There is an often quoted medical witticism, that originated in 1940’s Maryland: ‘When you hear hoofbeats behind you, don’t expect to see a zebra’ Suffice to say, there aren’t many zebras in Maryland… In the rough and tumble of acute medical admissions, there are an increasing number of horses in the herd to contend […]
Tag: shared decision making
Modern life in developed societies is a world away from the lives our recent ancestors lived. Better sanitation, advances in farming and food supply, the cumulative effects of public health interventions over the years, and huge advances in medical knowledge and technology have also shifted the landscape of disease. As a society, our preoccupation is […]
I am conflicted…are you?
I am conflicted… and it is down to a couple of papers in this May’s PMJ that look at the development of a new tool for assessing the performance of trainees in a key medical task. Most nights – or at least 2 a week – I spend a portion of my evening logging […]
The beauty of the written word?
Of the essential skills for doctors, writing has to be up there as one of the most important. Doctors writing has been the butt of many jokes ove the years – justifiably, and written prescriptions remain a significant source of error in hospitals up and down the land. The medical notes are another area where […]
I took the road less traveled by…
Picture the scene – it’s the wee small hours, say around 0330, when the energy really ebbs on a night shift – it is still pitch black and the gentle lightening in the east is still at least a couple of hours away. You’ve been on the go since you started your shift at 2030 […]
Too much information?
Medicine is an ever changing discipline. One field that continues to change the face of clinical practice, and throw up new challenges is that of radiology. The body no longer hides it’s secrets beneath skin that requires a surgeon’s skills to open up and explore, but can be encouraged to give them up through […]
Is it all in your head? – not quite…
A paper in the current issue of the Postgraduate Medical Journal tackles a relatively modern concern: chronic postsurgical pain. With the advent of modern anaesthetics, and advances in surgical technique, the potential for surgical intervention to tackle disease exploded. Indeed, there is now a whole industry based on surgically changing the way people look, […]
Exercise in older adults – time for a New Year’s Resolution?
Exercise is good for you – but then we sort of know that already – The Earl of Derby had it right back in 1873 pointing out that ‘Those who think they have not time for bodily exercise will sooner or later have to find time for illness.’ Take a look at this brilliant […]