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IngestIngestThe Microbiome, Our Health and WellbeingDr Charlie Andrews talks to Dr James Kinross, PhD, FRCS Dr. Kinross is a senior lecturer in surgery at Imperial College in London. He is also a practicing colorectal surgeon in the NHS with a clinical interest in the prevention and treatment of colon cancer. He leads a team of amazing researchers working to better define how the microbiome causes cancer and other chronic diseases of the gut. He is increasingly interested in how the gut microbiome develops in newborn babies and the implications on our long-term health. He is the author of the well know book D...2025-06-0938 minIngestIngestThe Microbiome, Our Health and WellbeingDr Charlie Andrews talks to Dr James Kinross, PhD, FRCS Dr. Kinross is a senior lecturer in surgery at Imperial College in London. He is also a practicing colorectal surgeon in the NHS with a clinical interest in the prevention and treatment of colon cancer. He leads a team of amazing researchers working to better define how the microbiome causes cancer and other chronic diseases of the gut. He is increasingly interested in how the gut microbiome develops in newborn babies and the implications on our long-term health. He is the author of the well know book D...2025-06-0938 minIngestIngestNeuroendocrine Cancer – The Expert PatientThe episode features Dr. David Bartlett, a retired GP and neuroendocrine cancer patient, offering a dual perspective as both clinician and patient.Key Learnings from this episode.Patient Experience and Diagnostic ChallengesDr. Bartlett’s symptoms began with severe, intermittent abdominal pain, starting in 2001, but he did not seek medical help for several years due to a combination of stoicism, not wanting to trouble others, and a belief in the commonality of benign causes. Over 15 years, he experienced repeated misdiagnoses, primarily being labeled as having irritable bowel syndrome (IBS) despite atypical features (severe pain, mi...2025-04-1543 minIngestIngestNeuroendocrine Cancer – The Expert PatientThe episode features Dr. David Bartlett, a retired GP and neuroendocrine cancer patient, offering a dual perspective as both clinician and patient.Key Learnings from this episode.Patient Experience and Diagnostic ChallengesDr. Bartlett’s symptoms began with severe, intermittent abdominal pain, starting in 2001, but he did not seek medical help for several years due to a combination of stoicism, not wanting to trouble others, and a belief in the commonality of benign causes. Over 15 years, he experienced repeated misdiagnoses, primarily being labeled as having irritable bowel syndrome (IBS) despite atypical features (severe pain, mi...2025-04-1543 minIngestIngestPancreatic Conditions Part 2 – MalignantDr Charlie Andrews talks to Dr John Leeds. John Leeds is a Consultant Pancreaticobiliary Physician and Endoscopist based at the Freeman Hospital in Newcastle and an Honorary Clinical Senior Lecturer based in the Population Health Sciences Institute at Newcastle University. He is involved in research in pancreaticobiliary disorders including benign and malignant conditions as well as outcomes from therapeutic/advanced endoscopy.John is a member of the British Society of Gastroenterology and Pancreatic Society of Great Britain and Ireland. He serves on the endoscopy and Pancreas committees for BSG and is the website lead for PSGBI.2025-03-2543 minIngestIngestPancreatic Conditions Part 2 – MalignantDr Charlie Andrews talks to Dr John Leeds. John Leeds is a Consultant Pancreaticobiliary Physician and Endoscopist based at the Freeman Hospital in Newcastle and an Honorary Clinical Senior Lecturer based in the Population Health Sciences Institute at Newcastle University. He is involved in research in pancreaticobiliary disorders including benign and malignant conditions as well as outcomes from therapeutic/advanced endoscopy.John is a member of the British Society of Gastroenterology and Pancreatic Society of Great Britain and Ireland. He serves on the endoscopy and Pancreas committees for BSG and is the website lead for PSGBI.2025-03-2543 minIngestIngestPancreatic Conditions Part 1 – BenignDr Charlie Andrews talks to Dr John Leeds. John Leeds is a Consultant Pancreaticobiliary Physician and Endoscopist based at the Freeman Hospital in Newcastle and an Honorary Clinical Senior Lecturer based in the Population Health Sciences Institute at Newcastle University. He is involved in research in pancreaticobiliary disorders including benign and malignant conditions as well as outcomes from therapeutic/advanced endoscopy.John is a member of the British Society of Gastroenterology and Pancreatic Society of Great Britain and Ireland. He serves on the endoscopy and Pancreas committees for BSG and is the website lead for PSGBI.2025-03-121h 08IngestIngestPancreatic Conditions Part 1 – BenignDr Charlie Andrews talks to Dr John Leeds. John Leeds is a Consultant Pancreaticobiliary Physician and Endoscopist based at the Freeman Hospital in Newcastle and an Honorary Clinical Senior Lecturer based in the Population Health Sciences Institute at Newcastle University. He is involved in research in pancreaticobiliary disorders including benign and malignant conditions as well as outcomes from therapeutic/advanced endoscopy.John is a member of the British Society of Gastroenterology and Pancreatic Society of Great Britain and Ireland. He serves on the endoscopy and Pancreas committees for BSG and is the website lead for PSGBI.2025-03-121h 08IngestIngestIBS Part 2 – ManagementCharlie Andrews talks to Dr Chris Black about the management of IBS.This podcast provides key insights into managing Irritable Bowel Syndrome (IBS), emphasising a multidisciplinary and individualised approach to care. Here are the main takeaways:1. Multidisciplinary and Integrative CareIBS management requires a holistic, patient-centered approach involving dietitians, behavioral therapists, and gastroenterologists. This "team sport" approach expands treatment options and tailors care to individual patient needs1. Integrative care, which combines dietary, psychological, and medical interventions, has been shown to improve symptoms, psychological