Written by epgonline.org - Last updated 17 May 2018

Blog archive 

Blog Archives

Liam Farrell

Bad smells are good

Posted 2 years ago

Delicacy is not a virtue in this job.

epgonline.org team

From Feedback to Feature: the evolution of epgonline.org

Posted 2 years ago

Our free and independent website for healthcare professionals (HCPs) worldwide has been redeveloped thanks to valuable input from you: our epgonline.org community and survey takers. Find out about key new features here.

Monica Caliber

Hypogonadism – why important to diagnose and treat?

Posted 2 years ago

Most clinicians and patients think that the purpose of treating hypogonadism is to merely relieve symptoms. However, this only scratches the surface... 

Liam Farrell

One title is enough

Posted 3 years ago

Titles are scarce in this Republican heartland...

Am Ang Zhang

Autism: Challenges and Obstacles!

Posted 3 years ago

Retired child psychiatrist Am Ang Zhang discusses his experiences of working with the families of autistic children.

Am Ang Zhang

Autism: Frances Tustin and Entrenchment!

Posted 3 years ago

Am Ang Zhang discusses his work with pioneering child psychotherapist Frances Tustin, and his observations of entrenchment in autistic children.

Robin Hewings

Diabetes Patients Must Be Better Educated About Their Condition

Posted 3 years ago

Not everyone is convinced that education courses help people look after their diabetes. And the GP I was chatting to a couple of months ago was one of them. He wasn’t sure they worked. People didn’t seem that interested and he wasn’t really sure what people would learn anyway.

Alastair Miller

What is Tropical Medicine?

Posted 3 years ago

At first sight this seems a question with an obvious response and not one that requires much debate in this blog. However, the answer may be more complex than it initially appears and may benefit from further exploration.

Hugh Harvey

Metrics Madness

Posted 3 years ago

You shouldn't judge a book by its cover. That much is true, but it's also common sense not to judge a book by measuring the whiteness of its pages, or the amount of hamsters you can place on it. So why do we measure the fabulous NHS with nonsense metrics?

Edzard Ernst

But he knows nothing about homeopathy!

Posted 3 years ago

Whenever I criticise their methods, homeopaths claim that my arguments are invalid because I know next to nothing about the subject. Is this because they feel threatened by my arguments? Or could it be that the allegation is incorrect?

You can judge for yourself - here is a (slightly shortened and revised) excerpt from my recent memoire ‘A SCIENTIST IN WONDERLAND’ which recounts my exposure to and experience in homeopathy.

David Warriner

What is Overdiagnosis?

Posted 3 years ago

Overdiagnosis is the diagnosis of disease that will cause neither morbidity nor mortality during a patient’s lifetime. Doctors are trained to listen, examine, test, diagnose and treat patients, but we are not warned of the possible dangers of “diseases”, the diagnosis of which will not benefit the patient and may also lead to harm. I would argue that the Hippocratic oath, in particular “Primum non nocere” (first, do no harm) should be at the forefront of every clinician’s mind when seeing patients.

Antia Veiga Feijoo

Clinical Features and Treatment Of Acute Asthma Exacerbations

Posted 3 years ago

This post discusses clinical assessment and treatment of patients with acute asthma exacerbations.

Vincent de Luise

The End of Sight at the End of Life

Posted 3 years ago

I presented this talk, "The End of Sight at the End of Life," on  4/4/2013 at a Harvard University  "Think Tank" on Health and Aging. The two-day conference, held at the Charles Hotel in Cambridge, Massachusetts, brought together prominent scholars from the Harvard School of Public Health as well as global experts in economics, health care policy and longevity, for a fascinating and thought-provoking colloquium on the demographics and consequences of aging in all societies.

Joyce Lee

Healthcare Provider: Think Like a Designer!

Posted 3 years ago

Joyce Lee puts forward the case for healthcare providers using goal-directed design. Should we treat patients in order to facilitate their personal treatment goals rather than aiming to simply reduce their symptoms? Do statistical and scientific methodologies neglect the psychosocial emotional management of patients?

Partha Kar

Type 1 diabetes: Changing the mould (part 2)

Posted 3 years ago

In this article, I try to look at how the usual elephants in the room can be challenged as regards type 1 diabetes care. Should Type 1 diabetes sit with primary care? Who is actually trained to look at this populace nowadays tagged in with type 2 diabetes? Are all specialists trained either? and why do we always think that under specialist care has to mean based inside a hospital? 

The time is perhaps right to look at all the audit data and stand up to say that the present system does need a change to improve care. the million dollar question however is whether we can do so beyond the politics and whether the appetite is there either

Dr Sarah Brewer

Would Your Hypertensive Patients Benefit From Garlic?

