Shows
GPnotebook PodcastEp 161– Post-herpetic neuralgiaPost-herpetic neuralgia (PHN) is the most common complication following an episode of shingles and can affect up to one in five people. Pain is typically described as burning or like an electric shock and is often associated with allodynia and hyperalgesia. It can have significant effects on both physical and psychological well-being, with sleep disturbance and depression being frequently described. PHN is notoriously difficult to treat, with a significant number of patients achieving only a modest reduction in their symptoms despite combinations of analgesic agents. In this episode, Dr Kate Chesterman explores the treatment options available in primary care.2025-06-1912 minGPnotebook PodcastEp 159 – Baker’s cystBaker’s cysts commonly present in primary care. In this episode, Dr Kate Chesterman discusses the pathophysiology, underlying aetiology and management options for this condition, describing possible differential diagnoses and indications for investigations. She also explains the self-care options for those with minimal symptoms and how to escalate treatment, as well as when to consider a referral.Access episode show notes containing key references and take-home points at:http://gpnotebook.com/en-GB/podcasts/musculoskeletal-medicine/ep-159-bakers-cyst.Did you know? With GPnotebook Pro, you can earn CPD credits by...2025-06-0513 minGPnotebook PodcastEp 147 – ParonychiaParonychia is a common condition affecting the proximal and lateral nail folds of the hands or feet. In this episode, Dr Kate Chesterman discusses the differences between acute and chronic paronychia and the thinking around the causes and treatment of each. She also gives some tips that we can pass on to our patients regarding self-management and prevention.Access episode show notes containing key references and take-home points at:https://gpnotebook.com/en-GB/podcasts/dermatology/ep-147-paronychia.Did you know? With GPnotebook Pro, you can earn CPD...2025-03-1312 minGPnotebook PodcastEp 138 – Morton's neuromaMorton’s neuroma is a common condition that results in forefoot pain. It is a condition that can often be diagnosed in primary care and managed with simple changes in footwear and over-the-counter treatments. In this episode, Dr Kate Chesterman discusses the classic presentation of Morton’s neuroma, considers the need for any investigations, and updates us on appropriate self-care advice that can be given to patients.Access episode show notes containing key references and take-home points at:https://gpnotebook.com/en-GB/podcasts/orthopaedics/ep-138-mortons-neuroma.Did you...2025-01-0909 minGPnotebook PodcastEp 128 – Mastalgia (breast pain)Breast pain affects around 70% of women at some point in their lives and is a common reason for referral to breast clinics. It is often a cause of anxiety for women who may be concerned that their pain might be associated with breast cancer. In this episode, Dr Kate Chesterman discusses the assessment of the patient presenting with breast pain and explains the lack of association between breast cancer and breast pain in those with a normal clinical examination. She considers cyclical, non-cyclical and extra-mammary pain and discusses the causes and management options for these, as well as considering...2024-10-2415 minGPnotebook PodcastEp 116 – Transient loss of consciousnessTransient loss of consciousness (TLoC) affects nearly half the population of the UK at some point in their lives and is not an uncommon presentation in primary care. In this episode, Dr Kate Chesterman discusses the initial assessment of these patients and the factors that will help to differentiate between vasovagal syncope, cardiac syncope and epilepsy. She gives guidance on referral criteria and signposts useful resources that help assess fitness to drive and provide important safety information for patients.Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB...2024-08-0118 minGPnotebook PodcastEp 108 – Restless leg syndromeRestless leg syndrome (RLS) is prevalent in around 5–10% of the population and can result in an impact on quality of life that is comparable to conditions such as type 2 diabetes and osteoarthritis. It can result in significant impairments in sleep, energy, daily activities and behaviour and is associated with anxiety and depression in those who experience it. In this episode, Dr Kate Chesterman discusses the diagnosis and investigation of this distressing condition along with three principles that will help to guide its management.Access episode show notes containing key references and take-home points at: ht...2024-06-0621 minGPnotebook PodcastEp 98 – Recurrent vulvovaginal candidiasisRecurrent vulvovaginal candidiasis is reported in 6% of women of reproductive age. It has a significant impact on an individual’s quality of life that is comparable to conditions such as asthma and migraine. Appropriate management of the acute infection and subsequent maintenance treatment can help to reduce the burden of this condition. In this episode, Dr Kate Chesterman discusses the risk factors for recurrence and considers appropriate investigations. She looks at options for management, including lifestyle changes and induction and maintenance regimens.Access episode show notes containing key references and take-home points at: https://gp...2024-03-2816 minGPnotebook PodcastEp 91 – Lateral hip painLateral hip pain is a common presenting complaint in primary care. It can result in significant morbidity with reduction in activity levels and associated implications for leisure activities, employment and overall wellbeing. In