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  • After 5 years, a new UK asthma guideline was published in November 2025. The document is fairly long and has multiple links to other documents which may or may not be read by general practitioners or generalist paediatricians and physicians. So in this podcast I’ve discussed four key messages from the document which in my view could improve asthma care right away. Please do also listen to podcast number 52 for a practical approach to reducing future attacks

    See https://bjgp.org/content/74/739/86 for an article on AIR therapy


    Asthma Spotlight PODCAST and YOUTUBE Disclaimer: The opinions I express in these blogs, podcasts and videos are not intended as, and shall not be understood or construed as, medical, health, or professional advice of any kind. The information contained in this podcast is an educational service that provides general health information about asthma and is not a substitute for medical or health advice from a professional who is aware of the facts and circumstances of your individual situation. This podcast contain my own opinions. I will make every effort to broadcast correct information but listeners must realize that medicine is a constantly changing science and art. One doctor may have a different way of doing things from another. I am simply presenting my views on asthma that will be as evidence based as possible I do not promote any asthma medications or devices. By listening to this podcast, which is intended for people with asthma and their caregivers, you agree not to use this podcast or blog as medical advice to treat any medical condition in either yourself or others, and if you are a health professional, this  includes but is not limited to patients that you are treating.  Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or blog. You understand and agree that under no circumstances shall Dr Mark Levy any guests or contributors to the podcast or blog be responsible for damages arising from use of the podcast or blog.

    ADDITIONAL LEGAL DISCLAIMER All Asthma Spotlight Podcast and videos: This blog, video or podcast should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or blog.

    Privacy notice Asthma Spotlight Podcast and videos:  While you may give your email address to me if you send any questions to [email protected] to be answered in future podcasts, I will never share your email address or contact information with any third parties without your explicit permission.

    Advertising policy Asthma Spotlight Podcast:   The Asthma Spotlight podcast and videos may receive advertising money; Dr Mark Levy and any other presenters on Asthma Spotlight podcast do NOT endorse any of the adverts placed on the sites. 


    Hosted on Acast. See acast.com/privacy for more information.

  • Its 5 years since the UK asthma guidelines were updated. In June 2024 new draft chronic asthma guidelines were published by NICE, the BTS and SIGN. Over 600 feedback responses with comments on this draft were sent to the authors for consideration before publishing the new guideline. In this second of two podcasts I’m joined by Daryl Freeman and Toby Capstick to discuss the treatment section of draft. See https://bit.ly/3XSGHge 


    Asthma Spotlight PODCAST and YOUTUBE Disclaimer: The opinions I express in these blogs, podcasts and videos are not intended as, and shall not be understood or construed as, medical, health, or professional advice of any kind. The information contained in this podcast is an educational service that provides general health information about asthma and is not a substitute for medical or health advice from a professional who is aware of the facts and circumstances of your individual situation. This podcast contain my own opinions. I will make every effort to broadcast correct information but listeners must realize that medicine is a constantly changing science and art. One doctor may have a different way of doing things from another. I am simply presenting my views on asthma that will be as evidence based as possible I do not promote any asthma medications or devices. By listening to this podcast, which is intended for people with asthma and their caregivers, you agree not to use this podcast or blog as medical advice to treat any medical condition in either yourself or others, and if you are a health professional, this  includes but is not limited to patients that you are treating.  Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or blog. You understand and agree that under no circumstances shall Dr Mark Levy any guests or contributors to the podcast or blog be responsible for damages arising from use of the podcast or blog.

    ADDITIONAL LEGAL DISCLAIMER All Asthma Spotlight Podcast and videos: This blog, video or podcast should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or blog.

    Privacy notice Asthma Spotlight Podcast and videos:  While you may give your email address to me if you send any questions to [email protected] to be answered in future podcasts, I will never share your email address or contact information with any third parties without your explicit permission.

    Advertising policy Asthma Spotlight Podcast:   The Asthma Spotlight podcast and videos may receive advertising money; Dr Mark Levy and any other presenters on Asthma Spotlight podcast do NOT endorse any of the adverts placed on the sites. 


    Hosted on Acast. See acast.com/privacy for more information.

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  • It’s 5 years since the UK asthma guidelines were updated. In June 2024 new draft chronic asthma guidelines were published by NICE/BTS/SIGN. Over 600 feedback responses were comments on this draft were sent to the authors for consideration before publishing the new guideline. In this first of two podcasts I’m joined by Daryl Freeman and Toby Capstick to discuss their views on the draft. See https://bit.ly/3XSGHge  

    Asthma Spotlight PODCAST and YOUTUBE Disclaimer: The opinions I express in these blogs, podcasts and videos are not intended as, and shall not be understood or construed as, medical, health, or professional advice of any kind. The information contained in this podcast is an educational service that provides general health information about asthma and is not a substitute for medical or health advice from a professional who is aware of the facts and circumstances of your individual situation. This podcast contain my own opinions. I will make every effort to broadcast correct information but listeners must realize that medicine is a constantly changing science and art. One doctor may have a different way of doing things from another. I am simply presenting my views on asthma that will be as evidence based as possible I do not promote any asthma medications or devices. By listening to this podcast, which is intended for people with asthma and their caregivers, you agree not to use this podcast or blog as medical advice to treat any medical condition in either yourself or others, and if you are a health professional, this  includes but is not limited to patients that you are treating.  Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or blog. You understand and agree that under no circumstances shall Dr Mark Levy any guests or contributors to the podcast or blog be responsible for damages arising from use of the podcast or blog.

    ADDITIONAL LEGAL DISCLAIMER All Asthma Spotlight Podcast and videos: This blog, video or podcast should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or blog.

