BMJ Best Practice Podcast

BMJ Group
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14 snips
Aug 21, 2025 • 24min

Asthma in children

Helen Brough, a Consultant in Paediatric Allergy at King’s College London, discusses the challenges of diagnosing asthma in children, emphasizing nocturnal cough as a key symptom. She outlines critical management strategies, including the use of inhaled corticosteroids and the necessity of recognizing triggers. The conversation touches on the impact of air pollution on rising asthma rates and the misconceptions about outgrowing the condition. Brough also highlights innovative solutions like smart inhalers to improve adherence and overall care.
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11 snips
Jul 22, 2025 • 21min

Factitious disorders

Join James Levenson, a Professor of Psychiatry at Virginia Commonwealth University and author on factitious disorders, as he unravels the complexities of this elusive condition. Delve into the diagnostic detective work needed to differentiate factitious disorder from genuine illnesses, including the significance of specific medical details. The discussion also touches on the moral dilemmas when children are involved and how social media can complicate situations. Levenson highlights the balance required in treating patients who present deceptive histories, intertwining empathy with skepticism.
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Jun 24, 2025 • 27min

Down syndrome

Kishore Vellody, a Professor of Pediatrics at the University of Pittsburgh, sheds light on Down's syndrome, the most common genetic cause of intellectual disability. He discusses the importance of high-quality healthcare and the advancements in prenatal screening that enable earlier diagnoses. Vellody delves into the complexities of managing Down syndrome, highlighting the need for specialized care and genetic counseling. He also addresses cognitive decline in affected individuals and emphasizes compassionate communication with families during diagnosis.
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13 snips
May 29, 2025 • 29min

Generalised seizures in adults

Join Daniel Winkel, Assistant Professor of Neurology at Emory University, as he dives into the world of generalized seizures. With 45.9 million people living with epilepsy globally, the discussion highlights the serious implications of recurrent unprovoked seizures. Discover different seizure types beyond tonic-clonic, the essential role of accurate diagnosis, and how individual factors affect treatment choices. Daniel also examines the interplay between antidepressants and seizures, emphasizing timely interventions and the need for better research in this vital area.
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May 5, 2025 • 20min

Measles, mumps and rubella vaccination

Helen Bedford, a leading expert on children's health from UCL Institute of Child Health, discusses the crucial role of the MMR vaccine in preventing serious illnesses. She highlights the alarming resurgence of measles due to low vaccination rates and debunks the myth linking the MMR vaccine to autism. Bedford emphasizes the importance of achieving community immunity and encourages women planning pregnancy to ensure they are vaccinated. The conversation sheds light on addressing vaccine hesitancy and the need for effective communication in public health.
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Apr 8, 2025 • 20min

Hypercholesterolemia

Thorsten Leucker, Assistant Professor at Johns Hopkins University, dives into the critical issue of hypercholesterolemia, a condition affecting many adults. He discusses how to effectively assess and manage cholesterol levels, emphasizing the importance of lifestyle modifications and tailored treatments. Leucker also highlights new cholesterol-lowering therapies like PCSK9 inhibitors and the necessity of genetic testing for familial hypercholesterolemia. Additionally, he addresses myths about statin side effects, reassuring listeners of their safety.
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Mar 24, 2025 • 28min

BMJ Best Practice and patient safety

Clare Mock, Clinical Engagement Physician at BMJ, shares her insights on patient safety and quality improvement in healthcare. She discusses the evolution of safety measures since the pivotal 'To Err is Human' report. Clare highlights the importance of evidence-based resources for healthcare providers and the role of clear communication in preventing medical errors. She also addresses challenges like burnout among clinicians and the need for compassionate approaches to learning from mistakes, aiming to improve practices and overall well-being in the healthcare landscape.
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12 snips
Mar 13, 2025 • 22min

Hyperkalemia

Sri Yarlagadda, an Associate Professor in the Division of Nephrology at the University of Kansas Medical Center, dives into the complexities of hyperkalemia. He discusses its serious implications, including life-threatening cardiac arrhythmias, emphasizing the importance of accurate assessment and diagnosis. The impact of sample integrity on test results is highlighted, along with challenges in managing potassium levels, particularly in palliative care. Yarlagadda also shares insights on dietary considerations and the distinctive signs of conditions like Addison's disease.
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20 snips
Feb 24, 2025 • 23min

Hypothyroidism

In this engaging discussion, Dr. Wail Malaty, a family physician from Houston and an expert author on hypothyroidism, sheds light on the condition's prevalence and its far-reaching effects. He emphasizes the critical importance of accurate diagnosis through TSH and free T4 tests. The conversation delves into effective management strategies, including personalized levothyroxine dosing and the nuances surrounding persistent symptoms despite normal TSH levels. Dr. Malaty also addresses the challenges faced in treating subclinical hypothyroidism and pregnant patients.
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Feb 10, 2025 • 20min

Wrist fracture

Michael Barrett, a Consultant Trauma and Orthopaedic Surgeon at Cambridge University Hospitals, shares his expertise on wrist fractures. He highlights the prevalence of these injuries in older women with osteoporosis and younger men after high-impact events. The discussion covers essential diagnostic techniques, particularly for distal radius and scaphoid fractures. Barrett underscores the importance of effective management and challenges, including pain relief strategies and the care of patients with comorbidities, making it clear that accurate diagnosis and follow-up care are crucial.

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