Morgan vs Morgan: The Future of the NHS?

August, 15, 2021 | 22 Comments

Comments

  1. Essential Resource:

    Click on an entry to reveal more detail.

    https://study329.org/timelines/

    Click

    2006 – More lawsuits are filed based on tragedies resulting from prescriptions of Paxil to young people. Conflicted apologists defend the drug under the guise of research, arguing the net benefit of SSRIs. GSK warns healthcare professionals that Paxil adds suicide risk for young adults.

    Each Click will bring up important information relevant to each heading

    The burden to the people when you are dead falls on them to analyse and investigate their case as best they can and to may be bring on an expert –

    The Works Below far Exceed the Mealy Mouths of NICE, MHRA, BMA or BMJ :

    https://ssristories.org/

    https://www.antidepressantrisks.org/

    https://www.missd.co/

    https://www.facebook.com/stephenoneillsvoice/

    and many Others in the Prescribed Harm Community who work so hard

    Allen Frances
    @AllenFrancesMD
    ·
    14 Aug

    I try to make self-blaming depressed patients feel guilty about #suicide: “The burden you are to others alive is nothing compared the burden if you are dead. People who care about you will be haunted by your death for the rest of their lives. You must stay alive to save them.” twitter.com/MarkLRuffalo/s…

    Using ‘Guilt’ in any professional circumstance is not helpful; particularly those deaths from psychotropic drugs which should have been averted long before they happened ….

    • Allen Frances
      @AllenFrancesMD

      · 19h
      Replying to @SameiHuda, @CoyneoftheRealm and @Rosewind2007

      What Peter Goetszche doesn’t know about psychiatry is almost everything- but that’s never stopped him from irresponsibly scaring patients off meds they need.

      Garbage in, Garbage out: The Newest Cochrane Meta-Analysis of Depression Pills in Children

      By

       Peter C. Gøtzsche, MD
       
      August 19, 2021

      https://www.madinamerica.com/2021/08/garbage-cochrane-depression-pills/

      “The Cochrane authors miss the forest by looking at one tree at a time, and it gets worse”:

      Auntie Psychiatry August 20, 2021 at 12:52 pm

      The Cipriani meta-analysis (Apr 2018) did indeed get “colossal media attention” – that’s because it was a marketing exercise to promote depression pills as “safe and effective”, and it worked a treat. I illustrated how the conspirators pulled this off in my cartoon “Anatomy of a Confidence Trick.” https://www.madinamerica.com/2018/08/anatomy-confidence-trick/

      The quality of the research didn’t matter a jot, all that mattered was that the public picked up the “safe and effective” message from trusted sources. Same trick being pulled now, on a global scale – works every time.

      In case you missed it

      https://www.madinamerica.com/2018/08/anatomy-confidence-trick/

      – works every time.

  2. This is to Eluned Morgan, Minister for Mental Health in Wales

    The general public are along way from grasping the significance, depth and incredible seriousness of all this. They just can not accept that licensed drugs called medications can, in some people, turn them into potential and actual violent killers of themselves, others or both. They can and do. I’ve experience emotional lability one of the aspects of akathisia from Sertraline and then into full-on akathisia/toxic psychosis due to being pumped full of more toxic drugs. I slashed my wrist quite badly, tried to hang myself a number of times to escape the horrific horror. And I tell you from that experience David Healy is totally correct. And I tell you, if you experienced just 10 mins of what I went through for almost a year it would be blindingly clear that a major crime against humanity under cover of ‘mental illness’ is well under way.

    I suggest you read: Children of the Cure, it details how all this has come about. If you have experienced emotional lability, akathisia, toxic psychosis it takes on a meaning well beyond just reading the words, the truth is extremely sickening and to know many more unsuspecting and health care trusting people suffering some low level depression, anxiety, insomnia are going to experience this horrific horror, while you will probably pass the letter to someone else, takes it to another level.

  3. I’ve been following you, Dr. David Healy, for a long time and I’m thankful for your relentless work.

    I experienced drug induced suicidal ideation and the difference from the real suicide ideation is easy, for me now looking back, to describe.

    I was prescribed these drugs even though I was not depressed.
    Not only SSRIs is on the list I was prescribed.
    A lot of drugs.
    I’m Brazilian and there’s nothing in Portuguese explaining what’s really happening.
    David Healy and others were the source of understanding that made me aware of what happened to me.

