We step into the Christmas period with an exclusive present for our listeners: a new episode format! Always grateful for your feedback on this, we need to know if this type of episode is helpful so please do let us know at [email protected]! Was it helpful? Could we make it better - if so how? PLEASE do let us know! ^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * * Hosted on Acast. See acast.com/privacy for more information.

Sam goes back to where it all began and is joined by Dr Jennie Gough to reflect on their years of experience on being the medical reg on call, how to pick a medical specialty, making the most of your study leave and how things sometimes ARE as simple as they seem!^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * * Hosted on Acast. See acast.com/privacy for more information.

Sam welcomes along Professor Nicola Cooper, co-author of the ABC of Clinical Reasoning to discuss this fascinating topic. We shed light on cognitive biases, common diagnostic pitfalls within clinical practice and the value of effective teaching. Visit Clinical Reasoning in Medical Education Group website here >> CREME^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * * Hosted on Acast. See acast.com/privacy for more information.

This week Sam welcomes along Dr Yezen Sammaraiee to help us tackle cerebellar syndrome in PACES. Yezen is CEO & Founder of popular revision resource Quesmed. Along with that he is also a neurology registrar, currently on sabbatical to focus on growing the Quesmed brand! We discuss everything cerebellar including differential diagnosis, investigations, management and what the difference is between sensory and cerebellar ataxia! ^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * * Hosted on Acast. See acast.com/privacy for more information.

Sam is joined once again by Dr Josh Davies and Dr Luke Austen who discuss decision fatigue: what it is, what it means for us and our patients, and what we can do to combat it and make our on-calls generally a lot less stressful!^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * * Hosted on Acast. See acast.com/privacy for more information.

This episode Sam welcomes along Dr Rob Miller, Gastroenterology SpR, to discuss jaundice! We talk through everything pertinent to a PACES station; history, examination, differential diagnosis, investigations and management!^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * * Hosted on Acast. See acast.com/privacy for more information.

Sam welcomes along Dr Gavin Brittain, star of the Pastest revision videos, to discuss MS and how it might be presented in a PACES station, including the important elements of the Link to the rapid neurology exam Gavin mentions.^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * * Hosted on Acast. See acast.com/privacy for more information.

This week Sam has Gastro SpR Dr Simone Lin on the podcast to tackle Dysphagia as it might be presented in a Clinical Consultation station! We go through the broad range of differential diagnoses and Sim gives her approach to appropriately investigating these patients! ^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * * Hosted on Acast. See acast.com/privacy for more information.

Dr Retesh Bajaj and Dr Bunny Saberwal, both interventional cardiologists, join Sam in discussing patients presenting with chest pain. This episode is jam-packed with learning points, not just for PACES but your clinical practice too!^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * *SCRBS.co.uk - Use the offer code PACES10 for 10% off! Hosted on Acast. See acast.com/privacy for more information.

Sam welcomes back Neurology SpR Dr Kim Monks as a follow up to her INO episode to discuss other eye movement palsies as they might be presented in PACES! We go into detail of cranial nerve 3, 4 and 6 palsies! Towards the end of the show, Kim tackles a Harry Potter related Reg Against The Machine! ^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * *SCRBS.co.uk - Use the offer code PACES10 for 10% off! Hosted on Acast. See acast.com/privacy for more information.

Sam sits down for a solo episode this week where he discusses absent ankle jerks and upgoing plantar reflexes before going into more detail on one of the differential diagnosis for this presentation: Friedreich's ataxia. ^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * *SCRBS.co.uk - Use the offer code PACES10 for 10% off! Hosted on Acast. See acast.com/privacy for more information.

Welcome to the second part of Sam's conversation with Dr Luke Austen and Dr Josh Davies on supporting juniors. Herein Sam, Luke and Josh discuss giving and receiving feedback, hot debriefs and underperforming trainees. ^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * *SCRBS.co.uk - Use the offer code PACES10 for 10% off! Hosted on Acast. See acast.com/privacy for more information.

