Afleveringen
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In this episode of the RCP Medicine Podcast, respiratory consultant and clinical lead for environmental sustainability Dr Thom Daniels joins host Dr David Charles to explore why air quality should be treated as a core clinical issue rather than a distant environmental concern. Drawing on landmark coronerâs cases, including the deaths of Ella Adoo Kissi Debrah and Awaab Ishak, they examine how outdoor and indoor pollution contribute to asthma, COPD, cardiovascular disease, stroke, dementia and health inequalities across the life course. The discussion covers practical ways to ask about air quality in consultations, from unexplained coughs to secondary prevention clinics, and sets out simple, evidence informed advice clinicians can offer to patients. They also consider policy and global perspectives, racial and social justice dimensions, and how clinicians can support patients who feel fatalistic about the environment.
Resources
https://www.rcp.ac.uk/policy-and-campaigns/policy-documents/a-breath-of-fresh-air-responding-to-the-health-challenges-of-modern-air-pollution/
https://www.rcp.ac.uk/news-and-media/news-and-opinion/air-pollution-linked-to-30-000-uk-deaths-in-2025-and-costs-the-economy-and-nhs-billions-warns-royal-college-of-physicians/
https://www.rcp.ac.uk/media/5r2kmmi4/rcp-full-report-a-breath-of-fresh-air-responding-to-the-health-challenges-of-modern-air-pollution.pdf
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In this powerful and timely episode, Dr Ahmed Seedat â respiratory and general internal medicine consultant, global health specialist, and former policy fellow â joins Dr Krishna Misra, an experienced GP in inclusion health, for an inâdepth exploration of migrant and refugee health. Together with host Dr Rohan Mehra, they unpack the realities facing displaced populations today: from the impact of geopolitical instability and the climate emergency, to the language and stigma shaping public attitudes, to the structural barriers embedded within UK health systems.
Through expert insight and frontline experience, the conversation delves into the drivers of forced migration, the consequences of restricted safe routes, the challenges created by the UK asylum backlog, and the complex interplay between trauma, mental health, and chronic disease. Importantly, the episode also highlights a successful collaborative model between primary and secondary care in South East London â demonstrating the power of relationships, community, and advocacy to improve outcomes for some of the most marginalised people in society.
Listeners will leave with a richer understanding of migrant health, actionable advice for clinicians, and a hopeful reminder that community truly is a superpower.
Resources
Doctors of the World:
Advice line - Doctors of the World
urgent_care_guidelines.pdf
Home 2026 | Refugee Week
BMA:
Refugee and asylum seeker health resource updated 2025
BMJ:
Knights F, Munir S, Ahmed H, Hargreaves S. Initial health assessments for newly arrived migrants, refugees, and asylum seekers BMJ 2022
Initial health assessments for newly arrived migrants, refugees, and asylum seekers | The BMJ
Other
Maslow's Hierarchy of Needs
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Zijn er afleveringen die ontbreken?
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In this episode of the RCP Medicine Podcast, Dr Aula Abbara, consultant in infectious diseases and internal medicine at Imperial College Healthcare NHS Trust and an infectious diseases and malaria advisor to MSF Amsterdam, joins Dr Bryony Alderman, palliative medicine consultant and RCP Sustainability Education Fellow. Together, they explore how climate change is reshaping global health, with a particular focus on infectious diseases, health inequalities, forced displacement, and the increasingly complex connections between environment, conflict, and disease transmission.
Resources
MSF UK | MĂ©decins Sans FrontiĂšresExplore our CPD portfolio by your career stage
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In this episode of the RCP Medicine Podcast, Professor Jeremy Levy, consultant nephrologist in London, joins Dr Alex Crowe, consultant physician in Liverpool, for an insightful and practical conversation about chronic kidney disease (CKD). Together, they explore why CKD is so common, and often silent. How to distinguish acute from chronic kidney problems, and which investigations matter most.
The discussion also highlights the growing importance of cardiorenal metabolic medicine, offering clinicians a clear approach to assessing risk, optimising treatment, and supporting longâterm health. From EGFR trends to SGLT2 inhibitors, from lifestyle change to coding accuracy, this episode provides an essential, upâtoâdate guide for managing CKD in everyday practice.
