BJGP Life – Page 21

‘On Tyranny – twenty lessons from the twentieth century’ by Timothy Snyder

In 2017, Timothy Snyder (a US historian of the 20th century) felt compelled to write a pamphlet with lessons he had learnt from decades of studying Nazi and Stalinist atrocities. It is a manual for how to understand the world around us

25 February 2023

4 mins read

Clinical·Opinion

Seeing and hearing

Ask any doctor, and they’ll tell you that talking to patients can be difficult. Mind you, ask any patient and they’ll tell you that talking to doctors can be really difficult too. Ben Hoban discusses how we address the problem.

23 February 2023

3 mins read

Opinion·Stories

“To do whatever I can for her until my last breath”

What is my take on carers? They deny they need a medal for what they do. I now have the awareness and the greatest respect for these unsung heroes. For me. I will continue to care for Mavis, to do whatever I

22 February 2023

5 mins read

Podcast·Videos

Episode 106: Managing patients with acute exacerbations of COPD in primary care – the Australian perspective

In this episode, we talk to Dr Bianca Perera about GP perspectives of managing patients with acute exacerbations of COPD in primary care.

21 February 2023

1 min read

BJGP Long Read·Opinion

The worsening relationship between primary and secondary care

The worsening relationship between primary and secondary care if this NHS is to be saved, argues Edin Lakasing

20 February 2023

5 mins read

Random·Stories

Not just a theory?

Newshound: Thanks for agreeing to see me, doctor… Subject: John, it's just John these days. I appreciate your making the trip. Did anyone try to stop you? (Dystopian satire from Ben Hoban)

19 February 2023

3 mins read

Book review·International

Book Review – Our Malady by Timothy Snyder

Timothy Snyder kept a diary whilst in hospital in the US where he was finally treated, the experience of which forms the basis of his reflections. Much of what he writes about is clearly written about and for the American context, but

18 February 2023

3 mins read

Opinion

Putting an end to domestic abuse

For the first time, a coroner in the UK declared domestic abuse as having a causal role in death by suicide. Domestic abuse is a growing public health burden, so what can primary care do to protect individuals experiencing domestic abuse? Here,

17 February 2023

5 mins read

News·Opinion

The fourth estate: Friend or foe to general practice?

How have media depictions of general practice and GPs affected how we work, and healthcare policy in the UK? Nada Khan investigates...

16 February 2023

4 mins read

1

BJGP Long Read·Opinion

GPs are far more than gatekeepers…

So, is the description of the GP as a ‘gatekeeper’ outdated? I would argue it is. GPs are not trying to block access to specialists. Rather, through their distinct expertise, they provide a safety net for patients who could risk further harm

15 February 2023

5 mins read

Podcast·Videos

Episode 105: Home monitoring by pulse oximetry of primary care patients with COVID-19 – a pilot randomised controlled trial

In this episode, we talk to Dr Karen Smit about a feasibility study looking at home pulse oximetry in patients with Covid-19.

14 February 2023

1 min read

Clinical·Opinion

Repetition breeds contempt not continuity

Imagine having to relive the moment you are told that you have a life-limiting illness every time you need support; every time you feel vulnerable because of a physical or mental complaint that needs attention. Emilie Couchman argues for meaningful informational continuity.

13 February 2023

2 mins read

1

Book review·Opinion

It’s not you, it’s me: a review of ‘Helgoland’ by Carlo Rovelli

In 'Helgoland,' Carlo Rovelli attempts to bring us up to date with the latest in the bewildering and bewitching subject of quantum physics. One of his main assertions is that the observer will always affect the observed.

12 February 2023

3 mins read

Book review·Opinion

Book reviews – 12 Rules For Life and Beyond Order – and their reflections in general practice

Richard Armitage reviews two self-help books by controversial psychologist Jordan Peterson

11 February 2023

5 mins read

Opinion

The future’s bright, the future’s digital

Digital medicine is a priority for modern general practice and is a core theme for NHS England strategy. As a recent Topol Digital Health Fellow, Bilal Salman describes ...

10 February 2023

3 mins read

Clinical

Cyclothymia in primary care: an important diagnosis but easy to miss (with consequences)

Cyclothymia, a mood disorder, can result in significant impairment in personal, family, social, educational, occupational, or other important areas of functioning. Here, Carolyn Chew Graham and colleagues define the illness and outline how best to identify, diagnose, and manage cyclothymia in patients

9 February 2023

4 mins read

BJGP Long Read

Obstacles to the effective introduction of mental health practitioners into the GP surgery

All four countries in the UK are devising methods/models to enable healthcare professionals by way of multidisciplinary teams (MDTs) to work with GPs thereby reducing the workload & enhancing the patient experience, but such changes may not bring about these desired outcomes.

8 February 2023

8 mins read

1

Podcast·Videos

Episode 104: Considering non-drug treatments for people with common mental health issues and socioeconomic disadvantage

In this episode, we talk to Dr Sarah Sowden about socioeconomic disadvantage, common mental health conditions and non-drug therapies.

7 February 2023

1 min read

International·Opinion

Don’t pass me the drink

The Canadian Centre on Substance Use and Addiction (CCSA), in new guidelines endorsed by Health Canada, recommend that Canadians should have no more than two alcohol-containing drinks per week. Nada Khan explores alcohol advice in primary care.

6 February 2023

5 mins read

Opinion

Doing too much of nothing?

Is it because people are getting older and sicker, developing more and more chronic diseases as they age and then expecting a magic cure-all that doesn’t exist? Expectations for such, we have all likely fed into.

