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Red Whale Primary Care Pod (Red Whale)

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DateTitreDurée
17 May 2023Our first episode00:39:20

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Join us for a relaxed round up of this month’s Red Whale primary care Pearls of wisdom. This month, Nik and Caroline discuss: 

  • NICE guidance on semaglutide for obesity
  • “Light bulb” conditions - we explore neuroendocrine tumours.
  • Moral injury: looking afters our teams and ourselves!
  • A structured approach to chronic cough in adults.

And find out about one listeners best intentions to get some physical activity and how they were thwarted by an unexpected encounter.

Send us your feedback podcast@redwhale.co.uk or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

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Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

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17 May 2023To vape or not to vape?..and other primary care questions00:43:22

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Join us for a relaxed round up of this month’s Red Whale primary care Pearls of wisdom. This month, Nik and Caroline discuss: 

  • Menopause in the media: How our HRT GEMS can help the whole team
  • Swap to stop: can e-cigarettes help smokers quit.
  • Chronic diarrhoea: could it be microscopic colitis?
  • How to assess and manage postural hypotension

And hear a salutary tale from one listener that might just help you avoid a blood sugar showdown!

Send us your feedback podcast@redwhale.co.uk or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

Follow us: X, Facebook, Instagram, LinkedIn

Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

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09 Jun 2023Save a life, change a life, quality of life…00:44:14

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Join us for a relaxed round up of this month’s Red Whale primary care Pearls of wisdom. This month, Nik and Caroline discuss: 

  • Would you spot serotonin syndrome?
  • Lower urinary tract symptoms: prescribing pointers for 5ARIs
  • BMI and ethnic groups
  • Anorexia, nutrition and hydration in the last days of life
  • Infantile spasms: would you be confident to spot them?

And hear a premonitory account from one listener that might mean you don’t need a shower and a change of clothes before finishing your clinic! 

Send us your feedback podcast@redwhale.co.uk or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

Follow us: X, Facebook, Instagram, LinkedIn

Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

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07 Jul 2023Who needs a holiday? How about some free CPD by the sea?00:52:19

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Join us for a relaxed round up of this month’s Red Whale primary care Pearls of wisdom. This month, Nik and Caroline discuss

  • Intrauterine systems, and how they just got a bit simpler
  • Diabetes and frailty -  how we need all our primary care superpowers across the whole multi-professional team to think about the big picture
  • Joining with Up: The Adult Cerebral Palsy Movement to help us increase our confidence in supporting adults with cerebral palsy
  • Antidepressants - help or harm? What we can learn from the BBC Panorama documentary?

And hear a clinical room calamity from one listener involving a fabulous skirt and a sample pot!

Red Whale women’s health team’s episode of Boggled Docs discussing Davina McCall's Pill Revolution:
https://www.buzzsprout.com/1300702/13119543-contraception-in-crisis-davina-to-the-rescue

GP evidence website:
https://gpevidence.org

Red Whale and Up: The Adult Cerebral Palsy Movement have joined forces to support primary care with a free one-hour webinar that will explore the unmet health needs of adults living with cerebral palsy:
Red Whale Webinars


RCPsych responds to BBC Panorama programme on antidepressants:
https://www.rcpsych.ac.uk/news-and-features/latest-news/detail/2023/06/19/rcpsych-responds-to-bbc-panorama-programme-on-antidepressants

 
RCGP response to panorama on antidepressants:

Prescription anti-depressants play a vital role in the treatment of mental health conditions, says College Chair
https://www.rcgp.org.uk/News/BBC-panorama-investigation


Send us your feedback podcast@redwhale.co.uk or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

Follow us: X, Facebook, Instagram, LinkedIn

Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

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04 Aug 2023Avoid alcohol... and hot headed rash decisions?!00:48:30

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Join us for a relaxed round up of this month’s Red Whale primary care Pearls of wisdom. This month, Nik and Caroline discuss: 

  • Fetal alcohol spectrum disorder: one child in every class at school is potentially affected and unsupported. What can we do about this, and why is discussing alcohol in pregnancy a taboo?
  • Varicella zoster (chicken pox) and NSAIDs: why we shouldn’t be recommending ibuprofen for chicken pox or children with shingles, and why a request for it could be considered a red flag…
  • Heat-related illness: identifying those at greatest risk. How to prevent it, spot it and treat it.
  • Measles: might we see an epidemic? Would we spot a case? How can we support and promote MMR vaccination in our specific local populations?

And hear how a wedding day best intention went horribly wrong, knocking things sideways!

