Patient–doctor dissatisfaction in the management of medically unexplained physical symptoms: a role for medical education?

may be far from reality. Regarding the letter by Douglas and Louey, we wholly agree with the exclusive oral use of activated charcoal in cases of poisoning with a charcoal-responsive substance. In our paper, we reported the positive effect that the administration of flour mixed with water in an event of poisoning after a gastric lavage may have, without this reference meaning that we adopt this technique in our clinical practice.

[1]  J. Warren,et al.  Biblical myoglobinuria , 2018, Internal medicine journal.

[2]  R. Douglas,et al.  No place for gastric lavage in the acute management of poisonings with a charcoal‐responsive substance , 2018, Internal medicine journal.

[3]  Jeremy D Brown A description of ‘Australian Lyme disease’ epidemiology and impact: an analysis of submissions to an Australian senate inquiry , 2018, Internal medicine journal.

[4]  E. Mazokopakis,et al.  Medical toxicology in the Old Testament. The poisonous pottage , 2017, Internal medicine journal.

[5]  A. Kousoulis Etymology of Cholera , 2012, Emerging infectious diseases.

[6]  E. Mazokopakis Unusual causes of rhabdomyolysis , 2008, Internal medicine journal.

[7]  J. Wilkinson The Quail Epidemic of Numbers 11.31-34 , 1999, Evangelical Quarterly: An International Review of Bible and Theology.

[8]  B. Kennedy,et al.  Toxic quail: A cultural‐ecological investigation of coturnism , 1980 .