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Roger Henderson
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Ep 187 – Quiz of the year 2025
In this episode, Dr Hannah Rosa, Dr Kate Chesterman and Dr Roger Henderson invite you to join them for the annual GPnotebook quiz. The GPnotebook education team have been reflecting upon all that they have learnt over the past 12 months, in both their day-to-day clinical work and through delivering GPnotebook Study Group meetings. This quiz is based on the facts that they have found the most useful, interesting and sometimes surprising. So, have a pen and a piece of paper ready and give it a go!Access episode show notes containing...
2025-12-18
23 min
GPnotebook Podcast
Ep 187 – Quiz of the year 2025
In this episode, Dr Hannah Rosa, Dr Kate Chesterman and Dr Roger Henderson invite you to join them for the annual GPnotebook quiz. The GPnotebook education team have been reflecting upon all that they have learnt over the past 12 months, in both their day-to-day clinical work and through delivering GPnotebook Study Group meetings. This quiz is based on the facts that they have found the most useful, interesting and sometimes surprising. So, have a pen and a piece of paper ready and give it a go!Access episode show notes containing...
2025-12-18
23 min
GPnotebook test
Ep 185 – Lung cancer
Lung cancer is the leading cause of cancer-related death worldwide and is classified into two main types: non-small cell lung cancer (NSCLC), which accounts for most cases and the more aggressive small cell lung cancer (SCLC). Early detection is crucial for improving outcomes, but symptoms often emerge late in the disease course. In episode 126, Dr Hannah Rosa looked at the challenges of diagnosis, reviewed guidelines and latest research and discussed when to continue investigations after a normal chest X-ray. In this episode, Dr Roger Henderson gives an overview of detecting lung cancer in primary care and looks at treatment – in...
2025-12-04
14 min
GPnotebook Podcast
Ep 185 – Lung cancer
Lung cancer is the leading cause of cancer-related death worldwide and is classified into two main types: non-small cell lung cancer (NSCLC), which accounts for most cases and the more aggressive small cell lung cancer (SCLC). Early detection is crucial for improving outcomes, but symptoms often emerge late in the disease course. In episode 126, Dr Hannah Rosa looked at the challenges of diagnosis, reviewed guidelines and latest research and discussed when to continue investigations after a normal chest X-ray. In this episode, Dr Roger Henderson gives an overview of detecting lung cancer in primary care and looks at treatment – in...
2025-12-04
14 min
GPnotebook test
Ep 183 – Post-traumatic stress disorder
Post-traumatic stress disorder (PTSD) may develop (either immediately or delayed) following exposure to a stressful event or situation of an exceptionally threatening or catastrophic nature. It is characterised by four groups of symptoms: intrusion symptoms, avoidance, negative alterations in cognition and mood and alterations in arousal and reactivity. These symptoms must persist for more than 1 month and cause functional impairment for a diagnosis to be made. Its presentation is often comorbid with conditions such as depression, anxiety, anger and substance use disorder. In this episode, Dr Roger Henderson looks at the aetiology of PTSD, its assessment, treatment options and...
2025-11-20
21 min
GPnotebook Podcast
Ep 183 – Post-traumatic stress disorder
Post-traumatic stress disorder (PTSD) may develop (either immediately or delayed) following exposure to a stressful event or situation of an exceptionally threatening or catastrophic nature. It is characterised by four groups of symptoms: intrusion symptoms, avoidance, negative alterations in cognition and mood and alterations in arousal and reactivity. These symptoms must persist for more than 1 month and cause functional impairment for a diagnosis to be made. Its presentation is often comorbid with conditions such as depression, anxiety, anger and substance use disorder. In this episode, Dr Roger Henderson looks at the aetiology of PTSD, its assessment, treatment options and...
2025-11-20
21 min
GPnotebook test
Ep 182 – Melanoma
Melanoma is among the most common forms of cancer – and causes of cancer-related death – among young adults. Its prevalence in this group has been associated with sunbathing and sunbed use. Reducing exposure to ultraviolet light is critical in the primary prevention of melanoma. Clinical features of lesion asymmetry, border irregularity, colour variability, diameter and evolution over time should raise suspicion for melanoma and prompt further assessment with dermoscopy. In this episode, Dr Roger Henderson looks at melanoma, including the different types and how to recognise them, referral criteria, treatments and prognosis.Access episode show note...
2025-11-13
19 min
GPnotebook Podcast
Ep 182 – Melanoma
Melanoma is among the most common forms of cancer – and causes of cancer-related death – among young adults. Its prevalence in this group has been associated with sunbathing and sunbed use. Reducing exposure to ultraviolet light is critical in the primary prevention of melanoma. Clinical features of lesion asymmetry, border irregularity, colour variability, diameter and evolution over time should raise suspicion for melanoma and prompt further assessment with dermoscopy. In this episode, Dr Roger Henderson looks at melanoma, including the different types and how to recognise them, referral criteria, treatments and prognosis.Access episode show note...
2025-11-13
19 min
GPnotebook test
Ep 179 – Paraesthesia
Paraesthesia is an indication of an abnormality that impacts the sensory pathways at any point from the peripheral sensory nervous system right up to the sensory cortex. The essential tool for the diagnosis of this condition is obtaining a concise patient history. This history must accurately reflect the patient's experience, including the provoking and alleviating factors, along with any existing concurrent conditions, such as diabetes and all treatments that might potentially lead to neuropathies. Treatment is based on the relevant diagnosis and mechanism to address the cause. In this episode, Dr Roger Henderson discusses paraesthesia, covering its causes, investigations...
2025-10-23
17 min
GPnotebook Podcast
Ep 179 – Paraesthesia
Paraesthesia is an indication of an abnormality that impacts the sensory pathways at any point from the peripheral sensory nervous system right up to the sensory cortex. The essential tool for the diagnosis of this condition is obtaining a concise patient history. This history must accurately reflect the patient's experience, including the provoking and alleviating factors, along with any existing concurrent conditions, such as diabetes and all treatments that might potentially lead to neuropathies. Treatment is based on the relevant diagnosis and mechanism to address the cause. In this episode, Dr Roger Henderson discusses paraesthesia, covering its causes, investigations...
2025-10-23
17 min
GPnotebook test
Ep 178 – Tremor
A tremor is defined as an involuntary rhythmic oscillation of one or more body parts, mediated by alternating contractions of reciprocally acting muscles. Tremors typically affect the upper extremities but can also affect the head, chin, voice or legs. Although some tremors may be mild and cause little impact to quality of life, requiring no treatment, others may impair activities of daily living or occupation, which may lead to embarrassment and social withdrawal. In this episode, Dr Roger Henderson gives an overview of the different types of tremor, looking at ways of distinguishing them and how each is usually...
2025-10-16
20 min
GPnotebook Podcast
Ep 178 – Tremor
A tremor is defined as an involuntary rhythmic oscillation of one or more body parts, mediated by alternating contractions of reciprocally acting muscles. Tremors typically affect the upper extremities but can also affect the head, chin, voice or legs. Although some tremors may be mild and cause little impact to quality of life, requiring no treatment, others may impair activities of daily living or occupation, which may lead to embarrassment and social withdrawal. In this episode, Dr Roger Henderson gives an overview of the different types of tremor, looking at ways of distinguishing them and how each is usually...