Beat the heat: staying safe in hot weather

Effective Approaches to Combat Vaccine Hesitancy

Measles on black and brown skin website

Send us your feedback podcast@redwhale.co.uk or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

Follow us: X, Facebook, Instagram, LinkedIn

Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

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08 Sep 2023When assertiveness bites... baby!00:52:01

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Join us for a relaxed round up of this month’s Red Whale primary care Pearls of wisdom. This month, Nik and Caroline discuss: 

  • Bites: human, animal and insect. It’s still that time of year when the triage list is full of: Bite ? Infected. We look at all things bite related including assessment, management and who needs antibiotics.
  • DeQuervain’s tenosynovitis: what is it and why we shouldn’t suggest it might have an occupational cause. 
  • Some tips for doing the 6-8 week baby check: as a welcome to our new GPSTs, and for those of us who learned this longer ago that we like to admit to, have we thought about what might have changed?   
  • Assertiveness: often we say yes to things that help our patients and colleagues, but sometimes we need to say no. If we do need to say no, how good are we at being assertive? 

And hear a cautionary tale from a listener about how, despite the best intentions, a nail issue didn’t turn out to be as straight forward as first thought…

Lyme disease rash:

https://www.nhs.uk/conditions/lyme-disease/

https://www.cdc.gov/lyme/signs_symptoms/rashes.html

Send us your feedback podcast@redwhale.co.uk or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

Follow us: X, Facebook, Instagram, LinkedIn

Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

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06 Oct 2023A magic spell that will open your (itchy) eyes to tics, Tourette’s and tackling the latest drug swaps00:46:09

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Join us for a relaxed round up of recent Red Whale primary care Pearls of wisdom. This month, Nik and Caroline discuss: 

  • GLP-1 mimetics shortages: tackling drug swaps. The headline grabbing GLP-1 mimetics are rarely out of the news- most recently due to supply issues for people with type 2 diabetes. How do we deal with this?
  • Tics and Tourette’s syndrome: spotting them in primary care. Singer-songwriter Lewis Capaldi has been keen to dispel myths that Tourette’s is all about swearing uncontrollably. We share what you need to know. 
  • Blepharitis: it’s pretty common and is responsible for about 5% of primary care eye consultations- so worth a reminder about diagnosis and management, to stop you from getting stuck! 
  • Molluscum contagiosum…a nuisance but not a spell! We look at the diagnosis, management, who needs referral, and when to think about immunosuppression.

And hear about a multitasking, time pressured, dance themed debacle…

Links
You can check availability of insulin brands at:
www.sps.nhs.uk 

Tourette's Action (UK support group for those with an established diagnosis):
https://www.tourettes-action.org.uk/

Molluscum contagiosum images:
https://www.pcds.org.uk/clinical-guidance/molluscum-contagiosum#management

https://dermnetnz.org/topics/molluscum-contagiosum

Send us your feedback podcast@redwhale.co.uk or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

Follow us: X, Facebook, Instagram, LinkedIn

Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

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10 Nov 2023Balance and burnout prevention...plus HRT, COVID and endometriosis00:55:17

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Join us for a relaxed round up of recent Red Whale primary care Pearls of wisdom. This month, Nik and Caroline discuss: 

  • HRT for primary prevention? About 25% of menopausal-age women have no symptoms and so do not require HRT to treat vasomotor or other hormone-related issues. However, they may be influenced by media messages suggesting that HRT could be used to prevent certain chronic diseases. What do we advise?
  • I’m struggling… GP burnout has been in the news again: not a surprise to most of us working in primary care. It can affect any role – not just GPs. We share some resources that can hopefully help, however you're feeling at the moment. 
  • COVID…there’s a lot of it around…again! We summarise the current state of play with antiviral treatments for COVID. We need to know about this so that we can signpost appropriate patients to access treatment – whatever our local route.  
  • Common, easily missed and affects 10% of females of reproductive age… We discuss endometriosis, including options for first-line management, reasons for referral and surgery, and the impact of menopause on endometriosis.

And hear about a hot and sticky cornered colleague…

Boggled Docs episode 'Focus Your Mind On The Menopause':
https://www.buzzsprout.com/1300702/10567446-focus-your-mind-on-the-menopause

Supporting information on risk factors for progression to severe COVID-19:
https://www.nice.org.uk/guidance/ta878/chapter/5-Supporting-information-on-risk-factors-for-progression-to-severe-COVID-19

Liverpool University COVID-19 drug interactions tool:
https://www.covid19-druginteractions.org/checker

See transcript tab on Buzzsprout site for full show notes with links...

Send us your feedback podcast@redwhale.co.uk or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

Follow us: X, Facebook, Instagram, LinkedIn

Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

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08 Dec 2023Ageing, prevention, retention, crisis...00:51:31

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Join us for a relaxed round up of recent Red Whale primary care Pearls of wisdom. This month, Nik and Caroline discuss: 

  • Healthy ageing: adding quality to years? What does ‘healthy ageing’ look like? What are the 3 trajectories of ageing? How can we work as a primary care team to promote the basics that increase the chance of healthier ageing?
  • Preventing breast cancer: what’s our role? The MHRA are now licensing anastrozole for primary prevention of breast cancer in postmenopausal women at moderate to high risk. We discuss our article on Breast cancer: genetic risk, and explore how to assess risk, the evidence for preventative medication and some of the side-effects people taking it may experience. 
  • Acute retention: sort the catheter… then think why?  A Danish study showed that those who go into acute retention are at an increased risk of being diagnosed with genitourinary cancers in the following 12 months. How much should we worry about this?
  • Self-harm: creating a safety-plan. The UK has one of the highest rates of self-harm in Europe and whilst it can occur at any age, it is most common in young people and females. The 2022 NICE Guidelines on self-harm recommend that whilst we are waiting for CAMHS support and assessment, we can help by encouraging the young person to develop a safety-plan. Would you feel confident to do this? 

