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Inside Health

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Jan 21, 2014 • 28min

Care data, New gastric balloon, Vocal dysphonia, Antacids

Recent reports say that as many as 2 million people in England could be eligible for bariatric surgery. Dr Mark Porter investigates if a new gastric balloon swallowed in a capsule could be a valuable new tool for weight loss. Targeted for people whose BMI is lower than those who would be eligible for weight loss surgery, Inside Health finds out what the new balloon involves and asks two NHS bariatric surgeons - Sally Norton in Bristol and Guy Slater in Chichester - is this a boon to the arsenal of weight loss surgeons or is it a just slimming aid?Proton pump inhibitors are a family of drugs which reduce stomach acids to stop the symptoms of heartburn and ulcers. But they are being widely overused according to many gastroenterologists and doctors. Mark talks to gastroenterologist, Anton Emmanuel about the scale of the overuse, the potential side effects of being on them for too long as well as what people can do if they think they should come off the drug.Margaret McCartney and Mark Porter ask whether the anonymity of patient records on a new NHS database can be guaranteed? And using botox to treat vocal dysphonia, a kind of writer's cramp for the voice.
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Nov 5, 2013 • 28min

Gender X; Diabetes diagnosis; Trigeminal Neuralgia; Oesophageal cancer

As Germany becomes the first country in Europe to pass a law allowing newborn babies to be registered as being of indeterminate sex - neither male nor female - should the UK follow suit?The incapacitating facial pain that feels like an electric shock - a world expert explains Trigeminal Neuralgia.And recurrent indigestion - should more be done to investigate the millions of people troubled with heartburn?Plus a new test for diagnosing diabetes that's causing some confusion.
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Oct 29, 2013 • 28min

Free Vit D for kids, Exercise & depression, Asthma inhalers feedback, Fungal nails, GP pilots

Current recommendations advise that parents should give children under five Vitamin D supplements, but most parents do not follow this, and Vitamin D deficiency is now widespread, leading to a resurgence of rickets. To combat this, England's Chief Medical Officer Professor Dame Sally Davies is now recommending that free supplements be available to all children under five.Following the publication of a new Cochrane review into the evidence behind advocating exercise for people who are depressed, there were very different conclusions in the medical press; ranging from suggesting exercise was as good as antidepressants, to the other extreme that there was not much evidence that it helped at all. But is exercise an effective treatment or not? Gillian Mead, Professor of Stroke and Elderly Care Medicine at the University of Edinburgh, was lead author of the review.Fungi occur naturally on our bodies but thrive in warm, damp dark places like shoes. If you have healthy nails and a normal immune system, it is hard for the fungi to get a foothold. But if your nails are damaged, creating a portal of entry for the fungus, or your immune system is compromised because of some underlying health issue, then infection becomes more likely. But how are they best treated? Ina Farrelly is a senior podiatrist at Mile End Hospital in London.We often hear how difficult it is to get a GP appointment. It is an issue that has been picked up recently in the debate about pressure on A + E departments. So how can access be improved? In North Manchester, a group of GPs are trialling web based solutions that blur the boundary between hospital and community and out-of-hours GP clinics and normal surgeries. Dr Frederic Thomason is working on the pilot.
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Oct 22, 2013 • 28min

Diabetes Type II; Obesity; Feedback on Anorexia and Shingles; Lyme Disease

With news that actor Tom Hanks has been diagnosed with Type 2 Diabetes, how far in advance can doctors predict the onset of the condition and what can be done to delay it.And is obesity a disease? It has been classified as such in America, so what are the implications and should the UK follow suit?Plus the first ever conference on Lyme Disease - the tick borne infection that can cause serious complications.
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Oct 15, 2013 • 28min

Vaccinations, One-to-one midwives, Leg ulcers, Asthma inhalers

How would you feel if your child's immunisations were linked to benefits or child care? In Australia, a full set of vaccinations is now a requirement for accessing most types of child care and claiming family tax credit worth around £500 a year. The only exception is if parents ask to be registered as conscientious objectors. Dr Steve Hambleton is President of the Australian Medical Association and explains how well these measures have been received.University of Sydney researchers have just published a new study adding to a body of evidence that pregnant women who see the same midwife require less intervention, have safer outcomes and are more likely to breastfeed their babies. They also save the healthcare system over £300. Professor Cathy Warwick, chief executive of the Royal College of Midwives, tells Inside Health that adoption of this "caseload" model in the UK has been slow.Around half a million people in the UK have some form of leg ulcer, and up until recently many would have them dressed in the community for years, without the underlying cause ever being diagnosed and treated. But this now looks set to change, as new guidance published by NICE recommends that if ulcers last more than two weeks, patients should be referred to a specialist vascular clinic. Like the one at Addenbrooke's Hospital in Cambridge, run by consultant vascular surgeon Mr Paul Hayes.Last year the NHS spent around £800 million on asthma medicines, but research suggests that at least half of people given the most common type of inhaler do not use them properly. This means their asthma remains poorly controlled and the NHS is wasting hundreds of millions of pounds. Mike Thomas is Chief Medical Advisor to Asthma UK.
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Oct 8, 2013 • 28min

