Intended for healthcare professionals

Views & Reviews From the Frontline

Dr Doom

BMJ 2009; 339 doi: (Published 12 November 2009) Cite this as: BMJ 2009;339:b4663
  1. Des Spence, general practitioner, Glasgow
  1. destwo{at}

    “So, to hypertension.” I stand in my pyjamas halfway through practising my presentation on “Less medicine is more medicine.” “Brilliant, bravo!” shout the boys, followed by US style whooping. They all jump on the sofa clapping. My eldest exercises a glib overconfidence I find disarmingly familiar. “Sod hypertension! Now can we play Call of Duty?”

    But he should care, because the British Heart Foundation estimates that 30% of the UK population is hypertensive, a figure that rises to 70% among people over the age of 75. Current prescribing …

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