Rachel's Blogs
SOS! 2 Distress Flares In 2 Days 🤦♀️
While many of us have made it our business to ensure we are competent IN the business of understanding patients' iron studies, it sadly seems, many even in teaching and training positions, still have not 🙁 I was sent 2 messages this week that had me lost for words...
Elders & Young’uns – Best Of Both Worlds
Last week I had my say about acknowledging our elders & mentors, this week I want to speak to the power of the young peeps. Just like a younger sibling, nipping at your heels can act as a great motivator to move faster, or having children can inspire us to do...
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Why I wouldn’t use Vitex
We had a great case in one of our graduate mentoring sessions the other day (thanks Kate 😉 ) , about a 40 something mum of 3 who reported to have cyclical mood and depression. Further investigation of the case, however, revealed that some of the key characteristics...
Want Help With Your Grave’s Patients? Recording Available
So...a 55 year old female walks into your clinic only recently diagnosed with Graves disease but when you look through her old blood work it looks like actually she has had hyperthyroidism (or at the very least suppressed TSH) for some time prior. She is experiencing...
Money and Meaning?
I had one of those conversations with a friend recently in which he was wondering out loud about what the point of it all is. Now don't panic...this is not 'suicidal ideation over a cuppa' kind of stuff ... no this is the regular existential crises that many of us...
Do You Know Men Like I Know Men?
I’ve just completed a seminar series educating practitioners across Australia about how to recognise & correct sex hormone dysregulation in men & the response has been overwhelming. Everyone seems to be in agreement that this subject was seriously...
Avoiding Overwhelm In Clinic
So…a 40 something female walks into your clinic with depression & anxiety…sounds common enough right? But here’s the twist: she’s already seen another practitioner who ran a range of investigations revealing she has pyrroles, high copper levels & is...
Iodine Excess in Action
I'm only human & there are some questions that do make me silently groan & invisibly (I hope!) roll my eyes. One is the old chestnut: “but the Japanese consume on average 7mg of iodine a day!” which is typically offered up as a rationale for the need...
Why Haven’t I Heard About This Before?!
Last week I spoke to a group of psychiatrists, doctors and nurses working at a psychiatric hospital about N-acetyl cysteine for a whole hour! Anyone who has worked in pharmaceuticals, (which of course I did in a previous life) or has seen medical CPD up close even,...
Bad Patient Days (BPDs)
I was chatting with a colleague today about a complicated & interesting case of hers, severe hypothyroidism coupled with overt hypercortisolemia (salivary cortisol up to 230!). This is a distance patient & she’s sharing care with a couple of other health...
What Do You Do For Post-Partum Hashimoto’s Thyroiditis?
Like all thyroid disease, post-partum thyroid conditions seem to be on the rise – and often they rewrite the rule book when it comes to thyroid pathology & its management. Therefore for many of us it can add an extra element of uncertainty about how to help...
Who gives an RDW about RDW?
Ever noticed that thing called RDW (red cell distribution width) reported in your patients’ haematology results? Given that this parameter is currently regarded as one of the most important & earliest markers of a wide range of serious diseases, you might start...
Do We Need to Relearn Something Old about Addressing Iron Deficiency?
These days it seems like patients can almost be divided into two groups: those that have a tendency to iron overload and those that struggle most of their lives just to keep ferritin in the red…and what a struggle it can be. So many clients have spent years...
Nutritional Science & Debate in Action
Last weekend I attended the Science of Nutrition in Medicine Conference in Melbourne https://nutritionmedicine.org.au/enews/2015-02-06-Program.html and for those of you that didn’t make it I can tell you, it wasn’t your regular CPE event. I’m not sure if the...
Top 10 Investigations in Mental Health Patients
One of the most common questions I’m asked is whether I have a ‘set list’ of tests that I request for every patient. Of course there is no ‘one size fits all’ in health & each patient presents with their own novel combination of issues & investigative...
Learning the Language of Men’s Endocrine Health
We should all be as skilled in investigating & treating male hormone imbalances as we are female ones, yet this is often not the case. A lack of confidence in this area, which seems to be an issue for many, in particular will compromise our ability to...
Managing Your Random-Regulars
So often in mentoring I hear about patients practitioners have struggled to treat primarily because of irregular points of contact....you know the type, the client who is an Irregular Regular or Random Regular, booking in to see you just once or twice a year or just...
Increasing Off-label use of Anti-psychotics – Should we be worried?
I regard myself as integrative which means working collaboratively with other health professionals to get the best outcomes for our shared patients, sometimes that means my patients are taking psychiatric medications & there have been instances where I have seen...
What’s New in K2?
It seems like K2 is the supplement on everybody’s lips right now and for good reason. This is particularly true in Australia where we’re seeing a flurry of new K2 products on the market thanks to a relatively recent TGA approval for this particular form of the...
A Great Time To Be A New Practitioner
"Health issues are rarely one individual textbook condition like they were during my studies. The interaction of the body is complex, and Rachel has given me valuable insight into how to link various pathology markers & physical aspects together. Test...
Do you mind if I record our appointment?
I read an interesting news item in Medical Observer this week about the increasing number of patients either overtly or covertly recording medical appointments on their smart phones. Have some of your patients already asked if they could do this? Mine have and I’m...
Winning the Acid War
You might have heard me talk about using an ‘upstream’ rather than ‘downstream’ approach in nutrition – the concept is very naturopathic… look at the water source and address things there rather than just tweak things downriver! One of the most important upstream...
Australia’s Food Intolerance & Allergy Guru Will See You Now!
I’ve booked my flights and packed my bags (at least in my mind!) already. The annual Science of Nutrition in Medicine Conference is on 2-3rd May in Melbourne & there’s one name on the bill that alone I would be attending for – Dr Robert Loblay. He’s the head of...