Sam sits down with anaesthetics CT3 and author Luke Austen, and IMT3 Joshua Davies to discuss how we can support our postgraduate or resident doctor colleagues when working as the medical registrar on call! ^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * *SCRBS.co.uk - Use the offer code PACES10 for 10% off! Hosted on Acast. See acast.com/privacy for more information.

Rheumatology SpR (soon to be consultant!) Dr Ben Mulhearn joins Sam on the podcast to discuss the acutely hot swollen joint and how to approach this in PACES but also in your everday clinical practice!^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * *SCRBS.co.uk - Use the offer code PACES10 for 10% off! Hosted on Acast. See acast.com/privacy for more information.

Sam is joined by Respiratory physician, Dr James Walters on the show this week to discuss your approach to this critical PACES station.^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * *SCRBS.co.uk - Use the offer code PACES10 for 10% off! Hosted on Acast. See acast.com/privacy for more information.

A fantastic new guest, Dr Kim Monks, joins Sam on the podcast to discuss INO in PACES including a full run down of the anatomy, physiology and examination findings. Kim also tackles Reg Against the Machine on a quiz topic that will get your eyes popping!^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * *SCRBS.co.uk - Use the offer code PACES10 for 10% off! Hosted on Acast. See acast.com/privacy for more information.

Sam goes solo this episode in discussing medical error as it might be presented in a communications station in PACES.^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * *SCRBS.co.uk - Use the offer code PACES10 for 10% off! Hosted on Acast. See acast.com/privacy for more information.

Dr Stewart Brown, Cardiology SpR and devices fellow joins Sam to discuss cardiac devices, how they appear on chest x-rays and how to structure your approach to managing these patients when they present on the medical take!^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * *SCRBS.co.uk - Use the offer code PACES10 for 10% off! Hosted on Acast. See acast.com/privacy for more information.

Dr Dan Furmedge joins Sam again to discuss the most common PACES pitfalls he has observed in his years examining PACES! We talk through each marking domain and how to avoid the most common pitfalls that candidates fall into.^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * *SCRBS.co.uk - Use the offer code PACES10 for 10% off! Hosted on Acast. See acast.com/privacy for more information.

Sam welcomes back returning guest Dr Suzy Morton, Consultant Haematologist to discuss this ever-popular PACES topic!^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * *SCRBS.co.uk - Use the offer code PACES10 for 10% off! Hosted on Acast. See acast.com/privacy for more information.

Sam is joined by Dr Matt Wells, Rheumatology registrar, on the show this week to discuss Giant Cell Arteritis. This is a brilliant topic which we know comes up in PACES and Matt takes us through all the critical points to include in your station!^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * *SCRBS.co.uk - Use the offer code PACES10 for 10% off! Hosted on Acast. See acast.com/privacy for more information.

Sam catches up with Megan, Varvara and Maria who all attended PACES Ahead in January 2024 and get their first hand opinion of how they found the course!^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * *SCRBS.co.uk - Use the offer code PACES10 for 10% off! Hosted on Acast. See acast.com/privacy for more information.

Sam was joined for this episode by Dr Dan Furmedge, consultant in Geriatric medicine, regional IMT TPD and active PACES examiner. Dan runs Sam through the PACES approach to a patient presenting with cognitive impairment and what we can realistically expect from this sort of station in a PACES context.^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * *SCRBS.co.uk - Use the offer code PACES10 for 10% off! Hosted on Acast. See acast.com/privacy for more information.

This episode is a REPOST from the fantastic Home of Medicine podcast, hosted by Dr Amie Burbridge. Amie has featured TWICE before on the podcast and so it only felt right that Sam returned the favour by featuring on Home of Medicine. Listen to Sam describe tackling an interesting case during a night shift on-call as the Medical SpR. Would you have done anything differently? Get in touch via the website or our twitter!^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * *SCRBS.co.uk - Use the offer code PACES10 for 10% off! Hosted on Acast. See acast.com/privacy for more information.

