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CASE NOTES
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PROGRAMME INFO |
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Dr听Mark Porter听gives listeners the low-down on what the medical profession does and doesn't know. Each week an expert in the studio tackles听a particular topic and there are reports from around the UK on the health of the nation - and the NHS.
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LISTEN AGAIN 听30 min |
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PRESENTER |
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"I spend half my week practising medicine and the other half writing and talking about it as a GP in Gloucestershire. Working on Case Notes has been a boon for both me and my patients. One of the principal aims of the programme is to keep our listeners up-to-date with the latest developments in healthcare, and to accomplish that I get to interview a wide range of specialists at the cutting edge of medicine. A rare privilege that ensures our listeners aren't the only ones to learn something new."
Mark Porter
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PROGRAMME DETAILS |
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 Full programme transcript >>
Tired all the Time
Being 'tired all the time' is now such a common reason for a GP visit that TATT has become a universal acronym.
In this week's episode of Case Notes Dr Mark Porter investigates the medical causes of TATT.听
His guest in the studio is London GP Dr Ann Robinson who discusses the latest research and treatments for chronic tiredness.
Why are we so tired?
Most cases of TATT have a psychological reason such as stress, depression, or acute anxiety due to problems like divorce.
However if none of these become apparent at a consultation, a GP will order blood tests for anaemia, thyroid problems and diabetes.
Mark visits consultant haemotologist Dr Brian Colvin at听his lab at the Royal London Hospital to find out what exactly is going on in the blood of patients with these conditions.
Chronic Fatigue Syndrome
Sufferers of Chronic Fatigue Syndrome - also known as M.E. (myalgic encephalomyelitis) - feel profound, overwhelming exhaustion which is made worse by activity, and is not relieved by resting.
While it's not known exactly what causes the condition, some researchers think that it could be triggered by an infection, even a minor one. Stress can also be a factor.
Professor Leslie Findley,听consultant neurologist at Oldchurch Hospital in Hornchurch, tells Mark what doctors can do to help CFS sufferers
Coeliac Disease
Coeliac disease, where sufferers are intolerant to gluten, is a common cause of TATT which is not routinely screened for.
Although the more recognisable signs of coeliac disease are chronic diarrhoea, anaemia and severe weight loss, fatigue is also a symptom.
There are 250,000 diagnosed cases in Britain but research suggests up to 90% of sufferers don't know that they have it.
Claudia Hammond investigates why coeliac disease is so often overlooked, and speaks to sufferers about life on a gluten-free diet. |
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RELATED LINKS
大象传媒 Health: M.E.
大象传媒 Health: Chronic fatigue syndrome
大象传媒 Radio 4: Check Up - Coeliac Disease
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