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  • FIRST POST
    • seven-day-weekend
    • By seven-day-weekend 9th Oct 17, 7:49 AM
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    seven-day-weekend
    How to get treatment?
    • #1
    • 9th Oct 17, 7:49 AM
    How to get treatment? 9th Oct 17 at 7:49 AM
    OK, here is the story.

    My husband for several months now has had a condition involving his ear and throat. He will get a sudden coughing/retching fit, associated with a burning on one side of his throat. Recently this has been accompanied by a pain in his ear as well.

    Our Dr hasn't even examined him properly. He listened to my husband's chest through his clothes, and has treated him with anti-histamines and Gaviscon. A second Dr who we saw whilst on holiday gave him antibiotics. She did examine him properly, but was unable to give a diagnosis. She prescribed antibiotics (as well as saying continue with the other medication). She also said he needed to be referred but it would take ages.

    Anyway, it is no better and we are at our wit's end. He is still kept awake half the night with it and we are not terribly happy so far with the state of afairs.

    Could my husband see a specialist privately, without involving our GP? And having done so, could he continue any recommended treatment on the NHS?

    Thanks in anticipation for your help.
    To love someone is to learn the song in their heart and to sing it to them when they have forgotten it
    'I believe in Christianity as I believe that the sun has risen. Not only because I see it, but because I see everything by it': C.S. Lewis
    'Let me tell you this one thing. When you fall out, as you will, don't get blaming each other. Look inside yourself first'. - Hilda Ogden, to Sally on her wedding day to Kevin, Coronation Street 1986. '
Page 2
    • seven-day-weekend
    • By seven-day-weekend 12th Oct 17, 11:24 AM
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    seven-day-weekend
    .. which you can get OTC from the Chemists!!!

    There's a lot of patient-blaming on this thread, sadly. Probably typical of our society, where the NHS appears to be our national religion.
    Originally posted by bunk bed
    Yes, I thought that (although am grateful for peoples' help and opinions). It shouldn't have to take the patient umpteen visits saying the same thing before the Dr gives him a proper examination, or to refer them without being asked when it is no better after several months.

    What about people who can't keep going back, or don't have the wherewithall to google their symptoms and be pro-active?

    There is a sign in the surgery saying if you have a cough for longer than a few weeks, then see the Dr. Why? So they can not even examine you properly?

    Anyway, thanks all for your input, it has been very enlightening.
    To love someone is to learn the song in their heart and to sing it to them when they have forgotten it
    'I believe in Christianity as I believe that the sun has risen. Not only because I see it, but because I see everything by it': C.S. Lewis
    'Let me tell you this one thing. When you fall out, as you will, don't get blaming each other. Look inside yourself first'. - Hilda Ogden, to Sally on her wedding day to Kevin, Coronation Street 1986. '
    • gettingtheresometime
    • By gettingtheresometime 12th Oct 17, 12:42 PM
    • 3,133 Posts
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    gettingtheresometime
    I often wonder why people think Doctors are demi-gods ....if you think of them as mechanics that deal with the body rather than machines it puts it all into perspective - well it does for me anyway.


    It is a case with any organisation, whether it be governmental or not, that those who shout loudest will get seen to first ...just think of that annoying customer that always seems to have their request dealt with quickly - we do it to get them out of our hair.


    As for the medical issue I had a similar cough and was given tablets to take after food as well as Gaviscon (and yes I should have been told to buy it OTC!) and the cough went away .....though it was around the time I started losing weight consciously so I don't know if this will help in the meantime
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    • seven-day-weekend
    • By seven-day-weekend 12th Oct 17, 1:23 PM
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    seven-day-weekend
    I often wonder why people think Doctors are demi-gods ....if you think of them as mechanics that deal with the body rather than machines it puts it all into perspective - well it does for me anyway.


    It is a case with any organisation, whether it be governmental or not, that those who shout loudest will get seen to first ...just think of that annoying customer that always seems to have their request dealt with quickly - we do it to get them out of our hair.


    As for the medical issue I had a similar cough and was given tablets to take after food as well as Gaviscon (and yes I should have been told to buy it OTC!) and the cough went away .....though it was around the time I started losing weight consciously so I don't know if this will help in the meantime
    Originally posted by gettingtheresometime
    It appears, that even with health matters, that this is the case.

    The Gaviscon appears to be helping and we will buy it OTC in future. (although it was a GP whom he saw whilst on holiday that prescribed this, not our own GP).


    My husband does not need to lose weight. At nearly 69 he is still the same 11 stone he has always been. (Wish I could say the same for me!).

