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HUTT HOSPITAL

ACUTE MEDICINE CONFERENCE 2022 SPEAKERS

Dr Dave McGouran

Presenting: Upper GI Bleed

I am a general gastroenterologist at Tauranga hospital with an interest in interventional endoscopy and endoscopy training.

I will present on acute upper GI bleeding. The presentation will focus on the common and rare causes of bleeding and how they present. It will also focus on the initial management and post endoscopy management of these patients. I will discuss the management of the more complex cases such as variceal bleeding and the management of these conditions if endoscopic treatment is unsuccessful. I will discuss the common pitfalls to avoid in the pre endoscopy and post endoscopy management.

 

Dr Sarah Fairley
Presenting: Cardiology Investigations in Acute Medicine

 

Dr Purwa Joshi
Presenting: Approach to Acute Weakness

I am a Neurologist and Clinical Neurophysiologist at Wellington Hospital. I have worked in Auckland, Wellington, Christchurch, and Melbourne Hospitals, during my training. In addition to clinical work, I enjoy teaching and learning.

Dr Katie Thorne /Dr David Bourke
Presenting: Acute Presentations of Parkinson’s Disease

Dr Katie Thorne

Originally from the UK but did the majority of her training in New Zealand, Dr Thorne is dual trained in General & Acute Care and Geriatric Medicine.She works mostly in inpatient Health of Older Persons wards, though has also been involved in developing a Perioperative Service and is a member of the CCDHB Complex High Risk Surgical Patient (CHRISP) team assessing patients being considered for surgery in both acute and elective settings.Katie has an interest in Quality Improvement and is a member of the Kenepuru Clinical Governance group and a trainer for the HQSC (Health and Quality Safety Commission) Serious Illness Conversation Guide course.

Dr David Bourke

Dr David Bourke - is a Wellington based neurologist working in Wellington, Hutt and Masterton Hospitals. He is a general neurologist with an interest in movement disorders, including Parkinson’s Disease.

Dr Tom Thomson
Presenting: Frailty at the front door

I am a dual trained General Physician and Geriatrician who has worked in Acute Medicine at Hutt Hospital since 2007. My special interests include Stroke and Syncope. I have seen many acute geriatric patients on the Acute Take. My talk will discuss systems of care for frail elderly at the front door of the hospital. It will include risk assessment, diagnostic pitfalls and use of frailty tools.

Dr Pedro Broggi
Presenting: Trauma in the Elderly

Originally from Peru, Pedro trained as a general doctor in Lima. He moved to Spain to train as a Geriatrician in Barcelona. He emigrated to UK where he worked as a Consultant in both Acute medicine and Acute Geriatric medicine alongside Ortho-geriatrics. After a period of time working in General medicine and Acute geriatric medicine in Mid-Central DHB, he then joined CCDHB where he has had a particular interest in Acute geriatrics and managed to set up an Interface Geriatric medicine service in-reaching Emergency department and the medical assessment unit at Wellington Regional Hospital. He is currently managing the Acute Frailty Unit at WRH and lectures for the University of Otago about Dementias.

Dr Nicolien Lourens
Presenting: Dermatology in Acute General Medicine

Nicolien Lourens started her General Medicine career by obtaining FCP (SA) and M Med Internal Medicine at University of Pretoria in South Africa in 2005. She worked 2006-2020 as acute care adult physician in Unitas Hospital, level 1 trauma unit in Gauteng, South Africa.

In 2020 she moved to Wellington Regional Hospital and started as General Medicine acute care physician. In 2021 she obtained Certificate in Clinician Guided Ultrasound at University of Otago.

Special interests include acute care, bedside POC ultrasound use in acute hospital medicine and recently dermatology in hospitalized patients

Dr Annie Wong
Presenting: Oncology Emergencies

Dr Annie Wong is a Consultant Medical Oncologist at Wellington Blood & Cancer Centre.Her subspecialty interests include melanoma, head & neck cancers and urological cancers.She commenced her physician training at Wellington Hospital and she is dedicated to providing high quality cancer care in the region.She completed a clinical fellowship at Peter MacCallum Cancer Centre in Melbourne with a translational PhD in melanoma immunotherapy biomarkers.She is passionate about teaching and research and is a Senior Lecturer at University of Otago.

