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Primary Care Knowledge Boost

Primary Care Knowledge Boost

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All things General Practice! Join doctors Sara and Lisa as they interview specialists from around Greater Manchester with the aim of improving the confidence and knowledge of local primary care clinicians. The podcast has been made possible due to the support of Wigan CCG and GP Excellence in Greater Manchester.
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Exposing the Lies That Are Making Us Sicker and Fatter Tired of the endless cycle of diet trends and health fads that promise the world but deliver nothing? Ever wonder why, despite doing all the things you've been told to do, you're not seeing the results you expect, or worse, finding yourself battling unexplained chronic health issues? Welcome to The Sickening Truth, where we peel back the layers of nutrition and health misinformation, masking the truth (like meds for symptoms) about what' ...
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***SUMMER REWIND - INITIALLY RELEASED ON 31ST JAN 2024*** To get in touch: primarycarepodcasts@gmail.com Doctors Lisa and Sara talk to Senior Pharmacist Sarah Hafeez about Polypharmacy. She explains the difference between inappropriate and appropriate polypharmacy before talking through some typical cases that illustrate several examples of common …
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Doctors Lisa and Sara talk to Dr Joanna Bircher, Dr Nikesh Vallabh, Shelley Ryder (SWAN PCN Manager and Transformation Lead) and Dr Fran Fitton. We find out what proactive care is all about and then launch into example projects around dementia care that Shelley and Fran are involved in. We hope this gives people a flavour of what proactive care pro…
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Doctors Lisa and Sara talk to Palliative Care Consultant Lesley Henson and Specialty Doctor Caitriona MacDermott for a discussion on common issues Primary Care Clinicians face when dealing with patients at the end of life and their families. We discuss Hospice admission criteria and the role of the hospice. We then look at how they approach questio…
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Doctors Lisa and Sara talk to Palliative Care Consultant Lesley Henson and Specialty Doctor Dr Caitriona MacDermott about Breathlessness as a symptom in Palliative Patients. We start with a case to look at an approach to a patient with deteriorating breathlessness, before discussing a diagnosis of refractory breathlessness. We explore the importanc…
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Doctors Lisa and Sara talk to Dr Saadat Ahmed, ST5 in Geriatrics for a deep dive into Osteoporosis. We cover what it is, why it matters, what the risks factors are, who and how to assess for it, and what to do with results from FRAX and DXA scans. After a discussion on lifestyle options to help improve bone health, we ask advice on counselling pati…
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Doctors Lisa and Sara talk to GPs Dr Joanna Bircher, Dr Lucy Spurrell and Dr Dario Rydel about their experiences in different roles in General practice; salaried, partner and locum. The aim of the episode is for GPs or GP trainees listening to get a flavour of their experiences and to understand the pros and cons of each of those roles in general p…
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More than 750 older Americans are hospitalized every day due to severe side effects from their medications. Many of them will die prematurely as a result. In this episode of Driven to Discover, host Laurie Kaiser talks to David Jacobs, an assistant professor of pharmacy practice at the University at Buffalo, about the systemic failures in our healt…
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Doctors Lisa and Sara talk to Dr Tim Dalton, a GP in Wigan, and Chair of the Greater Manchester GP Provider Board. The focus of today’s episode is all about how general practice is funded. They cover how it is different from other NHS settings, the sources of income in general practice and the flow of money through the system, DES’, LES’ and QOF, t…
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Doctors Lisa and Sara are joined this week by Satty Boyes (Senior programme manager) and Lorna Laflin (Previous Practice Manager who works with the GP Excellence team). They discuss a new platform in Greater Manchester for the non-clinical workforce within General Practice, which allows staff to explore progression pathways, track their professiona…
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Welcome to a powerful and enlightening episode of The Sickening Truth, where we unravel the misconceptions surrounding hypertension, a condition that grips millions with fear and uncertainty. Today's story of Shelly, a 42-year-old woman blindsided by a hypertension diagnosis, sets the stage for a deep dive into the real causes and reversible nature…
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Doctors Lisa and Sara talk to Specialty Doctor Caitriona MacDermott about anticipatory prescribing for Palliative patients. An area where there has been much learning over the last several years, it is a good opportunity to get some teaching on why this is the case, the stages involved in recognition and addressing symptoms at the end of life, the …
