Category: Clinical

Diagnosing dementia in younger people: A decision-making guide for GPs

Shona Lucitt (right) is currently studying for a Masters in Public Health at Imperial College London. She previously worked at the Alzheimer’s Society supporting a pilot project for people living with YOD. More recently she has been working for Public Health England in cancer analysis. Melanie Davis-­Hall (left) is a GP trainee on the Imperial VTS scheme and editorial fellow at the BJGP.   A typical story “I knew something was wrong, I just didn‘t know what. Maybe it’s just me, I thought, maybe I’m a bit stressed.” “I knew something was wrong, I just didn‘t know what. Maybe it’s...

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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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The GP FY2 experience: Working with uncertainty

Nethmi Vithanage is a University of Edinburgh graduate from New Zealand, currently working as a FY2 in general practice and looking to get into a life of public health. Black Wednesday had arrived and along with it, a familiar feeling; like I was going to be the only doctor present at the scene of a simultaneous cardiac arrest, status epilepticus and anaphylaxis. Looking back, the probability of all three occurring at the same time seems low to the rational mind, and even lower considering I was starting a new job as a GP FY2. Chances are, I actually knew...

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