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Opinion: March 2009

Low trust in generic drugs

Niamh Mullen | 31 March 2009 | Guests

ONLY three per cent of people suggested generic drugs as a way to reduce prices in a survey of Irish consumers’ awareness and attitudes to the cost of medicines. Overall, 39 per cent said they were aware generic medicines were... Read more

Diseases should not bear Nazi criminals' names

Dr Robert O'Sullivan | 30 March 2009 | Guests

Dr Robert O'Sullivan on the diseases that still bear the names of Nazi doctors — now thought to be despicable criminals and murderers. An eponym is a disease, structure or species named after a person; usually the person who discovered... Read more

Anatomy is best learned on cadavers!

Dr Joyce Galbraith | 30 March 2009 | Guests

Dr Joyce Galbraith writes that while there are mixed views on fast-track courses into medicine, there is no substitute for a good grounding in anatomy. The increasing use of the so-called ‘fast-track’ method of medical training has caused some critics... Read more

It's the quality — not the quantity — that counts

Dr John Wallace | 30 March 2009 | Guests

Dr John Wallace on qualitative research, an increasingly important form of evidence that can make a significant contribution to patient care. Qualitative research (QR) is about understanding the experiences and values of patients. Instead of looking at numbers, it focuses... Read more

Shortlist for literacy awards published

Niamh Mullen | 30 March 2009 | Guests

Niamh Mullen speaks to some of the people behind the projects that have been shortlisted for this year’s Health Literacy Awards. More than 50 per cent of Irish people are affected in some way by literacy difficulties, which could impact... Read more

Public Medical Council hearings raise questions

Simon Mills | 30 March 2009 | Guests

Simon Mills writes that the reporting in the media of the recent Fitness to Practice committee should surely send a shiver down the spine of all doctors. The news of the first public hearing of the Fitness to Practice Committee... Read more

24-hour cuff monitoring of BP could save on medication

Greg Baxter | 30 March 2009 | Guests

Greg Baxter undergoes a 24-hour monitoring of his blood pressure — under the supervision of Prof Eoin O'Brien — and learns how the system is superior to traditional methods. At the beginning of December last year, I underwent a 24-hour... Read more

Midwife's incompetence was judged professional misconduct

Ed Madden | 30 March 2009 | Guests

Ed Madden, BL, looks at a recent High Court case in which a Polish midwife challenged a decision of An Bord Altranais to erase her name from the Nursing Register. Gertruda Kudelska, a Polish national, first came to Ireland in... Read more

Can whistleblowers' law really make a difference?

Dara Gantly | 30 March 2009 | Guests

Dara Gantly writes that it remains to be seen whether new legal protection for whistleblowers will make a difference to the quality of the health service The effectiveness of new legal protections for ‘whistleblowers’ in the health service will only... Read more

Oh, was it ****ing St Patrick's Day again?

G.B. | 30 March 2009 | The Inside Back

It appears that another St Patrick’s Day has passed. I only know that it most likely definitely took place because I saw a guy, covered in an Irish flag, passed out by the bus stop in Darndale, with a painted-green... Read more

No excuse for no plan

Terence Cosgrave | 29 March 2009 | Editorial

Terence Cosgrave writes that the cuts in April's Budget must make practical sense, rather than blind slashing of resources The law of unintended consequences is often the most dangerous law of all. It happens when a law is introduced to... Read more

'Spokes' treat strokes remotely

Helix Health | 28 March 2009 | Guests

The Alaskan 'spoke' system brings stroke care to patients in isolated areas and allows neurologist to treat patients miles away. Stroke patients in Alaska now have a greater chance of survival because of a telemedicine system that will allow neurologists... Read more

Generic prescribing needs simplification to improve rates

Dr Conor Grimes | 28 March 2009 | Letters

Dear Editor, Generic prescribing should be the path of least resistance. I worked in general practice in Wales for many years and my surgery, like almost all others in the area, had generic prescribing rates in the region of 90... Read more

The 'Jade Goody' effect in general practice

Dr John O'Keeffe | 28 March 2009 | Letters

Dear Editor, The ‘Jade Goody’ effect is being strongly felt in general practice, where younger women, and especially those from poorer social backgrounds, are requesting cervical screening. They attend our surgeries, wanting to look after themselves, only to be told... Read more

Doctors given a right dressing down

Rory Haford | 27 March 2009 | Guests

Rory Hafford continues his series on medical communications with a look at how clothes maketh the medic. I was talking to a young doctor recently about how physicians should dress. This chap, an SpR in surgery, told me he was... Read more

Can we afford not to train NCHDs?