    Privacy notice Asthma Spotlight Podcast and videos:  While you may give your email address to me if you send any questions to [email protected] to be answered in future podcasts, I will never share your email address or contact information with any third parties without your explicit permission.

    Advertising policy Asthma Spotlight Podcast:   The Asthma Spotlight podcast and videos may receive advertising money; Dr Mark Levy and any other presenters on Asthma Spotlight podcast do NOT endorse any of the adverts placed on the sites. 


    Hosted on Acast. See acast.com/privacy for more information.

  • Many health care professionals who prescribe asthma treatment are not aware of Anti-Inflammatory Reliever (AIR) Therapy. This podcast clarifies this and will hopefully be a ‘light-bulb’ moment for doctors and nurses who prescribe for people with asthma. It will also be helpful for those non-medically trained people delegated to provide assistance and education to understand this treatment for people with asthma, as well of course people with asthma can benefit from this podcast. The two types of AIR Therapy are summarised - they are MART (MAintenance and Reliever Therapy, and As Needed AIR Therapy for so called mild asthma. See also https://ginasthma.org/reports/ and https://bigcatdoc.com/ for more information on asthma.


    Asthma Spotlight PODCAST and YOUTUBE Disclaimer: The opinions I express in these blogs, podcasts and videos are not intended as, and shall not be understood or construed as, medical, health, or professional advice of any kind. The information contained in this podcast is an educational service that provides general health information about asthma and is not a substitute for medical or health advice from a professional who is aware of the facts and circumstances of your individual situation. This podcast contain my own opinions. I will make every effort to broadcast correct information but listeners must realize that medicine is a constantly changing science and art. One doctor may have a different way of doing things from another. I am simply presenting my views on asthma that will be as evidence based as possible I do not promote any asthma medications or devices. By listening to this podcast, which is intended for people with asthma and their caregivers, you agree not to use this podcast or blog as medical advice to treat any medical condition in either yourself or others, and if you are a health professional, this  includes but is not limited to patients that you are treating.  Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or blog. You understand and agree that under no circumstances shall Dr Mark Levy any guests or contributors to the podcast or blog be responsible for damages arising from use of the podcast or blog.

    ADDITIONAL LEGAL DISCLAIMER All Asthma Spotlight Podcast and videos: This blog, video or podcast should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or blog.

    Privacy notice Asthma Spotlight Podcast and videos:  While you may give your email address to me if you send any questions to [email protected] to be answered in future podcasts, I will never share your email address or contact information with any third parties without your explicit permission.

    Advertising policy Asthma Spotlight Podcast:   The Asthma Spotlight podcast and videos may receive advertising money; Dr Mark Levy and any other presenters on Asthma Spotlight podcast do NOT endorse any of the adverts placed on the sites. 


    Hosted on Acast. See acast.com/privacy for more information.

  • One of the biggest risks for people with asthma is in those whose asthma is not yet diagnosed. People are often being treated for symptoms, like cough or wheezing without a medical diagnosis. So despite having repeated episodes of respiratory symptoms, these episodes are simply treated as one off acute events with cough mixtures, or antibiotics or inhaler medication. As I’ve said in previous podcasts, asthma is a chronic ongoing disease requiring ongoing treatment to prevent attacks, and is NOT an acute one off disease and in this podcast I’ll share my thoughts and reasons why I think this is a problem. This is particularly relevant because the new draft UK asthma guidelines do not help address this issue of failure to diagnose asthma. For more information on asthma see https://bigcatdoc.com


    Asthma Spotlight PODCAST and YOUTUBE Disclaimer: The opinions I express in these blogs, podcasts and videos are not intended as, and shall not be understood or construed as, medical, health, or professional advice of any kind. The information contained in this podcast is an educational service that provides general health information about asthma and is not a substitute for medical or health advice from a professional who is aware of the facts and circumstances of your individual situation. This podcast contain my own opinions. I will make every effort to broadcast correct information but listeners must realize that medicine is a constantly changing science and art. One doctor may have a different way of doing things from another. I am simply presenting my views on asthma that will be as evidence based as possible I do not promote any asthma medications or devices. By listening to this podcast, which is intended for people with asthma and their caregivers, you agree not to use this podcast or blog as medical advice to treat any medical condition in either yourself or others, and if you are a health professional, this  includes but is not limited to patients that you are treating.  Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or blog. You understand and agree that under no circumstances shall Dr Mark Levy any guests or contributors to the podcast or blog be responsible for damages arising from use of the podcast or blog.

    ADDITIONAL LEGAL DISCLAIMER All Asthma Spotlight Podcast and videos: This blog, video or podcast should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or blog.

    Privacy notice Asthma Spotlight Podcast and videos:  While you may give your email address to me if you send any questions to [email protected] to be answered in future podcasts, I will never share your email address or contact information with any third parties without your explicit permission.

    Advertising policy Asthma Spotlight Podcast:   The Asthma Spotlight podcast and videos may receive advertising money; Dr Mark Levy and any other presenters on Asthma Spotlight podcast do NOT endorse any of the adverts placed on the sites. 


    Hosted on Acast. See acast.com/privacy for more information.

  • Asthma attacks and asthma deaths are mostly preventable with good care. There is often a lot of publicity, about people who die from asthma. However, not much about people with asthma who have 'near misses'. i.e. life threatening attacks where the management is below expected. thisa happened recently to a young girl, who I had looked after 5 years ago in a general practice. Mom contacted me andt she and her husband agreed for me to share the story about their child who had a near miss asthma attack in 2024 - just about 10 years after we published the National Review of Asthma Deaths. I am really saddened that in the UK, we have still not implemented a robust system for managing asthma, the commonest chronic childhood disease. This podcast discusses some lessons for health professionals and provides some ideas to help parents of children with asthma. Please also see my suggested plan for an ongoing system of clinical audit .for primary care to start reflecting on and tackling this disease properly. GPs please see https://bit.ly/3vxpxJt for an audit system to reflect on asthma attacks.


