Books: Transition Denied: Confronting the Crisis in Trans Healthcare
2018; Royal College of General Practitioners; Volume: 68; Issue: 677 Linguagem: Inglês
10.3399/bjgp18x700109
ISSN1478-5242
Autores Tópico(s)Healthcare Policy and Management
ResumoAn irritating enigma' is a description of chronic fatigue syndrome quoted by the author, but 'irritating' is the last adjective that could be applied to his book.Rather, it is engaging, entertaining, thoughtful, and moving, and it goes a long way to demystifying the enigma it explores.Nick Duerden was, in 2009, a successful self-employed journalist, thriving on frenetic activity and, by his own admission, prone to 'a little harmless competition'.His hectic lifestyle came to a sudden halt following a bout of severe flu-like illness contracted in the US, launching him into a new existence in which debilitating fatigue overshadowed everything else.His book, which in itself would prove to be part of his therapy, tells the story of his attempts to understand his condition and his search for a cure.It comes as no surprise that the NHS was unable to offer much help, and neither his GP nor the specialist to whom he is first referred -whom he tellingly dubs Dr Dolittle -emerge with much credit.He is diagnosed as having post-viral fatigue but is advised to follow the guidance offered to those labelled as having full-blown ME/ CFS, an arguable error of judgement of which, later in his narrative, he makes perhaps too much.In any case it transpires that he is not depressed enough to qualify for CBT on the NHS (and no one seems to have given him any detailed advice about graded exercise therapy, the other NICEapproved treatment), so, with the help of his long-suffering and admirably determined wife, he sets out to find his own solutions.By nature something of a sceptic, he wisely avoids the wilder shores of alternative medicine, apart from some dubious nutritional supplements, focusing instead
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