RCP Medicine Podcast
- Episodios
- 109
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- Último episodio
- 9 Sep 2026
Sobre el podcast
The RCP Medicine podcast is a discussion of different topics relevant to physicians. Episodes discuss and explore different topics including real-life clinical cases, new evidence-based guidelines and specific physician issues in the modern healthcare environment. The views expressed in this podcast are those of the presenters and not necessarily the RCP.
Episodios 109
Episode 110: What Kind of Doctor Does This Moment Require?
What does it mean to be a good doctor when so much illness is produced beyond the walls of healthcare?In this episode of the RCP Medicine Podcast, Dr Rohan Mehra speaks with paediatrician, public health …
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What does it mean to be a good doctor when so much illness is produced beyond the walls of healthcare?
In this episode of the RCP Medicine Podcast, Dr Rohan Mehra speaks with paediatrician, public health researcher and broadcaster Dr Guddi Singh about health inequality, medical professionalism and her emerging concept of Justice-Based Medicine.
Drawing on clinical experience, doctoral research and her BBC Radio 4 series Three Ages of Child, Dr Singh explores how poverty, housing, food insecurity, education and structural inequality enter the consulting room - and why understanding these conditions makes us not only more compassionate, but more clinically effective.
The conversation examines the moral injury clinicians experience when they know what patients need but cannot provide it; the limits of the traditional “heroic fixer” model of medicine; and how physicians can combine scientific excellence with social understanding, collaboration and moral courage.
The episode also highlights communities already creating health beyond formal healthcare settings, and the work of WHAM - the Wellbeing and Health Action Movement - to help clinicians turn concern about inequality into practical, collective action.
BIOGRAPHY: Dr Guddi Singh is a Cambridge- and Harvard-trained neurodevelopmental and social paediatrician, public health researcher and broadcaster whose work explores what it means to practise good medicine when so much ill health is socially produced. Working clinically on the frontline and academically at King’s College London, her doctoral research examines how health professionals experience and respond to the social determinants of health. Through this work, she is developing the concept of Justice-Based Medicine, combining scientific excellence with social understanding, moral literacy and action on inequality. Guddi has worked with the World Health Organization, co-founded WHAM - the Wellbeing and Health Action Movement - and leads the award-finalist Powering Up programme. She was named a Global Top 30 Improver by the International Forum on Quality and Safety in Healthcare. Her broadcasting includes work for the BBC, Channel 4 and Al Jazeera, including the award-winning BBC One documentary, Why Is Covid Killing People of Colour?, and BBC Radio 4’s hugely influential Three Ages of Child.
Resources
- WHAM: https://www.whamproject.co.uk/
- Three Ages of Child: https://www.bbc.co.uk/sounds/series/m002k385
- Race and Health Matters, a podcast on workforce inequality for the NHS Race and Health Observatory https://www.youtube.com/@nhsraceandhealthobservatory
- More than Medicine substack: https://drguddisingh.substack.com/
- "Leadership from below, change from within: revitalising medical professionalism through social justice": https://bmjleader.bmj.com/content/7/Suppl_2/e000817
- RCP Commentary - https://www.rcp.ac.uk/126813
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Any adverts within this podcast may use computer generated voicesEpisode 109: The Conversation That Changes Behaviour: Practical Motivational Interviewing for Clinicians
In this episode of the RCP Medicine Podcast, Dr Raj Amarnani, consultant in sport, exercise and musculoskeletal medicine, Fellow of the Faculty of Sport and Exercise Medicine, and current president of the Royal …
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In this episode of the RCP Medicine Podcast, Dr Raj Amarnani, consultant in sport, exercise and musculoskeletal medicine, Fellow of the Faculty of Sport and Exercise Medicine, and current president of the Royal Society of Medicine Rheumatology and Rehabilitation Section, joins Dr Alice Cole, clinical education fellow at the Royal College of Physicians, to explore how motivational interviewing can support the NHS shift from treatment to prevention.
Raj explains why patients are often not lacking information but are instead overwhelmed, ambivalent or unsure where to start. Together, Raj and Alice discuss how motivational interviewing helps clinicians unlock a patient's own reasons for change, making conversations about physical activity, medication adherence, smoking cessation and other health behaviours more effective and patient-centred.
Using practical examples and role-play scenarios, they demonstrate simple techniques clinicians can introduce immediately, including the OARS framework, ask-offer-ask conversations, confidence scaling and strategies for supporting sustainable behaviour change. They also discuss physical activity guidance, exercise "microdosing" and how even brief conversations can have a lasting impact on patient outcomes.
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Coeliac disease is often viewed as a straightforward gastrointestinal condition, but its presentation, diagnosis and long-term management can be far more complex than many clinicians appreciate.In this episode …
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Coeliac disease is often viewed as a straightforward gastrointestinal condition, but its presentation, diagnosis and long-term management can be far more complex than many clinicians appreciate.
In this episode of the RCP Medicine Podcast Dr. Dushen Murugiah, Consultant Gastroenterologist and Trust Lead for Nutrition at Royal Surrey County Hospital NHS Foundation Trust, joins Dr Abhishek Ray to explore the modern approach to coeliac disease.
Together they discuss classical and non-classical presentations, the challenges of diagnosing an often under-recognised condition, the role of serology and small bowel biopsy, and the importance of considering celiac disease in patients presenting with unexplained anaemia, nutritional deficiencies and other extraintestinal manifestations. The conversation also explores refractory celiac disease, practical challenges associated with lifelong gluten avoidance, and promising future therapies currently under investigation.
This episode offers practical, evidence-informed insights for physicians, trainees and healthcare professionals involved in the assessment and management of patients with suspected or confirmed coeliac disease.