    Thanks all once again.
    Last edited by seven-day-weekend; 12-10-2017 at 1:28 PM.
    To love someone is to learn the song in their heart and to sing it to them when they have forgotten it
    'I believe in Christianity as I believe that the sun has risen. Not only because I see it, but because I see everything by it': C.S. Lewis
    'Let me tell you this one thing. When you fall out, as you will, don't get blaming each other. Look inside yourself first'. - Hilda Ogden, to Sally on her wedding day to Kevin, Coronation Street 1986. '
    • bunk bed
    • By bunk bed 12th Oct 17, 3:01 PM
    • 48 Posts
    • 56 Thanks
    bunk bed
    I often wonder why people think Doctors are demi-gods ....if you think of them as mechanics that deal with the body rather than machines it puts it all into perspective - well it does for me anyway.
    Originally posted by gettingtheresometime
    That's a good analogy. And what would one do if the garage you kept taking your car to didn't spot an obvious problem or fault? Take it to another garage! But of course you can't do that with your own health. Even animals get better treatment than we do, in that regard. If the vet's a bit rubbish, you take your dog/cat/guinea pig to another one. If your GP's a bit rubbish OTOH, you just get told (in no particular order)

    Doctors aren't Gods you know
    You just need to keep going back to them
    Are you sure you've explained the problem properly

    and so on and so forth..
    • thepurplepixie
    • By thepurplepixie 12th Oct 17, 8:15 PM
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    thepurplepixie
    Have you thought of changing doctor? We had a terrible doctor when we first moved here and were about to look for someone else when he retired. The new doctor was brilliant, well he still is. Doctors aren't all the same and from what you say you have problems with him as well. It is worth thinking about as one day he might be making a life or death call. I think you need to have a bit of confidence in a GP. I trust mine totally and the nurse practitioner is wonderful.
    • seven-day-weekend
    • By seven-day-weekend 12th Oct 17, 9:10 PM
    • 29,853 Posts
    • 55,832 Thanks
    seven-day-weekend
    Have you thought of changing doctor? We had a terrible doctor when we first moved here and were about to look for someone else when he retired. The new doctor was brilliant, well he still is. Doctors aren't all the same and from what you say you have problems with him as well. It is worth thinking about as one day he might be making a life or death call. I think you need to have a bit of confidence in a GP. I trust mine totally and the nurse practitioner is wonderful.
    Originally posted by thepurplepixie
    Have you tried to change Dr? In our area they will only take you if you don't have one.
    To love someone is to learn the song in their heart and to sing it to them when they have forgotten it
    'I believe in Christianity as I believe that the sun has risen. Not only because I see it, but because I see everything by it': C.S. Lewis
    'Let me tell you this one thing. When you fall out, as you will, don't get blaming each other. Look inside yourself first'. - Hilda Ogden, to Sally on her wedding day to Kevin, Coronation Street 1986. '
    • Ames
    • By Ames 13th Oct 17, 12:23 AM
    • 16,584 Posts
    • 29,014 Thanks
    Ames
    Have you tried to change Dr? In our area they will only take you if you don't have one.
    Originally posted by seven-day-weekend
    They're not supposed to do that:

    No, you don't have to tell your current GP that you want to change. You don't have to tell the new GP surgery why you want to change, either.
    http://www.nhs.uk/chq/Pages/1088.aspx?CategoryID=68&SubCategoryID=158

    I've recently changed GP. Someone (not in the NHS) told me that you have to give a good reason why you want to change, but I wasn't asked when I went in to the new one. I just had to fill in a few basic forms.

    It took three or four days for my notes to come through to my new GP - I filled in the forms on a Monday and could view them online with the new details by the end of the week.

    ETA: More info here, including:

    You have the legal right to choose a GP practice that best suits your needs. Try comparing GP practices according to facilities, services, access and performance before you decide. Ask friends, relatives and others you trust for their thoughts and recommendations.
    The GP practice must accept you, unless there are reasonable grounds to refuse you.
    Although it does say that they can refuse if they have no capacity. I'd be surprised if every GP in an urban area is full though.

    http://www.nhs.uk/NHSEngland/AboutNHSservices/doctors/Pages/NHSGPs.aspx
    Last edited by Ames; 13-10-2017 at 12:26 AM.
    Unless I say otherwise 'you' means the general you not you specifically.

