monash University Melbourne. She is a consultant Endocrinologist at Cabrini Medical Centre and Head of the Women's Specialist Clinic, the Alfred Hospital Melbourne. She is also President of the International Menopause Society and Past-President of the Australasian Menopause Society. They discuss the definitions of menopause, the menopause transition and perimenopause, along with factors that influence the timing of menopause and the wide range of symptoms women may experience. Professor Davis explains the role of blood hormone testing in menopause care. The conversation also covers contraception in perimenopausal women. They also review the evidence for menopausal hormone therapy, including indications for treatment, the benefits and risks of different therapies, and duration of use. Links: https://www.menopause.org.au/

In this episode, Inflammatory Bowel Disease (IBD) pharmacists Clarissa Rentsch and Sheridan Rodda break down the essentials of Inflammatory Bowel Disease, from diagnosis and treatment options to the expanding role of monoclonal therapies. We explore Crohn disease, ulcerative colitis, therapeutic drug monitoring and how pharmacists can optimise care for people living with IBD. A clear, practical conversation for clinicians and anyone wanting to better understand this complex condition. Purple Pen Podcast 2026 Listener Survey https://tinyurl.com/PPPSurvey2026

In this episode, I'm coming to you live from NAPSA Congress, the National Australian Pharmacy Students' Association's week-long flagship event that brings together pharmacy students from across Australia. The Congress is packed with education sessions, workshops, social events, networking opportunities, and a vibrant trade exhibition, and this episode captures the energy of being right in the middle of it all. I spoke with Sebastian Harper from Griffith University, NAPSA's National President, Sebastian Schulke from the University of Queensland, and Mia Avram from Monash University and NAPSA's National Treasurer. We spoke about their favourite moments from Congress, what stood out most, and the key learnings they will be taking forward into their future pharmacy careers. Our conversations explored a wide range of timely and important topics, including practical insights into probiotics, the expanding role of pharmacists in harm reduction and dependency services such as naloxone take-home programs, and the skills of full-scope physical assessment. We also discussed how pharmacists can better support patients using GLP-1 agonists, from counselling to ongoing care, and what it really means to serve your community as a healthcare professional. We also touched on highlights from Pharmacy Student of the Year (PSOTY), unpacking the qualities that set leaders apart, as well as a thoughtful conversation on authenticity in pharmacy. We discussed why being yourself matters, how to avoid the "pharmacist Barbie" stereotype, and the value of showing up as a real, relatable professional. This episode was recorded live in the trade exhibition space at NAPSA Congress, so you may hear some background noise throughout. Every effort has been made to optimise the audio while keeping the authentic atmosphere of Congress intact.

Listen in to our latest episode as Kristin chats with Josh Schiller, a Accredited Practising Dietitian, about navigating the world of nutritional supplements and vitamins in pharmacy practice. Josh breaks down which products he would recommend, the key interactions between diet, vitamins, and prescription medicines that you need to know about and the age old question, do you really need that multi-vitamin. From green leafy vegetables to food-drug interactions that can impact therapy outcomes, this episode will help you confidently guide your patients through the supplement aisle and beyond.

We talk to Gary Bain (AKA the wound guy) about the integumentary system, the stages of wound healing, the advantages of good old fashioned clean water for wound cleaning, guiding principles of dressing changes for inflammatory phase vs proliferation phase, when to use different types of dressings e.g hydrocolloid, the benefits of a wound selfie to check progress, advantages of compression bandages for accelerating wound repair, the importance of moisturising a closed wound and busting wound management myths.   

We talked with, Dr Eleni Yiasemides (board-certified consultant Dermatologist specialist from Sydney) about *Inappropriate indications for topical corticosteroids (cortisones) like perioral dermatitis when less is usually more *The verdict on combination products corticosteroids + anti fungal creams and when to use them *Busting myths on topical corticosteroids like "apply sparingly" *The issue of tachyphylaxis *Practice points about alcohol based treatments, preservatives and fragrance *Alternative topical therapy other than corticosteroids *Best practice for managing skin health (moisture, hydration and occlusion) alongside medicated treatment like corticosteroids   Read further Perioral dermatitis https://dermnetnz.org/topics/periorificial-dermatitis RACGP  https://www1.racgp.org.au/ajgp/2021/september/selection-of-a-corticosteroid The Australasian College of Dermatologists https://www.dermcoll.edu.au/wp-content/uploads/2024/04/ACD-Fact-Sheet-Topical-corticosteroids-and-eczema-April-2024.pdf

