These words are from David Foster Wallace. I don't know if he was speaking about the depression he had or the akathisia that antidepressants can cause. Maybe he didn't know and this contributed to his suicide. This post needs to be read in conjunction with What to do about Sex on RxISK. This post is about structural aspects to the problems not just of sexual dysfunction … [Read more...] about What to do about Suicide
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Spotlight on the Suicides: The Hospital Doctors
This post continues the Spotlight on the Suicides series. There were 8 named people in Stephen O'Neill's medical record, or who made entries in the record between the time of first admission and his death. He appears to have told most of them that in his view the sertraline he had been put on and took two doses of had had a disastrous effect on him. There were likely up to … [Read more...] about Spotlight on the Suicides: The Hospital Doctors
Spotlight on the Suicides: The Family Doctor
Continuing the Spotlight on the Suicides Series I have largely avoided naming names and will continue to avoid putting names in the frame but Stephen's family doctor's name, Dr Brannigan, is already in the public domain, and I've made it clear that the coroner thought highly of him and the whole point behind these posts is to show how even a decent doctor can end up in a … [Read more...] about Spotlight on the Suicides: The Family Doctor
An Appleby a Day Keeps the Doctor Away
Tangled up in Bureaucracy flagged a Signal for the Goose Signal for the Gander as a sequel. That was before the Gary Bullivant comments on Tangled up in Bureaucracy. If you don't normally read comments on post, the Bullivant-Kingston comments are in this link; they are worth reading. GB's comments fit nicely in with a delicious 2019 correspondence between Dee Doherty and Louis … [Read more...] about An Appleby a Day Keeps the Doctor Away
Cass or Cassandra: Doctors Bearing Gifts
CisMedicine – TransMedicine While The Once and Future Immunity about vaccines for RSV was being drafted last week, the Cass Review on Gender Medicine hit the news headlines. Cass trenchantly critiques gender medicine as it has been practiced in the Western world in the last decade. These 2 items intersect as hopefully this post will make clear. Trenchant though it was, the … [Read more...] about Cass or Cassandra: Doctors Bearing Gifts
God Does Not Roll Dice. Should Doctors?
This lecture If God Doesn't Play Dice, Should Doctors was given at the invitation of Leeza Osipenko and Consilium Scientific on May 18th 2023. Consilium are playing a big part in encouraging us all to think more about the quality of proofs we turn to in medicine in particular about Randomized Controlled Trials. There are many excellent lectures on their site. With lectures … [Read more...] about God Does Not Roll Dice. Should Doctors?
Royal College of Psychiatrists’ Suicide Note
RCPsych President responds to newspaper coverage on antidepressants 24 April 2023 Dr Adrian James, President of the Royal College of Psychiatrists, has written to national newspapers responding to recent articles erroneously linking antidepressants to suicide. Here is the full text of the letter. “I was disappointed to read your article, which has potential to … [Read more...] about Royal College of Psychiatrists’ Suicide Note
Dos Centavos – Veinte Euros
Five years ago, in a riff on the theme of rape, Dos Centavos tackled drug induced harms and the inability of doctors to see, hear or believe the people they put on a poison who end up poisoned. Dos Centavos was not the only post on this unfolding disaster. Many other posts, like A Call to H*Arms, cover this central element of modern politics, science, and … [Read more...] about Dos Centavos – Veinte Euros
Here We Stand, We Can Do No Other
In 1517, Martin Luther nailed a defiant proclamation to the door of Wittenberg Cathedral. (See RxISK Reformation Day). The issuing of indulgences, offering easier entries to Heaven, in return for money is popularly represented as being at the heart of the storm that followed. A significant part of the storm came from Luther’s stubbornness – his Here I Stand I Can Do No … [Read more...] about Here We Stand, We Can Do No Other
Beware Doctors Bearing Gifts
This post gives the content of a public lecture organized by Dan Johnson and Jennifer Williams - see In Memory of Dexter Johnson. The slides and text are below. There are two video recordings - the official version is by Thomas Paul which is White Coat Storm. A just to be safe second version - Beware Doctors Bearing Gifts - was done given the problems Tom had to juggle … [Read more...] about Beware Doctors Bearing Gifts