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Category: NHS

Gaviscon Shortages.

What is Gavison? Gaviscon is a drug that was created in the 60s to early 70s in order to treat acid reflux/LPR disease. It’s made up of 5 key ingredients: calcium carbonate, alginates, aluminum hydroxide, magnesium carbonate, and sodium bicarbonate. Gaviscon is a non-prescription medicine, which is taken by mouth to treat heartburn and gastroesophageal reflux disease. Gaviscon is one of the most popular brands used to treat these issues and works by forming a protective layer that floats on top of the contents of your stomach, therefore stopping stomach acid from escaping into your food pipe. Like antacids in general, Gaviscon is available as a solid, syrup, or tablet. It is produced and distributed in the UK, Ireland, Australia, and Malaysia by Reckitt Benckiser, in the US by GlaxoSmithKline, and in Canada.

Gaviscon Shortages

Reckitt Benckiser the manufacturer of many household brands like Dettol, Cilitbang, and Gaviscon has been accused by the Office of Fair Trading of creating a monopoly in the market for its heartburn drug Gaviscon.

Reckitt could be fined tens of millions of pounds. In Reckitt’s defense, they released a statement stating they believed that it competed fairly in all of its operations. The OFT moved against the company after a whistleblower made the allegation to BBC’s Newsnight in 2008.

However, if you go beyond all the smoke, mirrors, and jargon this is at the expense of the consumer who has to suffer whilst the giants play a game of monopoly on their health.

The former senior Reckitt executive claimed that the makers of Gaviscon maintained an effective monopoly on the market for years after the stomach medicine came off patent. So if that was the case where are their global shortages?

As someone who suffers from heartburn and Dysphagia, I am sick to the back teeth of excuses. I would buy anything to ease the discomfort regardless if it was a famous brand or not. What Reckitt Benckiser are doing is stopping the manufacturing of their cheaper product in favor of the dearer one to make more profits at the expense of the people that rely on the drug. The pharmacies that say they do not know why they are having shortages are trying to basically fool the consumer. They know full well why this drug is in short supply, but choose not to say.

A senior official at Reckitt Benckiser suggested certain people within the organization plotted to create obstacles to stop rival manufacturers from selling cheap generic copies. The whistleblower alleged the firm had “cheated the NHS” and could have saved it “millions of pounds”.

Reckitt Benckiser (RB) said in response to the OFT announcement: “The OFT has stressed that no assumptions should be made at this stage. RB believes it competes fairly and within the letter and spirit of the law in all of our operations, and has co-operated fully with the OFT throughout its inquiry. So if that is the case why is the UK NHS suing them?

“Gaviscon Advance is a second generation product, superior to ‘Gaviscon Original’. I was on the ‘Original’ for many years then had the upgrade to ‘Gaviscon Advance’ which was launched to provide patients with effective and long-lasting relief from heartburn and indigestion, thus replacing the cheaper version which was taken off the market.

“RB will now review the OFT statement and respond accordingly.” According to ‘RB’ Gaviscon was hit by a global shortage due to one key ingredient, a product that many people around the world rely on but cannot get. So you are telling me you can not farm algae anywhere else than Norway? These seaweed species are used to create medical-grade sodium alginate, which is the key ingredient in Gaviscon. “The shortage is a consequence of poor weather conditions and low harvest yields,” the company said in a statement. “Only alginates derived from a specific species have the precise characteristics to be used in the manufacture of effective heartburn and indigestion products such as Gaviscon.”

There should be other rival pharmaceutical companies that can produce better and cheaper alternatives and once they find themselves on the market I will be buying from ‘RB’ competitors because no one should have a gun pointing to their head that says buy from us or else. If the covid vaccine was invented in record time a dupe alternative for Gaviscon could also be invented.

Knowing what I know now I will be looking to buy less from this company across the board for all my household items.

Reckitt informed both customers about the shortage of sodium alginate and informed them they were working with supply partners to put products back on shelves. “Due to global supply chain challenges, we are experiencing shortages with some Gaviscon products. We are continuing to monitor supply and are working with our suppliers to improve availability,” a Coles spokesperson said.

