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I may have mentioned , from time to time , my disquiet at the current tendency on the part of our underpaisd and overworked GPS to leave far too much to the Practice nurses - even those caloling themselves DSN's.
At the end of the day, nurses are not doctors.
I have an ongoing issue with the pracice DSN about my blood pressure. She has a bee in her nurse's cap about home BP moniyors despite anyhing the Doctors or NICE may say. This guarantees het my BP will be something in he region of 200/190 whenever I see her although the hospital can confirm my home readings of 120ish over 60ish.
The doctor's are happy to accept my readings . SHE is not.
At my last annual review a month ago my total cholesterol appeared to have risen qute a bit. There were two students conducting the proceedings under supervision aand the discussion turned o my statins which had been causing me problems
wih muscle pain. The doctor changed my statims and ordered a fasting cholesterol test. Diabetics in th epractice are never asked to fast. I also requested my 3 monthly HBA1cs as ordered by the diabetes consultant be resumed and the Dr agreed. I have previously had major problems because the Practice nurse disagreed with the consultant about the necessity for them.
When I rang up to make he appointments. the recepionist just could not cope. Although the Doctor had ordered the tests she took 20 minutes o consult colleagues. eventually she offered to send the file o the Practice Nurse to ask if the tets were necessary! Eventually I manged to threaten her into giving me a date for the blood est. The HBA1C was impossible. I decided to wait until the fasing cholesterol est was done and hen go back to the doctor.
this morning I awent for the blood test. The nurse couldnt get any blood and asked the sister to see me. this is deputy DSN .
I was a bit puzzled abou the two vials of blood she etracted and amazed to be told it was the choleserol test and another HBA1c. A month to the day after the last!
I can only assume hat the recepionist wanted to cover her back by pushing this test in with the other.
I was then amazed to be leured about my supidity in following the doctor's orders to fast! Diabeics don't need o fast.
Chollesterol could be ested without fasting. I pointed out that this had been done for the annual review and as my total cholesterol had risen the doctor must have wanted to check with a fasting test. She still insisted I shouldn't have fased.
i then asked her for details of he choleserol readings. She had he otal and the HDLs but not the LDLs. She said that they were not available because ITWAS NOT A FASTIBG test. I wondered if this was perhaps, why the Dr had requesed a fasting test.
I hen asked for the triglyceride figure but she asked me to leave because she had "fitted me in " at the reques of the nurse
and had other patients waiting. She again instructed me to always call and check with the practice nurses if an doctor asked for a fasing blood test. i aske d if she really included the doctor asking for it at the Diabetes Annnual Review.
She replied that i should call one of the pracice Nurses to check when I go home if a docor suggested such a thing!
Just when i thought I had heard everything too
I suppose in a way , its the logical result of the drs abdicating any responsibility for diabetic patients - o rmaybe its a takeover bid!
I shall be having a long conversation with the doctor. Enough is enough
At the end of the day, nurses are not doctors.
I have an ongoing issue with the pracice DSN about my blood pressure. She has a bee in her nurse's cap about home BP moniyors despite anyhing the Doctors or NICE may say. This guarantees het my BP will be something in he region of 200/190 whenever I see her although the hospital can confirm my home readings of 120ish over 60ish.
The doctor's are happy to accept my readings . SHE is not.
At my last annual review a month ago my total cholesterol appeared to have risen qute a bit. There were two students conducting the proceedings under supervision aand the discussion turned o my statins which had been causing me problems
wih muscle pain. The doctor changed my statims and ordered a fasting cholesterol test. Diabetics in th epractice are never asked to fast. I also requested my 3 monthly HBA1cs as ordered by the diabetes consultant be resumed and the Dr agreed. I have previously had major problems because the Practice nurse disagreed with the consultant about the necessity for them.
When I rang up to make he appointments. the recepionist just could not cope. Although the Doctor had ordered the tests she took 20 minutes o consult colleagues. eventually she offered to send the file o the Practice Nurse to ask if the tets were necessary! Eventually I manged to threaten her into giving me a date for the blood est. The HBA1C was impossible. I decided to wait until the fasing cholesterol est was done and hen go back to the doctor.
this morning I awent for the blood test. The nurse couldnt get any blood and asked the sister to see me. this is deputy DSN .
I was a bit puzzled abou the two vials of blood she etracted and amazed to be told it was the choleserol test and another HBA1c. A month to the day after the last!
I can only assume hat the recepionist wanted to cover her back by pushing this test in with the other.
I was then amazed to be leured about my supidity in following the doctor's orders to fast! Diabeics don't need o fast.
Chollesterol could be ested without fasting. I pointed out that this had been done for the annual review and as my total cholesterol had risen the doctor must have wanted to check with a fasting test. She still insisted I shouldn't have fased.
i then asked her for details of he choleserol readings. She had he otal and the HDLs but not the LDLs. She said that they were not available because ITWAS NOT A FASTIBG test. I wondered if this was perhaps, why the Dr had requesed a fasting test.
I hen asked for the triglyceride figure but she asked me to leave because she had "fitted me in " at the reques of the nurse
and had other patients waiting. She again instructed me to always call and check with the practice nurses if an doctor asked for a fasing blood test. i aske d if she really included the doctor asking for it at the Diabetes Annnual Review.
She replied that i should call one of the pracice Nurses to check when I go home if a docor suggested such a thing!
Just when i thought I had heard everything too
I suppose in a way , its the logical result of the drs abdicating any responsibility for diabetic patients - o rmaybe its a takeover bid!
I shall be having a long conversation with the doctor. Enough is enough