Intended for healthcare professionals



BMJ 2003; 327 doi: (Published 03 July 2003) Cite this as: BMJ 2003;327:60

The consumption of junk food arguably places a greater burden on healthcare systems than healthy food. A spokesman for the Centre for Science in the Public Interest (Canada) says that Canadians should be ready to pay additional taxes on these items, as they already do on tobacco and alcohol, “to pay for the increased financial toll.” The association wants such “sin taxes” to apply at both restaurants and grocery shops (Canadian Medical Association Journal 2003;168: 1697).

A man threw a slipper at his barking dog. He missed, hitting his 86 year old wife in the eye. She didn't seek medical attention urgently because initially her vision seemed to improve. A week later when she presented she was found to have a traumatic lens dislocation, which was successfully repaired (she awaits cataract surgery on the other eye). The lens had effectively been “couched,” the centuries-old cataract treatment whereby a sharp blow to the eye knocked a “ripe” lens into the vitreous, clearing the vision. It later transpired that the husband's poor aim was also due to bilateral cataracts.

Vanita Pathak-Ray, specialist registrar, H A Ahluwalia, specialist registrar, Chris Gorman, consultant,Cardiff Eye Unit, University Hospital of …

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