Apologies to all readers outside of Britain who may never have heard about The Pirates of Penzance, definitely not The Pirates of the Caribbean. PoP though has a famous song - I am the Very Model of a Modern Major General - featuring a dimwit General who knows everything about everything except military strategy. This post ideally needs an … [Read more...] about Who Will Make Medicine Great Again
Politics of 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
Embracing Healthcare’s Opportunities
Up to 1980, the pharmaceutical industry was small beer. Most of the companies had recently demerged from chemical companies, and were hiring management consultants to help them work out how to do the job. A steady stream of life-saving drugs from the 1940s to 1960s that people and health services were willing to buy at prices greatly in excess of their costs of production … [Read more...] about Embracing Healthcare’s Opportunities
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?
Breaking the Word of Promise to our Hope
Be these juggling fiends no more believed, That palter with us in a double sense; That keep the word of promise to our ear, And break it to our hope. William Shakespeare: Macbeth A storm blew up just over a week ago with a Lancet article on antidepressant dependence and withdrawal. Based on company studies, this article gave some credence to the idea that antidepressants … [Read more...] about Breaking the Word of Promise to our Hope
The Fantasies of Psychopharmacology
This talk was first given at a Medicating Normal Meeting for mental health staff in Lexington Kentucky organized by Geoff Wilson and a few days later in May at the invitation of Don Marks to a group of clinical psychologists in Kean University New Jersey. I'm hoping it will lead to feedback from both groups and others. It is twinned with Truth, Trust and Health also given … [Read more...] about The Fantasies of Psychopharmacology
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?