An exhibition of recent work by artist David Marron opened recently at GV Art Gallery in London, writes Marina Wallace, curator of the exhibition. A catalogue, containing the writings of the artist, accompanies the show. Having installed his work, and having been present at the private view and the following days’ encounters with critics, journalists, and interested parties, David Marron returned to his shifts as a paramedic, working on an ambulance in London. more…

I am fortunate enough to count Professor Jonathan Glover, a world renowned medical ethicist, amongst my former teachers. A very modest and thoughtful man, Jonathan Glover spent a number of years writing a similarly thoughtful book in which he tries to understand what he terms man’s inhumanity to man (Humanity: a Moral History of the Twentieth Century. Pimlico, London 2001). His starting premise is that, given the wrong circumstances, we are all capable of doing evil things to other human beings. At the heart of his efforts are a desire to understand, for all our sakes, what it  has taken in the past, and by extension what it would take in the future, for people- just like you and me- to be willing to take part in our own equivalent of the Holocaust and the Rwandan genocide.

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There are always, within the population, individuals who have no one to collect medicines for them when they are ill. The group predominantly affected are the elderly but, especially in a situation in which a significant proportion of the population is affected by a flu pandemic, there will be others. In normal circumstances we have a tried and trusted system of asking local pharmacies to deliver medications, including emergency medications, to people’s homes. more…

There’s an old adage in medicine that if being with a patient makes you feel depressed then there’s a good chance that person is themselves depressed. So how does this painting make you feel? Depressed, or hopeful? Safe, or vulnerable? Alone, or observed? more…

Over the weekend, mixed with the harrowing coverage of the loss of soldiers’ lives in Afghanistan, and for news cycle reasons I’ve inadequate information to understand, the fate of London’s homeless population prior to the 2012 Olympics was discussed on television and in print. The organising committee of the London Games had apparently committed itself to ensuring that no one would be sleeping rough on London’s streets by the time the world’s elite athletes arrived. The question of the weekend was whether this goal would be achieved and at what price, both economic and in terms of human dignity. more…

If you want to refresh your memory of the comings and goings in Geroge Eliot’s classic, Middlemarch, then look no further than Professor Rosin’s analysis in the June 2009 issue of Medical Humanities.

http://mh.bmj.com/cgi/content/short/35/1/43?q=w_mh_current_tab

If you want to follow a contemporary equivalent of medical marketplace machinations then you need look no further than what is currently happening to general practice in England and Wales. And specifically to the Orwellian world in which carers and cared for find themselves. A world where government announcements to the national news media of the universal introduction of Cognitive Behavioural Therapy are followed by the systematic reduction of mental health care services in primary care. In my own practice, in the past 6 months, first the PCT provided mental health care worker was removed and more recently the practice counsellor of 17 years standing was ‘let go’. But hey ho, never mind, NICE guidance has after all told us what to do: if a patient is suitable for CBT and it isn’t available (!) we can (and should) tell them to ‘hang on’. more…

So there we were, early Wednesday afternoon, preparations under way for the evening surgeries, when the phones started to ring off the hook. Almost simultaneously we got an email from the PCT telling us that 143 children from the local primary and infant schools were sick with an as yet unidentified viral illness. Some were being swabbed for swine flu and we were to have a low threshold to swab any child we saw, especially as small children with swine flu don’t always fit the diagnostic algorithm we’d been asked to use until now. And yes, before you tell me, I know I’m meant to call it H1N1 but no one out in the community actually does. more…

“Health Warning” by Deborah Kirklin

When I am a patient I will rarely take my medications

But will always want my script instantly filled.

And I shall spend hours reading all the health advice the Daily Mail has to offer

And be sure to share it with my doctor, in detail and backed up by internet references. more…

Half a lifetime ago I went to Australia for my medical elective, a joyous interlude just before finals that allows doctors-to-be to savour, for one last time, the freedom of life as a student. Eight weeks is barely time to get over the jetlag let alone to adjust to the stark and breathtaking landscapes that unfurl in any journey across this large and mystifying country. Yet long enough to leave the lasting impression that no matter how impressive the delights of Sydney and Melbourne and Australia’s other cities and towns, this is a country only a blink away from submission to its own awesome forces of nature.

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A couple of weeks ago a doctor friend from California was visiting me in London. Shortly before her arrival date swine flu fever was gripping the world’s media, with California proving a hotbed for new cases. And, illogically I’ll admit, I felt a certain disquiet that a doctor from the first US State to suffer a swine flu death would shortly arrive in my already less than healthy home. more…