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In this episode of the RCP Medicine Podcast, respiratory consultant and clinical lead for environmental sustainability Dr Thom Daniels joins host Dr David Charles to explore why air quality should be treated as …
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In this episode of the RCP Medicine Podcast, respiratory consultant and clinical lead for environmental sustainability Dr Thom Daniels joins host Dr David Charles to explore why air quality should be treated as a core clinical issue rather than a distant environmental concern. Drawing on landmark coroner’s cases, including the deaths of Ella Adoo Kissi Debrah and Awaab Ishak, they examine how outdoor and indoor pollution contribute to asthma, COPD, cardiovascular disease, stroke, dementia and health inequalities across the life course. The discussion covers practical ways to ask about air quality in consultations, from unexplained coughs to secondary prevention clinics, and sets out simple, evidence informed advice clinicians can offer to patients. They also consider policy and global perspectives, racial and social justice dimensions, and how clinicians can support patients who feel fatalistic about the environment.
Resources
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In this powerful and timely episode, Dr Ahmed Seedat — respiratory and general internal medicine consultant, global health specialist, and former policy fellow — joins Dr Krishna Misra, an experienced GP in …
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In this powerful and timely episode, Dr Ahmed Seedat — respiratory and general internal medicine consultant, global health specialist, and former policy fellow — joins Dr Krishna Misra, an experienced GP in inclusion health, for an in‑depth exploration of migrant and refugee health. Together with host Dr Rohan Mehra, they unpack the realities facing displaced populations today: from the impact of geopolitical instability and the climate emergency, to the language and stigma shaping public attitudes, to the structural barriers embedded within UK health systems.
Through expert insight and frontline experience, the conversation delves into the drivers of forced migration, the consequences of restricted safe routes, the challenges created by the UK asylum backlog, and the complex interplay between trauma, mental health, and chronic disease. Importantly, the episode also highlights a successful collaborative model between primary and secondary care in South East London — demonstrating the power of relationships, community, and advocacy to improve outcomes for some of the most marginalised people in society.
Listeners will leave with a richer understanding of migrant health, actionable advice for clinicians, and a hopeful reminder that community truly is a superpower.
Resources
Doctors of the World:
Advice line - Doctors of the World
BMA:
Refugee and asylum seeker health resource updated 2025
BMJ:
Knights F, Munir S, Ahmed H, Hargreaves S. Initial health assessments for newly arrived migrants, refugees, and asylum seekers BMJ 2022
Initial health assessments for newly arrived migrants, refugees, and asylum seekers | The BMJ
Other
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In this episode of the RCP Medicine Podcast, Dr Aula Abbara, consultant in infectious diseases and internal medicine at Imperial College Healthcare NHS Trust and an infectious diseases and malaria advisor to …
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In this episode of the RCP Medicine Podcast, Dr Aula Abbara, consultant in infectious diseases and internal medicine at Imperial College Healthcare NHS Trust and an infectious diseases and malaria advisor to MSF Amsterdam, joins Dr Bryony Alderman, palliative medicine consultant and RCP Sustainability Education Fellow. Together, they explore how climate change is reshaping global health, with a particular focus on infectious diseases, health inequalities, forced displacement, and the increasingly complex connections between environment, conflict, and disease transmission.
Resources
MSF UK | Médecins Sans FrontièresExplore our CPD portfolio by your career stage
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In this episode of the RCP Medicine Podcast, Professor Jeremy Levy, consultant nephrologist in London, joins Dr Alex Crowe, consultant physician in Liverpool, for an insightful and practical conversation about …
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In this episode of the RCP Medicine Podcast, Professor Jeremy Levy, consultant nephrologist in London, joins Dr Alex Crowe, consultant physician in Liverpool, for an insightful and practical conversation about chronic kidney disease (CKD). Together, they explore why CKD is so common, and often silent. How to distinguish acute from chronic kidney problems, and which investigations matter most.
The discussion also highlights the growing importance of cardiorenal metabolic medicine, offering clinicians a clear approach to assessing risk, optimising treatment, and supporting long‑term health. From EGFR trends to SGLT2 inhibitors, from lifestyle change to coding accuracy, this episode provides an essential, up‑to‑date guide for managing CKD in everyday practice.
Resources
For kidney sake podcast: Home | ForKidneysSake.com
Excellent resources on CKD here from NHS NW London: Chronic kidney disease
NICE guidelines: Overview | Chronic kidney disease: assessment and management | Guidance | NICE
Hypertension in CKD from UK kidney association FINAL UKKA NICE-KDIGO commentary December 2022.pdf
Exercise and Lifestyle in CKD from UK kidney association Exercise and Lifestyle in CKD clinical practice guideline33_v4_FINAL_0.pdf
SGLT2i in CKD from UK kidney association Sodium Glucose Co transporter 2 - UK Kidney Association.
KDIGO (international) guidelines on CKD management CKD Evaluation and Management – KDIGO
KIDGO prognosis of CKD by Albuminuria Categories: KIDGO 2012 S126
American Diabetes Association guidelines including CKD Volume 48 Issue Supplement_1 | Diabetes Care | American Diabetes Association
For Kidneys Sake
For Kidneys Sake is a clinician-led podcast from Imperial College Healthcare NHS Trust and North West London Integrated Care Board, offering practical, evidence-based insight into chronic kidney disease and cardio-renal care. Through short, accessible conversations with experts across primary and secondary care, the series supports shared learning on CKD detection, risk management and integrated patient care. The podcast is for GPs, pharmacists, nurses and multidisciplinary teams, and is relevant for clinicians, patients and anyone interested in improving kidney health.
