The Royal College’s report neither cites Prof Turner-Warwick’s paper nor discusses these two unstable kinds of asthma, which are often resistant to treatment and thus a major contributory element to the concern it addresses. This surprising omission would, one particular may think, invalidate its sensationalist conclusion that conscientious medical doctors are to blame for these deaths.
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Prolonged reside the ‘queen of poisons’
The limited efficacy of, and daytime sedation soon after taking, medicines for the treatment of neuropathic pain, lately talked about in this column, has prompted a reader to report his encounter with the homeopathic treatment aconite, the “Queen of poisons”, which in big doses “causes nearly instantaneous death” – but is a lot favoured by practitioners as a remedy for sciatica, trigeminal neuralgia and related complaints.
“I have in no way actually believed in homeopathic treatments,” he writes, but he was impressed by aconite’s effectiveness when taken as two tablets every single two hours, in suppressing the “deep, electric-shock-kind pain in my feet”. His signs and symptoms gradually worsened (“at evening, I felt as if a sparkler was exploding beneath my toes”), warranting therapy with the anti-epileptic drug carbamazepine, but the aconite he still finds assists to control exacerbations: “This is no placebo effect.”
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Mystery blurring
The girl whose near-sight, initially impaired 1st issue in the morning (so she is unable to go through her copy of The Every day Telegraph), improves later in the day, has prompted a couple of achievable explanations. First, this can be a side-impact of the beta-blocker eye drops timolol, prescribed for decreasing the raised intra-ocular pressure of glaucoma.
Subsequent – and importantly, since it is not broadly recognised – this transient visual blurring is a characteristic signal of Fuchs’ Corneal Endothelial Dystrophy (FCED), named after the Austrian ophthalmologist who first described it. The blurring is due to swelling of the cornea with fluid while asleep, which slowly evaporates during the day – a method that can be facilitated by directing the warm air of a hairdryer, held at arm’s length, at the encounter.
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A quesion of timing
Lastly, a more suggestion on politely but firmly rebuffing those unsolicited dementia-screening interrogations. Just lately, when going to his nearby practice, 1 of our much more senior and distinguished columnists was requested to “answer a handful of questions” – starting up with “the date of the present year”.
“That depends on what calendar yr you are employing,” he responded. “By the Islamic calendar, it is 1434”.
E-mail health-related queries confidentially to Dr James LeFanu at drjames@telegraph.co.uk. Solutions will be published on the Telegraph web site each and every Friday, at telegraph.co.uk/overall health
Doctor"s Diary: asthma and preventable death
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