BJGP Life – Page 36

A 50 year timeline – including the 1990s Defeat Depression Campaign.

Do you remember the 1990s Defeat Depression Campaign? Do you remember we were told that anti-depressants were safe, effective and non-addictive? Marion Brown reminds us of the sad truths that we have since learned - to our patients' cost.

19 May 2021

9 mins read

7

Podcast·Videos

Episode 029: Cervical screening for trans men and non-binary people

Dr Alison Berner talks about recent research into the attitudes of trans men and non-binary people to cervical screening.

18 May 2021

1 min read

Opinion

Rethinking trust: the role of the WISE GP

The upheavals of the last year have meant that trust needs to be managed differently. Joanne Reeve examines the role of both 'scientia' and 'caritas' in the doctor / patient relationship.

18 May 2021

3 mins read

Opinion

Why family doctors should support patients to remove red meat from the diet

The 2020 Lancet Countdown on health and climate change finds that excess red meat consumption is causing nearly a million deaths globally every year. Laura Freeman and Shireen Kassam argue that it is time for family doctors to support patients to remove

17 May 2021

3 mins read

44

Book review

Book review. Spring cannot be cancelled: David Hockney in Normandy

David Hockney shows no sign of slowing down at 82 - he says "work is more fun than fun". Roger Jones reviews this wonderful book by Martin Gayford, placing Hockney's latest project within the whole stream of art history.

15 May 2021

2 mins read

Opinion

The impact of unconscious bias on Muslim womens’ experiences of healthcare

Muslims form one third of the Black and Minority Ethnic group in the UK and are ethnically diverse. There is substantive evidence of racial inequalities in healthcare. Jamila Sherif tells about the problem of unconscious bias in Muslim womens' experiences of healthcare.

14 May 2021

6 mins read

1

Podcast

Episode 028: Highlights from the May 2021 issue

The editor, Euan Lawson, is joined by all three Associate Editors, Sam Merriel, Tom Round, and Nada Khan, for some conversation on highlights from the May 2021 issue.

13 May 2021

1 min read

Undergraduate

Student experiences in Homelessness and Inclusion Health

Socially excluded populations have some of the worst health outcomes relating to mortality, morbidity, service use and, more recently, COVID-19. A group of 5th year Medical Students at the University of Edinburgh tell us what they are doing about it.

13 May 2021

3 mins read

Research

Tackling pain with exercise – It’s Your Move

Evidence suggests that exercise is the most likely intervention to help people living with pain. Encouraging people with pain to exercise has always been considered a challenge. Chris Davis describes an innovative project that shows us how this can be done.

12 May 2021

2 mins read

Opinion

Whose time is it anyway?

We become accustomed as GPs to time being broken up into 10-minute blocks. Time, what was once fluid, is now a regimented 'slot', but to the patient the consultation extends beyond its walls. Exploring the perception of time from both the clinician

11 May 2021

3 mins read

1

Opinion

Palliative Care: Is it time for healthcare professionals to talk openly about psychedelic therapy?

We have all come across many patients who suffer psychologically, in the last stages of their life, often with a crisis of meaning. Emma Presern reviews the recent evidence on psychedelic therapy.

10 May 2021

5 mins read

1

Book review

Book review: Memories of Moscow by Dr Harald Lipman.

Winston Churchill defined Russia as “a riddle wrapped in a mystery, inside an enigma”. Dr Harald Lipman was Medical Attaché to the British Embassy in Moscow in the 1980s. Jim Brockbank reviews his memoirs.

8 May 2021

3 mins read

Opinion

Lockdown and the Future of General Practice

Lockdown has affected not only patients and doctors, but will affect the future of general practice itself. Maxwell Cooper gives us a heads up.

7 May 2021

3 mins read

Opinion

RCGP Later Career and Retired Members (LCARM) Group looking back and looking forward.

Anita Campbell brings us up to date with the activities of the RCGP Later Career and Retired Members (LCARM) Group.

6 May 2021

4 mins read

1

Podcast·Videos

Episode 027: Which patients miss appointments in general practice?

Dr Jo Parsons tells us about the findings from a systematic review into which patients miss appointments and why.

5 May 2021

1 min read

Opinion

Why not destroy ancient UK primary care medical records rather than store them?

The NHS must keep all records until 10 years after a patient's death. With paper records taking up valuable space, retired GP and primary care notes summariser Nigel Masters asks, is it finally time for us to take a 'destructive step' and

5 May 2021

2 mins read

Opinion

Developing trust: More than communication skills

Trust is an essential part of the doctor–patient relationship, but how is it formed, nurtured, and perhaps most importantly, broken? Dr Sheena Sharma writes openly on her own experience of trust, both as a GP and a patient, and at an individual

4 May 2021

3 mins read

Opinion

Are Social Media Companies the New Big Tobacco?

Anxious and depressed people become preoccupied with their stressors. And if you are worried about covid then social media has become a great place to get more worried. Daniel James is getting concerned about the harm that may be caused by social

3 May 2021

5 mins read

Coronavirus

General Practice after Covid-19 – what have our colleagues said?

Our special series: General Practice after Covid-19. What have our colleagues said? Here are links to all of the articles.

1 May 2021

1 min read

Book review

Book review: reflections from Albert Camus’ “The plague”.

Amanda Howe reflects on Albert Camus’ 1947 novel “The plague” and finds it remarkably relevant for our time.

