By acceding to his request and demands you are condoning his behaviour. If
you feel uneasy and unhappy with continuing with it. Remove him.
Dr K M Chung
Roger Leary wrote:
> Advice and feedback please!
> In a similar vein Our practice has a new patient who is diabetic. He
> self tests blood glucose 7 -8 x daily. His previous GP supplied him
> with 10 cans of testing strips (50 per can) every 8 weeks (cost approx.
> 25ukp per can) and he has expected us to do the same. We have
> challenged his use pointing out 3-4 x daily testing would be ample and
> reducing his script to 4 cans. He wrote a very strong letter saying we
> would be responsible for a deterioration in the tight control targets he
> set for himself and demanding reinstatement of his 10 cans. "a regime
> his previous GP had instituted".
>
> We caved in for the quiet life. We wrote to the hospital diabetic
> clinic he attends explaining his use (abuse ?) No change. We have asked
> him to attend the practice diabetic clinic, he doesn't and/or won't. We
> still feel his use is a waste of NHS resource to no clear benefit but as
> the abuse is of money rather than a harmful substance feel rather torn!
> Clearly he is a very obsessive individual who feels his use justified.
>
> What should we do. Do people feel we would be justified advising him
> that if he wishes to test himself this frequently he will have to fund
> the additional cans over and above 3-4 test strips per day himself? Can
> we legally do that. Clearly persuading him that his frequent testing is
> of little benefit would be best but I suspect like most 'substance
> abusers' he will not respond to logical reasoned debate.
> Roger Leary. GP,
>
> >Shahid has told us all of his experiences trying to persuade a few
> awkward
> >customers that ranitidine and Zantac are the same, and just as
> effective as
> >each other when prescribed appropriately. Those that cannot understand
> the
> >argument, or who chose to refuse the logic, or who fail to appreciate
> that
> >there is anything other than their own point of view, to not deserve
> his
> >help.
> >
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