Libsyn Directory

49 - Hugh Montgomery - We’ve got to act right now

Release Date: 11/17/2019

Mastering Intensive Challenges - Run Larapinta - Episode 9

Mastering Intensive Care

Thank you for listening to the ninth and final episode of the Mastering Intensive Challenges - Run Larapinta series. If you’ve listened to the series, you’ll know my friend Ed Litton and I entered a four-day stage trail running event, the Run Larapinta Stage Race, and ran, climbed, descended, scrambled and walked with 200 other enthusiastic participants along a mountainous and rugged trail in the spectacular red centre of Australia. Ed and I thought these conversations on the podcast might help others in setting and completing endurance exercise challenges, something we both prioritise in...

Mastering Intensive Challenges - Run Larapinta - Episode 8

Mastering Intensive Care

This is the 8th episode of the "Mastering Intensive Challenges - Run Larapinta" series and if you’ve been listening to the previous ones, you’ll know that this episode is coming out after the four day stage race that fellow intensivist Ed Litton and I set ourselves the challenge of running many months ago. Two Intensive Care doctors, both novices at trail running, looking for something moderately hard, something we could do together, and something we could talk about on the show to hopefully inspire you and other listeners to go for a run or to set yourself your own exercise challenge....

Mastering Intensive Challenges - Run Larapinta - Episode 7

Mastering Intensive Care

Fellow intensivist Ed Litton and I signed up for a big challenge 10 months ago when we registered to run in the Run Larapinta, a 4-day stage race in central Australia. We’ve both completed many endurance events, however neither of us have done any serious trail running nor have we ever run 130km in 4 days on a rocky and mountainous trail like the beautiful Larapinta trail in the Northern Territory of Australia. It’s now only a week away so Ed and I had a conversation to update each other on our recent training before answering 5 questions we thought were worth asking each other at this...

Mastering Intensive Challenges - Run Larapinta - Episode 6

Mastering Intensive Care

To help Ed Litton and I get really prepared for the Run Larapinta stage race we are only a few weeks away from competing in, today we bring a seasoned ultra trail running doctor on to the podcast to share her advice. In this sixth episode of the Mastering Intensive Challenges series, we welcome Dr Cheryl Martin, who is an Emergency Medicine specialist, a podcaster and has huge experience in trail running, including ultra marathons. Cheryl’s podcast, the Mind Full Medic podcast, explores health, wellbeing, optimal performance and professional fulfilment, with a focus on doctors and...

Mastering Intensive Challenges - Run Larapinta - Episode 5

Mastering Intensive Care

This is the fifth episode in the Mastering Intensive Care - Run Larapinta series. Ed Litton and I are back on opposite sides of Australia, and neither of us has had the perfect three weeks since we last chatted. There are now less than seven weeks until the event starts, so we chat about our training, then swing over to what we are each thinking about the logistical challenges we will be presented with. We hope you’ll enjoy listening to the conversation, even if you prefer the couch to your running shoes. If we can inspire you to get out for some exercise, that would be even better. Thanks...

Mastering Intensive Challenges - Run Larapinta - Episode 4

Mastering Intensive Care

Here is another episode in the Mastering Intensive Care - Run Larapinta series. For this one, I travelled to Perth to meet with my Run Larapinta co-participant Ed Litton and to head out for a few runs together over a three day weekend. We also set up the microphones to update each other with our preparations and to discuss our perspectives on the social aspects of exercise, mainly endurance sport. We talked about group training, family support, and even using the social media platform Strava to share inspiration. We hope you’ll enjoy listening to the conversation, whatever exercise you...

Mastering Intensive Challenges - Run Larapinta - Episode 3

Mastering Intensive Care

This is a follow on episode as Ed Litton and I continue our discussion about the Run Larapinta Stage Race we will be participating in soon. Ed and I tell each other how our running training is going. Then we talk about our general views on nutrition and sleep, especially as we lead into a multi-day endurance event. One of us has picked up a little niggle. And each of us has a different approach to what we consume during long runs. It might not be what we talk about on regular episodes of Mastering Intensive Care but we hope you’ll enjoy listening to the conversation, whether you run, walk,...

82 - Will Bonavia - An ICU trainee’s perspective on learning, culture and wellbeing

Mastering Intensive Care

This episode features the wise perspectives of an Advanced Trainee in Intensive Care Medicine, Dr William Bonavia. The discussion covers: Why he chose medicine and Intensive Care His training journey and his learning strategy What makes a good ward round Learning from colleagues The principles of good communication and collaboration The value of work being fun Making mistakes Dealing with the pressures of the job His thoughts on sleep, exercise, resilience and burnout Gender inequity in training The future of his career Tips for fellow trainees Will Bonavia is an Intensive Care Trainee at...

