How did it ever come to this?
I have just seen a healthy asymptomatic man who attended with his wife for review after an adjustment of his antihyperlipidaemic medication as primary prevention.
After a cursory, almost subliminal, glance at his results I issued a repeat prescription and told him all was well. I was jolted back into consciousness by his parting comment: 'Can I book a holiday now? We want to go away.'
He explained that he was told by a doctor not to travel until his cholesterol was sorted out. What are we doing to our patients? How did we ever end up here?
Dr Christopher Pelton, sessional GP, Shropshire