Medicine

My son and the back-crackers of Harley Street

All along Harley Street, charlatans and medical experts have set up side by side with no obvious way to tell them apart. The same wide steps lead up to the same glossy front doors, all with prestigious brass knobs. Each separate house is itself a layered stack of quacks and docs: radiology one floor above absence healing, flower therapy down the corridor from paediatric ENT. The magnificent Harley Street address confers a blessing on every dubious therapy. Perhaps it has a placebo effect all of its own. I know the street quacks well, or used to. My mother had a horror of antibiotics and would pack us off to Harley

Beyond the stethoscope: transforming the NHS with new technology

For technology manufacturers, healthcare is already big business, and, with an ageing population increasingly comfortable with technologies that would’ve been unthinkable even a decade ago, the opportunities to innovate are only going to increase. The Future Health Index, a global report commissioned by Philips, supports the fact that it is not just the UK’s younger generation that are embracing these technologies. However are these products – from popular or trendy FitBits to state-of-the-art imaging equipment – really going to revolutionise the country’s medical care? And will the NHS require a head to toe change of ethos to accommodate them? Spectator editor Fraser Nelson is joined to discuss all this by

Playing Stalin for laughs

Christopher Wilson’s new novel is much easier to enjoy than to categorise. And ‘enjoy’ is definitely the right word, even though The Zoo tackles subject matter that should, by rights, make for a punishingly bleak read. The narrator is 12-year-old Yuri, whose misfortunes start with the fact that he’s growing up in Moscow in 1953 — and that a road accident when he was six damaged his brain, leaving him with a curious set of symptoms that couldn’t be worse suited to life under Stalin: a total lack of guile, a tendency to ask awkward questions and a face so angelically trustworthy that everybody tells him their deepest secrets. Given

Real life | 15 June 2017

And so, as it must, the pilgrimage to find a local GP surgery begins. This is a great British tradition, and I have been honoured in my lifetime to have taken part in many and varied official registerings at different NHS surgeries. Having been ceremoniously relieved of my first GP in London, and invited to find another one because they had redrawn the boundaries, last year I was on the road again after they closed the second one down. I found myself at a surgery on a sink estate where the first language — and indeed the second, third and fourth languages — appeared not to be British and where

The fount of all knowledge

Somewhere around the middle of the 17th century our modern concept of the museum began to take shape. Until then the cabinet of curiosities formed by a prince or a dilettante was on show solely to his friends or to scholars deemed worthy of having it unlocked. Nothing in the way of a systematic catalogue existed to help them navigate the gallimaufry of odd objects filling its shelves and cupboards. A Japanese netsuke button, an Arawak headdress and a handkerchief soaked in the blood of Charles I could be found nestling beside a stuffed alligator or a bezoar stone, calculus from an animal’s stomach held to possess magical curative powers.

Light in the East | 9 March 2017

Christopher de Bellaigue, a journalist who has spent much of his working life in the Middle East, has grown tired of people throwing up their hands in horror at Isis, Erdogan and Islamic terror, and declaring that the region is backward and in need of a thorough western-style reformation. As he argues in this timely book, the Islamic world has been coming to terms with modernity in its own often turbulent way for more than two centuries. And we’d better understand it, because it’s an interesting story, and often a positive one — the way vast crowds streamed onto the streets of Cairo, Istanbul and Tehran in demonstrations against authoritarian

All in the mind’s eye

Everyone knows what the Rorschach tests are. Like Freudian slips, boycotts, quislings and platonic friendships, however, it was long ago forgotten that they had been named after an individual human being. Hermann Rorschach was a Swiss doctor and psychiatrist with curiosity about the visual arts, a contemporary of Freud and Jung. He created the tests in a book published in 1921, and a structure for evaluating patient responses to them before dying of appendicitis the following year. Rorschach’s life has its interests, and certainly casts some unexpected light on the Europe of his time. His father wrote an artistic treatise which sounds extraordinarily like the Bauhaus writings of Paul Klee,

Instant gratification

Instant photography already existed long before Edwin Land, the ingenious inventor and founder of Polaroid, went for a walk with his daughter in Santa Fe in 1943. ‘Why can’t I see the pictures now?’ she asked her father on the way home. But the photographic systems available at that time were really just ‘experimental portable darkrooms’ rather than truly ‘instant cameras’. Only a few hours after his daughter’s question, Land got hold of a patent lawyer and by Christmas the first test versions of ‘Polaroids’ had been developed in the lab. Land was an incredible visionary. He was not just researching an innovative film system. He was on the hunt

Hippocrates’ prescription

Doctors are being urged not to tell patients what is best for them but to lay out the options and tell them to get on with it. Hippocrates (5th century BC) would have had his doubts. A key duty of the ancient doctor was, he said, ‘to help, or at least not to harm’. In this it was standard practice to involve the co-operation of the patient. As Hippocrates said, there were three components to the medical art: ‘the disease, the patient and the doctor. The doctor’s job is to serve the technical side; the patient’s is to co-operate with the doctor in combating the disease.’ Trust between doctor and patient

A rose between two thorns

Emma Rauschenbach was the daughter of rich Swiss industrialists — a plump, good-natured girl, nicknamed ‘Sunny’, who married young without knowing what she was letting herself in for. Her husband, Carl Gustav Jung, was revered after his death as a guru as much as a doctor — as the mystic and visionary that Freud might have become had he not been so fixated on the role of the libido. As a husband, a father and a younger man, however, Jung appears to have been close to intolerable. He was physically large, selfish, bullying and loud of voice; he cheated at games, had a vile temper and appalling table manners; he

Doctor who?

