Extract

Morning all. I'm a frisky pisky, and would like to hear stories from the rheumatology world of derring‐do and scandal. Goblins like spreading snails around well‐kept gardens so if you have any snails (or slugs) that I can distribute then let the Editor know, and he’ll let me have a little fun.

Talking of dissemination reminds me of the paper by Urban et al.
(
J Bone Joint Surg Am
2000:82;457–76)
detailing how bits of titanium and plastic can be found in lymph nodes, liver and spleen in patients with joint replacements. It seems to be more common in patients with failed arthroplasties. What this means is not clear although one patient had granulomatous liver disease that required treatment. There was nothing in the silicone implant story, but…
British goblins (and rheumatologists) have, along with their colleagues in general practice, been pressured into generic prescribing whenever possible to save money. Davies reports however
(Health Service Journal, 30th March 2000)
that some generic prices are rising alarmingly, up to 700% in one instance. There are excuses—patient pack prescribing being one, but going generic is clearly not all it's cracked up to be.
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