    These drugs took years of my life and I still take three of them. But I can say I’m lucky for I had no cognitive impairment and didn’t take my life the two times I was drug induced suicidal and prepared to “go home” while tapering Effexor.

    Now I’m balanced with these three drugs my body can’t get rid off.

    I wrote a book in my language but I have to remain silent. Not even close friends understand and don’t feel like listening.

    Maybe I’ll upload to the bookb somewhere after revising and telling things I didn’t know when I finished it in 2008. Or translate it to English. Dunno.

    For those of you who are new in this journey:
    trust your instincts, research, pay attention to your feelings for sometimes it’s hard to understand what is side effect, withdrawal symptoms or a mere sadness caused by the oddness of life – these drugs turns an explainable sad reaction into a nightmare.
    It’s hell.

    Fight fight and fight to get better.
    The journey is lonely and long depending on numerous factors.

    We are all in this together. You’re not alone.
    Search for those who are fighting the same battle. Usually there are forums, blogs or other sites you’ll have like minded people.
    Love 💕

    My email justana9@gmail.com
    The one on the blog I left I no longer have and I don’t visit this blog of mine for a long time.
    I’ll deactivate the comments.

    • Ana

      Several people – mostly women – have been saying exactly the same thing to me in the last 24 hours. One talked about The Little Mermaid – you can have a place at the table provided we take your voice away.

      This fits with research that shows that its effective for men to get angry but people perceive women and people of colour who get angry as being less effective. Power determines who can speak.

      David

      • Dear Dr Healy,

        Thank you for the article and understanding how women are not heard. Your interdisciplinary approach is remarkable!
        One of the reasons I admire you.
        It’s getting harder and harder to find physicians and scientists who have it or, at least, the average cultural knowledge to come up to their own practice.

        Medicine, as you explained relentlessly, became a religion, a cult with a very dogmatic bible.
        Like the monarchs they rule from the will of God.

        In your article:

        “…when they try stopping the drug, feel absolutely terrible and even suicidal, and feel so much better when they restart. The drug does save their life from the dependence the drug has caused. …”

        This is so empowering coming from you! I came up to this conclusion “empirically” while withdrawing and noticing that when I got back to the dose I was taking withdrawal symptoms disappeared.
        Side effects were a bless!

        “… Pill-Shaming. Its when they mention hazards, they are treated like a threat to society – as blasphemers, slanderers, or treasonous. …”

        I’ve learned to take these ad hominem as compliments and medals! 🙂
        “Are you calling me crazy? You have no idea the level of my madness! If I were you I would not be next to me in any way, shape or form! You’ve better go!”

        “…This reaction has nothing to do with PSSD being strange. …”

        The condition entered in Wikipedia but was deleted.
        I’ve seen it but I didn’t saved.

        I remember the first video done by a British man explaining.
        Although they will deny, deny and deny this is appalling:

        Stuart Shipko MD admits that SSRIs cause sexual dysfunctions and are being used to treat sex-offenders

        “…These effects have been used by medical scientists. these drugs have been promoted in same cases as treatment for premature ejaculation. Martin Kafka, a Harvard psychiatrist, has promoted the use of these drugs to reduce sexual impulsivity in sexual offenders.”…

        https://justana-justana.blogspot.com/search?q=sexual+offenders

        Quite an evidence for me but who cares? Circunstancial evidence.
        What’s most strange about it is that not only biologically we’re affected. Fantasies become less vivid.
        There are numerous heinous changes we want explanations.

        What triggers the suicidal ideation and violent behavior?

        ” …The greatest support is likely to come from women. The mothers of children, …”

        Unfortunately some family members whether women or not are not that supportive.
        One of the examples I have is Tracy Johnson, a health 19 woman who hanged herself in Elli-Lilly’s facilities.
        Not a word from her family and it seems their silence is due to a certain amount of money.
        It’s not proven.

        http://justana-justana.blogspot.com/2014/02/10th-anniversary-of-cymbaltas-victim.html?m=1

        However, we always have to consider that:
        “Antidepressants saved my life.”
        “These drugs save millions of lives.”

        For those who are new on this road study, research and use of sense of humor. It’s a great tool.

