What do you think?

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The most viewed discussions on doc2doc this month


Posted in Neurology at Mon, 26 Jan 2015 18:05:52

Mukhtar Ali

Posts: 889
Joined: 14 Nov 2010

Is there any modifiable risk factor for dementia . Day by day patient of dementia gradually increases so we prevent or halt the process of development of dementia. Non modifiable risk factors such as age, sex ,genetic . pl discuss.

'...Registrars DO NOT get pregnant'

Posted in Medical mums at Mon, 26 Jan 2015 17:50:56


Posts: 9
Joined: 26 Jan 2015
After running to yet another emergency in the last few minutes of my busy week of nights, morning sickness got the better of me and I asked if one of the day team could come and take over. They don't know I'm pregnant but probably guessed. A colleague kindly came, but I was met with the response from my senior: 'you start something, you finish it' and when I replied that I did not want to vomit on the patient, I was informed rather aggressively '....registrars DO NOT get pregnant'. A joke perhaps, but I did not find it particularly funny. I have not had a day off sick in 4 years and this is the first time I have asked for assistance for feeling unwell. Maybe it's the hormones and I need to develop a thicker skin, but I felt this was pretty unreasonable. Any advice on dealing with negative attitudes as I doubt this will be the last?

Fountain pens; rediscovering the joy in writing

Posted in General at Tue, 27 Jan 2015 19:40:42


Posts: 536
Joined: 23 Aug 2013

Although we have gone paperless in my office, I still take down notes on paper and my secretaries scan it into the paperless chart as I find I can still write faster and with more abreviations than I can type, and this stye I find more personal rather than looking at a keyboard and screen and in so doing, marginalising the patient. 

Our hospital is also using paper charts still but moves are afoot to change this eventually.

As one who used to use fountain pen all the time as a student, I have recently rediscovered the pleasure of writing with a nice fountain pen. I feel calmer strangely, I don't have to press the way I do with a ball point or disposable pen (I had been using pens which were quite nice to write on but cost $3 each which adds up).

I bought a cheap Parker for $25 from Office Works and that worked fine and has cartridges. However, today my TWSBI Mini with a medium nib and three bottles of ink including "electric blue" and "black" arrived from the USA, much to my delight. It is not an expensive pen by fountain pen standards (about $50 US and the freight was about half the cost of the pen. It writes smoothly and is a real treat. I bought it through the Goulet Pen Company so I hope doc2doc doesn't mind my mentioning this. It is small enough to fit in my pocket and is a posted pen i.e the top scr..s onto the body to make it longer and it works on the piston system to load the ink and as it is transparent I can see how much ink is left.

I have also spotted a lovely pen, made in Japan by the Sailor Pen Company and when they are in stock I will order one of these. They are dearer but not over the top like some pens. The company has been going since about 1904 and I expect it will be a thoroughbred. I like the name, being a sailor and I spend a lot of time sailing over paper each day.

I find my writing is more legible, the art of writing pleasurable, and my hand relaxed and happy. 

There are musical nibs too which are for writing music as the nib has two slits for the ink and not one and thus are more flexible as is needed for musical notation and flourishes.

Please consider penmanship, the art of writing nicely, and make your medical experience more aesthetic. Fountain pens have an interesting pedigree if you Google their history.

What do you think of fountain pens and am I alone?


P.S. Censor won't let me use the SCR W word that nuts and bolts function on which turn and thread into each other. 


Medical Electives! Pakistan? Uganda? Turkey? Malaysia? Where??!

Posted in Student BMJ at Sat, 24 Jan 2015 10:49:26


Posts: 1498
Joined: 25 Jan 2009

Hello all,

I hope you're well.

Thank you for clicking on here and please contribute even if you say a word.

Must soon decide exactly where I should do my elective. Hopefully going with a good friend.

What are your reflections on where you went? Do you have any advice with regards to selecting an appropriate place?

