No, there is still a massive doubt in my mind about ADs
This is a meta-analysis. Any such meta-analysis is simply a re-jigging of the numbers. You know what they say about statistics.
Not one single new patient (or should I hastily correct myself and say 'consumer') has been tested here.
So, are we saying that there are disordered neurotransmitters in the brains of so-called depressed people? If so, how are these substances assayed and how is there is baseline levels altered by these drugs. And how is the level of anti-depression different from presecribing the 'consumer' a large VAT (Vodka and Tonic, 'pace' Arfur Daley) every evening at 6pm
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Can someone explain why there has been this huge uproar about the Bawa-Garba case now, and not 2 years ago when it was concluded in the criminal justice system.
I am afraid I don't understand this point
'I am not lying when I say I literally look forward to every patient walking in through the door now because I am keen to see how I can facilitate their self-care journey and open up a whole new dialogue they have never encountered before.'
"your locus of control narrative, with big wooden buttons"
State Retirement Pension Payment - the absolute, most socking great Ponzi scheme ever foisted on a stupid public.
Every school child should have this drummed into them
Are you SERIOUS, Dr Hogg ?! I have not worked in NHS for 10 years (currently sitting in outer Brisbane GP-land) If my patient needs a CT abdomen I get the reported result on my screen in 48hr. If it is urgent, I phone the radiologist THIS MORNING, and patient and report return THIS afternoon back to my medical centre.
Honestly, when I glance back at your bloggers reports I have a similar feeling to when I was a teenager and we used to hear about lines around the block in the Soviet Union for the last loaf of bread, or risking prison for some black market chocolate.
How on earth is ANY good and timely medicine practised in the UK these days?
Sorry, but I just keep trying to compute what I have just read: "16 weeks to get routineCT scans"
good point ladyham
it is a poor show by Pulse
Serious question: what was the diagnosis of the patient that had to be sent 500 miles and what treatment did he/she receive. If it was ECT, fair enough. But there are only two other forms of psych treatment: drugs and talking. The latter could be done by telehealth (surely...or not?)
what monty said
So long as someone make Jamie Oliver disappear (preferably to North Korea) I will live a happier life
I'm afraid Disappearing Doc that Monty is more or less right.
- every trend has been to make us refer-ologists.
- from WITHIN OUR OWN RANKS we hear a chorus of "don't take on the risk" just refer t secondary. Once bitten by a complaint. And this is what protocol driven Noctors Phoctors PhysAss are being lined up to do
- Are you really a GP ? Do you not know the absolute wrecking ball that Cardigan-minded idiots have smashed through independent general practice in the last 20 years? Get out and feel the wooly buttons and the sagging waist pockets full of trademarked Puns & Dens
- the agenda is NOT about saving money at all. It is about CONTROL of the health care providers
I know economics has a lot of shifting sands, but, not many would argue that LOW inflation is good for debt repayment. The opposite is the case. ie HIGH INFLATION = increasing prices AND wages (unless you are a GP, ha, ha) which reduces your fixed debt /earnings ratio
There is a MASSIVE & PERVASIVE misunderstanding about what tax is.
The UK is a sovereign (fiat ) economy. In this economy, there are ONLY two types of money/credit: 1. sovereign money, which the elected Government is the monopoly provider of 2. bank money which is created by commercial banks when you take a loan. The latter is subservient to the former.
Now, deep breath everyone....
There is NO LIMIT to how much sovereign money/credit that the Government can issue. Literally. Just say that sentence to yourself 10 times every morning until it sinks in.
The constraints are 1. the inflationary pressure of too much money in the economy and 2. the VOLITION of the Government
If the Government wanted to DOUBLE GP pay tomorrow, it takes nothing more than a few clicks on a treasury lap-top with a spreadsheet on the screen. It dos not WANT too. Saying it can't afford to (and conversely the LibDems talking about a percent here and there) is a simple smokescreen. Please see through it people !
Last slogan: your tax deductions DO NOT PAY for anything per se. It is simply a means of draining money/credit from the economy to preclude inflationary pressures from all the sovereign money pouring in at the top.
I am on a mission to get this through to the general population. Argue with me. Come and have a go if you think you're hard enough. It is the biggest deceit that politicians hide behind, some without knowing it
About two years into my GP career, I did a self-audit (c.2002 I'm talking about) of a morning's surgery and realised that a nurse could have done about 80% of what I had done that morning. That's when I realised that GP was sunk. Everything from then onwards has been a mix of cardyism and the emperors new clothes.
GP does not really have a raison d'etre. The politicians or at least the peopleadvising them have known this for ages too
Been following the discussion
JAMES - the results of your mature neuro-functional MRI are in. Good news - you are part of the human race, with a unique personality type Bad news - I'm afraid you inherited something else from your parents and grandparents ...your hair colour. It may be a disease according to DSM so go and see your GP
CATHY - I went to the link and quite, easily diagnosed myself with ADHD, just in time to get an hour extra for my next exams, a week or so extra mental Health Leave from work per year, and maybe some disability money if Corbyn gets in next month and a free blog to go on and on about it all
Serving the community / Pillar of the community....Pffft and Meh
I did GP because it provided the best means of financing the lifestyle that I wished for myself (at the time) with the least amount of of arse-licking or pretending to be interested in research (=hospital career, at the time)
Mental Health - the most over-played hand in the universe
Way past the time for a return to
- stiff upper lip
- pull yourself together
Watch for Tesco to rival with a two-for-one of soppy counseling AND a manicure, on CHEAP Tuesday
Yes, let's nationalize f******* Balint Groups. GPs are a true joke sometimes