Trauma & the NHS

A colleague recently sent me a link to this excellent blog post written by Jonathon Tomlinson, a practicing NHS GP in London.  Its so good, I’m re-blogging it here.

The article is a worthwhile read, which traces his path to realisation that there had to be some reason why so many people were chronically ill, followed by a comprehensive summary of his understandings of trauma and its impacts.

“What is extraordinary, and to be frank, a betrayal of patients and clinicians on the part of those responsible for medical education is that we never talked about, much less seriously taught about the lasting effects of trauma. We were taught that diseases were due to the interaction of human biology and the environment, but human experiences were barely part of the picture.”

 

Read the whole article:-

A Better NHS

One of the most haunting images from my time as a junior doctor working in Hackney in the mid-1990s was in an A&E (emergency) department while we tried to resuscitate a man in his 40s. In the corner of the room stood two young children – probably about the same age mine are now, 6-8 years old. They stood and stared in silence, watching us trying to save their dad. He was covered in blood and bile, his body yellow with jaundice, veins visible on his abdomen and torso from advanced, alcoholic liver disease. His wife was in another part of the department, so intoxicated she couldn’t stand, barely conscious and unaware of what was happening to her husband and children. The children were eerily impassive. The ambulance crew told us that when they arrived at their flat, they were trying to wake their dad while their mum lay unconscious…

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