Podcasts about Westminster Hospital

We're joined by Jules Fielder, who was diagnosed with stage 4 lung cancer in 2021, Dr Jesme Fox, medical director of the Roy Castle Lung Cancer Foundation, Dr Tom Newsom-Davis, consultant medical oncologist at Chelsea and Westminster Hospital, and Chair-Elect of the British Thoracic Oncology Group, and Dr Lynn Campbell, consultant medical oncologist at Belfast City Hospital and committee member for the NICE lung cancer guidelines.

This is Nneka's second appearance on The HIV Podcast! We talk about HIV and condom use, why white women living with HIV are so marginalised and why we can say "always" and "never" when it comes to the science behind U=U! Grab a cuppa and get listeningNneka Nwokolo is Head of Global Patient Affairs at ViiV Healthcare and an honorary consultant HIV physician at Chelsea and Westminster Hospital in London.News links https://www.hse.ie/eng/about/our-health-service/making-it-better/new-hse-campaign-to-address-hiv-stigma-in-ireland.htmlAoife was diagnosed with HIV in Australia in 2020: ‘He was unknowingly positive. We had no idea' – The Irish TimesInnovative HIV Testing Expanded in Liverpool | Invest Liverpool Hosted on Acast. See acast.com/privacy for more information.

Our quest to spread the U=U word continues with this special World AIDS Day episode, featuring the incredibly knowledgeable Dr Nneka Nwokolo, a passionate advocate of spreading the message of U=U, Head of Patient Engagement at ViiV Healthcare as well as an Honorary Consultant HIV Physician at Chelsea and Westminster Hospital, London. Get the U=U digital download here - TVPS Hosted on Acast. See acast.com/privacy for more information.

Listen as Dr. Martyn Lloyd-Jones recounts the history of Westminster Chapel and its pastors. In this sermon preached in 1965 titled “Centenary of the Opening of Westminster Chapel,” he shares the love he has in celebrating the anniversary of this church that he pastored for nearly 30 years. Learn more about cathedrals, church buildings, and the danger to externalize religion—whether in building, art, or music. Dr. Martyn Lloyd-Jones boldly declares that such externalization is inverse to spirituality—as one increases, the other simultaneously decreases. Dr. Lloyd-Jones proclaims his abhorrence for “non-conformist cathedrals” and analyzes the movements throughout the generations. What does it mean to say “there is a church within the church”? Learn about the story of Samuel Martin and the formation of Westminster Chapel on the old site of the Westminster Hospital. The remarkable survival story of this chapel amidst the bombings is recounted and told in a personal way by Dr. Lloyd-Jones. Hear of his confidence in its safety and his long history ever since. To support this ministry financially, visit: https://www.oneplace.com/donate/603/29

Listen as Dr. Martyn Lloyd-Jones recounts the history of Westminster Chapel and its pastors. In this sermon preached in 1965 titled “Centenary of the Opening of Westminster Chapel,” he shares the love he has in celebrating the anniversary of this church that he pastored for nearly 30 years. Learn more about cathedrals, church buildings, and the danger to externalize religion—whether in building, art, or music. Dr. Martyn Lloyd-Jones boldly declares that such externalization is inverse to spirituality—as one increases, the other simultaneously decreases. Dr. Lloyd-Jones proclaims his abhorrence for “non-conformist cathedrals” and analyzes the movements throughout the generations. What does it mean to say “there is a church within the church”? Learn about the story of Samuel Martin and the formation of Westminster Chapel on the old site of the Westminster Hospital. The remarkable survival story of this chapel amidst the bombings is recounted and told in a personal way by Dr. Lloyd-Jones. Hear of his confidence in its safety and his long history ever since.

Listen as Dr. Martyn Lloyd-Jones recounts the history of Westminster Chapel and its pastors. In this sermon preached in 1965 titled “Centenary of the Opening of Westminster Chapel,” he shares the love he has in celebrating the anniversary of this church that he pastored for nearly 30 years. Learn more about cathedrals, church buildings, and the danger to externalize religion—whether in building, art, or music. Dr. Martyn Lloyd-Jones boldly declares that such externalization is inverse to spirituality—as one increases, the other simultaneously decreases. Dr. Lloyd-Jones proclaims his abhorrence for “non-conformist cathedrals” and analyzes the movements throughout the generations. What does it mean to say “there is a church within the church”? Learn about the story of Samuel Martin and the formation of Westminster Chapel on the old site of the Westminster Hospital. The remarkable survival story of this chapel amidst the bombings is recounted and told in a personal way by Dr. Lloyd-Jones. Hear of his confidence in its safety and his long history ever since. To support this ministry financially, visit: https://www.oneplace.com/donate/603/29

The third episode in the HRT after breast cancer series features Dr. Tina Peers who discusses her decision to take HRT after her own breast cancer diagnosis and the decision-making process involved when prescribing it to patients. Dr. Tina Peers is a women's health specialist who began her career as a general practitioner in the early 80s. She became a Consultant in Contraception and Reproductive Health, and has expert knowledge in treating patients with long Covid, Histamine Intolerance, Mast Cell Activation Syndrome and of course the menopause. She is a colleague of Dr. Nick Panay, whom she met while working at Chelsea and Westminster Hospital, seeing complex menopause cases.This mini-series explores hormone replacement therapy (HRT) after breast cancer, a controversial and emotive subject. The conversation focuses on the further understanding of risks and benefits of HRT (hormone replacement therapy) or also MHT (menopause hormone therapy), the emotional impact on patients, and the different views among medical professionals. The goal is to provide understanding for patients seeking HRT after breast cancer and insight for doctors on how to move forward without robust evidence. Dani Binnington, host of the Menopause And Cancer podcast, and founder of the not-for-profit organisation Menopause And Cancer has spoken to hundreds of women who feel like they are in a void and have nowhere to turn to in discussing this difficult topic. Welcome to our HRT after breast cancer series.In this episode we discuss:How general healthcare treats the issue and not the root cause of many conditions, leaving many patients to suffer without the answers they seek. Dr. Peers discusses how her deep knowledge of helping patients with a rare disease helped her understand the importance of thinking outside the box. Why Peers decided to take HRT despite her breast cancer diagnosis. What does shared decision-making look like in practice?How to counsel women who might want to consider HRT after breast cancer? Episode Highlights:00:00 Intro.04:46 Shifted focus to women's health, led services.08:01 Breast cancer treatment.18:08 Seeking help led to meeting superb gynaecologist.20:36 Seeking HRT without GP approval.25:27 Benefits of HRT: cardiovascular, bone, cognitive, longevity33:09 Specialist clinic supports post-breast cancer HRT patients.Connect with us:For more information and resources visit our website: www.menopauseandcancer.org Or follow us on Instagram @menopause_and_cancer Join our Facebook group: www.facebook.com/groups/menopauseandcancerchathubThe walking challenge I mention is here for you: https://move-with-menopause-and-cancer.raiselysite.com/

Tommy Cooper's unexpected death on stage at Her Majesty's Theatre on 15th April, 1984 remains one of the saddest and most surreal moments in UK comedy history.  Known for his slapstick humour and botched magic tricks, family favourite Cooper collapsed mid-act due to a massive heart attack.  The audience, initially assuming it was part of his act, roared with laughter as he lay on the stage emitting what sounded like snoring. Despite the frantic efforts of production staff and paramedics backstage, Cooper was pronounced dead on arrival at Westminster Hospital.  In this episode, Arion, Rebecca and Olly explain how Cooper's health concerns had been widely known within the industry before this incident; reveal how a live TV audience of millions got to grips with the news that the comedy icon had died; and take a look back at some of the other star performers who have, quite literally, died on stage…  Further Reading: ‘Tommy Cooper's last act fooled us all, says Jimmy Tarbuck' (Wales Online, 2009): https://www.walesonline.co.uk/news/wales-news/tommy-coopers-last-act-fooled-2111280 ‘The Show Won't Go On: The Most Shocking, Bizarre, and Historic Deaths of Performers Onstage - By Jeff Abraham, Burt Kearns' (Chicago Review Press, 2019):  https://www.google.co.uk/books/edition/The_Show_Won_t_Go_On/6h-SDwAAQBAJ?hl=en&gbpv=1&dq=tommy+cooper+her+majesty%27s&printsec=frontcover ‘The Shocking Death of Tommy Cooper: Ernie Wise Pays Tribute' (ITN, 1984): https://www.youtube.com/watch?v=ectDT3sXBFY Love the show? Join

