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Hot Topics Podcasts

The Hot Topics podcast from NB Medical brings you the latest in general practice current affairs, reviews the latest research relevant to primary care, explores interesting and important topics in-depth, and looks at cutting edge medicine.

Episode 20 - Schools, Boris bikes, Obesity and Vaccines

In this final podcast for the summer Dr Neal Tucker reflects on the latest news and research in the world of general practice from the past two weeks.

As COVID cases start to rise again we look at the latest research on the transmission of COVID via schools and why we all need a change in mindset about working when ill. We consider the role of GPs in taking away a patient's car keys and giving them a bike. And we look at vaccines with positive news on COVID immunisation and the difficulties of delivering 30 million flu immunisations in the Autumn while donning and doffing PPE.

Back in September, have a good summer everyone!


BMJ paper on physical distancing

JAMA paper on COVID and school transmission

Added 31 July 2020

Episode 19 - Immunity and T cells, Post-COVID Syndrome

Neal Tucker talks about the two big topics this week: immunity and the importance of T cells, plus an in-depth look at post-COVID syndrome, how we can anticipate the effects on the population and the resources that can help us manage it.

We've also got research on remdesivir and more on how SARS-CoV-2 affects children, plus why COVID-19 isn't a lifestyle disease but lifestyle medicine still has a role in general practice.

Moving Medicine evidence review
NHS After-care needs of inpatients recovering from COVID-19
Royal Society of Occupational Therapists Fatigue Management Guide
Homerton University Hospitals Post-COVID Patient Pack
NEJM Remdesivir RCT
NEJM Children & COVID 19 Italy Letter
JAMA Persistent Symptoms after Acute COVID

Added 10 July 2020

Episode 18 - Antibody tests, dexamethasone and the coming 2nd wave

In our latest Hot Topics podcast, Neal Tucker discusses the latest news and research for primary care.

This week a firm focus on coronavirus once again. We talk about antibody tests and why there seems such discrepancies between the real world results in you and I and the tests' supposed accuracy. We talk about dexamethasone and the implications for primary care. And we discuss the possibility of a 2nd wave of coronavirus, how this will our jobs in primary care and what we can do to keep ourselves happy.

Added 19 June 2020

Episode 17 - Race, riots and inequality; faked hydroxychlorquine research; face masks; NEWS in GP; liraglutide for childhood obesity

In the latest episode of the Hot Topics Podcast, Neal Tucker discusses the latest news and research relevant to primary care.

Today we talk about race, inequalities and unconscious bias and how this affects decisions about BAME medics in the UK. We also look at a Lancet paper on hydroxychloroquine risks which has been retracted due to suspicious reporting of data, and the 'tsunami' of mental illness anticipated due to coronavirus.

In new research we discuss government recommendations on face masks for the public in light of a new systematic review published in the Lancet on reducing the spread of SARS-CoV-2, use of the NEWS score in primary care and liraglutide as a weight-loss treatment for childhood obesity.

Don't forget to join us for our free Hot Topics Mental Health and COVID-19 webinar. Sign up at:

Added 5 June 2020

Episode 16 - Children, coronavirus and Kawasaki-like disease; Hydroxychloroquine, azithromycin and cardiac arrest; antibody testing; non-coronavirus research!!!

In this latest Hot Topics Podcast, Neal Tucker reviews the latest knowledge about coronavirus and non-SARs-CoV2 research relevant to primary care.

We review new reports of Kawasaki-like disease in children with Covid-19 and the implications for children returning to school. We examine data on hydroxychloroquine and azithromycin suggesting it may kill more than it cures. And we have a think about testing and the new antibody tools.

In non-coronavirus research, we look at SGLT2i and renal disease, P2Y12 inhibitors and CVD secondary prevent, whether GPs are successful in helping patients with weight loss and gestational diabetes.

Added 15 May 2020

Episode 15 - Coronavirus Special: Do The Drugs Work?

