On January 22, Britain's Medicines Regulator convened a meeting on consent to Isotretinoin (Accutane, Claravis), whose dynamics map straight onto Prima Facie. Families whose children died from Isotretinoin triggered suicide, or whose sexual function is potentially wiped our forever have clamored for reform for over a decade. In 2023, MHRA rewrote the Rules of Evidence on … [Read more...] about Isotretinoin and Safety – Destiny or Mirage?
Medical kidnap
Guilty Until Proven Innocent – Prima Facie
https://www.youtube.com/watch?v=tOQ7YsxkVUQ Prima Facie - on the face of it - it is clear who the legally guilty party is - until (perhaps) it is proven otherwise. Prima Facie is a play by Suzie Miller. She tells the story behind it and the changes to the law around sexual assault it has brought about, along with her Australian and legal background in this Women's … [Read more...] about Guilty Until Proven Innocent – Prima Facie
The Future of Health App-ointments
Several of the many people who write or track RxISK posts, have had input to this one, which dovetails with Harriet Vogt's post last week Repairing Ruptures in Clinical Care and the work of Shane Cooke and Mary Hennessey in getting health systems to listen to the voices of those harmed by treatment. The post, maybe, casts an ominous light on our abilities to get medicine to … [Read more...] about The Future of Health App-ointments
Repairing Ruptures in Clinical Care
Better Times Will Return © Josie Russell 2017 This post is by our warzone correspondent Harriet Vogt from frontline trenches. A few weeks ago I was invited to join an online discussion with a group of experts on iatrogenesis who have an in-depth knowledge of antidepressant withdrawal and the risks of polypharmacy. These highly informed, articulate, empathic medical … [Read more...] about Repairing Ruptures in Clinical Care
Deciphering the Web We Have Woven
Three people who got in touch recently, one with a problem, one with an idea, and one 'outraged' contributed to this post. The problem and idea illustrate what happens when doctors take Probity Blockers. The outrage tells you almost everything you need to know about the Web we are enmeshed in. Using the problem, idea and outrage, this post gives a punchier version of the … [Read more...] about Deciphering the Web We Have Woven
It is Hard for Thee to Kick Against the Pricks
The title of this post by Peter Selley comes from the Acts of the Apostles. It captures the moment where the Divine is advising Paul to stop persecuting Christians. Acts 9:5 (KJV). An if you can't beat them, why not join them moment. The words lend themselves to the situation of anyone attempting to grapple with the growth of a new RSV religion in more than one sense. Among … [Read more...] about It is Hard for Thee to Kick Against the Pricks
No One Expects the Reformation
The title of this post borrows a famous line from Monty Python: No one expects the Spanish Inquisition This is an advance notice of things to come rather than a post per se. To get a sense of the things to come, it is worth reading the Antidepressants, Homicide and a Challenge post and the comments that come after it where many regular contributors to RxISK pick up … [Read more...] about No One Expects the Reformation
Where is the Great Light that is Supposed to Shine?
Around the time Bob Whitaker asked me to do a Webinar on Stopping Antidepressants, K filed a RxISK Report on her efforts to get off Prozac. Like many Reports, in her case it seemed clear she should never have been put in the situation she is now in - she didn't have a mental illness. She got sucked into a situation not of her own making. Some wonderful touches to her … [Read more...] about Where is the Great Light that is Supposed to Shine?
Challenging My Doctor to Disclose
This recently published US strategy on Suicide Prevention epitomizes all that is going wrong in medicine today. It is stuffed full of references to Shared Decision Making, Informed Consent and Lived Experience. Stuffed full of token words, window-dressing, tick-boxing. It will increase rather than reduce suicide rates. It is clear that the people behind this, and … [Read more...] about Challenging My Doctor to Disclose
Deprescribing – Where does Responsibility Lie?
This post follows on from last weeks Potentially Inappropriate Deprescribing and has links to this weeks The Creation Narrative and God Complex. It brings up a painfully tricky point. Reducing Medication Burdens is perhaps the most important task in medicine today. Many well-meaning folk are aware of and raising the profile of this need and attempting to work out how to go … [Read more...] about Deprescribing – Where does Responsibility Lie?