Welcome to Trust Me I'm an Influencer with Korinna Howie. where we delve into the lives and stories of fascinating individuals who have made a mark in the world of social media.Award winning Dr Wassim Taktouk's broad medical background and discerning eye have made him one of London's most sought-after aesthetic physicians. After graduating from St. Bartholomew's and The Royal London School of Medicine, he moved to Sydney where he earned his stripes working in A&E. On returning to the UK in 2005, he qualified as a GP and spent the following ten years serving at the Emergency Department in London's Chelsea and Westminster Hospital. During this period his passion for aesthetics was cemented with a Postgraduate Diploma in Dermatology and a membership with the British College of Aesthetic Medicine.In 2021, he launched his eponymous clinic, which swiftly became known for its state-of-the-art technology, world-leading physicians and a compassionate, ethical approach to integrative aesthetics.His creative use of injectables and media-friendly personality have earned him accolades from international press including Tatler, Vogue, ELLE, Hello!, Harper's Bazaar, ES and The Guardian.  Television appearances include the BBC documentary The Truth About Cosmetic Treatments and ITV's This Morning. Follow him on instagram at @drwassimtaktoukBe sure to Like, Follow and Subscribe wherever you get your podcasts. And if you like what you've listened to then please share or review. Follow Trust Me I'm an Influencer on InstaGet In TouchEmail : Lucy@trustmeimaninfluencer.comTrust Me I'm an Influencer is Produced by Your Voice Here Podcast Productions. Need a Podcast? You need Your Voice Here

The first Art of Dying Well podcast of 2024 looks at coma recovery, second chances and spiritual awakening.James Macintyre, a freelance journalist and biographer, describes his extraordinary near-death experience giving a first-hand account of the life-threatening pancreatitis he endured in May 2023 that led to a five-week coma and four-month hospitalisation.James was admitted to the intensive care unit at Chelsea and Westminster Hospital in a critical condition. Doctors informed him that he was suffering from severe pancreatitis that could be fatal. After a difficult week involving blunt conversations with medical staff about the possibility of dying, he was placed in a medically-induced coma to aid his breathing and survival.Whilst in a coma,  James nearly died when doctors performed emergency tracheostomy surgery. Thankfully he pulled through, but awoke to the devastating news that his mother had died while he was unconscious.James credits his survival and new outlook to the excellent hospital care he received as well as his Christian faith. He now hopes to impart lessons about valuing each day, having an attitude of gratitude, and centering one's life on eternity, rather than worldly pursuits.

UKMFA welcomes Dr Tina Peers to the channel where we discuss her career, medical ethics, pandemic response, the WHO and detoxing.Tina shares her wealth of knowledge with us including her experimenting with new technologies and natural remedies which help treat disease and the after effects of viral infection.Her many mainstream and social media appearances have established her as a goto expert in medical treatments and interventions.Dr Peers qualified in 1996 as a Consultant in Contraception and Reproductive Health. In 2017 she was recognised as a Menopause Specialist by the British Menopause Society.Dr Peers worked at the Chelsea & Westminster Hospital,which is the country's leading NHS menopause clinic, under the mentorship of leading Consultant Gynaecologist Mr Nick Panay.She is a member of the British Menopause Society and the Faculty ofSexual & Reproductive Healthcare - Royal College of Obstetricians & Gynaecologists.Find Dr Peers here:https://www.menopauseconsultancy.co.ukhttps://www.facebook.com/menopauseconsultancyhttps://www.instagram.com/menopauseconsultancyThe items mentioned in the podcast can be found here:Medicinal mushrooms: www.hifasdaterra.co.ukARC device: www.arcmicrotech.com/arc4healthAugmented NAC: www.augmentednac.com code HNE2C6VPinformation re the ANAC is on the website: www.zerospike.org/enCALL TO ACTION: Please follow us and subscribe on our YouTube and Rumble channels and please share our content on social media and with friends and family, to help us get the message out and increase our reach.All our podcasts can also be found on the major audio platforms e.g. Apple and SpotifyPlease visit the UK Medical Freedom Alliance at www.ukmedfreedom.org to access all our material and resources. We are grateful for all donations (one off or regular donations through Buy Me a Coffee or Stripe on our website) to help us to continue and grow our work; lobbying decision makers; educating and empowering the public; running campaigns and producing our podcasts.

Jinny Blom speaks to her old friend Brian Eno, the musician, composer, record producer and visual artist. One of the founding members of Roxy Music, Brian has worked with everyone from David Bowie, David Byrne, Laurie Anderson, U2, Coldplay and Grace Jones to name but a very few, and his visual artworks have been exhibited around the world, including at the Serpentine Gallery, the Science Museum and the Venice Biennale. As well as both supporting the work of CW+, the arts charity at Chelsea & Westminster Hospital, Jinny and Brian sing together in his a cappella choir. They sit down to talk about art, architecture, music and much more.Production: Danielle Radojcin, In Talks WithSound: Warren Borg at Worgie ProductionsOriginal music commissioned by Jinny Blom, composed by Peter Vettese and produced by Marc Fox Hosted on Acast. See acast.com/privacy for more information.

Chronic pain is thought to affect around a third of people. For one in ten of these, the pain is severe enough to be disabling—making it the leading cause of disability worldwide. Some forms of chronic pain are particularly mysterious—with clinicians unable to treat the pain, nor understand its causal mechanisms—presenting a huge challenge for societies. How can this burden be eased, for both healthcare systems and the individuals living with pain? Host: Alok Jha, The Economist's science and technology editor, with Gilead Amit, our science correspondent. Contributors: Catherine Charlwood, who lives with chronic pain; Francis Keefe, director of the Pain Prevention and Treatment Research Program at Duke University; Matt Evans, a clinical lecturer at Chelsea and Westminster Hospital and Imperial College London; Jan Vollert, a pain researcher at the University of Exeter.Sign up for Economist Podcasts+ now and get 50% off your subscription with our limited time offer. You will not be charged until Economist Podcasts+ launches.If you're already a subscriber to The Economist, you'll have full access to all our shows as part of your subscription. For more information about Economist Podcasts+, including how to get access, please visit our FAQs page. Hosted on Acast. See acast.com/privacy for more information.

Chronic pain is thought to affect around a third of people. For one in ten of these, the pain is severe enough to be disabling—making it the leading cause of disability worldwide. Some forms of chronic pain are particularly mysterious—with clinicians unable to treat the pain, nor understand its causal mechanisms—presenting a huge challenge for societies. How can this burden be eased, for both healthcare systems and the individuals living with pain? Host: Alok Jha, The Economist's science and technology editor, with Gilead Amit, our science correspondent. Contributors: Catherine Charlwood, who lives with chronic pain; Francis Keefe, director of the Pain Prevention and Treatment Research Program at Duke University; Matt Evans, a clinical lecturer at Chelsea and Westminster Hospital and Imperial College London; Jan Vollert, a pain researcher at the University of Exeter.Sign up for Economist Podcasts+ now and get 50% off your subscription with our limited time offer. You will not be charged until Economist Podcasts+ launches.If you're already a subscriber to The Economist, you'll have full access to all our shows as part of your subscription. For more information about Economist Podcasts+, including how to get access, please visit our FAQs page. Hosted on Acast. See acast.com/privacy for more information.

We speak with Mr Emeka Oragui (Chelsea & Westminster Hospital, London) about femoral acetabular impingement, sportsman hernia and treating young patients with hip replacement surgery through an anterior approach. In this episode we cover: 01:40: What is femoral acetabular impingement (FAI)? 06:00: Is hip arthroscopy witchcraft?  08:20: Is subtle hip dysplasia under diagnosed? How does this link to FAI?  10:27: Pearls of wisdom – How do you approach a young person with vague pain in the hip with an MRI scan showing a labral tear?  20:10: Sportsman Hernia – an interface area. The anatomy and what is the genesis? What is the Doha agreement? 27:00: Should orthopods stray north of the inguinal ligament? 34:25: What can an orthopaedic surgeon do to treat sportsman hernias? 42:50: Anterior approach hip replacement

This episode features Mr. Maxim Horwitz. Maxim Horwitz is a Consultant Orthopaedic Hand and Wrist Surgeon in the Hand Unit at Chelsea and Westminster Hospital where he leads the paediatric hand surgery service. He is also an Honorary Consultant for the Major Trauma Unit at St Mary's Hospital and the Royal National Orthopaedic Hospital (RNOH) Stanmore. In this episode, Jane & Max give us an insight into Artificial Intelligence(AI) and its potential implications for Hand Surgery. Papers discussed - Insights and trends review: the role of three-dimensional technology in upper extremity surgery Evaluation of a convolutional neural network to identify scaphoid fractures on radiographs

On its 75th anniversary, Today's Justin Webb explores the challenges faced by the NHS and considers its future. Justin speaks to Lesley Watts, the chief executive of the Chelsea and Westminster Hospital, and Robert Bleasdale, the hospital's chief nurse. They discuss how the NHS has evolved over the years, and whether we should be optimistic about its future. Justin then speaks to Amanda Pritchard, the Chief Executive of NHS England, who discusses the future challenges, and how the government can help reduce pressure on the NHS.

