In this episode we were totally honoured to be joined by Joe Brooks (Podiatrist, Director of APodA Australia and Beyond Blue speaker) from his home in Tasmania and listen to his personal account of how he has suffered with anxiety and depression. He discussed some of the signs that may suggest getting help would be sensible, how important it is to have that difficult first conversation, and some of his own experiences and coping mechanisms than continue to this day. An inspirational man.
In this episode we were joined by Physiotherapist and elite runner Anna Boniface to talk about RED-S. She discusses what it is, and the myriad of health implications on multiple body systems along with the performance implications which contributed to the renaming/evolution of this condition from its previous moniker; the female athlete triad (not to mention that males are not immune either!) Anna also covered the key, and often sensitive, questions to ask (about weight, periods and libido) and gave some tips for how to ask them. She also shared with us her own personal story of being diagnosed with it around the time she earnt her vest to represent England in the marathon. Finally, she highlighted how to manage this complex condition within the MDT.
In this episode we welcomed Dr Franco Impellizzeri, Professor in Sport and Exercise Science at Medicine at University of Technology Sydney (UTS). He is an incredibly accomplished researcher with hundreds of publications in the field of sports science and injury mechanisms. He has been one of the most outspoken critics of the acute:chronic workload ratio (ACWR) and the concept of ‘training load error’ and he spoke passionately about what the flaws with it are, why he feels it should be discontinued, and what a better way to monitor load may be
The second part of our chilblains double-header focused on these skin manifestations alongside the current global pandemic, specifically the chilblains (ie COVID toes), and what the changing and emerging evidence is telling us (currently). We were joined by Nadia Dembskey, who obtained her Bachelors and Masters degrees from the University of Johannesburg, sits on the Podiatry Association of South Africa National Executive Committee and has just submitted her PhD proposal to investigate this exact phenomena of ‘COVID toes’.
Paul Ingraham is a Vancouver science journalist and creator of PainScience.com, a website about the science of pain, injury, treatment, and rehab with about a million monthly readers. In this episode he discussed the reasons people ritualistically stretch (beliefs about flexibility, injury reduction, improving performance etc) and the whether the scientific literature backs them up. He also made reference to certain structures which are biomechanically awkward/impossible to stretch, some of the sensory adaptations/neurology that may be involved, and whether stretching is indeed as beneficial as it society believes it to be.
In this episode we were joined by Sports Podiatrist (and 2:14 marathoner) Thomas Do Canto to talk through his approach to taking a thorough history from an injured runner. Given the current global climate it is reasonable to assume there may be an increase in running injury rates: The Running “Coverload” Injury Phenomena – Griffiths (2020). Combine this with more remote/online consultations (where we may have to prioritise the subjective over the objective) and it should become clear why taking a good history from a runner is so important. Thomas talked us through his 4 page form which he sends to all runners for them to fill out before the consultation; and the rationale behind many of the questions on there and how they may really help him formulate a provisional diagnosis and management plan before he has even met the patient.
Foot in Diabetes UK (FDUK) have recently developed a COVID-19 Amputation Prevention Pathway with the goal of getting all Podiatrists and lower limb clinicians comfortable and confident calling out the two biggest risks for immediate amputation – severe infection and ischaemia – to help triage skills and knowing when to generate urgent referral requests. We were joined by Mike Edmonds (Consultant Physician and FDUK Honorary President), Martin Fox (Vascular Specialist Podiatrist), Paul Chadwick (Clinical Director of College of Podiatry), Naseer Ahmad (Consultant Vascular Surgeon) and Emma McConnarchie as a Private practitioner representative.
In this episode we were joined in this episode by Kate Atkin (Fellow of Professional Speaking Association, Masters degree in Applied Positive Psychology, PhD candidate studying Imposter Syndrome and World Debating Champion – thoughts and prayers for Kate’s husband!!) She is also the Author of the book “The Presentation Workout”. She took us through the journey of a good presentation, from preparing both the presentation (with tips for how slides should look) and yourself (mentally), delivering the talk with a strong and powerful opening and conclusion, why you should NEVER apologise during a talk, and how to handle difficult questions. Hope you enjoy.
In this episode we welcomed Steve Jamieson (CEO of the College of Podiatry, UK) and Nello Marino (CEO of the Australian Podiatry Association) to discuss the strange and unprecedented situation we have all found ourself in in recent times due to the current global pandemic. We discussed what their daily lives currently look like, how they are trying to support their members, their understanding of what their members greatest concerns are and also the support they are giving all members through this time. It is clear that individuals are responding differently due to variance in their working situations and also their own mindset and approach to such a situation; so when you combine this with an evolving understanding of what we are actually dealing with on a global scale it is unsurprising that there are no black and white answers.
In this episode we talked to Dr Sharon Rees who is an Associate Professor in Therapeutics & Prescribing at London South Bank University, and began her career as a Podiatrist. She clarifies the difference between administering, supplying and prescribing drugs, talks through the list of drugs accessible via the POM certificate most graduate Podiatrists hold and what a commitment but worthwhile consideration doing an independent prescribing course would be. She also explained why certain drugs must be taken before or with food, busted the myth about drinking alcohol and taking antibiotics and reminded us of some of the common (arthralgia, myalgia) and less common (tendon pathology) side effects of certain drug groups.
About Sharon Rees:
Dr Sharon Rees PhD who is an Associate Professor in Therapeutics & Prescribing at London South Bank University, and began her career as a Podiatrist. She has been involved with teaching therapeutics and prescribing for over 10 years, working at several Universities, including Queen’s University Belfast and the University of Nottingham in the UK. As an experienced medical educator, Dr Sharon Rees is involved in the delivery and development of university teaching, research, continuing professional development, as well as National and International conference speaking.
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