A magic spell that will open your (itchy) eyes to tics, Tourette’s and tackling the latest drug swaps
10/06/23 • 46 min
Join us for a relaxed round up of recent Red Whale primary care Pearls of wisdom. This month, Nik and Caroline discuss:
- GLP-1 mimetics shortages: tackling drug swaps. The headline grabbing GLP-1 mimetics are rarely out of the news- most recently due to supply issues for people with type 2 diabetes. How do we deal with this?
- Tics and Tourette’s syndrome: spotting them in primary care. Singer-songwriter Lewis Capaldi has been keen to dispel myths that Tourette’s is all about swearing uncontrollably. We share what you need to know.
- Blepharitis: it’s pretty common and is responsible for about 5% of primary care eye consultations- so worth a reminder about diagnosis and management, to stop you from getting stuck!
- Molluscum contagiosum...a nuisance but not a spell! We look at the diagnosis, management, who needs referral, and when to think about immunosuppression.
And hear about a multitasking, time pressured, dance themed debacle...
Links
You can check availability of insulin brands at:
www.sps.nhs.uk
Tourette's Action (UK support group for those with an established diagnosis):
https://www.tourettes-action.org.uk/
Molluscum contagiosum images:
https://www.pcds.org.uk/clinical-guidance/molluscum-contagiosum#management
https://dermnetnz.org/topics/molluscum-contagiosum
Send us your feedback [email protected] or send a voice message
Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.
Follow us: X, Facebook, Instagram, LinkedIn
Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.
Join us for a relaxed round up of recent Red Whale primary care Pearls of wisdom. This month, Nik and Caroline discuss:
- GLP-1 mimetics shortages: tackling drug swaps. The headline grabbing GLP-1 mimetics are rarely out of the news- most recently due to supply issues for people with type 2 diabetes. How do we deal with this?
- Tics and Tourette’s syndrome: spotting them in primary care. Singer-songwriter Lewis Capaldi has been keen to dispel myths that Tourette’s is all about swearing uncontrollably. We share what you need to know.
- Blepharitis: it’s pretty common and is responsible for about 5% of primary care eye consultations- so worth a reminder about diagnosis and management, to stop you from getting stuck!
- Molluscum contagiosum...a nuisance but not a spell! We look at the diagnosis, management, who needs referral, and when to think about immunosuppression.
And hear about a multitasking, time pressured, dance themed debacle...
Links
You can check availability of insulin brands at:
www.sps.nhs.uk
Tourette's Action (UK support group for those with an established diagnosis):
https://www.tourettes-action.org.uk/
Molluscum contagiosum images:
https://www.pcds.org.uk/clinical-guidance/molluscum-contagiosum#management
https://dermnetnz.org/topics/molluscum-contagiosum
Send us your feedback [email protected] or send a voice message
Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.
Follow us: X, Facebook, Instagram, LinkedIn
Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.
Previous Episode
When assertiveness bites... baby!
Join us for a relaxed round up of this month’s Red Whale primary care Pearls of wisdom. This month, Nik and Caroline discuss:
- Bites: human, animal and insect. It’s still that time of year when the triage list is full of: Bite ? Infected. We look at all things bite related including assessment, management and who needs antibiotics.
- DeQuervain’s tenosynovitis: what is it and why we shouldn’t suggest it might have an occupational cause.
- Some tips for doing the 6-8 week baby check: as a welcome to our new GPSTs, and for those of us who learned this longer ago that we like to admit to, have we thought about what might have changed?
- Assertiveness: often we say yes to things that help our patients and colleagues, but sometimes we need to say no. If we do need to say no, how good are we at being assertive?
And hear a cautionary tale from a listener about how, despite the best intentions, a nail issue didn’t turn out to be as straight forward as first thought...
Lyme disease rash:
https://www.nhs.uk/conditions/lyme-disease/
https://www.cdc.gov/lyme/signs_symptoms/rashes.html
Send us your feedback [email protected] or send a voice message
Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.
Follow us: X, Facebook, Instagram, LinkedIn
Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.
Next Episode
Balance and burnout prevention...plus HRT, COVID and endometriosis
Join us for a relaxed round up of recent Red Whale primary care Pearls of wisdom. This month, Nik and Caroline discuss:
- HRT for primary prevention? About 25% of menopausal-age women have no symptoms and so do not require HRT to treat vasomotor or other hormone-related issues. However, they may be influenced by media messages suggesting that HRT could be used to prevent certain chronic diseases. What do we advise?
- I’m struggling... GP burnout has been in the news again: not a surprise to most of us working in primary care. It can affect any role – not just GPs. We share some resources that can hopefully help, however you're feeling at the moment.
- COVID...there’s a lot of it around...again! We summarise the current state of play with antiviral treatments for COVID. We need to know about this so that we can signpost appropriate patients to access treatment – whatever our local route.
- Common, easily missed and affects 10% of females of reproductive age... We discuss endometriosis, including options for first-line management, reasons for referral and surgery, and the impact of menopause on endometriosis.
And hear about a hot and sticky cornered colleague...
Boggled Docs episode 'Focus Your Mind On The Menopause':
https://www.buzzsprout.com/1300702/10567446-focus-your-mind-on-the-menopause
Supporting information on risk factors for progression to severe COVID-19:https://www.nice.org.uk/guidance/ta878/chapter/5-Supporting-information-on-risk-factors-for-progression-to-severe-COVID-19
Liverpool University COVID-19 drug interactions tool:
https://www.covid19-druginteractions.org/checker
See transcript tab on Buzzsprout site for full show notes with links...
Send us your feedback [email protected] or send a voice message
Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.
Follow us: X, Facebook, Instagram, LinkedIn
Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.
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