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In this episode, Dr Bryony Alderman, palliative care consultant and RCP sustainability clinical education fellow, joins Dr Vasiliki Thanopoulou, rheumatology registrar and RCP clinical education fellow, for a …
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In this episode, Dr Bryony Alderman, palliative care consultant and RCP sustainability clinical education fellow, joins Dr Vasiliki Thanopoulou, rheumatology registrar and RCP clinical education fellow, for a wide‑ranging discussion demystifying modern palliative care.
Together they explore how the specialty has evolved beyond end‑of‑life support, highlighting early integration, symptom management across disease groups, and the importance of compassionate, individualised care.
The conversation dives deep into practical clinical considerations: appropriate timing of referrals, anticipatory prescribing, managing medications in renal/hepatic failure, handling chronic disease therapies at the end of life, and common misconceptions around syringe drivers. They also discuss communication challenges, including uncertainty in prognostication, hydration and nutrition decisions, and supporting families during difficult conversations.
This is an essential episode for clinicians looking to enhance confidence and skill in end‑of‑life care, while keeping person‑centred care at the heart of practice.
Resources
Lee C, Tran TT, Ross J Anticipatory prescribing in community end-of-life care BMJ Supportive & Palliative Care 2024;14:353-357
https://www.nacel.nhs.uk/about-nacel
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In this episode of the RCP Medicine Podcast, Professor Ewan Forrest, Consultant Hepatologist at the Glasgow Royal Infirmary, joins Dr Jennifer Tham, Gastroenterology Trainee in the West of Scotland, to explore …
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In this episode of the RCP Medicine Podcast, Professor Ewan Forrest, Consultant Hepatologist at the Glasgow Royal Infirmary, joins Dr Jennifer Tham, Gastroenterology Trainee in the West of Scotland, to explore the diagnosis and management of alcohol related hepatitis. A common but often misunderstood emergency presentation.
Through a detailed case, they unpack diagnostic challenges, key blood markers, distinguishing features from decompensated cirrhosis, and the practical steps clinicians should take in the first 72–96 hours. The episode also demystifies prognostic scoring systems, steroid use, nutritional support, and the future direction of ARH research and management.Note:
This recording was made in 2025. In March 2026 NHS Blood and Transplant agreed to a further pilot of liver transplantation for selected patients with Alcohol-related hepatitis.
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In this episode of the RCP Medicine Podcast, transplant hepatologist Dr Mhairi Donnelly joins gastroenterology trainee Dr Jennifer Tham to explore the high‑stakes world of acute liver failure.Through a detailed …
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In this episode of the RCP Medicine Podcast, transplant hepatologist Dr Mhairi Donnelly joins gastroenterology trainee Dr Jennifer Tham to explore the high‑stakes world of acute liver failure.
Through a detailed case of a young woman presenting with severe transaminitis and paracetamol toxicity, Mhairi and Jennifer guide listeners through the crucial steps in recognising acute liver injury, identifying early markers of deterioration, and escalating care at the right time.
The discussion covers the most common causes of acute liver failure in the UK, how to interpret markedly raised transaminases, the role of NAC beyond confirmed paracetamol toxicity, the importance of monitoring lactate and INR trends, management of hepatic encephalopathy in acute liver failure, and how psychiatric assessment influences transplant suitability. A must‑listen for anyone managing acutely unwell medical patients or seeking to deepen their understanding of this life‑threatening condition.
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In this episode of the RCP Medicine Podcast, we explore the pressing challenges facing resident doctors in the NHS and the transformative work of the Next Generation campaign. Joining us is Professor Mumtaz …
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In this episode of the RCP Medicine Podcast, we explore the pressing challenges facing resident doctors in the NHS and the transformative work of the Next Generation campaign. Joining us is Professor Mumtaz Patel, President of the Royal College of Physicians, Vice President for Education and Training, and Chair of the Next Generation Oversight Group. Professor Patel shares her extensive experience in medical education and workforce planning, offering candid insights into recruitment pressures, training reform, and the future of postgraduate medical education.
Alongside Professor Patel, Dr Jemima Sellicks, a resident doctor and committee representative, brings a frontline perspective on the realities of training today. Together, they discuss competition ratios, the IMT application process, exam integrity, and the results of the recent Next Generation survey, which revealed stark concerns about burnout and retention.
Whether you’re a trainee, educator, or policymaker, this episode offers practical solutions, hope for systemic change, and a call to action for shaping a fairer, more supportive training environment.
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In this episode of the RCP Medicine Podcast, we explore the critical issue of health inequalities during pregnancy and the postpartum period. Joining us is Dr Maria Mouyis, Consultant Physician & Rheumatologist …
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In this episode of the RCP Medicine Podcast, we explore the critical issue of health inequalities during pregnancy and the postpartum period. Joining us is Dr Maria Mouyis, Consultant Physician & Rheumatologist with Specialist Interest in Obstetric Medicine, alongside Dr Vasiliki Thanopoulou, RCP clinical education fellow, Rheumatology/GIM Specialist Registrar. Together, they unpack why pregnancy itself can be a risk factor for health inequality, the findings from the MBRRACE report, and the systemic, cultural, and clinical challenges that impact maternal and neonatal outcomes.
From disparities in maternal mortality among ethnic minority groups to the role of unconscious bias and digital exclusion, this conversation highlights practical steps clinicians can take to improve equity in care. We also discuss innovative initiatives such as maternal medicine networks, preconception clinics, and community engagement projects that aim to empower women and reduce adverse outcomes.
Whether you’re a clinician, policymaker, or advocate, this episode offers actionable insights and resources to help drive change.
