The Hot Topics podcast from NB Medical brings you the latest in general practice current affairs, reviews the latest research relevant to primary care, explores interesting and important topics in-depth, and looks at cutting edge medicine.
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A podcast where a goofy floof talks about queer community resources, medical advice, and hopefully interviews with other queers to build a community talk show that brings together the Alphabet Mafia in a new way. An addition of a non-binary voice to offer information and personal creativity, dealing with ADHD and coping mechanisms and dealing with a touch of the ‘Tism’. Offering relationship advice and tips for safe responsible intimacy for Queer couples.
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S6 E3: "GP Trainee ARRS Song"; Semaglutide & Knee OA; SLGT2i & Kidney Stones; Interview with Drs Alex Norman & Oliver Hulson on role of PSA Testing
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Welcome to the latest Hot Topics Podcast from NB Medical with Dr Neal Tucker. In this episode, we look at two new papers on the drugs de jour: GLP1 receptor agonists and SGLT2 inhibitors. Can the former reduce pain in knee osteoarthritis and can the latter prevent recurrent renal stones? Our third paper is a consensus paper published in the BJGP on…
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S6 E2: Acute Migraine; Prostate Cancer Screening; 1st Contact Physio
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Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker. In this episode, we have three exciting new papers. Firstly, in the BMJ a network meta-analysis on acute migraine treatments - can the new GEPANTs drugs beat existing therapies? Secondly, a paper in NEJM does screening for prostate cancer using MRI actually help? Finally in the …
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S6 E1: SGLT2i & Dementia; De-Escalating Anti-Platelets Post-MI; RSV Vaccination
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Welcome to Season 6 of the Hot Topics podcast with Dr Neal Tucker. The summer holidays are over and it’s back to work so time for a new podcast. In this episode, we look at research on whether SGLT2i might prevent dementia, on if it is safer to de-escalate sooner rather than later from dual anti-platelet therapy post-MI, and how effective is the ne…
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S5 E15: Nasal sprays for the common cold; what is 'full time GP'; walking for back pain
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Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker. Have you ever walked into a pharmacy and wondered whether those nasal sprays suggesting they can stop the common cold actually do anything? Ahead of the inevitable coughs and colds of the autumn, the Lancet Respiratory provides some answers and they won’t be the ones you think..…
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S5 E14: Discontinuing Antidepressants; Helping Persistent Symptoms; CVD In the UK
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Welcome to a new episode of the Hot Topics Podcast from NB Medical with Dr Neal Tucker. Today is election results day but we're not talking about politics, we're focusing on the research. We look at a paper in the latest BJGP which looks at which factors influence a patient's decision to discontinue anti-depressants, explore a paper in the Lancet o…
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S5 E13: The "We're Making It Up" Election Song; Post-attack asthma f/up; Repeat Antibiotics for Cough; Aspirin After Breast Cancer
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Welcome to the Hot Topics Podcast from NB Medical with Dr Neal Tucker. It's election time but we're going to put aside politics and focus on the latest medical research! In this episode, we look at an important BJGP paper highlighting the rates of follow-up after a significant asthma attack, a paper in the Journal of Infection showing the high rate…
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S5 E12: Does less GPs matter? PCNs & continuity; best drug in T2DM after metformin
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Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker. In this episode we think about the GP workforce courtesy of four papers in this month's BJGP - does more GPs boost life expectancy (of the patients...)? do PCNs help health inequalities? is practice-based continuity as good as individual continuity? For a more directly clinical …
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S5 E11: AF, Hypertension & Future Cardiac Disease; DRE and Prostate Cancer Screening: Is It Time to Stop? Interview with Amy Rylance & Sam Merriel
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Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker. To DRE or not to DRE? This is the question and the main event in this episode. We have a fantastic interview with Amy Rylance, Head of Improving Care at Prostate Cancer UK, and Sam Merriel, GP and academic clinical lecturer, discussing their recent Clinical Practice paper in the…
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S5 E10: Doctors Are Cheaper than Nondoctors; Familial Hypercholesterolaemia Under-Recognised; Helping Older People Stay at Home
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Welcome back to the Hot Topics podcast from NB Medical with host Dr Neal Tucker. In this episode, we start by thinking about the news. Firstly, the overwhelming consensus from GPs in England to not support the imposed contract. Secondly, the ongoing discussion around physician associates in general practice, where we touch on an interesting report …
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Introductory episode to the new Podcast with your Host Kenkaid McKenzie AKA Kenkaid the Werewolf. Show Notes: Contact information: Email me @: kaidthewerewolf@gmail.com Donations are now available through RedCircle! If you like what you hear, help support me in producing more content with a donation. https://app.redcircle.com/shows/4e2b054a-cc53-41…
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S5 E9: “The Strike Song”; Maintaining Weight Loss; Exercise & Depression; Microplastics in Your Arteries
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Welcome back to the Hot Topics podcast from NB Medical with Dr Neal Tucker. In this episode we think about another year of imposed GP contract on practices in England, the BMA response and where it may lead. In research, we have three fascinating new papers. Firstly, a paper examining how to maintain weight loss after a low-calorie diet – is struct…