    Asthma Spotlight PODCAST and YOUTUBE Disclaimer: The opinions I express in these blogs, podcasts and videos are not intended as, and shall not be understood or construed as, medical, health, or professional advice of any kind. The information contained in this podcast is an educational service that provides general health information about asthma and is not a substitute for medical or health advice from a professional who is aware of the facts and circumstances of your individual situation. This podcast contain my own opinions. I will make every effort to broadcast correct information but listeners must realize that medicine is a constantly changing science and art. One doctor may have a different way of doing things from another. I am simply presenting my views on asthma that will be as evidence based as possible I do not promote any asthma medications or devices. By listening to this podcast, which is intended for people with asthma and their caregivers, you agree not to use this podcast or blog as medical advice to treat any medical condition in either yourself or others, and if you are a health professional, this  includes but is not limited to patients that you are treating.  Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or blog. You understand and agree that under no circumstances shall Dr Mark Levy any guests or contributors to the podcast or blog be responsible for damages arising from use of the podcast or blog.

    ADDITIONAL LEGAL DISCLAIMER All Asthma Spotlight Podcast and videos: This blog, video or podcast should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or blog.

    Privacy notice Asthma Spotlight Podcast and videos:  While you may give your email address to me if you send any questions to [email protected] to be answered in future podcasts, I will never share your email address or contact information with any third parties without your explicit permission.

    Advertising policy Asthma Spotlight Podcast:   The Asthma Spotlight podcast and videos may receive advertising money; Dr Mark Levy and any other presenters on Asthma Spotlight podcast do NOT endorse any of the adverts placed on the sites.


    Hosted on Acast. See acast.com/privacy for more information.

  • Severe asthma causes misery for many people, it is underdiagnosed and yet it contributes significantly to poor outcomes due to asthma and is very costly for health care providers. About 3-5% of people with asthma have severe asthma and if suspected or confirmed should be cared for by asthma specialists. In this interview with DR Hitasha Rupani, you will understand a lot about this type of asthma irrewspective if you are a sufferer or a health care professional. The information could save someone's life.


    Asthma Spotlight PODCAST and YOUTUBE Disclaimer: The opinions I express in these blogs, podcasts and videos are not intended as, and shall not be understood or construed as, medical, health, or professional advice of any kind. The information contained in this podcast is an educational service that provides general health information about asthma and is not a substitute for medical or health advice from a professional who is aware of the facts and circumstances of your individual situation. This podcast contain my own opinions. I will make every effort to broadcast correct information but listeners must realize that medicine is a constantly changing science and art. One doctor may have a different way of doing things from another. I am simply presenting my views on asthma that will be as evidence based as possible I do not promote any asthma medications or devices. By listening to this podcast, which is intended for people with asthma and their caregivers, you agree not to use this podcast or blog as medical advice to treat any medical condition in either yourself or others, and if you are a health professional, this  includes but is not limited to patients that you are treating.  Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or blog. You understand and agree that under no circumstances shall Dr Mark Levy any guests or contributors to the podcast or blog be responsible for damages arising from use of the podcast or blog.

    ADDITIONAL LEGAL DISCLAIMER All Asthma Spotlight Podcast and videos: This blog, video or podcast should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or blog.

    Privacy notice Asthma Spotlight Podcast and videos:  While you may give your email address to me if you send any questions to [email protected] to be answered in future podcasts, I will never share your email address or contact information with any third parties without your explicit permission.

    Advertising policy Asthma Spotlight Podcast:   The Asthma Spotlight podcast and videos may receive advertising money; Dr Mark Levy and any other presenters on Asthma Spotlight podcast do NOT endorse any of the adverts placed on the sites. 


    Hosted on Acast. See acast.com/privacy for more information.

  • Many colleagues have asked for an explanation on Maintenance and Reliever Therapy (MART) for asthma. Ther is a considerable body of exidence supporting the use of Anti-inflammatory Reliever (AIR) therapy for asthma which is more effective and safer than the use of separate inhalers prescribed for relief and prevention opf asthma. There are two forms of AIR therapy authorised by regulators and these are MART for those with moderate to severe asthma and also 'as needed AIR instea=d of Short-acting bronchodilators (SABAs) for relief of symptoms in people wiyh mild asthma. This podcast explains the rationale and some of the practicalities related to AIR therapy and is useful both for health care professionals and people with & parents of people with with asthma. See https://bjgp.org/content/74/739/86 for the research evidence for this approach.


    Asthma Spotlight PODCAST and YOUTUBE Disclaimer: The opinions I express in these blogs, podcasts and videos are not intended as, and shall not be understood or construed as, medical, health, or professional advice of any kind. The information contained in this podcast is an educational service that provides general health information about asthma and is not a substitute for medical or health advice from a professional who is aware of the facts and circumstances of your individual situation. This podcast contain my own opinions. I will make every effort to broadcast correct information but listeners must realize that medicine is a constantly changing science and art. One doctor may have a different way of doing things from another. I am simply presenting my views on asthma that will be as evidence based as possible I do not promote any asthma medications or devices. By listening to this podcast, which is intended for people with asthma and their caregivers, you agree not to use this podcast or blog as medical advice to treat any medical condition in either yourself or others, and if you are a health professional, this  includes but is not limited to patients that you are treating.  Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or blog. You understand and agree that under no circumstances shall Dr Mark Levy any guests or contributors to the podcast or blog be responsible for damages arising from use of the podcast or blog.