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Welcome to the latest episode of The Sickening Truth, where we cut through the noise and bring clarity to the confusing world of health and nutrition. Today, we're unpacking a topic that's been greased with much controversy – Olive Oil and its potential role in metabolic dysfunction. In This Episode: The Olive Oil Illusion: Explore the challenges o…
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Food has become an increasingly fraught subject in America. Is paleo good for you? Keto? Should everyone be intermittent fasting? Meanwhile, an increasing number of Americans under 50 are being diagnosed with cancer, particularly colon cancer. Is our diet the problem? In this episode of Driven to Discover, Dave Hill talks to public health researche…
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Welcome to another juicy episode of The Sickening Truth, where we dive fork-first into the world's most controversial food topics. This time, we're sinking our teeth into the hype around superfoods. Strap in and get ready to have your grocery list turned upside down! Today's Menu: Superfood Showdown: We're unpacking the term "superfood" and why you…
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This is the third episode in our MSK mini-series. Doctors Lisa and Sara speak to Tom Smith and Charlotte Barker again, who are First Contact Practitioners in Wigan. The focus of this chat is shoulder pain - using a hypothetical case to discuss important history points, red flags, useful examination tips, differential diagnoses and further assessmen…
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Welcome to our latest podcast episode where we dive deep into the frustrating and often confusing world of dieting, health, and weight loss. Today, we're discussing a compelling story about "Bob," a 52-year-old who's struggled with weight gain, high blood pressure, high cholesterol, and prediabetes. Despite his best efforts, Bob finds himself trapp…
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In this insightful episode, Tisha demystifies the concept of insulin resistance and its significance in metabolic health, challenging the common misconception that issues with insulin only concern those taking insulin medication. With a straightforward explanation of insulin's role in the body as a fat-storage hormone, Tisha illustrates how insulin…
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This is the second episode in our MSK mini-series. Doctors Lisa and Sara speak to Tom Smith and Charlotte Barker again, who are First Contact Practitioners in Wigan. The focus of this chat is shoulder pain - using a hypothetical case to discuss important history points, red flags, useful examination tips, differential diagnoses and further assessme…
  continue reading
 
When social work researcher Patricia Logan-Greene sought out introductory readings for her students on the topic of gun violence, she was shocked to find there weren’t any. Every day, social workers are in the homes of those most at risk of gun violence. Who better to prevent it? Now Logan-Greene, an associate professor at the University at Buffalo…
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In this critical episode, Tisha delves into the alarming statistics revealing the dire state of metabolic health among American adults. With less than 7% of the population considered metabolically healthy, Tisha explores the misconceptions about weight and health, the detrimental dietary advice that has guided us for decades, and the urgent need fo…
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In this compelling episode, Tisha sheds light on the alarming trend of polypharmacy in the United States, where 42% of adults take more than five medications daily. Through the story of "Bill," a case study from Tisha's Nutrition & Dietetics school days, we explore how easily one can fall into the trap of overmedication, leading to a cascade of hea…
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This is the first episode in a three part MSK mini-series, which aims to briefly capture important features in history, examination and further investigations of common joint presentations. Doctors Sara and Lisa speak to Tom Smith and Charlotte Barker who are First Contact Physiotherapists in Wigan. Back pain is the focus of this episode, with a fi…
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In this eye-opening episode, Tisha tackles the controversial topic of salt and its impact on our health. Challenging long-held beliefs, Tisha explores the misunderstood role of salt in hypertension and metabolic dysfunction. Discover the surprising truth about low-salt diets, the real causes of high blood pressure, and why salt is crucial for our s…
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Doctors Lisa and Sara talk to Senior Pharmacist Sarah Hafeez about Polypharmacy. She explains the difference between inappropriate and appropriate polypharmacy before talking through some typical cases that illustrate several examples of common scenarios. This leads to discussions on prioritising concerns, weaning/stopping medications, counselling …