this episode, Dr Kate Chesterman reviews the likely differential diagnoses, including some key questions to consider when assessing a patient with lateral hip pain. She then delves deeper into the diagnosis of greater trochanteric pain syndrome (GTPS), exploring the reasons why it is no longer referred to as trochanteric bursitis, initial management options, the value of corticosteroid injections and indications for onward referral.2024-02-0816 minGPnotebook PodcastEp 79 – Child mental healthThe number of young people struggling with anxiety and depression seems to be on the rise and resources to help these young people are increasingly stretched. In this episode, Dr Kate Chesterman and Dr Dave Ledward (GP with an interest in mental health) discuss the growing problem of managing the mental health of children. They focus on the vital role that parents and caregivers play in supporting young people through emotional turmoil and discuss the educational sessions that Dave has run for the families of young people with mental health issues. Dave discusses some of the pitfalls and traps...2023-10-0231 minGPnotebook PodcastEp 77 – Recurrent urinary tract infectionIn this podcast, Dr Kate Chesterman discusses recurrent urinary tract infection (UTI). She covers the pathophysiology, some risk factors for UTI recurrence and treatment options including lifestyle changes and the use of antimicrobials. She also focuses on non-antimicrobial management, including the current advice regarding the use of probiotics, cranberry products, D-mannose and methenamine hippurate.Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/urology/ep-77-recurrent-urinary-tract-infection.Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes...2023-08-1619 minGPnotebook PodcastEp 74 – Paediatric dietary allergyIn this episode, Dr Kate Chesterman is joined by Dr Alex Brightwell (Consultant Paediatrician with a specialism in allergy) and Liz Ingham (Lead Paediatric Allergy Dietician), both of whom work at the Norfolk and Norwich University Hospital. Together, they explore paediatric dietary allergies. They discuss cow’s milk protein allergy (CMPA), including: its different types, how to differentiate it from other causes of unsettled infant behaviour and the importance of de-challenging and rechallenging to make the diagnosis. Furthermore, they offer practical advice for breastfeeding mothers, as well as covering the indications for the different formula milks. They highlight the im...2023-05-1023 minGPnotebook PodcastEp 73 – Sexual abuse in childrenIn this episode, Dr Kate Chesterman talks to Dr Briony Arrowsmith, who is a Consultant Paediatrician at the Haven, a sexual assault referral centre in London. They discuss the many and varied ways that sexual abuse can present, as well as the considerations surrounding who the abuse should be disclosed to. They talk through the physical health concerns that need to be addressed and the role of the sexual assault referral centre in the care of abused children and their families. Finally, they discuss agencies that can offer ongoing psychological support to children, families and healthcare practitioners who have...2023-04-2828 min
DeconstructionRegulator to Advocator with Kate RaymondSend us a textWelcome to the very first episode in our Deconstruction podcast series. In this episode, Michael Chesterman and Emily Taylor interview Kate Raymond, General Manager - Advocacy & Policy at Master Builders Qld. Kate talks to the new requirements for liveable housing design included in the National Construction Code 2022, which will apply from October 2023. While an important and necessary cause, Kate speaks to the challenges faced by builders to comply in a short implementation period and the Master Builder's request for this implementation date to be extended by government. Recording just days before the first...2023-03-1156 minGPnotebook PodcastEp 66 – Childhood constipationIn this podcast, Dr Kate Chesterman discusses constipation in children. She takes us through the clinical features associated with idiopathic constipation and red flags that would cause concern. She discusses disimpaction regimes and when these should be used, as well as talking about the importance of ongoing maintenance regimes. She provides some tips on encouraging children to take laxatives and also highlights some useful patient and professional resources.Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/paediatrics/ep-66-childhood-constipation.Did you...2023-03-0318 minGPnotebook PodcastEp 62 – Cluster headachesIn this podcast, Dr Kate Chesterman discusses cluster headaches. She talks through the clinical features that would lead to a diagnosis, the initial investigations in primary care and indications for a referral to a headache specialist. She considers the management of acute attacks, including considerations around prescribing oxygen, as well as the options for preventative treatment.Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/neurology/ep-62-cluster-headaches.Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the...2023-01-2715 min
