Boggled Docs – Détails, épisodes et analyse

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This time Nik is joined by Dr Alastair Santhouse, a consultant neuropsychiatrist at the Maudsley Hospital in London.
SSRIs are on the agenda, as featured on the BBC's 'Panorama -The Antidepressant Story.'  They consider the efficacy and side effects of SSRIs, the challenge of withdrawal symptoms, and the evolving perspectives within the medical community. Why might some viewers get echoes of 'Dopesick' when  watching it?
There's also the usual look at the medical news headlines and what's on our radar.

News Headlines

https://www.dailystar.co.uk/health/old-age-retirement-generation-exercise-32716271

https://www.nhs.uk/live-well/exercise/physical-activity-guidelines-older-adults/#:~:text=aim%20to%20be%20physically%20active,or%20a%20combination%20of%20both

RADAR

https://www.glamourmagazine.co.uk/article/fertility-ozempic-pcos-pregnancy

https://www.womenshealthmag.com/uk/health/female-health/a60897097/menstrual-hygiene-day-2024/

https://www.itv.com/thismorning/articles/how-to-spot-the-signs-and-symptoms-of-sepsis

Panorama- The Antidepressant Story

https://www.bbc.co.uk/programmes/m001n39z

RCPsych responds to BBC Panorama programme on antidepressants:
https://www.rcpsych.ac.uk/news-and-features/latest-news/detail/2023/06/19/rcpsych-responds-to-bbc-panorama-programme-on-antidepressants

RCPsych ’Stopping antidepressants’

https://www.rcpsych.ac.uk/mental-health/treatments-and-wellbeing/stopping-antidepressants

 
 RCGP response to panorama on antidepressants:

‘Prescription anti-depressants play a vital role in the treatment of mental health conditions, says College Chair’
 
https://www.rcgp.org.uk/News/BBC-panorama-investigation

Red Whale Primary Care Pod covering Panorama on SSRIs:

https://redwhale.buzzsprout.com/1137521/13163503-who-needs-a-holi

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DISCLAIMER: The content in the podcast is not intended to constitute or be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor or other qualified health care provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have heard on the podcast.

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This time Nik is joined by GP and illustrator, Dr Jamie Hynes. They discuss what we can learn from the film 'It's A Wonderful Life' and from his own RCGP video ' GPs A Wonderful Life'.  Amongst other things, they talk about what burnout can look like, cold contacts trying to get us to sell our stake in a partnership, and how continuity of care is lifesaving.
There's also the usual look at the medical news headlines and what's on our radar...

New Headlines

https://www.express.co.uk/life-style/health/1847884/kidney-failure-red-flag-ammonia-smell-in-urine

https://www.dailystar.co.uk/health/tell-tale-sign-dementia-people-31713410

https://www.theguardian.com/lifeandstyle/2023/dec/20/risk-of-penile-fractures-rises-at-christmas-doctors-find

https://www.express.co.uk/life-style/health/1843465/mulled-wine-high-cholesterol-blood-pressure#

https://pubmed.ncbi.nlm.nih.gov/15674304/

Radar

https://www.attitude.co.uk/life/majority-of-lgbtqia-people-avoid-holding-hands-in-public-out-of-fear-study-finds-454534/

https://www.glamourmagazine.co.uk/article/iv-vitamin-drip-combat-hangover-review

https://www.itv.com/thismorning/articles/what-to-do-if-you-fall-ill-over-christmas-and-new-year

https://www.bbc.co.uk/programmes/p0gzj4y9

Gp’s A Wonderful Life

https://www.youtube.com/watch?v=ujqo2aizOag

https://bjgp.org/content/69/682/e356#:~:text=Patient%20consultations%20with%20own%20GP,with%20the%20patient%27s%20own%20GP.

https://www.bmj.com/content/356/bmj.j84

https://bmjopen.bmj.com/content/8/6/e021161

https://www.bmj.com/content/318/7197/1515

https://bjgp.org/content/72/715/e84

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DISCLAIMER: The content in the podcast is not intended to constitute or be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor or other qualified health care provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have heard on the podcast.

