The Hot Topics podcast from NB Medical brings you the latest in general practice current affairs, reviews the latest research relevant to primary care, explores interesting and important topics in-depth, and looks at cutting edge medicine.
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NB Hot Topics Podcast


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S3 E11 - Self-monitoring BP in pregnancy, ezetimibe or PCSK9 inhibitors for CVD risk & a treatment for alopecia! Plus interview with Aarti Bansal & Veena Aggarwal on Improving Asthma Care & Sustainability ...
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In the latest Hot Topics podcast from NB Medical Dr Neal Tucker discusses the latest research important in primary care and interviews two experts in improving asthma care and sustainable healthcare. In new research we examine: The role of self-monitoring of BP in women with hypertension or higher risk of pre-eclampsia - does it provide early detec…
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S3 E10 - How racism influences guidelines: interview with Dr Dipesh Gopal; does a 4th covid vax work? acute covid complication risk, breast pain & cancer, UTI & Abx, iron supplements
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Welcome to another Hot Topics podcast with Dr Neal Tucker. In this busy edition, we discuss whether national guidelines are affected by bias against race or ethnicity, potentially driving health inequalities. GP and researcher Dr Dipesh Gopal joins us for an interview to examine issues around NICE hypertension guidance. In new research, we have pap…
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S3 E9 - The RCGP Membership Fee Song; Working weekends; Covid in hamsters; The Triple F*** Syndrome; Child mental health; Recurrent UTIs
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In the Hot Topics podcast, Neal Tucker discusses the latest primary care news and research. This week: Reflecting on NHS England's PCN stipulations - general practice finds itself in a lose-lose situation. Is it a coincidence it comes just as a think tank backed by the health secretary pushes for all GPs to be salaried? Research: Hamsters can give …
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S3 E8: The end of covid; accuracy of lateral flow tests; new DVT algorithm; remember Zika?
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In the latest Hot Topics podcast with Dr Neal Tucker, we reflect on the government removing covid measures and how this affects general practice. In research, we have a look at a timely BMJ paper on the accuracy of lateral flow tests? As we prepare to stop testing, does the data provide us with some reassurance? We also have a look at a new way of …
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S3 E7 - Covid blues song; racism, nationalisation, incentivisation; new covid drugs; does continuity help?
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After not being out the house for 13 days due to him and the kids having covid, Neal Tucker uses the Hot Topics podcast for a bit of escapism. Apart from singing the blues, in this podcast we discuss the latest medical news including reports of racism in the NHS, government calls for nationalisation of general practice and the negative effects of p…
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S3 E6 - Stating the obvious, treatment time after VTE and CVA; best meds for obesity
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Happy New Year! Welcome to a new episode of the Hot Topics podcast with Neal Tucker. In this episode, we have a look at research that states the obvious (non-covid infections went down during lockdowns) and why we feel the need to formalise it. We also look at new research suggesting a shorter duration of anticoagulation may be appropriate after pr…
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S3 E5 - The Omicron song, vaccine clinics and what we've achieved this year
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Welcome everyone to the last Hot Topics podcast for 2021! In this episode Neal Tucker discusses the omicron variant, the cancelling of the festive season for general practice and the effectiveness of vaccines and boosters. While it doesn't feel like there's much cheer at the moment he also reflects on our achievements this year and reasons for us t…
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S3 E4: The RTI surge song, NICE depression or not, Long Covid guidance, balloon bariatric surgery
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Welcome back to another Hot Topics podcast from NB Medical with Dr Neal Tucker. Everyone in his family has a cold - is this the anticipated surge in respiratory tract infections we've expected to see or could it have a simpler explanation? We also look at the new draft Depression guideline from NICE, asking can we deliver the promises, long covid g…
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S3 E3 - Rescuing ourselves with a shared vision; funding GP & multimorbidity; empagliflozin for HFpEF; AF - to screen or not to screen
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In this latest Hot Topics Podcast, Dr Neal Tucker reflects on the NHSE Rescue Package and asks if we are going to strike are we clear what we want general practice to be? Time for us to make up our minds. In research we look at multimorbidity clusters and consultation rates - how should this influence funding? Also a ray of hope for patients with h…
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S3 E2 - The press, corporations & conspiracies; ondansetron for kids with gastro; PHQ9, what is it good for?