    ADDITIONAL LEGAL DISCLAIMER All Asthma Spotlight Podcast and videos: This blog, video or podcast should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or blog.

    Privacy notice Asthma Spotlight Podcast and videos:  While you may give your email address to me if you send any questions to [email protected] to be answered in future podcasts, I will never share your email address or contact information with any third parties without your explicit permission.

    Advertising policy Asthma Spotlight Podcast:   The Asthma Spotlight podcast and videos may receive advertising money; Dr Mark Levy and any other presenters on Asthma Spotlight podcast do NOT endorse any of the adverts placed on the sites. 


    Hosted on Acast. See acast.com/privacy for more information.

  • Thefre is no point in doing an asthma review when someone is 100% fit ands well. Asthma is a chronic disease prone to flare ups or attacks which could be life threatening. Its characterised by intermittent symptoms or attacks with other periods when the disease is very well controlled and the person has no symptoms. So performing an assessment may be unhelpful if the person is well on that day. So in this episode, Ive concentrated on when to best make use of a health professionals time and skills in deciding whether any of the care needs optimising. Ive also described how people with asthma, and parents of children with asthma can take some responsibility for deciding when they need to seek medical assistance for a review. Ive suggested how health care professionals can best use their skills and asthma training for the benefit of patients, to reduce attacks and unscheduled care requiremen. Please see my 7-Step Plan to prevent attacks: https://bigcatdoc.com/2024/01/10/2024-identify-that-an-asthma-attack-is-a-red-flag/

    Asthma Spotlight PODCAST and YOUTUBE Disclaimer: The opinions I express in these blogs, podcasts and videos are not intended as, and shall not be understood or construed as, medical, health, or professional advice of any kind. The information contained in this podcast is an educational service that provides general health information about asthma and is not a substitute for medical or health advice from a professional who is aware of the facts and circumstances of your individual situation. This podcast contain my own opinions. I will make every effort to broadcast correct information but listeners must realize that medicine is a constantly changing science and art. One doctor may have a different way of doing things from another. I am simply presenting my views on asthma that will be as evidence based as possible I do not promote any asthma medications or devices. By listening to this podcast, which is intended for people with asthma and their caregivers, you agree not to use this podcast or blog as medical advice to treat any medical condition in either yourself or others, and if you are a health professional, this  includes but is not limited to patients that you are treating.  Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or blog. You understand and agree that under no circumstances shall Dr Mark Levy any guests or contributors to the podcast or blog be responsible for damages arising from use of the podcast or blog.

    ADDITIONAL LEGAL DISCLAIMER All Asthma Spotlight Podcast and videos: This blog, video or podcast should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or blog.

    Privacy notice Asthma Spotlight Podcast and videos:  While you may give your email address to me if you send any questions to [email protected] to be answered in future podcasts, I will never share your email address or contact information with any third parties without your explicit permission.

    Advertising policy Asthma Spotlight Podcast:   The Asthma Spotlight podcast and videos may receive advertising money; Dr Mark Levy and any other presenters on Asthma Spotlight podcast do NOT endorse any of the adverts placed on the sites. 


    Hosted on Acast. See acast.com/privacy for more information.

  • Asthma management in primary care in the UK has reached a stage where patients and doctors are at grave risk. The problem being that a large proportion of asthma care is being delegated inappropriately to individuals (Physician and nurse associates, health care assistants, untrained nurses and pharmacists for eg) who may not be adequately trained for the roles they are being asked to perform. As a result of political pressure to generate data to give appearances that patients are accessing care (through directing them to pharmacies, care hubs, and individuals within primary care), without adequate training or supervision. Also the UK General Medical Council has highlighted the need for doctors to delegate responsibly. So patients are being put at risk and general practitioners are putting their registration at risk as well as becoming further deskilled in managing asthma. Have a look at my 7-Step plan to try and improve patient care and at the same time educate all practice staff in recognising risk and changing systems for asthma care. https://bit.ly/3vxpxJt

    Asthma Spotlight PODCAST and YOUTUBE Disclaimer: The opinions I express in these blogs, podcasts and videos are not intended as, and shall not be understood or construed as, medical, health, or professional advice of any kind. The information contained in this podcast is an educational service that provides general health information about asthma and is not a substitute for medical or health advice from a professional who is aware of the facts and circumstances of your individual situation. This podcast contain my own opinions. I will make every effort to broadcast correct information but listeners must realize that medicine is a constantly changing science and art. One doctor may have a different way of doing things from another. I am simply presenting my views on asthma that will be as evidence based as possible I do not promote any asthma medications or devices. By listening to this podcast, which is intended for people with asthma and their caregivers, you agree not to use this podcast or blog as medical advice to treat any medical condition in either yourself or others, and if you are a health professional, this  includes but is not limited to patients that you are treating.  Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or blog. You understand and agree that under no circumstances shall Dr Mark Levy any guests or contributors to the podcast or blog be responsible for damages arising from use of the podcast or blog.

    ADDITIONAL LEGAL DISCLAIMER All Asthma Spotlight Podcast and videos: This blog, video or podcast should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or blog.

    Privacy notice Asthma Spotlight Podcast and videos:  While you may give your email address to me if you send any questions to [email protected] to be answered in future podcasts, I will never share your email address or contact information with any third parties without your explicit permission.

    Advertising policy Asthma Spotlight Podcast:   The Asthma Spotlight podcast and videos may receive advertising money; Dr Mark Levy and any other presenters on Asthma Spotlight podcast do NOT endorse any of the adverts placed on the sites. 