Mick Molloy | 27 March 2009 | Mick Molloy

Dr Mick Molloy examines the latest proposal by the HSE not to pay the training allowance for NCHDs and why this could prove costly. There has been a lot of talk about training allowances in the health services in this... Read more

Doctors should cut bureaucracy

Paul Heslin | 27 March 2009 | Guests

Dr Paul Heslin says that if GPs have to take a cut in pay — then they should cut back on the useless work they do in order to improve their service. Have you been wondering whether the financial storms... Read more

Blood transfusions and consent from parents

Kieran Doran | 27 March 2009 | Guests

Kieran Doran, UCC Senior Lecturer in Healthcare Ethics, discusses the issue of consent for children whose parents are Jehovah's Witnesses. Currently, one of the most controversial aspects of medico-legal practice is that of the provision of blood transfusions to patients... Read more

Never retire — the secret to a long life

Dr Paul Stewart | 26 March 2009 | Guests

Dr Paul Stewart writes on a man who has survived the Depression, a World War and an addiction to chocolate to make to 100 (almost). He was born to an Irish mother and Scottish ship’s carpenter father somewhere in the... Read more

Prof Spiderman to the rescue of HSE

Dr Garrett FitzGerald | 26 March 2009 | Garrett FitzGerald

Dr Garrett FitzGerald on the HSE strategy to use consultant arachnologists to solve the problems of the health service year-on-year going forward. Patient:- Doctor, what exactly is it that’s wrong with me? Doctor:- It would take a wiser man than... Read more

Medical Miscellany

Terence Cosgrave | 23 March 2009 | Guests

I share a birthdate and a first name with the great Spike Milligan. For that and for many other reasons, I have always felt an affinity with him. Thankfully, I am not known as ‘Spike’ — which would be a... Read more

Irish College of Psychiatry aims for better mental health

Terence Cosgrave | 23 March 2009 | Guests

Terence Cosgrave speaks to Dr Justin Brophy about the recent establishment of the Irish College of Psychiatry and his hopes for better mental health care in Ireland The attitude to mental health and services for the mentally ill in Ireland... Read more

Should patients take control of medication

Niamh Mullen | 23 March 2009 | Guests

The sale of statins over the counter (OTC) would be an ‘obvious development’ in patient self-care in Ireland. That is according to Prof Colin Bradley, head of the Department of General Practice at University College Cork, who said the idea... Read more

Reliability of laboratory testing was questioned

Ed Madden | 22 March 2009 | Guests

Ed Madden, BL, on a US case in which the Court considered the reliability and validity of a Dublin laboratory’s testing that purported to find evidence of persisting measles virus in intestinal tissue. In July 1997, Michelle Cedillo, who was... Read more

Keep to the contract

Gary Culliton | 22 March 2009 | Editorial

Gary Culliton writes that Minister Harney can hardly now avoid paying consultants the money they are owed. The indications are that over 80 per cent of serving consultants have opted for the new consultant contract.... Read more

Service overhaul for Cork?

Dara Gantly | 22 March 2009 | Guests

Dara Gantly writes that the possible relocation of services within the Cork University Hospital campus may form part of the development control plan for the Cork and Kerry region. An examination of the future development of Cork University Hospital (CUH)... Read more

Keep coughers out of waiting rooms Dear Editor,

Dr Jutta O'Meara | 22 March 2009 | Letters

How often this winter – be it in the supermarket or surgery – have you heard (or overheard) the phrase, ‘I’ve a terrible chest infection’, followed by, ‘I had to go to the doctor for an antibiotic’? Or, in the... Read more

