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This doesn’t surprise me, new referrals can wait a maximum of 13 weeks and sadly unless your GP/Consultant think your care is “urgent” then this is the reality of the NHS at the moment.
What sort of intervention are you talking about? Is this something which a doctors “needs” to do, or could someone else offer treatment? Is it something you can do yourself?
Which may be why your GP is reluctant to give you more than a short supply of methotrexate.
In the UK, methotrexate can be given by a GP depending on how it is administered. However, this is not a drug which is automatically provided by GPs but is optional. It comes under the category of “DMARD” – a group of anti-rheumatic drugs – which as I am sure you have been told carry significant potential side effects. That’s why GPs are very careful about prescribing them.
I don’t suppose she said why this was, did she? It’s fairly standard for 28-days worth of this drug to be prescribed before you have another blood test to check for side effects.
Ah, in the UK this is know has wonderful bedside manner. It’s partly why some GPs should be culled when they leave med school.
Especially when you consider that you can register as a temporary patient with any GP in the UK if you are on holiday…
… and it’s really bad advice. A&E is for Accidents and Emergencies, the name is a clue. Wendy’s needs don’t fall into either category. Please remember that attending this department without real need just delays care for those who they should be treating.
Because so many people have gone there for routine things which they could have seen a GP/Pharmacist for…
Except that it isn’t free. Taxpayers fund it.
No for the reason I mentioned. This drug has “lethal” side effects and patient should be regularly monitored.
having said that the national treatment guidelines, which apply in the majority of cases, show that 28-days is “normal”…
You want to be a GP? :eek:
If so the practice manager will keep you in that nervous state. I'd suggest you come to work in my PCT but I'm not confident we'll be around for much longer
Funnily enough I have no problem there, but I do have a question for you...
What attracts a man to that job?
Bet you haven't been asked that a million times before, if not, bet you get asked a few million times in the future...!
What I love about it is the unique mixture of medicine and surgery, the variety of the workload combining the excitement of the labour ward with routine outpatient gynaecology. You can do a lot for your patients, and most will be young, happy and healthy. I can't think of another specialty that provides a similar level of job satisfaction, except maybe general practice in a small practice.
The bad sides are the reaction you display by asking that question, and the litigation.
Not my reaction, just one of the insider "jokes" which come about because they are heard so often...
A bit like the way that nurses often hear "makes a change to see you with your clothes on" when see on the street and how I often hear jokes about being a NHS manager and having no spine/wearing a grey suit/ability to count beans...
but i just wanted to say that the NHS suck. - end of. :banghead:
having said that though everything does depend a lot on where you love in the country.
The intervention I need for the psoriasis is UVB rays, just needs to be in supervision of a nurse (at least back at home).
I have been on methotraxate almost since I was diagnosed with psoriatic arthritis 3 years ago.
My doctor from Denmark had written a letter with the dosages and medication I take. It's not as if I just pulled it out of my sleeve and just demanded some weird dosage of an unknown drug.
I went to the rheumatology department at the hospital. The doctor gave me a prescription for 3 months worth of the drug. Furthermore, the arthritis has worsened since I came here, meaning that the doctor is doing all he can do to send me to a physiotherapist within a week and giving me te christmas holiday to think about whether or not I want a stronger drug (with more severe side effects).
Now, I am really really happy that the doctor was so nice and considerate - but I am really disappointed and upset about the rudeness of my GP. While I've experienced crap doctors at home, I've never been spoken to so rudely. Even though things are more or less settled now, thinking about her way of speaking to me can still make me cry.
Glad you got your medication sorted out for the Xmas hols.
both? plus stuff like old people living longer, unhealthy lifestyles, better care for seriously ill people, who are now surviving much longer than they would have.
the NHS might not be ideal, but it is fair and it is free.
it tends to be individual doctors/departments who ruin people's view of it.
it's fairer than only people with money getting treated, imo.
I culd switch. Thing is the one I am seing is the one seing all the Diabetic patients, so I'm automatically assigned to her. So don't really know what to do.
It isn't, on a daily basis.
It's because we have a backlog which developed over a few years. Since the NHS Plan came out, the NHS has done 15 months work every 12 months so that waiting lists come down. Eventually they will reach an acceptable level and the NHS will be able to maintain it.
That said, the NHS delivers more services now than ever before and that needs more resources. It is one of the biggest employers in the World.
Really sorry you're finding it so hard at the moment
Tates xxx