Health & Medicine

A neoteric’s view

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Risks are ephemeral. Once identified they are no longer risks but problems to be solved. Risks that cannot or should not be problematized need to be abandoned. In the most positive light, identifying risks should only be a first step in a long pathway of improvement. First, the risk must be linked to a behaviour […]

Recycling old drugs is not new.  Clinicians quite often prescribe treatments with drugs that are “off label”, that is, proven for other conditions. Up to one-fifth of all available drugs are prescribed off-label. Almost 90% of drugs that are approved for one condition have other conditions that they can treat. Fortunately, most off-label uses are […]

The fitness industry is blooming across both sides of the Atlantic. In the United Kingdom, for example, there are more than 30,000 registered fitness/exercise professionals, that is one for every 2000 people. In the US there are 267,000 instructors, that is one for every 1200 people. That’s almost half the number of practising physicians. Clients […]

Despite the best research into cancer, it still remains a generic term describing out-of-control cells, which all look different, from site to site. The diversity of cancer, still perplexes researchers and there are many unanswered questions about how cancer invades bodies, which drugs work and why cures remain elusive. The researchers who are studying A […]

Under the surface, health care leadership is a stagnant pond filled with ever deepening chasms between the two rival schools – clinicians and managers.  Clinical leadership is no longer about advocating for individual patients, especially about expensive interventions and hospital stays where there is little likelihood of these clinical decisions ever being substantiated by research. […]

Seasonal change often generates a flurry of diagnosing. It should be okay to be sad about the shortening days, rather than suffering from ‘seasonal affective disorder’. In women, a runny nose and a sore throat transforms into ‘flu’ and in men it becomes ‘manflu’. Once a diagnosis is made it is indelible. Escalation of symptoms […]

Studying our genes is becoming a big business in health care. New gene discoveries make great news. Every week we hear about another gene that can identify our susceptibility to a particular disease or be modified to produce a cure. With over 3.0 billion human genes that is no mean feat.  Unfortunately, cure is not […]