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Opioid tolerance and dependency

Dr César Margarit Ferri, Chief: Pain Unit, Anesthesiology-Critical Care-Pain Medicine  Although opioids have been used to treat patients with chronic cancer and non-cancer pain for many years, when opioids are initiated, it can highlight the lack of knowledge regarding some aspects of opioid therapy for both physicians and patients. One of the most important areas is […]

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CPD technology made easy

AstraZeneca has some exciting news for anyone who earns CPD points.  A digital platform has been developed to store CPD points and access certificates at any time. Medical Chronicle (MC) recently interviewed Anton Wakefield, Innovation Manager: SA and sub-Saharan Africa, to find out more about this CPD solution, called my wallet. MC: Firstly, you are not […]

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Coping with the side effects of antidepressants

Meryl Da Costa, SA Depression and Anxiety Group Shouldn’t mental wellbeing be more important than gaining a few extra kilograms or even abstaining from sex? However, when is it too much? What is the price that one has to pay when being diagnosed with depression and prescribed specific medication for it? The irony is, we […]

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Dr Levin

Doctor’s Voice: Learning from Experience

Dr AM Levin Managed healthcare is becoming an increasingly important and acceptable function of medical schemes. It is critical that those medical schemes who either directly themselves or through the use of independent managed healthcare groups must always remain cognisant that their primary function is only to advise on the affordability of a given surgical […]

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Practice Matters: Bashing of family practitioners

Prof Morgan Chetty It is sad to hear that on a daily basis family practitioners are being bashed and denigrated by specialists, and by default the industry as a whole. It would seem that disrespectful behaviour such as badmouthing might be a symptom of a problematic relationship between family physicians and other specialists.Comments often used […]

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Integrative medicine’s approach to gut health

Dr Bernard Brom, Chairman of the South African Society of Integrative Medicine (SASIM) Symptoms related to the gastrointestinal tract (GIT) are the reason for a great deal of visits to doctors by the general public. There may sometimes be underlying pathology but the vast majority of these problems are functional rather than pathological. Integrative medicine recognizes […]

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Opioid tolerance and dependency

Dr César Margarit Ferri, Chief: Pain Unit, Anesthesiology-Critical Care-Pain Medicine Department, Alicante Hospital, Spain Although opioids have been used to treat patients with chronic cancer and non-cancer pain for many years, when opioids are initiated, it can highlight the lack of knowledge regarding some aspects of opioid therapy for both physicians and patients. One of […]

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Private matters

Dr Trudy Smith, Gynaecological Oncologist from the Wits Donald Gordon Medical Centre, recently spoke to Medical Chronicle about current medical issues that women face. Sexual function In terms of sexual function, a common occurrence is dry, painful sexual   intercourse in the menopause. “Women are not always forthcoming with this information, so practitioners need to ask […]

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Prof James Ker

Vitamin D and cardiovascular disease: Where do we stand?

Prof James Ker Vitamin D ( D2 and D3) is a steroid hormone and is produced in the skin from 7-dehydrocholesterol by sunlight (D2 and D3) or ingested with food from plant origin (D2) or animal origin (D3) or from food fortified with vitamin D. The vitamin D then needs to be activated, first in […]

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HIV treatment expanded

Plans to dramatically increase antiretroviral treatment (ART) in SA from January next year have been welcomed but have also given rise to questions as to the sustainability of the move. Currently, of the 6m people who are HIV positive, 2.5m have been initiated on treatment, based on a CD4 count of 350 or lower.  This […]

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