NB Hot Topics Podcast

Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker.  Wondering where the sunshine is? Then this song is for you. Have a good summer everyone and the podcast will be back in September. In the meantime have a look at www.nbmedical.com for our latest courses - we have live webinars for the new Hot Topics course, our new Paediatrics and Child Health course, our updated dermatology course and much more in September.www.nbmedical.com/podcast

Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker.  School's out for summer but general practice never stops. This week we look at the medical news story of the week: donanemab for Alzheimer's disease - can this monoclonal antibody revolutionise dementia care? Also in research, prevention is better than a cure, so can a Mediterranean-DASH diet keep cognitive decline at bay? For you weekend warriors out there, is cramming exercise into the weekend as good as exercising throughout the week. A new paper in JAMA answers this question. And is there ANY role for opioids in acute back pain? A new Australian study goes strong to see if there is benefit with this common problem.Don't forget to check out all our upcoming courses including the new Hot Topics course in September and much more on www.nbmedical.com. ReferencesJAMA DonanemabNEJM MIND diet for dementia preventionJAMA Weekend warriors and CVD riskLancet Opioids for Low back and neck painwww.nbmedical.com/podcast

Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker.  NHS Long Term Workforce Plan is all over the news today. In this episode we have a look at some of the key statements, seeing what is positive for general practice, what is wishful thinking, and what could be even worse.In research we look at new observational data from Denmark, published in the BMJ, finding an association between HRT and dementia; also a study examining the effectiveness of an intra-pulmonary artery device for identifying earlier deterioration of heart failure; and two papers in the NEJM on more weight loss medications for obesity. ReferencesNHS Long term workforce planBMJ HRT & dementiaLancet HF deviceNEJM Retatrutide & Orforglipronwww.nbmedical.com/podcast

Welcome to a new Hot Topics podcast from NB Medical with Dr Neal Tucker. In Just One More Thing we are joined by Dr. Jim Moore, chair of the Primary Care Cardiovascular Society, where we discuss cholesterol lowering therapies, new ways to treat heart failure, and how we may meet government targets for blood pressure control - can and should it all be done in general practice?In news, is it good news as GPs are primed to solve the obesity crisis with semaglutide? And in research we look at a BMJ paper hoping to radically change how we monitor patients taking methotrexate, and in JAMA a new paper looks at strategies for helping patients stop opioids for chronic pain.ResourcesPrimary Care Cardiovascular Society websiteBMJ Methotrexate monitoring JAMA Chronic opioid withdrawalMy Opioid ManagerPodcast Transcriptwww.nbmedical.com/podcast

Welcome back to the Hot Topics podcast.  In this episode we reflect on the Prime Ministers Primary Care Recovery Plan, then move on to more useful things like research.  We have new papers in the BJGP on who may be more likely to develop fatigue after mild covid and the NEJM on using a peanut patch to desensitive toddlers at risk of anaphylaxis. We also have the next in our series of Just One More Thing - this time we chat about allergy with Dr Matt Doyle, GP and chair of the primary care committee of the British Society of Allergy and Clinical Immunology. ReferencesBSACI websitePrime Ministers Primary Care Recovery PlanBJGP Post-covid fatigueNEJM Peanut allergy patchwww.nbmedical.com/podcast

Welcome to another Hot Topics podcast from NB Medical with Dr Neal Tucker. With general practice becoming an increasingly popular political battleground, we focus on the latest research. In this edition, we look at whether bempedoic acid actually reduces cardiovascular events and death as well as reducing cholesterol. Ever wondered which is more important in causing CVD: inflammation or cholesterol? A new paper in the Lancet examines this in patients already taking statins. We also explore what is best to drink if you (or your patient) have type 2 diabetes. Can coffee and tea actually be good for you?www.nbmedical.com/podcastReferencesNEJM Bempedoic acidLancet Inflammation vs chol in CVDBMJ what to drink in T2DMwww.nbmedical.com/podcast

Welcome to the latest Hot Topics podcast from NB Medical with Dr Neal Tucker.  In this episode, we have the latest news including how the public view the NHS and what's happening to the GP contract for English practice. In research, we have a fascinating paper in the BMJ exploring what differences have emerged in recorded outcomes between England and Scotland since the latter abolished QOF, an answer on whether coffee is bad for you (or at least your heart in the short term), and a new class of drug to help with vasomotor symptoms in menopause.ResourcesBMJ QOF paperNEJM Caffeine and the HeartLancet Fezolinetant and hto flushesNHSE GP is the best job ever pagewww.nbmedical.com/podcast

Welcome to the Hot Topics Podcast with host, Dr Neal Tucker.  In this bumper edition, we have the next in our Just One More Thing series. We interview Dr Sam Merriel in collaboration with Prostate Cancer UK, talking about what we need to know in the world of prostate cancer. Should we be screening? Do we need to think beyond PSA? Does new technology change our approach? In the news, we look at the latest RCGP data on workload and whether GPs will strike, while in research we have a BJGP paper on why antimicrobial stewardship interventions may not have the impact in real life that they do in trials, a BJGP analysis of nitrofurantoin (and other antibiotic) failure in men with UTI, and a NEJM paper testing whether thiazides help renal stones.References:Free on demand NB Clinic with Prostate Cancer UK, March 2022PCUK Resources for Health Professionals PCUK Resources for Delivering the PCN DESPCUK 30 second Risk Checker for PatientsResearch discussed by Sam Merriel...Lifetime risk of PCa by major ethnic group in England...Family history risk for PCa...Genetic risk scores for PCa in patient with LUTSBJGP Implementing Antimicrobial Stewardship in GPBJGP Nitrofurantoin failure in men with UTINEJM Hydrochlorthiazide and renal stoneswww.nbmedical.com/podcast

Welcome to the Hot Topics podcast with Dr Neal Tucker.  In this episode, we speak to Dr Katherine Hickman, current chair of the Primary Care Respiratory Society, who answers our three Just One More Thing questions on what we need to know about from primary, secondary and future care with asthma. In new research, we discuss a paper on how pharmaceutical companies spend more money promoting less effective drugs, how atropine eye drops in children can delay myopia, and whether cancer risk prediction tools are accurate in cancer survivors with their inherently raised CVD risk. www.nbmedical.com/podcast ReferencesPrimary Care Respiratory Society - if you want to know more!JAMA Drug spending on low clinical benefit drugsJAMA Atropine eye drops in kids to delay or prevent myopiaLancet CVD risk prediction tool accuracy in cancer survivorswww.nbmedical.com/podcast

Welcome to another HOT TOPICS podcast from NB Medical with Dr Neal Tucker.  In the podcast cast we reflect on the latest commentaries from the political parties and medical organisations on how they can help with the NHS crisis. We can’t promise a solution, but we can help you stay up to date with the world of research. This week we have new research in the Lancet examining whether molnupiravir actually helps acute covid, whether dementia can be prevented through a healthy lifestyle even if you have high risk genes, and what patients actually feel about FIT tests and we the way we use them in GP. For our latest courses and much more go to www.nbmedical.comReferencesLancet acute covid treatmentBMJ Dementia and healthy livingBJGP Patients perspective on FITwww.nbmedical.com/podcast