A lot to chose from!



our mind inside the heart not the brain

Posted in Cardiology at Thu, 22 Jan 2015 16:34:36


Posts: 536
Joined: 23 Aug 2013

first .. all of us know the the heart has it's automaticity through A_S node , and can completely act and beat without any CNS connection for some period . 
that means that the initial impluse is generated form the heart itself  

second .. I think that when we recieve a very bad news  our response initiat from the heart not brain
like the spinal reflex .. when we touch a candle our muscle contracts by an order from the spinal cord not the brain .. then the brain realize that we touched a hot thing afterall .
so this is the heart .. we recieve a bad news .. our heart starts to response ( e.g. Tachycardia ) before sympathetic or adrenaline before everyting ... then the brain realize that we recieved a bad news . and the exact thing happen wit fear , love , rest ...etc 

If I ask you .. when the patient recieve a very bad news , he will be at risk of angina or MI not Strock in the brain .. even If he had a strock it would be a result of hypertension .. not of any change is the activity of the brain .. I mean that the heart is the first thing affected after an emotional stimuli not the brain . when I have a patient with Hypertension or MI I must advice him with meditation that provide the rest of his cardiac muscle 

so what is your opinion about this ? 
thank you for your support 

Mohammed Magdi Farrag 
Sohage University Faculty of medicine 

Should patients be fined for missing appointments?

Posted in General clinical at Thu, 22 Jan 2015 18:42:53

Dr Ali

Posts: 13
Joined: 30 Apr 2009

Pulse, a magazine for UK GPs, reports that 79% of people in the UK believe patients who did not attend (DNA) their scheduled GP appointments should be charged a penalty.

Some countries already have systems implementing such fines in place. Do you practice in one of those countries? Does the system work well? Do you have less DNA patients?

How well do you think this kind of system would work in the UK?

Is there any ethical justification for suicide?

Posted in Medical ethics at Fri, 23 Jan 2015 21:19:27


Posts: 4525
Joined: 24 Feb 2009

In 1961 in the UK, commiting suicide was decriminalised, however in places like North Korea, Singapore and India until last year this was a crime.

What is the reason for this discrepancy? Are there any ethical justifications for suicide?

"The Eichmann Show"

Posted in General at Mon, 26 Jan 2015 16:27:29


Posts: 1737
Joined: 08 Oct 2010

Holocaust Memorial Day, 2015 is the 15th16th, April and last night, a little bit early, the BBC showed this drama-documentary.   It's still available on:


I'm a post WW2, baby-bulge baby.  I know about the Holocaust, the Camps, Eichmann and his trial, but have no memory of that last event being the great world-wide TV news story that this drama-documentary was about.    I was 14 years old at the time, and living in middle-class comfort in the UK.     I've seen the pictures of the Camps and the people in them, discovered by the advancing Allied forces into Nazi Germany and Poland, but some pictures that were quickly shown in the programme, because they were shown in the actual trial, were worse than any I had seen before.

But that was not what shocked me.   A hinge point of the play was that the Trial allowed the rest of the world to believe the Camp survivors.     Several characters, I presume voicing real survivors, said to the TV production team who were recording the Trial, that it was only now (then) that anyone would listen to them, would believe their stories of the ghastly events in the Camps.  And the Trial and the play were set in Israel, in Jerusalem!

I have also seen the reports made by David Dimbleby, as war correspondent with the advancing Allies as they liberated Belsen and I know that was broadcast in 1945.    How could anyone in the world, by 1961 sixteen years after WW2, not have known, not have believed a Camp survivor?

To me, this was a revelatory moment.     The Trial failed to force Eichmann to admit his guilt or even see that what he had done was wrong.     But it did force the world to see what had been done.


What do you remember about your first dissection?

Posted in General clinical at Tue, 27 Jan 2015 21:47:26


Posts: 11
Joined: 09 Apr 2013

BMA's Doctors for Doctors unit which deals with doctors' wellbeing has recently launched a series of advice pieces relating to 'first times' . The first is on medics' first cadaveric dissections.

I learnt valuable anatomy but didn't particularly enjoy dissection classes.  I do, however, like most of you I expect, distinctly remember that first one: big, cold, white, bright room; formaldehyde  stench; seemingly countless rows of cadavers on tables; all very daunting. The allocated cadaver was a frail looking woman in her 90s. I did it because I had to. Possibly something that should have been introduced later on in the first term rather than on my first day. Still, over time, it became less overwhelming and dissection Mondays and Thursdays became routine. 

How was it for you?

MRCP Part 1 Question of the Day from BMJ OnExamination

Posted in General clinical at Mon, 26 Jan 2015 13:29:46


Posts: 1082
Joined: 07 Sep 2009

A 30-year-old schoolteacher is admitted with headache, photophobia and neck stiffness.