Gaviscon said that “as a responsible company” it recognized its duty to produce unconstrained access to its product but, unfortunately, the shortage of medical-grade sodium alginate was impacting this. “We are working diligently with our supply partners to secure as much production as possible and will do our best to ensure our consumers, patients, and healthcare professionals have access to the heartburn and indigestion treatment they love and trust,” Gaviscon said.

Lemsip, which is also manufactured by Reckitt Benckiser, contains paracetamol and phenylephrine and is used for the temporary relief of symptoms of colds and flu, including body aches and pains, sore throat, headache, and nasal congestion. “Unfortunately, we are also currently experiencing supply chain issues for Lemsip, which means customers might not be able to find this product on our shelves. We understand the frustration for customers and are working hard with our supplier to improve availability as quickly as possible.”

Is that because the special lemon only grown in a certain area in Spain is not producing enough lemons because there are not enough bees?

The truth behind big supermarket shortage. NHS sues Gaviscon maker Reckitt Benckiser.

The NHS in England has launched legal action against Reckitt Benckiser, the maker of heartburn medicine Gaviscon.

According to High Court documents, Health Secretary Andrew Lansley is leading the action on behalf of health authorities and primary care trusts. The Department of Health refused to comment on the subject of the suit. Reckitt Benckiser was fined £10m last year for abusing its dominant market position in the supply of heartburn remedies to the NHS. A spokesman for Reckitt said the company could not comment as it had not been served with any papers. Papers lodged at the High Court show Reckitt is being sued collectively by all 10 Strategic Health Authorities and 144 Primary Care Trusts in England, as well as Andrew Lansley as Secretary of State for Health.

‘Dominant position

The Office of Fair Trading (OFT) said in October last year that Reckitt had restricted competition in the supply of heartburn medicines.

The household products maker withdrew the original Gaviscon from the NHS in 2005 and patients were transferred to Gaviscon Advance Liquid. This happened after Gaviscon’s patent had expired, but before a generic name had been assigned to it, the OFT said. That meant that prescriptions were issued for Gaviscon Advance, rather than pharmacists being able to choose a cheaper generic alternative. The OFT’s inquiry followed an investigation by the BBC’s Newsnight program in 2008.

Gaviscon is one of the most heavily prescribed medicines within the NHS. Confidential papers leaked to the program by a whistleblower showed it was also very profitable, with a gross margin of 77% in 2003.

The chief executive of the OFT, John Fingleton, said at the time: “This case underlines our determination to prevent companies with a dominant position in a market from using their strength to seek to restrict competition from rivals”.In response to the OFT’s fine, Reckitt said that it had believed it was acting within the law at the time and respected the watchdog’s findings.

BBC News – NHS sues Gaviscon maker Reckitt Benckiser

NHS sue Gaviscon maker £90 m, ‘rip-off’ after costlier heartburn forced on doctors.

Andrew Lansley will claim compensation at the High Court for the millions allegedly overpaid The makers of Gaviscon are being sued for nearly £90million for overcharging the Health Service for the heartburn treatment. Reckitt Benckiser allegedly charged doctors for a more expensive version of the drug when a cheaper one was available.

The firm, which also produces the Nurofen, Clearasil, and Durex brands, has already been fined £10.2million by the Office of Fair Trading after admitting to breaking UK and EU competition law over its sale of Gaviscon to the NHS.

Now Health Secretary Andrew Lansley, ten strategic health authorities, and 146 primary care trusts are suing the pharmaceutical giant at the High Court for the millions they say were overpaid. The alleged abuse centres on Reckitt Benckiser’s Gaviscon Original treatment, one of the most commonly prescribed branded drugs on the NHS. The product’s patent was due to run out in 2005, allowing rival firms to produce copycat versions, known as ‘generics’, for a vastly lower price.

But Reckitt took steps that appeared to block this process.

It removed Gaviscon Original from the NHS-approved list of drugs, but it did not propose a generic name for the drug which would have helped a cheap replacement version to come onto the market.

Instead, it put forward a more expensive Reckitt Benckiser product, Gaviscon Advance, which was still within the patent. Doctors wishing to prescribe a treatment for heartburn had no other option available. Yet Gaviscon Original remained on sale and could be picked up over the counter in pharmacies.

The person who leaked the documents said at the time: ‘Reckitt cheated the Health Service. ‘It could have saved the NHS millions of pounds. I felt it had to be exposed.’

