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PODCAST

Deep Breath In

Deep Breath In: a podcast for GPs Tackling primary care’s everyday challenges Life in primary care can be complex. Deep Breath In explores the highs and lows of being a GP, offering a space to reflect on the grey areas of general practice.

health & fitness medicine

All Episodes

47:09

Milk allergies with Nicola Brathwaite

Deep Breath In ·

2022/05/30

Consultations about suspected cow’s milk protein allergies are quite common in primary care, but these allergies can be a challenge to diagnose, particularly as symptoms can manifest in many different ways, and testing can be complicated. We talk to Dr. Nicola Brathwaite about the diagnosis and management of cow’s milk protein allergies in infants, and our discussion includes how to navigate consultations with parents who may be distressed and fraught with anxiety over their baby’s symptoms, and how

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42:04

Parosmia with Emily Woodroofe and Claire Hopkins

Deep Breath In ·

2022/05/13

Parosmia – a distorted sense of smell, and a delayed post-covid symptom – affects approximately 50% of people who experienced loss of smell during their initial covid infection, and it is currently attracting a lot of media attention. We hear from Emily Woodroofe, a third year medical student, about what it’s like to have parosmia, before we speak to Professor Claire Hopkins about what GPs need to know about it, and how they can best support their patients who are experiencing what can be a

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43:19

What’s in store for general practice in the UK

Deep Breath In ·

2022/04/30

With the focus on covid, and the pressure on hospitals, it may be easy to overlook what’s happening in general practice in the UK - but changes are afoot. Our new health secretary Sajid Javid doesn’t seem to like our long standing GP practice arrangement, NHS England has imposed new weekend working arrangements on the already stretched service, and the workforce pressures continue. In this episode of Deep Breath In, our GP panel of Tom Nolan, Navjoyt Ladher, and Jenny Rasanathan are joined by

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49:29

Great Explanations

Deep Breath In ·

2022/03/24

We see patients all the time who ,more than any drug or cure, just want an explanation for their symptoms, to understand why they feel the way they do. But giving an explanation isn't necessarily straightforward, we're unsure of the diagnosis, we might worry about how the explanation might be received, or a 10 minute appointment just isn't time to go into all the details. In today's episode, we've enlisted the help of consultation skills expert, Roger Neighbour, and hear how important a great

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52:41

Diagnostic excellence with Hardeep Singh, Denise...

Deep Breath In ·

2022/03/07

Diagnosis is a complex categorisation task driven by mental models that reside in long term memory. Through education and experience, clinicians form scripts that encapsulate their knowledge of specific conditions and develop diagnostic schemas that structure their approach to a specific health problem. This cognitive process also intersects with systems, teamwork, and social factors that can enhance or reduce diagnostic accuracy. In this podcast, we hear about five techniques that can help with

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44:11

Ramadan with Ammad Mahmood and Sahira Dar

Deep Breath In ·

2022/02/18

As Ramadan draws near, clinicians may be approached by their Muslim patients to discuss managing their health conditions during the month of fasting. How should someone with a chronic condition, such as diabetes or epilepsy, time their medications during this period? Can a person who’s pregnant or breastfeeding partake in fasting? What alternative options are available to someone whose health needs make participating fully in fasting too risky? In this week’s episode, we discuss the many questions

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40:24

Vaccine mandate’s unintended consequences

Deep Breath In ·

2022/02/09

There was a proposed vaccine mandate for NHS staff in the UK (now abandoned) but in other countries mandates continue, but are they without harm, and do we have evidence about how effective they are? In this episode, we'll be discussing how a proposed vaccine mandate would have affected GP practices in the UK, particularly when it comes to the demographics of staff who have not accepted the vaccine. We'll also be discussing direct and indirect evidence which might have helped us assess the

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46:29

How can a patient sue for their conception?

Deep Breath In ·

2022/01/25

A recent case against a GP in England has worried the profession - does the fact that a patient, born with a neural tube defect, successfully sued their mother's GP open up the floodgates for litigation? How will that effect the way that you practice? In this episode we're joined by Claire Dyer, The BMJ's legal correspondent, who explains how that case unfolded. We also have a clinical update on childhood constipation, and the authors of a recent article in The BMJ give their tips on getting kids

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45:14

Christmas 2021 with Inga Usher and Aswin Chari

Deep Breath In ·

2021/12/23

With Christmas 2021 only just around the corner, we round off the year by chatting about our ‘Deep Breath In’ highlights, and by sharing some of the great feedback we’ve received from our listeners. We talk to Inga Usher and Aswin Chari, whose study comparing neurosurgeons with aerospace engineers (“It’s not brain surgery” vs. “It’s not rocket science”) was featured in The BMJ’s 2021 Christmas issue. Finally, we end the episode with a quiz on ICU slang (what on earth does ‘closest crocodile to the

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42:56

Green general practice with Richard Smith and Aarti...

