Podcasts about manchester royal infirmary

Sickle cell is a life-long debilitating condition that predominantly affects people of black African and black African Caribbean background. This podcast series explores the work the NHS is doing to improve the health outcomes and quality of life of people with sickle cell. In episode 3 patient Stephanine George and Dr Dianne Addei, a consultant in public health medicine and NHS England's lead for sickle-cell services discuss safer and compassionate care in a sickle cell crisis. They are joined by Carly Honey, Ward manager and Chelsea Soka, lead haemoglobinopathy nurse, from Manchester Royal Infirmary. The pair share their experience of setting up Ward 10, as well as the important benefits realised for patients and staff. This is one of seven, new sickle cell disorder emergency department bypass units that NHS England is supporting. Isobel Adams an education nurse for haemoglobinopathy across HCC West Midlands and Amanda Cope, advanced nurse practitioner in haemoglobinopathies from Birmingham Women's and Children's NHS Hospital, are joined by nurse Kathy Brennan, the lead for the specialised clinical networks to discuss ACT NOW. This is an acronym and approach to improve the health outcomes and care experience of people in a sickle cell crisis. Kathy outlines the approach, while Izzy and Amanda discuss the realised benefits of the approach and discuss its implementation at Birmingham Women's and Children's NHS Hospital, that offers expert care to more than 90,000 children and young people from across the country per year. A transcript of this episode is available on our website - https://www.england.nhs.uk/long-read/ep1-restoration-and-healing-from-harm-toni-hall/ Contact us: england.sicklecellreview@nhs.net

Sickle cell is a life-long debilitating condition that predominantly affects people of black African and black African Caribbean background. This podcast series explores the work the NHS is doing to improve the health outcomes and quality of life of people with sickle cell. In episode 3 patient Stephanine George and Dr Dianne Addei, a consultant in public health medicine and NHS England's lead for sickle-cell services discuss sickle cell in children and young people. They are joined by Amanda Cope, advanced nurse practitioner in haemoglobinopathies at Birmingham Children's Hospital and Izzy Adams, education nurse for haemoglobinopathy across the West Midlands HCC. Birmingham Women's and Children's NHS Hospital, offers expert care to more than 90,000 children and young people from across the country per year, so we are delighted to have Amanda to explain some of the signs to look out for, that might signal a child or young baby with sickle cell is in crisis. While Izzy discusses the importance of the Education Health and Care Plans in supporting children and young adults in schools and college. They are joined by Carly Honey, Ward manager and Chelsea Soka, lead haemoglobinopathy nurse, both from ward 10 at Manchester Royal Infirmary. This is one of seven, new sickle cell disorder emergency department bypass units that NHS England is supporting. Carly and Chelsea discuss some of the ways that staff on the ward support young people and their families who are transitioning to adult services. A transcript of this episode is available on our website - https://www.england.nhs.uk/long-read/podcast-sickle-cell-in-children-and-young-people/ Contact us: england.sicklecellreview@nhs.net

In this episode we take a deep dive into Irritable Bowel Syndrome (IBS),  a complex yet common condition. We discuss how the diagnosis is made, what symptoms to look out for, how to manage IBS and how to tackle FODMAPs on a plant-based diet, as well as the all important gut microbiome and gut-brain axis.  Hazel started her dietetic career as a Research Dietitian at Kings' College London, where she worked on two published research papers on inflammatory bowel disease. She then went on to develop her clinical gastroenterology experience at Imperial Trust, London, later working at Manchester Royal Infirmary and then Royal Liverpool Trust.  Hazel became a fully trained FODMAP dietitian, completing her training at Kings' College London. This training equipped her with comprehensive knowledge and skills in implementing the low FODMAP diet effectively, giving her the ability to empower clients to achieve lasting relief from their IBS symptoms. Hazel founded her private consultancy business in 2022. HC Dietetics specialises in gastroenterology conditions, such as IBS and IBD. Additionally she has a special interest in plant-based diets and their connection with gut health and overall health. To connect with Hazel: www.HCDietetics.com Instagram: www.instagram.com/HCDietetics  Don't forget the Nutrition and Lifestyle Medicine Conferences! Link for the 9th November virtual NLMC 2024: https://nlmc.org.uk/nlmc-the-nutrition-and-lifestyle-medicine-conference/nlmc-day-two/ And for the early bird tickets for NLMC 2025 https://nlmc.org.uk/tc-events/nlmc-2025/

Rosalie David is a pioneer in the study of ancient Egypt. In the early 1970s, she launched a unique project to study Egyptian mummified bodies using the techniques of modern medicine. Back then, the vast majority of Egyptologists regarded mummies as unimportant sources of information about life in ancient Egypt. Instead they focussed on interpreting hieroglyphic inscriptions, the written record in papyrus documents and archaeological remains and artefacts. Rosalie David proved that the traditionalists were quite wrong.Professor David's mummy research started at the Manchester Museum when she began to collaborate with radiologists at the nearby Manchester Royal Infirmary, taking the museum's mummies for x-rays at the hospital. Her multi-disciplinary team later moved to a dedicated institute at the University of Manchester, the KNH Centre for Biomedical Egyptology. Over the decades, the team there has made remarkable discoveries about disease and medicine in ancient Egyptian society, providing a new perspective on the history of medicine and giving extraordinary insights into the lives of individuals all those years ago.Rosalie tells Jim Al-Khalili about her journey from classics and ancient history to biomedicine, including some of her adventures in Egypt in the 1960s. She talks about some of her most significant research projects, and the 21st Century forensic detective work on the mummy of a young woman which revealed a gruesome murder 3,000 years ago...Presented by Jim Al-Khalili Produced by Andrew Luck-Baker

GUEST 1 OVERVIEW: Dr. Anthony Hinton graduated from Birmingham University in 1984 and has specialized in ENT surgery since 1986. After serving as a Registrar at Manchester Royal Infirmary, he held positions as a Senior Registrar at several London Teaching Hospitals including Great Ormond Street, The Royal National Throat, Nose, and Ear Hospital, and St. George's Hospital. He currently serves as a consultant ENT Surgeon. GUEST 2 OVERVIEW: The Deputy Leader of the Reform Party, Parliamentary Candidate for Wellingborough, and former MEP for London. He commenced his career in corporate finance at Shearson Lehman Brothers, subsequently working in reinsurance brokerage as a finance director. He received his education at Cambridge University.

Dr Vivek Goodoory, trainee associate editor at Frontline Gastroenterology and Gastroenterology registrar at Leeds Teaching Hospital NHS Trust, Leeds UK, Dr Philip Dunne, Trainee Associate Editor at Frontline Gastroenterology trainee editor and Gastroenterology registrar in the West of Scotland deanery, Glasgow UK and Dr Giovanna McGinty, Trainee Associate Editor at Frontline Gastroenterology and a gastroenterology registrar at North Bristol Trust, Bristol, UK interview Dr Elizabeth Ratcliffe, Gastroenterology registrar and ex-chair of the BSG trainees' section committee, Manchester Royal Infirmary, Manchester, UK and Dr Emma Saunsbury, Gastroenterology registrar and Severn and Peninsula BSG representation to the trainees' section, Musgrove Park Hospital, Taunton, UK on the paper "UK-wide survey of gastroenterology and hepatology trainees in 2022: endoscopy, workforce planning and the Shape of things to come published online in Frontline Gastroenterology in October 2023 - https://fg.bmj.com/content/15/1/35  Listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please rate us on your chosen platform, and leave us a review on the Frontline Gastroenterology Podcast page on iTunes: https://podcasts.apple.com/gb/podcast/fg-podcast/id942944229

In this episode of myths in emergency medicine, I talk about Oxygen in STEMI patients, Epinephrine in digital anaesthesia, C- line for CVP monitoring and MILS in trauma patients. You can go through some of the following papers and decide what you want to do with your EM practice - 1. Stub D, Smith K, Bernard S, Nehme Z, Stephenson M, Bray JE, Cameron P, Barger B, Ellims AH, Taylor AJ, Meredith IT, Kaye DM; AVOID Investigators. Air Versus Oxygen in ST-Segment-Elevation Myocardial Infarction. Circulation. 2015 Jun 16;131(24):2143-50. doi: 10.1161/CIRCULATIONAHA.114.014494. Epub 2015 May 22. PMID: 26002889. 2. Hofmann R, Befekadu Abebe T, Herlitz J, James SK, Erlinge D, Yndigegn T, Alfredsson J, Kellerth T, Ravn-Fischer A, Völz S, Lauermann J, Jernberg T, Lindahl B, Langenskiöld S. Routine Oxygen Therapy Does Not Improve Health-Related Quality of Life in Patients With Acute Myocardial Infarction-Insights From the Randomized DETO2X-AMI Trial. Front Cardiovasc Med. 2021 Mar 15;8:638829. doi: 10.3389/fcvm.2021.638829. PMID: 33791349; PMCID: PMC8006541. 3. Krunic AL, Wang LC, Soltani K, Weitzul S, Taylor RS. Digital anesthesia with epinephrine: an old myth revisited. J Am Acad Dermatol. 2004 Nov;51(5):755-9. doi: 10.1016/j.jaad.2004.05.028. PMID: 15523354. 4. Mohan, P P. “Towards evidence based emergency medicine: best BETs from the Manchester Royal Infirmary. Epinephrine in digital nerve block.” Emergency medicine journal : EMJ vol. 24,11 (2007): 789-90. doi:10.1136/emj.2007.053793 5. Marik PE, Baram M, Vahid B. Does central venous pressure predict fluid responsiveness? A systematic review of the literature and the tale of seven mares. Chest. 2008 Jul;134(1):172-8. doi: 10.1378/chest.07-2331. PMID: 18628220. 6. Ellis DY, Harris T, Zideman D. Cricoid pressure in emergency department rapid sequence tracheal intubations: a risk-benefit analysis. Ann Emerg Med. 2007 Dec;50(6):653-65. doi: 10.1016/j.annemergmed.2007.05.006. Epub 2007 Aug 3. PMID: 17681642. 7. Santoni BG, Hindman BJ, Puttlitz CM, Weeks JB, Johnson N, Maktabi MA, Todd MM. Manual in-line stabilization increases pressures applied by the laryngoscope blade during direct laryngoscopy and orotracheal intubation. Anesthesiology. 2009 Jan;110(1):24-31. doi: 10.1097/ALN.0b013e318190b556. PMID: 19104166. 8. Manoach S, Paladino L. Manual in-line stabilization for acute airway management of suspected cervical spine injury: historical review and current questions. Ann Emerg Med. 2007 Sep;50(3):236-45. doi: 10.1016/j.annemergmed.2007.01.009. Epub 2007 Mar 6. PMID: 17337093. 9. Wiles MD. Manual in-line stabilisation during tracheal intubation: effective protection or harmful dogma? Anaesthesia. 2021 Jun;76(6):850-853. doi: 10.1111/anae.15472. PMID: 33939842.

Drs Sara and Lisa tackle another urology topic today - recurrent urinary tract infections (UTIs) in non-pregnant women. They speak to Ian Pearce who is a consultant urologist at Manchester Royal Infirmary. They discuss what UTIs are, and what makes them recurrent vs relapsing. They also chat through how to assess someone with recurrent UTIs and highlight some of the risk factors, before talking about the red flags for more sinister causes. The management options for recurrent UTIs are also covered, from conservative options to medications, including a detailed dive into antibiotic prophylaxis. They also get Ian's opinions on who to refer to urology. Useful resources:  Conservative management tips: Bladder and Bowel Community UK: https://www.bladderandbowel.org/bladder/bladder-treatments/urinary-tract-infection-treatments/ NICE Recurrent UTI Guidelines (Published Oct 2018): https://www.nice.org.uk/guidance/ng112 Guidelines in Practice: The diagnosis and management of uncomplicated recurrent urinary tract infection (March 2019): https://www.guidelines.co.uk/urology/uncomplicated-recurrent-uti-guideline/454623.article GMMMG Antibiotic Prescribing Guidelines (last updated Oct 2021): https://gmmmg.nhs.uk/wp-content/uploads/2021/10/GM-Antimicrobial-guidelines-OCT-2021-v10.0.pdf BMJ article: Methenamine hippurate for recurrent urinary tract infections, published on 9/3/22 (after episode was recorded): https://www.bmj.com/content/376/bmj.o533 ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our really quick anonymous survey here: https://pckb.org/feedback ____ This podcast has been made with the support of Greater Manchester Health and Social Care Partnership, GP Excellence, Greater Manchester Training Hub and the GP Fellowship Programme, as well as Wigan Borough CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.  The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it's release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.

