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
Osteoporosis
How the Safety of Drugs was Destroyed
Emer Cooke, the CEO of the European Medicines Agency (EMA) is Irish. This is Dublin's famous Halfpenny Bridge which for some reason features in an article outlining the history of the phrase Tail wags Dog which seems appropriate for what followed. I wrote to Emer recently about a bizarre letter I received from Kinapse - A Brush with EMA - who run EMA's medical literature … [Read more...] about How the Safety of Drugs was Destroyed
Could Journalists be Doctors in Disguise
I had to give some workshops a few years ago to media students and either while thinking about what to say or in the middle of saying it, or soon after, it hit me that good doctoring has a lot in common with good journalism. Both hinge on getting the story right and key to that is having a real person whom others can contact to check out the story they have been told about … [Read more...] about Could Journalists be Doctors in Disguise
Clinical Trial Fraud
This is part two of Johanna Ryan's posts on Ghosts in the Clinical Trial Machine or Clinical Trial Fraud. Last weeks post reported on how doctors in three states have been convicted of handing in fake clinical-trial results from fake patients. This week we’ll examine how small-time crooks like these ended up doing world-class medical research for companies like GSK. Medical … [Read more...] about Clinical Trial Fraud
Ghosts in the Clinical Trial Machine
This is the first part of a two part series on clinical trial fraud from Johanna Ryan, with part 2 next week. Jo is RxISK's clinical trial and shoddy clinical practice sleuth - see The Maintenance Man. Recently the U.S. Department of Justice called attention to a small but worrisome crime wave. Health care fraud is a familiar feature of American life that may account for … [Read more...] about Ghosts in the Clinical Trial Machine
Antidepressants: Education and Disability Certificates
This post covers difficulties primarily on antidepressants that medicines can cause to people in schools or universities who end up unable to study or do course-work, as well as the difficulties people can have trying to get off medicines, a process that can be pretty disabling. The materials linked to this post are being put in your hands to run an experiment and hopefully … [Read more...] about Antidepressants: Education and Disability Certificates
The Woman Who Was: Looking back from Prescription Cascade
Editorial Note: This is M's story. She outlines a Prescribing Cascade. In an email she also asks a question: does anyone have any evidence of SSRI withdrawal causing Vit D deficiency? HRT HRT started it all. Peri menopausal at 45, my GP did a FSH test and prescribed Climagest – oral oestrogen and progesterone. Hot flushes disappeared and I felt myself … [Read more...] about The Woman Who Was: Looking back from Prescription Cascade
Drug Wrecked: Where Does Change Come From?
Editorial Note: There are two elements to RxISK. One is identifying adverse events in order to keep people safe and to widen our knowledge about what drugs do. But just as important is taking on a power structure that some of us get a glimpse of when we raise the possibility of an adverse event and our doctors dismiss us, or get nasty, and close ranks. The idea behind a … [Read more...] about Drug Wrecked: Where Does Change Come From?
The Sheriff of Nottingham
On Friday March 31st, British airwaves were full of news about a significant change in Britain's National Health Service. Bleeding Obvious? After its 8 AM news headlines, Radio 4’s flagship news program, Today, featured the boss of the National Health Service, Simon Stevens, explaining how the new system would be better even though long-established targets for waiting list … [Read more...] about The Sheriff of Nottingham
Fragile Doctors: Iatroporosis
Editorial Note: This post is from Sara Bostock, who was one of the originators of the SSRI Stories concept and a key player in putting pressure on FDA to put in place Suicide Warnings on Antidepressants. So she is far from the average in her determination - although to look at her she looks just like the rest of us. Tough though she is, this post brings out just how difficult … [Read more...] about Fragile Doctors: Iatroporosis