MEM Cast

Episode 291: CADASIL (Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy)

Medicine East Midlands — Fri, 06 Mar 2026 23:47:25 +0000

This week we discuss about CADASIL, a hereditary small vessel disease and rare cause of stroke, it's clinical features, pathophysiology, diagnosis and management approach.

Episode 290: Aspergillosis part 1

Medicine East Midlands — Fri, 27 Feb 2026 12:14:22 +0000

Join us on this episode of MEMcast as we discuss approaches to identifying and managing patients with aspergillosis, offering practical insights for healthcare professionals and students.
We explore the different clinical forms from allergic disease to chronic and invasive infection, and highlight the key risk factors that should sharpen your clinical suspicion.

Episode 289: Acute Management of Ventricular Tachycardia

Medicine East Midlands — Fri, 20 Feb 2026 18:00:00 +0000

Join Dr Thomas Bond and Dr Daniel Ng as we share the first of our 2 episodes covering VT. Episode one will tell you everything you need to know about how to manage a patient on call when you are handed a "dodgy" ECG that turns out to be VT! Don't miss out on key strategies to handle this on-call emergency.

Episode 288: Managing cDMARDs on the ward

Medicine East Midlands — Fri, 06 Feb 2026 19:00:00 +0000

Ever wondered what do with patient on methotrexate, with and infection, awaiting surgery, with a flare of their arthritis? In this episode Dr Thomas Bond and Dr Harris Fayyaz cover the practical points for managing patients on conventional DMARDs, covering when to stop and when they are safe to continue!

Episode 287: Clinical Approach to Acute shortness of breath

Medicine East Midlands — Sat, 24 Jan 2026 16:27:34 +0000

Dr Rafid Ahmed, consultant in Acute medicine , currently working in University Hospital of Derby and Burton NHS Foundation Trust, is walking us through clinical approach to acute shortness of breath.

Episode 286: Functional Neurological Disorder Part 3

Medicine East Midlands — Sat, 10 Jan 2026 16:33:41 +0000

Dr Sumeet Singhal , consultant neurologist is discussing about management approach to FND.

Episode 285: Atherosclerosis

Medicine East Midlands — Fri, 19 Dec 2025 07:00:00 +0000

Ever wondered why some plaques rupture and others sit there politely not causing an MI? Dr Chris Wall talks to us about atherosclerosis in this weeks episode, describing what makes a plaque "vulnerable", and the role of inflammation in plaque development. Don't miss out on this atherosclerosis rundown.

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Episode 284: Functional Neurological Disorder part 2

Medicine East Midlands — Fri, 05 Dec 2025 12:00:00 +0000

Dr Sumeet Singhal, consultant neurologist at Nottingham University Hospitals NHS Foundation Trust, discussed about Clinical approach to FND .

Episode 283: Tumour Lysis Syndrome

Medicine East Midlands — Fri, 21 Nov 2025 07:00:00 +0000

This week we take a closer look at Tumour Lysis Syndrome, following the September guideline update from the BSH. Dr Aritri Mandal covers everything you need to know about diagnosing, monitoring and treating this life threatening complication of malignancy!

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Episode 282: SLE Treatment

Medicine East Midlands — Mon, 17 Nov 2025 08:49:09 +0000

Dr Shireen Shaffu covers all aspects of SLE treatment, from induction to maintenance therapy. We cover how to manage patients and pregnancy, as well as side effects of therapeutic drugs. Tune in for a whistlestop tour of all thingse SLE treatment!

Episode 281: Friedrich's Ataxia

Medicine East Midlands — Fri, 14 Nov 2025 23:06:23 +0000

In this episode, we explore Friedreich’s ataxia: what it is, the key clinical signs and symptoms, how it is diagnosed, and the essential aspects of ongoing care.

Episode 280: Functional Neurological Disorder Part 1

Medicine East Midlands — Fri, 07 Nov 2025 22:22:51 +0000

Dr Sumeet Singhal is a consultant neurologist, working at Nottingham University Hospitals NHS Foundation Trust. He is an FND expert and discusses presentations of FND.

Episode 279: VEXAS Syndrome

Medicine East Midlands — Fri, 31 Oct 2025 07:00:00 +0000

VEXAS syndrome is an autoinflammatory syndrome affecting predominantly men over 50s. Tune in this week to learn about this rare but important differential in your patients with fevers and rashes who are not responding to antibiotics. Dr Thomas Bond will take you through how VEXAS came to be discovered, and how you can discover it in your patients!

Episode 278: Traumatic brain injury

Medicine East Midlands — Fri, 24 Oct 2025 09:57:22 +0000

Head injuries extend beyond the brain, impacting multiple organ systems and leading to complex complications. In this episode, we explore traumatic brain injury, its systemic effects and complications , and key considerations in critical care management.

Episode 277: Reversible Cerebral Vasoconstriction Syndrome (RCVS)

Medicine East Midlands — Fri, 17 Oct 2025 21:13:35 +0000

This week Dr Sanjida Chowdhury, Neurology Trainee, discusses RCVS, it's overview, psychophysiology, clinical presentation, investigation and treatment.

Episode 276: Medical ethics and communication

Medicine East Midlands — Fri, 26 Sep 2025 13:56:53 +0000

In this episode, we tackle some of the most common ethical and professionalism scenarios you’ll face in the PACES exam. We’ll walk through the core principles of medical ethics (autonomy, beneficence, non-maleficence, and justice) and show you how to apply these concept in clinical practice.

Episode 275: Calcium Pyrophosphate Deposition Disease

Medicine East Midlands — Fri, 19 Sep 2025 19:00:00 +0000

CPPD is a common occurrence in our elderly inpatients. It can cause significant disability and is important to diagnose and treat. Dr Thomas Bond covers the common and rarer manifestations of this condition to make sure you are confident in treating patients suffering with CPPD.

Episode 274: Understanding Asthma

Medicine East Midlands — Fri, 05 Sep 2025 11:17:03 +0000

In this episode, we explore how to recognise asthma mimics, when to question the diagnosis, and how bedside tests and updated guidelines can guide management. We break down what every clinician should know.

Episode 273: Subacute Combined Degeneration of Spinal Cord

Medicine East Midlands — Sun, 31 Aug 2025 12:13:23 +0000

This week Dr Sanjida Chowdhury discussed about Subacute Combined Degeneration of Spinal Cord, it's causes, and Management approach.

Episode 272: Systemic Lupus Erythematosus: Diagnosis

Medicine East Midlands — Fri, 22 Aug 2025 06:00:00 +0000

This week we are joined by the connective tissue disease lead at University Hospitals Leicester, Dr Shireen Shaffu, to talk about diagnosing lupus. Dr Shaffu provides excellent insight into a systematic approach for lupus assessment. We discuss various disease manifestations, diagnostic criteria and investigations. If you have ever wanted to get one over on Dr House, this week is your week!

Episode 271: Alcohol Withdrawal

Medicine East Midlands — Sun, 17 Aug 2025 22:08:43 +0000

Dr Anirudh Kumar discusses practical aspects of assessment and management of alcohol withdrawal syndrome in this episode.

Please see the following resource referenced in today's podcast:
CIWA-Ar Scale

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Episode 270: Nephrotoxicity

Medicine East Midlands — Fri, 08 Aug 2025 19:09:27 +0000

Not all that’s prescribed is harmless, especially to your kidneys. Our latest episode is now live. In this episode, we’re diving deep into drug-induced nephrotoxicity. You’ll learn: Which medications are most nephrotoxic, how they damage the kidneys, and how to approach management when a drug is suspected

Episode 269: Spasticity

Medicine East Midlands — Fri, 01 Aug 2025 06:00:00 +0000

This week, Dr Javvad Haider joins us once again to talk about the management of spasticity. This episode covers a good chink of neurophysiology and pathophysiology to help understand how spasticity is triggered, so we can arrange the best treatments

Episode 268: Ascitic Tap and Abdominal Paracentesis Part 2

Medicine East Midlands — Fri, 25 Jul 2025 07:11:29 +0000

Dr Katarina Vojtekova Nizamis, Gastroenterology Registrar in Nottingham, takes us through practical aspects of Abdominal Paracentesis in the second of two parts on this topic.

Please see the following two videos referenced in today's podcast:]
Royal Derby Hospital - Abdominal Therapeutic Paracentesis Video
Medical Education Lothian - Preparing you for Ascitic Interventions

We recommend considering listening to the following other podcast episodes to supplement this episode:

Episode 16 - Ascites and TIPS Procedure
Podomatic Apple Podcasts Spotify
Episode 262 - Ascitic Tap and Abdominal Paracentesis Part 1
Podomatic Apple Podcasts Spotify

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Episode 267: History-taking and communication ( PACES/MRCP)

Medicine East Midlands — Fri, 18 Jul 2025 15:26:08 +0000

In this episode, we explore how to approach the history-taking station in PACES, including what themes to prioritise, the role of body language and non-verbal communication, and common mistakes candidates make. Whether you're revising for the exam or improving real-life skills, this one's packed with practical tips.

Episode 266: Takayasu Arteritis

Medicine East Midlands — Fri, 11 Jul 2025 06:00:00 +0000

This week we are covering an important cause of large vessel vasculitis! Takeyasu Arteritis is a complex disease with varying manifestations. Dr Thomas Bond cover's the myriad of presentations of this dangerous condition, as well as covering the immune dysregulation required to allow it in the first place!

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Episode 265: Ascitic Tap and Abdominal Paracentesis Part 1

Medicine East Midlands — Sat, 05 Jul 2025 10:09:28 +0000

Dr Katarina Vojtekova Nizamis, Gastroenterology Registrar in Nottingham, takes us through practical aspects of Ascitic Tap and Abdominal Paracentesis in the first of two parts on this topic.

We recommend considering listening to the following other podcast episodes to supplement this episode:

Episode 16 - Ascites and TIPS Procedure
Podomatic Apple Podcasts Spotify
Episode 265 - Ascitic Tap and Abdominal Paracentesis Part 2
Podomatic Apple Podcasts Spotify

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Episode 264: Advance care planning

Medicine East Midlands — Fri, 27 Jun 2025 21:32:40 +0000

In this episode, we explore what advance care planning really means and how to approach these conversations in clinical practice. We talk about common pitfalls, how to navigate difficult or sensitive moments, and why these discussions are such a vital part of good medical care. Whether you're new to these conversations or looking to strengthen your approach, this episode offers insight, reflection, and practical advice

Episode 263: Sickle Cell Disease Treatment

Medicine East Midlands — Fri, 20 Jun 2025 07:00:00 +0000

This week Dr Amy Webster joins us again for part two of our Sickle Cell Disease series. This week we discuss treatment of outpatients with Sickle cell, and cover what to do when patients are admitted with acute crisis.

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Episode 262: Deprescribing

Medicine East Midlands — Fri, 13 Jun 2025 18:09:09 +0000

Dr Anirudh Kumar, Geriatric Medicine Registrar, demystifies resources and tools to aid evidence-based deprescribing decisions, particularly for older people.

We recommend considering listening to the following other podcast episodes to supplement this episode:

Episode 226 - Anticholinergic Burden
Podomatic Apple Podcasts Spotify

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Episode 261: Inclusion Body myositis

Medicine East Midlands — Fri, 06 Jun 2025 07:00:00 +0000

This week we are discussing about Inclusion body myositis, it's overview, pathophysiology, clinical features, investigations and management.

Episode 260: Aortic dissection

Medicine East Midlands — Fri, 30 May 2025 13:17:20 +0000

Mr Giovanni Mariscalco joins us again to discuss a serious but often under-recognised emergency: aortic dissection. This condition can mimic more benign causes of chest or back pain, but when it strikes, every minute counts. A missed diagnosis can lead to a fatal outcome. In this episode, we break down the classic and subtle presentations, the key investigations (and where clinicians often go wrong), and what to do when you suspect it.

Episode 259: Horner's syndrome

Medicine East Midlands — Sat, 24 May 2025 13:08:09 +0000

Dr Sanjida Chowdhury, Specialty Registrar in Neurology, giving us an overview of Horner's syndrome

Episode 258: Malignant Pleural Effusion

Medicine East Midlands — Sat, 17 May 2025 08:00:08 +0000

Dr Shaheen Shahid, Respiratory Registrar at Royal Derby Hospital, shares a comprehensive summary of management of malignant pleural effusions as per BTS guidelines.