Mr. Mohamed Barkat and Mr. Nick Greaves discuss what trainees should know about the evaluation and management of thoracoabdominal aneurysms with Mr. Michael Jenkins. Mr. Michael Jenkins MD FRCS qualified in 1989 and trained in surgery at Charing Cross, University College London, the Royal Brompton, and Royal Free hospitals and was awarded the Gold medal at FRCS. He was appointed as a consultant vascular surgeon at St Mary's Hospital, Imperial College Healthcare NHS Trust, and Chelsea and Westminster hospitals in 2001. Mr. Jenkins was the Director of AAA   screening in Northwest London from 2011-2018. He is currently President of the Vascular Society of Great Britain and Ireland and was chair of the Circulation Foundation 2016-18 and a past President of the British Society of Endovascular Therapy. He was the Director of the Major Trauma Centre at St Mary's Hospital, 2010-16 He developed both a local and a national tertiary referral practice for thoracoabdominal aortic aneurysm and dissection. Resources Crawford Classification ESVS recommendation of management of Thoracic aortic pathologies Open Repair of Thoracoabdominal Aortic Aneurysm: Step-by-Step https://www.circulationfoundation.org.uk https://www.bset.co.uk/ https://www.vascularsociety.org.uk/ Yale Vascular Review Podcast Episode 1: Thoracoabdominal Aneurysms Host Introductions  Mr. Mohamed Barkat (@mo_barkat) is a vascular trainee in the Northwest of England and is the Vascular Society Affiliate representative for the Rouleaux Club Mr. Nick Greaves is a consultant Vascular Surgeon at Manchester Royal Infirmary with a specialist interest in open aortic surgery. Please share your feedback through our Listener Survey! Follow us on Twitter @audiblebleeding Learn more about us at https://www.audiblebleeding.com/about-1/ and #jointheconversation. Credits:  Authors: Rachael Forsythe, Mohamed Barkat Editors: Sharif Ellozy, Leanna Erete

When a patient has a PFO, or hole in the heart, doctors are left with a decision: to close or not to close. Dr. Alain Bouchard and Dr. Mustafa Ahmed discuss cryptogenic stroke and PFO, as well as the role of the heart-brain team, with Dr. Soo Young Kwon and Dr. Ekaterina Bakradze, both of the neurology department at UAB.About the TeamDr. Alain Bouchard is a clinical cardiologist at Cardiology Specialists of Birmingham, AL. He is a native of Quebec, Canada and trained in Internal Medicine at McGill University in Montreal. He continued as a Research Fellow at the Montreal Heart Institute. He did a clinical cardiology fellowship at the University of California in San Francisco. He joined the faculty at the University of Alabama Birmingham from 1986 to 1990. He worked at CardiologyPC and Baptist Medical Center at Princeton from 1990-2019. He is now part of the Cardiology Specialists of Birmingham at St. Vincent's Health System, Ascension.Dr. Mustafa Ahmed is a Structural Heart Specialist, Interventional Cardiologist and Scientist, and is the director of the Structural Heart Disease Program at UAB. He is a leading performer of minimally invasive heart procedures, including the Mitraclip procedure. He is credited with several first of their kind procedures and internationally recognized in areas including valvular and surgical heart disease and POTS. He was born in Nottingham, England, and went to medical school at the Victoria University of Manchester. He took postgraduate positions at the Manchester Royal Infirmary, then the Queens Medical Center. Dr Ahmed moved to Birmingham, AL, where he was the first person selected for the Physician Scientist Training Program with specialization in cardiology and interventional cardiology.Medical DisclaimerThe contents of the MyHeart.net podcast, including as textual content, graphical content, images, and any other content contained in the Podcast (“Content”) are purely for informational purposes. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or heard on the Podcast!If you think you may have a medical emergency, call your doctor or 911 immediately. MyHeart.net does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Podcast. Reliance on any information provided by MyHeart.net, MyHeart.net employees, others appearing on the Podcast at the invitation of MyHeart.net, or other visitors to the Podcast is solely at your own risk.The Podcast and the Content are provided on an “as is” basis.

This piece is a continued deep dive into the subject, of 'fitness, function, or frailty' and, perhaps, "fixing". It's essential listening for anyone interested in the latest thinking on this crucial topic and was a highlight of the London conference. How can we integrate frailty and cognitive scores in risk assessment tools to facilitate inclusion in shared decision making? How can we improve a surgical colleague's ability to identify frailty? Most patients will have an operation sometime in their life; should surgical school be renamed and moved to being a "well being" clinic and offered to all patients? What screening tools would you recommend if only minimal time or money is available? Is pre-op screening actually 'public health' and should it really be being done for everyone? What are the differences and where is the overlap between fitness functional capacity, frailty, and sarcopenia? In mild cognitive impairment, should we tell patient that it will work and postop and not be expected to fully recover? What strategies have you found most helpful in engaging surgeons with identifying their frail patients? How are we tackling the workforce shortage among geriatricians? What has your experience been in advising achieving physical fitness in patients who present to surgery with persistent pain which is a limitation? This is part two of a two part piece. Each of the contributors comments upon talks which they gave at EBPOM 2020, all of which are now available as part of the TopMedTalk podcast. To ensure you are among the first to hear information of this kind please investigate www.ebpom.org for more details about how you can attend our online conferences. -- Presented by Scarlett McNally, Deputy Director of The Centre for Perioperative Care (CPOC) consultant Orthopaedic Surgeon, Eastbourne DGH, UK and Monty Mythen, Smiths Medical Professor of Anaesthesia and Critical Care at University College London with questions from the online audience for their guests; Denny Levett, Professor in Perioperative Medicine and Critical Care at Southampton University Hospital NHS Foundation trust and Honorary Associate Professor at the University of Southampton, Daniel Conway, Consultant in Anaesthesia and Critical Care, Group Lead for Perioperative Medicine, Manchester Royal Infirmary, UK and Chair of the Manchester Perioperative Medicine Society, Jude Partridge, consultant geriatrician POPS, honorary senior lecturer, King's College London, Chairs the British Geriatrics Society POPS SIG, Vicki Morton, Director of Clinical and Quality Outcomes at Providence Anesthesiology Associates, P.A.

Fitness, function and, or, frailty are important determinants of the quality of the life that we live. In the context of major surgery it's very important we recognize and work with individual patients improving and optimizing them and their ability to handle an operation. This piece is an essential deep dive into the subject, essential listening for anyone interested in the latest thinking on this crucial topic. What are the limitations on your resources when considering a plan of preoperative evaluation? This is part one of a two part piece. Each of the contributors comments upon talks which they gave at EBPOM 2020, all of which are now available as part of the TopMedTalk podcast. To ensure you are among the first to hear information of this kind please investigate www.ebpom.org for more details about how you can attend our online conferences. -- Presented by Scarlett McNally, Deputy Director of The Centre for Perioperative Care (CPOC) consultant Orthopaedic Surgeon, Eastbourne DGH, UK and Monty Mythen, Smiths Medical Professor of Anaesthesia and Critical Care at University College London with questions from the online audience for their guests; Denny Levett, Professor in Perioperative Medicine and Critical Care at Southampton University Hospital NHS Foundation trust and Honorary Associate Professor at the University of Southampton, Daniel Conway, Consultant in Anaesthesia and Critical Care, Group Lead for Perioperative Medicine, Manchester Royal Infirmary, UK and Chair of the Manchester Perioperative Medicine Society, Jude Partridge, consultant geriatrician POPS, honorary senior lecturer, King's College London, Chairs the British Geriatrics Society POPS SIG, Vicki Morton, Director of Clinical and Quality Outcomes at Providence Anesthesiology Associates, P.A.

This piece is an informative conversation about the models of prehabilitation from a number of different angles. Questions come in from an online audience as our panelists tackle the topic from their respective areas. What are the risks and how are they mitigated? Where does your funding come from and why? How safe is iron for cancer patients? The link to Safe Fit self referal is here: https://www.macmillan.org.uk/cancer-information-and-support/get-help/physical-help/safefit%20#refer_yourself_to_this_service Presented by Denny Levett, Professor in Perioperative Medicine and Critical Care at Southampton University Hospital NHS Foundation trust and Honorary Associate Professor at the University of Southampton and Gerard Danjoux, consultant in Anaesthesia and Sleep Medicine at South Tees Hospitals NHS Foundation Trust with their guests John Moore, Clinical Director for Intensive Care at Manchester Royal Infirmary and Medical Lead for Enhanced Recovery After Surgery, Professor Sandy Jack, PhD, Consultant Clinician Scientist in The Anaesthesia and Critical Care Research Unit at University Hospital Southampton NHS Foundation Trust, Honorary Senior Lecturer at the University of Liverpool, University of Southampton and University College London and Rachel Barlow, National Lead, Enhanced Recovery, Prehabilitation and Optimisation, at Cardiff and Vale health board, Wales.

"Perhaps assessing functional performance is something that we've overlooked in medicine" This piece is about the role of functional assessment and status in perioperative medicine. The Duke Activity Status Index (DASI) can be found here: https://www.mdcalc.com/duke-activity-status-index-dasi The Mini Cog assessment is here: http://mini-cog.com/wp-content/uploads/2015/12/Mini-Cog-Form-010816.pdf The video resources mentioned in the piece are here: https://www.youtube.com/channel/UCvOamR8Sb4RXENr56fvRehA/featured Presented by Daniel Conway, Consultant in Anaesthesia and Critical Care, Group Lead for Perioperative Medicine, Manchester Royal Infirmary, UK and Chair of the Manchester Perioperative Medicine Society.

It's widely understood that high value care during, before and immediately after surgery is optimal whereas poor quality care in the perioperative period produces long term difficulties which are compounded by the acute stresses produced during and immediately after a procedure. This talk covers three main areas; surgical care for patients in Greater Manchester, "ERAS+"; prehabilitation for cancer, for the population of Greater Manchester; how Manchester has supported patients during the time of COVID19. This piece is mentioned in the introduction and serves as a useful compliment to the talk, "Implementing a system-wide cancer prehabilitation programme: The journey of Greater Manchester's ‘Prehab4cancer’": https://www.ejso.com/article/S0748-7983(20)30438-8/fulltext Find out more about the work in Greater Manchester here: https://gmcancer.org.uk/our-areas-of-work/prehab4cancer-2/ Also the Perioperative Quality Improvement Programme is here: https://pqip.org.uk/content/home Presented by Dr. John Moore, Clinical Director for Intensive Care at Manchester Royal Infirmary and Medical Lead for Enhanced Recovery After Surgery.

On this podcast recording I speak to Geoff Sharpe a periodontists from the UK currently living in Dubai. We speak extensively about the new periodontal classification. Dr. Geoffrey Sharpe grew up in the north of England and graduated from Newcastle University School of Dental Sciences in 1998 with distinction in Restorative Dentistry. After two years of General Professional Training, he achieved Membership of the Faculty of Dental Surgery of the Royal College of Physicians and Surgeons of Glasgow in 2000. He continued to work within the National Health Service as a Senior House Officer at Aberdeen Royal Infirmary and Manchester Royal Infirmary. He held positions in Restorative Dentistry and Oral & Maxillofacial Surgery before proceeding to full time general practice. In 2003, Dr. Sharpe returned to Newcastle University to start his specialist training in periodontics. He graduated with a Master of Science in Restorative Dentistry in 2005 and achieved Membership in Restorative Dentistry (Periodontics) at The Royal College of Surgeons of Edinburgh in 2007. Throughout this time, he continued to apply his periodontal skills in private practice as a visiting specialist at a number of clinics in the United Kingdom. In 2010, Dr. Sharpe was invited to join a renowned clinic in Dubai as their in-house periodontist. He held this role for seven years prior to creating The Perio Clinic in 2017. Until recently, he also held a part-time role at Mohammed Bin Rashid University in Dubai where he enjoyed teaching and mentoring the next generation of periodontists. Dr. Sharpe lives in Dubai with his wife, Kim, and their one-year old son, William.

This piece is a continued deep dive into the subject, of 'fitness, function, or frailty' and, perhaps, "fixing". It's essential listening for anyone interested in the latest thinking on this crucial topic and was a highlight of the London conference. How can we integrate frailty and cognitive scores in risk assessment tools to facilitate inclusion in shared decision making? How can we improve a surgical colleague's ability to identify frailty? Most patients will have an operation sometime in their life; should surgical school be renamed and moved to being a "well being" clinic and offered to all patients? What screening tools would you recommend if only minimal time or money is available? Is pre-op screening actually 'public health' and should it really be being done for everyone? What are the differences and where is the overlap between fitness functional capacity, frailty, and sarcopenia? In mild cognitive impairment, should we tell patient that it will work and postop and not be expected to fully recover? What strategies have you found most helpful in engaging surgeons with identifying their frail patients? How are we tackling the workforce shortage among geriatricians? What has your experience been in advising achieving physical fitness in patients who present to surgery with persistent pain which is a limitation? This is part two of a two part piece. Each of the contributors comments upon talks which they gave at EBPOM 2020, all of which are now available as part of the TopMedTalk podcast. To ensure you are among the first to hear information of this kind please investigate www.ebpom.org for more details about how you can attend our online conferences. -- Presented by Scarlett McNally, Deputy Director of The Centre for Perioperative Care (CPOC) consultant Orthopaedic Surgeon, Eastbourne DGH, UK and Monty Mythen, Smiths Medical Professor of Anaesthesia and Critical Care at University College London with questions from the online audience for their guests; Denny Levett, Professor in Perioperative Medicine and Critical Care at Southampton University Hospital NHS Foundation trust and Honorary Associate Professor at the University of Southampton, Daniel Conway, Consultant in Anaesthesia and Critical Care, Group Lead for Perioperative Medicine, Manchester Royal Infirmary, UK and Chair of the Manchester Perioperative Medicine Society, Jude Partridge, consultant geriatrician POPS, honorary senior lecturer, King's College London, Chairs the British Geriatrics Society POPS SIG, Vicki Morton, Director of Clinical and Quality Outcomes at Providence Anesthesiology Associates, P.A.

