Send us a textWe welcome Dr Graham Dunthorn to the podcast who is a GPwSI in Pain management.  During the podcast we define chronic pain, symptoms and types of pain.  We discuss assessment of a patient with fibromyalgia including history taking, diagnosis , investigations , red flags and referral. As always thank you for your help with the podcast Scott and thank you to our guest Graham for giving us his time on the podcast.NICE Guidelines Chronic Painhttps://www.nice.org.uk/guidance/ng193Royal College of Physicians  https://www.rcp.ac.uk/improving-care/resources/the-diagnosis-of-fibromyalgia-syndrome/Diagnosis of FibromyalgiaTo make a diagnosis using the ACR 2016 criteria the following need to be present  1 - Widespread pain index (WPI) ≥7 and symptom severity scale (SSS) score ≥5 OR WPI 4–6 and SSS score ≥9. 2 - Generalised pain, defined as pain in at least 4 of the 5 body regions, is present 3 - Symptoms have been present at a similar level for at least 3 months. Symptoms Severity Score (SSS) and Widespread Pain Index (WPI) calculator https://rheumcalc.com/fibromyalgia/Live Well With Painhttps://livewellwithpain.co.uk/Flippin Painhttps://www.flippinpain.co.uk/Pain Toolkithttps://www.paintoolkit.org/Rethink Pain https://rethinkingpain.org/Fibromyalgia UKhttps://www.fmauk.org/

Send us a textWe welcome Dr Graham Dunthorn to the podcast who is a GPwSI in Pain management.  During the podcast we define chronic pain, symptoms and types of pain.  We discuss assessment of pain including ; onset, reviewing medications, investigations and referral.  We then utilise Graham's knowledge to discuss a patient with chronic lower back pain.As always thank you for your help with the podcast Scott and thank you to our guest Graham for giving us his time on the podcast.Reviewing patient medicationis the medication recommended?is it effective? is it safe? is it wanted ? Low back pain and sciatica in over 16s: assessment and managementhttps://www.nice.org.uk/guidance/ng59Chronic pain (primary and secondary) in over 16s: assessment of all chronic pain and management of chronic primary painhttps://www.nice.org.uk/guidance/NG193Osteoarthritis in over 16s: diagnosis and managementhttps://www.nice.org.uk/guidance/ng226Neuropathic pain in adults: pharmacological management in non-specialist settingshttps://www.nice.org.uk/Guidance/CG173Pain Concernhttps://painconcern.org.uk/Live Well With Painhttps://livewellwithpain.co.uk/Pain Consortiumhttps://www.painconsortium.nih.gov/Coventry and Warwickshire Training Hubhttps://www.cwtraininghub.co.uk/

Send us a textWe welcome Dr Jeff Forster who is a GP with a specialism in men's health to the podcast. We use Dr Jeff Forster's knowledge to discuss a 2 cases including testicular swelling and testosterone deficiency.  We discuss pertinent history, investigations , red flags and referrals.  Hope you enjoy the episode. Thank you as always Scott for you help!The British Society for Sexual Medicine Guidelines on Male Adult Testosterone Deficiencyhttps://pubmed.ncbi.nlm.nih.gov/36876744/NICE - Scrotal Pain and Swelling https://cks.nice.org.uk/topics/scrotal-pain-swelling/Testosterone Calculator https://www.pctag.uk/testosterone-calculator/The TIMES2 studyTestosterone Replacement in Hypogonadal Men With Type 2 Diabetes and/or Metabolic Syndrome (the TIMES2 Study) | Diabetes Care | American Diabetes Association (diabetesjournals.org)H3 Healthhttps://www.h3health.co.uk/Coventry and Warwickshire Training HubHome - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)College of Paramedic https://collegeofparamedics.co.uk/

Send us a textWe welcome Dr Jeff Forster who is a GP with a specialism in men's health to the podcast.  During the episode we discuss what men's health is and why it is important in general practice.  We then use Dr Jeff Forster knowledge to discuss a case of a patient with Lower Urinary Tract Symptoms, including pertinent history, investigation , red flags and referrals.  Thank you as always Scott for you help!NICE guidelines LUTShttps://cks.nice.org.uk/topics/luts-in-men/Patient UKhttps://patient.info/mens-health/prostate-and-urethra-problems/lower-urinary-tract-symptoms-in-menProstate cancer screening with prostate-specific antigen (PSA) test: a systematic review and meta-analysishttps://www.bmj.com/content/362/bmj.k3519.abstractH3 Health https://www.h3health.co.uk/Coventry and Warwickshire Training Hub Home - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)College of Paramedic https://collegeofparamedics.co.uk/

