The cavalry isn't coming
My husband, an anaesthetist, waited with a guy who had collapsed with a respiratory arrest In central London. He was brought around confused but no ambulance for 50 minutes. In the end the fire brigade came after 1 man in some kind of emergency car initially responded and was saying he would take him in car to hospital ( husband suggested this not a good idea as could arrest etc again).
It was a cluster f***. And that is central London with major hospital around the corner.
GMC taking an interest in this feels like jimmy saville taking an interest in your kids.
Dangerous dangerous. No way.
The system is /has Imploded.
I cannot see anything on the horizon which might make it better. Stop all new initiatives and plug the gaps/ hold up the walls first please.
Is there no end to the torture?
Better to spend the money on new computers if it is taking 17 minutes to log in with a Windows 7
”But we do know that if a patient who later dies by suicide doesn’t meet the referral criteria, then there is something rotten in the system.”.
Actually we don’t know that. Suicide is very very rare and very hard to predict except in retrospect. All the research into risk assessment tells you this. The huge amount of feeling that this case has generated amongst GPs is a signal of how vulnerable and abandoned GPs are feeling in managing these kind of cases.
Mental health services need more staff and funding and GPs need more training so they feel more confident. In the old dates you could just pick up the phone and speak to another medical professional. Nothing has filled that gap.
If there is no clear RCT benefit for ‘social prescribing’ then any doctor would be very unwise to put their name to this as they are being used to put a professional veneer on what might be a fools errand/ empowers new clothes scenario.
Social prescribing does not need a professional prescriber.
I’m not sure a mental health service should be the right place for children to get help for feeling angry and upset. Surely this is best held somewhere else?
Schools counsellor, parents etc.
Phew. As a psychiatrist I saw this headline and felt pretty depressed myself. I agree wholeheartedly with most posters. Most people have no problems coming off SSRI antidepressants without any tapering at all. On higher doses or SNRIs tapering will significantly reduce the risks.
I have only ever seen one person struggle to come off and he was psychologically addicted and a polysubstance user. He never actually tried to come off them just complained that he couldn’t.
If antidepressant withdrawal was a real problem then drug and alcohol/ psych services would be over run with these patients. I can’t think of a single referral we ever had about this from primary care.
This adds just more barriers to people seeking help for depression.
You do know that all health care providers should be able to assess a persons capacity?
Seems like a lot of GPs need to update.
But agreed this is another major kicking for GPs
DeadendDr. If you can. You should.
They need extinction rebellion type protests at these conferences.
Some people seem to thrive on change/chaos/misery
Holy smoke I think adult ADHD might be another item to add to your personal development plan next year. It is definitely a ‘thing’ and you are doing your patients no favours at all in your ignorance of mental health issues. Stigmatising.
Remember what happened to circle hospital though. Just wait
The treatment you received is typical bureaucratic unemotional, dehumanising behaviour that seems to happen in any country if you are on the wrong side of the fence. I don’t think it is reserved just for the U.K. and Brexit. I agree with lateralthink.
Did the ‘nomadic boat dweller’ ( see above) have WiFi?
The times had an article about a deaf and blind medical student in their 4th year being shocked by prejudice of doctors on her ward placement but not from patients.
Lots to discuss there.
Psychiatrists have known this for years in working with patients. If you don’t look after yourself and become ill/ burnt out you can’t look after anyone else well.
My husband, an anaesthetist has taken his first time off sick ever as last time he went to work feeling ill, he got a complaint from a patient for being grumpy. He won’t make that mistake again.
It’s becoming worse than a third world country.
What does ‘manufacturing problems mean’? Nonsense.
Potential interactions and side effects is where AI could have a positive impact in picking up.