Shows
Skin DeepEmollients (Part 3) - Choosing the right one for youIn this third and final Skin Deep episode on emollients, Dr Roger Henderson and Dr George Moncrieff offer their expert guidance on how to choose and use emollients, and they share the best options for managing dry skin conditions, including eczema.
They discuss the following:
The unique benefits of and differences between creams, gels, ointments and bath oils
How to use different emollients effectively in your daily routine, such as using ointments at night for lasting hydration
The importance of finding an emollient you like and will use consistently to manage your skin
How you can try a...
2025-02-2514 minSkin DeepEmollients (Part 2) - Applying emollients: How, when and whereIn this episode, Dr Roger Henderson and Dr George Moncrieff explain how to apply emollients in order to effectively manage dry skin conditions such as eczema and psoriasis. Listen to learn why the right emollient routine can make all the difference for you and your skin.
Key points mentioned include these:
Why certain creams and ointments can worsen skin conditions rather than help them
Why sodium lauryl sulfate (SLS) is harmful to your skin barrier
Tips on how to achieve optimal results when applying emollients alongside other topical treatments
Helpful advice on the best way to apply...
2025-02-0409 min
Rash DecisionsActinic Keratosis (Part 1) - The risk of malignancyIn this episode of Rash Decisions, hosts Dr George Moncrieff and Dr Roger Henderson delve into actinic keratoses (AKs), also known as solar keratoses. With expert insights, they discuss the nature of these common sun-induced lesions, their role as markers of both UV exposure and damage, along with practical approaches to diagnosis.
Key Takeaways:
How to differentiate AKs from other keratotic lesions, including Bowen’s disease, keratoacanthoma and squamous cell carcinoma (SCC)
The significance of clinical grading and the concept of "field cancerization"
Practical tips for dermatoscopic evaluation and deciding when to refer patients.
Tune in to...
2025-02-0320 minSkin DeepEmollients (Part 1) - A quick guide to emollientsIn today’s episode, your expert hosts, Dr George Moncrieff and Dr Roger Henderson dive into a critical topic for anyone with a dry skin condition – emollients.
Emollients are essential for managing dry skin conditions because they help restore the skin's moisture barrier, preventing water loss and providing a protective, soothing layer that keeps the skin hydrated and comfortable. But, they must be used correctly and that’s where these episodes on emollients come in...
In this first of three episodes on this topic, you’ll gain an understanding of what exactly an emollient is, as well as...
2025-01-1315 minRash DecisionsViral Infections (Part 4) - From local to globalYour hosts Dr George Moncrieff and Dr Roger Henderson are joined once again by special guest Dr Marina Morgan, Consultant Clinical Microbiologist at the Royal Devon and Exeter Hospital. Together, they explore the fascinating and sometimes alarming world of viral skin infections, covering conditions from glandular fever to tropical viral infections like dengue, chikungunya and Zika, along with the global spread of mpox.
Key takeaways:
Recognising glandular fever and its differential diagnoses, including CMV and acute HIV seroconversion.
How global travel and climate change are impacting the spread of tropical viral infections.
The new dengue and mpox...
2025-01-1324 minRash DecisionsViral Infections (Part 3) - Viral or non-viral?Dr Marina Morgan, Consultant Clinical Microbiologist at Royal Devon and Exeter Hospital, is back once again, joining Dr George Moncrieff and Dr Roger Henderson in their deep dive into the world of viral rashes.
From Kawasaki disease to Covid-19-related skin issues, the trio explores the complexities of diagnosing and managing these, often misunderstood, conditions.
Key Takeaways:
Recognising the unique characteristics of Kawasaki disease, MIS-C, and toxic shock syndrome.
Understanding how Covid-19 can present a wide spectrum of skin manifestations.
Practical tips for primary care professionals to help identify urgent cases that require hospital ref...
2024-12-1223 minRash DecisionsViral Infections (Part 2) - More than just measlesWe’ve gone viral!
Join Dr George Moncrieff and Dr Roger Henderson as they discuss paraviral rashes, where the rash is an immune response to the virus.
They’ll be covering:
Measles
Rubella
Fifth disease
Pityriasis rosea
Hand, foot and mouth disease
Herpangina
Tune in to hear tips for diagnosis, the available treatment options and some potentially serious complications.
Plus, the two hosts will be discussing why they think the MMR vaccine uptake is falling, resulting in rising cases of measles.
