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In: Blog, Disease information, Rheumatology, Videos

Comments Off on Diet, supplements and dietary fads in arthritis

One of the questions I’m most frequently asked by patients is whether diet plays any role in the management of arthritis. If one were to believe what they read in the papers about dietary remedies, or in the number of books promoting diets or supplements claiming to cure arthritis, one would be forgiven for wondering whether they …Read the Rest

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In: Blog, Medical Independent, Review, The practice of Medicine

Comments Off on The Bad Doctor will see you know.

When’s the last time you read a comic? As a boy I loved reading The Beano and later, like lots of other adolescent boys, immersed myself in the more violent worlds of Action and 2000AD. As a medical student, I became attracted to the subversive allure of Fat Freddy’s Cat, The Fabulous Furry Freak Brothers …Read the Rest

Last weekend I was rear ended and my sturdy 2006 Volvo V-70, which I had planned on driving for another few years, was written off. As I got out of the car, I became aware that my neck was painful but naturally declined an onlooker’s offer of calling for an ambulance. The embarrassing prospect of …Read the Rest

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In: Blog, Medical Independant, The practice of Medicine

Comments Off on The Matrix of Healthcare

In the 1999 movie The Matrix, the story’s hero Neo, played by Keanu Reeves, learns how to slow down time. With special training, our hero’s perception and reflexes become so highly attuned to his environment that he is able to anticipate and dodge bullets, blows and kicks — while remaining unflinchingly calm. There are days in …Read the Rest

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In: Blog, The practice of Medicine

Comments Off on Doing less to do more.

Sometimes, in an attempt to persuade someone resistant to a particular idea or intervention, the temptation is to push harder. In medicine, it might be done by addressing any anxieties that our patient might have. When this approach fails, we might even highlight the risks of not taking the advice. Occasionally though, the resistance can’t be …Read the Rest

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In: Blog, Musicians Health, The practice of Medicine

Comments Off on Learning from Bruce Springsteen

We can all learn something from Bruce Springsteen. Even those who aren’t fans of Springsteen’s music will be aware that his live performances, even now that he is in his mid-sixties, are legendary for their duration and for their intensity. He is also extraordinarily articulate and insightful about the psychological process of performance. In an …Read the Rest

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In: Blog, Medical Independant, The practice of Medicine

Comments Off on Waiting Room for Improvement

If you are a doctor who (despite your best efforts) often runs behind, and consequently has to deal with a waiting room full of unhappy, anxious or angry patients, you will be glad to hear that help is at hand. Some familiarity with the science of waiting may help you take practical steps to improve …Read the Rest

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In: Blog, Rheumatology

Comments Off on Mindfulness Resources for Chronic Pain

What is Mindfulness based meditation? Mindfulness based meditation has been around for thousands of years. Whereas modern mindfulness practice has some origins in the Buddhist tradition, one does not need to subscribe to any particular faith to practice it. Mindulfness is defined as “the intentional, accepting and non-judgemental focus of one’s attention on the emotions, thoughts and …Read the Rest

“I learned that whatever we say means nothing, what anyone will remember is that we came” (Julia Kasdorf) The “rituals and practices around death”, poet and Undertaker Thomas Lynch writes in his book ’The Good Funeral’, “are a window into the soul of a culture. A society that is unsure about how to care for …Read the Rest

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In: Blog, Medical Independant, Rheumatology, The practice of Medicine

Comments Off on The appliance of science

I’ve just returned from my specialty’s annual scientific meeting in Boston. The meeting truly is the ‘Virgin Megastore’ of our specialty, with over 15,000 delegates, 3,000 scientific abstracts, hundreds of oral presentations, ‘meet the professor’ and review sessions. Whereas very few unexpected medical breakthroughs are ever revealed at the meeting, it is a unique opportunity …Read the Rest