Fitness, function and, or, frailty are important determinants of the quality of the life that we live. In the context of major surgery it's very important we recognize and work with individual patients improving and optimizing them and their ability to handle an operation. This piece is an essential deep dive into the subject, essential listening for anyone interested in the latest thinking on this crucial topic. What are the limitations on your resources when considering a plan of preoperative evaluation? This is part one of a two part piece. Each of the contributors comments upon talks which they gave at EBPOM 2020, all of which are now available as part of the TopMedTalk podcast. To ensure you are among the first to hear information of this kind please investigate www.ebpom.org for more details about how you can attend our online conferences. -- Presented by Scarlett McNally, Deputy Director of The Centre for Perioperative Care (CPOC) consultant Orthopaedic Surgeon, Eastbourne DGH, UK and Monty Mythen, Smiths Medical Professor of Anaesthesia and Critical Care at University College London with questions from the online audience for their guests; Denny Levett, Professor in Perioperative Medicine and Critical Care at Southampton University Hospital NHS Foundation trust and Honorary Associate Professor at the University of Southampton, Daniel Conway, Consultant in Anaesthesia and Critical Care, Group Lead for Perioperative Medicine, Manchester Royal Infirmary, UK and Chair of the Manchester Perioperative Medicine Society, Jude Partridge, consultant geriatrician POPS, honorary senior lecturer, King's College London, Chairs the British Geriatrics Society POPS SIG, Vicki Morton, Director of Clinical and Quality Outcomes at Providence Anesthesiology Associates, P.A.

For the second interview in a series focused on the future of healthcare sponsored by Sony Professional Solutions Europe, Tom speaks to Dr Rachel Jenner, consultant in paediatric emergency medicine and associate medical director for quality and safety at Manchester Royal Infirmary. Dr Jenner speaks about healthcare through the pandemic and the lessons learned, and about her work with the Violence Reduction Unit, tackling knife crime. Links:  - Greater Manchester Violence Reduction Unit: https://twitter.com/gm_vru

Welcome to episode 3 of The 2 View, the podcast for EM and urgent care nurse practitioners and physician assistants! Show Notes for Episode 3 of The 2 View Pancreatitis Mederos MA, Reber HA, Girgis MD. Acute Pancreatitis: A Review. JAMA. Published January 26, 2021. Accessed February 3, 2021. https://jamanetwork.com/journals/jama/article-abstract/2775452 Besinger, B, Stehman, C. Pancreatitis and Cholecystitis. McGraw-Hill Medical. Accessed February 3, 2021. https://accessmedicine.mhmedical.com/content.aspx?bookid=2353§ionid=189593288 Singh VK, Wu BU, Bollen TL, et al. Early Systemic Inflammatory Response Syndrome is Associated with Severe Acute Pancreatitis. Clin Gastroenterol Hepatol. Published 2009. Accessed February 3, 2021. https://www.cghjournal.org/article/S1542-3565(09)00774-5/pdf#:~:text=Second%2C%20patients%20with%203%20or,care%2C%20and%2013%25%20died. Mofidi R, Duff MD, Wigmore SJ, Madhavan KK, Garden OJ, Parks RW. Association between early systemic inflammatory response, severity of multiorgan dysfunction and death in acute pancreatitis. Br J Surg. Published June 2006. Accessed February 3, 2021. https://pubmed.ncbi.nlm.nih.gov/16671062/ Murali, N. Pancreatic Disease. EM:RAP CorePendium. Emrap.org. Updated January 13, 2021. Accessed February 3, 2021. https://www.emrap.org/corependium/chapter/recNUBEcCXS86j9qX/Pancreatic-Disease Cast Cutter Roberts M, Roberts JR. The Proceduralist. https://www.theproceduralist.org/. Accessed February 3, 2021. Frosch, D, Knott, P. Cast Cutter. ScienceDirect. Published 2007. Accessed February 3, 2021. https://www.sciencedirect.com/topics/nursing-and-health-professions/cast-cutter Questions Local Reactions, Systemic Reactions, Adverse Events, and Serious Adverse Events: Pfizer-BioNTech COVID-19 Vaccine. Cdc.gov. Published January 14, 2021. Accessed February 3, 2021. https://www.cdc.gov/vaccines/covid-19/info-by-product/pfizer/reactogenicity.html Local Reactions, Systemic Reactions, Adverse Events, and Serious Adverse Events: Moderna COVID-19 Vaccine. Cdc.gov. Published December 22, 2020. Accessed February 3, 2021. https://www.cdc.gov/vaccines/covid-19/info-by-product/moderna/reactogenicity.html Information on COVID-19 treatment, prevention and research. Nih.gov. Accessed February 3, 2021. https://www.covid19treatmentguidelines.nih.gov/ Targett C, Harris T. Towards evidence-based emergency medicine: Best BETs from the Manchester Royal Infirmary. BET 3: Can metronomes improve CPR quality? Emerg Med J. Published 2014. Accessed February 3, 2021. https://emj.bmj.com/content/31/3/251 Headaches/Migraine Volpi-Abadie J, Kaye AM, Kaye AD. Serotonin Syndrome. Ochsner J. Published Winter 2013. Accessed February 3, 2021. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3865832/ Roberts, J. InFocus: The Best Three Treatments for Migraine. Emergency Medicine News. Published January 2018. Accessed February 3, 2021. https://journals.lww.com/em-news/Fulltext/2018/01000/InFocus_TheBestThreeTreatmentsforMigraine.8.aspx Roberts, J. InFocus: The Miserable, Misunderstood Migraine. Emergency Medicine News. Published December 2017. Accessed February 3, 2021. https://journals.lww.com/em-news/Fulltext/2017/12000/InFocus_TheMiserable,MisunderstoodMigraine.8.aspx Your resource for headache info. Americanheadachesociety.org. Published May 17, 2016. Accessed February 3, 2021. https://americanheadachesociety.org/

This piece is an informative conversation about the models of prehabilitation from a number of different angles. Questions come in from an online audience as our panelists tackle the topic from their respective areas. What are the risks and how are they mitigated? Where does your funding come from and why? How safe is iron for cancer patients? The link to Safe Fit self referal is here: https://www.macmillan.org.uk/cancer-information-and-support/get-help/physical-help/safefit%20#refer_yourself_to_this_service Presented by Denny Levett, Professor in Perioperative Medicine and Critical Care at Southampton University Hospital NHS Foundation trust and Honorary Associate Professor at the University of Southampton and Gerard Danjoux, consultant in Anaesthesia and Sleep Medicine at South Tees Hospitals NHS Foundation Trust with their guests John Moore, Clinical Director for Intensive Care at Manchester Royal Infirmary and Medical Lead for Enhanced Recovery After Surgery, Professor Sandy Jack, PhD, Consultant Clinician Scientist in The Anaesthesia and Critical Care Research Unit at University Hospital Southampton NHS Foundation Trust, Honorary Senior Lecturer at the University of Liverpool, University of Southampton and University College London and Rachel Barlow, National Lead, Enhanced Recovery, Prehabilitation and Optimisation, at Cardiff and Vale health board, Wales.

"Perhaps assessing functional performance is something that we've overlooked in medicine" This piece is about the role of functional assessment and status in perioperative medicine. The Duke Activity Status Index (DASI) can be found here: https://www.mdcalc.com/duke-activity-status-index-dasi The Mini Cog assessment is here: http://mini-cog.com/wp-content/uploads/2015/12/Mini-Cog-Form-010816.pdf The video resources mentioned in the piece are here: https://www.youtube.com/channel/UCvOamR8Sb4RXENr56fvRehA/featured Presented by Daniel Conway, Consultant in Anaesthesia and Critical Care, Group Lead for Perioperative Medicine, Manchester Royal Infirmary, UK and Chair of the Manchester Perioperative Medicine Society.

Dr. Alain Bouchard is joined by Dr. Nick West of Abbott in a discussion of the use of optical coherence tomography (OCT) and virtual reality to image coronary atherosclerosis and optimize coronary stent procedures.About the TeamDr. Alain Bouchard is a clinical cardiologist at Cardiology Specialists of Birmingham, AL. He is a native of Quebec, Canada and trained in Internal Medicine at McGill University in Montreal. He continued as a Research Fellow at the Montreal Heart Institute. He did a clinical cardiology fellowship at the University of California in San Francisco. He joined the faculty at the University of Alabama Birmingham from 1986 to 1990. He worked at CardiologyPC and Baptist Medical Center at Princeton from 1990-2019. He is now part of the Cardiology Specialists of Birmingham at St. Vincent’s Health System, Ascension.Dr. Mustafa Ahmed is a Structural Heart Specialist, Interventional Cardiologist and Scientist, and is the director of the Structural Heart Disease Program at UAB. He is a leading performer of minimally invasive heart procedures, including the Mitraclip procedure. He is credited with several first of their kind procedures and internationally recognized in areas including valvular and surgical heart disease and POTS. He was born in Nottingham, England, and went to medical school at the Victoria University of Manchester. He took postgraduate positions at the Manchester Royal Infirmary, then the Queens Medical Center. Dr Ahmed moved to Birmingham, AL, where he was the first person selected for the Physician Scientist Training Program with specialization in cardiology and interventional cardiology.Medical DisclaimerThe contents of the MyHeart.net podcast, including as textual content, graphical content, images, and any other content contained in the Podcast (“Content”) are purely for informational purposes. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or heard on the Podcast!If you think you may have a medical emergency, call your doctor or 911 immediately. MyHeart.net does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Podcast. Reliance on any information provided by MyHeart.net, MyHeart.net employees, others appearing on the Podcast at the invitation of MyHeart.net, or other visitors to the Podcast is solely at your own risk.The Podcast and the Content are provided on an “as is” basis.

It's widely understood that high value care during, before and immediately after surgery is optimal whereas poor quality care in the perioperative period produces long term difficulties which are compounded by the acute stresses produced during and immediately after a procedure. This talk covers three main areas; surgical care for patients in Greater Manchester, "ERAS+"; prehabilitation for cancer, for the population of Greater Manchester; how Manchester has supported patients during the time of COVID19. This piece is mentioned in the introduction and serves as a useful compliment to the talk, "Implementing a system-wide cancer prehabilitation programme: The journey of Greater Manchester's ‘Prehab4cancer’": https://www.ejso.com/article/S0748-7983(20)30438-8/fulltext Find out more about the work in Greater Manchester here: https://gmcancer.org.uk/our-areas-of-work/prehab4cancer-2/ Also the Perioperative Quality Improvement Programme is here: https://pqip.org.uk/content/home Presented by Dr. John Moore, Clinical Director for Intensive Care at Manchester Royal Infirmary and Medical Lead for Enhanced Recovery After Surgery.

In today's episode of the MyHeart.net podcast, Drs. Alain Bouchard, Mustafa Ahmed, and Jason Guichard discuss the medical treatment of functional mitral regurgitation.About the Team Dr. Alain Bouchard is a clinical cardiologist at Cardiology Specialists of Birmingham, AL. He is a native of Quebec, Canada and trained in Internal Medicine at McGill University in Montreal. He continued as a Research Fellow at the Montreal Heart Institute. He did a clinical cardiology fellowship at the University of California in San Francisco. He joined the faculty at the University of Alabama Birmingham from 1986 to 1990. He worked at CardiologyPC and Baptist Medical Center at Princeton from 1990-2019. He is now part of the Cardiology Specialists of Birmingham at St. Vincent’s Health System, Ascension. Dr. Mustafa Ahmed is a Structural Heart Specialist, Interventional Cardiologist and Scientist, and is the director of the Structural Heart Disease Program at UAB. He is a leading performer of minimally invasive heart procedures, including the Mitraclip procedure. He is credited with several first of their kind procedures and internationally recognized in areas including valvular and surgical heart disease and POTS. He was born in Nottingham, England, and went to medical school at the Victoria University of Manchester. He took postgraduate positions at the Manchester Royal Infirmary, then the Queens Medical Center. Dr Ahmed moved to Birmingham, AL, where he was the first person selected for the Physician Scientist Training Program with specialization in cardiology and interventional cardiology.Medical DisclaimerThe contents of the MyHeart.net podcast, including as textual content, graphical content, images, and any other content contained in the Podcast (“Content”) are purely for informational purposes. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or heard on the Podcast! If you think you may have a medical emergency, call your doctor or 911 immediately. MyHeart.net does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Podcast. Reliance on any information provided by MyHeart.net, MyHeart.net employees, others appearing on the Podcast at the invitation of MyHeart.net, or other visitors to the Podcast is solely at your own risk. The Podcast and the Content are provided on an “as is” basis.