On 25 July 1865, during a heatwave, Dr James Barry died of dysentery in his London lodgings. A charwoman came in to ‘lay out’ the body. She had known the deceased gentleman: a strange-looking fellow, about five feet tall, slight and stooped and with a large nose and dyed red hair. But nothing had prepared her for what she found when she folded back the bedclothes. Barry’s whole body — ‘the genitals, the deflated breast and the hairless face’ — was unmistakably female. And as if that wasn’t shock enough, the charwoman’s eye was drawn to pronounced striations in the skin of the belly. As a mother of nine, she

Stiffen the sinews

It’s not unreasonable to expect that the anatomy syllabus for a medical degree should include breasts. Last year I performed full-body dissection as part of my training to become a doctor. After timid first incisions to the arm, we students were entrusted with opening the chest cavity. Two obstacles blocked the way. I looked in the course manual for directions about how to cut — through? around? underneath? But there was no mention of these pleasure-giving, milk-yielding, cancer-visited organs. One justification for the vast expense of cadaveric dissection is to develop a clinical understanding of the body in its supposed entirety. Omitting the breasts reflects a way of thinking —

Of microbes and men

Which disease are you most scared of catching: Ebola or influenza? Before I read this medical memoir, I would have said Ebola. Now, I’d say flu. As Dr Ali S. Khan points out, Ebola is fairly hard to catch; flu is fairly easy. And unlike wimpy man flu, proper flu can be a killer. You’ve heard of the Spanish flu, which killed 675,000 Americans a century ago. But did you know that influenza still kills up to 50,000 Americans every year? Most pandemics are more like flu than Ebola: they don’t sound that spooky until they get out of hand. Yet instead, we worry about killer bugs which we stand

Wise women in wikuoms

In spurts and bursts and flashes, a sublime novelist at work reveals herself. In Annie Proulx’s new novel, there are breath-taking pages and set pieces of extraordinary power. A man on board a ship, as the temperature plummets, sees all those around him embedded in ice before the catastrophe falls on him; a logging run down a river blocks, builds and explodes with the force of missiles; a wall of fire sweeps across a forested wildness. There are individual chapters of great dramatic force, as Proulx’s people confront the possibilities before them and produce their own solutions. But are those flashes enough? Barkskins in the end seems to me a

How your brain buys a sofa

Almost every popular commercial product owes its success to two different qualities. First, it does the job it is ostensibly designed to do pretty well. Secondly, it has some quality that you might call ‘limbic appeal’. It delights or soothes our unconscious mind in ways which defy objective measurement. Much as it delusionally believes that it runs the show, the power granted to conscious reasoning within the brain is that given to a slightly colour-blind, utilitarian man when he buys a sofa with his wife. The man may have his own preferences, but he has a minimal role in the selection, involving as it does many complex factors that defy

From surgeon’s scrubs to patient’s gown

Who would you trust to take a blade to your brain? Medical schools and hospitals, arbiters of this outrageous intimacy, select the steadiest hands and the steadiest temperaments. Neurosurgery has an almost religious aura, an intellectual status approaching quantum physics and a work ethic of unforgiving precision. Most elusive of all, this elite should be able to express the pleasures and pains of being human. Ian McEwan’s fictional neurosurgeon, Henry Perowne, is suspicious in his indifference to literature, whereas Henry Marsh, neurosurgical consultant and author of Do No Harm, has earned respect through his elegant prose. To take care with words is invaluable in the heroic efforts of preserving personhood.

The wrong cuts

[audioplayer src=”http://rss.acast.com/viewfrom22/jeremyhunt-scatastrophicmistake/media.mp3″ title=”Dr Clare Gerada and Fraser Nelson discuss the row over junior doctors” startat=34] Listen [/audioplayer]It has long been rumoured that when Jeremy Hunt took over as Health Secretary, Cameron told him to do one thing with the NHS: keep it out of the headlines. Given that the NHS is an enormous institution, the public take an avid interest in it and it is frequently rocked by scandals and financial difficulties, this was no easy task. Until a few weeks ago, Hunt had managed it with aplomb. And then the junior doctor fiasco happened. It has been cataclysmic, one of the worst public relations disasters to rock a government

Why can’t we get our minds around ME?

Do you ever wake up worried that you have tiny fibres growing beneath your skin, all along your spinal column? Possibly wriggling little fibres, placed there by the government or by aliens? By aliens I don’t mean asylum seekers but proper aliens, quite probably creatures with bifurcated tongues and scaly lips from the Planet Zog. If so, you may well consider yourself to be suffering from ‘Morgellons’. This unfortunate condition had its heyday at the turn of the century, with hundreds of thousands of people reporting to their GPs and clinics in the USA and here, pleading to have these little fibres sorted out somehow. Millions and millions of dollars

Barometer | 29 October 2015

Killer facts The World Health Organisation added processed meats to its list of ‘known’ carcinogens. A few of the other things which have been claimed to be linked to cancer in the past fortnight: — Make-up in Halloween outfits (blamed by a laser surgery centre in New York) — Chocolate (blamed by a colorectal surgeon at St George’s Hospital, Tooting) — Deodorants (tabloid article — no source given) — Hormone-replacement therapy (tabloid article — no source given) — ‘Roundup’ herbicide (named in US lawsuit) — Sand used in fracking, which is to say, sand (Friends of the Earth) — Nail polish (tabloid article — no source given) — Shampoo (US

Women are still scared to talk about IVF. Let’s change that

As a result of a ruptured appendix, I am infertile. The appendicitis was followed by gangrene and peritonitis, which permanently blocked my fallopian tubes and left me having to do IVF for a chance to have my own child. I have never felt shame about my situation but I have felt isolation and grief, both of which would be very much more bear-able if people were prepared to talk openly about in-vitro fertilisation — to dispel the taboo that still surrounds it. IVF in its various forms is incredibly common these days. More than 2.5 million babies born in the past seven years began their life in a Petri dish.