Items for category: Blog

Who should take the lead when managing metastatic prostate cancer?

The treatment landscape for men with metastatic prostate cancer is continuously evolving. Therapeutic options are no longer limited to surgical/medical castration, followed by additional hormone-based therapies with no proven survival benefit. A host of treatments are now available, ranging from cytotoxics, through novel androgen-axis targeted …

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Should we all be cutting back on red meat?

Evidence is accumulating that a high intake of both processed and unprocessed red meat is associated with higher mortality from cardiovascular disease, diabetes and cancer, as well as hepatic, renal and respiratory disease. Although our closest primate relatives, such as gorillas and chimpanzees, are primarily …

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New Sentencing Council guidelines may increase prison sentences for doctors

Recently there has been a significant increase in the number of prosecutions of clinicians and other healthcare workers for gross negligence manslaughter (GNM).
Unfortunately such prosecutions are likely to impede safe healthcare by discouraging honest reporting of medical errors, and although there are few prosecutions, they are …

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Should the 1% pay cap be scrapped for those who work in the NHS?

The public are “weary” of austerity but the Government’s approach to the public sector pay cap has not changed, Chancellor Philip Hammond said last night. At the end of a long day of conflicting messages over a possible end to the public sector pay freeze, …

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Are older doctors more dangerous than their younger colleagues?

Patients treated by older doctors have higher death rates than those cared for by younger physicians, new research has shown. The study, published by the BMJ, suggested fewer patients would die within 30 days of admission to US hospitals if treated by doctors under 40, …

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To test or not to test (for bacterium in prostatitis), that is the question!

Does testing for bacterium in prostatitis feature in your practice? Once considered the ‘gold standard’ of testing for bacterial prostatitis, the four-glass Stamey test has fallen out of favour in recent years, yet patients are still prescribed antibiotics for symptoms of prostatitis as par for …

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Montgomery trumps Bolam

The Montgomery judgement has kicked Bolam and Sidaway into the long grass – we are now all barefoot healthcare operatives, the face of clinical practice has changed utterly, and the clinical negligence lawyers can now order their new Bentley Continentals.
Welcome to the caring, sharing world …

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Should NHS managers be regulated?

NHS managers should be subject to professional regulation in the same way that doctors are – according to Sir Robert Francis QC – who led the public inquiry into failings at Mid Staffordshire NHS Foundation Trust. Speaking at a packed conference on litigation against doctors …

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Are all surgeons arrogant?

The recent publicity surrounding the prosecution and conviction of breast cancer surgeon Ian Paterson risks seriously undermining trust in surgery and in surgeons, especially in relation to his reported arrogance and supposed ‘God complex’ (see the BMJ 2017 for further details and discussion). Sadly, he …

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Blowing our TRoMbone

The UK feasibility randomised trial Testing Radical prostatectomy in men with prostate cancer and oligoMetastases to the bone (TRoMbone) has opened at Oxford University Hospitals (Freddie Hamdy), University College London Hospitals (John Kelly) and Royal Surrey County Hospital (Chris Eden). Men <75 with newly-diagnosed prostate …

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