EMJ Podcast: Insights For Healthcare Professionals

In this final episode, Solomon Tesfaye and Oliver Binns-Hall explore the dynamic landscape of the recognition and treatment of diabetic neuropathy across diverse clinical realities in various countries. They discuss the challenges, and solutions that can help improve the management of diabetic neuropathy in different healthcare settings worldwide. 

This content has been supported by Viatris

In this third episode, Solomon Tesfaye and Oliver Binns-Hall consider the transformative potential for diabetic neuropathy care. They identify the importance of integrated patient care and the need for early-stage screening and diagnosis, discussing the evolving role of the podiatrist, and the need for a well co-ordinated foot care service. They also consider innovative screening solutions and the improvements needed in the chronic management of this condition.

This content has been supported by Viatris

This week, Jonathan is joined by Greg Marcus, Endowed Professor of Atrial Fibrillation and Professor of Residence (Medicine) at the University of California, San Francisco, USA, to explore advances in the field of electrophysiology, and how substances such as coffee, alcohol, and cannabis have an effect on cardiac arrythmias, physical activity, and sleep. They further dive into the aims and results of the Health eHeart study, and how technology such as smartwatches can be used in heart disease.

Use the following timestamps to navigate the content in this episode:

(00:00)-Introduction

(04:01)-What inspired Greg to get into medicine, and specifically into cardiology and electrophysiology

(06:30)-Electrophysiology 101

(09:10)-Coffee’s effects on cardiac arrhythmias

(15:31)-Shifts in metabolism triggered by ageing

(16:35)-The MARY-JANE Cannabis and Heart Rhythm trial

(20:09)-Effects of alcohol on heart outcomes

(26:01)-Aims and discoveries of the Health eHeart study

In this episode, Jonathan is joined by Brian Van Tine, Professor of Medicine in medical oncology and Professor of Paediatrics at the Washington University School of Medicine (WUSM) in St. Louis, Missouri, USA, to provide an overview of his clinical interest in soft tissue and bone sarcomas. The pair explore immunotherapy, specifically monoclonal antibodies and immune checkpoint blockade, and further dive into metabolomics and its relevance to oncology.  

Use the following timestamps to navigate the content in this episode: 

(00:00)-Introduction 

(03:50)-Brian’s inspiration for pursuing oncology 

(04:43)-The rare tumour world and sarcomas 

(06:13)-Immunotherapy trials

(09:21)-Treatment options for advanced alveolar soft part sarcoma 

(13:52)-Genetic mutations in malignant diseases 

(17:13)-Argininosuccinate synthetase 1

(22:49)-Metabolomics

(25:55)-Anthracycline-associated cardiotoxicity in patients with soft tissue sarcoma 

(28:40)-Treatments available for soft tissue tumours 

(31:49)-Three wishes

Tune in for a fascinating discussion with Jørgen Bjerggaard Jensen, Department of Urology, Aarhus University, Denmark, as he explores recent breakthroughs in non-muscle-invasive bladder cancer (NMIBC) management through mitomycin C (MMC) chemoresection. Jensen addresses the critical need to advance NMIBC management, underscoring its unique status as a disease of field cancerisation. Delving into the study’s main findings, Jensen discusses the efficacy of MMC chemoresection and the potential effectiveness in both low-grade and high-grade Ta tumours. Safety and tolerability aspects are also examined, highlighting the promise this intervention holds for patients and urologists alike. This content was funded by medac GmbH.

Two experts in medical oncology explore the latest developments in metastatic colorectal cancer in this episode of the EMJ podcast. Elena Élez, Vall d’Hebron University Hospital and Vall d’Hebron Institute of Oncology, Barcelona, Spain; and Michel Ducreux, Gustave Roussy, Villejuif, France, and Paris-Saclay University, France, discuss current treatment guidelines for patients with mCRC BRAF V600E mutation.

This podcast has been funded by Pierre Fabre; the position and discussions might not represent the position of Pierre Fabre.

