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Clinical - Page 4

Confronting the urinalysis tyrant

As GPs we know a lot about recurrent urinary tract infections. James Malone-Lee is Emeritus Professor of Medicine, University College London. His research suggests that most of what we think we know is wrong. Here he explains the evidence.
19 March 2021
5 mins read
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Diabetes: Is it time to flatten the curve?

Half of patients with elevated blood sugars, with an HbA1c greater than 42, are not clinically obese. As well as the usual measures Sarah Blake asks whether we need to pay more attention to post prandial blood sugar spikes - is it
12 February 2021
2 mins read

Drugs for chronic pain — we still need them

Chronic primary pain is a relatively new concept. Ensuring its definition is consistent within new guidelines is key. Here, members of the National Advisory Committee for Chronic Pain provide a number of observations on the use of drugs in chronic pain management,
2 February 2021
3 mins read
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Are we safer cycling?

We know that cycling makes for a healthier commute for all, but GPs need evidence to help them allay patient's concerns if we are to incorporate active travel into our standard health promotion toolkit. Bethan Jones gives us the evidence.
19 October 2020
3 mins read
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Everybody Hurts Sometimes

30 years ago we were told we were not treating pain adequately. There was a push to give people more analgesia. So, armed with our opioids and gabapentinoids we went and we medicated. But peoples' pain got worse. Katie Barnett examines what
9 October 2020
4 mins read

Lessons in Adversity

Doctors are not strangers to adversity, both in the lives of our patients and sometimes in our own. Judith Dawson examins two inspirational accounts to tell us how we can practically help.
1 October 2020
3 mins read

Contextual safeguarding: what GPs need to know

Contextual safeguarding is a relatively new concept, which is primarily intended for adolescents. Recognising that young people are often exploited and abused outside their family environment, contextual safeguarding focuses on influencing and shaping those areas.
18 June 2020
2 mins read
Man holding hands to face

The stressed but not ‘mentally ill’: How can we actually help?

Rosie Marshall is a GP based in Wiltshire.  General practice routinely involves supporting patients presenting with diverse manifestations of stress. This can be a challenging issue for clinicians to manage because by definition there are underlying circumstances (sometimes related to complex and
23 September 2019
7 mins read
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flowers on gate in front of gravestone

Audio essay: My loss

Ahmeda Ali is a GP in Ireland. Ahmeda’s essay was one of the Sheppard Memorial Prize winners at the Republic of Ireland Faculty Winter Meeting. An abridged version will be published in the BJGP and here we present the full essay with
22 July 2019
6 mins read
1

Pain, opioids, and syringe drivers: a practical guide

Pain, Opioids and Syringe Drivers: A Practical Guide for the GP in the Wake of Gosport This article is written by Daniel Knights, Felicity Knights and Stephen Barclay and is published as a companion piece to their editorial in the October 2018 issue of the BJGP. The
1 October 2018
5 mins read
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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
6 November 2017
3 mins read
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You’re the Doctor

When a patient says ‘you’re the doctor’ it can mean several things. Sometimes it means ‘I trust you and the advice you’ve given me’, sometimes it means ‘I don’t like what you’re saying but I don’t feel like I’m in a position
3 August 2016
2 mins read
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Why have an operation if you can avoid one?

George Ampat is a consultant orthopaedic surgeon hoping to help patients find non-surgical solutions. Why have an operation if you can avoid one? It’s a simple question with an obvious answer but increasingly surgery is being used where it may not be
19 July 2016
2 mins read
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