Home of Medicine with Dr Amie Burbridge and Dr Ben Lovell
Welcome to the Home of Medicine podcast with Dr Amie Burbridge and Dr Ben Lovell, in association with the Royal College of Physicians of Edinburgh.Each episode explores real clinical cases, with a special focus on how cognitive biases shape our medical decision-making.We created Home of Medicine to share the highs and lows of life in the medical profession, but above all, to bring connection, insight and joy. https://www.rcpe.ac.uk/
Dysphagia
Real Cases, Real Thinking, Real Medicine
Amie and Ben discuss a case of 54 year old female with 9 months history of difficulty swallowing.
Can Ben figure out what is going on?
As you listen, ask yourself: can you figure out the diagnosis?
What would you have done in the situation?
Links & Resources
RCPE Education: rcpe.ac.uk/educationConnect With Us
Email: [email protected]YouTube: Home of Medicine ChannelDisclaimer: All pat...
Respiratory Tract Infection
Real Cases, Real Thinking, Real Medicine
Amie and Ben discuss a case of 68 year old man with a chest infection, or is it?.
Can Ben figure out what is going on?
As you listen, ask yourself: can you figure out the diagnosis?
What would you have done in the situation?
Links & Resources
RCPE Education: rcpe.ac.uk/educationConnect With Us
Email: [email protected]YouTube: Home of Medicine ChannelDisclaimer: Al...
Excessive Sleepiness
Real Cases, Real Thinking, Real Medicine
Amie and Ben discuss a case of 68 year old woman who was sleepy!
Can Amie figure out what is going on?
As you listen, ask yourself: can you figure out the diagnosis?
What would you have done in the situation?
Links & Resources
RCPE Education: rcpe.ac.uk/educationConnect With Us
Email: [email protected]YouTube: Home of Medicine ChannelDisclaimer: All patient stories discussed in...
Home of Medicine × Pre PACES: Tackling Imposter Syndrome
Real Cases, Real Thinking, Real Medicine
Imposter syndrome is an unspoken challenge for almost every doctor.
In this special crossover episode Amie and Ben join Sam from the Pre PACES podcast to tackle the elephant in the room: Imposter syndrome.
Amie and Ben share their own vulnerabilities and personal experiences with these feelings.
Links & Resources
RCPE Education: rcpe.ac.uk/educationConnect With Us
Email: [email protected]YouTube: Home of Medicine ChannelDisclaimer
Vomiting
Real Cases, Real Thinking, Real Medicine
Amie and Ben discuss a case of 74 year old man with vomiting
Can Ben figure out what is going on?
As you listen, ask yourself: can you figure out the diagnosis?
What would you have done in the situation?
Links & Resources
RCPE Education: rcpe.ac.uk/educationConnect With Us
Email: [email protected]YouTube: Home of Medicine ChannelDisclaimer: All patient stories discussed in ...
Abdominal Pain
Real Cases, Real Thinking, Real Medicine
Amie and Ben discuss a case of 52 year old man with abdominal pain.
Can Ben figure out what is going on?
As you listen, ask yourself: can you figure out the diagnosis?
What would you have done in the situation?
Links & Resources
RCPE Education: rcpe.ac.uk/educationHome of Medicine Website - Homeofmedicine.comConnect With Us
Email: [email protected]YouTube: Home of Medicine Channel<...
REPOST: The Swollen Leg
Real Cases, Real Thinking, Real Medicine
We're re-releasing a listener favourite! This episode remains one of our most popular episodes to date and initiated a huge amount of reflection and discussion among our listeners.
Amie and Ben discuss a case of 55 year old with acutely swollen leg.
Can Amie figure out what is going on?
As you listen, ask yourself: can you figure out the diagnosis?
What would you have done in the situation?
Links & Resources
RCPE Education: rcpe.ac.uk/e...Palpitations
Real Cases, Real Thinking, Real Medicine
Amie and Ben discuss a case of 36 year old woman with palpitations.
Can Ben figure out what is going on?
As you listen, ask yourself: can you figure out the diagnosis?
What would you have done in the situation?
Links & Resources
RCPE Education: rcpe.ac.uk/educationHome of Medicine Website - Homeofmedicine.comConnect With Us
Email: [email protected]YouTube: Home of Medicine ChannelDi...
Anaemia
Real Cases, Real Thinking, Real Medicine
Amie and Ben discuss a case of 32 year old man with a low haemoglobin.
Can Ben figure out what is going on?
As you listen, ask yourself: can you figure out the diagnosis?
What would you have done in the situation?
