James Bullen
speaker
1,082 appearances
27 recordings
1 series
first heard Nov 2017
last heard Feb 2020
James Bullen’s voice in public audio — every appearance, attributed to the second.
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Appearances
Health Report · Faecal incontinence and the world's first non-identical organ swap · 1 Jul 2019
podcast
Therese visited her GP who referred her on to a physiotherapist.
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The exercises she's been learning have helped manage her symptoms.
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There have been a few surprises along the way though.
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The stigma and shame surrounding the condition can stop people from getting treatment.
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The pathway to diagnosing the underlying cause or causes of faecal incontinence can vary.
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Colorectal surgeon Dr. Naseem Mirbagheri.
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The symptoms of bowel cancer can look similar to faecal incontinence, so that's something doctors are always on alert for.
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If physical causes are ruled out, there are still many patients for whom the doctor won't be able to find an explanation.
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Therese's physical symptoms are relatively mild, so she's been undertaking these conservative first steps with the help of specialists.
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A lot of it's to do with healthy toilet habits, which sounds simple, but it can make a big difference.
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Managing the condition is also about what you eat and the consistency of your poo.
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When these conservative treatments don't work, people might look to more drastic action, like surgery.
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Sometimes that could be relatively straightforward, correcting a physical issue like a prolapse or haemorrhoids.
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But in cases where the condition is neurogenic, in other words, a breakdown in the connection between the brain and the bowel, things are more complex.
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The idea of sacral nerve stimulation was raised to Dulcy after she reached a dead end with other doctors.
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Dr Mir Bagheri was her surgeon.
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This zapping of nerves is meant to encourage something called neuromodulation, but we still don't fully understand how it works.
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Dulcie decided to have the device implanted.
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It's been a couple of months since the surgery and so far it's been helpful.
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Many patients report life-changing results from sacral nerve stimulation, though it's not suitable for everyone and more research is needed to establish whether it's effective long-term.
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Showing 621–640 of 1,082 · page 32 of 55
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