[log in to unmask],Net writes:
Every now and then (not usually more than once a week) my colleagues
appall me with their narrow-minded crassness.
Still, I am sure I return the compliment in other ways.
However, with an ex-partner who used not only to refuse to prescribe
PC4, not on grounds of risk, but to lecture the women involved I do
think I know about this.
I see no problem with providing a value-added PC4 service through
general practice, compared with simply leaving stacks of it next to the
condoms or selling it in pharmacies, provided it is accepted that the
value must be added and the service must be there.
Now, as a non-appointmented single-hander with a policy of allowing one
interruption by phone per consultation, and calling back any others
rapidly, and happy to prescribe my patients PC4 over the phone, I
believe I provide that service with value added, but many of my
colleagues do not. They have various excuses and rationalisations, but
it amounts to <public irritation threshold filter invoked>
SO, a service agreement with proper monitoring that demonstrates
performance, to give a better effect than selling or giving away the
stuff in pharmacies, (why pharmacies? Why not vending machines, why
not airport lounges in case of accidents on holidays?)
or else get out of the way and do some real medicine, the sort you can
offer an appointment in three days time for and refer on to be attended
to in 8 weeks before action being taken in months. <sputter>
Ha.
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