Thank you to our kind sponsor AproDerm, who provide a...
2024-11-2519 minSkin DeepCombatting modern threats to skin healthYour hosts Dr George Moncrieff and Dr Roger Henderson explore the challenges our skin faces in today’s environment and share practical ways to protect it. From understanding what makes our skin vulnerable to the impact of modern habits, they cover essential insights into achieving healthier skin.
Key takeaways:
Environmental impacts: how central heating, air conditioning, and frequent washing contribute to the rise of dry skin conditions like eczema and psoriasis.
Skin microbiome: why maintaining your skin’s natural microbiome is key to resilience and tips on avoiding damage.
Effective emollient use: simple methods for using emollient...
2024-11-1811 minSkin DeepSkin Health 101: Peeling back the layersA must-listen for those who want to dive deeper into understanding how their skin works. From the protective role of the skin to its intricate structure, this episode sets the scene for what we need to do to protect this large organ. In addition, your hosts Dr George Moncrieff and Dr Roger Henderson, also touch on the psychological impact of living with skin conditions like acne and eczema.
This episode covers:
The key functions of the skin, including regulating body temperature
How the skin acts as a barrier against infections
A breakdown of the skin’s struct...
2024-11-0410 minRash DecisionsViral Infections (Part 1) - Viral wisdomDr George Moncrieff and Dr Roger Henderson share their wisdom on viral infections. In the first of three episodes on this topic, they’ll cover cytopathogenic rashes, where the virus is present in the skin lesion.
Along with sharing their top six viral facts, they’ll talk you through:
Viral warts
Herpes simplex infections
Chickenpox
Shingles
Orf
Molluscum contagiosum
For each of these conditions, they’ll discuss what the virus is up to, share their experiences on the available treatments and complications that you should be aware of in primary care.
Thank you to our kind spo...
2024-10-0127 minSkin DeepEczema (Part 2) - Are you treating your eczema the way your skin wants?Do you have eczema-prone skin? Tune in to this episode to hear Dr George Moncrieff and Dr Roger Henderson discuss three important areas of eczema management; the treatments, the lifestyle changes and how to prevent flare-ups.
Your two dermatology experts will also cover:
How to wash your eczema-prone skin
What to do if your eczema is infected
How you can keep track of your eczema flare-ups in a way that will give doctors the information they need to tailor your treatment to your skin
Thank you to our kind sponsor AproDerm, who provide a range of em...
2024-09-2326 minSkin DeepEczema (Part 1) - So you think you know about eczema?In this eczema 101 episode, Dr George Moncrieff and Dr Roger Henderson answer:
What is atopic eczema?
What is the skin barrier?
Do you need to take antibiotics when you have an eczema flare?
What are the symptoms of eczema?
How does eczema impact someone’s wellbeing?
What does eczema look like?
How is eczema diagnosed?
What are common eczema triggers?
Thank you to our kind sponsor AproDerm, who provide a range of emollients designed for the management of dry skin conditions, including eczema, psoriasis and ichthyosis.
Everyone’s skin is unique and what works for one perso...
2024-09-0919 minRash DecisionsBacterial Infections (Part 3) - Flesh-eating bugs, Lyme disease and more!In this episode, your hosts Dr George Moncrieff and Dr Roger Henderson are joined by Consultant Clinical Microbiologist Dr Marina Morgan to discuss some of the potentially very serious bacterial skin infections...
Delving straight in with necrotising fasciitis, the trio cover how patients come to get this bacterial infection and, as it's so easy to miss this diagnosis, the signs and symptoms you should be looking out for in primary care.
They then move onto discussing the secrets to diagnosing Panton-Valentine Leukocidin (PVL). Spread by close skin contact, they will be imparting key tips that yo...
2024-09-0334 minSkin DeepTopical Steroid Concerns (Part 2) - Concerned about your topical steroid? Ask, and then ask again!“I think the biggest thing emotionally is, you're valid. You are seen. You are going through what you are going through. If a doctor says otherwise, know that you are not alone in that. There's a community behind you.” - Briana Banos
In this extended episode, your hosts Dr George Moncrieff and Dr Roger Henderson will be discussing Topical Steroid Withdrawal (TSW), also known as Red Skin Syndrome. They’ll cover what Topical Steroid Withdrawal is, along with the symptoms and severity of this condition.
They are also joined by Briana Banos, an incredible filmmaker, who has...
