Dr David Greening

14/04/2026

Cancelling 🙁
I need your opinions 🧐 I have a number of patients who book an appointment then don’t show up. Mostly new patients. It’s becoming a modern behaviour. We got to a lot of effort to confirm appointments but all of us doctors at City Fertility have this problem and they can give us our cancellation rates.
I wonder if anyone has any idea 💡 why this now happens and what’s a good strategy to help us with it as it’s wasted time for me when the patient/is a no-show. My suspicion is the book with a number of infertility specialists and decide closer to the day who to see???
I’m going to have a cancellation back up list if an appointment is not confirmed within 48hrs. And give their place to someone available on the cancellation list. Is that reasonable?
Appreciate your thoughts and opinions! 🤔
David

09/04/2026

A car 🚗 free day
All patients today at Bowral are Telehealth consultations !
No one is physically here ( including my staff member Nadine) as we wanted to save everyone driving their cars 🚙 and using fuel ⛽️
Our small contribution to the current fuel costs issues.
Plus I got to dress casual in my gym gear. 😃
I could get used to this 🤔
David #🤔david

08/04/2026

News 📰 flash 😮
I just received 370 copies of my book 📖 I wrote about Fertility that were unexpectedly found in Rockpool Publishings warehouse 😱
They sold out years ago from the first print run of 9000. And there’s still an eBook version.
So I bought them all myself! Totally enjoyed writing my book 📕, the best I’ve ever written!
What we do with them is TBD but it’s great to have some.
A reporter suggested I write one after my famous presentation about frequent ej*******on improves s***m ( Amsterdam 2009) so I did. Took till 2018 to be released though.
I’ll keep you posted.
David

06/04/2026

Dictation on my medical program GENTU has been a problem for me for ages.
I see patients, dictate a thorough letter and send a copy to the GP, and the patients and for my own records ( which is an excellent summary)
Today after struggling with it I thought 🤔to get the microphone 🎤 checked……. And it was clogged with dust!!! They cleaned 🧹 it and it works perfectly 👍
Lesson: don’t put off things. It was such a simple fix and I’m kicking 🦵 myself for not getting it done ages ago.
The old saying goes ‘Don’t put off til tomorrow what you can do today’ - Benjamin Franklin
David

04/04/2026

Happy Easter everyone 😀
I’m at Forbes western NSW doing another locum. To keep my obstetrics skills up. It’s lovely out here after all the rain, the land is ‘greening’ as they say!
Off to Easter Sunday church ⛪️ at 9am then to Forbes museum for my historical interest.
Saw these photos of the earth 🌏 from Artemis II and I remember the first Apollo astronauts going to the moon 🌙. I was 7 when Neil Armstrong walked in the moon as the whole world 🗺️ watched in awe! Connected the whole globe.
The other photos are a salt water lake like an egg for Easter and Forbes FYI.
Enjoy the long Easter weekend and drive safely David

01/04/2026

More s*x is good for s***m 😳
Check out this patients before and after semen analysis tests. The first is after 2 days abstaining. A standard test.
Count 101 million ( normal)
Progressive motility 8% ( low)
Morphology 6% ( shape) normal
DNA 🧬 fragmentation 45% highly abnormal
S***m are tiny 🚕 taxis to move their passenger , the DNA, to meet the egg 🥚DNA. The taxi results, count, motility and shape, are independent of the passenger DNA results. My analogy, normal taxi 🚖 picks up a drunk passenger.
So, if you know me you’ll know a landmark world 🌎 famous study I did in 2009 tried a new novel treatment for high DNA fragmentation >30%. Normal DFI is 30%.
I got the men to ej*****te daily for 7 days and test the 7th day samples for semen analysis and DFI.
82% of men improved their DFI, i.e it dropped significantly. Motility improved, count dropped moderately.
This patient went to
Count 181 million ( increased)
Progressive Motility 92% ( huge increase)
Morphology 9% (increased)
DNA fragmentation 10% ( huge decrease)
I am absolutely sure that regular ej*******on improves s***m quality. Abstaining is seriously bad for s***m. Animal veterinary research shows this with breeding studies documenting pregnancy rates based on s*xual frequency. We can’t copy these in humans as too many confounders. But the principle is solid. I said all this in Amsterdam 2009 when I presented my novel study.
Forget the 2nd daily s*x advice, which never came from a study. Try the week of s*x with ovulation timed on day 7 . This couple will be doing that now.
Obviously if you have infertility this can be a challenge. But worth trying or see a doctor 🧑‍⚕️
Any questions? Ask away.
David

26/03/2026

I joined a gym for the first time ! After years of cycling 🚴‍♂️ and hiking 🥾 and a bit of running 🏃 with occasional swimming 🏊‍♂️ I’ve acted my age (63) and doing some general workouts.
I went with a friend from Bowral which helped and have an instructor session due soon.
So I hope to build up some strength, mobility and look after the muscles, ligaments and tendons around joints. And get some muscle.
The last time I went to a gym years ago I was on the rowing 🚣 machine with Heather my receptionist and found it utterly intimidating! She was a world 🌎 class rower though.
So like the saying’ don’t just think about it, do it’ or as NIKE would say ‘Just Do It’ I have started and will keep you updated on my progress.
I’m also doing a carnivore diet for a while and strangely decided to join a choir while on it 🤔 not sure there’s an association ???
Bowral is suiting me with a lovely social community, gym, choir and it’s been a good ‘tree change’ after almost 25 years in Wollongong.
Rule #1 Look after yourself. The oldest rule in the rule book 📖. But it’s not about selfishness, it’s about making sure you’re in a good place first.
And the mornings aches I accept and am glad to have.
Enjoy your day and just do something.
David

