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Cancer is among the most common and feared diseases in the modern world. Dr. Selwyn Vickers—president and CEO of Memorial Sloan Kettering Cancer Center—joins host Mark Labberton to discuss how precision oncology, data, and faith are transforming cancer treatment. A distinguished cancer surgeon and pancreatic cancer researcher, Vickers explains how groundbreaking advances in genomics, immunotherapy, and AI are transforming once-lethal diagnoses into survivable and even chronic conditions. Together, they explore not only the cutting-edge science of cancer care but also the spiritual, emotional, and social dimensions that affect every patient and caregiver. Resonating with themes of suffering, hope, and resurrection, this conversation offers clarity, compassion, and courage for all who are affected by cancer—from those newly diagnosed, to medical professionals, to grieving families and curious listeners. Episode Highlights “We're getting to a point where we will, in the next five to seven years, have a much better chance to cure people—and to make pancreatic cancer a chronic illness.” “We are in what's somewhat coined the golden age of cancer research.” “Cancer is a disease that creates an existential threat in ways no other illness does.” “If a tumour forms, it means your body's immune system has made a social contract with the cancer.” “We changed the diagnosis in 10–12 percent of the patients who come to us—sometimes from cancer to no cancer.” “Cancer care is a team sport. And our patients often inspire us more than we help them.” Helpful Links & Resources Memorial Sloan Kettering Cancer Center BioNTech – creators of mRNA vaccines for COVID and cancer CAR T-Cell Therapy Overview (Cancer.gov) Tim Keller on cancer and hope Emma Thompson's Wit (HBO) BRCA1 and BRCA2 Genes and Cancer Risk MSK-IMPACT: Next-Gen Tumor Profiling About Selwyn Vickers Selwyn M. Vickers, MD, FACS, is the president and CEO of Memorial Sloan Kettering Cancer Center (MSK) and the incumbent of the Douglas A. Warner III Chair. He assumed the role on September 19, 2022. Vickers is an internationally recognized pancreatic cancer surgeon, pancreatic cancer researcher, and pioneer in health disparities research. He is a member of the National Academy of Medicine and the Johns Hopkins Society of Scholars. He has served on the Johns Hopkins School of Medicine Board of Trustees and the Johns Hopkins University Board of Trustees. Additionally, he has served as president of the Society for Surgery of the Alimentary Tract and the Southern Surgical Association. Vickers is the immediate past president of the American Surgical Association. He also continues to see patients. In 1994, he joined the faculty of the University of Alabama at Birmingham (UAB) as an assistant professor in the Department of Surgery, where he was later appointed to professor and the John H. Blue Chair of General Surgery. In 2006, Vickers left UAB to become the Jay Phillips Professor and Chair of the Department of Surgery at the University of Minnesota Medical School. Born in Demopolis, Alabama, Vickers grew up in Tuscaloosa and Huntsville. He earned baccalaureate and medical degrees and completed his surgical training (including a chief residency and surgical oncology fellowship) at the Johns Hopkins University. Vickers completed two postgraduate research fellowships with the National Institutes of Health and international surgical training at John Radcliffe Hospital of Oxford University, England. Vickers and his wife, Janice, who is also from Alabama, have been married since 1988. They have four children. Show Notes The ongoing threat and fear of cancer How Selwyn Vickers got into medicine Pancreatic cancer: Vickers's expertise “We are in what's somewhat coined the golden age of cancer research.” Sequencing the human genome “Is there a drug that might target the mutation that ended up creating your cancer?” Cancer as both a medical and existential diagnosis The revolution of precision oncology through human genome sequencing ”It takes a billion cells to have a one centimetre tumor.” Immunotherapy: checkpoint inhibition, CAR T-cell therapy, and vaccines Cellular therapy: ”Taking a set of their normal cells and re-engineering them to actually go back and target and attack their tumors. … We've seen patients who had initially a 30 percent chance of survival converted to an 80 percent chance of survival.” “We know in many tumours there's something called minimal residual disease.” “Immunizing yourself against cancer is a significant future opportunity.” Managing the power of data with AI and computational oncology Cancer-care data explosion: the role of computational oncologists Cancer vaccines: breakthrough mRNA treatment for pancreatic cancer ”Didn't ultimately win. We had to suffer through her losing her life, but was so appreciative that she got much more than the six months she was promised.” Tumour misdiagnoses and the importance of specialized expertise Pancreatic cancer challenges: immune cloaking and late-stage detection In the past, one in four would die from the operation for removing pancreatic cancer Long-term survival Future of cancer detection: AI-based medical record analysis and blood biopsies More accurate blood tests to confirm conditions Using AI to select those who are high-risk for cancer Pastor Tim Keller died of pancreatic cancer. In the past, “your doctor … helped you learn how to die.” ”[God's] given man the privilege to discover those things that have been hidden. And over time we've gradually uncovered huge opportunities to impact people's lives.” The state of breast cancer research and treatment “If you get the diagnosis of breast cancer, you have a 90 percent chance to survive and beat it over a five-year period of time.” ”In general, we're in a great state of understanding how to treat breast cancer, how to detect it early, and then have selective and targeted mechanisms to prevent it from coming back.” Prostate cancer research and treatment Theranostics: using a specific antibody to target cancer cells specifically Pediatric cancer: ”We actually treat more children for cancer than any hospital in America now, but in general, the survival for pediatric cancers is greater than 80 percent.” Emotional, psychological, and spiritual toll of cancer: importance of psycho-oncology How Sloan Kettering developed psycho-oncology to help cancer patients with mental and spiritual health Personal story: how a cafeteria worker empowers patients through food choices “We give back to them the right to choose what they get to have on their tray.” Cancer treatment is a team sport. Wit (film, Broadway play)—actress Emma Thompson plays a cancer patient studying the work of John Donne on death Socioeconomic and racial disparities in cancer care outcomes The healing role of community, support teams, and compassionate listening The importance of listening to cancer patients who are preparing to die The spiritual courage of patients and the transformative power of faith “Our patients often help us. We see the grace with which they often handle that journey.” The inspiration behind becoming a doctor: family legacy and human impact Terminal care: the sacred responsibility of walking with patients to the end Cancer research and treatment as a Christian vocation and expression of humanity Production Credits
Two wide open cases from the latest issue of the journal. Starting with a case from Italy (1:18), of a 63-yo man having a history of behavioural and cognitive problems since retiring. His many changes included low mood, significant weight loss, and problems with sleep and temperature regulation. He had a background of type 2 diabetes. Initial treatment was on a suspicion of Alzheimer's, but there was no clinical improvement. https://pn.bmj.com/content/25/2/159 A case from the United States is next (17:36), featuring a 66-yo lady experiencing 10 days of generalised weakness, with episodes of forgetfulness and a series of falls. She had previously been treated for left-sided ophthalmic herpes zoster. Neurological examination showed mild right arm and leg weakness. https://pn.bmj.com/content/25/2/164 The case reports discussion is hosted by Prof. Martin Turner¹, who is joined by Dr. Ruth Wood² and Dr. Babak Soleimani³ for a group examination of the features of each presentation, followed by a step-by-step walkthrough of how the diagnosis was made. These case reports and many others can be found in the February 2025 issue of the journal. (1) Professor of Clinical Neurology and Neuroscience at the Nuffield Department of Clinical Neurosciences, University of Oxford, and Consultant Neurologist at John Radcliffe Hospital. (2) Neurology Registrar, University Hospitals Sussex. (3) Clinical Research Fellow, Oxford Laboratory for Neuroimmunology and Immunopsychiatry, Nuffield Department of Medicine, University of Oxford Please subscribe to the Practical Neurology podcast on your favourite platform to get the latest podcast every month. If you enjoy our podcast, you can leave us a review or a comment on Apple Podcasts (https://apple.co/3vVPClm) or Spotify (https://spoti.fi/4baxjsQ). We'd love to hear your feedback on social media - @PracticalNeurol. Production and editing by Brian O'Toole. Thank you for listening.
A puzzling pair of Case Reports from the most recent issue of the journal. First up (1:35) is a man in his mid-fifties, presenting with lumbar spine fractures, which then developed into confusion, vomiting, and abdominal pain. An x-ray showed dilated intestinal loops and his blood sodium levels were low. https://pn.bmj.com/content/25/1/87 The second case (23:06) involves a 21-yo woman, who presented at 18 weeks pregnant with multiple episodes of right upper limb tonic extension, and subsequently developed new-onset refractory status epilepticus (NORSE). https://pn.bmj.com/content/25/1/56 The case reports discussion is hosted by Prof. Martin Turner¹, who is joined by Dr. Ruth Wood² and Dr. Xin You Tai³ for a group examination of the features of each presentation, followed by a step-by-step walkthrough of how the diagnosis was made. These case reports and many others can be found in the February 2025 issue of the journal. (1) Professor of Clinical Neurology and Neuroscience at the Nuffield Department of Clinical Neurosciences, University of Oxford, and Consultant Neurologist at John Radcliffe Hospital. (2) Neurology Registrar, University Hospitals Sussex. (3) Clinical Academic Fellow, Nuffield Department of Clinical Neurosciences, Oxford University, and Neurology Specialty registrar, Oxford University Hospital. Please subscribe to the Practical Neurology podcast on your favourite platform to get the latest podcast every month. If you enjoy our podcast, you can leave us a review or a comment on Apple Podcasts (https://apple.co/3vVPClm) or Spotify (https://spoti.fi/4baxjsQ). We'd love to hear your feedback on social media - @PracticalNeurol. Production and editing by Letícia Amorim and Brian O'Toole. Thank you for listening.
In our exciting return, we sat down with José Martínez, an emergency department research nurse, who after a traumatic cycling accident found himself in his workplace hospital as a trauma patient. Offering insights into the emotional and physical challenges healthcare professionals face when the roles are reversed, Josés story is a testament of strength, vulnerability, and the intricate connections between our professional and personal lives. Tune in for an inspiring conversation that explores the profound resilience required to heal both physically and mentally. Guest: José Martínez José Martínez qualified as a nurse at the Balearic Islands University. He moved to the UK in 2012 where he has spent over 10 years working in the emergency department at the John Radcliffe Hospital in Oxford. Following his accident, he has shown a great interest on patient experience in trauma, delivering speeches in conferences in Oxford, London, Las Vegas among others. We would love to hear from you so please do reach out to us on social media, or email us at podcasts@rcseng.ac.uk For more information on RCS England please visit our website: https://www.rcseng.ac.uk/ Hosted by: Andrea Pearson Produced by: Andrea Pearson
Two more fascinating Case Reports from the latest issue of the journal. The first case (1:15) is of a 57-yo woman, with an intermittent posterior headache, which had an associated bilateral pressure-like sensation. Her symptoms had begun on a recent trip to Sri Lanka. https://pn.bmj.com/content/24/6/526 Following on is the second case (22:18), which features a 54-yo man experiencing deterioration in his speech and mobility. He had a background of chronic HIV infection with ongoing treatment. https://pn.bmj.com/content/24/6/507 The case reports discussion is hosted by Prof. Martin Turner¹, who is joined by Dr. Ruth Wood² and Dr. Xin You Tai³ for a group examination of the features of each presentation, followed by a step-by-step walkthrough of how the diagnosis was made. These case reports and many others can be found in the June 2024 issue of the journal. (1) Professor of Clinical Neurology and Neuroscience at the Nuffield Department of Clinical Neurosciences, University of Oxford, and Consultant Neurologist at John Radcliffe Hospital. (2) Neurology Registrar, University Hospitals Sussex. (3) Clinical Academic Fellow, Nuffield Department of Clinical Neurosciences, Oxford University, and Neurology Specialty registrar, Oxford University Hospital. Please subscribe to the Practical Neurology podcast on your favourite platform to get the latest podcast every month. If you enjoy our podcast, you can leave us a review or a comment on Apple Podcasts (https://apple.co/3vVPClm) or Spotify (https://spoti.fi/4baxjsQ). We'd love to hear your feedback on social media - @PracticalNeurol. Production and editing by Letícia Amorim and Brian O'Toole. Thank you for listening.