How far can we go with patient monitoring, how do we push forward with patient safety? What sort of monitoring is appropriate and when? How should we continue through the night time period? Where are the 'gaps and opportunities' for new technology? This conversation, originally part of our coverage of 'Anesthesiology' the Annual General Meeting of the American Society of Anesthesiologists (ASA), features Sol Aronson with his guests Sadia Khan, Consultant Physician, Clinical Director and Service Director for Cardiology at Chelsea and Westminster Hospital and Frank Overdyk, Professor of Anaesthesiology, Charleston, South Carolina. Sadia has featured on TopMedTalk previously here: https://www.topmedtalk.com/topmedtalks-to-sadia-khan-ebpom-2022/ We spoke with Frank here on the subject of pain monitoring: https://www.topmedtalk.com/11813-2/

“Keeping our blood sugar within limits and eating slow-releasing food is absolutely fundamental to inflammatory disease”Alex is a practising medical herbalist and phytotherapist with more than 20 years of experience. She runs the UK's first herbal clinic in hospital dermatology at Whipps Cross University Hospital, where she is tutor-practitioner to BSc herbal students. She also practises at Breast Cancer Haven and privately. She is a council member of the College of Practitioners of Phytotherapy (CPP), and formerly of the Aromatherapy Organisations Council. She has published clinical research and is a visiting lecturer to universities including Westminster, East London, Hertfordshire and the Royal Free Medical School. She is a founding director of the charity, Living Medicine, which teaches people how to use food and herbs in self-care, exchanging and updating knowledge from all cultures to feed into public health. Originally a TV producer, she then worked as an aromatherapist for staff at Chelsea & Westminster Hospital, with drug users and those with HIV while training as a medical herbalist.Alex's driving passion is discovering how life is designed at all levels – reconnecting to each other, our rhythms, food and nature to follow our design are key to resilience.Alex has built impressive research around the powerful impact of herbalism in dermatology. Whilst supporting community and cultural sensitivities at Whipps Cross, Alex has shown that a personalised approach can really make a difference even with the most complex of skin conditions. In her chat with Simon, we learn about several lightbulb moments that have taken Alex on a journey of discovery and why she is so passionate about the role of nutrition when it comes to improving our health.Alex talks on:Herbal approaches to complement cultural beliefs within communities.Making herbal medicine accessible.Documenting treatment results & wellbeing using Westminster University's Measure Yourself Medical Outcome Profile (MYMOP.) Looking beyond the diagnosed condition to treat all issues and internal factors. Educating patients and reconnecting them with food. Her commonly used herbs for treating skin conditions.The story of Living Medicine - education support for communities, delivered by herbalistsHer mission as an educator in reminding people of their own resilience.Blowing the research trumpet.Find out more about Living Medicine on their website, www.livingmedicine.org or contact Alex on alex.laird@livingmedicine.orgGrab a copy of Alex's book Root to Stem: a seasonal guide to natural remedies and recipes for everyday life (Penguin 2019) at https://www.penguin.co.uk/books/311757/root-to-stem-by-laird-alex/9780241371213Find out more about Herbal Reality on Instagram @herbal.reality or visit www.herbalreality.com Herbcast is produced by Decibelle Creative: @decibelle_creative / www.decibellecreative.com

In this episode, we speak with Professor Mark Johnson, leading Consultant Obstetrician and Head of Research & Development at Chelsea and Westminster Hospital, London. Mark is also the founder of Borne, a medical research charity which aims to prevent premature birth. This episode is particularly pertinent as Mark supported Caro in her subsequent pregnancies after losing her first son, Freddie.

Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists. This piece is presented by Sol Aronson and with his guests Sadia Khan, Consultant Physician, Clinical Director and Service Director for Cardiology at Chelsea and Westminster Hospital and Frank Overdyk, Professor of Anaesthesiology, Charleston, South Carolina. Sadia has featured on TopMedTalk previously here: https://www.topmedtalk.com/topmedtalks-to-sadia-khan-ebpom-2022/ We spoke with Frank here on the subject of pain monitoring: https://www.topmedtalk.com/11813-2/ TopMedTalk is very proud to be partnered with the American Society of Anesthesiologists® at ANESTHESIOLOGY® 2022. Now in our fifth year TopMedTalk is bringing you our most comprehensive and extensive coverage of the largest gathering of anesthesiologists in the world! This audio is presented to you "as live" - if you'd like to see our coverage as it happens go now to: https://live.topmedtalk.com/ TopMedTalk is provided to you for free; if you want to help support our work and help give these conversations a wider audience please like and subscribe (if and where possible) before sharing it on your social media. TopMedTalk can be found on YouTube here: https://www.youtube.com/channel/UC-HYQmeIwcFCYO1hoQ8jShQ We are on Twitter here: https://twitter.com/topmedtalk We are on LinkedIn here: https://www.linkedin.com/company/topmedtalk We are on Facebook here: https://www.facebook.com/TopMedTalk1/

On this week's episode I enjoy a conversation with Joanna Kippax as part III of the sleep series. Joanna is a certified sleep practitioner, completing her training at Oxford University, Southampton University and the Children's sleep charity in Sheffield. She trained as a Registered General Nurse (RGN) at The Middlesex Hospital in London in 1986, and as a Registered Sick Children's Nurse (RSCN) at The Westminster Hospital, London in 1989. Most of Joanna's career has been spent working for the NHS in London and Hereford. She is also a member of The British Sleep Society, and a founder member of The British Society of Pharmacy Sleep Services (BSPSS). During these years, Joanna has seen the negative impact and frustration that sleep disorders such as insomnia brings to peoples' lives. She utilised this experience and knowledge to branch out from the NHS and develop her own practice called Wye Sleep where she provides specialist sleep health services to individuals and groups. Clients report having more energy, improved mood and concentration and no longer find themselves thinking about sleep during their day, after completing the programme. The tools learned bring about long term, sustainable change, without the use of sleeping medication. Sleep health is an emerging field and Joanna continues to keep up to date with the new research being published, passing this information onto her clients. She is passionate about her work and finds informing and supporting her clients to make alterations that can be life changing, so rewarding. We hear all about her passion for helping people with sleep disorders and she focuses part of our conversation on specific tips for improving your sleep and why these are valuable for you. Examples include: - waking up at the same time of day - expose yourself to morning light - building your sleep drive - wind down routine Joanna is also the founder and director of The Sleep Retreat. This is a two day luxury sleep retreat where you learn how to sleep better using practical tools, feel more energised and refreshed, and enjoy a boutique hotel in the process! She is currently in the process of organising a 2022/2023 retreat and details will be on her website linked above. Instagram: @Wyesleep Facebook: @Wyesleep Twitter: @WyeSleep LinkedIn: @Joanna Kippax Website: Wye Sleep Facebook: @BritishSleep BSPSS website

Currently Head of Products for Visa across Continental Europe, Patricia Brolly has over 20 years' experience in delivering large scale programmes as well as revenue, across multiple geographies and business functions.  With immensely strong sales, product, customer service, operations, marketing, business transformation and P&L experience, Patricia has a passion for building high performing teams, nurturing talent and leading teams through change. A marathon runner and Everest Base Camp trekker, Patricia has a beautiful and altruistic love for the elderly; alongside this she has raised much needed funds for the Ron Johnson Ward at Chelsea and Westminster Hospital and is now a Trustee of The Richard Dimbleby Cancer Fund.   Patricia was listed on the 2018 Kindness and Leadership 50 Leading Lights List, part of the Women of the Future Programme, and is a judge for the annual Women of the Future Awards.  ------------------------------------------------------- For more information on the Women of the Future Programme, Awards and initiatives, please visit: www.womenofthefuture.co.uk

