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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

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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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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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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59:12

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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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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50:37

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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42:26

Making the most of tele-dermatology with Lucy Thomas...

Deep Breath In ·

2021/03/14

The use of telemedicine is on the rise, and the pandemic has led to an increased demand for this service, due to the availability of face-to-face appointments being severely limited. In this week’s episode, we discuss the benefits and pitfalls of teledermatology. With long waits for secondary care referrals, teledermatology allows dermatologists to fast-track patients requiring urgent investigations, and to direct them to the most appropriate care, which helps to alleviate some of the pressure on

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01:01:09

Suddenly shielding and vaccination variation, with...

Deep Breath In ·

2021/02/26

Suddenly 1.7m extra people have been told to shield from coronavirus, thanks to the QCovid algorithm, and that's causing confusion - ethnicity is one of the risk factors in QCovid, and yet there is a signal that there is lower update of the vaccine amongst ethnic minorities in the UK. In this week’s episode, we discuss how particular factors, such as age, ethnicity, and comorbidities, affect your QCovid score, and why a GP can help people interpret that population level risk to themselves. We also

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51:06

Mental health toll of lockdown with Daisy Fancourt...

Deep Breath In ·

2021/02/11

In the UK, we are currently in the midst of our third lockdown since the pandemic began, and there has been a huge surge in people experiencing mental distress, anxiety and depression during the past year. The novelty of the first lockdown, in which people optimistically took up a variety of new activities, such as learning a language or baking endless loaves of banana bread, has long worn off, and many people now feel like they’ve used up their “coping resources”. Confusing public health messaging

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40:02

Long covid with Melissa Heightman and Jenny Mollica

Deep Breath In ·

2021/01/29

It has been estimated that 10% of people who get covid-19 are still experiencing symptoms over 10 weeks later, and the common symptoms of long covid include fatigue, breathlessness, chest pain and ‘brain fog’. In this week’s episode, we discuss the challenges of assessing long covid symptoms, especially chest pain, in primary care. As we still don’t know enough about the trajectory of the disease, how can we balance the assumption that a patient’s symptom is caused by long covid, as is likely to

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48:50

Tips on rolling out the covid-19 vaccine with Mark...

Deep Breath In ·

2021/01/14

Thanks to an incredible scientific effort, vaccines for COVID-19 have arrived in the UK and GPs, and other primary care health professionals, are now being faced with the monumental challenge of vaccinating high volumes of patients in a matter of days, whilst maintaining a COVID-safe environment, and fielding the myriad questions and concerns patients may have around the vaccine. In this week’s episode, we talk about the practical difficulties in preparing and administering the vaccine. We discuss

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48:25

Changing behaviour with Cindy Gray and Shahroo Izadi

Deep Breath In ·

2020/12/17

Old habits die hard, and never does the saying seem more apt than at this time of the year, when many of us start thinking about our New Year’s resolutions, and try to adopt a “new year, new me” mentality, in order to make positive changes to our health. As GPs, discussions around lowering alcohol consumption, smoking cessation, and becoming more active are commonplace in our consultations. However, how can we have meaningful conversations with our patients around “kicking the habit”, and help them

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53:05

Insomnia with Lauren Hale and Michael Kelleher

Deep Breath In ·

2020/12/04

GP consultations with patients about sleep problems can go in several directions – could they be a symptom of depression? Financial worries? Sleep apnoea? Is poor sleep merely a condition of modern life? Sleep is a key component of our wellbeing, and talking to a patient about their sleep patterns and habits can be a great window into their life. For optimal sleep health, it is important to follow good sleep hygiene practices, but how can we convey what seems like such a simple message to patients

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30:17

Long breath - when someone has problem swallowing pills

Deep Breath In ·

2020/11/21

When someone, either an adult or child, has problem swallowing pills or capsules, there are some options open to help. In this podcast, a pharmacist and a psychologist join us to talk about liquid formulations, how to disguise the taste of medicine mixed with food, and some techniques that can be used to help with swallowing a whole pill. Deonne Dersch-Mills is the clinical practice leader for pharmacy for paediatrics & neonatology with Alberta Health Services. She is based at Alberta Children’s

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33:22

Take a deep breath with Stephanie DiGiorgio

Deep Breath In ·

2020/09/17

Sometimes, in Deep Breath In, we only get a chance to include a brief bit of a much longer conversation with our guests. In these Deep Breaths, we're going to bring you some of those more in depth conversations. This is long conversation with Stephanie DiGiorgio, GP and expert on obesity, who had a lot of advice on how GPs can really help their patients lose weight. She talks about having non-stigmatising conversations, why she thinks going for 10% body weight loss is much more achievable than

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17:21

Take a deep breath with Tom Chatfield

Deep Breath In ·

2020/08/21

Sometimes, in Deep Breath In, we only get a chance to include a brief bit of a much longer conversation with our guests. In these Deep Breaths, we're going to bring you some of those more in depth conversations. This first one is with philosopher and author Tom Chatfield (he literally wrote the book on critical thinking) and explained to me the ways in which the heuristics we use in our everyday thought, those shortcuts in our thinking, can be hijacked by biases.

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01:19

Deep Breath In - breathe more easily with The BMJ

Deep Breath In ·

2020/04/08

“Deep breath in…and out. Again, deep breath in…and out.” We tune in to patients’ breath sounds, seeking confirmation of a diagnosis - one more supporting piece of evidence to reassure anxious patients or to narrow the differential. But since the SARS-CoV-2 pandemic arrived, saying “deep breath in” has been replaced by the need to take one ourselves: before opening the morning news, before venturing out (or logging-on) to work each morning, and before ringing the next patient on your list with the

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57 results

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