420 episodios

With our regular podcast, we aim to provide you with up to date interviews and debate with opinion leaders in health and medicine, from our studio or from conferences. Listen in and let us have your comments at podcasts.bmj.com

The BMJ Podcast BMJ Group

    • Ciencia

With our regular podcast, we aim to provide you with up to date interviews and debate with opinion leaders in health and medicine, from our studio or from conferences. Listen in and let us have your comments at podcasts.bmj.com

    Talk evidence covid-19 update - uncertainty in treatment, uncertainty in prevention

    Talk evidence covid-19 update - uncertainty in treatment, uncertainty in prevention

    Uncertainty abounds - even as we get better data on treatments, with the big RCTs beginning to report, and new trials on masks, the evidence remains uncertain, in both the statistical realm (confidence intervals crossing 0) and in what to do in the face of that continuing lack of clear effect.

    As always Helen Macdonald and Duncan Jarvies are looking at the evidence, and this week are joined by John Brodersen, professor of general practice at the University of Copenhagen.

    Helen talks to Bram Rochwerg, methodology lead on the WHO treatment guidelines for covid, about why their latest review has stopped recommending remdesivir for covid-19 treatment.

    John tells us about the Danmask study - what question it was actually trying to answer.

    We also discuss the ways in which there is a tendency to express certainty where there is none, and why distrusting simple solutions to complex problems is a good rule of thumb.


    Reading list:
    A living WHO guideline on drugs for covid-19
    https://www.bmj.com/content/370/bmj.m3379

    Covid-19’s known unknowns
    https://www.bmj.com/content/371/bmj.m3979

    Effectiveness of Adding a Mask Recommendation to Other Public Health Measures to Prevent SARS-CoV-2 Infection in Danish Mask Wearers
    https://www.acpjournals.org/doi/10.7326/M20-6817

    • 33 min
    Wellbeing - What we've learned from treating doctors

    Wellbeing - What we've learned from treating doctors

    Clare Gerada and Zaid Al-Najjar have been treating doctors for a while now, through the NHS Practitioner Programme.

    In that time they have noticed some themes in the issues that bring doctors to them, from isolation to stress.

    In this podcast they reflect on what they've learned about the problems that affect doctors, and how covid-19 has exacerbated some, and surprisingly reduced others.

    Their book Beneath the White Coat: Doctors, Their Minds and Mental Health is out now
    https://www.routledge.com/Beneath-the-White-Coat-Doctors-Their-Minds-and-Mental-Health/Gerada/p/book/9781138499737

    • 29 min
    Corona virus second wave - vaccines, how ready is the needle to hit the arm?

    Corona virus second wave - vaccines, how ready is the needle to hit the arm?

    Covid-19 continues its grip on the Northern Hemisphere alongside news of a vaccine trial showing real success at first glance. In this second wave update, we explore the latest issues with healthcare professionals from primary care, secondary care, and public health, and discuss what is happening in their field, and put their questions to experts.
    In this podcast, Fiona Godlee, editor in chief of The BMJ, talks to Matt Morgan, a consultant in a intensive care medicine in Cardiff, and Helen Salisbury, GP in Oxfordshire, and Nisreen Alwan, associate professor in public health at the University of Southampton.
    They are joined by Katrina Pollock, senior clinical research fellow in vaccinology at Imperial College London, to talk about: the three vaccines in the news; why different groups may require different vaccines; and how to choose who to get the vaccination first.

    www.bmj.com/coronavirus

    • 57 min
    How well did hospitals perform for their staff during covid?

    How well did hospitals perform for their staff during covid?

    In the first wave of covid-19, hospitals started to reconfigure space and services, to provide rest areas and food for staff, to help them cope with the surge in patients.

    Michael West, professor professor of work and organisational psychology at Lancaster University Management School, returns to the podcast to talk about how well those changes helped staff - and what needs to be done, now that a second wave is hitting, to make sure those essential services don't disappear.

    www.bmj.com/wellbeing

    • 33 min
    Coronavirus second wave - viral transmission and a vaccine announcement

    Coronavirus second wave - viral transmission and a vaccine announcement

    Covid-19 continues its grip on the Northern Hemisphere alongside news of a vaccine trial showing real success at first glance. In this second wave update, we explore the latest issues with healthcare professionals from primary care, secondary care, and public health, and discuss what is happening in their field, and put their questions to experts.

    In this podcast, Fiona Godlee, editor in chief of The BMJ, talks to Alison Pittard, a consultant in anaesthesia and intensive care medicine in Leeds, and Helen Salisbury, GP in Oxfordshire, and Nisreen Alwan, associate professor in public health at the University of Southampton.

    They are joined by Müge Çevik, an infectious diseases researcher at the University of St Andrews, to talk about: what’s happening with track and trace and how to make it work better; transmission and asymptomatic spread, in particular hospital-acquired infections; views on the news of Pfizer’s vaccine; and reaction to US presidential election.

    www.bmj.com/coronavirus

    • 51 min
    A lump in the throat with Nick Hamilton, Deonne Dersch-Mills and Bonnie Kaplan

    A lump in the throat with Nick Hamilton, Deonne Dersch-Mills and Bonnie Kaplan

    A lump in the throat is a classic GP presentation, but one that often causes a lot of worry. Many people are struggling with high levels of anxiety anyway at the moment, and this may manifest physical symptoms, such as fatigue, insomnia and dysphagia.

    In this week’s episode, we discuss how to differentiate between causes of a lump in the throat: is my patient experiencing laryngopharyngeal reflux, or could it be cancer? How do we reassure distressed patients when we need to refer them on for imaging, or a consultation with a specialist, before we can rule out a malignant cause?

    We also talk about how to manage a patient who has difficulty swallowing pills, and the challenges of getting children, in particular, to take medication.

    Our guests:
    Nick Hamilton is a clinical lecturer in otorhinolaryngology at UCL, and also works as a specialist registrar in otorhinolaryngology head and neck surgery at North Thames Deanery, London.

    Deonne Dersch-Mills is the clinical practice leader for pharmacy for paediatrics & neonatology with Alberta Health Services. She is based at Alberta Children’s Hospital, Calgary.

    Bonnie J. Kaplan is a semi-retired research psychologist, and professor emerita from the Cumming School of Medicine, Calgary.

    • 58 min

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