Dr Nima's Eye Pod podcast

#Fitness #Medicine #Nima Ghadiri

35:12

Sidhu Moose Wala explodes onto the Canadian music scene. His sound is a fusion of two worlds - hip-hop with the poetic language of rural Punjab, where he is from. After years of struggle he’s making it. But with the spotlight comes a dark side. As his fame grows, so do the threats. "We will kill you." Presented by broadcaster and DJ Bobby Friction and investigative journalist Ishleen Kaur. Season 8 of World of Secrets, The Killing Call, is a BBC Eye investigation for the BBC World Service. Archive audio credits: Lovepreet Waraich, Malwa TV, BritAsia TV, MPHONE Canteeni Mandeer, GK Digital, Thakur Media, Capital Extra, Famous Punjab TV, ModernSings, Dheeth.jeha, RealRohitBlogs, Mirror Now, India Today. Here’s a link to the BBC Eye two-part documentary films, which we recommend you watch after listening to this podcast: https://bit.ly/thekillingcall If you are in the UK, you can watch on iPlayer: https://www.bbc.co.uk/programmes/m002f18y…

Dr Nima's Eye Pod

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Vodcasts including long-form and short videos on ophthalmology, uveitis, medicine, technology. These videos have an informal approach, and I welcome ideas for topics to cover. These are also available on other media: Youtube: https://www.youtube.com/@drnimaeye/featured Instagram: https://www.instagram.com/drnimaeye/ TikTok: https://www.tiktok.com/@drnimaeye Facebook: https://www.facebook.com/DrNimaGhadiri

30 епізодів

Dr Nima's Eye Pod

updated 18 днів тому

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30 епізодів

#Fitness #Medicine #Nima Ghadiri

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Dr Nima's Eye Pod

1
Video Short: Axial SpA and Uveitis - from the RCOphth 1:51

18 днів тому1:51

1:51

Anterior uveitis can be an early indicator of Axial SpA, a systemic rheumatic disease. Timely diagnosis is key to managing Axial SpA and preventing long-term complications.The key acronym is SPINE:Symptoms starting slowlyPain in the lower backImproves with movementNight time wakingEarly onset (under 40)This video accompanied the fantastic audit by @livuni medical student Timothy Boey. We were incredibly proud to see Timothy present his findings at the prestigious Royal College of Ophthalmologists Annual Congress in Liverpool!Myself and other Ophthalmology colleagues in the country are working to raise awareness and enhance patient care pathways. Early detection can make a world of difference #shorts #ophthalmology #rheumatology…

Dr Nima's Eye Pod

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🔎Eye Spy: Unveiling Systemic Secrets 4:22

18 weeks тому4:22

4:22

🔎Eye Spy: Unveiling Systemic Secrets The eyes aren't just windows to the soul, they're a window to our overall health! Thanks to #Optometry Today for inviting me as a Medical Ophthalmologist to talk about #Oculomics - the revolutionary field using eye exams to detect systemic diseases decades early. Optometrists are key to this, with their unique skills and patient access. Learn how eye tests can reveal signs of conditions like cardiovascular disease, and how AI is accelerating research in this exciting new era of healthcare: https://www.aop.org.uk/ot/videos/2024/12/10/oculomics-a-window-to-overall-health…

Dr Nima's Eye Pod

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Video Short: Bringing clarity to Uveitis Diagnosis with AI 1:59

20 weeks тому1:59

1:59

Up, up and away – clearing the clouds… Bringing clarity to Uveitis Diagnosis with AI: It’s a pleasure to share this joint Nature EYE editorial with Peter Thomas in which we survey how artificial neural networks (ANNs) might be used to enhance the diagnosis of uveitis, a significant cause of vision loss worldwide: https://www.nature.com/articles/s41433-024-03588-y The Challenge: Uveitis, an intraocular inflammatory condition, presents a complex diagnostic puzzle due to its myriad causes and varied clinical presentations. Traditional diagnostic methods, often reliant on subjective clinical judgment, can lead to delays and inaccuracies. Collaboration : The partnership of data scientists and clinicians holds the key to unlocking the full potential of AI and machine learning in ophthalmology. We review the state of play to accompany this paper from Jacquot et al (https://www.nature.com/articles/s41433-024-03530-2) who have used a multilayer perceptron (MLP) model, to predict the underlying causes of uveitis. Their model, trained on a dataset of 375 patients, demonstrated impressive accuracy, matching expert opinion in 77.8% of cases and achieving 93% accuracy within the top two probable diagnoses. We’re striving towards a more objective and standardised approach to uveitis diagnosis, and these models can help – particularly with diagnostic decision support systems (DDSS) which can complement (but not replace) clinicians – hopefully streamlining the clinical workflow and reducing diagnostic errors. The DDSS in the paper we feature focuses on diagnostically challenging cases (ideally providing valuable support where it's most needed…) While challenges remain in terms of geographic transferability, under-representation of rare aetiologies, and integration into electronic medical records, the potential of this technology is undeniable. Future research will focus on validating these tools across diverse populations and refining them for seamless integration into clinical practice.…

