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Join Dr George Moncrieff and Dr Roger Henderson on this captivating Rash Decisions podcast series, a fascinating journey for healthcare professionals into the realm of dermatology, bridging the gap in recognising, diagnosing, and treating a wide range of skin conditions. With over 70 years of combined experience in general practice, they delve deep into a diverse range of dermatological conditions, including eczema, psoriasis, rosacea, and acne, to name a few. Explore the epidemiology, sympt ...
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Do you have questions you’re itching to ask your healthcare professional about your skin condition? Welcome to Skin Deep, podcasts hosted by Dr George Moncrieff and Dr Roger Henderson, two experienced GPs with a special interest in Dermatology. Throughout the podcast episodes, they will address some of the questions and concerns they have been presented with during their time in practice. From eczema to psoriasis, acne to rosacea, they will look at the causes, symptoms, and life impacts thes ...
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Melanomas (Part 1) - Melanomas: Risks, Reality and You
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Are you at risk of developing a melanoma? Dr George Moncrieff explains how “one episode of severe sunburn doubles your lifetime risk of melanoma. And using a sunbed ever, just using it once, increases your risk by 20%. And...in young people, in people under 35, that risk is actually increased by 59%.” Listen to this episode where Dr Moncrieff and D…
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Melanomas (Part 2) - Cracking the Melanoma Code
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Do you use ABCD to diagnose malignant melanomas? You may be contributing to the 84% of obviously benign melanomas that are referred to secondary care. Or even worse, you could be missing over two thirds of melanoma. Dr George Moncrieff and Dr Roger Henderson scrutinise ABCD in this podcast episode, working through each letter of the acronym to deci…
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Melanomas (Part 1) - Think you know melanomas? Think again!
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“Over half of all our referrals to dermatology are for suspected skin cancer. But this is the alarming thing, only 6% of those referrals turn out to be either a melanoma or a squamous cell carcinoma...” Dr George Moncrieff. So, as primary care physicians, how can we help to reduce the percentage of benign melanoma referrals? You can start by listen…
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Mental Health (Part 2) - Think skin, think mental health
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Trigger Warning: In this episode, there is mention of suicide and self-harm, which we appreciate may be disturbing for some listeners. Please listen at your own discretion. You’re not alone. In this episode Dr George Moncrieff and Dr Roger Henderson are once again joined by Professor Anthony Bewley, a world authority on the link between the skin an…
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Mental Health (Part 3) - Mind-skin connections
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In this third instalment of our series on mental health and the skin, we, Dr George Moncrieff and Dr Roger Henderson, are joined once again by special guest Professor Anthony Bewley, a distinguished authority in the field of psychodermatology. In this episode, we delve into the fascinating world of mental health conditions that manifest through the…
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Mental Health (Part 1) - Your skin and your mental health
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If there is one thing we want you to take away from this episode, it’s a sense of EMPOWERMENT. For this discussion, Dr George Moncrieff and Dr Roger Henderson are joined by a world authority in how mental health and the skin are linked, Professor Anthony Bewley. The trio chat about the huge impact skin conditions can have on someone's quality of li…
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Mental Health (Part 2) - How skin conditions impact the minds of your patients
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This episode contains some eye-opening statistics revealing the staggering toll the likes of atopic dermatitis, rosacea, acne, psoriasis and alopecia areata take on an individual's mental wellbeing. BUT, the episode doesn’t just shed light on the problem. Dr George Moncrieff and Dr Roger Henderson have enlisted the help of Professor Anthony Bewley,…
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Rosacea can be a potentially distressing condition, so in this episode your hosts, Dr George Moncrieff and Dr Roger Henderson delve straight into lifestyle changes, providing simple yet effective tips to help you manage your condition. Drawing on their extensive experience as GP’s, spanning over 70 years combined, these dermatology experts also dis…
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Rosacea (Part 1) - It's more than a red face
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"What have Rembrandt, the Hollywood actor, W. C. Fields and former president of the United States, Bill Clinton, all got in common?" The answer is rosacea, which affects around 1 in 10 people in the UK. Typically characterised by a flushed face, this common skin condition can have a huge impact on an individual’s mental health and self-esteem. So, …
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Mental Health (Part 1) - Psychodermatology and your patients
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“…the skin is not just the skin. Underneath the skin, there is a person, who is really suffering.” Professor Anthony Bewley. In 2020, the 'Mental Health and Skin Disease' report produced by the All-Party Parliamentary Group on Skin highlighted that 98% of individuals with skin disease reported an impact on their wellbeing, despite this, only 18% re…
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Rosacea (Part 2) – Getting treatment right first time
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“...when you then see the patient who comes in [with] rosacea and they [have] then got the broken capillaries, the blood vessels starting to appear. It's not that my heart sinks when I see those, compared to a patient with simple background flushing, but I start thinking, we're in for a slightly trickier time here to start pulling them back.” Dr Ro…
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Rosacea (Part 1) - The best pub quiz question ever!
