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May 23, 2012

Caveat needed on ‘safe and effective’ declaration

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Dear Editor, Your recent article on the study in The Lancet refers to chronic fatigue syndrome and chronic fatigue indiscriminately and gives the impression that cognitive behavioural therapy (CBT) and graded exercise are “safe and effective for all” (‘Cognitive behavioural therapy not harmful in chronic fatigue’, Irish Medical Times, March 18, 2011, http://www.imt.ie/clinical/2011/03/cognitive-behavioural-therapy-not-harmful-in-chronic-fatigue.html). The PACE [...]

Doctor must accompany patient on difficult road ahead

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Dear Editor, I am writing about the letter I saw in Irish Medical Times regarding the lack of credit afforded to a man who visited his GP for a letter of referral (‘‘No credit’ signs would prevent embarrassment’, March 18, 2011, ). I felt a bit ‘stung’ when I read it. I am reminded of [...]

Forward planning required for needs of elderly population

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Dear Editor, We are increasingly meeting more patients in their eighth, ninth and tenth decade of life presenting to the emergency department and hospital. The presenting problem can be minor, but more often the patient may require admission with frailty, multiple comorbidities and an acute illness. On rare occasions in the medical notes, we come [...]

Hobson’s choice from our Council

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The new PC rules raise as many questions as they answer for medico-legal and ethical expert Dr Simon Mills and leave him with little option but to remove his name from the register.

On a separate note

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With singers developing voice problems among her list of patients, Dr Juliet Bressan has developed a special ear for the most delicate instrument of all.

Bidding for savings in healthcare

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Dara Gantly examines a new procurement approach from the HSE that could potentially save taxpayers and the State up to €720 million a year.

Disappointment at ICGP taking right of free speech from GP

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Dear Editor, We the undersigned are GPs. Some of us are members of the IMO and some of the ICGP. One thing we all share is that we will all at least in part become regulated by the ICGP as part of compulsory CPD. It is in this context that we are extremely disappointed to [...]

Housing our economic anger

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Just as we must take responsibility for the crashed property market, Dr Ruairi Hanley believes we have to accept that the economy is a ‘fixer-upper’ that can be salvaged.

At fault on the quake

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North Dublin GP Dr Marcus De Brun believes man-made actions are partly to blame for the extent of the devastation following the earthquake in Japan.

French IGAS report on Servier was ‘flawed’

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Dear Editor, Dr Dermot Walsh recently described in your newspaper a “medical scandal that has rocked the French Regulatory system” (‘Regulating the regulator’, IMT, March 11, 2011, http://www.imt.ie/opinion/2011/03/regulating-the-regulator.html). His article criticises Servier, a French pharmaceutical company, and its anti-diabetic drug, Mediator (Benfluorex), highlighting many accusations found in a report from the Inspection Generale des Affaires [...]

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