Somewhere along the line holistic medicine has been claimed as a special expertise in addition to what we, as mere GPs, do. Tim Senior asks whether and how we should be holistic!
As we embrace digitalisation and adapt to changing legislative frameworks, healthcare professionals must redouble their commitment to safeguarding and supporting survivors of DA. Only by aligning with the new legal framework and embracing advancements in practice can we truly meet the needs
10 years was the gap Monica Ali took between her last novel and the release of Love Marriage in 2022. Ironically, this is the same amount of time it would take to go through medical school and train to be a qualified
The Life and Time section is in fact bigger on the inside, as submissions air online and a selection are chosen for a print edition, conditional on (with apologies for the awful pun) space and theme. This month’s Life and Times focuses
...illness is something normal, to be borne while the pendulum swings that way in expectation that it will soon swing back again. Most of the time, it does, and it is easy for us to claim credit as doctors, even though we
There’s a real risk often voiced by GPs that using Google will make them look stupid in front of the patient, and while there is evidence this can happen, especially with younger patients, it’s often not as bad as we think ...
Paul was diagnosed with locally advanced cancer in 2019. Paul was under no illusion about his prognosis and from an early point he openly discussed what his future was likely to hold .He set out very clearly what was most important to
We know ambulance trusts in the UK are increasingly employing GPs, and whilst the theory is there, we wanted to explore the evidence. What follows is a summary of our discussions exploring key similarities and differences in approaches to out-of-hours (OOH) care,
Biological causality for T4 monotherapy not working for some is now established. We can’t now attribute the 10%–15% of people with hypothyroidism not feeling better on T4 as wimps, laggards, or requiring psychological attention. Sarah Cathcart Evans reflects from personal experience of
The Eisenhower matrix is an eponymous task management tool attributed to the late US President which helps to organise and prioritise tasks by urgency and importance, so you can focus on getting the most urgent and important things done first. So, am
There’s much to be said for novellas – short novels you can read in a couple of evenings, without the commitment needed for a blockbuster. If you’re looking for a great example, I’d recommend The Shooting Party by the Russian dramatist Anton
We cannot manage without models, but it is easy to forget that they are not the same as reality, and that their utility depends not just on their ability to provide a sense of congruence, but on the degree to which they
There has been significant debate recently around how best to name the newest healthcare profession to seek regulation under the umbrella of the Professional Standards Authority (PSA). Cathal Gallagher reflects on the legality of the title 'Doctor'.
The Lancet recently published a series on the menopause. GPs are consulting with large numbers of women around this time of life and will no doubt welcome a major medical journal addressing an area of rising need. Ellen Fellows argues that there
The greatest challenge was a general practice one: not making a definitive diagnosis but to triage, having to decide what was safe to watch and wait, what could be managed with resources onboard the ship, what needed to be seen on land,
I have recently read ‘Too Many Pills - How too much medicine is endangering our health and what we can do about it’ by James Le Fanu... So, this is my new purpose in life - to create opportunities to have open,
The results of this survey are depressing yet unsurprising – GPs are thoroughly aware of both their increasing workloads and helpless inability to satisfy the relentlessly growing demand, despite our best efforts.
My husband and I visited my ancestral village home in the state of Bihar. I was visiting my village after 25 years and could see the obvious changes – both the progress and ongoing challenges.
Thinking about patients,’ is a classic text, first published in 2001, that applies sociology and psychology to medical practice. I first read it in 2011 while doing a PhD in medical education, and wondered how I had missed it.
It used to be just in the context of type 1 diabetes, but the little white circles on people’s upper arms seem to be more ubiquitous, and it’s clear that the use of continuous glucose monitoring (CGM) is shifting from a medical
There was a feeling that politicians and health service planners had failed to understand the nature of general practice and its purpose in relation to health. The articles in this month’s Life and Times address the nature and purpose of general practice
Nick Wooding offers some football-inspired reflections on good general practice as a team sport.
Train-tracks approaching the horizon appear to converge, although in reality, they remain equidistant. UK General Practice finds itself on a train journey along tracks which seem to do the opposite: the further down the line we look, the more they diverge. Should
Investigations themselves can throw up results that are difficult to interpret, and they may reveal abnormalities of uncertain significance. To highlight these issues to our patients would constitute more ethical practice, would foster greater patient empowerment, and could result in a frame
I found this an inspiring, uplifting play about one of my heroes – the Welsh firebrand and father of the NHS, Aneurin “Nye” Bevan – vividly brought to life by another Welsh hero, the actor Michael Sheen.
With the weight loss effects of semaglutide and other GLP-1 agonists so widely reported in the press and social media, it’s not just people with obesity and weight-related comorbidities that are asking about it. But ask they will, so what we can
"Confidence in the future of NHS primary care is thin right now. My resilience suddenly really matters. Are the two linked?" asks Saul Miller.
Why Can’t I See My GP charts an ever- changing medical speciality. From the times where GPs practiced in their own homes, to the NHS crisis we face today, Cumbrian GP Dr Ellen Welch takes us on the journey of our National
I first read his 2014 book Superintelligence: Paths, Dangers, Strategies five years ago, which convinced me that the risks which would be posed to humanity by a highly capable AI system (a ‘superintelligence’) ought to be taken very seriously before such a
I’m running late, the daily mantra of a working GP ... I’m running late, not an uncommon sight to see ... I’m running late, stuck behind a tractor on my commute ... I’m running late, the laptop has some updates to compute.
The clinician who has seen the patient has now “off-loaded” their uncertainty on to the broad shoulders of the GP who has to now carry this “surrogate uncertainty” along with all their other worries for the day. It is true that GPs
GPs feel they are increasingly managing increasingly risky mental health patients, with rising frustration that their referrals are being rejected. Just as in general practice, CMHT teams are facing their own challenges in not having the workforce or capacity to meet those
Notwithstanding the corny connection to a fictional character, and the 'old school' approach to confidentiality, this is a charming and authentic memoir. An anecdote is by definition an unpublished story - and Martin Stagg has converted his anecdotes into 'ecdotes.'
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;
Having... been ‘critiqued’ for writing in too-detached a style, I was intrigued to see how a creative writing approach would change the process of reflection. As part of a self-selected module in ethics education, I took part in a one-day course on
"In this article, we offer four perspectives from patients and healthcare professionals with the aim of reminding ourselves of the challenges faced by some of those affected ... "
Whilst medicine exists as social science on a socio-political level, it also has deep roots in interpersonal relationships. Medicine as social science is public and political, but it is personal too. In general practice this is widely understood and must not be
"While a free press is vital to hold those in control of public services to account for their performance, and media coverage of A&E pressure might helpfully deter patients without a relevant clinical need from attending, media coverage — particularly that with
"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
Lavina Sakhrani-Clarke learns how to be ill and the importance of recovery.
...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