I’m not quite sure what I think of the King’s Fund: some of their papers seem to me to miss the point: academic distance from reality can be damaging. They have examined Referral Management Centres and concluded that they aren’t very good, which was obvious to GPs but lost on politicians. Quite interesting. What I […]
Continue Reading →Do charities need a health warning?
On bad statistics used by health charities, in the BMJ. Have had quite a few messages from doctors and nurses basically approving but none of dissent or otherwise from charities. hmm…
Continue Reading →The health care of detained asylum seekers
..is not being adequately met. Here’s an article just out in the BMJ about the situation. This is one situation which I do think would be helped by public pressure….
Continue Reading →The scandal of poor diagnosis in dementia that’s not
New research is a ‘wake up call’ for GPs- at least, according to Professor Steven Field, who is quoted today in the Telegraph as saying that doctors are needing more training in recognising dementia symptoms. The paper is in the BMJ, here, and I am rather amazed at the conclusions that both Field and the […]
Continue Reading →Not I, Professor Field
Professor Field, outgoing chair of the college I spend a small fortune to be a member of, the Royal College of GPs, has been on the radio rather a lot today. The news is: he scribed a cross article for the Observer, saying that “…too many of us neglect our health and this is leading […]
Continue Reading →Threading is better than Vaniqua
at least, I think so
Continue Reading →The origin of PMT
I’ve had some truly fascinating emails in response to this column on PMT. I had forgotten completely about this BMJ paper, from 1953, which you can view for free if you register. The first author is Katharina Dalton, who is famous for advocating progesterone to ‘treat’ PMT, and which is now recognised as being non […]
Continue Reading →Mixtard 30: Novartis gets it wrong
The Drugs and Therapeutics Bulletin is campaigning against Novartis’ decision to stop production of a particular type of insulin – one which has been around for years, is very reliable, and which is used by around 90,000 patients. Novartis say that the use of this insulin – Mixtard 30- is dropping: and that this type of insulin […]
Continue Reading →Waky up time: pathology isn’t black and white
..and if I remember much from histology, it often comes in shades of pink. The NYT today has an interesting article; shock horror – cancer that might not be. It focuses on the DCIS phenonema – if you have been reading for a while you’ll know that ductal carcinoma in situ is a ‘cancer’ that […]
Continue Reading →The lack of success of GP commissioning
Just read the CQC report on Take Care Now, the organisation run by a majority of GPs, and which employed a German doctor who killed a patient. Why does the coalition think that more will be better?
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