Links & Resources
RCPE Education: rcpe.ac.uk/educationHome of Medicine Website - Homeofmedicine.comConnect With Us
Email: [email protected]YouTube: Home of Medicine Chan...Back Pain
Real Cases, Real Thinking, Real Medicine
Amie and Ben discuss a case of 49 year-old male with back pain.
Can Amie figure out what is going on?
As you listen, ask yourself: can you figure out the diagnosis? What would you have done in the situation?
Links & Resources
RCPE Education: rcpe.ac.uk/educationConnect With Us
Email: [email protected]YouTube: Home of Medicine ChannelDisclaimer: All patient stories discussed in Home of...
Double Vision
Real Cases, Real Thinking, Real Medicine
Amie and Ben discuss a case of gentleman in his 60's who presents with double vision.
Can Ben figure out what is going on?
As you listen, ask yourself: can you figure out the diagnosis? What would you have done in the situation?
Links & Resources
RCPE Education: rcpe.ac.uk/educationConnect With Us
Email: [email protected]YouTube: Home of Medicine ChannelDisclaimer: All patient stories dis...
Unexplained Shortness of Breath
Real Cases, Real Thinking, Real Medicine
Amie and Ben discuss a case of 29 year-old male with shortness of breath and weakness.
Can Amie figure out what is going on?
As you listen, ask yourself: can you figure out the diagnosis? What would you have done in the situation?
Links & Resources
RCPE Education: rcpe.ac.uk/educationConnect With Us
Email: [email protected]YouTube: Home of Medicine ChannelDisclaimer: All patient stories discussed in...
"It feels like I have Bruised Lungs Doctor" - Managing Clinical Uncertainty
Amie and Ben discuss a case of a 33-year-old woman attending SDEC with a sensation of "bruised lungs" and night sweats.
Can Ben figure out what is going on?
As you listen, ask yourself: can you figure out the diagnosis? What would you have done in the situation?
Links & Resources
RCPE Education: rcpe.ac.uk/educationConnect With Us
Email: [email protected]YouTube: Home of Medicine ChannelSubscribe: Please rate, review, and subscribe on your favourite podcast pl...Altered Consciousness
Real Cases, Real Thinking, Real Medicine
Amie and Ben discuss a case of 47-year-old male who was found collapsed in the street.
Can Ben figure out what is going on?
As you listen, ask yourself: can you figure out the diagnosis? What would you have done in the situation?
Links & Resources
RCPE Education: rcpe.ac.uk/educationConnect With Us
Email: [email protected]YouTube: Home of Medicine ChannelDisclaimer: All patient stories di...
Acute Kidney Injury
Real Cases, Real Thinking, Real Medicine
Amie and Ben discuss a case of 72-year-old male presenting with vomiting and lethargy.
What initially appears to be a straightforward becomes a cautionary tale about cognitive bias.
Can Amie figure out what is going on?
As you listen, ask yourself: can you figure out the diagnosis? What would you have done in the situation?
Links & Resources
RCPE Education: rcpe.ac.uk/educationConnect With Us
Email: amie@homeo...Unusual Behaviour
Real Cases, Real Thinking, Real Medicine
Amie and Ben discuss a simple case of collapse that evolved over a weekend on call.
Can Ben figure out what is going on?
As you listen, ask yourself: can you figure out the diagnosis? What would you have done in the situation?
Links & Resources
RCPE Education: rcpe.ac.uk/educationConnect With Us
Email: [email protected]YouTube: Home of Medicine ChannelDisclaimer: All patient st...
Lethargy - Case 2
What would Amie do when a 34 year old male presents with a 6 week history of tiredness and fever?
Find out how Ben managed this case on the post take ward round.
As you listen, ask yourself: can you figure out the diagnosis? What would you have done in the situation?
Links & Resources
Connect With Us
Email: [email protected]YouTube: Home of Medicine ChannelDisclaimer: All patient stories discussed in...
HyperCRPaemia
Amie challenges Ben to work through a case of high CRP and fever.
As you listen, ask yourself: can you figure out the diagnosis? What would you have done in the situation?
Links & Resources
Connect With Us
Email: [email protected]YouTube: Home of Medicine ChannelDisclaimer: All patient stories discussed in Home of Medicine are informed by real patient interactions. However, all identifying details have been removed or a...
To D-dimer, or Not to D-dimer? That is the Question
We are back with one of our favourite subjects—the D-dimer.
In this episode, Ben reflects on a case involving a 26-year-old pregnant woman presenting with pleuritic chest pain.
As you listen, ask yourself: can you figure out the diagnosis? What would you have done in this situation?
As ever, we look into the reality of cognitive bias, the necessity of risk-taking, and the psychological weight of consultant-level decision-making.
Please take a moment to rate and review us on Apple Podcasts or Spotify!
Your feedback helps us reach more liste...