Posted 3 years ago

Would you consider recommending garlic tablets for patients with hypertension? Either instead of initiating monotherapy, or as an adjunct to current medication if they remained poorly controlled? The evidence for benefit is growing… 

Partha Kar

Type 1 diabetes: The ignored populace? (part 1)

Posted 3 years ago

Is it possible to have choice in a system where healthcare is "free"? Does it lend itself to the pathology of type 1 diabetes? A pathology subsumed within the bigger world of type 2 diabetes, a combination of media driven ignorance, apathy, lack of leadership and commissioning issues have reduced this condition to being part of "diabetes" as a whole.

In this 2 part blog, we try to explore the challenges and possible solutions to how we could offer this group of patients better care than what seems to be the norm nowadays.

Yuli Pramana

Choosing Between Endoscopic Sclerotherapy And Endoscopic Ligation For Esophageal Varices

Posted 4 years ago

Endoscopic Sclerotherapy (ES) and Endoscopic Ligation (EL) were accepted in the treatment of esophageal varices bleeding in patients with liver cirrhosis. EL seemed to be superior to ES. If EL was difficult then ES should be performed.

My Urology Doc

Men's Health: A Forgotten Topic

Posted 4 years ago

Men's health is a forgotten topic. To be honest, we men are mostly to blame. We've clung to our masculine misconceptions and repeatedly refused to engage the healthcare community. Who can blame us, we're invincible and we're going to live forever, right? Well, not exactly. Let's look at some of the reasons men's health is one of the least engaged topics in healthcare. 

Bob Bury

Legalised killing – leave doctors out of it.

Posted 4 years ago

Would you trust a doctor to decide if you are an appropriate subject for assisted dying? I wouldn't, neither should you, and my colleagues who are not fortunate enough to be retired will be crazy if they allow themselves to be dragged into the process. Proponents of legislative change should man up and face the implications of their proposals, without hiding behind the medical profession.

Peter English

The advance decision not to attempt cardiopulmonary resuscitation

Posted 4 years ago

Decisions to start cardiopulmonary resuscitation (CPR), or to decide in advance to issue a "do not attempt (cardiopulmonary) resuscitation" (DNAR) notice have always been a hot topic in clinical medicine. It may have become even more so since a recent (June 2014) court decision. This post discusses some of the issues and legalities around DNAR decisions.

Partha Kar

Changing paradigms for Diabetes care in Britain's NHS

Posted 4 years ago

Diabetes care is a hot topic in medicine since it touches so many primary care settings; from maternity to foot care, Diabetes has multiple other pathologies. When does Diabetes care necessitate the role of a specialist? How can diabetologists ensure they work innovatively and make the patient's healthcare journey as seamless as possible? Dr. Partha Kar dives in, asking how healthcare professionals can make positive change to patients with Diabetes in Britain's NHS.

Bob Bury

Community Mental Health Provision then and now - is all progress positive?

Posted 4 years ago

Bob Bury muses on the state of modern mental healthcare. Instead of asylums, patients are now part of the community. But what of those who fall through the cracks? How can GPs help patients who need emergency mental health care? Can we learn anything from the methods of the past? Are three letter acronyms helpful? Examining the politics and hurdles of the UK's modern Community Mental Health provision, Bob Bury questions what UK healthcare professionals can do better and how things should change.

Kimberley Kendall

An Introduction to Complex Disease Genetics

Posted 4 years ago

What's the difference between a gene 'for' a disease and genes that predispose you to susceptibility? How can we use markers to determine the likelihood a patient will develop a disease? What's nature and what's nurture?

Dr Kimberley Kendall introduces the complexities of Disease Genetics. Affecting the whole of medicine, disease genetics are already revolutionising how we think about medicine. We welcome your views in the comments.

Liam Farrell

Trauma at the Garden Party - the trials of triage

Posted 4 years ago

A little light relief from Dr Liam Farrell who takes a sideways glance at patient triage. Visiting patients can be a little testing at the best of times, especially since the ones who shout the loudest usually aren't the ones who need the most attention. Have your own funny or unusual triage anecdote? Let us know in the comments!

Dr Sarah Brewer

Can Diet Reduce The Risk Of Alzheimer's Dementia?

Posted 4 years ago

Wouldn't it be great if we could recommend evidence-based, nutritional approaches to help prevent Alzheimer's dementia? Or to slow the progression of cognitive decline in those already living with an Alzheimer's diagnosis? Two recent papers suggest we can do just that.