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Medical, MH 

It's 2 years since I was recovering from a hypomanic episode, triggered by sustained high dosage use of corticosteroids (dexamethasone) which I was on to keep me out of hospital due to a very grim flare-up of a sinus infection.

I was picked up by an EXCELLENT rural MH system, with a remote psychiatrist, and fortnightly appointments with a local MH nurse. Until the system fell apart, and the nurse was removed from the area, at the stroke of an accountant's pen.

1/n

Medical, MH 

But IT JUST SO HAPPENS that this stuff is a interest (and I believe further qualification) of my GP WHO ALSO is into chronic disease management.

So we have been having long appointments, every 4 weeks, for quite some time. Doesn't come cheap, with co-pay, until we hit safety net. But I really am getting very good management. Chronic issues, including addiction (alcohol) all handled by one very capable person. Who also uses me as a teaching model.

2/n

Medical, MH 

My point here? The last 2 years have dealt me such blows, work-wise, that I have developed such security and self confidence issues, that it's impacting my ability to function. I think I need help, but I think I can find that in my next GP visit, as he is able to deliver the holistic wossname that I need.

n/n ENDE

Medical, MH 

@zens I know a few, and hold them blameless. It's the arseholes in government that task them to find these cuts.

Medical, MH 

@grumpysmiffy All the best systems of oppression operate by diffusion of responsibility. Technically no one's to blame, and the government people have good excuses too.

Medical, MH 

@grumpysmiffy Good doctors are worth their weight. Glad you're getting good management.

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