Dr James Tietjens
Presenting: Biliary Disease in Elderly

Dr James Tietjens is a General Surgeon, at Hutt Valley Hospital since 2017. Current supervisor of training. Father to three young boys and husband to Wellington Hospital Intensivist, so is reminded regularly of surgery’s failures!

Summary of talk: Gallstones in the elderly – the interface between medicine and surgery, and how to pick a winner.

Dr Hayden Jina
Presenting: Venous Thromboembolism Update

Hayden Jina is a Haematologist with an interest in thrombosis at the Wellington Blood & Cancer Centre. He studied medicine at the University of Auckland and trained in clinical and laboratory haematology in Wellington. He completed his final year of training and a haematology clinical trials fellowship in Melbourne.

Dr Chani Tromop van Dalen
Presenting: Obstetric Medicine

Chani is a General Physician and Obstetric Physician working at Wellington Hospital. She completed her General Medicine training at Wellington and Hutt Hospitals in 2020. She then moved to Auckland to train in Obstetric Medicine at Auckland City Hospital, returning to Wellington to join the General Medicine team in August 2021.

Chani enjoys the breadth of cases and holistic care in General Medicine. She is passionate about women’s health and raising awareness of medical issues in pregnancy. She enjoys the complexity and often unpredictable nature of Obstetric Medicine. In the future she hopes to work further on sharing knowledge around pregnancy issues for women with chronic disease, to enable them and their doctors to make informed decisions about reproductive health.

Shannon Morris
Presenting: Improving the Experience of Disabled Patients in Acute Medicine

Born Deaf and raised bilingually and biculturally with NZ Sign Language and English. My talk will have an oversight of NZ’s Deaf community as a minority population group and how Deaf people endure barriers to obtaining equitable health outcomes when accessing our health services.

Dr David Okonji
Presenting: The Oncology Patient in Remission Who Presents to Acute Medicine

David specialises in treating breast and urogenital cancers, as well as melanoma. He has a particular focus on cancer care in the elderly. David currently practices at Wellington Regional Hospital, and also undertakes private practice in Bowen Hospital, Wellington.

David is a Clinical Senior Lecturer at the University of Otago School of Medicine. He is actively involved in research as an investigator in clinical trials at Wellington Hospital. He is also an active member of the American Society of Clinical Oncology, the European Society of Medical of Oncology and the Society of Geriatric Oncology.

Dr Olivia Bupha-Intr
Presenting: When the Septic Patient is Not Covered by Empiric Antibiotics

Olivia is an Infectious Diseases Physician at Wellington Hospital. She is also a Professional Practice Fellow at the Wellington School of Medicine, University of Otago. Her interests include infections in immunocompromised hosts, antimicrobial stewardship, medical education and digital innovation.

Meagan Hughes
Presenting: Managing Diabetes Medicines on the Acute Take

Meagan Hughes Diabetes Clinical Nurse Specialist. I have been Nursing for 20 years and in this role for the past 9 years. I have just completed a Post Graduate Diploma in Nursing including a prescribing practicum to be recognised as a Nurse Prescriber.

Talk: There are many patients admitted on the acute medical take who have diabetes as a comorbidity. I will explain the assessment of a patient with diabetes and the principles which we use to adjust their management when they are acutely ill. I will discuss the reduction of diabetes medications, particularly insulin, in this setting. As there are a range of new medications for type 2 diabetes I will outline the issues to consider when patients on these medicines become ill.

Dr Gordon Maxwell
Presenting: Right Heart Failure

 

Dr Chris Cameron
Presenting: Complications of Bariatric Surgery

Chris is a general physician and clinical pharmacologist, working at Wellington Hospital. She also runs a clinic where she sees patients with autonomic dysfunction, and performs tilt table testing. This sparked her interest in the long term effects of gastric bypass surgery, after seeing a number of patients with postural hypotension post surgery. On her post-acute ward rounds over the years she encountered a number of patients with unusual complaints many years post surgery, and decided to look more deeply into this. She concluded that there is much for the general physician to learn about these patients, and with the increasing number of patients having had surgery we need to address the skinny elephant in the room!

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