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Revolving Door Syndrome

English, Health / Medicine, 1 season, 54 episodes, 2 days, 1 hour, 15 minutes
About
Revolving Door Syndrome is a podcast by Dr Nina Su. Each episode we kōrero about our health, education and justice systems and reflect on the challenges everyday New Zealanders face. Some systems and policies feel like revolving doors going round in circles without achieving meaningful change. We bring you engaging dialogue from people of different backgrounds in the hopes to find realistic solutions to systemic problems.
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#53 - Shamubeel Eaqub - Health Investment: Pay Now or Pay Later?

One of the biggest challenges facing us in the 21st century is significant demographic change.We have an ageing population with people living much longer and with fewer children being born. This is resulting in a growing use of immigration to provide the economic activity to fund core public services like health, education and justice.Meanwhile growing income inequality is contributing to worse rates of preventable illness as health funding is diverted away from public health interventions that actually keep people healthy.It's time we take a much longer term view to the social and economic challenges our country will face. Much longer than the 3 year election cycle.To talk about this further, I bring you the economist Shamubeel Eaqub For New Zealand and our people to find success, we need to be realistic, but hopeful to get through tough times. Whether we like it or not, New Zealand will undergo significant change. And with that, we must be truthful and open about the risks associated with this change.What is at stake here is social cohesion. If we continue to become more divided, we risk losing the prosperity, freedom and progress that has been hard fought for by generations that came before us.But, if we can find a sense of common ground, collective identity and a shared vision and set of values, maybe, just maybe, we will change that trajectory to a better future for all to thrive.While you listen to this episode I want you to really ask yourself, what does it mean to be a New Zealander? Send us an email, DM or a voice note on our social media to let me know what you think.
10/8/20241 hour, 11 minutes, 51 seconds
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#52 - Dr Mike Murphy - Psychedelics, Consciousness and Wisdom (PART 2)

This is part two of a two part series with Dr. Mike Murphy. On episode one, we took a deep dive into the relationship between the healthcare system and the pharmaceutical industry.We examined the incentives for a for-profit system that does not necessarily value overall patient health outcomes in the wider social context. Check out episode one if you haven't already. In the second half of our conversation, we talk about psychedelics. There's a lot of chatter, excitement, and what you may call hype with the emerging studies on psychedelic therapies.On this episode, we continue to take a sceptical eye on this new field of medicine, cognisant of the risks of falling into the same trap as conventional pharmaceutical silver bullets. We discuss states of consciousness, potential benefits and harms of new therapies, and the need for safeguards during times of significant change.
9/24/202451 minutes, 12 seconds
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#51 - Dr Mike Murphy - A Pill For Every Ill (PART 1)

As doctors, we rely on the pharmaceutical industry to produce medications, from everyday paracetamol to advanced targeted cancer therapies. The industry faces constant pressure to innovate and create profit for shareholders, while governments face pressure to approve and fund these medicines from patients and clinicians.What we are seeing is a rise in medicines spending. People are living longer, with more disease and requiring more medications. The newer medicines are costing exponentially more while sometimes providing only small incremental benefit when compared to older and cheaper medicines.When we only have a limited pot of resources to fund our healthcare system, we need to start asking the question of how effective is this spend and who seeks to benefit? And if we continue promoting a sickness system that is heavily reliant on pharmaceutical silver bullets, will we create a happier, healthier nation?Joining me on this episode is Dr Mike Murphy, an emergency doctor, and clinical director of medicinal cannabis clinic, Cannaplus. Having been involved in clinical trials, Mike understands the costs, process and drivers of developing new drugs. Together we unpack the complicated relationship doctors have with big Pharma as well as holding a hopeful but sceptical eye on emerging psychedelic therapies.
9/17/202452 minutes, 6 seconds
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#50 - Dr Ganesh Nana - The Fragile Bonds of Society: A Broken Social Contract

Modern day living values universal individual freedom and rights. This has helped open the doors to many great things like individual reproductive choices, same sex marriage and a focus on tackling discrimination against immutable characteristics.But what are the trade-offs?I have this growing feeling that we no longer have communities, at least not ones that are robust, intergenerational and will last the test of time. By valuing the successes of individuals, by judging the success of countries based on GDP, the value of families, connected communities and strong relationships are lost in the calculation.We are living in strange times where much of the conversation is on what divides us, not on what unites us. We are stronger and more productive as a united community if we have shared goals, values and visions. To talk more about economics, productivity and the social contract, on this episode we have ex-Productivity Commissioner and long time economist Ganesh Nana. When we talk about health, education, housing, and environment, it is time we take a long-term, intergenerational approach. In times of widespread nihilism about the future, now, more than ever we need hope. We need hope that things will improve and we need action to make it happen.
9/3/20241 hour, 26 seconds
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#49 - Dr Heidi Baker - Empathy in the Midst of Turmoil