well-being, and quality of life for IBS patients1.2. Personalised Treatment2025-02-0945 minIngestIngestIBS Part 2 – ManagementCharlie Andrews talks to Dr Chris Black about the management of IBS.This podcast provides key insights into managing Irritable Bowel Syndrome (IBS), emphasising a multidisciplinary and individualised approach to care. Here are the main takeaways:1. Multidisciplinary and Integrative CareIBS management requires a holistic, patient-centered approach involving dietitians, behavioral therapists, and gastroenterologists. This "team sport" approach expands treatment options and tailors care to individual patient needs1. Integrative care, which combines dietary, psychological, and medical interventions, has been shown to improve symptoms, psychological well-being, and quality of life for IBS patients1.2. Personalised Treatment2025-02-0945 minIngestIngestAbdominal Pain in ChildrenCharlie Andrews talks to Dr Anthony (Tony) Wisken, Consultant Paediatric Gastroenterologist in Bristol.The Ingest podcast is hosted by Dr Charlie Andrews a GPwER in gastroenterology based near Bath. Charlie works as a GP partner at Somer Valley Medical Group, trained as an endoscopist and leads the national GPwER in gastroenterology training programme, launched in 2023 in the southwest of England. Charlie is a committee member of the PCSG (Primary Care Society of Gastroenterology). For more information visit pcsg.org.uk2024-11-0758 minIngestIngestAbdominal Pain in ChildrenCharlie Andrews talks to Dr Anthony (Tony) Wisken, Consultant Paediatric Gastroenterologist in Bristol.The Ingest podcast is hosted by Dr Charlie Andrews a GPwER in gastroenterology based near Bath. Charlie works as a GP partner at Somer Valley Medical Group, trained as an endoscopist and leads the national GPwER in gastroenterology training programme, launched in 2023 in the southwest of England. Charlie is a committee member of the PCSG (Primary Care Society of Gastroenterology). For more information visit pcsg.org.uk2024-11-0758 minIngestIngestGetting It Right First Time. Gastro Innovation in NorthumbriaWith significant waiting lists and growing demand for secondary care services, Advice and Guidance is being increasingly explored as one potential solution to this problem.    In this episode, Charlie Andrews discusses an innovative and extremely successful use of advice and guidance in Northumbria with gastroenterologists Matthew Warren and Richard Thomson.  Through the enhanced use of advice and guidance for all incoming referrals for secondary care input, they have demonstrated a significant reduction in waiting times for routine outpatient care.  They discuss their advice and guidance model, and what they have learned from developing this service and th...2024-10-1755 minIngestIngestGetting It Right First Time. Gastro Innovation in NorthumbriaWith significant waiting lists and growing demand for secondary care services, Advice and Guidance is being increasingly explored as one potential solution to this problem.    In this episode, Charlie Andrews discusses an innovative and extremely successful use of advice and guidance in Northumbria with gastroenterologists Matthew Warren and Richard Thomson.  Through the enhanced use of advice and guidance for all incoming referrals for secondary care input, they have demonstrated a significant reduction in waiting times for routine outpatient care.  They discuss their advice and guidance model, and what they have learned from developing this service and th...2024-10-1755 minIngestIngestIBS Part 1 – DiagnosisKey takeaways from the IBS Part 1 episode of the PCSG Ingest podcast:Diagnosis of IBSThe episode is focused on making a diagnosis of Irritable Bowel Syndrome (IBS)and features Dr. Anton Emmanuel, a consultant gastroenterologist and Professor of neuro-gastroenterology at University College Hospital London.Importance for Primary CareIBS is a common condition that primary care clinicians need to have a structured approach to diagnosing.Topics CoveredCauses of IBS Different subtypes of IBS Challenges in making a positive diagnosisClinical PearlsDr. Emmanuel shares several...2024-09-2642 minIngestIngestIBS Part 1 – DiagnosisKey takeaways from the IBS Part 1 episode of the PCSG Ingest podcast:Diagnosis of IBSThe episode is focused on making a diagnosis of Irritable Bowel Syndrome (IBS)and features Dr. Anton Emmanuel, a consultant gastroenterologist and Professor of neuro-gastroenterology at University College Hospital London.Importance for Primary CareIBS is a common condition that primary care clinicians need to have a structured approach to diagnosing.Topics CoveredCauses of IBS Different subtypes of IBS Challenges in making a positive diagnosisClinical PearlsDr. Emmanuel shares several...2024-09-2642 minIngestIngestHigh Iron Levels (hyperferritinaemia)Dr Charlie Andrews speaks to Dr Jeremy Shearman about everything related to high iron levels (hyperferritinaemia).  We discuss how iron is regulated within the body, causes of raised iron levels, and then we dive into hereditary haemochromatosis - when to suspect, how to test, who to refer (and to whom!), and how the condition is managed.  Useful links to accompany this episode include:Welcome > Haemochromatosis: genetic iron overload disease (exeter.ac.uk)Haemochromatosis - British Liver TrustKey Learnings for Primary Care from the Ingest Podcast on HyperferritinaemiaKey Lea...2024-08-0939 minIngestIngestHigh Iron Levels (hyperferritinaemia)Dr Charlie Andrews speaks to Dr Jeremy Shearman about everything related to high iron levels (hyperferritinaemia).  We discuss how iron is regulated within the body, causes of raised iron levels, and then we dive into hereditary haemochromatosis - when to suspect, how to test, who to refer (and to whom!), and how the condition is managed.  Useful links to accompany this episode include:Welcome > Haemochromatosis: genetic iron overload disease (exeter.ac.uk)Haemochromatosis - British Liver TrustKey Learnings for Primary Care from the Ingest Podcast on HyperferritinaemiaKey Lea...2024-08-0939 minIngestIngestDiverticular disease and diverticulitisIn this episode, Charlie Andrews speaks to Melanie Orchard, a consultant surgeon, about diverticular disease and diverticulitis.  