Keep coughers out of waiting rooms Dear Editor,

Dr Jutta O'Meara | 22 March 2009 | Letters

How often this winter – be it in the supermarket or surgery – have you heard (or overheard) the phrase, ‘I’ve a terrible chest infection’, followed by, ‘I had to go to the doctor for an antibiotic’? Or, in the... Read more

Clarification on Bible references

Dr A. Afolabi | 22 March 2009 | Letters

Dear Editor, I read with keen interest and fascination the article written by Dr Barkat Masood [March 6, www.imt.ie/opinion/2009/03/the_devil_is_in_the_detail_of.html]. It is quite an insightful article and the effort that went into it must be commended. However, there are a few... Read more

The opera house at the end of the world

G.B. | 21 March 2009 | The Inside Back

I went to see Mozart’s Don Giovanni at the Gaiety two weeks ago. The best way to describe the experience is this: it’s like watching opera with a bunch of monkeys. Or drunk football fans. I don’t mean the production.... Read more

Send us your clowns

Dr Garrett FitzGerald | 21 March 2009 | Garrett FitzGerald

Dr Garrett FitzGerald writes that although there is an official shortage of clowns in Britain, we are never short of a few here in this country. There is now an official shortage of clowns in Britain. This statement has been... Read more

Health research and data protection guidelines

Madeleine Delaney | 20 March 2009 |

Madeleine Delaney of Beauchamps Solicitors presents an overview of the law in Ireland regarding the gathering of patient data for research purposes. The gathering of patient data for research, surveys and clinical audit purposes is an essential feature of healthcare.... Read more

Professor Drumm has turned to the dark side

Illona Duffy | 20 March 2009 | Ilona Duffy

Dr Illona Duffy writes that when it comes to our healthcare system, the poacher has become the gamekeeper and GPs must make a stand. GP colleagues, prepare to unite! The knives are being sharpened and scapegoats prepared by the HSE... Read more

Asthma test helps with coughs

Nycomed | 19 March 2009 | Guests

A test used for diagnosing asthma is also proving to be of major benefit in predicting which patients with chronic cough will respond to treatment. Pulmonologists have found that the exhaled nitric-oxide test is a quick and easy way to... Read more

Get it written and get it write!

Rory Hafford | 16 March 2009 | Guests

Rory Hafford offers a few tips for any doctors who are also aspiring writers — one of which is to give up the golf. I first came across Dr Paul Carson when he was writing for a medical magazine (which... Read more

Can someone please tell me why Dublin's Ikea is not open?

G.B. | 16 March 2009 | The Inside Back

It is true that Ikea probably represents the end of human individualism for the middle classes, but it does so only after the fact. So shopping at Ikea does not cause the apocalypse; it merely reflects the apocalypse. I drove... Read more

Reminders raise screening rates

Helix Health | 16 March 2009 | Guests

A new study has shown that both patients and GPs benefit from electronic and postal reminders when it comes to attending for colon cancer screening. Reminders of appointments posted to patients’ homes can promote colon cancer screening, according to US... Read more

Ireland marks World Glaucoma Day

16 March 2009 | Guests

The aim of this year's World Glaucoma Day is to help educate those at risk of glaucoma and also those newly diagnosed with the condition. Twice as many people fear going blind as are afraid of premature death or heart... Read more

A night with the paramedics

Anne Grace | 16 March 2009 | Guests

Medical student Anne Grace discovered patience and professionalism among the paramedics that took her out around Limerick on one busy Saturday night On the radio, Queen sang ‘It’s a kind of magic’, and it had stopped raining. I was driving... Read more

Cultural competency training needed to break down barriers

Dr Sinéad Donohue | 16 March 2009 | Guests

Dr Sinéad Donohue elaborates on the postgraduate training needs assessment, currently being carried out, on the need for clinical cultural competency training. Culture emerges from a blend of many different factors and it is therefore not surprising that we often... Read more

Wexford GP served generations of patients

JC | 16 March 2009 | Guests

A lifetime of service in general practice remembered.Dr Stephen PJ Cox was born on March 6, 1922, one of nine children who grew up on a farm on the banks of the Kilglass Lake near Strokestown in Co. Roscommon. He... Read more

