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I can’t believe I am reading this. Is a parent of a nurse entitled to having their child do a dressing or is it unethical: is a physiotherapist helping a brother who can’t access it soon enough unethical or a lab person worried about a problem talking to a doctor in their hospital unethical. Of course not. I don’t believe you think that way either. Elizabeth Mac Namara On Apr 21, 2019, at 12:15, WOODS, Angela (EAST AND NORTH HERTFORDSHIRE NHS TRUST) <[log in to unmask]<mailto:[log in to unmask]>> wrote: There is surely also an ethical angle to this. Irritating though it may be, those in most need of healthcare actually do have to wait to see their GP. The services available to them are subject to demand management initiatives. Are doctors and their families deserving of better access to healthcare than their patients are? Angela Sent from my iPhone On 21 Apr 2019, at 14:54, Mike Hallworth <[log in to unmask]<mailto:[log in to unmask]>> wrote: Yes, but. As always, there is a balance here - between “I am a doctor so I can do what I want” and “We are the lab and we decide what is appropriate”. Neither are true, and we need to talk to each other. Mike Sent from my iPhone On 21 Apr 2019, at 14:11, Elizabeth MacNamara, Dr. <[log in to unmask]<mailto:[log in to unmask]>> wrote: I agree with you as a basic rule you should not do it. We had a professor of medicine who treated a viral infection of his eye himself and lost his eye. He trained us very well not to take care of yourself or family I am not saying it’s the best thing to do. I would never investigate or treat myself or someone close to me for those very reasons. But there are perfectly good reasons to do it and it’s not for someone in a lab to judge or block the testing. I have a niece who gets frequent cold sores. Why would I not write her a prescription for valacyclovir tablets when she knows that she is getting one. For a friend who gets recurrent UTIs why not write a request for a culture and prescribe an antibiotic? Both of them know better than anybody what is happening. If you ever had a UTI you’d want treatment fast and not wait to go to a GP. I don’t do it often as I am not their GP and do not want to be. But for a lab to decide whether I should or should not do a test, knowing nothing about the situation or why it’s done is a total waste of time and energy. If I thought I had a UTI I’d ask for a urine culture on myself. Is it any different than discussing a lab result with a family member? Maybe you shouldn’t. In truth you will as will I. Why even think about stopping a test. I see it is little more than a make work project for no benefit and possibly doing harm. Elizabeth Mac Namara. On Apr 21, 2019, at 03:54, Eric Kilpatrick <[log in to unmask]<mailto:[log in to unmask]>> wrote: There are counter-arguments to self-testing/self-diagnosing family members, although I do not know if any are the reason the GMC prohibits it. One is obviously the privacy of the family member involved. How can a full history be taken if, for example, a daughter would rather not say to their parent they are taking the OCP? I also recall an ex-colleague who managed their own son’s acute illness (an illness belonging to their own speciality, I might add) where it turned out to be much more serious than they thought and the son almost died as a consequence. It taught me two things: firstly, no matter how experienced you are, you are likely to view an evolving illness differently to one that you see presenting at its usual stage; secondly, I wonder how anyone would feel if their management led to the family member not recovering when they should have? So there can be ethical and clinical reasons why this might not be a good idea. Eric From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Mohammad Al-Jubouri Sent: Thursday, April 18, 2019 9:15 PM To: [log in to unmask]<mailto:[log in to unmask]> Subject: Re: Self-requesting by Doctors I agree with you completely Elizabeth, but in the UK the GMC rules and any doctor found will risk a GMC hearing of fitness to practice. BW, Mohammad From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Elizabeth MacNamara, Dr. Sent: 18 April 2019 18:20 To: [log in to unmask]<mailto:[log in to unmask]> Subject: Re: Self-requesting by Doctors Regardless of guidelines doctors have a right to order tests on themselves and family if they wish. I see this as another storm in a teacup. Elizabeth Mac Namara On Apr 18, 2019, at 13:13, Mohammad Al-Jubouri <[log in to unmask]<mailto:[log in to unmask]>> wrote: GMC guidelines states that doctors should not investigate or treat themselves or their family members, this article is relevant http://www.pulsetoday.co.uk/lmc-warning-after-gps-submit-blood-samples-under-false-names/20001401.article Regards Mohammad Al-Jubouri On 18 Apr 2019, at 17:33, Houston, Charlie <[log in to unmask]<mailto:[log in to unmask]>> wrote: Hi Mail base Does anyone have a policy or can direct me to a regulation regarding self-requesting of lab test by doctors ? Regards Charlie Charlie Houston MSc CSci FIBMS Chief Biomedical Scientist Biochemistry Department Nobles Hospital Strang Isle of Man IM4 4RJ Office 01624 650661 Lab 01624 650659 Mobile 07624310570 [log in to unmask]<mailto:[log in to unmask]> Or [log in to unmask]<mailto:[log in to unmask]> Isle of Man. 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