Written By Dr Parmar, GP
An ex-smoker presents with another lingering chest infection. Same day private GP in Palmers Green organises antibiotics, chest X-ray and spirometry on the same visit.
The Chest Infection That Was Hiding Something Older Read More »
A 6 year old with 12 months of nightly bedwetting, no dry nights, and a parent asking for a specialist initiated sleep medicine. Why a urine screen, paediatric referral, and a behavioural plan are the right answer.
Twelve months of bedwetting and a tired family that needs a plan Read More »
A 6 year old with a month of excessive drinking, frequent urination, increased appetite, and tiredness is type 1 diabetes until proven otherwise. The right next step today.
When a 6 year old drinks all night and pees all night Read More »
Home blood pressure of 211 over 100, palpitations, chest pain on exertion. Why this presentation needs same day examination, fundoscopy, bloods, and rapid access cardiology.
When home blood pressure tops 200 and chest pain shows on a hill Read More »
When erections take longer than they used to, the right next step is the full panel, not a quick prescription. Andropause, hypogonadism, and what to actually screen.
Andropause is real, but it is not always the answer Read More »
Twelve diagnoses, 14 medications, a daughter who provides full daily support. Why complex multi morbidity needs a longer appointment, not another short one.
When 14 medications and a 10 minute appointment do not add up Read More »
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