Resources:
UK Obstetric Surveillance System (UKOSS) | UKOSS | NPEU
Special interest groups | British Society for Rheumatology
Eastern Obstetric Medicine Group: EOMG Meetings | MacDonald Obstetric Medicine Society
Multidisciplinary Approaches to Maternal Health - elearning for healthcare
Racism in pain management causes needless suffering | The BMJ
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In this collaborative episode between the RCP Medicine Podcast and the British Society for Rheumatology’s Talking Rheumatology series, consultant rheumatologist Dr Tam Malley from the Royal Free Hospital joins …
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In this collaborative episode between the RCP Medicine Podcast and the British Society for Rheumatology’s Talking Rheumatology series, consultant rheumatologist Dr Tam Malley from the Royal Free Hospital joins Dr Vasiliki Thanopoulou, RCP Clinical Education Fellow and registrar, to explore the complexities of inflammatory myositis. Through a compelling case study and rich clinical discussion, they unpack the diagnostic challenges, multidisciplinary considerations, and treatment strategies for this rare autoimmune condition.
Listeners will gain insights into recognising subtle signs, interpreting investigations, and understanding the importance of early intervention. Whether you're a rheumatologist, general physician, or trainee, this episode offers practical pearls and thoughtful reflections on managing inflammatory myositis in real-world settings.
Resources
Idiopathic inflammatory myopathies - Symptoms, diagnosis and treatment | BMJ Best Practice
Polymyositis Masquerading as Motor Neuron Disease | Neurology | JAMA Neurology | JAMA Network
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In this RCP Medicine podcast and BSR Talking Rheumatology podcast collaboration Dr Roz Benson and Dr Lisa Waters discuss a challenging case of a patient with an acute hot joint who presented to the acute …
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In this RCP Medicine podcast and BSR Talking Rheumatology podcast collaboration Dr Roz Benson and Dr Lisa Waters discuss a challenging case of a patient with an acute hot joint who presented to the acute medical unit. It covers wide ranging topics including diagnosis and management of gout, investigation of the acute hot joint and how to treat septic arthritis. Dr Roz Benson is a Consultant Rheumatologist at NHS University Hospitals of Liverpool Group, BSR Digital Learning Editor, and Talking Rheumatology host and Dr Lisa Waters is a Rheumatology and Acute Medicine Consultant at Manchester University Hospitals. She is clinical lead for Acute Medicine and a former RCP Chief Registrar.
Resources
NICE: Diagnosis and management of gout
https://www.nice.org.uk/guidance/ng219/chapter/Recommendations
The British Society for Rheumatology Guideline for the Management of Gout
https://academic.oup.com/rheumatology/article-abstract/56/7/e1/3855179?redirectedFrom=fulltext
If you liked this check out related Talking Rheumatology spotlight episodes
- Episode 9 - Diagnosis and management of gout
- Bonus episode - a tricky case of infection and arthritis
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In this episode of the RCP Medicine Podcast, Dr Sagen Zac-Varghese, Consultant in Diabetes and Endocrinology, East and North Herts Teaching NHS Trust is joined by Dr Samantha Scholtz , Consultant Psychiatrist …
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In this episode of the RCP Medicine Podcast, Dr Sagen Zac-Varghese, Consultant in Diabetes and Endocrinology, East and North Herts Teaching NHS Trust is joined by Dr Samantha Scholtz , Consultant Psychiatrist, Imperial Weight Centre, St Mary’s Hospital to explore the complex relationship between obesity and mental health. Drawing on clinical experience and recent research, they discuss the stigma surrounding obesity, its psychological impact, and how healthcare professionals can better support patients. The conversation covers the physiological drivers of weight regain, and the evolving role of bariatric surgery and GLP-1 agonists in treatment. Dr Scholtz also shares practical advice on screening for mental health disorders, managing eating behaviours, and navigating sensitive conversations in clinical settings.
Resources
RCP elearning - Obesity
Binge eating disorder:
https://www.beateatingdisorders.org.uk/
https://www.nationaleatingdisorders.org/feast-resources/
Weight stigma:
https://www.worldobesity.org/what-we-do/our-policy-priorities/weight-stigma
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In this episode of the RCP Medicine Podcast, Dr Lisa Hamza, HIV and Sexual Health Consultant at St George’s Hospital, London, joins Dr Rohan Mehra, Infectious Diseases and Microbiology Registrar, to explore the …
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In this episode of the RCP Medicine Podcast, Dr Lisa Hamza, HIV and Sexual Health Consultant at St George’s Hospital, London, joins Dr Rohan Mehra, Infectious Diseases and Microbiology Registrar, to explore the evolving landscape of HIV care. Together, they delve into the virology, history, and treatment of HIV, highlighting the remarkable progress made over the past four decades - from the early days of the epidemic to today’s cutting-edge therapies and prevention strategies.
Dr Hamza shares insights from her work as HIV Network Lead in South West London and co-chair of the HIV London Forum, discussing the challenges of stigma, late diagnosis, and health inequalities. The conversation also covers the UK’s HIV Action Plan, the impact of opt-out testing, and the promise of long-acting treatments and pre-exposure prophylaxis (PrEP). This episode is a powerful reminder of how far we've come and how much further we must go to reach zero transmissions, zero deaths, and zero stigma.
RCP Archive, Heritage Library and Museum
The Royal College of Physicians Heritage library, Archive and Museum are seeking to collect objects, documents and publications to reflect the experiences of physicians delivering HIV/AIDS care and people living with HIV/AIDS. Further information can be found at: https://history.rcp.ac.uk/collections/call-for-donations-related-to-HIV-AIDS
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In this episode of the RCP Medicine podcast, we delve into the complexities of obesity and the importance of person-centred care. Hosted by Dr Vasiliki Thanopoulou, a rheumatology and general internal medicine …
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In this episode of the RCP Medicine podcast, we delve into the complexities of obesity and the importance of person-centred care. Hosted by Dr Vasiliki Thanopoulou, a rheumatology and general internal medicine specialist registrar and RCP Clinical Education Fellow, she is joined by Dr Charles Fox and Dr Anne Kilvert, both retired consultant diabetes physicians with over 30 years of experience in teaching healthcare professionals how to deliver empowering, person-centred care.