As doctors, we carry an enormous amount of risk; sometimes, we quite literally hold people's lives in our hands.Under these extraordinary circumstances, with increasing expectations and limited health resources, it's no wonder the pressures on our health workforce are sky-high, making hospitals an even less welcoming place for both patients and healthcare workers. It makes you question whether empathy training is truly effective when the system itself isn't designed to enable empathy.If we want a sustainable healthcare service, perhaps it's time we have some uncomfortable conversations about how we're going to get there. Just because we can do something, does it mean we should? Is it time to collectively re-prioritise our attention and focus given the limited resources we have?In this episode, I bring you Dr Heidi Baker. When I first started in paediatrics, I wanted to be just like Heidi when I grew up. In this conversation, we discuss the changing landscape of healthcare provision, training, and the responsibility we have to future generations. Heidi has been a role model and mentor for me over the years, and I'm so grateful to now call her my friend.
8/20/20241 hour, 1 minute, 30 seconds
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#48 - Boris Sokratov - Māori Success, Excellence and High Expectations

This is Revolving Door Syndrome, and I am Dr Nina Su.Everywhere you look, the statistics tell a story of Maori doing worse. Of Maori struggling, of Maori poverty.While these statistics are true, it fails to tell the whole story. On this episode of Revolving Door Syndrome, I sat down with Boris Sokratov AKA the Bulgarian Maori to talk about how we can shift the narrative.Much of the conversation perpetuates low expectations and reinforces dependency when in reality there is plenty for Maori to be proud of. Not only do we need to build a society where every child can succeed regardless of class, colour or creed, we need to have expectations that every child will succeed. Recently, Boris was diagnosed with a rare neuroendocrine cancer and is currently undergoing treatment. He shares with me his thoughts on life's purpose and the value of service to others.Boris came from humble beginnings but has become a serial businessman as well as being a driving force for social good with setting up I Am Hope, Brown Buttabean Motivation and The Nutter's Club Radio show. He assures me that he won't let cancer get in the way of achieving his goals, it's just sped up his timeline a little.
7/31/20241 hour, 8 minutes, 49 seconds
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#47 - Dr Emma Woodward - Fixing Our Loneliness Epidemic

Why in this age of hyper connectivity and social media are we lonelier than ever? Regardless of race, gender, sexuality, or class, mental health for young people is getting worse. Not only do we see it in self-reported surveys, we see it in hospital presentations for eating disorders, self harm, intentional overdose and suicide attempts.The Harvard Study of Adult Development found that the greatest impact on happiness, health, and longevity wasn't money, social class, or even healthcare access. It was the strength of our relationships.Consider how much time you spend with your friends, your family, your spouse and conversely how much time you spend scrolling social media accounts.We've lost so much community and undervalued the power of strong relationships. If you think this affects you, how much do you think it affects kids?The process of forming relationships, through rupture and repair is critical to the healthy development and success of our children. But if we deprive them of the necessary unstructured, unsupervised device-free play, they will struggle to develop critical thinking and the ability to overcome conflict and adversity. Joining me on this episode is Dr Emma Woodward. She shares her wisdom as a Child Psychologist and specialist in trauma informed care as well as her learnings as a mother to four sons. 
7/16/20241 hour, 11 minutes, 22 seconds
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#46 - Dr Melissa Derby - The Power of Reading and High Aspirations

Falling literacy rates are a concern in New Zealand and developed countries around the world.The future generations of New Zealanders are based on the early foundations we set in childhood. But if we don't get literacy right, how can we expect children to one day become global leaders in health, education and science? Strong literacy skills are for everyone, not just for those who can afford private tuition. How we teach in public education and how we encourage behaviours in the home environment can make a world of difference to children in even the poorest most disadvantaged communities.Even how we frame disadvantage can have its harms. Can we really improve disparities with the widely disseminated deficit mindset of low expectations?Joining me on this episode is Dr Melissa Derby of Ngāti Ranginui. She is a Senior Lecturer at the Waikato University, Director of the Early Years Research Centre and part of the ministerial advisory group to the minister for education.
7/2/20241 hour, 7 minutes, 30 seconds
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#45 - Iain and Kaitlin - The Hidden Threats of Food Waste

