MRI of the knee: never to be routine

In the event of knee pain, related either to trauma (fall, sprain, blow…) or without an apparent cause, it is often recommended that a patient has a magnetic resonance imaging scan (MRI) to determine the course of action, even prior to an orthopaedic clinical...

Chest X-Ray before surgery

Before surgery of any kind, patients are often requested to undergo a chest x-ray. The idea is that this may lead to identifying problematic conditions that would prohibit surgery, lead it to be postponed or necessitate certain precautions. In reality, it is an...

Routine use of antibiotics for cough and sore throat

Though a mainstream practice, it is not appropriate to routinely prescribe antibiotics for upper air passage infections, such as strep throat, laryngitis, tonsillitis, sinusitis, ear infections and similar. Upper air passage infections are mainly of viral origin and...

Heartburn and proton pump inhibitors

Proton pump inhibitors (PPI) are very widely sold drugs, useful in reducing the production of stomach acid. They should not be prescribed for minor disturbances and, in any case, should never be prescribed lightly as they can cause major side effects. The continuous...

Food intolerance tests

Today one out of four people attributes their symptoms of discomfort to food intolerances or allergies. Data suggests that this may only be accurate in a very small number of cases, around 3-5%. Pharmacies, health stores and herbal stores offer their often expensive...