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This week the podcast is being guest edited by the ST3s from Chesterfield and the Derbyshire Dales GP Speciality Training Programme. They have found some CPD in the most unlikely place: a Christmas movie that’s been a family favourite for years! Nik is joined by guests Dr Georgia Lavender and Dr Hannah Newton, both ST3's from the editing team.
Amongst other things, they’ll be discussing social isolation and loneliness at Christmas, the mental health burden this winter, and even find time to refresh our memories about how cardiomyopathy might present.
There's also the usual look at the medical news headlines and the past week in daytime TV. 

Dr. Seuss' How the Grinch Stole Christmas

https://www.amazon.co.uk/Dr-Seuss-Grinch-Stole-Christmas/dp/B00FYNM9OS

https://www.campaigntoendloneliness.org/

 https://www.ageuk.org.uk/get-involved/brighter/

 https://www.nhs.uk/every-mind-matters/lifes-challenges/loneliness/#support

https://www.bhf.org.uk/informationsupport/conditions/cardiomyopathy

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DISCLAIMER: The content in the podcast is not intended to constitute or be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor or other qualified health care provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have heard on the podcast.

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This time, Nik is joined by Dr Selina Flinders who is a GP in North East Derbyshire and also the safeguarding children lead for her practice. They talk about the BBC drama ‘My Name Is Leon’. Amongst other things, they discuss the challenges of picking up subtle problems in our short primary care consultations; how it’s important to see things from the child’s point of view, and the red flags to look out for as things unravel in the  home. 
There’s also the usual look at the medical news headlines and the week in daytime TV. 

Twitter: @BoggledDocs 

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Dog on a mop!! https://www.instagram.com/reel/Cg__QTYj4J6/?igshid=YmMyMTA2M2Y=

Selina song choices:

Enjoy Yourself (It’s Later Than You Think) - Jools Holland and guests https://open.spotify.com/track/0xOD2mFBUkHmRXkWJoywbf?si=W75hmP-HSTatuGLjgCeKdw&context=spotify%3Asearch%3Aenjoy%2520you

Born of frustration - James
https://open.spotify.com/track/0xOD2mFBUkHmRXkWJoywbf?si=W75hmP-HSTatuGLjgCeKdw&context=spotify%3Asearch%3Aenjoy%2520you

Headlines
https://www.theguardian.com/society/2022/aug/29/statin-cholesterol-lowering-drug-does-not-commonly-cause-muscle-pain-researcher-say
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(22)01545-8/fulltext#cestitle150
https://www.express.co.uk/life-style/health/1656238/cancer-symptoms-signs-loss-of-bowel-control-bowel-cancer

My Name Is Leon
https://www.bbc.co.uk/programmes/m00184br
https://www.thefosteringnetwork.org.uk
https://learning.nspcc.org.uk/media/1622/statistics-briefing-looked-after-children.pdf

NICE  on Looked After Children https://www.nice.org.uk/guidance/ng26/

Free course on Adverse Childhood Experiences:
https://www.fairhealth.org.uk/course/aces
 
Bo

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DISCLAIMER: The content in the podcast is not intended to constitute or be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor or other qualified health care provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have heard on the podcast.

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This week, Chesterfield GP, GP Trainer and training programme director Dr Naren Senthil Nathan is back to talk to Nik, this time about the multi award winning film 'Lion' starring Dev Patel,  Sunny Pawar and Nicole Kidman. Amongst other things, they discuss the decision to look for your biological parents if you’re adopted, how adverse childhood experiences can have far reaching consequences, and how a simple conversation in the coffee room at work can either alienate or embrace a colleague …
There's also  the usual look at the week's medical news headlines, the week in daytime TV and your tweets...