Medical Miscellany

Terence Cosgrave | 16 March 2009 | Guests

The judging for the Crystal Clear Health Literacy Awards took place last week and so I had to make my way down to the Morgan Hotel in Temple Bar to perform the solemn task of Solomon — how do you... Read more

Ireland's abysmal rate of breastfeeding — 1 in 450

Niamh Mullen | 16 March 2009 | Guests

Niamh Mullen reports on the need to encourage women to breastfeed after a Dublin study reveals the extent of our poor breastfeeding rates. More support and better information is needed from GPs and maternity hospitals to encourage women to breastfeed... Read more

A chance to inspire is lost at the Ard Fheis

Kealan Flynn | 16 March 2009 | Kealan Flynn

Kealan Flynn writes that the Taoiseach could and should have used his Ard Fheis speech as an honest, truthful State of the Nation address. Brian Cowen’s speech to the party faithful at the recent Fianna Fáil Ard Fheis should have... Read more

The truth will set you... up for lawsuits

Terence Cosgrave | 13 March 2009 | Editorial

Terence Cosgrave says that the publicity surrounding the first public Fitness to Practise case forces doctors to keep their language clinical — even if it is not understood — and opens the way for threats and blackmail. It is all... Read more

Income cuts target vital educational training

Dr David Moloney | 13 March 2009 | Letters

Dear Editor, We, the trainers of Ireland’s future GPs, deplore the recent income cuts affecting our trainees, which target vital educational aspects of their training. We acknowledge that everyone needs to make a contribution in these difficult times. These contributions... Read more

What's the difference?

Dr Michael Joyce | 13 March 2009 | Letters

Dear Editor, I have often wondered about the difference in treatment of GPs compared to pharmacists in relation to invalid medical cards. There is no doubt that if a medical card is invalid, the GP is not paid – whether... Read more

Irish High Court upholds Medical Council decision

Ed Madden | 13 March 2009 | Guests

Ed Madden, BL, on a recent case in which a UK national argued for automatic registration on Ireland's Register of Medical Specialists based on a certificate of registration from Sweden. In September 2003, Dr Ahmed Khashaba, a British national with... Read more

We all need a gee-up when it comes to taxes

Dr Mick Molloy | 13 March 2009 | Mick Molloy

Dr Mick Molloy does not envy the Minister for Finance in his task of raising funds, when even the die-hard Irish punters who usually attend the Cheltenham Festival are saving their pennies. This week’s Cheltenham Festival will see – or... Read more

The life of Brian

Dr Paul Heslin | 13 March 2009 | Guests

Dr Paul Heslin overhears some conversations about how a certain medical practice will have to adjust its 2009 budget. The practice accountant called Dr Brian into his office urgently and said abruptly: “Dr Brian, we have a crisis here. I... Read more

The Minister must change her mind

Dr James Reilly | 13 March 2009 | Guests

Dr James Reilly, Fine Gael spokesperson on health, writes that administering the HPV vaccine and protecting girls from cervical cancer must be a priority. For doctors and for those people whose lives have been blighted by cervical cancer, it was... Read more

Tell the truth about cuts

Terence Cosgrave | 12 March 2009 | Editorial

Terence Cosgrave writes that honesty and responsibility must start at the top, when it comes to cutbacks. I had the interesting experience of chairing a debate in Trinity College last week on the health service. The participants in the debate... Read more

Baby-buggy envy is the new reason for my existence

G.B. | 11 March 2009 | The Inside Back

At the risk of allowing this to devolve into a Roisin Ingle column about ‘being pregnant’, I would like to announce my new obsession: my new Bugaboo Cameleon buggy. Before anyone gets the wrong idea – I do not read... Read more

Prof Higgins to reconfigure South acute services

Jason McGoey | 10 March 2009 | Guests

Professor John Higgins has been appointed as the Project Director to lead the reconfiguration of health services in Cork and Kerry, the HSE has confirmed. As Consultant Obstetrician/Gynaecologist at the modern Cork University Maternity Hospital, Professor Higgins has a proven... Read more