The immune system is a recurring feature in the cases discussed in this edition of the Case Reports podcast. The first paper details the cases of two young women, sisters, presenting with overlapping conditions but resulting in tragically different outcomes (1:16). Both were in their twenties, had given birth recently, and developed limb weakness along with several other neurological symptoms. https://pn.bmj.com/content/24/5/422 Our second case is a 72-yo woman with a range of symptoms including diplopia, ptosis, myalgia, and worsening shortness of breath (21:27). She had had surgical resection of a malignant melanoma, and was receiving immunotherapy treatment. Her presentation resembled myasthenia gravis, but initial treatment did not yield a response. https://pn.bmj.com/content/24/5/428 The case reports discussion is hosted by Prof. Martin Turner¹, who is joined by Dr. Ruth Wood² and Dr. Xin You Tai³ for a group examination of the features of each presentation, followed by a step-by-step walkthrough of how the diagnosis was made. These case reports and many others can be found in the June 2024 issue of the journal. (1) Professor of Clinical Neurology and Neuroscience at the Nuffield Department of Clinical Neurosciences, University of Oxford, and Consultant Neurologist at John Radcliffe Hospital. (2) Neurology Registrar, University Hospitals Sussex. (3) Clinical Academic Fellow, Nuffield Department of Clinical Neurosciences, Oxford University, and Neurology Specialty registrar, Oxford University Hospital. Please subscribe to the Practical Neurology podcast on your favourite platform to get the latest podcast every month. If you enjoy our podcast, you can leave us a review or a comment on Apple Podcasts (https://apple.co/3vVPClm) or Spotify (https://spoti.fi/4baxjsQ). We'd love to hear your feedback on social media - @PracticalNeurol. This episode was produced and edited by Brian O'Toole. Thank you for listening.
This month's cases both feature sudden onset neurological syndromes. The first case (1:23) is that of a 26-yo Brazilian man who awoke from sleep with weakness in all four limbs. The signs suggest a possibility of Guillain-Barré syndrome or polio. A normal cranial nerve examination follows, with no unusual findings - https://pn.bmj.com/content/24/4/342 A 69-yo woman is the subject of the second case (14:33), after she presents with sudden onset unsteadiness and slurred speech when getting out of bed. A stroke was initially examined for by CT head scan, proving unremarkable, but a subsequent MRI scan showed an intense midbrain lesion. The patient subsequently improved, but then returned three months later with occurrences of the same symptoms multiple times throughout the day - https://pn.bmj.com/content/24/4/310 The case reports discussion is hosted by Prof. Martin Turner (1), who is joined by Dr. Ruth Wood (2) and Dr. Xin You Tai (3) for a group examination of the features of each presentation, followed by a step-by-step walkthrough of how the diagnosis was made. These case reports and many others can be found in the August 2024 issue of the journal. (1) Professor of Clinical Neurology and Neuroscience at the Nuffield Department of Clinical Neurosciences, University of Oxford, and Consultant Neurologist at John Radcliffe Hospital. (2) Neurology Registrar, University Hospitals Sussex. (3) Clinical Academic Fellow, Nuffield Department of Clinical Neurosciences, Oxford University, and Neurology Specialty registrar, Oxford University Hospital. Listen to the JNNP podcast, "Nutritional peripheral neuropathies, with Dr. Alexander Rossor" on Apple (https://apple.co/3WjTmrM), Spotify (https://spoti.fi/4bKOhNA), Web (https://bit.ly/4cYhx4m). Please subscribe to the Practical Neurology podcast on your favourite platform to get the latest podcast every month. If you enjoy our podcast, you can leave us a review or a comment on Apple Podcasts (https://apple.co/3vVPClm) or Spotify (https://spoti.fi/4baxjsQ). We'd love to hear your feedback on social media - @PracticalNeurol. This episode was produced and edited by Brian O'Toole. Thank you for listening.
Two highly unusual cases in this edition of Case Reports. The first case describes a 64-yo woman presenting to the emergency department with a five day history of bizarre behaviours (1:45). A BBC radio show prompts her, out of character, to reflect aloud about her childhood, and she experiences recurrent periods of unresponsiveness followed by intense agitation. She was kept in hospital for scans and discharged after two weeks, but returned soon after with a similar presentation - (link) A lifetime bodybuilder is the patient in the second case (21:12), with a practice of anabolic steroid injection over several decades. He presents with a three year history of unsteadiness when walking and tingling in his feet, as well as reduced dexterity. His symptoms are found to be brought on by a toxicity from an unexpected source - (link) The case reports discussion is hosted by Prof. Martin Turner (1), who is joined by Dr. Ruth Wood (2) and Dr. Xin You Tai (3) for a group examination of the features of each presentation, followed by a step-by-step walkthrough of how the diagnosis was made. These case reports and many others can be found in the June 2024 issue of the journal. (1) Professor of Clinical Neurology and Neuroscience at the Nuffield Department of Clinical Neurosciences, University of Oxford, and Consultant Neurologist at John Radcliffe Hospital. (2) Neurology Registrar, University Hospitals Sussex. (3) Clinical Academic Fellow, Nuffield Department of Clinical Neurosciences, Oxford University, and Neurology Specialty registrar, Oxford University Hospital. Listen to the JNNP podcast, "Nutritional peripheral neuropathies, with Dr. Alexander Rossor" on Apple (https://apple.co/3WjTmrM), Spotify (https://spoti.fi/4bKOhNA), Web (https://bit.ly/4cYhx4m). Please subscribe to the Practical Neurology podcast on your favourite platform to get the latest podcast every month. If you enjoy our podcast, you can leave us a review or a comment on Apple Podcasts (https://apple.co/3vVPClm) or Spotify (https://spoti.fi/4baxjsQ). We'd love to hear your feedback on social media - @PracticalNeurol. This episode was produced and edited by Brian O'Toole. Thank you for listening.
The first of this episode's two case reports features a 62-yo man, referred from ophthalmology with a drooping eyelid, chronic coughing, and excess sweating in the face provoked by eating (1:21). An MR scan finds abnormal deposits in his brain - (link) The second report describes two patients (17:05), firstly a 70-yo man presenting with abnormal facial movements and weight loss, and secondly a 90-yo woman with abnormal movements of her right arm and leg. Routine blood tests at presentation for both patients were normal at presentation - (link) The case reports discussion is hosted by Prof. Martin Turner (1), who is joined by Dr. Ruth Wood (2) and Dr. Xin You Tai (3) for a group examination of the features of each presentation, followed by a step-by-step walkthrough of how the diagnosis was made. These case reports and many others can be found in the April 2024 issue of the journal. (1) Professor of Clinical Neurology and Neuroscience at the Nuffield Department of Clinical Neurosciences, University of Oxford, and Consultant Neurologist at John Radcliffe Hospital. (2) Neurology Registrar, University Hospitals Sussex. (3) Clinical Academic Fellow, Nuffield Department of Clinical Neurosciences, Oxford University, and Neurology Specialty registrar, Oxford University Hospital. Please subscribe to the Practical Neurology podcast on your favourite platform to get the latest podcast every month. If you enjoy our podcast, you can leave us a review or a comment on Apple Podcasts (https://apple.co/3vVPClm) or Spotify (https://spoti.fi/4baxjsQ). We'd love to hear your feedback on social media - @PracticalNeurol. The PN podcast is produced by Letícia Amorim and edited by Brian O'Toole. Thank you for listening.
The first case for this issue's discussion is one of a young man with a history of involuntary jerks and photosensitivity (1:20). Several more seizures followed his initial presentation with a general tonic-clonic seizure. A number of examinations were done including an MR scan and EEG - (link) Case two involves a 69-yo woman who developed non-convulsive status epilepticus, having been examined as a gastroenterology inpatient for abdominal pain (22:20). A positive PCR for Whipple's disease in stools and saliva, but negative in the CSF, prompted further testing - (link) The case reports discussion is hosted by Prof. Martin Turner (1), who is joined by Dr. Ruth Wood (2) and Dr. Xin You Tai (3) for a group examination of the features of each presentation, followed by a step-by-step walkthrough of how the diagnosis was made. These case reports and many others can be found in the February 2024 issue of the journal. Further reading: Panegyres PK. Diagnosis and management of Whipple's disease of the brain. Practical Neurology 2008;8:311-317. Association of British Neurologists. Rare Diseases Ascertainment and Recruitment (RaDAR). (1) Professor of Clinical Neurology and Neuroscience at the Nuffield Department of Clinical Neurosciences, University of Oxford, and Consultant Neurologist at John Radcliffe Hospital. (2) Neurology Registrar, University Hospitals Sussex. (3) Clinical Academic Fellow, Nuffield Department of Clinical Neurosciences, Oxford University, and Neurology Specialty registrar, Oxford University Hospital. Please subscribe to the Practical Neurology podcast on your favourite platform to get the latest podcast every month. If you enjoy our podcast, you can leave us a review or a comment on Apple Podcasts (https://apple.co/3vVPClm) or Spotify (https://spoti.fi/4baxjsQ). We'd love to hear your feedback on social media - @PracticalNeurol. The PN podcast is produced by Letícia Amorim and edited by Brian O'Toole. Thank you for listening.
In the first case this episode, a 69-yo woman has developed severe pain around her right eye with blurring to the vision on that side (1:08), which prompts use of a "rediscovered" treatment technique by the ophthalmology department - (https://pn.bmj.com/content/23/6/527). The second case (15:23) is that of a 45-yo man with progressive pain in his lower limbs, hyperaesthesia and then weakness, who was initially diagnosed with meralgia paraesthetica by tele-medicine examination - (https://pn.bmj.com/content/23/6/516). The case reports discussion is hosted by Prof. Martin Turner (1), who is joined by Dr. Ruth Wood (2) and Dr. Xin You Tai (3), for a group examination of the features of each presentation, followed by a step-by-step walkthrough of how the diagnosis was made. These case reports and many others can be found in the December 2023 issue of the journal. (1) Professor of Clinical Neurology and Neuroscience at the Nuffield Department of Clinical Neurosciences, University of Oxford, and Consultant Neurologist at John Radcliffe Hospital. (2) Neurology Registrar, University Hospitals Sussex. (3) Clinical Academic Fellow, Nuffield Department of Clinical Neurosciences, Oxford University, and Neurology Specialty registrar, Oxford University Hospital. Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Practical Neurology Podcast iTunes page (https://podcasts.apple.com/gb/podcast/pn-podcast/id942932053). We'd love to hear your feedback on social media - @PracticalNeurol. The PN podcast is produced by Letícia Amorim and edited by Brian O'Toole. Thank you for listening.
Public Service Announcement: Would you like to support us ? We are raising money for our NFP and podcast to obtain an office space and podcast recording studio for 2024. Our goal is $10, 000 AUD and any donation big or small is helpful ! If you're interested in supporting us, please email us at hello@pbbmedia.org for more information. If you're not familiar, Check out our work at pbbmedia.org In this interview, Oni Blecher interviews Dr. Howard Chilton has been a neonatologist (a baby's physician) for over 45 years. He was born in York, England and studied at St Mary's Hospital Medical School in London. After wonderful years in London in the swinging sixties he graduated then interned at Addington Hospital on the beach in Durban, South Africa. Following this, he was accepted for a Senior House Physician appointment in Neonatal Medicine at Harari Hospital in then, Salisbury Rhodesia, now, Harare, Zimbabwe). After more training, Howard eventually obtained paediatric appointments at the Hammersmith Hospital and the Westminster Children's Hospital, then, after obtaining his MRCP (UK) degree, the John Radcliffe Hospital, Oxford where he also did a short fellowship. He then became a SHO at the Hospital for Sick Children, Great Ormond Street, London in the Department of Respiratory Medicine. He did a mandatory Neonatal Fellowship in the US at Denver Children's Hospital which included two years in a centre of excellence in high tech neonatology including doing neonatal ground and air retrievals, really taught him how to look after the sickest, smallest babies.Before starting this fellowship though, he had a long stopover in Sydney doing locum Respiratory and Paediatric jobs, to check out job prospects. During one job at Prince Henry Hospital he met a beautiful nursing sister called Tamara.At the end of the fellowship, Howard was appointed as the Director of Newborn Services at the Royal Hospital for Women in Sydney, where he held this position for over twenty years, resigning in 1999 to concentrate on clinical work and parent education. Apart from looking after babies and their parents, Howard now spends a lot of his time talking: to parent groups, or to conferences in Australia and overseas, and to media outlets about ‘responsive parenting' and the myriad issues which arise for parents when they take their new baby home. He believes knowledge of the biology of the baby can help parents understand and meet their baby's needs and enables them to relax and enjoy the wonderful experience of parenting.He married Tamara soon after arriving back in Sydney from the USA and she remains the light of his life. They have two daughters, Georgina and Isabella and five grandchildren ! all under 5 years of age. Find out more about Dr. Chilton, including his well renowned books at babydoc.com.au
Dr Kathleen talks about her life as a psychiatrist and how training in spiritual accompaniment in the Carmelite tradition has changed her practise in relation to patient care and the work of the NHS. Dr Kathleen Kelly is a Consultant Psychiatrist who works at The John Radcliffe Hospital in Oxford.