Join Drs. Alain Bouchard, David McGiffin, and Jason Guichard as they discuss CTEPH — also known as chronic thromboembolic pulmonary hypertension.About the Team Dr. Alain Bouchard is a clinical cardiologist at Cardiology Specialists of Birmingham, AL. He is a native of Quebec, Canada and trained in Internal Medicine at McGill University in Montreal. He continued as a Research Fellow at the Montreal Heart Institute. He did a clinical cardiology fellowship at the University of California in San Francisco. He joined the faculty at the University of Alabama Birmingham from 1986 to 1990. He worked at CardiologyPC and Baptist Medical Center at Princeton from 1990-2019. He is now part of the Cardiology Specialists of Birmingham at St. Vincent’s Health System, Ascension. Dr. Mustafa Ahmed is a Structural Heart Specialist, Interventional Cardiologist and Scientist, and is the director of the Structural Heart Disease Program at UAB. He is a leading performer of minimally invasive heart procedures, including the Mitraclip procedure. He is credited with several first of their kind procedures and internationally recognized in areas including valvular and surgical heart disease and POTS. He was born in Nottingham, England, and went to medical school at the Victoria University of Manchester. He took postgraduate positions at the Manchester Royal Infirmary, then the Queens Medical Center. Dr Ahmed moved to Birmingham, AL, where he was the first person selected for the Physician Scientist Training Program with specialization in cardiology and interventional cardiology.Medical DisclaimerThe contents of the MyHeart.net podcast, including as textual content, graphical content, images, and any other content contained in the Podcast (“Content”) are purely for informational purposes. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or heard on the Podcast! If you think you may have a medical emergency, call your doctor or 911 immediately. MyHeart.net does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Podcast. Reliance on any information provided by MyHeart.net, MyHeart.net employees, others appearing on the Podcast at the invitation of MyHeart.net, or other visitors to the Podcast is solely at your own risk. The Podcast and the Content are provided on an “as is” basis.

This free iTunes segment is just one tiny snippet of the fully-loaded 3-hour monthly Urgent Care RAP show. Earn CME on your commute while getting the latest practice-changing urgent care information: journal article breakdowns, evidence-based topic reviews, critical guideline updates, conversations with experts, and so much more. Sign up for the full show at hippoed.com/UCRAPPOD When someone comes in with prostate related symptoms and infection, it’s hard to know if we’re working with prostatitis vs prostate abscess. How can we improve our prostate game? Tarlan Hedayati, MD schools Matthieu DeClerck, MD, and Neda Frayha, MD with her prostate pro-tips.   Pearls: Think about acute bacterial prostatitis when someone presents with symptoms of acute prostatitis AND has the following characteristics: immunocompromised, symptoms > 36 hours, progressive urinary retention, recent antibiotics for prostatitis. Avoid prostate exams in people with neutropenia given theoretical risk of seeding bacteria.   Distinguishing between acute bacterial prostatitis and prostate abscess can be difficult because patients will look sick (fever, tachycardia, abdominal pain) in both cases Suprapubic pain Abdominal pain Urinary retention History of having had prostatitis in the past Pain with defecation or with prolonged sitting Immunocompromised patient Protracted symptoms > 36 hours Progressive urinary retention Patients who have received antibiotics for prostatitis but are getting worse Overlap symptom: Physical exam and CT scan ultimately will help rule out deadly abscess or other Things to make you think more about abscess: Pearl: do not send a PSA during acute prostatitis. Leads to unnecessary worry and future monitoring of PSA levels. Prostate exam tips: Start with palpation of the anal-rectal junction to get a sense if discomfort is coming from the exam itself versus the prostate and examine if there a rectal abscess Palpate the prostate last to feel for bogginess, tenderness Prostate massage is supposed to increase the sensitivity of urine culture by squeezing bacteria out of the prostate into the urethra. However given the discomfort, probably not needed in the emergency or even primary care setting → it should be a quick exam Pearl: avoid prostate exam in people with neutropenia given theoretical risk of seeding bacteria Categories of prostatitis: A urinalysis, gram stain and culture should not have any bacteria Patients have been dealing with for a longer time and are non-toxic appearing Chronically have WBC’s in the urine with no symptoms Diagnosed by biopsy Acute bacterial prostatitis  Chronic bacterial prostatitis Chronic prostatitis or chronic pelvic pain (90% of prostatitis) Asymptomatic inflammatory prostatitis Treatment: E-coli is the bacteria you’re treating against → check your local antibiogram for resistance patterns Prostate abscess  5th or 6th decade of life Immunosuppression End stage renal disease Indwelling catheter Any recent instrumentation of the prostate Potential complication of inflammatory prostatitis At most 2.5% of patients Risk factors:   REFERENCE: Carroll DE, Marr I, Huang GKL, Holt DC, Tong SYC, Boutlis CS. Staphylococcus aureus Prostatic abscess: a clinical case report and a review of the literature. BMC Infect Dis. 2017 Jul 21;17(1):509. Datillo WR, Shiber J. Prostatitis or prostatic abscess. J of Emerg Med. 2013; 44(1):e121-e122 Hsieh MJ, Yen ZS. Towards evidence based emergency medicine: best BETs from the Manchester Royal Infirmary. BET 1: Is there a role for serum prostate-specific antigen level in the diagnosis of acute prostatitis? Emerg Med J. 2008 Aug;25(8):522-3. Khan FU, Ihsan AU, Khan HU, Jana R, Wazir J, Khongorzul P, Waqar M, Zhou X. Comprehensive overview of prostatitis. Biomed Pharmacother. 2017 Oct;94:1064-1076.

How does one treat pulmonary arterial hypertension? Following up on last week's episode, What is Pulmonary Hypertension?, Drs. Alain Bouchard, Barry Rayburn, and Jason Guichard discuss the different treatment measures for this widespread issue.About the Team Dr. Alain Bouchard is a clinical cardiologist at Cardiology Specialists of Birmingham, AL. He is a native of Quebec, Canada and trained in Internal Medicine at McGill University in Montreal. He continued as a Research Fellow at the Montreal Heart Institute. He did a clinical cardiology fellowship at the University of California in San Francisco. He joined the faculty at the University of Alabama Birmingham from 1986 to 1990. He worked at CardiologyPC and Baptist Medical Center at Princeton from 1990-2019. He is now part of the Cardiology Specialists of Birmingham at St. Vincent’s Health System, Ascension. Dr. Mustafa Ahmed is a Structural Heart Specialist, Interventional Cardiologist and Scientist, and is the director of the Structural Heart Disease Program at UAB. He is a leading performer of minimally invasive heart procedures, including the Mitraclip procedure. He is credited with several first of their kind procedures and internationally recognized in areas including valvular and surgical heart disease and POTS. He was born in Nottingham, England, and went to medical school at the Victoria University of Manchester. He took postgraduate positions at the Manchester Royal Infirmary, then the Queens Medical Center. Dr Ahmed moved to Birmingham, AL, where he was the first person selected for the Physician Scientist Training Program with specialization in cardiology and interventional cardiology.Medical DisclaimerThe contents of the MyHeart.net podcast, including as textual content, graphical content, images, and any other content contained in the Podcast (“Content”) are purely for informational purposes. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or heard on the Podcast! If you think you may have a medical emergency, call your doctor or 911 immediately. MyHeart.net does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Podcast. Reliance on any information provided by MyHeart.net, MyHeart.net employees, others appearing on the Podcast at the invitation of MyHeart.net, or other visitors to the Podcast is solely at your own risk. The Podcast and the Content are provided on an “as is” basis.

In this week's episode, Dr. Alain Bouchard, Dr. Jason Guichard, and Dr. Barry Rayburn discuss a substantial global health issue: Pulmonary Hypertension — specifically, Type 1 Pulmonary Hypertension (PAH).About the Team Dr. Alain Bouchard is a clinical cardiologist at Cardiology Specialists of Birmingham, AL. He is a native of Quebec, Canada and trained in Internal Medicine at McGill University in Montreal. He continued as a Research Fellow at the Montreal Heart Institute. He did a clinical cardiology fellowship at the University of California in San Francisco. He joined the faculty at the University of Alabama Birmingham from 1986 to 1990. He worked at CardiologyPC and Baptist Medical Center at Princeton from 1990-2019. He is now part of the Cardiology Specialists of Birmingham at St. Vincent’s Health System, Ascension. Dr. Mustafa Ahmed is a Structural Heart Specialist, Interventional Cardiologist and Scientist, and is the director of the Structural Heart Disease Program at UAB. He is a leading performer of minimally invasive heart procedures, including the Mitraclip procedure. He is credited with several first of their kind procedures and internationally recognized in areas including valvular and surgical heart disease and POTS. He was born in Nottingham, England, and went to medical school at the Victoria University of Manchester. He took postgraduate positions at the Manchester Royal Infirmary, then the Queens Medical Center. Dr Ahmed moved to Birmingham, AL, where he was the first person selected for the Physician Scientist Training Program with specialization in cardiology and interventional cardiology.Medical DisclaimerThe contents of the MyHeart.net podcast, including as textual content, graphical content, images, and any other content contained in the Podcast (“Content”) are purely for informational purposes. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or heard on the Podcast! If you think you may have a medical emergency, call your doctor or 911 immediately. MyHeart.net does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Podcast. Reliance on any information provided by MyHeart.net, MyHeart.net employees, others appearing on the Podcast at the invitation of MyHeart.net, or other visitors to the Podcast is solely at your own risk. The Podcast and the Content are provided on an “as is” basis.

Dr. Alain Bouchard discusses the history of surgical options and modern techniques for degenerative mitral valve disease and mitral regurgitation with Dr. Clifton Lewis, Director of Adult Cardiac Surgery at UAB, and Dr. Mustafa Ahmed, Director of Interventional and Structural Cardiology at UAB.About the Team Dr. Alain Bouchard is a clinical cardiologist at Cardiology Specialists of Birmingham, AL. He is a native of Quebec, Canada and trained in Internal Medicine at McGill University in Montreal. He continued as a Research Fellow at the Montreal Heart Institute. He did a clinical cardiology fellowship at the University of California in San Francisco. He joined the faculty at the University of Alabama Birmingham from 1986 to 1990. He worked at CardiologyPC and Baptist Medical Center at Princeton from 1990-2019. He is now part of the Cardiology Specialists of Birmingham at St. Vincent’s Health System, Ascension. Dr. Mustafa Ahmed is a Structural Heart Specialist, Interventional Cardiologist and Scientist, and is the director of the Structural Heart Disease Program at UAB. He is a leading performer of minimally invasive heart procedures, including the Mitraclip procedure. He is credited with several first of their kind procedures and internationally recognized in areas including valvular and surgical heart disease and POTS. He was born in Nottingham, England, and went to medical school at the Victoria University of Manchester. He took postgraduate positions at the Manchester Royal Infirmary, then the Queens Medical Center. Dr Ahmed moved to Birmingham, AL, where he was the first person selected for the Physician Scientist Training Program with specialization in cardiology and interventional cardiology.Medical DisclaimerThe contents of the MyHeart.net podcast, including as textual content, graphical content, images, and any other content contained in the Podcast (“Content”) are purely for informational purposes. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or heard on the Podcast! If you think you may have a medical emergency, call your doctor or 911 immediately. MyHeart.net does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Podcast. Reliance on any information provided by MyHeart.net, MyHeart.net employees, others appearing on the Podcast at the invitation of MyHeart.net, or other visitors to the Podcast is solely at your own risk. The Podcast and the Content are provided on an “as is” basis.