In our latest Hot Topics podcast, Neal Tucker examines the emerging treatments for Covid-19 including remdesivir, antiplatelets, vitamin D and vaccinations. Do these provide the magic bullet we need to shut down the infection and open up the world?

He also reviews the latest research including data on asymptomatic and pre-symptomatic disease in children, important for when schools re-open, and the elderly, important for managing Coivd-19 in care homes. He also looks at some emerging data on the extra-respiratory effects of the disease and how it may present in primary care.

Added 1 May 2020

Episode 14 - Coronavirus Special: The Future for General Practice

In this latest coronavirus special Neal Tucker discusses the latest knowledge about COVID-19 and how general practice will need to adapt to a world with persisting coronavirus.

We discuss the effects of coronavirus on black, Asian and minority ethnic populations, new understanding about the clinical features of COVID-19 especially in cardiac disease, how facemasks can help protect us by limiting the spread from others and how the infection is affecting care homes.

In our in-depth section we think about how general practice might need to adapt for a future with coronavirus, what barriers we face and how this could be an opportunity to re-design primary care for the benefit of patients and staff alike.

Added 17 April 2020

Episode 13 - Coronavirus Special: Saving Lives and the End of Life

The latest NB Hot Topics podcast is the third Coronavirus Special: Saving Lives and the End of Life.

In this edition, Neal Tucker reviews what we have learned about coronavirus this week including the clinical features which you have been reporting, anosmia as a marker of COVID-19, the controversy around the Roth test and how viral load relates to the severity of disease.

In the second part, we have an in-depth look at end of life care in the community for patients with COVID-19 including helpful alternatives to syringe drivers or subcut injections.

Added 3 April 2020

Episode 12 - Coronavirus Special: Covid-19 in the Community

In this week's NB Hot Topics Podcast Neal Tucker looks at the latest developments in the coronavirus literature including data on hydroxychloroquine/azithromycin combination treatment, why lockdown alone is not enough and why coronavirus modelling won't help us.

Now that general practice is moving from the preparation phase to managing COVID-19 in the community, we focus on the clinical presentation of the disease in our patients and colleagues, and how our experiences show it differs from hospital data and published guidance. In light of these uncertainties, what are our options?

Added 27 March 2020

Episode 11 - Coronavirus Special: Lessons for General Practice

In this week's NB Hot Topics Podcast, Neal Tucker looks at what lessons we can learn in general practice to help us prepare for and fight the coronavirus pandemic. We can learn from our international colleagues who are ahead of us on the curve, and we speak to Dr Nadege Fancy, a GP in Milan, northern Italy, about what we can expect over the next few weeks. We share how practices are adapting to meet the needs of our patients as the pandemic escalates in the UK. We review what new data we know about COVID-19 and explore issues around NSAIDs, ACEi/ARBs, hydroxychloroquine and testing. Finally, we remind us to look after ourselves. In this marathon, we need to make time for ourselves if we are to continue to look after our patients.

Added 20 March 2020

Episode 10 - Coronavirus Special: Making General Practice Great Again

With all the stress and uncertainty coronavirus has placed on the world and the health service this special podcast Dr Neal Tucker looks how we as professionals and humans are coping with COVID-19, what we need to know from the rapid changes in guidance over the past few days, and where we may be going next. In the second half we look at what the latest science tells us about coronavirus, how it might affect our patients and what we can do to help them and ourselves. One thing is for certain, general practice is the most adaptable branch of medicine, we have fantastic teams and camaraderie, we thrive in resource poor settings and at managing huge uncertainty on a daily basis. We can get through this together.