We recommend considering listening to the following other podcast episodes to supplement this episode:

Episode 19 - Pleural Effusion
Podomatic Apple Podcasts Spotify

Episode 34 - Pneumothorax
Podomatic Apple Podcasts Spotify

Episode 133 - Pleural Infection
Podomatic Apple Podcasts Spotify

Episode 162 - Chest Drain
Podomatic Apple Podcasts Spotify

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Episode 257: Clinical Presentation of Sickle Cell Disease

Medicine East Midlands — Fri, 09 May 2025 06:00:00 +0000

This week we talk to Dr Amy Webster, a consultant haematologist in Leicester and head of the haemoglobinopathy service here.

We talk about the pathophysiology behind the disease this week, as well as the varying ways patients present. We also cover some of the challenges patients face in hospital getting the treatment they need. Be sure to tune in!

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Episode 256: Genetic disorders and the Kidney 2 - Alport syndrome

Medicine East Midlands — Thu, 01 May 2025 22:55:45 +0000

We explore Alport syndrome, a genetic kidney disease that goes beyond the kidneys. From the role of genetics test, involved in making diagnosis, to the clinical features, and management, we cover it all.

Episode 255: Motor Neuron Disease Part 2

Medicine East Midlands — Fri, 25 Apr 2025 22:40:31 +0000

Dr Michael Knopp (consultant Neurologist) is discussing about management, prognosis and recent advancements in Motor neuron disease.

Episode 253: Iron Deficiency Anaemia

Medicine East Midlands — Fri, 18 Apr 2025 06:00:00 +0000

Dr Mohamed Elnagar, Gastroenterology Registrar at Royal Derby Hospital, returns to the podcast to boost our knowledge on investigating and treating iron deficiency anaemia.

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Episode 254: Rehabilitation Medicine

Medicine East Midlands — Fri, 11 Apr 2025 06:00:00 +0000

Dr Javvad Haider, head of Rehabilitation Medicine at NUH has joined Dr Thomas Bond today to teach everyone about Rehab medicine! We cover as much as we can about the specialty, including the patients you see, the training you get and the new and exciting developments that are happening right now - like the National Rehab Centre! Don't miss out on the opportunity to learn about this exciting multidisciplinary specialty!

Episode 251: Leadership

Medicine East Midlands — Fri, 04 Apr 2025 21:03:55 +0000

Welcome to our latest episode, where we’re thrilled to have Dr. Yusuf, a renal chief registrar, join the conversation! Together, we delve into the nuances of leadership, tackling tough workplace concerns, and navigating difficult conversations. Yusuf shares real-world insights from his medical journey, highlighting strategies for open communication, dealing with difficult situations, and building leadership skills. Tune in for an engaging discussion

Episode 250: Graves Disease

Medicine East Midlands — Fri, 28 Mar 2025 07:00:00 +0000

Everything from goitre to orbitopathy will be covered in this weeks comprehensive Grave's Disease episode. Dr Thomas Bond picks Dr Shahriar Shafiq's brains, covering thyroid antibodies testing, important points in the clinical history and crucial aspects of treatment. Make sure to tune in!

Episode 249: Urinary Incontinence

Medicine East Midlands — Fri, 21 Mar 2025 10:43:59 +0000

Dr Lizzie Moriarty, Consultant Geriatrician at King's Mill Hospital, Mansfield, takes us through all things related to urinary incontinence today.

Here are links to the previous episode referenced on Anticholinergic Burden:
Spotify
Podomatic
Apple Podcasts

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Episode 248: Motor Neuron Disease Part 1

Medicine East Midlands — Sat, 15 Mar 2025 11:53:35 +0000

Dr Michael Knopp , consultant neurologist , Royal Derby Hospital is discussing motor neuron disease .

Episode 247: Surgical management of aortic valve disease

Medicine East Midlands — Fri, 07 Mar 2025 20:15:51 +0000

This week, we’re thrilled to welcome Mr. Giovanni Mariscalco, Consultant and Head of Service for Cardiac Surgery, as we explore the surgical management of aortic valve disease and its relevance to medical practice. In this episode, we cover: Identifying patients who require surgery, types of prosthetic valves and their indications, the evolving role of TAVI
Don’t miss this deep dive into one of the most critical areas of cardiac surgery

Episode 246: Carpal Tunnel Syndrome

Medicine East Midlands — Sat, 01 Mar 2025 15:25:25 +0000

This week Dr Sanjida Chowdhury, Specialist Registrar in neurology discussed about Carpal tunnel syndrome.

Episode 245: Advance Care Planning

Medicine East Midlands — Sun, 23 Feb 2025 07:36:11 +0000

This week, Dr Anirudh Kumar takes us through the practicalities of Advance Care Planning, referencing the Gold Standards Framework.

You can read more about Gold Standards Frameworks here.

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Episode 244: Deprivation

Medicine East Midlands — Fri, 14 Feb 2025 07:00:00 +0000

Deprivation will affect our patients no matter which specialty we choose. It is a vast and multifaceted problem, often the root cause of our patients ill health, and yet often goes underappreciated in the high pressure of hospital medicine. Dr Shilpa Sisodia joins Dr Thomas Bond once again to break down how difficult deprivation can make it for patients to improve their help, and talks about some things we can do to support them.

Episode 243: ICU P2 Renal failure and ECMO

Medicine East Midlands — Fri, 07 Feb 2025 21:02:09 +0000

This week, we continue our discussion with Dr Yusuff Hakeem, picking up where we left off. We're diving deeper into the complexities of intensive care, focusing specifically on the intricacies of Extracorporeal Membrane Oxygenation (ECMO) and patients experiencing renal failure.

Tune in now for this crucial episode

Episode 242: Myositis

Medicine East Midlands — Fri, 31 Jan 2025 07:00:00 +0000

Ever had a raised CK and wondered what the next steps are? This week Dr Thomas Bond interviews Dr Maumer Durrani, Head of the Rheumatology service at University Hospitals Leicester, to get key answers about the diagnosis and management of Myositis. The importance of cancer screening and lung disease is covered, along with the acute and maintenance treatments of inflammatory muscle disease. Don't get yourself in a TIF-1, make sure to listen in this week!

Episode 241: Complications of Parkinson's Disease

Medicine East Midlands — Sat, 25 Jan 2025 23:24:44 +0000

Dr Laura Daunt, Consultant Geriatrician at Queen's Medical Centre, Nottingham, talks about common complications that patients with Parkinson's Disease may have, either from disease progression or treatment side-effects.

This is a follow-on to a previous episode on Parkinson's Disease, click the link to your podcast provider to access it:
Spotify
Podomatic
Apple Podcasts

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Episode 240: Myasthenia Gravis part 3

Medicine East Midlands — Fri, 17 Jan 2025 23:27:28 +0000

Dr Philip Ambrose talks us through recent advancements in MG and managemnt of myasthenic crisis

Episode 239: ICU escalation and Shock

Medicine East Midlands — Sat, 11 Jan 2025 22:15:12 +0000

This week, we’re thrilled to have Dr. Yusuff Hakeem join us as we delve into the critical process of escalating care to the intensive care team and the management of shock. Dr. Yusuff shares invaluable insights and practical advice that you won’t want to miss.
Tune in now.

Episode 238: Social Prescribing

Medicine East Midlands — Fri, 13 Dec 2024 08:00:00 +0000

All of us have struggled with patients who need more than we can give them. Whether its a patient struggling with a relationship, recent bereavement or a lost job, these things can call manifest physical symptoms and be difficult to treat in the traditional sense. Dr Shilpa Sisodia, a Public Health Registrar working in Leicester, joins us to discuss how we can benefit from social prescribing. We discuss how social prescribing works, who is involved, and how it can help us in situations where patients may normally struggle to receive support.

Episode 237: LFT Derangement and Ascending Cholangitis

Medicine East Midlands — Fri, 06 Dec 2024 18:48:58 +0000

Dr Fahad Ashraf, Consultant Gastroenterology at University Hospitals of Derby and Burton NHS Foundation Trust, is helping us unblock any gaps in our knowledge when discussing abnormal LFTs, cholestatic derangement and management of obstructive cholangitis.

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Episode 236: Myasthenia Gravis Part 2

Medicine East Midlands — Fri, 29 Nov 2024 09:00:00 +0000

Dr Philip Ambrose, consultant Neurologist in Nottingham University Hospitals NHS Foundation Trust, discussed more about investigations and treatment of Myasthenia Gravis.

Episode 235: Sepsis in the ICU

Medicine East Midlands — Fri, 22 Nov 2024 21:20:54 +0000

In this episode, we take an in-depth look at sepsis from an ICU perspective. Sepsis remains a leading cause of morbidity and mortality in critically ill patients, making early recognition and effective management crucial. Join us as we explore key topics around the right approach to management of sepsis, and how and when to escalate care to the ICU.

Episode 234: Adrenal Insufficiency

Medicine East Midlands — Fri, 15 Nov 2024 07:00:00 +0000

Feeling lethargic? Having Hypo's? Suddenly suffering from skin pigmentation on sun-exposed areas? This week episode on Adrenal insufficiency will be the perfect remedy! Dr Thomas Bond interviews Dr Shahriar Shafiq on all things cortisol. They discuss the pathophysiology of the adrenal cortex, and cover top tips to make the diagnosis and treat.

Episode 233: Alcohol-Related Liver Disease

Medicine East Midlands — Fri, 08 Nov 2024 08:10:36 +0000

Dr Mohamed Elnagar, Hepatology Registrar at University Hospitals of Derby and Burton NHS Foundation Trust, speaks to us today about Alcohol-Related Liver Disease. In particular, he discusses alcoholic hepatitis and fatty liver infiltration/steatohepatitis diagnosis and management.

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Episode 232: Myasthenia Gravis Part 1

Medicine East Midlands — Mon, 04 Nov 2024 11:09:16 +0000

Dr Philip Ambrose, Consultant Neurologist, Nottingham Hospitals NHS Foundation Trust discusses Myasthenia Gravis, mainly overview and clinical presentation.

Episode 231: Hypothyroidism Dr. Mehreen Anwar

Medicine East Midlands — Fri, 25 Oct 2024 11:50:25 +0000

Hypothyroidism by Dr. Mehreen Anwar, specialist registrarin diabetes and Endocrinology

Episode 230: Hyponatraemia part 2

Medicine East Midlands — Fri, 18 Oct 2024 09:00:00 +0000

In this episode, Dr. Abhilash takes a deep dive into the approach for managing hyponatraemia, a common but often challenging condition. We’ll explore critical questions faced by clinicians in daily practice, including identifying signs and symptoms , assessing severity, and choosing the right treatment strategy. Tune in to gain practical tips that can make a real difference in patient outcomes.

Episode 228: IgG4 Related Disease

Medicine East Midlands — Fri, 11 Oct 2024 07:00:00 +0000

This week Dr Thomas Bond covers IgG4 related disease. A tricky, rare condition, which can often mimic other problems, IgG4 RD is difficult to diagnose if the differential doesn't cross your mind. Get the highlights in the episode of MEMCast!

Episode 229: Anticholinergic Burden

Medicine East Midlands — Sun, 06 Oct 2024 19:53:11 +0000

Join us this week as we unpick Polypharmacy and Anticholinergic Burden with Dr Anirudh Kumar, including how to monitor for side effects and make considered deprescribing decisions.

Episode 227: Neurocysticercosis

Medicine East Midlands — Sat, 28 Sep 2024 17:13:52 +0000

Dr Beili Shao, Academic clinical lecturer, University of Nottingham discussed about Neurocysticercosis and its presentation and diagnosis with us.

Episode 226: Osteoarthritis and pain management

Medicine East Midlands — Thu, 19 Sep 2024 22:20:30 +0000

Dr. Jason Cheong, rheumatology registrar QMC, will highlight the key aspects of osteoarthritis and mechanical pain and how to manage these painful conditions.

Episode 225: Hyponatraemia part 1

Medicine East Midlands — Fri, 13 Sep 2024 20:25:29 +0000

Join us as we explore hyponatraemia with Dr Abilash Sathyanarayanan

Episode 224: Osteoporosis Treatment

Medicine East Midlands — Fri, 06 Sep 2024 06:00:00 +0000

This week Dr Thomas Bond and Dr Harris Fayyaz return to go through osteoporosis management. If you want a breakdown of the varying therapies, from the old standby of bisphophonates to the newer treatments like romozosumab, then don't miss out on this one!

Episode 223: Investigating Osteoporosis

Medicine East Midlands — Fri, 30 Aug 2024 06:00:00 +0000

Prevention is better than a cure. Dr Thomas Bond is again joined by Dr Harris Fayyaz to talk about the ins and outs of osteoporosis. This week we cover not only how to pick out patients at risk of a fragility fracture, but also discuss all the secondary causes to be aware of when on take.