Gaviscon is one of the most prescribed drug brands in Britain The NHS spends a fifth of its annual £110billion budget – around £22billion – on drugs. The Commons public accounts committee has estimated the NHS could save £200million a year without affecting patient care by GPs prescribing lower-cost but equally effective treatments.

Surely there has to be an alternative rather than letting patients suffer?

Reckitt Benckiser said it was ‘shocked’ by the allegations, adding: ‘Reckitt Benckiser is a responsible company.’ If it was responsible why are people suffering at the expense of this pharmaceutical company?

Although it denied cheating the NHS, it admitted anti-competitive behavior and said it was ‘unhappy with some of the language and the sentiment … in the [leaked] internal correspondence, which is inappropriate.

The amount of money sought from Reckitt Benckiser – £90million – coincidentally matches the pay and rewards package of its boss Bart Becht, one of the best-rewarded chairmen of an FTSE100 company. Becht, a Dutchman, has led Reckitt Benckiser since the company was formed in 1999 through the merger of Britain’s Reckitt & Colman and Holland’s Benckiser. He once said that his company makes ‘very stupid products.

Becht is famous not only for his huge salary but also for his generosity to charity. In 2009 he gave stock options worth £110million to good causes.

If he is reading this he can donate here considering I rely on the drug and am in discomfort.

https://www.managementtoday.co.uk/gaviscon-scam-claims-hard-digest-reckitt-benckiser/article/985844

#gaviscon #gavisconadvanced #gavisconshortages #nhssues #ReckittBenckiser #ReckittBenckiserbeingsued #nhssuesReckittBenckiser

GP (Doctor) Negligence Evidence.

GP (Doctor) Negligence Evidence.

** This post is primarily for the UK. I have written several articles about my GP (Doctor) Negligence and Doctor-Patient Confidentiality in recent times. I am for my own records posting evidence they have only confirmed my letters have been put on the system but both times have not been actioned. Furthermore, I have been in communication with several people, not only relating to this particular surgery but others around the UK also encountering similar problems. I have now discovered why GP (Doctor) Surgeries are backlogged… read more…

Local doctors’ surgeries across the UK are either closing or their clinicians are retiring early.

The impact of the aftermath of the pandemic has caused a strain on doctors and other workers in local GP practices which have seen some “struggling to maintain regular services” which has meant some closing surgery doors to all but the most urgent cases.

Playing “Russian Roulette”, with people’s lives is what is happening as each day brings new absences. Those with overall responsibility for general practice, such as NHS England and the Clinical Commissioning Groups (CCGs), have had “no backup plan”.

Doctors revolt over pension tax rules: What sparked the row? | This is Money

A survey carried out by the Royal College of GPs (RCGP) found that at least a third of doctors were planning to retire in the next five years, leaving 14,000 fewer GPs than are currently working.

Addressing the Health and Social Care Committee, retired GP Dr. Andrew Green said, “We need to accept that 10-minute appointments are not safe. The only way that you can run a 10-minute appointment surgery on time is by cutting corners.

Therefore introduce a questionnaire to be filled out by patients who could then write about their ailments for the doctors to review” similar to what I have done, although my surgery is as helpful as a chocolate fire guard. A ten-minute appointment can then be reduced to two or can be done online using encryption software”

According to “herd immunity” policy, which has allowed the coronavirus to rip through the population in successive and ever-higher waves of infection, has placed intolerable burdens on NHS hospitals.

“This is all smoke and mirrors and I believe the herd immunity is working because most people would have received their vaccinations. I believe it is down to the doctors themselves not managing their time properly or insufficient staff quotas”.

This has produced a monumental backlog of those waiting for vital elective procedures, which now exceeds 6 million. In turn, this increases pressure on GPs, who must manage patients on excessively long waiting lists, with some people forced to live with excruciating pain or physically limiting conditions. UK doctor’s surgeries forced to close doors to all but urgent care needs – World Socialist Web Site (wsws.org)

However, more common reasons cited for wishing to depart included feeling exhausted, overworked, and underpaid, as well as having too little time to do their jobs to the desired standard.

Senior doctors in the NHS are reducing their hours, turning down extra work, and even retiring early to avoid being hit with huge tax bills on their pensions, a report reveals. NHS consultants ‘turning down work to avoid huge pension tax’ | NHS | The Guardian

The government’s enforced collapse of free universal healthcare services will be used by it to push for the further privatization of the sector.