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In this latest episode of the Hot Topics podcast, Neal Tucker considers why the press have been attacking general practice and who stands to gain. We also look at new research in to giving anti-emetics for children with gastroenteritis, the accuracy of PHQ9 in the assessment of depression and what are safe levels of air pollution. References BMJ Ai…
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S3 E1 - Heath secretaries, COVID boosters, Quadpill for BP & Cannabis for pain
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Welcome, to Season 3 of the Hot Topics podcast with Dr Neal Tucker. In this episode, we lament why Health Secretaries appear to hate healthcare. We also look at the rationale for covid boosters with new research on the vaccine response in the immunosuppressed and waning efficacy in the general population. In other research, can a 4-in-1 pill be a h…
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S2 E16 - Blood bottle crisis; community covid treatments; rotator cuff injury; FIT testing for cancer
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In this summer holidays episode of the Hot Topics Podcast, Neal Tucker looks at the latest research for the primary care community. Firstly, three treatments for covid-19 in community-managed patients - do they work? Next rotator cuff injury - can progressive exercise beat usual care and is there ANY role for steroid injections? Finally, FIT testin…
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S2 E15 - Self-isolation, Freedom and GP; Drug Optimisation for the Multimorbid; Antispasmodics for Low Back Pain
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In this episode, Neal Tucker squeezes in a podcast between childcare during self-isolation. When he's let out there will be a new sort of Freedom in England, should the rest of the UK be jealous? We think about rising covid numbers, how this impacts general practice (and the rest of the health service), and what role vaccination for children should…
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S2 E14 - Crisis of identity in GP; implantable arrythmia monitors for AF; wearable glucose monitors for diabetes
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In this episode of the Hot Topics Podcast, Neal Tucker considers if there is a crisis of identity in GP and how the ever-increasing workload has changed the traditional role of a GP. Is there a solution? Possibly, but not everyone will agree. In new research, we focus on new technology. Are implantable rhythm monitors helpful after stroke? Do weara…
Approach a wounded animal with caution. Someone should have told this to NHS England before they wrote THAT letter. In this podcast, in classic GP style, we reflect on how this makes us feel and come to the only obvious conclusion. (We've kept it family friendly...) Meanwhile, Neal Tucker has a look at new research on COVID vaccinations and their e…
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S2 E12 - Remote consulting and the state of GP; Antidepressant withdrawal techniques; Blood pressure lowering for normotensives; Vagus nerve stimulation after stroke
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Welcome back! Neal Tucker takes you through the latest Hot Topics podcast from NB Medical. In this edition after a "cry for help" from a UK practice written in a 16-page letter to patients we look at new research in the BJGP on remoting consulting and ask for your thoughts on the state of general practice. Are we complicit in pathologising normal l…
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S2 E11 - Headaches, AZ and Thrombosis; Green Light for Inhaled Steroids in GP; Risk of death on discharge post-COVID
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The big news this week has been the risk of cerebral venous sinus thrombosis post-AZ vaccine and it's been giving us all a headache, but this has overshadowed further new data confirming benefit of inhaled corticosteroids for acute mild covid and guidance that we can offer this to older patients on a case-by-case basis. In the latest Hot Topics pod…
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S2 E10 - Inhaled steroids for COVID in GP; risk of COVID in adults with kids; 3 days of antibiotics for pneumonia; more semaglutide stuff
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Big news in this new Hot Topics podcast as we discuss very positive data on the role of inhaled budesonide for early mild COVID in community-based patients - the STOIC trial may radically change our management of COVID but why hasn't this been a huge story and should we wait to change our practice? Also, we look at a BMJ paper examining the risk of…
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S2 E9 - Long COVID in kids, statins and muscle pain, health inequalities and consultation length
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Welcome back to the Hot Topics Podcast. In this episode, Neal Tucker talks about Long COVID in children, changes in violence injuries during lockdown, the prospect of a universal coronavirus vaccine, and the challenges of increasing vaccination rates in general practice. In new research, we discuss papers from the BJGP on health inequalities, who i…
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S2 E8 - GP and the Environment - interview with Terry Kemple; BP meds & falls; Semaglutide & weight loss; a little COVID...
