Thank you, goodbye, and move along….

Posted February 1, 2010 by dundeechest
Categories: Site Updates

DundeeChest is dead.  Long live DundeeChest.  As the saying goes, sort of.

Since September 2009 we’ve had 140 posts, 286 comments, and just shy of 13,000 visitors to DundeeChest.  I’m chuffed.  We have further ambitions here at DundeeChest, and we want to see how far we can get.  One difficulty is hosting at  Starting here was great – free, and everything available to get cracking – but it’s limiting.  To introduce more functionality means hosting the site somewhere else.

I tried on mobileME.  As much as I love the Apple, iWeb is good at doing what it does, but not at what I want to do.  Too limiting, so DundeeChest 2.0 was born, and died soon after.  But moving to separate hosting, continuing to use the WordPress tools has lead to DundeeChest 3.0.  I can now nest blogs, run cases of the week, embed podcasts, and keep better control of what’s going on on the site.

So DundeeChest is dead – I won’t be posting here any more.  Redirect your bookmarks to, and your RSS feeder to feed:// and continue the journey with us.


Posted November 19, 2012 by dundeechest
Categories: Uncategorized

Some things to think about when you next go to the wards.


I recently took a group of medical students to see Mrs Cole*. She was 88 and was in hospital due to a severe exacerbation of COPD. She was kind enough to let us talk to her and listen to her lungs, despite being quite breathless. As we talked I perched on the edge of the bed and, as I often do, held her hand.  She grasped it tightly and wouldn’t let go. I finished the teaching session, sent the students off to their lecture, and stayed with Mrs Cole longer than I had intended. It felt like she was clinging to me as we talked; clinging to my youth, my health, and my carefree existence.

I couldn’t offer her much: we were treating her exacerbation but no drugs could reverse her lung damage. No words could allay her very real fears for the future. But I felt what I could…

View original post 1,074 more words

Spiriva Safe, says the FDA

Posted January 18, 2010 by dundeechest
Categories: General Respiratory

Tags: , ,

The mainstay of COPD management is bronchodilatation – the local, and national guidelines rely on beta-2 agonists, and anti-cholinergics.  Recent(ish) data from the TORCH study suggested that inhaled corticosteroids increase the risk of fatal and non-fatal pneumonias.  Unopposed long acting beta agonists have been linked with increased cardiovascular death in asthmatics, although not in COPD.  The most recent ‘scare’ has been whether Spiriva increases cardiovascular death in COPD patients.  Today the FDA rule that there is no compelling evidence to that effect.

Life In The Fast Lane

Posted January 16, 2010 by dundeechest
Categories: General Medicine, Medical Education

Tags: , ,

I spend quite a lot of time looking around the internet to find interesting resources, medical and non-medical.  There’s a lot of it about, with everyone and his dog having a crack at web 2.0, with varying degrees of success.  So it’s always a pleasure to find a good site, with regular updates, and good medicine.  Life In The Fast Lane is such a site, and well worth visiting.  Their radiology quizzes are particularly good, with clinically relevant cases, and good pictures.

I’ll add the link to the list of sites worth visiting – it’s get’s a 5* recommendation from me.

Smoking + Oxygen Therapy = Singed Beard

Posted January 11, 2010 by dundeechest
Categories: General Respiratory

Tags: , ,

A small reminder of why we don’t give out long term oxygen to anyone who is still smoking, from

Smoking + Oxygen Therapy ….

Forget Medicine for a Bit, I want one of THESE!

Posted January 10, 2010 by dundeechest
Categories: Blogging Along, IT, Non-Medicine

Tags: , , , , ,

It’s been 2010 for only 10 days, and now, suddenly, IT’S THE FUTURE!!

Radiation Doses at Airports – Minimal risk

Posted January 7, 2010 by dundeechest
Categories: General Medicine, General Respiratory

Tags: ,

Following on from my recent (-ish) grand round presentation on ionising radiation doses, here’s an article from reuters re-assuring us that the new full person X-Ray scanners in airports offer minimal radiation doses, and minimal risks.  They don’t mention and actual dose of radiation, though….