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Opinion - Page 11

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Belly Woman by Benjamin Black

You may recognise the frustration and anger that surface when resources run short; fractures in infrastructure become apparent; staff are scarce, undertrained and approaching burnout; protocols written by distant bureaucrats fail to reflect the realities you are seeing on the front line;
8 March 2024
4 mins read
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Yonder: Farewell

"I remain fascinated by, and grateful for, the excellent research that sheds light on all aspects of our work and the lives of our patients. As I hang up my pen, I take this opportunity to tip my hat to all those
28 February 2024
2 mins read
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Believing our own tinctures

...cognitive bias sustained public faith in the medical profession long before doctors had the tools to truly alter the course of an illness. These forces did not disappear the moment that working therapeutics arrived - meaning we remain enthralled by own salves
24 February 2024
2 mins read
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Wherefore Art Thou?

‘Wherefore’, meaning ‘For what reason’, is one of the most fundamental questions we must ask in medicine. Tasneem Khan applies this idea to trauma-informed care.
21 February 2024
3 mins read
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Is hospital the only choice?

For the record, plenty of elderly patients have excellent lifesaving care, are well looked after, and speak highly of the exemplary care and attention they had in hospital. However, hospital isn’t always the best place for them. Let me explain why I
7 February 2024
5 mins read
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Looking in and looking out

Throughout medical history, there has been a tension between systems that locate health within the patient and those that have it outside. Ben Hoban finds the determinants of health and illness by looking in and by looking out.
31 January 2024
4 mins read
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Caritas in a cold climate

This issue’s life and times articles describe the failure of society and policymakers to value general practice. To value is to understand and appreciate both the beauty and appropriate uses of a thing. It also has a sense of quantitate weighing -
26 January 2024
5 mins read

Extended roles and special interests

It’s worth examining the reasons in the health system for supporting special interests. Are we playing Jenga with the health system, continually removing building blocks to replace obvious deficiencies in a rickety structure? Or are we enhancing the generalist, patient-centred care that
23 January 2024
2 mins read
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Discontinuity of care and patient safety

We know (from that research) that higher continuity is associated with lower mortality rates, reduced healthcare costs, higher patient satisfaction, safer prescribing and reduced hospitalisations.  But what about patient safety incidents? Nada Khan investigates
15 January 2024
5 mins read
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Jean Baudrillard against the Post Office

Over 4 million people watched the first episode of Mr Bates against the Post Office when it screened on New Year’s Day. And suddenly things started to happen. David Misselbrook reflects on what this might mean for British medicine...
10 January 2024
2 mins read
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Grieving for a lost Christmas cake…

In a world of immediacy and impermanence, my two cards and lonely box of chocolates earn a particular significance. They emphasise the humanity that is still possible in General Practice despite the need to count, measure, and capture everything – a connection
7 January 2024
3 mins read
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Going the extra mile

"The extra mile is a problematic concept. If everyone goes the extra mile, do we lose sight of which miles are extra? If we are to embark on our quest then the readings in this month’s Life and Times help us to
29 December 2023
4 mins read

Shifting sands

"After a storm, the sand shifts. Amazing volumes appear and disappear from areas of the beach. Dunes are sliced away, leaving sand-cliffs. Others newly appear. Rock and the keel-spines of old wrecks are exposed that I never knew lay there at all.
28 December 2023
3 mins read
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