Mastering Intensive Challenges - Run Larapinta - Episode 2

Mastering Intensive Care

In this second of a different style episode, Ed Litton and I continue our discussion about the Run Larapinta Stage Race we will be embarking on in August 2023. Ed and I talk about our preparation and then tell each other why we run, and what we get out of it. Ed is a multi-sport endurance athlete whose reasons for getting out in nature are deep and truly inspiring. We hope you’ll enjoy hearing this conversation, whether you run, walk, cycle, hike, work out in the gym, or do whatever is your style of physical activity. Thanks for listening. Andrew Davies ...

80 - Tub Worthley - A pioneering “Grand Master” of intensive care

Mastering Intensive Care

This episode features the memories, experiences and wisdom of Dr Lindsay ‘Tub’ Worthley, AM. The discussion covers the following: Tub’s training to become an intensivist when no specific training existed His experience at a time when Australian ICUs were in their infancy The difference between the beginning and the end of his clinical career His eventual transition to retirement His writing of textbooks, scientific papers, editorials and a memoir What he learned about humanity in the ICU Working and communicating with various team members Enthusiastic leadership and the importance of a...

More Episodes

Climate change is a conversation we need to be having in Intensive Care circles.

Right now.

If the environmental catastrophe that is unfolding around us continues unabated there may no longer even be Intensive Care Units.

The rising global temperatures, the melting ice, the extreme weather events, and their impact on agricultural crops and human habitation may well lead to such a fall in the economy that our healthcare system may not have the financial resources it does now.

And given ICUs are the most expensive part of our hospitals, have a guess what might disappear first.

So who is there better to listen to about the climate crisis than British intensivist, Professor Hugh Montgomery, a deeply passionate and highly intelligent man, who was a founding member of the UK Climate and Health Council, and who has helped raise awareness about climate change for over 2 decades.

In this episode Hugh outlines some simple things you can do today to help fight climate change.

Hugh is a Professor and the Director of the Institute for Human Health and Performance at University College London. He obtained a 1st class degree in cardiorespiratory physiology and neuropharmacology before graduating from the Middlesex Hospital Medical School in 1987. He has since obtained specialist accreditation in Cardiology, General Internal Medicine and Intensive Care medicine, and practices as a Consultant Intensivist in North London in the UK. Hugh obtained his MD(Res) in 1997, is known for his pioneering genetic research, and has published over 450 peer reviewed papers, three in Nature. Hugh is also an author of children's books, and most recently of the medical thriller ‘Control’.

Hugh has a such diverse array of interests and expertise that it’s hard to understand how he fits it all in. He has presented on television shows, climbed tall Himalayan mountains, run ultra-marathons, jumped naked from a plane at 14,000 feet, holds the world record for underwater piano playing, and also consults as a medical expert on Artificial Intelligence. Despite all of this, he continues to work as a clinical intensivist, publishes in the medical literature about important critical care topics, and is working to raise patient awareness about their end of life wishes.

To me this is one of the most important Mastering Intensive Care episodes so far, as in a wide-ranging conversation Hugh talks about:

How he became interested in physiology and then intensive care
The intensivists that shaped his career
Climate change and why we all need to care
What actions we can take today as Intensive Care professionals to help the environment
His own views on diet, renewable energy and international flights
Some perspectives on the ICU ward round
The importance of relationships and building connection with patients in clinical medicine
How his father’s experience in hospital informed Hugh
How “wisdom of the crowd” assists in making diagnoses
Dealing with uncertainty at the bedside
The importance of speaking to patients about end of life before they are admitted to the ICU
How he speaks to families of the dying
An end of life project he and his colleagues are working on
Why he researches what he does
Some tips for public speaking
How the emergence of artificial intelligence might play out in healthcare
Why we need to be engaged with Big Tech
His own attitudes and practice of self-care and self development
His non-medical writing, including his new medical thriller book “Control”

I can not recommend more highly that you settle in and listen to this amazing man, Professor Hugh Montgomery.

Andrew Davies

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About the Mastering Intensive Care podcast: The podcast is aimed to inspire and empower you to bring your best self to the intensive care unit, through conversations with thought-provoking guests. The hope is you’ll glean insights to move you closer towards being the best and most human healthcare professionals you can be, so you can make the most valuable contribution to your patient’s lives.

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Links related to Hugh Montgomery

Hugh Montgomery at UCL

Hugh Montgomery at Whittington Hospital

Hugh Montgomery at ISEH

Hugh Montgomery profile

Hugh Montgomery on Twitter

PubMed search for Hugh Montgomery

Book “Control” (by Hugh Montgomery)

Book “Cloudsailors” (by Hugh Montgomery)

Book “Voyage of The Arctic Tern” (by Hugh Montgomery)

Review of “Control” (by Hugh Montgomery)