I think I’m now officially what is known in medicine as an “old fart”.

The trainees hoot with laughter when I talk about the things we did & the medicines we used in the late 1980s.

But beware! In another 30 years what we do now will be seen as archaic...
There are diseases that we don’t fully understand just now, mostly because they don’t fit our conventional understanding of physiology and pathology.

Maybe we’ll know better in time to come, and realise we didn’t look after these people properly in the early 21st century?
There will be medicines (and operations) that we are wedded to now, that will be debunked, or at least significantly modified, in times to come.

The medicine charts that I wrote as a house officer look quite different from the ones I write now!
Let’s keep an open mind on things.

We might dismiss ideas just now because they don’t fit with our current “medical model” of disease.

But maybe we’ll know more in years to come and need to embrace new concepts and ideas?
One thing that we are better at now, I hope, is listening to people with lived experience of medical conditions.

We’ve got a long way to go though. We might be better than we were in the ‘80s, but we’ve got a lot of work to do to achieve the co-production we need for the future.
You can follow @Trisha_the_doc.
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