Episode 222: Opsoclonus Myoclonus Syndrome

Medicine East Midlands — Sat, 24 Aug 2024 14:54:37 +0000

I am Dr Sanjida Chowdhury, Specialty Registrar , Neurology . Today I discussed clinical presentation, investigations, treatment and prognosis of Opsoclonus Myoclonus Syndrome.

Episode 220: Autoinjectors

Medicine East Midlands — Fri, 16 Aug 2024 10:00:59 +0000

In this week’s episode, Lizzie and Rejoice, our East Midlands Allergy and Asthma nurses, join us again to talk to us about all things Autoinjectors.

Episode 219: Neutropenic sepsis and complications of chemotherapy

Medicine East Midlands — Fri, 09 Aug 2024 13:12:00 +0000

Dr. Muhammad Adeel Sarwar will take us through a journey of neutropenic sepsis and will briefly touch on immune checkpoint inhibitors at the end.

Episode 218: Genetic disorders and the kidney 1

Medicine East Midlands — Fri, 02 Aug 2024 05:36:31 +0000

We are joined by Dr. Osasuyi Iyasere to discuss genetic disorders, particularly those affecting the kidneys. We discuss approaches to identifying and managing these conditions, offering practical insights for healthcare professionals and MRCP candidates.

Episode 216: Cushing's disease and syndrome

Medicine East Midlands — Fri, 26 Jul 2024 12:00:00 +0000

Dr. Muhammad Asif Rao, our guest of the week will speak on a difficult yet fascinating topic. He will take you through a journey from introduction, physiology, clinical presentation, investigation, and management strategies.

Episode 214: Hematuria Part 2

Medicine East Midlands — Fri, 19 Jul 2024 09:00:00 +0000

Dr Faridul Islam discussed about investigations and management of Hematuria.

Episode 213: Skin Prick Testing

Medicine East Midlands — Fri, 12 Jul 2024 07:00:00 +0000

Join us in this week’s episode as Elizabeth Lace and Rejoice Sango talks to us about all things skin prick testing.

Episode 212: AxSpA Treatment

Medicine East Midlands — Fri, 05 Jul 2024 06:00:00 +0000

Tune in this week for the final episode of our three part AxSpA series. Dr Moorthy covers everything from exercise to etanercept, and gives all of us yet another good reason to go swimming!

Episode 211: Proteinuria

Medicine East Midlands — Fri, 28 Jun 2024 06:04:58 +0000

Dive into the latest episode of our podcast. This week, we delve into the fascinating world of proteinuria with Dr Haresh. Whether you're a medical professional or just curious about health topics, you won't want to miss this insightful discussion

Episode 215: AxSpA Investigations

Medicine East Midlands — Fri, 21 Jun 2024 08:00:00 +0000

Join us for part 2 of our 3 part AxSpA series! Dr Moorthy goes through the key investigations he orders for his AxSpA patients, and tells us exactly what information is required to make an AxSpA diagnosis!

Episode 216: Hematuria Part 1

Medicine East Midlands — Fri, 14 Jun 2024 19:29:01 +0000

This week Dr Faridul Islam is discussing a brief overview of hematuria including history taking.

Episode 214: Injectable HIV Medications

Medicine East Midlands — Fri, 07 Jun 2024 08:21:17 +0000

Join us in this week’s episode as Dr Lekshmy Pillai talks to us about the relatively new medications in HIV management.

Episode 213: Raynaud's phenomenon

Medicine East Midlands — Thu, 30 May 2024 23:16:35 +0000

Dr. Mahima Charan will talk about an interesting topic this week. Raynaud's phenomenon is frequently under recognized condition despite being prevalent in our community.

Episode 212: The Kidney Transplant Patient

Medicine East Midlands — Fri, 24 May 2024 12:44:03 +0000

Join us on the podcast as we welcome Dr. Yusuf Jinadu, a senior renal registrar at Leicester General Hospital. Dr. Jinadu provides expert insights into kidney transplants, discussing what it means to receive a transplant, the various types of transplants, and the essential steps for examining a patient with a transplanted kidney. Whether you're a medical professional or simply curious about kidney transplants, this episode offers valuable knowledge and perspectives.

Episode 211: Obesity Hypoventilation Syndrome and Obstructive Sleep Apnoea

Medicine East Midlands — Fri, 17 May 2024 06:00:00 +0000

This week Dr Darren Reed, a respiratory consultant from Northampton General Hospital discussed both OSA and OHS with us. We cover the mechanisms for both conditions, looking at the overlap and teasing apart the differences, before covering how to diagnose and treat these patients. This is definitely an episode you don't want to sleep on!

Episode 210: Gall Stones

Medicine East Midlands — Fri, 10 May 2024 23:40:02 +0000

Dr Tanvir Hossain, consultant surgeon, University Hospital Birmingham,, discussed Gall stones with us, highlighting its presentation, investigation and management.

Episode 209: Catastrophic Antiphospholipid Syndrome

Medicine East Midlands — Fri, 03 May 2024 13:06:31 +0000

Join us in this week’s episode as Rheumatologist, Dr Mohita Damany, talks to us about this rare condition.

Episode 208: AxSpA Diagnosis

Medicine East Midlands — Fri, 26 Apr 2024 06:00:00 +0000

This week Dr Arumugam Moorthy explains everything you need to know about the clinical history and examination of AxSpA patients. We cover key points of inflammatory back pain, important extra-articular symptoms and a structured examination for AxSpA patients.

Episode 207: Antiphospholipid Syndrome

Medicine East Midlands — Fri, 19 Apr 2024 13:05:34 +0000

Join us in this week’s episode as Dr Mohita Damany walks us through the ins and outs of Antiphospholipid Syndrome.

Episode 206: Obstructive Uropathy

Medicine East Midlands — Fri, 12 Apr 2024 07:00:00 +0000

This week, consultant urologist Mr Hari Ratan talks us through a case of obstructive uropathy.
Tune in work through the case and think what you would do...

Episode 205: Nephrotic Syndrome

Medicine East Midlands — Fri, 05 Apr 2024 06:00:00 +0000

This week we are joined by Dr Ismaa Kiani, to get some expert advice on how to classify nephrotic syndromes and when to suspect it. If you've ever wondered what to do next when you see lots of protein on a urine dip, this episode will give you the answers!

Episode 204: Subarachnoid Haemorrhage

Medicine East Midlands — Fri, 29 Mar 2024 09:00:00 +0000

In this episode, Dr James Shilston returns to talk us through the ins and outs of SAH.

Episode 202: Chronic Diarrhoea

Medicine East Midlands — Fri, 22 Mar 2024 08:00:00 +0000

Tune in to this week's episode of MEMcast with Dr Dennis Poon, a gastro registrar from the East Midlands, who is completing his PhD in chronic diarrhoea. We will discuss the definition, key points to ask in the history and important investigations to help differentiate between causes of chronic diarrhoea.

Episode 203: Stroke Mimics

Medicine East Midlands — Fri, 15 Mar 2024 07:00:00 +0000

In this weeks episode Dr Thomas Bond interviews Dr Dimple Shah about how to identify stroke mimics during notoriously stressful thrombolysis calls! We cover all the "S's" of stroke mimics, and discuss key points of the history and examination that will help you identify what really is and isn't a stroke.

Episode 201: Viral Haemorrhagic Fever

Medicine East Midlands — Fri, 08 Mar 2024 09:29:37 +0000

Join us in this week’s episode as Dr Elizabeth Hart returns to talk to us about Viral Haemorrhagic fevers and how to assess these patients.

Episode 200: TAVI (Transcatheter Aortic Valve Implantation )

Medicine East Midlands — Fri, 01 Mar 2024 21:10:56 +0000

We are joined by one of the TAVI specialists in Glenfield Hospital, Dr Rajendra, Consultant Cardiologist. Dr Raj is going to explain TAVI: procedure, indications and what is next for this incredible medical innovation that was first performed more than 20 years ago. Enjoy listening.

Episode 199: Haemophagocytic Lymphohistiocytosis

Medicine East Midlands — Fri, 23 Feb 2024 07:00:00 +0000

This week we are incredibly lucky to be joined by Dr Rachel Tattersall, consultant rheumatologist and Co-Chair of HiHASC, to talk about the dangers of Haemophagocytic Lymphohistiocytosis or HLH. This dangerous complication of multiple conditions has an exceptionally high mortality. Fortunately, we have picked Dr Tattersall's brains for all the best ways to identify and treat haemophagocytic lymphohistiocytosis. Tune in to learn more, and hear me try to pronounce the condition out loud!

Episode 198: Travel history

Medicine East Midlands — Fri, 16 Feb 2024 12:35:09 +0000

Join us as we talk through the in’s and out’s of the travel history with Infectious diseases consultant, Dr Elizabeth Hart.

Episode 197: Inhalers

Medicine East Midlands — Fri, 09 Feb 2024 08:00:00 +0000

In this episode we talk to Dr Patience Ehilawa, consultant respiratory physician at Nottingham University Hospital about inhalers. We discuss types of inhalers, with examples, recent changes to the asthma and COPD management, the green agenda and answer some of your questions submitted through our Instagram page @mem.cast

Please contact us with any questions, comments or requests, we love to hear from you!

Episode 196: Septic Arthritis

Medicine East Midlands — Fri, 02 Feb 2024 09:00:00 +0000

Join Dr Thomas Bond as he interviews Dr James Taylor, Rheumatology Consultant from Northampton General Hospital, for a whistlestop tour of all things septic arthritis. We cover the likely bugs you will encounter, common presentations and the best investigations and treatments. Tune in this week for the most emphatic take home point ever laboured in an episode, Dr Taylors pearls of wisdom are not to be missed!

Episode 195: Polymyalgia Rheumatica (PMR)

Medicine East Midlands — Fri, 26 Jan 2024 08:00:00 +0000

Join us in this week’s episode as Rheumatology Registrar, Dr Mohita Damany, gives us a quick run down of PMR.

Episode 194: Understanding clinical studies

Medicine East Midlands — Sat, 20 Jan 2024 18:32:12 +0000

Have you ever felt a bit overwhelmed when trying to read a research paper in order to guide your practice? We hope our discussion with Dr Daniel Pan simplifies clinical studies for you and makes it easier to read research studies.

Episode 193: Knee Aspiration

Medicine East Midlands — Fri, 12 Jan 2024 08:35:35 +0000

This week Dr Thomas Bond goes over everything your kneed to know about knee aspiration. We cover indications, technique and post procedural care.

Episode 192: Helminth Infections Part 2

Medicine East Midlands — Fri, 15 Dec 2023 08:00:00 +0000

Join us in this episode as Dr Francesca Heard returns to talk us through the clinical presentation, investigations and management of helminth infections.

Episode 191: Introduction to clinical research

Medicine East Midlands — Sat, 09 Dec 2023 19:41:28 +0000

In this episode we are happy to be joined by Dr Daniel Pan, Infectious Diseases Registrar in Leicester. Dr Pan is currently doing an OOP PhD and is here to share his personal experience with clinical research and academic pathway with loads of tips for those interested. Get to know more about clinical research to see if this might be an option for you in the future.

Management of Heart Failure with Reduced Ejection Fraction

Medicine East Midlands — Fri, 01 Dec 2023 15:07:09 +0000

This week Dr Tom Bond sits down with Dr Mrinal Thakur to review how best to manage heart failure with reduced ejection fraction. This episode focuses on the long term management rather than acutely decongesting patients. We talk about how to initiate prognostic therapy as an inpatient, which patients will need ferinject, and lots more! Tune in to learn how to keep HF patients decongested and out of hospital!

Episode 190: Helminth Infections Part 1

Medicine East Midlands — Fri, 24 Nov 2023 08:00:00 +0000

Join us in this week’s episode, where Dr Francesca Heard explains to us the overview of Helminth Infections.

Episode 189: Diabetes Complications

Medicine East Midlands — Fri, 17 Nov 2023 09:00:00 +0000

Join us this week on MEMcast where we discuss complications associated with Diabetes.
Dr Tom Crabtree, diabetes and endocrine registrar at Derby hospital discusses the acute and chronic complications of diabetes, further divided into microvascular, macrovascular and mixed complications. Listen to the end to hear about the 9 care processes for diabetes care!

Episode 188: Managing Cystic Fibrosis Exacerbations

Medicine East Midlands — Fri, 10 Nov 2023 10:25:57 +0000

This week Dr Thomas Bond is joined by Dr William Flowers, who provides a crash course in managing cystic fibrosis exacerbations on the acute take. They cover key points in the history how to interpret CRPs, what antibiotic therapies are recommended in these complex patients. Tune in for some super suppurative lung disease!