Welcome to episode 6 of Endo 101! Endo 101 is a mini-series that seeks to inform and educate on the enigma that is Endometriosis. My purpose in this mini-series is to talk about all the aspects of endometriosis, right from proper definition to treatment methods and even myths that are pandered about the disease. I am so privileged to be joined today by Mr. Thomas Bainton, the Endometriosis Fellow and a senior registrar in obstetrics and gynecology at the Chelsea and Westminster Hospital, in London, UK.  Today’s episode will be about the myths that have plagued this disease. There are so many inaccuracies we have always known to fly around when it comes to this disease. Myths such as Pregnancy cures endometriosis can do a lot more harm than good. Therefore, today Tom and I will be discussing some of these myths and Tom will be giving us an idea of the origins or the reasons why these untruths find their way into society. If you have any questions you are keen to get answers to or if you just enjoyed this episode and would like us to know, send an email to info@notdefinedbyendo.com with your questions, or DM me on Instagram @notdefinedbyendo or the Instagram Page of Chelsea Centre for Minimal Invasive Gynaecology (CCMIG) @ccmig.london. There, Tom shares a lot of relevant and helpful information on Endometriosis. Don't forget to share, rate, and subscribe to this podcast.  Till next time, remember, you are not defined by endo! Background Music: Life by Roa https://soundcloud.com/roa_music1031 Creative Commons — Attribution 3.0 Unported — CC BY 3.0 Free Download / Stream: https://bit.ly/_-life Music promoted by Audio Library https://youtu.be/dXqEepAme-M

Welcome to episode 5 of Endo 101! Endo 101 is a mini-series that seeks to inform and educate on the enigma that is Endometriosis. My purpose in this mini-series is to talk about all the aspects of endometriosis, right from proper definition to treatment methods and even myths that are pandered about the disease. I am so privileged to be joined today by Mr. Thomas Bainton, the Endometriosis Fellow and a senior registrar in obstetrics and gynecology at the Chelsea and Westminster Hospital, in London, UK.  Last episode we discussed the surgical treatments for Endometriosis, and why the gold-standard treatment for Endometriosis is excision surgery to remove the disease completely. We also understood the different surgical approaches based on the kind of Endometriosis, whether an endometrioma, peritoneal endo or even deep infiltrating bowel endometriosis. Today, we want to talk about Endometriosis and Infertility. Up to 40-50% of women with Endometriosis do suffer from infertility or subfertility. So let’s talk about this and understand better how and why this happens. If you have any questions you are keen to get answers to or if you just enjoyed this episode and would like us to know, send an email to info@notdefinedbyendo.com with your questions, or DM me on Instagram @notdefinedbyendo or the Instagram Page of Chelsea Centre for Minimal Invasive Gynaecology (CCMIG) @ccmig.london. There, Tom shares a lot of relevant and helpful information on Endometriosis. Don't forget to share, rate, and subscribe to this podcast.  Till next time, remember, you are not defined by endo! Background Music: Life by Roa https://soundcloud.com/roa_music1031 Creative Commons — Attribution 3.0 Unported — CC BY 3.0 Free Download / Stream: https://bit.ly/_-life Music promoted by Audio Library https://youtu.be/dXqEepAme-M

Welcome to episode 4 of Endo 101! Endo 101 is a mini-series that seeks to inform and educate on the enigma that is Endometriosis. My purpose in this mini-series is to talk about all the aspects of endometriosis, right from proper definition to treatment methods and even myths that are pandered about the disease. I am so privileged to be joined today by Mr. Thomas Bainton, the Endometriosis Fellow and a senior registrar in obstetrics and gynecology at the Chelsea and Westminster Hospital, in London, UK.  The last episode we discussed the path from symptoms to diagnosis and really went into the different hormonal treatment options for Endometriosis. Today, we will be talking about surgical treatments for Endometriosis, and why the gold-standard treatment for Endometriosis is excision surgery to remove the disease completely. It is also very important to understand that there are many factors that can require your doctors to offer various other treatments other than surgery. This could depend on your situation, for example, the desire to have children which means your fertility has to be treated as a priority, the location of the disease, e.g. if it is Deep Infiltrating bowel disease that could be complex and potentially require a colostomy bag, and so on. One thing that is very important is to understand all your options, and why your doctor thinks a particular approach is the best one for you. So join us again on this episode as Tom breaks it all down for us! If you have any questions you are keen to get answers to or if you just enjoyed this episode and would like us to know, send an email to info@notdefinedbyendo.com with your questions, or DM me on Instagram @notdefinedbyendo or the Instagram Page of Chelsea Centre for Minimal Invasive Gynaecology (CCMIG) @ccmig.london. There, Tom shares a lot of relevant and helpful information on Endometriosis. Don't forget to share, rate, and subscribe to this podcast.  Till next time, remember, you are not defined by endo! Background Music: Life by Roa https://soundcloud.com/roa_music1031 Creative Commons — Attribution 3.0 Unported — CC BY 3.0 Free Download / Stream: https://bit.ly/_-life Music promoted by Audio Library https://youtu.be/dXqEepAme-M

Welcome to episode 3 of Endo 101. Endo 101 is a mini-series that seeks to inform and educate on the enigma that is Endometriosis. My purpose in this mini-series is to talk about all the aspects of endometriosis, right from proper definition to treatment methods and even myths that are pandered about the disease. I am so privileged to be joined today by Mr. Thomas Bainton, the Endometriosis Fellow and a senior registrar in obstetrics and gynecology at the Chelsea and Westminster Hospital, in London, UK.  Today, we are talking about the path from symptoms to diagnosis and treatment options for Endometriosis. Remember, that the gold-standard treatment for Endometriosis is excision surgery to remove the disease completely. However, there are many factors that can require your doctors to offer various other treatments such as birth control, hormonal treatment, pain management, pelvic therapy and so on. These options could depend on your situation, for example, the desire to have children which means your fertility has to be treated as priority, the location of the disease, e.g. if it is deep infiltrating bowel disease that could be complex and potentially require a colostomy bag, and so on. One thing that is very important is to understand all your options, and why your doctor thinks a particular approach is the best one for you. So join us on this episode as Tom breaks it all down for us! If you have any questions you are keen to get answers to or if you just enjoyed this episode and would like us to know, send an email to info@notdefinedbyendo.com with your questions, or DM me on Instagram @notdefinedbyendo or the Instagram Page of Chelsea Centre for Minimal Invasive Gynaecology (CCMIG) @ccmig.london. There, Tom shares a lot of relevant and helpful information on Endometriosis. Don't forget to share, rate, and subscribe to this podcast.  Till next time, remember, you are not defined by endo! Background Music: Life by Roa https://soundcloud.com/roa_music1031 Creative Commons — Attribution 3.0 Unported — CC BY 3.0 Free Download / Stream: https://bit.ly/_-life Music promoted by Audio Library https://youtu.be/dXqEepAme-M

Welcome to episode 2 of Endo 101. Endo 101 is a mini-series that seeks to inform and educate on the enigma that is Endometriosis. My purpose in this mini-series is to talk about all the aspects of endometriosis, right from proper definition to treatment methods and even myths that are pandered about the disease. I am so privileged to be joined today by Mr. Thomas Bainton, the Endometriosis Fellow and a senior registrar in obstetrics and gynecology at the Chelsea and Westminster Hospital, in London, UK.  Today we are talking about the colours, the stages, and the sites where Endometriosis can be found.  If you have any questions you are keen to get answers to or if you just enjoyed this episode and would like us to know, send an email to info@notdefinedbyendo.com with your questions, or DM me on Instagram @notdefinedbyendo or the Instagram Page of Chelsea Centre for Minimal Invasive Gynaecology (CCMIG) @ccmig.london. There, Tom shares a lot of relevant and helpful information on Endometriosis. Don't forget to share, rate, and subscribe to this podcast.  Till next time, remember, you are not defined by endo! Background Music: Life by Roa https://soundcloud.com/roa_music1031 Creative Commons — Attribution 3.0 Unported — CC BY 3.0 Free Download / Stream: https://bit.ly/_-life Music promoted by Audio Library https://youtu.be/dXqEepAme-M

Resp 3: Sally and Harry talk about Sepsis, the qSOFA score and the Sepsis Six. This episode was vetted by Dr. Meehar Shah, Consultant in Emergency Medicine at Chelsea & Westminster Hospital, London.

