Are GPs useless?

ethan · 14 Jul 2012 at 22:20

10 points for effort.
Tbh medical trainer is simply a general term. More importantly I am just an ordinary user of NHS services with an opinion, "rightly or wrongly" on a GD Forum: Perspective?

You'll likely find yourself on the paracetamol for life.

Which is more or less what I've been on for the last 5 years.

Destination · 14 Jul 2012 at 22:54

ethan said:
10 points for effort.
Tbh medical trainer is simply a general term. More importantly I am just an ordinary user of NHS services with an opinion, "rightly or wrongly" on a GD Forum: Perspective?

Which is more or less what I've been on for the last 5 years.

Actually you were the one started to state your qualifications in the thread, you made specific references, including quoting some form of job description.
Anyway, I am quite serious, if you want moved form the med to a different one, don't start by putting the GP onto a backwards defensive position. It can have the opposite effect to the one you think it does.
Same with the chap who suggested tape recording every consultation, you will get by the book care, but it might not be best practice, or best care.

ethan · 14 Jul 2012 at 23:15

It's simple really (or at least it should be). I just require a suitable ant-inflamitory to provide adequate pain management/control for a hip/lower back and glutes injury. I don't get adequate pain control from co-codomol but because I am taking warfarin, the change in pain medication to NSAIDs, which would suit this type of injury better, would understandibly require consultation with a GP. Tbh there would be no need to mention anything but the problem. Thanks for your advice anyway.

Tony Williams · 15 Jul 2012 at 02:08

Yeah GP's are useless. I suffer ADD and real bad insomia. I self medicate using Ritalin(or similer chemicals) for my concrentration as it's been poor and always is and GBL(GHB) for my serious insomia. My GP just gives me Citromapram/Zoloft (Ssris) for this which don't help as I aint depressed, he saud he cant' script me even Zopaclone(or similer sleep aids) as Im on Buprenorphine maintence and he looks that I am on 16mg/daily then looks in his book to see it's scripted at 0.2mg and says "THAT'S a lot" and I say it's for buprenorphine maintence and tolerent opiod people not mild-mod pain relief. Then checks my BP.

powlesY · 19 Jul 2012 at 19:20

Right, so i spent a tenner on travel to hospital, went to A&E and i get told it's not an urgent case so they won't see me.

I told them heart palputations, dizzyness, headache, ridiculously bad taste in my mouth that has decayed my teeth and they take my blood pressure and tell me to **** off basically.

brb suicide.

Absolute joke.

Edrof · 19 Jul 2012 at 20:32

Met my new GP yesterday. Seemed just like another fellow who wants to tick you off as soon as possible so he can jump in his Mercedes and hit the driving range. My last GP Googled everything. My GP before that didn't look up at his patients.

I'm not doing particularly well!

powlesY · 19 Jul 2012 at 20:43

What i've got has essentially ruined my life and i can't even get a diagnosis.

mmj_uk · 19 Jul 2012 at 20:52

There used to be a GP in my WoW guild, he was never offline during working hours.

RDM · 19 Jul 2012 at 20:54

GP I saw today was quiet good. (My normal brilliant GP is on holiday). Was honest and upfront about not knowing what he problem was, added yet another painkiller to the list (Cocodamol, diclofenic and now tramadol) , gave me some antibiotics just in case it was an infection and then sorte some blood tests immediately. Phoned me this afternoon with the results of the tests, explained what it could mean and then booked me in for another appointment tomorrow am.

Still not got a firm diagnosis but at least she is trying. Hopefully the combination of Cocodamol and tramadol will let me sleep tonight.

Destination · 19 Jul 2012 at 21:07

powlesY said:
What i've got has essentially ruined my life and i can't even get a diagnosis.

Sorry but you've said multiple times already in this thread, that many separate sources have diagnosed you as being mentallt ill and have prescribed antidepressants.

What you haven't got is a diagnosis that you agree with, rather than no diagnosis at all.

ethan · 19 Jul 2012 at 21:13

RDM said:
GP I saw today was quiet good. (My normal brilliant GP is on holiday). Was honest and upfront about not knowing what he problem was, added yet another painkiller to the list (Cocodamol, diclofenic and now tramadol) , gave me some antibiotics just in case it was an infection and then sorte some blood tests immediately. Phoned me this afternoon with the results of the tests, explained what it could mean and then booked me in for another appointment tomorrow am.

Still not got a firm diagnosis but at least she is trying. Hopefully the combination of Cocodamol and tramadol will let me sleep tonight.

Crikey! I hope you get on alright as well. Concerning my own problem a pharmacist recommended I take one paracetamol and 1 tramadol every eight hours, as using co-codomol (in his opinion)with the tramadol would knock me out.

Doohickey · 19 Jul 2012 at 21:18

powlesY said:
Right, so i spent a tenner on travel to hospital, went to A&E and i get told it's not an urgent case so they won't see me.

I told them heart palputations, dizzyness, headache, ridiculously bad taste in my mouth that has decayed my teeth and they take my blood pressure and tell me to **** off basically.

brb suicide.

Absolute joke.

Well not meaning to be pedantic, but you neither had an accident nor an emergency...

