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Simple
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PostPosted: 22:17 - 29 Mar 2006    Post subject: When does it become malpractice Reply with quote

with regards to my GP

I was prescribed antibiotics by her, 21 of them. With no advise as to what side affect I'd expect or if I should stop taking them etc.

I took 3 and was in agony. They had been too strong for my little body,
After a few days in agony and not eating I go to Docs again but see the normal doctor. He is slightly concerned that she prescribed me these, thinking they were a little too potent.

I get more tablets go home,
Gradually I can eat again and the pain goes away.

This was three weeks ago.

A few days ago my chest started to hurt again.
Yesterday I went back to the doctor, today I've been for a blood test and tomorrow I have to go for an X-ray.

I'm feeling dog rough at the moment breathing generates sharp pains and getting kitted up to go college (which I really cannot afford to miss) is hell.

So once they've decided what's wrong with me...

does this sound like negligence or malpractice at all?

I'm not a happy bunny and this question has come to my mind...

simple
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Annabella
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PostPosted: 22:23 - 29 Mar 2006    Post subject: Reply with quote

Interesting question...

To be honest I'm not sure.

However, it certainly does sound like your original GP should have been more precaucious with your prescription - after all that's why they have your weight, height and family medical history on file.

I hope you're feeling better soon and that there is nothing seriously wrong with you.
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colin1
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PostPosted: 22:31 - 29 Mar 2006    Post subject: Reply with quote

doctors cover for each other i reckon the most you would get would be that they would say doctors are not the same and will prescribe different drugs according to what they understand to work best

your reaction to the pills was an unfortunate unexepcted event but they cant be held responsible and you cant prove there has been any lasting damage so they will assume there is none

we know that doctors are human and make mistakes and some are better than others and some make more mistakes, doctors are going to say that.

Anything that goes right is due to the treatment and anything that goes wrong is regrettable but unforseeable.

but im not a doctor or a lawyet

its not like u are gonna sue anyway but i guess this is a suitable topic for a forum.

i reckon if u flash siggi your visor he weill put some brick through the doctors window for you.

i still reckon you should drink lots of water and not assume that pills by themselves will sort it. Drinking lots of water will help ur body fight the whatever and get rid of bad stuff.
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Simple
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PostPosted: 22:35 - 29 Mar 2006    Post subject: Reply with quote

COLINWALL wrote:

i reckon if u flash siggi your visor he weill put some brick through the doctors window for you.



LOL apparently the doctor I saw has been around almost all the practices in the area... says alot for her skills and judgement Neutral the practise is owner by the good doctor so I won't be bricking any windows.

Also the reaction to the drugs was because I weigh 7stone.. they were far far too strong for me.
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Annabella
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PostPosted: 22:51 - 29 Mar 2006    Post subject: Reply with quote

I don't believe that doctors cover for each other. If they don't trust a fellow GP then they won't practice with them. If the mistake was genuine and not obvious - for example a misdiagnosis that could have been made by any of them, then yes, they would support each other.

However, in this case, it is obvious that a particularly strong prescription could be harmful to someone as small as Simple, and it certainly doesn't take a doctor to realise that she is tiny.

When I have been prescribed with drugs my weight was always taken into consideration, its not a difficult thing to do. IMO the original doctor made a mistake - that had the drugs been any different could have been very dangerous.
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biker-dj
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PostPosted: 23:09 - 29 Mar 2006    Post subject: Reply with quote

I tend to believe Doctors would close rank or lose your notes, alledgely (spelling?) I had a right shit time in hospital and basically mistakes "were possibly made", I got all my notes but the hassle of taking it further just seemed too extreme, but having said that there's nothing stopping you from getting half hour free consultation from a CAB solicitor. Good luck what ever you decide and hope you feel better soon Thumbs Up
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colin1
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PostPosted: 23:10 - 29 Mar 2006    Post subject: Reply with quote

Annabella wrote:
I don't believe that doctors cover for each other.

why not if its minor stuff ?

i dont believe that many doctors refuse to work other doctors who make mistakes because everybody makes mistakes. Maybe cover up is the wrong phrase, but they wdnt want to alarm patients unnecessarily. and the doctors would support each other. So if the mistake is minor and there was no major harm done, they will just let sleeping dogs lie. It doesnt really matter if you call it covering for each other or supporting each other its the same thing.

loads of people thought harold shipman was a bit suspicious but no one did very much about it. obviously hes an extreme example, but u get my drift.

im not saying that simple should worry, Im just saying she cant really do anything about a doctor prescribing the wrong drug or too much of it. that happens all the time.

but maybe i am wrong and it should be pursued, maybe her normal doctor will throw out the one who made the mistake but i doubt it. he might have a little chat with her tho which wd be better than nothing.

and i agree that it was probably a simple mistake that many doctors wouldnt have made and i agree that it could have been dangerous.

anyway, hope u get better simple, and remember to drink 2 litres of water a day. it will help with your joints too. there was a study announced on the radio that said ppl who drink 2 litres of water a day are less likely to get arthtitis along with various other things.
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stinkwheel
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PostPosted: 23:14 - 29 Mar 2006    Post subject: Reply with quote

All drugs can have adverse reactions, it may be that that particular one did not agree with you.

