Deep Breath In

Talking about dying from covid with Scott Murray and Katherine Shear

With COVID-19 still ongoing, and at the forefront of the minds of doctors, patients and members of the public alike, difficult conversations are taking place - GPs are encouraged to talk about death with those who might not be ready to discuss it, and families are losing loved ones without being able to say goodbye. In this episode, we also look at survivor guilt, the range of emotions that grieving encompasses, and how to address the potentially thorny subject of advance care planning with COVID-19 patients.
Our guests:
Katherine Shear, internist and psychiatrist, is Director of The Center for Complicated Grief at Columbia University’s School of Social Work. She has been involved in research into treatments for grief for over 20 years.
Scott Murray, a recently retired GP, has key interests in disease trajectory and advance care planning. He led the first Primary Palliative Care Research Group and he chairs the International Primary Palliative Care Network. He advocates high-quality palliative care for everyone.
This week's deep breath out is the Viral Counterpoint of the Coronavirus Spike Protein (2019-nCoV) - https://soundcloud.com/user-275864738/viral-counterpoint-of-the-coronavirus-spike-protein-2019-ncov

Coping with Covid with Monica Schoch-Spana and Jud Brewer

In this week’s episode, we discuss bystander guilt, convergence, brain hacks and “how you can sneeze on someone’s brain from anywhere in the world”. How can GPs cope with the myriad worries around treating patients during the current pandemic, both on the frontline and in general practice? How do we recognise and break unhelpful anxious behaviour habits and stop fixating on the news?
Our guests:

Monica Schoch-Spana is a medical anthropologist and a Senior Scholar at Johns Hopkins Center for Public Health. She specialises in crisis and risk communication, community resilience to disaster, public engagement in policy-making and public health emergency preparedness.
Jud Brewer is an addiction psychiatrist and neuroscientist, specialising in anxiety and habit change. He is the Director of Research and Innovation at Brown University’s Mindfulness Center, an associate professor of behavioural and social sciences at the School of Public Health at Brown, as well as of psychiatry at the university’s medical school.
Reading list:

Monica's blog on the psychological impacts of covid-19
 https://blogs.scientificamerican.com/observations/covid-19s-psychosocial-impacts/
Jud's article in the New York Times
https://www.nytimes.com/2020/03/13/well/mind/a-brain-hack-to-break-the-coronavirus-anxiety-cycle.html
GP course: https://drjud.com/health-care-provider-course/
Youtube animation of the NYTimes article: https://www.youtube.com/watch?v=900cOKCADIk&feature=youtu.be
Youtube coronavirus daily videos: https://www.youtube.com/watch?v=w4NwsyXRbNw&list=PL6sRqjtLfiTTni7oXKpSj2cQ9290lkpKH

Teleconsulting with Trish Greenhalgh and Fiona Stevenson

A new podcast from The BMJ, to help GP's feel more connected, heard, and supported.
Subscribe on;
Apple podcasts - https://bit.ly/applepodsDBI
Spotify - https://bit.ly/spotifyDBI
Google podcasts - https://bit.ly/googlepodsDBI
In our first episode, we discuss the highs and lows of video consultations, and how coronavirus has altered the landscape of business as usual for GPs. How will this change affect our relationships with our patients? How do we cope with frustrating technical issues? Are we more likely to miss a crucial diagnosis if we can’t rely on physical examinations? And, finally, are teleconsultations the future of GP practice?
Our guests:
Trish Greenhalgh is a former GP of 30 years who is now Professor of Primary Care Health Sciences at the University of Oxford. Trish is a leading researcher on video consultations.
Fiona Stevenson is a medical sociologist and researcher based at UCL. She is the co-director of their e-health unit.
Deep Breath Out - the Rob Auton Daily Podcast https://play.acast.com/s/robautonpodcast
https://www.bmj.com/podcasts/deepbreathin

Feeling the fear with Iona Heath and Danielle Ofri

A new podcast from The BMJ, to help GP's feel more connected, heard, and supported.
Subscribe on;
Apple podcasts - https://bit.ly/applepodsDBI
Spotify - https://bit.ly/spotifyDBI
Google podcasts - https://bit.ly/googlepodsDBI
This week, our topic is fear: we try to get a better understanding of fear, how it affects all of us as clinicians for better or for worse, and the impact that fear has on the ways in which we approach our patients & practice. Does fear distort our judgement, and increase the likelihood of blundering, or does a healthy dose of fear help to keep us grounded?
Our guests:
Iona Heath is a former GP and president of the Royal College of GPs.
Danielle Ofri is an internist at Bellevue Hospital in New York, and Clinical Professor of Medicine at NYU School of Medicine. She has written several books on topics such as medical error and how doctors’ emotions affect their practice.
The Deep Breath Out - The bees of Brockwell Park Surgery
https://www.bmj.com/podcasts/deepbreathin

Deep Breath In - breathe more easily with The BMJ

“Deep breath in…and out. Again, deep breath in…and out.”
We tune in to patients’ breath sounds, seeking confirmation of a diagnosis - one more supporting piece of evidence to reassure anxious patients or to narrow the differential.
But since the SARS-CoV-2 pandemic arrived, saying “deep breath in” has been replaced by the need to take one ourselves: before opening the morning news, before venturing out (or logging-on) to work each morning, and before ringing the next patient on your list with the ominous note alongside their name: “fever and cough for a week, now feeling breathless.”
So in this podcast, for GPs by GPs, we discuss those fears, hear from experts who might be able to give you some insight in to coping, and reflect on the joys of being a general practitioner.