Prof. Martin Turner (1) hosts Dr. Ruth Wood (2) and Dr. Xin You Tai (3), as they puzzle through two Case Reports from the latest issue of the Practical Neurology journal. The first case (1:11) is one of a 27-yo man, whose initial presentation suggests a form of multiple sclerosis, but turns out to be something more rare - (https://pn.bmj.com/content/23/5/414). The second case (19:16) is that of a 59-yo woman, with a two month history of progressive confusion and gait difficulty against a background of schizophrenia - (https://pn.bmj.com/content/23/5/453). Additional reading: Practical approach to the diagnosis of adult-onset leukodystrophies: an updated guide in the genomic era - https://jnnp.bmj.com/content/90/5/543 (1) Professor of Clinical Neurology and Neuroscience at the Nuffield Department of Clinical Neurosciences, University of Oxford, and Consultant Neurologist at John Radcliffe Hospital. (2) Neurology Registrar, University Hospitals Sussex. (3) Clinical Academic Fellow, Nuffield Department of Clinical Neurosciences, Oxford University, and Neurology Specialty registrar, Oxford University Hospital. Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Practical Neurology Podcast iTunes page (https://podcasts.apple.com/gb/podcast/pn-podcast/id942932053). We'd love to hear your feedback on social media - @PracticalNeurol. The PN podcast is produced by Letícia Amorim and edited by Brian O'Toole. Thank you for listening.
In the third episode of this new series of the Practical Neurology podcast, Prof. Martin Turner (1) hosts Dr. Ruth Wood (2) and Dr. Xin You Tai (3) in a discussion of two Case Reports from the latest issue of the Practical Neurology journal. The first case (0:36) is one of a 78-yo man with variable slurring speech and swallowing difficulties - "Bilateral hypertrophic olivary degeneration in symptomatic palatal tremor" (https://pn.bmj.com/content/23/4/346). The second case (19:21) is a first-person report from the "Me and My Neurological Illness" section, with a 56-yo man living with Parkinson's getting into difficulty while swimming in open water - "Near-drowning in Parkinson's disease: common or uncommon?" (https://pn.bmj.com/content/23/4/354). (1) Professor of Clinical Neurology and Neuroscience at the Nuffield Department of Clinical Neurosciences, University of Oxford, and Consultant Neurologist at John Radcliffe Hospital. (2) Neurology Registrar, University Hospitals Sussex. (3) Clinical Academic Fellow, Nuffield Department of Clinical Neurosciences, Oxford University, and Neurology Specialty registrar, Oxford University Hospital. Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Practical Neurology Podcast iTunes page (https://podcasts.apple.com/gb/podcast/pn-podcast/id942932053). We'd love to hear your feedback on social media - @PracticalNeurol. The PN podcast is produced by Letícia Amorim and edited by Brian O'Toole. Thank you for listening.
Welcome to the first episode of the second season of Conversations in Fetal Medicine, where we talk to Professor Sally Collins. Sally is a Consultant Obstetrician subspecializing in Feto-Maternal Medicineat the John Radcliffe Hospital and a Professor of Obstetrics in the NuffieldDepartment of Women's and Reproductive Health, University of Oxford.Sally graduated in Medicine from the University of Oxford and specialized inObstetrics and Gynaecology, training within the Oxford region during whichtime she completed a DPhil in Obstetric Ultrasound. Sally is currently aConsultant Obstetrician in a busy NHS Trust and has set up the Oxford FMUtertiary referral Placenta Clinic.She is highly research active having authored over 150 journal articles, filedthree patents and won several international research awards. She currentlyholds several grants including from the NIHR and Sir Jules Thorn Trust todevelop a fully automated first trimester ultrasound screening tool for fetalgrowth restriction.Sally is also world renowned for her expertise in placenta accreta spectrum(PAS) and is currently working with NHS England to develop a nationalnetwork for the diagnosis and management of PAS having co-authored theRCOG and FIGO guidelines on diagnosis and management of PAS. She isChairperson elect of the International Society for PAS and is the lead authoron their recent evidence-based guidelines. She is a founder member of theOxford Placenta Accreta team (https://www.placentaaccretasspectrum.com/)and continues to strive to improve the outcomes for women affected by thisrare, but complex and potentially lethal condition.Websites with further details about her work and research: https://www.wrh.ox.ac.uk/team/sally-collinsHer Wikipedia page:https://en.wikipedia.org/wiki/Sally_CollinsThe (fabulous) PAS website we discuss in the episode: https://www.placentaaccretasspectrum.com/We have not included any patient identifiable information, and this podcast is intended for professional education rather than patient information (although anyone is of course welcome to listen). Please get in touch with feedback or suggestions for future guests or topics: conversationsinfetalmed@gmail.com, or via Twitter (X) or Instagram via @fetalmedcast. Music by Crowander ('Acoustic romance') used under creative commons licence. Podcast created, hosted and edited by Dr Jane Currie.
As the UK's independent public inquiry into Covid-19 gets underway, members of the Covid bereaved complain that they are not being given an opportunity to testify. Today, in the second part of our two-part special, Mark speaks to the parents of Susan Sullivan, a woman with Down's Syndrome who died of Covid-19 at Barnet General Hospital on March 28, 2020, after being deemed “not for resuscitation” and he reveals the findings of a confidential investigation by the Royal Free NHS Hospital Trust into her death. The report, which makes for shocking reading, found that Susan was not seen by a consultant until 20 hours after admission to Barnet's Accident and Emergency department and that the fact that she had Down's Syndrome and had been fitted with a pacemaker should not have excluded her from intensive care. Mark also speaks to Kamran Mallick, the CEO of Disability Rights UK, about what the Sullivan case reveals about the pattern of discrimination experienced by people with learning disabilities across the NHS, and to Dominic Wilkinson, a medical ethicist, who explains the challenge to doctors of weighing the harms and benefits of invasive procedures to patients. Presented by Mark Honigsbaum @honigsbaum With: John and Ida Sullivan www.covidfamiliesforjustice.org / @CovidJusticeuk Kamran Mallick, CEO of Disability Rights UK. www.disabilityrights.uk / @KamranMallick Professor Dominic Wilkinson @NeonatalEthics Professor of Medical Ethics and Director of Medical Ethics at the Oxford Uehiro Centre for Practical Ethics. Dominic is also a Consultant Neonatologist at the John Radcliffe Hospital and a Senior Research Fellow at Jesus College. www.jesus.ox.ac.uk/about-jesus-college/our-community/people/professor-dominic-wilkinson/ Series Producer: Melissa FitzGerald @Melissafitzg Cover art by Patrick Blower www.blowercartoons.com Follow us on Twitter: @GoingViral_pod Follow us on Instagram: goingviral_thepodcast Blog: markhonigsbaum.substack.com This episode of Going Viral has been produced with the support of a grant from the Higher Education Innovation Fund at City, University of London. It is part of the project, “Commemorating Covid, Remembering Pandemics”, www.rememberingpandemics.com If you enjoy our podcast - please leave us a rating or review. Thank you!
In the second episode of this new series of the Practical Neurology podcast, Prof. Martin Turner (1) hosts Dr. Ruth Wood (2) and Dr. Xin You Tai (3) as they delve into two Case Reports from the latest issue of the Practical Neurology journal. First up this month (0:42) is a young man, presumed suffering from a drug overdose, with symptoms of transient global amnesia. This case is determined to be an example of "Cerebellar Hippocampal and Basal Nuclei Transient Edema with Restricted diffusion (CHANTER) Syndrome" (https://pn.bmj.com/content/early/2023/04/17/pn-2023-003724). Next (13:07) is a young woman with urinary retention and leg paraesthesia over multiple days. Investigations showed this to be "Conus medullaris syndrome as a presenting feature of MOG-associated disease" (https://pn.bmj.com/content/early/2023/01/13/pn-2022-003560). (1) Professor of Clinical Neurology and Neuroscience at the Nuffield Department of Clinical Neurosciences, University of Oxford, and Consultant Neurologist at John Radcliffe Hospital. (2) Neurology Registrar, University Hospitals Sussex. (3) Clinical Academic Fellow, Nuffield Department of Clinical Neurosciences, Oxford University, and Neurology Specialty registrar, Oxford University Hospital. Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Practical Neurology Podcast iTunes page (https://podcasts.apple.com/gb/podcast/pn-podcast/id942932053). The PN podcast is produced by Letícia Amorim and edited by Brian O'Toole. Thank you for listening.
In this new series of the Practical Neurology podcast, Professor Martin Turner (1) invites Dr Ruth Wood (2) and Dr Xin You Tai (3) to discuss the nitty-gritty details of two Case Reports from the latest issue of the Practical Neurology journal. This month, they start by commenting on a case of a woman in her 70s with renal failure who developed confusion and seizures after receiving aciclovir, and was subsequently diagnosed with aciclovir-induced neurotoxicity (Aciclovir-induced neurotoxicity - https://pn.bmj.com/content/23/2/157). They also talk (starting at 23:05) about an unusual case of an acute posterior spinal artery syndrome in a man in his 60s with vascular risk factors (Posterior spinal artery infarct - https://pn.bmj.com/content/23/2/160). (1) Professor of Clinical Neurology and Neuroscience at the Nuffield Department of Clinical Neurosciences, University of Oxford, and Consultant Neurologist at John Radcliffe Hospital. (2) Neurology Registrar, University Hospitals Sussex. (3) Clinical Academic Fellow, Nuffield Department of Clinical Neurosciences, Oxford University, and Neurology Specialty registrar, Oxford University Hospital. Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Practical Neurology Podcast iTunes page (https://podcasts.apple.com/gb/podcast/pn-podcast/id942932053). The PN podcast is produced by Letícia Amorim and edited by Brian O'Toole. Thank you for listening.
It started as an accident of geography: after one RAF runway closed, the bodies of British soldiers killed in action were repatriated from Iraq and Afghanistan to RAF Lyneham and then through the Wiltshire market town of Wootton Bassett, on their way to the John Radcliffe Hospital in Oxford. From April 2007 until August 2011 the town became the site of unofficial national mourning: relatives, tourists, foreign media, politicians and dignitaries came to pay their respects as the funeral corteges made their way down the high street. In 2010 the town became a site of political conflict: Anjem Choudary's Islam4UK threatened to protest the murders of Muslims in Iraq and Afghanistan, and was met by a pre-emptive rally of Tommy Robinson's far-right English Defence League. In this rich and deeply reported long read, the New Statesman's editor, Jason Cowley, revisits the aftermath of the 2003 Iraq invasion. He tells the story of one fallen soldier – a relative – and of the town at the centre of England's response to wars that were increasingly unpopular. He talks to Tony Blair, who justifies the invasion as an opportunity for Britain to redefine its role in the world; and to the former foreign secretary Jeremy Hunt, who describes it as a “disaster... because Blair used his presentational skills to persuade people of something that turned out not to be true, namely the existence of weapons of mass destruction”. Twenty years on, the consequences are still being felt, in the chaotic US withdrawal from Afghanistan in 2021 – and in the small market town of Wootton Bassett. Written by Jason Cowley and read by Hugh Smiley. This article originally appeared in the 17 March edition of the New Statesman, and is an edited extract from the new edition of Jason Cowley's Who Are We Now? Stories of Modern England, published in paperback on 31 March (Picador). You can read the text version here. If you enjoyed this episode, you might enjoy listening to “Nothing prepares you”: a journey through Ukraine at warSubscribers can get an ad free version of the NS Podcast on the New Statesman appPodcast listeners can subscribe to the New Statesman for just £1 a week for 12 weeks using our special offer. Just visit newstatesman.com/podcastoffer. Hosted on Acast. See acast.com/privacy for more information.
From the outset of the Covid-19 pandemic, the British Government made it clear that a baseline level of mortality from Covid was being “priced in” to its decision making: on March 12th 2020, Boris Johnson stopped short of ordering the sort of lockdowns seen in other countries and warned that, “many more families are going to lose loved ones before their time.” This approach belied a series of value judgements and trade-offs where people's lives were set against other values, such as personal liberty and the economy. Today Mark and his guests Anjana Ahuja, Martin McKee and Dominic Wilkinson, reappraise this approach. With Ceinwen Giles and Matt Fowler. Produced in collaboration with the UK Pandemic Ethics Accelerator. Presented by Mark Honigsbaum @honigsbaum With: Anjana Ahuja Contributing writer on science for the Financial Times and co-author of the bestselling ‘Spike: The Virus Vs The People' - the inside story of the Covid-19 pandemic with Sir Jeremy Farrar. https://www.ft.com/anjana-ahuja / @anjahuja Ceinwen Giles Co-CEO of Shine Cancer Support, member of the General Advisory Council of The King's Fund and Chair of the Patient and Public Voices Forum for the NHS England Cancer Programme. www.shinecancersupport.org / @ceineken Professor Martin McKee Professor of European Public Health at the London School of Hygiene and Tropical Medicine. Martin is Research Director of the European Observatory on Health Systems and Policies and he's published many scientific papers and books on health and health policy, with a particular focus on countries undergoing political and social transition. www.lshtm.ac.uk/aboutus/people/mckee.martin / @martinmckee Matt Fowler Co-Founder of Covid-19 Bereaved Families for Justice. www.jrct.org.uk/covid-19-bereaved-families / @CovidJusticeUK Professor Dominic Wilkinson Professor of Medical Ethics and Director of Medical Ethics at the Oxford Uehiro Centre for Practical Ethics. Dominic is also a Consultant Neonatologist at the John Radcliffe Hospital and a Senior Research Fellow at Jesus College. He is one the editors of a forthcoming book with Oxford University Press on pandemic ethics. www.jesus.ox.ac.uk/about-jesus-college/our-community/people/professor-dominic-wilkinson/ / @NeonatalEthics Series Producer: Melissa FitzGerald @Melissafitzg Co-producer: Kate Jopling @katejopling Cover art by Patrick Blower. www.blowercartoons.com Follow us on Twitter: @GoingViral_pod Follow us on Instagram: goingviral_thepodcast This episode of Going Viral on trust in the pandemic, has been produced in collaboration with the UK Pandemic Ethics Accelerator. The Ethics Accelerator was funded by the UKRI Covid-19 research and innovation fund. https://ukpandemicethics.org/ / @PandemicEthics_ If you enjoy our podcast - please leave us a rating or review. Thank you!
