Category: clinical medicine

Does legislation really make a difference to the health of women? A quarter of a century ago, the USA legislated in the Women’s Health Equity Act to remove the inequalities between men and women in medical research. More recently, Health Canada recommended comparative studies in healthy male and/or female volunteers to minimize variability. Nonetheless, nothing has really […]

Almost one in four of us has two or more health conditions. With each additional disease, morbidity, mortality and poly pharmacy increases. Some think multiple health problems can be cured by minimizing the uncoordinated care that comes with trying to deal with a number of health problems sequentially and that the focus should be on the […]

The UK and the USA have suffered more than their fair share of clinical crises within their health care systems. In the UK, neonates and the elderly are dying in inordinate proportions in hospitals. In the US, deadly infectious diseases are now carried out of the research labs into the wards of the most prestigious hospitals. More doctors […]

Adults who have more than two health problems are likely to receive a prescription for a painkiller at least once every six months. Chronic pain is one of those heart sink problems of medicine. Nothing chronic is ever simple or curable. Originally it was thought that pain became chronic when the circumstances that initiated it […]

Is it time we let computers drive our medical care? According to the World Health Organization, there was a global shortage of 7.2 million health providers in 2013, and this figure will to increase to 12.9 million by 2035. Establishing new medical schools, which every country has adopted, isn’t a long term solution. Increasing the […]

Medicine is not just a science. It is a living practice. Translating emerging science into practice is one of the key skills of doctors. Before scientific knowledge became viral, translation was merely a matter of communication. Now, as the science of medicine reaches epidemic proportions, it is becoming more and more difficult to perform this […]

Medicine is a multinational industry no longer defined by country boundaries. Its main product is a workforce. It is time to disrupt our rigid health care so that it can bend For example, doctors now can work autonomously and remotely from their traditional locations for at least some of their work-time. Radiologists, for example, now […]