It’s time for a statin battle again. Steve has his annual review and the computer pop ups are telling us to consider a statin due to his high CVD risk. He doesn’t mind a blood pressure pill but statins?...
We all have patients who stay with us long after they have passed away. Vera is one of those patients to me. She was an amazing, stoical woman who had stage 4 endometrial cancer when I took over as her...
Jonathon is a 40 yr old man newly registered at your surgery. He attends for review of his IBS and medication. As part of the consultation you enquire about family history of cancer. ‘Oh nothing relevant’,...
Another headline just last week put migraines back into the news again, when NICE’s draft guidance on Atogepant was published. Treatment of migraine is one of the areas that has evolved the most in recent...
I've always found the first week in April a mixed blessing… promises of longer days, more sunshine (possibly!) and maybe some cricket, but this is always tempered with the dreaded ‘box of doom’ (aka the...
Most of the changing, evidence-based guidance we talk about at NB Medical is iterative; it builds on what comes before, practice is altered, modified, but seldom completely reversed. When that happens,...