Today we take a deep dive into some superfoods and learn about which colors of the rainbow are best for supporting a clear mind and sharp memory with Dr. Evie Kemp. And what's good for the brain is also good for the heart, so we also cover how some of the benefits eating foods with a certain color can help our cardiovascular health too. Dr. Kemp worked for many years as lead physician in occupational medicine at the Centre for Occupational Health and Wellbeing at John Radcliffe Hospital in Oxford, in the United Kingdom. She has a special interest in doctors' and medical students' health and wellbeing and many of her patients came from these two groups. Since 2018 Dr. Evie has divided her time between Israel and Oxford and is now working in medical education; running workshops for doctors, lecturing medical students and is the Director of Medical Student Wellbeing at the Technion American Medical School in Haifa. Dr. Evie is also the founder of Haskapa which produces superfood products made from the haskap berries grown on their all-natural farm in Nova Scotia, Canada. As research director she coordinates haskap berry scientific knowledge and academic research for the company. Disclaimer: This podcast represents the opinions of Dr. Evie Kemp, Haskapa Research Director. The content should not be taken as medical advice and is for informational purposes only. Please consult your healthcare professional for any personal medical queries. Use discount code ZORA for 15% off at haskapa.com Contact Dr. Evie Email: evie@haskapa.com or hello@haskapa.com Facebook: https://en-gb.facebook.com/haskapa/ Twitter: https://twitter.com/haskapa Instagram: https://www.instagram.com/haskapa/ Join the Hack My Age community on: Facebook Page : http://facebook.com/hackmyage Facebook Group: Biohacking Women 50+ - Longevity After Menopause https://www.facebook.com/groups/biohackingwomen50 Instagram: http://instagram.com/hackmyage Website: http://www.hackmyage.com Clubhouse: @hackmyage (Club: Biohacking Women 50+) Hack My Age VIP Group: http://patreon.com/hackmyage Email: zora@hackmyage.com Newsletter: http://www.hackmyage.com/newsletter This podcast is edited by jonathanjk.com --- Send in a voice message: https://anchor.fm/hackmyage/message Support this podcast: https://anchor.fm/hackmyage/support
This content was recorded during a Retina UK Information Event on Tuesday 6 December 2022. You can watch the full version, which includes slides, on our YouTube channel: https://youtu.be/gER4y7e9T14. We welcome you to join us for our virtual information event for the Oxfordshire area. This is a great opportunity to: hear from our speakers about the latest in medical research for IRDs, potential treatment options and clinical trials, see the latest assistive technology solutions and find out what the technology of the future may look like hear more about the services offered by local site loss organisations and Retina UK. Whilst the event is in part tailored to the Oxfordshire area, a lot of information will be of interest to anybody with an interest in learning more about IRDs. Our Keynote speaker will be Mr Kanmin Xue. Mr Xue is a Consultant Vitreo-retinal Surgeon at the John Radcliffe Hospital and Wellcome Trust clinician scientist fellow at the University of Oxford where he leads the Retinal Disease and Repair Group. We will also be joined by Sight and Sound Technologies (who are kindly sponsoring the event). Mr Xue completed undergraduate medical training at Brasenose College Oxford (with the top first-class – Martin Wronker Prize in Medicine) and clinical training at Trinity College Cambridge as part of an MB-PhD programme. Following a residency in London and completion of ophthalmology specialist training in Oxford/Thames Valley Deanery, he undertook the prestigious Vitreo-retinal Fellowship at the Royal Victorian Eye & Ear Hospital in Melbourne, Australia. He was the NIHR Academic Clinical Lecturer in Oxford, leading research and clinical trials of retinal gene therapy and robotic eye surgery. Clinically, he looks after patients with general ophthalmic conditions, cataracts, and offers sub-specialist expertise in retinal diseases. He supervises and trains surgeons in cataract surgery (including dealing with complications) and the full spectrum of vitreo-retinal surgery. Mr Xue is the recipient of numerous awards, including the Ruskell Medal (Worshipful Company of Spectacle Makers), Ian Fraser Cup, Luigi Barca Award, and Martin Wronker Prize in Medicine.
SPEAKERSSuzanne Noble, Peter MarriottSuzanne Noble 00:10Hello, and welcome to Sex Advice for Seniors, which, surprisingly, is coming to you from a different location today, isn't it Peter?Peter Marriott 00:20It is. We're broadcasting live from the John Radcliffe Hospital, here on hospital Radio 197. No, we're broadcasting from the hospital because I had a bit of a fall. Fell off my bike, and broke my ribs and my jaw. So I might sound a little strange while we're talking today. But we thought it'd be a good opportunity to talk about disability and sex because I also have another disability in that I have MS. So maybe there's the opportunity to do that. To talk about that.Suzanne Noble 01:00Well, I think if anytime is right, the time is now, you have to grab your opportunities when they arise. And if you hear some little background noise and squeaking that's just the lovely hospital ambience coming out to you. So, we can't do anything about that. So Pete had a bit of a fall. And he's laid up here in bed surrounded by three other older men who are looking in far worse condition than you do. Frankly, I have to say.Peter Marriott 01:31Well, they've got things like broken hips and stuff like that. They're really quite badly off. I think one's going for an operation today. Who knows? Who knows? Maybe I'll be released. But, nobody knows. We don't know.Suzanne Noble 01:54So let's talk about disability and sex. Because you know what, that's a really.. when it comes to taboo subjects. If you thought being older and having sex was taboo, well, just goes one level up, doesn't it when you've got a disability because it's something people really, really don't want to talk about at all, I suspect. But, you've had MS for how long now?Peter Marriott 02:18Oh, well, I was diagnosed in 2010. Retired in 2015. Early Retirement. So I've been hanging around thinking about these things for a while now. And disability and sex are a big one. Because, obviously, you know, all the issues we talked about last time were with self-identity, and being virile and strong and young and the rest of it kind of disappears if you have a disability. I mean, luckily for me, sexually, I don't seem to be too badly affected by the MS. So, but I know that for a lot of people is a big problem.Suzanne Noble 03:11And how does the illness for those of the audience that doesn't know how does it manifest itself?Peter Marriott 03:20Well, a million different ways. It starts off very small and it gets bigger and bigger. In my case, for some people, it never develops very far at all. A lot of people apparently find they have MS. Well, not them, obviously, their relatives, find that they have MS at the autopsy stage. The incidence is probably much higher, but it starts off with niggling pains and pins and needles and balance problems. Quite often sight problems, people go blind for no reason and then their sight comes back, back again. Those things happen and it takes quite a long time before they've discovered the reason for it because they don't really find out when they do an MRI scan and find you've got these lesions on your nerves, which is where the name comes from multiple sclerosis. You've lots of scar tissue on your nerves. And then they go from there and they offer you disease-modifying treatment and all sorts of things.Suzanne Noble 04:46And sexually, did you worry at first that it might have some impact on your sex life? When you first found out that you had MS. Was it something that you did think about or was it kind of pushed to the back in terms of some of the other challenges?Peter Marriott 05:08It seemed it wasn't having too much of an effect. So you prioritise in your head, the different things that are going on. I was more worried, for example at the time that I couldn't play the guitar anymore. I couldn't walk very far anymore. And that distance gradually declined and that was more worrying. But I guess if I'd had sexual problems, then that would have been pretty well at the top of the list, I should imagine. And luckily, I didn't, so I could concentrate on those other things.Suzanne Noble 05:51I suppose the only area is things around as you said, things around your balance, and also just general energy level. And I think that there are a lot of illnesses around that clearly impact people's energy levels. And you have to figure out positions and things where you're not expending as much energy. And the other person maybe takes over from that.Peter Marriott 06:16So whatever happens, then, your sex life is gonna change in lots of ways. , the energy is, is a major problem. Because you have to work really hard to keep your energy levels up. , you know, if you're gonna be fit, maintain your energy levels for sexual purposes then you have to get out and get exercising, you know, and that's the last thing you start running around or jumping up and down. You just want to lie down and take it easy. It affects you in lots of ways. And I think disabilities do that. You're affected by not only your own disabilities, your own inability to, you know, have a full sex life, whatever. But you're affected by other people's perceptions of, more importantly, I, again, I don't, that hasn't been too bad for me, because apart from falling around a lot when people just assume I'm drunk, which sometimes I'm sometimes or not, but if you're in a wheelchair, or you have a more visible disability than I think it's much more of a problem. I think then, you know, you really are up against it, in terms of your sex life, or your or whatever you're doing really. But that it's I think it's a big problem for your sex life if you're severely disabled. Obviously. But, but it's something where people think I will, the sex life is not important. There are more important things. And that's true. But it is such an essential part of being an adult human being that it's quite difficult to, put it aside and say, it doesn't matter. It's more important to be able to walk or, you know, do this, that and the other. I mean, the only reason I play the guitar, for example, is because originally I thought would be a good way to get laid. And so not being able to play the guitar is kind of synonymous with not getting laid. Realistically, there it is.Suzanne Noble 09:14That's such a male thing, isn't it? Like a rock star and thinking of associating it with getting laid? By whatever sex you happen to prefer? I suspect that, as you say, one of the, one of the key challenges I suspect of being somebody who's not got some form of disability, whether it's visible or invisible, is that the medical profession prefers not to think about sex, when it comes to all of this sort of stuff. So as you said, they tend to kind of go, well, let's talk about that. After we talk about all the other stuff. Let's get around to that later and getting around to that later, sometimes, that's the only thing you have to cling on to is the fact that actually, you know, you can have sexual pleasure you can be with someone, you can enjoy it. If you're not able to do some other things, like, for instance, walk very far or you know, or go running or do whatever else people do to get endorphins going throughout their body, then that's one of the few things that you actually can do. And I think to dismiss it as being some are less important than some of these other things is to undermine just how important it is for adults, just in general.I've seen that having been with partners who, you know, were diagnosed with cancer and asked the doctor for Viagra. One of the first things in a previous relationship, somebody I was with, who was diagnosed with late-stage cancer said, Well, can I just have some Viagra please so I can just have some fun for the last few months. And honestly, the doctor's face, his jaw fell to the floor. He could not have been, he didn't know what to do. He didn't know how to react. And he did say, let's think about that in a few weeks' time. Let's just see how you get on after he has just been diagnosed with a death sentence. And he said, What are you talking about? There's no kind of getting on later on. I just want this now. And the unfortunate thing was, I mean, we did go and find it from some backstreet place, this was pre being able to just pick it up at Boots. But I'll never forget how his attitude towards that request was somehow really surprising to me because I thought he couldn't be the only person that just wants to have sex towards the end of his life. I know, it's a morbid thing to talk about. But it did. It was really important to him. And if you...Peter Marriott 11:56If you said to people, you know, you've got 10 minutes to live, what you do, there's always some variation of sex in there. Some, not a very nice version of what they want to do, but, but somewhere there, and John Baetjemen was, you know, he was even in TV, TV ad, I think, at some point. And the end of his life is in a wheelchair and somebody asks him Do you have any regrets at all? You see, I wish I'd have more sex, you know, so, it's such ingrained parts of the human psyche to want that and to see that as an important part of our lives. And, you know, one of the first things the doctor did, in fact, I think it was the first appointment. My doctor offered me a prescription for Viagra. I think I still have them.Suzanne Noble 13:07And, and one of the things I was thinking about as well was that when people talk about pleasure, they often talk about orgasms. And many people, obviously, people who have got more severe disabilities and you have, or perhaps paralysed downstairs or whatever, or, you know, that might be something they're not able to achieve anymore. And I think we've got to stop associating pleasure being solely around orgasms. Because one of the things just jokingly, when, when I was talking to the other Pete the other day, we were, we were talking about, you know, how long it takes to have an orgasm when you're older, in other words, forever. And he said, Oh, I've just, you know, and I just, I just, it just takes so long, I just get bored with myself, you know? And, and that's because, and I said, and I laughed because we all recognise that feeling when sometimes you just think, Oh, I just, I just can't be bothered. It's just taking far too long. And that could be because you're on medication, which makes it take much longer than usual, like antidepressants, for instance, or other types of medication made, which may also have some impact on the ability to orgasm. But what I've come to realise is that actually, there's just so many different ways to get pleasure, and that having that one aim in mind that one goal is so limiting, and can be quite soul destroying sometimes when you just say, Oh, I just don't know if it's gonna happen, you know, but I've stopped thinking about whether it's gonna happen or not. And I kind of like the fact that I'm not bound