A paper that changed my practice: Making senseBMJ 1997; 314 doi: https://doi.org/10.1136/bmj.314.7073.0j (Published 04 January 1997) Cite this as: BMJ 1997;314:j
- Charles Essex
- consultant community paediatrician in the West Midlands
During my medical house job the only people with hypertension whom I saw were those who were admitted with the consequences of cardiovascular disease. I was therefore desperately worried that my father who was hypertensive was about to have a stroke or a myocardial infarction. Fortunately, my next job was a trainee in general practice, where I daily saw people with hypertension who were living fairly normal lives, which helped to get things back in perspective.
That latter post, and one in accident and emergency, followed by three years out of medicine, helped me to put the acute and chronic pathology I had seen and read about into a population …