NB Hot Topics Podcast

Welcome to the latest Hot Topics podcast from NB Medical with Dr Neal Tucker.  In this episode, we have the latest news including how the public view the NHS and what's happening to the GP contract for English practice. In research, we have a fascinating paper in the BMJ exploring what differences have emerged in recorded outcomes between England and Scotland since the latter abolished QOF, an answer on whether coffee is bad for you (or at least your heart in the short term), and a new class of drug to help with vasomotor symptoms in menopause.ResourcesBMJ QOF paperNEJM Caffeine and the HeartLancet Fezolinetant and hto flushesNHSE GP is the best job ever pagewww.nbmedical.com/podcast

Welcome to the Hot Topics Podcast with host, Dr Neal Tucker.  In this bumper edition, we have the next in our Just One More Thing series. We interview Dr Sam Merriel in collaboration with Prostate Cancer UK, talking about what we need to know in the world of prostate cancer. Should we be screening? Do we need to think beyond PSA? Does new technology change our approach? In the news, we look at the latest RCGP data on workload and whether GPs will strike, while in research we have a BJGP paper on why antimicrobial stewardship interventions may not have the impact in real life that they do in trials, a BJGP analysis of nitrofurantoin (and other antibiotic) failure in men with UTI, and a NEJM paper testing whether thiazides help renal stones.References:Free on demand NB Clinic with Prostate Cancer UK, March 2022PCUK Resources for Health Professionals PCUK Resources for Delivering the PCN DESPCUK 30 second Risk Checker for PatientsResearch discussed by Sam Merriel...Lifetime risk of PCa by major ethnic group in England...Family history risk for PCa...Genetic risk scores for PCa in patient with LUTSBJGP Implementing Antimicrobial Stewardship in GPBJGP Nitrofurantoin failure in men with UTINEJM Hydrochlorthiazide and renal stoneswww.nbmedical.com/podcast

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

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

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

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

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

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

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

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