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May 23, 2012

Finding downtime can be difficult

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Dr Paul Stewart writes that it is very difficult for a doctor to go on holiday and leave the day job behind, as there is invariably somebody looking for medical help or even a prescription A family member had just passed her final medical examinations and had headed out for the evening with her immediate [...]

Even on a fine day our ‘Inside Back’ columnist sees gloom and doom

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Whenever there is sun in Dublin, there is a lot of traffic and activity, and generally people look absolutely miserable until they get to their destination, at which point they realise the only way they know how to have fun is to drink. I live on the northside of Dublin, but I usually trek down [...]

The European Empire

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Dear Editor, It is certainly that time of year again, the season of ‘mists and mellow fruitfulness’ to which Gerard Manley Hopkins referred. To many of us, it is a time of year to be dreaded as, apart from the onset of some seasonal affective disorder or even just autumnal blues, it is referendum time [...]

Urine testing is a waste of time

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Dear Editor, I would like to echo Dr Cathal Ó Súilliobháin’s views on urine testing in the field of addictions (‘Taking the piss: is HSE drug testing wasting millions?’, IMT September 11, www.imt.ie/opinion/2009/09/taking_the_piss_is_hse_drug_te.html). The international research shows that drug screens are generally a poor indicator of progress of patients on methadone maintenance. Whilst treatment is [...]

HSE did not consult GPs

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Re: HSE claims re GP failure to engage with ambulance SOP protocols in the mid-west. Dear Editor, Your front page article of 18/09/09 quoted HSE claims that GPs failed to respond to invitations to develop emergency services protocols arising from Ennis and Nenagh Hospitals A & E and surgical cutbacks. The A & E and [...]

Dr Duffy cannot accept primary care has changed

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Dear Editor, I read with great disdain the article by Dr Illona Duffy (‘Let down yet again by improvements’ IMT 11/9/’09, www.imt.ie/opinion/2009/09/let_down_yet_again_by_improvem.html). First I would like to apologise to Prof Keane for comments made on his nationality and say not all GPs have the same viewpoint. I feel Dr Duffy is now on a mindset [...]

Appreciation: Dr Alphonsus T Greene (Foncie)

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Dr Alphonsus T Greene (Foncie) died on November 6, 2008 after a short illness. Foncie, as he was universally known, was for many years an outstanding clinician, teacher and practitioner of the Art of Obstetrics and Gynaecology at the Coombe Hospital and at James Connolly Memorial Hospital, Blanchardstown. Born in Galway, Foncie graduated from UCG [...]

Doctor was lacking in candour and credibility

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Ed Madden, BL on a case in which a doctor claimed that Ulster Bank had given him assurances that substantial monies lodged by him would not be offset against a guarantee he had earlier given, in respect of a loan to a business partnership Dr Neil Healy is a medical doctor who practises in Mullingar [...]

Famine in an evidence glut: the practice of evidence-based medicine today

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Dr John Wallace looks at the essential steps of evidence-based practice and guides us through the process of forming questions, finding evidence and assessing the facts There is a large gap between what we know and what we do. Research that should change practice is often ignored for years. There is also a major delay [...]

Sims: butcher or saviour?

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Dr Robert O’Sullivan looks at the controversial legacy of Dr James Marion Sims, who developed a treatment for fistulae by operating on slave women Abnormal connections between the bladder and vagina (vesico-vaginal fistulae) are rare in the Western world. Usually the result of obstructed labour, their incidence has been reduced by improvements in obstetrics, including [...]

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