    Hosted on Acast. See acast.com/privacy for more information.

  • The tragic death of another child due to asthma is the last straw for me. Most asthma attacks and deaths are potentially preventable. These preventable deaths in children particularly must stop. So Ive developed a 7-step plan to help general practices identify and review all those who have an asthma attack in a regular practice meeting - at least monthly. The key being to identify and fix modifiable risk factors for the patient after the attack, and to create systems to prevent attacks in others. see; bit.ly/3vxpxJt for details on the suggested system. This and the most recent podcasts were discussions on the different risk factors and some practical ideas for dealing with them. Please share any comments via email to me at [email protected]


    Asthma Spotlight PODCAST and YOUTUBE Disclaimer: The opinions I express in these blogs, podcasts and videos are not intended as, and shall not be understood or construed as, medical, health, or professional advice of any kind. The information contained in this podcast is an educational service that provides general health information about asthma and is not a substitute for medical or health advice from a professional who is aware of the facts and circumstances of your individual situation. This podcast contain my own opinions. I will make every effort to broadcast correct information but listeners must realize that medicine is a constantly changing science and art. One doctor may have a different way of doing things from another. I am simply presenting my views on asthma that will be as evidence based as possible I do not promote any asthma medications or devices. By listening to this podcast, which is intended for people with asthma and their caregivers, you agree not to use this podcast or blog as medical advice to treat any medical condition in either yourself or others, and if you are a health professional, this  includes but is not limited to patients that you are treating.  Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or blog. You understand and agree that under no circumstances shall Dr Mark Levy any guests or contributors to the podcast or blog be responsible for damages arising from use of the podcast or blog.

    ADDITIONAL LEGAL DISCLAIMER All Asthma Spotlight Podcast and videos: This blog, video or podcast should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or blog.

    Privacy notice Asthma Spotlight Podcast and videos:  While you may give your email address to me if you send any questions to [email protected] to be answered in future podcasts, I will never share your email address or contact information with any third parties without your explicit permission.

    Advertising policy Asthma Spotlight Podcast:   The Asthma Spotlight podcast and videos may receive advertising money; Dr Mark Levy and any other presenters on Asthma Spotlight podcast do NOT endorse any of the adverts placed on the sites.


    Hosted on Acast. See acast.com/privacy for more information.

  • Continuing the current series on identifying modifiable risk factors that may have contributed to or caused an asthma attack, this podcast is about some of the conditions that may co-exist in addition to asthma. Once identified, they can be dealt with appropriately to try and improve asthma control and prevent future attacks. Please do listen to the episode on a recent inquest that concluded that a 10 year old boy's death due to asthma could have been prevented. (https://shows.acast.com/634ea305797059001268b976/6586cddc3f6ace00163958d6) and my 7-Step Plan to end asthma attacks in primary care (https://bigcatdoc.com/2024/01/10/2024-identify-that-an-asthma-attack-is-a-red-flag/)


    Asthma Spotlight PODCAST and YOUTUBE Disclaimer: The opinions I express in these blogs, podcasts and videos are not intended as, and shall not be understood or construed as, medical, health, or professional advice of any kind. The information contained in this podcast is an educational service that provides general health information about asthma and is not a substitute for medical or health advice from a professional who is aware of the facts and circumstances of your individual situation. This podcast contain my own opinions. I will make every effort to broadcast correct information but listeners must realize that medicine is a constantly changing science and art. One doctor may have a different way of doing things from another. I am simply presenting my views on asthma that will be as evidence based as possible I do not promote any asthma medications or devices. By listening to this podcast, which is intended for people with asthma and their caregivers, you agree not to use this podcast or blog as medical advice to treat any medical condition in either yourself or others, and if you are a health professional, this  includes but is not limited to patients that you are treating.  Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or blog. You understand and agree that under no circumstances shall Dr Mark Levy any guests or contributors to the podcast or blog be responsible for damages arising from use of the podcast or blog.

    ADDITIONAL LEGAL DISCLAIMER All Asthma Spotlight Podcast and videos: This blog, video or podcast should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or blog.

    Privacy notice Asthma Spotlight Podcast and videos:  While you may give your email address to me if you send any questions to [email protected] to be answered in future podcasts, I will never share your email address or contact information with any third parties without your explicit permission.

    Advertising policy Asthma Spotlight Podcast:   The Asthma Spotlight podcast and videos may receive advertising money; Dr Mark Levy and any other presenters on Asthma Spotlight podcast do NOT endorse any of the adverts placed on the sites. 


    Hosted on Acast. See acast.com/privacy for more information.

  • Asthma attacks and deaths are preventable in the vast majority of these episodes. This is the third episode on practical ways that health care professionals can identify and deal with potentially preventable factors that cause asthma attacks - in this case Ive focussed on inhaler technique - the key message being that if someone cannot use their inhaler properly - the drug will not be able to reach the place in the lungs where it works. This episode will help in implementing my 7-Step Plan to eradicate asthma attacks, which will benefit patients through reduced preventable attacks and deaths and also reduce workload for health carers through reduction in unscheduled attendance for treatment of attacks. For details on the 7-Step Plan see: https://bigcatdoc.com/2024/01/10/2024-identify-that-an-asthma-attack-is-a-red-flag/


    Asthma Spotlight PODCAST and YOUTUBE Disclaimer: The opinions I express in these blogs, podcasts and videos are not intended as, and shall not be understood or construed as, medical, health, or professional advice of any kind. The information contained in this podcast is an educational service that provides general health information about asthma and is not a substitute for medical or health advice from a professional who is aware of the facts and circumstances of your individual situation. This podcast contain my own opinions. I will make every effort to broadcast correct information but listeners must realize that medicine is a constantly changing science and art. One doctor may have a different way of doing things from another. I am simply presenting my views on asthma that will be as evidence based as possible I do not promote any asthma medications or devices. By listening to this podcast, which is intended for people with asthma and their caregivers, you agree not to use this podcast or blog as medical advice to treat any medical condition in either yourself or others, and if you are a health professional, this  includes but is not limited to patients that you are treating.  Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or blog. You understand and agree that under no circumstances shall Dr Mark Levy any guests or contributors to the podcast or blog be responsible for damages arising from use of the podcast or blog.