        Love, another,
        Ana

    • I’d love to read your book one day Ana. Maybe included on the list of the most honourable publishers on the planet ,Samizdat Co-operative. Many activists publish anonymously – it can be a tricky decision but it is one honourable way the truth gets out without risking repercussions. All too real as the experience of the Olympian from Belaruse revealed recently when after speaking out she was threatened with incarceration in a psychiatric insitution and had to seek refuge in Poland . There are different ways people can be coerced and controlled of course – wthholding information about adverse effects of drugs, covert suggestions of ‘involuntary’ admissions if declining drugs , warnings of being ‘difficult’ on medical notes and so on as you know. The horror is international. Really glad you posted on the blog.

      • Sussane,

        I “finished” this book in 2008.
        I have to make a lot of updates.
        I’m finally enjoying life and this topic triggers a lot of sad things.
        I remember walking along the streets with tears in my eyes whenever I saw a child.
        I thought “I hope s/he is never prescribed any of these drugs.”
        I’m changing for another house and as soon as
        everything goes back to normal I’ll think about working on this project.

        My experience is not mine. We feel the moral obligation to do something.
        Samizdat is a great concept and remind me of my part in it.
        Love
        Ana

  4. If I were still in practice as a GP in England and wanted to check out Citalopram I would head straight to the British National Formulary (BNF) published by NICE.

    https://bnf.nice.org.uk/drug/citalopram.html#importantSafetyInformations

    Dr June Raine (CEO of MHRA) refers to the BNF as the “GP Handbook” in her letter to the coroner.

    https://davidhealy.org/wp-content/uploads/2021/02/MHRA-response-Mr-Morgan-Citalopram-suicide-warnings-coroners-report-reg-28-19-01-2021.pdf

    The entry for Citalopram in the BNF highlights, in a prominent box, a potential yet very rare risk of haemorrhage after childbirth.

    But on the other hand there is no mention whatsoever here about the need to monitor young adults.

    Nor is there any similar recommendation in the “Patient and carer advice” section.

    The preface of the current edition of the BNF states:

    “The BNF aims to provide prescribers, pharmacists, and other healthcare professionals with sound up-to-date information about the use of medicines.

    The BNF includes key information on the selection, prescribing, dispensing and administration of medicines….

    Information on drugs is drawn from the manufacturers’ product literature, medical and pharmaceutical literature, UK health departments, regulatory authorities, and professional bodies. Advice is constructed from clinical literature and reflects, as far as possible, an evaluation of the evidence from diverse sources. The BNF also takes account of authoritative national guidelines and emerging safety concerns. In addition, the editorial team receives advice on all therapeutic areas from expert clinicians; this ensures that the BNF’s recommendations are relevant to practice.”

    I don’t think the BNF includes all the key information when it comes to prescribing Citalopram to young adults.

    • Thank you Peter.
      During 40 years prescribing as a hospital doctor, and over 25 years of contributing to the Vocational Training Scheme in General Practice (via a full time G.P. Trainee Senior House Officer attachment to my Department) I too would have turned to the BNF for trusted and authoritative prescribing safety information. I advised our trainees to do the same.

      When my treasured daughter (never, ever depressed) was ill-advisedly given escitalopram for the normal apprehension associated with a new temporary job, and an imminent exam, I had never heard of AKATHISIA. If I had, – “Inner Restlessness” – would not have begun to describe the iatrogenic, physical, emotional and psychological agony that she suffered as a common adverse drug reaction to SSRIs/SNRIs (Psychotropic and other prescription drugs). (Please see ‘Kidnapped Daughter; 1 and 2). The reality was: Writhing restlessness, astonishing increase in muscle tone and strength. overwhelming agitation, ceaseless movement, desperation to find some relief from this acute, terrifying, neurological and systemic, life-threatening toxicity.

      I found nothing in the PIL or BNF to help me, a doctor, recognise what I now would see as a ‘Barn Door Obvious’ discrete ADR clinical syndrome. The next GP changed Rx to Sertraline and the AKATHISIA intensified. This lead to a misdiagnosis of “Psychotic Depression” even though ‘Psychotic depression is vanishingly rare compared with treatment induced akathisia’.

