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Communicating with patients in 
‘Plain English’

Physicians have long been accused of using unnecessarily complicated language and impenetrable jargon as a way of maintaining their status, prestige and high earnings-potential, bamboozling the public and excluding them from meaningful discussion as part of what George Bernard Shaw...

Monitored safe medical practice: minimising patient harm will reduce medical negligence bill for the NHS

Patrick Bradley ruminates on a celebrated career in ENT head and neck surgery and suggests that increasing the possibility of positive outcomes to contemporary patient safety initiatives by the NHS must involve efforts to develop an enthusiastic contented workforce willing...

Foreign object removal from the ear or nose

The range of nasal and aural foreign bodies that present to accident and emergency (A&E) departments, emergency rooms and minor injury units is limited only by the imagination. Aetiology and epidemiology statistics point to patients being predominantly children in the...

Entrepreneurial aspirations for the otolaryngologist

Entrepreneurship is a process of identifying an idea and starting a business venture with this idea. It requires generation of a business model or plan that emphasises the value proposition for the customer. The model must identify the partners, resources,...

Lies, damned lies and relative risk reduction

Chris Potter has a thing or two to say about the use of statistics and, in doing so, he takes us to a Friday night steak house that is prone to airway disasters and on a short tour of his...

Shifting paradigms – how a visionary can change a specialty

The Tarabichi-Stammberger Ear and Sinus Institute came about because of a close working relationship and friendship between two senior figures in the specialty. Professor Muaaz Tarabichi tells us the story. My first meeting with Heinz Stammberger was in 1988 in...

In conversation with Professor Patrick Gullane: My life in Otolaryngology-Head & Neck Surgery

Fellowship RCSEng 2009. Patrick, as you have recently ‘stepped down’ as Chairman and Chief of ORL-HNS at Toronto General Hospital, what next? Firstly, so often I have been asked why I selected this career path, from a quote by Johnny...

Smell training is also effective in older patients

Olfactory loss is a common problem with a significant impact on quality of life. It has been demonstrated that olfactory training (OT) improves olfactory function in younger patients, but this study focuses in on patients aged 45 years and older....

Mindfulness meditation: how personal experience of managing severe pain contributes to understanding tinnitus management

In this interesting article the author describes the potential benefit of mindfulness in the management of tinnitus, using a case report to illustrate this.This may well be an additional direction we can suggest for our patients. Mindfulness is a word...

Staying safe during endoscopic ear surgery

There is growing interest in using rigid endoscopes rather than traditional operative microscopes to perform transcanal middle ear surgery. Rigid endoscopy provides a high resolution, wide-angle view of the tympanic cavity through minimally invasive surgical portals. In this article, Elliott...

COVID-19 innovations

The coronavirus pandemic has mobilised medical innovators in an amazing way. We take a look at just a few of the hundreds of innovative products and techniques that have been developed and used in the last few weeks. Some of...

Loss of smell in the age of COVID-19

Loss of smell (LOS) is a debilitating symptom with increasing interest for the medical community due to its high prevalence in COVID-19. In the present paper, a team of 15 experts provide recommendations for the investigation and management of patients...