>What does anyone think of this?
>On Friday I saw a lady who had a simple sore throat, took a T/S, gave usual
>advice re PCM etc and off she went. Monday am she was first patient v. angry
>"you ruined my week-end, I had the doctor out on Friday night only 8 hrs after
>seeing you, he said it was definitelya bacterial tonsillitis, gave me
>penicillin and within 8 hours I was feeling better". Unfortunately the doctor
>was in the SE and I can't get hold of him. The T/S came back positive for
>strep. I am v unimpressed by the use of antibios in preventing sore throats
>going on to tonsillitis- the diagnosis sounds v dubious in this case anyway-
>or of their use in tonsillitis, although do give them for tonsillitis. I don't
>have a crystal ball!! Despite my explanations, said lady has sent in a
>complaint to my senior partner who always gives antibios for sorethroats. I am
>most pissed off. What would you have done?
Ask yourself what you would have done if you had a sore throat bad enough to go
to the inconvenience of taking time out to make an appointment with
somebody about because it was important to get well as soon as possible (like
taking the MRCGP tomorrow). Most docs would take a handful of antibiotic
after stopping for 10 microseconds to justify it. Why should patients be
entitled to less? It all boils down to values in the end, and if you think
the values of others do not deserve respect you could become an unhappy doc.
Doug Jenkinson
Keyworth Nottingham
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