Resources
For kidney sake podcast: Home | ForKidneysSake.com
Excellent resources on CKD here from NHS NW London: Chronic kidney disease
NICE guidelines: Overview | Chronic kidney disease: assessment and management | Guidance | NICE
Hypertension in CKD from UK kidney association FINAL UKKA NICE-KDIGO commentary December 2022.pdf
Exercise and Lifestyle in CKD from UK kidney association Exercise and Lifestyle in CKD clinical practice guideline33_v4_FINAL_0.pdf
SGLT2i in CKD from UK kidney association Sodium Glucose Co transporter 2 - UK Kidney Association.
KDIGO (international) guidelines on CKD management CKD Evaluation and Management â KDIGO
KIDGO prognosis of CKD by Albuminuria Categories: KIDGO 2012 S126
American Diabetes Association guidelines including CKD Volume 48 Issue Supplement_1 | Diabetes Care | American Diabetes Association
For Kidneys Sake
For Kidneys Sake is a clinician-led podcast from Imperial College Healthcare NHS Trust and North West London Integrated Care Board, offering practical, evidence-based insight into chronic kidney disease and cardio-renal care. Through short, accessible conversations with experts across primary and secondary care, the series supports shared learning on CKD detection, risk management and integrated patient care. The podcast is for GPs, pharmacists, nurses and multidisciplinary teams, and is relevant for clinicians, patients and anyone interested in improving kidney health.
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In this episode, Dr Bryony Alderman, palliative care consultant and RCP sustainability clinical education fellow, joins Dr Vasiliki Thanopoulou, rheumatology registrar and RCP clinical education fellow, for a wideâranging discussion demystifying modern palliative care.
Together they explore how the specialty has evolved beyond endâofâlife support, highlighting early integration, symptom management across disease groups, and the importance of compassionate, individualised care.
The conversation dives deep into practical clinical considerations: appropriate timing of referrals, anticipatory prescribing, managing medications in renal/hepatic failure, handling chronic disease therapies at the end of life, and common misconceptions around syringe drivers. They also discuss communication challenges, including uncertainty in prognostication, hydration and nutrition decisions, and supporting families during difficult conversations.
This is an essential episode for clinicians looking to enhance confidence and skill in endâofâlife care, while keeping personâcentred care at the heart of practice.
Resources
https://www.spict.org.uk/
Lee C, Tran TT, Ross J Anticipatory prescribing in community end-of-life care BMJ Supportive & Palliative Care 2024;14:353-357
https://www.parkinsons.org.uk/professionals/resources/nil-mouth-medication-dose-calculators-and-guidelines
https://www.diabetes.org.uk/for-professionals/improving-care/clinical-recommendations-for-professionals/diagnosis-ongoing-management-monitoring/end-of-life-care
https://www.nacel.nhs.uk/about-nacel
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In this episode of the RCP Medicine Podcast, Professor Ewan Forrest, Consultant Hepatologist at the Glasgow Royal Infirmary, joins Dr Jennifer Tham, Gastroenterology Trainee in the West of Scotland, to explore the diagnosis and management of alcohol related hepatitis. A common but often misunderstood emergency presentation.
Through a detailed case, they unpack diagnostic challenges, key blood markers, distinguishing features from decompensated cirrhosis, and the practical steps clinicians should take in the first 72â96 hours. The episode also demystifies prognostic scoring systems, steroid use, nutritional support, and the future direction of ARH research and management.Note:
This recording was made in 2025. In March 2026 NHS Blood and Transplant agreed to a further pilot of liver transplantation for selected patients with Alcohol-related hepatitis.
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In this episode of the RCP Medicine Podcast, transplant hepatologist Dr Mhairi Donnelly joins gastroenterology trainee Dr Jennifer Tham to explore the highâstakes world of acute liver failure.
Through a detailed case of a young woman presenting with severe transaminitis and paracetamol toxicity, Mhairi and Jennifer guide listeners through the crucial steps in recognising acute liver injury, identifying early markers of deterioration, and escalating care at the right time.
