How Often Do You Eat Fries?

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“Fries are not a health food” is not breaking news, but how often can you get away with them before it starts impacting health outcomes?

Researchers (Dr. Seyed Mousavi et al.) investigated the effects of fries, various kinds of non-fried potatoes, and white vs whole grains, on diabetes risk.

This was done over the course of three US cohort studies involving a total of a total of 205,107 participants, mostly women, whose diet and health outcomes were followed for 4 decades. Of these participants, 22,299 developed type 2 diabetes.

Here’s what they found:

❝After adjustment for updated body mass index and other diabetes related risk factors, higher intakes of total potatoes and French fries were associated with increased risk of T2D.

For every increment of three servings weekly of total potato, the rate for T2D increased by 5% (hazard ratio 1.05, 95% confidence interval (CI) 1.02 to 1.08) and for every increment of three servings weekly of French fries the rate increased by 20% (1.20, 1.12 to 1.28). Intake of combined baked, boiled, or mashed potatoes was not significantly associated with T2D risk (pooled hazard ratio 1.01, 95% CI 0.98 to 1.05).

In substitution analyses, replacing three servings weekly of potatoes with whole grains was estimated to lower T2D rates by 8% (95% CI 5% to 11%) for total potatoes, 4% (1% to 8%) for baked, boiled, or mashed potatoes, and 19% (14% to 25%) for French fries. In contrast, replacing total potatoes or baked, boiled, or mashed potatoes with white rice was associated with an increased risk of T2D.

In a meta-analysis of 13 cohorts (587 081 participants and 43 471 diagnoses of T2D), the pooled hazard ratio for risk of T2D with each increment of three servings weekly of total potato was 1.03 (95% CI 1.02 to 1.05) and of fried potatoes was 1.16 (1.09 to 1.23). In substitution meta-analyses, replacing three servings weekly of total, non-fried, and fried potatoes with whole grains was estimated to lower the risk of T2D by 7% (95% CI 5% to 9%), 5% (3% to 7%), and 17% (12% to 22%), respectively.❞

That’s a lot of numbers, so let’s break it down, translate it from sciencese, and look at some of the key points.

In order, we have, for the emprical data:

  • Every extra three servings of total potatoes per week increased risk by 5%
  • Every extra three servings of French fries per week increased risk by 20%
  • Baked, boiled, or mashed potatoes gave no significant change in risk
  • Replacing three weekly servings of total potatoes with whole grains lowered risk by 8%
  • Replacing baked, boiled, or mashed potatoes with whole grains lowered risk by 4%
  • Replacing French fries with whole grains lowered risk by 19%
  • Replacing total potatoes or baked, boiled, or mashed potatoes with white rice increased risk by 15%*

And now for the meta-analysis** numbers:

  • Every extra three servings of total potatoes per week increased risk by 3%
  • Every extra three servings of fried potatoes per week increased risk by 16%
  • Replacing total potatoes with whole grains lowered risk by 7%
  • Replacing non-fried potatoes with whole grains lowered risk by 5%
  • Replacing fried potatoes with whole grains lowered risk by 17%

*This figure wasn’t in the abstract we quoted above, but we found it in the full substitutions table lower down in the paper, where it’s expressed as a Hazard Ratio of 1.15, which equates to a 15% increase in risk.

**A meta-analysis can be thought of as an “imaginary experiment” performed by collated existing data from other studies, running it through statistical models, and seeing what comes out. As you can see, the resultant numbers are slightly different, but the associations remain the same (i.e. the same additions/substitutions still give approximately the same relative increase/decrease in risk), which means the meta-analysis also supports the conclusions drawn from the empirical data.

On which note, the full paper itself can be found here: Total and specific potato intake and risk of type 2 diabetes: results from three US cohort studies and a substitution meta-analysis of prospective cohorts

That’s a lot of information; what’s most important?

In few words:

  • Whole grains are the best
  • Non-fried potatoes are ok
  • White grains are bad
  • Fried potatoes are the worst

Thus, substituting between those four categories will yield changes in risk proportional to how far apart they are from each other on that list.

Furthermore, to answer the question posed in our introduction today (how often can one eat fries before it starts impacting health outcomes), the honest answer is: never, technically.

See for example: Is Fast Food Really All That Bad? ← we realize that fries do not necessarily have to be fast food, but they share the nutritional profile being examined there.

