Doctors

There’s a graveyard inside Henry Marsh’s head, though you’d never guess it to look at him. There he sits in his elegant flat in a small castle on a small island in the Oxford Thames: 67, attractive, restless. There he sits with the world all around him: Persian rugs, French tapestries, Japanese prints and his beautiful blonde wife (the anthropologist Kate Fox) in a separate flat below. But the ghosts of past patients are never far away. Henry Marsh is a brain surgeon, celebrated for his skill in operating on patients under just local anaesthetic. He’s famous also for his astonishing memoir Do No Harm, to which he’s now written

When the BMA announced a new round of strikes they will have been prepared for a backlash from certain quarters. The criticism yesterday from Jeremy Hunt and Theresa May, who accused striking doctors of ‘playing politics’, won’t have come as a surprise. But what is different about this latest, unprecedented industrial action are the attacks on junior doctors now coming from fellow medics. For the Academy of Medical Royal Colleges to intervene as they did last night indicates a significant shift in this drawn-out dispute. Here’s what they said in a statement: ‘The Academy of Medical Royal Colleges is disappointed at the prospect of further sustained industrial action by junior doctors.

The builder boyfriend colicked for a week after eating a falafel kebab as he and I sat up all night with the colicking pony. And unlike the colicking pony, who was attended to by the vet and given intravenous Buscopan, the colicking builder boyfriend moaned and groaned in agony, untreated. If he had a GP he couldn’t remember who or where it was. He has not sought any kind of healthcare, nor seen the inside of a hospital, since a gang of thugs broke both his arms when he was a ten-year-old boy growing up on the mean streets of Balham. (That was the real Balham, before the independent hipster

Just when it looked as though Britain’s vacuum Government had enough on its plate, the junior doctors row – which many had hoped had finished – will now bubble on. BMA members have just voted to reject the Government’s contract offer by 58 per cent to 42 per cent. The margin was convincing enough that the BMA’s chair Johann Malawana, who proved an effective combatant against Jeremy Hunt during the dispute, has stepped down. In his letter, Malawana pointed the finger of blame at the Government, saying: ‘I believe the fundamental breakdown in trust caused by the government’s actions over the last five years has resulted in a situation where no

Why do we assume all doctors are good? We don’t think there are no bad cooks or bad plumbers. But everyone thinks their surgeon is the best in the world. Recommended to one such, I booked an appointment. He rattled off his spiel about the pros and cons of surgery, physio or jabs for a bad shoulder, while looking at the ceiling and at his watch. He waved away my scan: ‘I never look at those. Just heaving oceans of muscle. They all look the same.’ He favoured surgery, but I asked for a jab. It hurt like hell and made no difference. So I went to another ‘top of his

Now that Jeremy Hunt has rejected a proposed cross-party pilot scheme for new junior doctors’ contracts it seems this week’s strike looks certain to go ahead. The industrial action is due to start tomorrow morning and junior doctors will walk out again on Wednesday, but the war of words for this week has already begun in earnest. The Health Secretary has fired the opening salvo in his letter to Dr Mark Porter. Hunt said the strike: ‘…seriously risks the safety of many who depend on the NHS’ Dr Porter, the BMA council chair, has been on Today defending the industrial action which will see junior doctors walking out and not

A few months ago, paramedics were on the brink of industrial action. They had legitimate grievances. Ambulance services were being run down, their staffing levels were dangerously thin — and the mismanagement (much of it exposed by Mary Wakefield in The Spectator) was horrendous. But in the end they stepped back from the brink — for good reason. It went against their nature to endanger lives, and in addition it would have been a tactical mistake. If a single patient died as a result of the strike, paramedics would have lost public sympathy. Should a nationalised health service really use the unwell as a bargaining chip? English doctors have not

I’ve never understood the phrase ‘died peacefully’. Two weeks ago I watched my mother die, in the very same NHS hospital where I watched my father die almost ten years earlier. There was nothing peaceful about it, at least from my unwanted ringside seat. The end — acute pneumonia providing the final nail in a soon-to-be purchased coffin — was painfully slow. It dragged on and on and on. She struggled for her last breaths and appeared distressed, confused and frightened to the end. The last time I had been to St Helier hospital in south London was September 2005, as my father slowly slipped away. Naturally the memories came

