Episode 93 : Reusable Cartridge Insulin Pens – A Sustainable Approach to Diabetes Care
In this episode of the RCP Medicine Podcast, Dr Vincent Simpson, diabetes and endocrine registrar based in Derriford, Plymouth joins Dr Bryony Alderman, palliative medicine consultant and RCP Education Fellow in Sustainability. Together, they explore the intersection of diabetes care and environmental sustainability, focusing on Vincent’s pioneering work around reusable cartridge insulin pens.From the initial spark of curiosity during a training session to national-level conversations with NHS England, Vincent shares his journey of uncovering the environmental impact of diabetes devices and advocating for change. The discussion covers practical steps clinicians can take, the importance of behavioural change, and how small interventions can lead to significant improvements in both patient care and environmental outcomes.Whether you're a physician, policymaker, or someone living with diabetes, this episode offers valuable insights into how sustainability can be seamlessly integrated into clinical practice.Dr Vincent Simpson and team recently won an RCP Excellence in Patient Care award for Sustainability – reducing the environmental impact of healthcare ResourcesPaper: https://onlinelibrary.wiley.com/doi/10.1111/dme.15409Local guidelines: https://sustainablediabetes.short.gy/guidelinesWebsite: https://sustainablediabetescare.comLinkedin: https://uk.linkedin.com/in/dr-vincent-simpsonBluesky:https://bsky.app/profile/drvsimpson.bsky.socialCreditsDr Bryony Alderman, consultant in palliative medicine, is the RCP Sustainability Fellow. Financial support for this clinical fellowship was provided as an Independent Medical Education Grant from Pfizer Limited. Pfizer Limited had no involvement in candidate selection, and no influence on the work of the clinical fellowship.RCP Links Education Events Membership Improving care Policy and campaigns RCP Social Media Instagram LinkedIn Facebook X Bluesky Music: Episode 50 onward - Bensound.com Episodes 1 - 49 'Impressive Deals' - Nicolai Heidlas
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Episode 92: Respiratory - diaphragm palsy
In this episode of the RCP Medicine Podcast, Consultant Respiratory Physician Milind Savani joins Respiratory Registrar Daniella Draicchio and Foundation Doctor Masooma Ali to explore a compelling case of progressive breathlessness in a 45-year-old woman. What begins as a seemingly routine presentation unfolds into a diagnostic journey.Together, the team discusses the challenges of diagnosing chronic type 2 respiratory failure, the importance of recognising paradoxical breathing, and the role of non-invasive ventilation and surgical intervention. This episode is a masterclass in clinical reasoning, multidisciplinary collaboration, and the value of thorough bedside examination.ReferencesA retrospective cohort study of idiopathic diaphragmatic palsy: a diagnostic triad, natural history and prognosis ERJ Open Research 2021 00953-2020; DOI: https://doi.org/10.1183/23120541.00953-2020 Diagnosis and management of nontraumatic unilateral diaphragmatic paralysis (complete or partial) in adults - UpToDateTreatment of diaphragmatic paralysis using an expanded surgical protocol: review of the largest worldwide experience European Respiratory Journal 2018 52 (suppl 62): PA806; DOI: https://doi.org/10.1183/13993003.congress-2018.PA806 Diaphragm dysfunction: how to diagnose and how to treat? Breathe 2025 21(1): 240218; DOI: https://doi.org/10.1183/20734735.0218-2024 This podcast has been made with an educational grant from Bristol-Myers Squibb Pharmaceuticals Limited (“BMS”). BMS has had no input or involvement in the design, development or content of the podcast whatsoever.RCP Links Education Events Membership Improving care Policy and campaigns RCP Social Media Instagram LinkedIn Facebook X Bluesky Music: Episode 50 onward - Bensound.com Episodes 1 - 49 'Impressive Deals' - Nicolai Heidlas
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Episode 91: Giant cell arteritis
