Carl Heneghan

Hash, health belief should be top of all our communications, is a great read.

And in there, the finishing, he writes so well.

My health belief is this.

In the coming decades, imaging, laboratory testing, and diagnostic algorithms will usurp the profession's position.

Only those of us with high emotional intelligence will survive, and core to this is respecting patients' differing health beliefs and agendas.

But, hash, I might be completely wrong, and hash, God might exist, although this seems highly unlikely.

Goodbye from me.

Yeah, I'm going to describe myself as an active GP because I've been working over Christmas, doing some urgent care work, and that's given me the lurgy.

Thank you very much, Christmas.

And I'm also editor-in-chief of BMJ Evidence-Based Medicine.

I'll try.

Yeah, no, that was interesting.

There's a Cochrane review update that was first published in 2004 and last updated in 2015 that examined the effects of corticosteroids on deaf and children and adults with sepsis.

And what's interesting about this update is it included 61 trials and the new search revealed 25 additional trials.

So this is quite some update.

And so obviously this is an area of interest.

And what's interesting about this update, what it found evidence for was a

indicates that steroids reduced 28-day and hospital mortality among patients with sepsis, and they resulted in particularly large reductions in intensive care unit stays and hospital length of stay.

And I think, you know, this is a really interesting issue because the paper itself says amongst clinicians and surveys shows that in sepsis, as opposed to septic shock, many clinicians don't use steroids.

And also in many guidelines, and I checked the NICE guidelines as well that were last updated in 2017, that they don't include steroids as actual treatment for sepsis.