Category: clinical medicine

Receiving a diagnosis that we have a progressively debilitating disease such as cancer or multiple sclerosis is a lifetime sentence. Initial diagnostic tests can accurately stage the disease. New imaging tools such as PET scans, MRIs, and genetic testing can detect the extent of the disease long spread before it becomes evident to clinicians and […]

Our health care systems are dying under their own weight. They are morbidly obese. They keep on eating up our resources with a voracious appetite. Like clinical obesity, it is not a single problem, but a complex growth that arises from the interaction between our genetic make up, our bodies, our communities and the environment […]

Body organs are a valuable commodity. Nearly every part of the human body has been transplanted – except of course the brain. As the Western world struggles to maintain a charitable stance on organ transplantation which results in long waiting lists, a thriving market in live transplantation exists in many less industrialized countries. Expendable organs, […]

Hospitals are full of sick people and not all of them are patients. More and more staff in our hospitals are turning up for work that they are unable to do. They are present, but not working at their best, either due to health problems or other events that are distracting them or both.  It […]

Support medicine based on individuals; not paper. Encourage responsive practice; based on divergent thinking with the ability to converge when necessary. Commit to genuine funding for health, that is, ten percent GDP for ten years from government and private sector. Ensure that hospitals remain places for treating sick people, not making those who treat them […]

Wherever I go my body always comes with me and as a doctor I am fortunate to know a little about what goes on. Anatomy showed me what I might look like inside. Microscopy led me further inside and let me understand the pathology. I learned about diseases. Unfortunately, the disease-friendly approach is now letting […]