www.cochrane.org/CD004022/HTN_effect-low-salt-diet-blood-pressure-and-some-hormones-and-lipids-people-normal-and-elevated-blood https://www.cochrane.org/CD009217/VASC_reduced-dietary-salt-prevention-cardiovascular-disease https://bjsm.bmj.com/content/early/2018/12/05/bjsports-2018-099921 https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)31376-X/abstract
Continue Reading →Don’t fall prey to the cult of ‘wellness’
free link to Globe and Mail essay
Continue Reading →RCGP Council 24/11/18
RCGP Council 24/11/18 1) sponsorship review – This is being revisited. Sam Finnikin and I wrote a letter and asked that it was passed to each Trustee Board member and all officers. In the interests of transparency I have linked to it here. It includes an evaluation of the conference. RCGP Glasgow conference October 2018 […]
Continue Reading →Inside Health 30/10/18 – relative risks and sinks
relative risks – ace inhibitors https://www.bmj.com/content/363/bmj.k4209 https://www.bmj.com/company/newsroom/certain-blood-pressure-drugs-linked-to-increased-risk-of-lung-cancer/ https://www.ajkd.org/article/S0272-6386(10)01387-9/pdf 3,186 events in 335,135 patients using ACEI (0.95%) 266 events in 29,008 patients using ARB (0.91%) Control event rate= 0.0091 FOR ARB Experimental event rate= 0.0095 FOR acei ARR = 0.0004 (0.04% absolute risk difference) whole cohort 7,952 lung cancer events in 992, 061 patients. […]
Continue Reading →from twitter – on private screening tests – help!
For the last 18 years, I have been writing about/protesting about the private screening companies who mislead people into either non evidence based testing, or screening which is already available on the NHS for free. over this time numerous complaints have been upheld by the @ASA_UK , but not the @gmcuk (funny that, since their […]
Continue Reading →Epipen 23/10/18 Inside Health
https://www.ema.europa.eu/medicines/human/referrals/adrenaline-auto-injectors https://www.ema.europa.eu/documents/referral/adrenaline-auto-injectors-article-31-referral-chmp-assessment-report_en.pdf https://www.npa.co.uk/representing-you/campaigns/medicines-supply-chain/ https://onlinelibrary.wiley.com/doi/pdf/10.1111/all.12595 https://www.sps.nhs.uk/category/shortages-discontinuations-and-expiries/shortages/ https://www.abpi.org.uk/what-we-do/pricing-regulation/medicines-supply-chain-working-towards-a-solution/ https://psnc.org.uk/dispensing-supply/supply-chain/branded-shortages/ https://www.england.nhs.uk/south/wp-content/uploads/sites/6/2018/06/nhse-sw-msg-jun-18.pdf https://psnc.org.uk/our-news/adrenaline-150-micrograms-auto-injectors-supply-urgent-actions-required-by-pharmacy-teams/ https://dtb.bmj.com/content/53/3/33 https://psnc.org.uk/wp-content/uploads/2018/10/20181012-Letter-to-patients.pdf https://www.leighday.co.uk/LeighDay/media/LeighDay/documents/Product%20liability/Inquest-Dr-Sean-Cummings-Summing-Up.pdf https://www.npa.co.uk/representing-you/campaigns/medicines-supply-chain/ https://amp.usatoday.com/amp/576221001
Continue Reading →Inside Health 16/10/18 – The Fry and Turnball effect
https://www.england.nhs.uk/2018/10/turnbull-and-fry-effect-will-safe-lives-says-nhs-chief/ https://prostatecanceruk.org/about-us/news-and-views/2018/2/stephen-fry-calls-for-all-men-to-know-their-risk-after-his-treatment-for-prostate-cancer https://www.mja.com.au/journal/2005/183/5/impact-news-celebrity-illness-breast-cancer-screening-kylie-minogues-breast https://www.thebreastonline.com/article/S0960-9776(06)00073-7/fulltext https://www.bmj.com/content/355/bmj.i6357 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5500405/ https://academic.oup.com/jnci/article/105/14/1050/965030 https://www.pubfacts.com/detail/25539779/Deliberative-democracy-and-cancer-screening-consent-a-randomised-control-trial-of-the-effect-of-a-community-jury-on-mens-knowledge-about-and-intentions-to-participate-in-PSA-screening
Continue Reading →Placebo effects – Inside Health 9/10/18
One of my favourite subjects. I wrote a lot in the Patient Paradox about placebos. I don’t think we need placebos to get what have been called ‘placebo effects’. I’m so sad that doctors and patients have been pushed apart by the mechanistic, industrial approach of medicine in the last decade. Here’s hoping the next […]
Continue Reading →Inside Health 3/10/18- fertility awareness methods of contraception
https://www.tandfonline.com/doi/full/10.3109/13625187.2016.1154143 https://www.fsrh.org/news/fsrh-fpa-and-fertilityuk-call-for-more-independent-research-on/ https://journals.lww.com/greenjournal/Fulltext/2018/09000/Effectiveness_of_Fertility_Awareness_Based_Methods.8.aspx https://www.asa.org.uk/rulings/naturalcycles-nordic-ab-sweden-a17-393896.html- N
Continue Reading →Inside Health 25/9/18 – apple watches
https://jamanetwork.com/journals/jamacardiology/fullarticle/2566167 – a https://jamanetwork.com/journals/jama/fullarticle/2695678 https://www.bmj.com/content/362/bmj.k2986 http://www.drjohnm.org/2017/12/thoughts-on-the-apple-watch-and-mobile-ecg/
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