Episode 187: IgA vasculitis

Medicine East Midlands — Sun, 05 Nov 2023 11:42:41 +0000

We are delighted to be joined by Dr Shingai Pepereke, Consultant Nephrologist in Leicester this week. Dr Pepereke will talk us through IgA vasculitis also known as Henoch Schonlein Purupura (HSP): presentation, diagnosis and management, focusing on renal involvement. Enjoy listening.

Episode 186: Glaucoma

Medicine East Midlands — Fri, 27 Oct 2023 13:44:07 +0000

Join us in this week’s episode where Dr Beverley Cheung walks us through the ins and outs of Glaucoma.

Episode 185: Classification of Haemolytic Anaemia

Medicine East Midlands — Fri, 20 Oct 2023 07:40:18 +0000

Welcome to this weeks whistlestop tour of haemolytic anaemias! Dr Tom Bond picks Dr Aritri Mandal's brains to understand how the varying types of haemolytic anaemias are classified. In this episode we talk about the pathophysiology of various haemolytic anaemias and touch on initial investigations. Listen in to hear about everything from TTP to G6PD!

Episode 184: Central Line Insertion

Medicine East Midlands — Fri, 13 Oct 2023 07:00:00 +0000

Join us in this week’s episode, as Dr Puja Chhaniyara walks us through everything Central lines!

Episode 183: 5 Common Peritoneal Dialysis topics

Medicine East Midlands — Sat, 07 Oct 2023 08:54:38 +0000

This week your MEM host Dr Cristina Cusu, renal registrar in Leicester, gives you a quick round down on common topics discussed around peritoneal dialysis. Enjoy listening.

Episode 182: Hypertensive Emergency

Medicine East Midlands — Fri, 29 Sep 2023 05:00:00 +0000

In this episode, Dr Abdul Wahab and Dr Atwal discusses about what is hypertensive emergency and its management. Don't forget to check out our "Question of the week" in our Instagram page #mem.cast

Episode 181: ANCA Positive Vasculitis

Medicine East Midlands — Fri, 22 Sep 2023 10:34:09 +0000

Want to know your MPO from your MPA? In this episode Dr Thomas Bond interviews Dr Harris Fayyaz, a rheumatology registrar from Northampton General Hospital, and delves into the details of ANCA positive vasculitis. We talk about how ANCA initiates an inflammatory response, how patients will present to the take, and how we treat this potentially devastating disease.

Episode 179: Cauda Equina Vs Cord Compression

Medicine East Midlands — Fri, 15 Sep 2023 07:00:00 +0000

In this week’s episode, Dr Rohi Shah joins us again to explain the difference between Cauda Equina syndrome and cord compression syndrome.

Episode 180: PACES 2023 format + tips

Medicine East Midlands — Fri, 08 Sep 2023 07:51:38 +0000

The NEW PACES 2023 FORMAT IS NOW LIVE. Listen to this weeks episode with Dr Rachel Saville to find out all about it! We will explain the changes to the circuit, what happens in each of the stations, highlight common pitfalls for candidates and recommend some tips on how to prepare. Good luck for your exams!

Episode 178: Hypertensive Urgency

Medicine East Midlands — Fri, 01 Sep 2023 05:00:00 +0000

In this episode, Dr. Abdul Wahab and Dr. Atwal discuss hypertensive urgency and how to differentiate it from hypertensive emergency.

Before listening to this episode, be sure to check out the question of the week on our Instagram page @mem.cast.

Episode 177: Cardiac Pacing

Medicine East Midlands — Fri, 25 Aug 2023 06:08:07 +0000

Join Dr Thomas Bond as he interviews cardiology registrar Dr Mrinal Thakur about cardiac pacing. We cover the various kinds of pacing, how to manage the bradycardic patient on-call and discuss what kinds of devices may be implanted in bradycardic patients.

Episode 176: Necrotising Fasciitis vs Cellulitis

Medicine East Midlands — Fri, 18 Aug 2023 07:00:00 +0000

Join us in this week’s episode, where Dr Rohi Shah walks us through the diagnostic uncertainty that is Necrotising fasciitis vs cellulitis.

Episode 175: QI steps and PDSA

Medicine East Midlands — Fri, 11 Aug 2023 08:53:58 +0000

In this episode we continue our discussion about Quality Improvement with Dr Choudhury, Respiratory Consultant and Deputy Medical Director for quality and safety at University hospitals of Derby and Burton.

Today we discuss stages to a QI project, PDSA cycles and useful resources for your own QI journey!

Other QI resources:
- Twitter: #QITwitter @AklakC @QIPstart
- www.QIPstart.com
- NHS elect website: https://www.nhselect.nhs.uk/
- Local support in your own trust
- Q community (search for people in your trust with QI interest): https://q.health.org.uk/
- RCP Medical care driving change: https://www.rcplondon.ac.uk/projects/medical-care-driving-change
- RCP QI: https://www.rcplondon.ac.uk/projects/rcp-quality-improvement-rcpqi
- Institute of healthcare improvement (US): https://www.ihi.org/
- Faculty of medical leadership: https://www.fmlm.ac.uk/
- Virginia mason Institute: https://www.virginiamasoninstitute.org/about/ https://www.england.nhs.uk/sustainableimprovement/virginia-mason-institute-partnership/
- NHS improvement: https://www.england.nhs.uk/

Episode 174: Thrombotic thrombocytopaenic purpura (TTP)

Medicine East Midlands — Sat, 05 Aug 2023 13:08:00 +0000

We are happy to be joined this week once again by Dr Tom Skinner, Haematology SpR. Dr Skinner is going to give us a brief summary of diagnosis and management of a rare but life threatening haematological emergency, TTP. Enjoy listening.

Episode 172: Systemic Sclerosis

Medicine East Midlands — Fri, 28 Jul 2023 07:00:00 +0000

In today’s episode, Dr Innocent Munzeiwa joins us again to walk us through Systemic sclerosis and its management.

Episode 173: Getting started with QI

Medicine East Midlands — Fri, 21 Jul 2023 12:05:47 +0000

Join us this week on MEMcast as we talk to QI royalty, Dr Aklak Choudhury from Derby Royal Hospital. This episode will help you understand the difference between QI and audit, and give you some tip on how to get started with your own QI project!

Episode 171: Progression to End Stage Renal Disease

Medicine East Midlands — Sun, 16 Jul 2023 09:57:21 +0000

Your MEM host Dr Cristina Cusu, Renal Registrar in Leicester, discussed progression to end stage renal failure, symptoms, how these patients are managed by the renal team and what you should be looking out for when you see these patients during on calls. Enjoy listening.

Episode 168: Dermatomyositis

Medicine East Midlands — Fri, 07 Jul 2023 07:00:00 +0000

Join us in the week’s episode where Rheumatology registrar, Dr Innocent Munzeiwa, gives us the run through on Dermatomyositis.

Episode 170: Antiemetics - part 2

Medicine East Midlands — Fri, 30 Jun 2023 07:00:00 +0000

One of our palliative care registrars in the East Midlands, Dr Connie Gillman, talks about antiemetics - in this episode we discuss special circumstances, contraindications and side effects.

Episode 169: Haemodialysis emergencies

Medicine East Midlands — Sat, 24 Jun 2023 07:15:48 +0000

We are delighted to be joined once again by Professor James Burton, Nephrology Consultant in Leicester to discuss common issues in haemodialysis patients that you might encounter during your on calls. Enjoy listening.

Episode 167: Chest Drain

Medicine East Midlands — Fri, 16 Jun 2023 07:00:00 +0000

In this episode, our host, Dr Demi Wright, talks us through the in’s and out’s of chest drains.

Episode 166: Antiemetics - part 1

Medicine East Midlands — Fri, 09 Jun 2023 20:37:54 +0000

It gives us great pleasure to introduce Dr Connie Gillman, a palliative care registrar in the East Midlands who is going to shed some light on antiemetics this week. We will be discussing how to choose the right one for your patient.

Thinking about mechanisms of action, receptors and side effects... give it a listen and leave us any feedback in the comments!

Episode 165: Interstitial lung disease management

Medicine East Midlands — Fri, 02 Jun 2023 19:01:25 +0000

We are joined by Dr Fasi Khan, Respiratory Consultant at Glenfield Hospital for the second part of our interstitial lung disease podcast. We discuss management, focusing on IPF. Enjoy listening.

Episode 164: Lumbar Puncture

Medicine East Midlands — Fri, 26 May 2023 07:00:00 +0000

Join us in this week’s episode as Dr James Morris joins us again to talk to us about Lumbar punctures.

Episode 163: PE followup and CTEPH

Medicine East Midlands — Fri, 19 May 2023 09:12:38 +0000

In this episode, respiratory registrar and MEMcast host Dr Rachel Saville explains an approach to PE followup. Find out how to assess a patient's risk for future PEs, and why there is a shift towards recommending lifelong anticoagulation in unprovoked PE. Finally, you will learn about one of the complications of PE, CTEPH.
Happy listening!

Episode 162: How to Prepare for PACES

Medicine East Midlands — Fri, 12 May 2023 13:00:00 +0000

Join us in this week’s podcast, where MEMCast hosts, Dr Rachel Saville, Dr Cristina Cusu and Dr Demi Wright talk about their experiences and advice for preparing for the PACES examination.

Episode 161: Introduction to ILD

Medicine East Midlands — Sat, 06 May 2023 08:04:41 +0000

We are delighted to welcome Dr Fasi Khan, Consultant Respiratory Physician in Glenfield Hospital, Leicester. Dr Khan will discuss interstitial lung disease with us, focusing on IPF diagnosis and investigations. Enjoy listening.

Episode 160: Smoking Cessation

Medicine East Midlands — Thu, 27 Apr 2023 10:46:19 +0000

It was a delight to speak to Ian Ferris on MEMcast this week, who is the smoking cessation team lead at Kings Mill Hospital in the East Midlands. This episode explains ‘Very Brief Advice’ and what behavioural support and medications are available to help people quit.

Episode 159: Stable Angina Management

Medicine East Midlands — Fri, 21 Apr 2023 12:07:07 +0000

In this week’s episode, Dr Bowman talks through another of the NICE chest pain guidelines: CG126 (2016) – which covers the management of Stable Angina.

We’re not talking about primary prevention of coronary artery disease; we’re talking about symptom management of stable angina.

We’ll discuss:

· Drugs

· Lifestyle modifications

· Invasive management options

Have a go at our Multiple Choice Question over on our Instagram page @mem.cast. If you enjoyed this episode, please like/subscribe/share with your friends!

Episode 158: Investigating Stable Angina

Medicine East Midlands — Fri, 14 Apr 2023 11:35:00 +0000

Did you get our question of the week right over on our instagram page?
If you haven't had a go, check it out @mem.cast to test your knowledge before listening to this weeks episode...

Dr Bowman and Dr Saville discuss Stable Angina in more detail, focussing on the investigations most appropriate in this setting. Happy listening!

Episode 157: NICE guidelines - CG95 Chest Pain

Medicine East Midlands — Fri, 07 Apr 2023 19:59:21 +0000

Introducing Dr Richard Bowman, one of our MEMcast team and Acute Medical Registrar in the East Midlands. We talk about NICE guidelines in this episode, with an introduction to the chest pain clinical guideline - NICE CG95.

Find out:
- How and why NICE guidelines are written
- Why NICE guidelines might be different to the protocols / guidelines in your local hospital
- How to risk stratify your patient with chest pain and where that patient should be seen: GP / SDEC / A+E

Episode 156: Reflection

Medicine East Midlands — Sun, 02 Apr 2023 07:36:48 +0000

In the last of our 6-part series on Clinical Reasoning with Dr Nicola Cooper, we discuss metacognition, reflection, and how it influences our decision making.

Whilst knowledge definitely matters in diagnosing and managing cases, research in psychology shows other things matter too. As well as motivation (including empathy), mood, ambient conditions and cognitive style has a significant impact – our tendency to look for evidence, weigh things up, be aware of context, have a healthy scepticism about other people’s diagnoses, and think about our own thinking. While some people are naturally good at this, others are not.

BUT... these are skills that can be cultivated by the way we teach/supervise during case-based learning! Listen here to find out more...

Episode 155: Escalation of care in practice

Medicine East Midlands — Fri, 24 Mar 2023 12:56:38 +0000

Join us again this week, we continue from last week's episode and discuss a few cases to explain the principles of escalating care in our daily practice. We are delighted to have Dr Latif Rahman join us once again. Listen for some valuable advice and clinical examples. Enjoy listening.

Episode 154: Escalation of care principles

Medicine East Midlands — Sat, 18 Mar 2023 10:57:32 +0000

Join us this week for an excellent episode on the principles of escalation of patients that need enhanced care. Dr Latif Rahman, Chief Registrar in Leicester Hospitals explains his process of thinking. Extremely valuable for your on calls.

