Goodfellow Gems

14 August 2024
Sodium restriction probably not helpful in heart failure...read more

31 July 2024
High doses of ARBs to reduce microalbuminuria...read more

17 July 2024
Mental health issues affect most of us, eventually...read more

3 July 2024
Working better with Pacific patients...read more

19 June 2024
Recognise sepsis...read more

5 June 2024
Coloured sputum is not a reason for antibiotics...read more

22 May 2024
Otrivin, honey and Vicks VapoRub for children with colds...read more

8 May 2024
Sex, consent and a cup of tea..read more

24 April 2024
Panic and asthma attacks; a practical skill...read more

10 April 2024
NSAIDs and risk of fracture nonunion: Avoid indomethacin...read more

27 March 2024
Tablet splitting generally ok; some exceptions...read more

13 March 2024
Fournier gangrene when taking SGLT2 inhibitors...read more

28 February 2024
Mind–body and strength exercise good for insomnia in unipolar depression...read more

14 February 2024
Colchicine may be needed for slow allopurinol escalation...read more

31 January 2024
Rehabilitation is probably effective for post-COVID condition...read more

13 December 2023
The evidence base for chronic fatigue syndrome interventions...read more

22 November 2023
Early detection of coarctation of the aorta is crucial...read more

8 November 2023
Duration of common respiratory conditions...read more

25 October 2023
Keto diets in people with diabetes...read more

11 October 2023
Best treatments for acne: isotretinoin and triple therapy...read more

27 September 2023
SUI: pelvic floor exercises or pessaries?...read more

13 September 2023
Single simple question for low mood: the Emoqol-100”...read more

30 August 2023
Very-low-carb diet versus DASH in high-risk adults...read more

16 August 2023
Regular testing when using isotretinoin possibly overdone...read more

2 August 2023
Spironolactone may reduce atrial fibrillation incidence...read more

19 July 2023
Moderately raised triglycerides: only statins help...read more

5 July 2023
Statins do not cause dementia or cancer...read more

21 June 2023
PPIs not helpful for infants, and evidence of harm...read more

7 June 2023
Isotretinoin probably not associated with depression...read more

24 May 2023
Moderate alcohol intake is not protective...read more

10 May 2023
Lung cancer: eight symptoms for rapid diagnosis...read more

22 April 2023
Tacrolimus now funded for facial eczema...read more 

12 April 2023
Vitamin D may reduce risk of diabetes in people with prediabetes...read more

29 March 2023
Two ways of breathing to improve mood and anxiety...read more

15 March 2023
Polyvagal theory: the science of safety...read more

1 March 2023
Possible treatments for anosmia after COVID...read more

15 February 2023
Friends and the Dunbar number...read more 

1 February 2023
Sepsis...read more

14 December 2022
Gestational diabetes is a risk factor for later CVD and stroke...read more

23 November 2022
Urinary tract infections not so easy to diagnose...read more

9 November 2022
52 ways to enjoy walking...read more

26 October 2022
Diagnosing sleep conditions...read more

12 October 2022
Vitamin D may not protect against COVID-19...read more

28 September 2022
Insider’s guide to psychosis...read more

14 September 2022
Low serotonin not the cause of depression...read more

31 August 2022
Chronic kidney disease and SGLT2 inhibitors...read more

17 August 2022
Less schadenfreude; try freudenfreude instead!...read more

3 August 2022
Effective new anxiety treatment via an app...read more

20 July 2022
Weight loss: calorie restriction with/without time-restricted eating...read more

6 July 2022
Maintaining and rejuvenating relationships...read more

22 June 2022
Small risk of gastric cancer with long-term PPI use...read more

8 June 2022
Caution if giving Menactra with Prevenar 13 vaccine...read more

25 May 2022
Update on sexual health guidelines...read more

11 May 2022
Excess body hair...read more

27 April 2022
Chronic pain guideline for primary care...read more

13 April 2022
Combining antidepressants better than monotherapy for some...read more

30 March 2022
Eating disorders: what to do when waiting for the referral...read more

16 March 2022
Prevalence of loneliness...read more

2 March 2022
Stopping long-term antidepressants...read more

16 February 2022
The thriving doctor...read more

2 February 2022
A better understanding of PTSD...read more

15 December 2021
Recurrent leg cellulitis: compression stockings can help...read more

24 November 2021
GUINZ – most children okay but some are not...read more

10 November 2021
Ivermectin probably not effective for COVID-19...read more

27 October 2021
Empagliflozin 10mg first effective treatment for heart failure with preserved ejection fraction...read more