so much by this desire anymore. to just get to this finish line, because the journey is as fun as getting to the finish line. And sometimes you're not gonna get to the finish linePeter Marriott 15:08I think that is an insight that by definition comes late in life I went to a mid-life crisis tantric workshop. And about the only thing, I learned from that was stop chasing the orgasm. You know, if you have an orgasm fine, it's great. But that's not the point. The point is to have fun along the way to be in tune with your IChing or whatever. However you want to see it. The point is the pleasure, the pleasure, the sex and stop chasing the orgasm. Simple as that really, especially if your orgasm is retreating ahead of you at a rate of knots. And, you know, sort of looking at the watch and thinking for Christ's sake Come on. That's no way to enjoy yourself. And you've got to stop thinking that you're a failure if you don't have an orgasm. I think women have pretended to have orgasms since the beginning of time. Eve was probably there in the, in the, in the Garden of Eden giving it some welly and pretending to have an orgasm. But I'm not saying the men, because that's a bit more difficult. But, you know, just enjoy the sensations you get. I mean, I don't know about other men, but I get little orgasms, sort of mini orgasms while I'm having sex if I'm having a really good time. That's, you know, I think at the end of the session, then we might ask, Well, you didn't come? Are you happy? And you say good, happy? Great, fine, thanks very much. Good night.Suzanne Noble 17:16Well, that's all linked to this, again, this fear of failure, if you don't get to the end, that you somehow failed in some way on both sides. If men haven't, quote, unquote, given somebody an orgasm is if you can give it to them like a gift. Oh, here you go. Like, here's your orgasm or women have, you know, or if the guy's not coming, women often think, well, there's something wrong with me, obviously, I'm not very good at this. And in fact, Pete, the other Pete said, Well, clearly you don't care whether they come. I said I don't really, I mean, I said, No, of course, I do a little bit, but I don't. I don't I'm not fixated on it. Because I know that. If it wasn't fun, then you'd want to stop. You would want to stop now. So, I think that there are many different ways to enjoy yourself. And I think that's really the whole thing about disability and having sex is that there are many, many different ways to enjoy yourself. And being fixated on penetrative sex, or whatever it just is, is only one very small part of the menu. That delightful menu that is, you know, that is sex and pleasure. And, and exploring all of that is where the joy comes in, and the hope and the openness towards being able to explore all the other erogenous zones, rather than the very predictable ones that we're all very familiar with.Peter Marriott 18:43So I have a couple of friends, who are, he's disabled and can't get an erection. But she says she's having the best sex she's ever had in her life. Because, you know, they're taking the time. , to make it work, you know, and different things and experimenting more, rather than just shoving it and off you go It's actually taking retirement to make sex, something enjoyable and pleasurable. Whatever it is, and that, you know, I think that's the message of the podcast so far as to do that. Take the pleasure where you canSuzanne Noble 19:32Yep, take the pleasure where you can you've been in the hospital. I'm in the hospital. Well, I don't know how that's going to work because there's a bit of a catheter issue at the moment. Not that may be too much information there for you guys. Anyway, that's, that's probably the one and only hopefully, episode of Sex Advice for Seniors. Brought to you from the John Radcliffe Hospital in the trauma ward, there you go. And if you know what nobody is going to be nobody else is going to be recording a podcast in this place. Certainly not in this ward. Peter Marriott 22:00Lots of people have been traumatised by us. Okay, all right, Off we go then. Bye-bye bye-bye.Thanks for reading Sex Advice for Seniors! Subscribe for free to receive new posts and support our work. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.sexadviceforseniors.com
For Matariki, we have Dr. Zoe Raos! Dr. Zoe Raos (Te Āti Awa) is a gastroenterologist in Waitematā, Tāmaki Makaurau. She lives on the Shore with her husband Ben, their two tamariki and their dog. She completed medical school, basic and advanced gastroenterology and general medical training in Auckland, and was involved with leadership roles throughout her training, becoming the Chair of the Binational College Trainees' Committee which included being a Director of the RACP Board. She won the RACP Trainee of the Year Award, prior to starting a three-year clinical fellowship at the John Radcliffe Hospital in Oxford in General Medicine, Hepatology, Inflammatory Bowel Disease and Endoscopy. Zoe has worked at Waitematā DHB since her return from the UK, and collaborated to set up the transition clinic for patients with IBD moving between paeds and adult services. She has written a popular study guide for the RACP exams, now in its second edition, with other collaborative publications themed around quality care. She is a RACP examiner for the Clinical Exam, and a Training Supervisor.Zoe joined the New Zealand Society of Gastroenterology Executive, was elected as president-elect and is the current President until November 2022. She has led the NZSG through times of great change, including developing a cohesive pandemic response, whilst navigating the Society through major externally-led structural changes. Zoe collaborates with other NZSG equity warriors, who have made positive steps towards celebrating diversity and, through governance, creating a future equitable gastroenterology workforce that honours Te Tiriti. She has lost count of the committees she is on – one of the most influential is a global Green Endoscopy Whatsapp group - and spends too much time on Twitter. She loves teaching and mentoring, and is proud to have received awards for both over the years. Zoe loves skiing, cooking and running, spending time with her beautiful whānau, hanging with wonderful friends and colleagues, playing the ukulele and has just started weaving tāniko as part of her cultural journey as a proud wahine Maori.In this episode, we discuss her journey into gastroenterology, indigenising medicine & gastroenterology, navigating motion sickness in scopes, The Aunties and their kaupapa, parenting and neurodiversity, environmental sustainability within medicine and of course, her love for gastroenterology. Mentioned in podcast:Peter Raos: https://peterraos.com/ & https://peter-raos.business.site/The Aunties: https://aunties.co.nz/about-the-aunties‘Autism' in Te Reo Māori: tangata whaitakiwātanga As always, if you have any feedback or queries, or if you would like to get in touch with the speaker, feel free to get in touch at doctornos@pm.me.Audio credit:Bliss by Luke Bergs https://soundcloud.com/bergscloudCreative Commons — Attribution-ShareAlike 3.0 Unported — CC BY-SA 3.0Free Download / Stream: https://bit.ly/33DJFs9Music promoted by Audio Library https://youtu.be/e9aXhBQDT9YSupport the show
The Not Mini Adults Podcast - “Pioneers for Children’s Healthcare and Wellbeing”
Sorry for the wait........ but here is the launch of Season 4 of the Not Mini Adults Podcast! We are also announcing the launch of a collaboration with Oxford University Hospitals NHS Foundation Trust and TheHill in launching the "Thinking of Oscar Paediatric Innovation Clinical Fellowship".Applications are invited for a Clinical Fellowship programme in paediatrics. This is an exciting opportunity for an energetic, forward thinking trainee who wishes to develop higher level clinical skills in a university teaching hospital and take full advantage of the links held with other Oxford institutions. 40% of the fellow's time will be spent identifying local needs and developing or sourcing innovations using human centred design principles.The Fellowship is supported by ‘Thinking of Oscar' a charity that founded in the summer of 2014 after the very sudden and unexpected death of David and Hannah Cole's little boy Oscar, at the John Radcliffe Hospital. Hannah and David are both passionate about innovation and technology and the role it has in improving care, and are excited to be supporting this fellowship to bring new innovations to paediatric care for the benefit of patients, carers and staff.The posts are aimed at paediatricians in training from ST3 level or higher, looking to develop a special interest in leadership and management while continuing banded clinical practice in an acute environment. The post will performed Out of Programme.Applications for the post close on Friday 10th June, and interviews will be held shortly thereafter.For further details please contact connect@thehilloxford.org or get in touch with us via our website.Visit our shop here to purchase a copy of the Thinking of Oscar Cookbook - Made with Love or Face Coverings. THANK YOU! Thinking of Oscar website and contact details can be found here. Follow us on Twitter here or Instagram here. Theme Music - ‘Mountain' – copyright Lisa Fitzgibbon 2000 Written & performed by Lisa Fitzgibbon, Violin Jane Griffiths Podcast editing - David Cole (sorry)Podcast artwork thanks to The Podcast Design Experts
Thank you to our episode sponsor Peanut, you can meet likeminded women, trying to conceive and find support. Be sure to visit peanut.app.link/fertilitypoddy or via your app store. You'll hear from Dr. Ingrid Gran, Senior Research Fellow in Reproductive Medicine and a Consultant at The John Radcliffe Hospital in Oxford talking about the reasons why miscarriages happen, explaining in more detail about chromosomal abnormalities and it's linked to female age. Listen in full here Zara Dawson shared her heartbreaking experience of having to have a medical termination which you can hear in full. We also heard from Jen Coates, the Director of Bereavement Care at Sands, the Stillbirth and neonatal death charity explaining just how challenging dealing with Baby loss is for everyone involved and the peer to peer support they have created with bereaved parents who become ‘Befrienders' and that they also have an app you can get instant access to get the much-needed support you need. Listen in full here. We also talked Dr. Adrian Lower talking about Asherman's Syndrome which is caused by the surgical procedures women have to go through when they have a miscarriage, it was part of a conversation was part of an earlier one with Guest host Katy Lindermann Emilie Jones-Ransley listen in full here And we also asked Kelly Da Silva, who has founded the Dovecote Childless Support Organisation about the immune tests she had ahead of further fertility treatment and how she then went ahead with treatment with immune therapy as well as intralipid infusions yet still miscarried and decided to stop treatment. Listen in full here SOCIAL MEDIA: @fertilitypoddy @yourfertilityjourney
Welcome to our final episode of the miscarriage series. Thank you for listening over the last few weeks. From your feedback, we know that you've found this series informative and importantly, it's made you realize that you're not alone. In this final episode, we want to find out why miscarriage happens and so we chat to Dr. Ingrid Granne – Senior Research Fellow in Reproductive Medicine and a Consultant at The John Radcliffe Hospital in Oxford, where Kate also worked a few years ago. The common causes of miscarriage Ingrid tells us that the most common cause of miscarriage is due to genetic mistakes in the early stages of cell division, meaning that the pregnancy is unable to develop past the first few weeks. The age of the woman has a significant effect on the risk of miscarriage. By the time a woman is 45yrs 1 in 2 pregnancies will end in miscarriage. Diabetes and thyroid are also associated with a miscarriage along with increasing weight. Hormonal and immune factors may also cause miscarriage. The research Ingrid has been involved with genetic research into miscarriage that will be published soon. There appear to be genetic factors that predispose some women to miscarriage more than others. Investigating miscarriage Ingrid says that there is a move to start investigations after 2 miscarriages rather than 3. This will be welcomed by so many women. Looking at the chromosomes of a pregnancy can be very helpful, especially in helping women understand that there is nothing that they did that would have caused the miscarriage. For recurrent miscarriage, the most useful test is for Antiphospholipid syndrome – a blood test that looks for antibodies in the blood to identify this autoimmune disorder. Other investigations are looking for inherited tendencies for blood clots by a thrombophilia screen. Testing Thyroid function, chromosomes, and the anatomy of the womb are also important tests. Baby Aspirin and Progesterone Interestingly, Ingrid doesn't recommend baby aspirin as there is evidence that it might have the opposite benefit. A recent study looking at bleeding in early pregnancy showed there might be a benefit in taking progesterone, especially in women who have experienced recurrent miscarriages who are bleeding in early pregnancy. Ingrid believes that in the coming years it may be routine for these women to be prescribed progesterone. SOCIAL MEDIA: https://www.wrh.ox.ac.uk/team/ingrid-granne (Ingrid Granne) https://www.thefertilitypodcast.com/miscarriage/ (Hear the full Miscarriage series ) https://instagram.com/fertilitypoddy (Instagram) http://www.yourfertilityjourney.com ( Kate Davies) https://instagram.com/your_fertility_journey (Instagram)
I was hospitalized with leptospirosis, Weil's Disease, in August 2021. The risk of this disease sits at the back of the mind of many river and lake swimmers, but it very rarely materialises. It did so in my mind too, until. Until the intense burning and body chills, head and body aches, falling and falling blood pressure took me to hospital and intensive care. The clinical descriptions of the disease do not do justice to the metabolic and physiological roller-coaster I went on. This took me to some strange places in my head, and subsequently made me revisit the risks of contracting this vile disease. This podcast is an account of my treatment-seeking experience, real and hallucinatory, as my condition worsened, into sepsis, and out again, with the expertise and integrated hard work of the medical staff of the University of Oxford's John Radcliffe Hospital. Heroes all. I have called it my night at the opera, a hospital drama with music. The cover image is a copper engraving by Wilhelm Jury (after Johann Heinrich Ramberg) of Tamino chased by a deadly serpent from the opening of Mozart's opera "The Magic Flute". The music in a 'Night at the Opera' is Nubya Garcia and “Source”; Mozart and “The Queen of the Night's aria” and “Ihr gotter, was ist das?” from “The Magic Flute”(Cheryl Studer as the Queen of the Night); David Bowie and “Space Oddity”; Diana Krall and “I love being here with you”; GoGo Penguin and “Kora - remix”. Opening music is 'Noe Noe' by Castro, and the ending music is ‘Vienna Beat' by Radio Pink, both on Blue Dot Sessions.