Together, they explore how stigma, unconscious bias, and assumptions can hinder effective communication and care for people living with obesity. Drawing on NICE guidelines and their own clinical experiences, Anne and Charles offer practical strategies for fostering empathy, respect, and shared decision-making in clinical encounters. This episode complements the RCP’s e-learning modules on obesity and is part of the broader initiative to address health inequalities.
Whether you're a clinician, educator, or learner, this conversation will challenge you to rethink how you approach weight-related discussions and empower patients to take control of their health journey.
Resources
RCP elearning - Obesity
NICE guidelines: Overweight and obesity management | Guidance | NICE
Lancet: Definition and diagnostic criteria of clinical obesity - The Lancet Diabetes & Endocrinology
The European Association for the Study of Obesity: A new framework for the diagnosis, staging and management of obesity in adults - EASO
Dr Charles Fox and Dr Anne Kilvert: www.diabetescounselling.co.uk
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In this episode of the RCP Medicine Podcast, Dr Vincent Simpson, diabetes and endocrine registrar based in Derriford, Plymouth joins Dr Bryony Alderman, palliative medicine consultant and RCP Education Fellow …
Notas del episodio
In this episode of the RCP Medicine Podcast, Dr Vincent Simpson, diabetes and endocrine registrar based in Derriford, Plymouth joins Dr Bryony Alderman, palliative medicine consultant and RCP Education Fellow in Sustainability. Together, they explore the intersection of diabetes care and environmental sustainability, focusing on Vincent’s pioneering work around reusable cartridge insulin pens.
From the initial spark of curiosity during a training session to national-level conversations with NHS England, Vincent shares his journey of uncovering the environmental impact of diabetes devices and advocating for change. The discussion covers practical steps clinicians can take, the importance of behavioural change, and how small interventions can lead to significant improvements in both patient care and environmental outcomes.
Whether you're a physician, policymaker, or someone living with diabetes, this episode offers valuable insights into how sustainability can be seamlessly integrated into clinical practice.
Dr Vincent Simpson and team recently won an RCP Excellence in Patient Care award for Sustainability – reducing the environmental impact of healthcare
Resources
Paper: https://onlinelibrary.wiley.com/doi/10.1111/dme.15409
Local guidelines: https://sustainablediabetes.short.gy/guidelines
Website: https://sustainablediabetescare.com
Linkedin: https://uk.linkedin.com/in/dr-vincent-simpson
Bluesky:https://bsky.app/profile/drvsimpson.bsky.social
Credits
Dr Bryony Alderman, consultant in palliative medicine, is the RCP Sustainability Fellow. Financial support for this clinical fellowship was provided as an Independent Medical Education Grant from Pfizer Limited. Pfizer Limited had no involvement in candidate selection, and no influence on the work of the clinical fellowship.
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In this episode of the RCP Medicine Podcast, Consultant Respiratory Physician Milind Sovani joins Respiratory Registrar Daniella Draicchio and Foundation Doctor Masooma Ali to explore a compelling case of …
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In this episode of the RCP Medicine Podcast, Consultant Respiratory Physician Milind Sovani joins Respiratory Registrar Daniella Draicchio and Foundation Doctor Masooma Ali to explore a compelling case of progressive breathlessness in a 45-year-old woman. What begins as a seemingly routine presentation unfolds into a diagnostic journey.
Together, the team discusses the challenges of diagnosing chronic type 2 respiratory failure, the importance of recognising paradoxical breathing, and the role of non-invasive ventilation and surgical intervention. This episode is a masterclass in clinical reasoning, multidisciplinary collaboration, and the value of thorough bedside examination.
We would like to acknowledge Dr Patience Ehilawa, Consultant Respiratory Physician at Nottingham University Hospitals , for her contribution to the content design and planning of this podcast.
References
- A retrospective cohort study of idiopathic diaphragmatic palsy: a diagnostic triad, natural history and prognosis ERJ Open Research 2021 00953-2020; DOI: https://doi.org/10.1183/23120541.00953-2020
- Diagnosis and management of nontraumatic unilateral diaphragmatic paralysis (complete or partial) in adults - UpToDate
- Treatment of diaphragmatic paralysis using an expanded surgical protocol: review of the largest worldwide experience European Respiratory Journal 2018 52 (suppl 62): PA806; DOI: https://doi.org/10.1183/13993003.congress-2018.PA806
- Diaphragm dysfunction: how to diagnose and how to treat? Breathe 2025 21(1): 240218; DOI: https://doi.org/10.1183/20734735.0218-2024
This podcast has been made with an educational grant from Bristol-Myers Squibb Pharmaceuticals Limited (“BMS”). BMS has had no input or involvement in the design, development or content of the podcast whatsoever.
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In this RCP Medicine podcast and BSR Talking Rheumatology podcast collaboration Dr Pip Watson and Dr Rik Patel discuss an interesting case of a patient presenting with headache to the acute take. Topics include …
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In this RCP Medicine podcast and BSR Talking Rheumatology podcast collaboration Dr Pip Watson and Dr Rik Patel discuss an interesting case of a patient presenting with headache to the acute take. Topics include tips on history and examination, an update on treatment including the use of tocilizumab and the role of fast-track pathways. Pip is a Rheumatology Consultant in Manchester, BSR Digital Learning Editor, and Talking Rheumatology host, Rick is a Rheumatology and Acute Medicine consultant in Manchester, working at one of the specialist centres for vasculitis.
