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The one disease that broke through this sense of medical omnipotence was cancer. Inevitably, we’ve all known, personally or professionally, someone with cancer: the childhood classmate who goes off to hospital and returns permanently disabled; the friend’s mother who loses her hair, loses weight,...

Self-care becomes particularly important in these situations and an awareness of any tendency to ‘take on’ the patient’s experience. We all manage this aspect of our work in different ways, be it debriefing in the tearoom over lunch or a more formal discussion with a senior colleague. Balint...

Psychiatry: past, present and prospectSidney Bloch, Stephen A Green, Jeremy HolmesAustralia: Oxford University Press, 2014 ISBN 9780199638963In this book, the groundbreaking work of Mendel, Crick and Watson is extended into the ‘human genome age’. The availability of sophisticated investigative...

Satisfying each dimension presents an enormous challenge for any health system. We know that even in Australia, which by global standards has excellent overall population health outcomes, many groups encounter barriers to access in one or more of these dimensions, resulting in various health...

Fixed drug eruption due to dexketoprofenFigure 1. Erythematous-violet plaque on the flexor aspect of the left forearmA patient, aged 26 years, presented to our clinic after having a lesion on the ventral aspect of his left forearm repeating twice during the past month. The patient informed us...

It is important to have an estimate of a patient’s renal function before prescribing medicines that are renally excreted or that impair renal function or cause nephrotoxicity, such as non-steroidal anti-inflammatory drugs (NSAIDs), angiotensin converting enzyme inhibitors (ACEIs) and angiotensin...

Mindfulness for lifeStephen McKenzie Craig HassedAustralia: Exisle Publishing, 2012 ISBN 978 1 921966 03 3 $29.99Mindfulness, or ‘paying attention in a particular way; on purpose, in the present moment, and non-judgementally’1 has caught on in many areas of Western medicine in recent years, and...

BronchiectasisDear EditorThe well researched article by Maguire1 (AFP November 2012) mentions hypogamma-globulinaemia as a potential cause of bronchiectasis but has not commented on the usefulness of IV immunoglobulin replacement for such patients. Patients with chronic lymphocytic leukaemia...

The rebound effectDear EditorThank you for the article on adverse drug reactions1 (AFP January/February 2013). A drug effect that could be classified as an adverse reaction is a not uncommon phenomenon that I have observed. I call it the ‘rebound effect’.It manifests as a recurrence (often an...

Learning life from illness storiesPeter Willis and Kate Leeson, editorsQueensland: Post Pressed, 2012 ISBN 978 0646 579 320, $29.95Have you ever contemplated what it must be like for our patients to leave the surgery after we have delivered a diagnosis of a lifethreatening illness? What will they...