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    Watt from MRC defends PACE in letter to Times

    Should someone tweet Sharpe to ask him if he has read the book? :laugh:
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    Simon Wessely: ‘ECT is in my own advance directive’

    Another thing that strikes me from some of the links posted is that some people voluntarily have more ECT, as a maintenance dose. Now, I'm sure that even if they were incapable of making the decisions for themselves the first time around, they presumably are giving conscious and informed...
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    Simon Wessely: ‘ECT is in my own advance directive’

    This is not aimed at you specifically @Inara. I'm using the word you in a general sense here. Of course one of the problems in deciding things like this in advance is that: 1) by the time you needed it (if you ever did) that the process might have been further refined and honed to give...
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    David Tuller: Trial By Error: My Letter to Red Whale/GP Update

    And the phrase done up like a kipper (to refer to BPS control.of the narrative) springs to mind.... https://www.urbandictionary.com/define.php?term=Done%20Up%20Like%20a%20Kipper
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    Simon Wessely: ‘ECT is in my own advance directive’

    I think, partly from what JE wrote further up the thread, the question would be why? If one believed the problem lay in the brain that might be a start, but I don't think (m)any of us believe that. Also it sounds as if there are very tight criteria for trying ECT, so I doubt they'd just give...
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    BMJ: Pressure grows on Lancet to review “flawed” PACE trial

    When one looks at the loose entry criteria for PACE and you look at the figures (the real ones, not the hyped), I think PACE demonstrated CBT & GET don't work very well for anyone.
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    Simon Wessely: ‘ECT is in my own advance directive’

    Confession time - a relative of mine worked in a fairly notorious (locally anyway) psychiatric hospital in England in the 50s and 60s. They routinely dealt with high security patients, patients in padded rooms etc.. ETC was not part of their daily routine, but, on occasion, they were required...
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    Review: Chronic fatigue syndrome and quality of life, 2018, Roberts

    I know this is a review of data gathered through questionnaires, but I don't see how they don't see that the flippin' questionnaires are part of the problem, in my opinion. The questionnaires do not necessarily capture the information that they are designed to elicit and, even if they do...
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    Hair loss and changes to fingernails

    I have had a number of epsiodes of hair loss over the years due to a number of reasons: 1) thyroid - snag is if you get checked and it seems "normal" that just means that it's within a normal range. It does not mean that was the level that was normal for you. In addition thyroid problems can...
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    The Challenges and Complexities of Thyroid Hormone Replacement (2010) Kansagra et al.

    Interesting about your body temp normalizing @Inara. I am at my best thyroid-wise with a below normal TSH and T4 at the very top of the range as long as T3 stays mid range. I don't believe I have any problems converting T4/T3 and taking T3 isn't right for me, though I know others need it. My...
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    Benefit related deaths

    No they're not all bad @Trish. However, they get the jobs because of the status their accreditation brings, but that accreditation comes with responsibility. So, to my mind, if they then lie, or misrepresent the claimant, and the claimant is sanctioned, moved to a lesser benefit or had the...
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    Benefit related deaths

    I find it shocking that people with a genuine interest in healthcare and who have the smallest grain of interest in the well being of their fellow mankind prostitute their professional certification this way. Doctors, nurses and the like who are found to abuse or bring their profession into...
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    David Tuller: Trial By Error: My Letter to Red Whale/GP Update

    ....and just because your behind is on the seat doesn't mean that you are capable of participating fully and taking on board the information being imparted. Edited - spelling
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    Recording of PIP assessment

    I know you've got enough on your plate right now @Kelly, but, at some point, I think this is worth raising with your MP. It looks like they're trying to turn the right to recordings into just another means of spinning our own wheels, while getting nowhere. :banghead: So, sorry they are making...
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    The New York Times: Vitamin D, the Sunshine Supplement, Has Shadowy Money Behind It

    I take it too. Being the type who gets sunburn looking out the window, let alone sitting on a chair outside my back door for a few minutes, in the few years since I started taking it, I've not gotten burnt at all. I'm just gonna keep taking it. Seriously, I've been burnt from being outside...
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    Netflix "Afflicted" - ME included

    . Then add to that the years of being an authority over these patients, in a system where, even if you do get it wrong, the patient will rarely complain either because the complaint process is too difficult, or because the patient is scared of the repercussions.
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    Netflix "Afflicted" - ME included

    I absolutely agree. However, I have 20 years experience and a fair bit of wasted cash to inform my view. The snag, as I see it is that the newly ill have huge adjustments to make. They, not unreasonably, believe that doctors will always have their best interest at heart and that they are the...
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    Netflix "Afflicted" - ME included

    That could have been a ploy to draw participants out and keep them onboard until the end of the project.
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    Unwanted Events and Side Effects in Cognitive Behavior Therapy, 2018, Schermuly-Haupt et al

    I admit I haven't read the whole thing but, And how do we know that therapists haven't under reported, I wonder? It would be interesting to see if, when questioned, their patients would report the same number of SEs and UEs. After all,isn't it what the patient feels that counts? Otherwise...
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