In this episode, we explore what advanced care planning really means and how to approach these conversations in clinical practice. We talk about common pitfalls, how to navigate difficult or sensitive moments, and why these discussions are such a vital part of good medical care. Whether you're new to these conversations or looking to strengthen your approach, this episode offers insight, reflection, and practical advice

This week Dr Amy Webster joins us again for part two of our Sickle Cell Disease series. This week we discuss treatment of outpatients with Sickle cell, and cover what to do when patients are admitted with acute crisis.

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Dr Anirudh Kumar, Geriatric Medicine Registrar, demystifies resources and tools to aid evidence-based deprescribing decisions, particularly for older people.

We recommend considering listening to the following other podcast episodes to supplement this episode:

Episode 226 - Anticholinergic Burden
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This week we are discussing about Inclusion body myositis, it's overview, pathophysiology, clinical features, investigations and management.

Mr Giovanni Mariscalco joins us again to discuss a serious but often under-recognised emergency: aortic dissection. This condition can mimic more benign causes of chest or back pain, but when it strikes, every minute counts. A missed diagnosis can lead to a fatal outcome. In this episode, we break down the classic and subtle presentations, the key investigations (and where clinicians often go wrong), and what to do when you suspect it.

Dr Sanjida Chowdhury, Specialty Registrar in Neurology, giving us an overview of Horner's syndrome

Dr Shaheen Shahid, Respiratory Registrar at Royal Derby Hospital, shares a comprehensive summary of management of malignant pleural effusions as per BTS guidelines.

We recommend considering listening to the following other podcast episodes to supplement this episode:

Episode 19 - Pleural Effusion
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Episode 34 - Pneumothorax
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Episode 133 - Pleural Infection
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Episode 162 - Chest Drain
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This week we talk to Dr Amy Webster, a consultant haematologist in Leicester and head of the haemoglobinopathy service here.

We talk about the pathophysiology behind the disease this week, as well as the varying ways patients present. We also cover some of the challenges patients face in hospital getting the treatment they need. Be sure to tune in!

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