Shingles vaccine; Energy drinks; Liver function tests; Anorexia

Margaret McCartney reports on confusion around the new Shingles Vaccine - including how old you have to be to qualify and why there's a lack of supply in some GP surgeries.Why readymade drinks combining caffeine and alcohol have been banned in America.Are the tests GP's use to screen for liver damage falsely reassuring?And a leading authority dispels myths surrounding the causes of anorexia.
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Oct 1, 2013 • 28min

Flu vaccine and narcolepsy, Stoptober, Herbal medicines, Calcium supplements

New research has found an association between Pandemrix, a swine flu vaccine, and a rare sleep disorder in children. Fears about a pandemic of H1N1 flu, so called "swine flu", over the winter of 2009/2010 led to millions of vulnerable people across the UK, including every child under five, being offered a new vaccine. There has since been a dramatic rise in the number of children diagnosed with narcolepsy. Paul Gringras, Professor of Children's sleep medicine and neurodisability at the Evelina Children's Hospital in London, is one of the researchers investigating this link. October 1st marks the start of a mass stop smoking campaign called Stoptober. Last year, 160,000 people gave up for the month, saving themselves £25 million from not buying cigarettes. Inside Health spoke to two of them, Adrian Osborne and Donna Horton. The Traditional Herbal Medicines Registration Scheme was brought in by the Medicines Healthcare Products Regulatory Agency (MHRA) in 2005. But there are concerns that the threshold for this type of licensing is set too low, and is misleading consumers. To debate the issue, Mark Porter is joined by resident sceptic Margaret McCartney and Dr Linda Anderson from the licensing division at the MHRA. It is thought that around five million people in the UK, most of them women, take some form of high dose calcium supplement to keep their bones healthy. But there have been a number of reports linking them to heart attacks and stroke. So what is the latest thinking on their use? Juliet Compston is Emeritus Professor of Bone Medicine at the University of Cambridge School of Clinical Medicine.
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Sep 24, 2013 • 28min

Parkinson's Disease, Breast cancer screening, Slimming pills, Sunscreens, Teeth

Following Billy Connolly's announcement that he has signs of Parkinson's Disease, Inside Health reports from the World Congress of Neurology in Vienna where early diagnosis is top of the agenda.Suncreams and Cancer. After a long hot summer an evidence based look at whether sunscreens really protect against the lethal forms of skin cancer - melanoma.And slimming pills - why have two regulatory bodies on different sides of the Atlantic made different decisions about two diet drugs?As a new NHS information leaflet 'Helping You Decide' is given to women invited for breast screening, Dr Margaret McCartney - who has criticised previous versions - gives her verdict.And a definitive guide to the only true dental emergency - what to do if you or your child knocks out a front tooth.
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Jul 30, 2013 • 28min

Whooping cough; fish oils and prostate cancer; aortic aneurysm screening in men

As last year's increase in Whooping Cough looks likely to continue judging from data coming out of America and Europe, Mark Porter finds out why it's on the rise and who should be concerned. Fish oils and Prostate Cancer - Inside Health responds to listeners' worried by this recent study and scrutinises the findings that hit the headlines. And weighing up the risks and benefits of screening for Aortic Aneurysms.
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Jul 23, 2013 • 28min

NHS Health Checks, Blood Service, Crohn's Disease, Gestational diabetes

Dr Mark Porter reports on NHS Health Checks which are available to everyone between 40 and 74. Public Health England's Professor Kevin Fenton says this could save at least 650 lives, prevent 1600 heart attacks and 4000 cases of diabetes. Inside Health's resident sceptic Dr Margaret McCartney isn't convinced.We examine the truth behind rumours of a blood service sell off.Inside Health visits Addenbrooke's Hospital to answer a listener's query about Crohn's disease.Diabetes in pregnancy is a growing problem with potentially serious consequences for both the mother and baby. Mark meets a team which has developed an app to help women manage their diabetes.

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