Twitter: @BoggledDocs 

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Naren’s song choices:

Don’t Stop Me Now - Queen

https://open.spotify.com/track/5T8EDUDqKcs6OSOwEsfqG7?si=F_1viXtoSqOvZCpkpif_4A&context=spotify%3Asearch%3Adont%2520

Never Give Up - Sia 

https://open.spotify.com/track/1ssmjAYSU5PbmsjLq5yrNH?si=S_CzldLVROmYQcjjxkxKuA&context=spotify%3Asearch%3Adont%2520give%2520up%2520sia

Previous episode about Ubuntu:

https://www.buzzsprout.com/1300702/8602088-how-ubuntu-are-you-a-35-minute-documentary-that-could-change-your-life

Headlines

https://www.theguardian.com/society/2022/aug/11/rise-in-popularity-of-anal-sex-has-led-to-health-problems-for-women

https://www.bmj.com/company/newsroom/doctors-reluctance-to-discuss-anal-sex-is-letting-down-young-women/

https://www.bmj.com/content/bmj/378/bmj.o1975.full.pdf

https://www.brook.org.uk

Daytime TV

Stoma Bear

https://twitter.com/bbcbreakfast/status/1554407369139970048?s=21

Lion

Available to stream on Netflix in the UK,

Also to purchase on Amazon Prime video, Apple TV and Google Play movies and TV. Please check your local service providers wherever you are in the world. 

Barnardos

https://www.barnardos.org.uk/

Adoption UK

https://www.adoptionuk.org/

First4Adoption

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DISCLAIMER: The content in the podcast is not intended to constitute or be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor or other qualified health care provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have heard on the podcast.

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This week, GP, mentor and primary care legend Dr Steve Pratt is back! He talks to Nik about what it's like to have a proper sabbatical, using the adventures of Youtuber Ed Pratt ( no relation!) as a springboard for their discussion. His 1000km challenge on a tandem, cycling England's hilliest coastline has more in common with primary care than you might think! Amongst other things, they discuss the amazing feeling when you can see a problem as an opportunity; how some patients might express their separation anxiety if you are planning some time away; and how taking a proper break can lead to life changing decisions…
There's also the usual look at the medical news headlines and the week in daytime TV.

Twitter: @BoggledDocs 

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Email:       boggleddocs@gmail.com

Steve’s song choice:

Empty Chairs At Empty Tables - 

Eddie Redmayne
https://open.spotify.com/track/4DhKyhfimIJU6k4gvme5wA?si=ANktKJyhRAO26YElOfet2w&context=spotify%3Asearch%3Aempty

(Headlines and daytime TV in main show notes)

Ed Pratt 

‘1000km on a tandem bicycle! Ep.1. Cycling England’s hilliest coastline’

https://youtu.be/GiuWTDC7OwA

Taking a sabbatical

https://www.nhs24.scot/data/uploads/PDF/Human_resources/NHS%2024%20Career%20Break%20Policy.pdf

https://www.bmj.com/content/316/7127/s2-7127.abstract

https://www.bmj.com/content/bmj/295/6599/644.full.pdf

https://blogs.bmj.com/bmj/2018/03/16/samantha-anthony-career-breaks-should-be-supported-not-feared/

Boggled Docs song of the week:

‘Right by your side’ by Betty Boo featuring David Gray

https://open.spotify.com/track/5LYgFUzobPLoenrDO7pBL7?si=PxqlfkLAQtiImGtvFaVPqA&context=spotify%3Aartist%3A5hMCIlD2CIuOBcWPHuQXKJ

DISCLAIMER: The content in the podcast is not intended to constitute or be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor or other qualified health care provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have heard on the podcast.  

Twitter: @BoggledDocs

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Send us a voice note:
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DISCLAIMER: The content in the podcast is not intended to constitute or be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor or other qualified health care provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have heard on the podcast.

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This week Dr Ben Lovell is back! He's a twitter legend, author, associate professor of medical education and  consultant in acute internal medicine at UCLH, where he's also the postgraduate lead for acute medicine.  As it's Pride month, he talks to Nik about the Netflix drama 'Heartstopper' and the issues it deals with. Amongst other things they discuss coming out, the importance of role models and challenging stereotypes. There's also the usual look at the medical news headlines and the week in daytime TV.