    ADDITIONAL LEGAL DISCLAIMER All Asthma Spotlight Podcast and videos: This blog, video or podcast should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or blog.

    Privacy notice Asthma Spotlight Podcast and videos:  While you may give your email address to me if you send any questions to [email protected] to be answered in future podcasts, I will never share your email address or contact information with any third parties without your explicit permission.

    Advertising policy Asthma Spotlight Podcast:   The Asthma Spotlight podcast and videos may receive advertising money; Dr Mark Levy and any other presenters on Asthma Spotlight podcast do NOT endorse any of the adverts placed on the sites.


    Hosted on Acast. See acast.com/privacy for more information.

  • This is the second episode aimed primarily for general practitioners and emphasises the rationale and need for all those diagnosed with asthma to be prescribed inhaled corticosteroids either as needed depending on the local licence, or regularly. In many asthma attacks and deaths, people have either not been prescribed or are not collecting sufficient inhaled corticosteroid preventer medication. The three ways these inhaled corticosteroid inhalers can be prescribed are described in the podcast and some ways that general practices v=can identify those who are taking insufficient are detailed in the podcast. Please listen to episode 50 for some backgroung and do have a look at my website www.bigcatdoc.com. Also do email me with any queries - [email protected].

    Asthma Spotlight PODCAST and YOUTUBE Disclaimer: The opinions I express in these blogs, podcasts and videos are not intended as, and shall not be understood or construed as, medical, health, or professional advice of any kind. The information contained in this podcast is an educational service that provides general health information about asthma and is not a substitute for medical or health advice from a professional who is aware of the facts and circumstances of your individual situation. This podcast contain my own opinions. I will make every effort to broadcast correct information but listeners must realize that medicine is a constantly changing science and art. One doctor may have a different way of doing things from another. I am simply presenting my views on asthma that will be as evidence based as possible I do not promote any asthma medications or devices. By listening to this podcast, which is intended for people with asthma and their caregivers, you agree not to use this podcast or blog as medical advice to treat any medical condition in either yourself or others, and if you are a health professional, this  includes but is not limited to patients that you are treating.  Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or blog. You understand and agree that under no circumstances shall Dr Mark Levy any guests or contributors to the podcast or blog be responsible for damages arising from use of the podcast or blog.

    ADDITIONAL LEGAL DISCLAIMER All Asthma Spotlight Podcast and videos: This blog, video or podcast should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or blog.

    Privacy notice Asthma Spotlight Podcast and videos:  While you may give your email address to me if you send any questions to [email protected] to be answered in future podcasts, I will never share your email address or contact information with any third parties without your explicit permission.

    Advertising policy Asthma Spotlight Podcast:   The Asthma Spotlight podcast and videos may receive advertising money; Dr Mark Levy and any other presenters on Asthma Spotlight podcast do NOT endorse any of the adverts placed on the sites.


    Hosted on Acast. See acast.com/privacy for more information.

  • This is the first in a series of discussions to help primary care eradicate asthma attacks and preventable asthma deaths. Following the recent inquest report on a potentially preventable death due to asthma in a 10 year old boy, I am continuing with my attempt to encourage general practices to accept that this is the last straw. Too many potentially preventable asthma deaths continue to be reported in the UK and GPs have the ability to end this appalling, tragic situation. Please see my web description of the 7 Step Plan to eradicate asthma attacks at : https://bigcatdoc.com/2024/01/10/2024-identify-that-an-asthma-attack-is-a-red-flag/ . In this episode Ive started a discussion on practical ways to approach the problem - its not rocket science!


    Asthma Spotlight PODCAST and YOUTUBE Disclaimer: The opinions I express in these blogs, podcasts and videos are not intended as, and shall not be understood or construed as, medical, health, or professional advice of any kind. The information contained in this podcast is an educational service that provides general health information about asthma and is not a substitute for medical or health advice from a professional who is aware of the facts and circumstances of your individual situation. This podcast contain my own opinions. I will make every effort to broadcast correct information but listeners must realize that medicine is a constantly changing science and art. One doctor may have a different way of doing things from another. I am simply presenting my views on asthma that will be as evidence based as possible I do not promote any asthma medications or devices. By listening to this podcast, which is intended for people with asthma and their caregivers, you agree not to use this podcast or blog as medical advice to treat any medical condition in either yourself or others, and if you are a health professional, this  includes but is not limited to patients that you are treating.  Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or blog. You understand and agree that under no circumstances shall Dr Mark Levy any guests or contributors to the podcast or blog be responsible for damages arising from use of the podcast or blog.

    ADDITIONAL LEGAL DISCLAIMER All Asthma Spotlight Podcast and videos: This blog, video or podcast should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or blog.

    Privacy notice Asthma Spotlight Podcast and videos:  While you may give your email address to me if you send any questions to [email protected] to be answered in future podcasts, I will never share your email address or contact information with any third parties without your explicit permission.

    Advertising policy Asthma Spotlight Podcast:   The Asthma Spotlight podcast and videos may receive advertising money; Dr Mark Levy and any other presenters on Asthma Spotlight podcast do NOT endorse any of the adverts placed on the sites. 