    Reading the alphabet in 2017. 21/100
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    • Loanranger
    • By Loanranger 13th Oct 17, 12:29 AM
    • 2,004 Posts
    • 5,208 Thanks
    Loanranger
    Have you googled acid reflux? I have this and gaviscon is not going to make it significantly better. I have to take lanzaprazole daily, in my case it is caused by a hiatus hernia. Go armed with facts and get the referral to a specialist.
    • thepurplepixie
    • By thepurplepixie 13th Oct 17, 9:41 AM
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    thepurplepixie
    Have you tried to change Dr? In our area they will only take you if you don't have one.
    Originally posted by seven-day-weekend
    Well as I said in my post we were just starting to look into it when our GP retired. We are in a small town but there was another GP that would have taken us, we were told where to go by a neighbour who did change to the other doctor. Have you tried? Did you change doctor when you moved?
    • seven-day-weekend
    • By seven-day-weekend 13th Oct 17, 9:55 AM
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    seven-day-weekend
    Well as I said in my post we were just starting to look into it when our GP retired. We are in a small town but there was another GP that would have taken us, we were told where to go by a neighbour who did change to the other doctor. Have you tried? Did you change doctor when you moved?
    Originally posted by thepurplepixie
    Tried some years ago and were told the lists were only open to those eho didn't have a Dr. Didn't change when we moved as we actually moved closer to the surgery!
    To love someone is to learn the song in their heart and to sing it to them when they have forgotten it
    'I believe in Christianity as I believe that the sun has risen. Not only because I see it, but because I see everything by it': C.S. Lewis
    'Let me tell you this one thing. When you fall out, as you will, don't get blaming each other. Look inside yourself first'. - Hilda Ogden, to Sally on her wedding day to Kevin, Coronation Street 1986. '
    • thepurplepixie
    • By thepurplepixie 13th Oct 17, 10:38 AM
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    • 1,656 Thanks
    thepurplepixie
    Tried some years ago and were told the lists were only open to those eho didn't have a Dr. Didn't change when we moved as we actually moved closer to the surgery!
    Originally posted by seven-day-weekend
    Well maybe it has changed, might be worth asking again. A few years ago you couldn't get an NHS dentist near us for love nor money now they have banners outside inviting people to sign up. I don't know where all the extra dentists have come from but situations do change. If your GP is as bad as he sounds it would be worth asking.
    • hunters
    • By hunters 13th Oct 17, 11:52 AM
    • 722 Posts
    • 2,028 Thanks
    hunters
    Thank you, that is what he is going to do. It is obviously necessary to bow and scrape to get any treatment these days . I would have liked to think it might be the DOCTOR'S idea to refer him, rather than my husbands.

    Having said that, any treatment I have had for a condition I have had for years has always been due to me telling the Dr what to do.

    Very sad.
    Originally posted by seven-day-weekend
    Doctors aren't mind readers, up to the patient to tell the Doc exactly what is wrong, how long and how it affects them. I've never had to bow and scrape to get treatment.
    • seven-day-weekend
    • By seven-day-weekend 13th Oct 17, 11:56 AM
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    seven-day-weekend
    My husband told the Doctor what was wrong on at least three occasions. Don't say it is his fault that the Doc didn't examine him properly.

    Anyway, he has now managed to get some medication for gastric reflux, hopefully that will do the trick.

    Thanks everyone for your comments.
    To love someone is to learn the song in their heart and to sing it to them when they have forgotten it
    'I believe in Christianity as I believe that the sun has risen. Not only because I see it, but because I see everything by it': C.S. Lewis
    'Let me tell you this one thing. When you fall out, as you will, don't get blaming each other. Look inside yourself first'. - Hilda Ogden, to Sally on her wedding day to Kevin, Coronation Street 1986. '
    • seven-day-weekend
    • By seven-day-weekend 19th Oct 17, 2:49 AM
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    • 55,832 Thanks
    seven-day-weekend
    My husband saw a different Dr in the practice today because ours is on holiday. Much more efficient. Actually examined him.

    He sent my husband for a chest X-Ray before he makes the referral.

    Unfortunately our own Dr is back next week, so will have to see him.

    Benenden have said they will help if the wait to see the consultant is too long.

    My husband has just spent half an hour retching and choking, it's not funny and we may still go private, once we know who he is being referred to.
    Last edited by seven-day-weekend; 19-10-2017 at 8:17 AM.
    To love someone is to learn the song in their heart and to sing it to them when they have forgotten it
    'I believe in Christianity as I believe that the sun has risen. Not only because I see it, but because I see everything by it': C.S. Lewis
    'Let me tell you this one thing. When you fall out, as you will, don't get blaming each other. Look inside yourself first'. - Hilda Ogden, to Sally on her wedding day to Kevin, Coronation Street 1986. '
    • Katiehound
    • By Katiehound 19th Oct 17, 1:30 PM
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    Katiehound
    Surely to goodness you are entitled to a second opinion- which could be another doctor in the same practice?