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S5 E8: "Pharmacy First Song"; Rehab for Long Covid; Urate to Predict Acute Gout
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Welcome back to the Hot Topics podcast from NB Medical with Dr Neal Tucker. In this episode, we think about the pay offer for practices in England, a new King’s Fund report on the under-funding of primary care for three decades, and the introduction of Pharmacy First. In new research, we have two papers. First, in the BMJ, can an online combined ex…
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S5 E7: Patient Experience of General Practice; Weight Loss and Cancer; Testosterone and Fractures
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Welcome back to the Hot Topics podcast from NB Medical with Dr Neal Tucker. In this episode, we consider the current state of general practice in the UK and what lessons the countries can learn from each other. We examine a new paper in the BJGP on how patients feel about general practice in Scotland since the introduction of the 2018 GP contract. …
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S5 E6: "Signing Scripts For Xmas" song; "Great Expectations - time required to deliver BMJ’s 10 minute consultations": interview with Dr Stephen Bradley & Dr Alice Harper
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Welcome to the Christmas Hot Topics Podcast from NB Medical with Dr Neal Tucker. It’s time for a bit of light-hearted festive fun so if you’ve finished signing all your scripts for Christmas then join us for a discussion with Dr Stephen Bradley and Dr Alice Harper about “Great Expectations: GPs estimations of time required to deliver BMJ’s 10minute…
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S5 E5: Interview with Prof Hazel Everitt - amitriptyline for IBS; methotrexate for hand OA; leaflets for LUTs
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Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker. In this episode, we talk to Prof Hazel Everitt, a GP and lead author of a recent Lancet paper exploring whether amitriptyline is effective for IBS, and where it might fit in to general practice management. We also look at research in the Lancet on treating hand osteoarthritis wi…
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S5 E4: Interview with Prof Miriam Santer on BMJ Spironolactone for acne in GP; physician associates; once-weekly insulin; tirzepatide vs insulin for T2DM
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Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker. The highlight of this episode is our interview with Prof Miriam Santer, lead author of recent research in the BMJ exploring the effectiveness of spironolactone for acne in women. Does it work? Is it a treatment for general practice? And if so, is it safe, what monitoring is requ…
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S5 E3: "Three Coats" song; interview with Dr Jessica Watson on BJGP "WHY Test" study; rosuva vs atorvastatin; DNA cancer blood tests
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Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker. In this episode we talk to Dr Jessica Watson, lead author of the Why Test study, published in the BJGP exploring the use of blood tests in general practice and how often they make a difference - positive or negative. In other research we look at a BMJ paper comparing rosuvastati…
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S5 E2: Hot Topics 25th birthday interview with Simon Curtis; semaglutide in heart failure and obesity; nurse-led sleep restriction therapy for insomnia
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Welcome to the Hot Topics podcast from NB Medical with Dr. Neal Tucker. As we celebrate 25 years of NB Medical and the Hot Topics course, in this podcast we chat with co-founder Dr Simon Curtis about the changes in general practice and medical education since its inception, we discuss three of the most influential research papers over the era, and …
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S5 E1: GP motivations; morning after pill & NSAIDs; cancer risk with non-erosive GORD
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Welcome to Season 5 of the Hot Topics podcast from NB Medical with Dr Neal Tucker. Despite celebrating our 25th birthday (don't forget to check out our NB Plus birthday special here) the world of medical news and research never stops. In this episode we look at research in the BJGP about the motivations behind being a GP, whether adding NSAIDs may …
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Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker. Wondering where the sunshine is? Then this song is for you. Have a good summer everyone and the podcast will be back in September. In the meantime have a look at www.nbmedical.com for our latest courses - we have live webinars for the new Hot Topics course, our new Paediatrics a…
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S4 E15: Donanemab & Alzheimer's Disease; Diet Against Dementia; Weekend Exercise; Opioids & Acute Back Pain
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Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker. School's out for summer but general practice never stops. This week we look at the medical news story of the week: donanemab for Alzheimer's disease - can this monoclonal antibody revolutionise dementia care? Also in research, prevention is better than a cure, so can a Mediterra…
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S4 E14: The Stethoscope Song; HRT & Dementia, HF Monitoring, New Obesity Meds
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Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker. NHS Long Term Workforce Plan is all over the news today. In this episode we have a look at some of the key statements, seeing what is positive for general practice, what is wishful thinking, and what could be even worse. In research we look at new observational data from Denmark…
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S4 E13: JOMT: CVD with Dr Jim Moore; Methotrexate Monitoring, Opioid Withdrawal Strategies
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Welcome to a new Hot Topics podcast from NB Medical with Dr Neal Tucker. In Just One More Thing we are joined by Dr. Jim Moore, chair of the Primary Care Cardiovascular Society, where we discuss cholesterol lowering therapies, new ways to treat heart failure, and how we may meet government targets for blood pressure control - can and should it all …