Episode 153: AKI in pregnancy

Medicine East Midlands — Sat, 11 Mar 2023 17:04:11 +0000

We are delighted to welcome Professor Sue Carr, Consultant Nephrologist at Leicester General Hospital. We are discussing acute kidney injury in pregnancy, how to diagnose it and how we as physicians, can manage it without being overwhelmed. Essential episode to download/listen.

Episode 152: Cognitive Bias

Medicine East Midlands — Sat, 04 Mar 2023 20:50:38 +0000

This week, Dr Cooper (Acute Medical Consultant and Associate Professor of Medical Education at the University of Nottingham) joins MEMcast to discuss cognitive biases.

Do cognitive biases help or hinder?
How much do they contribute to diagnostic error compared with knowledge deficits?
Listen here to find out more...

Episode 151: Pulmonary hypertension- treatment and outcome

Medicine East Midlands — Sat, 25 Feb 2023 10:08:21 +0000

We are delighted to be joined this week once again by Dr Patrick Davey Consultant Cardiologist. We are discussing management and outcome of pulmonary hypertension in this second part of our Pulmonary Hypertension podcast. Enjoy listening,

Episode 150: Problem Representation

Medicine East Midlands — Sat, 18 Feb 2023 15:39:56 +0000

Listen here to our latest episode of MEMcast. Dr Nicola Cooper talks about Problem Representation – what it is and why it matters... Language and memory are heavily intertwined. The language we use when representing a problem mentally (before trying to solve it) makes a dramatic difference to diagnostic accuracy, especially in complex cases.

Episode 149: Pulmonary hypertension diagnosis

Medicine East Midlands — Sat, 11 Feb 2023 08:49:20 +0000

We are delighted to welcome back Dr Davey, Consultant Cardiologist to discuss pulmonary hypertension diagnosis. This is the first out of 2 parts so please stay tuned as we discuss management and outcome in one of our next episodes. Enjoy listening.

Episode 148: Depression

Medicine East Midlands — Sat, 04 Feb 2023 12:13:53 +0000

Dr Tanzida Haque gave us a brief overview of Depression.

Episode 147: Choosing and Interpreting Diagnostic Tests

Medicine East Midlands — Fri, 27 Jan 2023 19:05:17 +0000

Studies show even qualified Health Care Professionals are poor at understanding basic concepts such as sensitivity, specificity (measures of test accuracy) and issues to do with probability…
Do you know what Bayes’ Theorem is?
Do you know your predictive values?
Why can even highly sensitive tests miss diseases?

Listen to the weeks episode of MEMcast with Dr Rachel Saville and Dr Nicola Cooper to find out!

Episode 146: Evidence Based History & Examination

Medicine East Midlands — Fri, 20 Jan 2023 19:54:33 +0000

This weeks episode of MEMcast with Dr Rachel Saville and Dr Nicola Cooper discusses the problems of teaching history and examination skills in its 'traditional' format, and how it can contribute to diagnostic error. We let you know where to find the info you need to practice evidenced based medicine yourselves. Don't forget to subscribe to MEMcast or follow us on instagram @mem.cast so you don't miss an episode!

Episode 145: Heart Block

Medicine East Midlands — Sat, 14 Jan 2023 13:10:01 +0000

On this episode Dr Rafid Ahmed, Trainee Specialty Registrar, talks us through an overview of heart blocks and how to approach as junior doctors.

Episode 144: An Introduction to Clinical Reasoning

Medicine East Midlands — Fri, 16 Dec 2022 21:14:47 +0000

In this episode, we welcome Dr Nicola Cooper to MEMcast for the first of 6 episodes on Clinical Reasoning - explaining what it is and what it isn’t, the problem of diagnostic error and discussing the international consensus that Clinical Reasoning needs to be taught explicitly and systematically in the healthcare professions.

Episode 143: ITP

Medicine East Midlands — Sat, 10 Dec 2022 09:37:29 +0000

We are happy to be joined once again by Dr Tom Skinner, Haematology Registrar in Taunton and Somerset. Dr Skinner is going to discuss immune thrombocytopaenic purpura or ITP and go through diagnosis and management. Have a listen to improve your haematology knowledge, excellent discussion if we may say so ourselves.

Episode 142: Motor Neuron Disease Part 2

Medicine East Midlands — Sat, 03 Dec 2022 13:23:03 +0000

On this episode we covered the presentations, diagnostic criteria, investigation, treatment and prognosis of MND. Dr Hina Khan, Specialty Registrar, Nottingham University Hospitals NHS Foundation Trust has delivered this very informative talk.

Episode 141: Paraneoplastic syndromes

Medicine East Midlands — Fri, 25 Nov 2022 07:37:06 +0000

In this episode of MEMcast, we discuss paraneoplastic syndromes associated with lung cancer with guest speaker, Dr Emma O'Dowd (consultant respiratory physician at NUH) and your host, Dr Rachel Saville. Listen here to learn a little about lambert eaton myaesthenic syndrome, limbic encephalitis and hypercalcemia and more.

Episode 140: Coarctation of Aorta

Medicine East Midlands — Fri, 18 Nov 2022 22:05:50 +0000

We are happy to be joined by Dr Radek Debiec Cardiology and Congenital heart disease registrar at Glenfield hospital. Dr Debiec is going to discuss Coarctation of Ao- diagnosis and management. Listen to know more about one of the most common congenital heart disease.

Episode 139: Posterior Reversible Encephalopathy Syndrome (PRES)

Medicine East Midlands — Sat, 12 Nov 2022 16:11:44 +0000

Posterior reversible encephalopathy syndrome (PRES) is a clinico-radiological syndrome characterized by a headache, seizures, altered mental status and visual loss.
This week we have Dr Mahjabin Islam, Academic Clinical Fellow , NIHR, currently working at Sheffield Teaching Hospitals, guiding us through PRES.

Episode 138: Pleural infection

Medicine East Midlands — Fri, 04 Nov 2022 11:14:53 +0000

Listen to our latest episode on pleural infection, with our guest speaker Dr Nicola Downer (consultant respiratory physician at Kings Mill Hospital). Find out how to interpret pleural taps, get yourself up to date with the new BTS guidelines on pleural infection and its management, and learn when to involve the surgeons or consider intra-pleural therapies.

Episode 137: Early inflammatory arthritis

Medicine East Midlands — Sat, 29 Oct 2022 10:55:45 +0000

We are delighted to be joined once again by Dr Ameen Jubber, Consultant Rheumatologist at Leicester. Dr Jubber is going to discuss early inflammatory arthritis in general and give us a rheumatoid arthritis refresher in particular.

Episode 136: Migraine

Medicine East Midlands — Sat, 22 Oct 2022 10:10:08 +0000

Migraine is a common disabling condition that is often encountered in clinical settings. This week we have Dr Mahjabin Islam, NIHR academic fellow, currently working in Sheffield Teaching Hospitals, discussing about migraine.

Episode 135: Home oxygen

Medicine East Midlands — Fri, 14 Oct 2022 07:45:02 +0000

This week, Dr Rachel Saville (Respiratory Registrar) explains the 2015 BTS guidance for home oxygen, the difference between LTOT and SBOT, NOT, and AOT! She describes the recommendations for blood gas testing, followup and runs though a 'standard' home oxygen prescription. Happy listening!

Episode 134: Anaemia of CKD

Medicine East Midlands — Sat, 08 Oct 2022 20:50:24 +0000

This week one of your MEM hosts Dr Cristina Cusu, Renal Registrar in Leicester, speaks to you about causes and management of anaemia in patients with advanced chronic kidney disease. Enjoy listening.

Episode 133: Motor Neuron Disease Part 1

Medicine East Midlands — Sat, 01 Oct 2022 21:34:27 +0000

On this episode , Dr Hina Khan is discussing about Motor neuron Disease , it's pathophysiology, variants and clinical features and presentation.

Episode 132: A new diagnosis of Type 1 Diabetes

Medicine East Midlands — Thu, 22 Sep 2022 12:34:43 +0000

Dr Tom Crabtree and Dr Rachel Saville discuss the new diagnosis of type 1 diabetes. When to think about it, what tests to arrange and how to get your patients into follow-up and started on insulin!

Episode 131: Cardio-renal syndrome (CRS)

Medicine East Midlands — Fri, 16 Sep 2022 19:35:02 +0000

This week we are happy to welcome Dr Matthew Graham-Brown Consultant Nephrologist in Leicester (Glenfield and Leicester General Hospital). Dr Graham-Brown is going to discuss Cardio-Renal Syndrome (CRS) with us, we all in medicine encounter the clinical conundrum of a patient that is fluid overloaded and might have acute or chronic kidney or heart failure. Listen to this excellent talk for tips on how to manage this clinical situation.

Episode 130: Point Of Care Ultrasound (POCUS)

Medicine East Midlands — Sat, 10 Sep 2022 14:02:48 +0000

Point-of-care ultrasound is rapidly gaining an evidence base to support its use as an aide to traditional management techniques in the acutely unwell adult patients. This episode DR Latif Raiyan Rahman talks about POCUS and its implications, limitations and training opportunities.

Episode 129: Neurofibromatosis Type 1

Medicine East Midlands — Fri, 02 Sep 2022 06:42:03 +0000

Geneticist, Dr Nora Shannon, joins your MEMcast host, Dr Rachel Saville to discuss the diagnosis of Neurofibromatosis type 1. We discuss its inheritance pattern and the diagnostic criteria, and how to distinguish from NF2 in your practice and your exams!

Episode 128: Cardiac arrhythmia in context of syncope

Medicine East Midlands — Sat, 27 Aug 2022 18:31:58 +0000

In this episode Dr Sharon Man joins Dr Cristina Cusu once again to continue discussion on cardiac syncope, discussing cardiac arrhythmia in context of syncope. Narrow complex tachycardia, broad complex tachycardia, bundle branch block, AV block all discussed in this episode and we finish with other investigations like ECHO or EP studies. Enjoy listening.

Episode 127: Guillian Barre Syndrome : Part 2

Medicine East Midlands — Sat, 20 Aug 2022 14:20:10 +0000

Dr Hina Khan is giving an informative talk on GBS -diagnostic criteria,investigation, treatment and prognosis.

Episode 126: Huntingtons Disease

Medicine East Midlands — Fri, 12 Aug 2022 10:51:54 +0000

This week's MEMcast host, Dr Rachel Saville is joined by genetic councillor, Keri Oliver to talk about Huntingtons Disease.

We discuss:
- Confidentiality and communication skills: Think PACES communication and ethics station!
- Diagnostic vs predictive testing
- Counselling
- Inheritance and impact of a diagnosis

Episode 125: Cardiac syncope

Medicine East Midlands — Fri, 05 Aug 2022 20:54:52 +0000

We are delighted to be joined by Dr Sharon Man, senior cardiology registrar in East Midlands. Dr Man is going to discuss syncope in general and cardiac syncope in particular: epidemiology, history taking and high risk features. We are going to be lucky and get her to join in for one of our next episode to discuss rhythm abnormalities in context of syncope. Enjoy listening.

Episode 124: Guillian Barre Syndrome : Part 1

Medicine East Midlands — Fri, 29 Jul 2022 23:43:56 +0000

Guillian Barre Syndrome is a neurological emergency which consists of heterogeneous clinical syndromes characterized by acute immune mediated polyneuropathy.

Episode 123: Metabolic acidosis

Medicine East Midlands — Fri, 22 Jul 2022 12:02:36 +0000

Dr Dale Gardiner, a Consultant Intensivist at Nottingham University Hospitals, joins us for an engaging discussion regarding Metabolic Acidosis, the use of the Boston Rule to assess for appropriate compensation, and when to be most worried!

Episode 122: Ep 117 - Introduction to sexual health

Medicine East Midlands — Sat, 16 Jul 2022 19:31:33 +0000

We are happy to be joined by Dr Claire Stewart Sexual health and HIV registrar in the East Midlands, for a special episode. We are discussing history taking and examination in sexual health, something we do not perform routinely unfortunately. Dr Stewart will also discuss key conditions we should be considering according to signs and symptoms and also touches on time frame for screening for STIs. Excellent episode, enjoy listening.

Episode 121: Tertiary Asthma Management

Medicine East Midlands — Fri, 01 Jul 2022 11:33:34 +0000

Dr Queenie Pang, a respiratory registrar in the East Midlands, talks to us about referrals in to tertiary care for asthma management. We talk a little about her research into Mepolizumab, when it would be used and how it works, and the MDT approach to severe asthma management.

