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Does the National Health Service (NHS) in the United Kingdom diagnose rare conditions? If so, does it provide treatment for them as well?

14.06.2025 05:44

Does the National Health Service (NHS) in the United Kingdom diagnose rare conditions? If so, does it provide treatment for them as well?

One issue with all rare diseases is the awareness of them by clinicians. My GP had never personally seen a case but remembered it from his medical training. Also for us as patients it can be hard to identify when we should seek help with a disease we have probably never even heard of.

I was treated at St Bartholomew’s and The Homerton hospitals by a consultant who is one of the leading experts in the world on anal cancer and of course did not have to pay for treatment.

I was diagnosed with anal cancer in 2020. It’s a rare cancer, with only around 1,000 diagnoses in the U.K. each year. As a comparator lung cancer is diagnosed almost 50,000 times a year in the U.K. When I did eventually go to see my GP with what I thought was a troublesome haemorrhoid he recognised it immediately, I was at hospital the same afternoon to pick up prep for a colonoscopy, had the proceedure three days later followed by a biopsy and MRI scan and was diagnosed two weeks after the initial examination.

I’m wondering about attachment and transference with the therapist and the idea of escape and fantasy? How much do you think your strong feelings, constant thoughts, desires to be with your therapist are a way to escape from your present life? I wonder if the transference serves another purpose than to show us our wounds and/or past experiences, but is a present coping strategy for managing what we don’t want to face (even if unconsciously) in the present—-current relationships, life circumstances, etc. Can anyone relate to this concept of escape in relation to their therapy relationship? How does this play out for you?