Working 
until i’m 67

Many of us are looking down the barrel of our ‘normal retirement age’ being 67. A chilling thought. One that drops to freezing when you think about how you’re going to finance the gap between when you want to retire and when you can actually afford to retire. With the seemingly ever-reducing lifetime and annual…
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Breaking the rumination trap

Have you ever been stuck in a swirl of negative thoughts, rehashing things that you should or shouldn’t have said or done? Most of us will recognise this circular self-battering, a process known as rumination. Rumination, or 'chewing the cud', refers to the way that certain mammals - ruminants - eat, storing their partially-digested food…
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e-learning – Fever in under 5s

This guideline has been updated in Nov 19. It was first published in 2007, then updated in 2013, when I first did this blog. The main update this year is around Kawasaki disease. It used to be that Kawasaki disease was diagnosed if children had 4 out of 5 features. However it has now been…
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Off duty dilemmas

As doctors, we may sometimes feel that we are never off duty. Even when we are not at work, those close to us may seek our advice on medical matters, or even request for emergency medical assistance. Dr Rachel Birch, Medicolegal Consultant at Medical Protection, addresses this issue in more detail, presenting two examples of…
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e-learning | Hypertension in adults

This is an updated guideline from NICE on managing hypertension in adults. It was published in Aug 2019. So what is new? The meat and bones of management is the same. There are a few small differences, which I'll list below. The biggest difference is that they encourage us to have much more of a…
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Podcast | October 2019 magazine out now

In our 109th edition, Alacoque describes a legal case where a locum's tax status was different to their legal status, Rachel's being a Good Samaritan, Judith's been looking at therapeutic spaces, Louise has summarised the Nice hypertension guidelines for us, plus much more. Scroll down to hear the podcast. Click to view the magazine
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