A Cognitive Autopsy - What's Wrong with Me?
Ben and Amie are joined once again by the world-renowned expert on clinical decision-making, Professor Pat Croskerry.
Pat presents a challenging case involving a 25-year-old woman with "Baby Blues".
Is bias always bad, or is it a necessary tool for survival in error-prone environments?
We discuss the importance of following up on patients to improve future performance and how burnout and physical exhaustion can make us more susceptible to biases.
Disclaimer: All patient st...
Anchors Away with Professor Pat Croskerry
In the first of two very special episodes, Amie and Ben are joined by Amie's hero, Professor Pat Croskerry, a leading expert on cognitive bias and how doctors think.
We go back to basics and cover all things critical thinking.
Croskerry, P. (2020) The cognitive autopsy: a root cause analysis of medical decision making. 1st edn. New York: Oxford University Press.
Groopman, J. (2007). How doctors think. Houghton Mifflin Company. To find locally: https://search.worldcat.org/title/1040496921
Montgomery, Kathryn, How Doctors Think: Clinical Judgment And The Pr...
Collapse - To admit or not to admit?
In this episode, Ben discusses a case of a 42 year man who collapses whilst jogging. Would you admit this gentleman or discharge?
Amie and Ben work through the case and talk about the clinical reasoning behind their decisions and what can affect this.
Amie takes us out into the garden and introduces us to the crocus.
We love to hear from you, please get in touch at [email protected]
Disclaimer: All patient stories discussed in Home of Medicine ...
Another UTI?
What happens to us when we take work home with us and can't switch off?
How you ever been in bed at night and can't stop thinking of someone you saw that day and where you went wrong.
Amie presents a case to Ben of generalised weakness and confusion with a surprising twist.
Disclaimer: All patient stories discussed in Home of Medicine are informed by real patient interactions. However, all identifying details have been removed or appropriately modified to protect patient confidentiality.
This podcast is intended for edu...
Eye Floaters - Should I be Worried?
We are back with our second episode in association with the RCPE.
Amie presents a case of eye floaters to Ben and he works through the case in real time.
Test your own diagnostic skills and see if you can work out the diagnosis before Ben.
Disclaimer: All patient stories discussed in Home of Medicine are informed by real patient interactions. However, all identifying details have been removed or appropriately modified to protect patient confidentiality.
This podcast is intended for education and professional development and should not repl...
Confusion: Lost in Translation
We are very excited to be back with season 4!
The Home of Medicine has a new Home - The Royal College of Physicians of Edinburgh, but the podcast is the same as ever, bringing you case discussions and real time clinical decision making.
In this episode Amie works through a case of confusion, and adopts the 'watch and wait' approach.
Can you work out the diagnosis before Amie?
Disclaimer: All patient stories discussed in Home of Medicine are informed by real patient interactions. However, all identifying details ha...
Frequent attender in SDEC
Palpitations in SDEC, what could be causing this?
Amie and Ben discuss a challenging case and possible diagnoses.
If you have been affected by any of the topics we have discussed in this episode you can access the following;
NHS Practitioner Health Free, confidential service for doctors and dentists in England who are experiencing mental health or addiction problems. Clinical support, psychological therapies, etc. www.practitionerhealth.nhs.uk
Doctors in Distress Peer support, webinars, reflective spaces, creative groups etc.; aims to reduce stigma and offer su...
Major Haemorrhage in ED
When did we first feel like a real doctor?
When we did form our professional identity and what helped guide this?
We introduce FORDEC as an aide to decision making and there may also be an outtake or two.
We love to hear from you, get in touch at [email protected]
Disclaimer: All patient stories discussed in Home of Medicine are anonymised. Identifiable details have been altered or omitted to protect patient confidentiality. The cases are shared for educational purposes only and should no...
FLASHBACK episode - Headache
This week we take you back to our first ever episode, nearly four years ago!
We discuss headaches and how to differentiate between primary and secondary causes.
This is where it all started!!!
We love to hear from you. Get in touch at [email protected].
Disclaimer: All patient stories discussed in Home of Medicine are informed by real patient interactions. However, all identifying details have been removed o...
Why Am I Yawning So Much?
Ben presents a case of excessive yawning. What could it be?
We reflect on the importance of history taking and how talking to people brings us so much joy.
Get in touch at [email protected], we love to hear from you.
Disclaimer: All patient stories discussed in Home of Medicine are informed by real patient interactions. However, all identifying details have been removed or appropriately modified to protect patient confidentiality.
This podcast is in...
FLASHBACK episode - Shortness of breath
We revisit one of Ben's earliest episodes from 2022, when we discuss a case of a gentleman I reviewed who presented with shortness of breath.
