Ministrokes, Midwife study, Cyclic vomiting syndrome, Noise in intensive care
Inside Health
BBC
4.4 • 575 Ratings
🗓️ 4 October 2016
⏱️ 29 minutes
🧾️ Download transcript
Summary
Several decades ago, if you had a mini stroke or a transient ischaemic attack, it wasn't unusual for your doctor to tell you to rest in bed with the reassuring words that you'd been lucky. Follow up was casual to say the least, because it was thought that your chances of having a major stroke within the month was negligible. Dr Mark Porter talks to Peter Rothwell, Professor of Clinical Neurology at the University of Oxford, whose research transformed the way mini strokes are treated. TIAs are now seen as medical emergencies requiring urgent treatment. Taking aspirin straight after a TIA, his team's research also showed, could reduce the chance of a major stroke over the next few days by a staggering 80%.
Headlines this week from a New Zealand study suggested midwife-led births mean worse outcomes for babies compared with doctor-led care - contradicting other research in the area. Inside Health's Dr Margaret McCartney assesses the new study and concludes the evidence still points to midwife-led care providing reassuringly good outcomes for low risk pregnancies.
Imagine being sick for hours, days at a time, recovering for a few weeks, only for the whole cycle to start again as regular as clockwork. Roger McCleery has Cyclic Vomiting Syndrome and every couple of months he's so sick he ends up in hospital, from where he told Mark about the life-changing nature of this unpleasant condition. Consultant paediatric gastroenterologist, Sonny Chong from St Helier Hospital in Surrey who has a special interest in CVS, outlines the possible causes and treatments.
Hospitals are getting noisier but in intensive and critical care, 24 hour operations, the noise can be intense, as loud as a busy restaurant with peaks of sound as loud as a pneumatic drill. Researcher Julie Darbyshire, critical care research programme manager at the Kadoorie Centre for Critical Care at the Nuffield Department of Clinical Neurosciences, has been involved in efforts at intensive care units across the Thames Valley to identify excess noise and take steps to muffle it. Peter Edmonds tells Mark how much sleep he missed being in ICU when he was a patient and Matron and Clinical Director at Oxford University Hospitals NHS Foundation Trust, Matt Holdaway, outlines how staff have embraced efforts to cut noise levels.
Transcript
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| 0:00.0 | Hello, you're about to listen to a BBC podcast, and I'm Ed Gamble, host of another BBC podcast, |
| 0:05.4 | The Traitors Uncloaked. But my show is available only on BBC Sounds, just like Ellis and John's |
| 0:10.6 | Saturday bonus episodes, the Pop Top Ten podcast with Scott Mills and Ryland, and comedy specials |
| 0:16.2 | from the likes of Harriet Kemsley, Susie Ruffel and Rommas Shranger Nathan. However, and maybe I'm biased, it's really all about the traitors uncloked. |
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| 0:29.5 | Hello and thank you for downloading this programme which was first broadcast on the 4th of October 2016. |
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| 0:39.9 | service, if you haven't already. Details on the inside health page of the BBC Radio 4 website. |
| 0:50.7 | Imagine trying to sleep through that. It would be difficult enough in the comfort of your own bed, |
| 0:56.4 | but nigh on impossible if you're desperately ill in a hospital bed on a busy intensive care unit. |
| 1:02.7 | You try to toes off, but it's very fitful, probably not more than a couple of hours a night, if that. |
| 1:08.4 | But then there will be a lung going off nearby, |
| 1:10.2 | or it might be a patient close by being cared for by a nurse or whatever, |
| 1:13.7 | and so trolleys are coming in and things are being moved about. |
| 1:16.7 | The lights are on all the time. You can't tell what's on the day it is. So very, very fitful. |
| 1:22.1 | More from Peter and moves to make intensive care quieter and more patient-friendly a bit later, |
| 1:27.8 | along with a closer look at recent headlines suggesting that midwife-led care in pregnancy |
| 1:32.6 | may be not as safe as previously thought, and an insight into a very unpleasant condition. |
| 1:39.7 | Cyclic vomiting syndrome. |
| 1:41.2 | It's as if there is a switch that's been turned on. |
| 1:45.7 | And then after vomiting severely for a day or two days or perhaps even longer, |
| 1:52.3 | it suddenly stops. |
... |
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