TY - JOUR T1 - Bad Medicine: You and the i-patient effect JF - British Journal of General Practice JO - Br J Gen Pract SP - 33 LP - 33 DO - 10.3399/bjgp17X694265 VL - 68 IS - 666 AU - Des Spence Y1 - 2018/01/01 UR - http://bjgp.org/content/68/666/33.abstract N2 - It’s hard to change. You start smoking at 16 and there is a good chance you will still be having the odd cigarette at 50. You drink to get drunk at 16 and there is a good chance you still seek to get drunk on occasion at 50 too. And if you eat pork pies at 16 then there is a good chance you still eat the odd pork pie at 50 as well. You get the drift. It’s not that you don’t know these are ‘bad things’, for life doesn’t work that way; personality and behaviours are hard wired. I am … ER -