Articles: Volume 7 Issue 6 Nov/Dec 2016

Editorial: Breaking bad news

Looking back over my career, I think one of the very hardest things that I have ever had to do was tell the parents of a teenage motorcyclist, brought in seriously injured to Accident and Emergency, that we were unable to save him from the …

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Supporting trans people in clinical practice

As the number of transgender people accessing healthcare/presenting within healthcare settings increases, their needs have to be considered when designing and delivering healthcare services. This article outlines current key issues surrounding trans healthcare and clinical guidelines, and signposts readers to essential resources as a step …

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LUTS, alpha-blockers and men’s health

With an increasing number of men presenting with lower urinary tract symptoms (LUTS), erectile dysfunction (ED) and the metabolic syndrome, Roger Kirby suggests that it is time to review current treatment approaches to avoid making some problems worse, and to try combinations of treatments that …

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The ‘burnout complex’ in surgical practice

Burnout among healthcare professionals is a growing problem. Surgeons appear particularly vulnerable and the consequences can be significant for both the sufferer and those around them. In this article the author describes burnout, its manifestations, and how institutions and individuals can avoid it.
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Oesophageal cancer: diagnosis and management

Oesophageal cancer is the ninth most common cancer in the UK. With 8500 cases diagnosed annually, the UK has the highest rates of oesophageal cancer in Western Europe. Adenocarcinoma now accounts for 60–75% of all oesophageal cancers in the UK and is three to four …

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Screening for hypogonadism: real-world considerations

Testosterone levels are increasingly being checked in primary care as awareness of the risks of male hypogonadism grows. The authors looked at what tests are performed in general practice in Cheshire to screen for hypogonadism and to rule out secondary hypogonadism.
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Obituary: Michael Handley Ashken, 1931-2016

Following his father into medicine, Michael Handley Ashken started his training at the age of 17, just three months after the inception of the NHS…
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Journal review

An update on the latest relevant journal articles. Mike Kirby, GP and Visiting Professor, University of Hertfordshire and The Prostate Centre, London, writes the ‘take-home message’
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