NB Hot Topics Podcast

NB Medical Education
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Feb 17, 2023 • 29min

S4 E8: JOMT Interview with PCRS chair, Dr Katherine Hickman; pushing bad pills, eye drops for myopia, CVD risk prediction in cancer survivors

Welcome to the Hot Topics podcast with Dr Neal Tucker.  In this episode, we speak to Dr Katherine Hickman, current chair of the Primary Care Respiratory Society, who answers our three Just One More Thing questions on what we need to know about from primary, secondary and future care with asthma. In new research, we discuss a paper on how pharmaceutical companies spend more money promoting less effective drugs, how atropine eye drops in children can delay myopia, and whether cancer risk prediction tools are accurate in cancer survivors with their inherently raised CVD risk. www.nbmedical.com/podcast ReferencesPrimary Care Respiratory Society - if you want to know more!JAMA Drug spending on low clinical benefit drugsJAMA Atropine eye drops in kids to delay or prevent myopiaLancet CVD risk prediction tool accuracy in cancer survivorswww.nbmedical.com/podcast
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Jan 27, 2023 • 20min

S4 E7: NHS in crisis, still... Molnupiravir for acute covid, healthy lifestyle for dementia, patient perspective on FIT

Welcome to another HOT TOPICS podcast from NB Medical with Dr Neal Tucker.  In the podcast cast we reflect on the latest commentaries from the political parties and medical organisations on how they can help with the NHS crisis. We can’t promise a solution, but we can help you stay up to date with the world of research. This week we have new research in the Lancet examining whether molnupiravir actually helps acute covid, whether dementia can be prevented through a healthy lifestyle even if you have high risk genes, and what patients actually feel about FIT tests and we the way we use them in GP. For our latest courses and much more go to www.nbmedical.comReferencesLancet acute covid treatmentBMJ Dementia and healthy livingBJGP Patients perspective on FITwww.nbmedical.com/podcast
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Dec 23, 2022 • 2min

S4 E6: The GP Wonderland Song

Welcome to the latest NB Hot Topics podcast. It’s Christmas and no one needs anything too serious. Enjoy the song. Happy holidays everyone! See you in 2023.Nealwww.nbmedical.com/podcast
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Dec 2, 2022 • 26min

S4 E5: Thinking distal DVTs; High dosage in Heart Failure; Just One More Thing... Rachel Ainley discusses IBD

Welcome to a new episode of the Hot Topics Podcast from NB Medical with Dr Neal Tucker.  In this podcast, we look at new research in the BMJ on optimal duration to treatment distal DVTs (wait... do we even check for these...?), and the Lancet examines the benefits of high-dose chronic heart failure therapies after acute decompensation. In Just One More Thing... this episode we are joined by Dr Rachel Ainley, head of research and evidence at Crohn's & Colitis UK to find out what's new in Inflammatory Bowel Disease. You'll find links to the RCGP IBD toolkit and C&CUK's awareness campaign below. ReferencesRCGP IBD Toolkit C&CUK Professional ResourcesBMJ Distal DVT paperLancet Post-Acute Heart Failure Dosagewww.nbmedical.com/podcast
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Nov 18, 2022 • 28min

S4 E4: Continuity; maternal mortality; Just One More Thing: Sarah Davies discusses diabetes

Welcome to the new Hot Topics podcast from NB Medical with Dr Neal Tucker.  We're dealing with heavy topics today - the Autumn Statement, how losing continuity is detrimental to patient care, maternal mortality in the UK - but we've tried to keep it light in other ways including our new segment: Just One More Thing In Just One More Thing we interview primary care experts across a range of specialties asking 3 questions: what one thing do we need to know about in general practice regarding your specialty, what one thing do we need to know about that's happening in secondary care, and what is pushing the boundaries of medical care in your field. This week we talk to Dr Sarah Davies about diabetes.In research, we consider the implications of two BJGP papers on correlations between practices and patient continuity, while in the BMJ this week a new paper highlights a significant discrepancy in maternal mortality ratios between 8 European countries. Are there lessons for general practice here?ResourcesBJGP Continuity paper no.1BJGP Continuity paper no.2BJGP EditorialBMJ Maternal Mortality paperBMJ MM Editorialwww.nbmedical.com/podcast
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Oct 21, 2022 • 26min

S4 E3: Pension Song #1; BP meds at night?; CVD screening; "Future of General Practice" report; patient record access