And hear about a colleague’s car-tastrophe…

NICE patient information leaflet - familial breast cancer:
https://www.nice.org.uk/guidance/cg164/ifp/chapter/About-this-information

Send us your feedback podcast@redwhale.co.uk or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

Follow us: X, Facebook, Instagram, LinkedIn

Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

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12 Jan 2024In which scenario should you NEVER use a pulse oximeter?00:51:04

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Grab a cuppa and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom. This month, Nik and Caroline discuss: 

  • Galleri: will this blood test revolutionise cancer diagnosis? We review the evidence behind it and ask: How effective is it when cancer is suspected, and how effective is it for population screening?  
  • Sore throat and tonsilitis: All you ever wanted to know! Do you know when we should refer for tonsillectomy?
  • Carbon monoxide poisoning: it’s rare but easily missed. Would you be able to spot patterns in the history to make the diagnosis?
  • Our free video bytes! We’ve given away 6 bytes in our Pearl email- over 45 minutes of free video CPD including infantile haemangioma, shoulder examination, hoarding disorder, serotonin syndrome, cancer: early diagnosis, and short stature. We discuss what leapt out at us from each one.

All of the above questions will be answered during the episode. Listen as soon as you can to ensure you have full access to all the free resources. 

And hear about a home visit with a canine catheter catastrophe!!

FeverPain score:

https://ctu1.phc.ox.ac.uk/feverpain/index.php

Centor Score:

https://www.mdcalc.com/calc/104/centor-score-modified-mcisaac-strep-pharyngitis

ENT UK Commissioning Guide: Tonsillectomy 2021 :

https://www.entuk.org/_userfiles/pages/files/guidelines/Revised%20ENT%20UK%20Tonsillectomy%20commissioning%20guide%20edit%20to%20final%20(002).pdf


Send us your feedback podcast@redwhale.co.uk or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

Follow us: X, Facebook, Instagram, LinkedIn

Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

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09 Feb 2024Is there post-exposure prophylaxis for measles?00:52:31

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Grab a cuppa and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom. This month, Nik and Caroline discuss: 

  • Actively beating the new year blues. How can we build conversations about physical activity into our consultations? 
  • Scabies surge: how do you spot it and manage it? (And can you get hold of the treatments?!)
  • His head is all squished on one side… does the baby have a non-acute asymmetrical head, or not…?
  • Measles: an update. With a significant measles outbreak in the West Midlands, have you had a chance to read the BRAND NEW UKHSA National Measles Guideline released in January? Don’t worry if you haven’t had time, we summarise them for you.

All of the above questions, and more, will be answered during the episode. Listen as soon as you can to ensure you have full access to all the free resources. 

And hear about how crossed wires in a consultation lead to red-faced moment!!

Episode links:

https://movingmedicine.ac.uk/

https://dermnetnz.org/topics/scabies

https://www.yhphnetwork.co.uk/links-and-resources/coi/migrant-health/prevention-and-management-of-infectious-diseases/

https://dermnetnz.org/topics/measles


Send us your feedback podcast@redwhale.co.uk or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

Follow us: X, Facebook, Instagram, LinkedIn

Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

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08 Mar 2024Can you name the five eating disorder subtypes?00:50:44

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Grab your trainers, your dog lead or a cuppa and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom. This month, Nik and Caroline discuss: 

  • Recent changes with progestogen-only pills. How is the new POP different from the others?
  • Erectile dysfunction, and what is Eroxon?
  • The available evidence and guidelines regarding measuring oestradiol levels with HRT. Which factors impact oestradiol levels? 
  • Eating disorders. What are the 5 subtypes of eating disorder? 
  • Ramadan- how can we support people with long-term conditions?

All of the above questions, and more, will be answered during the episode. Listen as soon as you can to ensure you have full access to all the free resources. 

And hear about how a young primary care parent needed to watch their back whilst trying to juggle everything on a busy work day!!

Useful resources:
Hana
Lovima

Send us your feedback podcast@redwhale.co.uk or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

Follow us: X, Facebook, Instagram, LinkedIn

Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

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12 Apr 2024Which of the risks associated with prescribing systemic quinolones concerns you the most?00:46:59

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Grab your trainers, your dog lead or a cuppa and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom. This month, Nik and Caroline discuss: 

  • Acute aortic dissection. What would you do if you suspected it?
  • The limping child. Who goes in to hospital? Who might be able to be managed in primary care?
  • Soluble tablets. Are you aware how much sodium is in the average soluble pill?
  • Quinolones… just say no to systemic fluroquinolones! Why have the MHRA released a drug safety update?

