Two flares of gout in a year despite cutting red meat and shellfish, and the uric acid is still raised. Why prophylactic urate lowering therapy matters, when to start, and what to expect in the first weeks.
Recurrent gout: why the next move is prophylaxis, not another anti inflammatory Read More »
Mood swings, sleep disruption, weight changes after early menopause. Why HRT prescribing is a structured two visit decision, why the transdermal route changes the clot risk, and what to expect.
HRT after early menopause: why the blood test comes before the prescription Read More »
When anxiety arrives carrying a long story, a five minute appointment cannot name it. Why the structured 30 minute consultation, the careful prescribing, and the supporting letter are the work in primary care psychiatry.
Trauma related anxiety in primary care, when the structured 30 minutes is the work Read More »
When a young adult with chest pain has a normal troponin and a normal ECG, the work is not finished. It is just beginning. Why the structured conversation matters and how a low dose anxiolytic with addiction counselling fits.
When the same chest infection keeps coming back on the same side, the next move is not another empirical antibiotic. It is a deliberate rotation, a structured steroid plan, and a specialist airway opinion.
Barking cough, fever, swollen tonsils. When croup and tonsillitis happen together, why the second steroid dose at the right hour matters and how a same day private GP can carry the plan over the line.