If you liked this check out related Talking Rheumatology spotlight episodes
- Episode 6 giant cell arteritis
- Episode 14 polymyalgia rheumatica
- Bonus case non GCA headache
Resources
NICE GCA guideline https://cks.nice.org.uk/topics/giant-cell-arteritis/
BSR GCA guideline https://academic.oup.com/rheumatology/article-abstract/59/3/e1/5714024?redirectedFrom=fulltext
GCAPS paper https://ard.bmj.com/content/83/Suppl_1/1100.2
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In this episode of the RCP Medicine podcast, Professor Mark Harber, nephrologist, and RCP sustainability advisor, is joined by Chris Gormley, Chief Sustainability Officer at NHS England, to explore the NHS’s …
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In this episode of the RCP Medicine podcast, Professor Mark Harber, nephrologist, and RCP sustainability advisor, is joined by Chris Gormley, Chief Sustainability Officer at NHS England, to explore the NHS’s groundbreaking journey toward net zero.
Together, they discuss the origins of the NHS’s green strategy, the global health implications of climate change, and the ambitious targets set for 2040 and 2045. Chris shares insights into the NHS’s leadership on sustainability, the economic and health drivers behind the movement, and the practical steps being taken - from decarbonising the supply chain to rolling out solar energy across NHS estates.
Listeners will gain a deeper understanding of the challenges and opportunities in embedding sustainability into clinical practice, the importance of international collaboration, and how clinicians and staff can get involved through green plans and toolkits.
Resources
- Greener NHS plan website - https://www.england.nhs.uk/greenernhs/
- Greener NHS – case studies https://www.england.nhs.uk/greenernhs/whats-already-happening/
- 12 things we can do as individuals to become greener
- RCP view on healthcare sustainability and climate change
- CSH Courses Courses | Centre for Sustainable Healthcare
- e-learning for Health – Environmentally Sustainable Healthcare Environmentally Sustainable Healthcare - elearning for healthcare (e-lfh.org.uk)
- SusQI.org (step by step guide) Step-by-step guide | Centre for Sustainab (susqi.org)
- Greener NHS Greener NHS (england.nhs.uk)
CSH Resource Library Resource library | Sustainable Healthcare Networks Hub - CSH Networks Networks | Sustainable Healthcare Networks Hub
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In this episode of the RCP Medicine podcast, Dr Helen Banks, Consultant in Rehabilitation Medicine and Training Programme Director for Rehabilitation Northwest/Mersey, talks to Dr Ganesh Bavikatte, Consultant …
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In this episode of the RCP Medicine podcast, Dr Helen Banks, Consultant in Rehabilitation Medicine and Training Programme Director for Rehabilitation Northwest/Mersey, talks to Dr Ganesh Bavikatte, Consultant and Clinical Lead for Rehabilitation Medicine at The Walton Centre in Liverpool. They discuss disability after stroke and the role of specialist rehabilitation to help patients optimise their activity and independence. Their discussion describes the rehabilitation pathway, from acute and through to the community, and highlights medical issues that may arise along the way.
Dr Ganesh Bavikatte has been a consultant and clinical lead at The Walton Centre NHS Trust and Cheshire and Merseyside Rehabilitation Network since 2012. The Walton Centre is a Neuroscience Specialist NHS Trust, and the Cheshire and Mersey rehabilitation network has a pathway from hyperacute to community care for patients following severe injury, illness, and injuries, including those with stroke.
Resources
- Spasticity in adults: management using botulinum toxin | National Guidelines
- Spasticity in adults: management using botulinum toxin | RCP
- Cheshire and Mersey rehabilitation network https://www.cmrehabnetwork.nhs.uk/
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In this episode of the RCP Medicine Podcast, Dr Neil Stone, consultant in infectious diseases and microbiology at University College London Hospitals and associate professor at UCL, joins host Dr Rohan Mehra to …
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In this episode of the RCP Medicine Podcast, Dr Neil Stone, consultant in infectious diseases and microbiology at University College London Hospitals and associate professor at UCL, joins host Dr Rohan Mehra to explore the often overlooked and increasingly important field of clinical mycology.
The conversation covers a wide spectrum of fungal infections—from diagnosing and managing invasive candidiasis to understanding the global emergence of Candida auris, and the clinical complexities of Cryptococcus and Aspergillus infections. Dr Stone also sheds light on dimorphic fungi, discussing their unique biology, geographical distribution, and the diagnostic challenges they present. Beyond individual pathogens, the episode emphasizes the broader environmental and global health implications of fungal disease, highlighting the need for a One Health approach.
Whether you're a clinician, student, or simply curious about the fungal kingdom, this episode is rich with clinical insights, diagnostic tips, and global perspectives on one of medicine’s most challenging and evolving frontiers.
Resources
WHO Antifungals Report 2025 Antifungal agents in clinical and preclinical development: overview and analysis
WHO Antifungal diagnostics report 2025 Landscape analysis of commercially available and pipeline in vitro diagnostics for fungal priority pathogens
WHO Priority Fungal Pathogens list https://www.who.int/publications/i/item/9789240060241
IDSA Aspergillosis Guidelines 2016 https://www.idsociety.org/practice-guideline/aspergillosis/
Global Guideline for Candiasis 2025 Lancet 2025 https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(24)00749-7/fulltext
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In this episode of RCP Medicine Podcast, Dr Dale Seviar a Consultant Haematologist at Guy's and St Thomas' NHS Foundation Trust is welcomed by Dr Rebecca Kuruvilla, a previous RCP clinical education …
Notas del episodio
In this episode of RCP Medicine Podcast, Dr Dale Seviar a Consultant Haematologist at Guy's and St Thomas' NHS Foundation Trust is welcomed by Dr Rebecca Kuruvilla, a previous RCP clinical education fellow and an ST7 Clinical Pharmacology and GIM registrar. Together, they discuss the management of sickle cell disease using a hypothetical case study, providing valuable insights and practical tips for medical professionals.
