Mental illness

How in heavens name was he able to continue for so long? Doctors are trained to observe, how come none of his colleagues noticed that he wasn't quite himself?

http://www.ts-p.co.uk/knowledge/publications/press-releases/gmc-hearing-into-conduct-of-dr-david-bruce-jackson

This is a report from one of the many solicitors who were representing Jackson's victims. Sarah Harman (Harriet's sister) conducted a class action for many of them. I knew nothing about medical negligence claims and just chose a solicitor at random from the list of those who could handle legal aid cases (my daughter did not get any as the value of your house is taken into account. Nobody explained how she was to suppose to sell it and move house when she was totally disabled). I found her a 'no win, no fee' insurance company. If I had not been able to fight her corner, take her to consultations, answer legal letters, etc. she would have got nowhere.

The sad thing is that Jackson had removed my daughter's gall bladder about five years before and she was very happy with him. Something happened - perhaps he developed a neurological condition, or some degree of dementia, which impaired his skills and judgement. He asked the GMC to allow him to deregister voluntarily because he did not want his own medical condition to become public knowledge. He now rents out his large farmhouse near Canterbury for weddings.

I am most angry with the system that did not pick up on his many failures and the team who worked with him and said nothing.

No, I won't let my anger destroy me - that would give him another victim. I just keep a close eye on the Fitness to Practise hearings of the GMC and all statistics about medical errors in UK hospitals.
To read the report, right click on the link and click on 'Go to copied address'.

Thanks for the explanation of PTSD. It sounds absolutely horrific. I worked for a mental health charity which supports people find and furnish homes, cope with the benefit system, cope with life as they leave the care system. I was the receptionist so had no training in recognising or giving names to symptoms although inevitably I picked up a bit along the way. It was better that way as I could relate to people as they presented on the day and I got to know and respect a lot of them very well.
Personally I've only suffered depression following on from post natal depression. Been to the edge, looked over and managed to get back. But I did glimpse the pit and have an inkling of what it's like down there.
It really makes me angry that mental illness is often considered, by those who think themselves sane, as something to be despised and looked down on. But survivors of mental trauma are the most courageous people I've ever met. And often the nicest too. That's why I think that talking openly is so important to help those who haven't 'been there' understand a bit more, know how to help a bit more, know what to say and more importantly what not to say.

vampirequeen I understand what you mean about the distorted thinking that comes with depression. Someone very close to me attempted suicide and afterwards he told me that he had thought we would all be better off without him. He had clearly thought it through and was able to catalogue all the positive things we had which would (in his mind) compensate us for his loss. Of course he could not have been more wrong but as you say, it doesn't feel like that to the sufferer.

Greatnan I agree with Butternut that anger can be a useful emotion, but it can also be toxic when it has no outlet. Please be careful that it does not destroy you. I speak from bitter experience.

greatnan I think anger is, sometimes, a very useful emotion. It promotes action which otherwise might not have occurred. In your case it think it was valuable and worthwhile.

I was just trying to explain how your thought process works when you're on the brink. Of course in the cold light of day and thinking logically suicide is a terrible thing. The effects on those left behind are horrific.

greatnan watching you child suffer and feeling helpless to do anything is a dreadful thing to have to go through.

And vamp too often suicide does seem the only way out, but its not 'the right way for everyone' if by that you mean those left behind.

That is appalling. Is the butcher still practising? Anger helps, I think. Especially if it can galvanise people to take action to try to change things. But I know the GMC is pretty ineffective. And slow. It is shaming how hard it is to remove incompetent professionals and how easy to sack competant and hardworking people at the bottom of the pile.

Thank you, Micelf - unfortuantely, my daughter is still very badly affected, which in turn has affected her children. I am sure every mother who has had a sick child has wished she could take on the illness herself. I don't know whether anger is a useful emotion, but I am still incensed that the surgeon, who had 75 complaints made about him to the GMC, was allowed to go on carrying out operations and ruin the lives of another dozen women.