Food waste affects our growers, sellers and our wallets. It affects our farmers who try to grow food that meets strict beauty standards. It affects our shrinking household budgets where wasted food is as good as money down the drain.It affects our environment where wasted food decomposing in landfill contributes to our greenhouse gas emissions and climate change.All of this while food insecurity is becoming a problem for more and more families in New ZealandJoining me on this episode of Revolving Door Syndrome are my two guests Kaitlin Dawson and Iain Lees-Galloway. Through New Zealand Food Waste Champions, Kaitlin helps businesses achieve both environmental and economic sustainability through reducing over-production of food. Iain heads Aotearoa Food Rescue Alliance, a network of food rescue organisations taking this extra food and distributing to communities and families who can better use it than our landfills.
6/18/20241 hour, 5 minutes, 59 seconds
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#44 - Lesieli Oliver - How We Got Kids Hooked on Learning

Widespread, free and quality education has lifted the masses out of poverty. Or at least that's what it used to do.Access to a quality curriculum with teachers who are supported to teach are important factors to get children interested in education.However, what we are seeing is teachers are increasingly unsupported and overworked. They are having to pick up the pieces for children who are in difficult social situations outside of the school's control. We have rising material child poverty and dire rates of school attendance. These are big problems that require innovation, investment and prioritisation.One of the programs out there attempting to shift the dial is Lalanga toolbox, created by Lesieli and Daniel Oliver.Lalanga seeks to take the load off of teachers and provide a quality curriculum that is culturally appropriate for their Maori and Pasifika community. Lalanga is about showing children their potential, inspiring high aspirations and making education into the most powerful tool for success.
6/4/20241 hour, 4 minutes, 48 seconds
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#43 - Tim Wilson - Trust in Crisis: Media’s Role in Keeping Power in Check

Trust in government and trust in the media are the bedrocks of a working democracy.True democracy requires the freedoms of speech and expression to allow individuals and the media to hold our government to account.However an AUT research report found that trust in mainstream media has plummeted to 33% while three quarters of people actively avoid reading the news. There are accusations that the mainstream media are biased in their reporting, telling people what to think rather than reporting on the facts.Governments of all stripes are increasingly using urgency to pass legislation. How can we expect people to trust in governments that bypass the usual checks and balances?For a society to continue to achieve progress and prosperity, we need to get better at working together with people of different perspectives and points of view. We need to find our common goals and shared visions.Joining me today is Tim Wilson, a seasoned journalist whose work has been featured in The New York Times and The Guardian. He was the former US correspondent for One news and a roaming reporter on Seven Sharp. Today, he is the director of the Maxim Institute think tank.
5/21/20241 hour, 1 minute, 40 seconds
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#42 - Jo Robertson - Let's Talk About Sex

Let's talk about sex.Sex education has been a particularly divisive topic, yet hasn't really had the quality debate about what good sex education should look like.I get it. People probably have very mixed experiences on how sex education was delivered to them by their schools or their parents. Some people feel squeamish about delivering sex education to their own kids and some are concerned about what is being taught in schools. There's so much confusion from parents, teachers and policymakers because there is such a huge variation in what schools can choose to teach. However, sex education is something we need to get right.While young people are having less sex than before, the research shows they are having more dangerous sex. They are less likely to use protection and more likely to engage in rough sex. Young people are also more likely to have been exposed to porn at a younger age, much of it rough and non-consensual. Could this be purely correlation or causation?The stakes are high. It's the welfare of our children we are talking about. We must balance the urge to bubble wrap our children with the need to teach them skills to stay safe on their own. Because newsflash - you won't always be around to protect them.Joining me on this podcast is Jo Robertson, experienced sex therapist, parenting expert and sex education teacher.
5/7/202459 minutes, 13 seconds
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#41 - Dr Marcia & Dr Buzz - Medicine's Forgotten Middle Child

As the saying goes, an ounce of prevention is worth a pound of cure.And in the context of our health system, prevention looks like a strong primary care service that’s focused on keeping you healthy and out of the emergency department. The problem is though, Primary Care, as we know it, is broken.Our current funding model has driven GP practices to the brink of insolvency. Many are forced to close down or are selling out to profit driven corporates, who want to make your sickness work for their shareholders. By overenrolling patients and pushing doctors to see more people in a day, we will see a two tier Primary health care service beginning to form. Where the days of knowing your local GP might be reserved for those that can afford the premium service.And at the same time, our fascination with medical specialists has relegated the humble medical generalist to the bottom of the pile. Fewer and fewer doctors are interested in pursuing pathways in generalist fields and instead are opting for more lucrative, but highly niche specialties. We know how important primary care is for keeping people healthy, but why aren’t we prioritising it? It seems like we have things backwards.On the latest episode of Revolving Door Syndrome, I kōrero with the energetic power duo that is Dr Marcia Walker (Whakatōhea/Ngāti Porou) and Dr Buzz Burrell. Both passionate about the power of primary care, brimming with real ideas about how we can tackle these issues head on.
4/23/20241 hour, 10 minutes, 17 seconds
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#40 - Dr Caroline Ansley - Cults, Dogma and Indoctrination