And while “one bad meal” will not impact long-term health, it will have an immediate negative impact on short-term health, due to its gut-disrupting activity. If it really was just a one-off meal, an otherwise healthy gut will bounce back just fine, but it’s another argument for the case of “the negative health effects do start immediately”.

However, the dose does make the poison, and in this case, increments of 3 portions per week increased risk by 20%. We can say, therefore, that each portion per week increases the risk by 6.6%, and this risk is cumulative.

On which note: what is a portion?

  • A portion is not: “however much you eat at once”
  • A portion is: “a 4–6 oz serving”

So, if you have twice that at a sitting, that’s two portions. Thrice that at a sitting, and that’s the weekly 3 portions that increase the risk by 20%, already, in one day, and if you have more in the rest of the week, it will continue to add to the risk cumulatively.

If you’d like to dial down the portion sizes while simultaneously enjoying what you eat more, there are two useful approaches you might want to consider (you can do both if you want; there’s no conflict between them, and in fact, they can go quite well together):

Want to learn more?

Check out:

Carb-Strong or Carb-Wrong?

Take care!

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  • Indistractable – by Nir Eyal

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    Have you ever felt that you could accomplish anything you wanted/needed, if only you didn’t get distracted?

    This book lays out a series of psychological interventions for precisely that aim, and it goes a lot beyond the usual “download/delete these apps to help you stop checking social media every 47 seconds”.

    Some you’ll have heard of before, some you won’t have, and if even one method works for you, it’ll have been well worth your while reading this book. This reviewer, for example, enjoyed the call to identity-based strength, e.g. adopting an “I am indistractable*” perspective going into tasks. This is akin to the strength of, for example, “I don’t drink” over “I am a recovering alcoholic”.

    *the usual spelling of this, by the way, is “undistractable”, but we use the author’s version here for consistency. It’s a great marketing gimmick, as all searches for the word “indistractable” will bring up his book.

    Nor is the book just about maximizing productivity to the detriment of everything else; this is not about having a 25 hours per day “grindset”. Rather, it even makes sure to cover such things as focusing on one’s loved ones, for instance.

    Bottom line: if you’ve tried blocking out the distractions but still find you can’t focus, this book offers next-level solutions

    Click here to check out Indistractible, and become indeed indistractable!

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  • How can a tick bite cause a deadly meat allergy? An expert explains

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    An Australian teenager who died after eating beef sausages on a camping trip has been confirmed as the nation’s first death from a tick-induced meat allergy.

    New South Wales Deputy State Coroner Carmel Forbes Jeremy Webb died in 2022 from an anaphylactic reaction, which triggered an asthma attack.

    This makes the teenager only the second person in the world confirmed to have died from “mammalian meat allergy”, after the 2024 fatal case of a man in the United States.

    Here’s what you need to know about how tick bites can lead to a meat allergy.

    How can ticks cause this?

    In Australia, it’s mainly the bite of the eastern paralysis tick (Ixodes holocyclus) that causes mammalian meat allergy.

    The tick’s saliva naturally contains a sugar molecule called alpha-gal, short for galactose-α-1,3-galactose, a sugar not normally present in humans.

    So when a tick bites, alpha-gal enters the blood stream and in some people prompts the body to produce molecules associated with an allergic response (known as IgE antibodies). So their body is “primed” for an allergic reaction, but doesn’t have one straight away.

    But when a person later eats substances containing alpha-gal – meat, products containing gelatine such as lollies, or certain medicines – this can trigger an allergic response hours later.

    This can range from hives, gut symptoms (such as cramping and diarrhoea), to a severe anaphylactic reaction that affects the respiratory and cardiovascular systems.

    Who’s at risk? Are cases rising?

    While this latest Australian case involved a teenager, mammalian meat allergy typically occurs in older age groups.

    In research that colleagues and I have just concluded and will be submitting for publication shortly, we’ve found that mammalian meat allergy peaks in Australians aged 45–75.

    Females are at increased risk, accounting for about 60% of cases, but we don’t know what’s driving that.

    Our analysis of 11 years of data to 2025 also showed that annual case numbers remained relatively stable until 2020, but have since grown rapidly, on average 22% year on year.

    By 2024, we saw 787 people nationwide testing positive to alpha-gal antibodies.

    But most (we estimate about 90%) of that increase is down to greater awareness and more testing for mammalian meat allergy.

    Only about 10% is due to a real increase in disease prevalence. We don’t exactly know why this is happening. But hypotheses include a run of mild summmers/wet winters leading to higher tick numbers, or greater exposure to ticks as people move to the bush or urban fringes.

