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Inside Health

BBC Radio 4www.bbc.co.uk

Series that demystifies health issues, separating fact from fiction and bringing clarity to conflicting health advice.

Episodes

High-intensity exercise, Measles, Teeth whitening, Voice-lift

As High Intensity Exercise regimes hit the news headlines, Inside Health sceptic Dr Margaret McCartney reviews the evidence for short sharp workouts. With new legislation restricting the use of teeth whitening products, Dr MArk Porter examines the science behind a brighter smile. And misconceptions around so called 'Voice Lifts'. They are not designed to cosmetically rejuvenate the ageing voice, but to help people with real conditions that cause paralysis of the vocal chords. Plus an update on t...

Apr 16, 201328 min

Red Meat & Heart Disease, Measles, Hypopituitarism

What's the story behind the headlines about the links between red meat and heart disease? Researchers have reported that the way meat eaters' gut bacteria process a substance in red meat, carnitine, could be the trigger for heart disease. As the numbers of measles cases in Swansea rise, where else might be at risk of an outbreak and as the age of vaccination in Swansea has been lowered to 6 months, why do we vaccinate babies and young children when we do? Around a million people in the UK every ...

Apr 09, 201328 min

Obesity and Cancer, Fasting Diets and NHS 111

Dr Mark Porter reports on NHS 111 - the new 24 hour urgent care number designed for the public to access urgent medical care. It was meant to go live across the whole of England this week but has been plagued by problems. And Inside Health's resident sceptic Margaret McCartney turns her beady eye to the latest fashion in the diet industry - fasting and so called 2 day diets. Popular - but what about the evidence? And obesity and cancer - there's growing understanding that being overweight is an ...

Apr 02, 201328 min

NHS Reforms

As part of NHS reforms doctors will be holding the purse strings from April 1st. In a special edition of the programme Dr Mark Porter finds out what the changes actually mean in practice. He meets GPs who have already been piloting some of the ways in which health services are commissioned to find out what they will mean for services on the ground. He also hears from GPs and hospital doctors about their concerns. One doctor says implementing GP commissioning is like flying a plane while it's bei...

Mar 26, 201328 min

Alcohol pricing, Phages, Cervical smears, Swaddling and hips, Smart beds

The evidence behind minimum pricing of alcoholic drinks in England and Wales - putting the political debate aside, does it actually work? Could harnessing the power of phages - naturally occurring viruses that prey on bacteria - help fight the threat posed by growing resistance to antibiotics? Plus a follow up on last week's item about Cervical smears - if women in their late 60s are among those most likely to develop cancer of the cervix, why aren't they included in the national screening progr...

Mar 19, 201328 min

Antibiotics, cervical smears, premature labour, hip replacements

Following the chief medical officer, Professor Dame Sally Davies apocalyptic report comparing the threat of antibiotic resistance to terrorism, Dr Mark Porter looks at the overuse of antibiotics. He asks is it even useful to ask if an infection is viral or bacterial - are antibiotics the right thing even in a bad, bacterial infection? 60,000 pregnant women will go into premature labour every year in the UK. Mark visits a pioneering clinic at St Thomas's hospital in London to prevent premature la...

Mar 12, 201328 min

NHS reforms, epilepsy and pregnancy, thermometers

Dr Mark Porter questions Lord Howe, Minister for Health, as the government announces a U-turn to the NHS reforms following widespread concern that they would lead to privatisation by the back door, and the end of the NHS as we know it. Why women with epilepsy need to take extra care with their contraception, and the importance of managing their medication when they do get pregnant. And what sort of thermometer should you use when monitoring your child's temperature?

Mar 05, 201328 min

Clinical trials, Yellow cards, Chemo brain, Conduct Disorder

Dr Mark Porter puts the Pharmaceutical Industry in the spotlight as some clinical trials are criticised for testing new drugs against a weaker rival so that the results appear much better than they really are. Kamran Abbasi takes on Dr Bina Rawal from the Association of British Pharmaceutical Industry to discuss if the hurdles are being set too low, so that a new therapy comes out on top. And what if sustained periods of adversity in childhood are associated with permanent structural changes in ...