We're marking World Antimicrobial Resistance (AMR) Awareness Week 2025 with an episode dedicated entirely to antibiotics, the medicines we rely on every day and the ones we need to protect. We're joined by Caroline Chen, a senior antimicrobial stewardship pharmacist and project officer at the Royal Melbourne Hospital, for a deep dive into all things antibiotics. Together, we walk through the ABCs of commonly used antibiotics, or more accurately the B through T, including beta-lactams, clindamycin, doxycycline, macrolides, metronidazole, nitrofurantoin, quinolones, rifampicin and trimethoprim. This episode highlights how these medicines work and when we use them and key counselling points. Antibiotics are a finite resource, and understanding them is one of the most powerful tools we have to preserve their effectiveness for the future.

Listen in as Kristin chats with Dr Angela Kwong, a Sydney-based General Practitioner with a special interest in medically supervised weight management, about the use of GLP-1 agonists. Dr Kwong serves as the NSW State Lead for the RACGP Specific Interests Group in Obesity Management and works closely with colleagues across disciplines to improve care for people living with obesity. She is also the founder of Enlighten Me, a multidisciplinary online program that provides evidence-based, GP-led support for patients seeking weight management. The program has been recognised for its contribution to patient education and its focus on accessible, stigma-free care. Additional GLP-1 reading: 1. GLP-1 agonist role in renal protection - FLOW Trial 1a. Digestible summary of the FLOW trial 2. Current ANZCA guidelines for anaesthesia / sedation in patients using GLP-1 agonists (May 2025) 3. Tirzepatide as Compared with Semaglutide for the Treatment of Obesity

We talk with Prof Pete Smith, an allergist from Queensland about Why rhinitis shouldn't be sneezed at (sorry we had to), including the consequences of allergic rhinitis being un/undertreated The recommended method to use intranasal sprays - hint "if you can taste it, you're wasting it" How to discuss concerns patients might have about intranasal corticosteroids The long list of potential triggers of nonallergic rhinitis What are the red flag symptoms of rhinitis?   Some further reading: Nonallergic Rhinopathy: A Comprehensive Review of Classification, Diagnosis, and Treatment. The journal of allergy and clinical immunology. In practice, S2213-2198(24)00270-8. Advance online publication. https://doi.org/10.1016/j.jaip.2024.03.009  Itch Beyond the Skin-Mucosal Itch. Front Allergy. 2021;2:700368. Published 2021 Oct 28. https://doi.org/10.3389/falgy.2021.700368   Characteristics of nonallergic vasomotor rhinitis. World Allergy Organ J. 2009 Jun 15;2(6):102-5. https://doi.org/10.1097/wox.0b013e3181a8e389  Allergic and Mixed Rhinitis: Diagnosis and Natural Evolution. J Clin Med. 2019 Nov 19;8(11):2019. https://doi.org/10.3390/jcm8112019 

Listen in to round out our conversation about anticoagulation, by hearing from two Anticoagulation Stewardship Pharmacists - Hadley Bortz from the Alfred in Melbourne and Julianne Chong from Concord Hospital. Find out more about ACS programs in Australia and overseas and the benefits that these programs can bring to your health service. Anticoagulant patient care plan Anticoagulation Forum Advancing Anticoagulation Stewardship: A Playbook CATAG Medicines Stewardship Toolkit 

