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CASE NOTES
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PROGRAMME INFO |
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DrÌýMark PorterÌýgives listeners the low-down on what the medical profession does and doesn't know. Each week an expert in the studio tacklesÌýa particular topic and there are reports from around the UK on the health of the nation - and the NHS.
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Contact Case Notes |
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LISTEN AGAIN Ìý30 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 >>
Hands
Our hands are incredibly complicated parts of our anatomy. They've been called our eyes in the dark. The fingertips have very high numbers of nerve endings that mean we can do delicate work, from icing cakes and carrying out surgery to hairdressing and playing golf.ÌýÌýInjuries to the hand account for about a fifth of all cases seen in accident and emergency departments.
In Case Notes this week Dr Mark Porter will be examining the current approaches to dealing with injuries and disease in the hands. His guest in the studio is Mr Jeremy Field, consultant orthopaedic and hand surgeon at Cheltenham General Hospital .
Arthritis
As well as being prone to injury, the hand is also the part of the body most likely to be affected by arthritis. When the resulting pain and stiffness becomes very bad surgical intervention is the only option.
Mark Porter talks to David Warwick, a hand surgeon at Southampton General Hospital , about the new techniques he's applying. He explains when he fuses joints in the fingers or in the wrist and when he can replace the worn out joints that are causing pain.
Physiotherapy
Physiotherapy can play a crucial role in helping people regain the use of their hands following injury. Reporter Lesley Hilton visits the Hand Clinic at St James' Hospital in Leeds and finds out how physiotherapists work with clinical psychologists as the state of mind of the patients is important in achieving the best outcome. Lesley meets a patient who is having treatment following an accident who has regained the ability to play the piano.
Dupuytren's contracture
Dupuytren's contracture is a condition in which the scarring and shortening of the tissues in the palm can lead to curling of the ring and little fingers. Think of the Pope's hand when he blesses the crowd in St Peter's Square. His thumb,Ìýforefinger and middle finger are extended straight, but his ring and little finger are curled over.
The condition is named after the French surgeon Baron Dupuytren, and it can affect the feet as well as the hands. It tends to run in families, and is often more of a problem in men and people with diabetes.
Around 2 million people in the UK are thought to have some degree of Dupuytren's. Stewart Fleming, a plastic surgeon at Broomfield Hospital in Chelmsford , tells Mark Porter of the ways of treating the condition.
Next week: Asthma
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