Welcome to a new NB Hot Topics Podcast with Dr Neal Tucker.  Amongst all the political turmoil, healthcare must go on. In this episode, we look at:The new government report (someone's still working, for better or for worse) on the Future of General PracticeThe implications practices need to be aware of for Patient Record Access starting 1st NovemberNew research on the best time to take BP meds and whether cardiovascular screening using CTs & more is helpful.References:Future of GP ReportLancet TIME studyNEJM CVD Screening in Danish Menwww.nbmedical.com/podcast
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Sep 30, 2022 • 20min

S4 E2: Gestational Diabetes, CVD risk & modifiable factors; roflumilast for psoriasis; bronchodilators for non-COPD smoking symptoms

Welcome to the new Hot Topics podcast from NB Medical with Dr Neal Tucker.  After a whirlwind week where general practice has been populistically politicised on all sides, in this episode we stay on safer ground and look at new research. The BMJ highlights the future risk of cardio- and cerebrovascular disease after gestational diabetes, even without overt diabetes, but offers some good news regarding the optimisation of risk factors. JAMA introduces roflumilast for chronic psoriasis, as a cream, not a tablet. And the NEJM explores whether there is a role for bronchodilators in people with COPD who don't have COPD - symptomatic smokers with preserved lung function.ReferencesBest research title of the podcast awardBMJ GDM and CVD riskBMJ GDM and modifiable risk factorsJAMA Roflumilast for psoriasisNEJM Bronchodilators for smoking Sx with preserved lung functionwww.nbmedical.com/podcast
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Sep 9, 2022 • 23min

S4 E1: Supplements + sweeteners aren't good for your health, autoimmune disease & CVD risk, statin & muscle pain, open source diabetes

Welcome back to the new series of the Hot Topics podcast from NB Medical with Dr Neal Tucker.  A sober start with the death of the Queen yesterday and reflecting on the pressures of general practice and the profoundly sad story of Gail Milligan. But the progress of medicine never stops and there is research to discuss:Papers in the BMJ on whether artificial sweeteners cause harm, and whether supplementing vitamin D really does reduce respiratory and covid infection risk.A Lancet paper on autoimmune disease and an increase in cardiovascular risk, but in whom and how much?Another Lancet paper on the actual rates of statin-induced muscle pain (a little but not a lot...)And a NEJM on whether hacking diabetes monitors and insulin pumps is a safe thing to do.Plus until the 12th of September, we have our Back to School NB Plus offer which you can find here.ReferencesBMJ SweetenersBMJ Vit DBMJ Cod liver oilLancet autoimmune & CVD riskLancet statins & muscle painNEJM Open-source automated insulin delivery systemswww.nbmedical.com/podcast
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Aug 3, 2022 • 20min

S3 E15: Gout and CV events; early identification of colorectal cancer; barriers to shared decision making in multimorbidity

Welcome to a new Hot Topics Podcast from NB Medical with Dr Neal Tucker.  It's the summer holidays! We hope a little pressure is off at your practices and you might even get a break yourself.  In this podcast, we discuss the latest news including whether GPs simply aren't working hard enough and debate a £10 charge for DNAs.In research, we look at new data from JAMA suggesting patients are at increased risk of MI shortly after a flare of gout, a fantastic paper in the BJGP presenting data showing how it may be possible to improve early identification of colorectal cancer based on common symptoms and blood results, and more from the BJGP with qualitative research exploring the barriers to shared decision making in patients with multimorbidity. ReferencesJAMA Gout and acute CVDBJGP Early Identification of CRCBJGP Shared decision making and multimorbiditywww.nbmedical.com/podcast
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Jul 8, 2022 • 25min

S3 E14: The "Sorry, I'm Not Sorry" Song; bye bye Boris; prescribing for anxiety, bariatric surgery to reduce cancer, RSV vaccine

Welcome to another Hot Topics podcast from NB Medical with Dr Neal Tucker leading you through the latest news and research in general practice.  Of course, we must touch on the demise of Boris Johnson and how he might still be in power if he'd just learned a thing or two from general practice. Meanwhile, in research, we look at prescribing trends in anxiety disorders, whether bariatric surgery can reduce cancer risk in overweight people, and two papers on covid vaccination against Omicron, first on efficacy in kids, second on the relative merits of vaccination vs natural immunity,  plus could a new vaccine for RSV be just around the corner?And with hot weather finally coming to the UK,  time to remind ourselves about the symptoms and signs of heat-related illness in our KISS from NB. References:BJGP Trends in anxiety medications JAMA Bariatric surgery and cancer riskNEJM Covid vaccine in kidsNEJM Covid vaccination vs natural protection vs hybrid immunityNEJM RSV vaccine studywww.nbmedical.com/podcast

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