Preview of Articles
ANAESTHESIA FOR EPILEPSY SURGERY Dr J Burke
Epilepsy surgery is not new. Cases have been described as early as 1879. It became evident that outcome can be improved by excising lesions in the awake patient under local anaesthesia so that functionally important areas could be spared. Since then interest in epilepsy surgery has waxed and waned due to variable results. It has recently received renewed attention, and careful review of the indications and anaesthetic implications is important.

COLLEAGUES & SUBSTANCE ABUSE – WHAT ARE MY ETHICAL RESPONSIBILITIES? Prof S Naidoo
Case scenario: I recently joined a communal, long standing practice of a well-respected practitioner in a small town. A few months ago, I noticed and so did several staff members his increasingly erratic and unprofessional behaviour. When I confronted him about these changes, he claimed that he has been under severe personal and family stress, but everything was coming together. Since our initial discussion things have taken a turn for the worse … patients have complained about his rude and abrupt manner, he often does not turn up for scheduled patient appointments ….should I report him?

DEALING WITH DRY EYE DISEASE IN GENERAL PRACTICE Dr DP Smit
Dry eye disease (DED), also known as keratoconjunctivitis sicca (KCS), is a very common condition that often prompts patients to seek help from eye care professionals. During the past decade our understanding of the multifactorial etiology of this disease has improved considerably, thereby permitting the development of specific therapeutic options to treat the condition more effectively.

ITCHING AND SCRATCHING: THE CHILD Prof HF Jordaan
When confronted with the itching and scratching child one should ascertain whether skin lesions are present or not. This devides the common underlying causes into two very different groups.