All of the above questions, and more, will be answered during the episode. Listen as soon as you can to ensure you have full access to all the free resources. 

And hear about how some home grown tomatoes brought a primary care team together, but left an unpleasant taste in the mouth!!

Send us your feedback podcast@redwhale.co.uk or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

Follow us: X, Facebook, Instagram, LinkedIn

Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

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10 May 2024How could you potentially save the hearing of someone with sudden-onset hearing loss?00:45:25

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Grab your trainers, your dog lead or a cuppa and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom. This month, Nik and Caroline discuss: 

  • Acute prostatitis: is it the last stand for the floxacins?!
  • Adenomyosis: demystifying the condition behind the headlines. How would you diagnose it?
  • A diagnosis no one wants to miss… cancer in children and young people. What are the key presentations?
  • When does hearing loss warrant an urgent assessment? How could you potentially save someone’s hearing?

All of the above questions, and more, will be answered during the episode. Listen as soon as you can to ensure you have full access to all the free resources. 

And hear a best intentions story that highlights that one size doesn’t fit all, especially when it comes to lifestyle medicine!!

Send us your feedback podcast@redwhale.co.uk or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

Follow us: X, Facebook, Instagram, LinkedIn

Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

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14 Jun 2024Lifestyle matters, dying matters00:44:23

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Grab your trainers, your dog lead or a cuppa and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom. There was so much information in the Pearls that we released over the 5 weeks of May that we’ve realised that we can’t possibly squeeze it all into one handy sized episode, so in the first of two episodes this month, Nik and Caroline discuss: 


  • Lifestyle as medicine- an antidote to too much medicine?
  • Dying matters: identifying adults approaching end of life.


We also announce the winner of a whole year of Red Whale Knowledge for free, in our Primary Care Superheroes competition…


Listen as soon as you can to ensure you have full access to all the free resources. 


The rest of the Pearls from May will be covered next week along with a new best intentions story to put a smile on your face.



Useful resources:
Lifestyle medicine
Websites 

RCGP - physical activity hub

British Society of Lifestyle Medicine

RCGP GP with an extended role in lifestyle medicine framework

Personalised care delivery in primary care – Leamington case study

You can get info/ book here: Red Whale Lifestyle Medicine Course

Dying matters
BMJ Journal of medical ethics, 2019






Send us your feedback podcast@redwhale.co.uk or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

Follow us: X, Facebook, Instagram, LinkedIn

Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

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21 Jun 2024Which syndrome increases the risk of melanoma by 5–20-fold?00:38:16

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Grab your trainers, your dog lead or a cuppa and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom. There was so much information in the Pearls that we released over the 5 weeks of May that we’ve realised that we can’t possibly squeeze it all into one handy sized episode, so in the second of two episodes this month, Nik and Caroline discuss: 

  • Allergic rhinitis and hay fever- should we be thinking of it as asthma of the nose?
  • Melanoma: as the incidence continues to rise, how do we pick out moles that are concerning and need referral?

The above questions, and more, will be answered during the episode. Listen as soon as you can to ensure you have full access to all the free resources. 

And hear a best intentions story that involved a fit note fiasco to put a smile on your face!

Send us your feedback podcast@redwhale.co.uk or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

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Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

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12 Jul 2024Does spironolactone have a role in acne management?00:43:53

Send us a text

Grab your trainers, your dog lead or a cuppa and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom.  June was another bumper month of information, meaning that we can’t possibly squeeze it all into one handy sized episode, so in the first of two episodes this month, Nik and Caroline discuss: 

  • Curable: hepatitis C and the NHS elimination programme.
  • Acne: what’s new?

Listen as soon as you can to ensure you have full access to all the free resources. 

The rest of the Pearls from June will be covered next week along with a new best intentions story to put a smile on your face.

Hep C

HEP Drug Interactions (interaction checker for DAAs)

If you’re interested in becoming a GP champion for Hep C, email:

connect.HepCULater@mpft.nhs or england.hepc-enquiries@nhs.net

Order Hep C home testing kit online at: hepctest.nhs.uk

Acne

The British Association of Dermatology patient information leaflet for isotretinoin

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Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

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19 Jul 2024A non-surgical treatment for phimosis with a success rate up to 95%?00:25:00

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Grab your trainers, your dog lead or a cuppa and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom.  June was another bumper month of information, meaning that we couldn’t possibly squeeze it all into one handy sized episode, so in the second of two episodes this month, Nik and Caroline discuss: 

  • Motor neurone disease: spotting, referring and supporting
  • There’s something not quite right…we cover how to approach a consultation around phimosis

Listen as soon as you can to ensure you have full access to all the free resources. 

And hear a best intentions story that involved a food farce to put a smile on your face!

