Intended for healthcare professionals

Practice Best Practice

Herpes zoster infection

BMJ 2019; 364 doi: https://doi.org/10.1136/bmj.k5095 (Published 10 January 2019) Cite this as: BMJ 2019;364:k5095

Re: Herpes zoster infection

Dear Editor

It is 18 years since I and a few others took your editorial writer to task for recommending the referral of patients with shingles to a pain clinic without giving the reader any hint of what might be reasonably expected of such a facility (1). Half a professional lifetime later I am dismayed that you continue to publish articles that express expertise but which do not attempt to understand the views of colleagues working within the same field. Is it really the case that pain clinics and those who work in them are so obscure? Have you not yet considered that even pain clinic staff (and these days commissioners) might await the arrival of the weekly BMJ with the hope that it may offer them useful advice on the management of those under their care?

1) https://www.bmj.com/rapid-response/2011/10/28/why-burden-pain-clinic

Competing interests: No competing interests

12 January 2019
Andrew M Severn
retired pain management consultant
Royal Lancaster Infirmary
Lancaster Medical School