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Inside Health

Ovarian cancer, PBC, Treating severe head injury

Inside Health

BBC

Health & Fitness, Science

4.4575 Ratings

🗓️ 1 March 2016

⏱️ 29 minutes

🧾️ Download transcript

Summary

The use of talc and its potential connection with ovarian cancer has hit the headlines after a court ruling in America. Given that nearly half the UK population uses talc to some degree GP Dr Margaret McCartney looks at the evidence and puts any link in perspective. PBC is an often missed condition that causes severe itching and fatigue with the resulting liver damage mistakenly associated with drinking too much. Laura Gilmore lived with the symptoms for many years - scratching herself raw and falling asleep during the day but still not waking refreshed - before getting a diagnosis. Professor James Neuberger explains the science behind PBC.

Plus treating severe head injury and why a commonly used intervention used in intensive care units across the country is being questioned. Professor Peter Andrews is the man behind a new trial looking at the evidence for hypothermia, or cooling people with head trauma to prevent damage. The trial was stopped because early evidence suggested harms from this commonly used practice. Dr Mark Porter discusses the implications for critical care medicine across the world with Peter Andrews and Professor John Myburgh who is at the University of New South Wales in Sydney.

Transcript

Click on a timestamp to play from that location

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. So for a whole bunch of exclusive scoops and podcasts, listen only on BBC Sounds. Hello and thank you for downloading our latest Inside Health podcast. Coming up in this programme, Margaret, what are you going to be talking about? I'm going to be talking about talcum powder, whether or not it is a risk factor for causing ovarian cancer. You're going to be giving us the facts behind the headlines, and it has been all over the headlines. May I ask, do you use talc? Very personal question from you there, Dr. Porter. I'd like to assert my right to confidentiality. However, no, I'm not going to be marketed to by these companies that want women to smell in a different way from natural. So I'll be defending the right of women not to use any talcum-based products. May I then ask you another personal question? Do you ski? No, of course not. Well, you might be interested in our item coming a bit later. Following on from the piece we did on rugby injuries, we contacted by an orthopedic surgeon to tell us exactly the same is happening with skiing and it's far more hazardous than most people think. Although it's particularly hazardous for me, I've been five times and came back in plaster once, so it's not a very good hit rate and I haven't been since. Don't try and tell me it was a healthy holiday. Well, it was for everybody else. They had a great time. Hello, coming up in today's program, PBC, an often missed liver complaint that

1:34.8

causes fatigue and itching, and one that's all too easily confused with the effects of drinking

1:40.4

too much, particularly in middle-aged women. Skiing and why it may be worse for your knees than you might imagine,

1:47.3

and hypothermia, why the standard practice of cooling people who've had serious head injuries

1:53.0

may be doing more harm than good.

1:55.6

I meet the man behind the research that has had intensive care units questioning their protocols.

2:01.1

Basically, the bottom line is there's an absence of evidence for the commonly used

2:05.7

interventions that we practice on a daily basis.

2:08.7

When you say common interventions, these are the sort of treatments that are being offered to people

2:12.5

with serious head injury in units across the world right now. Correct.

2:16.3

More from Professor Peter Andrews later.

2:19.3

But first, talc and recent media headlines linking it to ovarian cancer.

2:24.3

The coverage in the media follows a ruling in America against Johnson and Johnson sued

2:29.3

by the family of a woman who died of ovarian cancer after using its products.

2:37.4

So given that nearly half the female population here in the UK used talc to some degree, how concerned should they be?

2:41.5

Paul Farrow is Professor of Cancer Epidemiology at the University of Cambridge

2:45.6

and joins us on the line from his office. Paul, could you put that link in perspective?

2:50.9

Studies have fairly consistently shown a weak link in that women who have regularly used talcum

2:59.1

powder have been shown to be at a slightly increased risk of epithelial ovarian cancer in the future.

...

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