These five cases highlight why we need to keep sight of the big picture

We all know the saying about not being able to see the forest for the trees. That’s what I want to write about today.


Case 1
I recently saw a new patient who had a long history of a haematological malignancy. She had been treated with the latest experimental drug and was one of the few who had benefitted.

Unfortunately, her medical condition had impaired the function of her spleen. With my interest in immunisation of the immunocompromised, I asked her about whether she had had any pneumococcal vaccines. She hadn’t.

In holistic