2025-10-16
20 min
GPnotebook Podcast
Ep 177 – Postnasal drip
Postnasal drip is a condition where excess mucus from the nose and sinuses accumulates and flows down the back of the throat. This can lead to symptoms such as throat clearing, coughing, a scratchy or sore throat, hoarseness and bad breath. Common causes include allergies, colds, sinus infections, weather changes, acid reflux and irritants such as smoke. Treatment typically involves managing the underlying cause through medications such as antihistamines, decongestants and nasal sprays, as well as maintaining proper hydration. If symptoms persist for more than 10 days or are accompanied by fever or discoloured mucus, medical evaluation is recommended to...
2025-10-09
13 min
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Ep 177 – Postnasal drip
Postnasal drip is a condition where excess mucus from the nose and sinuses accumulates and flows down the back of the throat. This can lead to symptoms such as throat clearing, coughing, a scratchy or sore throat, hoarseness and bad breath. Common causes include allergies, colds, sinus infections, weather changes, acid reflux and irritants such as smoke. Treatment typically involves managing the underlying cause through medications such as antihistamines, decongestants and nasal sprays, as well as maintaining proper hydration. If symptoms persist for more than 10 days or are accompanied by fever or discoloured mucus, medical evaluation is recommended to...
2025-10-09
13 min
GPnotebook Podcast
Ep 176 – Lower urinary tract symptoms in men
Lower urinary tract symptoms (LUTS) are storage, voiding and post-micturition symptoms affecting the lower urinary tract. LUTS can significantly reduce men's quality of life and may point to serious problems in the urogenital tract. The pathogenesis of LUTS is multifactorial and can include one or several diagnoses, commonly benign prostatic obstruction, nocturnal polyuria (polynocturia) and detrusor muscle instability. LUTS are common and not necessarily a reason for suspecting prostate cancer. In this episode, Dr Roger Henderson gives an overview of male LUTS, including investigations, referral criteria and treatment options.Access episode show notes containing...
2025-10-02
17 min
GPnotebook test
Ep 176 – Lower urinary tract symptoms in men
Lower urinary tract symptoms (LUTS) are storage, voiding and post-micturition symptoms affecting the lower urinary tract. LUTS can significantly reduce men's quality of life and may point to serious problems in the urogenital tract. The pathogenesis of LUTS is multifactorial and can include one or several diagnoses, commonly benign prostatic obstruction, nocturnal polyuria (polynocturia) and detrusor muscle instability. LUTS are common and not necessarily a reason for suspecting prostate cancer. In this episode, Dr Roger Henderson gives an overview of male LUTS, including investigations, referral criteria and treatment options.Access episode show notes containing...
2025-10-02
17 min
GPnotebook Podcast
Ep 174 – Acute cholecystitis
Acute cholecystitis is often seen in primary care patients and is a major complication of cholelithiasis. Symptomatic gallstones occur in up to 10% of patients before developing cholecystitis. Patients typically present with pain and localised tenderness, with or without guarding, in the upper right quadrant. In this episode, Dr Roger Henderson provides an overview of this common problem, looking at its risk factors, causes, symptoms, investigations and the treatment options available, as well as the prognosis and advice to give our patients to help prevent recurrence.Access episode show notes containing key references and take-home...
2025-09-18
18 min
GPnotebook test
Ep 174 – Acute cholecystitis
Acute cholecystitis is often seen in primary care patients and is a major complication of cholelithiasis. Symptomatic gallstones occur in up to 10% of patients before developing cholecystitis. Patients typically present with pain and localised tenderness, with or without guarding, in the upper right quadrant. In this episode, Dr Roger Henderson provides an overview of this common problem, looking at its risk factors, causes, symptoms, investigations and the treatment options available, as well as the prognosis and advice to give our patients to help prevent recurrence.Access episode show notes containing key references and take-home...
2025-09-18
18 min
GPnotebook Podcast
Ep 173 – Abdominal aortic aneurysm
Abdominal aortic aneurysms (AAAs) are potentially life-threatening and have a poor prognosis if ruptured. Arterial aneurysms are defined as a permanent localised dilatation of the vessel, enlarging significantly compared to a relatively normal diameter of the adjacent artery. An AAA is characterised by abnormal focal dilation of the abdominal aorta that is often detected incidentally or only at the time of rupture. In this episode, Dr Roger Henderson looks at AAA risk factors, clinical presentations, diagnostic investigations, screening, treatments and prognosis.Access episode show notes containing key references and take-home points at:ht...
2025-09-11
16 min
GPnotebook test
Ep 173 – Abdominal aortic aneurysm
Abdominal aortic aneurysms (AAAs) are potentially life-threatening and have a poor prognosis if ruptured. Arterial aneurysms are defined as a permanent localised dilatation of the vessel, enlarging significantly compared to a relatively normal diameter of the adjacent artery. An AAA is characterised by abnormal focal dilation of the abdominal aorta that is often detected incidentally or only at the time of rupture. In this episode, Dr Roger Henderson looks at AAA risk factors, clinical presentations, diagnostic investigations, screening, treatments and prognosis.Access episode show notes containing key references and take-home points at:ht...
2025-09-11
16 min
GPnotebook Podcast
Ep 172 – Keloid scars
Keloid scars are a form of abnormal scarring that occur in susceptible individuals and often appear to be more common in darker skin types. Often observed between the ages of 10 and 30 years, and associated with skin trauma or inflammation, their diagnosis is a clinical one. Unfortunately, no definitive treatment is currently available, but options include injectable preparations and cryotherapy, as well as surgery and radiotherapy. In this episode, Dr Roger Henderson looks at the aetiology, epidemiology and presentation of keloid scars as well as the efficacy of current treatments.Access episode show notes containing...
2025-09-04
17 min
GPnotebook test
Ep 172 – Keloid scars
Keloid scars are a form of abnormal scarring that occur in susceptible individuals and often appear to be more common in darker skin types. Often observed between the ages of 10 and 30 years, and associated with skin trauma or inflammation, their diagnosis is a clinical one. Unfortunately, no definitive treatment is currently available, but options include injectable preparations and cryotherapy, as well as surgery and radiotherapy. In this episode, Dr Roger Henderson looks at the aetiology, epidemiology and presentation of keloid scars as well as the efficacy of current treatments.Access episode show notes containing...
2025-09-04
17 min
GPnotebook Podcast
Ep 170 – Aortic stenosis
Aortic stenosis (AS) is an obstruction of blood flow from the left ventricle into the aorta due to narrowing at the level of the aortic valve. In Europe, it is the most common valvular disease requiring treatment and is the second most frequent cause for cardiac surgery. By the age of 80, it occurs in almost 10% of adults and has a mortality rate of about 50% at 2 years unless the outflow obstruction is relieved. In this episode, Dr Roger Henderson looks at the aetiology, pathophysiology, clinical presentation, diagnostic evaluation, treatment options and prognosis associated with this common condition usually seen in...
