I was talking to a composer a few weeks ago. “This stuff doesn’t really exist except when it’s played,” he said, pointing to his score with heavy despair. “Whereas you’ve got a job where you can actually see that you are doing something good.” He couldn’t understand that my protests to the contrary were genuine: […]
Continue Reading →Do St John’s wort and echinacea work?
Duchy Originals was established by the Prince of Wales in 1990 to raise the profile of organic food and farming. Lines from the company, which gives its profits to the Prince’s own charities, include Rose and Mandarin Shampoo, oaten biscuits, sherbet lemons and handmade Sandringham Strawberry Preserve. With regal glee, the Duchy website recently announced […]
Continue Reading →Brain training: better off dancing
The number of computer programs that promise to sharpen, train and preserve brain function seem to be proliferating. There has been a lot of press coverage about a paper in the journal Alzheimer’s and Dementia . The authors reviewed all the evidence available on interventions aimed at preserving cognitive function in healthy elderly people. Just as I […]
Continue Reading →Dying of cold
The snow falls, public transport grinds to a halt, schools are closed, and the Met Office issues “severe weather” warnings. And death rates go up: as the temperatures drop, so-called “excess winter mortality” kicks in. This phenomenon has been noted in many other countries, too, but why does it happen? A reasonable suggestion is that fuel poverty […]
Continue Reading →Are big ears the secret of a long life?
Why do men’s ears get bigger as they age? I don’t know, I told my editor, but I shall try to find out. Medical school teaches you a lot of things but this wasn’t one of them. The resource most likely to help answer such ponderables is PubMed, an online resource that replaced the book-bound […]
Continue Reading →Sir Richard Branson: curious ‘science’ and unfair analogies
Sir Richard recently gave an interview to the BBC when he said, amongst other things, that the healthcare industry could learn from the airline industry; and that all healthcare workers should be screened for MRSA and treated for it because it “is far better than having people dying from unnecessary diseases, and all the misery […]
Continue Reading →Pitfalls of a health column
When I suggested, a while back, that walking was fabulous for health, I thought I was giving readers of this column sound advice. All the evidence suggests that it’s good for mental, physical and environmental health, as well as being something many people find pleasurable. Who, I thought, could object? Well, the man who wrote […]
Continue Reading →Is paracetamol still safe for children?
Medical lore has created something of a cult around the measurement of children’s temperatures. A fever seems to be something which is suspected and then recorded, swiftly followed by the administration of medicine to “bring it down”. Some confessions. My home medical kit isn’t up to much. At one point it did contain a thermometer, […]
Continue Reading →Why randomised trials still work best
The only thing separating reiki and reflexology from rational medicine and progress is evidence. And what evidence-based aficionados like me love best is the randomised controlled trial, the process by which most drugs and treatments aspire to be tested. But are we now hearing its death rattle? In a recent lecture at the Royal College […]
Continue Reading →‘Normal’ cholesterol: to treat or not to treat?
Much ado with a new paper published by the New England Journal of Medicine . This study was placebo controlled and focused on treating people with “normal” cholesterol but a high “c-reactive protein” (a marker of inflammation) with rosuvastatin (which is not a new statin as some media outlets have reported, but one already in use). Reports have […]
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