This is something that we encounter frequently in primary care, and understanding how to approach this condition is extremely important. Melanie discusses a really pragmatic approach to patients with symptoms suggestive of diverticulitis.  We discuss risk factors, presenting features, and how to assess the patient with suspected diverticulitis.  We also discuss the difference between diverticulosis, diverticular disease and diverticulitis, and give you useful tips on what advice to give to patients who has just had a colonoscopy showing that they have...2024-06-2722 minIngestIngestDiverticular disease and diverticulitisIn this episode, Charlie Andrews speaks to Melanie Orchard, a consultant surgeon, about diverticular disease and diverticulitis.  This is something that we encounter frequently in primary care, and understanding how to approach this condition is extremely important. Melanie discusses a really pragmatic approach to patients with symptoms suggestive of diverticulitis.  We discuss risk factors, presenting features, and how to assess the patient with suspected diverticulitis.  We also discuss the difference between diverticulosis, diverticular disease and diverticulitis, and give you useful tips on what advice to give to patients who has just had a colonoscopy showing that they have...2024-06-2722 minRebuildRebuild386: Craig in Paris (hak)Hakuro Matsuda さんをゲストに迎えて、WWDC, Copilot+ PC, コンテンツなどについて話しました。 Show Notes もはや酒屋?「狂ったセブン」コロナ禍乗り越え今日もクラフトビールだらけ Keynote - WWDC24 Project Glass: Live Demo At Google I/O Apple Will Give Enterprise Access To Vision Pro's Cameras Chrome のロゴ、実は微妙にグラデーションがかかってる!? Zenless Zone Zero Apple and Google won’t be able to stop third-party app stores in Japan Apple, Meta set to face EU charges under landmark tech rules, sources say Spatial Audio now works over AirPlay with iOS 18 Numi パルクールがネクストブームの予感 Private Cloud Compute: A new frontier for AI privacy in the cloud Daring Fireball: The Talk Show Live From WWDC 2024 Apple Reportedly Not Paying OpenAI to Use ChatGPT in iOS 18 Elon Musk threatens to ban Apple devices from his companies over Apple's ChatGPT integrations Talking Tech and AI with Tim Cook! Introducing Copilot+ PCsg Meet the new Surface Laptop 7th Edition, a Cop2024-06-182h 39IngestIngestHepatitis CJoin Charlie Andrews as he discusses Hepatitis C with hepatologist Dr Kosh Agarwal and GP and clinical champion for Hepatitis C Dr Rik Fijten. They discuss the prevalence and presentation of Hepatitis C,  as well as how to test for the condition along with an overview of the treatment options available.Hepatitis C is a chronic liver disease which carries significant morbidity and mortality if left untreated.  Fortunately, it is both easy to test for and the treatments available offer a fantastic cure rate of in excess of 95% with simple and relatively short tablet regimens.  NHS En...2024-05-1032 minIngestIngestHepatitis CJoin Charlie Andrews as he discusses Hepatitis C with hepatologist Dr Kosh Agarwal and GP and clinical champion for Hepatitis C Dr Rik Fijten. They discuss the prevalence and presentation of Hepatitis C,  as well as how to test for the condition along with an overview of the treatment options available.Hepatitis C is a chronic liver disease which carries significant morbidity and mortality if left untreated.  Fortunately, it is both easy to test for and the treatments available offer a fantastic cure rate of in excess of 95% with simple and relatively short tablet regimens.  NHS En...2024-05-1032 minPsihologul răspundePsihologul răspundeIlie și Viorelia Dercaci despre viața de cupluÎn acest nou episod al podcastului Psihologul Răspunde, vorbim despre regulile de funcționare a familiei și secretele păstrării pasiunii în cuplu, alături de Ilie si Viorelia Dercaci - fondatorii Professional Speaker, antreprenori educaționali ce lucrează cu copiii și adulții.🔔Urmărește-mă ca să fim mai aproape:Mă găsești pe instagram : https://instagram.com/emilia.vorobiov?igshid=OGQ5ZDc2ODk2ZA==Telegram canal SelfLOVE CLUB unde este o comunitate de femei care se iubesc pe sine: https://t.me/+qmuFyIkMBbplOWE6Facebook Psihologul...2024-04-2742 minIngestIngestNeuroendocrine tumours (NETs) of the gastrointestinal tractIn this episode, Dr Charlie Andrews speaks to Professor Mark Pritchard about neuroendocrine tumours (NETs) of the gastrointestinal tract.  You may be asking yourself: 'Do I really need to know about NETs in primary care, aren't they extremely rare?'  The answer to that is a resounding yes, you do need to know about NETs and Mark will tell you why in this episode!  Neuroendocrine cancer is the 10th most prevalent cancer in England, and the second most prevalent cancer of the GI tract, with a rapidly rising incidence (371%) over the last 20 years.  NETs are commonly diagnosed at a m...2024-03-1031 minIngestIngestNeuroendocrine tumours (NETs) of the gastrointestinal tractIn this episode, Dr Charlie Andrews speaks to Professor Mark Pritchard about neuroendocrine tumours (NETs) of the gastrointestinal tract.  You may be asking yourself: 'Do I really need to know about NETs in primary care, aren't they extremely rare?'  The answer to that is a resounding yes, you do need to know about NETs and Mark will tell you why in this episode!  Neuroendocrine cancer is the 10th most prevalent cancer in England, and the second most prevalent cancer of the GI tract, with a rapidly rising incidence (371%) over the last 20 years.  NETs are commonly diagnosed at a m...2024-03-1031 minIngestIngestIngest TrailerDr Charlie Andrews, a committee member of the Primary Care Society for Gastroenterology (PCSG), introduces Ingest, the podcast for primary care that focuses on when to suspect, how to diagnose and how to manage common gastrointestinal presentations and conditions. 2023-12-2802 minIngestIngestIngest TrailerDr Charlie Andrews, a committee member of the Primary Care Society for Gastroenterology (PCSG), introduces Ingest, the podcast for primary care that focuses on when to suspect, how to diagnose and how to manage common gastrointestinal presentations and conditions. 