Welcome to the second part of Sam's highlight of 2023! More of the best bits from the year gone by. We will be back to usual programming in the next couple of weeks! Enjoy the episode!^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * * Hosted on Acast. See acast.com/privacy for more information.

Filling the stocking of your podcast feed this Christmas Eve is the Pre PACES Podcast Christmas Special! Have a listen to this year's bloopers in this bite-sized episode whilst driving home for Christmas!^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * * Hosted on Acast. See acast.com/privacy for more information.

As 2023 winds it way to its merry end, we take the opportunity to look back at some of Sam's highlights from 2023! All of these are Sam's person highlights that provide YOU the listeners with the best bang for your buck. Hear all the best bits from the year gone by in this episode!^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * * Hosted on Acast. See acast.com/privacy for more information.

As we wind down towards Christmas, the tables are turned this episode as Dr Jennie Gough interviews Sam and the process behind producing the Pre PACES Podcast is brought to you the listeners! Who is your podcast host and what goes into producing the podcast - find out in this episode!^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * * Hosted on Acast. See acast.com/privacy for more information.

Sam was DELIGHTED to be joined by Dr Amie Burbridge and Dr Ben Lovell, both consultants in Acute Medicine to discuss Same Day Emergency Care. How can medical trainees gain meaningful experience in SDEC and learn important skills to develop themselves in their quest to consultancy!Home of Medicine podcastAmie's twitter: @amieburbridgeBen's twitter: @drbenlovell^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * * Hosted on Acast. See acast.com/privacy for more information.

Dermatology registrar, Dr Naomi Jones, joins Sam to discuss everything dermatological related to PACES. Naomi is also our next guinea-pig on Reg Against the Machine!DermnetNZ and BAD patient leaflets^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * *Music:Chase & Superepic by Alexander Nakarada | https://www.serpentsoundstudios.com Music promoted by https://www.free-stock-music.com Attribution 4.0 International (CC BY 4.0) https://creativecommons.org/licenses/by/4.0/ Cinematic Epic Motivational Music | FILM by Alex-Productions | https://www.youtube.com/channel/UCx0_M61F81Nfb-BRXE-SeVAMusic promoted by https://www.free-stock-music.comCreative Commons Attribution 3.0 Unported Licensehttps://creativecommons.org/licenses/by/3.0/deed.en_US Hosted on Acast. See acast.com/privacy for more information.

Sam's going solo this week discussing his process for consenting patients for invasive procedures with three examples of lumbar puncture, chest drain and ascitic drain.^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * *Lumber puncture sources:https://www.hey.nhs.uk/patient-leaflet/lumbar-puncture/https://www.wsh.nhs.uk/CMS-Documents/Patient-leaflets/Neurology/5561-1Lumberpunctureandconsent.pdfhttps://www.nhs.uk/conditions/lumbar-puncture/https://www.esht.nhs.uk/wp-content/uploads/2022/02/0957.pdfChest drain sources:https://www.health.qld.gov.au/__data/assets/pdf_file/0016/150028/thoracics_04.pdfhttps://policyonline.nhslothian.scot/wp-content/uploads/2023/03/Chest%20Drain%20Insertion%20Consent%20Form.pdfhttps://www.jpaget.nhs.uk/media/279437/CT-5-Insertion-of-a-Chest-Drain-llt-v1-print.pdfhttps://www.guysandstthomas.nhs.uk/health-information/chest-drainAscitic drain sources:https://patientinfo.nhshighland.scot.nhs.uk/Liver/Abdominal%20Paracentesis%20%28drainage%20of%20ascites%29.pdfhttps://hgs.uhb.nhs.uk/wp-content/uploads/Tapping-Ascites-guidelines-03.05.19.pdfhttps://www.cddft.nhs.uk/media/659993/ascitic%20tap-drain.pdf Hosted on Acast. See acast.com/privacy for more information.

Dr Sarah Verhemel, structural heart disease fellow at Erasmus Medical Centre in Rotterdam, joins Sam to discuss aortic regurgitation in PACES.^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * *Music:Chase & Superepic by Alexander Nakarada | https://www.serpentsoundstudios.com Music promoted by https://www.free-stock-music.com Attribution 4.0 International (CC BY 4.0) https://creativecommons.org/licenses/by/4.0/ Hosted on Acast. See acast.com/privacy for more information.

