Kevin L

@kevinlsheezy.bsky.social

The older I get the more life starts to make sense and the less I care #actuallyautistic

I did not work countless hours in an ICU full of proned patients and go back to my hotel crying because we lost more patients in a day than a typical week to hear a moron with a worm in his brain say that the ICU's were empty. I AM SO FUCKING ANGRY.

Dr. Lucky Tran@luckytran.com · last wk.

I worked for New York’s largest medical center at the start of the pandemic. There were morgue trucks on the streets. They set up emergency medical tents in Central Park. Healthcare worker colleagues died. It is horrific that RFK Jr is on national TV lying that ICUs were empty.

Tomorrow (hopefully) I will edit the video I filmed two weeks ago. It’s just been busy and hot and I’ve not been in the mood Anyway I never promised one a week, they take as long as they take

I often say the rise in students coming to our dept with diagnoses of various kinds of neurodivergence has been matched with a corresponding fall of students coming with generalised depression. Because, you know. They're getting a diagnosis of the actual problem rather than feeling they don't fit.

Rosie (she/her)@airfriedrosie.bsky.social · 4w ago

Remember Streeting's review into whether young people are being overdiagnosed with ADHD, autism, and mental health issues? Well, the interim report is out, and there's a reason the media are silent on it (spoiler: it proves what a lot of us have been saying all along)

In others, notably ADHD and autism, rising diagnoses and referrals appear to exceed changes in underlying epidemiological prevalence and are likely to reflect a combination of:

improved recognition
changing help-seeking behaviour
institutional incentives
pressures within existing service pathways
Across both ADHD and autism, best currently available population-based estimates remain relatively stable, while administrative diagnoses, self-identification and recorded service demand have increased substantially. In autism, the evidence also points to particularly rapid growth in identified need within educational systems, including increasing identification among girls and among young people without learning disability.

Remember Streeting's review into whether young people are being overdiagnosed with ADHD, autism, and mental health issues? Well, the interim report is out, and there's a reason the media are silent on it (spoiler: it proves what a lot of us have been saying all along)

In others, notably ADHD and autism, rising diagnoses and referrals appear to exceed changes in underlying epidemiological prevalence and are likely to reflect a combination of:

improved recognition
changing help-seeking behaviour
institutional incentives
pressures within existing service pathways
Across both ADHD and autism, best currently available population-based estimates remain relatively stable, while administrative diagnoses, self-identification and recorded service demand have increased substantially. In autism, the evidence also points to particularly rapid growth in identified need within educational systems, including increasing identification among girls and among young people without learning disability.These patterns suggest that rising demand is not simply the result of increasing prevalence, but of several processes operating simultaneously, including:

real increases in distress in some groups
improved recognition of previously unmet need
changing expectations about support
systems that frequently rely on formal diagnosis as the primary route to assistance
Across the system, support is too often accessed through pathways that are slow, fragmented and heavily dependent on diagnostic categorisation. While diagnosis remains essential for some forms of clinical decision-making, the evidence suggests that current arrangements do not always provide the most effective or efficient way of identifying and responding to need. In particular, where access to support depends heavily on formal diagnosis, demand for diagnostic assessment can increase more rapidly than systems are able to respond, generating long waiting times, duplication of assessment and pressure on specialist services.

The next phase of the review will therefore focus on clarifying the relationship between distress, diagnosis and need, and on examining how systems might respond more effectively to these patterns. A central objective will be to identify opportunities for developing more coherent, evidence-informed care pathways that enable support to be provided earlier and more proportionately, while ensuring that specialist services are available in a timely and appropriate manner for those whose needs are most complex.

I'm so proud of Yassin. He made Bristol and Britain his home. He has contributed so much as a Green Party Cllr to his city and to the community in Lawrence Hill. Solidarity in the face of this Reform fuelled racist hate. Hope always wins!

Matt Goodwin complaining about Yassun Mohamad - the law mayor of Bristol. Saying that we shouldn't have former refugees running our cities.