2023-12-2802 minIngestIngestHighlights from Ingest 2023In this episode Dr Charlie Andrews looks back at 2023 and highlights some key takeaways from Ingest in 2023.2023-12-2231 minIngestIngestHighlights from Ingest 2023In this episode Dr Charlie Andrews looks back at 2023 and highlights some key takeaways from Ingest in 2023.2023-12-2231 minIngestIngestBarrett’s oesophagusIn this episode, Charlie Andrews speaks to Dr Andrew Moore about this condition, which affects up to 1.5% of the population, with a risk of progression to cancer of 3-13% over the patient's lifetime (Cancer Research UK).  They discuss the typical presenting features, who needs an endoscopy to look for Barrett's, and how the condition is managed both in primary and secondary care. The BSG guidelines mentioned by Dr Moore in the episode can be found here: https://www.bsg.org.uk/clinical-resource/bsg-guidelines-on-the-diagnosis-and-management-of-barretts-oesophagus/For more episodes about the oesophagus, you may find the following episodes of Ingest us...2023-11-0928 minIngestIngestBarrett’s oesophagusIn this episode, Charlie Andrews speaks to Dr Andrew Moore about this condition, which affects up to 1.5% of the population, with a risk of progression to cancer of 3-13% over the patient's lifetime (Cancer Research UK).  They discuss the typical presenting features, who needs an endoscopy to look for Barrett's, and how the condition is managed both in primary and secondary care. The BSG guidelines mentioned by Dr Moore in the episode can be found here: https://www.bsg.org.uk/clinical-resource/bsg-guidelines-on-the-diagnosis-and-management-of-barretts-oesophagus/For more episodes about the oesophagus, you may find the following episodes of Ingest us...2023-11-0928 minIngestIngestBile acid diarrhoeaIn this episode, Charlie Andrews speaks to Professor Julian Walters about bile acid malabsorption and diarrhoea. With up to a third of patients with diarrhoea-predominant IBS having underlying bile acid diarrhoea, and with diagnosis rates for this condition being low, this episode is an important one for anyone working in primary care. We explore the role and physiology of bile acids, the causes and symptoms of bile acid malabsorption, the diagnostic tests used to make the diagnosis and the treatment of this common but underdiagnosed condition. Should we use 'trial of treatment' in primary care to support the diagnosis? A...2023-08-1427 minIngestIngestBile acid diarrhoeaIn this episode, Charlie Andrews speaks to Professor Julian Walters about bile acid malabsorption and diarrhoea. With up to a third of patients with diarrhoea-predominant IBS having underlying bile acid diarrhoea, and with diagnosis rates for this condition being low, this episode is an important one for anyone working in primary care. We explore the role and physiology of bile acids, the causes and symptoms of bile acid malabsorption, the diagnostic tests used to make the diagnosis and the treatment of this common but underdiagnosed condition. Should we use 'trial of treatment' in primary care to support the diagnosis? A...2023-08-1427 minIngestIngestFaecal calprotectinIn this episode, Charlie Andrews speaks to Dr James Turvill about faecal calprotectin use in primary care. Dr Turvill is a gastroenterologist based in York, who was instrumental in developing the NICE-approved and widely adopted York Faecal Calprotectin Care Pathway. What is calprotectin? When should we use it in primary care? How should we interpret the result? Can any medications or conditions affect the result? Listen on to find the answers to these questions!The care pathway can be found here: https://www.yorkhospitals.nhs.uk/seecmsfile/?id=941. It is recommended that you have a look at t...2023-07-1337 minIngestIngestFaecal calprotectinIn this episode, Charlie Andrews speaks to Dr James Turvill about faecal calprotectin use in primary care. Dr Turvill is a gastroenterologist based in York, who was instrumental in developing the NICE-approved and widely adopted York Faecal Calprotectin Care Pathway. What is calprotectin? When should we use it in primary care? How should we interpret the result? Can any medications or conditions affect the result? Listen on to find the answers to these questions!The care pathway can be found here: https://www.yorkhospitals.nhs.uk/seecmsfile/?id=941. It is recommended that you have a look at t...2023-07-1337 minThe FCP PodcastThe FCP PodcastGastroenterology - Patient assessment with Ian Allwood - Part 2Send us a textRichard and Emma welcome back Dr Ian Allwood who is a GPwSI in gastroenterology.  We would highly recommend listening to episode one where Ian discus's his process to assess abdominal pain. Dr Ian Allwood discus's gastroenterology patient presentations which include perinate history taken, appropriate examination and investigations.  The cases include :- Change in bowel habit,Nausea / vomitingand rectal bleeding.  Please follow us on twitter for updates @FCPParamedicpodAlways great to here comments about the episodes.  Our guests give up their time to record thes...2023-05-2745 minIngestIngestIBS – dietary management and the 10-minute consultation…Marianne Williams is an extremely experienced dietician, innovator, digital technology advocate and winner of the NHS England Allied Health Professional of the Year prize for 2018.  In this episode, Marianne shares her wealth of knowledge around all things IBS to discuss initial dietary management, the low FODMAPs diet, the role of probiotics, and gives us some great advice about how we can maximise our (often short) patient consultations with newly diagnosed IBS patients.  Marianne also discusses her innovative dietetic-led gastroenterology clinic for IBS patients with us.  There is so much food for thought here, and so many...2023-05-2538 minIngestIngestIBS – dietary management and the 10-minute consultation…Marianne Williams is an extremely experienced dietician, innovator, digital technology advocate and winner of the NHS England Allied Health Professional of the Year prize for 2018.  In this episode, Marianne shares her wealth of knowledge around all things IBS to discuss initial dietary management, the low FODMAPs diet, the role of probiotics, and gives us some great advice about how we can maximise our (often short) patient consultations with newly diagnosed IBS patients.  