Who you are: You are a FY2 doctor in the GP clinic.

Who the patient is: Julia is the daughter of Mrs. Margert James, 75 years old. Mrs. James has been diagnosed with dementia and lives in a care home and recently the dose of levothyroxine has been reduced for her as her thyroid function tests are normal. Julia has come today to understand why she has not been informed about the change in the dose of her mother's medication. Specific note: Thyroid function tests will be repeated after 6 weeks.

What you should do: Talk to her and address her concern.