Closing the door after the horse has bolted: a new red flag for GPs?

BMJ 2008; 337 doi: (Published 12 November 2008) Cite this as: BMJ 2008;337:a1427
  1. Jill P Millar, GP principal, Buckland Surgery, Newton Abbot
  1. jill.millar{at}

    Jim had smoked heavily and unrepentantly since childhood. He also had a cardiomyopathy and type 2 diabetes (the latter was appallingly controlled—he enjoyed sitting in front of the computer through the night downloading music, smoking, and eating chocolate bars). For years we had battled with his lifestyle—at least I battled, and he carried …

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