Cults have come and gone but for the survivors, the trauma remains. Most every day people think that they'd be immune to a cult and could never fall for something as silly as a cult.The reality is that anyone can end up falling into a cult willingly or unwillingly whether as an adult or child. It is important that we equip ourselves with the skills to identify cult-like behaviours before we fall into the worst kind of echo chamber of groupthink.This is a reminder for us to not take freedom of expression and freedom of speech for granted. We must extend our empathy to survivors and people who are still in these cults where informed concept becomes a foreign concept. Joining me on this episode is Dr Caroline Ansley where we deep dive into the cultiverse and learn about the madness of groupthink and coercive control.
4/10/20241 hour, 1 minute, 25 seconds
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#39 - Sam Stubbs - How To P*ss Off The Financial Establishment

How have we ended up in both a housing and productivity crisis?Why can't we seem to just get on with maintaining and building more housing and infrastructure?Why does it feel like inequality is getting worse, not better?Joining me on this episode of Revolving Door is Sam Stubbs, founder and CEO of simplicity, a not-for-profit kiwisaver and investment provider. Late stage capitalism and an economy based on selling houses to each other is failing our younger generations. I ask Sam if it is possible to make capitalism work better for our young people. Us millenials and zoomers are struggling to get on the housing ladder. How easy is it to hold down a job when your landlord sells up your home? How easy is it for kids to get good education if they keep having to move schools? What effects will the stress of housing insecurity have on our health outcomes?If we can't get housing right, can we really solve any of our other problems?
3/26/20241 hour, 23 minutes, 19 seconds
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#38 - Hamish Williams - Behind the Mic: Stories of Support from The Nutters Club

When we talk about addressing the mental health issues in society, we often hear that if only we had more psychologists, more psychiatrists, more psychotherapists and counsellors, we'd be able to fix the problem. Hamish William's is a host of NewstalkZB's show, The Nutters Club. He has a different perspective on the issue, given that every Sunday night he listens to real stories from real people facing very real mental health challenges around the country. For his listeners, The Nutters Club has become a beacon of hope and a network of support forged through the airwaves. We kōrero about building communities that become self supporting and self healing. Hamish also explores his own experience as a step father and the challenges faced with raising a teenage son in the age of Andrew Tate and the Manosphere.
3/12/20241 hour, 16 minutes, 19 seconds
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#37 - Melissa Clark-Reynolds ONZM - Capitalism, AI and Health

Imagine a future where healthcare looks more like the tiers of a Netflix subscription. Where if you can afford it, your premium, gold-plated health service gets you your own personal family doctor. Meanwhile, those on the ‘free tier’ still get access to healthcare, but it’s delivered via algorithm and internet. In the eyes of Melissa Clark-Reynolds, this could one day be a reality. An Officer of the New Zealand Order of Merit, a futurist and a company director. Melissa is a thought leader and a game changer always at the edge of technological innovations. She uses her experiences and knowledge about human behaviour and technology to guide companies and people to a better future.
2/27/202457 minutes, 37 seconds
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#36 - Dr David Galler - When Medicine Loses Sight Of The Individual

Healthcare services around the world are reeling from the consequences of a pandemic. We have news media and social media that are full of discontent with the provision of these core services and we hear the word crisis so regularly, sometimes it's easy to forget what normal isSo much of our healthcare system is devoted to the treatment of disease, rather than wellbeing and prevention. So much so that we are seeing our hospitals full of patients with worsening amenable disease with ultimately worse health outcomes.Joining me today is Dr David Galler, retired intensive care doctor, health leader and author of the book Things That Matter to talk about his experiences in the intensive care unit. He shares with us his insights of working both as a clinician with our sickest people as well as the difficulties of trying to drive change as a leader within the bureuacracy. If we only focus on improving our treatments, will we continue to chase our own tails by refusing to focus on the real drivers of poor health?
2/13/202455 minutes, 58 seconds
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#35 - Professor Julia Rucklidge - The Hidden Impact Of Your Gut Microbiome On Anxiety

Can we fix our mental health epidemic with a drastic change in what we eat? That's the question posed by Professor Julia Rucklidge. She's a psychologist and the director of the Mental Health and Nutrition Research Group at the University of Canterbury. Her research has focused on the impact of nutrition on brain metabolism, gut microbiome and how our mental health is directly tied to the gut-brain axis. We kōrero with Julia about the findings of her studies and expose the barriers she's faced challenging the status quo, with Scientific institutes unwilling to publish and promote research on the basis that it questions the existing treatments.
1/30/20241 hour, 6 minutes, 41 seconds
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#34 - Sir Bill English - "Universalism has reached its limit": An argument for Social Investment

