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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

00:42:25

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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01:01:08

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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00:51:06

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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00:40:02

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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00:48:50

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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01:05:02

The Deep Breath talking wellbeing evidence round-up...

Deep Breath In ·

2021/01/01

In this end-of-year podcast from Deep Breath In, we're bringing you a light hearted look back at 2020, and trying to remember some of the non-covid-19 medicine that has crossed our desks. This festive quiz features the deep breath in gang, as well as Cat Chatfield from the Wellbeing podcast, and Helen Macdonald from our Talk Evidence podcasts. Reading list; Thyroid disease assessment and management: summary of NICE guidance https://www.bmj.com/content/368/bmj.m41 Thyroid hormones treatment for

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00:48:25

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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00:53:04

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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00:30:17

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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00:58:41

A lump in the throat with Nick Hamilton, Deonne...

Deep Breath In ·

2020/11/05

A lump in the throat is a classic GP presentation, but one that often causes a lot of worry. Many people are struggling with high levels of anxiety anyway at the moment, and this may manifest physical symptoms, such as fatigue, insomnia and dysphagia. In this week’s episode, we discuss how to differentiate between causes of a lump in the throat: is my patient experiencing laryngopharyngeal reflux, or could it be cancer? How do we reassure distressed patients when we need to refer them on for

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00:59:02

Deep Breath In - EUPD with Leisha Davies, Soumitra...

Deep Breath In ·

2020/10/22

Personality disorder is often referred to as the “Cinderella” diagnosis of mental health. Around 1 in 20 people is estimated to have a personality disorder, and it is a neglected and under-resourced area of our healthcare system. In this week’s episode, we discuss the stigma surrounding personality disorder, which can often manifest itself in high levels of anxiety for both patients and GPs, when it comes to diagnosing and managing it, and how to help a patient come to terms with their diagnosis

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00:43:09

Coughing kids with Tim Spector and Edward Snelson

Deep Breath In ·

2020/10/08

Persistent coughing in children is always a challenge, both for parents trying to describe and measure the cough, and for doctors making a diagnosis. In the current climate, this is all the more difficult, seeing as a continual cough is one of the major symptoms of COVID-19. UK Government guidance advises that anyone with a persistent cough should get a coronavirus test. But with the reopening of schools and the beginning of the cold & flu season both coinciding with a national shortage of tests

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00:58:06

'Flu vaccine season - with Nikki Turner and Jeff Kwong

Deep Breath In ·

2020/09/25

With the annual flu season looming, GPs are anticipating a frenzy of vaccinations, perhaps more so than ever this year. As so many 'flu and respiratory viruses circulate every year, and as the 'flu vaccine is for one strain of influenza only, is the vaccine worth getting, and what are the risks associated with vaccinating vs. not vaccinating? In this week’s episode, we discuss the high vaccine uptake in New Zealand, and the role that social distancing for COVID-19 may have played in their low

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00:33:21

Take a deep breath with Stephanie DiGiorgio

Deep Breath In ·

2020/09/18

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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00:59:24

Talking about obesity with Stephanie deGiorgio and...

Deep Breath In ·

2020/09/10

Fatphobia has been described as society’s last ‘ism’. Whilst our understanding of weight and health has changed over time, there is still a stigma towards people who are overweight or obese, and an assumption that they must be unhealthy, and unhealthy by choice. However, the correlation between weight and health may not be as clear cut as our societal biases would lead us to believe, and, therefore, the challenge for GPs is to make a conscious efforts to overcome our preconceptions so that they may

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00:58:33

Time For A Pill Check With Anne McGregor And Tara Stein

Deep Breath In ·

2020/08/28

Contraceptive pill check-up appointments used to be simple and straightforward for GPs, and frequently felt like a welcome reprieve from more complex consultations. However, there’s often more to them these days, especially given the rise in tailored regimens, with more and more women moving away from the standard of 21 pills followed by a 7-day break. In this week’s episode, we discuss common misconceptions around the pill cycle compared with a woman’s natural cycle, the various side effects

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00:17:20

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. https://www.tomchatfield.net/

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01:00:40

Thinking about vitamin D with Andrew Grey and Tom...

Deep Breath In ·

2020/08/13

Interest in vitamin D, and it’s association with a range of health outcomes continues - at least if the regular flurry of papers on the subject that are submitted to The BMJ are anything to go by, and with Covid-19, interest has piqued again. GPs are regularly asked to prescribe it, and to test for deficiencies. Low levels of vitamin D are associated with a large number of health outcomes, but, given the high costs and low accuracy of tests, would it be easier just to recommend taking supplements

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00:49:12

“Trust me, I’m a GP” with Karen Praeter and Rhea Boyd

Deep Breath In ·

2020/07/31

In light of the publication of the Independent Medicines and Medical Devices Safety Review (the Cumberlege report) in early July, which assessed the use of vaginal mesh, sodium valproate and Primodos and their associated under-acknowledged complications, this week we discuss trust between patients and doctors, and how that relationship of trust can break down when patients feel that their concerns and their pain are not being recognised and supported. We talk about the influence of racial

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01:03:01

Tackling racism with Annabel Sowemimo, Shani Scott...

Deep Breath In ·

2020/07/16

The signs and symptoms of racism have long permeated our society, and are embedded in our clinical practice and medical education. Recent events in the US, including the murder of George Floyd, have brought the Black Lives Matter movement to the fore of public consciousness, and have sparked outrage and protests in countries around the world. COVID-19 has exposed the inequalities in our healthcare systems, as the virus has had a disproportionate impact on some ethnic minority communities. In this

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68 results

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