2025-08-21
19 min
GPnotebook Podcast
Ep 169 – Shin splints (medial tibial stress syndrome)
Shin splints are a common type of leg pain caused by repetitive stress on the bones and muscles in the lower leg, particularly around the tibia. The condition, also known as medial tibial stress syndrome (MTSS), is characterised by pain and tenderness along the inner or front of the lower leg. It is often triggered by activities like running, jumping or other high-impact sports. In this episode, Dr Roger Henderson looks at risk factors, how to diagnose it, typical treatment options and prognosis.Access episode show notes containing key references and take-home points at:
2025-08-14
14 min
GPnotebook Podcast
Ep 168 – Ectopic pregnancy
In the UK, ectopic pregnancy is diagnosed in approximately 11 out of every 1,000 pregnancies and typically presents 6–8 weeks after the last normal menstrual period but can be earlier or later. The risk of ectopic pregnancy increases with prior ectopic pregnancy, tubal surgery, history of sexually transmitted infections, smoking, in vitro fertilisation or if the woman is pregnant despite intrauterine device usage. Classical symptoms and signs of ectopic pregnancy are pain, vaginal bleeding and amenorrhoea. Haemodynamic instability and cervical motion tenderness may indicate rupture or imminent rupture of an ectopic pregnancy. In this episode, Dr Roger Henderson gives an overview of ho...
2025-08-07
16 min
GPnotebook Podcast
Ep 167 – Acute pancreatitis
Acute pancreatitis is an inflammatory condition of the pancreas, most commonly caused by bile stones or excessive use of alcohol. It is one of the most common diseases of the gastrointestinal tract leading to hospital admission. In most patients, the disease takes a mild course, where moderate fluid resuscitation, management of pain and nausea and early oral feeding result in rapid clinical improvement. The severe form is life-threatening, with mortality rates of up to 30%. In this episode, Dr Roger Henderson looks at how to quickly diagnose acute pancreatitis, what the common risk factors are, the treatment options and prognosis.
2025-07-31
18 min
GPnotebook Podcast
Ep 166 – Hand–arm vibration syndrome
Hand–arm vibration syndrome is a chronic, progressive disorder of the upper limbs resulting from prolonged exposure to vibration. It encompasses vascular, neurological and musculoskeletal injury, often presenting with a combination of symptoms that may severely impact daily functioning and quality of life. This condition was historically observed among forestry workers and miners but now affects people in a broad range of industries, including construction, engineering, vehicle maintenance and utilities. In this episode, Dr Roger Henderson looks at how to recognise the condition in patients, as well as diagnostic tests, treatment options and prognosis.Ac...
2025-07-24
14 min
GPnotebook Podcast
Ep 164 – Cauda equina syndrome
Cauda equina syndrome (CES) is caused by compression of the lumbosacral nerve roots that extend below the spinal cord. The most common cause is disc prolapse at the L4/5 or L5/S1 level and stenosis of the spinal canal. Less commonly, compression may be due to pathology in a higher disc or to a tumour, infection or trauma. Typical symptoms and signs of CES include leg and/or back pain, together with one or more of: bladder or bowel dysfunction; altered perianal, perineal or genital sensation; motor weakness affecting both legs; sexual dysfunction. It is a medical emergency and...
2025-07-10
20 min
We Saved You a Spot
Episode 116 – A Light on the Airwaves: Roger Henderson’s Story
This week, Hannah sits down with one of the station’s longest-running voices — and biggest hearts — Roger Henderson. From his humble beginnings as a 14-year-old learning the ropes, to decades of dedication in radio, to the way he lives out his faith every day, Roger shares the lessons, laughter, and light he’s picked up along the way. You’ll hear his testimony, get a glimpse of how the station (and industry) has changed, and walk away feeling encouraged by his unwavering joy and love for people. Roger is a light… and truly, a delight!
2025-07-09
57 min
GPnotebook Podcast
Ep 162 – Ankylosing spondylitis
Ankylosing spondylitis (AS) is a chronic, immune-mediated inflammatory disorder that predominantly targets the axial skeleton, especially the spine and sacroiliac joints. This condition evolves insidiously, often beginning in young adulthood, and gradually imposes limitations on spinal mobility, eventually leading to fusion in advanced cases. Beyond its skeletal manifestations, AS can also extend its reach to various extra-articular organs, emphasising the systemic nature of the disease. In this episode, Dr Roger Henderson looks at its clinical presentation, how to diagnose it, the treatment options available and its prognosis.Access episode show notes containing key references...
2025-06-26
19 min
GPnotebook Podcast
Ep 158 – Rotator cuff tears
A rotator cuff injury is an event that causes pain in the shoulder. This can be due to a tear, inflammation or narrowing of the space within the shoulder joint. The rotator cuff muscles interlock to work as a unit. They help to stabilise the shoulder joint and also help with shoulder joint movement. In this episode, Dr Roger Henderson takes a specific look at tears to the rotator cuff – a problem often seen in primary care. The episode covers causes, diagnosis and treatment, including conservative approaches and surgical options.Access episode show notes con...
2025-05-29
17 min
GPnotebook Podcast
Ep 157 – Ganglion cysts
Ganglion cysts, also sometimes referred to as synovial cysts, are the most common benign soft-tissue masses of the hand and wrist. These cysts arise from the synovial lining of joints or tendon sheaths and are filled with a gelatinous, mucin-rich fluid. Despite their benign nature, ganglion cysts can cause discomfort, restrict motion and cause neurovascular compression (requiring medical intervention in some cases). In this episode, Dr Roger Henderson looks at epidemiology, pathophysiology, clinical presentation, diagnostic modalities, differential diagnoses and treatment options.Access episode show notes containing key references and take-home points at:...
2025-05-22
13 min
GPnotebook Podcast
Ep 156 – Carpal tunnel syndrome
Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy, primarily affecting the median nerve at the level of the wrist. The condition results from compression of the median nerve within the carpal tunnel, leading to sensory and motor impairments in the affected hand. There are a range of causes for the condition, and treatments range from simple conservative measures to surgery. In this episode, Dr Roger Henderson looks at how to recognise the condition, some of the clinical and diagnostic tests available, when to refer to secondary care and management options including both surgical and non-surgical measures.
2025-05-15
17 min
GPnotebook Podcast
Ep 155 – Temporal arteritis
Temporal arteritis, also known as giant cell arteritis, is an inflammatory condition that affects the large- and medium-sized arteries, primarily those in the head. It most commonly occurs in adults over 50, particularly women. The exact cause is unknown, but it is believed to be an autoimmune response that leads to inflammation and narrowing of the arteries, reducing blood flow. Symptoms include severe headaches, scalp tenderness, jaw pain when chewing and, in severe cases, sudden vision loss. Diagnosis typically involves blood tests, imaging and a temporal artery biopsy. Early detection is crucial to avoid permanent damage and blindness. In this...
2025-05-08
18 min
GPnotebook Podcast
Ep 154 – Febrile seizures
Febrile seizures are common in the first 5 years of life, and many factors that increase the risk of such seizures occurring have been identified. Initial evaluation should determine whether features of a complex seizure are present, as well as identifying the source of fever. In this episode, Dr Roger Henderson provides an overview of febrile seizures in childhood and also looks at risk factors, referral criteria, treatment options and prognosis.Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/paediatrics/ep-154-febrile-seizuresD...
2025-05-01
16 min
GPnotebook Podcast
Ep 151 – Dupuytren’s disease
Dupuytren’s disease is a chronic, progressive condition that primarily affects the palmar and digital fascia of the hand. Over time, fibrous cords form under the skin, thickening and contracting, which can cause the fingers (most often the ring and little fingers) to curl inward. This results in Dupuytren’s contracture, limiting hand function and impacting daily activities. It often starts with the formation of painless nodules in the palm. As the disease progresses, these nodules develop into cords that restrict finger movement. While the condition is not life-threatening, it can significantly affect a person’s quality of life and is...