Join us as we talk with Prof Prash Sanders about the role of anticoagulation for patients with atrial fibrillation (AF), learn when patients should be screened for AF, how to perform a stroke risk assessment and strategies to reduce the risk of bleeding.  This podcast is in collaboration with Medcast and the Quality Use of Medicines Alliance, a provider of health professional education in Australia focused on the quality use of medicines. Check out their resources here. Clinical guide: Anticoagulant management for AF Anticoagulant patient care plan Prof Prash Sanders is a cardiologist and electrophysiologist with a focus on heart rhythm disorders, particularly atrial fibrillation. He graduated with Honours from the University of Adelaide and completed advanced training in Melbourne and Bordeaux, France, earning national and international recognition for his research and clinical expertise. He is the Clinical Director of Cardiac Electrophysiology at the Royal Adelaide Hospital and holds the Knapman – National Heart Foundation Chair of Cardiology Research at the University of Adelaide. Dr Sanders has published over 600 papers and is a leader in advanced ablation techniques. He consults and performs procedures across multiple hospitals and regional clinics in South Australia. Jarrah is a clinical pharmacist with a passion for education and quality use of data. He has led national health programs, including GP audit and feedback initiatives and Indigenous health nKPIs. He is currently clinical lead at MedCast, supporting best practice care through the Quality Use of Medicines Alliance.  

Naloxone has been available in Australia without prescription since 2022 (after pilot programs through 2019-2021, analysis showed this trial saved 3 lives per day). Join us as Kristin and Nat talk naloxone with Pharmacist Emily Turkovic. Emily shares her personal story and why she is passionate about ensuring that naloxone is widely available in our community. Listen in for tips and tricks on how to broach the subject with patients and ways to de-stigmatise naloxone. Resources: Opioid Safety Toolkit Free Take Home Naloxone training program Find out more about the Take Home Naloxone program here. Take Home Naloxone Program Resources

Listen in as Kristin chats with Dr Ian Heslop about the health care needs of travellers, covering topics such as traveller's diarrhoea, altitude sickness and more. Listen until the end to find out what Ian brings in his travel medicine kit! Ian is currently an Associate Professor at the University of Newcastle and has a strong background in Hospital Pharmacy and in academia. He was involved in the establishment of the Bachelor of Pharmacy program at James Cook University in Townsville - and whilst teaching at JCU, he completed his doctorate in travel health.

Listen in to our latest episode as Kristin chats with Chelsea Felkai about being a healthcare provider for patients with intellectual disability. Chelsea is a community pharmacist who is completing her PhD at the University of Newcastle. You can find resources relating to the provision of inclusive healthcare and the NSQHS Standards User Guide for the Health Care of People with Intellectual Disability that Chelsea refers to in the podcast here. Other resources include: PSA Medicine safety: disability care report https://www.psa.org.au/advocacy/working-for-our-profession/medicine-safety/disability-care/  Australian Commission on Safety and Quality in Health Care - https://www.safetyandquality.gov.au/our-work/intellectual-disability-and-inclusive-health-care  Australia's Disability Strategy 2021-2031 - https://www.disabilitygateway.gov.au/ads/strategy  NDIS - https://www.ndis.gov.au/ NDIS – Consumables - https://ourguidelines.ndis.gov.au/would-we-fund-it/consumables  Guardianship Division - https://ncat.nsw.gov.au/how-ncat-works/ncat-divisions-and-appeal-panel/guardianship-division.html  Behaviour Support Plans - https://www.ndiscommission.gov.au/rules-and-standards/behaviour-support-and-restrictive-practices  Easy Read - https://pwd.org.au/resources/easy-read-info/  Ten Principles of Good Prescribing (British Pharmacological Society's Principles for Good Prescribing 2010) Maudsley deprescribing guidelines for antidepressants, benzodiazepines, Gabapentinoids, and Z-drugs. PHARMACISTS OPTIMISING MEDICINES IN PEOPLE WITH INTELLECTUAL DISABILITY AND AUTISM (POMPIDA) – Facebook group Public Hearing Report – Hearing 6 (Royal Commission into Violence, Abuse, Neglect and Exploitation of People with Disability)

Join Natalie as she chats with Dermatologist A/Prof Deshan Sebaratnam about the management of acne. Listen in as they chat about over the counter treatment options, what may have changed in acne management and the effectiveness of isotretenoin. A/Prof Sebaratnam, in addition to his private practice, as a specialist dermatologist at Liverpool and Dubbo Base Hospitals in NSW.