The discussion covers the most common causes of acute liver failure in the UK, how to interpret markedly raised transaminases, the role of NAC beyond confirmed paracetamol toxicity, the importance of monitoring lactate and INR trends, management of hepatic encephalopathy in acute liver failure, and how psychiatric assessment influences transplant suitability. A mustâlisten for anyone managing acutely unwell medical patients or seeking to deepen their understanding of this lifeâthreatening condition.
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In this episode of the RCP Medicine Podcast, we explore the pressing challenges facing resident doctors in the NHS and the transformative work of the Next Generation campaign. Joining us is Professor Mumtaz Patel, President of the Royal College of Physicians, Vice President for Education and Training, and Chair of the Next Generation Oversight Group. Professor Patel shares her extensive experience in medical education and workforce planning, offering candid insights into recruitment pressures, training reform, and the future of postgraduate medical education.
Alongside Professor Patel, Dr Jemima Sellicks, a resident doctor and committee representative, brings a frontline perspective on the realities of training today. Together, they discuss competition ratios, the IMT application process, exam integrity, and the results of the recent Next Generation survey, which revealed stark concerns about burnout and retention.
Whether youâre a trainee, educator, or policymaker, this episode offers practical solutions, hope for systemic change, and a call to action for shaping a fairer, more supportive training environment.
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In this episode of the RCP Medicine Podcast, we explore the critical issue of health inequalities during pregnancy and the postpartum period. Joining us is Dr Maria Mouyis, Consultant Physician & Rheumatologist with Specialist Interest in Obstetric Medicine, alongside Dr Vasiliki Thanopoulou, RCP clinical education fellow, Rheumatology/GIM Specialist Registrar. Together, they unpack why pregnancy itself can be a risk factor for health inequality, the findings from the MBRRACE report, and the systemic, cultural, and clinical challenges that impact maternal and neonatal outcomes.
From disparities in maternal mortality among ethnic minority groups to the role of unconscious bias and digital exclusion, this conversation highlights practical steps clinicians can take to improve equity in care. We also discuss innovative initiatives such as maternal medicine networks, preconception clinics, and community engagement projects that aim to empower women and reduce adverse outcomes.
Whether youâre a clinician, policymaker, or advocate, this episode offers actionable insights and resources to help drive change.
Resources:
UK Obstetric Surveillance System (UKOSS) | UKOSS | NPEU
Reports | MBRRACE-UK | NPEU
Special interest groups | British Society for Rheumatology
Eastern Obstetric Medicine Group: EOMG Meetings | MacDonald Obstetric Medicine Society
Multidisciplinary Approaches to Maternal Health - elearning for healthcare
Racism in pain management causes needless suffering | The BMJ
FIVEXMORE
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In this collaborative episode between the RCP Medicine Podcast and the British Society for Rheumatologyâs Talking Rheumatology series, consultant rheumatologist Dr Tam Malley from the Royal Free Hospital joins Dr Vasiliki Thanopoulou, RCP Clinical Education Fellow and registrar, to explore the complexities of inflammatory myositis. Through a compelling case study and rich clinical discussion, they unpack the diagnostic challenges, multidisciplinary considerations, and treatment strategies for this rare autoimmune condition.
Listeners will gain insights into recognising subtle signs, interpreting investigations, and understanding the importance of early intervention. Whether you're a rheumatologist, general physician, or trainee, this episode offers practical pearls and thoughtful reflections on managing inflammatory myositis in real-world settings.
Resources
Idiopathic inflammatory myopathies - Symptoms, diagnosis and treatment | BMJ Best Practice
British Society for Rheumatology guideline on management of paediatric, adolescent and adult patients with idiopathic inflammatory myopathy | Rheumatology | Oxford Academic
International Guideline for Idiopathic Inflammatory Myopathy-Associated Cancer Screening: an International Myositis Assessment and Clinical Studies Group (IMACS) initiative | Nature Reviews Rheumatology
Polymyositis Masquerading as Motor Neuron Disease | Neurology | JAMA Neurology | JAMA Network
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In this RCP Medicine podcast and BSR Talking Rheumatology podcast collaboration Dr Roz Benson and Dr Lisa Waters discuss a challenging case of a patient with an acute hot joint who presented to the acute medical unit. It covers wide ranging topics including diagnosis and management of gout, investigation of the acute hot joint and how to treat septic arthritis. Dr Roz Benson is a Consultant Rheumatologist at NHS University Hospitals of Liverpool Group, BSR Digital Learning Editor, and Talking Rheumatology host and Dr Lisa Waters is a Rheumatology and Acute Medicine Consultant at Manchester University Hospitals. She is clinical lead for Acute Medicine and a former RCP Chief Registrar.