    Hosted on Acast. See acast.com/privacy for more information.

  • An asthma attack is a significant event because it is preventable and can cause harm, even death. So Generakl practitioners should see evry asthma attack in patients as a signal that treatment has failed and make every effiort to identify potentially modifiable risk factors (like excess SABA, insufficient preventer, poor adherence, poor inhaler technique and take action to fix the problem. A simple 7-step plan provides a practical method to end asthma attacks in patients. Please see https://bigcatdoc.com/2024/01/10/2024-identify-that-an-asthma-attack-is-a-red-flag/ for an explanation and for an example template form for reviewing people who have had attacks.


    Asthma Spotlight PODCAST and YOUTUBE Disclaimer: The opinions I express in these blogs, podcasts and videos are not intended as, and shall not be understood or construed as, medical, health, or professional advice of any kind. The information contained in this podcast is an educational service that provides general health information about asthma and is not a substitute for medical or health advice from a professional who is aware of the facts and circumstances of your individual situation. This podcast contain my own opinions. I will make every effort to broadcast correct information but listeners must realize that medicine is a constantly changing science and art. One doctor may have a different way of doing things from another. I am simply presenting my views on asthma that will be as evidence based as possible I do not promote any asthma medications or devices. By listening to this podcast, which is intended for people with asthma and their caregivers, you agree not to use this podcast or blog as medical advice to treat any medical condition in either yourself or others, and if you are a health professional, this  includes but is not limited to patients that you are treating.  Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or blog. You understand and agree that under no circumstances shall Dr Mark Levy any guests or contributors to the podcast or blog be responsible for damages arising from use of the podcast or blog.

    ADDITIONAL LEGAL

    DISCLAIMER All Asthma Spotlight Podcast and videos: This blog, video or podcast should not be used in any legal

    capacity whatsoever, including but not limited to establishing “standard of

    care” in a legal sense or as a basis for expert witness testimony. No

    guarantee is given regarding the accuracy of any statements or opinions made on

    the podcast or blog.

    Privacy notice Asthma

    Spotlight Podcast and videos:  While you may give

    your email address to me if you send any questions to [email protected] to be

    answered in future podcasts, I will never share your email address or contact

    information with any third parties without your explicit permission.

    Advertising policy Asthma Spotlight Podcast:   The Asthma Spotlight podcast and videos may receive advertising money; Dr Mark Levy and any other presenters on Asthma Spotlight podcast do NOT endorse any of the adverts placed on the sites. 


    Hosted on Acast. See acast.com/privacy for more information.

  • Asthma attacks and preventable deaths can be reduced by recognising and dealing with modifiable risk factors. Common risk factors for asthma attacks include: excess prescriptions and use of reliever inhalers; insufficient or no prescription of inhaled corticosteroid preventer inhalers; poor inhaler technique; exposure to triggers like non steroidal anti-inflammatory drugs; smoking (including vaping). I have suggested a 7-step plan to reduce preventable asthma attacks and deaths. Please also see my talk on Youtube at https://youtu.be/wlJ0a7_qgPI see also my blog on this topic at https://bit.ly/3vxpxJt


    Asthma Spotlight PODCAST and YOUTUBE Disclaimer: The opinions I express in these blogs, podcasts and videos are not intended as, and shall not be understood or construed as, medical, health, or professional advice of any kind. The information contained in this podcast is an educational service that provides general health information about asthma and is not a substitute for medical or health advice from a professional who is aware of the facts and circumstances of your individual situation. This podcast contain my own opinions. I will make every effort to broadcast correct information but listeners must realize that medicine is a constantly changing science and art. One doctor may have a different way of doing things from another. I am simply presenting my views on asthma that will be as evidence based as possible I do not promote any asthma medications or devices. By listening to this podcast, which is intended for people with asthma and their caregivers, you agree not to use this podcast or blog as medical advice to treat any medical condition in either yourself or others, and if you are a health professional, this  includes but is not limited to patients that you are treating.  Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or blog. You understand and agree that under no circumstances shall Dr Mark Levy any guests or contributors to the podcast or blog be responsible for damages arising from use of the podcast or blog.

    ADDITIONAL LEGAL DISCLAIMER All Asthma Spotlight Podcast and videos: This blog, video or podcast should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or blog.

    Privacy notice Asthma Spotlight Podcast and videos:  While you may give your email address to me if you send any questions to [email protected] to be answered in future podcasts, I will never share your email address or contact information with any third parties without your explicit permission.

    Advertising policy Asthma Spotlight Podcast:   The Asthma Spotlight podcast and videos may receive advertising money; Dr Mark Levy and any other presenters on Asthma Spotlight podcast do NOT endorse any of the adverts placed on the sites. 


    Hosted on Acast. See acast.com/privacy for more information.

  • Asthma deaths in children are tragic and in most cases potentially avoidable. This podcast was prompted by the recent coroners report and regulation 28 statement aimed at preventing future deaths, available at - https://bit.ly/3tDVr6h . All doctors and nurses, pharmacists, health care assistants and managers responsible for caring for children - all children - because asthma is the commonest chronic childhood illness should listen to this story and share it with colleagues. Parents and people with asthma will also find this information useful. There is an urgent need to end complacency about asthma care particularly in the UNited Kingdom. Please email me with any comments and see my website for more information. - www.bigcatdoc.com


    Asthma Spotlight PODCAST and YOUTUBE Disclaimer: The opinions I express in these blogs, podcasts and videos are not intended as, and shall not be understood or construed as, medical, health, or professional advice of any kind. The information contained in this podcast is an educational service that provides general health information about asthma and is not a substitute for medical or health advice from a professional who is aware of the facts and circumstances of your individual situation. This podcast contain my own opinions. I will make every effort to broadcast correct information but listeners must realize that medicine is a constantly changing science and art. One doctor may have a different way of doing things from another. I am simply presenting my views on asthma that will be as evidence based as possible I do not promote any asthma medications or devices. By listening to this podcast, which is intended for people with asthma and their caregivers, you agree not to use this podcast or blog as medical advice to treat any medical condition in either yourself or others, and if you are a health professional, this  includes but is not limited to patients that you are treating.  Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or blog. You understand and agree that under no circumstances shall Dr Mark Levy any guests or contributors to the podcast or blog be responsible for damages arising from use of the podcast or blog.

