S7 E2: "Not Phone-Calling" song; AIR for kids; SCAN for cancer; GP number trends
Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker! In this episode, we talk about some real research rather than stuff made up by over-tanned heads of state. Three papers. First, can researchers fill the gap on whether anti-inflammatory reliever therapy is best for mild asthma? Second, how effective are SCAN pathways for suspected cancer in patients with non-specific symptoms who don't meet site-specific referral criteria, and what lessons can we learn from years of referrals?Third, how do the numbers of licensed GPs differ from actual GPs working, and how does this all compare to what's happening with hospital consultants?ReferencesLancet AIR for kids asthmaLancet Primary Care SCAN referrals  BMJ Trends in practising GPswww.nbmedical.com/podcast
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S7 E1: Best BP Meds; Preventing End-Stage CKD; ADHD & Risky Behaviours
Welcome back to the Hot Topics podcast from NB Medical with Dr Neal Tucker. In this new season, we chat to Dr Simon Curtis about the upcoming Autumn 2025 Hot Topics course, then discuss three new pieces of research.First, in the Lancet, which are the best anti-hypertensives, what effect does increasing a dose actually have and how good are combinations? Second, in the NEJM, does giving all the drugs improve CKD outcomes? The case for finerenone and empagliflozin. Third, do ADHD drugs help outcomes beyond core symptoms such as accidents, suicide and crime? But can we rely on the research method used...?ReferencesLancet Antihypertensive Efficacy PaperNEJM Finerenone & EmpagliflozinReport on trends in CKDBMJ ADHD meds & prevention of complicationswww.nbmedical.com/podcast
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S6 E13: "When the IT Went Down" Song; Anti-Emetics for Kids Gastro? Methotrexate for Knee OA?
Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker. I hope you are all enjoying the summer and that your IT treats you well. In this podcast, we have two new studies to think about.First, should children with gastroenteritis be given anti-emetics? Would ondansetron help and improve outcomes? Second, can methotrexate help knee osteoarthritis? It would be great if this would work, but hope only gets us so far. What does the research show? ReferencesNEJM Ondansetron in GE in kidsJAMA Int Med Methotrexate and knee OAwww.nbmedical.com/podcast
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S6 E12: Anti-Ds for Insomnia; SSRIs & Hypotension; Cancer Cures
Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker. While everyone tries to unpick the new NHS 10-year plan, we focus on the here and now with three new pieces of research.We kick off with two gems in the BJGP - first, examining whether anti-depressants actually help with insomnia, and second, whether anti-depressants cause postural hypotension in older people, and which may be the worst. Finally, we look at a good news story, with data publishing on a new treatment for cancers linked to mismatch repair genes.ReferencesBJGP Insomnia paperBJGP Anti-Ds and postural hypotension paperNEJM dMMR gene cancer therapy www.nbmedical.com/podcast
Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker. In this episode, we look at three new pieces of research with implications for general practice.Firstly, can exercise prevent the recurrence of colorectal cancer? Short answer, yes. But how much exercise did you need to do, and what on earth is a MET? Secondly, what are the concerns around low-dose amitriptyline use for IBS from patients and GPs? How can we aid the discussion? Finally, can SLGT2 inhibitors improve liver disease? Is this the new treatment for our patients with MASLD (the condition formerly known as NAFLD? ReferencesNEJM Exercise and CRCMETs WikipediaBJGP IBS & amitriptyline prescribingBMJ SGLT2i & MASLDNB Blog MASLD: The rebrand you never heard ofwww.nbmedical.com/podcast
The Hot Topics podcast from NB Medical brings you the latest in general practice current affairs, reviews the latest research relevant to primary care, explores interesting and important topics in-depth, and looks at cutting edge medicine.
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