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Working nights during college as a bouncer, Mark Frank discovered he could learn a lot about people by observing their facial expressions and body language. Now, as a professor of communication at the University at Buffalo, he’s an internationally recognized expert on nonverbal communication who advises the FBI and CIA on interviewing techniques an…
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Doctors Lisa and Sara speak with Dr Anne Connolly, a GP with a special in Gynaecology, trained hysteroscopist, and founding member of the Primary Care Women's Health Forum, where she just stepped down as chair in 2023. They speak about the importance of raising awareness about women’s health problems such as heavy menstrual bleeding, how underappre…
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Doctors Sara and Lisa talk to Dr Mahindra Chincholkar, a consultant anaesthetist and Clinical Director Manchester and Salford Pain Centre. They take a detailed dive into the concept of pain and chronic pain, and then Mahindra explains his stepwise approach to assessing and managing chronic pain through the use of an anonymous case. Greater Manchest…
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Doctors Sara and Lisa discuss the podcast episodes over the year. We talk about our longer term learning points, how the year has gone and what's to come. ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our q…
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Doctors Sara and Lisa talk to Dr Sadaat Ahmed about Frailty. We discuss definitions, frailty syndromes, frailty scores and the need to take care with these. We talk through a case to showcase how recognising frailty and managing the controllable areas can make a big difference to patients' lives and slow or even sometimes reverse frailty. You can u…
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Jinjun Xiong was a young computer scientist working on AI technology at IBM when the company’s Watson computer famously beat the top human players on “Jeopardy!”. But while the rest of the world oohed and aahed, Xiong wondered if we should be using AI for a higher purpose—not to defeat humans, but to help them. Now a SUNY Empire Innovation Professo…
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The importance of addressing climate change and sustainability is gaining more traction across the NHS. In order to find out more about the situation, and what can be done within Primary Care, Doctors Sara and Lisa talk to Dr David McKelvey who is a GP from Salford and NHS Greater Manchester Integrated Care Clinical Lead in Sustainability in Primar…
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Doctors Sara and Lisa talk to a GP involved in Primary Care Research Dr Imran Ghafoor and Ewa Grzegorska, a Research Support Facilitator from the National Health and Clinical Research Institute about Research in Primary Care. We talk through Dr Ghafoor’s journey into being part of Primary Care Research, what embarking on Research Projects in Primar…
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There are few people more qualified to weigh in on the legalization of cannabis than psychologist R. Lorraine Collins, a renowned addictions expert who started researching the drug decades ago, long before the wave of legalization began sweeping the U.S. In this episode of Driven to Discover, David Hill talks to Collins, a SUNY Distinguished Profes…
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To find out more about how Dentistry works in England, Doctors Lisa and Sara talk to Greater Manchester Workforce Lead for Dentistry Mukhtar Ahmad. We cover how Dental Services are set up and funded in England and some current challenges. We move on to specific questions about how General Practice and Dentistry can help each other. Themes include; …
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Doctors Lisa and Sara talk to Senior Eating Disorder Practitioners Vicky McGee and Rachelle Davies to get their advice on consulting with children and young people who present with features of an Eating Disorder. We take the theoretical case of 14-year-old Suzie, who presents to the Practice alongside her Mum with mood symptoms, reduced eating and …
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Doctors Sara and Lisa talk to GPs and Workforce Leads Dr Nikesh Vallabh and Dr Richard Bircher. They wanted to talk to us today to discuss a practical approach to some of the workforce issues we are all facing. This episode will be particularly useful for GP Partners, Practice Managers and anyone interested in workforce issues in General Practice. …
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Most Americans take free speech for granted. In her new book, “Actual Malice: Civil Rights and Freedom of the Press in New York Times v. Sullivan,” legal historian Samantha Barbas illustrates precisely why we shouldn’t. In this episode of Driven to Discover, host Laura Silverman talks to Barbas, a professor of law at the University at Buffalo and a…
