Worth shouting at every opportunity because it's true, and even more so because we are absurdly accused of minimizing mental illness... by people who see nothing wrong with letting what they think are mentally ill people starve to death in immense suffering. The response from many MDs about it, blaming the victim with the same bigotry and ignorance that led to her negligent homicide, says it all.At a tangent from the inquest...
The hospital nursing and medical staff who think ME is "psychological" are, in effect, admitting that they think patients with mental health problems don't deserve care and if such patients die it is their own fault.
If anyone has more information on the PEG part, I'd love to hear more specifics. PEG is recommended if nutrition support is believed to be needed for more than 3-6 weeks (unfortunately guidelines vary on the length of time so they can't be called "clear").22 July was before NG tube was removed
There was an MDT
DrWarren now going over PEG feeding- why not
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How the heck did any of these medical professionals cope with COVID 19 then?Maybe 'is there any training?'
Specialist training is training after passing the general College exams for entry into specialities.
There is no specialist training for ME/CFS for adults because ME/CFS does not belong to any specialism (unless the liaison psychiatrists have training!). For children there is specialist training because paediatrics covers all conditions in children and they realise that ME/CFS exists.
I think specialist training in ME/CFS is a contradiction in terms? ME/CFS is a diagnosis by exclusion i.e. you look at all of the known/understood/treatable conditions, which could produce this outcome, and when you've eliminated them then you're left with a diagnosis of ME/CFS i.e. left to manage without making things worse.Is there any specialist training?
Would it make sense that this is a consequence of being on the eating disorder unit, vs the neurological unit where they likely have the experience necessary to do it safely?Was the risk of sepsis considered greater in Maeve than any other patient receiving TPN, including a burns patient? If so why? Did they for example think she had an immunological pathology that put her at greater risk?
But even with eating disorders, if someone is close to death from starvation there is force feeding. As you and others have stated already, this is not a way to treat someone with any type of illness.Would it make sense that this is a consequence of being on the eating disorder unit, vs the neurological unit where they likely have the experience necessary to do it safely?
Because it sure looks a lot like it to me. Obviously the eating disorder unit would have a different approach to this, and that's exactly the problem. It was also their decision, made against protests from the Maeve, the family and consultants.
Not keeping track of weight loss is unfortunately common (often blamed on time constraints). Being on an eating disorder ward could also increase the problem as for ED some will avoid weighting the patient for fear of them becoming fixated on the weight. That said, it is difficult to weight bedbound patients, and the ways to do so would likely not be beneficial for an ME patient.Exchange with Devon Council - Maeve wasn’t weighed, suboptimal calorie intake
DR Warren does not think notes of his exchange with Dr Shenton re Ng reflect the sentiments at the time
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Damn that thread is ignorant. A few good comments. Mostly complete ignorance and a very odd "us vs them" mentality.If anybody can stomach it, UK GPs discussed the inquest on Reddit here,
Code:https://www.reddit.com/r/doctorsUK/comments/1e9qrzh/sad_case_of_patient_and_gp_seem_to_be_let_down/
How the heck did any of these medical professionals cope with COVID 19 then?
I was being facetious!Managing Covid-19 is a very different issue, chiefly involving acute respiratory failure.
Damn that thread is ignorant. A few good comments. Mostly complete ignorance and a very odd "us vs them" mentality.
It's locked, so no more discussion. What little discussion is there is lazy and uninformed, they don't even seem to have read the article for the most part, and there's an overall "the reporting is biased because we only have the view of the 'CFS lobby' while the hospital is gagged from speaking", even though this is literally about an inquest where the MDs involved are speaking to that. I guess no one noticed.
It never ceases to amaze me how in a profession that involves so much attention to minute details, this attention to details is so often completely turned off about things that "aren't on the exam".
There's also a downvoted question at the bottom wondering whether there is an increase in ME/CFS cases because of COVID, if anyone's wondering whether they have clued in about it. They have not, not even close. This is completely embarrassing.
Dr Warren was also not interested on her fluid intake as he said her blood kidney tests (when they did them) were fine.
***TRIGGER WARNING***
I’ve just happened on this Reddit. Thread about Carla – think it’s relevant here in the context of the Reddit thread about Maeve. There are some upsetting and shocking comments in here too. I can’t believe these are the people who are supposed to care for us. I know medical disbelief is a huge problem we’ve likely all experienced but I’m shocked at the callousness.
ETA: Do you think journalists know these threads talk like this? I didn’t have a clue until the past few days. If the public could see what we face it might help people understand what we face and why hospitals are often a dangerous environment for pwME.