Most 'shared care' protocols are a 'con' that neatly makes you feel even
more guilty if you still feel not prescribing is the most appropriate
action.
Roger Leary. GP, Esher, Surrey.
[log in to unmask]
-----Original Message-----
From: [log in to unmask] <[log in to unmask]>
To: [log in to unmask] <[log in to unmask]>
Date: 22 October 1998 14:45
Subject: Re:Yet another shared care debate.......severely narked off!!
>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
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|