“Just mark my words and won’t be long before our NHS collapses and we will have to have to have insurance or pay towards our healthcare”.

UK doctor’s surgeries forced to close doors to all but urgent care needs – World Socialist Web Site (wsws.org)

EVIDENCE

Evidence of the emails I received to state my letters were logged on the system.

FINAL NOTES:

To recap I wrote a letter which I emailed last year 9 pages long and this year 15 pages long, it was put on the system and both times never actioned.

I have been told previously by my surgery if I do not like how things are run to change doctors (I am not the only one judging by the Google Reviews). It is easier said than done if you have social disconnection problems, run a business, and do not have time to register at a new surgery never mind the shortfall on the prescribed medication, whilst you wait for your registration to be approved and your medical records sent over.

The NHS are playing “Russian roulette”, put it this way my doctor’s surgery, in particular, most definitely is playing with people’s health.

If you are unhappy you should first address your practice manager or write to your head doctor failing that you can complain to the NHS (see links below).

I know I could take this further and I will one day, but at the moment I am dependent on my medication, albeit there is a shortage of Gaviscon.

NHS NEGLIGENCE COMPLAINTS

https://www.mind.org.uk/about-us/our-policy-work/you-and-your-gp/for-gp-patients/

https://www.nhs.uk/using-the-nhs/about-the-nhs/how-to-complain-to-the-nhs/

https://www.nhs.uk/service-search/other-services/Patient-advice-and-liaison-services-(PALS)/LocationSearch/363

https://www.nhs.uk/service-search/other-services/Clinical-Commissioning-Group/LocationSearch/1

https://www.cqc.org.uk/contact-us/how-complain/complain-about-use-mental-health-act

https://www.ombudsman.org.uk/

https://www.ombudsman.org.uk/publications/my-expectations-raising-concerns-and-complaints

HOW TO COMPLAIN

https://www.nhs.uk/using-the-nhs/about-the-nhs/how-to-complain-to-the-nhs/

https://www.nhs.uk/service-search/other-services/Patient-advice-and-liaison-services-(PALS)/LocationSearch/363

(Recommended)

https://www.ombudsman.org.uk/

#nhs #doctorssurgeries #generalpractitioners #dutyofcare #doctorspractice #negligence

Micro-dosing Psilocybin Mushrooms.

Micro-dosing Psilocybin Mushrooms improve mental health after one month.

Suffering from mental health issues for over 30 years now and being prescribed the same medication year in and year out without any significant improvement one must look at alternative ways to heal.

I suffer from anxiety, stress, depression, panic attacks, social disconnection, and OCD.

The NHS has failed me because month after month my symptoms do not improve, and I must resort to self-help to get through certain days.

I have never explored or ever taken psychedelic drugs and it was only by watching a documentary on Netflix “How to change your mind” that I started to realize there are diverse ways to treat my disorder.

Psilocybin Mushrooms.

Psilocybin mushrooms: commonly known as magic mushrooms, mushrooms, are a polyphyletic informal group of fungi that contain psilocybin which turns into psilocin upon ingestion. Biological genera containing psilocybin mushrooms include Copelandia, Gymnopilus, Inocybe, Panaeolus, Pholiotina, Pluteus, and Psilocybe. Wikipedia

The study published in Nature: Scientific Reports has observed significant benefits to mood and mental health after one month of micro-dosing psilocybin mushrooms.

Mushroom microdoses saw greater improvements across the DASS domains of Depression, Anxiety, and Stress. The study found that the microdose cognitive efficacy was higher performing in people aged under 55.

The study looked at 1133 people over the course of two years. All subjects were over 18 years old, able to read in English, and had access to an iPhone iOS device where participants recorded their results. Scientific Reports is a peer-reviewed, open-access scientific journal published online by Nature Portfolio.

https://www.forbes.com/sites/lindseybartlett/2022/07/05/microdosing-psilocybin-mushrooms-improves-mood-and-mental-health-after-one-month-new-study-finds/?sh=1ad13aff1ab4

The study was conducted by a team of experts in the fields of psychology and mycology: Joseph M. Rootman, Department of Psychology, University of British Columbia, Kelowna, BC, Canada; Maggie Kiraga, an employee of Quantified Citizen Technologies. Pamela Kryskow, a member of the clinical advisory board of Numinus Wellness, co-founder of MycoMedica Life Sciences, and on the Scientific & Medical Advisory Board; Kalin Harvey; Paul Stamets, who founded Fungi Perfecti, LLC; Eesmyal Santos-Brault; Kim P. C. Kuypers; and Zach Walsh, a member of the Advisory Board of the Multidisciplinary Association for Psychedelic Studies (MAPS) Canada and MycoMedica Life Sciences.

