Moral appointment dilema

bandraoi

feelinggood wrote: »

Why? ............

You compare your capabilities while sick with depression with the capabilities of an unknown person sick with an unknown psychiatric mental illness and conclude that she should be equally capable.

The woman could have literally any psychiatric illness from a list that fills shelves of books.

Your conclusion is utterly ridiculous.

feelinggood_2

bandraoi wrote: »

You compare your capabilities while sick with depression with the capabilities of an unknown person sick with an unknown psychiatric mental illness and conclude that she should be equally capable.

The woman could have literally any psychiatric illness from a list that fills shelves of books.

Your conclusion is utterly ridiculous.

I thought it was a fair comparison, but yes, perhaps her problems are more severe/different than mine.

For the record though, I say 'depression' - what I've had is Complex Post Traumatic Stress Disorder with related severe depression, anxiety, pyschosis, dissociation and addiction. Severe enough to recieve IB and DLA and be under the care of a specialist.

I can understand having to cancel appointments at short notice, but to give no notice seems a bit much. When I've had difficult with appointments, my CPN or support worker has been willing to accompany me.

I stand by my view that its inconsideration, not illness, that is her problem.

alison999

bandraoi wrote: »

You compare your capabilities while sick with depression with the capabilities of an unknown person sick with an unknown psychiatric mental illness and conclude that she should be equally capable.

The woman could have literally any psychiatric illness from a list that fills shelves of books.

Your conclusion is utterly ridiculous.

But surely a relative or carer could of called the practice, even if they cancelled on the day or the night before a minute before closing time would of shown that they were making a effort

bandraoi

They could have, but that wasn't the conclusion drawn.

JoolzS

Definitely don't feel guilty. I suffer from clinical depression (although nowhere near as severe as your patient) and I have deliberately *not* registered with a dentist for the past eight years or so because I know I will simply miss appointments and that is not fair to either the dentist or to other patients who might need my space and will actually turn up. This hasn't done my teeth much good, but that's my own fault, not anyone else's.

Julie

bandraoi

JoolzS wrote: »

Definitely don't feel guilty. I suffer from clinical depression (although nowhere near as severe as your patient) and I have deliberately *not* registered with a dentist for the past eight years or so because I know I will simply miss appointments and that is not fair to either the dentist or to other patients who might need my space and will actually turn up. This hasn't done my teeth much good, but that's my own fault, not anyone else's.

Julie

nutty

I'll add you to the list.

dmg24

alison999 wrote: »

But surely a relative or carer could of called the practice, even if they cancelled on the day or the night before a minute before closing time would of shown that they were making a effort

Not everyone has a carer or a relative to make calls for them when things get difficult.

feelinggood_2

dmg24 wrote: »

Not everyone has a carer or a relative to make calls for them when things get difficult.

This patient has social workers and a family, but there still haven't been calls.

bandraoi wrote: »

nutty

I'll add you to the list.

Do you think that it was fair in this situation to deregister the patient?

bandraoi

Yes I think it's fair in this situation to deregister the patient.
The dental clinic, despite their admirable efforts, obviously can't meet her needs.
She needs to attend a clinic that can.

but given the variety of psychiatric illnesses out there it is nutty to compare anyone here's capabilities to hers and reach a conclusion on hers.

I wouldn't even conclude that because I can make it into work with a cold, someone else should be able to too. You two are busy comparing cancer with a stroke.