Rational Medicine delivers value to sustain universal healthcare
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The Rational Medicine Network manifesto gets published today as a website:
rational-medicine.com/
It is really important to extend Rational Medical thinking and the culture of stewardship into surgery. Reducing low value interventions should be the central priority for commissioners and designers of healthcare.
economist.com/science-and-te…
This is brilliant news. At last there will be strengthening of awareness of risks of antidepressants being paddled on the basis of Bad Science by Big Pharma.
The MHRA is introducing a series of new measures to strengthen how risks associated with antidepressant medicines are communicated to patients, carers and healthcare professionals. Read the full drug safety update here: brnw.ch/21x6qlr
rationalmedicine retweeted
Good to see the MHRA are going to make information about persistent sexual dysfunction and suicidal ideation induced by antidepressants more prominent. I hope it will be more than a line or two in the small print of the drug package inserts which no one reads anyway.
The MHRA is introducing a series of new measures to strengthen how risks associated with antidepressant medicines are communicated to patients, carers and healthcare professionals. Read the full drug safety update here: brnw.ch/21x6qlr
rationalmedicine retweeted
'People are more than their brains, and are being misled about the nature of ADHD and autism'
Thinking differently about mental health: Coping with the increase in diagnoses of ADHD and autism criticalpsychiatry.blogspot.…
rationalmedicine retweeted
All young women who are considering taking an antidepressant should be shown this graph, and informed about the pregnancy complications associated with taking antidepressants.
NEW STUDY: Antidepressant use is associated with lower pregnancy rates & higher miscarriage rates among women receiving fertility care.
Serotonin plays a crucial role in fertility & early pregnancy. SSRIs disrupt the serotonin system and, thus, would be expected to have an impact.
This is an observational study, not an RCT, and the authors note that confounding by indication (depression) may contribute. But we have randomized animal studies that demonstrate effects on fertility & increased pregnancy loss.
I think the entirety of the evidence supports the conclusion that the SSRI chemicals do have a chemical impact on fertility and early pregnancy, and I believe that patients and the public should be properly informed regarding this. sciencedirect.com/science/ar…
Multimorbidity creates a new paradigm and understanding Multimorbidity, where single organ system based guidelines don't apply, is a positive step towards #RationalMedicine.
linkedin.com/safety/go/?url=…
Good General Medicine should be the basis on which specialist practices are built. One needs to learn to walk before one learns to run!
What does it mean to be a generalist physician in 2026?
Find out at Generalism: The Future of Modern Medicine - keynote, panel discussion, and sessions spanning oncology, palliation and human factors
Register: bit.ly/4yex5MZ
rationalmedicine retweeted
🚨 EXC: An over-prescribing epidemic is sending 1,000 elderly patients to A&E every single day - a consequence of a fragmented NHS unprepared for the ageing silver tsunami heading its way as 468k baby boomers turn 80 this year: thetimes.com/article/ddf452b…
Future Physicians need to be aware of all dimensions of value: technical, personal and allocative. This calls for aligning the natire and management of healthcare. The idea is elaborated here:
imrpress.com/journal/BJHM/87…
#DesigningCare
#RationalMedicine
The idea is elaborated here: imrpress.com/journal/BJHM/87…
rationalmedicine retweeted
📣Editorial Sharing: Volume 87, Issue 8
🧾Rational Medicine: The Culture of Stewardship and the Role of the Physician
👩🔬@rationalmed
Is AI & precision medicine making healthcare more expensive?
Full Text: imrpress.com/journal/BJHM/87…
#RationalMedicine #Healthcare #MedTwitter #AI
rationalmedicine retweeted
📖 BJHM | Volume 87, Issue 8 (2026) — Now Live
📰Explore the latest research and insights in hospital medicine and clinical therapeutics.
🔗 Read the new issue: imrpress.com/journal/BJHM/87…
#HospitalMedicine #InternalMedicine #ClinicalTherapeutics #MedEd
Patients are already searching for answers. The role of the clinician isn’t always to dismiss what they find — it’s to help them understand the evidence behind it.
Our #ECM (Evidence-Creating Medicine) journey continues. Quality improvement is not a box-ticking virtue signalling hypocrisy... it is a process of continuous and sincere high quality medical practice : A Case Series cureus.com/articles/516565-r…
For a more holistic generalist understanding of specialist respiratory failure management, understanding the impact of comorbidity burden is important - @ResearchGate: researchgate.net/publication…
“What does the evidence say?”
Important question.
But perhaps not the final one.
“Does this evidence apply to the patient in front of me?”
That difference is where evidence-based medicine becomes patient-centred medicine.
#RationalMedicine
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