

markparamlall
693 posts

@markparamlall
Consultant Neuropsychiatrist Neurorehab Prev@activecare@QueenSq @Cygnet@northbristolNHS Ex SpR @SLAM Interests: Neuro, TBI, Tourette & Neurodevelopmental Psych



Congratulations to Professor Subodh Dave who has been elected as the next President of the Royal College of Psychiatrists.






Why do people with mental (or physical) health vulnerabilities need call essential firm after firm and govt departments too to declare it, needing repeat the same painful, possibly embarrassing explanations. Today @MMHPI is calling for a 'tell us once' system. Here's my quote on why..... "The government has a Tell Us Once system for when someone dies, yet we lack the same for those who are alive and struggling. That makes no sense. We need a single simple system that can work across essential services like banks, energy and water firms, and government systems too – whichever people choose. “Right now, a vulnerable person in the middle of a mental (or physical) health crisis may have to call firm after firm, and government agencies on top, repeating the same painful, possibly embarrassing or triggering explanation again and again. In a digital age where data sharing is simple, that feels almost cruel. “Of course safeguards and informed consent are essential, people must have control of their data. But it is time we stopped focusing on using data to just drive profit and started using it to drive compassion.” Read full info and get details about the underlying research here... moneyandmentalhealth.org/press-release/…



Elevated serum #B12 can be a sign of B12 deficiency! Pseudo-hypercobalaminaemia occurs because circulating B12 is bound to inactive proteins or immune complexes (e.g. macro-B12), leaving intracellular delivery via transcobalamin impaired, so functional deficiency persists despite high total B12. This matters because clinicians may falsely reassure themselves, missing deficiency & underlying disease while neuropsychiatric symptoms continue. In our preliminary UK survey of 46 GPs examining responses to raised B12, not a single respondent identified pseudo-hypercobalaminaemia, revealing a major blind spot in clinical reasoning. Survey was led by Hamza Mahmood @FrimleyHealth & co-supervised by @dr_pratimasingh @HPFT_NHS Read it in full here: cureus.com/articles/44530… #openaccess @neuropsych_ucl @uclh @UCLIoN
















