Author Topic: Diary of an NHS buff  (Read 1736 times)


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Diary of an NHS buff
« on: November 28, 2011, 05:57:37 PM »


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Re: Diary of an NHS buff
« Reply #1 on: November 28, 2011, 06:23:45 PM »
"Case 2:
Mr C was a 59 year old who suffered from severe anxiety and depression, as well as an eating disorder, all of which began when he was made redundant some years earlier. He also suffered from nerve damage, which affected his mobility. At his medical examination he described severe mobility problems, including regular falls, problems with washing, housework and eating, severe problems sleeping, poor concentration and visual hallucinations.

The examiner found him to have no physical disability because he "was able to sit on a chair with a back for 31 minutes", "stood independently for 1 minute" and "walked 15 meters normally". The examiner considered his nerve damage to be "mild" as he had not seen a specialist for this condition, only his GP, and that his mental health condition was "moderate", as he was "pleasant and co-operative" at the examination.

In the 5 months between his medical assessment and his appeal hearing, Mr C died. He may have seemed, during the examiner’s brief meeting with him, to be able to cope with social interaction, self maintenance and his difficulties with mobility, but the examiner took no heed of the variability of either his mental health or physical condition. Mr C was far from fit for work and we feel that this stressful process contributed to his declining health and eventual death."

How many people behave as he did ("pleasant and co-operative"" because they either think that is what is expected of them and if they don't behave in a certain way in certain situations and with certain people that they will be shut out and the meeting or assesment will be halted if they don't? In that aspect (the way Mr C is perceived to behave) I identify myself with him as that is how I try to be.

Some people do this for the above reasons and some do it because from past experiences when they have laid everything out that needs to be laid out and told the complete truth about themselves and the situation that they are in they are made to feel like they are lying and exaggerating based on their impression of the verbal, body and facial language that they have been presented with as a reaction to what they are saying and what their body language is.

Sounds alot like me. :(
June 2012 -Hypothyroidism.

Mentally Wobbly.


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Re: Diary of an NHS buff
« Reply #2 on: November 29, 2011, 02:51:59 PM »
I can identify with that as well, DarkDivinity. I was raised to behave as expected so am able to switch off all emotions (except when I am excessively tired) - I do this involuntarily to cope with stressful situations as well.
I have been told repeatedly by my GP that I do not come across as being depressed. It is because exposing that depth of emotion to anyone, especially a stranger, leaves me far too vulnerable.
I am quite sure that in Mr C's position I would also be "pleasant and cooperative" and deemed to be coping perfectly well with my mental health condition. This would not be the case.
I suspect the same is true for a large proportion of people with similar problems. This is why the assessors should have experience of working with people with mental health difficulties. Of course, at ATOS they have no useful experience and no interest in attempting to understand.

I wonder how many similar cases there are, of people not only being stressed to the point of damaging their health but actually dying during this process. That's a very frightening thought.

Thanks for the link to the blog Sunshine. x


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Re: Diary of an NHS buff
« Reply #3 on: November 29, 2011, 04:08:50 PM »
...and it's not just those with mental health problems. Many of us with pain related problems also appear, on the surface, to be coping well - and I guess the same applies to people who suffer from severe fatigue. My GP knows me well and understands that my natural reaction is to put on my 'professional' face.


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Re: Diary of an NHS buff
« Reply #4 on: March 02, 2012, 10:03:58 PM »
Yup, the professional face combined with training. 

I sat upright in my chair at the medical with a relaxed stance and my hands folded in my lap, feet together.  I realised that I was doing this because I had been to many job interviews and that is how I wished to come across - relaxed and attentive.  I sat like this automatically, but it did me no favours.