A secret medicine

9 mins read
1

The intervention takes less than a minute every day - and done at scale would be safe and as cheap as chips. Imagine that existing good quality evidence showed that it is 10 times more effective than the current NHS Health Check program, without needing to calculate Q risk scores. And imagine that the NHS still does not use or

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Myriads of deities

In Japan, there is a saying that deities disguise themselves as difficulties and offer trials to those who have true courage and strength. My supervisors taught me that when we are overwhelmed and troubled by complex problems, we should respond with sincerity

4 mins read
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Cautionary tales

Stories entertain us, but on a deeper level, they also help us make sense of our experience; they are cultural vectors, transmitting the values and wisdom of one generation to the next. The proper use of power is a common theme in

7 mins read

Unheard: the medical practice of silencing

The practice of silencing is unjust and unfair, but probably universal in medicine. Trisha Greenhalgh reflects on a 'powerful' new book that is packed with compelling patient stories and accessible summaries of the academic literature. And for the teachers and

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7 mins read

“Unlucky” patients

Hannah Milton reflects on the neuroscience of trauma and Adverse Childhood Experiences (ACEs) and how this can lead to what is termed ‘latent vulnerability’.

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6 mins read
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Myriads of deities

In Japan, there is a saying that deities disguise themselves as difficulties and offer trials to those who have true courage and strength. My supervisors taught me that when we are overwhelmed and troubled by complex problems, we should respond with sincerity as if the

4 mins read

Cautionary tales

Stories entertain us, but on a deeper level, they also help us make sense of our experience; they are cultural vectors, transmitting the values and wisdom of one generation to the next. The proper use of power is a common theme in traditional tales...

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7 mins read

“Unlucky” patients

Hannah Milton reflects on the neuroscience of trauma and Adverse Childhood Experiences (ACEs) and how this can lead to what is termed ‘latent vulnerability’.

//
6 mins read
/

Everything happens in the context of a relationship

I don’t need to tell a GP audience this, but it’s always worth a reminder. For us GPs the relationship is everything. Outside GPs this doesn’t seem widely understood. Everyone will agree that relationships are crucial, but usually in a way that

4 mins read
1

Guardians of the primary care wall

GPs have been called ‘gatekeepers’ to health care, because of our role in determining eligibility for medical treatment and social support. And yet we have long known that GPs do more than this. Our wall is not a line but an indistinct

10 mins read
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