BMJ medicinePub Date : 2023-08-04DOI: 10.1136/bmj.p1814
Eric Glen, Stephen Glen
{"title":"Patricia Alexa Scott Glen","authors":"Eric Glen, Stephen Glen","doi":"10.1136/bmj.p1814","DOIUrl":"https://doi.org/10.1136/bmj.p1814","url":null,"abstract":"","PeriodicalId":72433,"journal":{"name":"BMJ medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72535207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BMJ medicinePub Date : 2023-08-04DOI: 10.1136/bmj.p1800
Liz Peretz
{"title":"Enrique Zapata-Bravo","authors":"Liz Peretz","doi":"10.1136/bmj.p1800","DOIUrl":"https://doi.org/10.1136/bmj.p1800","url":null,"abstract":"Enrique Zapata became a member of the Royal College of Psychiatrists in 1987. Until 1976 he had lived in Chile and pursued a career in internal medicine; under Allende he had been the director of the Institute of Respiratory Medicine at the University of Chile in Santiago. Forced to leave Chile, with the help of the World University Service, and subsequently finding he needed to retrain if he was to practise in the UK, he decided to change specialism and become a psychiatrist. He was a consultant psychiatrist in Milton Keynes from 1991 to 2002, serving asmedical director from 1996 to 2001. From2002 to 2012 heworked as consultant psychiatrist at StAndrew’sHospital,Northampton, anational tertiary referral centre.Herehewas in chargeof exceptionally complex patients with severe and pervasive disorders, mostly forensic cases.","PeriodicalId":72433,"journal":{"name":"BMJ medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89821044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BMJ medicinePub Date : 2023-08-04DOI: 10.1136/bmj.p1792
N. Grant, E. Price
{"title":"Ellen C G Grant","authors":"N. Grant, E. Price","doi":"10.1136/bmj.p1792","DOIUrl":"https://doi.org/10.1136/bmj.p1792","url":null,"abstract":"","PeriodicalId":72433,"journal":{"name":"BMJ medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79727855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BMJ medicinePub Date : 2023-08-03DOI: 10.1136/bmj-2023-075978
Antao Xu, Q. Fu
{"title":"Heliotrope rash","authors":"Antao Xu, Q. Fu","doi":"10.1136/bmj-2023-075978","DOIUrl":"https://doi.org/10.1136/bmj-2023-075978","url":null,"abstract":"Named after a deep purple flower, this is a heliotrope rash on the eyelids of a woman in her 70s (fig 1). These periorbital violaceous eruptions had worsened over three months and become oedematous. The patient had also become progressively more breathless on exertion over the past six weeks. High resolution computed tomography showed interstitial lung disease. Serum creatine kinase levels were raised, and an antibody test confirmed adiagnosis of anti-melanomadifferentiation-associated gene-5 (MDA-5) positive dermatomyositis. A heliotrope rash, which is often associated with periorbital oedema, is characteristic of dermatomyositis.1 Although many antibodies are linked to dermatomyositis, anti-MDA-5 antibodies are associated with rapidly progressive interstitial lung disease.2","PeriodicalId":72433,"journal":{"name":"BMJ medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76777920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BMJ medicinePub Date : 2023-08-03DOI: 10.1136/bmj.p1779
Dave deBronkart, J. Oldenburg
{"title":"“Mighty Casey” Quinlan: outspoken patient activist","authors":"Dave deBronkart, J. Oldenburg","doi":"10.1136/bmj.p1779","DOIUrl":"https://doi.org/10.1136/bmj.p1779","url":null,"abstract":"Casey was notorious for having a QR code tattooed on her sternum that linked to her complete medical history online. It was a visible protest against American medicine’s inability to give her an integrated record and it was effective activism: it opened eyes and started conversationswhenever she appearedatmedical conferences.Her video interview tells why she did it and vividly showcases her personality.1","PeriodicalId":72433,"journal":{"name":"BMJ medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80788002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BMJ medicinePub Date : 2023-08-03DOI: 10.1136/bmj.p1727
{"title":"Gastric bypass or sleeve gastrectomy? . . . and other stories","authors":"","doi":"10.1136/bmj.p1727","DOIUrl":"https://doi.org/10.1136/bmj.p1727","url":null,"abstract":"Gastric bypass is generally a better option than sleeve gastrectomy, according to a randomised trial in patients with type 2 diabetes and obesity. Evaluated by self-report three years after surgery, the amount of weight lost, likelihood of remission of diabetes, and quality of life were all superior in the gastric bypass group. Postprandial hypoglycaemiawasmore frequent after gastric bypass than after sleeve gastrectomy, but other adverse effects, such as abdominal pain, indigestion, and diarrhoea, were similar after both procedures (Lancet Diabetes Endocrinol doi:10.1016/S2213-8587(23)00127-4).","PeriodicalId":72433,"journal":{"name":"BMJ medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74000254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}