El Greco by Dr Phil Welsby

El Greco the long and the tall of it Domenikos Theotokopoulos, or “The Greek”, absorbed an unusually wide variety of formal influences, from Byzantine icon painting to studies in Rome and Venice, yet he claimed to always draw “from life”, despite the striking distortions of angle and colour in his style. After experimenting with Renaissance […]

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Diagnosis before treatment by Dr Philip Welsby

In the United Kingdom there is an unpredicted shortage of hormone replacement therapy (HRT). I t must have been unpredicted otherwise preventative actions would surely have occurred. So what went wrong? Traditional medical teaching is that ideally a diagnosis should precede any treatment and that a comprehensive diagnosis should comprise anatomical, functional and aetiological aspects. […]

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Reflex reinforcement by Dr P Welsby

I disagree with the recommendation of Jendrassik’s manoeuvre (clenching the teeth or wringing the hands) to reinforce the reflexes as recently recommended in the British Medical Journal.1 These manoeuvres only allow two or three strikes before the patient becomes attuned. For reinforcement I found it useful to tell the patient to close their eyes and […]

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Biobanked! By Dr P Welsby

Biobank is an organisation that has been following health developments “tracking health rather than screening” in a cohort of about 500,000 people since about 2006. I had agreed to have my parameters followed up until I am unavailable. Like 100,000 others I had also volunteered for enhanced surveillance. Accordingly I travelled 100 miles recently to […]

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Diagnosis before treatment (Dr Phil Welsby)

Diagnosis before treatment In the United Kingdom there is an unpredicted shortage of hormone replacement therapy (HRT). I t must have been unpredicted otherwise preventative actions would surely have occurred. So what went wrong? Traditional medical teaching is that ideally a diagnosis should precede any treatment and that a comprehensive diagnosis should comprise anatomical, functional […]

Read More…