When I completed medical school, I left bemused. I was eager to start working but less enthralled by the fact that my tuition fees were spent funding a problem based learning (PBL) programme. I was young and foolish to believe that teaching myself medicine case by case with no expert guidance was how things should be done.
I was asked this week why the NHS doesn't fund all the new technologies available for patients, particularly those with cancer. And when I instantly replied "Because we can't afford to", I surprised myself. Because no-one seems to say that when they talk about the NHS. And the NHS doesn't like to say no.
Although free at the point of delivery, the NHS is not a 'free for all' and though treatment is not rationed, it must be rational. Having spent 15 years in the same job, at the sharp end of the NHS, I have seen fancy ideas and initiatives change policy and procedure, trying to trim the cost of the service...
Had I known that GPs were, of course, the root of all the problems in the NHS, with their daily failures to diagnose cancer, whilst simultaneously over-referring for all cancers, and ridiculous ideas that patients may share some responsibility for their own health, I would have instantly dismissed this career option. Instead I found myself working for the hundred, probably thousands of surgeries which are failing their patients. I was out on the streets, inviting half a million illegal immigrants to register and use the entire NHS free of charge.
His response to a bad reaction to drugs is to maintain or increase the dosage... You would think this one would be quite simple. If you had spent years without rashes, started taking a new item and then looked like a victim of contagion within a few hours, you may be wise to consider if this novel pill is causing a reaction.
There have been many articles in the newspapers over the past week; all centered a new study from the University of London, which involved data from the English Longitudinal Study of Ageing. After 4 days of looking at a group of nearly 3000 adults over the age of 50 this study has discovered that fat shaming does not help people lose weight.