The ritual of weekly baby weighing clinics is unlikely to end anytime soon, and so I am delighted to learn that – at last- the old World Health Organisation baby weight charts are being ditched in favour of more evidence-based ones. Previously, the charts “smoothed over” the differences in normal childrens’ weight gain in the first […]
Continue Reading →Masking the problem?
We are living in uncertain times. Circumstances will probably have changed by the time this column appears, but whatever happens, swine flu will probably still be making headlines. People don’t like uncertainty, either as patients or doctors. It would be easier if we could predict the spread of disease reliably, or the effect of medications […]
Continue Reading →Simon Singh vs the British Chiropractic Association
This starts in the Royal Courts of Justice today. There are restrictions on what can be reported currently. I am reliably informed that this legal blog http://jackofkent.blogspot.com/ will have updates. Best wishes, Simon.
Continue Reading →Protect and perfect and not at all convinced
Boots the chemist are making much of research just published in the British Journal of Dermatology. It involves their Protect and Perfect product, which is on sale in my local store, where there are signs saying that customers are allowed to buy only 6 bottles. Clearly they are anticipating great demand. In 2007, the BBC […]
Continue Reading →Trouble brewing
I live with an Irishman, which means that at home we drink Barry’s Tea. In my early married life I was “not allowed” this Irish brand, as apparently I did not appreciate it enough. Now, there is a supplier in Glasgow and we no longer have to import boxes of the elusive blend from Dublin. […]
Continue Reading →How much do Independent Treatment Centres cost?
Independent Sector Treatment Centres (ISTCs) were part of this governments plans for the NHS. GPs were encouraged to use them: this was meant to be the epitome of “patient choice”. But not only have many contracts been issued on a “take or pay” basis, the cost efficiencies of these units have not been hauled up for scrutiny. Professor […]
Continue Reading →Swine flu… and childcare
In the event of a pandemic flu, word was that medical students and all kinds of healthcare professionals (who don’t normally do diagnosis and prescribing) would be mobilised to take care of the ill populace. Lots of doctors now work part time because of their children and family life. If a pandemic arises such that […]
Continue Reading →The ethics of non NHS testing
I’m glad to see that this public consultation by the Nuffield Council has been launched today, asking questions about the ethical issues involved in whole-body CT scanning and genetic screening done in private clinics for people with no current health problems. It’s very good that these issues are being raised and debated. But I’m a bit concerned that […]
Continue Reading →Crossing the guideline
Guidelines, guidelines. My desktop, bookshelves and floor are covered with them. Advising on everything from diabetes to incontinence, they come from multiple agencies in increasing sizes and scope. Some guidelines are excellent; they save doctors from a long trawl through the evidence and give directions in shorthand that everyone can understand. But Baroness Young, chair […]
Continue Reading →Strike off whistleblowers?
Margaret Haywood was struck off by the Nursing and Midwifery Council last week. She had secretly filmed patients in the hospital where she worked to document the conditions, which she claimed to have previously reported. These images were subsequently broadcast on the BBC programme Panorama. There has been an outcry from nurses, as well as from some families […]
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