Triptych Media is proud to present the 2022 Mind Brain Masterclass in conjunction with and presented by Professor Simon Lewis.
If Medicine was a Science, we would have all the answers, but it is an art, which is best described at times as a performing art. In the challenging real-world of advising practice in an evidence-free zone, how do we navigate away from Eminence-Based Medicine and ensure that we are offering best practice? This lecture will cover the thorny topics like thrombolysing those patients with a higher risk of haemorrhage (e.g., cavernomas, amyloid); whether, when and how we should be anti-coagulating fallers; how can we manage hypertensive fainters; or deal with daytime somnolence in those night owls who are up all night…
MANAGING THE DIZZY PATIENT
‘Doctor I feel dizzy’, seems like such an innocent history to hear but few words cause as much confusion and deserve to be banned from the consultation room as could be said for the term ‘dizzy’. Everyone uses it but sadly with a range of different meanings! Superficially, it would seem straightforward enough to break ‘dizzy’ down into being of pre-syncopal, vestibular or ataxic origin but that’s not how it feels to the patient who just feels DIZZY! This lecture will tackle the critical aspects of history taking, examination and investigations utilising real-world examples, so that you are not left feeling in a spin by your dizzy patient.
COMMON NEUROSURGICAL ISSUES IN THE ELDERLY
A variety of neurosurgical problems can arise in aging patients. Some are specifically associated with advancing age, whereas other problems that occur across the lifespan may require different approaches in elderly patients. We will discuss the pathologies dealt with in this group and the challenges in decision making. Neurosurgical procedures that focus on improvement in quality of life with low procedural risk profiles and rapid recovery are particularly relevant in older age groups and include interventions for such conditions as normal pressure hydrocephalus, trigeminal neuralgia and symptomatic chronic subdural haematomas.
TELEHEALTH AND DISEASES OF THE AGEING BRAIN
Is there more you can do to help your Parkinson’s patients with their gait? Is imbalance a normal part of ageing? Is Romberg’s test of any use in the evaluation of ataxia? And should your patient with an MRI ‘suggestive’ of normal pressure hydrocephalus have a shunt? In this lecture, Alex Fois will address these questions and current controversies while reviewing the common causes of gait dysfunction in the outpatient clinic and their treatments – pharmacological, surgical, and neurorehabilitation.
ASSESSING DRIVING IN THE ELDERLY – PITFALLS AND PEARLS
Fewer issues create more angst in the clinic than decisions relating to driving in older patients. Thankfully, we are getting more official guidance on where we as clinicians should be drawing the line. However, implementing these processes is often challenging and needs to be handled carefully given what is at stake. This presentation will offer the clinician critical insights into the clues we should be seeking and the best options to keep our roads safe.
BANISHING AGEISM: FUTURE PROOFING OUR OWN DESTINY
One ambition in life is to be healthy well into our senior years, but what if we ultimately need to access the Aged Care system ourselves? How do we, as professionals in the field, shape what residential and community care should look like, especially for people developing dementia. Likewise, better training our workforce to recognise and address falls risk, incontinence, frailty, delirium and the hazards of polypharmacy remain priorities if we want to be more sure of being managed well ourselves in future years. This presentation will seek to propose processes and pathways that we should be implementing to better ensure that at the time we come to depend on the system it will be working better than perhaps what we have seen throughout our own working careers.
MANAGING PAIN IN THE OLDER PATIENT
Most older people have to deal with some form of chronic pain and a variety of neurological conditions are even related to specific pain syndromes, such as those associated with peripheral neuropathy, radiculopathy and dystonia. However, the challenge of managing pain in the older patient is further compounded by the frequent presence of comorbidities (e.g., dementia, diabetes, etc) and polypharmacy that can make prescribing challenging in this population due to the higher risk of adverse events. At the same time, many older patients report they do not want to be dependent on analgesics and would prefer other, non-pharmacological pain management strategies. This presentation will describe some of the strategies and their supporting evidence, that can be helpful in the clinic utilising non-pharmacological therapies to help successfully improve quality of life and function.
DEMENTIA GENETICS FOR CLINICIANS
One of the common concerns amongst patients when they are initially diagnosed with dementia is the thought that they may pass on this unwanted legacy to their children. Obviously, for those patients with a strong family history and a young onset age there is a clear pathway through our colleagues in the Clinical Genetics clinic. But, what about for the overwhelming majority of patients where this is not the case? Indeed, the field is changing well beyond the need for a simple appreciation regarding APOE4 status, and with the discovery of genes like C9orf72 that appear to be associated with an ever expanding clinical phenotype, clinicians will require a greater level of understanding to practice with confidence. This presentation will provide a pragmatic approach to help navigate this evolving landscape.
Making the diagnosis of Parkinson’s disease (PD) is hard enough, but what about those mimics that seek to confuse us? In Medical School, it seemed relatively contained with a limited number of conditions that looked like Parkinson’s, lining up with textbook descriptions to declare why they were misbehaving with a more aggressive progression and limited response to standard therapies. But in clinical practice things are not always so clear cut and we still live in age devoid of diagnostic tests in this space. This presentation will cover the common and some of the rarer Parkinson Plus conditions, giving helpful advice and insights towards their accurate recognition, appropriate investigation and best management strategies.
Wrap-Up with Prof Simon Lewis
Take your next step towards your professional goals.
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