Deep Breath In ·

2021/12/08

Following the recent COP26 Climate Change Summit, we discuss, in this week’s episode, the announcement that some 50 countries have committed to reach net zero carbon emissions within their healthcare systems by, or before, 2050. We talk about the role that GPs can play in reducing the carbon footprint of their practice, how to tackle climate anxiety, and how integrating greener practices into our healthcare systems aligns with better health benefits for our population as a whole – both now and in

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49:43

The GP crisis with Gareth Iacobucci and Lucy Martin

Deep Breath In ·

2021/11/22

Primary care in the UK is in crisis. General practice was already under huge strain, as a result of the pandemic, high levels of seasonal respiratory viruses, as well as chronic understaffing and underfunding, but recent negative media campaigns against GPs, amidst the health secretary’s plans to publish ‘league tables’ of GP practices, have added to this and have led to increased demoralisation among doctors. In this week’s episode, we discuss the current political climate affecting the NHS,

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54:31

Eating disorders with Simon Chapman, Zoe John and...

Deep Breath In ·

2021/11/08

Over the past 18 months, eating disorder specialists have seen a huge rise in the number of referrals, and experts have said that the pandemic has created “the perfect storm” for eating disorders, especially among children and young people. As GPs, what do we need to know about eating disorders? What red flags should we look out for, and how do we approach this thorny issue with our young patients? In this week’s episode, we talk to Dr. Simon Chapman about spotting the signs of an eating disorder,

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45:03

Obstructive sleep apnoea with Sophie West and Robert...

Deep Breath In ·

2021/10/22

Fatigue is one of the most common presenting symptoms GPs see in a consultation, and it feels like, during the pandemic, more of us than ever have been experiencing excessive tiredness. With our guests this week, Sophie West and Robert Koefman, we discuss the new NICE guidelines on obstructive sleep apnoea/hypopnoea syndrome and obesity hypoventilation syndrome, and how sleep apnoea seems to be both under-diagnosed and over-diagnosed in primary care. We talk about the diagnostic challenges of this

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45:06

Headaches and team debriefings with Heather...

Deep Breath In ·

2021/10/08

A slightly different spread of this episode of Deep Breath In, Navjoyt Tom and Jenny are discussing two separate topics, headaches and team debriefings. Firstly headaches, the team discuss why so many GPs find headaches to cause the most anxiety in their practice, and get some advice on migrainous headaches from Heather Angus-Leppan, consultant neurologist at the Royal Free London NHS Foundation Trust (also discussed vaccinations and CVST in our covid vaccination episode). Secondly, team

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55:58

Fitting IUDs with Rebekah Fenton

Deep Breath In ·

2021/09/24

Doctors are taught from medical school about the benefits of IUD, and are often advocates of them to patients. However, recent media attention on the pain that some women suffer when having their IUD's fitted have started conversations about the need for cervical blocks, and more honest counselling of women about the procedure. Rebekah Fenton, adolescent medicine fellow at Lurie Children's Hospital of Chicago joins us to talk about how she councils her patients, and why the most important thing is

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56:59

Covid in children with Greg Zimet and Amanda Kvalsvig

Deep Breath In ·

2021/09/10

As the scientific community in the UK still debates whether to vaccinate kids under 16, that leaves us as an outlier to the rest of the world where parents are being encouraged to seek the vaccination of the children. In this episode Tom, Jenny and Navjoyt discuss the questions that they're getting in their surgeries, and get some advice on how parents regard vaccinating their children, how to think about transmissibility vs severity when it comes to childrens' risk, and some ways of helping to

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51:58

The complexity of primary care - with Rani Lill Anjum

Deep Breath In ·

2021/08/27

There's a plan from the Royal College of General Practitioners, to stop the profession buckling under the huge pressure applied by the workforce crisis and covid 19. The steps outlined are very practical, but do they really get to the heart of the problem with the way in which primary care is practiced in 2021. In this episode, Tom, Jenny and Navjoyt are joined by Rani Lill Anjum, a philosopher from the Norwegian University of Life Sciences who thinks about causation in healthcare - and what this

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56:37

Prediabetes or a borderline HbA1c result - with Sam...

Deep Breath In ·

2021/07/30

A borderline hba1c result will initiate a conversation with a patient - but how useful is that "prediabetes" check-in, and can GPs ever adequately describe what the elevated risk of having a risk factor actually means for a patients health? Our guests in this episode are Sam Finnikin, an academic GP from the University of Birmingham, who gives some helpful tips on explaining that risk, and reminds Tom that fear is not a good motivator of behaviour change. Seamus O'Mahony is a retired

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49:40

Lockdown dementia with Jason Karlawish and Jennifer Watt

Deep Breath In ·

2021/07/15

The pandemic had a high mortality toll in care homes, but measures to try and reduce that, through extreme social isolation, has had its own cost. Social interaction, particularly with close family, is more than just a quick hello - evidence shows that mental stimulation can help with cognitive decline, and the lack of that interaction may have hastened progression of dementia in some patients. In this podcast, the team talk about what GPs can do to support patients in care homes, and we find out

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52:35

Medicalising the mind with Suzanne O’Sullivan

Deep Breath In ·

2021/06/18

Our environment moulds our brains, and alters development, and so there are culture-bound ways that our bodies express distress. In this week’s episode, we discuss the mysterious phenomenon of Sweden’s ‘sleeping beauties’: asylum-seeking children who were affected by resignation syndrome, which led them to become completely inert. We talk about the pros and cons of applying medical labels to people’s symptoms – are we applying labels too easily, and over-medicalising things which could be

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57 results

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