Newborn screening to detect heart problems

Dara Gantly | 10 March 2009 | Guests

Dara Gantly examines a new screening tool aimed at improving the detection of life-threatening congenital heart disease in newborns. The Rotunda Hospital has become the second of Dublin’s maternity hospitals to carry out routine screening of blood oxygen levels in... Read more

Effectiveness most important factor

Dr Mel Gilmartin | 10 March 2009 | Letters

Dear Editor, I refer to Dr Graham Fry’s letter in IMT on Feb 20 (www.imt.ie/opinion/2009/02/tmb_provides_vaccine_on_nonpro.html) under the title ‘TMB provides vaccine on non-profit basis’. There are two vaccines available to protect against cervical cancer, Cervarix and Gardasil. Cervarix provides protection... Read more

Force at the front-line of healthcare

Helix Health | 09 March 2009 | Guests

The integration of IT between primary, secondary and community care is proving a critical factor for doctors when choosing their technology partner. The medical profession has witnessed increasing levels of conversion between technology systems over the past decade. One only... Read more

Training helps prevent slip-ups

Nycomed | 09 March 2009 | Guests

A new study showing that fall-prevention training can help people to maintain their balance could have major benefits for patients who have osteoporosis. Fall-prevention training using unstable surfaces in a laboratory could help elderly people to avoid slips and trips... Read more

Potential problems in the White House

Dr Joyce Galbraith | 09 March 2009 | Guests

Dr Joyce Galbraith writes that while Obama may have to deal with the world's problems, he also has to build a home life at the White House. The rise of Barack Obama is not only phenomenal, but has happened very... Read more

Unions could be sued for industrial action on levy

Ed Madden BL | 09 March 2009 | Guests

Ed Madden, BL, considers whether those who strike against the pension levy enjoy the protection of the immunities against legal actions under the Industrial Relations Act, 1990. On February 18, 2009, the Government published The Financial Emergency Measures in the... Read more

Report queries drugs value

Gary Culliton | 09 March 2009 | Guests

Gary Culliton writes that the Barry Report has identified that the State could drastically cut its spending on drugs every year. A group chaired by Dr Michael Barry, of the National Centre for Pharmacoeconomics at St James’s Hospital, has recommended... Read more

Learn a lesson in success

Paul Stewart | 08 March 2009 | Guests

Dr Paul Stewart ponders the different teaching methods that produce the best outcomes, and finds that not even the best teachers are infallible. Not all of us, when learning, can have the benefit of Irish pianist John O’Connor mentoring us.... Read more

Re-living the Irish experience in Newfoundland

Dr Amin A. Muhammad | 06 March 2009 | Guests

Dr Amin A. Muhammad writes that his training and unique experiences in Irish psychiatry have stood to him during his work in other countries. I came to the UK in December 1987 in order to look for a training post... Read more

The devil is in the detail of religious traditions

Dr Barkat Masood | 06 March 2009 | Guests

Dr Barkat Masood writes that the figure of the Devil appears in different guises in many cultures and traditions around the world. We are all familiar with the mythical Devil of The Omen and of The Exorcist. This Devil is... Read more

Irish College welcomed

Dr John Hardin-Price | 06 March 2009 | Guests

Dear Editor, The letter by Prof Amin A. Muhammad (IMT, Jan 30, www.imt.ie/opinion/2009/01/college_of_psychiatry_a_truly.html) is international recognition of the new College of Psychiatry in Ireland. This, along with the College, is to be heartily welcomed. It is imperative that mental illness,... Read more

The cost of kidney care demands more resources

Terence Cosgrave | 06 March 2009 | Guests

Terence Cosgrave reports on the HSE's proposed National Renal Programme, in light of the rising costs of treating kidney disease in Ireland. There has been a steady increase in the numbers of people suffering from chronic kidney disease (CKD) over... Read more

Beat the recession with GP seminars

Dara Gantly | 06 March 2009 | Guests

Dara Gantly writes that the IMT Practice Management Seminars will focus on surviving the recession. Experts in the fields of finance, practice development and IT will be among the speakers addressing this year’s Irish Medical Times Practice Management Seminar in... Read more

Read my lips — please raise more taxes

Dr Garrett FitzGerald | 06 March 2009 | Garrett FitzGerald

Dr Garrett FitzGerald writes that no decisions can ever be made in this country without a commission or ten looking into all the options first. There are lads down here getting the banners ready and some of the girls are... Read more

Is there an exodus brewing?

