“Immoral Police”

Following my post of yesterday in which I shared concerns that have been expressed in relation to professional conduct on social media by some members of the Royal College of … Continue reading “Immoral Police”

“Hats off, Young Sir”

Yesterday, Dr Paul Morrison, Consultant Psychiatrist and Psychopharmacology researcher, tweeted this: “Three cheers to Dr Samei Huda for standing up to aggressive, right-wing anti-psychiatrists, despite complaints, harassment and intimidation.” This … Continue reading “Hats off, Young Sir”

Kindness, attention and respect

Many years ago, one of my patients who had lost a child to suicide, wrote to me to say: Some years later I read this: I have previously shared considerations … Continue reading Kindness, attention and respect

‘Partisan’

This post shares e-mails that I have previously sent to Prof Rob Howard, Old Age Psychiatrist and Dementia Researcher, University College London. I have not included any e-mails from Professor … Continue reading ‘Partisan’

“Trickles down from the upper echelons”

I read this letter by Dr William Durward, a retired NHS Scotland Consultant with interest. It was published in the Herald, 7 November 2018, and was written in response to … Continue reading “Trickles down from the upper echelons”

Mild Cognitive Impairment

This recently-published Guest editorial in International Psychogeriatrics concludes that the concept of MCI faces extinction. As a doctor practising in this field I found this editorial difficult to follow and self-contradictory.

Paradigms, pathologies and shifts

The following extracts are taken from this perspective published in the Scotsman, 11 January 2018: Pfizer has seemingly concluded that Alzheimer’s disease is far more complex than we had ever … Continue reading Paradigms, pathologies and shifts

Back in the driving seat: Industry

Historical backdrop (the last decade): UK Key Opinion Leaders argued robustly and consistently for an early approach to the diagnosis of dementia without articulating uncertainties, risks and necessary ethical aspects of person-centred … Continue reading Back in the driving seat: Industry

The ‘Edinburgh Consensus’

I was born in Edinburgh:   It was by accident that I learned that this “consensus” has been “operationalised” across the NHS.   This  small group consensus needs to explain how … Continue reading The ‘Edinburgh Consensus’

Might the experts themselves be confused?

I recently read a British Geriatrics Society (BGS) blog which was titled: “Antidementia medication may improve survival in Alzheimer’s disease”. Having read this blog several times I wrote to the … Continue reading Might the experts themselves be confused?

Prescribed Disengagement

A medical colleague recently asked me to “explain” disempowerment. A dear friend of mine (diagnosed with dementia) has written about: “Prescribed Disengagement”. My view is that few have written better about this matter than … Continue reading Prescribed Disengagement