    In our study we saw cases from every state and territory, although 96% of cases occurred within Ixodes holocyclus endemic regions along the east coast.

    What was remarkable, though, was the extreme geographical clustering of cases in specific high-risk regions.

    Hinterland regions of south-east Queensland and northern NSW, the northern beaches regions of Sydney, and NSW south coast in particular had disproportionately high case numbers.

    Not just allergies

    Exposure to alpha-gal may have other effects, other than triggering an allergic reaction from eating meat.

    We are among a group of researchers exploring possible links with cardiovascular (heart) disease.

    We’re working with Australian Red Cross Lifeblood to analyse blood from 5,000 donors, including from high-risk communities. We’re aiming to see if exposure to alpha-gal from tick bites might put certain people at higher risk of cardiovascular disease later in life.

    The hypothesis is that exposure to the alpha-gal allergen leads to low-level inflammation of the plaques associated with coronary artery disease.

    But we haven’t started analysing those samples, so it’s early days yet.

    Prevention is best

    There is no cure for mammalian meat allergy. So preventing tick bites is best:

    • wear long-sleeved shirts and long pants when walking or working in areas where there are ticks
    • tuck pants into long socks
    • wear a wide-brimmed hat
    • wear light-coloured clothing
    • use insect repellent, particularly ones containing DEET.

    And if you are bitten by a tick, don’t use household tweezers to remove it. Use the methods described in this video instead.

    Alexander Gofton, Senior Research Scientist, Health and Biosecurity, CSIRO

    This article is republished from The Conversation under a Creative Commons license. Read the original article.

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  • Bushfire smoke affects children differently. Here’s how to protect them

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    Bushfires are currently burning in Australian states including Victoria, Tasmania, Western Australia and South Australia. In some areas, fire authorities have warned residents about the presence of smoke.

    Bushfire smoke is harmful to our health. Tiny particles of ash can lodge deep in the lungs.

    Exposure to this type of smoke may worsen existing conditions such as asthma, and induce a range of health effects from irritation of the eyes, nose and throat to changes in the cardiovascular system.

    Public health recommendations during smoke events tend to provide general advice, and don’t often include advice specifically geared at children. But children are not just little adults. They are uniquely vulnerable to environmental hazards such as bushfire smoke for a number of reasons.

    Different physiology, different behaviour

    Children’s lungs are still developing and maturing.

    Airways are smaller in children, especially young children, which is associated with greater rates of particle deposition – when particles settle on the surfaces of the airways.

    Children also breathe more air per kilogram of body weight compared with adults, and therefore inhale more polluted air relative to their size.

    Further, children’s detoxification systems are still developing, so environmental toxins take longer to effectively clear from their bodies.

    Meanwhile, children’s behaviour and habits may expose them to more environmental toxins than adults. For example, they tend to do more physical activity and spend more time outdoors. Higher levels of physical activity lead to more air inhaled per kilogram of body weight.

    Also, a normal and important part of children’s early play is exploring their environment, including by putting things in their mouth. This can result in kids ingesting soil, dust and dirt, which often contain environmental contaminants.

    For these reasons, it’s important to consider the specific needs of children when providing advice on what to do when there’s smoke in the air.

    Keeping our environments healthy

    The Australian government offers recommendations for minimising the health risks from exposure to bushfire smoke. The main advice includes staying indoors and keeping doors and windows closed.

    This is great advice when the smoke is thick outside, but air pollutants may still accumulate inside the home. So it’s important to air your home once the smoke outside starts to clear. Take advantage of wind changes to open up and get air moving out of the house with a cross breeze.

    Kids are natural scientists, so get them involved. For example, you and your child can “rate” the air each hour by looking at a landmark outside your home and rating how clearly you can see it. When you notice the haze is reducing, open up the house and clear the air.

    Because air pollutants settle onto surfaces in our home and into household dust, an easy way to protect kids during smoky periods is to do a daily dust with a wet cloth and vacuum regularly. This will remove pollutants and reduce ingestion by children as they play. Frequent hand washing helps too.

    Healthy bodies and minds

    Research exploring the effects of bushfire smoke exposure on children’s health is sparse. However, during smoke events, we do see an increase in hospital visits for asthma, as well as children reporting irritation to their eyes, nose and throat.

    If your child has asthma or another medical condition, ensure they take any prescribed medications on a regular schedule to keep their condition well controlled. This will minimise the risk of a sudden worsening of their symptoms with bushfire smoke exposure.