Send us a textWe are joined on the podcast by Dr Caroline Wrigley who is a GPwSI and personal interest in ADHD.  During the episode we discuss ADHD, the importance of recognition, assessment and referral.  We discuss pertinent history, referral and red flags.  Caroline also gives some methods to help parents and patients with possible ADHD following her own experience and research.As always thank you Scott for your help and support.Please contact us if you wishCaroline Wrigley - c.wrigley@nhs.netRichard Tennant - richard.tennant@nhs.netNICE Guidelines https://cks.nice.org.uk/topics/attention-deficit-hyperactivity-disorder/ Screening toolsASRS v1.1 for ADHD (score 4+ is significant)  - https://www.mdcalc.com/calc/1730/adult-self-report-scale-asrs-adhdPatient-generated document detailing ADHD symptoms according to diagnostic criteria, includes ASRS - https://thinkadhd.co.uk Screening questionnaires for parents/teachers of children aged 6-18:SNAP-IV 26 for ADHD (see results for significance of scores) - https://www.mdapp.co/snap-iv-teacher-and-parent-rating-scale-18-and-26-items-calculator-491/ Information ·         Driven to Distraction by Ed Hallowell MD and John Ratey MD – Book/Audiobook·         Taking charge of adult ADHD by Russell Barkley – Book/Audiobook·         ADHD Aha! by Understood – Podcast ·         The Disruptors – Documentary film·         ADDitude magazine - https://www.additudemag.com  ADHD in women and girls:·         ADHD As Females – Podcast·         ADHD for smart ass women by Tracy Otsuka – Podcast·         Unmasked by Ellie Middleton – Book/Audiobook ·         Earthed by Rebecca Schiller – Book/Audiobook·         Moodswings, Meds and Mared – Documentary (Welsh with subtitles) https://m.youtube.com/watch?v=Y4aDWG-AXCo  

Send us a textWe are joined on the podcast by Dr Caroline Wrigley who is a GPwSI and personal interest in autism.  During the episode we discuss autism, the importance of recognition, assessment and referral.  We discuss pertinent history, referral and red flags.  Caroline also given some methods to help parents and patients with possible autism follow her own experience and research.As always thank you Scott for your help and support.Please contact us if you wish Caroline Wrigley - c.wrigley@nhs.net Richard Tennant - richard.tennant@nhs.netNICE guidelines Autism in children https://cks.nice.org.uk/topics/autism-in-children/NICE guidelines Autism in Adults https://cks.nice.org.uk/topics/autism-in-adults/The Explosive Child (book)https://www.amazon.co.uk/Explosive-Child-Sixth-Understanding-Chronically/dp/0063092468/ref=asc_df_0063092468?tag=bingshoppinga-21&linkCode=df0&hvadid=80470608947562&hvnetw=o&hvqmt=e&hvbmt=be&hvdev=c&hvlocint=&hvlocphy=&hvtargid=pla-4584070152008036&psc=1Autism West MidlandsAutism West Midlands | Supporting the Autistic CommunitySIGN patient information bookletshttps://www.sign.ac.uk/patient-and-public-involvement/patient-publications/autism/Neurotribes by Steve Silberman – Book/AudiobookWhat I want to talk about: How autistic special interests shape a life & Untypical by Pete Wharmby – Book/AudiobookChris Packham’s Inside our autistic minds - BBC documentary Autism in women and girlsAutism, girls and keeping it all inside white paper by the Autistic Girls Networkhttps://autisticgirlsnetwork.org/wp-content/uploads/2022/03/Keeping-it-all-inside.pdfOdd Girl Out: An autistic woman in a neurotypical world by Laura James – Book/AudiobookStrong female character by Fern Brady – Book/AudiobookUnmasked by Ellie Middleton – Book/Audiobook Christine McGuinness: Unmasking my autism – BBC documentary Screening questionnaires for adults age 16+ without intellectual disabilityASQ-10 for autism (score of 6+ meets NICE criteria for referral) - https://embrace-autism.com/aq-10/ ASQ-50 for autism (score of 26+ significant) - https://embrace-autism.com/autism-spectrum-quotient/

Send us a textRichard is joined by Dr Ayesha Mahmud who is a GP with a specialist and personal interest in learning disabilities.  During the episode we discuss cases including low mood, memory loss and menopause.  We use these case studies to discuss pertinent history taking, investigations and referral.Hope you enjoy the episode.Please feel free to contact us if you have any questionsrichard.tennant@nhs.netayesha.mahmud@nhs.netThank you as always to Scott for you help and support.EHCP and related SEN serviceshttp://www.coventry.gov.uk/homepage/1636/special-educational-needs-and-disabilitieshttps://www.coventry.gov.uk/sendlocalofferhttps://www.coventry.gov.uk/coventrys-special-educational-needs-disability-send-local-offer/statutory-assessmenthttps://www.coventry.gov.uk/special-educational-needs-disabilities/childrens-disability-registerhttps://www.coventry.gov.uk/special-educational-needs-disabilities/early-support-children-5-disabilitieshttps://www.coventry.gov.uk/coventry-send-support-serviceHealth Information about annual health checks:https://www.covwarkpt.nhs.uk/learning-disability-services ScreeningEasy to access resources to understand the screening process:Cervicalhttps://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/790791/CSP05_an_easy_guide_to_cervical_screening.pdfBreasthttps://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1166565/An_easy_guide_to_breast_screening_June23.pdfhttps://phescreening.blog.gov.uk/2019/12/20/learning-disabilities-breast-screening-film/Bowelhttps://static1.squarespace.com/static/551cfff9e4b0f74d74cb307e/t/6091495eccfeef0790ab2467/1620134242898/An+Easy+Guide+to+Bowel+Cancer+Screening+-+2021.pdfEasy read health informationBeyond Wordshttps://booksbeyondwords.co.uk/resources-dlIt has resources about screening, health checks and also resources with pictures for people who are unable to read.There are resources about dealing with grief, bullying and law.Breast screeningCervical screeningColonoscopyBowel screeningTesticular self examinationVisiting Sexual health clinicBowel movement and stoolsCollege of ParamedicsPrimary and Urgent Care (collegeofparamedics.co.uk)Coventry and Warwickshire Training HubHome - Coventry & Warwickshire Training Hub

