Wednesday 29 November 2023

DR DAVID TURNER ON SECONDARY CARE

Columnist Dr David Turner has written an article published in the GP Magazine, PULSE TODAY, titled, "Please stop telling me that my patients do not have anything wrong with them". 

Bearing in mind that GPs often send patients to a consultant for a thorough investigation and diagnosis, only to have the patient sent back to the GP with no further information on what is causing the symptom/s they are experiencing. So what's the point of having specialists if they don't get to the root cause and are able to diagnose? 

David says that the NHS has predominantly been an "illness" service rather than a "wellness" service. My response to him is that secondary care has become emergency surgery only, if you don't require surgery, they're not interested in looking at what could be causing the issue. 

What we require is some functional medicine doctors that look at the whole person and not just an individual symptom. Although I agree with David's experience of the fact that patients are going around and around in circles and not getting very far at all. It is a waste of the patients time and medical staff resources. 

He suggests employing more counsellors to treat IBS patients with CBT and biofeedback, as well as more physiotherapists specifically to treat labyrinthine disorders. 

I don't agree with him on counselling for IBS, I don't agree with CBT for it either. If I was running a Clinical Commissioning Group I would refuse CBT altogether, the reasons explained on previous blogposts. 

What I do recommend is that the NHS embraces nutritionists to help people with gastrointestinal disorders. Gastrointestinal disorders are usually caused by what people have consumed most of their lives. Oxalates found in food also induce breast cancer. We know that IBS is also just a symptom of an underlying issue. Medical scientists have known about the danger of oxalates in food for two centuries, yet there is no public health warning or education about it. Nor does labelling inform people about the content of oxalates in the food that they purchase. Oxalates can be found in most chronic diseases, and a majority of people are eating a high oxalate diet. 

The comments in response to his article are interesting, in one of the comments from GPs, it says that one of his patients died during the endoscopy procedure. 

Has far as Physiotherapists are concerned, try to find one inside the NHS, when you ask them why you aren't receiving any physiotherapy, they tell the patients that they are not allowed to touch you. Unless you've had an operation, all that NHS physiotherapy does is hand out exercise sheets, when patients are asking for help with an immediate health problem. Of course they're all sub-contractors that work for the NHS that provide the service that just isn't working. Who gives them the contracts regionally? The Clinical Commissioning Groups. 

Hence I don't agree with him on that recommendation either because when you ask physio's why they're not giving you any physio they say that they don't have time because they have too many patients. It's clearly far quicker and easier to hand out exercise sheets that a majority of patients either cannot do or refuse to do. Hence, the NHS is just kicking the can down the road and patients are on a conveyor belt, it's a numbers game for the sub-contractors. The sub-contractors have no responsibility for the success or lack of it for patients. 

https://www.pulsetoday.co.uk/views/david-turner/please-stop-telling-me-what-my-patients-do-not-have-wrong-with-them/

If you are interested in Oxalates, the health professional with a degree in nutrition and masters in public health, Sally K Norton is the author of a book on it titled, "Toxic Superfoods". When you bear in mind that men excrete only 40mg of oxalates a day, and women only excrete 30mg of oxalates a day, just by eating one medium sized potato they've exceeded the daily amount their bodies can excrete. Yet, the NHS has only focussed on oxalates being involved in producing kidney stones. 

Oxalates are also a culprit that stops people from shedding weight. After 4 months I shed two stone in weight when I reduced my potato intake by 98%. After 2 months the eye condition, Blepharitis stopped completely. Oxalates impact on everything from your brain to your bones. I have to say that my ENT consultant is excellent at the private hospital that I'm able to access on the NHS. He was very pleased with the success that I had achieved with castor oil. 

When I spoke to the GUT charity about oxalates, they refused to accept that oxalates is a major cause of gut issues and they said there wasn't any research to prove it. Although they'd be open to receiving some and funding it. That's another issue, money gets poured into Cancer research, yet next to nothing is given to researching oxalates. Sally K Norton, shared in one of her broadcasts that India is doing the most research on oxalates because Indian spices are high in oxalates. 

And what about social care? We have 9 million unpaid carers in the UK. 40,000 care workers left the health care system due to refusing the injections. 

Together says that "Social care is utterly broken, decisions in covid brought it to its knees." Together Cabinet Social Care Chair, Amanda Hunter speaks to the Together membership. 



 




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