A forum on healthcare policy and professional issues, by Glasgow-based GP and FT Weekend columnist Margaret McCartney
From the category archives:
New research is a ‘wake up call’ for GPs- at least, according to Professor Steven Field, who is quoted today in the Telegraph as saying that doctors are needing more training in recognising dementia symptoms. The paper is in the BMJ, here, and I am rather amazed at the conclusions that both Field and the [...]
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I’ve had some truly fascinating emails in response to this column on PMT. I had forgotten completely about this BMJ paper, from 1953, which you can view for free if you register. The first author is Katharina Dalton, who is famous for advocating progesterone to ‘treat’ PMT, and which is now recognised as being non [...]
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MOT fertility information leaflet
Another press release offering a fertility ‘MOT’ from ‘fertility and pregnancy expert Zita West and her team’. The only problem is that the only real test of being able to get pregnant is trying to: plenty of couples with perfect hormonal tests struggle to get pregnant, and other couples with erratic periods [...]
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The NEJM carries a concerning article: a woman having a CT of head was exposed, accidentally, to a radiation overdose. She became unwell afterwards, and she’s suing. However the article also points out that new imaging techniques, getting more information about brain structures and blood flow mean that radiation doses from scans can now be [...]
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I am aware of several clinics offering these with the promise of easing colic, even asthma: or preventing problems allegedly caused by birth……so well played, to the journal of Chiropractic and Osteopathy, which concludes, after reviewing the evidence, that a lack of evidence for chiropractic in children has been noted since the 1940s, and almost [...]
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To be a “guinea pig” in a clinical trial is not an experience people volunteer for lightly. We need only think of the dramatic side-effects of the so-called Elephant Man drug trial at Northwick Park in 2006 to be reminded that volunteers can end up worse off. In that case, there was financial reward for [...]
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To have a baby or not? The National Childbirth Trust, a hardworking parenting charity, have been criticised for offering advice (now withdrawn) that women may wish to delay pregnancy until the swine flu pandemic is over. Various other agencies, including the Royal College of General Practitioners and the Department of Health, were quick to respond by saying [...]
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I’m taking a couple of weeks off the blog to hide from the heat, the lack of which I usually complain about. In the meantime, two thought-provoking treats: an excellent article on cancer screening – It is not wrong to say no – from Dr Iona Heath, who is the new president of the Royal College of [...]
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Wonder drugs are rare. Applying the criteria of effectiveness, usefulness and cost, I’d put paracetamol, morphine and penicillin high on my list. The number one position, however, would go to aspirin. Not only is it good for pain relief, as an anti-inflammatory and to reduce fever, it also works as a blood-thinning agent, to decrease [...]
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How much does willpower have to do with good health? If, for example, we have pursued a life of booze, fags and indolence, can we reverse the damage if we choose to? Or have our prior actions, and our genes, already determined our fate?
Some philosophers, particularly the chain-smoking kind, may accept the idea of a [...]
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