Twitter: @BoggledDocs 

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Ben’s song choice: 

Ghost- Indigo Girls 

https://open.spotify.com/track/2MEeX1MIF33VUw15pTmBfR?si=E_1rM3j5RIiQkL0_xBAGXA&context=spotify%3Asearch%3Aindigo%2520girls%2520

Headlines 

https://www.express.co.uk/life-style/health/1631369/cancer-symptoms-nausea-after-eating-stomach-cancer-signs

https://www.dailystar.co.uk/health/wearing-your-belt-tight-could-27319275

https://www.express.co.uk/life-style/health/1631321/cancer-hair-loss-early-higher-risk-later-life

https://www.annalsofoncology.org/article/S0923-7534(19)38396-6/pdf

Daytime TV

Headaches

https://thismorningitv.page.link/KYKzJfCr7QTtUgWs9

Polio 

https://thismorningitv.page.link/RQnTz6snG9q7xXrr5

MS 

https://twitter.com/bbcmorninglive/status/1540253563103985664?s=12

MS Society Video 

https://twitter.com/mssocietyuk/status/1540253141987467266?s=12

Heartstopper - Netflix

https://www.itgetsbetter.org.uk/

https://www.stonewall.org.uk/help-advice/coming-out-0

https://www.brook.org.uk/your-life/coming-out/

https://comingoutstoriespodcast.com/

Boggled docs song of the week

Why Am I Like This? Orla Gartland 

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DISCLAIMER: The content in the podcast is not intended to constitute or be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor or other qualified health care provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have heard on the podcast.

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This week, North London GP Partner and GP Trainer Dr Jess Harland joins Nik again to discuss the recent BBC documentary 'Joe Wicks: Facing My Childhood'.  They discuss the far reaching effects that the illness of a parent can have on a child- something that is very relevant to primary care clinicians, especially in light of the pandemic. 
There's also the usual look at the medical news headlines and the past week in daytime TV.

Twitter: @BoggledDocs 

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Email:       boggleddocs@gmail.com

Jess song choices:

Harry Styles- As It Was

https://open.spotify.com/track/4LRPiXqCikLlN15c3yImP7?si=tQyQVO8UTgWs0xmewlECPQ&context=spotify%3Asearch%3Aas%2520it%2520was

OneRepublic- I Ain’t Worried 

https://open.spotify.com/track/73PAbYaVbnFG0tQ4aBfxeN?si=_VdOrX7fRHWGFhVP9XWSXg&context=spotify%3Aalbum%3A3tjIKRAPBy5Qu4z8F5HmBz

Headlines 

https://www.thesun.co.uk/news/health-news/18775162/dna-tests-at-gp-surgery-to-spot-cancer-risk/

https://www.express.co.uk/life-style/health/1623145/lung-cancer-symptoms-finger-clubbing-signs

https://www.theguardian.com/lifeandstyle/2022/jun/06/living-with-tourette-syndrome-tics-symptoms-skin-tearing

https://www.thesun.co.uk/health/18704690/deborah-james-inspired-loo-roll-signs-bowel-cancer/

Joe Wicks: Facing My Childhood

https://www.bbc.co.uk/iplayer/episode/p0c3qmzy/joe-wicks-facing-my-childhood

ACEs:

Video:

https://youtu.be/0tyZnASq8aQ

https://www.youngminds.org.uk/

https://www.themix.org.uk/

https://ourtime.org.uk/

Boggled Docs song of the week:

Tobago and D’Lime- Jump In The Line 

https://open.spotify.com/track/1VC11olMGOQmLbam8FRpOF?si=BCCCiPMQQviVm6ks66RqcA&context=spotify%3Aalbum%3A0I02Py2xStavRaa5vG0KmS

DISCLAIMER: The content i

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DISCLAIMER: The content in the podcast is not intended to constitute or be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor or other qualified health care provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have heard on the podcast.

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This week the podcast is being guest edited by the ST3s from Chesterfield and the Derbyshire Dales GP Speciality Training Programme.  Nik has a fantastic guest in GP ST3 Dr Nathan Gillick, and they discuss the Disney Pixar film 'Turning Red' and what we can learn from it. Amongst other things, they talk about neurodiversity- how a new diagnosis can be upsetting, and how compassion is so important to anyone who’s had a challenge to their self image.
There's also the usual look at the medical news headlines and the past week in daytime TV.