Tune in as Dr Sayontonee Ghosh gives an overview of TB including: Transmission  Diagnosis  Screening Symptoms  Treatment options 

Did you know that PPIs are one of the most commonly prescribed medications in Australia according to PBS data? Join Kristin for a deep dive into proton pump inhibitors as she chats with Gastroenterologist, Hepatologist and Gastrointestinal endoscopist, Dr Kostas Brooks. What dose PPIs should patients actually be taking? How do you manage rebound symptoms? Listen in to find out.

Join Kristin as she chats with Dr Gaurav Sutrave to chat about emergening treatments for fungal infections.  Gaurav is a Staff Specialist Haematologist and Transplant and Cell Therapies Physician at Westmead Hospital, as well as the Medical Director for the Westmead T cell Therapies Laboratory.

Join Kristin and Nat as they chat with Shaylee Mills, The Rural Pharmacist. Shaylee works in the beautiful Pilbara region of WA - google it - the scenery is spectacular! Although it is at least 17 hours drive from the nearest capital city (Perth) - Karratha is far from a small town and is home to around 22000 people. Shaylee shares what her world as a pharmacist looks like and some of the benefits (and challenges) of working rurally. You can find Shaylee here and don't forget to give Purple Pen a follow too!

Check out our latest episode as Kristin and Nat chat with Dr Jeremy McAnulty about the work undertaken by Public Health Units. If you are from NSW, you may remember Dr McAnulty from the daily televised COVID updates  - Dr Jeremy McAnulty is a public health physician and Executive Director of Health Protection NSW at NSW Health, overseeing the statewide public health aspects of communicable disease control and environmental health. From 2020 to 2022 he headed NSW Health's COVID Public Health Response Branch.

Join Kristin for a deep dive into meningococcal disease with Dr Anita Campbell.  Learn more about the various strains of meningococcal and their prevalence patterns in Australia and how that might impact the way we think about vaccination for meningococcal, using Men B as an example. Dr Anita Campbell is a clinician researcher working as a paediatric infectious disease specialist and medical lead of the Stan Perron Immunisation service at Perth Children's Hospital.

Join us for a very special World Pharmacist Day edition of the Purple Pen Podcast.  Recorded live during pharmacy wellbeing week at Monash Health, Nat & Kristin reconnect with Jane Booth and Karlee Johnston to talk about Pharmacist Wellbeing.  We explore the concepts of empathy, vulnerability, burnout and restorative supervision. Our guest, Dr Karlee Johnston, is a clinical pharmacist with extensive experience in critical care and winner of the SHPA - Australian Clinical Pharmacy award in 2023. Karlee's PhD focused on the experiences of Australian pharmacists during the COVID-19 pandemic, with a specific interest in burnout in this cohort. Following from this research Karlee has continued to research burnout and possible interventions to better support healthcare professionals in their work.

Join Kristin as she chats with Rebekah Moles about fever. Rebekah is an Associate Professor in Pharmacy Practice at the University of Sydney and she is passionate about quality use of medicines in paediatric patients. She has conducted research on the management of common ailments such as fever and cough/cold in young patients.

Join us as we talk with Dr David Liew about the underappreciated condition of gout, dispel some myths and talk about what's changed in recommendations.  This podcast is in collaboration with Medcast and the Quality Use of Medicines Alliance, a provider of health professional education in Australia focused on the quality use of medicines. Check out their resources here.  Arthritis Australia have further information on gout here. The 2015 study by Philip C Robinson is here An Observational Study of Gout Prevalence and Quality of Care in a National Australian General Practice Population 

Kristin is joined by Professor Sanjay Swaminathan to talk all things MABs or monoclonal antibodies. Dr Sanjay Swaminathan is a Clinical Immunologist and Allergist, he is a Senior Staff Specialist and Head of the Department of Immunology and Allergy at Westmead and Blacktown Hospitals.