The reason GPs are not willing to advise or prescribe holistic medicine is that it would cost the Big Pharma Industry big bucks. If people could cure themselves after a month of using natural plant-made drugs the pharma companies would soon feel the pinch. I wrote previously what your doctor won’t tell you.

I have concluded my own doctor is as useful as a chocolate fire guard.

Even if my doctor could not prescribe ‘Microdosing Psilocybin Mushrooms’ she could have at least told me about it and recommended where I should go to get it. According to the UK, it is still not legal and a petition was made but coincidently because of a General Election in November 2019 it was closed, well all I can say is someone should restart it again: https://petition.parliament.uk/archived/petitions/260806

All I know is that Imperial College London is doing research into the benefits and negative effects of psilocybin and other psychedelic compounds. I only say this as I reside in the UK but other parts of the world will have other studies, where you need to do your own research to find out who is doing it closer to your area.

In the most rigorous trial to date assessing the therapeutic potential of a ‘psychedelic’ compound, researchers compared two sessions of psilocybin therapy with a six-week course of a leading antidepressant (a selective serotonin reuptake inhibitor called escitalopram) in 59 people with moderate-to-severe depression.

The results, published today in the New England Journal of Medicine, show that while depression scores were reduced in both groups, the reductions occurred more quickly in the psilocybin group and were greater in magnitude.

Editors Thoughts.

As a consequence, I blame the NHS and the powers that be for not giving me the right support and ultimately making my condition worse.

Similar to abortions, who has the right to say what you do with your body?

It is your body and how you treat is your business and no one else’s unless you are out of control.

What a person consumes is on them if they are of sound mind. Why make alcohol and cigarettes legal when they cause, liver failure or cancer. The reason why is because ‘Big Pharma’ relies on you becoming unwell. Whilst if everyone was cured they would not be laughing all the way to the bank.

The Journal of Psychopharmacology published a follow-up earlier this year to this widely-publicized study from Johns Hopkins Medicine that found psilocybin may continue to help people with depression up to one year later.

People treated with psilocybin – named ‘COMP360’ by its developers, COMPASS Pathways PLC – showed marked improvements across a range of subjective measures, including in their ability to feel pleasure, and express emotions, greater reductions in anxiety and suicidal ideation, and increased feelings of wellbeing.

Dr. Robin Carhart-Harris, Head of the Centre for Psychedelic Research at Imperial, who designed and led the study, said: “These results comparing two doses of psilocybin therapy with 43 daily doses of one of the best performing SSRI antidepressants help contextualize psilocybin’s promise as a potential mental health treatment. Remission rates were twice as high in the psilocybin group than in the escitalopram group.

“One of the most important aspects of this work is that people can clearly see the promise of properly delivered psilocybin therapy by viewing it compared with a more familiar, established treatment in the same study. Psilocybin performed very favorably in this head-to-head.”

https://www.imperial.ac.uk/news/219413/magic-mushroom-compound-performs-well-antidepressant/

As suggested by the Imperial College London / Thomas Angus; Psilocybin capsules: warn that while the initial findings are encouraging, patients with depression should not attempt to self-medicate with psilocybin. However, I will be writing to anyone that is doing clinical trials with the view of volunteering.

I am therefore going to be on the lookout for clinical trials in my area, we can only wait and see. I could have been cured years ago, instead of being kept as a lab rat.

#magicmushroons #microdosing #psilocybinmushrooms #psychedelics

Weak Bladder Problem.

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Weak Bladder Problem.

Overactive bladder (OAB) is a condition characterized by the sudden urge to pee which can be frequent and difficult to control, often leading to leakage and incontinence.

It has been nearly a year since I wrote to my GP and asked them to prescribe me something. In total five people acknowledged they read the letter but my GP never once responded. Yes, I plan to sue the surgery for medical negligence, I just need to muster the strength to do this.