When a patient has mitral regurgitation but is not a candidate for open-heart surgery, what is a doctor to do? Thankfully, with the groundbreaking MitraClip (or mitral clip), these patients can still be treated through specialized techniques. Dr. Mustafa Ahmed discusses the procedure's history, benefits, and more with Dr. Alain Bouchard in our latest podcast.About the Team Dr. Alain Bouchard is a clinical cardiologist at Cardiology Specialists of Birmingham, AL. He is a native of Quebec, Canada and trained in Internal Medicine at McGill University in Montreal. He continued as a Research Fellow at the Montreal Heart Institute. He did a clinical cardiology fellowship at the University of California in San Francisco. He joined the faculty at the University of Alabama Birmingham from 1986 to 1990. He worked at CardiologyPC and Baptist Medical Center at Princeton from 1990-2019. He is now part of the Cardiology Specialists of Birmingham at St. Vincent’s Health System, Ascension. Dr. Mustafa Ahmed is a Structural Heart Specialist, Interventional Cardiologist and Scientist, and is the director of the Structural Heart Disease Program at UAB. He is a leading performer of minimally invasive heart procedures, including the Mitraclip procedure. He is credited with several first of their kind procedures and internationally recognized in areas including valvular and surgical heart disease and POTS. He was born in Nottingham, England, and went to medical school at the Victoria University of Manchester. He took postgraduate positions at the Manchester Royal Infirmary, then the Queens Medical Center. Dr Ahmed moved to Birmingham, AL, where he was the first person selected for the Physician Scientist Training Program with specialization in cardiology and interventional cardiology.Medical DisclaimerThe contents of the MyHeart.net podcast, including as textual content, graphical content, images, and any other content contained in the Podcast (“Content”) are purely for informational purposes. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or heard on the Podcast! If you think you may have a medical emergency, call your doctor or 911 immediately. MyHeart.net does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Podcast. Reliance on any information provided by MyHeart.net, MyHeart.net employees, others appearing on the Podcast at the invitation of MyHeart.net, or other visitors to the Podcast is solely at your own risk. The Podcast and the Content are provided on an “as is” basis.

Join Drs. Mustafa Ahmed and Alain Bouchard as they discuss Mitral Regurgitation — also known as 'the leaky valve.'About the Team Dr. Alain Bouchard is a clinical cardiologist at Cardiology Specialists of Birmingham, AL. He is a native of Quebec, Canada and trained in Internal Medicine at McGill University in Montreal. He continued as a Research Fellow at the Montreal Heart Institute. He did a clinical cardiology fellowship at the University of California in San Francisco. He joined the faculty at the University of Alabama Birmingham from 1986 to 1990. He worked at CardiologyPC and Baptist Medical Center at Princeton from 1990-2019. He is now part of the Cardiology Specialists of Birmingham at St. Vincent’s Health System, Ascension. Dr. Mustafa Ahmed is a Structural Heart Specialist, Interventional Cardiologist and Scientist, and is the director of the Structural Heart Disease Program at UAB. He is a leading performer of minimally invasive heart procedures, including the Mitraclip procedure. He is credited with several first of their kind procedures and internationally recognized in areas including valvular and surgical heart disease and POTS. He was born in Nottingham, England, and went to medical school at the Victoria University of Manchester. He took postgraduate positions at the Manchester Royal Infirmary, then the Queens Medical Center. Dr Ahmed moved to Birmingham, AL, where he was the first person selected for the Physician Scientist Training Program with specialization in cardiology and interventional cardiology.Medical DisclaimerThe contents of the MyHeart.net podcast, including as textual content, graphical content, images, and any other content contained in the Podcast (“Content”) are purely for informational purposes. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or heard on the Podcast! If you think you may have a medical emergency, call your doctor or 911 immediately. MyHeart.net does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Podcast. Reliance on any information provided by MyHeart.net, MyHeart.net employees, others appearing on the Podcast at the invitation of MyHeart.net, or other visitors to the Podcast is solely at your own risk. The Podcast and the Content are provided on an “as is” basis.

How is COVID-19 complicating the diagnosis of pulmonary embolism? Drs. Alain Bouchard and Mustafa Ahmed are joined by Dr. David McGiffin to discuss this aspect of the often deadly clot in the lungs and more.About the Team Dr. Alain Bouchard is a clinical cardiologist at Cardiology Specialists of Birmingham, AL. He is a native of Quebec, Canada and trained in Internal Medicine at McGill University in Montreal. He continued as a Research Fellow at the Montreal Heart Institute. He did a clinical cardiology fellowship at the University of California in San Francisco. He joined the faculty at the University of Alabama Birmingham from 1986 to 1990. He worked at CardiologyPC and Baptist Medical Center at Princeton from 1990-2019. He is now part of the Cardiology Specialists of Birmingham at St. Vincent’s Health System, Ascension. Dr. Mustafa Ahmed is a Structural Heart Specialist, Interventional Cardiologist and Scientist, and is the director of the Structural Heart Disease Program at UAB. He is a leading performer of minimally invasive heart procedures, including the Mitraclip procedure. He is credited with several first of their kind procedures and internationally recognized in areas including valvular and surgical heart disease and POTS. He was born in Nottingham, England, and went to medical school at the Victoria University of Manchester. He took postgraduate positions at the Manchester Royal Infirmary, then the Queens Medical Center. Dr Ahmed moved to Birmingham, AL, where he was the first person selected for the Physician Scientist Training Program with specialization in cardiology and interventional cardiology.Medical DisclaimerThe contents of the MyHeart.net podcast, including as textual content, graphical content, images, and any other content contained in the Podcast (“Content”) are purely for informational purposes. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or heard on the Podcast! If you think you may have a medical emergency, call your doctor or 911 immediately. MyHeart.net does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Podcast. Reliance on any information provided by MyHeart.net, MyHeart.net employees, others appearing on the Podcast at the invitation of MyHeart.net, or other visitors to the Podcast is solely at your own risk. The Podcast and the Content are provided on an “as is” basis.

In this episode, Dr. David McGiffin, an expert heart and lung transplant surgeon at The Alfred Hospital in Melbourne, discusses everything from the history of heart transplant to the technical aspects of the procedure in this comprehensive overview of one of the most amazing medical therapies performed today.About the Team Dr. Alain Bouchard is a clinical cardiologist at Cardiology Specialists of Birmingham, AL. He is a native of Quebec, Canada and trained in Internal Medicine at McGill University in Montreal. He continued as a Research Fellow at the Montreal Heart Institute. He did a clinical cardiology fellowship at the University of California in San Francisco. He joined the faculty at the University of Alabama Birmingham from 1986 to 1990. He worked at CardiologyPC and Baptist Medical Center at Princeton from 1990-2019. He is now part of the Cardiology Specialists of Birmingham at St. Vincent’s Health System, Ascension. Dr. Mustafa Ahmed is a Structural Heart Specialist, Interventional Cardiologist and Scientist, and is the director of the Structural Heart Disease Program at UAB. He is a leading performer of minimally invasive heart procedures, including the Mitraclip procedure. He is credited with several first of their kind procedures and internationally recognized in areas including valvular and surgical heart disease and POTS. He was born in Nottingham, England, and went to medical school at the Victoria University of Manchester. He took postgraduate positions at the Manchester Royal Infirmary, then the Queens Medical Center. Dr Ahmed moved to Birmingham, AL, where he was the first person selected for the Physician Scientist Training Program with specialization in cardiology and interventional cardiology. Medical DisclaimerThe contents of the MyHeart.net podcast, including as textual content, graphical content, images, and any other content contained in the Podcast (“Content”) are purely for informational purposes. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or heard on the Podcast! If you think you may have a medical emergency, call your doctor or 911 immediately. MyHeart.net does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Podcast. Reliance on any information provided by MyHeart.net, MyHeart.net employees, others appearing on the Podcast at the invitation of MyHeart.net, or other visitors to the Podcast is solely at your own risk. The Podcast and the Content are provided on an “as is” basis.

The conversation on cardiogenic shock continues as Dr. Alain Bouchard, Dr. Mustafa Ahmed, and Dr. Jason Guichard discuss ECMO, or extracorporeal membrane oxygenation.About the Team Dr. Alain Bouchard is a clinical cardiologist at Cardiology Specialists of Birmingham, AL. He is a native of Quebec, Canada and trained in Internal Medicine at McGill University in Montreal. He continued as a Research Fellow at the Montreal Heart Institute. He did a clinical cardiology fellowship at the University of California in San Francisco. He joined the faculty at the University of Alabama Birmingham from 1986 to 1990. He worked at CardiologyPC and Baptist Medical Center at Princeton from 1990-2019. He is now part of the Cardiology Specialists of Birmingham at St. Vincent’s Health System, Ascension. Dr. Mustafa Ahmed is a Structural Heart Specialist, Interventional Cardiologist and Scientist, and is the director of the Structural Heart Disease Program at UAB. He is a leading performer of minimally invasive heart procedures, including the Mitraclip procedure. He is credited with several first of their kind procedures and internationally recognized in areas including valvular and surgical heart disease and POTS. He was born in Nottingham, England, and went to medical school at the Victoria University of Manchester. He took postgraduate positions at the Manchester Royal Infirmary, then the Queens Medical Center. Dr Ahmed moved to Birmingham, AL, where he was the first person selected for the Physician Scientist Training Program with specialization in cardiology and interventional cardiology. Medical DisclaimerThe contents of the MyHeart.net podcast, including as textual content, graphical content, images, and any other content contained in the Podcast (“Content”) are purely for informational purposes. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or heard on the Podcast! If you think you may have a medical emergency, call your doctor or 911 immediately. MyHeart.net does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Podcast. Reliance on any information provided by MyHeart.net, MyHeart.net employees, others appearing on the Podcast at the invitation of MyHeart.net, or other visitors to the Podcast is solely at your own risk. The Podcast and the Content are provided on an “as is” basis.

How do cardiologists treat cardiogenic shock? Dr. Alain Bouchard, Dr. Mustafa Ahmed, and Dr. Jason Guichard discuss two types of treatment in the latest podcast from MyHeart.net.About the Team Dr. Alain Bouchard is a clinical cardiologist at Cardiology Specialists of Birmingham, AL. He is a native of Quebec, Canada and trained in Internal Medicine at McGill University in Montreal. He continued as a Research Fellow at the Montreal Heart Institute. He did a clinical cardiology fellowship at the University of California in San Francisco. He joined the faculty at the University of Alabama Birmingham from 1986 to 1990. He worked at CardiologyPC and Baptist Medical Center at Princeton from 1990-2019. He is now part of the Cardiology Specialists of Birmingham at St. Vincent’s Health System, Ascension. Dr. Mustafa Ahmed is a Structural Heart Specialist, Interventional Cardiologist and Scientist, and is the director of the Structural Heart Disease Program at UAB. He is a leading performer of minimally invasive heart procedures, including the Mitraclip procedure. He is credited with several first of their kind procedures and internationally recognized in areas including valvular and surgical heart disease and POTS. He was born in Nottingham, England, and went to medical school at the Victoria University of Manchester. He took postgraduate positions at the Manchester Royal Infirmary, then the Queens Medical Center. Dr Ahmed moved to Birmingham, AL, where he was the first person selected for the Physician Scientist Training Program with specialization in cardiology and interventional cardiology. Medical DisclaimerThe contents of the MyHeart.net podcast, including as textual content, graphical content, images, and any other content contained in the Podcast (“Content”) are purely for informational purposes. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or heard on the Podcast! If you think you may have a medical emergency, call your doctor or 911 immediately. MyHeart.net does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Podcast. Reliance on any information provided by MyHeart.net, MyHeart.net employees, others appearing on the Podcast at the invitation of MyHeart.net, or other visitors to the Podcast is solely at your own risk. The Podcast and the Content are provided on an “as is” basis.

The LVAD (left ventricular assist device) has become something of a necessity for treating patients who are waiting on the transplant list - some of whom could deteriorate before receiving that life-saving operation. Dr. Alain Bouchard and Dr. Mustafa Ahmed are joined by Dr. Jason Guichard of South Carolina and Dr. David McGiffin of Australia to discuss LVAD and so-called "destination therapy."About the Team Dr. Alain Bouchard is a clinical cardiologist at Cardiology Specialists of Birmingham, AL. He is a native of Quebec, Canada and trained in Internal Medicine at McGill University in Montreal. He continued as a Research Fellow at the Montreal Heart Institute. He did a clinical cardiology fellowship at the University of California in San Francisco. He joined the faculty at the University of Alabama Birmingham from 1986 to 1990. He worked at CardiologyPC and Baptist Medical Center at Princeton from 1990-2019. He is now part of the Cardiology Specialists of Birmingham at St. Vincent’s Health System, Ascension. Dr. Mustafa Ahmed is a Structural Heart Specialist, Interventional Cardiologist and Scientist, and is the director of the Structural Heart Disease Program at UAB. He is a leading performer of minimally invasive heart procedures, including the Mitraclip procedure. He is credited with several first of their kind procedures and internationally recognized in areas including valvular and surgical heart disease and POTS. He was born in Nottingham, England, and went to medical school at the Victoria University of Manchester. He took postgraduate positions at the Manchester Royal Infirmary, then the Queens Medical Center. Dr Ahmed moved to Birmingham, AL, where he was the first person selected for the Physician Scientist Training Program with specialization in cardiology and interventional cardiology. Dr. Philip Johnson is originally from Selma, AL. Philip began his studies at Vanderbilt University in Nashville, TN, where he double majored in Biomedical and Electrical Engineering. After a year in the “real world” working for his father as a machine design engineer, he went to graduate school at UAB in Birmingham, AL, where he completed a Masters and PhD in Biomedical Engineering before becoming a research assistant professor in Biomedical Engineering. After a short stint in academics, he continued his education at UAB in Medical School, Internal Medicine Residency, and is currently a cardiology fellow in training with a special interest in cardiac electrophysiology. Medical DisclaimerThe contents of the MyHeart.net podcast, including as textual content, graphical content, images, and any other content contained in the Podcast (“Content”) are purely for informational purposes. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or heard on the Podcast! If you think you may have a medical emergency, call your doctor or 911 immediately. MyHeart.net does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Podcast. Reliance on any information provided by MyHeart.net, MyHeart.net employees, others appearing on the Podcast at the invitation of MyHeart.net, or other visitors to the Podcast is solely at your own risk. The Podcast and the Content are provided on an “as is” basis.