Prof Asha Bowen is back to discuss Impetigo (also known as school sores), an infection of the skin caused by bacteria. Observational studies over four decades in northern Australia have found that Australian Aboriginal and Torres Strait Islander children living in remote communities have the highest burden of impetigo worldwide. Prof Asha Bowen is a paediatric infectious disease specialist and clinician-researcher at Perth Children's Hospital and Telethon Kids Institute. She is Head of Department of Infectious Diseases at Perth Children's Hospital. National Healthy Skin Guidelines can be found here

RSV season is upon us, and there are a number of new exciting developments in the prevention of RSV to discuss! Listen in, as Prof Asha Bowen chats to Kristin and Natalie about the newest innovations in RSV immunisation and vaccination. Prof Asha Bowen is a paediatric infectious disease specialist and clinician-researcher at Perth Children's Hospital and Telethon Kids Institute. She is Head of Department of Infectious Diseases at Perth Children's Hospital. ATAGI statement in the use of Arexvy in older Australians NCIRS FAQs relating to RSV Information relating to WA RSV Immunisation Program Information relating to the QLD RSV Immunisation Program Clinician Guide to the NSW RSV Immununisation Program

Join Kristin as she chats with A/Prof Esmita Charani, PhD, MSc, MPharm, MRPSGB, about the way clinicians think and feel about antibiotic use, and in particular how these beliefs can impact their response to various antimicrobial stewardship interventions.  Esmita also shares her research journey into broader human rights issues including bias and imbalance in low and middle income countries. Esmita is an Associate Professor at the University of Cape Town where she is undertaking a Wellcome Trust Career Development Fellowship investigating intersectionality and AMR (2023-2027). In the UK, she is an Honorary Reader in Infectious Diseases, AMR and Global Health at the University of Liverpool. She is a visiting Researcher at Haukeland University Hospital, Bergen Norway, and Adjunct Professor at Amrita Institute of Medical Sciences, Kerala India, where she is involved in helping implement and investigate national antibiotic stewardship programmes. Her work in AMR has been recognised through the Academy of Medical Sciences UK-India AMR Visiting Professor award. She is involved in mentoring and supporting clinical pharmacists across different healthcare settings and economies in implementing antimicrobial stewardship interventions.

Join Kristin as she talks with Dr Mark Horowitz about how to deprescribe psychotropics like antidepressants, what is known about the causes of depression, what evidence is behind the antidepressants commonly used, what the symptoms of antidepressant withdrawal look like and the origins of the phrase "it's Bedlam here." The Maudsley Deprescribing Guidelines: Antidepressants, Benzodiazepines, Gabapentinoids and Z-drugs are available for purchase here:  https://www.wiley.com/en-us/The+Maudsley+Deprescribing+Guidelines%3A+Antidepressants%2C+Benzodiazepines%2C+Gabapentinoids+and+Z+drugs-p-9781119823025  This podcast has been released to co-incide with MedsAware which is SHPA's Deprescribing Action Week, 18-24 March 2024 - find out more here: https://www.shpa.org.au/news-advocacy/MedsAware   

Have a listen as Kristin talks to Associate Professor Deshan Sebaratnam about psoriasis. Who does it typically affect, how is it managed and there can be a lot more to psoriasis than meets the eye. 

Tune in as Kristin chats to Pia Nairn, Clinical Audiologist at Lions Hearing Clinic to discuss Tinnitus, general advice for looking after your hearing and what to expect in a hearing assessment 

Check out a bumper episode of the Purple Pen Podcast with Specialist Cardiac Pharmacist and PhD candidate Adam Livori as well discuss what in, and definitely what's out when it comes to cholesterol management. Adam is the Lead Pharmacist - Medical Specialties and Ambulatory Care at Grampians Health Services in Victoria and is the current Chair of the SHPA Cardiology Specialty Practice Leadership Committee. His PhD through Monash University is looking for patterns and predictors of clinical outcomes in myocardial infarction and atrial fibrillation. Connect with Adam via LinkedIn

Join us as Kristin talks to Natalie Raffoul (a pharmacist who now works at the Heart Foundation) to discuss the new Aus CVD Risk calculator and associated guideline. They also talk about the highlights of the European Society of Cardiology (ESC) Congress in Amsterdam this year.  https://www.cvdcheck.org.au/overview https://www.heartfoundation.org.au/heart-age-calculator 

Natalie is joined by Dr Ian Bilmon, a senior consultant Haematologist working at Westmead Hospital and Sydney Adventist Hospital to do a deep dive into haemochromatosis. They cover: What is heriditary haemochromatosis or iron overload? How is haemochromatosis managed? What other conditions are patients with haemochromatosis at risk of? Who else is at risk of iron overload and how is it managed?   Avid Purple Pen listeners may recognise Dr Bilmon who has been on our podcast previously.  Check out episode 70 where Ian goes back to Haematology Basics.