Episode 120: Gout

Medicine East Midlands — Sat, 25 Jun 2022 14:26:16 +0000

We are delighted to be joined once again by Dr Ameen Jubber, Rheumatology registrar in East Midlands. Dr Jubber is going to give us a quick overview of one of the most common inflammatory arthritis - gout. Listen to this excellent talk about diagnosis and treatment.

Episode 119: Viral Encephalitis

Medicine East Midlands — Sat, 18 Jun 2022 12:53:21 +0000

Viral Encephalitis is inflammation of brain caused by viruses. It commonly presents with Headache, altered mental state, fever, and/or seizures.

Episode 118: Hypoglycaemia

Medicine East Midlands — Fri, 10 Jun 2022 07:54:51 +0000

Hypoglycemia is common in hospitalised patients and is associated with worse outcomes, including increased mortality. Dr Tom Crabtree, one of our diabetes registrars in the East Midlands, gives us an overview of hypoglycaemia - its recognition, possible causes and management options.

Episode 117: Idiopathic Intracranial Hypertension

Medicine East Midlands — Fri, 03 Jun 2022 15:45:57 +0000

Idiopathic Intracranial Hypertension (IIH) is is a disorder of increased intracranial pressure that occurs mainly in overweight women of childbearing years. Having the commonest presentation of headache, we encounter of these patients quite often in acute setting. On this episode , we are talking about how we should approach in diagnosis and management.

Episode 116: Ep. 111 - Clinical management of ADPKD

Medicine East Midlands — Sat, 28 May 2022 11:21:24 +0000

We are delighted to be joined this week by Dr Os Iyasere, Consultant Nephrologist in Leicester. Dr Iyasere will enlighten us on how to diagnose and manage patients with polycystic kidneys. Wonderful insight into autosomal dominant polycystic kidney disease. Enjoy listening.

Episode 115: Antibiotic Stewardship

Medicine East Midlands — Fri, 20 May 2022 08:57:16 +0000

This week we have the pleasure of introducing the latest member of the MEMcast team - Dr Rodric Francis! Rodric is a microbiology and infectious diseases registrar in the East Midlands, and in this episode we talk about antibiotic resistance mechanisms and the importance of antibiotic stewardship.

Episode 109: A neurological approach to Bilateral Leg Weakness

Medicine East Midlands — Sat, 14 May 2022 10:46:54 +0000

We often encounter patients presenting with bilateral leg weakness in emergency department, ward and clinic. If we have a good systematic approach , we will be more confident to reach differentials and outline a management plan.

Episode 114: Ep. 108 - Obesity in type 2 diabetes

Medicine East Midlands — Sat, 07 May 2022 17:37:50 +0000

We return this week with doctor Dimitris Papamargaritis, we are discussing obesity management in context of type 2 diabetes. You are going to hear about the most important studies like Look ahead and SOS (Swedish Obese Subjects) and what we have learnt over the years about management of diabetes and obesity plus new treatments in pipeline. Essential listening.

Episode 113: Ep. 107 - Obesity

Medicine East Midlands — Sat, 30 Apr 2022 09:17:05 +0000

We are happy to welcome Dr Dimitris Papamargaritis this week, one of the National Institute for Health and Care Research (NIHR) Academic clinical lecturer in Diabetes and Endocrinology in the East Midlands. Doctor Papamargaritis will explain obesity - causes, management options and future treatment options.

Episode 112: Cerebral Venous Sinus Thrombosis

Medicine East Midlands — Sat, 23 Apr 2022 05:25:42 +0000

We often encounter patients presenting with Headache, then gradually developing focal neurological deficit and/or seizure. Because of its variable clinical presentation, diagnosis of CVST is challenging. However if timely diagnosed and treated, it can lead to very good recovery.

Episode 111: PACES Abdominal Station - Gastro

Medicine East Midlands — Fri, 15 Apr 2022 15:19:06 +0000

We talk to Dr Andrew Spence, a senior gastro registrar about things to look out for in the PACES abdominal station from a Gastro point of view, with a few tips on how to prepare for this station in your revision.

Episode 110: Acute Exacerbation of COPD

Medicine East Midlands — Fri, 08 Apr 2022 21:19:51 +0000

As junior doctors we encounter patients with acute exacerbation of COPD in ward on a daily basis. Dr Omid Khan, specialty registrar of Acute Medicine, will guide us the management plan of acute exacerbation of COPD from admission to discharge. This podcast will not only help us to manage the patients more confidently, but also prepare us for MRCP examination.

Episode 109: Ep. 103 - Aortic dissection

Medicine East Midlands — Fri, 01 Apr 2022 20:28:21 +0000

We are joined by Dr Patrick Davey, Cardiology Consultant, once again this week. We are going to discuss how to diagnose Aortic dissection, one of the most feared medical emergencies. Essential listening for on calls, what to do from a medical point of view if you encounter this rare condition and how to get them to the right team under the cardiovascular surgeons.

Episode 108: Ep 102 - Hereditary cancers

Medicine East Midlands — Fri, 25 Mar 2022 08:00:08 +0000

We continue with the genetics theme this week as Dr Rachel Harrison and Dr Claire Searle (consultant geneticists at NUH) talk us through some of the hereditary cancers and the importance of taking a thorough family history.

Episode 107: Ep 101 - Marfan Syndrome

Medicine East Midlands — Fri, 18 Mar 2022 10:43:14 +0000

We welcome Dr Nora Shannon, a consultant geneticist based at Nottingham University Hospitals for this weeks episode of MEMcast. We will discuss the diagnostic criteria for Marfan syndrome, and important follow-up practices to monitor for complications.

Episode 106: Ep. 100- CKD risk equation and when to refer to a nephrologist

Medicine East Midlands — Sun, 13 Mar 2022 15:42:13 +0000

Another milestone, our 100th episode, do not forget to follow us on social media on Instagram @mem.cast and on Twitter @mem_cast, all feedback is welcome. We are joined this week by Dr Rupert Major Consultant Nephrologist at Leicester General Hospital and we are going to discuss CKD risk assessment and when to refer to renal.

Episode 105: Ep 99- Schizophrenia

Medicine East Midlands — Sun, 06 Mar 2022 15:36:42 +0000

In this week’s episode, Dr Monika Gorny talks to us about the diagnosis and management of Schizophrenia.

Episode 104: Ep 98 - Genetic Testing

Medicine East Midlands — Sat, 26 Feb 2022 18:59:08 +0000

Do you know the difference between diagnostic, predictive and carrier testing? Or who you should refer to the Genetics team? We welcome our guest, Dr Abhijit Dixit, a consultant geneticist in the East Midlands to help us find out more...

Episode 103: Ep. 97 - Renal bone disorder

Medicine East Midlands — Fri, 18 Feb 2022 21:54:53 +0000

We are delighted to welcome Professor James Burton, Nephrology Consultant at Leicester General Hospital, this week. Prof Burton is going to talk to us about CKD associated Mineral Bone Disorder. Get to know parathyroid, calcium and phosphate interactions in context of kidney disease. Simplified version with valuable advice on how to see beyond the creatinine in end stage renal failure. Enjoy listening!

Episode 102: Disturbed Behaviour Part 2: Mental Capacity and Mental Health Acts

Medicine East Midlands — Fri, 11 Feb 2022 16:40:07 +0000

Join us as Dr Jeremy Greening returns to talk to us about the legal aspects of Disturbed behaviour.

Episode 101: Ep. 95 - Hypertension

Medicine East Midlands — Fri, 04 Feb 2022 19:43:39 +0000

We are happy to welcome Dr Chok Thaitirarot, Cardiology SpR in East Midlands to discuss hypertension. A concise episode on treatment of hypertension and hypertension emergencies. Enjoy listening!

Episode 100: Ep 94 - Mitral Regurgitation

Medicine East Midlands — Fri, 28 Jan 2022 09:08:45 +0000

Listen here to revise your knowledge Mitral Regurgitation:
- Primary and secondary disease
- Complications
- Clinical recognition
- Investigations
- Management: Medical, interventional and surgical

Episode 99: Disturbed Behaviour

Medicine East Midlands — Fri, 31 Dec 2021 12:07:36 +0000

In this week's episode, Dr Jeremy Greening talks to us about the approach to the patient with Disturbed Behaviour.

Episode 98: Ep. 92 - Malaria

Medicine East Midlands — Fri, 24 Dec 2021 06:41:15 +0000

This festive week we are joined by Dr Aleem Ahmed, Infectious Diseases Registrar in the East Midlands, to discuss malaria - differentials, diagnosis and treatment. One not to miss before we take a break for the holidays. Enjoy listening and have a Merry Christmas and a Happy New Year.

Episode 97: Ep 91 - Mitral Stenosis

Medicine East Midlands — Fri, 17 Dec 2021 19:58:51 +0000

This weeks episode with Cardiology Registrar, Dr Fran Doleman gives us a succint summary of Mitral Stenosis. We cover it's main causes, recap the anatomy and clinical presentation and talk about medical and surgical management.

Episode 96: Immunosuppression

Medicine East Midlands — Fri, 10 Dec 2021 13:58:42 +0000

In this week’s episode, Dr Sudipto Das talks to us about the practical tips surrounding the use of immunosuppressive agents.

Episode 95: Ep 89 - AIDS-defining conditions

Medicine East Midlands — Fri, 03 Dec 2021 18:52:18 +0000

We are happy to be joined once again by Dr Palfreeman- Leicester Consultant in Sexual Health and HIV, to discuss AIDS-defining conditions in patients living with HIV. A fascinating topic to introduce you to opportunistic infections and up to date information from the British HIV Association.

Episode 94: Pneumonia

Medicine East Midlands — Fri, 26 Nov 2021 10:11:25 +0000

In this week’s episode, Dr Abe Baguneid talks to us about the diagnosis and management of Pneumonias.

Episode 93: Ep 87 - Fragility Fractures

Medicine East Midlands — Sat, 20 Nov 2021 17:24:50 +0000

MEMcast are joined by East Mids Geriatrics registrar, Dr Hannah Street this week. We'll be discussing Osteoporosis and Fragility Fractures, and finding out how we can help reduce the risk of bony injury following a fall.

Episode 92: Ep. 86 - IV fluid replacement therapy

Medicine East Midlands — Fri, 12 Nov 2021 18:16:06 +0000

We are excited to welcome Dr Ricky Bell, Nephrology and ITU Consultant at Leicester General Hospital to discuss iv fluid replacement therapy. We all prescribe them so this an essential episode to listen for medics, surgeons, medical students and everyone in between. We hope you find is as useful as we have.

Episode 91: Painful Red Eye

Medicine East Midlands — Fri, 05 Nov 2021 17:48:53 +0000

In this week's episode, Dr Beverly Cheung talks to us about the differentials and management of the Painful Red Eye.

Episode 90: Ep 84 - Aortic stenosis

Medicine East Midlands — Fri, 29 Oct 2021 05:55:27 +0000

We are back with a cardiology topic this week. Dr Davey, Cardiology Consultant comes back to discuss risk factors, diagnosis and management of aortic stenosis. Very useful and engaging topic, enjoy listening.

Episode 89: Paracetamol Overdose

Medicine East Midlands — Fri, 22 Oct 2021 13:07:59 +0000

In this week’s episode, Dr Faisal Baig walks us through the management of paracetamol overdose.

Episode 88: Ep 82 - Diabetes Technology

Medicine East Midlands — Sat, 16 Oct 2021 07:31:43 +0000

This week we're talking about the exciting world of diabetes technology with Diabetes Registrar, Dr Tom Crabtree. If you have questions about insulin pumps or continuous glucose monitoring, look no further!

Episode 87: Ep. 81- Introduction to Chronic Kidney Disease

Medicine East Midlands — Sat, 09 Oct 2021 09:09:52 +0000

Join us this week for a brief introduction on chronic kidney disease - diagnosis, stages and management, guided by Cristina Cusu Renal Spr in the East Midlands and your MEM host. We hope you enjoy listening.

Episode 86: Poisoning Part 2

Medicine East Midlands — Fri, 01 Oct 2021 11:15:15 +0000

Join us this week as we welcome back Dr James Nathan, who talks to us about the specific poisoning agents and their treatment!

Episode 85: Ep 79 - Jaundice

Medicine East Midlands — Fri, 24 Sep 2021 11:27:41 +0000

Dr Andrew Baxter, a Consultant Gastroenterologist at Nottingham University Hospitals, explains the process of investigating a patient with jaundice - from bloods and imaging to endoscopic investigations.

