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John Pepper and Tal Golesworthy: How a Brompton patient pioneered his own surgical procedure
Tal Golesworthy was born with a genetic condition called Marfan syndrome which affects the body’s connective tissue and can lead to cardiovascular, skeletal and visual problems.
For Tal, an engineer by trade, the condition took a particular toll on his heart, weakening the walls of the aorta and causing them to expand. Surgical intervention would involve total root replacement of the aorta, including the valve, and re-implanting the coronary arteries.
The idea of major surgery, and the ensuing lifelong dependency on anticoagulant medicine to prevent blood clots, was enough for Tal to explore an alternative route.
With the help of Professor John Pepper, consultant cardiac surgeon at Royal Brompton Hospital, Tal drew on his expertise as an engineer to develop a prototype of a device – called a Personalised External Aortic Root Support (PEARS), pictured above – that could be placed around the ascending aorta and prevent aortic root expansion.
Four years on since conceiving the idea, in 2004 Tal became the first patient to undergo this surgical procedure, which was performed by Professor John Pepper himself.
In this episode of More than a Hospital, Tal and Professor Pepper recall the journey that led to that moment, and how they forged an unexpected partnership to help not only Tal, but the hundreds of lives that the revolutionary procedure would go on to benefit.
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8. Creativity and Wellbeing Week: The power of arts on physical and mental wellbeing
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40:35||Season 1, Ep. 6As part of Women’s History Month 2024, Episode 6 of 'More than a Hospital' features Professor Jane Somerville, paediatric cardiologist and Emeritus professor of cardiology at Imperial College London.During an impressive career that spanned over 40 years, Jane worked at both the National Heart Hospital and the Royal Brompton, helping to successfully establish the grown up congenital heart disease service (GUCH) at both hospitals.Later in her career, Jane, who became only the second woman to enter the Paediatric Cardiology Hall of Fame, founded the GUCH Patients Association (later renamed the Somerville Heart Foundation) and the inaugural World Congress of Paediatric Cardiology.In the episode, Jane talks about what it was like to be part of the first cohort of women in training at Guy’s Hospital, her role as the cardiologist for Britain’s first ever heart transplantation in 1968, and the many challenges she faced throughout her career.5. International Women's Day 2024: Dr Carole Ridge, Dr Nitha Naqvi and Dr Sonya Babu-Narayan
54:32||Season 1, Ep. 5As part of International Women's Day 2024, Episode 5 of 'More than a Hospital' features Dr. Nitha Naqvi (paediatric consultant in cardiology and director of the paediatric cardiac network at Royal Brompton), Dr. Carole Ridge (consultant radiologist at Royal Brompton and honorary senior clinical research fellow at Imperial College London) and Dr. Sonya Babu-Narayan (consultant cardiologist at Royal Brompton, associate medical director at British Heart Foundation and reader at Imperial College London), who speak candidly about their career journeys as women in medicine and how far the profession still needs to go to achieve greater inclusivity.Dr. Naqvi won the Asian Women of Achievement Chairman's Awards in 2019 and was subsequently noted by several national media outlets as an ‘inspiring women leader’. Yet her journey to success has been far from smooth. In an open and honest conversation with Dr Ridge, she names a dismissal due to pregnancy as one of the professional hurdles she has overcome. Meanwhile, Dr Ridge leads the long tumour ablation service which won the ‘Healthcare Outcomes’ at the LaingBuisson awards in 2022. She was recently recognised for her role in interventional radiology service at the National Clinical Impact Awards. However Dr Ridge has also experienced career barriers as a woman and speaks frankly about how a lack of research on pregnant women in radiology led to the premature birth of her baby twins.Later in the episode we hear from Dr. Babu-Narayan. In 2022 she won an ‘inspiring communicator’ award for campaigning tirelessly on behalf of heart disease patients. She is passionate about the need to better understand women’s cardiac health to ensure better outcomes, and shines a spotlight on the lack of representation of women working in cardiology.4. Professor Andrew Bush: “The onus is on the industry to show that vapes are safe”
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40:55||Season 1, Ep. 3Like many patients at Harefield Hospital, Krishna Patel has become a well-known and popular face with staff and patients alike.Coinciding with Heart Month 2024, in the third episode of ‘More Than a Hospital’, podcast host and fellow transplant recipient Oli Lewington speaks with Krishna about his heart transplant journey, his time at Harefield, and how the hospital and its staff incite a sense of community that isn’t often found in clinical settings.His time at Harefield inspired Krishna to not only volunteer to help other patients on the transplant waiting list, but to also raise almost £6,000 for our charities. Krishna now plans to set up his own charity to raise public awareness and education about the work that healthcare staff do on a daily basis.2. Jullien Gaer: "Access to healthcare is what matters, not how your system functions"
37:32||Season 1, Ep. 2In the second episode of ‘More than a Hospital’, find out how consultant cardiac surgeon Jullien Gaer became involved with developing the cardiac surgical unit at a hospital based in Kabul, during the height of the Afghan war in 2005.Working with the French humanitarian association, La Chaîne de l’Espoir (The Chain of Hope), Jullien continues to this day to help train cardiologists in Afghanistan to support the needs of cardiac patients in the country as well as building crucial educational links between the hospital and Royal Brompton and Harefield hospitals.Jullien who has worked across several different healthcare systems around the world, also details in this episode the moment when he invited a collection of artists including Grayson Perry, to watch him perform open-heart surgery, to help raise vital funds for the hospitals.Trailer: An introduction from Oli Lewington
01:49||Season 1, Ep. 0