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Doctors Lisa and Sara talk to Dr Aseem Mishra to discuss changes in the guidelines for Hypertension. The discussion includes advice on how to get the most accurate diagnosis and measurements for blood pressures, the importance of counselling patients well, and advice on medications. We started with a poem from Aseem focusing around why this is such…
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Doctors Lisa and Sara talk with Consultant Psychiatrist Dr Mark Spurrell about a framework that can be applied to the care of complex patients with multiple problems or difficulties. It is particularly useful at times where we feel stuck, we are struggling to help or move forward and care may be fragmented with lots of care professionals feeling si…
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Effective, long-lasting, non-addictive pain relief—it sounds too good to be true. But thanks to the imagination (and perseverance) of University at Buffalo neuroscientist/pharmacologist Arin Bhattacharjee, it may be just around the corner. Bhattacharjee, a self-proclaimed “dreamer,” has developed a novel approach to pain, both acute and chronic, th…
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Doctors Lisa and Sara talk to Optometrist Dharmesh Patel to get an understanding of Optometry as part of the Primary Care Team. We discuss how the service is set up, what can be done at the Opticians, different types of patient access and how GP practices can link in with services. We discuss the Community Urgent Eye Care Service (CUES), Minor Eye …
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Doctors Lisa and Sara talk to GP Dr Charlotte Bădescu about Ovarian Cancer. We focus on the important learning points about cardinal and other features of presentations to better understand this cancer as an abdominal cancer with symptoms that can and do often present much earlier than the diagnosis is often picked up. She talks us through the valu…
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Doctors Lisa and Sara are joined by Community Pharmacist and Director of Pharmacy Transformation for Greater Manchester Luvjit Kandula. We learn all about the Essential Services and Enhanced Services Community Pharmacies are engaged in and get an understanding of the pressures Community Pharmacies are under. We discuss the plans for upcoming transf…
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Get ready to rethink everything you thought you knew about 'superfoods'! In this eye-opening episode of 'The Sickening Truth,' Tisha Castillo takes you on a deep dive into the world of fruits, veggies, and grains that dominate the superfood conversation. But are they really the nutritional superheroes we've been led to believe they are? Could there…
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Doctors Lisa and Sara are joined this week by Dominic Anderson (Programme Director of the Health and Wellbeing Programme Greater Manchester), Lorna Laflin (Former Practice Manager who works with the GP Excellence team) and Joanna Bircher (GP and Programme Director for GP Excellence). We discuss the new QOF indicators around Workforce and Wellbeing …
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Doctors Lisa and Sara speak with Dr Uma Marthi who is a GP with a Specialist Interest in Gynaecology about red flags for gynaecological cancers. We discuss some cases based on real patients that involve cervical, vaginal and endometrial cancers. We’ll be recording a separate episode around the varied presentations of Ovarian cancer. You can use the…
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Hey there, it's me, your trusty guide to The Sickening Truth, back again with another riveting episode. This time, I'm taking you on an enlightening journey beneath the well-packaged surface of the oh-so-popular DASH diet. Yes, that's right, we're daring to flip this supposed health savior upside down and take a look at what's really lurking beneat…
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**Summer Rewind: This episode was first released on Nov 30th 2022** Doctors Lisa and Sara talk to Consultant Otolaryngologist Ms Emma Stapleton and Clinical Scientist David Jay about Vertigo. We discuss the definition, differentials, and how to use information around timing and triggers to differentiate between the likely causes of vertigo. We get …
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Hey folks, it's Tisha here with an episode that'll make you rethink everything you thought you knew about weight loss. Today, we're diving headfirst into this wild story of a guy who decided to shed pounds by eating at McDonald's for 100 days straight. Yeah, you heard it right. But hang on a minute, before you start envisioning a weight loss plan f…
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As a young boy, LaGarrett King loved history, but he couldn’t figure out where he fit in the narrative he was being taught at school, nor how enslaved people could possibly have been as content as his teachers portrayed. Now a renowned authority on the teaching of Black history, King directs UB’s Center for K-12 Black History and Racial Literacy Ed…
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