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S4 E12: "GP Access Song"; JOMT Interview with Dr Matt Doyle on Allergy; Predictors of Post-covid fatigue; Peanut allergy patch
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Welcome back to the Hot Topics podcast. In this episode we reflect on the Prime Ministers Primary Care Recovery Plan, then move on to more useful things like research. We have new papers in the BJGP on who may be more likely to develop fatigue after mild covid and the NEJM on using a peanut patch to desensitive toddlers at risk of anaphylaxis. We a…
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S4 E11: Inflammation vs Cholesterol and CVD; Bempedoic Acid; Coffee & Tea for T2DM
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Welcome to another Hot Topics podcast from NB Medical with Dr Neal Tucker. With general practice becoming an increasingly popular political battleground, we focus on the latest research. In this edition, we look at whether bempedoic acid actually reduces cardiovascular events and death as well as reducing cholesterol. Ever wondered which is more im…
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S4 E10: "The Grass Ain't Always Greener" Song; Removing QOF, Caffeine & Acute Cardiac Issues; New Menopause Drugs
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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 an…
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S4 E9: "Do The Maths" song; JOMT interview - Dr Sam Merriel talks about prostate cancer; also antibiotic resistance, nitrofurantoin failure, kidney stones
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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…
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S4 E8: JOMT Interview with PCRS chair, Dr Katherine Hickman; pushing bad pills, eye drops for myopia, CVD risk prediction in cancer survivors
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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 pharmaceuti…
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S4 E7: NHS in crisis, still... Molnupiravir for acute covid, healthy lifestyle for dementia, patient perspective on FIT
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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 researc…
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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. Neal www.nbmedical.com/podcastAutor: NB Medical Education
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S4 E5: Thinking distal DVTs; High dosage in Heart Failure; Just One More Thing... Rachel Ainley discusses IBD
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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 M…
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S4 E4: Continuity; maternal mortality; Just One More Thing: Sarah Davies discusses diabetes
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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 intervie…
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S4 E3: Pension Song #1; BP meds at night?; CVD screening; "Future of General Practice" report; patient record access
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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 Practice The implications practices need to be aware of for Patient Record Access starting 1st Novemb…
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S4 E2: Gestational Diabetes, CVD risk & modifiable factors; roflumilast for psoriasis; bronchodilators for non-COPD smoking symptoms
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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 withou…
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S4 E1: Supplements + sweeteners aren't good for your health, autoimmune disease & CVD risk, statin & muscle pain, open source diabetes
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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 a…
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S3 E15: Gout and CV events; early identification of colorectal cancer; barriers to shared decision making in multimorbidity
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Welcome to a new Hot Topics Podcast from NB Medical with Dr Neal Tucker. It's the summer holidays! We hope a little pressure is off at your practices and you might even get a break yourself. In this podcast, we discuss the latest news including whether GPs simply aren't working hard enough and debate a £10 charge for DNAs. In research, we look at n…
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S3 E14: The "Sorry, I'm Not Sorry" Song; bye bye Boris; prescribing for anxiety, bariatric surgery to reduce cancer, RSV vaccine
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Welcome to another Hot Topics podcast from NB Medical with Dr Neal Tucker leading you through the latest news and research in general practice. Of course, we must touch on the demise of Boris Johnson and how he might still be in power if he'd just learned a thing or two from general practice. Meanwhile, in research, we look at prescribing trends in…
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S3 E13 - "Plans for change", Panorama and Partnership; NICE Traffic Lights, internet based CBT for trauma; opioids post-surgery
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In this new episode of the Hot Topics podcast from NB Medical. Dr Neal Tucker reflects on a busy week in the politics of UK general practice: "plans for change" from the English health secretary, but the head of primary care for NHSE says partnerships aren't going anywhere. Meanwhile, Panorama highlights the challenges for private companies running…
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S3 E12 - Monkeypox song; more about monkeypox; keeping the frail mobile; preventative medicine - what is it good for?; treating mild hypertension in pregnancy - right or wrong?
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Welcome to the latest Hot Topics podcast with Dr Neal Tucker. This week we think about monkeypox. Do we need to worry? What do we need to look out for? Can my pet rat give it to me? Beyond a disease very few of us are likely to ever see, we look at new research on improving mobility in people with frailty and sarcopenia - can exercise classes and n…
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S3 E11 - Self-monitoring BP in pregnancy, ezetimibe or PCSK9 inhibitors for CVD risk & a treatment for alopecia! Plus interview with Aarti Bansal & Veena Aggarwal on Improving Asthma Care & Sustainability ...
