PTSD after heart attack  We found that a considerable proportion of patients with acute coronary syndromes develop elevated PTSD symptoms, and elevated intrusion symptoms in particular. Further, our results confirm and extend prior findings of an association between post-ACS PTSD symptoms and increased risk of recurrent MACE/ACM.anxiety as a risk factor for cardiovascular disease …The findings […]

Hernia repair and outcomes  and in Bristol  original RCTs – note how many people didn’t take part overview from NZ    other papers of note [PDF]Systematic review of the clinical effectiveness and cost … – NICE https://www.nice.org.uk/…/assessment-report-laparoscopic-surgery-for-inguinal-hernia-r. http://bmcmedicine.biomedcentral.com/articles/10.1186/1741-7015-11-37 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4188283/   http://jaoa.org/article.aspx?articleid=2094279 https://www.northkirkleesccg.nhs.uk/procedures-for-managing-individual-funding-requests/ http://basildonandbrentwoodccg.nhs.uk/about-us/board-meetings-papers/2014-archive/june-2014/729-item-04-1b-service-restriction-policy-for-board-approval-050614/file

http://jamanetwork.com/journals/jamainternalmedicine/fullarticle/415908   http://www.gov.scot/About/Performance/scotPerforms/partnerstories/NHSScotlandperformance/CDiff2 http://www.hps.scot.nhs.uk/haiic/sshaip/clostridiumdifficile.aspx#quarter Click to access Clostridium_difficile_management_and_treatment.pdf

http://www.bmj.com/content/356/bmj.i6856   http://www.bmj.com/content/342/bmj.d3279?hwoasp=authn%3A1484558930%3A4130220%3A1366167283%3A0%3A0%3AhBoXX8On0w%2BLtDdaVnqpWA%3D%3D http://medicalethicist.net/documents/Bariatric%20surgery%20BMJ.pdfhttps://www.themdu.com/guidance-and-advice/latest-updates-and-advice/referral-management-centres-faqs http://www.cochrane.org/CD005471/EPOC_are-there-effective-methods-to-improve-the-process-of-referring-patients-to-specialised-care http://www.bmj.com/content/356/bmj.i6856 Click to access CEL2011_27.pdf Click to access 37-09_Psychological_assessmwent_exceptional_aesthetic_referrals.pdf  

First recorded water birth (unintentional) Michel Odent Lancet paper  case series of harm via water births  NICE Cochrane review  RCM Guidelines  Select committee health 2003  1999 audit of water birth  1992 Winterton, N, House of Commons Health Committee, Second Report – Maternity Services. 23 February 1992, ISBN 0 10 283092 4 CQC link via Which? single […]

smells and cancer dog sniffing at patch of skin disease turned out to be cancer reported in Lancet in 1989 http://www.sciencedirect.com/science/article/pii/S0140673689922575?showall%3Dtrue%26via%3Dihub followed by anecdotes http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(01)06065-2/fulltext 2004 study in BMJ – ‘proof of concept’ dogs using the smell of urine to detect bladder cancer 6 dogs, detected 22 out of 54 people with bladder cancer 2006 […]

    Here’s the book Here’s a podcast from the BMJ  why the NHS is now Westminster’s chew toy and needs to be liberated from it (Independent) and how calling non evidence based medicine ‘innovation’ will simply waste NHS money and resources (Guardian) Times – GPs who sell their services online   I’m grateful for […]

..and other such nonsense.   This report  led Owen Paterson convinced that the NHS is failing and Something Must Be Done. I think this report, or reports of this report, will be used to demonstrate why the NHS Must Be Privatised by some politicians and newspapers, and because of the coverage it has had I […]

The State of Medicine – keeping the promise of the NHS I am furious, sad and scared for the state of the NHS…. The NHS is ‘the closest thing the UK has to a national religion’. No wonder: it has worked secular miracles. Before the NHS, sick children could not see a doctor before a […]

Testosterone https://www.nice.org.uk/Guidance/NG23 Click to access MenMed_0512.pdf https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3474615/ http://www.nejm.org/doi/full/10.1056/NEJMoa0707302#t=article