Episode 84: Ep. 78 - Non-Hodgkin lymphoma

Medicine East Midlands — Fri, 17 Sep 2021 07:06:19 +0000

In this week's episode we are happy to be joined once again by Dr Tom Skinner, Haematology Registrar in Peninsula Deanery. Have a listen for a valuable introduction into types of Non-Hodgkin lymphomas, diagnosis and management.

Episode 83: Poisoning Part 1

Medicine East Midlands — Fri, 10 Sep 2021 11:59:20 +0000

Join us this week as we speak with Dr James Nathan about the general principles of Poisoning.

Episode 82: Ep 76 - Hyperosmolar Hyperglycaemic State (HHS)

Medicine East Midlands — Fri, 03 Sep 2021 16:00:42 +0000

We are joined this week by Dr Tom Crabtree, a diabetes registrar from Derby Royal Hospital. We will cover the pathophysiology and typical presenting complaint of HHS, a little about the definition and importantly, key things to remember when managing these patients.

Episode 81: Ep. 75 - Multisystem inflammatory disorders

Medicine East Midlands — Fri, 27 Aug 2021 06:36:00 +0000

In this week's episode Dr Sunmboye, Rheumatology Consultant in East Midlands, returns to give us an amazing talk on a generic interpretation of multisystem inflammatory disorders, focusing on SLE and vasculitis. Have a listen to improve your knowledge on blood tests and symptoms and also find out about life threatening organ involvement with these disorders. Enjoy!

Episode 80: The Unconscious Patient

Medicine East Midlands — Fri, 20 Aug 2021 11:13:55 +0000

In this week's episode, Dr James morris returns to walk us through the assessment and management of the unconscious patient.

Episode 79: Ep 73 - The Urine Dip

Medicine East Midlands — Fri, 13 Aug 2021 12:54:55 +0000

Our eagerly anticipated podcast is here! Talking with Dr Rooman Yarkhan, a consultant nephrologist at Nottingham University Hospitals, we talk about the all important urine dip and its interpretation in the context of AKI.

Episode 78: Ep. 72 -Blood Borne Infections

Medicine East Midlands — Fri, 06 Aug 2021 06:41:08 +0000

In this week's episode Dr Palfreeman , Consultant in Sexual Health and HIV in Leicester discusses blood borne infections (HIV, Hepatitis B and Hepatitis C) focusing on needle stick injuries and post exposure prophylaxis (PEP). Essential listening!

Episode 77: Cardiac Arrest

Medicine East Midlands — Fri, 30 Jul 2021 08:53:42 +0000

Join us for this week’s episode where Dr James Morris walks us through the approach to Cardiac Arrests.

Episode 76: Ep. 70 - Ankylosing spondylitis

Medicine East Midlands — Fri, 23 Jul 2021 18:06:00 +0000

In this week's episode we are joined once again by Dr Ameen Jubber, Rheumatology Registrar in East Midlands to discuss spondyloarthropathies specifically Ankylosing Spondylitis (AS): diagnosis and management. Enjoy listening.

Episode 75: Ep 69 - F1: Introducing the Bleep

Medicine East Midlands — Fri, 16 Jul 2021 17:56:48 +0000

Congratulations to all those final year Medical Students who can now call themselves doctors! This week we are joined by Dr Robert Chan, a current FY1 in the East Midlands, to talk about those first few weeks settling into your first job as the 'doctor on call'. Join us on the 22nd July at 7.30 for a welcome webinar to ask any questions you may have about starting...! The link can be found on our instagram page @mem.cast.

Episode 74: ARDS Part 2: Treatment

Medicine East Midlands — Fri, 09 Jul 2021 10:38:35 +0000

Dive back in to this week’s episode as Dr James Shilston talks us through the management of ARDS.

Episode 73: Ep 67 - PACES: Medical Error

Medicine East Midlands — Fri, 02 Jul 2021 07:37:51 +0000

A case of medical error can be used in the ethics and communication station in PACES. In this episode, we welcome Dr Hannah Tobiss, a patient safety fellow at Nottingham Hospitals. She explains the duty of candour and how to communicate a medical error to patients and families.

Episode 72: Ep. 66 - Hodgkin lymphoma

Medicine East Midlands — Fri, 25 Jun 2021 06:55:06 +0000

We are happy to welcome back Dr Tom Skinner to discuss HL presentation, investigation, basic of treatment and prognosis. Enjoy!

Episode 71: Acute Respiratory Distress Syndrome (ARDS)

Medicine East Midlands — Fri, 18 Jun 2021 07:01:28 +0000

Join us for our Part 1 of ARDS with Dr James Shilston as he talks to us about the epidemiology, pathophysiology and presentation of Acute Respiratory Distress Syndrome.

Episode 70: Ep 64 - Allergy

Medicine East Midlands — Thu, 10 Jun 2021 21:20:03 +0000

A slightly longer episode this week on Allergy by Dr Jennie Gane, a respiratory consultant at Derby Hospital. In this episode we expand on why allergic reactions occur, and the interpretation of allergy testing. Let us know your thoughts in the comments!

Episode 69: Ep 63 - Upper GI bleed

Medicine East Midlands — Fri, 04 Jun 2021 21:54:41 +0000

In this week's episode we are happy to welcome Dr Farhad Peerally, gastroenterology registrars in East Midlands to discuss a comprehensive approach to UGIB management. Essential listening.

Episode 68: PE in Pregnancy

Medicine East Midlands — Fri, 28 May 2021 21:49:19 +0000

In this week’s episode, we welcome back Dr Nick Smallwood, who talks to us about the ins and outs of PE in Pregnancy.

Episode 67: Ep 61 - Communication skills: Breaking Bad News

Medicine East Midlands — Fri, 21 May 2021 15:27:41 +0000

This episode with Acute Medical Consultant Dr Kam Atwal covers how to approach a 'Breaking Bad News' communication and ethics station in PACEs, with a case vignette for you to try...

Episode 66: Ep. 60 - Pericarditis

Medicine East Midlands — Fri, 14 May 2021 06:38:30 +0000

As we reach our 60th episode, we welcome back Dr Davey to discuss pericarditis - diagnosis, management and treatment with a focus on acute pericarditis. Essential listening for on calls.

Episode 65: Acute Heart Failure

Medicine East Midlands — Fri, 07 May 2021 09:15:13 +0000

This week we welcome back Dr Subha Dutta who talks to us about the approach to management of the patient with Acute Heart Failure.

Episode 64: Ep 58 - DVT

Medicine East Midlands — Fri, 30 Apr 2021 19:06:47 +0000

A short and snappy episode on the do's and dont's of assessing a patient with DVT including the recently updated NICE guidance with Dr Kam Atwal, an acute medical consultant at Derby Hospital, and your MEMcast host Dr Rachel Saville.

Episode 63: Ep. 57 - Multiple myeloma

Medicine East Midlands — Fri, 23 Apr 2021 06:59:50 +0000

In this week's episode we are happy to be joined by Tom Skinner one of the Haematology Registrars in South Peninsula to discuss the basis of myeloma.

Episode 62: Chronic Heart Failure

Medicine East Midlands — Fri, 16 Apr 2021 08:01:01 +0000

In this week's episode, we welcome back Dr Subha Dutta, who talks to us about the diagnosis and management of Chronic Heart Failure.

Episode 61: Ep 55 - Circulation

Medicine East Midlands — Fri, 09 Apr 2021 10:29:49 +0000

Dr Joanna Poole joins us again this week to explain the key differences between vasopressors and inotropes in this episode about 'Circulation' with your host, Dr Rachel Saville.

Episode 60: Ep. 54 - Assessing for trauma in inpatient falls

Medicine East Midlands — Fri, 02 Apr 2021 14:00:31 +0000

In this episode we are happy to welcome back Dr Vince to go through a comprehensive inpatient falls assessment focusing on trauma. Essential listening for on calls.

Episode 59: Diabetic Retinopathy

Medicine East Midlands — Fri, 26 Mar 2021 11:33:28 +0000

In this week's episode, Dr Bev Cheung walks us through the importance of identification of diabetic retinopathy and key features in management.

Episode 58: Ep 52 - Airway and Breathing

Medicine East Midlands — Fri, 19 Mar 2021 10:51:26 +0000

Dr Joanna Poole (Anaesthetic Registrar) explains the physiology behind an assessment of airway and breathing, covering the alveolar gas equation, PEEP, proning and airways management. With your host Dr Rachel Saville

Episode 57: Ep. 51 - Infective endocarditis

Medicine East Midlands — Fri, 12 Mar 2021 08:47:41 +0000

In this week's episode we are joined by Dr Patrick Davey, Cardiology Consultant at Northampton General Hospital to discuss the very important topic of Infective Endocarditis- diagnosis, management and complications.

Episode 56: Respiratory Failure and NIV

Medicine East Midlands — Fri, 05 Mar 2021 10:43:17 +0000

In this episode, we welcome back Dr Darren Reed who walks us through the pathophysiology of respiratory failure and the practicalities of oxygen and Non-invasive therapies.

Episode 55: Ep. 49 - Delirium

Medicine East Midlands — Fri, 26 Feb 2021 08:12:12 +0000

In our new episode we are happy to welcome Dr Rebecca Cole one of the Geriatrics Registrars in the East Midlands to discuss delirium risk factors, management and follow up.

Episode 54: Acute Pulmonary Embolism

Medicine East Midlands — Fri, 19 Feb 2021 08:28:57 +0000

In this latest episode, Dr Nicholas Smallwood talks us through the investigations and management of Acute Pulmonary Embolisms.

Episode 53: MEMcast Mind: 'Also Human'

Medicine East Midlands — Sat, 13 Feb 2021 12:26:06 +0000

Psychologist and author of 'Only Human' Caroline Elton guests on MEMcast Mind today, we talk about the additional challenges junior doctors face in the Covid19 Pandemic: trauma, redeployment, relationships and the stigma of mental health amongst junior doctors and more with your hosts Dr Rachel Saville & Dr Ciaran Grafton-Clark.

Episode 52: MEMcast Mind: Sleep & Stress

Medicine East Midlands — Wed, 10 Feb 2021 17:42:15 +0000

We welcome Jo Bowen to MEMcast Mind this week, with your hosts Dr Rachel Saville and Dr Ciaran Grafton-Clark. Jo is a psychiatrist, EMDR therapist and specialises in management of the Stress, Anxiety and Trauma in Junior Doctors. She offers her pearls of wisdom on how to deal with difficulties with sleep and stress. A must listen!

Episode 51: MEMcast Mind: Emotional Honesty

Medicine East Midlands — Mon, 08 Feb 2021 10:51:57 +0000

In our 'Coping with Covid' series, we welcome Mr Ross Fisher, a consultant paediatric surgeon, who talks to us about how to cope with difficult situations, by starting with emotional honesty.
Listen to this episode with your host, Dr Rachel Saville and guest host Dr Ciaran Grafton-Clark.

Episode 50: Ep. 47 - Renal transplant

Medicine East Midlands — Fri, 05 Feb 2021 06:40:58 +0000

Back to Medicine this week, we welcome Dr Ismaa Kiani Nephrology/GIM Consultant in Northampton General Hospital to discuss the basics of a Renal transplant.

Episode 49: MEMcast Mind: Compassionate Cultures and Self-care

Medicine East Midlands — Fri, 29 Jan 2021 10:38:02 +0000

In the week's episode of MEMcast Mind, Caroline Mabon talks us through the components of a Compassionate culture and some key ways to address self-care.

Episode 48: MEMcast Mind: Change & Transition

Medicine East Midlands — Wed, 27 Jan 2021 11:25:53 +0000

We welcome Prof Harjinder Kaul to todays podcast in our 'Coping with Covid' series. Harj is an Occupational Health consultant and TPD and often talks to junior doctors struggling with change and transition in their professional lives. Have a listen to hear his tips on how to help manage these difficult times of change and uncertainty.

Episode 47: MEMcast Mind

Medicine East Midlands — Mon, 25 Jan 2021 13:12:52 +0000

In the first of our 'Coping with Covid' wellbeing series, we have the pleasure of welcoming Dr Rewani Abeyratne who is a Geriatric Registrar in the East Midlands and health and wellbeing coach. She talks to us about control, change, getting to ourselves and those around us, and how we can use this information to help our own wellbeing.

Episode 46: Ep. 46 - Hypothermia

Medicine East Midlands — Fri, 22 Jan 2021 08:41:59 +0000

In this week's episode we welcome Dr Sarah Vince, Emergency Medicine Consultant at Northampton General Hospital to discuss hypothermia with Dr Cristina Cusu.

Episode 45: Ep 45 Giant Cell Arteritis

Medicine East Midlands — Fri, 15 Jan 2021 08:08:41 +0000

In our latest episode, we welcome Dr Ameen Jubber Rheumatology Registrar in the East Midlands to discuss one of Rheumatology's major topics of GCA.