Endo 101 is a mini-series that seeks to inform and educate on the enigma that is Endometriosis. My purpose in this mini-series is to talk about all the aspects of endometriosis, right from proper definition to treatment methods and even myths that are pandered about the disease. I am so privileged to be joined today by Mr. Thomas Bainton, the Endometriosis Fellow and a senior registrar in obstetrics and gynecology at the Chelsea and Westminster Hospital, in London, UK. In this first episode, we are asking, what is Endometriosis? How and why does it happen?If you enjoy this episode, I would love to know. Join me on Instagram and Facebook. You can also follow the Instagram Page of Chelsea Centre for Minimal Invasive Gynaecology (CCMIG) @ccmig.london, where Tom shares a lot of relevant and helpful information on Endometriosis.Don't forget to share, rate and subscribe to this podcast. Till next time, remember, you are not defined by endo!Background Music:Life by Roa https://soundcloud.com/roa_music1031Creative Commons — Attribution 3.0 Unported — CC BY 3.0Free Download / Stream: https://bit.ly/_-lifeMusic promoted by Audio Library https://youtu.be/dXqEepAme-M

In the fifth episode of season three of the Her Spirit podcast BBC Breakfast Louise Minchin and BBC Triathlon presenter Annie Emmerson talk to rugby player Zainab "Zee" Alema.Affectionately known as Zee, Zainab has had an inspirational impact on female players across the UK as well as in Ghana and Morocco. Her passion for playing has seen Studs In The Mud providing equipment and funding to allow women to play where rugby is not freely on offer and she continues to use her social media presence as a platform for encouraging more women to join the game. Zee is a much loved Barnes teammate, wife and mother of three children aged four, three and one, Zee is also on the NHS frontline as an intensive care neonatal nurse at Chelsea & Westminster Hospital. She founded the rugby charity Studs In The Mud, she has been recognised in many awards for encouraging black and Muslim women and girls to play rugby.From the moment she was born prematurely at only 26 weeks, she was a fighter and says she had an innate drive: "If I want to do something, I try my hardest to get it done". She liked sport at school but until that PE class, she never loved any sport. That same PE teacher who encouraged her to give it a go got her into a training session at Ealing Trailfinders, but even then, Zainab's rugby journey almost didn't get started.Growing up, Zainab never thought about playing rugby - she didn't even know women could. But from the moment she first got "stuck in" during a PE lesson at 17, she relished every second of "feeling free and just running". The game became intertwined in her life "like an old friend". But like old friends, there were times she'd question the relationship, feeling sometimes like an outsider, someone who didn't belong.Her first rugby experience was aged 14 in Chiswick school PE lessons, she loved it and her PE teacher Meg Macaulay told her to stick with it. Then, while doing A Levels aged 17, her teacher Paula Middleton seeing her potential got the school to sponsor Zainab for a season and encouraged her to go to training at Ealing Trailfinders. It wasn’t easy as, unlike team mates who got dropped off by parents, she had to make the journey on public transport, walking alone down dark streets.But Zainab wasn’t put off, in her hijab, rugby ball in her hand, she didn’t fit the African Muslim stereotypes but she has delighted in smashing them.When she started nursing and needed an escape from the inevitable stress of the job, she looked for a new rugby club and joined Millwall. There, thanks to a move where at No 8 she picked up the ball at the back of a scrum and ran at the opposition 10, she earned the nickname Bulldozer. Smashing and demolishing stereotypes as well as the opposition was something Zainab took in her stride and defined her philosophy on life as a career woman, wife, mother and rugby player.In 2020 Zee was announced as the Sunday Times Grassroots Sportswoman of the Year.These podcasts have been made possible through the support of Medichecks www.medichecks.com and Sport England www.sportengland.org. Medichecks offers an easy and affordable way to check your health from the comfort of your own home with their simple and personal at-home blood tests. From hormones and nutrition, to cholesterol and diabetes, there is something for everyone. For more information on Her Spirit and "Your Best Year Yet" go to http://herspirit.co.uk and come and join us for Feet First February https://herspirit.co.uk/programmes/feet-first-february/

This week we are speaking with Trystan Hawkins from the Chelsea and Westminster Hospital in London.Trystan is the Art Director and Patient Environment Director and works for the Hospital charity known as CW+.Trystan is responsible for leading the vision for arts and design for CW+ in order to provide a first-class environment for everyone using the hospital. In our conversation we discuss: The value of evidence-based design and how that impacts patient experience.Paediatric patient distraction techniques that the hospital has employed.How art has the ability to foster patient wellbeing and relationships. You can find details of CW+'s design principals here. Visit our shop here to purchase a copy of the Thinking of Oscar Cookbook - Made with Love or Face Coverings. THANK YOU! Thinking of Oscar website and contact details can be found here. Follow us on Twitter here or Instagram here. Theme Music - ‘Mountain' – copyright Lisa Fitzgibbon 2000 Written & performed by Lisa Fitzgibbon, Violin Jane Griffiths Podcast artwork thanks to The Podcast Design Experts

Musculoskeletal: 1. Sally and Harry talk through Septic arthritis and how to differentiate it from other forms of arthritis. This episode was vetted by Mr. Tim Halsey, Consultant Trauma & Orthopaedic Surgeon at Chelsea and Westminster Hospital, London. Links: Photograph of septic joint aspirate: https://en.wikipedia.org/wiki/Septic_arthritis#/media/File:SepticJointFluid.jpg Fig. 1: A knee radiograph showing chondrocalcinosis (a chronic joint pathology). https://rheumatology.medicinematters.com/crystal-arthropathies/gout/hyperuricemia-and-chondrocalcinosis--a-clinical-challenge-for-di/16208790

My next guest is Michelle Turner who has come from an artistic background with dance and is now a successful commissioned portrait artist although she does paint other things! In the first lockdown, Michelle painted a portrait of Sir Captain Tom Moore that was auctioned to raise funds for the NHS Charities and now hangs in its full glory at the Chelsea & Westminster Hospital. She shares her thoughts on being the best you in life and making her soul sing as well as putting brush to paper to paint what comes from within. Let's find out more

Andy has always had an affinity for John Carter, as played by Noah Wyle, from the TV series ER. The night ER premiered on UK television happened to be his very first ED shift as a medical student at the Chelsea and Westminster Hospital.  He remembers sneaking away to the lounge to watch it. His...

David Nott, a consultant vascular and general surgeon at the Chelsea and Westminster Hospital in London, joins us to discuss practicing surgery in disaster and conflict zones.David has joined dozens of humanitarian missions to countries such as Bosnia, Haiti, and Syria in the last 25 years with organisations such as MSF, and the ICRC. He is also the author of the best-seller 'War Doctor', which documents his life work and experiences.What are the ethics surrounding treating combatants?How do teamwork and decision making change in 'austere' environments?What are the skills needed for humanitarian work?Can the humanitarian doctor advocate for non-combatants in geopolitics?These topics and more are discussed in the episode.

  Luke interviewed eight colleagues from the team at Oxleas Music Therapy Service about their experiences of adapting practice during lockdown. This has inevitably included a wide range of experiences, some very positive, some frustrating, but all of them demonstrating the ability of music therapists to adapt and improvise in a crisis, keeping the children and young people they are working with at the centre of their practice. You can also find a shorter edit of this project (with a musical bonus) on the service website. Here are their biogs in order of appearance: Sarah Hadley is the manager of Oxleas Music Therapy Service. You can see a more extensive biog for Sarah in the notes for her own episode of Music Therapy Conversations (Episode 36 from March 2020). Oonagh Jones is Principal Music Therapist at Oxleas NHS Foundation Trust where she is Caseload Manager and Lead for the Under 5s service.  Oonagh works in mainstream, special schools and children's centres; with a particular interest in working with children and young people who have experienced trauma. Anthony Voelcker has worked in secondary schools since graduating from Roehampton in 2013, specialising in working with young people with learning disabilities. He currently working in two South London SEN schools, leading the music therapy team at Charlton Park Academy and working as the music therapist at Greenvale School. Nicky O'Neill is one of the Principal music therapists. She is the Contracts Manager for the Service, with a career-long interest and specialism in children with complex needs -ASD as well as health needs.   Jimmy Lyons' musical background is in live performance, songwriting and recording. After completing a Master’s degree in music technology in his native Ireland, Jimmy moved to the UK and trained at Nordoff Robbins in London where he qualified in 2013. He currently runs a private music therapy practice (Right Note Therapeutic Services), studies Family & Systemic Psychotherapy studies at The Tavistock & Portman NHS Foundation Trust, and works for the Oxleas NHS Foundation Trust music therapy service. Hannah Smith has worked for Oxleas NHS since 2014, initially alongside other Music Therapy posts in acute mental health, forensic mental health and as a self-employed therapist, but moving to full time from 2017. Hannah's clinical work encompasses mainstream and special education, children's centres and the core NHS service, as well as co-ordinating student placements and the service audit of clients accessing Music Therapy and the outcome measures relating to their provision. Since qualifying as a music therapist at Queen Margaret University, Edinburgh, Gillian O’Dempsey has worked for the NHS Borders CAMHS service and the Cheyne Child Development Service at Chelsea and Westminster Hospital, she currently works for NHS Oxleas with children in mainstream primary schools and special schools.  Gillian taught the Introduction to Music Therapy module at Napier University, Edinburgh and now teaches on the Interactive Music-Maker training course run by Music as Therapy International.  Before music therapy training, Gillian worked in education in a variety of teaching roles.​ Richard Murison has worked in this team with children, young people and adults, since qualifying from Roehampton in 2008. He is a guitarist and singer-songwriter. Richard has led on several research projects for the service, including a qualitative investigation of transitions from childrens to adult services, which was awarded the poster prize at the BAMT 2016 Glasgow conference.