    In your situation that would be the route I would take
    Being polite and pleasant doesn't cost anything!

    If you found my posting helpful please hit the "Thanks" button!
    Thank You
    • seven-day-weekend
    • By seven-day-weekend 19th Oct 17, 1:57 PM
    • 29,853 Posts
    • 55,832 Thanks
    seven-day-weekend
    Surely to goodness you are entitled to a second opinion- which could be another doctor in the same practice?

    In your situation that would be the route I would take
    Originally posted by Katiehound
    It would be nice to have a first opinion!!!

    Private consultation with or without the help of Benenden (if for some reason we don't qualify) is what we are doing next, but are awaiting the result of the x-ray first.
    To love someone is to learn the song in their heart and to sing it to them when they have forgotten it
    'I believe in Christianity as I believe that the sun has risen. Not only because I see it, but because I see everything by it': C.S. Lewis
    'Let me tell you this one thing. When you fall out, as you will, don't get blaming each other. Look inside yourself first'. - Hilda Ogden, to Sally on her wedding day to Kevin, Coronation Street 1986. '
    • MonkeyDr
    • By MonkeyDr 19th Oct 17, 2:21 PM
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    • 160 Thanks
    MonkeyDr
    Hi OP,

    I hope your husband gets somewhere soon. Not knowing what's going on is worrying, as well as thinking that there is no end in sight.

    I am not a GP. I just wanted to say though that I suspect the delay in referral to secondary care (be it NHS or private) is that it sounds like it isn't at all easy or clear-cut which specialty the problem should be referred to. I can think of at least 3, maybe 4, who might end up being relevant (and in which case the rest irrelevant). I think that GPs have referral pathways and this might not fit neatly into any of them.

    (Occasionally people end up in my specialty clinic incorrectly, and then I can't help, and they have wasted their time).

    Without knowing further details, none of the treatments that have been trialled sound unreasonable.

    However, it is clearly relevant that they haven't worked. Going back and making clear that things aren't improving and making sure your concerns are heard (as you have done) is definitely the right way to go.

    Good luck.
    • seven-day-weekend
    • By seven-day-weekend 19th Oct 17, 5:05 PM
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    • 55,832 Thanks
    seven-day-weekend
    Hi OP,

    I hope your husband gets somewhere soon. Not knowing what's going on is worrying, as well as thinking that there is no end in sight.

    I am not a GP. I just wanted to say though that I suspect the delay in referral to secondary care (be it NHS or private) is that it sounds like it isn't at all easy or clear-cut which specialty the problem should be referred to. I can think of at least 3, maybe 4, who might end up being relevant (and in which case the rest irrelevant). I think that GPs have referral pathways and this might not fit neatly into any of them.

    (Occasionally people end up in my specialty clinic incorrectly, and then I can't help, and they have wasted their time).

    Without knowing further details, none of the treatments that have been trialled sound unreasonable.

    However, it is clearly relevant that they haven't worked. Going back and making clear that things aren't improving and making sure your concerns are heard (as you have done) is definitely the right way to go.

    Good luck.
    Originally posted by MonkeyDr
    Thank you, that is very informative and clarifies things.
    To love someone is to learn the song in their heart and to sing it to them when they have forgotten it
    'I believe in Christianity as I believe that the sun has risen. Not only because I see it, but because I see everything by it': C.S. Lewis
    'Let me tell you this one thing. When you fall out, as you will, don't get blaming each other. Look inside yourself first'. - Hilda Ogden, to Sally on her wedding day to Kevin, Coronation Street 1986. '
    • Katiehound
    • By Katiehound 20th Oct 17, 5:40 PM
    • 3,903 Posts
    • 38,002 Thanks
    Katiehound
    I just want to point out that my 'second opinion' comment was not for a referral to specialist but to a different GP .......for starters.

    Unfortunately if the symptoms do not exactly fit the norm that can cause problems with diagnosis- been there, done that, bought the T shirt. The other thing is that when you feel really ill sometimes you have to be very determined.

    It would be very helpful for you to write an exact list of dates, treatments & how they worked or didn't , & symptoms because that is building a picture of the problem, and shows how long it has been happening.

    I do hope that it is sorted soon.
    Being polite and pleasant doesn't cost anything!

    If you found my posting helpful please hit the "Thanks" button!
    Thank You
    • jack_pott
    • By jack_pott 20th Oct 17, 5:55 PM
    • 4,294 Posts
    • 5,518 Thanks
    jack_pott
    those who shout loudest will get
    Originally posted by gettingtheresometime
    labelled as troublemakers.
    I'm not upset that you lied to me, I'm upset that from now on I can't believe you.
    Friedrich Nietzsche
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