Health, opportunity and participation: the missing role of clinical reasoning Before we can help someone move forward, we need to understand what is holding them back. A friend and colleague reading my recent book Clinical Reasoning for Complex Patients, recently asked whether its approach might help young people who feel persistently unwell, or struggle [...]

From Olympic athlete to life in bed: rethinking how we help people with ME and long Covid The Times’ account of former Olympic sprinter Beth Dobbin spending most of her day in bed highlights the devastating impact of severe ME. It also raises a difficult question: how can we move from recognising someone’s suffering [...]

A headline in The Times caught my attention this week: more than 52,000 people in England and Wales are receiving Personal Independence Payment (PIP) with “non-specific back pain” recorded as their main disabling condition. As an osteopath who has spent nearly four decades assessing and treating people with back pain, I found the story fascinating — [...]

Why can someone have severe pelvic pain when a scan appears normal, or continue to hurt after treatment? Endometriosis challenges us to investigate the disease while also understanding how pain affects the rest of the person. Gerry at The Health Equation For many years I have explored the links between symptoms and wider health [...]

Polyendocrine metabolic ovarian syndrome (PMOS), formerly PCOS, is more than a question of ovarian appearance or fertility. How do insulin signalling, ovulation, sleep, breathing and physical health fit together in the care of one person? Gerry at The Health Equation For many years I have explored the links between symptoms and wider health in [...]

Testosterone is increasingly discussed in relation to women's health. It is a real part of female physiology, with roles extending beyond sexual desire. Yet the evidence for prescribing it depends on the outcome we hope to improve. What should we do when the biology is interesting, patients describe genuine symptoms, but clinical research has [...]

Joint pain, aching muscles and stiffness are increasingly being described as symptoms of perimenopause and menopause. A relatively new term — “musculoskeletal syndrome of menopause” — has even been proposed to describe these problems. But is menopause really the cause? Or might the hormonal transition sometimes be one part of a much more complicated musculoskeletal picture? [...]

The Global CO2 Paradox Too Much in the Atmosphere and Too Little in the Human Body Gerry Gajadharsingh DO The introduction is also available on Spotify as a podcast by "Gerry at The Health Equation". Search Spotify for "Gerry at The Health Equation", or use this link: Gerry at The Health Equation on Spotify [...]

Is Perimenopause a Medical Condition A normal hormonal transition may still produce clinically significant symptoms requiring careful, individualised assessment. The introduction is also available on Spotify as a podcast by "Gerry at The Health Equation". Search Spotify for "Gerry at The Health Equation", or use this link: Gerry at The Health Equation on Spotify [...]

Polypharmacy: when the prescription becomes part of the problem Why older people need comprehensive reassessment—not simply another prescription for each new symptom The introduction is also available on Spotify as a podcast by “Gerry at The Health Equation”. Search Spotify for “Gerry at The Health Equation”, or use this link: Gerry at The Health [...]