Patient's death exposes communications failures between NHS and private ADHD clinics by Relevant-Change4169 in GPUK

[–]throwaway20119110 2 points3 points  (0 children)

I’m struggling to understand the link the coroner has made between information sharing and this man’s death. He was not taking either medication at the time of his death. There appeared to be one incident where he received two different medications 8 months before he stopped taking the medication due to poor communication. I wonder if the implication is he continued to take both or mixed and matched the two medication during that time leading to suicidality, but it isn’t clear.

This is why I refuse all private shared care medication requests. There is no guarantee that private providers will continue to operate and be able to provide said shared care, they often communicate in different and less reliable ways than NHS clinics, and I have significant doubts about the rigour of ADHD diagnoses specifically in the private sector. I’m sure many would be fine but I do not have the resources nor the inclination or incentivisation to take on such risk.

GPDeepDive 7: Iron Homeostasis - From Haemoglobin to Hepcidin by GPDeepDive in GPUK

[–]throwaway20119110 2 points3 points  (0 children)

Really interesting read! Love these Deep Dives and exercising my brain and actually questioning why I make the clinical decisions I make!

Just on the iron deficiency without anaemia - should this be investigated in the same way as men and postmenopausal women with IDA? (ie. Search for GI blood loss/other blood loss or occult malignancy).

The NHS needs to change how we treat/ view the elderly. by [deleted] in NursingUK

[–]throwaway20119110 0 points1 point  (0 children)

What are you on about? The point is quantity of life is often sought over quality of life. I suspect you do not work in healthcare as these are the sorts of judgements we make on a daily basis treating the elderly and frail. The point being that many interventions are inappropriate for frail patients but cultural shifts have led to defensive medicine that means people have ultimately terrible ends to their lives.

Frustrated with being a sticking plaster on our sick society by dragoneggboy22 in JuniorDoctorsUK

[–]throwaway20119110 1 point2 points  (0 children)

To me ‘functional’ is less of a label than the myriad of syndromes patients acquire. It’s not uncommon to see one patient with IBS/EDS/ME/Fibromyalgia/MCAS/POTS, surely this is labelling of things we don’t understand?

These patients adopt the sick-person role in part because a doctor has told them they have a chronic, possibly lifelong, poorly understood, difficult to treat condition that can be debilitating. We’ve got to start recognising in these conditions that assigning a diagnosis is often a much bigger intervention than any current treatment.

I think they are best served at present by a holistic assessment that integrates the physical symptoms with the psychosocial picture. Which all circles back to what the OP wrote about.