An exciting — and expensive — type of device allows doctors to monitor their heart failure patients from afar. Through Remote Patient Monitoring (RPM), medical professionals can keep tabs on their patients without requiring them to risk the dangers of a hospital visit and would, in fact, aid in early detection and treatment. But what's stopping these devices from being implanted in all heart failure patients? Dr. Alain Bouchard, Dr. Mustafa Ahmed, and Dr. Jason Guichard discuss the ins and outs of Remote Patient Monitoring as it relates to heart failure.About the Team Dr. Alain Bouchard is a clinical cardiologist at Cardiology Specialists of Birmingham, AL. He is a native of Quebec, Canada and trained in Internal Medicine at McGill University in Montreal. He continued as a Research Fellow at the Montreal Heart Institute. He did a clinical cardiology fellowship at the University of California in San Francisco. He joined the faculty at the University of Alabama Birmingham from 1986 to 1990. He worked at CardiologyPC and Baptist Medical Center at Princeton from 1990-2019. He is now part of the Cardiology Specialists of Birmingham at St. Vincent’s Health System, Ascension. Dr. Mustafa Ahmed is a Structural Heart Specialist, Interventional Cardiologist and Scientist, and is the director of the Structural Heart Disease Program at UAB. He is a leading performer of minimally invasive heart procedures, including the Mitraclip procedure. He is credited with several first of their kind procedures and internationally recognized in areas including valvular and surgical heart disease and POTS. He was born in Nottingham, England, and went to medical school at the Victoria University of Manchester. He took postgraduate positions at the Manchester Royal Infirmary, then the Queens Medical Center. Dr Ahmed moved to Birmingham, AL, where he was the first person selected for the Physician Scientist Training Program with specialization in cardiology and interventional cardiology. Dr. Philip Johnson is originally from Selma, AL. Philip began his studies at Vanderbilt University in Nashville, TN, where he double majored in Biomedical and Electrical Engineering. After a year in the “real world” working for his father as a machine design engineer, he went to graduate school at UAB in Birmingham, AL, where he completed a Masters and PhD in Biomedical Engineering before becoming a research assistant professor in Biomedical Engineering. After a short stint in academics, he continued his education at UAB in Medical School, Internal Medicine Residency, and is currently a cardiology fellow in training with a special interest in cardiac electrophysiology. Medical DisclaimerThe contents of the MyHeart.net podcast, including as textual content, graphical content, images, and any other content contained in the Podcast (“Content”) are purely for informational purposes. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or heard on the Podcast! If you think you may have a medical emergency, call your doctor or 911 immediately. MyHeart.net does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Podcast. Reliance on any information provided by MyHeart.net, MyHeart.net employees, others appearing on the Podcast at the invitation of MyHeart.net, or other visitors to the Podcast is solely at your own risk. The Podcast and the Content are provided on an “as is” basis.

The use of SGLT2 inhibitors has been heralded as a breakthrough in the treatment of congestive heart failure. In this episode of the MyHeart.net podcast, Dr. Bouchard and Dr. Ahmed discuss the new approach with heart failure specialist Dr. Jason Guichard of Prisma Health in South Carolina, covering the incredible benefits of a class of medication traditionally used to treat diabetes as well as some of the obstacles that may lie in the path of patients adding it to their regimen.About the Team Dr. Alain Bouchard is a clinical cardiologist at Cardiology Specialists of Birmingham, AL. He is a native of Quebec, Canada and trained in Internal Medicine at McGill University in Montreal. He continued as a Research Fellow at the Montreal Heart Institute. He did a clinical cardiology fellowship at the University of California in San Francisco. He joined the faculty at the University of Alabama Birmingham from 1986 to 1990. He worked at CardiologyPC and Baptist Medical Center at Princeton from 1990-2019. He is now part of the Cardiology Specialists of Birmingham at St. Vincent’s Health System, Ascension. Dr. Mustafa Ahmed is a Structural Heart Specialist, Interventional Cardiologist and Scientist, and is the director of the Structural Heart Disease Program at UAB. He is a leading performer of minimally invasive heart procedures, including the Mitraclip procedure. He is credited with several first of their kind procedures and internationally recognized in areas including valvular and surgical heart disease and POTS. He was born in Nottingham, England, and went to medical school at the Victoria University of Manchester. He took postgraduate positions at the Manchester Royal Infirmary, then the Queens Medical Center. Dr Ahmed moved to Birmingham, AL, where he was the first person selected for the Physician Scientist Training Program with specialization in cardiology and interventional cardiology. Dr. Philip Johnson is originally from Selma, AL. Philip began his studies at Vanderbilt University in Nashville, TN, where he double majored in Biomedical and Electrical Engineering. After a year in the “real world” working for his father as a machine design engineer, he went to graduate school at UAB in Birmingham, AL, where he completed a Masters and PhD in Biomedical Engineering before becoming a research assistant professor in Biomedical Engineering. After a short stint in academics, he continued his education at UAB in Medical School, Internal Medicine Residency, and is currently a cardiology fellow in training with a special interest in cardiac electrophysiology. Medical DisclaimerThe contents of the MyHeart.net podcast, including as textual content, graphical content, images, and any other content contained in the Podcast (“Content”) are purely for informational purposes. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or heard on the Podcast! If you think you may have a medical emergency, call your doctor or 911 immediately. MyHeart.net does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Podcast. Reliance on any information provided by MyHeart.net, MyHeart.net employees, others appearing on the Podcast at the invitation of MyHeart.net, or other visitors to the Podcast is solely at your own risk. The Podcast and the Content are provided on an “as is” basis.

Who knew that you could be awake during aortic valve replacement surgery? Dr. Mustafa Ahmed and Dr. Alain Bouchard discuss everything you ever wanted to know about the revolutionary procedure known as TAVR.About the Team Dr. Alain Bouchard is a clinical cardiologist at Cardiology Specialists of Birmingham, AL. He is a native of Quebec, Canada and trained in Internal Medicine at McGill University in Montreal. He continued as a Research Fellow at the Montreal Heart Institute. He did a clinical cardiology fellowship at the University of California in San Francisco. He joined the faculty at the University of Alabama Birmingham from 1986 to 1990. He worked at CardiologyPC and Baptist Medical Center at Princeton from 1990-2019. He is now part of the Cardiology Specialists of Birmingham at St. Vincent’s Health System, Ascension. Dr. Mustafa Ahmed is a Structural Heart Specialist, Interventional Cardiologist and Scientist, and is the director of the Structural Heart Disease Program at UAB. He is a leading performer of minimally invasive heart procedures, including the Mitraclip procedure. He is credited with several first of their kind procedures and internationally recognized in areas including valvular and surgical heart disease and POTS. He was born in Nottingham, England, and went to medical school at the Victoria University of Manchester. He took postgraduate positions at the Manchester Royal Infirmary, then the Queens Medical Center. Dr Ahmed moved to Birmingham, AL, where he was the first person selected for the Physician Scientist Training Program with specialization in cardiology and interventional cardiology. Dr. Philip Johnson is originally from Selma, AL. Philip began his studies at Vanderbilt University in Nashville, TN, where he double majored in Biomedical and Electrical Engineering. After a year in the “real world” working for his father as a machine design engineer, he went to graduate school at UAB in Birmingham, AL, where he completed a Masters and PhD in Biomedical Engineering before becoming a research assistant professor in Biomedical Engineering. After a short stint in academics, he continued his education at UAB in Medical School, Internal Medicine Residency, and is currently a cardiology fellow in training with a special interest in cardiac electrophysiology. Medical DisclaimerThe contents of the MyHeart.net podcast, including as textual content, graphical content, images, and any other content contained in the Podcast (“Content”) are purely for informational purposes. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or heard on the Podcast! If you think you may have a medical emergency, call your doctor or 911 immediately. MyHeart.net does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Podcast. Reliance on any information provided by MyHeart.net, MyHeart.net employees, others appearing on the Podcast at the invitation of MyHeart.net, or other visitors to the Podcast is solely at your own risk. The Podcast and the Content are provided on an “as is” basis.

Welcome to our seventh webinar and journal club reviewing recent research and featuring COVID-19 updates, hosted by the University of Manchester, Manchester Royal Infirmary and Royal College of Emergency Medicine in collaboration with St Emlyn's.   The live event took place on Tuesday 26th May. Today's panel will be hosted by Rick Body The panel includes Prof Paul Klapper (Professor of Clinical Virology), Dr Charlie Reynard (NIHR Clinical Research Fellow), Dr Anisa Jafar, Prof Pam Vallely (Professor of Medical Virology), Ellie Hothershall (Consultant in Public Health), Prof Simon Carley and special guest Kelly Ann Janssens (Emergency Physician in Ireland) to discuss five papers about COVID-19 infection. This will be the last weekly journal club, but we will be back with more EBM goodness very soon. Do let us know what you like to be included at stemlyns@gmail.com References Beigel JH, Tomashek KM, Dodd LE, et al. Remdesivir for the Treatment of Covid-19 — Preliminary Report. N Engl J Med. Published online May 22, 2020. doi:10.1056/nejmoa2007764 Mehra MR, Desai SS, Ruschitzka F, Patel AN. Hydroxychloroquine or chloroquine with or without a macrolide for treatment of COVID-19: a multinational registry analysis. The Lancet. Published online May 2020. doi:10.1016/s0140-6736(20)31180-6 Gray N, Calleja D, Wimbush A, et al. “No test is better than a bad test”: Impact of diagnostic uncertainty in mass testing on the spread of Covid-19. Published online April 22, 2020. doi:10.1101/2020.04.16.20067884 Peyrony O, Marbeuf-Gueye C, Truong V, et al. Accuracy of Emergency Department clinical findings for diagnostic of coronavirus disease-2019. Annals of Emergency Medicine. Published online May 2020. doi:10.1016/j.annemergmed.2020.05.022 Ludvigsson JF. Children are unlikely to be the main drivers of the COVID‐19 pandemic – a systematic review. Acta Paediatr. Published online May 19, 2020. doi:10.1111/apa.15371 Podcast edited from a live webinar by Iazzy Carley  

What exactly is amyloidosis, and how do doctors treat it? Dr. Alain Bouchard and Dr. Mustafa Ahmed discuss this rare disease with Dr. Jason Guichard, a cardiologist with Prisma Health in South Carolina specializing in heart failure/transplant.About the Team Dr. Alain Bouchard is a clinical cardiologist at Cardiology Specialists of Birmingham, AL. He is a native of Quebec, Canada and trained in Internal Medicine at McGill University in Montreal. He continued as a Research Fellow at the Montreal Heart Institute. He did a clinical cardiology fellowship at the University of California in San Francisco. He joined the faculty at the University of Alabama Birmingham from 1986 to 1990. He worked at CardiologyPC and Baptist Medical Center at Princeton from 1990-2019. He is now part of the Cardiology Specialists of Birmingham at St. Vincent’s Health System, Ascension. Dr. Mustafa Ahmed is a Structural Heart Specialist, Interventional Cardiologist and Scientist, and is the director of the Structural Heart Disease Program at UAB. He is a leading performer of minimally invasive heart procedures, including the Mitraclip procedure. He is credited with several first of their kind procedures and internationally recognized in areas including valvular and surgical heart disease and POTS. He was born in Nottingham, England, and went to medical school at the Victoria University of Manchester. He took postgraduate positions at the Manchester Royal Infirmary, then the Queens Medical Center. Dr Ahmed moved to Birmingham, AL, where he was the first person selected for the Physician Scientist Training Program with specialization in cardiology and interventional cardiology. Dr. Philip Johnson is originally from Selma, AL. Philip began his studies at Vanderbilt University in Nashville, TN, where he double majored in Biomedical and Electrical Engineering. After a year in the “real world” working for his father as a machine design engineer, he went to graduate school at UAB in Birmingham, AL, where he completed a Masters and PhD in Biomedical Engineering before becoming a research assistant professor in Biomedical Engineering. After a short stint in academics, he continued his education at UAB in Medical School, Internal Medicine Residency, and is currently a cardiology fellow in training with a special interest in cardiac electrophysiology. Medical DisclaimerThe contents of the MyHeart.net podcast, including as textual content, graphical content, images, and any other content contained in the Podcast (“Content”) are purely for informational purposes. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or heard on the Podcast! If you think you may have a medical emergency, call your doctor or 911 immediately. MyHeart.net does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Podcast. Reliance on any information provided by MyHeart.net, MyHeart.net employees, others appearing on the Podcast at the invitation of MyHeart.net, or other visitors to the Podcast is solely at your own risk. The Podcast and the Content are provided on an “as is” basis.

