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Adrian <<I think we measure too many things, and too often measure instead of thinking. >> I could not agree more. Recent conversation with colleague re all the blood tests the nurses were sending off on people in for MOTs and he came out---"I think we should do everything, all the routine tests anyway." Which meant, to him, FBC ESR CRP U/E LFT TFT Glucose Lipids and PSA in men over 50. I was too gobsmacked at hearing an intelligent and experienced GP saying this to remonstrate with him. Declan