Dear ALL
Real Scenario
patient on my books multiple myeloma at the Royal Free
1)Needs 2 years of interferon A
2)Royal Free Pharmacy Policy .....we don't give out more than one month of it
at a time.
3)Patient goes now every three months
4)Dear doctor..... to prevent inconveniencing the patient.......can you
prescribe Interferon A.
I will monitor and see her at 3 monthly intervals.
4)I say "not bloody likely!" because a)I am not familiar with this stuff b)I
am not monitoring this stuff c)I don't know what to do if there is a crisis
and allegedly "open access" fails. After all my name goes on the scripts.
Other drugs I am familiar with I've given out no problem....etc
biphosphonates, acyclovir....nay bother.....
5) I say EITHER GIVE ME THE INFO IN AN AGREED SHARED CARE PROTOCOL or forget
about me prescribing.
Am I REALLY being unreasonable about this?
Shahid.......the rest of the week has been bad as well
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