Rob Burrow documentary

Association for palliative medicine

DermNet NZ images of penile lichen sclerosus


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Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

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09 Aug 2024Untreated, 50% of men and 30% of women with this condition will have had a myocardial infarction by the age of 6000:39:07

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Grab your trainers, your dog lead or a cuppa and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom.  July was another bumper month of information, meaning that we can’t possibly squeeze it all into one handy sized episode, so in the first of two episodes this month, Nik and guest presenter Ali discuss: 

  • Seeing REDs with exercise? There are many benefits to physical training, but also some things we should be aware of- would you spot REDs?
  • Familial hypercholesterolaemia: why does it matter? Find out how we can make a huge difference in primary care. 

Listen as soon as you can to ensure you have full access to all the free resources. 

The rest of the Pearls from July will be covered next week along with a new best intentions story to put a smile on your face.

https://health4performance.basem.co.uk/

https://red-s.com/

Send us your feedback podcast@redwhale.co.uk or send a voice message

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Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

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16 Aug 2024Should I worry about aminoglycoside antibiotic ear drops causing deafness?00:38:30

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Grab your trainers, your dog lead or a cuppa and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom. July was another bumper month of information and we couldn't squeeze it all into one handy sized episode, so in the second of two episodes this month, Ali and Nik discuss: 

  • All things worm related. You’ve been requesting it, so here it is! 
  • We may well be getting more calls about painful/ itchy/ discharging ears. Otitis external may be one explanation!

Listen as soon as you can to ensure you have full access to all the free resources. 

And hear a best intentions story involving a bottle of champagne and false hopes! All to put a smile on your face!

https://www.nhs.uk/conditions/threadworms/

https://www.who.int/news-room/fact-sheets/detail/schistosomiasis

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Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

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13 Sep 2024Help with decision fatigue when managing all types of anaemia in primary care00:37:41

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Grab your trainers, your dog lead or a cuppa and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom.  August was another bumper month of information, meaning that we can’t possibly squeeze it all into one handy sized episode, so in the first of two episodes this month, Caroline and Nik discuss: 

  • Wilson’s disease. How would you go about testing for this? What should you look out for?
  • How to approach all types of anaemia in primary care. Please share our GEMS with new Team GP members.
  • Tick-borne encephalitis: when to vaccinate.

Listen as soon as you can to ensure you have full access to all the free resources. 

The rest of the Pearls from August will be covered next week along with a new best intentions story to put a smile on your face.

Wing-Beating Tremor video-NEJM:


https://youtu.be/_LJXgDQV2Vo?si=x5h2Yg4nVTJqWUqE

The interactive map at Travel Health Pro:

https://travelhealthpro.org.uk/countries


Send us your feedback podcast@redwhale.co.uk or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

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Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

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20 Sep 2024HRT regimens and progestogen dosing: time to change our practice?00:34:24

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Grab your trainers, your dog lead or a cuppa and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom.  August was another bumper month of information, meaning that we can’t possibly squeeze it all into one handy sized episode, so in the second of two episodes this month, Caroline and Nik discuss: 

  • The national Medical Examiner System- big changes came into play in England and Wales on 9th September 2024. How’s it going for you?
  • HRT regimens and progestogen dosing: time to change our practice? Unopposed oestrogen can increase the risk of endometrial cancer, so it must be balanced with an adequate dose of progestogen. But what is an adequate dose? 

Listen as soon as you can to ensure you have full access to all the free resources. 

And hear a best intentions story where a good deed ended up with one of our listeners wedged under a bed in a nursing home!

Free Byte about the changes in the process for death certification in England and Wales
(You'll need to create a free account on redwhale.co.uk to watch this, if you haven't done so already)

Sign up for GP trainee essentials

BMS joint guideline: 'Management of unscheduled bleeding on hormone replacement therapy (HRT)'

Send us your feedback podcast@redwhale.co.uk or send a voice message

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Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

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10 Oct 2024Alopecia: when to reassure, when a prompt referral to secondary care is needed, and everything in between...00:52:40

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Grab your trainers, your dog lead or a pumpkin spice latte and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom.  September was another bumper month of information, meaning that we can’t possibly squeeze it all into one handy sized episode, so in the first of two episodes this month, Ali and Nik discuss: 

  • How to approach alopecia consultations. Having a framework for conditions that patients have to pluck up courage to ask about can be really helpful…
  •  Workplace-based assessment (WPBA) demystified. We’re here to support the next generation of GP trainees, along with their supervisors. 

Listen as soon as you can to ensure you have full access to all the free resources. 

The rest of the Pearls from September will be covered next week along with a new best intentions story to put a smile on your face.

Alopecia UK

British Association of Dermatologists - alopecia areata

British Association of Dermatologists - female pattern hair loss

British Association of Dermatologists - male pattern hair loss


The official MRCGP website which can be found here

CEPS 

Send us your feedback podcast@redwhale.co.uk or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

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Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

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18 Oct 2024Where do broken hearts go?00:32:09

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Grab your trainers, your dog lead or a cuppa and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom.  September was another bumper month of information, meaning that we can’t possibly squeeze it all into one handy sized episode, so in the second of two episodes this month, Ali and Nik discuss: 


  • Nephrotic syndrome in children: would you spot it? 
  • Broken heart? Think Takotsubo cardiomyopathy.