For years Dr Alan Desmond has been telling people, ‘We can transform our health and revolutionise our quality of life by simply eating more plants.' It was only while working on the frontline of the pandemic that he found the time, while isolating from his family to pen the book that would make him a best selling author and allow him to completely articulate his plant based design for changing our lives. As rates of chronic disease continue to rise, ‘What should we eat?' has become one of the most important questions of the 21st century. Dr Alan Desmond has made it his business to cut through the diet confusion to explain how we can all unlock the power of a healthy gut and optimise our overall well-being by simply putting more plants on our plate. Here for the first time on Irishman Abroad, Jarlath gets the chance to quiz the good doctor on whether all the hype around chomping more veg is really true. Having picked up the book Jarlath has taken the dive into Alan's 80 completely plant-based recipes and the essential step-by-step guide to discovering the true power of a plant-based diet for himself. Like almost everyone he still has reservations but in this fun and wide ranging chat, Dr Alan explains it all including the data for runners and athletes. The impact of meat production on the environment and future pandemics. There's even more over on Patreon. By day Dr Alan Desmond treats patients with a broad range of recent-onset and long-standing problems affecting their stomach and bowel. He has particular expertise in the assessment and treatment of patients with inflammatory bowel disease (ulcerative colitis and Crohn's disease), heartburn, reflux oesophagitis, Barrett's oesophagus and patients with irritable bowel syndrome and other functional disorders of the gastro-intestinal tract. Alan graduated from the School of Medicine of University College Cork in Ireland in 2001. He went on to complete his specialist training in Ireland and at the John Radcliffe Hospital in Oxford. He relocated to Devon in June of 2012. He regularly speaks at conferences and events across the globe. To hear every episode in full and to gain access to the entire back-catalogue of over 600 Irishman Abroad episodes that are not available on iTunes for just the price of a pint every month visit www.patreon.com/irishmanabroad Supplementary research provided by John Meagher. Our charity partner is jigsawonline.ie. In these tricky times, Jigsaw provides a range of resources, advice and care for your people to help them strengthen their mental health and the skills needed to navigate life. Please visit their website and consider making a donation. For updates on future episodes and live shows follow @jarlath on Twitter, visit www.jigser.com or email the show directly on irishmanabroadpodcast@gmail.com. Disclaimer: All materials contained within this podcast are copyright protected. Third party reuse and/or quotation in whole or in part is prohibited unless direct credit and/or hyperlink to the Irishman Abroad podcast is clearly and accurately provided.
In this episode, Gemma meets a selection of this year's RCM Award winners. Hear them tell their inspirational personal and professional stories and how their work and programmes have made a difference to women and their maternity colleagues. The winner of the NMC's Excellence in Perinatal Mental Health Award from North Middlesex University Hospital Trust, Fiona Laird shares how she and Melissa Jhagroo set up an award-winning service to support women from a diverse range of backgrounds with their mental health during and after pregnancy. Also, two midwives from Northampton who won the RCM's Race Matters Award Fatima Ghaouch and Sam Sibanda discuss how they have provided additional support to Black, Asian and minority ethnic women during the pandemic and successfully changed pregnancy outcomes. They've also worked hard to tackle racial inequalities in their workplace and share their own personal experiences of racism. Gemma also meets the RCM's Waterwipes Maternity Support Worker of Year award winner Candice Noonan from Oxford who's specialises in bereavement support at John Radcliffe Hospital.
Everyone who enters the medical field does so altruistically, standing steadfast against the ever present threat of death and disease. But as any doctor knows, there are limits to what they can do. At a certain point, the goal shifts from curative to palliative care. At this stage, the goal is no longer to save a life, but to relieve suffering as best as possible. How to do so, and the point at which suffering becomes worse than death, is highly contested. A growing movement of doctors, nurses, and ethicists argue that patients should be empowered in the face of this impossible choice. They argue that just as a patient has a right to choose how to live, they should also choose how and when to die. They argue it is ethically and morally shortsighted to keep suffering patients alive at all costs, and that euthanisia and physician assisted suicide are a mercy, not a crime. But others in the field argue that life is far too sacred to place in anyone's hands, doctor or patient. Even on the brink of death, lives have meaning and must be preserved. They argue that the oath that doctors take forbid them from making these types of decisions regardless of the state of their patient. And that those that advocate for physician assisted suicide are doing their patience, and themselves, a massive disservice. Arguing for the motion is Dominic Wilkinson, Dominic Wilkinson is Director of Medical Ethics and Professor of Medical Ethics at the Oxford Uehiro Centre for Practical Ethics, University of Oxford. He is a consultant in newborn intensive care at the John Radcliffe Hospital, Oxford. Arguing against the motion is E. Wesley Ely, American physician and professor of medicine as the Grant W. Liddle Endowed Chair at Vanderbilt University School of Medicine. Dominic Wilkinson: “It's time to be honest and consistent about end of life choice. People have the right to choose how and when to die”. Wes Ely: “If you tell me why you ought to respect a patient's autonomy, I'll tell you why you ought not kill that person”. Sources: CBC, ABC News, CBS Evening News, PBS News Hour The host of the Munk Debates is Rudyard Griffiths - @rudyardg. Tweet your comments about this episode to @munkdebate or comment on our Facebook page https://www.facebook.com/munkdebates/ To sign up for a weekly email reminder for this podcast, send an email to podcast@munkdebates.com. To support civil and substantive debate on the big questions of the day, consider becoming a Munk Member at https://munkdebates.com/membership Members receive access to our 10+ year library of great debates in HD video, a free Munk Debates book, newsletter and ticketing privileges at our live events. This podcast is a project of the Munk Debates, a Canadian charitable organization dedicated to fostering civil and substantive public dialogue - https://munkdebates.com/ The Munk Debates podcast is produced by Antica, Canada's largest private audio production company - https://www.anticaproductions.com/ Executive Producer: Stuart Coxe, CEO Antica Productions Senior Producer: Jacob Lewis Editor: Reza Dahya Associate Producer: Abhi Raheja
The Not Mini Adults Podcast - “Pioneers for Children’s Healthcare and Wellbeing”
This week we are joined by Jo Pinney and Grace Welby who are both Play Specialists at the John Radcliffe Hospital in Oxford in the UK. October 11th 2021 is the ‘Play In Hospital Week' in association with the National Association of Hospital Play Specialists and this week's guests successfully applied to launch the festivities so we are delighted that this podcast will be able to coincide with recogning the incredibly impotent role that Play Specialists have to making the lives of children and their parents that little bit more bearable whilst they are in hospital. Jo Pinney is a Senior Health Play Specialist at the Oxford Children's Hospital and has been a Health Play Specialist since 2001- even before there was a dedicated wing for the children's hospital. Jo has worked in several different areas, with her current role as a senior HPS within E.N.T and Plastics outpatients where she has been since 2012. Jo says that she ‘loves her role and find it especially rewarding when we have hooked or sucked an interesting find from a child's ear or nose'. Grace Welby is very special to Hannah and I as she was one of the pay specialists alongside Sam Mortlock. Grace has worked at Oxford Children's Hospitals for 7 years, starting as a Play Assistant on an acute ward whilst training on the job & qualifying as a Health Play Specialist 5 years ago. Grace says that “she very much enjoys her role as a Play Specialist, normalising the hospital environment for the patient & their families through play, having the time to interact & distract children from what can be a scary experience but seeing them smile is the most rewarding thing!”Follow the Oxford Play Specialists on Instagram here.Visit our shop here to purchase a copy of the Thinking of Oscar Cookbook - Made with Love or Face Coverings. THANK YOU! Thinking of Oscar website and contact details can be found here. Follow us on Twitter here or Instagram here. Theme Music - ‘Mountain' – copyright Lisa Fitzgibbon 2000 Written & performed by Lisa Fitzgibbon, Violin Jane Griffiths Podcast editing - Right Royal AudioPodcast artwork thanks to The Podcast Design Experts
Derek Hockaday interviews David Tibbs, vascular surgeon, 7 February 2011. Mostly recalling the creation of the John Radcliffe Hospital. Topics discussed include: (00:00:05) coming to the Radcliffe Infirmary in 1960, division over the Radcliffe and idea of new site; (00:02:37) Medical Staff Council, (00:03:49) early planning team for the new site, 1963, with John Oddie and John Badenoch; (00:09:35) looking for architects for the John Radcliffe hospital; (00:13:08) the order of building; (00:15:25) travelling to Scandinavia with architects; (00:19:09) Rosemary Rue, John Oddie; (00:21:37) talking through the first meeting of the planning team, Sep 1963; (00:27:14) reasons for and against the new site; (00:29:53) main move to the John Radcliffe in 1980-1981, disappointments and positives; (00:38:50) building of phase 2 of the John Radcliffe, interior arrangements and medical and unit facilities; (00:47:10) surgical view of George Pickering; (00:51:45) Judith Hockaday at the John Radcliffe. Note the following sections of audio are redacted: 00:10:26-00:10:33; 00:11:08-00:11:21; 00:25:35-00:27:14; 00:34:36-00:38:16; 00:49:22-00:51:22; 00:52:58-00:55:24 and 01:01:10-01:01:36.
Hello and welcome to this week's YOD Pod. We are very excited to bring you one of our inspirational Trustees, Dr Meenal Galal, as this episode's guest. Dr Galal is an Emergency Medicine Consultant at the John Radcliffe Hospital in Oxford, with a past career in corporate investment banking as well as holding an MBA. She is a huge advocate of mental health support for doctors as well as optimising performance through wellbeing. Here she joins our host and psychotherapist Chris Cherry and CEO & Founder, Dr Daniel Gearon, in exploring the mental health challenges we face as doctors, the emotional experience of navigating the enormous change put on us as doctors, the power of building community to support us through that change - as well as the huge joys of the job and the benefits YOD brings!The webinars of the brilliant psychotherapist, Julia Samuel, and military veteran, Brandon Young, were referenced in this episode and can be found on our YouTube channel and on our website. It is worth noting that this is a conversational piece and the opinions and views are of those in this discussion in its own context at that time of the recording. You Okay, Doc? is a charity supporting the mental health and wellbeing of doctors. Throughout our podcasts, we discuss issues affecting physical, emotional and mental wellbeing that at times some may find upsetting, if you find yourself affected by these please seek professional help.As a charity, we need your help to keep going and develop to support and raise awareness of mental health for Doctors. Please check out our website https://youokaydoc.org.uk/ and our Instagram page to find out more and stay up to date with us. If you would like, you can also text donate to support the You Okay, Doc? charity by texting. To donate £3 text 'DOCTOR' to 70331, or to donate £5 text 'DOCTOR' to 70970. Thank you for listening and we look forward to creating more content. See you on the next YOD pod.
Interview with Trevor Hughes, neuropathologist and fellow of Green Templeton College, conducted by Derek Hockaday, 2015. Topics discussed included: (00:00:17) Hughes coming to Oxford from Stoke Mandeville in 1957; (00:05:12) how Stoke Mandeville and Oxford hospitals compared to each other, distinctions between Oxford hospitals; (00:07:18) changes in Oxford hospitals as a result of the creation of NHS in 1948, comparing Oxford to Manchester in the 1940s; (00:10:04) moving to neuropathology over haematology; (00:14:38) John Spalding; (00:18:12) neuropathology during the the Second World War, memories of staff colleagues including Peter Daniel and Sabrina Strich, more on John Spalding; (00:33:05) Honor Smith; (00:40:16) change of techniques in neuropathology over time, working in field; (00:44:30) balancing consultancy, teaching and tutor for post-graduate medicine in Oxford; (00:48:18) neurosurgeons including Joe Pennybacker, Hugh Cairns and Walpole Lewin, other Nuffield Professors; (00:59:10) committees and the university including the Nuffield Committee for Medical Research and the Clinical Medicine Board; (01:08:13) working with Richard Doll; (01:18:56) researching of the spinal cord, publication; (01:21:35) neuropathology and the John Radcliffe Hospital. Note the following sections of audio are redacted: 00:16:38-00:17:01; 00:18:55-00:19:07; 00:26:19-00:29:14; 00:31:37-00:31:47; 00:56:45-56:59; 01:11-01:13:21; 01:14:37-01:15:22; 01:22:17-01:24:00.