2025-04-10
20 min
GPnotebook Podcast
Ep 150 – Roseola
Roseola infantum is a viral infection primarily affecting infants and young children, most commonly between the ages of 6 and 12 months. It accounts for 10–45% of febrile illnesses in infants, and cases tend to peak in the spring and autumn seasons. Diagnosing roseola is almost always clinical, and for patients with the classic presentation a clinical diagnosis can be made based on physical examination findings and history alone. In this episode, Dr Roger Henderson looks at the causes and typical symptoms of roseola, along with illnesses that may mimic it, treatment options and possible complications of the illness....
2025-04-03
11 min
GPnotebook Podcast
Ep 149 – Raynaud’s phenomenon
Raynaud's phenomenon is a relatively common condition seen in primary care (especially during the autumn and winter months) that is characterised by vasospasm. This causes digits to change colour to white due to a lack of blood flow, usually brought on by cold temperatures. Affected areas subsequently turn blue due to deoxygenation and red due to reperfusion. The most common type is primary (idiopathic) Raynaud’s, affecting around 90% of people with the condition. Secondary Raynaud’s is often the initial manifestation of an associated underlying connective tissue disease. Both primary and secondary Raynaud’s can be painful, but secondary Raynau...
2025-03-27
15 min
GPnotebook Podcast
Ep 148 – Sickle cell disease
Sickle cell anaemia is a disease of red blood cells, caused by an autosomal recessive single gene defect in the beta-chain of haemoglobin, which results in production of sickle cell haemoglobin. Sickle cells can obstruct blood flow and break down prematurely, and they are associated with varying degrees of anaemia. A common presentation of sickle cell disease (SCD) is a painful sickle crisis, caused by obstruction of small blood capillaries. Treatment includes symptom control (including pain management) and prevention and management of complications. Until now, haematopoietic stem-cell transplantation has been the only potentially curative treatment option, but a new...
2025-03-20
13 min
GPnotebook Podcast
Ep 145 – Gambling-related harms
Around 0.5% of the adult population in England experience problems gambling, 3.8% are at elevated risk of gambling harms and an estimated 7% are negatively affected by someone else’s gambling. NICE has published NG248 – its first recommendations on gambling, covering the identification, assessment and treatment of people over the age of 18 who are experiencing gambling-related harms. The recommendations are also for people of any age affected by someone close to them who is experiencing gambling that harms. In this episode, Dr Roger Henderson looks at some of the key points in the guideline as well as the pharmacological options that are reco...
2025-02-27
13 min
GPnotebook Podcast
Ep 143 – Irritable bowel syndrome
Irritable bowel syndrome (IBS) is a chronic condition characterised by abdominal pain associated with bowel dysfunction and is one of the most common gastroenterology presentations in primary care. The pain is often relieved by defecation and is sometimes accompanied by abdominal bloating, with no structural abnormalities to explain the pain. IBS occurs in up to 20% of the adult population, and its aetiology is multi-factorial. In this episode, Dr Roger Henderson looks at the diagnosis of IBS along with lifestyle options and newer medications now available for its management.Access episode show notes containing key...
2025-02-13
17 min
GPnotebook Podcast
Ep 142 – Colorectal cancer
Colorectal cancer (CRC) is the fourth most common malignancy in the UK and a major cause of morbidity and mortality. It refers to malignancies that arise from the caecum to the rectum and can be detected on screening, on imaging or endoscopy, or following presentation with change in bowel habit, iron deficiency anaemia or bowel obstruction. Its management depends on the stage of the disease and patient factors, with treatment options including surgical resection, chemotherapy and radiotherapy. In this episode, Dr Roger Henderson gives an overview of CRC and looks at how to achieve early diagnosis, which is essential...
2025-02-06
15 min
GPnotebook Podcast
Ep 141 – Hidradenitis suppurativa
Hidradenitis suppurativa (HS) is a chronic inflammatory dermatosis that typically affects areas of pilosebaceous gland-containing skin. In HS, patients often suffer recurrent attacks of discharging and painful lesions that can require multiple courses of antibiotics or surgical drainage. The condition causes significant morbidity, distress and sometimes long-term scarring. In this episode, Dr Roger Henderson looks at the disease process, classification and classical features of HS as well as conservative, medical and surgical treatment options.Access episode show notes containing key references and take-home points at:https://gpnotebook.com/en-GB/podcasts/dermatology/ep-141...
2025-01-30
14 min
GPnotebook Podcast
Ep 140 – Seasonal affective disorder
Seasonal affective disorder (SAD) is a form of depression that occurs at specific times of the year, most commonly during the autumn and winter months when daylight hours are shorter. Characterised by symptoms such as persistent sadness, fatigue and changes in appetite or sleep patterns, SAD is more than just the "winter blues." It is a clinically recognised but often underdiagnosed condition that can significantly impact an individual's quality of life. In this episode, Dr Roger Henderson looks at how to diagnose SAD as well as the causes, symptoms and treatment options in primary care.
2025-01-23
11 min
GPnotebook Podcast
Ep 135 – Tinnitus
Tinnitus can be frustrating for both patients and clinicians as there is some misinformation and misunderstanding about its aetiology and treatment options. For some people with tinnitus there is significant distress and a reduced quality of life that may not always be appreciated by healthcare professionals. Fortunately, most cases of tinnitus can be treated successfully, and there are a number of management techniques that can reduce its impact, including sound therapy, stress reduction and treatment of any underlying causes. In this episode, Dr Roger Henderson gives an overview of this common problem, with a reminder of how to evaluate...
2024-12-12
14 min
GPnotebook Podcast
Ep 134 – Prostate cancer
One in six UK males will be diagnosed with prostate cancer in their lifetime. In the UK prostate cancer is the most common male cancer, with over 55,000 new cases diagnosed every year. There has been much discussion in the media recently regarding whether men under the age of 50 should have access to prostate-specific antigen (PSA) testing, particularly if they have a strong family history of prostate cancer. In this episode, Dr Roger Henderson takes a look at prostate cancer, including guidance on screening, investigations and treatment.Access episode show notes containing key references and...
2024-12-05
16 min
GPnotebook Podcast
133 – Syphilis
Syphilis is a sexually transmitted infection caused by the bacterium Treponema pallidum. Known for its varied symptoms and potential to progress through multiple stages, syphilis can have serious health consequences if left untreated, affecting organs like the heart, brain and nerves. The infection spreads primarily through direct contact with syphilitic sores, which typically occur on the genital, anal or oral areas. Though syphilis was once thought to be largely under control, its prevalence has resurged in recent years, prompting renewed focus on prevention, early diagnosis and effective treatment. In this episode, Dr Roger Henderson discusses new syphilis guidelines issued...
2024-11-28
14 min
GPnotebook Podcast
Ep 130 – Croup
Croup is a respiratory condition typically affecting children, characterised by a distinctive barking cough, hoarseness and difficulty breathing. Caused primarily by viral infections, especially the parainfluenza virus, it inflames the larynx, trachea and bronchi, leading to swelling and obstruction in the airway. Croup symptoms often worsen at night and can be triggered by environmental factors such as cold air. Treatment ranges from home remedies like humidified air and hydration to medical interventions, such as corticosteroids or nebulised epinephrine, depending on the severity of the condition. While most cases resolve within a few days, severe instances can lead to hospitalisation...