Dr Nima's Eye Pod

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Axial SpA and Ophthalmology - Rheum for Improvement 47:23

24 weeks тому47:23

47:23

Repost of the NASS Rheum for Improvement Podcast from last year - hosted by Lucy Davies and featuring Rheumatology Professor Karl Gaffney and myself as we discussed acute anterior uveitis 👁️(inflammation in the front of the eye) in the context of Axial SpA (aka AS or Ankylosing Spondylitis) - a type of inflammatory arthritis primarily affecting the spine & sacroiliac joints and linked to HLAB27 ‣ 40% of these patients could have spondyloarthritis, including AS, and in this pod we discuss these links, discover how ophthalmologists can identify AS in their patients and the vital role of collaboration between ophthalmology and rheumatology. There is still an 8.5 year diagnostic delay in AS, and collaboration amongst healthcare professionals is critical to streamline the diagnostic process and to improve the overall quality of life for those living with this condition. Useful Resources: ➤ Act on Axial SpA: campaign https://actonaxialspa.com ➤ Recognising axial SpA in Ophth: https://actonaxialspa.com/recognising-axial-spa-in-ophthalmology/ ➤ Papers of interest: https://actonaxialspa.com/ophthalmology/ ➤ Toolkit for HCPs: https://actonaxialspa.com/hcp-toolkit/ ➤ Helpful vids: https://cloud.info.ucb.com/NASS_all_content & https://cloud.info.ucb.com/NASS_all_content/full_video_January ➤ For patients: Guide to #uveitis in AS covering diagnosis & managementhttps://nass.co.uk/resource/nass-guide-to-uveitis/ ➤ Patient Information Leaflet: https://nass.co.uk/wp-content/uploads/resources/Uveitis-Guide.pdf…

Dr Nima's Eye Pod

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NotebookLM and the AI podcast - applied to the History of Uveitis! 23:44

24 weeks тому23:44

23:44

NotebookLM can be a game-changing tool for learning... It's like having a virtual research assistant that can analyze documents, summarize key facts, explain complex ideas, and brainstorm new connections – all based on your uploaded sources. I think the potential is for turning a dense research paper or a collection of lecture notes into a digestible podcast. NotebookLM's "Audio Overview" feature does that, generating engaging discussions with AI hosts who summarize the material and highlight important connections. I've applied this to my History of Uveitis editorial here: https://www.nature.com/articles/s41433-024-03519-x Have you used this tool yet - what do you think? I think there's a lot of possibilities for certain learning styles and especially learning on the go, making even the most challenging subjects more accessible and engaging.…

Dr Nima's Eye Pod

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Video Short: Dogmatic ideas in medicine and uveitis - from the Behçet's UK Q & A 2:10

26 weeks тому2:10

2:10

Full Behçet's Uveitis Video here: https://youtu.be/KHlZ7aElCJU Medicine, while grounded in evidence, has historically been shaped by traditions and assumptions that sometimes do not withstand scrutiny in light of new data, technologies, or even insights"You can't have XYZ in this disease". Questioning entrenched beliefs encourages critical thinking and a willingness to adapt practices based on emerging evidence, and we need to keep fostering a culture that values curiosity and respectful debate to ensure that patient care remains dynamic, equitable, and responsive to the ever-evolving landscape of healthcare knowledge. Behcet's Uveitis tends to affect either the front of the eye (anterior uveitis) or the back (posterior uveitis). It tends not to cause intermediate uveitis - wherein inflammatory cells can be seen suspended within the vitreous. These cells are appreciated similar to that of anterior chamber cells but with the slit lamp focused behind the lens. Larger inflammatory collections known as "snowballs" may also be identified within the vitreous. They aren't classically seen in Behçet's Disease but "never say never"... Isolated intermediate uveitis, albeit rare, can occur - (and more common in early rather than late disease) https://behcetsuk.org/conference/2024conf/…