Dr. David Nott has been a Consultant Surgeon at Chelsea and Westminster Hospital for 23 years where he specializes in general surgery. Professor Nott also performs vascular and trauma surgery at St Mary’s Hospital and cancer surgery at the Royal Marsden Hospital. For the past twenty three years David has taken unpaid leave each year to work for the aid agencies Médecins Sans Frontières, the International Committee of the Red Cross and Syria Relief. He has provided surgical treatment to the victims of conflict and catastrophe in Bosnia, Afghanistan, Sierra Leone, Liberia, Ivory Coast, Chad, Darfur, Yemen, the Democratic Republic of Congo, Haiti, Iraq, Pakistan, Libya, Syria, Central African Republic, Gaza and Nepal. Please check out his book "War Doctor" for an inspiring read https://www.amazon.com/War-Doctor-Surgery-Front-Line-ebook/dp/B07WWGLY7Z/ref=sr_1_1?dchild=1&keywords=war+doctor&qid=1593638019&s=digital-text&sr=1-1 Also check out his foundation that supports training surgeons in war zones. https://davidnottfoundation.com/ A big thanks to Patrick Georgoff for making this happen.

Dr Gubby Ayida a top Consultant Obstetrician and Gynaecologist from the Chelsea and Westminster Hospital, Director and Founder of the Women's Wellness Centre. Talking about the shocking statistic that black women are 5 times more likely to die in pregnancy and child birth and that Asian women are twice as likely. As well as what it is like to be a black women at the top of her field.

