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.  […]

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 […]

 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

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

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 […]

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

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/

things I said   RCGP Future vision for General Practice- it has to be evidence based. Otherwise we waste time and resources and do harm. I also want patients to be centre stage: we could be doing far more to resource shared decision making and understanding outside the consultation. GP Forward View report – lots […]

  Inside Health is off air…and back in a couple of weeks. In the meantime for tonights’ More or Less, here are the main references used for the badly thought out, publicity friendly, potentially harmful screening test that Public Health England didn’t seek advice from the UK National Screening Committee about. No user testing, not […]

https://cks.nice.org.uk/antiplatelet-treatment https://www.ncbi.nlm.nih.gov/pubmed/16490462 https://www.amjmed.com/article/S0002-9343(05)01079-X/fulltext