You used the word 'potent'. If this was the word the second doctor used, it has a very specific meaning in pharmacology which is not the same as 'too high a dose' or 'too strong'. It describes the degree of effect a drug has which is not necessarily related to the dosage. So, for example, you would say Morphine is a more potent pain killer than Asprin when given in the correct dose range. The morphine does its job very well but you are almost certainly going to have side effects.

In any case, it would be just as inappropriate to give someone with a broken leg asprin as it would be to give someone with a sprained wrist morphine

It may have been the case that the first doctor chose a drug that was more potent in order to 'hit it hard', balancing the risk of side-effects against efficacy of the course of treatment (this mental process is carried out when you are prescribed ANY drug).

As with any drug, if you experience any unexpected adverse effects, stop taking them and contact your GP or the pharmacist as soon as possible. Most drugs will have a leaflet in with them explaining what these adverse effects should be and what action to take should you experience them.

Out of interest and if it isn't being too nosy. What was it? (the first drug)
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Simple
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PostPosted: 23:18 - 29 Mar 2006    Post subject: Reply with quote

flux-cox-ci-cillin <- spelt phonetically
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msgander
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PostPosted: 23:21 - 29 Mar 2006    Post subject: Reply with quote

Quote:
close rank


indeedy they do close rank....

Experienced hell with trying to find out information when I was seriously ill (and undiagnosed I hasten to add) for 5 YEARS! in my early twenties. I went to 6 stone and saw all manner of so called specialists.

Eventually, having been opened up privately by the lovely BUPA at my mums expense in sheer desperation, we found the problem, which had already been noted on my file following a blood test 5 YEARS previous by my GP!!

I underwent extensive invasive tests, you name it I had it, all drawing a zero. The hospital fucked up, my GP didnt even apologise, this went on and on for years.

Unfortunately I was so pleased to be treated and actually feel well again after 5 years of living hell that I didnt bother to sue anyone, but I so wish I had.

I asked for copies of my files at the time and pages were missing, no-one would accept responsibility and after many "second opinions" I gave up, they totally closed rank.

My new GP recently looked up the details and was apalled so maybe things are tighter now but professionals in any sphere will always IMHO close rank and cover each others backs.

If you feel you have not been properly treated, raise the matter with your Surgery Manager in writing, at least they may actually take better care on the dosage next time.

IMO if you are not happy with their treatment or diagnosis of you (if you are lucky enough to get one) change doctor at another practice. I went through 10 doctors before I found one who actually took me seriously and was a saint AND found out what was wrong with me!

Not that I'm bitter about doctors and hospitals tho... Wink

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stinkwheel
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PostPosted: 02:53 - 30 Mar 2006    Post subject: Reply with quote

Simple wrote:
flux-cox-ci-cillin <- spelt phonetically


Dr. number two was probably shitting himself over how expensive the stuff is which is most likely why he was surprised it had been dispensed as a first-line antibiotic.

It is a type of penicillin (well, has the same mode of action anyway, it is a synthetic drug) usually reserved for penicillin resistant bacterial infections. Penicillins are generally well tolerated and have a very high index of safety. As a general rule you would have to overdose a penicillin 500% or more before you started to see toxic effects although I am not very familiar with this exact preparation.

Checking the data sheet, a dose for someone your size would be between 125mg and 250mg four times daily. If they gave you 500mg capsules at your body weight, they deserve a slap, but it is unlikely you were put in any serious danger.
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msgander
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PostPosted: 09:58 - 30 Mar 2006    Post subject: Reply with quote

Quote:
Dr. number two was probably shitting himself over how expensive the stuff is which is most likely why he was surprised it had been dispensed as a first-line antibiotic.


indeed LOL!!! Laughing
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map
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PostPosted: 14:24 - 30 Mar 2006    Post subject: Reply with quote

Suggest you get an insight into doctors by watching the TV show 'House'.

Any diagnosis is just a best guess based on the information you give.

That's why somethimes it's wrong and the prescribed medication has an adverse effect.
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Simple
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PostPosted: 17:39 - 30 Mar 2006    Post subject: Reply with quote

stinkwheel wrote:
Simple wrote:
flux-cox-ci-cillin <- spelt phonetically


Checking the data sheet, a dose for someone your size would be between 125mg and 250mg four times daily. If they gave you 500mg capsules at your body weight, they deserve a slap, but it is unlikely you were put in any serious danger.



Ahh, yes they were 500mg capsules once a day,
Just been for my X-ray ... 14days before I know what's actually wrong with me Confused
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Mrs Kickstart
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PostPosted: 18:46 - 30 Mar 2006    Post subject: Reply with quote

Hi,

Difficult to sue a doctor, you need to prove it was more than a mistake and that you suffered peremant damage as a result. Its the second thats a real bugger.

You also cannot do under no-win no-fee and the upfront costs are huge.

