Long covid with Melissa Heightman and Jenny Mollica
Deep Breath In29 Tammi 2021

Long covid with Melissa Heightman and Jenny Mollica

It has been estimated that 10% of people who get covid-19 are still experiencing symptoms over 10 weeks later, and the common symptoms of long covid include fatigue, breathlessness, chest pain and ‘brain fog’. In this week’s episode, we discuss the challenges of assessing long covid symptoms, especially chest pain, in primary care. As we still don’t know enough about the trajectory of the disease, how can we balance the assumption that a patient’s symptom is caused by long covid, as is likely to be the case the majority of the time, with the potential risk of missing a critical diagnosis, such as lung cancer? We talk about the importance of acknowledging and listening to our patients’ worries about long-term symptoms, even in the face of uncertainty, when reassurance is difficult to give. We also learn about the English National Opera’s new breathing and wellbeing programme, ENO Breathe, aimed at people recovering from covid-19. Our guests: Melissa Hightman is a respiratory consultant at UCLH, and the clinical lead for the trust’s COVID follow-up service.

Jenny Mollica is the director of ENO Baylis: the English National Opera’s learning and participation programme, which now includes ENO Breathe.

Jaksot(75)

Great Explanations

Great Explanations

We see patients all the time who ,more than any drug or cure, just want an explanation for their symptoms, to understand why they feel the way they do. But giving an explanation isn't necessarily str...

24 Maalis 202249min

Diagnostic excellence with Hardeep Singh, Denise Connor, and Gurpreet Dhaliwal

Diagnostic excellence with Hardeep Singh, Denise Connor, and Gurpreet Dhaliwal

Diagnosis is a complex categorisation task driven by mental models that reside in long term memory. Through education and experience, clinicians form scripts that encapsulate their knowledge of speci...

7 Maalis 202252min

Ramadan with Ammad Mahmood and Sahira Dar

Ramadan with Ammad Mahmood and Sahira Dar

As Ramadan draws near, clinicians may be approached by their Muslim patients to discuss managing their health conditions during the month of fasting. How should someone with a chronic condition, such ...

18 Helmi 202244min

Vaccine mandate’s unintended consequences

Vaccine mandate’s unintended consequences

There was a proposed vaccine mandate for NHS staff in the UK (now abandoned) but in other countries mandates continue, but are they without harm, and do we have evidence about how effective they are? ...

9 Helmi 202240min

How can a patient sue for their conception?

How can a patient sue for their conception?

A recent case against a GP in England has worried the profession - does the fact that a patient, born with a neural tube defect, successfully sued their mother's GP open up the floodgates for litigati...

25 Tammi 202246min

Christmas 2021 with Inga Usher and Aswin Chari

Christmas 2021 with Inga Usher and Aswin Chari

With Christmas 2021 only just around the corner, we round off the year by chatting about our ‘Deep Breath In’ highlights, and by sharing some of the great feedback we’ve received from our listeners. W...

23 Joulu 202145min

Green general practice with Richard Smith and Aarti Bansal

Green general practice with Richard Smith and Aarti Bansal

Following the recent COP26 Climate Change Summit, we discuss, in this week’s episode, the announcement that some 50 countries have committed to reach net zero carbon emissions within their healthcare ...

8 Joulu 202142min

The GP crisis with Gareth Iacobucci and Lucy Martin

The GP crisis with Gareth Iacobucci and Lucy Martin

Primary care in the UK is in crisis. General practice was already under huge strain, as a result of the pandemic, high levels of seasonal respiratory viruses, as well as chronic understaffing and unde...

22 Marras 202149min

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