Clean shaven
Working where I do, I have a lot of patients who are actors or work in TV. Recently we had a TV producer who makes adverts. He had a fever so I needed to take a travel history. Why you need to travel the globe to make advertisements I have no idea but, worryingly, he had been to all sorts of exotic places. My heart sank as I struggled to remember all the weird and wonderful tropical diseases I might have to consider.But that's not at all the point of this post though it does set the scene and explains how we got talking. It turns out that one of my patient's assignments was to make an advertisement showing men how to exami...
Source: Dr Grumble - February 7, 2015 Category: Primary Care Source Type: blogs

JG speaks up
Here is a comment written by an anonymous doctor in response to the GMC guidance on social media. I am grateful to Dr Anne-Marie Cunningham for drawing my attention to it. I have to say that I agree with everything this doctor, who calls himself JG, said:There is no way I would ever write to the GMC about this but I'm happy enough (at the behest of Anne-Marie) to comment here - which, of course, shows the value of social media. My first thought is that this advice comes much too late. A quick check shows I first blogged in 2006. That's when I needed this advice. My second thought is that this advice doesn't really facilita...
Source: Dr Grumble - March 28, 2013 Category: Internists and Doctors of Medicine Source Type: blogs

My political foray
It's gradually been dawning on me that we all need to seize control. I know some of you think I'm wasting my time and money supporting the National Health Action Party. But I don't think I am. I've never been a member of a political party before and, until Eastleigh, I had never been canvassing. It's never too late to learn.And I have learnt a lot. The hostility shown on the doorstep was an eye-opener. The people of Eastleigh came over as utterly disenchanted with the political process. Who can blame them? I feel the same way. We are in the era of disenchantment. We don't feel we have any control. The politicians just plou...
Source: Dr Grumble - March 3, 2013 Category: Internists and Doctors of Medicine Source Type: blogs

Calling Eastleigh Voters
(Source: Dr Grumble)
Source: Dr Grumble - February 25, 2013 Category: Internists and Doctors of Medicine Source Type: blogs

The last nail in the NHS coffin
We all know that politicians lie but as I have followed the story of the unravelling of our NHS I find it quite difficult to grasp the depths of their dishonesty and duplicity. It's one thing to be economical with the truth but to deliberately mislead the public repeatedly is altogether more serious. If a doctor were to do this in the course of his work he would be struck off the register. Perhaps we deserve the honesty rating accorded to us in public polls. Certainly politicians deserve their ranking at the very bottom.
What's new, I hear you say. We all know politicians lie. We all know it's wrong. We all know this is ...
Source: Dr Grumble - February 24, 2013 Category: Internists and Doctors of Medicine Source Type: blogs

The White Rose or Wei ße Rose
I ' m ashamed to say that I had never heard of the White Rose until the recent 70th anniversary. For those who may still not know, the White Rose was a non-violent resistance group in Nazi Germany. Four medical students, Hans Scholl, Christoph Probst, Alex Schmorell and Willi Graf formed its core. Scholl, & nbsp; his sister Sophie and Probst were beheaded on 22nd February 1943. Graf and Schmorell suffered the same fate some months later. Their crime was to produce leaflets criticising the Nazis. You can listen to the story < a href= " http://www.bbc.co.uk/iplayer/episode/p014knxl/Witness_The_White_Rose/ " > here < /a > . <...
Source: Dr Grumble - February 23, 2013 Category: Primary Care Source Type: blogs

The White Rose or Weiße Rose
I'm ashamed to say that I had never heard of the White Rose until the recent 70th anniversary. For those who may still not know, the White Rose was a non-violent resistance group in Nazi Germany. Four medical students, Hans Scholl, Christoph Probst, Alex Schmorell and Willi Graf formed its core. Scholl,  his sister Sophie and Probst were beheaded on 22nd February 1943. Graf and Schmorell suffered the same fate some months later. Their crime was to produce leaflets criticising the Nazis. You can listen to the story here.My parents took the view that the Germans are easily led. I take the same view. But I differ in that...
Source: Dr Grumble - February 23, 2013 Category: Internists and Doctors of Medicine Source Type: blogs

Dr Iain Maclennan National Health Action Pary
If you live in Eastleigh, please give this man your vote. (Source: Dr Grumble)
Source: Dr Grumble - February 18, 2013 Category: Internists and Doctors of Medicine Source Type: blogs