Resources
NICE: Diagnosis and management of gout
https://www.nice.org.uk/guidance/ng219/chapter/Recommendations
The British Society for Rheumatology Guideline for the Management of Gout
https://academic.oup.com/rheumatology/article-abstract/56/7/e1/3855179?redirectedFrom=fulltext
If you liked this check out related Talking Rheumatology spotlight episodes
Episode 9 - Diagnosis and management of goutBonus episode - a tricky case of infection and arthritisExplore our CPD portfolio by your career stage
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In this episode of the RCP Medicine Podcast, Dr Sagen Zac-Varghese, Consultant in Diabetes and Endocrinology, East and North Herts Teaching NHS Trust is joined by Dr Samantha Scholtz , Consultant Psychiatrist, Imperial Weight Centre, St Maryâs Hospital to explore the complex relationship between obesity and mental health. Drawing on clinical experience and recent research, they discuss the stigma surrounding obesity, its psychological impact, and how healthcare professionals can better support patients. The conversation covers the physiological drivers of weight regain, and the evolving role of bariatric surgery and GLP-1 agonists in treatment. Dr Scholtz also shares practical advice on screening for mental health disorders, managing eating behaviours, and navigating sensitive conversations in clinical settings.
Resources
RCP elearning - Obesity
Binge eating disorder:
https://www.beateatingdisorders.org.uk/
https://www.rcpsych.ac.uk/mental-health/mental-illnesses-and-mental-health-problems/binge-eating-disorder
https://www.nationaleatingdisorders.org/feast-resources/
Weight stigma:
https://www.worldobesity.org/what-we-do/our-policy-priorities/weight-stigma
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In this episode of the RCP Medicine Podcast, Dr Lisa Hamza, HIV and Sexual Health Consultant at St Georgeâs Hospital, London, joins Dr Rohan Mehra, Infectious Diseases and Microbiology Registrar, to explore the evolving landscape of HIV care. Together, they delve into the virology, history, and treatment of HIV, highlighting the remarkable progress made over the past four decades - from the early days of the epidemic to todayâs cutting-edge therapies and prevention strategies.
Dr Hamza shares insights from her work as HIV Network Lead in South West London and co-chair of the HIV London Forum, discussing the challenges of stigma, late diagnosis, and health inequalities. The conversation also covers the UKâs HIV Action Plan, the impact of opt-out testing, and the promise of long-acting treatments and pre-exposure prophylaxis (PrEP). This episode is a powerful reminder of how far we've come and how much further we must go to reach zero transmissions, zero deaths, and zero stigma.
RCP Archive, Heritage Library and Museum
The Royal College of Physicians Heritage library, Archive and Museum are seeking to collect objects, documents and publications to reflect the experiences of physicians delivering HIV/AIDS care and people living with HIV/AIDS. Further information can be found at: https://history.rcp.ac.uk/collections/call-for-donations-related-to-HIV-AIDS
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In this episode of the RCP Medicine podcast, we delve into the complexities of obesity and the importance of person-centred care. Hosted by Dr Vasiliki Thanopoulou, a rheumatology and general internal medicine specialist registrar and RCP Clinical Education Fellow, she is joined by Dr Charles Fox and Dr Anne Kilvert, both retired consultant diabetes physicians with over 30 years of experience in teaching healthcare professionals how to deliver empowering, person-centred care.
Together, they explore how stigma, unconscious bias, and assumptions can hinder effective communication and care for people living with obesity. Drawing on NICE guidelines and their own clinical experiences, Anne and Charles offer practical strategies for fostering empathy, respect, and shared decision-making in clinical encounters. This episode complements the RCPâs e-learning modules on obesity and is part of the broader initiative to address health inequalities.
