Here is another post from my anonymous advocate. This time looking at the contemptuous way some doctors view their 'MUS' patients and how, using a particular quote, MUS patients have been presumably deliberately marginalised by those propagating the 'MUS' myth. The quote in question is this: "
‘Some make your stomach churn when they come in…very nervous. They make it very clear they are taking charge;
and they do, they take charge, and there is nothing you can do.’ (GP)
- quote from this study
- https://academic.oup.com/fampra/article/19/2/178/490943
**********************
(by anonymous advocate)
JCPMH - HIGHLY OFFENSIVE QUOTE
On page 9 of the JCPMH Guidance document -
https://www.jcpmh.info/wp-content/uploads/jcpmh-mus-guide.pdf there is a passage which talks about the negative impact that MUS patients have on their GPs. A reference given for this is a 2002 study -
https://academic.oup.com/fampra/article/19/2/178/490943- co-authored by the co-chair of the Guidance, Professor Chew-Graham. In this study I discovered quite an offensive quote from a GP talking about their MUS patients – the fourth quote under ‘Results’. I was surprised that any academic would include this quote in a research paper, but I then discovered that Professor Chew-Graham had used the same offensive ‘stomach churn’ quote on this 2017 blog -
http://primarycarekeele.blogspot.co.uk/2017/02/mus-guidelines.html . (So had she been brooding about this quote for quite some time?)
If that wasn’t astonishing enough, I recently discovered this online JCPMH document -
Commissioning guidance for Medically Unexplained Symptoms (MUS) , dated 21st October 2016, which predates the publication of the JCMPH Guidance by several months. The document appears to be a presentation for a healthcare conference, this MUS conference -
http://www.healthcareconferencesuk.co.uk/news/medically-unexplained-symptoms – which was held on the 21st October 2016.
On page 10 of this presentation we are confronted by the same offensive quote. The JCPMH Guidance co-chairs, Simon Heyland and Carolyn Chew-Graham, appear to have thought it acceptable to use this quote by a single GP to represent how clinicians in general can find consultations challenging. They have presented this prejudiced view to a room full of health professionals at a dedicated MUS conference as an example of the impact that MUS patients have on their GPs. If these derogatory comments were about any other minority or patient group they would surely be hauled over the coals for this.
You do have to wonder who intervened to stop this quote being displayed in the final JCPMH Guidance document.
(Apologies if this information has already been posted here. NB The conference document was posted in January 2017 by Dx Revision Watch, #6 on this Phoenix Rising thread
http://forums.phoenixrising.me/inde...ary-care-whats-happening-across-the-uk.48710/ along with much other useful information about MUS. )