When two results disagree: knowing when to stop
Most people want when two results disagree to make things better. The workable version of that goal is steadier: a floor you can hit on a bad day.…
Choosing a screening package: the light version and the full one
If you only read one paragraph, read this: choosing a screening package depends on how the situation is set up, not on how you feel at the time.…
What to add with family history: read this before you start
Anyone who has spent time on what to add with family history has a failure story: a strong start, a collapse in the middle, then silence. This is not…
An abnormal ECG and what follows: fixing it point by point
Let us set the limits of an abnormal ECG and what follows first: it reliably improves a trend you can actually compare, and it does not deliver…
Follow-up rhythm for lung nodules: fixing it point by point
Put follow-up rhythm for lung nodules back into a real week, with overtime, travel and days you cannot be bothered. Any plan that only survives good…
Organising years of reports: set the standard first
There is plenty written about organising years of reports and little you can act on. This piece stays concrete: every action can be done on the…
The blind spots of employer check-ups, from judgement to action
If you have already tried the blind spots of employer check-ups and dropped it, the fault is usually in the setup: a starting point set too high, an…
Baseline tests in your thirties: three months in this order
Put baseline tests in your thirties back into a real week, with overtime, travel and days you cannot be bothered. Any plan that only survives good…
Which screening tests are worth it first: where most people stall
There is plenty written about which screening tests are worth it first and little you can act on. This piece stays concrete: every action can be done…
The blood count lines that matter: cost, time and results
Let us set the limits of the blood count lines that matter first: it reliably improves a feel for your medication rhythm, and it does not deliver…
Reading a four-part lipid panel: three months in this order
If you only read one paragraph, read this: reading a four-part lipid panel depends on how the situation is set up, not on how you feel at the time.…
Where fasting glucose stops being normal: fixing it point by point
Advice on where fasting glucose stops being normal tends to split in two: impossibly complex, or sold as one click. Reality sits between. It needs…
First steps when uric acid is high: three months in this order
Anyone who has spent time on first steps when uric acid is high has a failure story: a strong start, a collapse in the middle, then silence. This is…
Why liver enzymes fluctuate: a checklist you can tick
If you have already tried why liver enzymes fluctuate and dropped it, the fault is usually in the setup: a starting point set too high, an…
A first pass on thyroid function: three months in this order
There is plenty written about a first pass on thyroid function and little you can act on. This piece stays concrete: every action can be done on the…
Are tumour markers worth testing: fixing it point by point
Put are tumour markers worth testing back into a real week, with overtime, travel and days you cannot be bothered. Any plan that only survives good…
What an abdominal ultrasound shows: is it worth doing at all
Most people do not fail at what an abdominal ultrasound shows from misunderstanding it. They fail because understanding is not doing. What follows is…
What carotid ultrasound tells you: read this before you start
Separate two things in what carotid ultrasound tells you: the outcome you want and the action you can sustain. When the gap is too wide, shrink the…
When to check bone density: cost, time and results
Advice on when to check bone density tends to split in two: impossibly complex, or sold as one click. Reality sits between. It needs some patience…
Preparing for bloodwork properly: fixing it point by point
Most people want preparing for bloodwork properly to make things better. The workable version of that goal is steadier: a floor you can hit on a bad…