This episode's PACES classic topic is Systemic sclerosis, brought to you with a smile by Dr Sam Williams (as usual) and Dr John Pauling, consultant rheumatologist at North Bristol NHS Trust. This episode covers all the key elements of Systemic sclerosis as it might be presented in a PACES style scenario and is surely essential listening for your PACES preparation.^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * * Hosted on Acast. See acast.com/privacy for more information.

Sam welcomes Dr Alex Carpenter, cardiology registrar with a specialist interest in electrophysiology to tackle the topic of palpitations. This is such a common topic with tons of clinical crossover and we discuss the common causes of palpitations, how they typically present and how you can tease this out in your history. We also talk through how to strategise the investigation of your patients and the various types of ambulatory ECG monitoring.^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * * Hosted on Acast. See acast.com/privacy for more information.

In this second episode of Sam's chat with Dr Phil Berry, consultant hepatologist at Guy's & St Thomas's hospital in London, we cover the investigations, management, common examiner questions of chronic liver disease. Phil also tackles his all important Quiz the Consultant topic of STAR WARS - one NOT to be missed!^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * *Music:Chase & Superepic by Alexander Nakarada | https://www.serpentsoundstudios.com Music promoted by https://www.free-stock-music.com Attribution 4.0 International (CC BY 4.0) https://creativecommons.org/licenses/by/4.0/ Hosted on Acast. See acast.com/privacy for more information.

Dr Phil Berry, consultant hepatologist at Guy's & St Thomas's is Sam's next expert guest on the podcast to discuss another HUGE PACES station that comes up time and time again - chronic liver disease. This is absolutely essential for your PACES preparation. In this episode, Sam and Phil cover the examination of your patient, the presentation to the examiner and the differential diagnosis!^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * * Hosted on Acast. See acast.com/privacy for more information.

The second part of Sam's chat with Dr Paul Sellors covers thrombectomy, hyperacute stroke theory and then ANOTHER up to date chat on the updated National Clinical Guideline for Stroke. We cover the important updates in the guidelines published in 2023 on thrombectomy, posterior strokes and wake-up strokes. Essential listening for anyone expected to cover the thrombolysis calls whether in-hours or out-of-hours!^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * * Hosted on Acast. See acast.com/privacy for more information.

We welcome another fantastic returning guest in the form of Dr Paul Sellors, consultant in stroke medicine at North Bristol Hospital NHS Trust. Sam and Paul discuss tricky cases in Stroke medicine including stroke mimics, the modified Rankin score, the NIHSS, thrombolysis and thrombectomy! Plenty to unpack in this episode so sit back and enjoy!Paul was so generous with his time, we have had to make this into another double header episode! Next episode you will get the end of this pre-recorded episode where we discuss mechanical thrombectomy but also an update on the new National Clinical Guidelines for Stroke published in 2023.03:00 Basic stroke nomenclature and physiology11:00 Thrombolysis and stroke assessment22:20 Seizure activity and stroke28:00 Contraindications to thrombolysis38:00 Calling the Stroke Consultant42:00 Digression: BP control in stroke47:30 Digression: Glucose control in stroke50:00 Wake-up strokes^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * * Hosted on Acast. See acast.com/privacy for more information.

Dr Tom Minton, neurology registrar in the Severn deanery joins Sam again in this episode of the podcast to discuss Bell's palsy including the important differentials and the critical management steps to take.09:00 Presentation14:30 Examination19:20 Differential diagnosis27:45 Management^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * * Hosted on Acast. See acast.com/privacy for more information.

Dr Alex Thompson, honorary consultant neurologist at Oxford University Hospitals NHS Trust, joins Sam for today's episode looking at motor neurone disease in PACES. We talk through the history, examination signs, differential diagnoses, investigations and management of this condition and Alex gives us an insight into his current research looking at treating this condition.04:00 Basics of MND:13:00 Presenting symptoms21:30 Examination27:15 DDx36:35 Investigations40:50 - Management^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * * Hosted on Acast. See acast.com/privacy for more information.