2024-11-07
12 min
GPnotebook Podcast
Ep 129 – Acute appendicitis
Acute appendicitis is a medical emergency characterised by the sudden onset of inflammation in the appendix. As one of the leading causes of abdominal pain that necessitates surgical intervention, appendicitis can occur at any age, though it is most common in adolescents and young adults. The condition is primarily caused by a blockage in the appendix, which leads to bacterial infection, swelling and increased pressure. If left untreated, acute appendicitis can progress to life-threatening complications such as perforation, peritonitis and sepsis. Due to the non-specific symptoms, particularly in the early stages, diagnosing appendicitis can be challenging. Prompt recognition and...
2024-10-31
14 min
GPnotebook Podcast
Ep 125 – Generalised anxiety disorder
Generalised anxiety disorder (GAD) is a common condition defined as chronic, excessive worry for at least 6 months that causes distress or impairment, and is hard to control. It is in part a diagnosis of exclusion: physical examination and laboratory studies are generally normal if no co-existing physical or mental health conditions or substance misuse issues exist. Treatment is primarily with psychotherapy (usually cognitive behavioural therapy), serotonergic antidepressants or a combination of these approaches. In this episode, Dr Roger Henderson looks at how best to diagnose GAD, what treatment options should be considered, possible differential diagnoses and the long-term outlook...
2024-10-03
15 min
GPnotebook Podcast
Ep 124 – Ovarian cancer
Ovarian cancer is a common female malignancy. Patients often present with vague, non-specific symptoms such as abdominal bloating, early satiety and dyspepsia (suggestive of upper abdominal disease). Other symptoms are more suggestive of pelvic disease, such as pelvic pain, abdominal or pelvic pressure, low back pain and urinary urgency. Late diagnosis has a significantly adverse impact on survival rates, so prompt diagnosis and treatment is crucial. In this episode, Dr Roger Henderson looks at the key symptoms of ovarian cancer to be aware of in clinical practice, the NICE guidance on diagnostic tests, treatments and survival rates.
2024-09-26
14 min
GPnotebook Podcast
Ep 122 – Emollients: an overview
Emollients are moisturisers that help soothe, hydrate and protect the skin by forming an occlusive barrier to lock in moisture. They are commonly used to treat dry, rough and scaly skin conditions such as eczema, psoriasis and dermatitis, and work by softening and smoothing the skin, reducing water loss and improving the skin's natural barrier function. As a result, they play a vital role in skin care, especially for those with dry or compromised skin, and come in various forms, each suited to different levels of dryness and skin conditions. Regular use of the right emollient can help maintain...
2024-09-12
15 min
GPnotebook Podcast
Ep 120 – Echocardiography
Echocardiography is an essential tool in a wide range of clinical scenarios. Appropriate use of an echocardiogram ("echo" scan) can improve clinical outcomes by increasing diagnostic accuracy, providing non-invasive or minimally invasive assessment of disease status and risk stratification and enabling real-time monitoring and guidance of interventional procedures. However, there can be confusion surrounding when to appropriately refer a patient from primary care. In this episode, Dr Roger Henderson looks at various conditions and when to consider the use of echo scans for them.Access episode show notes containing key references and take-home points...
2024-08-29
13 min
GPnotebook Podcast
Ep 119 – Goitre
The term goitre refers to an abnormal enlargement of the thyroid gland, typically caused by iodine deficiency or autoimmune diseases such as Graves' disease or Hashimoto's thyroiditis, as well as hormonal changes, thyroid nodules or thyroid cancer. Symptoms include a visible neck swelling, throat tightness, coughing, hoarseness and difficulty swallowing or breathing. Untreated goitre can lead to complications and thyroid dysfunction. The prevalence of goitre in the UK is lower than in many developing countries due to adequate dietary iodine intake, but it may still be seen in primary care. In this episode, Dr Roger Henderson looks at the...
2024-08-22
16 min
GPnotebook Podcast
Ep 115 – Polycystic ovary syndrome
Polycystic ovary syndrome (PCOS) is the most common endocrinopathy in women of reproductive age, as well as being a major cause of infertility and pregnancy complications. It includes symptoms of hyperandrogenism, the presence of hyperandrogenaemia, oligo-ovulation or anovulation and polycystic ovarian morphology on ultrasound. It is strongly associated with complications that may arise from it, including insulin resistance, metabolic syndrome, fatty liver disease and an increased risk of developing type 2 diabetes. The main aims of treatment are directed at reducing hyperandrogenism or inducing fertility. In this episode, Dr Roger Henderson looks at these in more detail as well as...
2024-07-25
13 min
GPnotebook Podcast
Ep 113 – Vaping: an update
Quitting smoking is the single most important thing a smoker can do to improve their health, and with the right combination of support, medication and determination, individuals can successfully overcome their nicotine addiction and enjoy a smoke-free life. For many, quitting smoking completely can be a challenge due to the addictive nature of nicotine, but various strategies and treatments are available to help support patients who are trying to stop smoking. Benefits are immediate, both in the short- and long-term, and it is never too late to stop smoking. The rise in e-cigarette use has contributed to increased numbers...
2024-07-11
23 min
GPnotebook Podcast
Ep 111 – Testicular torsion
Testicular torsion is a urological emergency that usually affects young men, and a high index of suspicion is vital to ensure prompt diagnosis and management. A history and physical examination consistent with testicular torsion requires immediate surgical assessment for scrotal exploration – and if the initial examination suggests testicular torsion, the surgical approach should take precedence over other diagnostic tests. In this episode, Dr Roger Henderson discusses what to look for when diagnosing this condition, the importance of prompt treatment and the options available in primary care.Access episode show notes containing key references and ta...
2024-06-27
14 min
GPnotebook Podcast
Ep 109 – Hypothyroidism
Hypothyroidism, or an underactive thyroid gland, is increasingly common as people get older, but it may often be undiagnosed or diagnosed late due to the insidious nature of some of its symptoms. These include fatigue, weight gain, sensitivity to cold, constipation, dry skin, hair loss and depression. Common causes of hypothyroidism include autoimmune diseases, thyroid surgery, radiation therapy, certain medications and iodine deficiency, which is the leading cause globally. Treatment typically involves hormone replacement therapy, and with proper treatment and monitoring most people with hypothyroidism can lead normal, healthy lives. In this episode, Dr Roger Henderson provides an overview...
2024-06-13
18 min
GPnotebook Podcast
Ep 107 – Benign prostatic hyperplasia
Benign prostatic hyperplasia (BPH) is an extremely common condition seen in clinical practice, and one which can cause considerable difficulties in older men. Common symptoms include frequent urination, difficulty starting urination, weak urine stream or the need to urinate during the night – all of which significantly impact on quality of life. Treatment options vary depending on symptom severity and can include no treatment, medication, minimally invasive procedures or surgery. In this episode, Dr Roger Henderson looks at the key things to remember when assessing a patient with BPH and covers the newer treatments now available as well as more tr...
