The last weeks of Charles Byrne’s life were nightmarish. Known as the Irish Giant, the seven-foot seven-inch man from Ulster had made his way in 1782 to London, where he earned money by exhibiting himself as a freak. By the …
Can you escape obesity?
There are a few debates in our political discourse that seem cursed to polarisation. Take, for example, discussion of overpopulation, resource constraints, and environmentalism. The two options appear to be either the belief that the world is or will soon …
Is trans the new anorexia?
When teaching freshman composition in New York colleges in the mid-Eighties, I picked up a peculiar pattern in one-on-one conferences with my female students. With improbable frequency, they’d confide that they were anorexic. The term had only entered the popular …
The real NHS maternity scandal
Watching me treat a pregnant patient with a minor injury in A&E, one of my medical students asked me for some careers advice. She was most interested in obstetrics, she told me, but was worried about the recent controversies that …
Who decides if you’re mentally ill?
Abby walks into my office, sits down, and tells me she has been struggling with “sex addiction”. When I ask about this, she tells me of sleeping with a handful of people in the past few months at college. I …
How Big Pharma monetised depression
We are, if you believe the headlines, living in the midst of an unprecedented mental health crisis, exacerbated by the stress and isolation of the pandemic. According to the US Centers for Disease Control and Prevention, at the end of …
The grubby truth about mental health memoirs
I don’t quite know what to do with mental illness memoirs. I’m naturally interested in their subject, as I suffer from bipolar disorder myself. And they fulfil an important social function: despite the rise of innumerable online voices yelling about …
My A&E survives on death
A few nights ago, during the graveyard shift in A&E, a colleague sent me a clip from the classic BBC sitcom, Yes, Prime Minister. “The Smoking Ban” episode shows PM Jim Hacker vowing to take on the tobacco lobby — …
The dangers of gender-affirmative care
The Biden administration recently announced a plan to ban “conversion therapy” and dismantle barriers to “gender-affirming care” for transgender-identifying children and adolescents. A few days later, Congresswoman Pramila Jayapal introduced the “Transgender Bill of Rights” on Capitol Hill which sought …
Adam Kay’s dangerous misogyny
It is clear, reading This is Going to Hurt, Adam Kay’s 2017 memoir, that he had a breakdown at the end of his years as an NHS junior doctor in obs and gynae: “brats and twats”. This is frightening for …
The dangerous side of Munchausen’s
People are nicer to you when you’re ill; they pay you more attention. Most of us appreciate this special treatment, but what if you begin to crave it? What if you craved it so much that you started to embellish …
We’ve forgotten how to die
Why do some people take a peep at the last few pages of a novel first? Yes, we know it’s cheating. But forget whether a cheeky glance at the ending constitutes a great crime against reading — why do many …