      Cascade iatrogenesis and enforced, unnecessary and dangerous psychotropic medication lead to a generalised ‘psychotropic malignant syndrome’ (Independent expert opinion) and multi-systems injuries. This was serially misdiagnosed as ‘S.M.I’. An enchanting young woman had her life destroyed and a whole family was devastated. No one has ever apologised.

      I await the AKATHISIA ‘grey-box warning’ on the PIL that would have given me, and her GP, the chance to save her, ten long years ago.

      My understanding is that material published on the G.M.C website is intended for doctors, but ‘may be of interest to the general public’. The following is based on this understanding.

      The GMC guidance: Good Practice in Prescribing and Managing Medicines and Devices, was updated,5th April 2021:

      Deciding if it is safe to prescribe:

      20) You must consider, — whether you have enough information to prescribe safely.

      27) You must only prescribe if it is safe to do so.

      28) Before prescribing you must consider whether the information you have is sufficient and reliable enough to enable you to prescribe safely.

      I know that our GP trainees and our staff physicians diligently applied this same philosophy, all those years ago.

      I am certain that current prescribers similarly strive to prescribe safely, based on the trusted information made available to them.

      Until prescribers, and those for whom they prescribe, (and their loved ones, families and flatmates) are allowed to understand, recognise, manage and prevent the tragedy of misdiagnosed AKATHISIA, how can antidepressants be prescribed safely?

      Psychotropic ADRs: AKATHISIA, Disinhibition, emotional blunting, suicidal ideation, violence toward self and/or others, toxic sexual dysfunction (PSSD. PGAD) are not confined to those who are, or who have been depressed. They are consistently reported in HEALTHY VOLUNTEER TRIALS. Shouldn’t this fact should be included in our trusted information to allow us to prescribe as safely as possible?

  5. Hello David

    I quote Lucy Johnstone in her book, Users and Abusers of Psychiatry: “Astonishingly, it is an offence punishable by two years in jail to reveal any of the information on which the Medicines Control Agency bases its decisions about drug licencing in this country. In fact, both it and the Committee on Safety of Medicines carry out their work in almost complete secrecy.” (p170)

    When I asked a representative of MHRA if reports by psychiatric patients of side-effects using the Yellow Card system would be noted, she made it perfectly clear, that only reports coming from GP’s would be taken seriously (even in the case of non-psychiatric drugs). Effectively, this means that most side-effects are never acknowledged.

  6. It never fails to amaze me how similar the experiences that appear here are, wherever on the planet they come from. It’s the need for silence, the lack of compassion, noone listening etc. that always stand out. I am intrigued by your sentence “……and the difference from the real suicide ideation is easy ……..for me to describe” – maybe you could give us a further explanation of this? I’m glad that you have recorded your suffering in a book – has it been published and, if so, are many people reading it?
    The fact that you remain on Effexor – and another two drugs – is interesting as it’s a very difficult one from which to withdraw I believe. Is your plan now to remain on your present dose of your three drugs or is further reductions your future aim?
    Sorry about so many questions but it would be really interesting to know more about your journey Ana.

  7. MHRA:

    About as useful as an ashtray on a motorcycle.

    By not following up on adverse events sent into them via their deeply flawed Yellow Card system, they are, in essence, allowing themselves to proclaim ‘correlation does not equal causation’.

    Correlation will never equal causation if one doesn’t bother to investigate it.

    Meantime, the bodies continue to pile up.

    The buck stops with this utterly incompetent ‘regulator’ who, it appears, cover themselves in garlands every time they shut down Joe Bloggs selling unlicensed drugs from his garden shed. Backslaps all around from those that fully fund them, namely the drug companies.

    I have sick in my mouth.

  8. It would be reasonable to think the employment of pharmacists in clinics would make a difference.
    There was tension initially about what role they would have so maybe they are reluctant to question or alter the GPs prescriptions although reviews of medication are part of the job as Independant Prescribers.. Where are they getting their own information from which would I would assume be in more depth than that of GPs? They must be seeing a lot of adverse effects to drugs yet there don’t seem to be pharmacists speaking out? Would the clinics confidentiality clauses prevent them doing so?. People directed to pharmacists in surgeries these days , where there is one,need to ask for information and reasons for prescribing and reviewing and changing meds rather than assume we should simply blindly trust another ‘expert’ . They should not take that as a personal criticism but will be factor to be negotiated
    in the consultation for some . I know people have had meds changed by practices using pharmacists without any discussion whatsoever . Repeat prescriptions just turned up assuming no questions would be asked.