Listen as soon as you can to ensure you have full access to all the free resources. 


And hear a best intentions story where a urine dip rang alarm bells for the wrong reason!

Links:

Sign up for GP trainee essentials

NHS – nephrotic syndrome in children

NHS Scotland - immunisation guideline for children with chronic kidney disease 



Send us your feedback podcast@redwhale.co.uk or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

Follow us: X, Facebook, Instagram, LinkedIn

Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

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15 Nov 2024HRT, bleeding and endometrial cancer... Have you had more phone calls and e-consults?00:46:08

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Grab your trainers, your dog lead or a pumpkin spice latte and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom.  October was another bumper month of information, meaning that we can’t possibly squeeze it all into one handy sized episode, so in the first of two episodes this month, Ali and Nik discuss: 


  • HRT, bleeding and endometrial cancer... Have you had more phone calls and e-consults? Recent media coverage has made this a topic that we all need to know about.
  • Big changes in the UK vaccination schedules. We help you to update and refresh your knowledge in this fast-changing area. 



Listen as soon as you can to ensure you have full access to all the free resources. 


The rest of the Pearls from October will be covered next week along with a new best intentions story to put a smile on your face.

Links:

Sign up for GP trainee essentials

BMS – management of unscheduled bleeding on hormone replacement therapy

Effective Approaches to Combat Vaccine Hesitancy 



Send us your feedback podcast@redwhale.co.uk or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

Follow us: X, Facebook, Instagram, LinkedIn

Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

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22 Nov 2024Gut microbiome: cutting through the noise00:59:48

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Grab your trainers, your dog lead or a pumpkin spice latte and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom.  October was another bumper month of information, meaning that we can’t possibly squeeze it all into one handy sized episode, so in the second of two episodes this month, Ali and Nik discuss:  

  • Mpox- what do we need to know after the WHO declared Mpox a ‘public health emergency of international concern’ ?
  • Ovarian cancer: genetic risk. Did you know that reducing the risk of ovarian cancer death with risk-reduction surgery is an alternative for some at higher genetic risk of the disease, and is now recommended by NICE?
  • Gut microbiome: cutting through the noise. We unpack the growing understanding of the importance of the gut microbiome, why it matters and future practical applications…

Listen as soon as you can to ensure you have full access to all the free resources. 

And hear a best intentions story where you will feel for everyone involved!

Links:

Sign up for GP trainee essentials

Latest update on cases of Clade Ib mpox

The NHS Jewish BRCA Testing Programme

Target Ovarian Cancer


Send us your feedback podcast@redwhale.co.uk or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

Follow us: X, Facebook, Instagram, LinkedIn

Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

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13 Dec 2024Which itchy condition has a quality-of-life reduction similar to patients waiting for a CABG?00:30:06

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Grab your trainers, your dog lead, your jingle bells, or a cuppa and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom. In the first of two episodes this month, Fiona and Nik discuss: 


  • Chronic urticaria. How confident are you in spotting and managing it?
  • Preparing for the worst…we consider the important issue of bleeding and haemorrhage in advanced cancer.  



Listen as soon as you can to ensure you have full access to all the free resources. 


The rest of the Pearls from November will be covered next week along with a new best intentions story to put a smile on your face.

Links

Sign up for GP trainee essentials

Scottish Palliative Care Guidelines - bleeding

Festive i-CPD

What we can learn from watching the film 'Last Christmas' ? - Boggled Docs episode

What we can learn from watching 'The Muppet Christmas Carol' ?- Boggled Docs episode


Send us your feedback podcast@redwhale.co.uk or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

Follow us: X, Facebook, Instagram, LinkedIn

Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

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20 Dec 2024Why don’t we have a national screening programme for prostate cancer in the UK?00:39:19

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Grab your trainers, your dog lead, your jingle bells, or a cuppa and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom. In the second of two episodes this month, Fiona and Nik discuss: 


  • Diagnosing diabetes: do you know MODY from LADA?
  • PSA testing in asymptomatic men. Why don’t we have a national screening programme for prostate cancer in the UK?


Listen as soon as you can to ensure you have full access to all the free resources. 

And hear a best intentions story that will have you patting your seat before you sit down!


Links:

Sign up for GP trainee essentials

'Chris Hoy and cancer screening: is celebrity campaigning a bad way to make policy?' Margaret McCartney. BMJ 2024;387:q2604


Send us your feedback podcast@redwhale.co.uk or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

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Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

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17 Jan 2025Spotting pertussis and antibiotic prophylaxis for STIs00:40:53

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Grab your trainers, your dog lead, or a cuppa and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom.  In the first of two episodes this month, Ali and Nik discuss: 


  • 3% of adults presenting to primary care with an acute cough have pertussis, but would you spot it?
  • What is our role in primary care if a patient approaches us for advice about antibiotic prophylaxis for STIs?

