A recent feature in the Medical Defence Union Journal offers insight into the doctor-patient relationship from a doctor-patient.
‘The overwhelming realisation was that despite being highly qualified, intelligent and driven professionals, we often forget the simple things. The fact that I am here and able to write this is testament to the good care that I received. However, the truth is that it’s the difficult, painful moments and words that are the ones that I and, I suspect, other patients remember forever, and which have a lasting effect on us’ writes Dr Nia Wyn Davies… ‘Patients respect honesty from their doctors. Where there is no hope we owe it to them to tell them so, tactfully and gently. But whilst there is light, however dim, at the end of the tunnel, we must reassure our patients and their relatives of this and allow them to hope, whilst we manage the reality.’
Since she is a doctor, it is doubly shocking that her concerns were dismissed. The need for compassion in healthcare is just one of the lessons highlighted by this article.
N W Davies. The receiving end – a doctor’s insight. Medical Defence Union Journal.
‘The evolution of the cancer drug appraisal process: hosted by BMJ, this promotional campaign article by Roche includes ‘How will it work?’, ‘Implications for breast cancer’, and ‘consequences for HER2+ breast cancer – coming soon’.
‘…A new model was introduced on 29th July 2016, through which NICE will evaluate new cancer drugs as well as those already funded through the CDF. However, the anticipated reforms to the NICE evaluation process have not taken place. NICE will use the original methodology employed in 2009, which resulted in the rejection of many cancer drugs – the reason the CDF was introduced in the first place.’
If you enjoy the series ‘Yes, Minister’ you will probably love Issue 104, 2016-17 of the HealthWatch charity’s Newsletter, especially pages 6-8.
Breast screening, health checks, nsaids, …what doesn’t work?
In his acceptance speech, HealthWatch Award Winner Peter Gotzsche asks, ‘Why is it controversial to tell the truth about healthcare?’
‘People ask me, why do you look for controversies? And I tell them, I don’t, they come to me. My work is something like that of a medical detective. People come to me if they feel something is wrong in healthcare. When I start looking into these issues, I usually dig very deep.
I find skeletons, and when I expose these skeletons, the people who buried them can get very angry.’
Peter Peter Gøtzsche, physician, medical researcher and leader of the Nordic Cochrane Centre at Rigshospitalet in Copenhagen, Denmark.
The HealthWatch Award is presented annually to an individual who has made significant steps either in medical research or in improving the public’s understanding of health issues by clarifying complicated and often misunderstood medical matters for the general public.
And on page 4 of the same document: ‘Recent guidance from Public Health England arms general practitioners with psychological tactics to encourage patients to attend an NHS Health Check, despite evidence that shows such screening is ineffective’ – both articles alert the public to a side of healthcare which may well shock them.
There is much, much more at
Posted in Breast Cancer, breast screening, Campaigns, cancer, clinical trials, Compassion in healthcare, guidelines, harms, healthcare modernisation, medicine's flaws, Over-medicalisation, overdiagnosis, overtreatment, patient safety, patient/doctor communication, Primary care, Public safety, Screening, Screening Mammography, speaking out, Uncategorized
Tagged health, medical, science, testing, truth
‘Thanks’, I say. ‘How sweet! – Cadbury’s Milk Tray’. The annual, unimaginative, unwanted treat.
You: ‘It’s nothing.’
True! But you think it will do… When we were 6 and fell in love, you promised a jewel in exchange for a playground kiss – and gave me your iced diamond biscuit.
But I reminisce…
‘Got to fly’. Happy Valentine’s – important meeting, mustn’t be late…’
Words that creak
The obligatory peck on the cheek
I smile, and swallow a sigh
Poor Mr Plausible – betrayed by the anticipatory lustful glint in your eye
Go! Meet with your latest legs-up-to-armpits 20-something ‘secretary’. You’ll have sent her out to buy these – you always do.
No tears: I’ve known for years. What’s good for the gander will suit this goose. The red dress awaits, new undies too, bought for another man’s illicit pleasure.
I’m anticipating a day of exhausting leisure!