Dear Santa

Dear Santa Claus AKA Father Xmas AKA St Nick AKA Kris Kringle, I’m a little worried I may have left my Xmas letter a little late, but hopefully, your little helpers might be able to fit in one more wish list. I know that most selfless people wish for peace on Earth and all that… Read More »


I have already mentioned the changes to the prescribing system over the last couple of months. In essence, we will no longer be accepting telephone requests in the new year – this is purely and simply because a number of errors have occurred when taking these requests – thankfully no one has been harmed as… Read More »

Positional Problem?

Many thanks to a patient for sharing some rather alarming advice regarding a recent referral. He had been referred to hospital for a worsening curvature of a delicate part of his anatomy which makes certain intimate relations an impossibility. The condition goes by the odd name of Peyronies which affects about 1% of men. Thankfully it is… Read More »

Echo Letter

Regular readers know that certain media outlets will not be on my Christmas card list. I should have asked Santa to visit various unfortunate events on the proprietors of the Daily Mail but that might have been pushing my wishlist a little far. Alas our local paper has fared little better this year, naming and… Read More »

Palindromic Xmas

Christmas wouldn’t be Christmas without a little puzzle. I am one of those odd people who simply love puzzles—almost any variety will do. A little bit of mental gymnastics simply keeps those little grey cells happy and healthy. There is nothing more pleasing than wracking your brains and then experiencing a moment of insight and… Read More »

A Cunning Plan

I have written many times over the last 20 years about the onward march of bureaucracy and being politically correct over pragmatism.  This insidious disease pervades all aspects of society and is typified by prioritising process over outcomes and appearance over substance. Medicine becomes a specialty which over investigates and records every minutiae to protect… Read More »

Prescribing Improvements

We have recently audited our prescribing of repeat medication and have been concerned to find a significant number of errors associated with telephone requests. These are predominantly due to medications sounding very similar – thankfully there has been no serious problem as a result but we are concerned that the present system is unsafe. As… Read More »

A Good Place?

The longer I do this job the more I realise I don’t know. This does sound incredibly depressing, but medicine has the ability to be a great leveller. When I was young and ignorant, I was quick to criticise my colleagues for their shortcomings. 30 years later I have demonstrated those same shortcomings many times over. I… Read More »