The issues of health, education and welfare can often feel intangible and immovable. Despite feeling like we are slipping backwards on these issues, we often look to the government, expecting them to drive change. Yet, in our focus on government as an omnipotent force, we might overlook the organic source of change at the grassroots. Charities, NGOs and Community organisations often serve as the safety net for the most vulnerable among us. However, they struggle due to insufficient funding, resources, and the means to measure their impact. Social Investment is an initiative that aims to promote and resource the grassroots programs that are working. Joining me to talk more about this is former Prime Minister of New Zealand, Sir Bill English. Today his organisation Impact Lab helps charities and NGOs better measure the impact they have. You might notice that the audio quality of this episode isn’t up to our usual standard. Unfortunately we had some issues with the recording and have had to do our best with a backup. So please bear with us, we promise it’s a conversation worth listening to.
1/16/20241 hour, 8 minutes, 22 seconds
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#33 - Sully Paea MNZM - Hip Hop, Gardening and Fatherhood

Top of mind for Nzers, according to the media, is youth crime and ram raids. But when I speak to most people, there’s a deeper understanding that crime is just a symptom of broader societal dissonance. The risk factors for a life of crime and incarceration are well studied and well known, yet it feels like we haven't figured out how to prevent it yet. Or at least we haven't accepted that we need to keep doing the interventions that work and stop doing the interventions that don't. On this episode I'm joined by Sully Paea, Member of the New Zealand order of Merit for his services to youth work. He's an iconic fixture in Otara who has not only seen it all, but lived it.
1/2/20241 hour, 3 minutes, 38 seconds
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#32 - Ivan Yeo - Dissecting the Asian Label

Rarely in conversation, do we hear about the state of Asian health. Despite being over 15% of the NZ population, it feels like this issue has dropped completely off the map. If we take the data at face value, it appears that on average asians in New Zealand, are doing alright. But within this demographic are a superdiverse population, heterogenous in culture, needs and health risks. To help me unpack this often overlooked issue of asian health, I’m speaking with Ivan Yeo, deputy director of Asian Family Services. He dispels the myths that exist and shines a light on core issues affecting families he serves.
12/19/20231 hour, 13 minutes, 43 seconds
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#31 - Darryn Keiller - Can we feed the people without breaking the planet?

For a long time, New Zealand has traded off the back of its agricultural and farming expertise. Producing enough food to feed 40 million, we export most of that overseas. It’s made us a pretty wealthy country and afforded us access to new medicines; precision scientific instruments; animal feed and fuel. However, our heavy reliance on agriculture has come at the cost of our environment, leading to soil degradation, water pollution and excessive carbon emissions. On today’s episode I kōrero with Darryn Keiller CEO and founder of Agtech startup, WayBeyond. They’re a New Zealand company whose mission is to improve the way we cultivate food. As we know, access to quality nutrition, fruit and vegetables is critical for the health and wellbeing of our future generations. But our food systems face uncertainty in the wake of Climate Change. Cyclone Gabrielle highlighted the power of extreme weather to disrupt our food growers. So what does a more resilient and sustainable food system look like?
12/5/202350 minutes, 36 seconds
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30. Food systems for the future with Emily King

On this episode we kōrero with Emily King, a food systems expert and author of the book, Re-Food. We unravel sustainable agriculture, food accessibility, and the challenges posed by monopolistic supermarkets. Emily's narratives from Cuba shed light on food scarcity and resilient island communities like Waiheke. Our conversation dives into empathy, societal collaboration, and sustainable food futures, emphasizing the impact of urban sprawl on farmlands. Through diverse perspectives, we explore humanity's relationship with food, seeking solutions for a more inclusive, sustainable future. This episode navigates food system complexities, fostering contemplation and dialogue. Join us as we journey through layers of our food systems, aiming for a deeper understanding and a path towards a better tomorrow.
11/21/20231 hour, 8 minutes, 35 seconds
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29. Blankets, Art, and Humanity: Bernie Harfleet's Journey

In this touching podcast episode, we kōrero with Bernie Harfleet to explore the profound impact of adoption, experiences in state care, and the transformative work of "Give a Kid a Blanket.", a charity Bernie co-founded with his partner, Turtle. Bernie's journey, from adoption to reconnecting with his birth family, offers a unique perspective on identity and belonging. We dive deep into the struggles faced by children in state care, emphasising the importance of giving them a voice and support. Discover how Bernie and his community are changing lives one blanket at a time. Join us for a heartwarming conversation that shows how small acts of kindness can make a world of difference.
11/7/20231 hour, 6 minutes, 34 seconds
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28. We're back! A life update from Nina and Connor