Marianne also discusses her innovative dietetic-led gastroenterology clinic for IBS patients with us.  There is so much food for thought here, and so many...2023-05-2538 minThe FCP PodcastThe FCP PodcastGastroenterology - Patient Assessment with Dr Ian Allwood - Part 1Send us a textRichard and Emma welcome Dr Ian Allwood who is a experienced GP with a specialist interest in gastroenterology.Dr  Ian Allwood discusses the assessment of patient's presenting with gastroenterology complaints including a overview of taking abdominal pain history, epigastric pain and distension.Please follow us on twitter for updates @FCPParamedicpodAlways great to here comments about the episodes.  Our guests give up their time to record these episodes so please feel free to leave feedback on the episode. As always special thanks to Martin and Sc...2023-05-2031 minIngestIngestIBD Flare ManagementIn this episode Charlie Andrews speaks to Dr Kevin Barrett about IBD flare management.  On average, 50% of patients will flare annually, and often the GP surgery is the first port of call.  We therefore need to know how to assess and manage patients presenting with symptomatic IBD.  Kevin Barrett, IBD clinical champion for IBD for the RCGP and Crohns and Colitis UK (2017-2021) shares his wealth of knowledge about IBD flare management.  We discuss how if can affect patient's quality of life, common symptoms of IBD flare, calprotectin testing and the management of IBD flare. 2023-04-2426 minIngestIngestIBD Flare ManagementIn this episode Charlie Andrews speaks to Dr Kevin Barrett about IBD flare management.  On average, 50% of patients will flare annually, and often the GP surgery is the first port of call.  We therefore need to know how to assess and manage patients presenting with symptomatic IBD.  Kevin Barrett, IBD clinical champion for IBD for the RCGP and Crohns and Colitis UK (2017-2021) shares his wealth of knowledge about IBD flare management.  We discuss how if can affect patient's quality of life, common symptoms of IBD flare, calprotectin testing and the management of IBD flare. 2023-04-2426 minIngestIngestUpdated guidance on FIT testing in primary careIn this episode, Charlie Andrews speaks to Dr Kevin Monahan, lead author for the joint guidelines published by the BSG and ACPGBI in July 2022 outlining the role of FIT testing in patients with symptoms suggestive of colorectal cancer.  These guidelines have informed how we use FIT in primary care, and in this episode he asks Dr Monahan how this guideline has changed clinical practice, they discuss when it should be used and what to do if you have ongoing concerns about your patient's symptoms.  In addition, they discuss specific situations such as iron deficient anaemia, rectal bleeding, whether we ca...2023-03-2431 minIngestIngestUpdated guidance on FIT testing in primary careIn this episode, Charlie Andrews speaks to Dr Kevin Monahan, lead author for the joint guidelines published by the BSG and ACPGBI in July 2022 outlining the role of FIT testing in patients with symptoms suggestive of colorectal cancer.  These guidelines have informed how we use FIT in primary care, and in this episode he asks Dr Monahan how this guideline has changed clinical practice, they discuss when it should be used and what to do if you have ongoing concerns about your patient's symptoms.  In addition, they discuss specific situations such as iron deficient anaemia, rectal bleeding, whether we ca...2023-03-2431 minIngestIngestAbnormal LFTs and non-alcoholic liver diseaseDid you know that according to the British Liver Trust, up to 20% of the general population has non-alcoholic liver disease ('fatty liver disease') and the prevalence is predicted to rise over the coming years.  Morbidity associated with this can be significant, with a proportion of patients with fatty liver disease developing fibrosis of the liver as the disease progresses.  Diagnosing fatty liver disease and identifying those at risk of progression to fibrosis is therefore important.  In this episode I speak to Dr Helen Jarvis, a GP with a specialist interest in liver disease.  We discuss an approach to the pati...2023-02-1740 minIngestIngestAbnormal LFTs and non-alcoholic liver diseaseDid you know that according to the British Liver Trust, up to 20% of the general population has non-alcoholic liver disease ('fatty liver disease') and the prevalence is predicted to rise over the coming years.  Morbidity associated with this can be significant, with a proportion of patients with fatty liver disease developing fibrosis of the liver as the disease progresses.  Diagnosing fatty liver disease and identifying those at risk of progression to fibrosis is therefore important.  In this episode I speak to Dr Helen Jarvis, a GP with a specialist interest in liver disease.  We discuss an approach to the pati...2023-02-1740 minIngestIngestCoeliac disease management and follow-upJoin Charlie Andrews in this episode where he speaks to Cristian Costas about the management of people diagnosed with coeliac disease.  Cristian is a dynamic dietician who is based in Bradford.  He is passionate about coeliac disease and runs an innovative dietician-led service for those with coeliac disease in his area.  Cristian shares with us his top tips for supporting someone newly diagnosed with coeliac disease, including where to access support for those who are newly diagnosed, and how to avoid common dietary pitfalls.  We discuss how best to follow-up people with coeliac disease, and key interventions such...2022-12-2235 minIngestIngestCoeliac disease management and follow-upJoin Charlie Andrews in this episode where he speaks to Cristian Costas about the management of people diagnosed with coeliac disease.  Cristian is a dynamic dietician who is based in Bradford.  He is passionate about coeliac disease and runs an innovative dietician-led service for those with coeliac disease in his area.  Cristian shares with us his top tips for supporting someone newly diagnosed with coeliac disease, including where to access support for those who are newly diagnosed, and how to avoid common dietary pitfalls.  