In this RCP Medicine podcast and BSR Talking Rheumatology podcast collaboration Dr Pip Watson and Dr Rik Patel discuss an interesting case of a patient presenting with headache to the acute take. Topics include tips on history and examination, an update on treatment including the use of tocilizumab and the role of fast-track pathways. Pip is a Rheumatology Consultant in Manchester, BSR Digital Learning Editor, and Talking Rheumatology host, Rick is a Rheumatology and Acute Medicine consultant in Manchester, working at one of the specialist centres for vasculitis.If you liked this check out related Talking Rheumatology spotlight episodes Episode 6 giant cell arteritisEpisode 14 polymyalgia rheumaticaBonus case non GCA headache ResourcesNICE GCA guideline https://cks.nice.org.uk/topics/giant-cell-arteritis/BSR GCA guideline https://academic.oup.com/rheumatology/article-abstract/59/3/e1/5714024?redirectedFrom=fulltextGCAPS paper https://ard.bmj.com/content/83/Suppl_1/1100.2RCP Links Education Events Membership Improving care Policy and campaigns RCP Social Media Instagram LinkedIn Facebook X Bluesky Music: Episode 50 onward - Bensound.com Episodes 1 - 49 'Impressive Deals' - Nicolai Heidlas
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Episode 90: Sustainability in the NHS
In this episode of the RCP Medicine podcast, Professor Mark Harber, nephrologist, and RCP sustainability advisor, is joined by Chris Gormley, Chief Sustainability Officer at NHS England, to explore the NHS’s groundbreaking journey toward net zero.Together, they discuss the origins of the NHS’s green strategy, the global health implications of climate change, and the ambitious targets set for 2040 and 2045. Chris shares insights into the NHS’s leadership on sustainability, the economic and health drivers behind the movement, and the practical steps being taken - from decarbonising the supply chain to rolling out solar energy across NHS estates.Listeners will gain a deeper understanding of the challenges and opportunities in embedding sustainability into clinical practice, the importance of international collaboration, and how clinicians and staff can get involved through green plans and toolkits.ResourcesGreener NHS plan website - https://www.england.nhs.uk/greenernhs/Greener NHS – case studies https://www.england.nhs.uk/greenernhs/whats-already-happening/12 things we can do as individuals to become greenerRCP view on healthcare sustainability and climate changeCSH Courses Courses | Centre for Sustainable Healthcaree-learning for Health – Environmentally Sustainable Healthcare Environmentally Sustainable Healthcare - elearning for healthcare (e-lfh.org.uk)SusQI.org (step by step guide) Step-by-step guide | Centre for Sustainab (susqi.org)Greener NHS Greener NHS (england.nhs.uk)CSH Resource Library Resource library | Sustainable Healthcare Networks HubCSH Networks Networks | Sustainable Healthcare Networks HubRCP Links Education Events Membership Improving care Policy and campaigns RCP Social Media Instagram LinkedIn Facebook X Bluesky Music: Episode 50 onward - Bensound.com Episodes 1 - 49 'Impressive Deals' - Nicolai Heidlas
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Episode 89: Stroke neurorehabilitation
In this episode of the RCP Medicine podcast, Dr Helen Banks, Consultant in Rehabilitation Medicine and Training Programme Director for Rehabilitation Northwest/Mersey, talks to Dr Ganesh Bavikatte, Consultant and Clinical Lead for Rehabilitation Medicine at The Walton Centre in Liverpool. They discuss disability after stroke and the role of specialist rehabilitation to help patients optimise their activity and independence. Their discussion describes the rehabilitation pathway, from acute and through to the community, and highlights medical issues that may arise along the way. Dr Ganesh Bavikatte has been a consultant and clinical lead at The Walton Centre NHS Trust and Cheshire and Merseyside Rehabilitation Network since 2012. The Walton Centre is a Neuroscience Specialist NHS Trust, and the Cheshire and Mersey rehabilitation network has a pathway from hyperacute to community care for patients following severe injury, illness, and injuries, including those with stroke. ResourcesSpasticity in adults: management using botulinum toxin | National GuidelinesSpasticity in adults: management using botulinum toxin | RCPCheshire and Mersey rehabilitation network https://www.cmrehabnetwork.nhs.uk/RCP Links Education Events Membership Improving care Policy and campaigns RCP Social Media Instagram LinkedIn Facebook X Bluesky Music: Episode 50 onward - Bensound.com Episodes 1 - 49 'Impressive Deals' - Nicolai Heidlas
The RCP Medicine podcast is a discussion of different topics relevant to physicians. Episodes discuss and explore different topics including real-life clinical cases, new evidence-based guidelines and specific physician issues in the modern healthcare environment. The views expressed in this podcast are those of the presenters and not necessarily the RCP.
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