What exactly is a cardiac MRI, and what should you expect if your doctor has ordered one? Dr. David Fieno, cardiologist at Shelby Baptist Medical Center, as well as Dr. Alain Bouchard and Dr. Mustafa Ahmed break down the benefits and drawbacks of this technology as well as what patients will most likely experience at their cardiac MRI scan.About the Team Dr. Alain Bouchard is a clinical cardiologist at Cardiology Specialists of Birmingham, AL. He is a native of Quebec, Canada and trained in Internal Medicine at McGill University in Montreal. He continued as a Research Fellow at the Montreal Heart Institute. He did a clinical cardiology fellowship at the University of California in San Francisco. He joined the faculty at the University of Alabama Birmingham from 1986 to 1990. He worked at CardiologyPC and Baptist Medical Center at Princeton from 1990-2019. He is now part of the Cardiology Specialists of Birmingham at St. Vincent’s Health System, Ascension. Dr. Mustafa Ahmed is a Structural Heart Specialist, Interventional Cardiologist and Scientist, and is the director of the Structural Heart Disease Program at UAB. He is a leading performer of minimally invasive heart procedures, including the Mitraclip procedure. He is credited with several first of their kind procedures and internationally recognized in areas including valvular and surgical heart disease and POTS. He was born in Nottingham, England, and went to medical school at the Victoria University of Manchester. He took postgraduate positions at the Manchester Royal Infirmary, then the Queens Medical Center. Dr Ahmed moved to Birmingham, AL, where he was the first person selected for the Physician Scientist Training Program with specialization in cardiology and interventional cardiology. Dr. Philip Johnson is originally from Selma, AL. Philip began his studies at Vanderbilt University in Nashville, TN, where he double majored in Biomedical and Electrical Engineering. After a year in the “real world” working for his father as a machine design engineer, he went to graduate school at UAB in Birmingham, AL, where he completed a Masters and PhD in Biomedical Engineering before becoming a research assistant professor in Biomedical Engineering. After a short stint in academics, he continued his education at UAB in Medical School, Internal Medicine Residency, and is currently a cardiology fellow in training with a special interest in cardiac electrophysiology. Medical DisclaimerThe contents of the MyHeart.net podcast, including as textual content, graphical content, images, and any other content contained in the Podcast (“Content”) are purely for informational purposes. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or heard on the Podcast! If you think you may have a medical emergency, call your doctor or 911 immediately. MyHeart.net does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Podcast. Reliance on any information provided by MyHeart.net, MyHeart.net employees, others appearing on the Podcast at the invitation of MyHeart.net, or other visitors to the Podcast is solely at your own risk. The Podcast and the Content are provided on an “as is” basis.

Please Note: Due to the ever-changing nature of information surrounding COVID-19, some statements in this podcast episode may be outdated. This episode was previously recorded on May 10, 2020. Dr. Alain Bouchard, Dr. Mustafa Ahmed, and Dr. David Fieno discuss the effect of COVID-19 on the heart as well as current studies into therapies to combat coronavirus. About the Team Dr. Alain Bouchard is a clinical cardiologist at Cardiology Specialists of Birmingham, AL. He is a native of Quebec, Canada and trained in Internal Medicine at McGill University in Montreal. He continued as a Research Fellow at the Montreal Heart Institute. He did a clinical cardiology fellowship at the University of California in San Francisco. He joined the faculty at the University of Alabama Birmingham from 1986 to 1990. He worked at CardiologyPC and Baptist Medical Center at Princeton from 1990-2019. He is now part of the Cardiology Specialists of Birmingham at St. Vincent’s Health System, Ascension. Dr. Mustafa Ahmed is a Structural Heart Specialist, Interventional Cardiologist and Scientist, and is the director of the Structural Heart Disease Program at UAB. He is a leading performer of minimally invasive heart procedures, including the Mitraclip procedure. He is credited with several first of their kind procedures and internationally recognized in areas including valvular and surgical heart disease and POTS. He was born in Nottingham, England, and went to medical school at the Victoria University of Manchester. He took postgraduate positions at the Manchester Royal Infirmary, then the Queens Medical Center. Dr Ahmed moved to Birmingham, AL, where he was the first person selected for the Physician Scientist Training Program with specialization in cardiology and interventional cardiology. Dr. Philip Johnson is originally from Selma, AL. Philip began his studies at Vanderbilt University in Nashville, TN, where he double majored in Biomedical and Electrical Engineering. After a year in the “real world” working for his father as a machine design engineer, he went to graduate school at UAB in Birmingham, AL, where he completed a Masters and PhD in Biomedical Engineering before becoming a research assistant professor in Biomedical Engineering. After a short stint in academics, he continued his education at UAB in Medical School, Internal Medicine Residency, and is currently a cardiology fellow in training with a special interest in cardiac electrophysiology. Medical DisclaimerThe contents of the MyHeart.net podcast, including as textual content, graphical content, images, and any other content contained in the Podcast (“Content”) are purely for informational purposes. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or heard on the Podcast! If you think you may have a medical emergency, call your doctor or 911 immediately. MyHeart.net does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Podcast. Reliance on any information provided by MyHeart.net, MyHeart.net employees, others appearing on the Podcast at the invitation of MyHeart.net, or other visitors to the Podcast is solely at your own risk. The Podcast and the Content are provided on an “as is” basis.

Welcome to our fifth webinar and journal club reviewing recent research and featuring COVID-19 updates, hosted by the University of Manchester, Manchester Royal Infirmary and Royal College of Emergency Medicine in collaboration with St Emlyn's. The live event took place on Tuesday 12th May at 11.00am BST (10.00am GMT).  The COVID-19 Journal Club Panel Today's panel was hosted by Rick Body The panel includes Prof Paul Klapper (Professor of Clinical Virology), Dr Charlie Reynard (NIHR Clinical Research Fellow), Prof Dan Horner, Dr Anisa Jafar, Prof Pam Vallely (Professor of Medical Virology), Prof Simon Carley and special guest Lauren Westafer (Attending in Emergency Medicine and Co-Creator of the Foamcast blog and podcast) and Ellie Hothershall (head of undergraduate medicine at the University of Dundee and an expert in Public Health) to discuss six papers about COVID-19 infection. 1. Lai S, Ruktanonchai NW, Zhou L, et al. Effect of non-pharmaceutical interventions to contain COVID-19 in China. Nature. May 2020. doi:10.1038/s41586-020-2293-x 2. Paranjpe I, Fuster V, Lala A, et al. Association of Treatment Dose Anticoagulation with In-Hospital Survival Among Hospitalized Patients with COVID-19. Journal of the American College of Cardiology. May 2020. doi:10.1016/j.jacc.2020.05.001 3. Thanh L, Andreadakis Z, Kumar A, et al. The COVID-19 vaccine development landscape. Nat Rev Drug Discov. 2020;19(5):305-306. doi:10.1038/d41573-020-00073-5 4. Bryan A, Pepper G, Wener MH, et al. Performance Characteristics of the Abbott Architect SARS-CoV-2 IgG Assay and Seroprevalence in Boise, Idaho. J Clin Microbiol. May 2020. doi:10.1128/jcm.00941-20 5. Treibel TA, Manisty C, Burton M, et al. COVID-19: PCR screening of asymptomatic health-care workers at London hospital. The Lancet. May 2020. doi:10.1016/s0140-6736(20)31100-4 6. Altmann S, Milsom L, Zillessen H, et al. Acceptability of app-based contact tracing for COVID-19: Cross-country survey evidence. May 2020. doi:10.1101/2020.05.05.20091587   Podcast edited from a live webinar by Izzy Carley

Dr. Alain Bouchard and Dr. Mustafa Ahmed are joined by Dr. Mark Law, a pediatric cardiologist at Children's of Alabama, and Dr. David Fieno of Shelby Baptist Medical Center to discuss the effect of COVID-19 on children's cardiological health as well as its relationship to Kawasaki disease.About the TeamDr. Alain Bouchard is a clinical cardiologist at Cardiology Specialists of Birmingham, AL. He is a native of Quebec, Canada and trained in Internal Medicine at McGill University in Montreal. He continued as a Research Fellow at the Montreal Heart Institute. He did a clinical cardiology fellowship at the University of California in San Francisco. He joined the faculty at the University of Alabama Birmingham from 1986 to 1990. He worked at CardiologyPC and Baptist Medical Center at Princeton from 1990-2019. He is now part of the Cardiology Specialists of Birmingham at St. Vincent’s Health System, Ascension.Dr. Mustafa Ahmed is a Structural Heart Specialist, Interventional Cardiologist and Scientist, and is the director of the Structural Heart Disease Program at UAB. He is a leading performer of minimally invasive heart procedures, including the Mitraclip procedure. He is credited with several first of their kind procedures and internationally recognized in areas including valvular and surgical heart disease and POTS. He was born in Nottingham, England, and went to medical school at the Victoria University of Manchester. He took postgraduate positions at the Manchester Royal Infirmary, then the Queens Medical Center. Dr Ahmed moved to Birmingham, AL, where he was the first person selected for the Physician Scientist Training Program with specialization in cardiology and interventional cardiology.Dr. Philip Johnson is originally from Selma, AL. Philip began his studies at Vanderbilt University in Nashville, TN, where he double majored in Biomedical and Electrical Engineering. After a year in the “real world” working for his father as a machine design engineer, he went to graduate school at UAB in Birmingham, AL, where he completed a Masters and PhD in Biomedical Engineering before becoming a research assistant professor in Biomedical Engineering. After a short stint in academics, he continued his education at UAB in Medical School, Internal Medicine Residency, and is currently a cardiology fellow in training with a special interest in cardiac electrophysiology.Medical DisclaimerThe contents of the MyHeart.net podcast, including as textual content, graphical content, images, and any other content contained in the Podcast (“Content”) are purely for informational purposes. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or heard on the Podcast!If you think you may have a medical emergency, call your doctor or 911 immediately. MyHeart.net does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Podcast. Reliance on any information provided by MyHeart.net, MyHeart.net employees, others appearing on the Podcast at the invitation of MyHeart.net, or other visitors to the Podcast is solely at your own risk.The Podcast and the Content are provided on an “as is” basis.

In the first episode of MyHeart.net's podcast, three cardiologists discuss face masks in the healthcare field in the face of a pandemic. Dr. Alain Bouchard and Dr. Mustafa Ahmed are joined by Dr. David Fieno to discuss the effectiveness of face masks during the coronavirus pandemic, as well as Dr. Fieno's initiative to provide free N99 masks to medical workers on the frontlines.You can learn more about Dr. Fieno's mission on his practice's Facebook page as well as his GoFundMe page, where you can also contribute to this cause.About the TeamDr. Alain Bouchard is a clinical cardiologist at Cardiology Specialists of Birmingham, AL. He is a native of Quebec, Canada and trained in Internal Medicine at McGill University in Montreal. He continued as a Research Fellow at the Montreal Heart Institute. He did a clinical cardiology fellowship at the University of California in San Francisco. He joined the faculty at the University of Alabama Birmingham from 1986 to 1990. He worked at CardiologyPC and Baptist Medical Center at Princeton from 1990-2019. He is now part of the Cardiology Specialists of Birmingham at St. Vincent’s Health System, Ascension.Dr. Mustafa Ahmed is a Structural Heart Specialist, Interventional Cardiologist and Scientist, and is the director of the Structural Heart Disease Program at UAB. He is a leading performer of minimally invasive heart procedures, including the Mitraclip procedure. He is credited with several first of their kind procedures and internationally recognized in areas including valvular and surgical heart disease and POTS. He was born in Nottingham, England, and went to medical school at the Victoria University of Manchester. He took postgraduate positions at the Manchester Royal Infirmary, then the Queens Medical Center. Dr Ahmed moved to Birmingham, AL, where he was the first person selected for the Physician Scientist Training Program with specialization in cardiology and interventional cardiology.Dr. Philip Johnson is originally from Selma, AL. Philip began his studies at Vanderbilt University in Nashville, TN, where he double majored in Biomedical and Electrical Engineering. After a year in the “real world” working for his father as a machine design engineer, he went to graduate school at UAB in Birmingham, AL, where he completed a Masters and PhD in Biomedical Engineering before becoming a research assistant professor in Biomedical Engineering. After a short stint in academics, he continued his education at UAB in Medical School, Internal Medicine Residency, and is currently a cardiology fellow in training with a special interest in cardiac electrophysiology.Medical DisclaimerThe contents of the MyHeart.net podcast, including as textual content, graphical content, images, and any other content contained in the Podcast (“Content”) are purely for informational purposes. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or heard on the Podcast!If you think you may have a medical emergency, call your doctor or 911 immediately. MyHeart.net does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Podcast. Reliance on any information provided by MyHeart.net, MyHeart.net employees, others appearing on the Podcast at the invitation of MyHeart.net, or other visitors to the Podcast is solely at your own risk.The Podcast and the Content are provided on an “as is” basis.