Listen as soon as you can to ensure you have full access to all the free resources. 

The rest of the Pearls from December will be covered next week along with a new best intentions story to put a smile on your face.

Pertussis
BMJ 2019;364:l401 

UKHSA Guidance on the management of cases of pertussis in England during the re-emergence of pertussis in 2024 

Whooping Cough Net - symptoms (examples of full-blown whooping cough and attenuated forms in immunised individuals. Also information for patients about why treatment is ineffective. Site by Doug Jenkinson, a GP in ( Nottinghamshire) 

Testing guidelines from the UKHSA can be found here

The Green Book on Pertussis


Prophylaxis for sexually transmitted infections 

BASHH Position statement on Doxycycline as Prophylaxis for Sexually Transmitted Infections 2021 

The IPERGAY trial (Lancet Inf Diseases 2018;18(3):308) 

CDC guidance 1

Send us your feedback podcast@redwhale.co.uk or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

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Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

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24 Jan 2025The wellbeing episode- supporting ourselves, family members and patients00:28:10

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Grab your trainers, your dog lead, or a cuppa and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom.  In the second of two episodes this month, Ali and Nik discuss: 

  • Wintering, time to restore ourselves. We share an article from our lifestyle medicine course, offering a roadmap to wellbeing that we can use to support ourselves, family members and patients as we embark on 2025. 

Listen as soon as you can to ensure you have full access to all the free resources. 

And hear a best intentions story that will have you double checking the address before going on a home visit!

Roadmap to wellbeing: microskills for positive change

Clinican wellbeing articles on Red Whale Knowledge:

Burnout in health professionals

Mental health in health professionals

Moral distress and moral injury

Strengths and vulnerabilities in clinicians


Practitioner health


Department of Health 2014, The relationship between wellbeing and health


Send us your feedback podcast@redwhale.co.uk or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

Follow us: X, Facebook, Instagram, LinkedIn

Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

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14 Feb 2025Do physical activity monitors actually help us get moving?00:39:46

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Grab your trainers, your dog lead, or a cuppa and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom.  In the first of two episodes this month, Fiona and Nik discuss: 

  • Acute cough and pneumonia in adults. Who needs face-to-face assessment? Who needs antibiotics?
  • ‘I got this new gadget’… we consider technology to support health and wellbeing. 

Listen as soon as you can to ensure you have full access to all the free resources. 

The rest of the Pearls from January will be covered next week along with a new best intentions story to put a smile on your face.

Acute cough and pneumonia in adults

The Independent: ‘What is a quad-demic?’ 12.12.2024

https://www.independent.co.uk/news/uk/nhs-england-flu-symptoms-tedros-adhanom-ghebreyesus-b2663301.html

Triaging adults with respiratory tract infections (NICE 2023, NG237)

https://www.nice.org.uk/guidance/ng237

Cough (acute): antimicrobial prescribing (NICE 2019, NG120)

https://www.nice.org.uk/guidance/ng120

Pneumonia in adults (NICE 2023, CG191)

https://www.nice.org.uk/guidance/cg191

Technology to support health and wellbeing

Timeline of major milestones in the development of wearable sensors and a summary of their building blocks

https://www.nature.com/articles/s41578-022-00460-x/figures/1

Effectiveness of physical activity monitors in adults: systematic review and meta-analysis

BMJ 2022;376:e068047

https://www.bmj.com/content/376/bmj-2021-068047

Pedometers can help people get more active as part of an exercise programme.  

BMJ 2020;369:m877

https://www.bmj.com/content/369/bmj.m877

Send us your feedback podcast@redwhale.co.uk or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

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Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

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21 Feb 2025Something we never want to miss, and something we might have missed... cauda equina syndrome, and the new NICE guidance on menopause- any changes to our practice?00:35:16

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Grab your trainers, your dog lead, or a cuppa and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom.  In the second of two episodes this month, Fiona and Nik discuss: 

  • Spinal cord compression and cauda equina syndrome. They’re on our (long!) list of things we never want to miss. They’re uncommon presentations, but they cause us a lot of anxiety. We can help…
  • The new NICE guidance on menopause, published in December 2024. Much stayed the same, but we focus on the bits that may change our practice…

Listen as soon as you can to ensure you have full access to all the free resources. 

And hear a best intentions story that will have you checking your phone and your headphones before launching into your next consultation!