His temperature is 39.0°C, pulse rate 120 beats/min and he has no skin rash or focal neurological signs. His Glasgow coma scale is 15/15. A CT scan shows no contraindication to lumbar puncture. CSF is obtained and Gram stain shows Gram-positive cocci, subsequent culture confirms a pneumococcal meningitis.

How many of your patients opt out of MMR?

Posted in General clinical at Sat, 24 Jan 2015 10:44:46

John D

Posts: 3398
Joined: 01 Feb 2010

The Disneyland measles outbreak which started over Christmas is reportedly spreading across California. It seems parents in California can opt out of immunising their children with MMR/any vaccines using 'personal belief exemption' to cover them for being anti-vaccine, pro-Andrew Wakefield, or just short of time to attend routine immunisation appointments.

What are the opt out options for patients where you practice? What percentage choose to opt out?

Why did evolution come up with sex? Meditations on the sadness of sperm

Posted in General clinical at Tue, 27 Jan 2015 20:23:17


Posts: 4525
Joined: 24 Feb 2009

The most puzzling aspect of evolution is why it happens at all. Why did sexual reproduction, which has no immediate advantages, triumph over simple division or budding? Why are the seas full of herring milt, and what use are the peacock feathers, the Provençal love poetry and all the other prodigal outpourings of sexual exuberance? Whenever I watch a video of one little wiggly sperm getting through the cell membrane of the egg-cell, I mourn the fate of all the 70+ million others who have wiggled in vain. Surely there must be a better way? Intracytoplasmic sperm injection is the obvious answer for men who produce sperm that don’t fertilize eggs. In American clinics using in-vitro fertilisation for male subfertility, its use has grown from 76% to 93% during 1996-2012: even in the absence of male subfertility, it is currently used in 67% of IVF procedures. Yet this study shows that in either category it adds nothing to the success of IVF. Nature is just bizarre, and rarely follows common sense, any more than a peacock or a Provençal love poem.

Incidental finding on TRUS study

Posted in Radiology at Sun, 25 Jan 2015 13:45:47


Posts: 206
Joined: 23 Dec 2010

What is your take on this incidental finding on TRUS (transrectal ultrasound) scan in a case of male infertility?

What is the most important medical advance since 1840?

Posted in General clinical at Mon, 26 Jan 2015 22:47:40

John D

Posts: 3398
Joined: 01 Feb 2010

The BMA is asking which medical breakthrough is worthy of depiction on a Royal Mail postage stamp. So far Royal Mail have produced stamps featuring the malaria parasite, beta blockers, penicillin, hip replacements, and the CT scanner. What should they use for their next medical breakthrough themed stamp? 



The below are the top four advances since 1840 as decided by a 2007 BMJ poll. (1840 is when The BMJ was launched.) Let's revisit that here. Which is most important in your opinion?


CT-Scans, When Are They Warranted?

Posted in General clinical at Sun, 25 Jan 2015 23:17:12

John D

Posts: 3398
Joined: 01 Feb 2010

The CT-Scanner has become one of the most pervasive and useful testing tools in the ED [Emergency Department] and the hospital in general. But, its usage and/or over-usage in many EDs raises some pertinent questions. For example, In peer-review back a few months ago, I presented the case of a young, very healthy and fit woman who fell down a flight of carpeted stairs and was transported to the ED as a "minor" blunt trauma patient. The pt. suffered NO LOC and the neuro exam was positive for new-onset vertigo; but DTRs were intact and Babinski negative; no nuchal rigidity; NKDA; NCAT; PERRLA; no musculoskeletal deficits/abnormalities; nor swelling. VSS, o2 = 96 on nasal cannula (at 2L/min); HR = 86; BP = 110/60; COR was negative for murmurs, gallops and rubs; ECG = NSR; crit = 34; non-fasting blood glucose was 36. Long story short, the surgical service ended up doing like 17 CT scans on her--from the head & neck to the chest & abdomen and down to both feet & digits. Each and every scan was negative as was a plain-film x-ray of her LEFT wrist. The patient was transferred from ICU to neuro floor for one day of observation and then was discharged. Diagnosis: minor concussion; pulled/torn ligament in the left thenar eminence and wrist; hypoglycemia; dehydration--likely 2 factors which may have induced or exacerbated her syncope and persistent vertigo.