I echo what Hikari Kisugi said to some extent- doctors do often have to deal with cases like that a lot of the time.

powlesY- all I can suggest is that if you are still seeking a satisfactory answer, register at a different practice and see yet another GP. I would like to think that if the consensus of several doctors is that there is not something seriously wrong with you, then there isn't something seriously wrong with you. But you know yourself best of course so all you can do is keep looking.

tamzzy · 19 Jul 2012 at 21:32

ethan said:
Crikey! I hope you get on alright as well. Concerning my own problem a pharmacist recommended I take one paracetamol and 1 tramadol every eight hours, as using co-codomol (in his opinion)with the tramadol would knock me out.

eh what?
take paracetamol+codeine or paracetamol+tramadol
mixing codeine and tramadol doesnt work, it may actually reduce the amount of analgesia
that pharmacist is on a high lol

ethan · 19 Jul 2012 at 21:47

I'm only saying what he said, that mixing one tablet of cocodamol with 1 tablet of tramadol would knock me out. His opinion not mine and one I am not going to disagree with either (since he is a pharmacist and I am not).

@RDM

Still not got a firm diagnosis but at least she is trying. Hopefully the combination of Cocodamol and tramadol will let me sleep tonight.

tamzzy · 19 Jul 2012 at 21:53

nono, both codeine and tramadol both require the same liver enzymes to metabolise and act on the same receptor, tramadol having a higher analgesic effect
so taking codeine and tramadol together doesnt do much if you are taking max doses of both
you have paracetamol (as opposed to co-codamol, unless it was dispensed to you as paracetamol and codeine individually)?

Xordium · 19 Jul 2012 at 22:57

Tony Williams said:
Yeah GP's are useless. I suffer ADD and real bad insomia. I self medicate using Ritalin(or similer chemicals) for my concrentration as it's been poor and always is and GBL(GHB) for my serious insomia. My GP just gives me Citromapram/Zoloft (Ssris) for this which don't help as I aint depressed, he saud he cant' script me even Zopaclone(or similer sleep aids) as Im on Buprenorphine maintence and he looks that I am on 16mg/daily then looks in his book to see it's scripted at 0.2mg and says "THAT'S a lot" and I say it's for buprenorphine maintence and tolerent opiod people not mild-mod pain relief. Then checks my BP.

So basically you just take speed ... surely that's not the kind of thing you want to be writing down on a forum available to the general public.

@ ethan so what do you specifically do and train then being as you were the one that used it as some appeal to authority. Not manager speak plain English please - what medical training do you actually do?

powlesY · 19 Jul 2012 at 23:02

Hikari Kisugi said:
Sorry but you've said multiple times already in this thread, that many separate sources have diagnosed you as being mentallt ill and have prescribed antidepressants.

What you haven't got is a diagnosis that you agree with, rather than no diagnosis at all.

That's ******** though. I'm open-minded but fact is i was living in a damp garage conversion and felt my health deteriorate to the point where i couldn't be in there anymore. Doctors have been 100% useless and you can defend them all you want. How i've been treated is actually disgusting.

powlesY · 19 Jul 2012 at 23:07

Doohickey said:
Well not meaning to be pedantic, but you neither had an accident nor an emergency...

I echo what Hikari Kisugi said to some extent- doctors do often have to deal with cases like that a lot of the time.

powlesY- all I can suggest is that if you are still seeking a satisfactory answer, register at a different practice and see yet another GP. I would like to think that if the consensus of several doctors is that there is not something seriously wrong with you, then there isn't something seriously wrong with you. But you know yourself best of course so all you can do is keep looking.

It seems like i've got no choice. The stale headache, my saliva being brown along with all my other symptoms - it's completely ruined me. My teeth are a horrible colour because of it and decaying and my whole body feels how my teeth look. Dentist said it's not an oral problem and i believe him because of all of my other symptoms.

Destination · 19 Jul 2012 at 23:23

When your dentist said it isn't an oral problem, is there actual decay in your mouth or not?
If there is decay then it is sugar, if the teeth are damaged in some other way then it is something you are putting in your mouth, or acid from your stomach, there is nothing else to damage teeth.
It can be made worse by certain things but the cause is virtually always a or b.

Did you do the diet analysis yet, or did you just sit thinking about how your whole body is falling apart instead?
Anyone ever diagnosed you with fibromylgia?

powlesY · 19 Jul 2012 at 23:29

Hikari Kisugi said:
When your dentist said it isn't an oral problem, is there actual decay in your mouth or not?
If there is decay then it is sugar, if the teeth are damaged in some other way then it is something you are putting in your mouth, or acid from your stomach, there is nothing else to damage teeth.
It can be made worse by certain things but the cause is virtually always a or b.

Did you do the diet analysis yet, or did you just sit thinking about how your whole body is falling apart instead?
Anyone ever diagnosed you with fibromylgia?

Yeah there is but it's not an oral disease that's doing it, but rather something else - apparently.

I haven't had a fizzy drink in almost 2 years, i don't eat chocolate, i don't drink tea. The worst i do is smoke 3-4 times a day, which i know i should stop.

As for acid from my stomach, the dentist said it's probably digestive but when i've suggested that they won't push it any further. It could also be my sinuses (which would explain the terrible headache that comes along with it).

Fibromylgia, i thank you for the suggestion but it doesn't sound like that at all.