2024-08-2634 minRash DecisionsBacterial Infections (Part 2) - A deep dive into skin infectionsCan you tell the difference between erysipelas and cellulitis? Or wondered whether you’re looking at venous eczema or bilateral cellulitis? Deep bacterial skin infections can be elusive but worry not...
In this jam-packed episode, Dr George Moncrieff and Dr Roger Henderson share their top tips for spotting some common and not so common deep bacterial skin infections along with their differential diagnosis. In just 20 short minutes they will be covering a staggering 17 bacterial infections, including:
Erysipelas
Cellulitis
Venous Eczema
Lymphangitis
Erythrasma
Henoch-Schönlein Purpura
Scarlet Fever
Syphilis
Not only will this episode help you to identify t...
2024-08-2022 minSkin DeepTopical Steroid Concerns (Part 1) - The good, the bad and the ugly “...some people are concerned about topical steroids and I believe rightly so. And for some people, not only do they not work all that well, but they can actually cause quite dramatic and devastating inflammation in the skin.” Dr George Moncrieff
In this 15-minute podcast, your hosts Dr George Moncrieff and Dr Roger Henderson will discuss some of the problems associated with topical steroids. They give an insight into why doctors might prescribe them, along with what advice you should receive before using your topical steroid.
Other key points they cover include:
The benefits and pitfa...
2024-08-1215 minRash DecisionsBacterial Infections (Part 1) Top facts about bacterial skin infectionsThe human body is outnumbered by bacteria almost 10 to 1, and in general, we live in harmony with them. It’s a truly symbiotic relationship, however, what happens when we get an imbalanced microbiome?
In this episode, your hosts Dr George Moncrieff and Dr Roger Henderson will answer just that, as they cover some of the common and rarer bacterial infections seen in primary care. Listen along to hear:
Their top six facts about bacteria
How to spot common bacterial infections including, impetigo, folliculitis and furuncles along with the not so common ones like carbuncles, Staphylococcal Scalded Skin...
2024-08-0729 minSkin DeepPsoriasis (Part 2) - The A-Z of managing psoriasisDo you ever wonder if you are managing your psoriasis in the best way?
This episode will give you a comprehensive overview of what treatments are available for your GP to prescribe to you. Listen along to also hear:
The general lifestyle principles you should be applying at home
Why it’s important to get your psoriasis under control, quickly
Which areas are tricky to treat, including the nails, face and scalp
Why you should always tell your doctor about aches and pains when you have psoriasis
When psoriasis is too severe to be treated at the docto...
2024-07-2924 minRash DecisionsTopical Steroid Concerns (Part 2) - When topical steroids bite backIn this episode on Topical Steroid Concerns, Dr George Moncrieff and Dr Roger Henderson will educate and upskill you on Topical Steroid Withdrawal, also known as Red Skin Syndrome. They will be sharing their experiences and covering:
What Topical Steroid Withdrawal is?
Who it affects
Symptoms of Topical Steroid Withdrawal
The impact that the healthcare profession has had and is continuing to have by not being alert to this condition
What needs to be done urgently to help individuals who are experiencing this devastating condition
MHRA updates following the reports to the Yellow Card Scheme
They are al...
2024-07-2232 minSkin DeepPsoriasis (Part 1) - Head, Elbows, Knees and ToesIn the first episode of this two-part topic, your hosts Dr George Moncrieff and Dr Roger Henderson give you a complete guide to psoriasis, answering:
What is psoriasis?
Who gets psoriasis?
Why does psoriasis occur in different groups of people?
How is psoriasis diagnosed?
What is the impact of psoriasis on someone’s mental wellbeing?
What it means when doctors say ‘psoriasis is an inflammatory condition.’
What triggers psoriasis flare-ups?
Thank you to our kind sponsor AproDerm, who provide a range of emollients designed for the management of dry skin conditions, including eczema, psoriasis and ichthyos...
2024-07-1626 minRash DecisionsTopical Steroid Concerns (Part 1) - The power and pitfallsWhile topical steroids are indispensable in dermatology, understanding their powers and pitfalls is essential for healthcare professionals. Listen along to hear:
The impact of topical steroids on the skin barrier, from the thinning of the stratum corneum to the disruption of the all-important “acid mantle”.
Insights into the accelerated absorption from long-term use and its consequences in the deeper layers of the dermis.
Considerations for children, exploring absorption rates in relation to their body surface area to weight ratio.