13 October 2021
Spirulina may be helpful for sleep...read more

29 September 2021
Long COVID in patients who were not hospitalised...read more

15 September 2021
Time to switch from ACE inhibitors to ARBs – same efficacy but safer...read more

1 September 2021
Facial palsy not associated with the Pfizer‒BioNTech COVID-19 vaccine...read more

18 August 2021
Cannabis with CBD and THC may be effective for chronic insomnia...read more

4 August 2021
Can atopic dermatitis be improved with more baths/showers, bleach baths or bath additives?...read more

21 July 2021
The Menopause Manifesto...read more

7 July 2021
More evidence for spironolactone for resistant hypertension...read more

23 June 2021
Delaying antibiotics probably safe and reduces reconsultation rates...read more

9 June 2021
Acute dyspepsia...read more

26 May 2021
Behavioural activation is very effective for depressive symptoms after one week...read more

12 May 2021
Ruptured Achilles tendon: 2 weeks or 8 weeks in a cast?...read more

28 April 2021
Tiny habits: a new way to change behaviour...read more

14 April 2021
Surgery an option in obstructive sleep apnoea when CPAP fails...read more

31 March 2021
Frozen shoulder: intra-articular injection probably the best treatment...read more

17 March 2021
New twice-daily nitrofurantoin (Macrobid) now available in New Zealand...read more

3 March 2021
Hunger can and should be taught...read more

17 February 2021
Podcast series on Māori health...read more

3 February 2021
Supervised aerobic exercise may improve fatty liver...read more

9 December 2020
Depressive symptoms and suicide attempts increase in teenagers...read more

18 November 2020
Self-compassion in primary care: new resources for patients and clinicians...read more

4 November 2020
Syphilis checks: routine for all STI checks and pregnancy...read more

21 October 2020
Propranolol may be effective for patients with temporomandibular disorder pain...read more

7 October 2020
Unexpected weight loss and cancer...read more

23 September 2020
Does running increase the risk of developing osteoarthritis?...read more

9 September 2020
Exercise is effective for treating postpartum depression...read more

19 August 2020
Sex education for teenagers...read more

12 August 2020
Cannabis and health from the New Zealand cohort studies...read more

29 July 2020
Working with vaccine-hesitant caregivers...read more

15 July 2020
Long-term use of the levonorgestrel-releasing intrauterine system and bone mineral density...read more

1 July 2020
Pacific women in New Zealand have high rates of antenatal depression...read more

17 June 2020
Oral sucrose a good analgesic for infant immunisations...read more

3 June 2020
Your life and mind: running them more effectively...read more

20 May 2020
Exercise is effective for osteoarthritis pain...read more

6 May 2020
Antibiotics are indicated for acute exacerbations of mild to moderate bronchiectasis...read more

22 April 2020
Great COVID-19 short daily podcasts...read more

8 April 2020
Stretching in addition to moderate exercise is helpful for women with fibromyalgia...read more

25 March 2020
Systolic blood pressure of 140mmHg treated to 120mmHg: No increase in concern about falling...read more

11 March 2020
Antidepressants may be effective for irritable bowel syndrome...read more

26 February 2020
Going to sleep on the side in late pregnancy (≥28 weeks) reduces risk of stillbirth...read more

12 February 2020
Great dementia resources on Health Navigator website...read more 

29 January 2020
Continuous oral contraceptive pill regimens are safe and acceptable...read more

11 December 2019
Pregnancy and antibiotics...read more

20 November 2019
Extreme care needed with sodium valproate in pregnancy or women of childbearing potential...read more 

6 November 2019
Daily iron may help women with anaemia and fatigue...read more

23 October 2019
Topical and oral treatments can work for fungal nail infections...read more

9 October 2019
Bath emollient additives probably not effective for childhood eczema...read more

25 September 2019
Gout in NZ: more allopurinol and fewer NSAIDs...read more

11 September 2019
Saline injections may be helpful for tennis elbow...read more

14 August 2019
How many cigarettes in a bottle of wine?...read more

31 July 2019
Stop using Augmentin. Bring back the Augmentin-free office...read more

3 July 2019
Increasing fluid intake by 1.5L/day can prevent recurrent UTIs in women...read more

5 June 2019
CVD tool now includes Kiwi data...read more

22 May 2019
Primary care weight loss study: 36% with diabetes remission after 2 years...read more

8 May 2019
Antispasmodics and peppermint oil may be effective for IBS...read more

24 April 2019
Microalbuminuria: control diabetes and BP, and use care with NSAIDs...read more

27 March 2019
Substance use disorders in later life...read more

13 March 2019
Contraception for adolescents with disabilities: specific issues...read more

27 February 2019
Improved sexual functioning with weekend drug holidays for SSRI-induced dysfunction...read more

13 February 2019
Emergency contraception in women weighing >70kg; consider two pills (ie, 3.0mg)...read more

30 January 2019
Chlamydia testing may need to be more intensive...read more

12 December 2018