1 May 2021

2 mins read

1

Opinion

Towards an Interpretive Patient-Centred Practice

Wither GP after Covid? For Peter Toon, if healthcare is to flourish as an activity which promotes human flourishing and produces internal goods such as knowledge, skill, joy and love, not subject to a “zero-sum” rule, then an interpretive function must be central.

30 April 2021

9 mins read

Opinion

Scientific reasons to question the role of teleconsultations in expert generalist practice

Research scientists spend an appreciable amount of time considering how they can best collect the data needed for a given study. Perhaps, as we return to some sort of new normal, GPs need to do the same as we evaluate the changes

30 April 2021

3 mins read

1

Opinion

New NICE Guideline – Antidepressants and chronic pain: chicken or egg?

New NICE guidelines suggest that patients with chronic primary pain should be withdrawn from ‘addictive’ analgesic and benzodiazepine medicines – and that ‘non-addictive’ antidepressants should be the only pharmacological option ‘recommended’. For Marion Brown this scenario is fraught with problems - might it

29 April 2021

4 mins read

2

Opinion

Is there a role for retired GPs in the post-covid era?

General Practice after Covid: is there a role for retired GPs in the post-covid era? Ashley Liston says yes!

28 April 2021

3 mins read

1

Opinion

General Practice After Covid – A future conversation

Pamela Martin listens in to a future GP recruitment interview.....

28 April 2021

3 mins read

5

Podcast·Videos

Episode 026: Targeting hard-to-reach groups to attend for possible cancer symptoms

Dr Jean-Pierre Laake and Prof Willie Hamilton join us to talk about a randomised controlled trial that targeted groups to encourage them to attend for possible cancer-related symptoms.

27 April 2021

1 min read

Clinical

“The 4 W’s + 1” An easy primer for having difficult or advance care planning discussions.

Advance care planning conversations for people likely to be in the last year of life are often not easy. Charles Daniels offers us “the 4 W’s + 1” - a straightforward tool for having difficult advance care planning discussions.

27 April 2021

3 mins read

Opinion

The changes we learned to love in the time of COVID

General Practice after Covid? For Asif Yaseen it means having a few face to face clinics a week with the rest of the appointments being remote.

26 April 2021

2 mins read

Book review·Submitted

Book Review: Mental Health Survival Kit and Withdrawal from Psychiatric Drugs

Dr Dick Bijl reviews Peter C Gøtzsche's newest book, which claims to be able to "help patients with mental health issues survive and come back to a normal life", exploring in detail the harms of psychiatric medication.

24 April 2021

3 mins read

BJGP Long Read

What do we want of doctors beside biomedical science?

What do we want of doctors beside biomedical science? David Zigmond cautions us that post Covid, we risk replacing the doctor's human heart with an immured, mechanical one that can count but cannot value.

23 April 2021

7 mins read

1

Clinical

Approach to New Patient Registration – ‘The Bonding Consultation’

Not many of us expect to be working for the NHS for 50 years. Zarmina Rayaz reports on a remarkable colleague, and tells us what what keeps him going.

22 April 2021

7 mins read

Opinion

General Practice after Covid-19 – lessons learned

Working differently has certainly brought some challenges but also some unforeseen opportunities and scope for innovation. Vasumathy Sivarajasingam shares her vision for the future.

21 April 2021

8 mins read

1

Clinical

The four research papers I wish my doctor had read before prescribing an antidepressant

The "Defeat Depression" campaign of the 1990s told us that anxiety and depression were caused by a “chemical imbalance in the brain”, and that SSRIs were safe, effective and non-addictive. We now know that virtually every part of that narrative is untrue.

20 April 2021

6 mins read

2

Podcast·Videos

Episode 025: The GP perspective on discontinuing long-term antidepressants

Dr Riitta Partanen joins us to tell us more about a study looking at GPs' insight into discontinuing long-term antidepressants.

20 April 2021

1 min read

Opinion

Honesty: A wish for the Post Covid era

There will be many challenges for the NHS once the worst of the pandemic has passed. Judith Dawson suggests that honesty will be the best policy.

19 April 2021

3 mins read

Opinion

Young People and General Practice in a post-COVID world: forgotten again?

What should general practice do to help young people in the post-Covid world? Richard Churchill tells us not to ask ourselves, but to ask them. We should involve young people in the re-design of services.

16 April 2021

3 mins read

Bright Ideas and Innovation

Supportmatch Homeshare – a personal article

We all have elderly patients who are becoming unsteady on their feet, maybe a little lonely, or worried that the next step might be a Care Home. Here a relative tells us about a possible win - win situation that has benefitted

15 April 2021

3 mins read

Opinion

General Practice after COVID-19: a greater role for remote patient monitoring

Richard Armitage sees remote home monitoring for non-communicable diseases including atrial fibrillation, asthma, hypertension and diabetes, as a major opportunity for primary care.

14 April 2021

3 mins read

Opinion

Medicine in the time of Coronavirus

We have all had to endure social distancing for nearly a year now. Peter Aird urges us over the coming months to look to leave social distancing behind – in all its forms. Let’s look to sit down with, and care for,

14 April 2021

10 mins read

1

Podcast

Episode 024: Highlights from the April 2021 issue of the BJGP

The editor, Euan Lawson, is joined by Associate Editors, Sam Merriel and Tom Round, for some conversation on highlights from the April 2021 issue.

13 April 2021

1 min read

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