Added 13 March 2020

Episode 9 - Coronavirus pt.3, Salt and BP, Eggs and CVD, Why All Blood Tests are Wrong

In Episode 9 of the NB Hot Topics podcast Neal Tucker looks at the latest on coronavirus, guidance for primary care and how other countries have managed the infection. In other news he discusses the 2020 Marmot report and our patients' "Lost Decade". In new research we examine two papers in the BMJ on the role of salt reduction in hypertension and egg consumption in cardiovascular disease, plus a BJGP paper on Rapid Diagnostic Clinics for patients with vauge symptoms but possible cancer. Our in-depth topic this week is variation in blood test results and why we can't always believe what we see. The concept of the 'reference change value' may be the most important information we will discuss all year. Finally Future Medicine reports on communicating with patients in persistent vegetative state via the medium of functional MRI.

Added 06 March 2020

Episode 8 - Coronavirus pt.2, Propranolol Overdose, CKD screening, Big Data and GP

This week in the NB Hot Topics podcast Dr Near Tucker looks at the latest news including propranolol overdose and assisted dying, examines the latest research from around the world on Covid-19 and from the UK on CKD screening, then explores the murky world of big data and computer-assisted medicine and how this will affect us in general practice.

Added 21 February 2020

Episode 7 - Coronavirus, Isolated Diastolic Hypertension & Varicella Booster

In this NB Hot Topics Podcast, Dr Neal Tucker takes an in depth look at coronavirus, the data that scientists need to predict whether it becomes a pandemic, and how this affects UK general practice. He also reviews new research on isolated diastolic hypertension and whether treating this improves outcomes, and on the booster theory for adult exposure to children with chickenpox. As well we look at the latest news in cluding Ian Paterson and the new GP Contract.

Added 7 February 2020

Episode 6 - Alcohol and AF, Colchicine and Cardiac Events, Anti-virals and Influenza

In this first episode for 2020, Dr Neal Tucker explores new research on alcohol abstinence in improving atrial fibrillation, and colchicine post-myocardial infarction to reduce inflammation and prevent recurrent CVD events. We also look more in depth at the role of anti-viral medication (neuraminidase inhibitors) in the management of influenza, why we don't prescribe and whether the latest research shows any benefit and, if so, in which patients.

Added 17 January 2020

Episode 5 - Cholesterol Levels in Younger Age Predicting Future Risk, Dyspepsia Strategies, Once-Monthly POP

In this final Hot Topics Podcast before Christmas, Dr Neal Tucker explores a fascinating new piece of research showing how lipid levels at younger ages can predict future cardiovascular events and may suggest early statin therapy would be highly beneficial. He also examines the latest news and research in general practice including the best initial strategy for managing dyspepsia, how to communicate risk, and a once-monthly progesterone only capsule… in pigs…

Added 13 December 2019

Episode 4 - Dapagliflozin in Heart Failure, Melatonin for Insomnia, Suspended Animation

Dr Neal Tucker reviews the latest news and research from the medical world with a focus on primary care, including the benefit of dapagliflozin in heart failure and the lack of benefit with levothyroxine in subclinical hypothyroidism in the elderly, explores the role of melatonin in insomnia and suspended animation in humans.

Added 29 November 2019

Episode 3 - Medical Cannabis, Vestibular Rehabiliation, Bempedoic Acid, Measles and Immunity

Dr Neal Tucker is joined by Dr Simon Curtis to discuss where we are with medical cannabis, plus the latest news and research from primary care, including how to prevent catching election fever, online treatment for chronic dizziness, bempedoic acid for cholesterol reduction, lefamulin, a new antibiotic for pneumonia and the effect that measles has on the immune system.

Added 14 November 2019

Episode 2 - Ranitidine, Night-time Anti-hypertensives, Once Weekly Statins, Genome Editing

Dr Neal Tucker discusses the latest news and research from primary care including why Ranitidine is off the menu, the benefits of taking anti-hypertensives at night-time, using statins just once a week and new technology for genome editing.

Added 01 November 2019

Episode 1 - Childhood obesity, e-cigarette safety and Exoskeletons

In our first Hot Topics podcast from NB Medical Dr Neal Tucker discusses why Public Health England should review their stance on e-cigarette safety, looks at Dame Sally Davies report on childhood obesity and explores general practice medical news and cutting edge medicine.

Added 16th October 2019