    Make sure any action plans for symptom flare-ups are up to date, and ensure you have an adequate supply of in-date medication somewhere easy to locate and access.

    A mother talks to her child who is sitting on a bed.
    Children may be anxious during a bushfire.
    Media_Photos/Shutterstock

    Kids can get worried during bushfires, and fire emergencies have been linked with a reduction in children’s mental health. Stories such as the Birdie’s Tree books can help children understand these events do pass and people help one another in times of difficulty.

    Learning more about air pollution can help too. Our group has a children’s story explaining how air pollution affects our bodies and what can help.

    It’s also important for parents and caregivers not to get too stressed, as children cope better when their parents manage their own anxiety and help their children do the same. Try to strike a balance between being vigilant and staying calm.

    What about masks?

    N95 masks can protect the wearer from fine particles in bushfire smoke, but their use is a bit complicated when it comes to kids. Most young children won’t be able to fit properly into an N95 mask, or won’t tolerate the tight fit for long periods. Also, their smaller airways make it harder for young children to breathe through a mask.

    If you choose to use an N95 mask for your children, it’s best to save them for instances when high-level outdoor exposure is unavoidable, such as if you’re going outside when the smoke is very thick.

    N95 masks should be replaced after around four hours or when they become damp.

    If your child has an existing heart or lung condition, consult their doctor before having them wear an N95 mask.

    Our team is currently recruiting for a study exploring the effects of bushfire smoke in children. If you live in south east Queensland and are interested in participating in the event of a bushfire or hazard reduction burn near your home, please express your interest here.The Conversation

    Dwan Vilcins, Group leader, Environmental Epidemiology, Children’s Health Environment Program, The University of Queensland; Nicholas Osborne, Associate Professor, School of Public Health, The University of Queensland, and Paul D. Robinson, Conjoint Professor in Respiratory and Sleep Medicine, Child Health Research Centre, The University of Queensland

    This article is republished from The Conversation under a Creative Commons license. Read the original article.

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  • Two Things You Can Do To Improve Stroke Survival Chances

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    Dr. Andrew’s Stroke Survival Guide

    This is Dr. Nadine Andrew. She’s a Senior Research Fellow in the Department of Medicine at Monash University. She’s the Research Data Lead for the National Center of Healthy Aging. She is lead investigator on the NHMRC-funded PRECISE project… The most comprehensive stroke data linkage study to date! In short, she knows her stuff.

    We’ve talked before about how sample size is important when it comes to scientific studies. It’s frustrating; sometimes we see what looks like a great study until we notice it has a sample size of 17 or something.

    Dr. Andrew didn’t mess around in this regard, and the 12,386 participants in her Australian study of stroke patients provided a huge amount of data!

    With a 95% confidence interval because of the huge dataset, she found that there was one factor that reduced mortality by 26%.

    And the difference was…

    Whether or not patients had a chronic disease management plan set up with their GP (General Practitioner, or “family doctor”, in US terms), after their initial stroke treatment.

    45% of patients had this; the other 55% did not, so again the sample size was big for both groups.

    Why this is important:

    After a stroke, often a patient is discharged as early as it seems safe to do so, and there’s a common view that “it just takes time” and “now we wait”. After all, no medical technology we currently have can outright repair that damage—the body must repair itself! Medications—while critical*—can only support that and help avoid recurrence.

    *How critical? VERY critical. Critical critical. Dr. Andrew found, some years previously, that greater levels of medication adherence (ie, taking the correct dose on time and not missing any) significantly improved survival outcomes. No surprise, right? But what may surprise is that this held true even for patients with near-perfect adherence. In other words: miss a dose at your peril. It’s that important.

    But, as Dr. Andrew’s critical research shows, that’s no reason to simply prescribe ongoing meds and otherwise cut a patient loose… or, if you or a loved one are the patient, to allow yourself/them to be left without a doctor’s ongoing active support in the form of a chronic disease management plan.

    What does a chronic disease management plan look like?

    First, what it’s not:

    • “Yes yes, I’m here if you need me, just make an appointment if something changes”
    • “Let’s pencil in a check-up in three months”
    • Etc

    What it actually looks like:

    It looks like a plan. A personal care plan, built around that person’s individual needs, risks, liabilities… and potential complications.

    Because who amongst us, especially at the age where strokes are more likely, has an uncomplicated medical record? There will always be comorbidities and confounding factors, so a one-size-fits-all plan will not do.