Spinal cord compression and cauda equina syndrome

 Red flags to screen for malignancy and fracture in patients with low back pain: systematic review

BMJ 2013;347:f7095

 

GRIFT 2023 cauda equina


national suspected cauda equina pathway

 

Musculoskeletal Association of Chartered Physiotherapists – cauda equina information cards (cards in 29 different languages)

 

NICE guideline on menopause 2024: practice-changing points

NICE NG23

BMS statement in response to the publication of the updated NICE Menopause guideline (NG23)

Send us your feedback podcast@redwhale.co.uk or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

Follow us: X, Facebook, Instagram, LinkedIn

Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

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14 Mar 2025Fast steps: the evidence about dance for health, and supporting patients through Ramadan00:55:42

Send us a text

Grab your trainers, your dog lead, your dancing shoes or a cuppa and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom.  In the first of two episodes this month, Ali, Nik and special guests Hussain Al-Zubaidi and Osman Bhatti discuss: 


  • Dance for health. What is the evidence that this helps. Which disease is particularly helped by the tango?
  • Ramadan: supporting patients with long-term conditions. How can we best support those with long-term conditions during this time?  



Listen as soon as you can to ensure you have full access to all the free resources. 


The rest of the Pearls from February will be covered next week along with a new best intentions story to put a smile on your face.

Links

Sign up for GP trainee essentials


Let’s dance? Dance for health…

Let’s Dance - communication toolkit


Ramadan: impact on diabetes and other chronic diseases

BMJ Practice Pointer acknowledging that fasting may impact chronic disease control. BMJ 2022;376e:063613


Send us your feedback podcast@redwhale.co.uk or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

Follow us: X, Facebook, Instagram, LinkedIn

Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

...
21 Mar 2025I've got a pain in my foot... and these mouth ulcers won't clear up...00:33:05

Send us a text

Grab your trainers, your dog lead, or a cuppa and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom.  In the second of two episodes this month, Ali and Nik discuss: 


  • ‘I’ve got a pain in my foot.’ Do you feel less confident when consulting about feet? We can help…
  • ‘These mouth ulcers won’t clear up.’ We talk about Behçet’s syndrome, a rare multi system inflammatory condition.


Listen as soon as you can to ensure you have full access to all the free resources. 

And hear a best intentions story that will have you in a spin!

Links

Support for clinicians in Scotland

National wellbeing hub : support to stay well for everyone working in health, social care and social work in Scotland.

Support for clinicians in Wales

Support for clinicians in Northern Ireland

Northern Ireland Medical and Dental Training Agency (NIMDA)

Support for clinicians on the Isle of Man, Guernsey and Jersey

Support for clinicians in England

Support for NHS people (NHS England)


Sign up for GP trainee essentials

I’ve got a pain in my foot…

 2020 BMJ 10-minute Consultation on forefoot pain (BMJ 2020;371: m3704).

 These mouth ulcers won’t clear up

 British Association of Dermatologists and British Society for Rheumatology living guideline for managing people with Behçets 2

Send us your feedback podcast@redwhale.co.uk or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

Follow us: X, Facebook, Instagram, LinkedIn

Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

...
11 Apr 2025Anabolic steroid use - body image issues and the pursuit of a muscular physique00:50:34

Send us a text

Grab your trainers, your dog lead, your gardening clothes or a cuppa and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom.  In the first of two episodes this month, Fiona and Nik discuss: 

  • Anabolic steroid use. Body image concerns and pursuing an increasingly muscular appearance is becoming a growing issue, particularly for men and boys. 
  • Nature… so important that we should prescribe it? Yes! Special guest Hussain Al-Zubaidi joins us to talk about the power of nature and green social prescribing in transforming patient health.

Listen as soon as you can to ensure you have full access to all the free resources. 

The rest of the Pearls from March will be covered next week along with a new best intentions story to put a smile on your face.


Anabolic steroid use

BJGP 2015;65:626 

BJGP 2024;74(741):187 

BMJ 10-minute consultation (BMJ 2016;355:i5023)

 

Green social prescribing

The National Academy for Social Prescribing:

Full toolkit on green social prescribing 

RCGP - parkrun practice initiative

 

Videos

Red Whale Knowledge - green social prescribing 

Send us your feedback podcast@redwhale.co.uk or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

Follow us: X, Facebook, Instagram, LinkedIn

Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

...
18 Apr 2025Spotting myeloma…let’s make it less tricky00:27:57

Send us a text

Grab your trainers, your dog lead, or a cuppa and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom.  In the second of two episodes this month, Fiona and Nik discuss: 


  • What jumped out at us from our brand new video byte: ‘Ramadan - Impact on diabetes and other chronic illnesses’
  • Spotting Myeloma… let’s make it less tricky. Myeloma has been a popular topic in our recent Cancer and GP Update courses. So, to celebrate the launch of the NEW season of GP Update courses we wanted to share this Pearl on myeloma.



Listen as soon as you can to ensure you have full access to all the free resources. 


And hear a best intentions story that will have you checking what you’re drying your hands with!


Ramadan

Video

Red Whale Knowledge - Ramadan: impact on diabetes and other chronic disease


 

Myeloma

 

NICE 2015, NG12

 

Myeloma UK’s diagnostic tool for primary care

 

Send us your feedback podcast@redwhale.co.uk or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

Follow us: X, Facebook, Instagram, LinkedIn

Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

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