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Subclinical Hypothyroidism - Think twice before testing or treating

Subclinical Hypothyroidism - Think twice before testing or treating image
Dr Rob Walker
10th December 2024

What is it they say about the three certainties in life? Death, taxes and life in the NHS never gets any quieter? We’re all no doubt gearing up for another busy winter, so any evidence or guidelines that...

Stopping the groans from recurrent stones

Stopping the groans from recurrent stones image
Dr Neal Tucker
4th December 2024

Randeep is currently rolling around in agony on your examination couch. He has renal colic. You’ve already jabbed him with IM diclofenac and are wishing the practice still kept morphine. You’ve already...

Sleepless nights, restless hearts: spotting the OSA-AF connection

Sleepless nights, restless hearts: spotting the OSA-AF connection image
Dr Simon Curtis
27th November 2024

Our patients are our best teachers. I remember one, let’s call him Mike, who first taught me the link between atrial fibrillation and obstructive sleep apnoea (OSA). He was a large guy, always smiley and...

FINEARTS for fine hearts

FINEARTS for fine hearts image
Dr Nick Jones
23rd October 2024

Mineralocorticoid receptor antagonists (MRA), such as spironolactone, have been recommended as one of the key treatments for people with heart failure with reduced ejection fraction (HFrEF) for more than...

Let's talk about vaccination

Let's talk about vaccination image
Dr Laura Darby
2nd October 2024

The rates of Pertussis infection have surged this year, with over 12 000 laboratory confirmed cases reported to the UK HSA between January and July 2024 in England alone. Whilst any age group can be affected,...

NB KISS: DOACs - Don’t Omit to Assess Creatinine clearance

NB KISS: DOACs - Don’t Omit to Assess Creatinine clearance image
Dr Rob Walker
25th September 2024

One of the key things we try to do at NB is make your life that little bit easier. Working in primary care can be hugely rewarding, but it can also be busy, complicated and stressful. The KISS summaries...

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