    Dr. Andrew’s work took place in Australia, so she had the Australian healthcare system in mind… We know many of our subscribers are from North America and other places. But read this, and you’ll see how this could go just as much for the US or Canada:

    ❝The evidence shows the importance of Medicare financially supporting primary care physicians to provide structured chronic disease management after a stroke.

    We also provide a strong case for the ongoing provision of these plans within a universal healthcare system. Strategies to improve uptake at the GP level could include greater financial incentives and mandates, education for patients and healthcare professionals.❞

    See her groundbreaking study for yourself here!

    The Bottom Line:

    If you or a loved one has a stroke, be prepared to make sure you get a chronic health management plan in place. Note that if it’s you who has the stroke, you might forget this or be unable to advocate for yourself. So, we recommend to discuss this with a partner or close friend sooner rather than later!

    “But I’m quite young and healthy and a stroke is very unlikely for me”

    Good for you! And the median age of Dr. Andrew’s gargantuan study was 70 years. But:

    • do you have older relatives? Be aware for them, too.
    • strokes can happen earlier in life too! You don’t want to be an interesting statistic.

    Some stroke-related quick facts:

    Stroke is the No. 5 cause of death and a leading cause of disability in the U.S.

    Stroke can happen to anyone—any age, any time—and everyone needs to know the warning signs.

    On average, 1.9 million brain cells die every minute that a stroke goes untreated.

    Stroke is an EMERGENCY. Call 911 immediately.

    Early treatment leads to higher survival rates and lower disability rates. Calling 911 lets first responders start treatment on someone experiencing stroke symptoms before arriving at the hospital.

    Source: https://www.stroke.org/en/about-stroke

    What are the warning signs for stroke?

    Use the letters F.A.S.T. to spot a stroke and act quickly:

    • F = Face Drooping—does one side of the face droop or is it numb? Ask the person to smile. Is the person’s smile uneven?
    • A = Arm Weakness—is one arm weak or numb? Ask the person to raise both arms. Does one arm drift downward?
    • S = Speech Difficulty—is speech slurred?
    • T = Time to call 911

    Source: https://www.stroke.org/en/about-stroke/stroke-symptoms

    Last but not least, while we’re sharing resources:

    Download the PDF Checklist: 8 Ways To Help Prevent a Second Stroke

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  • Gut Diversity vs Aging

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    …and other items from this week’s health news:

    How A Diverse Gut Microbiome Can Make You Younger

    It’s well-known (to regular 10almonds readers, at the very least) that gut microbiome diversity is broadly a very good thing for health. What’s good for the gut is good for the heart, and what’s good for the heart is good for the brain, and also the gut is in many ways a hugely influential factor in our immune system, which includes not just when it comes to fighting pathogens, but also when it comes to healthy immune regulation, i.e. against immune dysfunction and chronic inflammation, which latter is bad for pretty much everything.

    However, a new study has found a link between gut health and aging; specifically, that the aging microbiome produces fewer metabolites that are needed for good health, resulting in a compounding effect of aging.

    Most interestingly, however, this relation has found to be causal the other way around, that is to say, it’s not just “when older, the gut doesn’t work so well”, but rather, “when given a better gut microbiome, effects of aging are reversed”.

    Caveat: this was a mouse study and it wasn’t all aspects of aging, but it was enough aspects of aging to be very worthy of note, and there’s no reason the same principles shouldn’t apply in humans:

    Read in full: Metabolic modeling reveals aging microbiome produces fewer vital substances

    Related: Stop Sabotaging Your Gut

    Maybe you can drink some calories, after all (if you do this with them)

    “Don’t drink your calories” is generally good advice; liquids are typically absorbed much more quickly than solids (increasing total caloric consumption, as well as the initial shock to the metabolism), and most sugary drinks (which absolutely includes pure fruit juice, by the way, as it has been stripped of fiber in the juicing process) produce an impressive spike in blood sugars, and thus insulin levels (both are bad things to spike).

    However, smoothies do better than juices, due to still having fiber in them. And, research has found, smoothies with seeds in flatten the blood sugar curve even more, likely due to the combination of fiber and fats:

    Read in full: Smoothies with seeds may improve glycemic control, study shows

    Related: 3 Day Juice Fasting? Not So Fast! ← why you should absolutely not expect the same results from juices

    Where there’s smoke, there’s… An increase in mental health conditions?

