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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...

Rescue therapy in T2 diabetes - Clara's story

Rescue therapy in T2 diabetes - Clara's story image
Dr Zoe Norris
19th November 2024

Clara was 84yrs old and lived in the residential home that was within walking distance of the surgery. Most days there would be one or two visits in the home, that was largely filled with our patients....

Menopause management – are new NICE guidelines 2 steps forward but one step back? 

Menopause management – are new NICE guidelines 2 steps forward but one step back?  image
Dr Siobhan Becker
13th November 2024

Last year NICE released a draft of its update to its menopause guidelines and they were greeted with howls of despair from many of us who spend every day talking and consulting with women in primary care...

Identifying the sick child- will the NHSE PEWS score help us in primary care?

Identifying the sick child- will the NHSE PEWS score help us in primary care? image
Dr Laura Darby
5th November 2024

How do we identify a sick child?  Wouldn’t it be great if there was a handy scoring system that could accurately predict those at risk of serious illness who may need admission? Or just as importantly...