It's been a little while since we last released an episode of the podcast, so we thought we'd share a bit about what has been happening in our personal lives that has lead to the hiatus. Just over a year ago, Nina was approached to run as a candidate for a political party. Seeing it as an opportunity to give a voice to health workers and the issues facing our health system, we jumped head first into the world of campaigns, billboards, debates and politicians. With the election wave being finally over, we're now resurfacing and thought we'd share a bit about our experience.
10/25/202342 minutes, 1 second
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27. Forensic psychiatry - the intersection of mental health and justice

In this episode, we kōrero Dr. Davin Tan, an adolescent psychiatrist. We explore the profound impact parents have on their children's lives, discussing attachment, resilience, and the changing dynamics of modern families. Davin shares insights from his experiences in Youth Justice and Forensic Psychiatry units, shedding light on the delicate balance between autonomy and safety in mental health care.
9/13/202348 minutes, 58 seconds
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26. Live Special: RDS hosts Sunday Forum with Dr Mamaeroa David & Rob Campbell

This is a special episode of 'Revolving Door Syndrome', recorded live at the ASB Waterfront Theatre after a performance of 'Things That Matter'. This production is an adaptation of Dr David Galler's book of the same name. We sit down with Dr Mamaeroa David and Rob Campbell to delve into the show. During our discussion, we address the stark realities that the show sheds light on regarding our struggling health system and how its themes resonate all too closely with real life.
8/26/202348 minutes, 27 seconds
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25. Ancient Solutions for Modern Minds: The Psychedelic Awakening

In this episode we kōrero with Dr. Adrian Gray, an addiction specialist. We delve into the complexities surrounding mental health, societal influences, and the transformative power of psychedelic therapy. Speaking about the rise of anxiety and depression in modern society, Dr Adrian Gray underscores how psychedelic therapies offer a 'reset', a refreshing perspective that extends beyond traditional Western medicine. As we explore substances like Ayahuasca and LSD for therapeutic use, the conversation bridges the gap between their indigenous roots and their clinical applications in contemporary settings. Amidst a growing interest in psychedelics, we discuss the potential conflicts between the holistic, community-based approaches of native cultures and the commercial interests of the pharmaceutical industry. Join us for a compelling conversation about this unconventional yet promising approach to mental health.
7/25/202355 minutes, 10 seconds
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24. Harry Tam: A Candid Talk on Crime, Gangs, and Change

On this episode, we sit down with Harry Tam, a former public policy advisor and patched member of New Zealand's Mongrel Mob. Harry offers a unique perspective on crime, gang culture, and the societal and economic factors that perpetuate these issues. He criticises the media's role in sensationalising crime and the political rhetoric around being "tough on crime". Drawing from his personal experiences and observations, Harry emphasises the need to focus on changing harmful behaviours rather than trying to eliminate gangs. He also discusses the impact of economic policies on communities and how they can lead to cycles of crime and gang involvement. This episode is a deep dive into the complexities of crime, gang culture, and the societal and economic factors that contribute to these issues from the perspective of someone who has both lived experience and policy expertise.
7/11/20231 hour, 2 minutes, 25 seconds
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23. Breaking Bad Laws: The Price of Prohibition

This week we are joined by Dr Julian Buchanan, retired associate professor of criminology and addiction. He is now using his research and experiences to advocate for drug policy reform through the Harm Reduction Coalition Aotearoa.

Julian is originally from Liverpool, UK and is now enjoying a busy ‘retirement’ in Waikenae beach.
6/27/202350 minutes, 46 seconds
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22. Medicine, Wheelchairs, and Unshakeable Optimism

Dr Dinesh Palipana OAM is an Australian emergency doctor, lawyer, author, pilot and disability advocate - and he does it all from a wheelchair. Dinesh shares his story of surviving a severe spinal cord injury to finishing medical training and showing that he has all the abilities to achieve a fulfilling career helping people in emergency situations.
6/13/202340 minutes, 51 seconds
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21. Buttabean Brotherhood: Rob Campbell and Dave Letele's Fight for Better Health

On this episode we kōrero with Rob Campbell and Dave Letele, an unlikely pairing of best mates. It all began when Dave encouraged Rob to put aside the wine and sausage rolls and join him in the gym. Now bound by the Brown Buttabean creed, Rob and Dave share a joint mission and vision for a more community driven approach to health. Making no secret of his discontent with the health reforms, Rob indulges us with the stories of political turmoil behind closed doors that ultimately lead to his sacking. While Dave provides an insight into his grassroots organisation and the vital work being lead by community groups and LinkedIn conversations.
5/30/20231 hour, 17 minutes, 30 seconds
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19. The Alchemy of the first 1000 Days