We discuss how best to follow-up people with coeliac disease, and key interventions such...2022-12-2235 minIngestIngestBackground to FIT testing in primary careIn primary care, we are increasingly using FIT (Faecal Immunochemical Testing) to assess the risk of bowel cancer in patients with lower gastrointestinal symptoms, whilst the latest PCN DES IIF (Impact and Investment Fund) has given FIT a prominent role in risk stratifying 2-week wait referrals to secondary care.  In this episode, Mo Thoufeeq, a gastroenterologist in Sheffield, talks to me about what FIT is, how it differs from previously used FOBT (and why it is a more effective test!), and how we are using FIT in both symptomatic and asymptomatic patients.  He shares his top tips abo...2022-12-0631 minIngestIngestBackground to FIT testing in primary careIn primary care, we are increasingly using FIT (Faecal Immunochemical Testing) to assess the risk of bowel cancer in patients with lower gastrointestinal symptoms, whilst the latest PCN DES IIF (Impact and Investment Fund) has given FIT a prominent role in risk stratifying 2-week wait referrals to secondary care.  In this episode, Mo Thoufeeq, a gastroenterologist in Sheffield, talks to me about what FIT is, how it differs from previously used FOBT (and why it is a more effective test!), and how we are using FIT in both symptomatic and asymptomatic patients.  He shares his top tips abo...2022-12-0631 minIngestIngestBridging the gap between primary and secondary care in inflammatory bowel disease (IBD)In this episode, I am joined by Pearl Avery.  Pearl has a unique role - she spends part of her week as an IBD nurse specialist, and part of her week as an ANP (Advanced Nurse Practitioner) working in a GP practice.  Pearl has a fantastic understanding of both primary and secondary care and shares her experiences with me.  We discuss her unique and innovative role, common queries from GPs and patients from her IBD nurse specialist role (including common questions about flare management and biologic monitoring), and what she has learned about the care of people with...2022-10-1831 minIngestIngestBridging the gap between primary and secondary care in inflammatory bowel disease (IBD)In this episode, I am joined by Pearl Avery.  Pearl has a unique role - she spends part of her week as an IBD nurse specialist, and part of her week as an ANP (Advanced Nurse Practitioner) working in a GP practice.  Pearl has a fantastic understanding of both primary and secondary care and shares her experiences with me.  We discuss her unique and innovative role, common queries from GPs and patients from her IBD nurse specialist role (including common questions about flare management and biologic monitoring), and what she has learned about the care of people with...2022-10-1831 minIngestIngestInflammatory Bowel Disease (IBD)I speak to Chris Lamb about IBD.  Chris was lead author on the BSG IBD guidelines which were published in 2019.  The full guidance can be found here:  BSG-IBD-Guidelines-2019.pdf Chris is a fount of knowledge for all things related to IBD and I have a fascinating chat with him about the guidance and how these relate to primary care - we range over all aspects of IBD from diagnosis to management and everything in between.  2022-09-0634 minIngestIngestInflammatory Bowel Disease (IBD)I speak to Chris Lamb about IBD.  Chris was lead author on the BSG IBD guidelines which were published in 2019.  The full guidance can be found here:  BSG-IBD-Guidelines-2019.pdf Chris is a fount of knowledge for all things related to IBD and I have a fascinating chat with him about the guidance and how these relate to primary care - we range over all aspects of IBD from diagnosis to management and everything in between.  2022-09-0634 minIngestIngestChronic diarrhoea In this episode, I speak to Professor Ramesh Arasaradnam.  Ramesh co-authored the BSG guidelines on chronic diarrhoea in 2018, and is a fount of knowledge in this area. 2022-07-2842 minIngestIngestChronic diarrhoea In this episode, I speak to Professor Ramesh Arasaradnam.  Ramesh co-authored the BSG guidelines on chronic diarrhoea in 2018, and is a fount of knowledge in this area. 2022-07-2842 minIngestIngestFunctional DyspepsiaAffecting up to 20% of the UK population, dyspepsia is commonly seen in primary care.  Following investigations, the majority of people (up to 89%) are found to have functional dyspepsia. As with any functional problem of the gut, such as IBS, making a confident diagnosis is sometimes challenging but extremely important for the patient, and management encompasses a range of non-pharmacological interventions.Pali Hungin, an extremely experienced primary care clinician and a founding member of both the PCSG and it’s European counterpart, shares his vast experience and understanding of functional dyspepsia with us in this episode.  As chair of t...2022-06-0128 minIngestIngestFunctional DyspepsiaAffecting up to 20% of the UK population, dyspepsia is commonly seen in primary care.  Following investigations, the majority of people (up to 89%) are found to have functional dyspepsia. As with any functional problem of the gut, such as IBS, making a confident diagnosis is sometimes challenging but extremely important for the patient, and management encompasses a range of non-pharmacological interventions.Pali Hungin, an extremely experienced primary care clinician and a founding member of both the PCSG and it’s European counterpart, shares his vast experience and understanding of functional dyspepsia with us in this episode.  