Zika in UK, Hip arthroscopy, Limits of cancer treatment
Inside Health
BBC
4.4 • 575 Ratings
🗓️ 9 August 2016
⏱️ 28 minutes
🧾️ Download transcript
Summary
With over 50 confirmed cases of people in the UK with the Zika, Dr Margaret McCartney reviews the latest advice for people worried about the virus.
Keyhole surgery for the hip. Dr Mark Porter finds out how hip arthroscopy is increasingly being used to treat problems caused by hip impingement. Sion Glyn Jones, Professor of Orthopaedic Surgery at the University of Oxford and consultant orthopaedic surgeon at the Nuffield Orthopaedic Centre describes which groups appear to benefit most from hip arthroscopy, and Amanda, who had to wait 8 years before keyhole surgery on one of her painful hips, tells Mark about the transformation the operation made to her life.
Mark and Margaret discuss the benefits of the "yellow card" system, which allows patients and health professionals to report side effects of drugs.
And, as more and more people in the UK are surviving, or living with cancer, thanks to recent advances in treatment, choosing the best approach when faced with a life-limiting disease can be difficult. When cure rates approach 100% for early bowel cancer, advising a patient to have surgery is much easier than recommending aggressive chemotherapy for a hard-to-treat tumour when there's only a slim chance of a cure. Consultant oncologist Sam Guglani, from Cheltenham General Hospital, discusses with Mark the different factors that can influence and impact on the unique relationship between doctor and patient when faced with such choices.
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. |
| 0:24.3 | So for a whole bunch of exclusive scoops and podcasts, listen only on BBC Sounds. |
| 0:29.4 | Hello and thank you for downloading this programme, which was first broadcast on |
| 0:33.4 | the 9th of August 2016. |
| 0:35.8 | Coming up today, through the keyhole, we visit one of a growing |
| 0:39.4 | number of centres in the UK pioneering a new approach for a common hip problem. If I hadn't |
| 0:45.4 | got up and moved around for maybe 40 minutes, 45 minutes, as soon as I would go to stand |
| 0:50.0 | from my chair, it would be like slow motion to try and get up. |
| 0:57.0 | You'd almost be pushing your hands off the desk to stand up and move away. |
| 1:01.4 | And as you walked away, you'd almost walk away hobbling to get away and to move the legs. |
| 1:03.3 | And treating cancer. |
| 1:07.2 | There's an ever-growing range of new therapies to choose from, |
| 1:10.2 | and more people than ever are living with the disease. |
| 1:14.4 | But just because we can doesn't always mean we should. |
| 1:20.2 | The difficulty is that we know, for a fact, that we're all mortal. |
| 1:26.8 | And so how one tempers that therapeutic momentum, for want to a better word, |
| 1:28.4 | the ability to give more and more, |
| 1:31.5 | against the fact that all of us must die, |
| 1:35.1 | and therefore the ethics of balancing a good death or a good last six months or year of life, |
... |
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