Respiratory & chest medicine – GPnotebook PodcastEp 57 – Malnutrition in people with chronic obstructive pulmonary diseaseMalnutrition can have significant adverse effects for patients with chronic obstructive pulmonary disease (COPD). In this podcast, Dr Kate Chesterman discusses how to identify and categorise those at risk of malnutrition. She also discusses how to treat malnutrition, including the appropriate use of oral nutritional supplements (ONS).2022-10-0520 minGPnotebook PodcastEp 57 – Malnutrition in people with chronic obstructive pulmonary diseaseMalnutrition can have significant adverse effects for patients with chronic obstructive pulmonary disease (COPD). In this podcast, Dr Kate Chesterman discusses how to identify and categorise those at risk of malnutrition. She also discusses how to treat malnutrition, including the appropriate use of oral nutritional supplements (ONS).Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/nutrition/ep-57-malnutrition-in-people-with-chronic-obstructive-pulmonary-disease.Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more. 2022-10-0520 minGPnotebook PodcastEp 50 – Post-sepsis syndromeIn this podcast, Dr Kate Chesterman discusses post-sepsis syndrome. She talks about the long-term implications for physical and mental health following sepsis and highlights the considerations for primary care clinicians in managing this cohort of individuals. She also discusses the role of the wider multidisciplinary team, including input from voluntary organisations.Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/general-practice/ep-50-post-sepsis-syndrome.Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to...2022-07-2211 minGPnotebook PodcastEp 40 – Identifying and supporting people with binge-eating disorderIn this episode, Dr Kate Chesterman discusses binge-eating disorder. She explores the defining characteristics of the condition and highlights the importance of referring to eating disorder services for treatment.Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/mental-health/ep-40-identifying-and-supporting-people-with-binge-eating-disorder.Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more. 2022-03-2507 minGPnotebook PodcastEp 38 – Undescended testes in infantsIn this episode, Dr Kate Chesterman discusses the finding of an undescended testicle at the 6-week baby check. She considers the possible diagnoses and associated risks. Kate also takes us through the primary care assessment and clarifies the important question of when to refer.Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/urology/ep-38-undescended-testes-in-infants.Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more. 2022-01-3111 minGPnotebook PodcastEp 36 – Postoperative follow-up of people who have undergone bariatric surgeryIn this episode, Dr Kate Chesterman discusses the role of the primary care practitioner in the long-term follow-up of people who have undergone bariatric surgery. She highlights the current variability in monitoring and makes listeners aware of where to access the current guidance on postoperative biochemical monitoring and micronutrient replacement.Access episode show notes containing key references and take-home points at:https://gpnotebook.com/en-GB/podcasts/obesity/ep-36-postoperative-follow-up-of-people-who-have-undergone-bariatric-surgery.Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen...2021-12-1011 min
House of Modern HistoryWar das Statebuilding in Afghanistan?Chris ist etwas wehmütig in dieser Folge: Das letzte mal das Thema Afghanistan.
Wir schauen uns genauer an wie der Westen in Afghanistan versucht hat einen Staat aufzubauen. Auf der Petersberger Konferenz 2001 wurde hier beschlossen traditionelle Elemente und westliche Regierungselemente zu verbinden. Die Umsetzung wird zum Beispiel in der Loya Jirga deutlich. Was der Unterschied zwischen Natioanbuilding, Statebuilding und Peacebuilding ist und was das jetzt war in Afghanistan erfahrt ihr in der Folge.
Quellen:
Barnett, Michael and Christopher Zürcher (2009), “The Peacebuilder’s Contract: How External Statebuilding Reinforces Weak Statehood,” in Roland Paris and Timothy D...2021-10-2848 minGPnotebook PodcastEp 34 – Urinary symptoms during pregnancyIn this episode, Dr Kate Chesterman discusses the case of Lauren, a 32-year-old lady who is 30 weeks pregnant. Lauren presents with dysuria and increased frequency. Kate talks us through the current guidance on urinary symptoms in pregnancy and considers who to investigate, when to treat and what to treat with. She highlights physiological changes in pregnancy, important obstetric and non-obstetric causes for urinary symptoms as well as relevant red flags.Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/obstetrics/ep-34-urinary-symptoms-during-pregnancy....2021-10-1310 minGPnotebook PodcastEp 32 – Gynaecomastia: investigation and management in primary careIn this episode, Kate discusses gynaecomastia and its investigation and management in primary care. She talks us through an infographic produced by The Association of Breast Surgery called Guidance on Gynaecomastia and considers the following important questions: “who do I need to be worried about?”, “what investigations should I consider?” and “when should I make a referral?”.Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/general-practice/ep-32-gynaecomastia-investigation-and-management-in-primary-care.Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast...2021-09-0315 minGPnotebook PodcastEp 23 – Non-blanching rash in childrenIn her first podcast for GPnotebook, Dr Kate Chesterman discusses new evidence on the management of children with non-blanching rashes with Dr Edward Snelson. Dr Snelson is a Consultant Emergency Paediatrician at Sheffield Children’s Hospital and is the author of the blog GPpaedstips. Should we be treating every non-blanching rash as meningococcal disease, and if not, why not? What important differentials do we want to consider in children with a fever and a non-blanching rash? Can GPs safely decide which children require emergency treatment?Access episode show notes containing key references and take-home po...2021-04-0926 min