2024-05-30
19 min
GPnotebook Podcast
Ep 104 – Rheumatoid arthritis
Rheumatoid arthritis (RA) is a chronic inflammatory autoimmune disorder that primarily affects the joints. Causing joint pain, stiffness, swelling and reduced joint motion, its exact cause is still unknown, but is believed to involve a combination of factors. In this episode, Dr Roger Henderson looks at the aetiology of RA, diagnostic testing and the management pathway for patients with the condition.Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/rheumatology/ep-104-rheumatoid-arthritis.Did you know? With GPnotebook Pro, you can earn...
2024-05-09
17 min
GPnotebook Podcast
Ep 102 – Diverticular disease
Diverticular disease is a condition characterised by the presence of small pouches, called diverticula, in the wall of the colon (large intestine). These pouches can develop when weak spots in the colon's muscular wall give way under pressure. Diverticular disease encompasses two main conditions: diverticulosis and diverticulitis. In this episode, Dr Roger Henderson takes an overview look at the symptoms and management of these as well as their prognosis and prevention.Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/gastroenterology/ep-102-diverticular-disease.
2024-04-25
17 min
GPnotebook Podcast
Ep 101 – Coeliac disease
Coeliac disease (CD) is a chronic autoimmune disorder that primarily affects the small intestine and is triggered by the consumption of gluten, a protein found in wheat, barley, rye and sometimes oats. When individuals with CD ingest gluten, their immune system responds by damaging the lining of the small intestine. This damage impairs the absorption of nutrients from food, leading to various symptoms and potentially serious complications. In this episode, Dr Roger Henderson looks at the diagnosis, testing and management of CD, along with the importance of longer-term follow-up in people with it.Access...
2024-04-19
15 min
GPnotebook Podcast
Ep 99 – Assessment and management of obesity
Obesity is a medical condition characterised by excessive accumulation of body fat, to the point where it may have adverse effects on health. Its incidence is steadily rising in both young people and adults. It is typically measured using BMI, but this has limitations and may not always accurately represent the level of obesity. While genetics and hormonal factors have a role in obesity, lifestyle choices (such as diet and physical activity level) and environmental factors also significantly contribute to its development. In recent years, the prevalence of obesity has been on the rise globally, leading to serious health...
2024-04-04
22 min
GPnotebook Podcast
Ep 97 – Peptic ulcer disease
The most common cause of peptic ulcers (gastric and duodenal) is infection with Helicobacter pylori (H. pylori) or the long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs). Other factors such as excessive alcohol consumption, smoking, stress and certain medical conditions may also contribute to the development of peptic ulcers. Symptoms of peptic ulcer disease can vary but may include burning stomach pain, nausea and vomiting, bloating or belching and loss of appetite. Treatment typically involves a combination of lifestyle changes and medication to reduce stomach acid production, eradicate H. pylori infection (if present) and protect the lining of the stomach...
2024-03-21
17 min
GPnotebook Podcast
Ep 96 – Dysphagia
Dysphagia refers to difficulty swallowing. It can occur at any age and may be caused by various conditions, including neurological disorders, muscular disorders, structural abnormalities, or even psychological factors. Dysphagia can range from mild to severe, and it can lead to complications such as malnutrition, dehydration and aspiration pneumonia if not properly managed. The treatment for dysphagia depends on the underlying cause and may include dietary modifications, swallowing therapy, medication or surgery. In this episode, Dr Roger Henderson takes an overview look at the causes, assessment, investigations and treatments of dysphagia, along with a reminder of oesophageal cancer, its...
2024-03-14
12 min
GPnotebook Podcast
Ep 95 – Trigeminal neuralgia
Trigeminal neuralgia (TN) is a condition characterised by severe, shooting pain in the face, along the trigeminal nerve. The pain can be triggered by even mild stimulation of the face, such as brushing teeth, touching the face or eating. It is often described as one of the most excruciating pains known to medicine and it can significantly impact a person's quality of life. The exact cause of trigeminal neuralgia is often unknown and treatment options include carbamazepine or gabapentin, as well as surgical procedures that relieve pressure on the trigeminal nerve or disrupt the pain signals in some cases...
2024-03-07
12 min
GPnotebook Podcast
Ep 94 – Anal fissures
Anal fissures are small tears or cracks in the lining of the anus which can cause pain, bleeding and discomfort, particularly during bowel movements. They are quite common and can be caused by various factors such as constipation, diarrhoea, childbirth or anal trauma. Treatment often involves keeping the stool soft and avoiding straining during bowel movements. This may include dietary changes, fibre supplements, topical medications, or in some cases, surgery. In this episode – which has been suggested as a topic by one of our listeners – Dr Roger Henderson looks at these in more detail as well as when to refe...
2024-02-29
12 min
GPnotebook Podcast
Ep 93 – Haemorrhoids
Haemorrhoids are a very common finding in the Western world and are often seen in our surgeries. They are frequently under-reported so their exact incidence can be difficult to quantify; however, estimates are that 50% of the population experience them by the age of 50. Because many people attribute symptoms of more serious pathology to haemorrhoids, careful evaluation is always very important. Fortunately, most cases are simple to treat and often resolve very quickly, although up to 10% of sufferers may require surgery to fully alleviate their symptoms. In this episode, Dr Roger Henderson looks at the classification of haemorrhoids, their predisposing...
2024-02-22
13 min
GPnotebook Podcast
Ep 89 – Bowen’s disease
Bowen's disease, also known as squamous cell carcinoma in situ, is a type of skin disorder characterised by the presence of precancerous or intra-epidermal squamous cell carcinoma. It was named after John T. Bowen, the dermatologist who first described the condition in 1912. Bowen's disease primarily affects the outermost layer of the skin (epidermis) and is considered a form of non-invasive skin cancer. Bowen's disease most commonly occurs on sun-exposed areas of the skin, such as the face, neck, head, hands and forearms. However, it can also occur in areas not exposed to the sun. In this episode, Dr Roger...
2024-01-25
14 min
GPnotebook Podcast
Ep 88 – Obsessive–compulsive disorder
Obsessive–compulsive disorder (OCD) is a prevalent mental health condition characterised by persistent, intrusive thoughts (obsessions) and repetitive behaviours or mental acts (compulsions) aimed at alleviating anxiety. Individuals with OCD often find themselves trapped in a distressing cycle, as compulsions provide only temporary relief, perpetuating the need for repetition. OCD manifests in diverse forms, such as checking, counting or washing rituals, and its severity can range from mild to debilitating. Despite widespread misconceptions, OCD extends beyond a mere desire for order and cleanliness, impacting various aspects of daily life. Genetic, neurological, and environmental factors contribute to its development, and it...
2024-01-18
13 min
GPnotebook Podcast
Ep 87 – Depression in adults
NICE published its last guideline on depression in 2009. Since that time, the prevalence of depression has increased, especially among vulnerable adults during the COVID-19 pandemic. NICE published a new guideline in June 2022 to reflect this. In this episode, Dr Roger Henderson looks at the new recommendations on managing depression in primary care, along with services providing psychological therapies that update and replace the 2009 guideline. Among the topics covered are treatments for first depressive episodes, advice on preventing relapse and withdrawing from antidepressant treatment.Access episode show notes containing key references and take-home points at...
