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Respiratory & chest medicine

Ep 65 – Obstructive sleep apnoea

Obstructive sleep apnoea (OSA) is a very common problem affecting around one and a half million adults in the UK, most of whom are undiagnosed and untreated. OSA has significant health consequences, including heart disease and an increased risk of fatal car crashes. In this episode, Dr Roger Henderson looks at who is most at risk of OSA, how it should be diagnosed, how to refer to secondary care and what treatment options are currently available to help people with the condition.

Ep 63 – Domiciliary oxygen guidance

Oxygen is essential for our survival and is a powerful medical drug. Treatment with oxygen increases blood oxygen levels and helps to reduce cardiovascular workload. In this podcast, Dr Roger Henderson looks at how oxygen can be given in a home environment, the reasons it may be required and the different types of delivery systems available. He also looks at practical issues such as flying when requiring oxygen, smoking near oxygen supplies, how to arrange an emergency supply of oxygen for home use and which types of masks and nasal cannulae to use.

Ep 54 – Ten practical tips for sustainability in primary care

Back in 2009, the conclusion of the first Lancet Climate Change Commission was that “Climate change is the biggest global health threat of the 21st Century.” In response to this, in October 2020, the NHS became the world’s first health service to commit to reaching carbon net zero, and in July 2022 it published its plan for delivery. So, what does all this mean for general practice? In this podcast episode, Dr Hannah Rosa shares her 10 practical sustainability tips for how we in primary care can make a difference.

Ep 51 – E-cigarettes and vaping

Using electronic cigarettes (e-cigarettes), or ‘vaping’, has become the most popular form of nicotine replacement therapy in the UK. In this podcast episode, Dr Roger Henderson looks at why this is, the benefits to smokers, and whether we should be recommending such products to our patients who smoke. He also talks about current concerns over their increasing popularity in adolescents and what their potential long-term risks may be.

Ep 42 – The overlap between COPD and heart disease

In this episode, which has been recorded for Chronic Conditions Month 2022, Dr Yassir Javaid (Cardiovascular and Diabetes Lead, Northamptonshire CCG) and Dr Steve Holmes (GP, Shepton Mallet and Clinical Respiratory Lead, NHS England South West and NHS Somerset) discuss the "heart–lung connection" – specifically, the overlap between chronic obstructive pulmonary disease (COPD) and heart failure. What are the challenges in distinguishing between these conditions when they present in general practice, and how can they be addressed? After diagnosing a patient with either COPD or heart failure, how important is it to also look for the condition?

Ep 24 – Key considerations when prescribing steroids

Steroids are prescribed for a range of health conditions. In this podcast, which has been recorded for Chronic Conditions Month 2021, Dr Steve Holmes (Clinical Respiratory Lead for NHS Somserset) and Dr Kevin Fernando (GP Partner at North Berwick Health Centre and Education Director for GPnotebook Education) discuss the factors that primary care clinicians need to be aware of when prescribing these drugs. What are the most common side effects with steroid use? What do clinicians need to do to minimise the risk of adrenal crisis when withdrawing steroids? What should sick-day guidance look like for people on long-term steroid treatment? How vigilant do clinicians need to be for steroid-induced diabetes?
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