Doctor phobia

GlasweJen

The GP is at it because the medication is stupidly expensive and I'm on lots of other expensive stuff already. His attitude is basically that the pain won't kill me. It is a shared care situation with neurology but it's got to a stalemate. The hospital is too far away and in a different area to where I work so they can't even internally transfer the meds to where I work for me to collect.

The whole munchaussens thing started in hospital, got resolved (law suit) but the saga still remains on my paper GP record so for a while my GP kept fobbing me off as being a hypochondriac when I wasn't.

pollyanna_26

I honestly can't figure out what planet that Doctor is on . That's appalling . he is going against the wishes of a senior member of the profession . He sounds unfit to practice .

I've just pulled out the latest list of my daughters monthly meds which our doctor prints monthly to keep up to date if emergency admission to hospital is needed . There are 14 medications but often antibiotics and others are added when required .

Most expensive are Zomorph 10mg 2 twice daily - 120 a month . They are modified release so more expensive than the normal version .
Morphine sulphate 5ml max 1 hourly .
Methotrexate - shared care med .
Lyrica 300mg
Then there are 2 anti anxiety meds .
2 Inhalers
Double strength folic acid due to Methotrexate .
Cyclazine for nausea and vomiting .
Lansoprazole - To try to cushion the meds and a few others .

I can honestly say there has never been any comment re the cost . In fact he often increases or adds in something that may help at certain times .
Bearing in mind it is a very small 2 Dr practice though heavily used as it has such a good reputation they seem to manage .

I really don't know what to advise . Have you any experience of dealing with the practice manager you mention ?
Some are good and some quite the opposite .
Does the doctor hold a senior position or is he accountable to someone above him in the practice and more professional and hopefully not working to the very odd set of rules that seem very undoctorly - not a real word but possibly should be in this instance .

Hope you manage some decent sleep
Take care polly

GlasweJen

The practice manager is about as compassionate as the average death eater. I once complained that their wheelchair ramp was blocked for a week with boxes and she sighed and asked why I couldn't manoeuvre around them!

pollyanna_26

Whoops I thought you'd gone to bed so logged out !

Well she sounds a charmer , they'd probably make the perfect couple .

The whole set up sounds most likely of all to actually make patients feel worse when they leave which doesn't exactly fit the caring criteria .
I really don't know what the answer is . The whole idea is the doctor taking the shared care role is meant to be there to carry out the directions of the the Consultant which this guy is not only ignoring but he is also telling you pain doesn't matter . It damn well does and should be minimised as much as possible in the 21st Century .

I wish I lived there I'd come with you . I'm always quietly polite but years ago I realised you have to fight fire with fire , always calmly but firmly . Those like yourself and my daughter have been badly treated so often that you go beyond the point of trust and belief .
It is damaging and worsens already fragile physical health and creates mental health situations including ptsd .
So in the end more cost to the NHS and more damage to the patient totally not the cradle to the grave at the point of need the system was founded on .
I'm wondering what response the doctor made to Neuro re the meds situation . he couldn't cite effects on surgery budget or that pain should be endured .
It really is an odd situation . I thought I'd seen it all but obviously not .
Generally whoever takes on the shared care role should always deal with the patient involved . They are meant to track and monitor the patient as well as handle the medication as per the other hosoitals instructions .
In our case when our doctor is due to go on holiday he adjusts the fortnightly appts by moving them in a way that leaves only 2 days max short of the normal 14 days so it would be 2 days late when he returns but he then brings the next one forward to get back on track .He has set things to every other Friday at the same time at the end of morning surgery to minimise her anxiety and also keep her in a routine .
Do any of your meds involve the bloods monitoring record book ?
If so are your appts arranged without difficulty for the regular bloods ?

I know things may be different in Scotland .
Well time for bed said Zebedee .
Sleep tight
polly

teddysmum

GlasweJen wrote: »

The practice manager is about as compassionate as the average death eater. I once complained that their wheelchair ramp was blocked for a week with boxes and she sighed and asked why I couldn't manoeuvre around them!

Does your practice have its own in house pharmacist ? Ours does and he ,with a nurse practitioner, now see and treat minor aliments. Unlike a pharmacist in a shop, he can prescribe.


Could you ask your neurologist to phone your GP? Mine did (I emailed his secretary) when a registrar , whose first language isn't English, sent a badly expressed letter, which should have ordered twice the strength of a drug I was already taking, but gave the impression that the current dose was the new one,so the above mentioned pharmacist refused to let Boots have a script for the extra.

KxMx

Does your surgery offer telephone appointments?

I need a med review soon, I'm planning to do it by phone with the prescribing Nurse.

GlasweJen

teddysmum wrote: »

Does your practice have its own in house pharmacist ? Ours does and he ,with a nurse practitioner, now see and treat minor aliments. Unlike a pharmacist in a shop, he can prescribe.


Could you ask your neurologist to phone your GP? Mine did (I emailed his secretary) when a registrar , whose first language isn't English, sent a badly expressed letter, which should have ordered twice the strength of a drug I was already taking, but gave the impression that the current dose was the new one,so the above mentioned pharmacist refused to let Boots have a script for the extra.

No it's just a doctors surgery with a nurse and phlebotomist. We don't have anything like a pharmacy on site. The nurse can't prescribe the medication as it's not on the nurse prescribers list.

GlasweJen

KxMx wrote: »

Does your surgery offer telephone appointments?

I need a med review soon, I'm planning to do it by phone with the prescribing Nurse.

No not for this, just for contagious illnesses and they will cut the call if you manage to get the receptionist to book you in when you're not contagious.

Our practice nurse won't see me as I'm too complex, post transplant with complications.

teddysmum

GlasweJen wrote: »

No it's just a doctors surgery with a nurse and phlebotomist. We don't have anything like a pharmacy on site. The nurse can't prescribe the medication as it's not on the nurse prescribers list.

Ours isn't an in house pharmacy as some doctors based in large health centres have. It's a practice based in the former house of an original partner and the pharmacist was taken on because they had problems recruiting two new doctors.


He can prescribe, but the drugs come from your chosen pharmacy . Boots is literally across the road and Lloyds a hundred metres further along.

GlasweJen

teddysmum wrote: »

Ours isn't an in house pharmacy as some doctors based in large health centres have. It's a practice based in the former house of an original partner and the pharmacist was taken on because they had problems recruiting two new doctors.


He can prescribe, but the drugs come from your chosen pharmacy . Boots is literally across the road and Lloyds a hundred metres further along.

I've never heard of that, sounds like a great idea.