Changing how we obtain consent: do we have the time?

The Royal College of Surgeons (RCS) has warned that NHS trusts risk facing a dramatic increase in the number of litigation pay-outs made if they do not make changes to the processes they use to gain consent from patients before surgery. The warning comes after …

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Cheer up, the future’s not what it was

With the release of the GMC report last week on doctors’ morale in the NHS, it was no surprise to find most doctors in agreement that things are pretty bad and the GMC agrees. We are warned by GMC Chair Professor Sir Terence Stephenson to ‘guard for …

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A year to the day

This week has been hectic…but fun and interesting. Not so a year ago when the last week in October was also busy but not pleasurable. I remember going from clinic to clinic, having a series of scans and biopsies to diagnose my throat cancer. 12 …

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Will training more doctors in the UK resolve the current problems of the NHS?

There is widespread agreement that the NHS is facing a crisis when it comes to doctor shortages. It is one of the underlying reasons why the dispute between the government and junior doctors has been so bitter.
So news that the number of training places is …

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Recognising hypogonadism

Asif is 52 and has a two-year history of erectile dysfunction. He has hypertension and dyslipidaemia and a strong family history of diabetes, both parents and two brothers suffering from type 2 diabetes. His wife is 40 and very distressed by their lost sex life. …

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Hypersexuality: an issue we all need to be aware of

Hypersexuality and its associates (sexual preoccupation and sexual compulsivity) may cause men who live with these disorders severe anxiety and distress. Moreover, hypersexuality is linked to deviant sexual interests, risky sexual behaviours and, potentially, criminal acts.
Some people may manage their hypersexuality and feel comfortable with …

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ProtecT study: what are its implications?

The results of the landmark ProtecT trial have just been published in the New England Journal of Medicine (2016; DOI: 10.1056/NEJMoa1606221).
In the ProtecT trial, led by researchers at the universities of Oxford and Bristol in nine UK centres, 82 429 men across the UK aged 50-69 were tested …

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Healthcare professionals can help reduce male suicide

On the 4 February 2016, The Telegraph reported:
It’s been a week of bad news when it comes to men’s mental health and wellbeing. First, the ONS announced the results of a major survey, which found that men are less satisfied than women on average. Then came …

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Why 10 minutes isn’t enough

‘A few simple questions can disclose significant lifestyle-affecting symptoms’; ‘GPs should be picking up the early signs’ – just a few phrases that accompany the latest ‘day’ on the media. Whether it be ‘nasal obstruction day’ or ‘national incontinence day’, it seems that every condition has its day …

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Are some men missing out on the benefits of PDE5I treatment?

A common vascular pathology means that many patients with coronary artery disease (CAD) also suffer from erectile dysfunction (ED). The use of oral nitrates in these patients excludes them from the help that a PDE5 inhibitor (PDE5I) could offer.
Studies suggest that approximately 80% of men …

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