This is also our most listened to episode and highlights how Ben works through a case in the Emergency Department.
Get in touch at [email protected]. We love to hear from you
Disclaimer: All patient stories discussed in Home of Medicine are informed by real patient interactions. However, all identifying details have been removed or appropriately modified to...
The Curious Case of the Sore Throat and Aching Muscles
A young man presents with a sore throat and aching muscles - but what could be the cause?
Ben and I dig into the possibilities, with Ben (of course) pulling out another gem from the depths of medical trivia: the Lacto-Bolo reflex. You’ll be both educated and entertained.
Got thoughts or questions? We’d love to hear from you.
Drop us a line at [email protected]
Disclaimer: All patient stories discussed in Home of Medicine are informed by real patient interactions. However, all i...
Confusion on the medical take
Confusion in the older adult, must be a UTI?
We discuss a frequent referral to the medical team and how we approach it.
The importance of thorough clinical examination is highlighted.
We reminisce on being foundation doctors and recap anchoring bias.
Get in touch at [email protected], we love to hear from you
Disclaimer: All patient stories discussed in Home of Medicine are informed by real patient interactions. However, all identifying details have been re...
I would like a second opinion ..........
What happens when someone doubts your clinical ability and asks for a second opinion?
Ben and I discuss a case of collapse and what to do next.
Please subscribe and spread the word.
Get in touch, we love to hear from you.
Disclaimer: All patient stories discussed in Home of Medicine are informed by real patient interactions. However, all identifying details have been removed or appropriately modified to protect patient confidentiality.
Th...
To CT or not to CT???
Is it ok to cancel an investigation that someone else has requested?
Ben and I reflect on this as we analyse a case of shortness of breath and weight loss.
What would you do in this situation?
If you enjoy the episode, please share it with colleagues, and don’t forget to rate and review the podcast — it really helps others find us!
Disclaimer: All patient stories discussed in Home of Medicine are informed by real patient interactions. However, all identi...
Haemoptysis
Does haemoptysis alarm you?
In this episode, Ben solves the case of a gentleman presenting with haemoptysis and weight loss. We unpack how investigate and manage this case.
Can you figure out the cause before Ben does?
If you enjoy the episode, please share it with colleagues, and don’t forget to rate and review the podcast!
Disclaimer: All patient stories discussed in Home of Medicine are informed by real patient interactions. However, all identifying details have been...
Back pain - Again!
Ben and I are back with another fantastic episode, with my knowledge once again being tested by Ben.
This is a very special episode all the way from a very sunny Florence. This is our very first live recording of the podcast with a studio audience, at the European Congress of Internal Medicine.
We have audience participation, back pain, DOACs and as always we reflect on the all important clinical reasoning and why we do what we do!
Please get in touch with any questions or feedback [email protected]
Another Headache???
Welcome back to the Home of Medicine. In this episode, Ben and I dive into the causes of headaches, uncovering an unexpected diagnosis that will keep you thinking. This fascinating internal medicine case is one you won’t want to miss.
Plus, Ben takes a trip down memory lane, reminiscing about his medical school days, and we revisit the fundamentals with a quick discussion on clubbing.
Have thoughts or cases to share? Email us at [email protected]
Disclaimer: All patient stories discussed in Home of Medicine ...
Abdominal Pain
Abdominal Pain – What Could It Be?
In this episode of Home of Medicine, Ben and I dive into the complexities of abdominal pain—a symptom with countless potential causes. We explore the importance of history taking, the Framing Effect, and how cognitive biases can influence clinical decision-making.
We also discuss the value of peer-to-peer consultant observations—could this improve patient care and professional growth?
And, as always, we reflect on our own mistakes along the way!
Got thoughts or feedback? We’d love t...
REPOST; Chest pain - A Missed Opportunity - Our Favourite Episode Yet!
Chest Pain & a Critical Decision: Our Most Memorable Case Yet
In this episode, Ben and I discuss a high-stakes Same Day Emergency Care Case—a patient presenting with chest pain and the critical decision I made that could have led to devastating consequences.
This case has stayed with me, and we break down the challenges of clinical decision-making, the weight of responsibility in acute care, and the moments that shape us as medical professionals.
Join us for an in-depth discussion on ...
Seizures… Again?!
Seizures, Weakness & the Lumbar Puncture Debate – A Tough Emergency Case
In this episode, Ben and I tackle a complex Emergency Department case—a patient presenting with seizures and left arm weakness. It’s a tricky scenario that sparks a key debate: Should we perform a lumbar puncture?
We break down the decision-making process, discuss the challenges of diagnosing neurological conditions in Acute Medicine, and reflect on the bigger question: How is Acute Medicine Perceived?
Join us for an insightful discussion on seizu...