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

Bristol and Newport
Joined January 2012
Patrick Chance 💙 🇫🇷 🇬🇧 retweeted
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.
If you or one of your loved ones has Alzheimer’s dementia, encourage them to take 20 grams of Creatine daily. This study shows that cognition improved in just 8 weeks with the addition of creatine. It mixes easily with most liquids and is tasteless. Simple, cheap, and safe! I personally take one from Native Path but there are many good quality companies.
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Patrick Chance 💙 🇫🇷 🇬🇧 retweeted
🧵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...
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Patrick Chance 💙 🇫🇷 🇬🇧 retweeted
The 'side' effects can also convince people the drugs are really doing something
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Patrick Chance 💙 🇫🇷 🇬🇧 retweeted
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.
Replying to @AllenFrancesMD
Genuine question: If the DSM considers antisocial personality disorder a mental illness, how can a distinction be made between mental illness and bad behavior? The same could be said for NPD in some cases.
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Patrick Chance 💙 🇫🇷 🇬🇧 retweeted
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 search.app?link=https%3A%2F%…
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Patrick Chance 💙 🇫🇷 🇬🇧 retweeted
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?
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Patrick Chance 💙 🇫🇷 🇬🇧 retweeted
The NHS may be broken, according to @UKLabour @wesstreeting, but here’s how to fix it. Prevention, Prevention, Prevention, Prevention…. 1. Prevent poverty. It’s the single biggest determinant of ill health, and health and social care demand, both now and in the future. Blair and Brown made good progress in reducing it. So it can be done. 2. Prevent illness, with a relentless focus on living well, self-care, mental health support and tackling the commercial determinants of illness. Dental disease is the commonest cause of childhood operations, and yet it’s almost 100% preventable. 3. Prevent existing risks and diseases getting worse, with evidence-based screening and a substantial shift in resources to primary, community and social care 4. Preventing waste and medical harm, by ensuring patients receive the right care, in the right place, from the right people at the right time. This is the toughest nut to crack, as it requires adequate numbers of well trained and well rested staff working in safe, clean environments with the right equipment. We currently spent three times as much litigating harms from maternity care than we do on maternity care. This is a permanent disaster and would be a very good place to start. Instead of repeating our mistakes, we need to learn from them. For more detail see @PrivateEyeNews and come to the shows @edfringe @theSpaceUK Aug 2-17 tickets.edfringe.com/whats-o… tickets.edfringe.com/whats-o…
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Patrick Chance 💙 🇫🇷 🇬🇧 retweeted
General reaction to NICE announcement about lecanemab among old age psychiatry colleagues who work in memory services seems to be relief and gratitude to the members of the panel who have made a sensible decision that protects patients and NHS services for people with dementia.
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Patrick Chance 💙 🇫🇷 🇬🇧 retweeted
Can we please see an end to manufactured outrage about the NHS’s lack of preparedness for new dementia drugs, only 2% of people getting a “proper” diagnosis, etc? When treatments that make a worthwhile difference in dementia come along, we’ll move heaven and earth to be ready.
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Patrick Chance 💙 🇫🇷 🇬🇧 retweeted
Our committee is unable to recommend lecanemab for treating mild cognitive impairment or mild dementia caused by Alzheimer’s disease. Benefits of slowing disease progression, by 4-6 months on average, can not justify the high cost to the NHS. Learn more: nice.org.uk/news/articles/be…
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Patrick Chance 💙 🇫🇷 🇬🇧 retweeted
Some people saying council tax should be based on the services used. I'm not sure that's thought through. If taxes were based solely on what you get out, the poorest would pay the most, the richest the least (as they do most things privately). In fact they wouldn't be taxes it'd be a series of service charges. Instead tax is the cost of living in a legitimate civil society. By contributing towards the common good, you hopefully live in a more contented society (less civil unrest to start with) which means when people need support they get some.
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Patrick Chance 💙 🇫🇷 🇬🇧 retweeted
Clearly ridiculous claims not backed up by peer reviewed RCTs. However, some of the hyperbolic claims made for the amyloid antibodies are just as wild and non-data based. Alzheimer’s people - please don’t be this guy.
We made it - we fucking made it This is really going to happen Holy shit Dementia and Alzheimer’s is as good as cured as of Today We are coming to rescue your microtubules - hang on just a few more months Hang on to your loved ones - you must not let them slip away ❤️❤️❤️
Readers added context they thought people might want to know
This is highly misleading, preying upon the suffering of patients. Currently, neither for ultrasonic transcranial pulse stimulation (TPS) or microtubules (interacting with Tau), controlled therapeutic study results exist. Source: Ongoing studies. A good short summary on TPS: alzheimer-forschung.de/forschung/aktu…
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Patrick Chance 💙 🇫🇷 🇬🇧 retweeted
The neurofication of everyday life, aside from fuelling a global psych-drug market, is driving young people to reframe various forms of real distress & difficulty as indicating fixed disabilities, that neither they nor anyone else can change. This is debilitating a generation.
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Patrick Chance 💙 🇫🇷 🇬🇧 retweeted
"Othorexia"- proposed as new DSM disorder describing unhealthy obsession with "healthy eating". Problem is real & harmful but so widespread I'm opposed to labeling/treating it as mental disorder in individuals. Better seen & fought as societal craziness healthline.com/nutrition/ort…
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Patrick Chance 💙 🇫🇷 🇬🇧 retweeted
None of the dementia charities and few KOLs are telling patients, families or clinicians precisely what they should expect from the new treatments. Yet, this is what the trial data actually show and it is sobering.
A graphical decision aid that physicians can use to guide these discussions showing the average benefits and risks of lecanemab published in @AnnalsofIM. #ENDALZ #geriatrics acpjournals.org/doi/10.7326/…
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