Dr Nima's Eye Pod

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Behçet's Disease and the Eye Understanding the Impact on Vision and Health 22:03

27 weeks тому22:03

22:03

A talk delivered at the Behçet's UK 2024 conference entitled "Behçet's and the Eye" https://behcetsuk.org/conference/2024conf/ Dr Ghadiri explores thecomplex relationship between Behçet's disease and ocular health. The presentation highlighted the systemic nature of Behçet's disease, with a focus on how it manifests in the eyes, particularly in the form of uveitis and retinal vasculitis. Dr. Ghadiri discussed the challenges of early diagnosis, the importance of multidisciplinary care, and the latest advancements in treatment strategies to prevent vision loss and preserve quality of life. The talk emphasized the critical role of ongoing research and patient-centered approaches in managing this rare but impactful condition.…

Dr Nima's Eye Pod

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Video Short: Uveitis Through the Ages 0:36

29 weeks тому0:36

0:36

Article here: https://www.nature.com/articles/s41433-024-03519-x This editorial in EYE outlines the captivating history of Uveitis (inflammation in the eye), the understanding and management of which having evolved alongside advancements in medicine. From early descriptions in ancient Egyptian papyri, to the primogenitors of modern medicine laying the foundation of the link between eye inflammation to systemic disease, to innovations of the 19th and 20th century – the eras have seen a narrative of progress, collaboration and innovation as we strive to understand and treat this complex disease. Pivotal breakthroughs in immunology, imaging, and biologic therapies that transformed uveitis treatment, and who knows what the future holds for precision medicine int the management of ocular inflammation. Here’s to the journey ahead……

Dr Nima's Eye Pod

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Video Short: Marty's Eyes to Modern Medicines: The Future of Thyroid Eye Disease Treatments 1:20

35 weeks тому1:20

1:20

Marty Feldman's iconic eyes were a result of his Thyroid Eye Disease (Graves' ophthalmopathy) and a strabismus which was not corrected properly. Thyroid Eye Disease represents a spectrum of inflammation: https://www.nature.com/articles/s41433-018-0302-1 Our understanding of Thyroid Eye Disease has been slowly increasing over the decades since his roles, but we still don't have a magic bullet to manage this complex condition which affects our patients in so many different ways. Future treatments will likely move beyond current anti-inflammatory and surgical interventions, and towards more personalized, targeted therapies, including new biologic treatments. I've just returned from the EUGOGO meeting in Warsaw, where both Ophthalmology and Endocrinology were well-represented, and it is an exciting time.…

Dr Nima's Eye Pod

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Video Short: Ordering specific tests in Uveitis – Avoiding a scattershot approach 1:00

2 years тому1:00

1:00

Ordering specific investigations in uveitis involves a systematic approach to identify the underlying cause and guide appropriate treatment, with the initial evaluation typically including a comprehensive eye examination, detailed medical history, and assessment of symptoms, carefully analysing risk factors and clues to diagnosis. This short discouraging the blunderbuss approach to ordering tests and taking into account both sensitivity (how well the presence of a disease is predicted by a test) and specificity (how well the absence of a disease is predicted by a test), targeting a golden ratio of minimal amount of tests for maximum amount of data (The analogous blunderbuss was a a 17th- century large-bored gun firing balls or slugs which scattered projectiles in a broad range but lacked subtlety and precision). Specific investigations may be ordered based on the clinical presentation and suspected aetiology of uveitis. Common tests include blood work to assess for infectious or autoimmune diseases, such as full blood count (FBC/CBC), inflammatory markers such as erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), organ profile (LFT, U+E), Chest X-ray to look for TB or Sarcoidosis, Syphillis. Other tests depend on the outcome of targeted history and examination, and include Serum ACE, Toxoplasma and Toxocara antibodies, HLA-A29, ANCA, ANA, Mantoux Test, Interferon Gamma Release Assay, Fundus Fluorescein Angiography, Indocyanine Green Angiography, Electrophysiology, CT Chest, CT Abdo/Pelvis, MRI Brain, Lumbar Puncture for CSF Studies, Conjunctival biopsies, Anterior chamber tap, Biopsy of vitreous/choroid - In infectious uveitis cases, polymerase chain reaction (PCR) testing of ocular fluids or serological tests for specific pathogens may be necessary Sometimes doing routine immunological tests doesn’t really help as there are often weak positive anti-nuclear and other antibodies found in Uveitis which are not really interpretable, so: Tailor Those Investigations! Featuring Pirates of the Caribbean’s Marty, Guardians of the Galaxy’s Mantis, Shawshank Redemption’s Warden Samuel Norton, the lab scene from Jurassic Park’s Isla Nublar, and the classic Knightmare CITV series (1987-1994) "Ooh, nasty!"…

