Sonya Ting's guest appearances

Sonya Ting

Obsgynaecritcare

Mark Johnson

Chris Mitchell

Kevin Chan

Takotsubo Cardiomyopathy

Casey Parker

Matt Rucklidge

Nolan McDonnell

Mark Sharples

Prof Yee Leung Obstetric

Cheryl Dane Stewart

Parvesh Verma

Dr Adam Mossenson

Katrina Calvert

Peter Garnett

Mike Paech

OwlTail

Hi everyone,Join us on the podcast where this week we have part 2 of the discussion with Dr Sonya Ting on tips for management of acute perioperative pain. We explore some advice on how to manage a tricky obstetric patient with post caesarean pain issues.I also failed dismally to entice any responses to last weeks quiz entitled "Anaesthetist or serial killer". In one final last ditch attempt to rescue this quiz from abject failure I have now rebranded it. I have supplied you with a small crossword which can be used to get some hints as to the name of the individual who is pictured - and then I am guessing using the power of  the internet someone should be able to figure out who this is!QUIZ 4 - Anaesthetist or serial killer? Who is this person?

Hi everyone, Join us on the podcast where this week we have part 2 of the discussion with Dr Sonya Ting on tips for management of acute perioperative pain. We explore some advice on how to manage a tricky obstetric patient with post caesarean pain issues. I also failed dismally to entice any responses to last weeks quiz entitled "Anaesthetist or serial killer". In one final last ditch attempt to rescue this quiz from abject failure I have now rebranded it. I have supplied you with a small crossword which can be used to get some hints as to the name of the individual who is pictured - and then I am guessing using the power of  the internet someone should be able to figure out who this is! QUIZ 4 - Anaesthetist or serial killer? Who is this person?

032 – Part 2 perioperative acute pain management tips with Sonya Ting and a second attempt at quiz 4

Hi everyone,This week I am joined again by my colleague Dr Sonya Ting - where I attempt to pick her brains for some useful advice in managing difficult perioperative pain issues. Sonya's first episode on the opioid epidemic has already taken first place on the podcast download list as the most popular episode so far!Hypothetical PatientA 50yr old woman is on your list and scheduled to undergo a laparascopic hysterectomy. You see her in the preoperative area:Q - What issues / history should you explore to identify if this patient is at risk of perioperative pain issues?Q - How are you going to explain to her the plan for her perioperative pain management, what are the goals and what strategies fo you use to manage her expectations?Q - What communication strategies can you use, what about non-verbal and verbal communication?Listen to Sonya and I discuss these issues on the podcast - and finally have a crack at the latest instalment of our quiz below:Anaesthetist or Serial Killer? Quiz 4Is the following person an anaesthetist or is he a serial killer (or perhaps is he both!) Massive bonus points available if you can actually name this individual!

Hi everyone, This week I am joined again by my colleague Dr Sonya Ting - where I attempt to pick her brains for some useful advice in managing difficult perioperative pain issues. Sonya's first episode on the opioid epidemic has already taken first place on the podcast download list as the most popular episode so far! Hypothetical Patient A 50yr old woman is on your list and scheduled to undergo a laparascopic hysterectomy. You see her in the preoperative area: Q - What issues / history should you explore to identify if this patient is at risk of perioperative pain issues? Q - How are you going to explain to her the plan for her perioperative pain management, what are the goals and what strategies fo you use to manage her expectations? Q - What communication strategies can you use, what about non-verbal and verbal communication? Listen to Sonya and I discuss these issues on the podcast - and finally have a crack at the latest instalment of our quiz below: Anaesthetist or Serial Killer? Quiz 4 Is the following person an anaesthetist or is he a serial killer (or perhaps is he both!) Massive bonus points available if you can actually name this individual!

031 – Perioperative acute pain management advice part 1 with Dr Sonya Ting

(*Hypothetical case)You are a busy gynaecologist working in a large public hospital. You are contacted by a GP on the phone about a young 19yr old patient who you operated on 3 weeks ago - she underwent a laparoscopic ovarian cystectomy. The GP tells you that he referred her to your service for investigation of intermittent pelvic pain about 5 months ago and hasn't seen her since. They inform you that today she turned up for an appointment asking to get a renewal of her Targin 20mg bd which was prescribed by the inpatient team on discharge and which she has been on for the last 3 weeks since leaving hospital. The GP is not very happy! They inform you " she still has the same pelvic pain but now I also have to manage a 19yr old who is hooked on a fairly decent dose of opioids!". They rightly point out that she was a bit depressed before they sent her to you but arguably now she is much worse than she was before and they want to know what you are going to do to help.............What is the "opioid epidemic"? Is this just an issue for North America?How relevant is it to us here in Australia?As health care practitioners what has been our role in contributing to the development of this very serious crisis which is killing more young people than HIV / trauma / guns?This week I interview Dr Sonya Ting - a consultant in anaesthesia and pain medicine. We discuss the opioid epidemic, how it evolved and what we can do as healthcare practitioners.References 	New York Times article on Purdue pharmaceutical /  https://www.nytimes.com/2018/05/29/health/purdue-opioids-oxycontin.html 	ABS statistics on drug induced deaths  http://www.abs.gov.au/ausstats/abs@.nsf/Lookup/by%20Subject/3303.0~2016~Main%20Features~Drug%20Induced%20Deaths%20in%20Australia~6 	US Department of Health and Human Services https://www.hhs.gov/opioids/about-the-epidemic/index.html 	Opioid Risk Tool https://www.drugabuse.gov/sites/default/files/files/OpioidRiskTool.pdf 	ANZCA / FPM Options for a Regulatory Response to Potential Misuse of Schedule 8 (S8) Opioids in Australia http://www.anzca.edu.au/documents/anzca-prescription-strong-(schedule-8)-opioid-use.pdfhttps://www.sbs.com.au/news/prince-s-fatal-fentanyl-level-higher-than-any-previously-recorded-experts https://www.rollingstone.com/music/news/tom-pettys-cause-of-death-accidental-overdose-w515472 http://www.nme.com/news/film/philip-seymour-hoffman-mimi-odonnell-death-addiction-2171711Other Great Podcast Episodes on this topic 	ACCRAC (anesthesia critical care reviews and commentary) -  This is a great podcast on all manner of perioperative / anesthesia and pain medicine topics by Assistant Professor Jed Wolpaw at John Hopkins in the US. Check out these two great interviews with pain specialists discussing it from a US perspective and practical advice on what we can do. http://accrac.com/category/pain/ 	Monash University Perioperative Medicine Podcasts Episode:The Opioid Epidemic - a Perioperative Perspective - Dr Kerry McLaughlinhttps://www.periopmedicine.org.au/index.php/podcast-home

