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Dr Nicki Explains

Dr Nicki Explains

著者： IM Listening
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 Dr Nicki explains some common medical conditions and symptoms with her friend Sarah. A light hearted, chatty approach to explaining medicine in a way that is so easy to understand.2024 IM Listening 心理学 心理学・心の健康 社会科学 衛生・健康的な生活 身体的病い・疾患
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  • EP9: Blood Pressure

    EP9: Blood Pressure
    2025/04/16

    DR NICKI EXPLAINS

    Episode 9 - Blood Pressure

    Welcome to a comprehensive deep dive into the world of blood pressure! In this episode, Dr. Nicki explains blood pressure in accessible terms, with co-host Sarah asking those relatable questions we all want answers to.

    Key Topics Covered:

    Basic Understanding of Blood Pressure: Dr. Nicki breaks down what those two numbers mean in blood pressure readings, the systolic and diastolic pressures, and why they are important.

    Why High Blood Pressure is a Problem: Using an analogy with frail cress seeds, Dr. Nicki explains how high blood pressure can damage crucial small blood vessels in the body, and what organ systems are affected.

    Measuring Blood Pressure: Discussion on home vs. clinic blood pressure measurement, the concept of 'white coat hypertension,' and the natural variations in blood pressure throughout the day.

    Identifying High Blood Pressure: An overview of how high blood pressure is classified by NICE guidelines, and the importance of differentiating between different hypertension stages.

    The Risks of Untreated High Blood Pressure: Exploration into the long-term risks, such as heart attacks and strokes, associated with untreated high blood pressure.

    Addressing Blood Pressure: Whether it's lifestyle changes or medication, Dr. Nicki and Sarah discuss what can be done to manage high blood pressure effectively, mentioning various medications from ACE inhibitors to diuretics.

    Low Blood Pressure Insights: Sarah shares her experience with low blood pressure and Dr. Nckki provides recommendations on how to manage it, including lifestyle adjustments and medical insights.

    Below-the-Radar Issues: Dr. Nicki touches on rare conditions such as Addison's Disease and POTS Syndrome, providing resources for more information.

    Whether you're worried about your blood pressure or simply curious, this episode is packed with practical advice and insights to help you understand and manage this essential aspect of your health. Don't forget, if you're experiencing troubling symptoms, be sure to consult your GP.

    The podcast emphasises that it does not replace professional medical advice; if you have troubling symptoms consult your doctor immediately.

    Thank you for tuning into Doctor Nicki Explains where we make medicine understandable! Stay informed about your health and always seek proper guidance when needed!

    **Disclaimer:** This podcast may contains graphic descriptions which might not be suitable for younger audiences or those sensitive towards medical discussions.

    To listen to more episodes from this show or to listen to any of our other podcasts, head over to im-listening.co.uk
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    34 分
  • EP8: Concussion