Max doesn't have great mobility since last year when he became quite ill and to be honest he's always been a little unsteady on his feet. He had achilles lengthening surgery a number of years back as he was a toe walker as a youngster and basically his achilles had to be lengthened and he was in plaster for weeks so its a case of having to observe him closely. The surgery worked really well and was performed by a Mr Theologis at the John Radcliffe Hospital in Oxford and Max now walks with his feet firmly on the ground but as this blog will tell you, he's not without mishaps......
This podcast is a roundtable discussion of recent papers on Laryngeal mask use in neonates. ADC Editor Jonathan Davis (NICU Perth Children's Hospital) interviews Charles Rohr (Southmead Hopsital, Bristol, England; Newborn Services, John Radcliffe Hospital, Oxford, UK), Calum Roberts (Monash Hospital, Melbourne, Australia), and Joyce O'shea (Royal Hospital for Children Glasgow, Scotland) Related articles from ADC Fetal and Neonatal edition: https://fn.bmj.com/content/early/2021/04/21/archdischild-2020-319398 https://fn.bmj.com/content/106/3/342 https://fn.bmj.com/content/106/3/336 Other papers mentioned in this podcast: https://www.nejm.org/doi/full/10.1056/NEJMoa2005333 https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=380574&isReview=true
The Not Mini Adults Podcast - “Pioneers for Children’s Healthcare and Wellbeing”
In this episode we have the fortune of speaking with Consultant Paediatric Neurosurgeon Mr. Jay Jayamohan. This was a very pionient and moving conversation about the importance of 'Empathy' and caring for not only the patient in ones care but the whole family. Dr Jay works at our local Hospital, the John Radcliffe Hospital, Oxford and is also an Honorary Senior Clinical Lecturer at Oxford. He has been the star of two highly acclaimed BBC fly-on-the-wall series following the work of neurosurgeons. Dr Jay's work breaks down into three primary areas: Paediatric Neurosurgery - tackling tumours and congenital problems in children; Craniofacial Reconstruction - working with a plastic surgeon to give babies or victims of accidents a shot at a normal life; Expert Witness - employed by the courts to help solve head related crimes or provide the case for the defence.Jay is also the author of acclaimed book "Everything That Makes Us Human: Case Notes of a Children's Brain Surgeon". Described by Dr Amanda Brown, author of The Prison Doctor as "an inspirational book written by a truly remarkable man" and 'Extraordinary' by the The Times.Visit our shop here to purchase a copy of the Thinking of Oscar Cookbook - Made with Love or Face Coverings. THANK YOU! Thinking of Oscar website and contact details can be found here. Follow us on Twitter here or Instagram here. Theme Music - ‘Mountain' – copyright Lisa Fitzgibbon 2000 Written & performed by Lisa Fitzgibbon, Violin Jane Griffiths Podcast editing - Right Royal AudioPodcast artwork thanks to The Podcast Design Experts
Professor Dame Kay Davies is the Dr. Lee's Professor of Anatomy in the Department of Physiology, Anatomy and Genetics and Director of the MRC Functional Genomics Unit at the University of Oxford. She is also the Honorary Director of the MRC Functional Genomics Unit, a deputy chairman of the Wellcome Trust, and Executive Editor of the journal Human Molecular Genetics. Kay is also a co-founder of a biotechnology company and is a director of another. In her research, Kay uses genetics techniques to help find effective treatments for muscular dystrophy. Much of her work has focused on Duchenne Muscular Dystrophy, a severe and progressive muscle wasting disease that primarily affects males. When she’s not working, Kay loves taking walks in the English countryside, listening to classical music, and playing the piano. She completed her undergraduate studies at Somerville College and served as a Junior Research Fellow at Wolfson College in Oxford. She then completed a postdoctoral fellowship at the Saclay Nuclear Research Center, and went on to serve as a research fellow at St. Mary's Hospital Medical School and John Radcliffe Hospital and then as a faculty member at John Radcliffe Hospital and the University of London before joining the faculty at Oxford. Kay has received many awards and honors during her career, and to name just a few, she was elected as a founding Fellow of the Academy of Medical Sciences and a Fellow of the Royal Society. She was also named Commander of the Order of the British Empire and then Dame Commander of the Order of the British Empire. Kay is also an Honorary Fellow of Sommerville College, and had the honor of giving the inaugural Rose lecture at Kingston University in 2012 and the Harveian Oration at the Royal College of Physicians in 2013. In our interview, Kay tells us more about her journey through life and science.
In part one we talk about the Indian healthcare system, universal health care and its benefits, COVID-19's history and impact. Dr Amit Gupta is a Neonatal Consultant the John Radcliffe Hospital in Oxford since 2009. He did his basic medical degree and postgraduate degree (MD) from Surat, India in 1998. At Oxford, he was an Associate Dean for Oxford deanery from 2012 to 2017 and is currently Lead for International Doctors at Oxford. He has set up the largest overseas neonatal UK's largest international fellowship in Oxford which now operates jointly with Southampton. भाग एक में हम भारतीय स्वास्थ्य प्रणाली, सार्वभौमिक स्वास्थ्य देखभाल और इसके लाभों, COVID-19 के इतिहास और प्रभाव के बारे में बात करते हैं। डॉ अमित गुप्ता 2009 से ऑक्सफोर्ड में जॉन रेडक्लिफ अस्पताल के एक नवजात सलाहकार हैं। उन्होंने 1998 में सूरत, भारत से अपनी प्राथमिक चिकित्सा की डिग्री और स्नातकोत्तर डिग्री (एमडी) की। ऑक्सफोर्ड में 2012 से ऑक्सफोर्ड के डीन के लिए एसोसिएट डीन थे। 2017 और वर्तमान में ऑक्सफोर्ड में अंतर्राष्ट्रीय डॉक्टरों के लिए लीड है। उन्होंने ऑक्सफोर्ड में सबसे बड़ी विदेशी नवजात यूके की सबसे बड़ी अंतरराष्ट्रीय फेलोशिप स्थापित की है जो अब साउथेम्प्टन के साथ संयुक्त रूप से संचालित होती है।
In part two we talk about where countries failed to battle this pandemic. We also try to bust myths and debunk some misinformation and fake news. Dr Amit Gupta is a Neonatal Consultant the John Radcliffe Hospital in Oxford since 2009. He did his basic medical degree and postgraduate degree (MD) from Surat, India in 1998. At Oxford, he was an Associate Dean for Oxford deanery from 2012 to 2017 and is currently Lead for International Doctors at Oxford. He has set up the largest overseas neonatal UK's largest international fellowship in Oxford which now operates jointly with Southampton. भाग दो में हम बात करते हैं कि देश इस महामारी से लड़ने में कहां असफल रहे। हम मिथकों का भंडाफोड़ करने और कुछ गलत सूचनाओं और फर्जी खबरों पर बहस करने की भी कोशिश करते हैं। डॉ अमित गुप्ता 2009 से ऑक्सफोर्ड में जॉन रेडक्लिफ अस्पताल के एक नवजात सलाहकार हैं। उन्होंने 1998 में सूरत, भारत से अपनी प्राथमिक चिकित्सा की डिग्री और स्नातकोत्तर डिग्री (एमडी) की। ऑक्सफोर्ड में 2012 से ऑक्सफोर्ड के डीन के लिए एसोसिएट डीन थे। 2017 और वर्तमान में ऑक्सफोर्ड में अंतर्राष्ट्रीय डॉक्टरों के लिए लीड है। उन्होंने ऑक्सफोर्ड में सबसे बड़ी विदेशी नवजात यूके की सबसे बड़ी अंतरराष्ट्रीय फेलोशिप स्थापित की है जो अब साउथेम्प्टन के साथ संयुक्त रूप से संचालित होती है।
In this week's podcast, I interview The Prosthetic Pastor, Ross Dilnot. On Friday, 8 April 2016 his life was dramatically changed when he had an accident on my trike in north Milton Keynes. His injuries were so severe that Thames Valley Air Ambulance were called in to provide the expertise, the medication he required and the speed of transportation, in order to get me to the John Radcliffe Hospital in Oxford. It became apparent at the scene of the incident that he may lose my right leg, such was the severity of the injury he had sustained - not to mention losing a lot of blood at the scene and coming close to not making it to the hospital. However, the surgeons at the John Radcliffe managed to rebuild my shattered leg in a long operation later that day. But the next day he was awoken to be told he had entered multi-organ failure, as the rebuilt leg was infected and was poisoning his body. They needed to remove his leg, through the knee, in order to save my life. That afternoon he awoke as an amputee. The following Tuesday he underwent a third operation to remove more of his leg, becoming an above-knee amputee, to prepare me for a prosthetic limb. Three weeks in hospital and months of recovery through physiotherapy, adaptions to the house, and learning to use mobility equipment, gave him time to reflect on what had happened. It also gave me time to realise the importance and value of our emergency services, NHS and the Thames Valley Air Ambulance. So, Ross decided he wanted to give something back, and in 2017 he trained as a promotional speaker for Thames Valley Air Ambulance. This extract is taken from baptist.org and to read the rest of this bio head over to https://www.baptist.org.uk/Articles/550450/How_I_went.aspx I am super fascinated by his opinion and view as I believe we all have to believe in something bigger than us, don't we? We discuss an array of topics such as: Is faith important in today's society and what roll does it play? Why family breakdown puts communities in disarray? What does masculinity mean? --- Send in a voice message: https://anchor.fm/the-10kmonth-podcast/message
It's not a household name but RSV or Respiratory Syncytial Virus is responsible for 30,000 children under five ending up in hospital every year in the UK. The virus can cause serious infections of the lungs and airways (like pneumonia and bronchiolitis). Hannah and Sean from Oxfordshire had baby girls, Millie and Freya, born prematurely in October last year. Just weeks later, the twins spent 12 days in intensive care and then 3 days in the high dependency unit at the John Radcliffe Hospital in Oxford with bronchiolitis caused by RSV. Andrew Pollard, Professor of Paediatric Infection and Immunity at the University of Oxford tells James, the BBC's Science and Health Correspondent, about the dangers of RSV in lower income settings where the virus claims more babies' lives under 12 months old than any other disease apart from malaria. Hopes are that a vaccine for RSV to protect children during the vulnerable first years is imminent. And as one of the world's leading experts on vaccinations (and chair of the UK's Joint Committee on Vaccination and Immunisation) Professor Pollard tells James that he is confident that a vaccine for the coronavirus, which some experts have suggested could become a pandemic, could be developed by the end of this year. Inside Health regular contributor Dr Margaret McCartney raises the issue of unnecessary vaginal examinations. A new American study in JAMA Internal Medicine suggests that more than half of the bimanual pelvic examinations performed on girls and women aged 15 to 20 in the USA are potentially unnecessary and could cause harm. The fact this is still routine for many American women contradicts clear guidance which states there is no evidence for such internal examinations to be carried out in healthy girls and women who don't have symptoms. It doesn't happen in the NHS, Margaret reports, but they are carried out in the private sector under the banner of "well women checks". Could you tell somebody that they were going to die? Could you comfort family members after their loved one has passed away? Crucially could you do this as part of your job, day in, day out, without it affecting you? James talks to nurses at the Royal Marsden Hospital in Surrey which has been raising "compassion fatigue" as an occupational hazard within the profession. Producer: Fiona Hill
Dr Peter Watkinson, Associate Professor of Intensive Care Medicine, is joint clinical lead for the Critical Care Research Group based at the Kadoorie Centre for Critical Care Research & Education at the John Radcliffe Hospital, Oxford. He is an NHS consultant in intensive care and acute medicine and is part of the senior clinical team at the Oxford University Hospitals NHS Foundation Trust. His research interests focus on the identification of the deteriorating patient in hospital and he has designed and run a number of studies in the field of wearable monitoring devices. The research group is now exploring the opportunities offered through non-contact monitoring and standard electronically-recorded descriptors of a patient’s condition. The research group has a strong link with the University of Oxford Institute of Biomedical Engineering. Using data collected from thousands of patients’ vital signs in Oxford and elsewhere the multi-disciplinary team investigates ways to locate patterns which precede and predict clinical deterioration in hospitalised patients. Other areas of interest for the research group include development of electronic monitoring systems, use of human factors techniques to introduce new technology into the healthcare environment, and assessing the longer-term effects of critical illnesses on patients’ quality of life.
