Fi Douglas @fidouglas
Psychiatry ST5. Mental health. Global health. Decidedly average photographer and guitarist. Aspiring academic. East of England, UK Joined May 2023-
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Since there has been quite a bit of chat about on-call etiquette, I thought it appropriate to share an email I have just sent regarding contacting registrars.
Doctors in Kenya have been striking for a month now. “Doctors are striking over a number of issues, including pay and the failure to hire trainee doctors, who cannot qualify without getting an intern position.” Sound familiar? bbc.co.uk/news/world-afr…
How do the anti-medication people of the world propose we treat active psychosis? Just curious about this. Yes, we do family therapy, CBT for Psychosis and others. But they’re just not going to cut it when patients think they can fly and are climbing out the window.
You know the commute is going badly when the SatNav says the fastest route involves going halfway to London…
I read many tweets (rightly) talking about the positives of being neurodivergent. What I never seem to see is people talk about the reality of living with severe (including non-verbal) autism.
Nothing quite like being woken by a Apache flying overhead…. 😳
💥 NHS STAFF 💥 Please consider signing this open letter to @VictoriaAtkins & @AmandaPritchard at @NHSEngland expressing your dismay at their extraordinary decision to cut @NHSPracHealth funding for hospital staff. Please share widely 🙏 Letter here: forms.gle/YmXpi8dxSbW7UR…
I've just signed up for this course. It looks very interesting and also, you know, @rcpsych hasn't already had enough of my money... 😉 @subodhdave1 rcpsych.ac.uk/events/confere…
I try not to be The Person Who Posts Pictures Of Their Pets All The Time… …but Percy is working the “Being cute for likes” pose this evening.
Got the post doing Addictions Psychiatry at Addenbrookes from August. First choice. So happy.😀
Journal of Disaster S.. @JDS_Disasters
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2K Followers 886 Following Programme Director @decap_qub | Educational and Child PsychologistThe amount of time doctors have to spend doing mandatory training may be cut as part of an NHS drive to improve medics’ working lives. theguardian.com/society/2024/a…
Israel bombed a playground yesterday, killing 11 children. If any other country did this there would be international outrage, sanctions and reprisals. But it didn’t even make the news here. Just another day in Gaza 💔 m.youtube.com/watch?v=nLzvOs…
“Loneliness does not come from having no people around you, but from being unable to communicate the things that seem important to you.” - Carl Jung
@BanjoBlood16 @quackophage It would be a bit like me saying "I proudly practice the paternalistic model of medicine".
@fidouglas Clozapine also on the "complementary list" (presumably because of higher monitoring needs?)
@veggieequallife "Flatten the hierarchy!" - Shit hits fan - "Doctor informed", buck passed.
@scotgasdoc emj.bmj.com/content/35/9/5… Admittedly from USA and a few years old
@JDaviesPhD “any conclusions regarding the long-term benefits of antipsychotic treatment or discontinuation for functional recovery are premature and more high-quality trials tailored to comparing state of the art maintenance treatment vs. discontinuation are needed.”
New paper! On suicide risk assessment. Examines common misconceptions - tools have to classify people into categories (high/low risk); performance should be based on classification measures (e.g. PPV, sens); AUCs too low. In 3 pages. 🧵later. Open access: mentalhealth.bmj.com/content/27/1/e…
@fidouglas @SameiHuda @firemonkey1957 That’s not the distinction, if you’re referring to Callous and Unemotional Traits. Both ASPD and CUT+ experience emotions. CUT+ may not have ASPD but their emotions do not track those of others. They often have the cognitive component of empathy so can comment on their lack.
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Metabolic Syndrome and Risk of Readmission in Psychiatric Patients and First Episode Psychosis 🚨 Study ✅👇 👉Assessing the association between metabolic syndrome (and its five components) and readmission in psychiatric settings 👉Identifying additional clinical and…
@DrAnnieHickox In Irish you don’t say ‘I am sad’ you say ‘tá brón orm’ which means ‘sadness is on me’ and I’ve always liked that because it shows that you aren’t the emotions you feel. They’re just on you for awhile and then they leave. You don’t have to identify with them
Yikes 😧
Here’s the most adorable yet scariest Echo I’ve ever seen What’s the diagnosis?
@hfp91 I can’t bear celebrity psychiatry. Those people’s lives bear no relation to most people’s who have serious mental illness yet they are always rolled out by our institutions as champions
@Dr_Done_ okay tbf on Epic they seem to randomly assign you a grade - I've been put as a middle grade and no one seems to be able to change it to JCF/SHO, and sometimes it'll randomly put me as a consultant? like, I highly doubt this is anything other than a software issue
@DrNeilStone I had to three modules on transfusion practice so I feel your pain.
@bacchusrights @fidouglas It's tricky as some people feel that they are denied care based on an EUPD dg (quite often) But the opposite is true as well; for e.g. DBT is only accessible after an EUPD diagnosis, in most places I guess the best approach is to match patient’s needs and preferences with…