As chair of t...2022-06-0128 minIngestIngestH. PyloriThis edition of the podcast series Ingest published by the Primary Care Society for Gastroenterology (PCSG) features a very special guest from the world of gastroenterology. Dr Charlie Andrews talks to Nobel Prize laureate Professor Barry Marshall, the Director of the Marshall Centre founded in 2007 in his honour, the Western Australian Ambassador for Life Sciences and University of WA Brand Ambassador, about his discovery of the bacterium Helicobacter pylori and its role in gastritis and peptic ulcer disease.Key Learnings from the Podcast What is Helicobacter pylori?H. pylori is a microaerophilic bacteri...2022-04-2256 minIngestIngestH. PyloriThis edition of the podcast series Ingest published by the Primary Care Society for Gastroenterology (PCSG) features a very special guest from the world of gastroenterology. Dr Charlie Andrews talks to Nobel Prize laureate Professor Barry Marshall, the Director of the Marshall Centre founded in 2007 in his honour, the Western Australian Ambassador for Life Sciences and University of WA Brand Ambassador, about his discovery of the bacterium Helicobacter pylori and its role in gastritis and peptic ulcer disease.Key Learnings from the Podcast What is Helicobacter pylori?H. pylori is a microaerophilic bacteri...2022-04-2256 minIngestIngestDyspepsiaDyspepsia is a common presenting complaint in primary care, and encompasses a range of symptoms including GORD, nausea, and epigastric pain.  Having an approach to these patients is vital given how commonly we see these symptoms, and Mike Burkitt joins me in this episode to provide a really useful overview of dyspepsia, and how we can approach this symptom in clinical practice.  Mike also gives his thoughts on what to do when the endoscopy comes back normal in a symptomatic patient.  Useful resources for dyspepsia include:https://cks.nice.org.uk/topics/dyspepsia-unidentified-cause/https://www.nice.org.uk/guidance/ng12...2022-04-0331 minIngestIngestDyspepsiaDyspepsia is a common presenting complaint in primary care, and encompasses a range of symptoms including GORD, nausea, and epigastric pain.  Having an approach to these patients is vital given how commonly we see these symptoms, and Mike Burkitt joins me in this episode to provide a really useful overview of dyspepsia, and how we can approach this symptom in clinical practice.  Mike also gives his thoughts on what to do when the endoscopy comes back normal in a symptomatic patient.  Useful resources for dyspepsia include:https://cks.nice.org.uk/topics/dyspepsia-unidentified-cause/https://www.nice.org.uk/guidance/ng12...2022-04-0331 minIngestIngestCoeliac DiseaseDr Charlie Andrews discusses coeliac disease. Following the last episode on iron deficiency anaemia this episode focuses on coeliac disease, what it is, NICE guidance, when to suspect, how to test and a non biopsy pathway to diagnosis. First though a history lesson ......2022-03-1330 minIngestIngestCoeliac DiseaseDr Charlie Andrews discusses coeliac disease. Following the last episode on iron deficiency anaemia this episode focuses on coeliac disease, what it is, NICE guidance, when to suspect, how to test and a non biopsy pathway to diagnosis. First though a history lesson ......2022-03-1330 minIngestIngestIron Deficiency AnaemiaDr Charlie Andrews discusses iron deficiency anaemia (IDA) with Dr Sophie Nelson, a GP from Manchester with a special interest in gastroenterology and a self proclaimed geek when it comes to IDA. Dr Sophie Nelson is a committee member of the PCSG This podcast was recorded soon after the publication of updated guidelines for the management of IDA in adults by the BSG.2022-02-0634 minIngestIngestAchalasiaFollowing on from the episode on dysphagia Dr Charlie Andrews talks to patients about their experience of being diagnosed and living with achalasia. Achalasia affects about one in every 100,000 people and can occur at any age. The key symptom is dysphagia.2022-01-1819 minSmart Cities ChroniclesSmart Cities ChroniclesEpisode 91: What we need to know for a 'digital by default' infrastructure sector in AustraliaIn this extended episode we share a recording from the opening plenary session at Digital Twin Week 2021. Moderated by Gavin Cotterill (Consulting Director Asia Pacific, PCSG), this dialogue followed a keynote presentation from Romilly Madew AO (CEO of Infrastructure Australia) that shared key outcomes and recommendations from the recently released Australia Infrastructure Plan, including gits call for the nation's infrastructure to be 'digital by default'. This panel session was a response to that aspiration, with three industry leaders coming together to unpack what that might mean. The panel guests were Richard Morrison (Practice Lead Information and Communications Technology ANZ, AECOM...2021-12-241h 04IngestIngestDysphagiaIn this episode of Ingest I speak to Dr Mark Follows, a GPwER in gastroenterology, about dysphagia.  Mark bridges both primary and secondary care gastroenterology and provides an informative and authoritative overview of dysphagia. We look at the normal swallowing process, the differential diagnosis of dysphagia (including neurological, ENT and gastrointestinal causes), and how to investigate the patient with dysphagia. Mark talks about his approach to the patient with dysphagia, red flags and who to refer to and how urgently.  If your automatic reaction to the patient with swallowing difficulties is to refer directly to gastroenterology, I would recommend you...2021-10-0629 minParent ConnectionsParent ConnectionsS2, E4: Why your children should play sport with Andrew Thomas (AT)Hello and welcome to the 4th Episode of Season 2 of the St Paul's School, Parent Connections Supporter's Group (PCSG) Podcast where we talk about all things parent engagement at SPS. In this episode, we talk with Mr Andrew Thomas (AT), Sport Coaching and Development Coordinator at St Paul's School about how the Parent’s Supporter’s Association at St Paul’s works and why your children should play sport while at school. Host: Sarah Gover, PCSG President Guests: Mr Andrew Thomas (AT), Sport Coaching and Development Coordinator For more information about this p...2021-06-3021 minParent ConnectionsParent ConnectionsS2, E3: Why your children should practice music with Kellee GreenHello and welcome to the 3rd Episode of Season 2 of the St Paul's School, Parent Connections Supporter's Group (PCSG) Podcast where we talk about all things parent engagement at SPS. In this episode, we talk with Mrs Kellee Green, Head of Extra-curricular Music at St Paul's School about how the music program at St Paul’s works and why your children should practice music while at school. Host: Sarah Gover, PCSG President Guests: Mrs Kellee Green, Head of Extra-curricular Music For more information about this podcast, or if yo...2021-06-1628 minParent ConnectionsParent ConnectionsS2 E2: