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
Polypharmacy
Restoring the Magic to Healthcare
The Serotonin Reuptake Inhibitor (SRI) story starts in 1969 with Arvid Carlsson (above) who created Zelmid, the first SRI, after listening to people on antidepressants. He linked an anxiolytic effect some older drugs have to the serotonin system. The SRIs aimed at exploring that effect - Normality and Antidepressant Dysregulation. Fluoxetine (Prozac). sertraline (Zoloft). … [Read more...] about Restoring the Magic to Healthcare
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
Madness, Normality and Antidepressant Dysregulation
Some weeks ago, Bob Whitaker asked me to do a Mad in America Continuing Education Webinar on the problems stopping Antidepressants. The talk with discussion is here Stopping Antidepressants and responses to points raised will be followed up in forthcoming posts. https://www.youtube.com/watch?v=YIlk1My4ZgQ I prerecorded the talk in case of disaster as Tapering … [Read more...] about Madness, Normality and Antidepressant Dysregulation
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?
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?
Potentially Inappropriate Deprescribing – PID
This post is linked to An Archipelago of Realities on DH.org. The link may not be clear when you start reading Archipelago but half way down it will be apparent. What is being said on Archipelago about SSRIs applies just as much to benzodiazepines here. Geriatric medicine came into being in the 1980s and with it a new word – polypharmacy – a phenomenon particularly … [Read more...] about Potentially Inappropriate Deprescribing – PID