BMJ 2010; 341 doi: http://dx.doi.org/10.1136/bmj.c4029 (Published 03 August 2010) Cite this as: BMJ 2010;341:c4029

A 45 year old man who worried about his health consulted his GP even more frequently after his wife suddenly died. When self neglect appeared on top of depressive symptoms, the GP admitted him to a psychiatric unit. He complained of increasing pain in his extremities, which were becoming discoloured. The medical registrar put the changes down to possible Reynaud’s phenomenon on three occasions but documented his findings inadequately. Eventually an arteriogram showed Buerguer’s disease. The patient lost several digits and sued the doctor for delayed diagnosis. The case was settled for a high sum, and is a reminder that “rare conditions do exist” (www.medicalprotection.org/uk/case-reports-may-2010/the-patient-with-too-many-ills).

Obese patients view public health messages about obesity in different ways depending on their own health and perceptions of stigma. Many people who were approached for this qualitative study published in BMC Public Health felt that messages were too often focussed on the physical rather than the emotional health consequences of …

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