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Adverse childhood experiences do not stay in childhood. They can echo through physical health, mental wellbeing, health behaviours and the way people engage with care.

This episode explores the landmark ACE research, what it can teach us about complex and recurrent presentations, and how a trauma-informed approach can make consultations feel safer, more respectful and more effective.

Press play for a compassionate, practical conversation that may change how you see the patient who keeps coming back but never quite seems to get better.

Useful Links

Public Health Wales: adverse childhood experiences (Vimeo)
Explores ACEs and their impact across the life course from the point of view of one family. This is compelling viewing and would be a great addition to safeguarding training for your practice team

TED Talks: How childhood trauma affects health across a lifetime

GP Trainee Essentials support package information, and the Red Whale Calendar

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Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

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Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

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Haven’t got time for CPD? Think again! In this super short special listener question episode, Nik and Fi respond to one of our listeners, Emma from Sheffield. She asks a deceptively tricky question: what actually counts as “normal” weight gain in pregnancy? With NICE not giving a neat definition of excessive gestational weight gain, they dig a bit deeper for answers…

Press play for a clear, mini-episode which gives the answer to a question many of us have probably wondered about — and a useful reminder that conversations about weight in pregnancy need both clinical confidence and careful language.

Useful Links

The Association of UK Dieticians: Pregnancy and diet

Send us your feedback podcast@redwhale.co.uk or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

Follow us: Facebook, Instagram, LinkedIn

Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

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“Can you just have a look at this mole?” and “I can’t take penicillin” are familiar phrases in primary care, but both can lead to difficult decisions.

In this episode, we explore how to recognise suspicious, unusual and easily missed melanomas, including which risk factors and examination clues matter most, before tackling the difference between a true penicillin allergy and a troublesome side-effect.

With practical pointers on referral, safety-netting and clearer allergy documentation, this is an episode to help you approach two common clinical uncertainties with greater confidence.

Useful Links

Websites describing appearances of lesions in different skin types:

• BAD Skin Health Info - skin of colour
• Dermnet NZ - skin conditions in skin of colour
• Nottingham Centre of Evidence Based Dermatology - skin of colour

GP Trainee Essentials support package information, and the Red Whale Calendar

Send us your feedback podcast@redwhale.co.uk or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

Follow us: Facebook, Instagram, LinkedIn

Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.