Joan is 73 and comes to see you with a worsening dry cough over the past few months, and she is now feeling a bit more puffed out than usual, which is affecting her daily dog walk. Her examination is unremarkable...
A chance encounter with a patient at the school gates last week reminded me that Ramadan has begun. Over the usual pleasantries, he mentioned that he had started fasting throughout April. I remarked how...
Uncertainty. How often do we come across that word in medicine and Primary Care specifically? As GPs, as well as being expert generalists we are also experts in managing uncertainty. We are constantly...
Jokes about women and their hormones are as old as the hills and generally about as welcome as a sharp object in the eye. Nonetheless, there is a mass of evidence demonstrating the fundamental role that...
When I was at medical school, now a hideously long time ago, I don’t remember a single lecture or teaching opportunity about obesity. I do however, remember some hideously awful moments where senior colleagues...
It has been a long time in the waiting, but this week we have an important update to the NICE Type 2 Diabetes in Adults guideline. Much has changed in the world of type 2 diabetes management over the last...