Every now and then in my career as a GP I found myself completely unable to know what to say. Part of every GP’s job is that vital skill of knowing what to do when you don’t know what to do, but on occasions I found this skill was distinctly lacking. I’m sure I’m not the only one. One of the most astonishing things about general practice is how you keep finding yourself in situations where you’ve never been before. On this occasion I really felt that I was floundering.