I got legal advice about this a few years back as they has messed up treatment of a broken leg.

Best to see a different doctor if you dont like one. I also check medication myself for dosage and contraindications and they have cocked up several times.

Get well soon

Regards
C
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nrml76
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PostPosted: 19:51 - 30 Mar 2006    Post subject: Reply with quote

500 mg up to four times a day for someone (adult) of your weight is not unusual if a potentially serious infection is being treated. It is within licence. You will be informed of side effects by your doctor if they are very common or if they are very serious. Almost every drug has a very long list of side effects, that most people never get. To explain all of them to every patient, would take up too much time.
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Simple
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PostPosted: 19:55 - 30 Mar 2006    Post subject: Reply with quote

nrml76 wrote:
500 mg up to four times a day for someone (adult) of your weight is not unusual if a potentially serious infection is being treated. It is within licence. You will be informed of side effects by your doctor if they are very common or if they are very serious. Almost every drug has a very long list of side effects, that most people never get. To explain all of them to every patient, would take up too much time.


But a simple
'feel a bit funny stop taking them and come back and see me'
wouldn't have gone a miss, my mother was with me and neither me nor her heard anything like this.
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Whosthedaddy
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PostPosted: 19:57 - 30 Mar 2006    Post subject: Reply with quote

On the wards little old biddies are prescribed 250-1g four times a day depending on what its for.

The dose seemed perfectly acceptable

Often the doctors (inc nurses) and pharmacists forget to advise them on the medications, the reason I dont know Confused

All medications come with medication leaflet and should have the directions on the bottle / box

British National Formulary wrote:
The penicillins are bactericidal and act by interfering with bacterial cell wall synthesis. They diffuse well into body tissues and fluids, but penetration into the cerebrospinal fluid is poor except when the meninges are inflamed. They are excreted in the urine in therapeutic concentrations.

The most important side-effect of the penicillins is hypersensitivity which causes rashes and anaphylaxis and can be fatal. Allergic reactions to penicillins occur in 1–10% of exposed individuals; anaphylactic reactions occur in fewer than 0.05% of treated patients. Patients with a history of atopic allergy (e.g. asthma, eczema, hay fever) are more likely to be allergic to penicillins. Individuals with a history of anaphylaxis, urticaria, or rash immediately after penicillin administration are at risk of immediate hypersensitivity to a penicillin; these individuals should not receive a penicillin, a cephalosporin or another beta-lactam antibiotic. Patients who are allergic to one penicillin will be allergic to all because the hypersensitivity is related to the basic penicillin structure. Individuals with a history of a minor rash (i.e. non-confluent rash restricted to a small area of the body) or a rash that occurs more than 72 hours after penicillin administration are probably not allergic to penicillin and in these individuals a penicillin should not be withheld unnecessarily for serious infections; the possibility of an allergic reaction should, however, be borne in mind.

A rare but serious toxic effect of the penicillins is encephalopathy due to cerebral irritation. This may result from excessively high doses or in patients with severe renal failure. The penicillins should not be given by intrathecal injection because they can cause encephalopathy which may be fatal.

Another problem relating to high doses of penicillin, or normal doses given to patients with renal failure, is the accumulation of electrolyte since most injectable penicillins contain either sodium or potassium.

Diarrhoea frequently occurs during oral penicillin therapy. It is most common with broad-spectrum penicillins, which can also cause antibiotic-associated colitis.


If you read any drug interaction or side effect, you would not take a single pill

Quote:
Dr. number two was probably shitting himself over how expensive the stuff is which is most likely why he was surprised it had been dispensed as a first-line antibiotic.


Penicllins are as cheap as chips thats why they are handed out like smarties for every cough, sneeze and fart

BNF wrote:
Flucloxacillin (Non-proprietary)
Capsules, flucloxacillin (as sodium salt) 250 mg, net price 20 = £2.29; 500 mg, 20 = £4.45. Label: 9, 23

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Dragonfly
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PostPosted: 17:22 - 31 Mar 2006    Post subject: Reply with quote

i hope he isnt anything like my old doctor who had me addicted to everything from my early teens and told me i couldnt get addicted to tramadol and other numerous drugs that i should not have been given and am paying the price for it. i dont really take pain killers anymore cause i dont trust my doc. it took 4 docs once to come to the conclsion i had chill blains in my feet for gods sake and i even knew that! you know your body best put it that way, that dont mean ignore the doc though, just if you dont trust doc def get second and even third oppions.

hope you feel better soon. x
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colin1
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PostPosted: 18:43 - 31 Mar 2006    Post subject: Reply with quote

the problem with trusting doctors is that a lot of doctors trust what the drug rep tells them
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Whosthedaddy
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PostPosted: 19:33 - 31 Mar 2006    Post subject: Reply with quote

On my Cardiac Care Unit, the junior docs know absloutle feck all, so the nurses are actually telling the docs what they are supposed to be telling the nurses to do Eh?

I believe that some GPs are very out dated and old fashioned in their approach to treatments
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