thank you for re-electing me please bear in mind that there is no point repeating stuff someone else has said (unless you like the sound of your own voice etc etc ) so this is just what I said – rules are you can report what you said, not what someone else said, until the […]

Things over the last few months How doctors are peddling pointless vitamin drips  a few things in the Telegraph but all behind a paywall, here  Tell Me Where It Hurts, a programme for Radio 4 about what does/doesn’t/should happen  in GP consultations, and why it’s so important

    https://qrisk.org/2017/index.php https://qintervention.org/index.php https://qrisk.org/three/index.php http://www.assign-score.com/estimate-the-risk/ https://www.nice.org.uk/guidance/cg181/resources/patient-decision-aid-pdf-243780159

study 329 https://www.sciencedirect.com/science/article/abs/pii/S0890856709603099   https://content.iospress.com/articles/international-journal-of-risk-and-safety-in-medicine/jrs426   http://www.consort-statement.org https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1852589/ COMPARE project http://compare-trials.org/faq

https://www.nhs.uk/conditions/medical-cannabis/ Government factsheet  MHRA statements  Review referenced by WHO – preclinical/animal studies file:///Users/user/Downloads/2CannabidiolStateoftheartandnewchallengesfortherapeuticapplications.pdf There is a lack of good evidence that any cannabis-derived product works for any chronic neuropathic pain.https://www.cochrane.org/CD012182/SYMPT_cannabis-products-adults-chronic-neuropathic-pain More people reported sleepiness, dizziness and mental problems (e.g. confusion) with all cannabis-based medicines pooled together than with placebo (low-quality evidence) https://www.cochrane.org/CD012954/IBD_cannabis-and-cannabis-oil-treatment-ulcerative-colitis The effects of […]

https://www.reuters.com/article/us-safety/going-into-hospital-far-riskier-than-flying-who-idUSTRE76K45R20110721 https://www.caa.co.uk/Consumers/Guide-to-aviation/Aviation-safety/ https://www.standard.co.uk/news/health/jeremy-hunt-helpline-may-need-more-medics-to-avoid-further-tragedy-after-babys-death-a3168056.html https://www.gov.uk/government/organisations/air-accidents-investigation-branch/about https://www.bmj.com/content/353/bmj.i2139 https://www.bmj.com/content/353/bmj.i2139/rr-54

  NICE https://www.nice.org.uk/guidance/CG62 Auscultation of the fetal heart may confirm that the fetus is alive but is unlikely to have any predictive value and routine listening is therefore not recommended. However, when requested by the mother, auscultation of the fetal heart may provide reassurance. Routine Doppler ultrasound should not be used in low‑risk pregnancies. [2008] […]

RCGP Council 1) Transgender module on RCGP website – which has now been withdrawn – my concern is also that the evidence base is lacking for a markedly changed demographic – I felt there was lack of clarity in chair’s blog about the wider issues and governance of evidence in modules more widely. I do […]

https://www.jmir.org/2018/4/e150/ https://journals.sagepub.com/doi/full/10.1177/0141076818761383

DCIS: many breast ‘cancers’ behave benignly – e.g. some 94% survival at 20 years after diagnosis with no symptoms https://jamanetwork.com/journals/jamaoncology/fullarticle/2634502 before breast cancer screening only a few percent of all breast cancers diagnosed were DICS after screening introduced – 20-25% of all breast cancers classed as DCIS https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/441318/nhsbsp66.pdf very little known about natural history of […]