Richard Lehman’s journal review—18 August 2014
NEJM 14 August 2014 Vol 371 601 The usual wisdom about sodium chloride is that the more you take, the higher your blood pressure and hence your cardiovascular risk. We’ll […]
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Richard Lehman’s journal review—11 August 2014
NEJM 7 August 2014 Vol 371 497 A new gene for breast cancer susceptibility? The PALB2 gene locus has been known about for several years, but this study puts it […]
Richard Lehman’s journal review—4 August 2014
NEJM 31 July 2014 Vol 371 397 Set aside half an hour to enjoy this week’s New England Journal. The key articles are all about malaria, and they are free. […]
Richard Lehman’s journal review—28 July 2014
NEJM 24 July 2014 Vol 371 371 Long ago I had a patient who kept having odd things happen to her. She infarcted part of her cerebellum, and then did […]
Richard Lehman’s journal review—21 July 2014
NEJM 17 July 2014 Vol 371 203 Niacin is an abundant natural B vitamin, which lowers bad cholesterol and raises good cholesterol. What’s not to like? Well, niacin, unfortunately. In […]
Richard Lehman’s journal review—14 July 2014
NEJM 10 July 2014 Vol 371 107 I was very confused by this paper. It describes two trials of three drugs for premenopausal breast cancer with various permutations, and the […]
Richard Lehman’s journal review—7 July 2014
NEJM 3 July 2014 Vol 371 11 I don’t envy anyone with central lumbar spinal stenosis. The odds of benefit from surgery are slight. The pain can be there all […]
Richard Lehman’s journal review—30 June 2014
NEJM 26 Jun 2014 Vol 370 2478 Cryptogenic is a good word. It’s up there with “idiopathic” and “pleiotropic” and “diathesis” for covering gross ignorance with a smattering of Greek. […]
Richard Lehman’s journal review—23 June 2014
NEJM 19 Jun 2014 Vol 370 2387 If you have a patient who is taking an opioid for chronic, non-cancer pain and gets constipated as a result, what do you […]
The BMJ Today: Return of the Patient’s Journey and a history lesson from Richard Lehman
Two years ago, GP Michael Frank Harris discovered a right inguinal swelling while looking in his bathroom mirror. He writes about what happened next in the return of our Patient’s […]