Michelle Kelly-Irving, Director of Research at the Center for Epidemiology and Population Health Research, Faculty of Medicine, Paul Sabatier University, Toulouse, France, joins Jonathan to discuss social, economic, minority, and gender inequalities across healthcare systems and the life-course; her epidemiological research projects; and the concept of the exposome, highlighting  how environmental exposures impact biology and human health.

Use the following timestamps to navigate the content in this episode:

(00:00)-Introduction

(02:12)-A diverse upbringing and disciplinary mix

(04:20)-Social determinants of biology

(06:12)- The exposome

(09:26)-Falling down the rabbit hole

(11:47)-Gender and health inequalities

(15:00)-Man flu!

(19:52)-Social deprivation and COVID

(25:35)-Health trajectories and influencing people earlier in life

(28:16)-Three wishes

In this second podcast, Kevin Boehnke and Dan Clauw consider the experiences of the healthcare professional when it comes to treating fibromyalgia. They emphasise the significance of shared decision-making between both the patient and practitioner. They also explore the available treatment options, and consider the role of non-pharmacological approaches in managing this condition.

Dr Kevin Boehnke

Research Assistant Professor, Department of Anaesthesiology and the Chronic Pain and Fatigue Research Centre, University of Michigan Medical School, Ann Arbor, USA

Dr Boehnke received his doctorate from the University of Michigan School of Public Health in Environmental Health Sciences in 2017. Dr Boehnke’s current research focuses on therapeutic applications of cannabis and psychedelics where his goal is to rigorously assess appropriate use of these substances and to help address the public health harms caused by their criminalisation. He is also a yoga instructor and he himself lives with fibromyalgia.

Professor Daniel Clauw

Professor of Anasthesiology, Internal Medicine of Rheumatology and Psychiatry, and the Chronic Pain and Fatigue Research Centre, University of Michigan Medical School, Ann Arbor, USA

Professor Clauw serves as Director of the Chronic Pain and Fatigue Research Centre at the University of Michigan, USA and co-directs the Research Development Core and Pre-Doctoral Programs. His research is committed to clinical care and research into the central nervous system. He is an international expert in chronic pain disorders, such as fibromyalgia, where he incorporates a multitude of methods ranging from patient-reported outcomes to functional and chemical neuroimaging, and phenotyping, and as such, has been critical in helping elucidate the importance of the central nervous system in chronic pain conditions.

This content has been supported by Viatris

In this episode, the experts provide an understanding of the intricate role gut hormones play in glucose and appetite regulation. Also, to shed light on the vital role played by these nutrient-stimulated hormones, and their profound influence on energy, glucose regulation and their intricate interactions with target tissues.

This podcast is provided by EMJ and was supported by independent funding from Eli Lilly and Company, who did not influence the content of it. This educational activity is intended for an audience of non-US healthcare professionals.

Byungyol ‘Bill’ Chun, Owner of Women’s Healthcare of Woburn, Massachusetts, USA, Founder of Women Only Organics (WOO), and Co-founder of Doc & Doula, joins Jonathan to discuss the menopause, abortion, and the profit-based healthcare system in the USA. 

You can find more information about doulas, which are discussed during this podcast, on the Doulas for Everyone website.

Use the following timestamps to navigate the content in this episode:

(00:00)-Introduction  

(02:50)-Born to be an OBGYN  

(05:00)-Training in Boston City Hospital   

(06:00)-Caesarean-section and induction of labour in 2023  

(07:30)-Shortage of OBGYNs  

(09:00)-State of women’s health  

(11:25)-Positive patient and doctor interaction  

(15:30)-Inside information on women’s healthcare

(17:20)-The taboo on menopause

(21:20)-Six reasons why women’s healthcare is a disaster

(25:20)-CBD in women’s healthcare  

(30:39)-Access to abortion  

(36:25)-Doc & Doula to empower women  

(41:20)-Ask Bill 

(42:30)-Three wishes