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Give death and dying a little ReSPECT

Give death and dying a little ReSPECT image
Dr Rob Walker
11th June 2025

On Monday morning I saw ‘Bill’. He was pretty fed up. Ex-military, 85 years old and getting increasingly frail with a number of significant health problems, notably heart failure. In days gone by he was...

Slow Down to Speed Up: Why Unhurried Consultations Save Time

Slow Down to Speed Up: Why Unhurried Consultations Save Time image
Dr Andy Ward
21st May 2025

General practice can feel relentless. On bad days, back-to-back 10-minute appointments, endless admin, and always running behind can leave you feeling inefficient and overwhelmed. Suggesting to a frazzled...

Cancer in pregnancy- seeing beyond the bump!

Cancer in pregnancy- seeing beyond the bump! image
Dr Laura Darby
13th May 2025

Cancer diagnosis during pregnancy or in the post-partum period is thankfully a rare occurrence, with an estimated incidence of 1 in 1000 pregnancies in England. A key challenge is distinguishing symptoms...

RAS inhibitors in CKD - Hold your nerve

RAS inhibitors in CKD - Hold your nerve image
Dr Rob Walker
7th May 2025

Whilst we are (rightly) excited about the advent of the SGLT2 inhibitors as a drug class that can improve renal and cardiovascular outcomes in people with CKD, it’s important to remember that the SGLT2...

CKD The Sequel - The EMPA Strikes Back

CKD The Sequel - The EMPA Strikes Back image
Dr Rob Walker
23rd April 2025

You’re running late and trying to whip through the last few path results of the day before heading home. You see Ruth’s results from her annual IHD check including her U&E - eGFR 42, so you quickly check...

Resisting Blood Pressure Meds

Resisting Blood Pressure Meds image
Dr Neal Tucker
16th April 2025

Alpesh has high blood pressure. In fact, the 55 year old keeps having high blood pressure despite your best efforts over the past two years. He is already on triple antihypertensives. Does he need a fourth?...

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