Dr Green, who was a distinguished lecturer in evangelism and apologetics at Wycliffe Hall, passed away at a hospital in Oxford, surrounded by members of his family. In a statement, the Bible college said: "It is with great sadness that I pass on the news that Michael Green went to be with the Lord yesterday at around 3pm at the John Radcliffe Hospital in Oxford. "His passing was peaceful and he was surrounded by Rosemary and his immediate family." Dr Michael had previously advised the Archbishops of Canterbury and York during the 1990s for the Springboard Decade of Evangelism - which encouraged people to spread the gospel.
Dr Green, who was a distinguished lecturer in evangelism and apologetics at Wycliffe Hall, passed away at a hospital in Oxford, surrounded by members of his family.In a statement, the Bible college said: "It is with great sadness that I pass on the news that Michael Green went to be with the Lord yesterday at around 3pm at the John Radcliffe Hospital in Oxford. "His passing was peaceful and he was surrounded by Rosemary and his immediate family."Dr Michael had previously advised the Archbishops of Canterbury and York during the 1990s for the Springboard Decade of Evangelism - which encouraged people to spread the gospel.
Dr Green, who was a distinguished lecturer in evangelism and apologetics at Wycliffe Hall, passed away at a hospital in Oxford, surrounded by members of his family. In a statement, the Bible college said: "It is with great sadness that I pass on the news that Michael Green went to be with the Lord yesterday at around 3pm at the John Radcliffe Hospital in Oxford. "His passing was peaceful and he was surrounded by Rosemary and his immediate family." Dr Michael had previously advised the Archbishops of Canterbury and York during the 1990s for the Springboard Decade of Evangelism - which encouraged people to spread the gospel.
Dr Green, who was a distinguished lecturer in evangelism and apologetics at Wycliffe Hall, passed away at a hospital in Oxford, surrounded by members of his family.In a statement, the Bible college said: "It is with great sadness that I pass on the news that Michael Green went to be with the Lord yesterday at around 3pm at the John Radcliffe Hospital in Oxford. "His passing was peaceful and he was surrounded by Rosemary and his immediate family."Dr Michael had previously advised the Archbishops of Canterbury and York during the 1990s for the Springboard Decade of Evangelism - which encouraged people to spread the gospel.
With AI algorithms now able to mine enormous databases and assimilate information far quicker than humans can, we’re able to spot subtle effects in health data that could otherwise have been easily overlooked. So how are these tools being developed and used? What does this mean for medical professionals and patients? And how do we decide whether these algorithms are making things better or worse? Join our host, philosopher Peter Millican, as he explores this topic with Alison Noble, Technikos Professor of Biomedical Engineering in the Department of Engineering Science, Paul Leeson, Professor of Cardiovascular Medicine at the University of Oxford, and a Consultant Cardiologist at the John Radcliffe Hospital, and Jessica Morley, a Technology Advisor to the Department of Health, leading on policy relating to the Prime Minister's Artificial Intelligence Mission.
[Original release: 13 July 2018] Sustainable Development Goal number 5 is to ‘achieve gender equality and empower all women and girls.’ One of the targets under Goal 5 is to eliminate all harmful practices, such as child, early, and forced marriage, and female genital mutilation, or FGM. In this episode, we talk with Brenda Kelly, a consultant obstetrician at the John Radcliffe Hospital and a founder of the Oxford Rose Clinic, which specialises in treating women and girls who have experienced FGM. Brenda shares her insights from working with FGM patients about how the law and medicine interact when it comes to achieving gender equality. **This episode is part of a special series on “Working Together: Human Rights and the Sustainable Development Goals” a British Academy project led by Professor Sandy Fredman.** Produced by: Dr Kira Allmann (University of Oxford) Interview(s) with: Dr Brenda Kelly (John Radcliffe Hospital, Oxford) Music by: Rosemary Allmann
It can be easy to stick your head in the sand and exist in a little bubble where you don't think about the wider world - the struggles others are facing every day - but my guest on the podcast today not only actively helps others in her day job and spare time, but she has made it her mission to talk to her children about it all too.Emma Cantrell is Chief Executive of SSNAP (Support for Sick Newborns and Their Parents) at the John Radcliffe Hospital in Oxford, a charity which provides emotional and practical support to parents, provides life saving equipment for the Neonatal Care Unit and funds research to improves the lives of babies in the hospital’s NCU. In her spare time, Emma runs First Days, a charity which provides equipment and clothing for families living in poverty.On the podcast, I ask Emma about how her work impacts on her parenting (spoiler: it does, in a big way) and she talks about how she discusses issues like poverty, inequality, homelessness and politics with her kids - and how she regularly makes them aware of their own privilege.You can check out First Days here, find out more about SSNAP and follow Emma on Instagram. Music: Epidemic Sound See acast.com/privacy for privacy and opt-out information.
In September 2015, the UN adopted the Sustainable Development Goals to end poverty, protect the planet and ensure prosperity for all people. For the first time, these goals explicitly aim to bring human rights and economic development into conversation with one another. There are 17 Sustainable Development Goals to be realised by 2030, each with their own targets. Goal number 5 is to ‘achieve gender equality and empower all women and girls.’ One of the targets under Goal 5 is to eliminate all harmful practices, such as child, early, and forced marriage, and female genital mutilation, or FGM. In this episode, we talk with Brenda Kelly, a consultant obstetrician at the John Radcliffe Hospital and a founder of the Oxford Rose Clinic, which specialises in treating women and girls who have experienced FGM. Brenda shares her insights from working with FGM patients about how the law and medicine interact when it comes to achieving gender equality. **This episode is part of a special series on “Working Together: Human Rights and the Sustainable Development Goals” a British Academy project led by Professor Sandy Fredman, Fellow of the British Academy and Director of the Oxford Human Rights Hub. As part of this project, the Academy convened a roundtable in January 2018 with academic experts, policymakers and practitioners from the UK and overseas to discuss the ways in which human rights and developmental goals can work together to achieve the SDG agenda and particularly gender equality and women’s empowerment. Brenda Kelly participated in the discussion.** Produced by: Dr Kira Allmann (University of Oxford) Interview(s) with: Dr Brenda Kelly (John Radcliffe Hospital, Oxford) Music by: Rosemary Allmann If you like this podcast, please consider making a donation to the Oxford Human Rights Hub to support the work we do to make human rights information more accessible: www.alumniweb.ox.ac.uk/law/donations…ke-a-donation
Professor Nicholas John White, Professor of Tropical Medicine, University of Oxford and Mahidol University, Physician, John Radcliffe Hospital gives the Archie Cochrane 2015 lecture. Malaria is the most important parasitic infection of humans. No other infectious disease has had left such an imprint on the human genome. In tropical regions approximately 2000 people, mainly children in Africa, die each day from malaria. Medicines for malaria have been used for thousands of years and indeed due to active measures such as marsh draining and the development of residual insecticides, malaria was reduced substantially or eliminated in many areas, but in others (much of sub-Saharan Africa) there was little impact. However the future is uncertain. Resistance to the main insecticides is rising jeopardising the efficacy of treated bed nets and resistance to the main drugs has emerged in South East Asia and is spreading.
Percutaneous Coronary Intervention (PCI) has a considerable evidence base and it is firmly established as the most common procedure used in the invasive treatment of patients with CHD in the UK. The evidence base relating to PCI has been reviewed and this has been published in Heart. The guidelines focus on issues pertinent to practice within the UK and set out a recommended template to ensure optimal delivery of patient care. Dr Alistair Lindsay speaks to Professor Adrian Banning from the John Radcliffe Hospital at the University of Oxford who was co-author on the guidelines.
Professor Dame Kay Davies is the Dr. Lee's Professor of Anatomy at Oxford University and a fellow of Hertford College. She is also the Honorary Director of the MRC Functional Genomics Unit, a deputy chairman of the Wellcome Trust, and Executive Editor of the journal Human Molecular Genetics. Kay is also a co-founder of a biotechnology company and is a director of another. She completed her undergraduate studies at Somerville College and served as a Junior Research Fellow at Wolfson College in Oxford. She then completed a postdoctoral fellowship at the Saclay Nuclear Research Center, and went on to serve as a research fellow at St. Mary's Hospital Medical School and John Radcliffe Hospital and then as a faculty member at John Radcliffe Hospital and the University of London before joining the faculty at Oxford. Kay has received many awards and honors during her career, and to name just a few, she was elected as a founding Fellow of the Academy of Medical Sciences and a Fellow of the Royal Society. She was also named Commander of the Order of the British Empire and then Dame Commander of the Order of the British Empire. Kay is also an Honorary Fellow of Sommerville College, and had the honor of giving the inaugural Rose lecture at Kingston University in 2012 and the Harveian Oration at the Royal College of Physicians in 2013. Kay is with us today to tell us all about her journey through life and science.
Kevin Talbot, Nuffield Department of Clinical Neurosciences, Medical Sciences Division, John Radcliffe Hospital, University of Oxford - UK speaks on Physiological models of TDP-43 related amyotrophic lateral sclerosis - RNA Metabolism: Changing Paradigms in Neurodegeneration" This seminar has been recorded at Area Science Park Trieste by ICGEB Trieste
Investigating the diagnoses of headaches, and the benefits of topical and placebo treatments for chronic pain. This edition has been supported by a grant from the Scottish Government. Paul Evans meets Dr Paul Davies, a Consultant Neurologist from Northampton General Hospital, who explains that whilst most headaches are benign and can be self-medicated, some headaches – those that are frequent and very painful – require medical attention. He outlines the different types of headaches, including migraines, tension headaches and cluster headaches, and says that each kind requires a specific treatment. Dr Davies admits that GPs have a long way to go in diagnosing and treating chronic headaches effectively. Dr Mick Serpell, a Consultant in Anaesthesia and Pain Medicine in Glasgow, gives us an introduction to topical medicine – medication applied to the surface of the body rather than introduced into it. The medication is applied to the painful area and the drug has a painkilling effect at a local level. Topical medicines can take the form of a cream, a gel or a plaster impregnated with a drug. We hear about two types which are usually used to treat neuropathic conditions – lidocaine and a chilli pepper plaster. One benefit of topical treatments is that they have very few side-effects and can usually be used alongside other analgesics. Finally, Paul meets Michael Lee, a Research Associate at Oxford Centre for the Functional Magnetic Resonance Imaging of the Brain, who carries out extensive research into placebos ¬– treatments given purely for psychological effect. In defiance of those sceptical of the placebo effect, Lee’s brain imaging research shows that placebo medications can have a visible effect on the way that pain is transmitted to the brain. Lee also highlights the importance of psychological context in treatment, saying that what a patient believes about their doctor, their medication and the therapeutic process as a whole affects their response to medication. Contributors • Dr Paul Davies – Consultant Neurologist at Northampton General Hospital and runs headache clinic at John Radcliffe Hospital in Oxford • Dr Mick Serpell – Consultant in Anaesthesia and Pain Medicine in Glasgow • Michael Lee – Research Associate at Oxford Centre for the Functional Magnetic Resonance Imaging of the Brain First broadcast 28.01.14 #Clusterheadaches #Headache #Migraine #Neuropathicpain #Brainimaging #Medication #Painkillersandsideeffects #Psychologicalapproachestopainmanagement
Blood transfusion is an essential part of modern healthcare and can be lifesaving when used appropriately. In this podcast, Sophie Cook, The BMJ's clinical reviews editor, talks to Michael Murphy, consultant haematologist and professor of blood transfusion medicine at NHS Blood and Transplant at the John Radcliffe Hospital, Oxford, about best practice for the safety of patients receiving blood; including ways to reduce unnecessary transfusion, and the warning signs of an adverse reaction.
Recent studies have identified mucosal healing as a key prognostic parameter in the management of inflammatory bowel diseases. In this podcast Mairi McLean, education editor for Gut, talks to Marcus Neurath from the University of Erlangen-Nuremberg, and Simon Travis from John Radcliffe Hospital in Oxford, about their systematic review of the clinical studies on mucosal healing. They discuss the effects of anti-inflammatory or immunosuppressive drugs, and the implications of mucosal healing for subsequent clinical management in patients with IBD.See also:Mucosal healing in inflammatory bowel diseases: a systematic review (http://tinyurl.com/bk7tglj)
Stephen Chance of the Neuroanatomy and Cognition Group, based at the John Radcliffe Hospital in Oxford, presents insights into IQ and social cognition in chimpanzees and humans. An ICEA Seminar from 1 June 2011.