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    NHS waiting times, menopause and the history of medicine, with Dr Hilary Jones

    enDecember 02, 2022

    Podcast Summary

    • Discovering the Fascination with Echinacea During an EventDoctors Hilary Jones and Liz Earle, despite their different approaches to health, found common ground in their shared interest in echinacea's clinically proven benefits during a recent event.

      The perimenopause, a significant phase in a woman's life, can last over a decade and lead to various physical and mental changes. Doctor Hilary Jones, a GP and novelist, explains that this is due to the depletion of estrogen, which affects mental functions and psychological symptoms. Although known for their different approaches to health and well-being, Liz Earle and Doctor Hilary Jones share a common interest in addressing health issues. Recently, they discovered their shared fascination with the clinically proven powers of echinacea during an event. Doctor Hilary Jones has written various medical books and novels, including one set around World War 1, showcasing his expertise in medicine. Their conversation covers both the current state of medical care and the history of medicine. Despite their busy schedules, they were pleased to reunite at a recent event. Doctor Hilary Jones rose to fame as the face of TB Medicine, and they will discuss his journey and the current state of GP services.

    • Writing a historical romance novel during the pandemic as therapy and exploration of medical historyDuring the pandemic, an author found solace in writing a historical romance novel inspired by frontline workers' parallels to past crises and the acceleration of medical advancements in times of war.

      During the COVID-19 pandemic, author and doctor James Minter found solace in writing a historical romance novel titled "Frontline." Inspired by the parallels between frontline workers in the current crisis and those in the past, particularly during the Spanish flu epidemic and World War I, Minter saw an opportunity to explore military and medical history while also penning a love story. He was drawn to the ways in which war accelerates medical advancements, such as the development of prosthetics and penicillin. Minter, who has a background in medicine and writing, found the creative process therapeutic and fascinating. His family history, including his grandfather's experiences as a soldier in the Somme during World War I, influenced his writing. Minter's novel follows a prominent medical family and sheds light on the historical context of medical innovations during times of war.

    • Effects of war and Spanish flu on soldiers' mental healthWar and the Spanish flu epidemic caused significant physical and emotional trauma for soldiers, leading to long-term mental health issues like PTSD. Modern research focuses on trauma therapy and support for veterans, and explores potential benefits of psychedelics in treating trauma.

      The experiences of war, whether it be the physical trauma of battle or the psychological trauma of shell shock, have far-reaching and long-lasting effects on soldiers. The Spanish flu epidemic following World War I, which took the lives of 200,000 people in the UK alone, disproportionately affecting young, healthy individuals, added to the physical and emotional toll on soldiers. PTSD, a condition still poorly understood today, was a banned term during the war, leading to tragic consequences for soldiers diagnosed with it. The social changes during the interwar period, including the suffragette movement and the IRA, added to the complexities of this era. Modern research shows that trauma therapy and support for veterans have come a long way, but there is still much work to be done in understanding and addressing the mental health needs of those who have served in the military. Additionally, recent research explores the potential therapeutic benefits of psychedelics, such as LSD and MDMA, in treating trauma.

    • From Thalidomide to Modern Medicine: Repurposing and Ancient PracticesMedicine is a field of continuous evolution, with repurposed drugs and ancient practices influencing modern treatments.

      The world of medicine is full of fascinating discoveries and repurposed treatments. For instance, Thalidomide, which once caused devastating side effects, is now used as an anti-cancer treatment due to its ability to stop cancer growth. This concept of repurposing drugs is common in medical research. Additionally, ancient medical practices, like giving people a fever to treat certain conditions, continue to influence modern medicine. The author's personal medical background influences her writing, and she finds the drama and constant evolution of medicine captivating. Her experiences as a single-handed doctor on the most isolated inhabited island in the world, Tristan da Cunha, presented unique challenges where she had to deal with any medical situation that arose, making it a fascinating and formative experience in her career.

    • Embracing new experiences leads to personal growthStepping out of comfort zone can lead to personal growth, unexpected opportunities, and new passions.

      Sometimes, stepping out of your comfort zone and embracing new experiences, even if they're challenging or unconventional, can lead to personal growth and unexpected opportunities. The speaker shared his experience of impulsively joining a medical team on a remote island, which turned out to be a transformative year for him. This experience not only broadened his horizons but also prepared him for future endeavors, such as working in TV studios and advocating for clear medical communication. Additionally, he discovered a love for islands and continued to explore new places. The determination to seek new challenges and communicate effectively led him to a successful career in both medicine and media.

    • Frustration with UK GP services leads patients to emergency departmentsThe lack of consistent care and communication in UK GP services is causing patients to seek help at emergency departments, which is not ideal for the NHS, GPs, or patients. Open communication and awareness about conditions like menopause are crucial to prevent misdiagnosis and improve overall care.

      The current state of UK GP services is causing frustration and inconvenience for patients, leading them to seek help at emergency departments instead. This is not ideal for the NHS, GPs, or patients, as urgent issues may be addressed, but the root cause often goes untreated. GPs are capable of handling various medical issues, but the lack of consistent care and communication is a significant problem. The recruitment and retention of more medical professionals is crucial, but the long training process means it will take time before the situation improves. A case in point is the diagnosis of Lorraine Kelly's anxiety symptoms, which were ultimately determined to be menopause-related. The importance of open communication and awareness about the menopause is essential, as it can often be mistaken for mental health issues.

    • Understanding the Complexities of MenopauseMenopause involves physical and psychological symptoms, largely due to estrogen depletion, and women deserve adequate resources and support for managing this natural process.

