Well, well. A genetic defect which may explain high LDL/VLDL levels in Europeans (up to 68% of us carry this gene). Carriage of the gene confers a 29% excess risk per allele for coronary artery disease. This news cannot help me now, but offers hope for many folks with (familial) LDL/VLDL hyperlipidaemia in future with the anticipated development of novel agents to target the C/EBP–sortilin 1 pathway.
Monday, December 20, 2010
Sorting Out Cholesterol and Coronary Artery Disease — NEJM
Sorting Out Cholesterol and Coronary Artery Disease — NEJM
Sunday, December 19, 2010
Investigation update...
Excellent news received this week - the horrible stuff in my right lung appears to be nearly gone for some unknown reason. The CT scan in October has finally been reported and compared with those from London hospital. This is fantastic news. Now, my fingers are crossed that this means there is a lower risk for me suffering a serious lung infection this Winter.
And what about my heart? Echocardiogram and treadmill assessment demonstrated that heart is ... virtually back to normal!
And what about my heart? Echocardiogram and treadmill assessment demonstrated that heart is ... virtually back to normal!
Saturday, December 18, 2010
Friday, December 17, 2010
Holiday Season and gift giving
This afternoon one of the booked patients arrived with her husband. "Here you are," he said handing over a bottle of wine in a nice bag. "For all you have done for my wife this year we want to say thank you."
Well it would be impolite not accept the gift, but this couple are not well off, and my care of the lady is a professional responsibility which is taken seriously. Lovely that the care is not taken for granted, but why does the couple feel the need to offer a gift of gratitude?
Well it would be impolite not accept the gift, but this couple are not well off, and my care of the lady is a professional responsibility which is taken seriously. Lovely that the care is not taken for granted, but why does the couple feel the need to offer a gift of gratitude?
Thursday, December 9, 2010
Essential Psychiatry in General Practice from quaybooks.co.uk | The website for Quay Books Ltd, Publishers of Medical and Educational Books
Essential Psychiatry in General Practice from quaybooks.co.uk | The website for Quay Books Ltd, Publishers of Medical and Educational Books
A great book for anyone working in primary healthcare who wishes to improve mental health care
Sunday, November 28, 2010
Retinal-Vein Occlusion — NEJM
Retinal-Vein Occlusion — NEJM An excellent review of a common cause of visual loss. Subscription needed to view full text (at least until April 2011)
GP Commissioners need to be aware that this problem affects nearly 2% over 40's (10 year incidence is 1.6%).
Biologicals can be used to maintain vision if central vein occlusion with macula oedema (as many as 20% cases), and the treatment needs to be given as often as monthly in some cases.
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