How the language we use can increase the risk of poor clinical response and treatment failure.
The statistics around steroid a...
2024-07-0919 minSkin DeepMelanomas (Part 2) - Malignant Melanomas: How Doctors Spot ThemIf you go and sit in front of your doctor and say, “would you have a look at this skin lesion doc? I'm a bit worried about it” what will they say and what will they be looking for?
In this episode, your hosts Dr George Moncrieff and Dr Roger Henderson answer these questions by discussing...
The current approach to spotting and diagnosing a melanoma, ABCD
Dr George Moncrieff’s improved approach to spotting and diagnosing melanomas, which includes elements of ABCD and adds E, F and G
Why doctors should be asking you to return for a thor...
2024-07-0125 minRash DecisionsMelanomas (Part 3) - The art of melanoma spottingIn this third episode of the Rash Decisions melanoma series, Dr George Moncrieff and Dr Roger Henderson guide you through "The Art of Melanoma Spotting" in primary care. They’ll upskill you on the essential techniques for early melanoma detection, emphasising the key role of dermatoscopy and mole mapping. Our experts also share their thoughts on UVA and UVB exposure whilst exploring the complexities of sunblock usage, debunking common myths and providing practical advice for you to pass on to your patients.
Tune in to gain the expertise needed to spot early melanomas confidently and improve patient out...
2024-06-2418 minSkin DeepMelanomas (Part 1) - Melanomas: Risks, Reality and YouAre you at risk of developing a melanoma?
Dr George Moncrieff explains how “one episode of severe sunburn doubles your lifetime risk of melanoma. And using a sunbed ever, just using it once, increases your risk by 20%. And...in young people, in people under 35, that risk is actually increased by 59%.”
Listen to this episode where Dr Moncrieff and Dr Roger Henderson delve into risk factors in more detail, as well as...
Explaining who is genetically at risk of developing a melanoma
Discussing how common melanomas are now compared to some years ago
Debating whether doctors ar...
2024-06-1839 minRash DecisionsMelanomas (Part 2) - Cracking the Melanoma CodeDo you use ABCD to diagnose malignant melanomas? You may be contributing to the 84% of obviously benign melanomas that are referred to secondary care. Or even worse, you could be missing over two thirds of melanoma.
Dr George Moncrieff and Dr Roger Henderson scrutinise ABCD in this podcast episode, working through each letter of the acronym to decipher the helpfulness of distinguishing malignant melanomas from benign lesions in primary care and explaining how much more useful E, F and G are.
When you finish this episode you’ll feel more confident in your diagnosis with Dr M...
2024-06-1025 minRash DecisionsMelanomas (Part 1) - Think you know melanomas? Think again!“Over half of all our referrals to dermatology are for suspected skin cancer. But this is the alarming thing, only 6% of those referrals turn out to be either a melanoma or a squamous cell carcinoma...” Dr George Moncrieff.
So, as primary care physicians, how can we help to reduce the percentage of benign melanoma referrals?
You can start by listening to this podcast where your hosts Dr George Moncrieff and Dr Roger Henderson discuss:
The current incidence statistics for malignant melanomas and how these have changed over the past 5 decades
Who is actually at risk? Loo...
2024-05-2724 minSkin DeepMental Health (Part 2) - Think skin, think mental healthTrigger Warning: In this episode, there is mention of suicide and self-harm, which we appreciate may be disturbing for some listeners. Please listen at your own discretion.
You’re not alone. In this episode Dr George Moncrieff and Dr Roger Henderson are once again joined by Professor Anthony Bewley, a world authority on the link between the skin and the mind, to discuss the devastating statistics that show the impact skin conditions can have on mental health.
The reason you’re not alone? Whether it’s atopic dermatitis, psoriasis, acne or vitiligo (to name a few!), t...
2024-05-2126 minRash DecisionsMental Health (Part 3) - Mind-skin connectionsIn this third instalment of our series on mental health and the skin, we, Dr George Moncrieff and Dr Roger Henderson, are joined once again by special guest Professor Anthony Bewley, a distinguished authority in the field of psychodermatology.
In this episode, we delve into the fascinating world of mental health conditions that manifest through the skin. Drawing from Professor Bewley's wealth of experience, we’ll explore conditions such as the obsessive compulsive disorder, trichotillosis and body dysmorphic disorder, shedding light on the complex psychological factors underlying these dermatological manifestations, that are expressed through the skin.
