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GPs buried under trusts' workload dump

Where's the logic over COPD?

Now let me see if I understand your item headlined 'GPs split over COPD quality dilemma' (News, March 8).

Dr John Haughney chairs a NICE group which, after two years of deliberation, concludes that the use of reversibility testing to differentiate between asthma and COPD can be 'misleading' but is then quoted as saying that he's not sure he has the clinical skills to differentiate between the two without reversibility testing.

I'm sure NICE will flourish under the guidance of men with such finely honed skills in logic.

Dr Keith Charlton



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