I need my medicine to help me get worse

BMJ 2008; 336 doi: (Published 12 June 2008) Cite this as: BMJ 2008;336:1366
  1. David Agombar, fifth year medical student
  1. 1University of Birmingham, Birmingham
  1. dea418{at}

While on a recent placement in general practice, I saw a man with chronic obstructive pulmonary disease who had come in to pick up a repeat prescription for his inhalers. Dutifully following NICE guidance on the management of stable chronic obstructive pulmonary disease, I took the opportunity to …

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