A...
2024-05-1421 minSkin DeepMental Health (Part 1) - Your skin and your mental healthIf there is one thing we want you to take away from this episode, it’s a sense of EMPOWERMENT.
For this discussion, Dr George Moncrieff and Dr Roger Henderson are joined by a world authority in how mental health and the skin are linked, Professor Anthony Bewley. The trio chat about the huge impact skin conditions can have on someone's quality of life, as well as diving into:
Why you should talk to your GP about your mental health
Psychodermatology (the medical term for addressing the mind and the skin) resources in the UK
Guidance on how...
2024-05-0724 minRash DecisionsMental Health (Part 2) - How skin conditions impact the minds of your patientsThis episode contains some eye-opening statistics revealing the staggering toll the likes of atopic dermatitis, rosacea, acne, psoriasis and alopecia areata take on an individual's mental wellbeing.
BUT, the episode doesn’t just shed light on the problem. Dr George Moncrieff and Dr Roger Henderson have enlisted the help of Professor Anthony Bewley, a world authority on psychodermatology, to help them break down the barriers to initiating vital conversations around mental health in primary care.
They also discuss the golden rule of psychodermatology - to treat the skin, and the psychosocial comorbidities, at the same tim...
2024-04-3041 minSkin DeepRosacea (Part 2) - Taking controlRosacea can be a potentially distressing condition, so in this episode your hosts, Dr George Moncrieff and Dr Roger Henderson delve straight into lifestyle changes, providing simple yet effective tips to help you manage your condition.
Drawing on their extensive experience as GP’s, spanning over 70 years combined, these dermatology experts also discuss the various treatment options available across the rosacea spectrum, from simple redness and flushing to eye involvement and Rhinophyma.
Listen along to hear:
Guidance on how to identify your unique triggers
Advice on what lifestyle adjustments you can make and how to man...
2024-04-2324 minSkin DeepRosacea (Part 1) - It's more than a red face"What have Rembrandt, the Hollywood actor, W. C. Fields and former president of the United States, Bill Clinton, all got in common?"
The answer is rosacea, which affects around 1 in 10 people in the UK. Typically characterised by a flushed face, this common skin condition can have a huge impact on an individual’s mental health and self-esteem.
So, in this episode our skin experts Dr George Moncrieff and Dr Roger Henderson will be discussing:
The science behind the flushing
The four different types of rosacea and their symptoms
What the common triggers are
Practical tips and...
2024-04-2223 minRash DecisionsMental Health (Part 1) - Psychodermatology and your patients“…the skin is not just the skin. Underneath the skin, there is a person, who is really suffering.” Professor Anthony Bewley.
In 2020, the 'Mental Health and Skin Disease' report produced by the All-Party Parliamentary Group on Skin highlighted that 98% of individuals with skin disease reported an impact on their wellbeing, despite this, only 18% received effective professional help.
The report stated that skin disease can adversely impact on all aspects of someone's life, from schooling, self-esteem, career choices, to social, sexual, and leisure activities.
We are honoured to be joined by Professor Anthony Bewley on our l...
2024-04-1620 minRash DecisionsRosacea (Part 2) – Getting treatment right first time“...when you then see the patient who comes in [with] rosacea and they [have] then got the broken capillaries, the blood vessels starting to appear. It's not that my heart sinks when I see those, compared to a patient with simple background flushing, but I start thinking, we're in for a slightly trickier time here to start pulling them back.” Dr Roger Henderson.
In this episode, your hosts, Dr George Moncrieff and Dr Roger Henderson discuss the treatment options available across the rosacea spectrum. From how to treat simple flushing and background redness through to ocular involvement and R...
2024-04-0227 minRash DecisionsRosacea (Part 1) - The best pub quiz question ever!"What do Rembrandt, the Hollywood actor W. C. Fields and the former president Bill Clinton all have in common?"
The answer is rosacea, and in this first episode on this common skin condition, your hosts Dr George Moncrieff and Dr Roger Henderson explore how to identify rosacea in your patients, giving you clarity on the clinical presentations to avoid potential misdiagnosis.
They will also cover:
How to differentiate rosacea from acne
Rosacea in skin of colour
The different subtypes in the rosacea spectrum and their severities
The link between rosacea and eye symptoms, including...
2024-03-1821 minRash DecisionsAcne (Part 2) - Best treatment, zero scarringAs Dr Roger Henderson aptly puts it, “...The one thing guaranteed to make my heart sink, if I'm walking down the high street, is to see someone with acne scarring... Because you know that, that was preventable.”