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In the latest Hot Topics podcast from NB Medical Dr Neal Tucker discusses the latest research important in primary care and interviews two experts in improving asthma care and sustainable healthcare. In new research we examine: The role of self-monitoring of BP in women with hypertension or higher risk of pre-eclampsia - does it provide early detec…
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S3 E10 - How racism influences guidelines: interview with Dr Dipesh Gopal; does a 4th covid vax work? acute covid complication risk, breast pain & cancer, UTI & Abx, iron supplements
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Welcome to another Hot Topics podcast with Dr Neal Tucker. In this busy edition, we discuss whether national guidelines are affected by bias against race or ethnicity, potentially driving health inequalities. GP and researcher Dr Dipesh Gopal joins us for an interview to examine issues around NICE hypertension guidance. In new research, we have pap…
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S3 E9 - The RCGP Membership Fee Song; Working weekends; Covid in hamsters; The Triple F*** Syndrome; Child mental health; Recurrent UTIs
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In the Hot Topics podcast, Neal Tucker discusses the latest primary care news and research. This week: Reflecting on NHS England's PCN stipulations - general practice finds itself in a lose-lose situation. Is it a coincidence it comes just as a think tank backed by the health secretary pushes for all GPs to be salaried? Research: Hamsters can give …
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S3 E8: The end of covid; accuracy of lateral flow tests; new DVT algorithm; remember Zika?
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In the latest Hot Topics podcast with Dr Neal Tucker, we reflect on the government removing covid measures and how this affects general practice. In research, we have a look at a timely BMJ paper on the accuracy of lateral flow tests? As we prepare to stop testing, does the data provide us with some reassurance? We also have a look at a new way of …
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S3 E7 - Covid blues song; racism, nationalisation, incentivisation; new covid drugs; does continuity help?
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After not being out the house for 13 days due to him and the kids having covid, Neal Tucker uses the Hot Topics podcast for a bit of escapism. Apart from singing the blues, in this podcast we discuss the latest medical news including reports of racism in the NHS, government calls for nationalisation of general practice and the negative effects of p…
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S3 E6 - Stating the obvious, treatment time after VTE and CVA; best meds for obesity
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Happy New Year! Welcome to a new episode of the Hot Topics podcast with Neal Tucker. In this episode, we have a look at research that states the obvious (non-covid infections went down during lockdowns) and why we feel the need to formalise it. We also look at new research suggesting a shorter duration of anticoagulation may be appropriate after pr…
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S3 E5 - The Omicron song, vaccine clinics and what we've achieved this year
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Welcome everyone to the last Hot Topics podcast for 2021! In this episode Neal Tucker discusses the omicron variant, the cancelling of the festive season for general practice and the effectiveness of vaccines and boosters. While it doesn't feel like there's much cheer at the moment he also reflects on our achievements this year and reasons for us t…
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S3 E4: The RTI surge song, NICE depression or not, Long Covid guidance, balloon bariatric surgery
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Welcome back to another Hot Topics podcast from NB Medical with Dr Neal Tucker. Everyone in his family has a cold - is this the anticipated surge in respiratory tract infections we've expected to see or could it have a simpler explanation? We also look at the new draft Depression guideline from NICE, asking can we deliver the promises, long covid g…
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S3 E3 - Rescuing ourselves with a shared vision; funding GP & multimorbidity; empagliflozin for HFpEF; AF - to screen or not to screen
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In this latest Hot Topics Podcast, Dr Neal Tucker reflects on the NHSE Rescue Package and asks if we are going to strike are we clear what we want general practice to be? Time for us to make up our minds. In research we look at multimorbidity clusters and consultation rates - how should this influence funding? Also a ray of hope for patients with h…
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S3 E2 - The press, corporations & conspiracies; ondansetron for kids with gastro; PHQ9, what is it good for?
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In this latest episode of the Hot Topics podcast, Neal Tucker considers why the press have been attacking general practice and who stands to gain. We also look at new research in to giving anti-emetics for children with gastroenteritis, the accuracy of PHQ9 in the assessment of depression and what are safe levels of air pollution. References BMJ Ai…
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S3 E1 - Heath secretaries, COVID boosters, Quadpill for BP & Cannabis for pain
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23:19
Welcome, to Season 3 of the Hot Topics podcast with Dr Neal Tucker. In this episode, we lament why Health Secretaries appear to hate healthcare. We also look at the rationale for covid boosters with new research on the vaccine response in the immunosuppressed and waning efficacy in the general population. In other research, can a 4-in-1 pill be a h…
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