    EP8: Concussion
    2025/03/13
    DR NICKI EXPLAINSEpisode 8 - ConcussionEpisode OverviewIn this episode of Dr. Nicki Explains, GP Dr. Nicki and her friend Sarah delve into the critical topic of head injuries and concussions. Joined by guest speaker Dylan, who shares his personal experiences with concussion from his rugby days, they explore how to recognise when you need help for a head injury and what steps to take if long-term effects occur.Key Points DiscussedUnderstanding ConcussionsWhat is a Concussion?A brain injury caused by shaking or impact that can lead to swelling or bleeding in the brain.Common Symptoms:Dizziness, fatigue, headaches, nausea/vomiting, sensitivity to light/noise.Long-term Effects:Memory issues, mood changes (e.g., irritability), sleep disturbances.Recognising & Managing Head InjuriesRecognise Signs:Loss of consciousness isn't necessary; look for confusion or balance issues post-impact.Immediate Actions:Remove the person from activity immediately after recognising symptoms.When to Seek Help:Severe headache worsening over time, vomiting repeatedly post-injury.Personal Story: Dylan's ExperienceDylan recounts multiple concussions during his rugby career:First significant knock at age six leading to hospitalisation but seemingly quick recovery.Later incidents showed delayed symptoms like disorientation only hours later.Major incident at university led him through months-long recovery due to not taking initial signs seriously enough.Recovery ProtocolsInitial Steps Post-Injury:Rest completely for first few days (48–72 hours).Gradually return to normal activities while avoiding further head impacts.Ongoing Management:Monitor symptoms closely; seek medical advice if conditions worsen unexpectedly.Importance of Professional Assessment:Even without visible damage on scans like MRI/CTs—concussions can have serious implications requiring professional evaluation especially in sports contexts where repeated knocks are common risks.Takeaway MessageConcussions should never be underestimated as their effects might not show immediately but could develop into severe health concerns over time if ignored initially—especially important within high-risk groups such as athletes involved in contact sports like rugby or football where awareness around protocols ("recognise-remove-recover-return") becomes crucially protective against prolonged harm following traumatic events impacting one's cognitive wellbeing overall! LINKS:Headway - The Brain Injury Association: https://www.headway.org.uk/ Complete Concussions (website with lots of articles all things brain injury backed up by research):https://completeconcussions.com/Some useful articles and videos: What is concussion? https://www.youtube.com/watch?v=QWVwAuqO2DMhttps://completeconcussions.com/concussion/pathophysiology-of-concussion/What to do after getting concussed?https://www.youtube.com/watch?v=xXal3VPNjEoReturn to Workhttps://completeconcussions.com/concussion-tips-information/returning-to-work-how-long-do-concussion-symptoms-last/Recovery Time and Return to Sporthttps://completeconcussions.com/concussion-tips-information/how-long-do-concussion-symptoms-last-sports/PCS Causes:https://www.youtube.com/watch?v=oW2SF8hnWGgThe Neck:https://www.youtube.com/watch?v=9IMDNlAknMkFind a Concussion Clinic:https://clinics.completeconcussions.com/?lat=53.031540&lng=-3.281585&z=7Cognitive FX (another useful site with PCS info):https://www.cognitivefxusa.com/blogStudies:Diet and gut: https://pubmed.ncbi.nlm.nih.gov/28526435/Return to Work: https://pubmed.ncbi.nlm.nih.gov/24581906/Concussion in Children: https://pubmed.ncbi.nlm.nih.gov/26954410/ https://pubmed.ncbi.nlm.nih.gov/27079963/Screen Time: https://pubmed.ncbi.nlm.nih.gov/36250231/5-10% concussions have intracranial bleeding: https://pubmed.ncbi.nlm.nih.gov/33133823/Importance of early stage exercise: https://pubmed.ncbi.nlm.nih.gov/37316185/Buffalo Treadmill Test: https://completeconcussions.com/concussion-treatment/how-to-perform-a-buffalo-concussion-treadmill-test/https://cdn-links.lww.com/permalink/jsm/a/jsm_2020_01_28_haider_19-313_sdc1.pdfVision Therapy: https://kpe.utoronto.ca/sport-medicinerehab-protocols/concussion-vision-therapy-and-oculomotor-rehabhttps://chadwickoptical.com/resources/resource-articles/concussion-ophthalmic-solutions/eye-exercises-for-concussions/https://torontoconcussion.ca/vision-exercises-videos/Concussion Therapy at Home: https://neuraleffects.com/blog/concussion-therapy-exercises/ The podcast emphasises that it does not replace professional medical advice; if you have troubling symptoms consult your doctor immediately. Thank you for tuning into Doctor Nicki Explains where we make medicine understandable! Stay informed about your health and always seek proper guidance when needed! **Disclaimer:** This podcast may contains graphic descriptions which might not be suitable for younger audiences or those sensitive towards medical discussions. To listen to more episodes from this ...
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    1 時間 3 分
  • EP7: Cervical Smear, HPV & Colposcopy Explained

    EP7: Cervical Smear, HPV & Colposcopy Explained
    2025/02/13
    DR NICKI EXPLAINS

    Episode 7: Cervical Smear, HPV & Colposcopy Explained

    In this episode, Dr. Nicky, Sarah, and guest Velma delve into the crucial topic of cervical screening and the human papillomavirus (HPV). They aim to demystify these subjects for listeners by explaining what a cervix is, why screenings are essential, how they are conducted, and who should get vaccinated against HPV.

    Key Topics:

    Cervical Screening Explained

    • Importance of regular screenings to detect pre-cancerous cells.
    • Description of the cervix's function in women's anatomy.
    • Step-by-step process on how a smear test is conducted.

    Understanding HPV

    • Explanation of HPV as a common virus affecting many people.
    • Discussion on high-risk strains (16 & 18) linked to cervical cancer.

    Vaccination Insights

    • The significance of vaccinating young people against HPV.
    • Details about eligibility for vaccination under the NHS programme.

    Addressing Concerns

    • Common apprehensions women face regarding smear tests.
    • Reassurances that procedures can be adapted for comfort.

    Results Interpretation – Breakdown of possible results from cervical screenings such as normal smears or dyscariosis levels (mild/moderate/severe). – Explanation on next steps if abnormal cells or high-risk HPV are detected.

    Colposcopy Procedures – What happens during a colposcopy if further investigation is needed after an abnormal result?

    Special Considerations: Vaginismus & Menopause Effects

    Eligibility & Access To Vaccines And Screenings

    Important Takeaways:
    • Regular cervical screenings help prevent potential development into cancer by detecting changes early.
    • The thought often seems worse than the reality; most find it less uncomfortable than anticipated.
    • Vaccinations play a vital role in reducing future risks associated with various cancers caused by certain strains of HPV.
    Listener Advisory:

    This podcast contains descriptions which may not be suitable for younger audiences or those sensitive to medical discussions.

    The podcast emphasises that it does not replace professional medical advice; if you have troubling symptoms consult your doctor immediately.

    Thank you for tuning into Doctor Nicki Explains where we make medicine understandable! Stay informed about your health and always seek proper guidance when needed!

    **Disclaimer:** This podcast may contains graphic descriptions which might not be suitable for younger audiences or those sensitive towards medical discussions.

    To listen to more episodes from this show or to listen to any of our other podcasts, head over to im-listening.co.uk
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    36 分

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