Anti-smoking incentives, ACE inhibitor cough, Raynaud's, fizzy drinks

Inside Health

BBC

Health & Fitness, Science

4.4 • 575 Ratings

🗓️ 21 February 2012

⏱️ 28 minutes

🔗️ Recording | iTunes | RSS

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Summary

Dr Mark Porter demystifies the health issues that perplex us and separates the facts from the fiction. He brings clarity to conflicting health advice, explores new medical research and tackles the big health issue of the moment revealing the inner workings of the medical profession and the daily dilemmas doctors face.

As new figures published show that 1 in 7 women in England continue to smoke during pregnancy, Inside Health investigates a pilot incentive scheme - which gives women just over £750 worth of vouchers if they give up, and stay off cigarettes for at least 6 months after they give birth. What is the evidence that these incentive schemes work?

And what about incentives encouraging doctors to ask whether a patient smokes, or check their blood pressure and cholesterol levels. Dr Margaret McCartney explains why she is one of many GPs who are uncomfortable with the way incentives can influence practice

Plus if you've been plagued by a recurring dry tickly cough, it could be caused by a widely used family of blood pressure drug - the ACE inhibitors. Mark Porter investigates.

And although it's been slightly warmer that's likely to be cold comfort for 10 million people in the UK with Raynaud's disease where the fingers turn ghostly white after exposure to temperature changes .

Presenter: Dr Mark Porter Producer: Erika Wright.

Transcript

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0:00.0	Hello, I'm Greg Jenna and good news, Your Dead to Me is back for a new series. Here we go. Yes, we'll explore Emperor Nero's notorious reign with Professor Marybeard and Patton Oswald. I would not want my daughter having the remote control, not alone an empire. We'll dissect the decadent life of Philippe Duke-Dor-Leon with Tom Allen. I've often tried to pretend I'm an aristocrat
0:20.9	and being very quickly knocked down.
0:23.1	And there'll be so much more
0:24.0	with comedians like Olga Koch, Mike Mosniak and Riaela.
0:27.0	I'm excited.
0:27.6	You're dead to me, the comedy podcast that takes history seriously.
0:31.0	Listen first on BBC Sounds.
0:33.1	This is a download from the BBC.
0:35.2	To find out more, visit BBC.co.ukau-Uk slash radio four.
0:40.4	Hello and welcome to Inside Health. In today's program, prevention may be better than cure, but it often comes at a price.
0:48.1	Could your cough be caused by something your GPs prescribed?
0:51.9	My big worry is that by medicating people unnecessarily, we are adding to the side effect burden that they're having. So it's quite possible that somebody comes to see me, they get put on something to treat their blood pressure, and they end up on something for their blood pressure and something for their cough, which was caused by the blood pressure type of blood I gave them. Absolutely, I have seen that so many times. And although the weather's got a bit warmer recently,
1:14.2	that's likely to be cold comfort for those of you with rainows.
1:19.3	I'll be investigating a condition now thought to affect up to 10 million people in the UK.
1:22.1	But first, smoking and pregnancy.
1:25.1	New figures published by the NHS Information Centre this week show that one in seven women in England continue to smoke throughout pregnancy
1:29.2	and there's a huge north-south divide
1:31.0	with pregnant women in Blackpool
1:32.6	ten times more likely to smoke than those from Brent in London.
1:37.0	Researchers are investigating a controversial approach
1:39.2	to tackling the problem, paying women to quit.
1:42.6	But bribing people to be healthier hasn't always gone down well.
	...

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