Search
Search titles only
By:
Search titles only
By:
Home
Forums
New posts
Search forums
What's new
New posts
New profile posts
Latest activity
Members
Current visitors
New profile posts
Search profile posts
Log in
Register
Search
Search titles only
By:
Search titles only
By:
New posts
Search forums
Menu
Install the app
Install
Reply to Thread
Guest, we'd love to know what you think about the forum! Take the
Diabetes Forum Survey 2024 »
Home
Forums
Diabetes Discussion
Diabetes Soapbox - Have Your Say
Practice Nurse- Tail wagging the dog?
JavaScript is disabled. For a better experience, please enable JavaScript in your browser before proceeding.
You are using an out of date browser. It may not display this or other websites correctly.
You should upgrade or use an
alternative browser
.
Message
<blockquote data-quote="Unbeliever" data-source="post: 288100" data-attributes="member: 30851"><p>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.</p><p>At the end of the day, nurses are not doctors.</p><p></p><p>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.</p><p>The doctor's are happy to accept my readings . SHE is not.</p><p>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</p><p>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.</p><p></p><p>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.</p><p></p><p>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 .</p><p>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!</p><p>I can only assume hat the recepionist wanted to cover her back by pushing this test in with the other.</p><p></p><p>I was then amazed to be leured about my supidity in following the doctor's orders to fast! Diabeics don't need o fast.</p><p>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.</p><p>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.</p><p>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</p><p>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. </p><p>She replied that i should call one of the pracice Nurses to check when I go home if a docor suggested such a thing!</p><p></p><p>Just when i thought I had heard everything too </p><p>I suppose in a way , its the logical result of the drs abdicating any responsibility for diabetic patients - o rmaybe its a takeover bid!</p><p>I shall be having a long conversation with the doctor. Enough is enough</p></blockquote><p></p>
[QUOTE="Unbeliever, post: 288100, member: 30851"] 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 [/QUOTE]
Verification
Post Reply
Home
Forums
Diabetes Discussion
Diabetes Soapbox - Have Your Say
Practice Nurse- Tail wagging the dog?
Top
Bottom
Find support, ask questions and share your experiences. Ad free.
Join the community »
This site uses cookies. By continuing to use this site, you are agreeing to our use of cookies.
Accept
Learn More.…