    Wildfires have been raging in some parts of the US lately, and needless to say, these aren’t great for the health. As well as the initial most obvious risks, there are a lot of follow-up risks (including weakened immune systems as well as increased presence of pathogens in the air; people think of smoke as purifying, but it’s not, it’s mostly just hot air bringing germs with it), and, by the numbers, a large increase in hospital visits for mental health conditions including depression, anxiety, and mood disorders:

    Read in full: Exposure to wildfire smoke linked to worsening mental health conditions

    Related: The Dangers Of Fires, Floods, & Having Your Hair Washed

    Take care!

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  • Should I break up with my GP? 4 signs it may be time

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    A long-term relationship with a GP – one who knows you and your history – improves your health and even reduces your chance of dying prematurely.

    This type of trusted relationship is particularly important if you have a serious or chronic (long-term) condition or multiple conditions. It is also important for trauma survivors, who should not need to retell their story over and over.

    However, there are times when you may feel uncomfortable with your current GP. The first step is understanding why, then knowing what to do about it. Here are some reasons you might consider finding another one.

    sturti/Getty

    1. Your needs have changed

    It is common to change GPs at pivotal times in your life. You may feel uncomfortable discussing your sexual health needs with the “family GP” who has known you since you were a child, or who still sees your parents.

    If your family is having children, you may prefer a GP who does antenatal care, or sees a lot of children, so they can more readily empathise with your needs as a young parent. Perhaps your current GP doesn’t share your ideas about health care and parenting, or the practice isn’t particularly child friendly.

    You may have appreciated your GP’s practical, straightforward and efficient consultation style for past sports injuries, but find this approach unhelpful when struggling with your mental health.

    So you may look for a GP who better meets your current needs.

    2. You want another GP who is expert in your illness

    Good GPs can get “up to speed” on a variety of conditions, while still keeping the whole person in view. But sometimes, you will have a very specific need that leads to seeking a GP who is expert in that area. An example may be a GP who specialises in skin checks, or a GP who is expert in ADHD (attention deficit hyperactivity disorder).

    However, you still need a generalist GP who looks at your other health-care needs. This generalist GP may well be the one who picks up early Parkinson’s disease or bowel cancer while your other GP is focused on your reproductive system or mental health.

    3. You want a GP who is more aligned with your values

    People differ in the type of relationship they want with their GP. You might be seeking a true partnership, where you both bring your expertise into decision making and you have the final decision. At the other end of the spectrum, you may feel more comfortable with your GP taking a more assertive role. Your needs and preferences may change over time.

    Sometimes, your GP doesn’t seem to accept your views on health care. You might feel uncomfortable discussing the role of complementary medicine, or preventive health care, or your decisions to accept or reject certain treatments.

    So you may seek a GP who is more aligned with your attitudes and practices.

    However, GPs have their limits when it comes to accommodating your preferences. They cannot always supply your preferred medication, referral or other service, for professional, regulatory, legal or other reasons.

    4. There has been a fracture of trust or confidence

    Everyone makes mistakes. Sometimes, those mistakes are so serious you cannot go back to that doctor. However, there are errors where the relationship can be repaired.

    A good GP will explain why an error happened, show how they (and the practice) will rectify the error, and what systems are now in place to make sure it doesn’t happen again. A sincere apology and equally sincere desire to make things right can strengthen a relationship and restore trust.

    Sometimes you can feel unheard during a consultation, or the GP can seem distracted. The GP may sincerely apologise, and explain why. They are human, and can be unwell, exhausted by an untenable workload, or simply recovering from a particularly challenging consultation earlier in the day.

    However, if there is a pattern of feeling the GP doesn’t hear you, makes frequent minor errors, or simply doesn’t seem to be providing the sort of professional service you expect, you may lose trust. If you feel uneasy or judged, you may need to step away from that GP.

    How to break up with your GP

    Good GPs understand a partnership with you is important. If you cannot maintain a relationship with them that is open, honest and safe, it is time to move on.

    If your needs have changed, but you still value the GP for their care, you can send a thank you card and explain you have chosen to transfer to another doctor. The practice staff can forward your records to a new practice, for which there may be a small administrative fee.

    If there has been a rupture in trust or confidence, and the issue is relatively minor, the practice manager will be able to advise how to make a written complaint to the practice.

    If the problem is more serious, and you wish to make a formal complaint about a breach of trust that has implications for patient safety, you can report this to the Australian Health Practitioner Regulation Agency.

    If the problem is about the GP practice, you can report it to the relevant health-care ombudsman or commission in your state or territory.

    Louise Stone, Professor of General Practice, University of Adelaide

    This article is republished from The Conversation under a Creative Commons license. Read the original article.

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