Patrick Chance 💙 🇫🇷 🇬🇧

Husband & father, Consultant Old Age Psychiatrist & Assistant Medical Director, former middle distance runner (still trying to get fit again!)

[Patrick Chance 💙 🇫🇷 🇬🇧 @PatrickChance]

@DrNeilStone No regrets whatsoever...would have had this winter's booster if I'd been eligible.

[Patrick Chance 💙 🇫🇷 🇬🇧 @PatrickChance]

@ABridgen Not sure how reliable your data is. 50-60% of staff in my NHS health board have had the flu vaccine.

[Patrick Chance 💙 🇫🇷 🇬🇧 @PatrickChance]

Is it just me or does James Cartlidge, Tory MP, remind you of Fast Show's Swiss Tony?

[Patrick Chance 💙 🇫🇷 🇬🇧 @PatrickChance]

@DrNeilStone Me too!

[Patrick Chance 💙 🇫🇷 🇬🇧 @PatrickChance]

@SamanthaTaghoy Is it just me or does Tony Blair look like Olivander the wand maker (from the Harry Potter movies) is this picture?

[Dr Joanna Moncrieff @joannamoncrieff]

Diagnosis and drug treatment of ADHD rockets in the UK. We need to question what this is about. @DailyMail https://t.co/o30AJD8ZWW

[Patrick Chance 💙 🇫🇷 🇬🇧 @PatrickChance]

@joannamoncrieff @DailyMail I don't agree with the general political view of @DailyMail, but it is right to ask questions about why diagnosis and drug treatment of ADHD is skyrocketing.

[Robert Howard @ProfRobHoward]

If you or one of your loved ones has Alzheimer’s disease, encourage them to wait for placebo-controlled, blinded trial data before they take any medication or supplement. These jokers who rave uncritically about what are probably placebo effects aren’t helpful to people with AD.

[Dr James Davies (PhD) 💭 @JDaviesPhD]

🧵Why is mental health disability rising? Here are key reasons rarely discussed in mainstream media:

1️/ For decades we've neglected tackling the social determinants of societal distress, relying instead on medicalisation as a superficial ‘fix’ for downstream harms. This has...

[Patrick Chance 💙 🇫🇷 🇬🇧 @PatrickChance]

@DrNeilStone ✋

[Patrick Chance 💙 🇫🇷 🇬🇧 @PatrickChance]

@DrNeilStone ✋✋✋✋✋✋

[Patrick Chance 💙 🇫🇷 🇬🇧 @PatrickChance]

@FeldyJan @NigelKellow @ExCllrRedmond NHS is not always free at the point of service... I have an NHS dentist but pay every time I attend and I also pay for any prescriptions my NHS GP issues.

[Dr Joanna Moncrieff @joannamoncrieff]

The 'side' effects can also convince people the drugs are really doing something

[Patrick Chance 💙 🇫🇷 🇬🇧 @PatrickChance]

Happy 13th Birthday Domino, seems like only yesterday that you came to live with us❤️❤️

[Allen Frances @AllenFrancesMD]

I would've expelled Antisocial Personality Dsorder from DSM-IV.

Why? Its criteria just describe bad behavior/there's no treatment.

But we had set such high threshold for making any changes, it was grandfathered in.

Unfortunate because confuses distinction between bad & ill.

[Allen Frances @AllenFrancesMD]

This piece gives 8 reasons #ADHD rates have more than tripled in last 30 years.

But leaves out 4 most important:
1)DSM/ICD criteria were loosened
2)Pharma marketing to clinicians/parents/teachers/patients
3)Careless fad diagnosis
4)Social media contagion
https://t.co/O4g5S9hHiz

[Patrick Chance 💙 🇫🇷 🇬🇧 @PatrickChance]

The main issue is that unfortunately Donanemab and Lecanemab have very limited clinical benefit.

[NICE @NICEComms]

Donanemab is not recommended by NICE for cognitive impairment or dementia caused by Alzheimer's.

This is due to limited benefits and high costs, including monthly infusions and intensive side effect monitoring, therefore it not good use for the taxpayer: https://t.co/A0DumIAowv

[Richard Murphy @RichardJMurphy]

Wes Streeting has a very odd belief that a person’s weight is the primary eligibility condition for being employed. Why else is he obsessing about weight loss to get people back to work?

[Patrick Chance 💙 🇫🇷 🇬🇧 @PatrickChance]

@AneurinBevanUHB Nevill Hall Hospital accommodation. Thanks for taking time to respond.

[Patrick Chance 💙 🇫🇷 🇬🇧 @PatrickChance]

Sad to see that this is the state of accommodation on offer to NHS staff @AneurinBevanUHB 😢