Sickle cell disease is one of the fastest growing genetic conditions that there is, and it's likely that many of you will be exposed to people living with sickle cell. This episode aims to provide a comprehensive understanding of the condition, acute complications and management strategies.
Funding
This episode was funded by Vertex Pharmaceuticals (Europe) Limited. Vertex had the opportunity to suggest the topic of this episode only, with no further involvement in its creation and elaboration, and all views and opinions expressed by the presenter and guests are solely their own.
Resources
Sickle Cell Disease - RCEMLearning
RCEM_BPG_Sickle-Cell-Disease_v3.2.pdf
Inherited anaemias: sickle cell and thalassaemia - ScienceDirect
Overview | Sickle cell disease: managing acute painful episodes in hospital | Guidance | NICE
Management of Acute Chest Syndrome in Sickle Cell Disease
Hemolytic transfusion reactions in sickle cell disease: underappreciated and potentially fatal - PMC
Sickle cell disease (SCD) and stem cell transplant | Anthony Nolan
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In this episode RCP Medicine Podcast, we are joined by Dr John Dean, Clinical Vice President at the Royal College of Physicians and a physician in East Lancashire, and Dr John Ford, an academic public health …
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In this episode RCP Medicine Podcast, we are joined by Dr John Dean, Clinical Vice President at the Royal College of Physicians and a physician in East Lancashire, and Dr John Ford, an academic public health doctor and Senior Clinical Lecturer at Queen Mary University. Together. They explore the multifaceted nature of health inequalities and discuss actionable steps physicians can take to address these disparities. Both share their personal experiences and professional insights into health inequalities and how it shaped their understanding of social and economic disadvantages. They discuss the structural factors within society that lead to health inequalities and emphasise the importance of creating a fairer, more inclusive society. The conversation focusses on the role of clinicians in addressing health care inequalities and the need for continuous improvement in healthcare design and delivery.
Resources
Bridging the gap: a guide to making health inequalities a strategic priority for NHS leaders
A snapshot of UK doctors: experiences of health inequalities
Supporting clinicians to address health inequalities in practice
RCP view on health inequalities: a call to action for a cross-government strategy
Funding
This episode was funded by Vertex Pharmaceuticals (Europe) Limited. Vertex had no involvement in the creation and elaboration of this episode and all views and opinions expressed by the presenter and guests are solely their own.
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In this episode of the RCP Medicine podcast, Professor Ailsa Hart and Dr Eathar Shakweh discuss how to approach managing Inflammatory Bowel Disease (IBD) in the acute medical setting. This is the second episode …
Notas del episodio
In this episode of the RCP Medicine podcast, Professor Ailsa Hart and Dr Eathar Shakweh discuss how to approach managing Inflammatory Bowel Disease (IBD) in the acute medical setting. This is the second episode of a 2-part series, with a focus on Crohn's disease.
IBD is a common condition, affecting 1 in 123 people in the UK. The 2024 State of the IBD Care in the UK report highlighted the urgent need to shorten time to diagnosis and initiate early treatment to minimise the risk of IBD-related complications. Acute and general medicine physicians have an important role to play in diagnosing and managing IBD. This podcast will equip medics at all stages of training with the necessary knowledge to approach this heterogenous and complex condition.
Professor Hart is Director of IBD Research at St Mark’s Hospital, London, United Kingdom and a world-leading expert in IBD. Eathar is an IBD Clinical Research Fellow at St Mark’s and Imperial, with a special interest in perianal fistulising Crohn’s disease.
Crohn's & Colitis UK (CCUK) Website
https://crohnsandcolitis.org.uk/
This is a valuable resource for patients and healthcare professionals alike, containing a wealth of information on IBD investigation and management.
British Society of Gastroenterology (BSG) guidelines on Inflammatory Bowel Disease (IBD) - 2019
Lamb, Christopher Andrew et al. “British Society of Gastroenterology consensus guidelines on the management of inflammatory bowel disease in adults.” Gut vol. 68,Suppl 3 (2019): s1-s106. doi:10.1136/gutjnl-2019-318484
https://pubmed.ncbi.nlm.nih.gov/31562236/
For interested listeners, these are the national guidelines for IBD diagnosis and management. Please note, the new guidelines for 2025 are pending release.
ECCO Guidelines on Therapeutics in Crohn's disease: Medical Treatment
Torres, Joana et al. “ECCO Guidelines on Therapeutics in Crohn's Disease: Medical Treatment.” Journal of Crohn's & colitis vol. 14,1 (2020): 4-22. doi:10.1093/ecco-jcc/jjz180
https://pubmed.ncbi.nlm.nih.gov/38877997/
ECCO Guidelines on Surgery in Crohn's disease: Surgical Treatment
Adamina, Michel et al. “ECCO Guidelines on Therapeutics in Crohn's Disease: Surgical Treatment.” Journal of Crohn's & colitis vol. 18,10 (2024): 1556-1582. doi:10.1093/ecco-jcc/jjae089
https://pubmed.ncbi.nlm.nih.gov/38878002/
These are the European Crohn's and Colitis Organisation (ECCO) guidelines on therapeutics in Crohn's disease, divided into medical and surgical treatment.
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In this episode of the RCP Medicine podcast, Professor Ailsa Hart and Dr Eathar Shakweh discuss how to approach managing Inflammatory Bowel Disease (IBD) in the acute medical setting. This is the first episode …
Notas del episodio
In this episode of the RCP Medicine podcast, Professor Ailsa Hart and Dr Eathar Shakweh discuss how to approach managing Inflammatory Bowel Disease (IBD) in the acute medical setting. This is the first episode of a 2-part series, with a focus on ulcerative colitis.
