Chronic Heart Failure

I was scheduled to give a tutorial to our clinic’s registrars recently and was requested to talk about chronic heart failure. Uh-oh… didn’t they realise that internal medicine is NOT my forte?? Unfortunately I couldn’t talk them into a gynaecology topic, so CHF it was. But the beauty of teaching is that you always learn…

FOAM4GP Map – Type 2 Diabetes tablets – How many are there now!?!

Let’s start this one with a question… What do thiazolidinediones, DPP4 inhibitors, acarbose, SGLT2 inhibitors, sulphonylureas, GLP1-agonists, metformin, gliptins, and glitazones all have in common? Yep, they all have stupid names. I remember an old saying – “If there are many ways to treat something it is likely none of them are the best”. The…

FOAM4GP Map – While the Fe is hot!

Clinical Problem: Unfortunately Fe studies continue to be badly interpreted and, subsequently, patients treated inappropriately. I see a large amount of patients who are very confused as to whether they are iron deficient – who have normal iron stores. This is bread and butter stuff so lets very quickly remove some rust. Question 1 –…