Welcome to our fourth webinar and journal club reviewing recent research and featuring COVID-19 updates, hosted by the University of Manchester, Manchester Royal Infirmary and Royal College of Emergency Medicine in collaboration with St Emlyn's.   The live event tool place on Tuesday 5th May at 11.30am BST (10.30am GMT).    The panel was again be hosted by Rick Body The panel includes Prof Paul Klapper (Professor of Clinical Virology), Dr Charlie Reynard (NIHR Clinical Research Fellow), Dr Anisa Jafar (Academic Clinical Lecturer), Prof Pam Vallely (Professor of Medical Virology), Prof Simon Carley and special guest Justin Morgenstern to discuss six papers about COVID-19 infection.   There will be another COVID 19 Journal Club next week (Tuesday 12th May at 11am).   References 1. He X, Lau EHY, Wu P, et al. Temporal dynamics in viral shedding and transmissibility of COVID-19. Nat Med. Published online April 15, 2020. doi:10.1038/s41591-020-0869-5   2. Bahl P, Doolan C, de Silva C, Chughtai AA, Bourouiba L, MacIntyre CR. Airborne or Droplet Precautions for Health Workers Treating Coronavirus Disease 2019? The Journal of Infectious Diseases. Published online April 16, 2020. doi:10.1093/infdis/jiaa189.   3. Wang Y, Zhang D, Du G, et al. Remdesivir in adults with severe COVID-19: a randomised, double-blind, placebo-controlled, multicentre trial. The Lancet. Published online April 2020. doi:10.1016/s0140-6736(20)31022-9   4. Rajendran K, Narayanasamy K, Rangarajan J, Rathinam J, Natarajan M, Ramachandran A. Convalescent plasma transfusion for the treatment of COVID‐19: Systematic review. J Med Virol. Published online May 2020. doi:10.1002/jmv.25961   5. Tedeschi S, Giannella M, Bartoletti M, et al. Clinical impact of renin-angiotensin system inhibitors on in-hospital mortality of patients with hypertension hospitalized for COVID-19. Clinical Infectious Diseases. Published online April 27, 2020. doi:10.1093/cid/ciaa492   6. Docherty AB, Harrison EM, Green CA, et al. Features of 16,749 hospitalised UK patients with COVID-19 using the ISARIC WHO Clinical Characterisation Protocol. Published online April 28, 2020. doi:10.1101/2020.04.23.20076042   Podcast edited from a live webinar by Izzy Carley 

Welcome to our third webinar and journal club reviewing recent research and featuring COVID-19 updates, hosted by the University of Manchester, Manchester Royal Infirmary and Royal College of Emergency Medicine in collaboration with St Emlyn's. The live event took place on Tuesday 28th April at 11am BST (10am GMT). The panel was hosted by Rick Body The panel includes Prof Paul Klapper (Professor of Clinical Virology), Dr Charlie Reynard (NIHR Clinical Research Fellow), Dr Dan Horner (RCEM Professor), Prof Pam Vallely (Professor of Medical Virology), Salim Rezaie (Emergency Physician and Founder of REBEL EM) and Prof Simon Carley (you know him…) to discuss five papers about COVID-19 infection. There will be another COVID 19 Journal Club next week (Tuesday 5th May at 11am). Edited by Izzy Carley and Iain Beardsell References Helms J. High risk of thrombosis in patients in severe SARS-CoV-2 infection: a multicenter prospective cohort study. Intensive Care Medicine. April 2020:1-21. https://www.esicm.org/wp-content/uploads/2020/04/863_author_proof.pdf. Caputo ND, Strayer RJ, Levitan R. Early Self‐Proning in Awake, Non‐intubated Patients in the Emergency Department: A Single ED's Experience during the COVID‐19 Pandemic. Acad Emerg Med. April 2020. doi:10.1111/acem.13994 Garcia FP, Perez Tanoira R, Romanyk Cabrera JP, Arroyo Serrano T, Gomez Herruz P, Cuadros Gonzalez J. Rapid diagnosis of SARS-CoV-2 infection by detecting IgG and IgM antibodies with an immunochromatographic device: a prospective single-center study. April 2020. doi:10.1101/2020.04.11.20062158 Richardson S, Hirsch JS, Narasimhan M, et al. Presenting Characteristics, Comorbidities, and Outcomes Among 5700 Patients Hospitalized With COVID-19 in the New York City Area. JAMA. April 2020. doi:10.1001/jama.2020.6775 Metzler B, Siostrzonek P, Binder R, Bauer A, Reinstadler S. Decline of acute coronary syndrome admissions in Austria since the outbreak of COVID-19: the pandemic response causes cardiac collateral damage. Eur Heart J. April 2020. doi:10.1093/eurheartj/ehaa314

Welcome to our second webinar on recent research about COVID-19, hosted by the University of Manchester, Manchester Royal Infirmary and Royal College of Emergency Medicine in collaboration with St Emlyn's. The panel was hosted by Rick Body. The panel includes Prof Paul Klapper (Professor of Clinical Virology), Dr Charlie Reynard (NIHR Clinical Research Fellow), Prof Pam Vallely (Professor of Medical Virology), Dr Anisa Jafar (Academic Clinical Lecturer), Dr Casey Parker and Prof Simon Carley (you know him…) to discuss six papers about COVID-19 infection. The live event took place on Tuesday 21st April 2020 References:  Paper 1 (00:00) Tang W, Cao Z, Han M, et al. Hydroxychloroquine in patients with COVID-19: an open-label, randomized, controlled trial. April 2020. doi:10.1101/2020.04.10.20060558 Paper 2 (12:09) Bendavid E, Mulaney B, Sood N, et al. COVID-19 Antibody Seroprevalence in Santa Clara County, California. April 2020. doi:10.1101/2020.04.14.20062463   Paper 3 (16:40) Wölfel R, Corman VM, Guggemos W, et al. Virological assessment of hospitalized patients with COVID-2019. Nature. April 2020. doi:10.1038/s41586-020-2196-x   Paper 4 (23:33) Favas C. Guidance for the Prevention of COVID-19 Infections among High-Risk Individuals in Camps and Camp-like Settings. London School of Hygiene and Tropical Medicine; 2020:1-15. https://www.lshtm.ac.uk/sites/default/files/2020-04/Guidance%20for%20the%20prevention%20of%20COVID-19%20infections%20among%20high-risk%20individuals%20in%20camps%20and%20camp-like%20settings.pdf. Accessed April 21, 2020.   Paper 5 (30:30) Zeng J-H, Liu Y-X, Yuan J, et al. First case of COVID-19 complicated with fulminant myocarditis: a case report and insights. Infection. April 2020. doi:10.1007/s15010-020-01424-5   Paper 6 (35:02) Caruso D, Zerunian M, Polici M, et al. Chest CT Features of COVID-19 in Rome, Italy. Radiology. April 2020:201237. doi:10.1148/radiol.2020201237   Podcast edited by Izzy Carley and Iain Beardsell

Simon Carley is Professor of Emergency Medicine in Manchester, England. He is an active clinician at Manchester Royal Infirmary and the Royal Manchester Children’s Hospital. He has published over 100 papers in clinical journals with research interests in disaster medicine, diagnostics, evidence base medicine and medical education. He has additional roles as associate editor of the Emergency Medicine Journal. As a co-founder and developer of the BestBets and St.Emlyn’s websites he has integrated web based learning into all levels of EM education. He developed the StEmlyns Blog to share learning across the globe in the true spirit of #FOAM.

Welcome to the second episode of Purple Rainbow Pancreatic Cancer Podcasts. This series for Pancreatic Cancer Awareness Month has been made in memory of Seth Goodburn, he died 33 days after being diagnosed with the disease. In this episode we discuss treatment. Derek O Reilly a pancreatic cancer surgeon who works in Manchester Royal Infirmary he talks about the challenges of surgery and the Whipples operation. Pippa Corrie an oncologist from Cambridge University Hospital Trust she explains the treatment available if you are having chemotherapy. And we also hear from the Nursing Times award winning specialist nurse Vicki Stevenson - Hornby who tells us all about the accelerated pathway to surgery for patients diagnosed with pancreatic cancer. There are some medical terms in this episode but don't worry we will explain them. https://www.purple-planet.com

Simon Carley, Associate Editor of EMJ, talks through the highlights of the October 2017 edition of the Emergency Medicine Journal, this month, picked by Richard Body (Emergency Department, Manchester Royal Infirmary, Manchester, UK). Read the primary survey: http://emj.bmj.com/content/34/10/633. Details of the papers mentioned in this podcast can be found below: The use of whole-body computed tomography in major trauma: variations in practice in UK trauma hospitals - http://emj.bmj.com/content/34/10/647 Non-traumatic incidental findings in patients undergoing whole-body computed tomography at initial emergency admission - emj.bmj.com/content/34/10/643 Whole body computed tomography for trauma: friend or foe? - http://emj.bmj.com/content/34/10/635 Extreme event medicine: considerations for the organisation of out-of-hospital care during obstacle, adventure and endurance competitions http://emj.bmj.com/content/34/10/680 Ibuprofen versus placebo effect on acute kidney injury in ultramarathons: a randomised controlled trial - http://emj.bmj.com/content/34/10/637 Gender, race and the presentation of acute coronary syndrome and serious cardiopulmonary diagnoses in ED patients with chest pain - http://emj.bmj.com/content/34/10/653 Primary care services co-located with Emergency Departments across a UK region: early views on their development - http://emj.bmj.com/content/34/10/672 Read the full October issue of EMJ: http://emj.bmj.com/content/34/10.

Host Ryan Stanton, MD, FACEP talks to Simon Carley, MD on the future of EM regarding technology, decision-support, and the politics of medicine. Dr. Carley is Professor of Emergency Medicine in Manchester, England. He is an active clinician at Manchester Royal Infirmary and the Royal Manchester Children’s Hospital

Dr Mark Porter presents a programme devoted to questions from the listeners. Dr Mike Knapton from the British Heart Foundation answers a question about whether aspirin can protect against a second heart attack. A number of people asked about the treatment of vertigo. Vertigo is a symptom of a variety of conditions ranging from migraine and Meniere's, to strokes and tumours, but by far the most common is a condition called BPPV - benign paroxysmal positional vertigo. It is caused by debris floating around in the fluid in the balance sensors of the inner ear and typically affects people over 40. And there is a relatively simple way to treat it called the Epley movement, which is much underused. Dr Louisa Murdin, consultant in vestibular and balance disorders at Guy's and St Thomas's hospitals in London, explained how she uses the technique. Dr Margaret McCartney and Mark discuss why doctors sometimes use patronising language when talking to patients. Carpal tunnel syndrome - which normally eventually affects both hands - is caused by pressure on the median nerve as it passes under the flexor retinaculum ligament at the wrist - close to where the clasp or buckle on your watch would sit. The classic story is pins and needles affecting the thumb side of the hand and sparing the little finger, and often worse during the early hours of the morning. Dr Jeremy Bland, consultant in clinical neurophysiology at King's College Hospital London, and Kent and Canterbury Hospital, where he runs one of the few NHS clinics dedicated solely to carpal tunnel syndrome, explains why people wake up with symptoms and why wearing a splint can be helpful. Osteoporosis features regularly in our in-box - particularly concerns about bisphosphonates, the gold standard treatment for the bone thinning condition. Every year in the UK around 300,000 people break a bone - such as a hip or wrist - following a relatively trivial injury because their bones are weaker than they should be. Most are middle aged and elderly. Drugs like alendronate and etidronate are prescribed to make bones stronger after a fracture. Peter Selby, Professor of metabolic bone disease at the University of Manchester and a consultant at the Manchester Royal Infirmary, answers queries about how long these drugs should be taken.

Provision of prompt, effective analgesia is rightly considered as a standard of care in the emergency department (ED). However, much suffering is not ‘painful’ and may be under-recognised. A recent paper in EMJ looked to describe the burden of suffering in the ED and explore how this may be best addressed from a patient centred perspective. Ellen Weber talks to lead author Richard Body, Emergency Department Research Office, Manchester Royal Infirmary, to hear what they found.Read the full paper:http://goo.gl/kjs0x9