Feb 26, 201328 min

Drinking urine, diclofenac, pigeon fancier's lung, hospital food

Is it safe to drink urine, or even sea water in a survival situation? Mark Porter examines calls to withdraw one of the most widely used anti inflammatory drugs, diclofenac, because it increases the risk of heart attacks. And what kinds of health problems can result from living with a parrot, cockatiel or a loft full of pigeons? As guidelines to improve hospital meals are introduced, how will the idea of food as medicine improve patients' experience?

Feb 19, 201328 min

Shingles vaccine, Pill colour, First Aid, Contraception, Parkinson's

Dr Mark Porter investigates a new shingles vaccine for the over 70s. Is a chicken pox vaccine for children an alternative? And contraception for the over 35s: can you take the pill until the menopause? Mark Porter finds out why we're so poor at First Aid. And if you're switching to cheaper drugs, does the size and colour influence how you take your medicine. Could changing to a cheaper brand have a hidden cost? And early clues to Parkinson's disease.

Feb 12, 201328 min

Yellow cards, virtual autopsies, genetics and cancer

Why the reporting of drug side effects has dropped by a third in a decade - it's the responsibility of GP's and the general public to notifiy through the yellow card system - but it's on the wane - does that mean drug safety is slipping through the net? Mark Porter finds out how the medical technology that identified why King Richard 111 died could be used to help the rest of us. And answers a listener's question about so called 'chemo brain'. Does chemotherapy really effect memory and the abili...

Feb 05, 201328 min

Alcohol, cancer treatments, hair, halitosis

Following the latest figures on deaths from alcohol, Dr Mark Porter talks to liver transplant expert Dr Varuna Aluvihare from King's College London, the largest liver transplant centre in Europe. Targeted cancer therapies - thousands of people with cancer are to have their genes mapped as part of a new drive towards treatment tailored to the individual. But what's in it for the patient? Mark discusses with Prof Peter Johnson, chief clinician for Cancer Research UK. Mark talks to Dr Paul Farrant ...

Jan 29, 201328 min

Asthma, Sunbeds, BMI, Dry mouth

New research suggesting that the ban on smoking in public places has led to a sharp fall in the number of children admitted to hospital with asthma. Sunbeds and cancer Dr Mark Porter examines claims by some tanning salons that their machines do not increase the risk of developing skin cancer despite UV tanning devices being classified as carcinogenic to humans. Plus we visit a leading expert to answer a listener's query about why she is waking up with a very dry mouth. And why your body mass ind...

Jan 22, 201328 min

Dementia, Sleep, Thyroxine

Dr Mark Porter explores Dementia Challenge - the Department of Health's much publicised campaign to improve dementia care, including a new scheme to test everyone over 75 who's admitted to hospital for signs of the condition. Will this lead to overdiagnosis or will it get people treated early? And prescribing sleeping tablets for those unable to rest on a noisy hospital ward may seem like a quick fix but there is strong evidence that they are linked to side effects including an increase in falls...

Jan 08, 201328 min

Self-Harm, Insulin Pumps, Night Terrors, Penile Cancer

Dr Mark Porter discovers that three quarters of people with diabetes who are likely to benefit from an insulin pump are not on one. He talks about the cancer that no one talks about - cancer of the penis. And he learns why you shouldn't wake your child during a night terror. GP and regular contributor Margaret McCartney investigates the growing incidence of self harming amongst the young as a new report on it is published.

Oct 23, 201228 min

Edge of space, Laparotomy, Tremor, Pyjamas

Felix Baumgartner's record-breaking freefall from the edge of space was witnessed online by 8 million people around the world this week. The jump was well-planned and included equipment to enable him to breathe at high altitude and low pressure. Dr Kevin Fong is the Wellcome Trust Public Engagement Fellow, and Associate Director of the Centre for Altitude, Space and Extreme Environment Medicine at University College London. He says that a pressurised suit would prevent his blood from "boiling" a...

