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Nasal steroids: a breath of fresh air for septal deviation?

Nasal steroids: a breath of fresh air for septal deviation? image
Neal Tucker
5th February 2025

The only certainty in life is change (and, of course, death and taxes, but I’ve just paid my tax bill and have survived to tell the tale…).

Wobbly in more ways than one - antidepressants and postural hypotension

Wobbly in more ways than one - antidepressants and postural hypotension image
Dr Laura Darby
29th January 2025

Beryl is an 82 year old lady presenting with a ‘muzzy head’.  ‘What do you mean by muzzy head’, you ask ‘Oh you know - just muzzy!’ she replies, giving you a slightly exasperated look. Hmmm… clear as mud,...

Hypertension in The Elderly - Evidence Broadly Supportive, but Uncertainties Remain

Hypertension in The Elderly - Evidence Broadly Supportive, but Uncertainties Remain image
Dr Rob Walker
22nd January 2025

It’s almost 10 years since the SPRINT trial changed the landscape of hypertension treatment, by showing that intensive antihypertensive treatment to a systolic target of 120 mm/Hg, compared to standard...

Poverty and Mental Health – Let’s Talk About It

Poverty and Mental Health – Let’s Talk About It image
Dr Laura Darby
14th January 2025

Janette, aged 46, attends for a medication review. Her records show a diagnosis of chronic low back pain and mixed anxiety and depressive disorder. She’s been taking analgesics and sertraline for over...

Tired all the time: Cracking the Fatigue Code in Modern General Practice"

Tired all the time: Cracking the Fatigue Code in Modern General Practice" image
Dr Zoe Norris
9th January 2025

My welcoming smile faltered as Alison sat down and opened her appointment with “I’ve come in because, well, I’m just shattered ALL the time”. If there was ever a presenting complaint that sums up the complexity...

New Year’s Blog – General Practice Word of the Year 2024

New Year’s Blog – General Practice Word of the Year 2024 image
Neal Tucker
31st December 2024

Congratulations! If you are reading this blog you have made it through 2024 and come out the other side.