Dr Nima's Eye Pod

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Video Short: Anterior Uveitis & Axial SpA - HLA-B27 Testing, Features, Support? (feat Detective Pikachu & others) 0:59

2 years тому0:59

0:59

The most common type of Uveitis (inflammation in the eye) is anterior uveitis, or iritis, and almost 50% of patients with this condition test positive for the genetic marker HLA-B27. Having a positive result could potentially help establish the diagnosis, guide treatment, and provide information about prognosis. It can help avoid unnecessary diagnostic workup too. But it's a grey area as both false negatives and false positives can happen. Asking questions is key and results should be interpreted in the context of the full clinical picture. In particular, asking questions about Axial SpA are crucial - In the UK, we have an 8.5 year gap between onset of symptoms and diagnosis, and we want to shorten this gap! Be like Detective Pikachu, but don't forget Shin Chan!…

Dr Nima's Eye Pod

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Video Short: Unlocking Uveitis mysteries - History, Examination, or Lab Tests?(Pingu X Indiana Jones X Fast Show) 0:59

2 years тому0:59

0:59

All three of history, examination and lab tests have important roles to play in diagnosing Uveitis. This short (featuring a league of extraordinary defectors including Pingu, the Fast Show tailor, Indiana Jones and Sherlock Holmes) focuses on the importance of uncovering the patient's history to identify potential underlying triggers or associated diseases, such as recent illnesses, medication use, trauma, or autoimmune disorders. A comprehensive eye exam allows the clinician to pinpoint the location and severity of inflammation and look for characteristic signs of certain uveitis types, but often there are clues from the patients background information and previous episodes which help decipher the aetiology of Uveitis.…

Dr Nima's Eye Pod

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Video Short: How did I get ocular toxoplasmosis... Curiosity infected the cat? 1:00

2 years тому1:00

1:00

Don't let this be a cat-astrophe Ocular toxoplasmosis is an infection caused by the parasite Toxoplasma gondii, and it primarily affects the eyes. One of the key questions surrounding its transmission is how someone can contract this condition. Toxoplasma gondii is commonly found in the environment, and one of the main sources of transmission is through exposure to infected cat feces. Cats are the definitive hosts of the parasite, which means that they can shed the infective form of the parasite in their faeces. People can become infected with Toxoplasma gondii through activities such as cleaning litter boxes, gardening in soil contaminated with cat feces, or consuming undercooked or raw meat from animals that have been infected. Additionally, the parasite can be transmitted from an infected mother to her unborn child during pregnancy. While many individuals with Toxoplasma infection may not experience symptoms, those who do can develop ocular toxoplasmosis, which can lead to inflammation and vision problems. Understanding the various ways in which Toxoplasma gondii can be contracted, including its connection to cats, is crucial for taking preventative measures to reduce the risk of infection.…

Dr Nima's Eye Pod

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Video Short: Cardinal Rules & Strategies for requesting tests in Uveitis (Ocular Inflammation X Baldur's Gate 3) 0:59

2 years тому0:59

0:59

Whether cleric or barbarian, it feels like the rules of the game can be stacked against you in Ocular Inflammation. Join me for sixty seconds which covers the two cardinal laws and six rules in Uveitis, with a cheeky nod to the Forgotten Realms and Baldur's Gate 3, together with a bit of Witcher 3, Elden Ring, Elder Scrolls thrown in. Don't let Uveitis cast Darkness on the journey and drain those hit points. · • —– ٠ ✤ ٠ —– • ·· • —– ٠ ✤ ٠ —– • ·· • —– ٠ ✤ ٠ —– •…

Dr Nima's Eye Pod

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Video Short: "I, Healer?" Automation in medicine - good or bad? 0:50

2 years тому0:50