Author: BJGP Life

Feeling blue, sad or depressed: how to manage these patients?

Peter Lucassen has been working as a GP for 35 years in a small village in the Netherlands and has just retired. He is still working as a senior researcher at Radboud University Nijmegen Medical Centre. He is interested in medically unexplained symptoms, depression and generalism​. In primary care lots of patients present with the complaint of feeling blue, sad or depressed. High and rising prescription rates for antidepressants(1) suggest that GPs work more or less from a biomedical point of view and start questioning the patient about the list of symptoms of depression as described in the disease-focused...

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Top 10 most read BJGP research articles published in 2017

These are the top 10 most read research articles based on full text downloads from bjgp.org in 2017. 1. Clinical relevance of thrombocytosis in primary care: a prospective cohort study of cancer incidence using English electronic medical records and cancer registry data http://bjgp.org/content/67/659/e405 This is the first study to estimate the overall risk of cancer in patients with thrombocytosis. The positive predictive value of thrombocytosis is 11.6% for males and 6.2% for females. This rises to 18.1% for males and 10.1% for females if the patient has a second raised platelet count within six months. These figures are well...

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Tough times for doctors and the best case fallacy

When the going gets tough, what about those who don’t feel tough enough to keep going? Peter Aird is a GP in Bridgwater, Somerset. Recently I watched the BBC adaption of ‘Little Women’. Despite the fact that it wasn’t the kind of programme I would naturally be drawn to [spoiler alert: there are no superpowers on display and no cosmic battles waged], I enjoyed it and found it genuinely moving. Let’s just say, on a number of occasions I found myself affected by what I can only assume was a speck of dust in my eye. I say there...

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The man in sideroom 2

Chloe Webster is a 4th year medical student, a yogaholic, creative writing enthusiast, and an aspiring future GP. Through the zig-zag maze of the ward, he was in the first room on the left. An odd-shaped room, tucked in tight, just after the double doors. Blink and you miss it. The room was small, but he had made it his own. His coat was hung over the high back of the armchair. The wheeled table cluttered with all his favourite books. This was the first time I met him, but I could tell from his hospital room that he...

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The British Journal of General Practice and BJGP Open are bringing research to clinical practice. This is where we add the debate and opinion to help ensure everyone benefits from that research.

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