I am making no apologies for this! It’s really important and there is not a lot of evidence out there considering how disabling it is to many people. links: This is the most important one! About the use of a bulb syringe https://pubmed.ncbi.nlm.nih.gov/18186996/ text is https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2148238/ and https://pubmed.ncbi.nlm.nih.gov/21403136/ systematic review and economic evaluation Parliamentary questions […]

ear wax! higher incidence in people with learning disability https://onlinelibrary.wiley.com/doi/full/10.1111/j.1468-3156.2005.00351.x?saml_referrer#b9%20#b10 ear candling – no evidence it works/ some evidence it makes worse by depositing candle wax inside the ear survey of ENT drs – lots reported seeing injuries from use esp burns https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2231549/ self ear irrigation devices – bulb syringes used in other european countries […]

NICE fever guidance Different types of consultation /access – good overview

Current NICE guidance https://www.nice.org.uk/guidance/ng136 Lancet meta analysis paper https://www.sciencedirect.com/science/article/pii/S0140673621005900#bib9 See appendix list of trials included -and how few included people with BP under the current NICE range+have no history of heart attack/stroke etc https://ars.els-cdn.com/content/image/1-s2.0-S0140673621005900-mmc1.pdf Cardiac stats

NICE /SIGN/RCGP guideline https://www.nice.org.uk/guidance/ng188/chapter/rationales#follow-up-and-monitoring-2 experience with recovery from other eg pneumonia t 50% of people who had pneumonia assessed as having ‘low severity ‘ of illness still experienced fatigue at 3m (mix of in and outpatients) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1497132/ Canadian study patients with pneumonia not admitted to hospital 2/3 better at day 14, half patients back at […]

CDC symptom checker : https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html (recommends a test if you have a sniffle) ONS Data – 27th Jan https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/conditionsanddiseases/articles/coronaviruscovid19infectionsinthecommunityinengland/characteristicsofpeopletestingpositiveforcovid19inengland27january2021 Biobank https://www.ukbiobank.ac.uk/media/x0nd5sul/ukb_serologystudy_report_revised_6months_jan21.pdf RCGP flu surveillance Covid 19 symptom survey https://b6bdcb03-332c-4ff9-8b9d-28f9c957493a.filesusr.com/ugd/3d9db5_bf013154aed5484b970c0cf84ff109e9.pdf

iodine based (povidone-iodine) British Dental Journal december worked quickly https://www.nature.com/articles/s41415-020-2402-0- lab based study JAMA https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2770785 lab based study upcoming 40 volunteers Stanford – iodine based nasal sprays in people with covid – measure amount of virus present in nasopharynx https://clinicaltrials.gov/ct2/show/NCT04347954?term=iodine+covid&draw=2&rank=13 theoretical framework https://journalotohns.biomedcentral.com/articles/10.1186/s40463-020-00474-x Nitric oxide releasing solutions – https://www.clinicaltrialsregister.eu/ctr-search/trial/2020-004994-27/GB https://www.royalholloway.ac.uk/about-us/news/new-nasal-spray-proven-to-kill-999-of-the-coronavirus-that-causes-covid-19-is-being-trialled-in-the-uk/ salt water solution ELVIS covid […]

re compulsory vaccination -links here http://margaretmccartney.com/2019/09/24/compulsory-mmr-inside-health-24919/ Cochrane https://www.cochranelibrary.com/central/doi/10.1002/central/CN-01400885/full https://www.cochrane.org/CD010038/COMMUN_face-face-interventions-inform-or-educate-parents-about-early-childhood-vaccination Canada https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7041657/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6515949/ trust https://www.sciencedirect.com/science/article/pii/S0264410X1630977X rational questions https://www.bmj.com/content/371/bmj.m4058?ijkey=0e94d3615b1536944c62ffab1d3aa37b30140849&keytype2=tf_ipsecshan MMR and Wales https://www.bmj.com/content/346/bmj.f2598

Another council on zoom. It is bizarrely stressful/tiring. anyway Very very pleased to have presented motion to council on appraisal. This was very kindly seconded by Dr Carter Singh who has also been raising concerns for some time. This motion had been several months in the organising and had originated with Carter and myself. A […]

self taken covid swabs: Canadian review on methods links Californian study in April small self selected group 45 people Australian study in May  NEJM letter 3/6/20 Jama Open June 12th July 22nd JAMA  unsupervised home kits 185 people  Danish study published early Sept – 109 patients October 14th