LIVE from the WCPT Conference in Geneva, Switzerland, I welcome Daniel Board on the show to discuss torture-survivors’ experiences of healthcare services for pain.  Daniel Board is a Specialist Pain Physiotherapist working in a pain management clinic at Chelsea and Westminster Hospital in London, UK. Clinically, he helps people with a variety of persistent pain conditions and has a special interest in refugee healthcare. In this episode, we discuss: -Torture-survivors' experiences of healthcare services for pain -The importance of the patient-clinician relationship and communication skills -How to avoid burnout when servicing this patient population -And so much more!   Resources: Daniel Board Twitter Chelsea and Westminster Hospital     For more information on Daniel: Daniel Board is a Specialist Pain Physiotherapist working in a pain management clinic at Chelsea and Westminster Hospital in London, UK. Clinically, he helps people with a variety of persistent pain conditions and has a special interest in refugee healthcare. Daniel is also an early career researcher and recently conducted a qualitative study investigating torture-survivors’ experiences of healthcare services for pain.   Read the full transcript below: Karen Litzy:                   00:01                Hey everybody, I am coming to you live from WCPT in Geneva, Switzerland. And I have the pleasure today of interviewing Daniel Board. Daniel's a physio therapist in the United Kingdom and he specializes in persistent pain. So Daniel, welcome to the podcast. And today you had a really interesting platform. So I want you to kind of give the listeners a little insight into what your platform was, because like I said, you are specializing in persistent pain, but you really have a very unique perspective. Daniel Board:                00:35                Yeah. So my background is in working with people with persistent pain problems. And part of that is that I'm lucky enough to work in a specialist clinic for torture survivors at Chelsea and Westminster Hospital in the UK. The platform presentation I did today was presenting the findings of a research study that we did last year, looking at the experience of persistent pain in survivors of torture survivors are kind of an underrecognized group. They have a variety of psychological, physical, and social, kind of consequences and burden as a result of torture. For example, persistent pain rates succeed. 80% inspires of torture. Rates of PTSD and depression exceed 30%. Issues aren't just standalone. Many certainly the torture survivors that we encounter are living in a country of excile and there are also lots of problems associated with that, such as seeking asylum, lack of social support, and also obviously the language barriers, and kind of what they're not necessarily knowing what their rights are with regard to accessing services within the UK. So that's the population. Karen Litzy:                   01:49                And what did your study specifically look at that you presented today? Daniel Board:                01:54                So what we looked at from the evidence base is very limited. There was a Cochrane review last year that looked at interventions for managing pain in torture survivors and they find that there was no evidence to refute or support any intervention currently for managing persistent pain. Clinically, we see, as I said, quite a complex population and typically outcomes from treatment aren't great. We also find it quite difficult to engage them within our services. We have high sort of failed attendance rates and that really affects their ability to access and benefit from healthcare. So the study that we looked at or the study that we did was a study looking at what's torture survivors experiences of pain services in the UK is like so often, torture survivors that generally the first place they'd go to is that GP with a pain problem. Daniel Board:                02:48                But they would also, the participants in our study, had seen GPs, they'd seen physiotherapist, pharmacist, they'd been referred to trauma orthopedics, cardiology, rheumatology, and that in itself posed a number of issues. So one of the first things we find was actually there was a big confusion over or a lot of confusion from the survivors of torture perspective over what their diagnosis was. So because they'd seen lots of different health care professionals, they're often confused. So for example, one of the quotes in our study was, ‘One says you have fibromyalgia, one said you had PTSD and another one said a slipped disc.’ So all of these things, they don't necessarily mean a lot to the patient and it can often leave them confused. So it was the first thing that we found. Karen Litzy:                   03:34                And with the finding like that and like the confusion of the patient, is that a reason that may be why they're not seeking out physical therapy or maybe why they drop off? Daniel Board:                03:46                I think to be honest, I think there's a number of reasons why they might not engage very well. I think there's a couple of issues with diagnosis and let's maybe start with that. One of the things we noticed in the study was a really overly biomedical approach to diagnosing and treating pain, which isn't isolated to torture survivors. It's widespread, but certainly with this group that was relevant. So participants receiving diagnoses like degenerative disc disease or disc derangement. These were things that were noted in our study. And even if they didn't fit necessarily with the participants picture of pain, so they might have had widespread pain or pain that didn't fit that specific diagnoses. That does a couple of things. First of all, providing a diagnosis, which doesn't necessarily fit the clinical picture. Daniel Board:                04:38                It takes away, I think, ownership of being able to do anything about it. So by saying you've got disk to arrangement that's going to instill fear, that's going to take away any kind of ability that they might perceive they have to change that situation. So that was one of the things with diagnosis. The other important thing we find was that there was a distinct lack of recognition of torture experience when diagnosing pain. So if torture was recognized often it was done. So the word that came up quite a lot in the study was that participants had a biopsychosocial overlay, which in itself is a pretty ambiguous term. And there was a real lack of recognition of the affective and cognitive components of a pain experience and how torture experience might influence that within a pain experience. So I think that would affect how do they engage with services because I think it takes away some of the ownership by providing that kind of diagnosis. Daniel Board:                05:31                I think the other thing is that it's not as simple as there's not one thing that is the problem with us engaging this population. Rates of PTSD and depression are very high our participants said that they struggled to engage with services often because they either lacked motivation to get to the hospital or they were in too much pain to complete that physiotherapy exercises, for example. So those were a couple of things. And I think there's also one of the things that we find one of the problems that we think then as a finding from the study was that there seems to be not necessarily a dualistic on the part of the clinicians. I think that's probably a little bit outdated given what we know about current pain understandings. Daniel Board:                06:18                But I think there still is that perhaps a dualistic tendency in the organization of services, particularly in the UK. And I'm sure it applies to other countries as well, that if you have a physical problem, you go and see the physical services. If you have a mental health problem, you go and see the mental health part services. And I think that leaves populations like torture survivors who present with a really complex mix of all of these factors in quite a precarious position. So for example, they might come to a pain service, I'll see a physio, and they might say, Oh, you look like you're really struggling with PTSD. Let's get you some help with that and then come back and see me. So then they'll get referred to a psychological service, but they might struggle to engage with the psychological service because of the pain that they're in. So it just seems to be, I think the service provision we have at the moment isn't well suited to this population. Karen Litzy:                   07:07                And so is this population, they're not being treated collectively. So if they're going to see, let's say you for pain, they'll see you and then if they're referred to psychologists or psychiatrists, they stopped seeing you and go see a psychiatrist or psychologist. It's not happening at the same time. Daniel Board:                07:28                So at the moment, no, not in the general health services. I think the key thing with any care and specifically with this population is it is very individualized, each of their particular problems or the things that are affecting the very individualized. So, for example, we might have someone who gets referred to the pain clinic I work at and they might really be struggling with their mental health. They might be really struggling with PTSD, having regular flashbacks. And what we try and do is assess the weight of the various physical, psychological and social components and help them kind of almost line it up. As in what do you think is the most important thing to get sorted first? Do you think you'll be able to engage with the pain service? Daniel Board:                08:13                You've actually got all this other really difficult stuff going on. So for those people we might say go and engage with a community mental health team, get some help with the PTSD and then come back. But that being said, I think that doesn't mean that people who are undergoing sort of significant psychological distress can't engage with pain services. So what we've started to do, we've just set up, a specific exercise class for this group of people, which is psychologically supported. So myself and one of my psychology colleagues, we've kind of paired the approach right down to keep it simple and actually you say kind of we understand you're really struggling with your pain problem. We can try and help you or try and help it impact you less. So actually setting some goals with you. We use the patient specific functional scales are really nice outcome measure if keep going, what do you want to do? I'm really struggling to bend over. I can't play with my kids. I can't climb stairs. Okay, great. Let's see if we can start doing that. And I think well slightly off on a tangent. Pain education is a really important part of that. But I think sometimes it gets lost in translation particularly. Karen Litzy:                   09:23                Yeah. I was just going to ask if it is a language barrier talking about pain education, we know that we can simplify it. Not Dumb it down but we can simplify it. But if there is this language barrier that Gosh, that must make it so much harder. Daniel Board:                09:35                It is really, really difficult and there is some really nice work being done. The evidence base is limited, but there is some really nice work being done. April Gamble, who is a researcher who I've met here with the conference has done some really nice work looking at pain education in groups within their cultural setting and has come up with a variety of different tools that can be a cultural accessible tools that can be used. So she's definitely a person, a good person to speak to you. I think what we try and do in the clinic is find one very simple metaphor that we can use with patients. So I'll talk a lot about the volume on your nervous system being really high or I don't know, when you're assessing you find something that works for them and then when we're doing stuff in Vivo, kind of let's do some exercises, what's showing up for you? Daniel Board:                10:23                Kind of what thoughts are coming in your head, how that might be a barrier and that's where the psychologist is really helpful. But then looking at reassurance, lots of reassurance and actually, okay, you're not damaging yourself. It's just a volume knob on high and I will mimic turning up a volume knob about a million times a day, I think with my patients. And yeah, it seems to work well for a group. But again, we can't be prescriptive and actually it doesn't work with everyone and we still need to look at other ways of engaging that group that it's not necessarily working for. Karen Litzy:                   10:55                Yeah, great thoughts. Thank you. And anything else? Did we miss anything else from the study? Daniel Board:                11:04                So they key things, I'll summarize them cause I can remember them cause we just talked about them. I guess the key things were that there was a distinct lack of recognition of torture experience when diagnosing and treating pain. There was something which we haven't overly covered, which was that the patient clinician relationship. Karen Litzy:                   11:23                We're going to touch on that in a second. That was my next question, but go ahead. Daniel Board:                11:27                We'll hold that one. And then the last thing was the current organization of health care services and how that's not necessarily conducive to such a complex population. Karen Litzy:                   11:36                My next question, if you didn't bring it up, was going to be how do you as the therapist, how are you able to connect number one and number two, is there a burnout rate for the therapist, working with people in this population? Because if you're an empath, let's say someone who's very, very empathetic, I would think this would be a really tough group to work with until you kind of get your bearings with them. So can you kind of touch upon that? Daniel Board:                12:08                Absolutely. Starting with your question about the patient kind of clinician relationship and how you foster a kind of a good therapeutic relationship. I think you can probably over complicate it a little bit. I think from a therapist perspective, I think one of the key things that we have as physiotherapists is we're very good at talking to people and we're very good at helping people kind of be open. And I think actually what physios in the clinic, when we spend time with people, we're often the first sort of people that they might have told about that specific problem. I think we're really lucky. I'm really lucky that I'm able to work with psychologists, so if there's anything that is really significant that they're on hand and they can help me. Daniel Board:                12:53                But I think as Physios, certainly when I was not working in pain, I think we look at mental health as a bit of a Pandora's box. And I think there is a fear amongst some therapists of going, well, I don't know. I don't want to ask the question about your mental health or how your depression is, or whether you've been taught, for example, because I don't know what I'm going to do with that information afterwards. So if I get an impression of you being a low mood and then you tell me that you've got some suicidal thoughts, I've got to act on that. And that's scary. So I think personally myself, I used to be perhaps that way inclined. But actually I think as I said, we're very good at talking. Daniel Board:                13:31                A lot of what we do is talking as a profession. And I think actually just having a really good listening ear to someone, being able to say the things that come naturally to you with patients. So I'm not acting in shock at someone's telling you what's happened to them or avoiding questions about things that might be difficult and then dealing with whatever it is that comes up and that probably will have an element of you knowing what your support processes are within your service. So we have a really good pathway for suicidal ideation, for example. I think that patient clinician relationship is really, really important. And I think we as therapists, we've got really good chance to just be open and talk to patients. In the same sentence though, not with all survivors specifically. One of the things in the study was that actually some people really wanted to tell you about their experience and some people didn't. Some people were really avoidant of it. And I think it's just being careful that you're not overstepping. Just being kind of a really sensitive approach is important. Karen Litzy:                   14:31                So the other question was, as the therapist, how do you protect yourself from burnout, from feeling just so empathetic towards these people that you're taking it home with you at the end of the day? Daniel Board:                14:46                I guess there's a couple of things. I'm very lucky as I said that I work with a really good team of Physio, psychologist, doctors, nurses, and I would feel very comfortable being able to say or talk about anything that I was worried at with them. I think, sadly you do get a bit used to those conversations at times. I think they do affect you less. But inevitably you're going to hear stuff, which is, which is horrendous. And I think the key thing in the same way that you would do with any other kind of mental health is not keeping it bottled up and actually if you need support, being able to talk about it, with your colleagues to get some support if you felt that that was needed. Karen Litzy:                   15:23                Yeah. No, that's fair. That's fair. Well, I mean, I have to say I think it's a wonderful service that you're providing for this group. It's not easy. I have never worked with that population so I can't put myself in your shoes. But I admire it greatly because these are truly marginalized group of people who really need the care. So congratulations to you and your clinic on doing this. Daniel Board:                15:50                Thank you.  I think this population encounters physios every day, I think we're just lucky that we've got a service, which is nicely set up to help the people. Karen Litzy:                   16:00                Yeah. All right. So I have one last question before we finish. Well two actually, but we'll start with one and it's a question that I ask everyone. So knowing where you are now in your career and in your life, what advice would you give to yourself as a new Grad straight out of physio school? Daniel Board:                16:19                Very, very good question. As a new Grad, I'm going to say is probably the key thing is say yes to everything. Opportunities. A good physio colleague of mine, Dave Reese when I was applying to do the masters of research we did last year, I was unsure. I kind of had that imposter syndrome and I think we often feel that, and he said a really good, a good thing, just lean in. So any of those kinds of experiences, which might seem scary, like presenting at a conference or being interviewed for a podcast or whatever it might be in your professional life, whether that be clinical research, I think, yeah, just take any opportunity to develop and learn from people that perhaps know more than you. Karen Litzy:                   16:59                Great Advice. And then lastly, where can people find you if they have questions they want to follow you on social media, where can they find you? Daniel Board:                17:05                I'm relatively active on Twitter and my Twitter name is @BoardDan that's probably the easiest way to get me as well. Karen Litzy:                   17:14                Perfect. And just so all the listeners know, we'll have links to your clinic and links to everything at podcasts.healthywealthysmart.com. So you can go over there one click and it'll take you to anything if you want more information. So, Dan, thank you so much for taking time out of your day at WCPT. And everyone, thanks for listening. Have a great couple of days and stay healthy, wealthy, and smart.   Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram  and facebook to stay updated on all of the latest!  Show your support for the show by leaving a rating and review on iTunes!