Great Nan, that is a perfectly dreadful story. I really don't know you you and she came through it. What an appalling thing to happen. Nothing more to say really except that I'm sure anyone who reads this account will be sending you lots of sisterly thoughts.

VQ - I think you have described what happened to my daughter after she came close to death following an operation that punctured her stomach. It took seven years to get the MDU to make an offer of damages, even though the surgeon had admitted his negligence. This long delay had a catastrophic effect on her mental health - and our finances. She used to get panic attacks in Tescos because the bright light reminded her of the lights in the operating theatre. She rapidly became addicted to codeine having been given Tramadol in hospital for her intense pain.

I had stood by her bedside for four hours trying to get someone to find a surgeon when it was obvious she was bleeding internally. I then was left alone for three hours while they repaired her stomach after I had been told that the risk of death was very great. For several months afterwards she suffered repeated infections and then a huge, incisional hernia. I tried to keep her business going as well as caring for her and her four children.
I was never able to tell anyone the details of my own ordeal until I joined this forum. It seemed wrong for me to talk about my own suffering when hers was so much worse, and I have always been known in the family for being the one who keeps calm and deals with things. I have wondered if I have also been suffering from PTSD - I have certainly felt better since I have been able to talk about it. Perhaps I should have sought counselling - but I thought I could cope with anything life threw at me.

I can tell you a bit about depression, anxiety, ptsd, emotionally unstable personality disorder and an unusual form of dissociative identity disorder. Please remember that everyone is different and not all people have the same symptoms.

Depression is more than just feeling down. It takes over every aspect of your life. Even when you feel well it's there in the background. Depression can affect your sleep, appetite and libido. Sufferers may cry a lot or not at all. Sometimes you may feel that you want to cry but the tears won't come. At it's worst it can shut you down. You stay in bed, don't eat or drink and basically switch off from the world. You crave peace but your head might be a whirlpool of thoughts and images. Think of the painting 'The Scream'. When you consider suicide it's not 'an easy way out' as some people think. You come to realise that it's the obvious thing to do. You can't imagine why you haven't done it before. You're sure that it will be the best thing for everyone. Just before suicide you might be very very calm because you know you're doing the right thing for everyone.

Depression makes it difficult to handle your emotions so you may get angry for no reason or you might be unnaturally calm. Patience can be short at times. It makes you hear things in conversations that people maybe didn't say or mean....so someone may say 'have you thought of doing it this way'....which you translate as 'you're rubbish....you can't do anything right'. This, of course, fits in with your mind set because you probably believe you're rubbish anyway. You churn things over inside your head and hate yourself even more.

Sorry this is so long but depression is so complicated to explain. I'll answer any questions if I can.

butter I think those who have cumulative and prolonged trauma, as in victims of abuse, find it much harder as their trust in human nature is destroyed. Some people experience a numbing of their emotions too. I'd say there are many people coping in silence. Then there is the constant anxiety and the realisation bad things do happen to good people.

vq and nanad such enlightened posts, and your descriptions of what happens when flashbacks occur are vivid. I've been with people when they've been having these harrowing experiences, triggered by recounting traumatic events, or by sensing something that throws them back into the experiences that caused PTSD in the first place. So distressing for them and therapy does help over time as does certain medication provide a crutch for when it becomes overwhelmiing. The families of people with PTSD don't always understand when recovery isn't apparent, and continuing support is needed. There are many elderly people who still get flashbacks from childhood and the last war, and the ability to manage their distress lessens as they become mentally frail and the bad memories resurface.

As nanad says, they are normal and understandable reactions to harrowing events or prolonged mistreatment, and there are probably many people trying to deal with PTSD in silence.

nanad - You've explained PTSD very well, and I'm pleased to hear you've overcome it so well.
I'd just like to mention that it not only occurs following a one off event, but can also be as a result of experiencing cumulative and prolonged distress.
Therapy worked well for me, but then I wasn't surrounded by a supportive extended family, nor wished to discuss it with friends.
Professional, detached support in developing coping strategies can be extremely useful.

