How to be a Junior Doctor Part Two

This is the second part to the "How to be a Junior Doctor" series. See the first part here. Listen to our continued discussion below which focusses more on keeping a work life balance and some thoughts about what advice we have for you. iTunes Podbean Please also read alongside this post the Working 9-5.....ish... … Continue reading How to be a Junior Doctor Part Two

Diabetic Ketoacidosis in Adults

Diabetic Ketoacidosis (DKA) is a life threatening emegency and requires prompt recognition and treatment. Dr David Ewins is a Consultant Physician in Endocrinology and Diabetes and talks with Scott about the approach to evaluating and managing DKA in adults as well as some of the finer points and controversies that exist. Have a listen to the episode below or … Continue reading Diabetic Ketoacidosis in Adults


  I talk with Dr Lishan Liu, an Elderly Care Medicine Registrar at Chester, about Polypharmacy in the older patient. Lishan has previously undertaken work investigating Polypharmacy and Potentially Inappropriate Medications (PIM) amongst patients on Elderly Care wards and the application of a tool to help with improving prescribing. Whatever speciality you work in, with the … Continue reading Polypharmacy

Acute Coronary Syndromes

Scott talks to Consultant Cardiologists Professor John Somauroo and Dr. Babu Kunadian and Karen Randles, a cardiology specialist nurse at Chester about the assessment of patients presenting with chest pain and the management of Acute Coronary Syndromes (ACS). This includes ST-segment-elevation myocardial infarctions (STEMI) and non-ST-segment elevation myocardial infarctions (NSTEMI). Check out the podcast below or … Continue reading Acute Coronary Syndromes

Acute Pain, Epidurals, Rectus Sheath Catheters

I speak with Dr Dominic Cliff, a Consultant Anaesthetist with a special interst in acute pain. Dominic runs the acute pain service in Chester and has been instrumental in the adoption of rectus sheath catheters for post operative pain relief in major abdominal surgery. Oooww!! You B!*^&$d!! Is my normal response should I hit my thumb … Continue reading Acute Pain, Epidurals, Rectus Sheath Catheters


Antibiotics were revolutionary when they were first introduced and have come a long way since. However, the prescribing of them is not always as straightforward as we may like. In the podcast, I talk to Joy Nicholls, the Antibiotic Pharmacist at Chester, about starting and swapping antibiotics and particulars of Gentamicin and Vancomycin prescribing. iTunes … Continue reading Antibiotics 

Referrals: a primer and troubleshoot guide

How do we refer patients? Why do we? When do we make a referral? I was taught at length in medical school aspects of communicating with both professionals and patients but I was never taught how to refer a patient to another healthcare professional. This particular skill has taken time, practice and reflecting upon both good and … Continue reading Referrals: a primer and troubleshoot guide

Assessment of the Unwell Patient

I talk to Dr Sarah White, an anaesthetic registrar at Chester about assessing an unwell patient. We deliberately chose to use an example case of a breathless asthmatic patient simply because extremely short of breath patients are unforgivably scary for doctors of any stage in training, even experienced consultants. At a later date, we will … Continue reading Assessment of the Unwell Patient