2002

Hemochromatosis is the most common genetic disease affecting Canadians, yet it is underdiagnosed and considered by many physicians to be rare. Since the discovery of the gene for hemochromatosis (HFE),[1] a genetic blood test for the C282Y mutation of the HFE gene has become widely available. More than 90% of typical hemochromatosis patients are homozygotes for the C282Y mutation.

Hereditary hemochromatosis (HHC) is a disorder caused by uncontrolled absorption of iron from the gut. Tissue damage occurs (principally in the liver, joints, and endocrine system) when physiologic iron stores become saturated and iron is deposited in parenchymal cells.

The JAW article in the September edition of your excellent publication [BCMJ 43(7):378] expresses very well the attitude that many patients have about health professionals. The article can be applied equally accurately to the medical profession. Nowadays it is impossible to tell a physician from a janitor in a hospital from their dress. Thank goodness for stethoscopes!

—John Hall, MD 
Castlegar

With reference to your editorial (Rejuvenated image, BCMJ 43[7]:378), I certainly agree that the wearing of uniforms by nurses (with or without the “nerdy” caps) would do a great deal to raise respect, by patients as well as visitors. It might even strengthen their arguments for better pay! As you say, nowadays nurses are not recognized as such, unless they wear a stethoscope around the neck.

Was I ever pleased to see [Dr Frinton’s] discussion and lead editorial in the October BCMJ on issues concerning hormone support for women with symptoms of menopause [ 2001;43(8):446]. Prevention of heart attack is a serious business.