      The menopause is a complex process that can last over a decade and involve both physical and psychological symptoms. Women may feel bewildered by the changes they experience, which can include sleep disturbances, mood swings, memory loss, and concentration difficulties. These symptoms are due in part to the depletion of estrogen, which affects women's brain function. Hormone Replacement Therapy (HRT) can be a helpful solution for many women, but there is still a stigma surrounding its use. Doctors receive limited training on menopause and hormonal health, leaving many women without adequate resources or support. It's important for individuals to educate themselves about the menopause and advocate for better understanding and care. Women deserve access to the same level of healthcare and resources as men, including the ability to replace natural hormones when necessary. The rise in awareness and conversation around hormonal health and menopause is a step in the right direction, but there is still work to be done to address the knowledge gap and reduce stigma.

    • Staying Informed and Prepared for Effective Healthcare InteractionsGPs can benefit from resources like training courses and patient-provided information to better diagnose and address symptoms. Keeping a menstrual diary and using apps like Balance Menopause can help GPs manage menopause symptoms. Protecting eyes from dry eye syndrome by blinking frequently and using lubricating eye drops is essential for eye health.

      Staying informed and prepared can make a significant difference in interactions between patients and healthcare professionals, particularly in the context of time-constrained appointments. GPs, as generalists, may not have in-depth knowledge of specific conditions, but they can benefit from resources like accredited training courses and patient-provided information. In the case of menopause, having a menstrual diary and utilizing apps like Balance Menopause can help GPs diagnose and address symptoms more effectively. Regarding eye care, protecting eyes from conditions like dry eye syndrome, which can be exacerbated by prolonged screen time, is crucial. By blinking more frequently and using lubricating eye drops, individuals can help mitigate the risk of developing dry eye syndrome. Staying informed about the importance of eye care and utilizing available resources can lead to better health outcomes.

    • Taking Care of Eye HealthRegular checkups, eye care practices, and addressing underlying conditions are crucial for maintaining good vision and overall eye health. Prioritize reputable professionals for any procedures or surgeries.

      Taking care of our eyes is essential for maintaining good vision and overall health. Our eyes produce tears to keep them lubricated, but the tear film can evaporate, leaving the eyes dry and sore. Blocked oil glands in the eyelids can cause inflammation and discomfort, which can be alleviated with hot compresses and expressing the blocked oil. Regular eye checkups are crucial for detecting conditions like cataracts and glaucoma, which can lead to vision loss if left untreated. As we age, we may consider options like laser eye surgery to improve vision without the need for glasses or contacts. However, it's essential to prioritize eye care and go to reputable professionals to ensure the best possible outcomes. Additionally, there is a disparity between how men and women are treated on TV as they age, with women often facing more pressure and potential job loss. It's essential to stay level-headed and focused on delivering public health messages, regardless of fame or age.

    • Embracing a positive attitude for vibrancyFocus on self-gratitude, minimal effort appearance, optimism, seeing challenges as opportunities, expressing gratitude, intermittent fasting, and cold showers (if accessible)

      Focusing on how we feel about ourselves and practicing gratitude are key to maintaining physical and mental vibrancy. The speaker shares her approach to appearance, which involves minimal effort and a focus on feeling good. She also emphasizes the importance of optimism, seeing challenges as opportunities, and expressing gratitude. Additionally, she discusses her experience with intermittent fasting, which she discovered accidentally and finds beneficial, and her openness to trying cold showers but lack of access to regular cold water. Overall, her philosophy is about embracing life's ups and downs with a positive attitude and making the most of what we have.

    • Exploring Natural Health RemediesIncorporating elements from nature into health and wellness routines can provide relaxation, detect potential health issues, and boost the immune system.

      While there may be differences in opinion when it comes to various alternative therapies and practices, there is value in incorporating elements from nature into our health and wellness routines. The speaker, for instance, enjoys heavy gardening and finds relaxation through aromatherapy and massage. She also acknowledges the benefits of certain supplements and alternative therapies like reflexology, which she uses regularly to detect potential health issues. The speaker and the interviewer also found common ground in their appreciation for echinacea as an immune system booster. Ultimately, the speaker believes that exploring the natural world for health benefits is worthwhile, as many pharmaceutical medicines are derived from plants, and there is growing scientific evidence supporting the use of natural remedies like echinacea.

    • Balancing Life's Pleasures: Doctor Hilary Jones on Writing, TV, and MedicineDoctor Hilary Jones emphasizes the importance of balancing different aspects of life, finding joy in writing, television, and medicine, and the value of variety for overall happiness.

      Doctor Hilary Jones, the guest on the show, values the importance of maintaining a balance between different aspects of his life. He enjoys writing, television, and practicing medicine, and aims to continue doing all three for as long as he can. He finds each activity rewarding in its own way, and believes that variety is key to his overall happiness. Previously, the show featured a conversation with psychotherapist Lucy Beresford about dating after divorce. Listeners can find past episodes on various topics, including workplace confidence in midlife and the therapeutic practice of tapping. Marc Maron, from the WTF podcast, promoted Kleenex Ultra Soft Tissues as a solution for allergy sufferers during the change of seasons. Whole Foods Market was also highlighted as a destination for Mother's Day shopping, offering unbeatable savings on gifts, flowers, and desserts. Lastly, Boll and Branch organic cotton sheets were recommended for their softness and durability, with a guarantee that they get softer with each wash. Listeners were encouraged to try them with a 30-night guarantee and a 15% discount using the code "buttery" on their first order.

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    Mentioned in this podcast:

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    ****

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