Why am I not surprised at the MRI Hepatology Clinic's behaviour toward you today Dan?
Funnily enough, I had an eot review appointment at my GP clinic this morning. It was a new, very friendly and amenable doctor, who was expecting a routine patient appointment. I explained why I'd been booked in, and he asked me what treatment I'd been prescribed
I told him: "This might be a bit of an eye-opener for you, but bear with me for a couple of minutes." After me giving him the basics of my treatment program, he asked what involvement MRI Hepatology Clinic had had. Me: "None whatsoever." Him: "Why not?" Me: I think Dr ****** saw his arse over my getting generics without his say so." Much laughter from the GP. Next, he wanted to know how much involvement the GP Practice had had in my treatment. Me: "They did as much monitoring as they could, but I had to get my starting viral load result from my rheumatologist at MRI, and I had to pay for subsequent viral load tests privately." Him: "Why?" Me: " I repeatedly asked the MRI Clinic for my blood results, but was ignored. And Dr ****** from your GP Practise wrote to Dr ****** at MRI, asking him do do the viral load tests, but he wrote back with a flat refusal." Him: "That's just silly!" Me: "Yes, I know." Him: "Why has he been behaving like this?" Me: " I think he has his way of doing things, and he doesn't like any other ways over which he doesn't have complete control." On which note, can anybody tell me how I find out what funding my hepatology clinic/it's individual consultants receive from private enterprise? I intend to stoke some fires over this if I can.
Anyway, the new GP was absolutely fascinated by the whole story, took copious notes, and asked me to keep him updated on my eot progress, which I will.
It's become obvious to me that GPs in the UK aren't under the strict NHS Trust guidance that Hepatology clinics are, and are even less under the malign influence of Big Pharma. Which will make a lot of them amenable to giving help, with some charming-but-firm persuasion. Don't expect them to write scripts (but they're not absolutely necessary now, anyway), but monitoring should often be possible.