153 - Learning how to prescribe HRT as a GP trainee with Dr Thulasi Naveenan

The Dr Louise Newson Podcast

Dr Louise Newson

Health & Fitness, Mental Health, Medicine

4.8 • 798 Ratings

🗓️ 24 May 2022

⏱️ 32 minutes

🔗️ Recording | iTunes | RSS

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Summary

In this episode, Dr Thulasi Naveenan talks to Dr Louise Newson about her experiences as a 3rd year GP trainee working in a central Manchester practice and learning on the job when it comes to HRT prescribing. The conversation covers working with patients from different cultures and with interpreters or family members, challenging misinformation, health risks after menopause and gender differences, and introducing the topic of hormones at 40-year health checks. Thulasi gives an honest and reflective account of what she has learnt about women’s health and hormones in her last 7 years of practising as a doctor. Thulasi’s advice to clinicians learning about menopause: Always have hormones in the back of your mind and there is no younger age limit cut off. Don’t be afraid to ask patients about their periods, vaginas and symptoms. Don’t be afraid to ask about what you don’t know, use resources like the balance app and NHMS to find out more information. Find your local expert and seek out their knowledge and experience. If you’re ‘junior’, don’t be afraid to challenge more senior clinicians – they may not be as up-to-date on the latest practice. You can follow Dr Thulasi Naveenan on Instagram at @tnaveenan and on Twitter at @ThulasiNaveenan Since the recording of this podcast, there has been further discussions with Cancer Research UK.

Transcript

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0:00.0	Hello, I'm Dr. Louise Newsome and welcome to my podcast. I'm a GP and menopause specialist and I run the Newsome Health Menopause and Wellbeing Centre here in Stratford-Bron-Avon. I'm also the founder of the Menopause charity and the Menopause support app called Balance.
0:29.9	On the podcast, I will be joined each week by an exciting guest to help provide evidence-based
0:36.5	information and advice about both the perimenopause and the
0:40.9	menopause. So today on the podcast, I'm very excited to introduce you Tulsi, who I've recently
0:51.3	met remotely, like a lot of people I know, and I thought it would be really
0:55.1	interesting to hear more about the work that she's doing. And she's actually just told me this
1:00.6	is her first podcast recording, so no pressure there. So it's really lovely to connect with you
1:06.5	and hear about your work. So welcome. Thank you, Louise. Yeah, you're definitely a role model for me as a
1:11.9	GP, qualified GP. The work you've done around the menopause is just so inspiring. So I'm really glad to
1:17.6	connect with you. Oh, thank you. So, Territ, you're in Manchester and I trained as a GP in Manchester. So I really
1:24.5	miss Manchester, actually. It's a great city. Lots going on.
1:28.1	Lots of diversity.
1:29.5	Lots of really interesting people.
1:31.4	And I enjoy where I am now, but I still, my heart's always in Manchester.
1:35.5	So I'm very jealous the thought of what you're doing, actually.
1:38.3	And I did say to you before, if I went back in time and was doing my GP training again, I would give, especially women,
1:47.0	a lot different time than I have done. So you're in a great opportunity, you know, to really change
1:53.5	and treat women in a way that I have mistreated them. Unfortunately, because I didn't have any
1:57.7	menopause education when I was at your stage of my career.
2:03.6	So you're training to be a GP at the moment, aren't you?
2:07.6	Yeah, so I'm in my third year of GP training in central Manchester.
2:14.8	I think you're totally right about the diversity and also we have some of the worst health outcomes in the UK and lots of inequality.
	...

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