In this insightful episode, your hosts Dr George Moncrieff and Dr Roger Henderson discuss acne treatments, emphasising the crucial importance of preventing acne scarring.
From topical retinoids to isotretinoin, this episode equips healthcare professionals with essential knowledge and patient-centric approaches to addressing acne. You’ll learn:
The essential information-gathering process at the onset of a consultation, laying the ground...
2024-03-0533 minRash DecisionsAcne (Part 1) - The full monty!“Now many patients of mine do believe that acne, is acne, is acne. But one of the things I have learnt, over too many years of treating them, is that there's a massive range of presentations, including the 'no need to treat, so mild', to the... specialist referral level with horrendous scarring, which I think we've failed, if we get to the scarring point...
So, there's this massive sort of A to Z range, isn't there?... We've got to treat each patient as they sit in front of us rather than just lumping everyone with acne into the...
2024-02-2018 minRash DecisionsTopical Steroids (Part 2) - Everything you wanted to know but were too afraid to ask!“Somebody with moderate atopic eczema has nine flares a year, each of those flares, perhaps needing topical steroids for two to five weeks at least. So, they're barely stopping the topical steroids.” Dr George Moncrieff
Already you can see how patients can very easily, and unintentionally, be prescribed topical steroids long-term, which they are neither intended for, nor licensed for. The impact of this is discussed in this episode, by your hosts Dr George Moncrieff and Dr Roger Henderson. They will also guide you through incidences where topical steroids can be a cause for concern and how to ov...
2024-02-0622 minRash DecisionsTopical Steroids (Part 1) - The Lowdown“…we’ve been using topical steroids now for over 70 years, which means they've been around longer than paracetamol. So, we know how to get the best results from them, and we know what to expect from them.” Dr George Moncrieff
Or do we?
Join our hosts as they unravel the essentials of prescribing topical steroids. Dr George Moncrieff and Dr Roger Henderson explore key topics, including:
The anti-inflammatory action of topical steroids and how they work
The topical steroids that are available to us, their various forms and their potencies
Advice on how to effectively co...
2024-01-2322 minRash DecisionsEmollients (Part 3) - Emollients everywhere! Which one to choose?“...Appropriate use of an emollient reduces overall health costs because the patient's eczema gets better, they have less appointments with doctors, they have less eczema, they're using less steroids, and in the paper that I showed not only were they using less topical steroids, they were using less antibiotics. So, it really is a win. You're using a very safe agent.” Dr George Moncrieff.
In this third, and final, episode on the topic of ‘Emollients’, your hosts Dr George Moncrieff and Dr Roger Henderson highlight the importance of communication and collaboration between patients and their healthcare professional in order...
2024-01-0827 minRash DecisionsEmollients (Part 2) - It’s all about the emollient“Patients sometimes think that an emollient is an emollient. But when we're prescribing, we mustn't forget about splitting them into simple and sophisticated types and actually think about what we're putting on our patient's skin, which sounds an obvious thing to say, but it really is horses for courses” - Dr Roger Henderson.
Following on from the first episode in the “Emollients” topic, which covered the critical role of our skin, Dr George Moncrieff and Dr Roger Henderson now discuss how emollients work in keeping our skin barrier healthy. This episode highlights the crucial distinctions between simple and sophi...
2023-12-0524 minRash DecisionsEmollients (Part 1) - Refreshing dry skin!Before we attempt to understand the critical role that emollients play in the management of dry skin conditions, we first need to understand our largest organ, the skin. Dr Moncrieff and Dr Henderson delve deep into the remarkable structure that is our skin, looking at how this organ punches way beyond its weight simply because it’s the part of the body that everyone sees and notices. They explore this fascinating structure and cover:
The skin’s many roles from being our first line of defence, through to thermoregulation, immune regulation and its critical role in sensation
The sophis...
2023-11-1422 minRash DecisionsEczema (Part 3) - Moving up the scale of eczema treatmentIn this final episode on eczema, Dr George Moncrieff and Dr Roger Henderson share their thoughts on eczema treatments, including topical steroids and immunomodulators.
Alongside many other practical tips, the key takeaways from this episode include:
Advice on which, when, and how much topical steroid to prescribe to patients with eczema and how they can be used as useful little markers to show whether a patient’s eczema is being controlled adequately
If and when to prescribe antibiotics for eczema patients and how to manage recurrent eczema flares driven by infection
Why topical immunomodulators should no lo...
