Spectator Life

The epicentre of coronavirus – now more correctly called COVID-19 – remains in mainland China, and concerns about a global pandemic occurring have fortunately not been realised although in this fast-changing story this still remains a possibility in the coming weeks. The first death in Europe was recently reported in France, with nine documented cases in the UK. The advice from Public Health England if you have been in Wuhan or the Hubei Province in the last 14 days is that you should stay indoors and avoid contact with other people, like you would for flu, even if you do not have any symptoms. If you develop symptoms, call NHS 111 and inform them of your recent travel to the city.

Jordan Peterson has spent much of the past few years eloquently torpedoing all that the liberal progressives hold dear, and he’s not done yet. Citing a profound health transformation, the bolshy Canadian psychologist is now piling into the opinion-saturated arena of diet, and the vegans aren’t happy. But Peterson’s latest revelation is not about culture wars or the eroding of free speech. This is about his own mental health, which has at times been unspeakably grim. Controversial as ever, Peterson is now claiming to have beaten away his regimen of antidepressants through the excessive consumption of a rather more rudimentary substance: meat.

The condition High blood pressure is also called ‘hypertension’. Blood pressure is recorded in two numbers – the high number is called systolic and this is the pressure when the heart has just pumped. The low number is called diastolic and this is the pressure when the heart is at rest. The pressure is measured in ‘millimetres of mercury’ or mmHg. Ideal blood pressure is between 90/60mmHg and 120/80mmHg. High blood pressure is considered to be anything above 140/90mmHg. The problem with high blood pressure is that although in the long term it can be deadly, there are often no symptoms at all, so people can have it for years without realising.

Researchers can now predict where in Scotland you are most likely to encounter ticks that carry Borrelia burgdorferi, the bacterium that causes Lyme disease. If that wasn’t enough to make you reconsider those picnic plans, then they have also forecast that this risk will increase as global temperatures rise. In a recent paper, the researchers predicted that people were more likely to come into contact with an infected tick in the months of August and September. They also identified both the Highlands and Tayside as areas of particular risk. Their map can be viewed in full here.

Being a family doctor is sometimes the least glamorous job in the world, dealing with the unpleasant, mundane and sometimes just downright boring health issues that exist. However, for the patients suffering from these problems, it’s a big deal and one of the typical common currencies of minor problem I see almost every day in my surgery is the issue of warts and verrucas. These are caused by a harmless viral infection in the skin called the human papilloma virus (HPV). HPV causes keratin, a hard protein in the top layer of the skin, to grow too much, giving the typical roughened texture of a wart. There are more than 60 different types of viruses known to cause warts.

One of my teachers in medical school kept saying: ‘A treatment that has no side-effects is already a good one.’ These seemed to be wise words worth remembering. But today I think he may have been not entirely correct: there is no therapy that does not have potential to cause adverse effects. What really counts, in life as in medicine, is a reasonable balance between risk and benefit. Chiropractic treatment is an excellent example of the importance of this balance. Chiropractors rely heavily on manipulating their patients’ spines, and the benefits are not at all clear. Practitioners usually insist that their manipulations are effective for a bafflingly wide range of conditions.