Bad medicine: rheumatoid arthritisBMJ 2011; 343 doi: http://dx.doi.org/10.1136/bmj.d6357 (Published 05 October 2011) Cite this as: BMJ 2011;343:d6357
- Des Spence, general practitioner, Glasgow
Inflaming the establishment is a civic duty, for medicine is a force not only for good but also for harm. The young learn to value experience only once they have gained it. In my experience there has been a dramatic decline in the severity of rheumatoid arthritis. Once common clinical signs such as ulna deviation are now rare, even on medical wards. Evidence supports my experience, with a halving of rheumatoid arthritis rates from 1955,1 and major declines in the rate of orthopaedic interventions.2 3 This reflects a change in the epidemiology and improvements in medical care. …
Log in using your username and password
Log in through your institution
Register for a free trial to thebmj.com to receive unlimited access to all content on thebmj.com for 14 days.
Sign up for a free trial