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Welcome to another Hot Topics Podcast! As we rapidly vaccinate the UK our thoughts today turn to the longer term and how environmental issues affect our patients and what practices can do about it. Neal Tucker is joined by Terry Kemple, GP and founder of the Green Impact for Health Toolkit, to chat about how practices can make positive changes to s…
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S2 E7 - Variants and the vaccine; GP Contract, Obesity and Surgery; Anti-depressants for OA; Parental Burnout
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Belated Happy New Year! In this new podcast, Dr Neal Tucker chats about the latest news and research in general practice. Firstly, what do the SARS-CoV-2 variants mean for the efficacy of the vaccines and should we continue the vaccine programme? The new GP contract is out and the most controversial aspects is financial incentivisation for weight l…
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S2 E6 - Mutant covid, the success of GP and covid vaccinations, clowns in hospitals and merry Christmas!
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Merry Christmas and a Happy New Year! There's no time to take stock of 2020 in this latest podcast. Instead Neal Tucker talks about the latest science on the new, highly transmissible variant of SARS-CoV-2 sweeping the south of England. He also looks at the success of general practice in starting the Covid vaccinations for thousands of vulnerable p…
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S2 E5 - Covid vaccines, the story continues... & BP meds and statins for 100 year olds.
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There's really only one topic of conversation: COVID vaccines, when will we get them, how do we give them and what's going to happen about Christmas... In this latest episode, Neal Tucker discusses the latest on general practice's role in vaccinating the nation, mistakes in the Oxford/AstraZeneca vaccine trial, the cost of vaccines and vaccinating,…
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S2 E4 - COVID Vaccines and missing data, PCN DES and the Committee of Horribly Absurd Orders, SSRIs for acute mild COVID, Cancer Delay and Death
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Welcome back to the Hot Topics podcast with Neal Tucker. Finally some hope with an imminent COVID vaccine. But how good is it really and where is the data? Meanwhile general practice has been set up as the saviour of the nation but can we really vaccinate the entire population? The Committee of Horribly Absurd Orders thinks so or is it part of thei…
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S2 E3 - COVID Skin Signs, Long Covid Rates, Dad Jokes
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Hello again! In this podcast Dr Neal Tucker is joined by Dr Philippa Davies, a GP with a special interest in dermatology, to talk about the many and varied skin presentations of COVID-19 and how we might want to carefully scrutinise the rashes we're seeing over the next few months. To make it as interactive as possible follow along using www.covids…
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S2 E2 - Trump's Treatments, The Committee of Pointless S**t, Gliflozins for All
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Welcome back! In this episode, Dr Neal Tucker talks about the world's biggest news story: President Trump and his treatments. Should we all be getting the same? He also looks at flu vaccinations and appraisals, and challenges the Committee of Pointless S%&t to cut the crap. In the latest research, we look at newly published data on SGLT2 inhibitor …
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S2 E1 - Covid symptoms in kids, antibody durability, gut instinct and the power of continuity
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Welcome back to Season 2 of the Hot Topics podcast with Neal Tucker. In this episode, we discuss THAT letter, whether we can differentiate a Covid cough from a simple URTI, how long SARS-CoV-2 antibodies actually last, plus research on SGLT2 inhibitors, gut instinct and the power of continuity in general practice. Find us on @gphottopics, Facebook …
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S1 E20 - Schools, Boris bikes, Obesity and Vaccines
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In this final podcast for the summer Dr Neal Tucker reflects on the latest news and research in the world of general practice from the past two weeks. As COVID cases start to rise again we look at the latest research on the transmission of COVID via schools and why we all need a change in mindset about working when ill. We consider the role of GPs …
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S1 E19 - Immunity and T cells, Post-COVID Syndrome