On this episode we kōrero with Carmen Basu, the founder of Milk and Honey Paediatrics. As a paediatrician who grew disillusioned with her ability to innovate within the public health system, Carmen has pioneered a fresh approach to the first 1000 days of life. Drawing upon research from Scandinavia, which vividly portrays the lasting advantages of early investments, Carmen raises a thought-provoking question: Why aren't we implementing this approach in Aotearoa?
5/15/202351 minutes, 39 seconds
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19. The School of Second Chances

On this episode we kōrero with Cherie Jaeger, a mother, teacher and principal of Marist Alternative Education school in Auckland. For students that have fallen out of mainstream education, Cherie's school offers a unique lifeline of hope for disenfranchised youth. Cherie breaks down the challenges she sees in her day to day and provides some heartbreaking stories that illustrate how hard it is to break the cycle.
5/1/202351 minutes, 8 seconds
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18. Ambulances, cliffs and cognitive checklists

On this episode we kōrero with Dr Nic Szecket, an internal medicine consultant, about the inevitable nature of mistakes in medicine, why they occur and how we can reduce the chances of them reoccurring. Having trained and worked before in the Canadian health system, Dr Szecket provides some perspective when reflecting on our own system in Aotearoa.
4/18/202346 minutes, 1 second
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17. The High Cost of Addiction: A Survivor's Story of Reform and Recovery

On this episode we kōrero with Tommy Doran, a recovered meth addict and advocate for justice system reform with the NGO, JustSpeak. As somebody who has experienced the Revolving Door, Tommy offers great insight into the injustice of our prison systems; where recidivism is extremely high and rehabilitation rates, low. Tommy's story provides a window of hope to those still stuck in the cycle and provides valuable lessons we can learn from to enable to recovery of more people.
3/21/202343 minutes, 22 seconds
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16. Snakebites, Startups and Toxic Workplaces

On this episode of our podcast, we kōrero with Dr. Elizabeth Berryman, a highly respected healthcare professional and advocate for clinician's mental health. Dr. Berryman's journey began as a nurse working in the remote Australian outback, where she faced unique challenges and gained invaluable experience in managing a small rural hospital. This experience fueled her passion for improving healthcare outcomes and inspired her to pursue a career in medicine. During her clinical years as a med student, she encountered a toxic bullying environment. This experience nearly led her to leave medicine altogether, but instead, it sparked a passion for investigating and improving workplace culture. Dr. Berryman's research ultimately led to the development of 'Chnnl,' a cutting-edge medical tech startup aimed at empowering healthcare workers to track their mental wellbeing and provide anonymous feedback to senior leadership. Through her work with 'Chnnl,' Dr. Berryman is making a significant impact in the healthcare industry, advocating for mental health awareness, and working to improve clinician wellbeing and patient outcomes.
3/7/202345 minutes, 4 seconds
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15. Nurturing the Eco-Advocates of Tomorrow

On this episode we kōrero with Kiri Danielle, Ngati Kahungunu ki Wairarapa and Ngati Raukawa ki Te Tonga. We talk about her career as an early childhood educator and what a good quality pre-school looks like. We have one chance to get child development right and the consequences can be significant. We also talk about her experience of homelessness but by continuing to advocate for Papatuānuku, Mother Earth, through activism she was able to rise above to become a lawyer and now our very first Māori Environmental Commissioner. We touch on environmental issues and sustainability and how complex issues require a delicate hand.
2/22/202353 minutes, 16 seconds
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14. Embracing The Neurodiversity Mindset

On this episode we kōrero with Rich Rowley, an advocate and educator for neurodiversity within the workplace. With his charity, The Observatory, Rich runs workshops with businesses to help drive systems and culture change, to realise and embrace the neurodiverse skillset of their employees and solve big business problems. We discuss how the school system is letting down neurodiverse kids and driving them away from education and how Rich seeks to change this.
2/7/202352 minutes, 37 seconds
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13. Mirenas, Maternity and Medical Misfortune

On this episode, we speak with Dr Orna McGinn, a GP specialising in women's health. We discuss the many issues currently affecting women's access to basic health needs and the inequities that exist for different groups. Dr Orna advocates for a Women's Health Strategy, of which New Zealand is one of few OECD countries where one doesn't exist.
1/24/202345 minutes, 15 seconds
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12. Health, Politics and Neoliberalism

On this episode, we're joined by political analyst Josh Van Veen. Bringing with him a wealth of experience in politics and health, Josh speaks to the effects of neoliberalism on our health system and the history of how we got here. We also kōrero about the time Josh spent at The Health and Disabilities Commissioner and the limitations faced with upholding the Code of Rights and implementing change.
1/11/202350 minutes, 39 seconds
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11. Doctors without Orders - Innovation from Outside the System