IMO, there were too many scans taken of her, and to justify what? Good patient outcomes? The old-school docs went without CT scans. How did they manage? Are we ordering too many CT scans because we are desperately trying to COA [Cover Our A*ses] When "hyper"-ordering scans like in this example, there are important considerations that often go unchecked, like test costs; and possible exposure to excess radiation. What is the risk vs benefit ratio? Is it (CT scan) that important? If so, do we make these decisions to order uber alles amounts of tests based on SOUND medical judgement? Or does our modern society's litigious nature in medicine have us praying for tort reform (a cap on payouts due to malpractice) with each and every unneeded diagnostic-image?

Swearing at work - which specialty does it most?

Posted in General clinical at Tue, 27 Jan 2015 17:56:12

John D

Posts: 3398
Joined: 01 Feb 2010

A recent BMJ Careers feature asks whether it's OK for doctors to swear at work. 

Does it depend on the situation/the patient in front of you? Does it show disrespect to the patient? Or in the right context can it show empathy?

Is it specialty dependent? Surgeons are mentioned often; orthopaedic surgeons in particular were noted as swearing most, based on a 1999 study published in The BMJ.

Have you sworn in front of patients, relatives, nurses, other doctors? Were there repurcussions?

Australia Day 2015; a tribute to Billy Joel

Posted in General at Tue, 27 Jan 2015 20:25:56


Posts: 4525
Joined: 24 Feb 2009

A Song to Australia Day, Monday 26th January, 2015 inspired by Billy Joel’s song, “We didn’t start the fire”. I wrote this today being a public holiday.

We didn't start the fire,
It was always burning
Since the world's been turning.
We didn't start the fire,
No we didn't light it
But we tried to fight it.

Old Bailey, First Fleet, Transportation, let’s weep,

Captain Phillip, Bennelong, Botany Bay, footsore,

Gallows, flogging, ball and chain, triangle, bloody back,

Redcoats, Rum Corps, felons from  the Fatal Shore.


Gold rush, kangaroos, Marino sheep, emus,

Colony, Cutty Sark, Tea Clippers, Cape Horn, oh so fast,

Windjammers, immigrants, sea sick overboard,

Whale blubber, try pot, seal skins, it won’t last,


Cow cockies, cattle dogs, bushrangers, budgerigars,

Cockatoos, sandstorms, dreadful droughts

Heat waves, cyclones, bushfires, flooded roads, 

Stage coaches, Cobb & Co,  so slow, pass by a  dead cow.


Federation, Great War, Europe's  somewhere over there,

Pyramids, Gallipoli, slouch hat, dig deep, hell’s bells,

Western Front, M’mselles, Big Bertha, Krupp shells,

General Hague, Kitchener, trench foot, when will it ever end?


Pacific Ocean, Kingsford Smith, Southern Cross nearly out of gas,

Bradman, Baggy Green, cricket thought we’d never see,

Pale Poms, Bodyline, worn ball, rain’s come just in time,

Test match, Woolloongabba, Sydney Oval, MCG.


Roaring Twenties, Great Depression, Sydney Harbour Bridge join up, 

Bread and dripping, out of work, on the dole, worn soles

Pacifists, Rising Sun, Mussolini, Black Shirts,

Mantovani’s strings are yearning,

Nanking, Yellow Peril, Nuremberg, Guernica’s still burning.


Queen Mary, troop ships, Greece, Crete, Churchill, big defeat,

Erwin Rommel, Africa Corps, Tobruk’s Rats for ever more,

Jungle war, Japanese, Lancasters, Dambusters, 303,

Commandos, Kitty Hawks, Japs are at the front door.

Coral Sea, Siam, Burma Railway, Saipan, Japanese atrocity.


Atom Bomb, Enola Gay, Einstein, Fat Boy,

Cold War, Petrov case, Canberra’s full of reds,

Bay of Pigs, Vietnam, Conscription, Saigon,

Body counts, baggy hats, ambush, Viet Kong drag off their dead,

Punji stakes, napalm, Agent Orange, forest gone,

All the way with LBJ, Tricky Dick, go away.


Demonstrations, flower power, cannabis, deliberation,

Gough Whitlam, Peking, wars over, Che Guevara, Zhou Enlai,

Women’s lib, black vote, emancipation, now we have a space race,

Neil Armstrong, lunar lander, Tidbinbilla Tracking Station,

Normie Row, Slim Dusty, Peter Allen, Vegemite, Bee Gees,

Dame Joan, Puccini, Covent Garden, Errol Flynn’s Tasmanian.