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"What do Rembrandt, the Hollywood actor W. C. Fields and the former president Bill Clinton all have in common?" The answer is rosacea, and in this first episode on this common skin condition, your hosts Dr George Moncrieff and Dr Roger Henderson explore how to identify rosacea in your patients, giving you clarity on the clinical presentations to av…
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Acne (Part 2) - Best treatment, zero scarring
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As Dr Roger Henderson aptly puts it, “...The one thing guaranteed to make my heart sink, if I'm walking down the high street, is to see someone with acne scarring... Because you know that, that was preventable.” In this insightful episode, your hosts Dr George Moncrieff and Dr Roger Henderson discuss acne treatments, emphasising the crucial importa…
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“Now many patients of mine do believe that acne, is acne, is acne. But one of the things I have learnt, over too many years of treating them, is that there's a massive range of presentations, including the 'no need to treat, so mild', to the... specialist referral level with horrendous scarring, which I think we've failed, if we get to the scarring…
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Topical Steroids (Part 2) - Everything you wanted to know but were too afraid to ask!
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“Somebody with moderate atopic eczema has nine flares a year, each of those flares, perhaps needing topical steroids for two to five weeks at least. So, they're barely stopping the topical steroids.” Dr George Moncrieff Already you can see how patients can very easily, and unintentionally, be prescribed topical steroids long-term, which they are ne…
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“…we’ve been using topical steroids now for over 70 years, which means they've been around longer than paracetamol. So, we know how to get the best results from them, and we know what to expect from them.” Dr George Moncrieff Or do we? Join our hosts as they unravel the essentials of prescribing topical steroids. Dr George Moncrieff and Dr Roger He…
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Emollients (Part 3) - Emollients everywhere! Which one to choose?
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“...Appropriate use of an emollient reduces overall health costs because the patient's eczema gets better, they have less appointments with doctors, they have less eczema, they're using less steroids, and in the paper that I showed not only were they using less topical steroids, they were using less antibiotics. So, it really is a win. You're using…
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Emollients (Part 2) - It’s all about the emollient
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“Patients sometimes think that an emollient is an emollient. But when we're prescribing, we mustn't forget about splitting them into simple and sophisticated types and actually think about what we're putting on our patient's skin, which sounds an obvious thing to say, but it really is horses for courses” - Dr Roger Henderson. Following on from the …
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Emollients (Part 1) - Refreshing dry skin!
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Before we attempt to understand the critical role that emollients play in the management of dry skin conditions, we first need to understand our largest organ, the skin. Dr Moncrieff and Dr Henderson delve deep into the remarkable structure that is our skin, looking at how this organ punches way beyond its weight simply because it’s the part of the…
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Eczema (Part 3) - Moving up the scale of eczema treatment
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In this final episode on eczema, Dr George Moncrieff and Dr Roger Henderson share their thoughts on eczema treatments, including topical steroids and immunomodulators. Alongside many other practical tips, the key takeaways from this episode include: Advice on which, when, and how much topical steroid to prescribe to patients with eczema and how the…
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Eczema (Part 2) - Rethinking eczema treatment (and throw the soap away!)
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Join Dr Moncrieff and Dr Henderson as they discuss their assessment process for patients with eczema. Not only does this involve looking at the skin but also taking into account patient quality of life, their psychosocial wellbeing, as well as the importance of developing a bond with your patients through touch in this very tactile condition before…
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Eczema (Part 1) - It’s not just itchy skin
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In the first episode of this three-part series on eczema Dr Henderson and Dr Moncrieff examine the various factors that have contributed to the rapid increase in eczema since World War II as well as the relationship between atopic eczema, asthma, and hay fever, known as the atopic march. They will examine the causes and diagnosis of eczema in child…
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Psoriasis (Part 3) - Managing the tricky patterns
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In this final instalment of our three-part series on psoriasis, Dr George Moncrieff and Dr Roger Henderson discuss the management of challenging psoriasis patterns such as guttate psoriasis, flexural psoriasis, nail psoriasis, psoriatic arthritis and palmoplantar pustulosis. In addition, the experts explore the impact of psoriasis on patients' self…
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Psoriasis (Part 2) - Getting the scale of treatment right
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This second episode is bursting with the possible treatment options available in primary care for the management of psoriasis. Join Dr George Moncrieff and Dr Roger Henderson as they discuss how they get their patients psoriasis under control using coal tars, topical steroids, vitamin D analogues, and their favourite combination product, whilst tou…
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Join the incredible duo, Dr George Moncrieff and Dr Roger Henderson as they draw upon their 70 years of combined GP experience to dive deep into the world of skin. Each episode will tackle a particular skin condition, shedding light on its causes, symptoms, and most importantly, effective treatments, as used by doctors. Covering eczema, psoriasis, …
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Psoriasis (Part 1) - More than just a troublesome rash
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Tune in as Dr George Moncrieff and Dr Roger Henderson discuss psoriasis in this first of three episodes where they explore the causes, prevalence, triggers, and psychological impacts this inflammatory disease has on patients' lives. Thank you to our kind sponsor AproDerm, providing a comprehensive range of quality emollients that are designed for t…
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Aimed at healthcare professionals and co-hosted by Dr George Moncrieff and Dr Roger Henderson, these Rash Decisions podcasts will delve deep into the world of dermatology. This immersive series will help to strengthen your understanding and broaden your skill set in this vitally important clinical area by bridging the gap in recognising, diagnosing…
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