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Welcome to the latest episode of the Hot Topics Podcast with Neal Tucker from NB Medical. All about coronavirus again! The two big topics this week are immunity and the importance of T cells plus an in-depth look at post-COVID syndrome, how we can anticipate the effects on the population and the resources that can help us manage it. We've also got …
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S1 E18 - Antibody tests, dexamethasone and the coming 2nd wave
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In our latest Hot Topics podcast, Neal Tucker discusses the latest news and research for primary care. This week a firm focus on coronavirus once again. We talk about antibody tests and why there seems such discrepancies between the real world results in you and I and the tests' supposed accuracy. We talk about dexamethasone and the implications fo…
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S1 E17 - Race, riots and inequality; faked hydroxychlorquine research; face masks; NEWS in GP; liraglutide for childhood obesity
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In the latest episode of the Hot Topics Podcast, Neal Tucker discusses the latest news and research relevant to primary care. Today we talk about race, inequalities and unconscious bias and how this affects decisions about BAME medics in the UK. We also look at a Lancet paper on hydroxychloroquine risks which has been retracted due to suspicious re…
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S1 E16 - Children, coronavirus and Kawasaki-like disease; Hydroxychloroquine, azithromycin and cardiac arrest; antibody testing; non-coronavirus research!!!
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In this latest Hot Topics Podcast, Neal Tucker reviews the latest knowledge about coronavirus and non-SARs-CoV2 research relevant to primary care. We review new reports of Kawasaki-like disease in children with Covid-19 and the implications for children returning to school. We examine data on hydroxychloroquine and azithromycin suggesting it may ki…
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S1 E15 - Coronavirus Special: Do The Drugs Work?
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In our latest Hot Topics podcast Neal Tucker examines the emerging treatments for Covid-19 including remdesivir, antiplatelets, vitamin D and vaccinations. Do these provide the magic bullet we need to shut down the infection and open up the world? He also reviews the latest research including data on asymptomatic and pre-symptomatic disease in chil…
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S1 E14 - Coronavirus Special: The Future for General Practice
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In this latest coronavirus special Neal Tucker discusses the latest knowledge about COVID-19 and how general practice will need to adapt to a world with persisting coronavirus. We discuss the effects of coronavirus on black, Asian and minority ethnic populations, new understanding about the clinical features of COVID-19 especially in cardiac diseas…
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S1 E13 - Coronavirus Special: Saving Lives and the End of Life
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The latest NB Hot Topics podcast is the third Coronavirus Special: Saving Lives and the End of Life. In this edition, Neal Tucker reviews what we have learned about coronavirus this week including the clinical features which you have been reporting, anosmia as a marker of COVID-19, the controversy around the Roth test and how viral load relates to …
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S1 E12 - Coronavirus Special: Covid-19 in the Community
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In this week's NB Hot Topics Podcast Neal Tucker looks at the latest developments in the coronavirus literature including data on hydroxychloroquine/azithromycin combination treatment, why lockdown alone is not enough and why coronavirus modelling won't help us. Now that general practice is moving from the preparation phase to managing COVID-19 in …
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S1 E11 - Coronavirus Special: Lessons for General Practice
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In this week's NB Hot Topics Podcast, Neal Tucker looks at what lessons we can learn in general practice to help us prepare for and fight the coronavirus pandemic. We can learn from our international colleagues who are ahead of us on the curve, and we speak to Dr Nadege Fancy, a GP in Milan, northern Italy, about what we can expect over the next fe…
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S1 E10 - Coronavirus Special: Making General Practice Great Again