Twitter: @BoggledDocs 

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Email:       boggleddocs@gmail.com

Nathan’s song choices

Don’t Stop Me Now- Queen

https://open.spotify.com/track/6e3y6sczcHWehxZo528OZ7?si=gOOb8Lj5Q2yCNlXIKcK5PA&context=spotify%3Asearch%3Adon%25E2%2580%2599t%2520stop

Chopin: Nocturnes
https://open.spotify.com/album/2aoSpTAjFaMvaZeruqnCVv?si=Jtv1z87cTM2uQ6pvBHXe_w

Turning Red

https://services.actionforchildren.org.uk/derbyshire/build-sound-minds/

How to ADHD
https://youtu.be/xMWtGozn5jU

Some resources to help with patients who are, or who think that are autistic:

• ASC: https://psychology-tools.com/test/autism-spectrum-quotient
• A wider range of screening tools (with commentary):  https://embrace-autism.com/autism-tests/
• TV programme:  https://www.channel4.com/programmes/are-you-autistic

Women and girls with autism:

• Article: https://www.autism.org.uk/advice-and-guidance/what-is-autism/autistic-women-and-girls
• Screening tool for women: https://tonyattwood.com.au/wp-content/uploads/2021/09/GQ-ASC-Adult-Women_.pdf
• Tony Attwood – good mental health for women and girls with Autism https://youtu.be/-n6IWTRVGeg
• Women and Autism – what’s the difference? https://youtu.be/yKzWbDPisNk

Boggled Docs song of the week:

Gold Forever - For Tom
By The Wanted

https://open.spotify.com/tr

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DISCLAIMER: The content in the podcast is not intended to constitute or be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor or other qualified health care provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have heard on the podcast.

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This week Nik is joined by the Red Whale Women's Health team: Dr Lucy Cox and Dr Helen Barnes . They discuss 'Davina McCall: Sex, Mind and the Menopause' which was recently on Channel 4, and the potential impact of a TV documentary trumpeting very early research as a breakthrough. They look at what we do know about  HRT and cognitive function,  clarify the British Menopause Society’s position,  and consider how HRT and testosterone, though very important, may not suit everyone. 
There's also the usual look at the medical news headlines and the week in daytime TV.

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Outtake from the Women’s Health course (someone gets a fit of the giggles):

https://twitter.com/nikkendrew/status/1337328975878696961?s=21

Lucy song choice:
Cabaret - Liza Minnelli 

https://open.spotify.com/track/7AFy1aN1RQVgGOXzCtrK87?si=7SgLs0jcS9GeTkE7nPM-IA&context=spotify%3Asearch%3Alife%2520is%2520a%2520cabaret%2520%2520

Helen’s song choice:

Tonight Belongs To You-  The cast of Netflix’s ‘The Prom’ 

https://open.spotify.com/track/2nGX74qdw2lLaNhBIC5ftf?si=IatTlYCdTFWqEgBcGgD_SA&context=spotify%3Asearch%3Atonight%2520belong

BMS comment on Channel 4 programme: Davina McCall: Sex, Myths and the Menopause

https://thebms.org.uk/2022/05/bms-comment-on-channel-4-programme-davina-mccall-sex-myths-and-the-menopause/

Red Whale menopause GEMS

 https://www.gp-update.co.uk/SM4/Mutable/Uploads/medialibrary/HRT-GEMS-May-2022.pdf

Red Whale: Menopause, HRT and cognition

https://www.gp-update.co.uk/SM4/Mutable/Uploads/medialibrary/Menopause-HRT-and-cognition-May-2022.pdf

Upcoming Red Whale Women’s health events:

 Menopause Course                                                       20 May 2022

Women’s Health Course                                             29 June 2022

Contraception and sexual health course           14 July 2022

To book:

https://www.gp-update.co.uk/webinars

https://www.gp-update.co.uk/online-courses?tabFocus=tab1

DISCLAIMER: The

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DISCLAIMER: The content in the podcast is not intended to constitute or be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor or other qualified health care provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have heard on the podcast.