NHA Party's Eastleigh Rally
< div class= " separator " style= " clear: both; text-align: center; " > < a href= " http://1.bp.blogspot.com/-gOYTjUGp40Q/USDjibzOA1I/AAAAAAAAB7k/OjRP_c4MEpE/s1600/DSCF7265.jpg " imageanchor= " 1 " style= " margin-left: 1em; margin-right: 1em; " > < br / > < /a > < /div > < br / > < div class= " separator " style= " clear: both; text-align: center; " > Snaps from today ' s < a href= " http://www.nationalhealthaction.org.uk/home/ " > National Health Action Party < /a > Rally in Eastleigh. < /div > < br / > < br / > < div class= " separator " style= " clear: both; text-align: center; " > < a href= " http://3.bp.blogsp...
Source: Dr Grumble - February 17, 2013 Category: Primary Care Source Type: blogs

NHA Party's Eastleigh Rally
Snaps from today's National Health Action Party Rally in Eastleigh. (Source: Dr Grumble)
Source: Dr Grumble - February 17, 2013 Category: Internists and Doctors of Medicine Source Type: blogs

Eastleigh
I'm off to Eastleigh this morning. I don't really want to go. One of my kids is coming for lunch but I'm hoping that Eastleigh may be something of a turning point.You see the politics of this country are truly rotten. We are, to be blunt, governed by a bunch of toffs. It just cannot be the case that the only people with sufficient talent to run the country are from the top echelons of society. I wouldn't actually mind if they had the interests of the people at heart but they don't. They are hell bent on furthering the interests of their toffy mates. Things are very little different from the days when only the landed gentry...
Source: Dr Grumble - February 17, 2013 Category: Internists and Doctors of Medicine Source Type: blogs

A sad old dog
Mrs Grumble's dog is getting old. It's sad when your dog gets old. She has begun to get those sorts of terrible things old people get. One of the worst is wetting the carpet. She never used to do this. She's also been panting a lot. It's a different sort of panting from usual - almost a breathlessness. She climbed the stairs yesterday and was gasping at the top. Another curious thing is that she has been drinking a lot - vast quantities. Yes, Dr Grumble thought of diabetes. Mrs Grumble managed to catch some urine and there was no glucose. Even odder she has become ravenously hungry and has begun stealing food. She never us...
Source: Dr Grumble - February 14, 2013 Category: Internists and Doctors of Medicine Source Type: blogs

The National Health Action Party
OK, I'm back. The reason? It's because I want to give a plug to the National Health Action Party. If you've never heard of them, quite honestly I'm not surprised. They are new. They have been set up by a small clique of people concerned about the way things are going with our NHS. "Clique" sounds a bit pejorative. It's not meant to be. The people at the top are very committed and their concern is for our NHS.Despite their youth and not really being ready for an election, the National Health Action Party were the first to announce their candidate for the Eastleigh by-election. Unsurprisingly, this failed to get a mention on...
Source: Dr Grumble - February 10, 2013 Category: Internists and Doctors of Medicine Source Type: blogs

Clare Gerada's speech to the RCGP conference
" Like blood, health care is too precious, intimate and corruptible to entrust to the market " < br / > < br / > Woolhandler & amp; Himmelstein " When Money is the Mission –The High Cost of Investor-Owned Care, " New England Journal of Medicine. 1999 < br / > < br / > The full text of the speech in case you prefer to read it (and it is quicker to read) is below. < br / > < br / > < br / > < embed src= " http://c.brightcove.com/services/viewer/federated_f8/1485945011 " bgcolor= " #FFFFFF " flashVars= " videoId=1237320371001 & playerId=1485945011 & viewerSecureGatewayURL=https://console.brightcove.com/services/amfgatewa...
Source: Dr Grumble - October 22, 2011 Category: Primary Care Source Type: blogs

What to do with Lansley's rotten bill
The Liberal Democrats have let us all down on a grand scale but there are a few around with a great deal of common sense. Charles West is one. Read what he had to say here: < a href= " http://www.charleswest.org.uk/NHSSOS/HealthBillConcerns.pdf " > pdf < /a > . Of course, any doctor with a modicum of nous could have written this. Not many politicians could. But then Charles West is a doctor. (Source: Dr Grumble)
Source: Dr Grumble - October 13, 2011 Category: Primary Care Source Type: blogs