On the surface, it sounds like being a doctor would be one of the most fulfilling jobs out there: helping people, saving lives, effecting change within communities... But the reality is often more bleak, as many clinicians have discovered, that our ability to affect change is severely hampered by the systems we work in. This being the prime reason Dr Justin Sung left medicine, instead to pursue a passion in education where he feels he is able to create more meaningful and impactful change.On this episode we speak about a broad range of issues, from the stagnant innovation of the health system and the driving factors for our tech-woes, to education and our need to rethink effective learning environments.
12/20/202247 minutes, 49 seconds
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10. End of Life Care with Dr Natalie Anderson

A bonus mini episode on the importance of compassionate palliative care with Dr Natalie Anderson. We talk about some of our own experiences with providing dignified end of life care and also Natalie shares her partner's complex health story and dealings with the health system.
12/14/202214 minutes, 20 seconds
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9. Nursing a Hungover Health System

On this episode we chat with emergency nurse and senior nursing lecturer, Dr Natalie Anderson, on the challenges of training new nurses and retaining existing ones. With recent revival talk of hospital wait time targets, we look at ways we can create useful indicators for our health system and provide clinicians power to demand better staffing and working conditions.
12/6/202243 minutes, 11 seconds
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8. The True Cost of Tough On Crime

On this episode, we kōrero with a friend of mine, Luke Elborough. Luke's a Criminal Defence lawyer based in the Auckland region specialising in Legal Aid. Frequently, he gets to see behind the headlines, working directly with people on the receiving end of legal judgement. Luke talks to the complexities that lead to offending and how our Justice Systems are failing to catch people and instead aggravate the issues; leaving people more isolated from help and more likely to reoffend.
11/22/202247 minutes
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7. Mike King battles with the Inner Critic

Mike King is a household name in Aotearoa for his comedy specials and reality TV appearances. Today we will be talking about his work in mental health with his charities I Am Hope and Gumboot Friday on what we could be doing better to help our rangatahi and tamariki in desperate need for support.
11/2/202247 minutes, 7 seconds
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6. How Investing in Children can prevent Gang violence

On this Episode we lift the lid on Gangs and their history in Aotearoa, the difficulties that gang-affiliated whānau face and what Cherie Kurarangi is doing to break the cycle. Cherie is a gang-affiliated woman in Hawke's Bay who is using her past trauma and familial connection with the Mongrel Mob as a bridge between hard to reach families and the support they desperately need.
10/25/202246 minutes, 19 seconds
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5. Why is a guy who jumps out helicopters coming to talk about childhood vaccination strategies?

Carlton Irving, critical care Air Ambulance Paramedic, 4th year medical student and father of SIX kids. We don't know where he finds the time to sleep, (let alone chat on our podcast!!) but we got him! An inspiring and uplifting kōrero with perhaps a few life lessons for us all.
10/11/202242 minutes, 49 seconds
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4. Dr Ari Chuang - Almost Conversion Therapist and Trans health advocate Part 2

In Part 2 of this 2 part series we pick up where we left off with Dr Ari Chuang. We hear more about his journey in our current health system to access gender-affirming care and learn about his work to increase access for others.
9/28/202241 minutes, 42 seconds
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3. Dr Ari Chuang, Megachurch Survivor and Trans Junior Doctor Part 1

On this episode we kōrero with Dr Ari Chuang, a trans male emergency doctor, recipient of a Commonwealth Youth award and proud father of one. In part one of this two part series, we hear his story about surviving pentecostal megachurches and his multiple journeys of coming out to reclaim his identity
9/13/202237 minutes, 19 seconds
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2. Why teachers hold the key to changing Māori stereotypes

This week we speak with Anton Blank (Ngāti Porou, Ngāti Kahungunu), an advocate, researcher and publisher based in Auckland, New Zealand. Working across a portfolio of projects Anton has a special interest in indigenous issues, indigenous literature, racism and bias. Anton has over thirty years experience in social work, communications, social marketing and leadership. He works across justice, education and health developing strategies to address racism and bias, and their impact on diverse populations.
8/31/202248 minutes, 55 seconds
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1. Racial Profiling and Algebra in Te Reo

Growing up Maori with Dr RichOn this episode we kōrero with Dr Rich, a paediatric doctor in Tāmaki Makarau. We learn about his roots in Tikanga Māori and he shares some of his experiences as Māori in our health, education and justice systems.
8/24/202239 minutes, 13 seconds
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How to fix a broken healthcare system... sorta

On this intro episode we sit down with our host Dr Nina Su and our producer Connor Ayliffe. We set the scene for this podcast series and introduce the main themes and direction for Revolving Door Syndrome
8/24/202215 minutes, 21 seconds