 Ayers Rock’s now Uluru, dingo tracks, baby in the Outback,

Lindy Chamberlain, Meryl Streep, court-case divides a nation,

Mad Max, apocalypse, Desert Queen, Cate Blanchett as Galadriel,

Russell Crowe, Mel Gibson, Nicole Kidman, Hugh Jackman,

Heath Ledger, Brokeback, coroner says “intoxication”.


Southern Cross, democracy, surf beach, shark nets,

Sunscreen, BBQ’s, Paul Hogan, peeled prawns, good mate,

Cold beer, red wine, rump steak, lamingtons, passionfruit Pavlova,

Cricket in the backyard, play it when the Barbee’s over.


We didn't start the fire,
It was always burning
Since the world's been turning.
We didn't start the fire,
But when we are gone
It will still burn on, and on, and on, and on.

We didn't start the fire,
It was always burning
Since the world's been turning.
We didn't start the fire,
No we didn't light it
But we tried to fight it.

We didn't start the fire,
It was always burning
Since the world's been turning.
We didn't start the fire...


PS I left our Mary Poppins, Schindler's Ark, Rod Laver, Lew Hoad, Dawn Fraser and many others.

FGM trial convicts doctor of manslaughter

Posted in Psychiatry at Tue, 27 Jan 2015 10:58:12


Posts: 536
Joined: 23 Aug 2013

The BBC News reported that in Egypt, a doctor was convicted of manslaughter following doing Female Gential Mutiliation (FGM) which lead to her death. In Egypt, there is a law against FGM however, apparently it might be still practiced.

I woder whether you have ideas to help doctors to abide more by their local legislations. Also, what do you think of FGM.

Light Therapy And Bipolor Disorder

Posted in General clinical at Sun, 25 Jan 2015 01:39:34


Posts: 7
Joined: 13 Nov 2014

I'm in need of some psychiatric help--not in terms of my mental health--because I am finding it difficult to get a definitive answer to a question. In the realm of treating SAD (Seasonal Affective Disorder), is light therapy contraindicated in Bipolar Disorder due to the probability that it would/could induce mania or hypo-mania? If so, how high is the percentage--approximately--rate of patients with Bipolar who developed manic states from light therapy? Is it absolutely contraindicated in this patient population? Or, can it be considered on a case-by-case basis? What is/are the most effective treatment(s) for patients who should/could NOT use light therapy if they do indeed suffer from both Bipolar and SAD? Would real sunlight--especially when the days are longer--cause mania as well? Does or would melatonin--for example--also induce mania?

Answers; comments; opinions would be greatly appreciated. Thank you in advance for your time and consideration.

Should GPs see everyone with three weeks of dyspesia?

Posted in General clinical at Tue, 27 Jan 2015 21:37:25


Posts: 845
Joined: 13 Oct 2009

Public Health England has launched a campaign encouraging people experiencing three or more weeks of dyspepsia to go to their GPs so they can be considered for endoscopy referral. It's part of their wider scale 'Be clear on cancer' campaign,

What comes to mind first when you think about seeing everyone with three weeks of dyspepsia? Better oesophago-gastric cancer diagnosis? Higher workloads? Overinvestigation? Ammunition for the worried well?


