Fight Fight Fight!

Oh my prophetic soul

a onblur=”try {parent.deselectBloggerImageGracefully();} catch(e) {}” href=”http://www.makefive.com/images/200833/67e12ca204bc4c2a.jpg”img style=”margin: 0px auto 10px; display: block; text-align: center; cursor: pointer; width: 223px; height: 244px;” src=”http://www.makefive.com/images/200833/67e12ca204bc4c2a.jpg” alt=”" border=”0″ //abr /Recently Dr Rant blogged on a href=”http://www.drrant.net/2009/04/medicine-by-dictat.html”medicine by dictat/a. We included this line, meaning it as a joke. span style=”font-style: italic;”“All diabetics are so well controlled that they never get out of hypoglycaemic coma”/spanbr /br /Reality it seems is ahead of art this weekend. This a href=”http://www.bmj.com/cgi/content/full/338/mar05_2/b800″piece in the BMJ/a raises a serious question over the value of extremely tight glycaemic (blood sugar) control in older type 2 diabetics, and all the extra costs of insulin and blood testing and monitoring and hypoglycaemic episodes that go with it, not to mention the unpleasantness of injections.br /br /The QOF targets have been tightened this year, instructing GPs to achieve very tight glycaemic control in their diabetics…just as the evidence suggests it may not be the a href=”http://www.civitas.org.uk/wordpress/2009/04/an-addendum-quality-often-flawed”right thing to do./abr /br /How ironic. A a href=”http://www.thesystemsthinkingreview.co.uk/”target based system/a leads a href=”http://online.wsj.com/article/SB123914878625199185.html”professionals to do the wrong thing/a for money. How very a href=”http://www.spectator.co.uk/the-magazine/columnists/3540271/shared-opinion.thtml”new Labour/a, as Hugo Rifkind shows as he separates sheep from goats this week.br /br /Hippocrates said, “First, Do no harm.” The longer he goes on in medicine the more the misleading simplicity of this great instruction strikes Dr Rant. How much harm will the NHS force doctors to do to meet targets rather than treat the patients right? Answers please on a a href=”http://www.telegraph.co.uk/health/healthnews/5006037/Patients-died-due-to-appalling-care-at-Staffordshire-hospitals—Healthcare-Commission.html”postcard from Staffordshire/a.div class=”blogger-post-footer”img width=’1′ height=’1′ src=’//blogger.googleusercontent.com/tracker/28089527-5807495762717949358?l=www.drrant.net’//div

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