But so this is his current top entry--you know, I'm just going to repost it in its entire charming glory.
We are currently running computer searches on all our patients with dementia and by this evening I will have more information as to our prescribing habits. As a prequel though, just a short mention of the sanctimonious hypocrisy exhibited by so many heart-on-sleeve relatives of demented patients. Take a look at the discussion forum on the Help the Aged website. In particular look at this letter from a “caring relative” who styles herself as "pinkslippers".
I hope someone can give me some reassurance about this drug. Mum lives in an emi home for the past 18months. The home has complained that she is difficult with the staff over her personal care. She has always been very anti- interference from strangers. She was prescribed quetiapine 25mg which I understand is quite a low dose but three weeks ago it was increased to 50mg because of increasing agitation and refusing to co-operate.
Now I have noticed she has become physically much weaker and is always slumped in an armchair asleep whereas before she was quite strong and fiesty.
It is very worrying when you read reports of these drugs on the internet but also you feel at the mercy of the doctors and the care home. They think I am always fussing about Mum’s medication but to my mind they want all the patients as quiet and comatose as possible as it saves on staffing .
Thanks for any comments
Help the Aged
Now some hard facts, pinkslippers. The reason you mother has been potted in an EMI unit is because you were not prepared to have her in your house and look after her yourself. Was it when she started caking excrement around the walls of the kitchen that you gave up? Or was it when she kept pissing in the fireplace? Or the way that she kept embarrassing you by farting all the time? God, it didn’t half smell, did it? And have you forgotten those times when you tried to change her underwear and she swore at you using language that you did not believe she knew? Well, Pinkslippers, it was bad enough for her when you tried to change her underwear. She had vague recollections as to your identity. Now it is strangers who try to change her underwear. She thinks they are molesting her, so she screams abuse and scratches them. It is very distressing for all, particularly her.
She was losing weight because she was not eating properly, do you remember? Probably not, because you only visit three times a week, and never at meal times. That sweet young auxiliary nurse, who used to sit with your mother for ages, and thought she had made friends with her, tried to feed her. You weren’t there, were you? Did they tell you what happened? Your mother threw a plateful of mince and mashed potatoes at the nurse. She missed. It hit another patient who started screaming.
And then she started wandering in the middle of the night, and tried to get into other patients' beds. You remember that, don't you? They did tell you on one of your flying visits.
Perhaps the doctors and nurses should have tied your mother down. A straitjacket and gag would have helped too. But they didn't do that. They battled on for several weeks but it was getting worse and worse. Finally, after much thought and discussion, they put her on quetiapine. They discussed it with you, do you remember? Probably not. You were just off on holiday to your house in France. A very small dose at first, then a slightly larger dose. She doesn’t scream any more. She doesn’t play with her shit any more. She doesn’t throw food any more. She is reasonably peaceful. They try to feed her but it is not easy. She is old. She is frail. She is dying. Slowly, too slowly, but she is dying.
Is quetiapine the perfect drug? Hell, no. It’s awful. And don't you hate the name? So close to Quiet-apine. What was the drug company thinking of? Is it better than the older drugs? Hell, no, it’s just new. And very expensive. In a few more years we will discover it has some horrible side effects and then we will all change to the latest anti-psychotic. Big Pharma is working on it now. It will be even more expensive.
Is this perfect medical management? God knows, but can you suggest anything better?
It’s distressing, isn’t it, Pinkslippers? I have an idea. Take a look round the EMI unit. How many elderly Indian and Pakistani patients are there in there? What's that you say? None? Heavens, I wonder why that is, Pinkslippers? I tell you what, why don’t you give up work and take your mother home and look after her yourself?
What’s that you say? Couldn’t manage? Too distressing? Too much of a strain? Ah! I see. In that case, maybe you should shut up.
You know. For -some reason-, I don't feel compelled to bare my throat with all the gory details of -why- this post infuriated me quite as much as it did this merry morning. Let's just say that pinkslippers' story rings some bells, and if the relative currently responsible for the relative who has dementia were to hear "advice" like this?
--Well. I -was- going to say, it wouldn't do any fucking good at all. But actually, reconsidering, knowing her character, at least, it -might- lead the woman in question to justifiable homicide, and that, I am thinking, could only be a blessing.
-Yeah-, asshole, why doesn't she -give up work- and -look after her herself-?
And, what the rancid FUCK is the business about "Indian and Pakistani" patients? What -are- you trying to say, dear? I...no. Can't even fisk this today; cannot do.
Just: Seriously, who IS this festering cock?
All I can say is that I hope he really only plays a "doctor" on the Internets, because if he's for real? Is there a better advertisement for -avoiding- doctors, anywhere, particularly in the UK, where he's apparently based? Especially if that -isn't- his real name?
"Yes, hi, I really -want- to be 'treated' by an arrogant, hateful, sexist, racist, sadistic motherfucker who finds random people on the Internets trying to get help--two women for two so far--drags them into the spotlight of his -rather large and well trafficked- blog, and proceeds to mock and abuse the crap out of them for the delectation and/or delightfully outraged reactions of his commentators.
What. The FUCK.