2024-01-12
14 min
GPnotebook Podcast
Ep 86 – Inflammatory marker testing
Many pathology tests are ordered unnecessarily in primary care and this can include testing for inflammatory markers. The most common examples of tests typically ordered are for erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) levels, with occasional requests for plasma viscosity (PV) too. Although such tests can be useful in giving some information as to a patient’s inflammatory response in certain conditions, their lack of specificity means that they are not perfect tests and interpretation is not always straightforward. In this podcast, Dr Roger Henderson looks at how inflammatory markers work, what may or may not constitute a...
2023-12-15
17 min
GPnotebook Podcast
Ep 85 – Hyperhidrosis
Sweating is a crucial way to reduce our body temperature, such as when doing strenuous physical activity or when in a hot environment. Hyperhidrosis is defined as excessive sweating beyond what is physiologically required or normal. It can be categorised as primary (idiopathic), secondary to other conditions, or as a side effect of some medications. Primary hyperhidrosis can affect people at any age, but often starts in early life. The diagnosis of hyperhidrosis is typically made initially on the clinical history, and this can also determine between primary or secondary hyperhidrosis. It is usually diagnosed where there is visible sw...
2023-12-01
13 min
GPnotebook Podcast
Ep 84 – Testosterone deficiency
Testosterone deficiency (TD) is an increasingly common problem with significant health implications, but the diagnosis and management of this condition may present problems in primary care. Low levels of testosterone in men are associated with increased risk of incident type 2 diabetes mellitus, worse outcomes in chronic kidney disease and COVID-19 infection (with increased all-cause mortality), along with significant implications in the areas of mental health and relationships. In this podcast, Dr Roger Henderson provides a reminder of how to diagnose TD — including from the patient’s history as well as clinical findings — and current guidelines on its management.
2023-11-24
11 min
GPnotebook Podcast
Ep 83 – Management of dry skin conditions in skin of colour
Dry skin is an extremely common condition that occurs in all skin colours and ethnic groups; however, differences in skin colour can cause significant differences in the incidence, presentation and treatment of different skin conditions. Although dry skin may cause similar symptoms among different skin tones, the appearance may make it more challenging to easily recognise – a fact highlighted by hospital admissions linked to eczema being up to six times more likely in people of colour than in people with light skin.In this podcast, Dr Roger Henderson looks at the reasons for this, wh...
2023-11-17
14 min
GPnotebook Podcast
Ep 82 - Pityriasis capitis (dandruff)
Although pityriasis capitis (dandruff) is not a serious medical condition, it causes significant embarrassment and self-esteem issues in many people who suffer from it. It is extremely common, affecting up to half the global adult population, and its recurring nature is often a source of frustration. It can impact on primary care workload and can also be mistaken for other scalp conditions such as scalp psoriasis, seborrheic dermatitis or atopic eczema. In this podcast Dr Roger Henderson looks at how to distinguish dandruff from these conditions as well as how to effectively treat dandruff to stop patients from needing...
2023-11-03
13 min
GPnotebook Podcast
Ep 81 – Lyme disease
Lyme disease can present a number of particular difficulties in primary care, and these are often linked to clinical findings and the availability and timing of testing. In this podcast, Dr Roger Henderson discusses those and looks at Lyme disease’s three stages — early, disseminated and late — and whether it can be diagnosed clinically if erythema migrans is or is not present. He also looks at diagnostic difficulties and whether acute or convalescent serological testing is helpful. Treatment with antibiotics is also discussed along with prognostic indicators.Access episode show notes containing key references and ta...
2023-10-26
13 min
The Relaxback UK Show
Eamonn Holmes and Janet Street-Porter Have Both Had Shingles- Then Skin With Dr Roger Henderson
Hear the experiences of Eamonn Holmes and Janet Street-Porter with shingles - it is really worth avoiding if you can. There is now a vaccination. Then Dr Roger Henderson talks about skin and in particular excema and psoriasis.
2023-10-11
43 min
HendosHotTopics
Roger Farrelly/ From Small Town to Radio Legend
Ever wondered what it's like to be an iconic figure in the radio industry? Meet Roger Farrelly, the godfather of New Zealand radio, who takes us on an enlightening journey through his three-decade-long career. Starting with his humble beginnings at a small radio station, Coastline FM, in 1991, To hosting the morning show on NZ biggest radio station, Roger shares his experiences and insights into the evolution of radio - from a solitary voice echoing in the silence of midnight to a lively morning show encompassing a whole team.
2023-09-14
1h 16
GPnotebook Podcast
Ep 70 – Epicondylitis
In this episode, Dr Roger Henderson discusses an approach to the assessment of epicondylitis. Elbow epicondylitis is more common than is often thought and can cause significant pain and movement restriction. There can also be a number of possible differential diagnoses that need to be considered. This podcast episode looks at how to diagnose both tennis elbow and golfer’s elbow, what clinical tests to use, the best management and when to consider referral to secondary care.Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/musculoskeletal-medicine/ep...
2023-03-31
13 min
GPnotebook Podcast
Ep 68 – Vitamin D deficiency in adults
Vitamin D is a fat-soluble vitamin that is essential for human health. It regulates calcium and phosphate homeostasis and is therefore vital for musculoskeletal functioning. In the UK, up to 50% of the adult population may be vitamin D insufficient following the winter months, with one in six being severely deficient. In this podcast, Dr Roger Henderson looks at who is most at risk of vitamin D deficiency, how it should be diagnosed, what treatment options are available and why unlicensed vitamin D preparations should not be recommended.Access episode show notes containing key references...
2023-03-17
13 min
GPnotebook Podcast
Ep 67 – Actinic keratosis
Actinic keratosis (AK) – also commonly known as solar keratosis – is a very common dermatological presentation in primary care, affecting large numbers of older people. It has the capacity to transform into a malignant lesion if untreated. In this podcast, Dr Roger Henderson looks at who is most at risk of AK, how it should be diagnosed, what treatment options are available, and when to consider referral to secondary care.Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/dermatology/ep-67-actinic-keratosis.Did you...
2023-03-10
15 min
GPnotebook Podcast
Ep 65 – Obstructive sleep apnoea
Obstructive sleep apnoea (OSA) is a very common problem affecting around one and a half million adults in the UK, most of whom are undiagnosed and untreated. OSA has significant health consequences, including heart disease and an increased risk of fatal car crashes. In this episode, Dr Roger Henderson looks at who is most at risk of OSA, how it should be diagnosed, how to refer to secondary care and what treatment options are currently available to help people with the condition.Access episode show notes containing key references and take-home points at: https...
2023-02-24
16 min
GPnotebook Podcast
Ep 63 – Domiciliary oxygen guidance
Oxygen is essential for our survival and is a powerful medical drug. Treatment with oxygen increases blood oxygen levels and helps to reduce cardiovascular workload. In this podcast, Dr Roger Henderson looks at how oxygen can be given in a home environment, the reasons it may be required and the different types of delivery systems available. He also looks at practical issues such as flying when requiring oxygen, smoking near oxygen supplies, how to arrange an emergency supply of oxygen for home use and which types of masks and nasal cannulae to use.Access...
2023-02-10
16 min
GPnotebook Podcast
Ep 60 – Chronic spontaneous urticaria
Chronic spontaneous urticaria (CSU) is a common problem, often affecting younger people. It refers to chronic urticaria that has no obvious cause or trigger and which causes weals to occur on the skin most days for 6 weeks or more. It can be a deeply distressing and frustrating condition for sufferers that can greatly affect their quality of life. In this episode, Dr Roger Henderson looks at the possible triggers of CSU, how to approach the treatment of people with the condition and what drug therapies may be helpful.Access episode show notes containing key...
