In episode 600, James and Mike invite Jamie Falk back to the podcast again and we talk about if exercise helps movement in Parkinson’s disease. You might be surprised by the size of the effect so have a listen and get all the evidence and numbers you need.

Show Notes

MEME Conference 2025 In Vancouver – May 9/10, 2025

Show notes

THE CASE

Show notes

THE CASE

In episode 599, James and Mike invite Roni Kraut to the podcast for the first time to talk about a common problem that has a simple answer. What route and/or duration of antifungals is needed when treating uncomplicated vulvovaginal candidiasis in non-pregnant women. Tune in to find out all the simple details.

Show Notes

MEME Conference 2025 Vancouver – May 9/10, 2025

THE CASE

Mrs P is aged 56 and has Type 2 Diabetes. Her HBA1c has reduced from 69 (8.5) to 58 (7.5) and her SBP has been reduced from 150 to 135. Her GP gets this discharge summary: Mrs P had surgery for a bowel obstruction caused by adhesions from a previous hysterectomy 5 years ago. On admission, she had been vomiting copiously and was hypotensive and hypoglycaemic so her meds were stopped. She is on codeine for pain and a benzodiazepine for her sleep which was poor while in hospital. Her wound is healing well clips out in 6 days please. Over the next 4 months, for a variety of reasons, she has at least 8 contacts with the practice team.

In this episode, Avril and James invite Rupal Shah, a GP and GP trainer in Battersea who also works as an Associate Dean for NHS-WTE, in the London Professional Development Team to help us talk about how high rates of consultation come about, what drives them and what we can do about them. We talk about the problems of fragmentation, “routine monitoring” and how to think about practicing with more curiosity and compassion. At the end we give a number of tips and suggestions that may help you, at least a little bit, be a more contented clinician.

THE CASE

A 40 y/o, or so, primary health care provider who enjoys taking care of patients and has been working hard for the last 12 years they want to make their practice less frustrating, more interesting, more rewarding.

Welcome to the premiere episode of The Contented Clinician Podcast! We’re excited to introduce you to our vision for this podcast. We created The Contented Clinician Podcast to help you find more joy and satisfaction in your practice by blending a collective of real-world experience, common sense, and the best available evidence. In this episode, we’ll dive into why we’re doing this, our unique approach, and how we aim to bring you practical tools and insights that can transform your work—and maybe even your life. We’ll also share a few actionable tips that could positively impact your practice as soon as tomorrow. So, if you’re looking to make your clinical practice more fulfilling and sustainable, join us and our inspiring network of clinicians as we explore new perspectives and effective strategies to reshape the way you think about your work.

In episode 598, James and Mike continue to talk with David Gardner about the issue of insomnia. We discuss his latest, very cool, Your Answers When Needing Sleep (YAWNS NB) randomized clinical trial. YAWNS was a pragmatic, open-label, minimum-contact, RCT where people with long-term use of benzodiazepines and current or past insomnia were randomly allocated to different mailed behavior change interventions or no intervention. They found that in people who got the intervention more of them stopped or reduced the dose of their benzodiazepines and more improved their sleep. Tune in for the numbers for this simple intervention.

Show Notes

The YAWNS NB trial

Booklets: order booklets via the Resource Centre

Sleepwell, a research and knowledge translation program based out of Dalhousie University in Halifax, includes tools, resources, and recommendations for patients, the public, and health care professionals.

Some features and resources to explore are:

Zopiclone’s residual effects on actual driving performance in a standardized test: a pooled analysis of age and sex effects in 4 placebo-controlled studies

In episode 597, James and Mike invite David Gardner to talk in depth about the issue of insomnia. We talk about triggers, precipitating factors, acute and chronic insomnia, and chronic use of sleeping pills. We discuss Cognitive Behavioral Therapy for Insomnia (CBT-I) and how his team has developed a comprehensive website, Sleepwell, that provides patients and clinicians with great tools and recommendations for the self-care of chronic insomnia. Mike stays awake for the whole podcast and James only has a brief nap.

Show Notes

Sleepwell, a research and knowledge translation program based out of Dalhousie University in Halifax, includes tools, resources, and recommendations for patients, the public, and health care professionals.

Visit https://mysleepwell.ca/

Some features and resources to explore are:

In episode 595, Mike and James invite Jennifer Young back to talk about the use of combined oral contraceptives for heavy menstrual bleeding (benign etiology) and see if they improve patient outcomes. They do! Have a listen to get all the numbers and see how they compare to using levonorgestrel-containing intrauterine devices or NSAIDs.

Show notes

Tools for Practice

In episode 594, Mike and James invite Samantha Moe back to talk about the use of the RSV vaccine in pregnancy. The only way to have an informed conversation around this vaccine is to know the numbers. If you listen to the whole podcast, you’ll get all the numbers available to date.

Show notes

2) Preventing RSV Infections in Infants

3) Preventing RSV in the elderly