Address given by The Very Reverend Dr John Hall, Dean of Westminster, at a Service of Thanksgiving to celebrate the 300th anniversary of Westminster Hospital

‘Query encephalitis’ is a common neurological consultation in hospitalised patients. Identifying the syndrome is only part of the puzzle. Although historically encephalitis has been almost synonymous with infection, we increasingly recognise parainfectious or postinfectious as well as other immune-mediated causes. Encephalitis must also be distinguished from other causes of encephalopathy, including systemic infection, metabolic derangements, toxins, inherited metabolic disorders, hypoxia, trauma and vasculopathies. The paper discussed in this podcast reviews the most important differential diagnoses (mimics) of patients presenting with an encephalitic syndrome and highlight some unusual presentations (chameleons) of infectious encephalitis. Listen to the conversation of Dr Tom Hughes, Practical Neurology Associate Editor, with Dr Nicholas Davies (Department of Neurology, Chelsea and Westminster Hospital, London, UK) and read the paper on the Practical Neurology website: http://dx.doi.org/10.1136/practneurol-2018-002114.

Today we have with us Mr. Simon Clarke who is a Paediatric Upper GI Surgeon from Chelsea & Westminster Hospital. We discuss the pathophysiology of this common paediatric condition, medical management and operative tips. Music: https://www.purple-planet.com

So many of the people that I talk to that feel stuck and want to quit have the same fear: What if I quit this stable career and the next thing I try doesn’t work out? Or, even if it does work out, what if I don’t like that career either? It seems like staying in what you know, even if you are unhappy, is a better decision.   Well, that is why I’m so excited to have the inspiring Lauretta Ihonor on the show today. Lauretta didn’t quit one, or two, careers. She has quit 5 different careers in order to find her true passion and lead a life she loves.   Lauretta started her professional life as a medical doctor after graduating from University College London in 2008. After working as a junior doctor at Chelsea and Westminster Hospital in London for a year, she left medicine to find a career that felt better suited to her. This turned into an almost decade-long journey, that involved four degrees, five career changes and six careers (including working as a fashion stylist for Net a Porter, and as a TV journalist/producer for the BBC and CNN International). After noticing the lack of support for career changers in the UK, she founded The Ambition Plan - a digital career change platform for ambitious women who are eager to do fulfilling work, but unsure of what they truly want to do with their lives - in May 2018. The Ambition Plan now provides career clarity coaching, masterclasses and online expert-led resources to help women across the globe get clear about what they want to do with their lives and create a plan for doing so.   Lauretta’s journey is a testament to the fact that you don’t have to have it all figured out. Once you take that first jump, you gain the courage and confidence to know that you’ll figure it out. And you also realize that you never have to settle, no matter how many jumps it takes.   Here is what we chat about in this episode: How Lauretta walked away from being a doctor, even when her supervisors thought she needed a psychological evaluation for deciding to leave. How she went on a decade long journey, including working in fashion, journalism, and nutritional consulting, to find her true passion.   Why Lauretta feels that she is luckier than most people. How a career coach was pivotal in helping her gain the clarity she needed to find her calling Why she developed The Ambition Plan and where she hopes to take it. Why you should never make a decision from a place of fear   Resources mentioned in this episode: The 4 Hour Work Week, Tim Ferriss Alchemist, Paulo Coelho Mind Valley, Christie Marie Sheldon.   Where to find Lauretta: Website: theambitionplan.com Instagram: instagram.com/theambitionplan Twitter: twitter.com/theambitionplan Facebook: facebook.com/theambitionplan Pinterest: https://www.pinterest.co.uk/theambitionplan   Follow along for more: www.lessonsfromaquitter.com https://www.facebook.com/lessonsfromaquitter https://www.instagram.com/lessonsfromaquitter/ https://twitter.com/quitterpodcast

This time on Alfred, the podcast for Shaftesbury, The Vale and Chase areas of North Dorset and West Wiltshire: Alfred attended Gold Hill Fair, organised by Shaftesbury’s Rotary Club. Meet the Stalbridge Linen team who arranged the van pull along the High Street and find out who won. (01:02) Also, hear the Shaftesbury Town Silver Band (03.02) and Alfred learns about the folk dance that would have been traditional in Shaftesbury, as we talk to the Bourne River Morris Men. (04.02) We get a musical preview of Shaftesbury Arts Centre’s summer play, ‘Mack and Mabel’. (06.00) Shaftesbury Fringe is England’s third largest fringe festival. Its co-chairman thanks Shaftesbury for its success and we chat to some of the acts who have agreed to return in 2019. (08.36) We hear from Councillor Lester Taylor about the Town Council vote, which he hopes will keep the town’s Westminster Hospital earmarked as a community resource. (16.31) The Maltings area will host Shaftesbury’s first ‘Jumble Trail’. This event will offer plenty of bargains, but its organiser is also hoping it will help forge new friendships on the estate. (22.21) We’ll be back! The Tibetan Monks will return for a third visit. They enjoyed a warm Shaftesbury welcome during their weeklong residency at Gold Hill Museum. (25.40) How’s our High Street doing? We ask the boss of Reeve The Baker! And you’ll hear what item sells best in his Shaftesbury shop. (29.09)

Episode 13 is Luke's interview with Claire Flower. Claire trained as a music therapist at the Guildhall School of Music and Drama.  Over the years she has worked in a wide range of settings, as well as running a supervision practice, teaching and examining.  She currently works within the Music Therapy team in the Child Development Service at Chelsea and Westminster Hospital, London, where she is joint team lead with Juliet Wood. At present, she is completing her doctoral studies at Nordoff-Robbins.  Her practice-led study is an investigation of ways of working with children and parents in a healthcare context.   References: Bortoft, H. (2012) Taking Appearances Seriously: The Dynamic Way of Seeing in Goethe and European Thought.  Edinburgh, Floris Books.  Flower, C., 2014. Music therapy trios with child, parent and therapist: A preliminary qualitative single case study. Psychology of Music, 42(6), pp.839-845. Blogs: http://musictherapyblog.co.uk/   https://www.musiconmymind.co.uk/ http://dariuszgalasinski.com/blog/ http://jazztoad.blogspot.co.uk/ 

This episode follows Lewis Khan as he takes photographs of staff, patients and his surroundings at Chelsea and Westminster Hospital. For more information about Lewis' project Love Time and the podcast itself, go to scenariopodcast.com   See more of Lewis' work at lewiskhan.co.uk Listen to music from composer and musician Daniel Drever at soundcloud.com/ddrever And visit Pindrop's site at pindrop.eu

David Nott OBE FRCS has been a Consultant Surgeon at Chelsea and Westminster Hospital for 23 years where he specialises in general surgery. David also performs vascular and trauma surgery at St Mary’s Hospital and cancer surgery at the Royal Marsden Hospital. David is an authority in laparoscopic surgery and was the first surgeon to combine laparoscopic and vascular surgery. For the past twenty three years David has taken unpaid leave each year to work for the aid agencies Médecins Sans Frontières, the International Committee of the Red Cross and Syria Relief. He has provided surgical treatment to the victims of conflict and catastrophe in Bosnia, Afghanistan, Sierra Leone, Liberia, Ivory Coast, Chad, Darfur, Yemen, the Democratic Republic of Congo, Haiti, Iraq, Pakistan, Libya, Syria, Central African Republic, Gaza and Nepal. In 2015 David established the David Nott Foundation with his wife Elly. The Foundation will support surgeons to develop their operating skills for warzones and austere environments.

Denise Watson is an Paediatric Orthopaedic Extended Scope Physiotherapists working at Chelsea and Westminster Hospital where she is responsible for the clubfoot related services. In this interview recorded as part of the 2017 open clubfoot course, Rachael Lowe from Physiopedia chats to Denise to explore her experience as a clinician and also running this service. https://members.physio-pedia.com https://twitter.com/curvyfeet http://www.chelwest.nhs.uk/services/therapy-services/childrens-therapy/paed-ortho-esp http://globalclubfoot.com/ http://walkforlifeclubfoot.org/ https://www.ndorms.ox.ac.uk/research-groups/global-surgery/projects/africa-clubfoot-training-act

Simon Barton, Clinical Director, HIV & Sexual Health, Chelsea & Westminster Hospital, London, talks to Joseph D Tucker, International Diagnostics Centre, Keppel Street, London, about his editorial on how the history of syphilis cures provides some guidance on preparing for a HIV cure. More information about the working group can be found here http://searchiv.web.unc.edu/ Read the full editorial: http://sti.bmj.com/content/91/1/2.full

Dr Susham Gupta is a specialist registrar in adult and old age psychiatry and is currently based at the Chelsea and Westminster Hospital. Together with co-author, Dr James Warner, Dr Gupta has published an editorial for the November issue of the British Journal of Psychiatry entitled Alcohol-related dementia: a 21st-century silent epidemic? Here, he discusses his paper with Dr Mark Salter.