It certainly explained it to me, Nanad - thank you.

I'm willing to talk about PTSD but only in general terms. It follows a very sudden and awful experience, as the name indicates. You have terrible auditory and/or visual flashbacks which just come out of nowhere. Any little thing, or sometimes nothing at all, can trigger these. They literally take you right back to the terrible event and you experience all the terror, pain, sense of helplessness and hopelessness that you experienced at the time. They leave you shaken and shaking and produce a huge adrenalin rush. Physically your pupils dilate, your heart beats too fast, your mouth goes dry. Emotionally you are a wreck. These flashbacks can last for years. In my case for three years, though I still have the occasional one.

I don't consider them a mental health issue as they are, to me, a perfectly normal reaction to an abnormal event. I didn't have and didn't seek any help. But then I am extremely resilient mentally having overcome many other crises in the past. Unlike PTSD, illnesses such as schitzophrenia, bipolar, and some forms of depression are mental illnesses as they usually result from a chemical inbalance in the brain.

However, having said that, mental illness can be like a physical illness inasmuch as if you have a suppressed immune system then a simple cold could turn into something much worse. Likewise, some people through no fault of their own, can find that PTSD can lead to depression and more. Strangely, it has been found that the relatives of victims of 9/11 who sought counselling did 'worse' than those who did not. This may be because those who already had coping strategies, and family or friends to support them, were therefore less inclined to seek counselling in the first place.

I hope this explains it a little nfk

Ricademus and Vampire it would be great if you could talk in _general terms_about the problems you face if you are able. About the conditions themselves - I for one know next to nothing about PTSD. Physical conditions are OK to talk about, why not mental. I had a friend who was bi-polar and the mis-understanding he faced were at best embarrassing and at worst disastrously hurtful. My father's fast decline into cancer related dementure was completely ignored and denied by social services leaving my mother and myself bewildered at our inability to cope, although his consultant eventually said it was quite common. Mental health problems are slowly coming into the open and the more it's talked about the more acceptance and understanding there will be.

Of course GN is not the place for professional help, but it may be a good place for general advise. A thread along the lines of 'my DH has a temperature of 110 should I send for the doctor' only along mental health lines.

Yes, a good point, VQ. I agree that this is probably not the right site to address some issues in depth.

vampire I agree with you regarding people who understand.

Sorry should have said grannyactivist is right.

The mh system used to be heavy handed. The professionals knew everything and the patients had to do as they were told. Fortunately they realised this was not the way to treat people. Unfortunately they seem to have swung too far the other way now.

I have a relapse plan that I made when I was OK. It states that if I visit the doctor and show signs of not being well I should be referred straight away rather than asking my opinion because when I'm ill I'm don't make sensible decisions and will say I'll try to fight it on my own when really I can't. But I didn't make this plan until I'd had several relapses. Finally I persuaded them that it would be OK to just refer me.

I'm unusual though and my GP knows me very well. I think they're so careful now due to the risk of being sued.

I think Ricademus is right about needing to talk but without meaning to offend anyone I'm not sure this is the site to do it. It's OK to talk in general about our illnesses and situations but when we're not well we need to talk to people who understand. If I talked about how I feel it would only take one flippant remark made either unintentionally or deliberately to push me over the edge. It may not even be meant to be flippant but when ill we often have warped thinking and see comments that are not there.

I belong to a mh peer support site and would be happy to share the web address with anyone who wants it.

Ricademus it good hear you are getting some support

Ricademus You've flagged up an important problem that is not often addressed, and in doing so you may well have helped others to seek support.
It seems you are well supported by the medical profession and hope your PTSD will decrease in time.
All the best.

The hardest part is when your relative won't admit that they have a problem. If you 'challenge' somebody with an addiction problem you will be faced with anger, denial, resentment, counter accusations, and justifications for their bizarre behaviour. It is impossibe to help somebody who doesn't want your help.