Social Media and eSafety for studentsHello and welcome to the 2nd Episode of Season 2 of the St Paul's School, Parent Connections Supporter's Group (PCSG) Podcast where we talk about all things parent engagement at SPS. In this episode, we talk with Mrs Judy Bolton and Miss Maddy Dearnaley who are part of the Library Teaching team and the eSafety program at St Paul's School. We talk about some best practices and resources to help you with navigating social media, mobile phones and eSaftey. Host: Sarah Gover, PCSG President Guests: Miss Maddy Dearnaley, Information Services Teacher Librarian and Mrs Judy...2021-06-0832 minParent ConnectionsParent ConnectionsS2,E1: St Paul's in 2021 with Dr Paul BrowningHello and welcome to the 1st Episode of Season 2 of the St Paul's School, Parent Connections Supporter's Group (PCSG) Podcast where we talk about all things parent engagement at SPS. In this episode we talk with Dr Paul Browning, Headmaster at St Paul's School about what 2021 looks like for St Paul’s and how parents and teachers can work together to nurture their children and provide the best education experience. Host: Sarah Gover, PCSG President Guests: Dr Paul Browning, Headmaster at St Pauls' School For more information about this podcast, or if yo...2021-06-0828 minParent ConnectionsParent ConnectionsS1, E4: Current Parents and St Paul'sHello and welcome to Episode 4 of the PCSG Podcast where we talk about all things parent connections at St Paul’s School. In this episode we talk with three parents of current St Paul’s students about the Parent Connections Host: Sarah Gover, PCSG President Guests: Danielle (Past student and parent of current Year 4 SPS Student), Kathy (Parent of 3 SPS students) and Suzanne (Parent of current Year 8 SPS Student). For more information about this podcast, or if you would like to get involved, please contact Sarah Gover by visiting spssa.org.au/. 2021-06-0823 minParent ConnectionsParent ConnectionsS1, E3: What makes the St Paul's Way so different?Hello and welcome to Episode 3 of the PCSG Podcast where we talk about all things parent connections at St Paul’s School. In this episode we talk with two current St Paul’s students, a past student and a parent of a current student, to delve into the specifics about what makes the St Paul’s Way so different to any other school education. Host: Sarah Gover, PCSG President Guests: Rani (Year 6 SPS Student), Emmanuel (Year 4 SPS Student), Simeon (Past SPS Student) and Suzanne (Parent of current Year 8 SPS Student). For more inform...2021-06-0823 minParent ConnectionsParent ConnectionsS1, E2: How has education changed?Hello and welcome to Episode 2 of the PCSG Podcast where we talk about all things parent connections at St Paul’s School. In this episode we talk with two current St Paul’s students and their mothers explore how education has changed over the years and what kind of opportunities St Paul’s School offers its students. Host: Sarah Gover, PCSG President Guests: Rani (Year 6 SPS Student) and her mother Mairella, Emmanuel (Year 4 SPS Student) and his mother Danielle (Past SPS Student). For more information about this podcast, or if you would like t...2021-06-0818 minParent ConnectionsParent ConnectionsS1, E1: Jon Andrews on the Future Planning Project at SPSHello and welcome to Episode 1 of the St Paul's School, Parent Connections Supporter's Group (PCSG) Podcast where we talk about all things parent engagement at SPS. In this episode we talk with Jon Andrews, Study Skills Co-Ordinator at St Paul's School about the Future Planning Research Project that the School conducted in 2014 and how the St Paul's Way is leading innovation in education. Host: Sarah Gover, PCSG President Guests: Jon Andrews, Study Skills Co-ordinator at St Pauls' School For more information about this podcast, or if you would like to get involved...2021-06-0818 minShak Shak PodcastShak Shak PodcastGeneration Next with Jasmine GreeneIn celebration of Child Month we interview 17 year old student and founder of PCSG Jasmine Greene. We chat about how she created a free e-school on Discord in the midst of the pandemic to help Caribbean students, and  her thoughts on the education system. We also discuss the highs and lows of managing the business, her dreams and what she has been doing for fun.Also on YouTube here:  https://youtu.be/5hpxF4yNTlsFor suggestions, questions and comments email us at akelia@shakshak.clubFollow us on IG (@shakshaktree), Facebook (/shakshakpodcast) and Tw...2021-05-2824 minThe Digital TransitionThe Digital TransitionTransport and Main Roads with PCSG AustraliaIn this episode we talk with Colin Mann from PCSG Australia. Colin will share with us his experiences and the journey that he has been part of in assisting Transport and Main Roads (TMR) from the Queensland Government on their digital transition. To learn more about PCSG please click here. To read TMR’s BIM guideline … Continue reading EPISODE 3: Transport and Main Roads with PCSG Australia →2019-03-0434 minSmart Cities ChroniclesSmart Cities ChroniclesEpisode 5: Smart Cities Standards - An IntroductionIn this episode we tackle smart cities standards, in the first of a 'Standardisation' series. We are joined by Gavin Cotterill from the consulting firm PCSG, one of the Smart Cities Council's partner companies. This episode touches on the fundamentals around smart cities standards - what, why and how? The discussion clearly outlines some guidance for organisations seeking to create a smart cities strategy or roadmap. We also touch on the issue of certification, and how that can help with building capacity, value and reputation. What smart cities standards are available to now, and those evolving, are also outlined. This...2019-01-1445 minNerds of a Certain Age PodcastNerds of a Certain Age PodcastNerds of a Certain Age Episode 18Hi, thanks for tuning in. This episode is all over the place from the Puerto Rico hurricane, to Native American medicine bags, to resting bitch face, to vagal nerve stimulation. After a short Russian break, we get into Warhammer 40K, the Plastic Crack Support Group (PCSG), to Black Library books, to wiping your ass with your bare hands. We thank you for listening!2017-10-021h 21