GP. Likes medicine. Dislikes too much medicine.

London, England
Joined October 2016
the @ASA_UK complaint I made was upheld about Do Health @drchatterjeeuk. Commercial screening brings false positives, false reassurance, overdiagnosis. Will the @gmcuk act on the dozens of drs making false claims and have commercial conflicts of interests?
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at some point we will need to talk about celebrities and the iatrogenesis which occurs when doctors do non evidence based tests and inevitably find things and then do more things and it may appear that those things helped when in fact they did not.
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David Spitzer retweeted
There is a massive amount of attention on sepsis and "increasing awareness" among the public There seems to be little recognition that increasing the amount of early presentations will also, paradoxically, increase the number of "missed" diagnoses munro-link.alasdairmunro.wor…
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Won't make a difference, doctors will still request for fear of medicolegal consequences
Men aged over 50 will no longer be entitled to a blood test to help identify the disease, with GPs instead deciding who is given one, in what experts describe as an “outrageous betrayal”. Until now, any man over the age of 50 has been entitled to a prostate-specific antigen (PSA) test via their GP. They do not have to have symptoms ⤵️ telegraph.co.uk/news/2026/08…
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David Spitzer retweeted
Replying to @mgtmccartney
@mgtmccartney and I have been writing about full body scans for years--including Neko health mentioned here for @unherd. I write about these scans in "Sick until proven healthy" chapter in my book, "Bad Influence". Article is good but below leaves lots of unasked questions
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pharmacists are great. no question. but the idea that 'minor illness' can always be separated from major or what will be ongoing needs are not true. Additionally, 'minor illness' is often the way that people get to know their GP; builds relationships, and creates trust;
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am fascinated @David_Cameron first, do you think that a group of professional experts did not recommend screening out of any other concern than for the evidence? second, it's very easy to think that more diagnosis are always useful. But they can just be a fig leaf -/
Today’s recommendation from the National Screening Committee on prostate cancer screening is deeply disappointing and a real step backwards. I urge the new Health Secretary to reject it and go further - offering targeted screening for the most at-risk men. As I warned last November following the initial advice, prostate cancer is the most common cancer among British men. We are letting down too many men, their families and loved-ones if we don’t push for a wider screening programme that includes all high-risk groups. Prostate cancer can be symptomless early on - as it was in my case. That’s why screening is essential - catching the cancers early when they can be more effectively and successfully treated, like with me. If the advice is to be followed, you could be an older, black man with a family history of prostate cancer and STILL not get routinely screened. Surely, that can’t be right? There are now better screening options and more advanced focused treatments available in parts of the NHS. I benefitted from these and others could too. Yet this seems to have been ignored by the Committee. The new Health Secretary needs to be brave and bold. A more progressive and life-saving policy is within our grasp. Put in place a proper, targeted screening programme that involves all those at higher-risk. Without it, more men will die, and more families will lose a loved-one. As I said in November, this is avoidable and can be done.
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David Spitzer retweeted
Sometimes I do nothing but listen. No tests. No pills. No “fix”. Patients still leave feeling lighter. You won’t find that in a guideline or an algorithm. Medicine is both science and art. We’re quietly stripping the art away in the name of efficiency and calling it progress.
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"General practice today is decision making at the same speed as a shoot-em-up game"
This quoted post is unavailable.
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and then see your GP
if you have just spent $£$ on non evidence based commercial scans, bloods, tests blah blah they will want you to feel empowered.... but it's actually just exploitation
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David Spitzer retweeted
One of the most misunderstood parts of medicine: Why health professionals ask you to repeat your story. When we take a history, we’re recognising patterns and testing possibilities. What is causing this? How serious might it be? What can I do to help? 1/n
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I think it should be illegal for private screening clinics to advertise lots of scans with the promise of 'peace of mind!' ; I think it should be illegal for the default follow up to be 'see your NHS GP!' and I think the NHS should be doing far more to sort this out
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David Spitzer retweeted
Prioritising prevention: can @rcgp primary care systems cope? via @JulianTreadwel1 @CoryRohlfsen @adamcifu
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Every Dr should read this extremely well-written opinion piece in @Open_HeartBMJ 'We are losing the ability to think critically. We are losing the distinction between doing more and doing better. Precision without purpose is not progressing. Volume without value is not success"
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Interesting thread
I've been thinking about this since I saw @Parody_RCGP retweet it. I don't want to criticise Dr Unwin's practice - their diabetes work is commendable - but let's look at this more generally...🧵
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If only there were signs...
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