Sam goes solo this week to perform a full review of the recent RCP Webinar with an update on the PACES 2023 format with some more information and Sam's opinion on some of this new information.Link found here:https://www.mrcpuk.org/PACES23Webinar^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * * Hosted on Acast. See acast.com/privacy for more information.

Dr Sajini Wijetilleka, acute medical consultant with dual accreditation in endocrine and diabetes, joins Sam this episode to discuss Cushing's syndrome in a PACES setting. As always, we discuss the important symptoms, signs, investigations, management and common examiner questions.See Sajini's fantastic Sri Lankan food Instagram page here! ^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * *Music:Chase & Superepic by Alexander Nakarada | https://www.serpentsoundstudios.com Music promoted by https://www.free-stock-music.com Attribution 4.0 International (CC BY 4.0) https://creativecommons.org/licenses/by/4.0/ Hosted on Acast. See acast.com/privacy for more information.

This week Sam is joined by consultant neurologist at Southmead Hospital in Bristol, Dr Beth Mallam, who has a sub-specialist interest in functional neurology.Sam & Beth talk through the difficulties in positively diagnosing this cohort of patients and importantly, some signs which will help you determine whether a seizure is a tonic-clonic seizure or a non-epileptic attack. The website Beth talks about is : https://neurosymptoms.org/en/^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * * Hosted on Acast. See acast.com/privacy for more information.

We complete our discussion with Dr Arrianne Laws, looking at the investigations, management and common examiner questions of rheumatoid arthritis.Listen to more of Arrianne on the Medical Take Podcast! Click here!^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * *Music:Chase & Superepic by Alexander Nakarada | https://www.serpentsoundstudios.com Music promoted by https://www.free-stock-music.com Attribution 4.0 International (CC BY 4.0) https://creativecommons.org/licenses/by/4.0/ Hosted on Acast. See acast.com/privacy for more information.

Consultant Rheumatologist and co-host of the Medical Take podcast, Dr Arrianne Laws, joins Sam on the podcast this week to discuss another PACES classic of rheumatoid arthritis.Listen to more of Arrianne on the Medical Take Podcast! Click here!^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * * Hosted on Acast. See acast.com/privacy for more information.

Dr Time Nye joins Sam on the show this week to discuss a PACES success story with a twist....how does an ACCS anaesthetics trainee, working in a small hospital, as the only person sitting PACES manage to achieve success in the exam? Find out by listening in to Tim's best advice in how he overcame multiple obstacles and achieved success in the MRCP PACES.^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * * Hosted on Acast. See acast.com/privacy for more information.

Consultant in Intensive Care and Anaesthetics, Dr Andy Foo joins Sam on the podcast to discuss an essential topic for any budding Medical SpR on-call and that is escalating the sickest patients in the hospital to the highest levels of care. Andy gives a brilliant insight into his thought process as an ICU consultant and also his best advice to take on board when we escalate referrals as the Medical SpR on-call.^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * *Music:Chase & Superepic by Alexander Nakarada | https://www.serpentsoundstudios.com Music promoted by https://www.free-stock-music.com Attribution 4.0 International (CC BY 4.0) https://creativecommons.org/licenses/by/4.0/ Hosted on Acast. See acast.com/privacy for more information.

BEWARE OF THE BIG DOG. Sam was delighted to be joined this week by BIG DOG in the Royal College of Physicians and the first MBE to feature on the show: Dr Aranthakrishnan Raghuram, known affectionately as Raghu, Respiratory medicine consultant at Gloucester & Cheltenham hospitals. This is an absolutely critical station to get right and one of the most common to come up in PACES.^_^ SUPPORT THE SHOW ^_^> > Sign up for Pastest HERE! < <* * *Sign up for PACES Ahead HERE! * * * Hosted on Acast. See acast.com/privacy for more information.