Magna Carta 800th Anniversary

Posted in General at Tue, 27 Jan 2015 20:37:13


Posts: 4525
Joined: 24 Feb 2009
'King John entered the meadow (thought to be Runnymede) as a ruler acknowledging no secular superior, whose word was law. He left the meadow as a ruler who had acknowledged, in the most solemn manner imaginable, that there were some things even he could not do' (Tom Bingham LJ).
It is very much debated exactly what was achieved by Magna Carta - it achieved very little for an average citizen but it did reshape dramatically the relationship between the King and his thuggish Barons. Does it really speak to democracy, separation of powers, liberty and freedom? To some extent all the foregoing has some truth.  The costs of defending a Plantagenet empire reaching from Scotland to the Pyrenees meant that English government was set up to extract money from the realm as efficiently as possible. This meant regular and high taxes. It also meant exploiting  the king’s feudal prerogatives. These were payments that the king claimed the right to demand from his barons when they inherited estates and titles, or when he wanted to raise an army. Magna Carta was essentially a failed peace treaty produced between King John and a coalition of his Barons often called The Army of God. The issues between these two groups were many and various – which is why Magna Carta is 4,000 words long and is now usually divided into 63 clauses. The grievances it addressed were not only of John’s making. They reached back at least two generations, into the reigns of John’s father, Henry II, and his brother Richard I, “the Lionheart”.
Richard I’s involvement in the Third Crusade, after which he was taken prisoner and held for ransom, cost perhaps £200,000: roughly the equivalent of 10 years’ national income. (In the UK today the equivalent cost might be £6.5tn: Richard’s crusade would be like England paying for the entire recent war in Afghanistan twice in three years.) And that was only one expense. There were equally massive wars in France, rebellions to put down and the ordinary cost of government. So the Plantagenets were in chronic need of money and squeezed the country – particularly the barons – hard. That would have been bad enough – but in 1199, along came John.
John’s reputation was abysmal in his time, and has remained so ever since. “Tyrannous whelp”, was how one chronicler described him: he was generally thought to be untrustworthy, mean-spirited, cruel, violent and paranoid. He had a legalistic mind and grasp of the machinery of government that amounted almost to genius, but he was also a second-rate and unlucky military leader. In 1203-04, John lost the Plantagenet lands in Normandy, Anjou, Maine and Touraine. He subsequently fell out with the church to the point where the Pope placed England under Interdict and excommunicated John personally. He murdered his nephew and rival Arthur of Brittany and killed scores of hostages and several old friends – including one baron’s wife, Matilda de Briouze, who was starved to death in the same cell as her son and died mad with hunger trying to eat her dead boy’s face.
On top of all this, in his efforts to raise the money to take an army to France and reclaim the lands he had lost, John ratcheted up the financial extortions on the English barons to an unbearable degree, levying huge fines on individual lords. It was also said that he seduced several of their women and daughters. By 1215 a large group of his nobles had had enough. An attempt to assassinate John in 1212 failed, but after the king’s continental allies suffered a humiliating military loss at the Battle of Bouvines in 1214, the English barons rebelled and a civil war began. The peace talks to try to stop that war from escalating resulted in this treaty: Magna Carta.
The most famous clauses of Magna Carta are numbered 39 and 40. “No free man is to be arrested, or imprisoned, or disseised, or outlawed, or exiled, or in any other way ruined, nor will we go against him or send against him, except by the lawful judgment of his peers or by the law of the land.” And, “to no one will we sell, to no one will we deny or delay, right or justice.”
These have been interpreted in the centuries that followed 1215 as setting out the basic liberties of an English subject. They were seized upon by Sir Edward Coke and subsequent opponents of Charles I during the 17th century. The Founding Fathers drew on them in writing the Declaration of Independence and the Bill of Rights. These ideas are present in the Universal Declaration of Human Rights – described in 1946 by its champion Eleanor Roosevelt as “a Magna Carta for all mankind”. But this is only a small part of Magna Carta, buried far down the treaty. More important at the time were clauses that guaranteed the freedom of the English Church and the city of London and placed heavy limits on the king’s ability to exploit his feudal prerogatives and extort his barons. Politicians today love to invoke Magna Carta as a bulwark for the rights of the ordinary man. But it would be more accurate to say that Magna Carta’s clauses variously offered special legal protection for the Catholic Church and the aristocracy, advocated tax breaks for the wealthiest, freed the City of London from regulatory oversight, promised total freedom of immigration and placed the burden of infrastructure maintenance on local communities instead of government.  Yet, of course, Magna Carta has grown to mean something quite different from the material of its clauses. This process began early. Magna Carta 1215 was nullified by the Pope after eight weeks. But in 1216, after John’s death, it was reissued voluntarily by his son’s minority government as a gesture of political goodwill and an indication of their willingness to govern fairly.
Over the course of the 13th century, political crises were often resolved with official reissues or reconfirmations of the charter. (The 1297 Magna Carta, copies of which are in the US National Archives and Australia’s Parliament House, was one such reissue.) Thus, by the end of the Middle Ages, Magna Carta’s clauses were largely outdated and obsolete – but its place as a symbol of a government’s willingness to embrace restraint had been fixed.
Subsequently, that legend has grown in inverse proportion to the relevance of the detail of Magna Carta. By Victorian times – when the historian Bishop Stubbs declared all English constitutional history to be “a commentary on Magna Carta” – the charter had become wholly unmoored from its original purpose and now simply represented Year Zero in the march towards civil liberties and British democracy.
Today Magna Carta’s clauses are all either repealed or redundant in British law, but its name lives on symbolically - whilst Habeus Corpus grew out of Magna Carta it did not explicitly originate as we understand it today in the charter.
For all the hype of MC it has been more than just symbolic to the United States, Canada, Australia, New Zealand and many other legal systems and it is right that we recognise its place in history. The development of MC, its origins, full clauses, implications, history etc etc take up an entire text book. Here I simply wanted to raise it as a topic and see if anyone was particularly interested in it and would be reading further about it - I wonder how many of us were taught about it in school? I note that Prime Minister David Cameron (an Oxford Graduate) was unable to say what 'Magna Charter' meant when asked about it live on TV - pretty shameful really.