5 February 2023

3 mins read

Book review

Book review: Fibromyalgia

"While undoubtedly fibromyalgia may not be adequately covered in the medical curriculum, I am not sure that this book fills the gap." – Carolyn Chew-Graham reviews Fibromyalgia by Thanthullu Vasu ...

4 February 2023

2 mins read

Clinical·Opinion

Making it real

When someone asks you whether you’re telling them it’s all in their head, the most accurate answer is: Yes, but isn’t everything?

3 February 2023

5 mins read

Opinion

How to attract good partners and hold on to them

Finding the right partner is critical. With a generation of senior and capable partners retiring and not being replaced at the same rate, there is a huge concern of seeing this post continue to diminish. Here, Adnan Saad outlines how best to

2 February 2023

3 mins read

Bright Ideas and Innovation·International·Opinion

Ten things I wish I had known about academic primary care

As the latest cohort in the Oxford International Primary Care Research Leadership Programme, we present the ‘10 things we wish we had known’ for anyone considering a career in academic primary care.

1 February 2023

4 mins read

Podcast·Videos

Episode 103: Adverse drug reactions – how common are these in general practice and what are the implications for practice?

In this episode, we talk to Professor Emma Wallace about adverse drug reactions amongst older adults and the implications for primary care.

31 January 2023

1 min read

Arts·Random

Just one more thing (A short poem By Dr. P. Doff.)

here’s no appointments, and I’ve waited weeks, To show you my piles, and rash on my cheeks, I’ve also had chest pains, for the last year, And there’s just one more thing, now that I’m here!

29 January 2023

1 min read

1

BJGP Long Read·Book review

Time to Heal. But has that time gone? The spirited disaffection of a vocational doctor

"As this book progresses, its early playful, even comedic, lightness gives way to the author’s very substantial criticisms ... [that] attempts to metricise, micromanage, and proceduralise all medical consultations and services has led to the displacement and destructing of trusting relationships ...

28 January 2023

6 mins read

News·Opinion

Disruptors and general practice – Wes Streeting’s plans to reform the NHS

Labour seems to have its own version of a disruptor in Wes Streeting, the shadow health secretary, who declared that he wants to phase out the system of GP partners, & scrap the gatekeeping model of primary care, but how many of

26 January 2023

5 mins read

5

Bright Ideas and Innovation·Opinion

Being bothered about Billy’s oral health

It is well known that the life expectancy of people with severe mental illness (SMI) is reduced by 15–20 years compared to the general population, but what is less well known is that people with SMI also experience serious inequalities in oral

25 January 2023

4 mins read

Podcast·Videos

Episode 102: Combining vague cancer symptoms to improve referrals for suspected cancer

We talk to Becky White about vague cancer symptoms and risk of cancer.

24 January 2023

1 min read

Opinion·Random

Why barbers have ‘an edge’ on GPs

"When a patient who happens to be a barber comes to see me for a consultation, that is precisely what – and only what – he gets. When I go to see my barber for a haircut, however, not only do I

23 January 2023

5 mins read

2

BJGP Long Read·Undergraduate

Rational self-interest and the Inverse Care Law: considering how John Rawls and Robert Nozick might have reflected on Julian Tudor-Hart’s problem

How might American political economists Rawls and Nozick have viewed Julian Tudor Hart's inverse care law? Ayu Takayanagi explores two types of self-interest.

22 January 2023

7 mins read

1

Book review

Book review: Cut by Hibo Wardere

At six-years-of-age, Hibo Wardere was forcibly held down and brutally subjected to Type III female genital mutilation (FGM). This book tells her story, a riveting, personal, and candid account of her journey...

21 January 2023

1 min read

Opinion

Be lucky

Ask yourself ‘Do I feel lucky?’ This often-misquoted line from Dirty Harry, said by Clint Eastwood in role, serves to introduce the notion of moral luck. Gratifyingly, we do not often find ourselves staring down the barrel of a violent cop wielding

20 January 2023

6 mins read

1

BJGP Long Read·Opinion

General practice cannot be piecework

Piecework is advantageous for production where output volume is a reliable proxy for productivity and monitoring and incentivising output volume does not compromise quality. Lara Shemtob and colleagues argue this is inappropriate for general practice.

19 January 2023

5 mins read

International·Opinion

What should ‘lifelong learning’ really mean to primary care physicians?

Apichai Wattanapisit reminds us that lifelong learning is a crucial element to maintain the standard of practices and develop the future career.

18 January 2023

2 mins read

Podcast·Videos

Episode 101: Diagnosing heart failure in primary care – what cut offs should GPs be using for referral based on natriuretic peptide levels?

We talk to Dr Claire Taylor about testing accuracy for diagnosing heart failure

17 January 2023

1 min read

Opinion

Junior doctors leaving the NHS: what it would mean for general practice

The results of a recent BMA survey, which asked junior doctors what they felt about leaving the NHS, should send a shudder to the heart of the NHS, including through general practice upon which the health system stands.

16 January 2023

5 mins read

Book review

Book review: The Only Book I’ll Ever Write: When The Doctor Becomes The Patient

"Out of nowhere a fit GP [Paul Coffey] ... approaching retirement is diagnosed with inoperable gastric cancer ... Coffey charts the medical, human, oncological, and psychological dramas that take place over the next 3 years with great charm, insight, intelligence, and honesty."

15 January 2023

2 mins read

Book review

Book review: Range: How Generalists Triumph in a Specialized World

"For me, Range gave credibility to a pre-existing feeling — that early specialisation is less likely to succeed." – Richard Armitage reviews Range: How Generalists Triumph in a Specialized World, with additional reflections on GP training and today's general practice ...

14 January 2023

6 mins read

1

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