2022-12-21
11 min
GPnotebook Podcast
Ep 58 – Hypertension management
After smoking and diet, hypertension is the biggest risk factor in the UK for premature death and disability. One in four people have hypertension in the UK, with around one in three treated to target. In this episode, Dr Roger Henderson gives an overview of the management of hypertension, covering its definition, risk factors, lifestyle management, investigations and medical treatments, including those recommended in the latest NICE guidelines.Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/cardiovascular-medicine/ep-58-hypertension-management.Did you...
2022-11-11
15 min
Thinkers & Ideas
Rita McGrath and Roger L. Martin on the Nature of Competitive Advantage
In this special episode of the Thinkers & Ideas podcast, Martin Reeves, Chairman of BCG Henderson Institute, is joined by two of the leading minds in strategy to discuss the nature of competitive advantage.Join Rita McGrath and Roger L. Martin as they debate whether competitive advantage is more or less sustainable today, whether it has shifted in nature and whether it will shift prospectively. In addition to defending their own positions, they discuss how two very different views of competition can be reconciled. They also offer thoughts for open questions in strategy which merit further consideration.
2022-09-28
41 min
GPnotebook Podcast
Ep 56 – Dry skin and its impact on mental health
Dry skin conditions are one of the commonest skin problems that present to primary care physicians, but their psychological impact and psychiatric comorbidities are often underestimated. In this podcast episode, Dr Roger Henderson looks at dry skin, its impact on mental well-being and how it should be assessed and treated. He also gives useful consultation hints and tips about both the dermatological and psycho-dermatological aspects of dry skin problems.Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/dermatology/ep-56-dry-skin-and-its-impact-on-mental-health.Did...
2022-09-23
14 min
GPnotebook Podcast
Ep 53 – Management of insomnia
In this episode, Dr Roger Henderson discusses the common problem of insomnia. He looks at what it is, how it is assessed, what causes it and ways of treating it. He also discusses simple tips patients can do at home that can cure one in three cases of insomnia without the need for any medication and mentions some famous people who suffered from insomnia along the way!Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/general-practice/ep-53-management-of-insomnia.Did you know...
2022-08-12
23 min
GPnotebook Podcast
Ep 51 – E-cigarettes and vaping
Using electronic cigarettes (e-cigarettes), or ‘vaping’, has become the most popular form of nicotine replacement therapy in the UK. In this podcast episode, Dr Roger Henderson looks at why this is, the benefits to smokers, and whether we should be recommending such products to our patients who smoke. He also talks about current concerns over their increasing popularity in adolescents and what their potential long-term risks may be.Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/respiratory-and-chest-medicine/ep-51-e-cigarettes-and-vaping.Did you know...
2022-07-28
17 min
GPnotebook Podcast
Ep 49 – Heat exhaustion and heatstroke
Heat-related illnesses are increasing as a result of climate change. In this episode, Dr Roger Henderson looks at various aspects of heat exhaustion and heatstroke, including why they are different conditions and how to recognise them. He also talks about how they are treated and when hospital admission should be considered.Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/general-practice/ep-49-heat-exhaustion-and-heatstroke.Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to...
2022-07-15
11 min
GPnotebook Podcast
Ep 48 – Hay fever management
In this episode, Dr Roger Henderson discusses the treatment pathway for people suffering from hay fever. This comprises options ranging from simple measures for allergen avoidance to the treatments to consider for specific symptoms and when to refer for specialist advice and consideration of immunotherapy.Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/immunology/ep-48-hay-fever-management.Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more.
2022-07-07
15 min
Modern Mindset
335 - Chris Addison and Dr Roger Henderson for Men's Health Week.
Adam Cox is joined by Senior GP and Broadcaster, Dr Roger Henderson, and Chris Addison, who was diagnosed with prostate cancer in 2015 but is now thankfully cancer-free, for Men's Health Week to discuss a new survey from Bayer UK that reveals men's attitudes toward their own health. They talk about the launch of the "Shed by Shed: Rebuilding the Fight Against Prostate Cancer" campaign, and the pair explain why talking about men's health is so important. www.bayer.com www.menssheds.org.uk
2022-06-13
14 min
Thinkers & Ideas
A New Way to Think with Roger L. Martin
Roger L. Martin is a Professor Emeritus of Strategic Management and former Dean at the University of Toronto’s Rotman School of Management. He is a trusted strategic adviser to the CEOs of many global companies. Roger has consistently been featured in the Thinkers50 list, where he was named the world’s number one management thinker in 2017. He has authored 12 books, including When More is Not Better in which he discusses how growing inequality in American society poses a threat to democratic capitalism (listen to our interview about the book with Roger here).In his latest book, A Ne...
2022-05-03
33 min
American Real
Episode #188 | Mary Henderson | Taking Internal Inventory
Mary Henderson is an internationally recognized Personal Branding Expert who knows how to commercialize a Personal Branding into a monetizable online (and offline) business. She is a speaker and author and the founder of Lights Cameras Action – an end-to-end online coaching program exclusively designed for coaches, consultants, startups and business owners that take them from idea to productization and monetization in months. Mary helps service-driven experts systemize, digitalize and commercialize their knowledge, wisdom and skills into a digital coaching/consulting business and authority. She is regularly invited to speak to leaders & decision-makers, globally. On today’s ep...
2021-11-15
54 min
Thinkers & Ideas
When More is Not Better with Roger L. Martin
Roger L. Martin is Professor Emeritus of Strategic Management, at the University of Toronto's Rotman School of Management, where he served as Dean (1998–2013) and as Director of the Martin Prosperity Institute (2013–2019). In 2017 Thinkers50 named him the world's #1 management thinker.In this podcast with Martin Reeves, Chairman of the BCG Henderson Institute, he discusses insights from his new book, When More is Not Better, which analyzes the growing inequality in American society as a threat to the democratic-capitalism underpinning its historical success. Martin posits that treating the economy as a machine and over-emphasizing efficiency drives this inequal distribution of t...
2020-08-25
23 min
American Real
EPISODE #162 | MARY HENDERSON | WHO ARE YOU IN YOUR NATURAL STATE?
BOOK WRITING INCUBATOR PROGRAM - Starting soon: https://iywebinars.com/ar LATEST EPISODE: http://americanreal.tv/episodes Mary Henderson is from Melbourne, Australia (that already makes her amazing). She's an internationally recognized Personal Branding Expert who knows how to commercialize a Personal Brand into a business. She's a speaker and author of a number of fiction and non-fiction books and is the founder of Lights Cameras Action – an end to end online coaching program. I had the honor of connecting with Mary for an eye opening conversation about personal branding. - Mary’s morni...
2020-08-09
51 min
Marketing and Finance (MAF) Podcast
Ian Henderson on new advertising ideas for complicated businesses - MAF217
Ian Henderson on new advertising ideas for complicated businesses - MAF217 My guest this week is Ian Henderson, an advertising expert behind the infamous, “See it. Say it. Sorted” campaign. We talk about how advertising has changed in the digital age and why annoying advertising is sometimes the best way to get a message across. Welcome to episode 217 of the Marketing and Finance Podcast. We chat about: What is the UK’s most annoying advert? How annoying adverts can still be successful How advertising has changed in the digital world The di...
2019-08-15
29 min