(*Hypothetical case) You are a busy gynaecologist working in a large public hospital. You are contacted by a GP on the phone about a young 19yr old patient who you operated on 3 weeks ago - she underwent a laparoscopic ovarian cystectomy. The GP tells you that he referred her to your service for investigation of intermittent pelvic pain about 5 months ago and hasn't seen her since. They inform you that today she turned up for an appointment asking to get a renewal of her Targin 20mg bd which was prescribed by the inpatient team on discharge and which she has been on for the last 3 weeks since leaving hospital. The GP is not very happy! They inform you " she still has the same pelvic pain but now I also have to manage a 19yr old who is hooked on a fairly decent dose of opioids!". They rightly point out that she was a bit depressed before they sent her to you but arguably now she is much worse than she was before and they want to know what you are going to do to help............. What is the "opioid epidemic"? Is this just an issue for North America? How relevant is it to us here in Australia? As health care practitioners what has been our role in contributing to the development of this very serious crisis which is killing more young people than HIV / trauma / guns? This week I interview Dr Sonya Ting - a consultant in anaesthesia and pain medicine. We discuss the opioid epidemic, how it evolved and what we can do as healthcare practitioners. References 	New York Times article on Purdue pharmaceutical /  <a href="https://www.nytimes.com/2018/05/29/health/purdue-opioids-oxycontin.html" rel="nofollow" target="_blank">https://www.nytimes.com/2018/05/29/health/purdue-opioids-oxycontin.html</a> 	ABS statistics on drug induced deaths  <a href="http://www.abs.gov.au/ausstats/abs@.nsf/Lookup/by%20Subject/3303.0~2016~Main%20Features~Drug%20Induced%20Deaths%20in%20Australia~6" rel="nofollow" target="_blank">http://www.abs.gov.au/ausstats/abs@.nsf/Lookup/by%20Subject/3303.0~2016~Main%20Features~Drug%20Induced%20Deaths%20in%20Australia~6</a> 	US Department of Health and Human Services <a href="https://www.hhs.gov/opioids/about-the-epidemic/index.html" rel="nofollow" target="_blank">https://www.hhs.gov/opioids/about-the-epidemic/index.html</a> 	Opioid Risk Tool <a href="https://www.drugabuse.gov/sites/default/files/files/OpioidRiskTool.pdf" rel="nofollow" target="_blank">https://www.drugabuse.gov/sites/default/files/files/OpioidRiskTool.pdf</a> 	ANZCA / FPM Options for a Regulatory Response to Potential Misuse of Schedule 8 (S8) Opioids in Australia <a href="http://www.anzca.edu.au/documents/anzca-prescription-strong-(schedule-8)-opioid-use.pdf" rel="nofollow" target="_blank">http://www.anzca.edu.au/documents/anzca-prescription-strong-(schedule-8)-opioid-use.pdf</a><a href="https://www.sbs.com.au/news/prince-s-fatal-fentanyl-level-higher-than-any-previously-recorded-experts" rel="nofollow" target="_blank">https://www.sbs.com.au/news/prince-s-fatal-fentanyl-level-higher-than-any-previously-recorded-experts</a> <a href="https://www.rollingstone.com/music/news/tom-pettys-cause-of-death-accidental-overdose-w515472" rel="nofollow" target="_blank">https://www.rollingstone.com/music/news/tom-pettys-cause-of-death-accidental-overdose-w515472</a> <a href="http://www.nme.com/news/film/philip-seymour-hoffman-mimi-odonnell-death-addiction-2171711" rel="nofollow" target="_blank">http://www.nme.com/news/film/philip-seymour-hoffman-mimi-odonnell-death-addiction-2171711</a> Other Great Podcast Episodes on this topic 	ACCRAC (anesthesia critical care reviews and commentary) -  This is a great podcast on all manner of perioperative / anesthesia and pain medicine topics by Assistant Professor Jed Wolpaw at John Hopkins in the US. Check out these two great interviews with pain specialists discussing it from a US perspective and practical advice on what we can do. <a href="http://accrac.com/category/pain/" rel="nofollow" target="_blank">http://accrac.com/category/pain/</a> 	Monash University Perioperative Medicine Podcasts Episode:The Opioid Epidemic - a Perioperative Perspective - Dr Kerry McLaughlinhttps://<a href="http://www.periopmedicine.org.au/index.php/podcast-home" rel="nofollow" target="_blank">www.periopmedicine.org.au/index.php/podcast-home</a>