Breathing is becoming increasingly dangerous, especially following accidents that release toxic fumes into the atmosphere. During the fire at the Notre Dame cathedral, at least 450 tons of lead were released into the atmosphere from the melting spire and roof. That is more than four times the yearly atmospheric lead emissions for the whole of France. […]

Should women use reproductive hormones? There is growing evidence of higher risk, yet little research is happening to study alternatives to oral contraception or HRT (hormone replacement therapy). Why aren’t researchers and clinicians talking about the risks of continuous use of reproductive hormones by women throughout their life cycle? More than a decade ago, a […]

Drugs are here to stay but the way they should be used is changing. It started with antibiotics – too many are unnecessary. Now many drugs are prescribed for courses that are too long. No ‘one-size-fits-all’ – neither for the choice of drug nor the duration of use. More than two thirds of antibiotic courses for acute […]

I was recently on a panel discussing Me Too in medicine at the Medical Women’s International Association Centenary meeting in Brooklyn.  A female cardiologist who has been seeing a male patient for the past 20 years (he is now in his mid 80s) shared her predicament. Until recently he was well behaved and understood the boundaries […]

From a young age we have been conditioned to believe that sleep is associated with a healthy mind. Most of the research around sleep looks at the negative effects of not getting enough sleep in the traditional way – lying down and in the darkness hours. Do we have unrealistic expectations of sleep? Sleep deprivation […]

What should a clinician wear when consulting with a patient? For many years the answer was simple: a white coat. A long one, if you were qualified, and a short one if you were in training. The white coat symbolized the clinician’s authority; until authority became a non-starter for some clinicians, such as psychiatrists and […]

Nonmedical drug use (NMPU) is one of the biggest health challenges facing the world today. The reasons for NMPU are highly variable, and to some extent differ according to the class of drug concerned, but the underlying cause is quite clear. The world is often not a happy place and consumers want easy access to […]