Woss all this about collusion? It doesn't matter a toss what you call
illnesses in so-called psychiatry. ME seems to go along with some
infection - so what - we all recognize post viral depression, fatigue
essetera. In mind disorders focussing on the symptoms is all we have so if a
patient appears tired and depressed (I'm sure I've seen a few of these!)
then therapy (talk and or behavioural and or drugs)deals with these
accompanied by not too scientific explanations about cause. Involving
neurologists in such areas is clearly a big mistake I want them to be
concentrating on getting those who need it into the hands of our own dear
old Henry Marsh. Lovely wannit my beloved(non medical) cried nearly all the
way through.
Love Rog
-----Original Message-----
From: GP-UK [mailto:[log in to unmask]]On Behalf Of Paul Caldwell
Sent: 09 March 2004 10:37
To: [log in to unmask]
Subject: Re: CFS/ME again
Could this not be seen as colluding with a falsity? I'm troubled as to why
pts want a diagnosis of CF/ME as the 'classic' description and prognosis is
lousy. If I accept blindly what they want, then i may well be colluding with
the pt down a wrong diagnosis, medicalisation and sick role. Yes, try to
deal and support pts symptoms but avoid deception+colllusion.
>From: Fay Wilson <[log in to unmask]>
>Reply-To: GP-UK <[log in to unmask]>
>To: [log in to unmask]
>Subject: Re: CFS/ME again
>Date: Mon, 8 Mar 2004 21:58:07 -0000
>
>From: "Paul Caldwell" <[log in to unmask]
>Sent: Monday, March 08, 2004 5:16 PM
>
> > On same pgea course got chatting to a bright young neurologist who said
>that
> > most neuros now feel that CFS/ME is really somatised depression.
>
><snip>
>
> >Trouble is pts are the ones who vociferously say its purely
> > physical. True CF as diagnosed by the above criteria is a rare bird
>indeed.
>
>But does it matter? Why do we have to impose our terms on patients? What is
>"true CF" anyway? Why not agree their view of their own condition if it is
>possible to do so without fatally compromising our logical sense, if by
>doing so we can help them get better or at least live with their
>disability.
>Is it not like the fable of the wind and the sun and who can get the coat
>off the man's back most quickly? Why would anyone refer someone with CFS/ME
>to a bright young neurologist? I hope nobody ever does that to me if I get
>it. Much rather have a non-judgemental GP if there are any left by then :-)
>--
>Fay
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