Whether you're a clinician, educator, or learner, this conversation will challenge you to rethink how you approach weight-related discussions and empower patients to take control of their health journey.
Resources
RCP elearning - Obesity
NICE guidelines: Overweight and obesity management | Guidance | NICE
Lancet: Definition and diagnostic criteria of clinical obesity - The Lancet Diabetes & Endocrinology
The European Association for the Study of Obesity: A new framework for the diagnosis, staging and management of obesity in adults - EASO
Dr Charles Fox and Dr Anne Kilvert: www.diabetescounselling.co.uk
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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 Vincentâs 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 â reducing the environmental impact of healthcare
Resources
Paper: https://onlinelibrary.wiley.com/doi/10.1111/dme.15409
Local guidelines: https://sustainablediabetes.short.gy/guidelines
Website: https://sustainablediabetescare.com
Linkedin: https://uk.linkedin.com/in/dr-vincent-simpson
Bluesky:https://bsky.app/profile/drvsimpson.bsky.social
Credits
Dr 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.
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In this episode of the RCP Medicine Podcast, Consultant Respiratory Physician Milind Sovani 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.
We would like to acknowledge Dr Patience Ehilawa, Consultant Respiratory Physician at Nottingham University Hospitals , for her contribution to the content design and planning of this podcast.
References
A 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/10.1183/20734735.0218-2024This podcast has been made with an educational grant from Bristol-Myers Squibb Pharmaceuticals Limited (âBMSâ). BMS has had no input or involvement in the design, development or content of the podcast whatsoever.
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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 headacheResources
NICE 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=fulltext
GCAPS paper https://ard.bmj.com/content/83/Suppl_1/1100.2
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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 NHSâs groundbreaking journey toward net zero.
Together, they discuss the origins of the NHSâs green strategy, the global health implications of climate change, and the ambitious targets set for 2040 and 2045. Chris shares insights into the NHSâs 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.
Resources
Greener NHS plan website - https://www.england.nhs.uk/greenernhs/Greener NHS â 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 â 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 HubExplore our CPD portfolio by your career stage
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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.
Resources
Spasticity in adults: management using botulinum toxin | National GuidelinesSpasticity in adults: management using botulinum toxin | RCPCheshire and Mersey rehabilitation network https://www.cmrehabnetwork.nhs.uk/Explore our CPD portfolio by your career stage
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In this episode of the RCP Medicine Podcast, Dr Neil Stone, consultant in infectious diseases and microbiology at University College London Hospitals and associate professor at UCL, joins host Dr Rohan Mehra to explore the often overlooked and increasingly important field of clinical mycology.
The conversation covers a wide spectrum of fungal infectionsâfrom diagnosing and managing invasive candidiasis to understanding the global emergence of Candida auris, and the clinical complexities of Cryptococcus and Aspergillus infections. Dr Stone also sheds light on dimorphic fungi, discussing their unique biology, geographical distribution, and the diagnostic challenges they present. Beyond individual pathogens, the episode emphasizes the broader environmental and global health implications of fungal disease, highlighting the need for a One Health approach.
Whether you're a clinician, student, or simply curious about the fungal kingdom, this episode is rich with clinical insights, diagnostic tips, and global perspectives on one of medicineâs most challenging and evolving frontiers.
Resources
WHO Antifungals Report 2025 Antifungal agents in clinical and preclinical development: overview and analysis
WHO Antifungal diagnostics report 2025 Landscape analysis of commercially available and pipeline in vitro diagnostics for fungal priority pathogens
WHO Priority Fungal Pathogens list https://www.who.int/publications/i/item/9789240060241
IDSA Aspergillosis Guidelines 2016 https://www.idsociety.org/practice-guideline/aspergillosis/
Global Guideline for Candiasis 2025 Lancet 2025 https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(24)00749-7/fulltext
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Ep 50 onward - Bensound.com
Ep 1 - 49 'Impressive Deals' - Nicolai Heidlas
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