25/03/2026

Anxiety for trying for a baby becomes #1 and takes over your life. It really does!
Others fall pregnant 🫃 annoyingly easily around you, friends, family, colleagues.
I’m not sure if any of you want to say how it was for you but a close relative of mine went through it. She had direct access to me and I was on their journey throughout the trial and ultimately many cycles of IVF. ( not their doctor 👨‍⚕️) Few patients get the access to me she did- that’s because many years ago I had 2 unfortunate events where I was stalked by patients. One was seriously difficult especially as she was my patient, not a stranger, hence why I don’t give out my 📱 mobile number anymore. Sorry about that but those incidents gave me anxiety 😟
Anyway, it’s important you acknowledge the existence of the anxiety around infertility as part of the overall and overwhelming effects from infertility.
Get a kind ear to be a listener and not your partner. Script them - give them a script to follow i.e tell them how to deal with it. “ be a great listener- that’s all I ask”, or “ we’re going through infertility, wanted you to know, and want to bounce things off you” or even “ infertility sucks- let’s go out and never discuss it even once OK?”
Infertility is common, can I say bloody common! Annoyingly, exasperatingly common 1:5 couples, single females, same s*x couples suffer it. Go to a food court, count 5 couples. One is suffering it 🙁
Talking helps ( maybe not so much the men who want to ‘fix’ it) but the right talk really does.
Doctors and other will help as well but it takes a team to help so reach out.
Read the article and I’m sure it will help.
David

A new survey suggests anxiety around trying to conceive is more common than fear of pregnancy, birth or breastfeeding. So why isn’t it being discussed?

24/03/2026

1st 🥇 place at the trivia night contest! The Hippocratic group is a mix of doctors from the obstetrics dept with added on extras like med students, etc.
We won by 3 point last night scoring 46/48 😱
Which was the highest score anyone recalled from the Royal. Which was pretty cool 😎
Any life coach will tell you being part of your community is great for happiness. And the Trivia night is fun and popular. Go try one. Get a dinner and enjoy the atmosphere.
Doctors 🥼 are notoriously good at remembering trivia, we’re like memory magpies 🤔 so this suits us well.
I’ve also joined a choir btw and have some formal singing 🎶 lessons to come ( when they discover my true talent and probably ask me to play the triangle instead 🙁) oh well. Still fun and tweaks my brain 🧠 in other areas than trivia.
David
P. S the two we missed were Pepper Pigs 🐖 brothers name ? ( George) and what does NAPLAN stand for? (National Assessment program Literacy and Numeracy)

23/03/2026

If you are 50 or over or know someone who is, this is an excellent read 🤔
I remember just before moving to Australia 🇦🇺 in 1991 from New Zealand we got our home 🏠 ready for renting out. We planned a 2 year trip away then come back to Christchurch. So we decided the old stove needed to be upgraded. As soon as we put the new one in we went ‘why didn’t we do this earlier ? 😱’
And had a life epiphany. You don’t want to look 👀 back and say this, because you’ve been missing out on what you could have had all that time. 🙁
Keeping good mental health requires a think about it and upgrading anything you could do now to help it.
The same for physical health, financial situations, relationships, etc.
We get our glasses 🤓 prescriptions reviewed regularly to keep our vision normal. And you want to be in that normal zone, not living beneath it. All medicine is dedicated to helping overcome illness or prevent illness rob you of the right to be in the normal zone ( as best we can ) or living the best life you can within the illness you have. Doctors 🥼 aim for this.
And so should you. Be kind to yourself ❤️
Look after yourself. Women are much better at this than us men who treat their cars 🚘 better than themselves.
Have a read or an excellent article and I’ll finish with ‘plan ahead’ . Even if you’re a much younger generation planning ahead will mean when you look back you will be amazed how much small changes helped. My dad started work and paid a small voluntary contribution into a Railway’s superannuation fund. When he retired his railway pension was double his state pension. So M& D had a comfortable retirement. Thinking ahead.
Enjoy ☺️ the read ✅
David

My generation had great role models, free university and the morning-after pill. We should be running the world. Instead, two-thirds of us are facing mental health problems – and it’s not all about the menopause

22/03/2026

Here in Nowra the so-called “gateway to the south coast” for a weekend locum (to keep up my obstetrics skills).
If you’re heading down this way, two recommendations: seriously amazing coffee and Portugese tarts and an array of fabulous savoury treats next door .
Also, , tucked away in an industrialist estate a short distance from the main drag, is next-level extraordinary.
On call, so I couldn’t try out any of their alcohol offerings, but their sirloin left me speechless. No wonder this cool place has a truckload of 5-star reviews! ⭐️ ⭐️ ⭐️ ⭐️ ⭐️