Hi there, repository of all wisdom!
Please consider this scenario. All replies apprecicated. When all replies
are posted, I will post what "my friend" actually did.
GP (non-fundholder) suspects motoneurone disease in one of his Patients,
refers to local Consultant. Local Consultant refers to Neurologist at
teaching hospital. Neurologist does all the tests confirms diagnosis and
starts Patient on riluzole
Riluzole is a potentially toxic drug with a low therapeutic index. It
requires regular monitoring, both of any therapeutic effect (which may be
slight or not occur at all) and the side effects. It is also very
expensive.
Neurologist writes to GP begging him to continue the prescribing while
not explicitly describing the management plan.
What should the GP do?
Any ideas?
Chris
no sig file as usual
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