“The persevering surgeon” an 18^th century cartoon by Thomas Rowlandson shows a surgeon leering over a dead female body, a sneering smile on his face and her breasts in his fascinated grope. Although this makes uncomfortable viewing, a fascination with the details of human anatomy is something visitors can relate to, as they walk through the Museum of London’s exhibition ‘Doctors, Dissection and Resurrection Men’.  Intricate sketches, eerie wax models, butterfly wing-thin cross sections of bone and tissue decorate the space, as the creators of the exhibition play up to their visitors’ morbid curiosity. more…

Narrative is a hot topic in the medical humanities. It can also be bewildering. Over the years literary theory has helped to bring the relevance of patient’s stories to the forefront of medical practice. But, as Johanna Shapiro notes in her recent paper Illness narratives, critical approaches to such stories have also complicated the practical matter of listening and talking to patients.

http://mh.bmj.com/content/37/2/68.full more…

With annual World AIDS Day taking place 1 December, this new Egyptian film, which was shown at the recent London Film Festival, is very topical.

The subject of HIV in European and American cinema has of course been explored in many films (such as “Savage nights” (1992), “Philadelphia” (1993), “The Hours” (2002), and “Angels in America” (2003)). However depictions of HIV positive characters in Arab cinema have been scarce, characteristically portraying HIV patients as promiscuous sinners who deserve to be ill, or else as victims of an American conspiracy to spread HIV infection amongst young people in the Arab world. more…

I’d hazard a guess that no matter how much editors like to think that readers enjoy having their ideas and prejudices challenged, theres nothing in practice that the average reader likes better than an opinion that chimes neatly with their own. Which, I’ve no doubt, is why I enjoyed reading Ray Tallis’s article in yesterday’s Times newspaper as much as I did. An erudite and amusing thinker, Ray Tallis writes about the impact of the European Working Time Directive (EWTD) on surgeons and on hospital doctors in general. In describing the unintended but, sadly, highly predictable consequences of the  EWTD on continuity of care, levels of provision, and training and mentoring opportunities, he argues that doctors are in danger of being  ”reduced to cogs in a standardised service and discouraged from giving full expression to a commitment to patients for whom they feel personally responsible.” more…

I’ve got a confession: I, and indeed a significant number of my fellow GPs, have got an unhealthy obsession with vitamin D. Or, to be more precise, vitamin D deficiency and the apparent inability of the NHS to make available to me, as a prescriber, the means to treat it in my patients. You see we can’t, quite literally, get the fix they need, at least not using our tried and trusted prescribing pad. more…

On the 8th and 9th of July 2010 the Faculty of Health and Social Care at London South Bank University will be hosting a pioneering conference focusing on Best Practices in Clinical Ethics Consultation and Decision Making. For the first time in the UK, this conference will bring together an international and inter-professional dialogue between different stakeholders with the aim of fostering and developing best practice in clinical ethics consultation and decision-making across all sectors of healthcare. 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…

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…