PARALDEHYDE

When I began my training in Psychiatry Paraldehyde was occasionally still used, particularly in the ‘Forensic ward’. You could smell it on opening the locked door to the Forensic ward. … Continue reading PARALDEHYDE

Psychiatric medications and potential effects on cardiac rhythm

In the last month we have been having discussions at work about the potential for psychiatric medications to adversely effect cardiac rhythms, and in particular QTc prolongation.  The advice on ECG … Continue reading Psychiatric medications and potential effects on cardiac rhythm

My reply to Dame Denise Coia

Sunday 8th July 2018, Bridge of Allan. Dear Dame Coia, I received your reply to my open letter yesterday. I wanted to write and thank you for your most helpful … Continue reading My reply to Dame Denise Coia

The poetic genius written out of Scottish history

I was delighted to see the Perth poet William Soutar on the front page of the Scotsman of 4th January 2018. Ajay Close is correct, William Soutar has a most rightful place in … Continue reading The poetic genius written out of Scottish history

Delirium screening (some years later)

Over three years ago I wrote this summary of my concerns about mandatory delirium screening. The consequences for me in writing this were life changing: the reality of having the courage to … Continue reading Delirium screening (some years later)

If NHS Scotland has been genetically-modified with QI

It is most welcome to hear from Philippa Whitford about positive outcomes of NHS Scotland’s collaborative approach to quality improvement and the learning that this might provide for the rest … Continue reading If NHS Scotland has been genetically-modified with QI

Professional confusion

Like all those involved in healthcare I take delirium very seriously. I share in the collective determination to improve our approach, understanding and care of those experiencing this serious condition. To … Continue reading Professional confusion

Early detection: “We need critical thinking”

The following analysis: “Surge in publications on early detection” was recently published in the BMJ. The authors concluded that “we need more critical thinking and more studies that specifically target both … Continue reading Early detection: “We need critical thinking”

A tall, slightly stooping, gaunt figure

  Dr Robert Hutchison died in 1960, seven years before I was born. However, his appearance as depicted in the portrait (above) reminds me of Roald Dahl. One of his closest … Continue reading A tall, slightly stooping, gaunt figure

‘Informed consent is a fundamental principle underlying all healthcare’

A recent Independent Review for NHS Scotland stated that: “Informed consent is a fundamental principle underlying all healthcare” The Cabinet Secretary for Health and Sport, Shona Robison stated to the … Continue reading ‘Informed consent is a fundamental principle underlying all healthcare’

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

Yellow socks and handstands

There is a lot of effort in NHS Scotland to raise awareness amongst healthcare staff about delirium, using statements like this: Delirium is a very complex state and it is … Continue reading Yellow socks and handstands