Categories
Acute Care Diabetes/Endocrine

Hyperglycaemia in hospital and Variable Rate Intravenous Insulin Infusion (VRIII)

Diabetes is an increasing worldwide problem, with approximately a fourfold increase in prevalence over a thirty-year period in the latest World Health Organisation figures (1). Dr David Ewins is a Consultant Physician in Endocrinology and Diabetes and talks with Scott about the approach to evaluating and managing adult patients presenting with high blood glucose levels […]

Categories
Acute Care

Metabolic Acidosis

You are the medical FY2 doctor on call and a GP referral has just arrived in the Medical Assessment Unit (MAU). You are told the patient has been vomiting for 2 days with associated polyuria and polydipsia, they are tachycardic but have a stable blood pressure. The nurse is worried and the patient looks sick. The nurse […]

Categories
Working Life

How to be a Junior Doctor Part Two

This is the second part to the “How to be a Junior Doctor” series. See the first part here. Listen to our continued discussion below which focusses more on keeping a work life balance and some thoughts about what advice we have for you. iTunes Podbean Please also read alongside this post the Working 9-5…..ish… […]

Categories
Working Life

How to be a Junior Doctor – Part One

Your alarm clock fires off and awakes you from your blissfully ignorant slumber. You press that snooze button between ten and twenty times until reality finally hits you hard: You are a Day One F1. You are the doctor.

Categories
Acute Care Diabetes/Endocrine

Diabetic Ketoacidosis in Adults

Diabetic Ketoacidosis (DKA) is a life threatening emegency and requires prompt recognition and treatment. Dr David Ewins is a Consultant Physician in Endocrinology and Diabetes and talks with Scott about the approach to evaluating and managing DKA in adults as well as some of the finer points and controversies that exist. Have a listen to the episode below or […]

Categories
Elderly Care Pharmacy

Polypharmacy

  I talk with Dr Lishan Liu, an Elderly Care Medicine Registrar at Chester, about Polypharmacy in the older patient. Lishan has previously undertaken work investigating Polypharmacy and Potentially Inappropriate Medications (PIM) amongst patients on Elderly Care wards and the application of a tool to help with improving prescribing. Whatever speciality you work in, with the […]

Categories
Acute Care Cardiology

Acute Coronary Syndromes

Scott talks to Consultant Cardiologists Professor John Somauroo and Dr. Babu Kunadian and Karen Randles, a cardiology specialist nurse at Chester about the assessment of patients presenting with chest pain and the management of Acute Coronary Syndromes (ACS). This includes ST-segment-elevation myocardial infarctions (STEMI) and non-ST-segment elevation myocardial infarctions (NSTEMI). Check out the podcast below or […]

Categories
Acute Care

Acute Pain, Epidurals, Rectus Sheath Catheters

I speak with Dr Dominic Cliff, a Consultant Anaesthetist with a special interst in acute pain. Dominic runs the acute pain service in Chester and has been instrumental in the adoption of rectus sheath catheters for post operative pain relief in major abdominal surgery. Oooww!! You B!*^&$d!! Is my normal response should I hit my thumb […]

Categories
Pharmacy

Antibiotics 

Antibiotics were revolutionary when they were first introduced and have come a long way since. However, the prescribing of them is not always as straightforward as we may like. In the podcast, I talk to Joy Nicholls, the Antibiotic Pharmacist at Chester, about starting and swapping antibiotics and particulars of Gentamicin and Vancomycin prescribing. iTunes […]

Categories
Working Life

Referrals: a primer and troubleshoot guide

How do we refer patients? Why do we? When do we make a referral? I was taught at length in medical school aspects of communicating with both professionals and patients but I was never taught how to refer a patient to another healthcare professional. This particular skill has taken time, practice and reflecting upon both good and […]

Categories
Acute Care

Assessment of the Unwell Patient

I talk to Dr Sarah White, an anaesthetic registrar at Chester about assessing an unwell patient. We deliberately chose to use an example case of a breathless asthmatic patient simply because extremely short of breath patients are unforgivably scary for doctors of any stage in training, even experienced consultants. At a later date, we will […]

Categories
Working Life

Call On Me!

I talk to Scott Williams once again to discuss an on call shift and some of the ideas we have that may improve how the shift works for you. Please listen to the podcast at the end and tell us of helpful tips you think may enhance how others manage their shifts. Our focus for the […]