Send us a textRichard is joined by Dr Ayesha Mahmud who is a GP with specialist  and personal interest in learning disabilities.  During the episode we define learning disabilities, why it is important to clinical practice and what should be included in learning disability reviews.  We then discuss a case including with Dr Ayesha of a concerned patient which includes pertinent history, investigations and referral.Please feel free to contact us if you have any questionsrichard.tennant@nhs.netayesha.mahmud@nhs.netThank you as always to Scott for you help and support.EHCP and related SEN serviceshttp://www.coventry.gov.uk/homepage/1636/special-educational-needs-and-disabilitieshttps://www.coventry.gov.uk/sendlocalofferhttps://www.coventry.gov.uk/coventrys-special-educational-needs-disability-send-local-offer/statutory-assessmenthttps://www.coventry.gov.uk/special-educational-needs-disabilities/childrens-disability-registerhttps://www.coventry.gov.uk/special-educational-needs-disabilities/early-support-children-5-disabilitieshttps://www.coventry.gov.uk/coventry-send-support-serviceHealth Information about annual health checks:https://www.covwarkpt.nhs.uk/learning-disability-services ScreeningEasy to access resources to understand the screening process:Cervicalhttps://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/790791/CSP05_an_easy_guide_to_cervical_screening.pdfBreasthttps://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1166565/An_easy_guide_to_breast_screening_June23.pdfhttps://phescreening.blog.gov.uk/2019/12/20/learning-disabilities-breast-screening-film/Bowelhttps://static1.squarespace.com/static/551cfff9e4b0f74d74cb307e/t/6091495eccfeef0790ab2467/1620134242898/An+Easy+Guide+to+Bowel+Cancer+Screening+-+2021.pdf8. Easy read health informationBeyond Wordshttps://booksbeyondwords.co.uk/resources-dlIt has resources about screening, health checks and also resources with pictures for people who are unable to read.There are resources about dealing with grief, bullying and law.Breast screeningCervical screeningColonoscopyBowel screeningTesticular self examinationVisiting Sexual health clinicBowel movement and stoolsCollege of ParamedicsPrimary and Urgent Care (collegeofparamedics.co.uk)Coventry and Warwickshire Training Hub

Send us a textRichard welcomes back Dr Mai Elftise to the podcast to discuss Equity, Diversity, Inclusion & Belonging (EDIB) in General Practice.  During the episode Mai defines EDIB , including the legislation and what this means in  General Practice.  We then discuss how EDIB can affect patient assessments and how to you may consider adapting your consultations.Thank you to Scott for your help and support as as well.Please feel free to leave comments and suggestions or content us via email or x. Richard Tennant - richard.tennant@nhs.netMai Elftise - m.elftise@nhs.netEquality Act 2010 -  Equality Act 2010 (legislation.gov.uk)Protected characteristicsAgeDisabilityGender reassignmentMarriage and civil partnershipRaceReligion or beliefSexSexual orientationUnconscious bias Understanding different types of bias — Conscious inclusion - Equality, diversity and inclusion - About (hee.nhs.uk)The Weathering Hypothesis The weathering hypothesis as an explanation for racial disparities in health: a systematic review - ScienceDirectNHS EmployersEquality, diversity and inclusion | NHS EmployersCoventry and Warwickshire Training HubHome - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)

Send us a textRichard is joined by regular MSK specialist - Ed Baker, FCP Physio and ambassador for the episode. During the episode Ed discus's the assessment of patients with  possible shoulder pathology.  This includes history taking, physical examination , investigations, red flags and referral.  Ed then discus's cases in including subacromial impingement syndrome and frozen shoulder. As always thank you Scott for your help and support.Please feel free to leave comments and contact us about the show.Shoulder Pain NICE guidelines Shoulder pain | Health topics A to Z | CKS | NICECollege of ParamedicsHome (collegeofparamedics.co.uk)Coventry and Warwickshire Training HubHome - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)Limb Examination DayLimb Examination Day - 16 August 2024 - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)