Facts you need to know

“Not all patients present with illness in the same way,” said Subash Jayakumar, in a lecture he gave in 2018 at University College London Medical School, where he teaches. “Significant differences exist in patients from different ethnic backgrounds.” Jayakumar works as a primary care physician in Brent, a London borough where 65% of residents are people of colour. He reminded the audience that skin changes are easy to miss if you don’t know what you are looking for. Blue-tinged fingertips are a harbinger of dangerously low oxygen levels; the yellow stain of jaundice can be an early warning sign of irreversible liver damage; and a patient who is bleeding internally might be saved by a doctor who knows to look for pallor not in the cheeks, but under the eyes and inside the mouth. How can we expect doctors to correctly name a colour change in coloured skin if they’ve never seen it before? … [Read more...] about Decolonising dermatology: why black and brown skin need better treatment

The Adulterants, from its punning title onwards, is brilliantly knowing about its knowingness. It knows the only way we’ll tolerate a narrator as annoying as Ray is to punish him for the very virtues that make him a good narrator – nosiness and eloquence. Ray shares these virtues with the main character in Tobias Wolff’s now classic short story “Bullet in the Brain”, in which a know-it-all literary critic caught up in a bank robbery gets shot in the head for taking the piss out of the cliched way in which the bank robbers speak. In Wolff’s story, the punishment for knowingness is death; Dunthorne is more forgiving, but offers a more indirect route to redemption. … [Read more...] about The Adulterants by Joe Dunthorne review – brilliantly knowing

Though he said he respected Grieve’s views, he is fundamentally opposed to his stance on Brexit. “He’s never really believed in the idea of it and he’s become very outspoken,” he explained. “But he’s the rebel, not us – 17 and a half million were the majority. And last night there was a majority who are not happy with the way he’s representing us. … [Read more...] about Grieve accuses ex-Ukip opponent of insurgency after confidence vote loss

35. Booksmart Actress Olivia Wilde made her directorial debut with this 2019 coming-of-age film, which socially awkward, Ivy League-bound duo, Amy (Kaitlyn Dever) and Molly (Beanie Feldstein) after they realise studying and being perfect students isn't the only way to a good university. … [Read more...] about The 80 best films on Amazon Prime to watch right now

”Yet we have a president who cares more about himself than the people who elected him … We don't have to accept the failed government of Donald Trump and Mike Pence … We have a chance to choose a better future for our country.” … [Read more...] about Trump news LIVE: President brands Kamala Harris a ‘liar’ and is surprised Joe Biden picked her as running mate