A reflection on the madness of sense and the sense of madness. Anuj Sean Chathley captures the demoralising and costly effects of healthcare funding cuts in poetry. "...these changes do not save. They spend — time, money, morale, and sense."
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In this episode, we're discussing how to manage ADHD medication side effects in general practice.
You might be thinking, why is this important anyway? Who cares whether it is a human doctor or a computer algorithm that is writing the article? Well, I suppose that is one of the defining questions of our time currently
"When I saw the copy of Barbara Kingsolver’s Demon Copperhead sitting on the square stack of books in Waterstones, I was naturally skeptical; ‘No.1 reader’s pick for the book of the century’ and ‘Pulitzer Prize winning’ — quite the praise.
"Please can you give us an idea of your plans, otherwise later on this year, you may be receiving another letter from us in Nova Scotia, written whilst watching frolicking dolphins from a jetty..." An open letter to Wes Streeting and Stephen
There is a growing mismatch between the structured, protected world of training and the reality of modern general practice, where decisions must be swift, pressures are high, and ambiguity is the norm, argues Anuj Sean Chathley
Many people also find it hard to believe that much serious education for doctors concerns a universe of medicine beyond facts... John Launer reviews a new book that takes medical formation seriously in this broad sense.
All advice under Emergency Health Regulations is in line with current evidence and best practice and is therefore in your best interests. Acting against your own best interests is ... therefore prohibited. A Hoban dystopia.
We competed not for praise, but for endurance. For the longest call. The bloodiest shift. The boldest procedure. A hundred hours a week? A badge of honour. In those halls, medicine was not a career. It was a covenant. Poem by Anuj
I had the pleasure of attending the Accurx Connects conference, where an announcement was made that Swedish automated scribe company Tandem had partnered up with Accurx to provide an integrated AI ambient scribe for GPs, compatible with electronic patient records systems...
In this episode, we're discussing how to manage ADHD medication side effects in general practice.
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"When I saw the copy of Barbara Kingsolver’s Demon Copperhead sitting on the square stack of books in Waterstones, I was naturally skeptical; ‘No.1 reader’s pick for the book of the century’ and ‘Pulitzer Prize winning’ — quite the praise.
In this episode, we talk to Dr Cini Bhanu about postural hypotension amongst people taking antidepressant medication.
Yonder: a diverse selection of primary care relevant research stories from beyond the mainstream biomedical literature
In this episode, we're discussing different appointment systems in general practice.
Elke Hausmann proposes a way of looking at Long Covid and ME that might engender a better understanding in GPs for patients living with these devastating and life changing conditions.
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O'Sullivan and others fail to recognise the likelihood that most Long Covid patients will have already tried psychological and behavioural approaches ... the idea that there might be issues that, if addressed, could cure you, is the only thing we
Re-reading my review, I can tell that I was very careful even then not to present this approach as a 'cure' for Long Covid, but as a promising approach to manage symptoms better while waiting for a cure ... However,
"People living with long COVID symptoms should be encouraged to seek support from primary care, and primary care clinicians must be responsive to patient need." - Carolyn A Chew-Graham and colleagues provide a summary and analysis of long COVID patient
"Nexus is a powerful, brilliantly acted film [...] about the impact of COVID-19 on young people's mental health, eating-related coping strategies, and the power of social connection. I recommend sharing it with colleagues, patients, and their families."
"When I saw the copy of Barbara Kingsolver’s Demon Copperhead sitting on the square stack of books in Waterstones, I was naturally skeptical; ‘No.1 reader’s pick for the book of the century’ and ‘Pulitzer Prize winning’ — quite the praise. In the months that have
Despite its proven effectiveness, access to the HPV vaccine remains limited, especially in low- and middle-income countries. Zeynep Sude Yeşildağ calls on global primary healthcare to do better!
...I sensed that they also lived in a different dimension of time. The soft chattering of the patients waiting and sitting on the grass outside the clinic had an unhurried acceptance of just waiting. Storied reflection from rural general practice in South Africa.
We consider teaching medical ethics in conflict zones to be an act of solidarity and a profound commitment to addressing global health inequities. By nurturing ethical reasoning and fostering collaboration, initiatives like this play a crucial role in rebuilding resilient healthcare systems
Three years of war have tested the very limits of Ukraine’s healthcare system. Yet, they have also revealed an extraordinary capacity for resilience, adaptation, and innovation. As the war continues, investing in primary care remains essential—not only for health but for hope.
As both an academic GP and faith leader, I've found that bringing together different knowledge systems can significantly enhance patient care and community engagement. It may offer fresh perspectives for today's healthcare challenges.
Sadiq introduces the combination of both conditions, presenting the ‘shared and distinct features of autism and ADHD’ which he suggests ‘originate from separate yet intertwined pathways’.
The recent introduction of the UK’s first Drug Consumption Room (DCR) in Glasgow is a pioneering harm reduction initiative, offering hope for improved healthcare outcomes for some of the city’s most vulnerable populations. Paul McNamara and Faiza Ahmad discuss the benefits.
As general practice increasingly offers ‘digital-first’ models, it is vital we ask: who are we leaving behind?
If the only reason a doctor labels symptoms as psychosomatic is that they can’t come up with a better explanation, they might as well blame the fairies at the bottom of the garden... Ben Hoban will make you think!
Despite its proven effectiveness, access to the HPV vaccine remains limited, especially in low- and middle-income countries. Zeynep Sude Yeşildağ calls on global primary healthcare to do better!
Despite the legal and professional requirements to treat individuals with SpLDs without disadvantage, alongside evidence supporting earlier diagnosis & supportive strategies, the Committee of General Practice Education Directors (COGPED) still do not recommend screening of GP Registrars (GPRs) at the commencement of training. Adrian Hucks
Perhaps it is my patient population, my personality or perhaps it is true of all General Practice, but I notice that nearly all my consultations touch on mental health in some way. Whilst reading the book, I have managed to accept the familiar unnatural feel
Aldabra Stifiuc-Andronic and colleagues reflect on the health implications of the cosmetics industry and public awareness of cosmetic ingredients.
One of the first questions my GP supervisor asked was “What did you notice on the way here?” ... Her question appeared simple at first but revealed, what I thought to be, the greatest skill in being a GP; the art of noticing. Janani Lambotharan
In this episode, we're discussing how to manage ADHD medication side effects in general practice.
In this episode, we talk to Dr Cini Bhanu about postural hypotension amongst people taking antidepressant medication.
In this episode, we're discussing different appointment systems in general practice.
Yonder: a diverse selection of primary care relevant research stories from beyond the mainstream biomedical literature
"One idea circulating was a character called Dr Brain, a seemingly mild GP who turned invisible in the sunlight ‘... along with all his appointments’, he quipped to parents’ polite laughter. Dr Brain might well be a good name for a children’s supervillain
Diagnosis ... provides structure to a narrative of dysfunction, or a picture of disarray, and imposes official order, sorting out the real from the imagined, the valid from the feigned, the significant from the insignificant ... In Life and Times this month
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