Dr. Clare Gerada (the doctor in this clip and Simon Wessely's wife) has just been elected as the next chair of the Royal College of GPs (RCGP).Here's an extract:
Reconstruction of a typical GP consultation
Dr Clare Gerada (Simon Wessely's wife) and Alicia Deale (playing the patient):
"...can I have a little look at
your diary?.....I think what your diary shows is again how important it is that we develop a consistent approach because what we talked about was that it's important that we break this association between activity and your symptoms .... we've talked before about the fact that you walk at the moment to the bus stop to go to work, how long extra would it be if you walk to the next bus stop?...."
"...what we're trying to do here as I've said to you is to break this association between activity and your symptoms because equally if you feel rotten I still want you to do that activity...even if you're absolutely exhausted I still want you to do your ten minute walk in the morning and the ten minute walk in the evening after work...
Alicia Deale (Patient): 'Is that going to be safe?'
Clare Gerada: it will be safe - all the evidence that we've put together and all the the research literature shows that is absolutely safe you will not do yourself any harm..."
They don't have evidence at all that doing such activity when feeling unwell is safe.