Rachel's Blogs
Increasing Patient Buy-in: Compliance Changers
Have you ever noticed that our products don't work if our patients don't take them?!🙄 The reasons for non-compliance, dis- or non-engagement, poor patient buy-in & follow through are many: *My dog ate the instructions * My inbox swallowed the instructions...
Have You Received a Nudge?
A recent foreboding article featured in NewsGP Pathology requests under the microscope warned, 'More than 5000 GPs are about to receive a letter from the Department of Health about their pathology requests.' This is a ritual cleanse performed by Department of Health...
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Numb feet reveal deeper woes
Mid-40 female presents with acute onset pain in both feet and hands. Questioning reveals that she has experienced episodic numbness in her feet over the past 2 years. Patient suspects gout but blood urate levels are normal and patient’s diet and lifestyle not...
Identifying & Addressing the Marked Stress Response in Drug Withdrawal
A current patient is a 20+ year old male who is trying to recover from a heroin addiction. Having been on the methadone program for the last 7 months and only having ‘used’ once or twice during this time, he is doing well. He has managed to get down to just 25mg/d of...
Coeliac disease presents as behavioural problems
Recently I started seeing an 8 year old girl diagnosed with ODD and ADHD as well as impaired IQ at 6yo. Notable features include: She has variable bowel and bladder control - often coming home from school with wet pants and a Bristol type 1 stool in her underwear. ...
Snoring kids may need help
Parents should be aware persistent snoring is not normal in children and should be investigated. Researchers, whose results appeared in the journal Pediatrics May 2012 found that two- and three-year olds who snored loudly at least a couple of times per week tended to...
Limitations of serum B12 testing
The limitations of serum B12 testing have been reported for some time. When testing for deficiency, Serum B12 does not give an accurate picture unless there is an overt deficiency and even then not consistently. This is because the majority (approx.70%) of B12 in the...