Episode 44: Shock

Medicine East Midlands — Fri, 08 Jan 2021 08:37:15 +0000

In this week's episode, Dr Martin Dachsel walks us through a safe approach to the management of the shocked patient.

Episode 43: Ep 43 - Dementia: an overview

Medicine East Midlands — Sat, 02 Jan 2021 20:09:27 +0000

For the first MEMcast of 2021 we have the pleasure of welcoming Dr Anas, a geriatric registrar in the East Midlands. She will be giving us an overview of Dementia, with your host Dr Rachel Saville.

Episode 42: Chronic Asthma

Medicine East Midlands — Fri, 18 Dec 2020 09:34:03 +0000

In this episode, Dr Darren Reed takes us through the diagnosis and approach to management of Asthma in the Clinic setting.

Episode 41: Ep 41 - AKI

Medicine East Midlands — Fri, 11 Dec 2020 08:41:54 +0000

In this weeks MEMcast we are joined by Renal Registrar Becca Noble, who describes Acute Kidney Injury, with your host Dr Rachel Saville.

Episode 40: Ep 40 Pyrexia of unknown origin

Medicine East Midlands — Fri, 04 Dec 2020 07:46:29 +0000

This week we welcome back Dr Nicholas Wong for a discussion on pyrexia of unknown origin with Dr Cristina Cusu.

Episode 39: Ep 39. Acute Asthma

Medicine East Midlands — Fri, 27 Nov 2020 07:34:13 +0000

In this episode of Memcast, Dr Darren Reed talks to us about the acute management of asthma in the resuscitation department.

Episode 38: Ep 38 - Rheumatoid arthritis

Medicine East Midlands — Fri, 20 Nov 2020 10:03:04 +0000

In our latest episode we welcome Dr Sunmboye once again, to discuss Rheumatoid arthritis diagnosis and management with Dr Cristina Cusu.

Ep 37- Frailty

Medicine East Midlands — Fri, 13 Nov 2020 07:38:30 +0000

Frailty by Dr Iain Wilkinson

Ep 36 - TB: part 2 (latent, MDR and NTM)

Medicine East Midlands — Fri, 06 Nov 2020 16:24:10 +0000

Dr Bassey Asuquo, a respiratory physician in Boston hospital discusses multi-drug resistant TB, latent TB and Non Tuberculous Mycobacterial infections in this weeks MEMcast, with your host Dr Rachel Saville.

Ep. 35 - Management of hyperacute stroke: Thrombolysis

Medicine East Midlands — Fri, 30 Oct 2020 07:43:41 +0000

In our latest episode, we are delighted to welcome back Dr Blake (Stroke Consultant at Northampton General Hospital) to discuss management of hyperacute stroke with thrombolysis and also more recently thrombectomy.

Ep. 34 Spontaneous Pneumothorax

Medicine East Midlands — Fri, 23 Oct 2020 10:40:26 +0000

In this week's episode, Dr Demi Wright talks about Spontaneous Pneumothorax and gives an approach to the management.

Ep 33 - Cutaneous Melanoma

Medicine East Midlands — Fri, 16 Oct 2020 08:32:55 +0000

This week we are joined by Dr Sarah Bell, a consultant Dermatologist, to tell us the important facts to remember about cutaneous melanoma.

Ep. 32 An approach to patients with rheumatic disease

Medicine East Midlands — Sat, 10 Oct 2020 08:47:46 +0000

In our latest episode we welcome Dr Sunmboye to discuss a structured approach to history and examination for patients with rheumatic disease with Dr Cristina Cusu.

Ep 31 - Malignant Hyperthermia

Medicine East Midlands — Sat, 03 Oct 2020 06:57:03 +0000

In this weeks episode of MEMcast, Dr Vassia Paschou discusses the anaesthetic emergency that is Malignant Hyperthermia and it management with your host Dr Rachel Saville.

Ep 30 - Management of HIV

Medicine East Midlands — Fri, 25 Sep 2020 07:25:48 +0000

In our latest episode we welcome back Dr Nick Wong for a quick overview of HIV including medications and opportunistic infections, with Dr Cristina Cusu

Ep 29 - Non melanoma skin cancers

Medicine East Midlands — Thu, 17 Sep 2020 20:11:35 +0000

We are joined this week by Dr Sarah Bell, a dermatology consultant from ULHT who talks through the most common skin cancers - BCC and SCC, with your host Dr Rachel Saville.

Ep 28 : Renal replacement therapy - Haemodialysis

Medicine East Midlands — Fri, 11 Sep 2020 06:50:11 +0000

In our latest episode we welcome Dr Oseya Renal Consultants at Northampton General Hospital to discuss indications for renal replacement therapy and specifics of haemodialysis.

Ep 27 - Tuberculosis

Medicine East Midlands — Sat, 05 Sep 2020 11:17:04 +0000

Join us this week to listen to Dr Asuquo (Respiratory Consultant) explain the epidemiology, pathogenesis, clinical features, management and complications of TB.

Ep 26 - Fever in the returning traveller

Medicine East Midlands — Mon, 31 Aug 2020 11:14:15 +0000

In our latest episode we welcome Dr Nicholas Wong to discuss fever in the returning traveller and the 3 main conditions associated with it.

Ep 25 - 4 Main Cancers

Medicine East Midlands — Fri, 14 Aug 2020 17:07:02 +0000

This week, Dr Tom Moore enlightens us with an overview of the four most common cancers worldwide.

Ep 24 - Introduction to Stroke

Medicine East Midlands — Sun, 02 Aug 2020 10:01:55 +0000

In our latest episode we are happy to welcome Dr Melanie Blake, Stroke Physician at Northampton General Hospital to discuss stroke scales and diagnosis.

Ep 23 - Diabetic foot exam for PACES

Medicine East Midlands — Fri, 17 Jul 2020 10:14:22 +0000

Dr Ashar Rizvi, a Specialty Doctor at Pilgrim Hospital talks us through the thorough foot examination of a diabetic patient with your host Dr Rachel Saville. Essential listening for PACES candidates!

Ep 22 Seizures

Medicine East Midlands — Sun, 05 Jul 2020 17:01:54 +0000

In our latest episode we are happy to welcome Dr Cooper once again to discuss assessment of Seizures in the acute setting with Dr Rachel Saville

Ep 21 - Bullous Pemphigoid

Medicine East Midlands — Wed, 17 Jun 2020 08:06:54 +0000

Dr Sarah Bell, a consultant Dermatologist in Lincolnshire, joins MEMcast this week to discuss the clinical features of Bullous Pemphigoid and how to distinguish it from Pemphigus.

Ep 20 - Sepsis

Medicine East Midlands — Fri, 05 Jun 2020 11:07:50 +0000

This week we discuss the prevalent and important topic of sepsis with Dr Charley Parr and your host Dr Rachel Saville.

Ep 19 - Pleural Effusion

Medicine East Midlands — Sun, 24 May 2020 09:31:48 +0000

In this weeks episode, Dr Rachel Saville (a Respiratory Registrar in the East Midlands) explains the investigation and diagnostic interpretation of pleural effusions.

Ep 18 - SBP and Hepatorenal Syndrome

Medicine East Midlands — Sun, 17 May 2020 11:21:26 +0000

In the latest episode, we welcome Dr Adam Lawson once again. He discusses SBP and hepatorenal syndrome with Dr Rachel Saville

Ep 17 - COPD

Medicine East Midlands — Thu, 30 Apr 2020 09:28:24 +0000

In this week's episode, Dr Ayushman Gupta discusses the common respiratory condition COPD with Dr Rachel Saville.

Ep 16 - Ascites and TIPS procedure

Medicine East Midlands — Sat, 11 Apr 2020 16:58:49 +0000

In this episode, we welcome Dr Adam Lawson, Consultant Hepatologist, who discusses the management of ascites with Dr Rachel Saville.

Ep 15 - Chest pain in the clinic setting

Medicine East Midlands — Fri, 27 Mar 2020 17:03:41 +0000

In this week's episode, Dr Justin Cooke, consultant cardiologist at Chesterfield Royal Hospital discusses the assessment of the patient referred to the chest pain clinic. Hosted by Dr Rachel Saville, this really is essential listening for all medical students and core medical trainees.

Ep 14 - Atrial Fibrillation

Medicine East Midlands — Tue, 17 Mar 2020 19:39:23 +0000

We continue the cardiology theme in this week's episode in which Dr Subha Dutta, cardiology registrar from Northampton discusses the assessment and management of atrial fibrillation with Dr Cristina Cusu.

Ep 13 - Acute Chest Pain

Medicine East Midlands — Sat, 07 Mar 2020 11:37:34 +0000

In this week's episode, Dr Rachel Saville talks to Dr Justin Cooke, Consultant Cardiologist at the Chesterfield Royal Hospital about the assessment of patients presenting with acute chest pain. Essential listening for MRCP preparation!

Ep 12 - Parkinson's Disease

Medicine East Midlands — Sun, 01 Mar 2020 10:25:22 +0000

In this week's episode, Dr Nicola Wilson, Consultant in Geriatric Medicine at Northampton General Hospital discusses the key features of Parkinson's Disease with Dr Cristina Cusu.

Ep 11 - Oncology Principles

Medicine East Midlands — Sat, 22 Feb 2020 21:19:18 +0000

In this week's episode, Dr Tom Moore, Oncology Specialist Registrar in the East Midlands, discusses some key concepts surrounding cancer with Dr Rachel Saville.

Ep 10 - Falls

Medicine East Midlands — Fri, 14 Feb 2020 19:00:35 +0000

Falls are a serious problem, particularly in elderly patients. In this week's episode, Dr Nicola Cooper discusses the investigation and management of of the patient admitted with a fall.

Ep 09 - Anaphylaxis

Medicine East Midlands — Fri, 24 Jan 2020 20:38:07 +0000

In this week's MEM Cast, Dr Charley Parr, Emergency Medicine Registrar talks through the principles of anaphylaxis with your host, Dr Rachel Saville

Ep 08 - Meningitis

Medicine East Midlands — Thu, 09 Jan 2020 12:08:22 +0000

We start 2020 with a new MEM Cast featuring Dr Nicola Cooper, discussing the extremely important subject of meningitis. Make sure your knowledge of this subject is up to date!

Ep 07 - Management of Inflammatory Bowel Disease

Medicine East Midlands — Sun, 29 Dec 2019 20:55:43 +0000

Following on from episode 05, Dr Jess Williams, Consultant Gastroenterologist from the Royal Derby Hospital discusses the management of ulcerative colitis (UC) and Crohn's disease. Perfect for MRCP and finals revision!

Ep 06 - 5 Common Myths about Kidney Stones

Medicine East Midlands — Sun, 22 Dec 2019 09:30:02 +0000

Although renal stones are usually dealt with surgically, they are often encountered in clinical practice, so it is worthwhile knowing some key facts about them. In this episode, Hari Ratan, Consultant Endourologist at Nottingham University Hospitals talks about 5 common misconceptions surrounding kidney stones.

Ep 05 - Inflammatory Bowel Disease

Medicine East Midlands — Fri, 13 Dec 2019 17:41:39 +0000

In the latest episode, Dr Jess Williams, Consultant Gastroenterologist from the Royal Derby Hospital takes us through the key features of ulcerative colitis (UC) and Crohn's disease, the 2 most common types of inflammatory bowel disease.

Ep 04 - Syncope

Medicine East Midlands — Fri, 29 Nov 2019 20:24:44 +0000

In the second of our podcasts with Dr Nicola Cooper, Consultant Physician at the Royal Derby Hospital, we learn all about the assessment of syncope.

Ep 03 - Assessment of Dizziness

Medicine East Midlands — Thu, 21 Nov 2019 09:06:50 +0000

In this episode, Dr Nicola Cooper, Consultant Physician at the Royal Derby Hospital discusses the causes of dizziness, and the assessment of patients presenting with this symptom. Essential listening for medical students and internal medical trainees.

Ep 02 - Renal Tips for the MRCP PACES

Medicine East Midlands — Thu, 07 Nov 2019 18:00:59 +0000

In this episode, Dr Rachel Saville talks to Consultant Nephrologist, PACES examiner and all-round genius Dr Janson Leung (Royal Derby Hospital). He discusses the common renal scenarios that you might encounter in the MRCP PACES exam.

Ep 01 - Non invasive Ventilation

Medicine East Midlands — Thu, 31 Oct 2019 08:21:46 +0000

In this first episode of our new podcast, Dr Rachel Saville discusses the concepts behind NIV.