Dr John Ryan | 05 March 2009 | Letter from America

Dr John Ryan writes that HSE cutbacks may result in a flood of junior doctors leaving Ireland, which would set medicine in Ireland back at least 10 years. Over the past couple of weeks, I have been getting more and... Read more

Founding Christian Science

Mike Power | 04 March 2009 | Guests

Mike Power — in an occasional series — looks at books that have changed medical thinking. Here he examines Mary Baker Eddy's Science and Health. What is ‘reality’? Does pain really have an objective existence? What is the mind’s role... Read more

Sick and tired of it

Terence Cosgrave | 04 March 2009 | Editorial

Terence Cosgrave writes that IMT's new GP survey has revealed the effect of the recession on the nation's health. The second part of our GP survey is published on page 10 of this issue of Irish Medical Times. It contains... Read more

Learn a lesson in success

Dr Paul Stewart | 04 March 2009 | Guests

Dr Paul Stewart ponders the different teaching methods that produce the best outcomes, and finds that not even the best teachers are infallible. Not all of us, when learning, can have the benefit of Irish pianist John O’Connor mentoring us.... Read more

The fickle media holds the balance of power

Dr Mark Hannon | 03 March 2009 | Mark Hannon

Dr Mark Hannon writes that now more then ever, the media need to report honestly and fairly, and think beyond newspaper sales and viewing figures. I am sure that most readers have spent the last few weeks glued to their... Read more

Patients should get acknowledgment of GP hospital referrals

Dr Fabian Akamnonu | 03 March 2009 | Letters

Dear Editor, Today, a patient of mine who had a referral to a local hospital came in wondering why she had not heard from the hospital regarding her appointment. Moreover, she had tried several times to contact the department to... Read more

Cheer up, it's not the end of the world ... just yet

Dr Mick Molloy | 03 March 2009 | Mick Molloy

Dr Mick Molloy writes that another seminal year could be coming up — or it may even be the end of the world, depending on your sources. Every now and then, a ‘seminal year’ occurs, when important or even world-changing... Read more

'People's Budget' '09 shocks the status quo

Prof Pierce A. Grace | 03 March 2009 | Guests

Prof Pierce A. Grace on a Budget that dealt with the cost of pensions and featured radical reform which caused major controversy — a century ago. On January 1, 1909 the money began to flow. All over Britain and Ireland... Read more

Silence is a golden opportunity

Rory Hafford | 02 March 2009 | Guests

Rory Hafford continues his medical communications series with a close look at the non-communicative patient. We Irish are not great with silences. We feel uneasy around them. We feel the need to fill the silence, sometimes just for the sake... Read more

Celebrating 20 years of PMI success

Niamh Mullen | 02 March 2009 | Guests

After 20 years of successfully representing its members, The PMI really has something to celebrate this year, writes Niamh Mullen. The Pharmaceutical Managers’ Institute of Ireland (The PMI) celebrates 20 years of representing its members and facilitating education in the... Read more

Recession should not force us into 'reform'

Marie O'Connor | 02 March 2009 | Letters

Dear Editor, Recent interviews given by Prof Tom Keane suggest that recession may soon be utilised as a form of electric shock therapy to force us to accept health ‘reform’. He has portrayed Canada as a country with no private... Read more

Gender violence tests GPs

Niamh Mullen | 01 March 2009 | Guests

Niamh Mullen reports that the vast majority of GPs feel they lack the training to treat victims of gender-based violence. Eighty per cent of GPs feel they lack the necessary training to properly treat women who have experienced gender-based violence... Read more

Walking your way to health

Dr Paul Stewart | 01 March 2009 | Guests

Dr Paul Stewart takes a leaf from his own book in recommending exercise to his patients and tries it out for himself. It has worked out well — except for the fact that he has come to the attention of... Read more