Psychiatrists play God - Again.

Cartoon unashamedly pinched from Dr Speedy's Nice Blog

NHS Blogdoctor is on the case again, this time railing against the influence Psychiatrists have on the NHS in a post with a wider theme, that of the Rise of the Healthcare Professionals.

This quote from the Times yesterday (26.06.08) particularly took my eye:

People suffering from mental illness are frequently being misdiagnosed or receiving inadequate treatment, according to a group of leading psychiatrists. The doctors say that patients with serious problems are often referred to psychologists and social workers rather than clinicians and do not receive the medical therapies they need.

“If a GP suspected a patient had cancer, he wouldn't dream of referring him to anybody other than a cancer specialist. A cancer patient might need jollying along, but what he really needs is the correct diagnosis and treatment. That's what he gets from a specialist. But patients with mental illness are not automatically referred to psychiatrists. If they only see a social worker, there's every chance that mental illness, or underlying physical illness, will be missed. Patients are getting a bum deal.” (Professor Nick Craddock)

Now substitute the words 'mental illness' with ME. See what I mean? Looks like now the psychiatrists are too busy treating people with ME, which of course as we all know is 'all in the mind', to be bothered to treat their own patients.

Life insurance medical

I saw my GP yesterday for a medical for my life insurance. I thought it was just me and my poor medical history that required it but I was told that they do it all the time now.

Anyway interesting reading going through my medical notes for the last 20 years and before, and an invaluable exercise for my GP too, as I have only actually been seeing this one for 9 months.

Things I found out:

I have been complaining about my hands for over 10 years.

My then GP in 1997 queried RA but never did anything about it.

They had me down as depressed, but when the GP dug into it, it was just a comment after I had 2 bereavements in the same year, 11 years ago. The diagnosis was removed from my long list of current problems

Another GP had frequently put 'unexplained weight gain' and never followed it up.

That same GP had documented my aversion to Amytriptiline and my refusal to take it on the grounds of weight gain but never tied the two things up.

My heart problems started immediately after I had Parvo virus as did the RA but it was never 'joined up'. The GP put that right too yesterday and said in the report that I had had both things as direct result of the Parvo virus, it being a well documented progression in adults.

If all this had been sorted out at the time I probably wouldn't have remained with the ME diagnosis and other problems I had would have been investigated more.

The GP concluded the report by saying that as conventional treatments had failed to have much effect I was now seeing my Lyme specialist and getting much better on this regime, giving credibility to the 'probable Chronic Lyme' diagnosis.

Interesting isn't it? When someone actually bothers to review all your notes not just the current appointment stuff.

I thought that this government was all in favour of 'Joined-up Thinking', pity it doesn't extend to Ms Hewitt's departments. Or then again it's really no surprise is it?