2023-10-2430 minRash DecisionsEczema (Part 2) - Rethinking eczema treatment (and throw the soap away!)Join Dr Moncrieff and Dr Henderson as they discuss their assessment process for patients with eczema. Not only does this involve looking at the skin but also taking into account patient quality of life, their psychosocial wellbeing, as well as the importance of developing a bond with your patients through touch in this very tactile condition before moving on to the treatment process.
“The first thing I say to my patients is, tell me how do you wash? … And they often look aghast” Dr Moncrieff
During this episode, you will find out why Dr Moncrieff starts h...
2023-10-0321 minRash DecisionsEczema (Part 1) - It’s not just itchy skinIn the first episode of this three-part series on eczema Dr Henderson and Dr Moncrieff examine the various factors that have contributed to the rapid increase in eczema since World War II as well as the relationship between atopic eczema, asthma, and hay fever, known as the atopic march.
They will examine the causes and diagnosis of eczema in children and adults, including how its appearance differs in skin of colour, whilst sharing with you the tell-tale signs of scratching.
“The average patient with moderate eczema is having about nine flares a year. Severe eczema is...
2023-09-1228 minRash DecisionsPsoriasis (Part 3) - Managing the tricky patternsIn this final instalment of our three-part series on psoriasis, Dr George Moncrieff and Dr Roger Henderson discuss the management of challenging psoriasis patterns such as guttate psoriasis, flexural psoriasis, nail psoriasis, psoriatic arthritis and palmoplantar pustulosis. In addition, the experts explore the impact of psoriasis on patients' self-esteem and relationships, especially when the affected areas involve the face and genital regions.
During this engaging episode, the two experienced GPs will share their extensive knowledge and insights on the various treatment approaches that they have successfully used on their patients throughout their careers. They discuss the effectiveness o...
2023-08-2230 minRash DecisionsPsoriasis (Part 2) - Getting the scale of treatment rightThis second episode is bursting with the possible treatment options available in primary care for the management of psoriasis. Join Dr George Moncrieff and Dr Roger Henderson as they discuss how they get their patients psoriasis under control using coal tars, topical steroids, vitamin D analogues, and their favourite combination product, whilst touching on how biologics have changed the psoriasis landscape.
Listen along to hear their perspective on the NICE guidelines and to find out how they prioritise a clinical and health excellence approach for treating psoriasis with their patients, valuing patient wellbeing and immediate results.
Thank you to our ki...
2023-08-0124 minSkin DeepSkin Deep TrailerJoin the incredible duo, Dr George Moncrieff and Dr Roger Henderson as they draw upon their 70 years of combined GP experience to dive deep into the world of skin.
Each episode will tackle a particular skin condition, shedding light on its causes, symptoms, and most importantly, effective treatments, as used by doctors.
Covering eczema, psoriasis, acne, and rosacea to name but a few, during these short, 20-30 minute episodes, they will also be sharing practical tips and advice for you to follow while answering the questions you've been itching to ask your healthcare professional.
2023-07-2402 minRash DecisionsPsoriasis (Part 1) - More than just a troublesome rashTune in as Dr George Moncrieff and Dr Roger Henderson discuss psoriasis in this first of three episodes where they explore the causes, prevalence, triggers, and psychological impacts this inflammatory disease has on patients' lives.
Thank you to our kind sponsor AproDerm, providing a comprehensive range of quality emollients that are designed for the management of dry skin conditions, including psoriasis. To simplify the process of finding the most suitable emollient for each patient, they have developed a remarkable solution: the AproDerm Emollient Starter Pack. This pack conveniently combines all four of their emollients in a single prescription, enabling patients t...
2023-07-1131 minRash DecisionsRash Decisions TrailerAimed at healthcare professionals and co-hosted by Dr George Moncrieff and Dr Roger Henderson, these Rash Decisions podcasts will delve deep into the world of dermatology. This immersive series will help to strengthen your understanding and broaden your skill set in this vitally important clinical area by bridging the gap in recognising, diagnosing and treating a wide range of skin conditions. From acne, eczema, psoriasis and rosacea through to melanomas to name a few, they’ve got you covered.
With over 70 years of combined experience in general practice, the two hosts will share their first-hand experiences of th...
2023-06-2800 min