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With all the stress and uncertainty Coronavirus has placed on the world and the health service this special podcast Dr Neal Tucker looks how we as professionals and humans are coping with COVID-19, what we need to know from the rapid changes in guidance over the past few days, and where we may be going next. In the second half we look at what the l…
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S1 E9 - Coronavirus pt.3, Salt and BP, Eggs and CVD, Why All Blood Tests are Wrong
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In Episode 9 of the NB Hot Topics podcast, Neal Tucker looks at the latest on coronavirus, guidance for primary care and how other countries have managed the infection. In other news he discusses the 2020 Marmot report and our patients' "Lost Decade". In new research we examine two papers in the BMJ on the role of salt reduction in hypertension and…
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S1 E8 - Coronavirus pt.2, Propranolol Overdose, CKD screening, Big Data and GP
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This week in the NB Hot Topics podcast Dr Near Tucker looks at the latest news including propranolol overdose and assisted dying, examines the latest research from around the world on Covid-19 and from the UK on CKD screening, then explores the murky world of big data and computer-assisted medicine and how this will affect us in general practice.…
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S1 E7 - Coronavirus, Isolated Diastolic Hypertension & Varicella Booster
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In this NB Hot Topics Podcast, Dr Neal Tucker takes an in depth look at coronavirus, the data that scientists need to predict whether it becomes a pandemic, and how this affects UK general practice. He also reviews new research on isolated diastolic hypertension and whether treating this improves outcomes, and on the booster theory for adult exposu…
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S1 E6 - Alcohol and AF, Colchicine and Cardiac Events, Anti-virals and Influenza
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In this first episode for 2020, Dr Neal Tucker explores new research on alcohol abstinence in improving atrial fibrillation, and colchicine post-myocardial infarction to reduce inflammation and prevent recurrent CVD events. We also look more in depth at the role of anti-viral medication (neuraminidase inhibitors) in the management of influenza, why…
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S1 E5 - Cholesterol Levels in Younger Age Predicting Future Risk, Dyspepsia Strategies, Once-monthly POP
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In this final Hot Topics Podcast before Christmas, Dr Neal Tucker explores a fascinating new piece of research showing how lipid levels at younger ages can predict future cardiovascular events and may suggest early statin therapy would be highly beneficial. He also examines the latest news and research in general practice including the best initial…
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S1 E4 - Dapagliflozin in Heart Failure, Melatonin for Insomnia, Suspended Animation
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In our latest Hot Topics Podcast, Neal Tucker reviews the latest news and research from primary care, including the benefits of dapagliflozin for heart failure, the lack of benefits of levothyroxine in subclinical hypothyroidism in the elderly, the role of melatonin in insomnia management, and suspended animation in humans.…
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S1 E3 - Medical Cannabis, Vestibular Rehabiliation, Bempedoic Acid, Measles and Immunity
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In our latest Hot Topics Podcast, Neal Tucker is joined by Dr Simon Curtis to discuss where we are with medical cannabis, plus the latest news and research from primary care, including how to prevent catching election fever, online treatment for chronic dizziness, bempedoic acid for cholesterol reduction, lefamulin, a new antibiotic for pneumonia a…
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S1 E2 - Ranitidine, Night-time Anti-hypertensives, Once Weekly Statins, Genome Editing
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In our second NB Podcast from NB Medical Dr Neal Tucker discusses recent Hot Topics including the restrictions on ranitidine, the benefits of taking anti-hypertensives at night-time, using statins just once a week and new technology for genome editing.By NB Medical Education
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S1 E1 - Childhood Obesity, eCigarettes & Exoskeletons
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In our first Hot Topics podcast from NB Medical Dr Neal Tucker discusses why Public Health England should review its stance on e-cigarette safety, looks at Dame Sally Davies report on childhood obesity and explores general practice medical news and cutting edge medicine.By NB Medical Education