    ADDITIONAL LEGAL DISCLAIMER All Asthma Spotlight Podcast and videos: This blog, video or podcast should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or blog.

    Privacy notice Asthma Spotlight Podcast and videos:  While you may give your email address to me if you send any questions to [email protected] to be answered in future podcasts, I will never share your email address or contact information with any third parties without your explicit permission.

    Advertising policy Asthma Spotlight Podcast:   The Asthma Spotlight podcast and videos may receive advertising money; Dr Mark Levy and any other presenters on Asthma Spotlight podcast do NOT endorse any of the adverts placed on the sites. 


    Hosted on Acast. See acast.com/privacy for more information.

  • Asthma is a chronic ongoing disease. Sadly it is often treated by health care professionals as if its an acute condition - ie attacks are treated without any investigation of cause and without follow up to address modifiable risk factors. In this episode I have emphasised the use of agreeing personal self management plans for attacks to also educate people on identifying poor control. Please do email me with any queries and share this with front line health care professionals in primary care and ED/A&E.


    Asthma Spotlight PODCAST and YOUTUBE Disclaimer: The opinions I express in these blogs, podcasts and videos are not intended as, and shall not be understood or construed as, medical, health, or professional advice of any kind. The information contained in this podcast is an educational service that provides general health information about asthma and is not a substitute for medical or health advice from a professional who is aware of the facts and circumstances of your individual situation. This podcast contain my own opinions. I will make every efforwithout any investigation of the cause - and t to broadcast correct information but listeners must realize that medicine is a constantly changing science and art. One doctor may have a different way of doing things from another. I am simply presenting my views on asthma that will be as evidence based as possible I do not promote any asthma medications or devices. By listening to this podcast, which is intended for people with asthma and their caregivers, you agree not to use this podcast or blog as medical advice to treat any medical condition in either yourself or others, and if you are a health professional, this  includes but is not limited to patients that you are treating.  Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or blog. You understand and agree that under no circumstances shall Dr Mark Levy any guests or contributors to the podcast or blog be responsible for damages arising from use of the podcast or blog.

    ADDITIONAL LEGAL DISCLAIMER All Asthma Spotlight Podcast and videos: This blog, video or podcast should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or blog.

    Privacy notice Asthma Spotlight Podcast and videos:  While you may give your email address to me if you send any questions to [email protected] to be answered in future podcasts, I will never share your email address or contact information with any third parties without your explicit permission.

    Advertising policy Asthma Spotlight Podcast:   The Asthma Spotlight podcast and videos may receive advertising money; Dr Mark Levy and any other presenters on Asthma Spotlight podcast do NOT endorse any of the adverts placed on the sites. 


    Hosted on Acast. See acast.com/privacy for more information.

  • There are lots of causes of asthma attacks. The common cold virus, the Rhinovirus is one of the commonest causes. The key to avoiding asthma attacks is to ensi=ure good control of underlying inflammation - by taking preventer medication as prescribed by your doctor! Ive used Dr Stan Szeffler's use of a volcanic eruption to describe what happens in an asthma attack - where there ios underlying poor control with increased inflammation and then a virus comes along and adds to the inflammation with increased inflammation, increased twitchiness and narrowing of the airways all combining into a an 'eruption or explosive' asthma attack - very much like the way the lava boils away and then explodes into a volcanic eruption.


    Asthma Spotlight PODCAST and YOUTUBE Disclaimer: The opinions I express in these blogs, podcasts and videos are not intended as, and shall not be understood or construed as, medical, health, or professional advice of any kind. The information contained in this podcast is an educational service that provides general health information about asthma and is not a substitute for medical or health advice from a professional who is aware of the facts and circumstances of your individual situation. This podcast contain my own opinions. I will make every effort to broadcast correct information but listeners must realize that medicine is a constantly changing science and art. One doctor may have a different way of doing things from another. I am simply presenting my views on asthma that will be as evidence based as possible I do not promote any asthma medications or devices. By listening to this podcast, which is intended for people with asthma and their caregivers, you agree not to use this podcast or blog as medical advice to treat any medical condition in either yourself or others, and if you are a health professional, this  includes but is not limited to patients that you are treating.  Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or blog. You understand and agree that under no circumstances shall Dr Mark Levy any guests or contributors to the podcast or blog be responsible for damages arising from use of the podcast or blog.

    ADDITIONAL LEGAL DISCLAIMER All Asthma Spotlight Podcast and videos: This blog, video or podcast should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or blog.

    Privacy notice Asthma Spotlight Podcast and videos:  While you may give your email address to me if you send any questions to [email protected] to be answered in future podcasts, I will never share your email address or contact information with any third parties without your explicit permission.

    Advertising policy Asthma Spotlight Podcast:   The Asthma Spotlight podcast and videos may receive advertising money; Dr Mark Levy and any other presenters on Asthma Spotlight podcast do NOT endorse any of the adverts placed on the sites. 


    Hosted on Acast. See acast.com/privacy for more information.