Oct 16, 201228 min

Stem cells, Functional disorders, Epilepsy, Stoptober, Whiplash

As the Nobel Prize for Medicine announced this week recognises stem cell research, Dr Mark Porter asks if it's already making a difference to patients. And imagine waking up with numbness in your face, by the end of the day with paralysis in your leg, all tests are normal and there's no apparent cause - Margaret McCartney reports from Edinburgh on a burgeoning field of medicine - functional disorders. Plus an Inside Health listener who has been taking epilepsy treatment for 35 years asks when is...

Oct 09, 201228 min

What Doctors Don't Tell You, hepatitis E, vertigo

The latest addition to the burgeoning ranks of health magazines on the newsagent's shelves is called What Doctors Don't Tell You. The headlines on the front of this month's edition promise to help you sunbathe your diabetes away, end your child's wheezing without drugs, reverse bone loss for good, and avoid hysterectomy by changing your diet. Lynne McTaggart who edits the magazine with her husband responds to the views of Inside Health's resident GP, Dr Margaret McCartney. The commonest cause of...

Oct 02, 201228 min

'SARS-like' virus, reflux heartburn, corrective baby helmets

In Inside Health this week Dr Mark Porter asks whether headlines identifying a 'SARS Like' virus may cause unnecessary alarm. While this new virus and SARS are both members of the same family, virologist John Oxford explains that they are more like cousins that behave differently. And should you be worried about the shape of your baby's head? Lots of parents are. Margaret McCartney questions the growing trend for corrective helmets to treat so called 'flat head syndrome'. Plus Mark Porter visits...

Sep 25, 201228 min

Ovarian cancer screening, BP tables, Cough, Vegetarianism, Gallstones

Ovarian cancer is known as the silent killer - because its symptoms can often be vague - bloating, abdominal discomfort and feeling full after eating. An American medical body says that screening all women for this cancer does not save lives - and may cause more harm than good. The US Preventive Services Task Force were responding to the latest results from the PLCO study - which included 80,000 women over 55. There was no difference in outcome between the women who were offered screening and th...

Sep 18, 201228 min

Viruses and asthma, osteoarthritis, cartilage repair

Dr Mark Porter dispels myths about osteoarthritis. It is usually put down to ageing and the result of wear and tear with people told that the condition inevitably leads to surgery. Mark Porter investigates the latest research on the condition and discovers that a third of patients will get better through the natural repair process.

Sep 11, 201228 min

New HIV test, Vitamin D and TB, Vitamin B12, mouth ulcers

HIV testing The first over-the-counter DIY testing kit for HIV is expected to go on sale in America in the next month. It's said to allow people to screen potential sexual partners for HIV before deciding to have sex them - all in the comfort of their own home. But sexual health consultant from London's Chelsea and Westminster hospital Ann Sullivan believes that the idea is flawed as someone could be recently infected and still show a negative result. Her hospital offers an HIV test to all patie...

Sep 04, 201228 min

BP reax, fibroids, access to notes, botox

As many as 2 million people in the UK may have been misdiagnosed with high blood pressure - getting treatment they don't need. But how many of them have so-called "white coat hypertension" - where their blood pressure shoots up at the very sight of their doctor or nurse? For patients with high readings in the surgery doctors can offer "ambulatory" machines for them to take home, which monitor blood pressure round-the-clock. Bryan Williams who's professor of medicine at University College, London...

Aug 28, 201228 min

Over-diagnosis: High Blood Pressure

Dr Mark Porter asks whether doctors can try too hard in the early detection of disease and investigates the overdiagnosis of hypertension. This week he discovers that as many as 3 million people who have been told they have high blood pressure may not actually have it - could you be one of them?

Aug 21, 201228 min

Over-diagnosis: Chronic Kidney Disease

Dr Mark Porter finds out that some medical conditions are over-diagnosed and therefore over-treated, because of the results of certain tests.

Aug 14, 201228 min

Steroids, the killing season, telehealth, Dupuytren's

Apart from a few cases that hit the headlines, the use of anabolic steroids is rare among the athletes in the Olympic village. But in the wider society abuse has exploded, according to an expert from Liverpool John Moores University. Jim McVeigh - who's Deputy Director at the Centre for Public Health - says that anabolic steroid abusers are the largest group using needle exchanges. Anabolic steroids are naturally occurring hormones, like testosterone, which influence growth, physical development...

Aug 07, 201228 min