Does your team deserve a 2015 BMJ Award? Submission deadline TODAY

Posted in BMJ at Tue, 27 Jan 2015 10:18:50


Posts: 1082
Joined: 07 Sep 2009



If you want to submit an entry for the 2015 BMJ Awards, you need to register here before 2300 tonight


This year's categories are

Clinical Leadership Team

Dementia Team

Diabetes Team

Gastroenterology Team

Imaging Team

Innovation Team

Lifetime Achievement

Mental Health Team

Palliative Care Team

Patient Safety Team

Primary Care Team

UK Research Paper

Women's Health Team


You can read about  last year's winners here


Thank you from The BMJ

Posted in BMJ at Tue, 27 Jan 2015 15:07:08


Posts: 1082
Joined: 07 Sep 2009

The BMJ  would like to thank all those who supported its Christmas appeal for MSF.  Rich Hurley spoke to Vickie Hawkins, the UK's executive director of MSF, about how they will spend the £47K on prioritising emergency responses to situations, and on Ebola treatment for pregnant women. You can read the full article on thebmj.com

A big thank you to everyone from doc2doc who donated 

Use of Gram stain kit and Methylene Blue Solution for bacteria finder in infection

Posted in General clinical at Tue, 27 Jan 2015 11:06:47


Posts: 2
Joined: 18 Jan 2015

Majority of the Microbiology Laboratories do a culture work for Bacterial identification from several specimens arise from the Hospitals. Gram staining is a common traditional procedure and an age old procedure since Christian Gram’s contribution in 18th Century, for Bacterial studies.A Gram Stain  are the most commonly performed microbiology tests used to identify the cause of a bacterial infection. detecting the presence of bacteria and determining whether an infection is caused by an organism that is Gram-positive or Gram-negative will be sufficient to allow a health practitioner to prescribe treatment with an appropriate antibiotic 

Gram Stain Kit Methylene Blue Solution Counterstains Protocol | Microbiologycal Reagents Kits-Scytek Laboratories


Gram Stain Kit Methylene Blue Solution Counterstains Protocol | Microbiologycal Diagnostic Reagents Kits-Scytek Laboratories 
GRAM STAIN Kit is intended for the demonstration and differentiation of Gram-positive and Gram-negative bacteria.

Gram Stain Positive Bacteria: Blue
Gram Stain Negative Bacteria: Red
Other Tissue: Yellow
 GRAM STAIN Nuclei: Red
For more Details call us 435-755-9848 OR  please visit online:  http://www.scytek.com/products/28-GSK-2-Gram-Stain-Kit.asp
Methylene Blue Solution
Methylene Blue Solution (Loeffler's) is used in various procedures such as the Ziehl-Neelsen, Fite's, and Gram stain. The stain is also suggested for use instaining a variety of bacteria (Corynebacterium diphtheria, Haemophilus influenzae, Neisseria, etc.) and leukocytes. This reagent produces dark blue nuclei with lighter blue cytoplasm.

Nuclei: Dark Blue
Cytoplasm: Light Blue
Corynebacterium Diphtheria: Blue Granules
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World Federation of Mental Health 2015 Congress

Posted in Psychiatry at Mon, 26 Jan 2015 17:37:51


Posts: 536
Joined: 23 Aug 2013

Dear colleagues,

the World Congress of The World Federation for Mental Health (WFMH 2015) in Cairo, Egypt, on 16 - 19 October 2015. This Congress is being organized by the World Federation for Mental Health ( WFMH ) , The Royal College of Psychiatrists - Middle East Division. Abstract submission

I hope this help you to have more options with respect to your forthcoming conference of interest.