Possible small weight reductions on ketogenic diet but no long-term data...read more

21 November 2018
No antibiotics for asymptomatic bacteriuria in non-pregnant women...read more

7 November 2018
Vildagliptin now fully funded for type 2 diabetes...read more

24 October 2018
Bisphosphonate holiday for some after four to five years...read more

10 October 2018
Oral flucloxacillin 1000mg with food is probably effective...read more

26 September 2018
Sniffing isopropyl alcohol effective for acute nausea in emergency settings...read more

12 September 2018
Mid-shaft clavicle fracture: conservative management as good as surgery...read more

29 August 2018
Recent opioid use may cause fall-related injury in older patients with trauma...read more

15 August 2018
Primary care weight loss study put almost half in remission from diabetes...read more

1 August 2018
Rivaroxaban (a DOAC) fully funded from 1 August...read more

18 July 2018
T’ai chi is probably better than aerobic exercise for fibromyalgia...read more

4 July 2018
Guidelines for prescribing opioids for chronic non-malignant pain...read more

20 June 2018
Vaginal self-swab better for detecting sexually transmitted infections in women than other tests...read more

6 June 2018
Management tips for the common cold...read more

23 May 2018
Highlights from 2017 bpacnz antibiotic guide...read more

9 May 2018
Type 1 and type 2 diabetes incidence rising in adolescents due to many factors...read more

25 April 2018
HRT not for primary prevention of chronic disease, and it probably causes urinary incontinence...read more

11 April 2018
Triple whammy of ACE/ARB + diuretic + NSAID – a dangerous trio...read more

28 March 2018
New Zealand CVD primary care guidelines: New for 2018...read more

14 March 2018
Clinical diagnosis of gout without joint fluid analysis: 7 points...read more

28 February 2018
Hydrolysed no different from conventional formula for infants at risk for type 1 diabetes...read more

14 February 2018
Two screening questions can rule out depression...read more

31 January 2018
Acute gout: steroids as effective as NSAIDs, but fewer side effects…read more

13 December 2017
Gabapentinoids probably ineffective in chronic low back pain and have significant adverse effects...read more

22 November 2017
Paracetamol is ineffective for acute and chronic low back pain...read more

8 November 2017
Sleep training improves infant sleep problems...read more

25 October 2017 
Tricyclics may prevent tension-type headache and reduce analgesic use...read more

11 October 2017 
Short term steroids may be associated with sepsis, thrombosis and fractures...read more

27 September 2017 
The nurse telephone call is a powerful tool for depression and possibly post-partum depression...read more

13 September 2017
Mild, moderate and vigorous exercise may be effective for depression...read more

30 August 2017
Coeliac disease can be asymptomatic: four reasons to treat it¹...read more

16 August 2017
Most antidepressant benefit seen in primary care is due to placebo. Talk first prescribe later...read more

2 August 2017
7 key H pylori points from the Maastricht V/Florence Consensus Report 20161...read more

19 July 2017
Clozapine. Malignant constipation can kill...read more

5 July 2017
High dose vitamin D supplementation does not prevent CVD...read more

21 June 2017
10 helpful ideas when working with transgender or gender non-conforming patients...read more

7 June 2017
Topical corticosteroids may be a safe alternative to treat phimosis...read more

24 May 2017
Spironolactone; effective but regular serum potassium checks recommended forever...read more

10 May 2017
Beta-blockers no longer first line for simple hypertension...read more

26 April 2017
Stillborn children: photographs may help the healing...read more

12 April 2017
Bronchiolitis- No medication in primary care; just monitor and refer when necessary...read more

29 March 2017
Early gluten exposure probably not associated with an increase in coeliac disease...read more

15 March 2017
Asthma: LABAs, house dust, breathing exercise and pets...read more

1 March 2017
Association between gout and high intakes of fructose...read more

15 February 2017
Antibiotics – shorter courses (5 days) are better (pneumonia and cellulitis...read more

1 February 2017
Antibiotics not effective for cough and coloured sputum (acute bronchitis)...read more

18 January 2017
Topical steroids first for scalp psoriasis...read more

28 December 2016
Freezing is better than acid for common warts but the same for plantar warts...read more

14 December 2016
Depression and isotretinoin – another reason for low dose...read more

23 November 2016
Drugs for male and female pattern baldness. Small benefit from finasteride and minoxidil...read more

16 November 2016
Stop using topical antibiotics...read more

9 November 2016
One third of non-coeliac patients with gluten sensitivity can detect gluten...read more

26 October 2016
Great patient decision aid for primary prevention of CVD...read more

12 October 2016
CPAP for OSA improves quality of life but does not reduce CVD events...read more

28 September 2016
Monogenic diabetes - common and needs oral not SC medication...read more

14 September 2016
Two new diagnoses? Neurological itch on the arm and back...read more

 

For older Gems, visit the Goodfellow website here