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Sharing information with patients

Worldwide the incidence and prevalence of chronic and complex health conditions (diabetes, heart disease, cancer, dementia) are rising. Therefore more conversations between doctors and patients will focus on the need for long term medication. Anyone … [Read more]

How to make data more valuable

The 1st of July 2014 will be forever etched in my memory. On that date I woke up and peered across the bed to the window. Realising by the half light it was just past dawn I wondered why there was another body in the bed. It should have been at the … [Read more]

Denying people the feeling that someone cares

The conversation I overheard in my practice many years ago went something like this: Jean, I'm sorry there are no appointments available until Friday. Has he got a fever? Try him with some paracetamol today and I'll book him in for Friday afternoon. … [Read more]

Removing the triggers to unhealthy choices

Much of the work in medicine is persuading people to give things up; tobacco, fizzy drinks, junk food, alcohol. Health professional also need people to do things- take medication, have surgery, keep appointments, exercise and so on. An entire … [Read more]

Quantified self – the downside

The manufacturers of wearable health tech devices are set to make millions if not billions. Wearables are relatively cheap adjuncts to existing technology. But what difference will they make to the health and well being of the average user?  We have … [Read more]

The case for shared care

People are uncomfortable, if not alarmed, when the behaviour of someone they live with suddenly becomes 'deviant', 'offensive' or embarrassing; Grandfather becomes disinhibited, son becomes violent, wife starts shoplifting, daughter steals money from … [Read more]

Semiotics and the placebo

It has long been acknowledged that the 'doctor' can have a therapeutic effect without ever ordering a test, prescribing a medicine or performing surgery. Indeed the earliest thinkers about the the role of the doctor talked about the 'drug-doctor'. … [Read more]

Innovating for a specific patient at a specific time

In a previous post I mentioned that a focus on prevention is recommended during the meeting between doctor and patient. I have also expressed the view that when this is promoted by rewarding doctors for health promotion it may interrupt the business … [Read more]

‘Dear Patient’, You Matter To Us.

Research reveals that a US civilian is expected to spend 72.35 years in the community, 59.5 days in short-stay hospitals, and 2.28 years in nursing homes throughout his or her lifetime. The probability of receiving care from a primary care physician … [Read more]

Innovating locally

The foreign-looking chap in the baseball cap, the one wearing a pair of torn jeans and a singlet, the one on the mobile phone, sporting a dragon tatoo on this forearm might be a famous musician and the only son of a bedridden widow. But you've … [Read more]