GP and Medical Educator Dr Sam Manger MBBS BSc FRACGP FASLM covers a variety of medical topics, with case studies, guideline reviews, guest interviews and more. This podcast is for medical professionals, including general practitioners, family physicians, specialists, allied health professionals, nurses, registrars/residents, medical students and anybody else who is interested in health, wellness, science and medicine.
Food-allergy assessment begins with timing and symptom pattern rather than broad testing. Immediate immunoglobulin E-mediated reactions, delayed food protein-induced enterocolitis syndrome, cow's milk protein allergy, eczema-related sensitisation and allergic rhinitis require targeted investigation without unnecessary dietary restriction.
Safe home alcohol withdrawal depends on careful selection, recent clinical information, reliable support, pharmacy coordination, daily monitoring and clear escalation. Continuity after detoxification, rapid help following a lapse and established anti-craving medication support recovery, while glucagon-like peptide-1 receptor agonists remain unproven.
General practice, psychiatry and gynaecology teams get a practical PMDD review. Abrupt cyclical depression, rage, anxiety, panic and brain fog with symptom-free intervals should prompt direct suicide-risk assessment, cycle mapping, contraception-aware hormonal discussion and trauma-informed care.
General practice, psychiatry and obstetrics-gynaecology clinicians get a reproductive mental health review of perimenopausal anxiety, panic, irritability, low mood, fatigue and brain fog. It emphasises hormone-sensitive patterns, PMDD, postnatal history, contraception, menopausal hormone therapy risk checks and shared decision-making.
A general-practice and neurology review of ME/CFS centred on acquired functional decline and post-exertional malaise. It distinguishes delayed symptom crashes from ordinary fatigue, addresses orthostatic intolerance and diagnostic mimics, and supports pacing, adaptation, comorbidity treatment and cautious off-label prescribing.
Hypermobility is treated as a spectrum from flexibility to disabling pain and instability. This clinic-facing discussion uses Beighton scoring, historical flexibility, connective tissue features, proprioception, nociplastic sensitisation, bracing, rehabilitation and selected procedures to structure assessment and management.
A contraception request is not just method matching. Check medical eligibility first, especially migraine with aura, VTE history, mobility, age and cardiovascular risk. The same structured approach helps menopause care, intrauterine device pain planning, symptomatic discharge and self-collected screening follow-up.
Workers’ compensation notes are clinical documents with later consequences. Ask what happened immediately before the injury, record every symptomatic body area, mark provisional diagnoses clearly and match return-to-work certificates to actual duties and capacity.
Erectile dysfunction, low libido and premature ejaculation become much clearer once the history moves beyond a yes-or-no screen. This primary care listen pulls cardiometabolic risk, obstructive sleep apnoea, medication effects, partner context and the meaning of morning erections into one assessment.
The clue is the exposure history that never made it into the consultation: smoke, heat, gas cooking, flood recovery, or distress about the future. It is worth opening for practical questions to add to asthma and mental health reviews, plus a grounded take on greener prescribing and systems.
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