Home David Cameron, the Prime Minister, said that Muslim women must learn English, and that those who had entered on spousal visas would be told halfway through their five-year spousal settlement: ‘You can’t guarantee you can stay if you are not improving your language.’ He said that learning English had ‘a connection with combating extremism’. A heterosexual couple went to the High Court to claim the right to enter into a civil partnership. MI5, the security service, was rated as Britain’s most gay-friendly employer, following a survey by the organisation Stonewall. Mark Carney, the governor of the Bank of England, said: ‘Now is not the time to raise interest rates.’

Ever since my teens I’ve hated Christmas, but last year something happened which made me change my mind. On 20th December, my teenage son was struck down by bacterial meningitis. No rash, no stiff neck. He’d been off school the day before but we all thought it was just a nasty cold. By the evening he seemed to be on the mend. He wolfed down a huge supper and sat up on the sofa, watching TV, tormenting his little sister. In the small hours he started throwing up. He became incoherent, then unresponsive. By the time the ambulance arrived he was like a statue. By the morning he was in

The NHS and politicians Sir: The NHS is indeed in need of fundamental reform, but Max Pemberton’s excellent article (‘The wrong cuts’, 14 November) exemplifies why politicians are least well qualified to conduct it. The public loves the NHS and has every reason to distrust political meddling. NHS England should become a public corporation with a five-year charter similar to that applying to the BBC. Of course politicians must decide the total budget and agree the strategic goals, but that is a far cry from deciding the pay and hours of every category of staff. Politicians have no managerial skills and should leave that to the professionals. Tim Ambler Cley next

An infuriating benefit of readers’ online comments beneath the efforts of a columnist like me is that as you read the responses an understanding dawns of the column you ought to have written. Some readers are stupid, unpleasant or obsessive; but most are not. As you learn their reactions you see where your argument was not clear, where you were short of information, and where you were simply wrong. But more than that, you sometimes tumble for the first time to where the nub of a problem that perhaps you danced around may lie. Last Saturday I wrote for the Times about the self-righteousness of spokesmen for public services threatened

Well, it’s fair to say that Jeremy Hunt’s going to have a fun time at the next doctors’ conference he attends. There’s the #Iminworkjeremy trend on social media of furious doctors pointing out that they already work at weekends, and are not playing golf, as they believe the Health Secretary claimed. There’s the multiple petitions calling on the Health Secretary to resign, be sacked, or be subject to a vote of no confident in Parliament. And there are the furious op-eds from doctors who feel completely undervalued. Now, doctors do work weekends, and they also work twilight shifts and long weeks of nights, and they also have to certify people as dead

[audioplayer src=”http://traffic.libsyn.com/spectator/TheViewFrom22_30_Oct_2014_v4.mp3″ title=”Henry Jeffreys and Sarah Coghlan join Mary Wakefield to discuss Movember and other wackiness.” startat=1456.1] Listen [/audioplayer]Some men are growing facial hair for Movember but lots of people are just trying not to go bald. Male pattern baldness affects half of men over the age of 50, according to the British Association of Dermatologists. But that’s not all – half of women over the age of 65 are also grappling with hair loss. Usually, though, their hair thins, rather than disappearing quite so radically as it does in men. So what can both sexes do to preserve their crowning glory, or mitigate what they’ve lost? 1. See your

[audioplayer src=”http://traffic.libsyn.com/spectator/TheViewFrom22_15082013.m4a” title=”Andrew Haldenby and Sean Worth join Sebastian Payne to discuss NHS reforms.”] Listen [/audioplayer] GPs enjoy the salary of bankers, regularly pulling in £100,000 for a five-day week, with no on-call or weekend duties and a lovely taxpayer-funded holiday every year. I know this because it says so in the papers, so it must be true. Stories of GP largesse are far from accurate, and bear testament only to the media’s desire for sensationalism. GPs are the true medical heroes of the NHS, the soldiers in the trenches, too loyal to the metaphorical army to revolt, protest or express opinions, lest such opinions serve as an indirect abrogation