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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.

science

All Episodes

00:40:23

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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00:46:29

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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00:45:13

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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00:42:56

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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00:49:42

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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00:54:30

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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00:45:02

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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00:45:05

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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00:55:58

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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00:56:59

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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00:51:57

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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00:56:37

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

Deep Breath In ·

2021/08/05

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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00:49:40

Lockdown dementia with Jason Karlawish and Jennifer Watt

Deep Breath In ·

2021/07/16

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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00:52:35

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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01:00:26

Burnout with Rachel Morris, Cat Chatfield and Abi Rimmer

Deep Breath In ·

2021/06/04

Burnout has become something of a buzzword recently, but has now been officially classified as a syndrome caused by the workplace. Over the course of the pandemic, clinicians have been under more stress than ever, and evidence shows that burned out doctors are more likely to make medical errors. As the pressure being piled onto GPs, and other medical professionals, is only increasing, the adage of ‘put your own oxygen mask on first’ has never been more apt, but many of us feel that we simply do

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00:55:18

Health anxiety with Guy Edwards and Helen & Peter Tyrer

Deep Breath In ·

2021/05/20

In general practice, doctors commonly see patients who are experiencing varying degrees of health anxiety, which can be difficult to navigate. GPs often want to offer reassurance, but reassurance can be like a drug to these patients: the more reassurance they receive, the more they need. In this week’s episode, we discuss how new technology which allows patients to check symptoms at home (such as pulse oximeters) may increase anxiety levels, and how our stock phrase “keep an eye on it” may be the

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00:37:04

Long Breath - Whitney Robinson on getting out the...

Deep Breath In ·

2021/05/07

In this episode, we're bringing you the full interview, a deep breath, with Whitney Robinson, a social epidemiologist and associate professor at UNC Chapel Hill. Whitney gives us her take on how we should be thinking about risk when it comes to covid-19 infection and vaccine rollout. This is a nuanced conversation about the health and economic disparities of covid-19 the consequences of failing to reach the most vulnerable groups, and the importance of tackling this from a community level.

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00:59:11

GPs vs. surgeons with Clara Munro and Sarah Robinson

Deep Breath In ·

2021/04/22

There is a common perception of surgery that it’s an old boys’ club, and that anyone joining the profession is expected to match the archetypal personality type in order to fit in. Whilst this is starting to change in some specialities, it does still present a challenge, especially to junior staff trying to establish themselves. The relationship between primary and secondary care can be quite remote, and approaches towards patient care can sometimes seem at odds with each other. In this week’s

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00:57:23

Vaccines and headaches - with Heather Angus-Leppan...

Deep Breath In ·

2021/04/09

Two topics currently being hotly discussed in the media and in clinical practice are headaches after the COVID vaccine, and the impact that structural racism is having on vaccine uptake. Headache and fever are common symptoms after a vaccination, but there are concerns about the potential link between the AstraZeneca vaccine and blood clots, and these concerns, exacerbated by the recent frenzy of media coverage, may be damaging the general public’s faith in the vaccination programme, and impacting

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00:50:36

Remote prescribing with Geva Greenfield and Benedict...

Deep Breath In ·

2021/03/26

The past year has seen an increase in antibiotic prescriptions, especially for broad-spectrum antibiotics. This might be due to the rise in teleconsultations, which limit the ability to examine patients, causing GPs to experience higher levels of uncertainty in making diagnoses. This week, we discuss the impact that COVID-19, and COVID tests, have had on access to healthcare, the risk of antimicrobial resistance, and how the pandemic has altered the presentation and case mix seen in GP surgeries

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68 results

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