IBD is a common condition, affecting 1 in 123 people in the UK. The 2024 State of the IBD Care in the UK report highlighted the urgent need to shorten time to diagnosis and initiate early treatment to minimise the risk of IBD-related complications. Acute and general medicine physicians have an important role to play in diagnosing and managing IBD. This podcast will equip medics at all stages of training with the necessary knowledge to approach this heterogenous and complex condition.
Professor Hart is Director of IBD Research at St Mark’s Hospital, London, United Kingdom and a world-leading expert in IBD. Eathar is an IBD Clinical Research Fellow at St Mark’s and Imperial, with a special interest in perianal fistulising Crohn’s disease.
Crohn's & Colitis UK (CCUK) Website
https://crohnsandcolitis.org.uk/
This is a valuable resource for patients and healthcare professionals alike, containing a wealth of information on IBD investigation and management.
British Society of Gastroenterology (BSG) guidelines on Inflammatory Bowel Disease (IBD) - 2019
Lamb, Christopher Andrew et al. “British Society of Gastroenterology consensus guidelines on the management of inflammatory bowel disease in adults.” Gut vol. 68,Suppl 3 (2019): s1-s106. doi:10.1136/gutjnl-2019-318484
https://pubmed.ncbi.nlm.nih.gov/31562236/
For interested listeners, these are the national guidelines for IBD diagnosis and management. Please note, the new guidelines for 2025 are pending release.
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Any adverts within this podcast may use computer generated voicesEpisode 83: Diarrhoea
In this episode of RCP Medicine podcasts Dr Racheal Cheek and Dr Ben Chadwick discuss a common presentation to Acute Medicine. We use this as a springboard to discuss the differences that near patient testing …
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In this episode of RCP Medicine podcasts Dr Racheal Cheek and Dr Ben Chadwick discuss a common presentation to Acute Medicine. We use this as a springboard to discuss the differences that near patient testing can make in assisting rapid diagnosis and management on the Acute Medicine Unit, and how this can influence length of stay.
Dr Ben Chadwick is an Acute Medicine Consultant at Southampton General Hospital. He has a specialist interest in Medical Education and has previously been Training Programme Director for Acute Internal Medicine in Wessex and has chaired the Acute Internal Medicine Specialist Advisory Committee. He has recently been appointed to the Deputy Registrar role at the Royal College of Physicians.
Dr Racheal Cheek is an Acute Internal Medicine Registrar training in Wessex. She has been Chief Resident at University Hospitals Dorset, leading projects focused on improving patient safety. She is embracing new adventures whilst currently on maternity leave.
Resources
Clinical impact of syndromic molecular point-of-care testing for gastrointestinal pathogens in adults hospitalised with suspected gastroenteritis (GastroPOC): a pragmatic, open-label, randomised controlled trial. Brendish, Nathan J et al. The Lancet Infectious Diseases, Volume 23, Issue 8, 945 - 955Explore our CPD portfolio by your career stage
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In this episode of the RCP Medicine podcast, Rebecca Kuruvilla, a previous RCP clinical education fellow and an ST7 Clinical Pharmacology and GIM registrar talks with Professor Sir Ian Gilmore, an honorary …
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In this episode of the RCP Medicine podcast, Rebecca Kuruvilla, a previous RCP clinical education fellow and an ST7 Clinical Pharmacology and GIM registrar talks with Professor Sir Ian Gilmore, an honorary consultant physician with a specialist interest in liver disease. They discuss the rising issue of alcohol-related harm in the UK, the impact of Covid-19 on alcohol misuse, and the role of regulation in reducing health harms. Professor Gilmore also shares insights on the changing drinking culture, the influence of the alcohol industry, and the importance of evidence-based policies to address this significant public health challenge.
Professor Sir Ian Gilmore is an honorary consultant physician at the Royal Liverpool University Hospital and holds an honorary chair at the University of Liverpool. With a specialist interest in liver disease, he has served as the president of the Royal College of Physicians and is the founding chair of the Alcohol Health Alliance UK, a coalition of over 50 organizations working together to reduce the harm caused by alcohol. Professor Gilmore has been a vocal advocate for evidence-based policies to tackle alcohol misuse and has contributed significantly to public health research and policy.
Resources
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In this episode of RCP Medicine podcasts Dr Racheal Cheek and Dr Ben Chadwick discuss an interesting case involving a deteriorating patient and the challenges around appropriate escalation of care in the acute …
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In this episode of RCP Medicine podcasts Dr Racheal Cheek and Dr Ben Chadwick discuss an interesting case involving a deteriorating patient and the challenges around appropriate escalation of care in the acute setting. We discuss the difficulties that can occur when dealing with a deteriorating patient, and think about different strategies to ensure that the right care can be given in the right environment.
Dr Ben Chadwick is an Acute Medicine Consultant at Southampton General Hospital. He has a specialist interest in Medical Education and has previously been Training Programme Director for Acute Internal Medicine in Wessex and has chaired the Acute Internal Medicine Specialist Advisory Committee. He has recently been appointed to the Deputy Registrar role at the Royal College of Physicians.
Dr Racheal Cheek is an Acute Internal Medicine Registrar training in Wessex. She has been Chief Resident at University Hospitals Dorset, leading projects focused on improving patient safety. She is embracing new adventures whilst currently on maternity leave.
Resources
IDSA/ATS 2007 - NICE suggest for decisions regarding ICU admission that this clinical decision aid should be considered superior to PSI/CURB-65 for pneumonia
https://academic.oup.com/cid/article/44/Supplement_2/S27/372079Explore our CPD portfolio by your career stage
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Aquí están los 40 episodios más recientes de 109. Los anteriores están en el feed del podcast.
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