  9. The bug-bear is how often doctors, psychiatrists, pharmacists don’t talk to each other when supposedly looking after the same patient. A very young new psychiatrist suggested to me that she would talk to the Hospital Pharmacist to see how I could get off Seroxat. The Pharmacist came up with the idea of liquid Paroxetine and the GP received a letter telling her to work out a plan over 12 months from 40 mg. of Seroxat.

    20 mg. of Seroxat had been increased to 40 mg.of Seroxat because the psychiatrist had no idea what the GP had been prescribing and she had not told him. Following the end of this plan, another drug was then introduced.

    I just wonder at the hierarchy of doctors, psychiatrists and pharmacists and how it all gets muddled-up with the patient no wiser as to who knows what.

    At inquests, such as that of Stephen O’Neill, that is the time they all come together, but by then its far too late to get an honest appraisal as too often they are all covering their own backs and it is academic where the fault lay if even an expert points it out, but admissions will always be that they were acting in the patient’s best interests.

    If the patient is left-in-the-dark, literally speaking, all the inquests will yield is another layer of frustration and despair at the way the ‘death’ was quite possibly avoidable.

    Pharmacists could have an important part to play, but if nobody talks to each other then they are all in it together…

    • What you say here Annie is so true. The whole system is so disjointed that each section gets away with blaming the other with no follow-up whatsoever, or at least not beyond the “we have listened and are happy that systems are in place for the desired outcome” – which is often as far as they can be from ‘being in place’. Pharmacists, unfortunately, are just as good as the rest of the ‘system’ at passing the buck. At the pharmacy :-
      “No, we haven’t had the prescription from the surgery yet sorry – you need to get in touch with them”. At the surgery :-
      “They have received the prescription since 3.20pm yesterday by fax- ask them to check “. Back at the pharmacy:-
      “Please check – surgery staff say it was sent through yesterday”
      After roughly 10 minutes of mad shuffling through paperwork ( just slightly out of my sight!) came a muffled “Found it!”
      Me:- “Did you say you found it? It was here all along then was it?”
      Pharmacy staff :- “Yeah, we’ve got it but the surgery has just faxed it through again now – (with a chuckle) It hasn’t been here all along, no!”
      Is that really the best that we can expect or should accept? I’m not the only one to suffer this type of disjointed working. I call at the pharmacy once a month and I can honestly say that during the majority of visits some unsuspecting patient or other is sent on a wild goose chase for a prescription that had been promised “ready for collection” at that time.

  10. Thanks Annie -Slogan for them could be ‘lets work together and save lives’ Instead we have
    Hierachies and money = mistakes, harms, , deaths and cover ups
    Some snippetts

    ……;But Dr Peter Fellows, member of the GPC prescribing subcommittee and Gloucestershire GP, said: ‘The DoH is trying to use all sorts of means to obtain cheap GPs.

    ‘We are worried about this development and its threat to general practice.

    ‘Pharmacists do have a wide-ranging training in drugs across the board, but they don’t have the associated clinical knowledge of doctors,’ he added.

    ‘The government hasn’t listened to the GPC and has allowed all independent prescribers to prescribe from the British National Formulary and I think that could be dangerous.’

    Practice Pharmacist Salary and Benefits
    Taking into account the funding provided for primary care network pharmacists posts, this suggests that practices may need to consider contributing more than 30 per cent of a band 7 salary to secure an appropriately experienced pharmacist
    And
    Re ‘Responsible and Accountable’ ie Let’s all collude together if something goes wrong. However ‘experienced’ or not they are.
    “A pharmacist independent prescriber is a practitioner who is responsible and accountable for the assessment of patients with diagnosed or undiagnosed conditions and for decisions about the clinical management required, including prescribing”

  11. NICE is developing a guideline on medicines associated with dependence or withdrawal symptoms, due to be published in November 2021.

    Their ‘guidelines didn’t save Stephen; Amanda ;Samuel or countless others past and in future from dying horrible deaths Unless they listen to what DH has been telling them for decades (as above and countless other places) more people will be harmed, die and leave familiies and friends greiving over the pointless loss of lives.

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