Kristin spoke with Dr Terri Foran to discuss Human papillomavirus (HPV). We covered: the HPV vaccine genital warts cervical cancer  changes to National Cervical Screening Program (pap smears)  

Kristin and Nat were at the 81st FIP World Congress of Pharmacy and Pharmaceutical Sciences this week in Brisbane. They caught up with Professor Parisa Aslani, Paul Sinclair AM, Anna Packer, Dr Sami Isaac, Aagam Bordia, Dr Kaitlyn Watson, Dr Michael Stepanovic and Dr Stephen Eckel. Have a listen for a taste of what the congress had to offer.  Link to the Basel Statements - https://www.fip.org/basel-statements#:~:text=The%20Basel%20Statements%20cover%20all,practice%20through%20updating%20the%20statements.

Happy World Pharmacist Day 2023! Kristin and Natalie are joined by Tom Simpson, Executive Director - Statewide Hospital Pharmacy, Tasmania and President of the Society of Hospital Pharmacists of Australia (SHPA) to discuss opportunities for Australian pharmacists in 2023 and beyond.   

Celebrating our 150th episode with pharmacist Karl Winckel from Princess Alexandra Hospital in Brisbane, as Kristin and Nat ask Karl to dispel some myths about metformin. Resources related to this episode: Risk of fatal and nonfatal lactic acidosis with metformin use in type 2 diabetes mellitus (Review) Hospitalization for Lactic Acidosis Among Patients With Reduced Kidney Function Treated With Metformin or Sulfonylureas Risk of Fatal and Nonfatal Lactic Acidosis With Metformin Use in Type 2 Diabetes Mellitus Chapter 12: Assessing Drug Safety Assessment: Metformin Associated Lactic Acidosis

Check out our latest episode as Natalie speaks with Dr Kristin Graham and Saraid Martin, both endorsed prescribing podiatrists, practicing in South Australia. Make sure you listen until the end to get some valuable tips about how to protect your feet at work!

Prof Stephen Davis and Professor Geoffrey Donnan AO chat about the different types of strokes and how they are managed; the practice points of novel oral anticoagulants (NOACs) and secondary prevention stroke. We also discuss emerging technology with lightweight brain scanners and stroke smart ambulances. 

Kristin and Natalie chat with Dr Daniel Wilson, rural GP and president of the Rural Doctors Association of Victoria about what it is like to work as a healthcare professional in rural Australia.

Did you know people with constipation have a higher all cause mortality than those with normal bowel function? Join Natalie and Kristin as they get bogged down in the details of how to treat and manage constipation with Sydney based Gastroenterologist, Hepatologist and Gastrointestinal endoscopist, Dr Kostas Brooks.

Kristin is joined by Dr Timothy Matthews, to discuss Sudden Sensorineural Hearing Loss (SSNHL). Dr Matthews is an Ear, Nose and Throat Surgeon with additional fellowship training in Otology and Neurotology (ear surgery/diseases). He has a special interest in minimally invasive endoscopic ear surgery and hearing implants (including cochlear implantation).

Join Kristin in a showcase of the Australian Pharmacy Students' Journal, as they celebrate their first year in publication. Speakers include: Elissar Mansour, Co-editor in Chief of the Australian Pharmacy Students' Journal (APSJ) Elishka Juricka, Co-editor in Chief of the Australian Pharmacy Students' Journal (APSJ) Maria Siskamanis, Clinical Pharmacist at Royal Darwin Hospital Alanah Wilson, Intern Pharmacist at John Flynn Private Hospital https://apsj.com.au/index.php/journal

In a special International Women's Day episode Kristin spoke to A/Prof Monique Watts, a cardiologist with special interest in women and heart health. Heart disease kills more than two times as many Australian women than breast cancer. 

Listen in as Kristin speaks to Dr Melanie Bissessor from the Melbourne Sexual Health Centre with an update on HSV.

Join Kristin as she speaks to Dr Colin Tuft, Advanced Trainee in Respiratory and Sleep Medicine at the Royal Prince Alfred Hospital about all things sleep apnoea.