DAILY MAIL 28 SEPT.2017 CORONER'S COURT SOUTH WALES ON 2012 DEATH OF 12 YEAR OLD RYAN MORSE FROM ADRENAL FAILURE (ADDISON'S DISEASE)DIAGNOSED AS VIRAL INFECTION BY TWO LOCAL GPS.

OVER PERIOD OF 4 MONTHS SIGNS WERE PIGMENTATION OF SKIN, VOMITING , AND WEAKNESS. BOY WAS PRESCRIBED ANALGESICS. NO REFERRAL TO SPECIALIST.

COMMENT; PREVALENCE 40 PER MILLION. AVERAGE NHS GP VISIT 4-5 MINUTES. GOOD RULE OF THUMB ; IF CONDITION NOT IMPROVED IN TWO WEEKS  SEE AN INTERNIST EITHER ON NHS OR PRIVATELY.   BEFORE SOCIALIST NHS THE MAIN  ROLE OF GP WAS TO TREAT THOSE WHO COULD NOT AFFORD A SPECIALIST AND  TO FOLLOW-UP SPECIALIST ORDERS..  NOW IN INTEREST OF ECONOMY NON-PHYSICIANS ARE ALLOWED TO DIAGNOSE AND TREAT SIMILAR TO THE OLD CZARIST FELDSHERS. PRIVATE SPECIALIST CAN GIVE MORE TIME; USUALLY 50 MIN FOR FIRST VISIT. MANY UK PEOPLE HAVE PRIVATE SUPPLEMENTARY INSURANCE ; SUCH AS BUPA.

UK LONDON GRESHAM LECTURES -FOUNDED 1597- YOU TUBE SCHOOL OF TROPICAL MEDICINE PROF CHRISTOPHER WHITTY MD FRCP. ON MEDICAL DEMOGRAPHICS.

SIR THOMAS GRESHAM LEFT FUNDS IN HIS WILL FOR FORMATION OF GRESHAM COLLEGE IN 1597 FOR 140 FREE LECTURES YEARLY.

ITALY, SANREMO 5-STAR ROYAL HOTEL

EXCELLENT FOR SMALL TO MEDIUM SIZED MEETING.

OUTDOOR SALT WATER POOL, INDOOR SPA POOL.

THERE IS PUBLIC BEACH WITH CHARGE FOR FACILITIES. WATER CAN BE POLLUTED FROM PASSING CRUISE SHIPS. HEP VACCINES RECOMMENDED.

CASINO IN HOTEL AND IN TOWN

HOTEL VIP LIST INC DUKE AND DUCHESS WINDSOR IN SUMMER  1946.

IN SANREMO RUSSIAN ORTHODOX CHURCH BUILT BY RUSSIAN ROYAL FAMILY.

ORANGE COUNTY REGISTER , LA TIMES; UK DAILY MAIL-79 RETD BARBER SENTENCED TO FULL LIFE IN JAIL FOR SHOOTING UROLOGIST 10 TIMES WITH 0.45 CALIBRE PISTOL.

IN 2013 THEN 75, STANWOOD ELKUS VISITED OFFICE OF 52 Y UROLOGIST RONALD GILBERT AND KILLED HIM,  IN 1992 ELKUS HAD VISITED A VA HOSP FOR URINARY PROBLEMS WHERE DR GILBERT WAS A RESIDENT.  ELKUS WAS REFERRED TO VA UROLOGISTS WHO OPERATED . POST-OP INCONTINENCE &  ED RESULTED.  ELKUS BLAMED GILBERT. ELKUS HAD CAREFULLY PLANNED THE ATTACK ARRANGING FOR PROTECTION  OF HIS FINANCES. THE GILBERT FAMILY HAS ALREADY RECEIVED THROUGH LEGAL ACTION,$2MILL FROM SALE OF ELKUS' PROPERTIES.AND RETIREMENT PLAN. NO APPEAL.

CMAJ AUG 2017 NEUROENDOCRINE TUMOURS,

CONN'S SYNDROME IGNORED IN TORONTO UNTIL MELBOURNE RESEARCH INTERNIST PROFESSOR W FUNDER GAVE A LECTURE IN TORONTO POINTING OUT THAT ABOUT 10% OF HARD TO TREAT HYPERTENSIVES HAVE CONN SYNDROME. TORONTO CARDIOS NOW ACTIVELY SEARCHING FOR PATIENTS WITH ADRENAL HYPERALDOSTERONISM.. (COMMENT; ALDACTONE PRODUCES IMMEDIATE FALL IN BP; USEFUL SCREENING TEST)