I have since read that the medication Aquiette could be reclassified after the Commission on Human Medicines advised that it is safe to buy without a prescription. https://www.theguardian.com/society/2022/apr/23/overactive-bladder-drug-could-be-made-over-the-counter-in-uk

Considering my GP is worse than useless I cannot wait for this to get on the market.

Millions of women suffering from an overactive bladder have been urged to take part in a consultation that could make a treatment available over the counter for the first time. (I was not asked lol).

One in six women in the UK is thought to have symptoms associated with an overactive bladder, such as the sudden, uncontrolled need to urinate which can lead to accidental leaks.

Aquiette tablets are used to treat women with milder symptoms of the condition which cannot be controlled by bladder training alone.

The Medicines and Healthcare products Regulatory Agency (MHRA) is calling on people with the condition, as well as healthcare professionals with experience in treating it, to share their views in the reclassification consultation.

Dr. Laura Squire, chief healthcare quality and access officer at the MHRA, said:

“For many women, an overactive bladder can make day-to-day living extremely challenging. It can impact relationships, work, on social life, and it can lead to anxiety and depression. Fortunately, there are treatments around, and from today you will have a chance to have your say on whether one of those treatments, Aquiette, can be available for the first time without a prescription.”

After reading this I decided to do some research and went on the NHS website and filled in their questionnaire and this is the results:

I usually go to the loo every 1.5 hours to 2 hours day and night, I take medication although I know it is not the cause of my problem. My problem is I drink energy drinks because of the medication I take to go to sleep, when I wake I feel like a zombie so I need something to keep me awake. It is a vicious cycle.

Urinary incontinence is the unintentional passing of urine. It’s a common problem thought to affect millions of people.

There are several types of urinary incontinence, including:

  • stress incontinence – when urine leaks out at times when your bladder is under pressure; for example, when you cough or laugh
  • urge incontinence – when urine leaks as you feel a sudden, intense urge to pee, or soon afterward (this is me for sure).
  • overflow incontinence (chronic urinary retention) – when you’re unable to fully empty your bladder, which causes frequent leaking
  • total incontinence – when your bladder cannot store any urine at all, which causes you to pass urine constantly or have frequent leaking

It’s also possible to have a mixture of both stresses and urge urinary incontinence.

I used to work in a studio that did not have staff toilets so every time I needed to pee I would have to shut up the shop and go to the nearest cafe or bar. If one has a sudden urge to pee one cannot waste time, so working from home is ideal for me as I simply hurry down the corridor. But I should not have to live like this and my GP has let me down.

I will be sending a corroborating email about how my condition has progressed a year on and how I am writing and will continue writing about this surgery. I have mentioned them in my marketing journal and I am sure they are not happy because I mentioned the surgery by name.

Causes of urinary incontinence

Stress incontinence is usually the result of the weakening of or damage to the muscles used to prevent urination, such as the pelvic floor muscles and the urethral sphincter.

Urge incontinence is usually the result of the overactivity of the detrusor muscles, which control the bladder. (This is what I have got I’m sure).

Overflow incontinence is often caused by an obstruction or blockage in your bladder, which prevents it from emptying fully.

Total incontinence may be caused by a problem with the bladder from birth, a spinal injury, or a small, tunnel-like hole that can form between the bladder and a nearby area (fistula).

Certain things can increase the chances of urinary incontinence, including:

  • pregnancy and vaginal birth
  • obesity (yes I am slightly overweight but am not about to change my lifestyle because someone tells me to)
  • a family history of incontinence
  • increasing age – although incontinence is not an inevitable part of aging (yes I am aging although my mind is still young)
  • Coffee, tea, and other caffeinated drinks
  • Alcohol, including beer and wine
  • Sodas and other fizzy drinks
  • Artificial sweeteners
  • Citrus fruit drinks
  • Tomato and tomato-based vegetable juices
  • Chocolate (I cannot give up chocolate it has serotonin in it)

The only drink I drink day in a day out is “Monster Ultra White” which has artificial sweeteners and caffeine. I do not drink coffee, tea, alcohol, fizzy drinks, or fruit juices. I occasionally may drink “Evian” water when I have no energy drinks left.

Treating urinary incontinence

Non-surgical treatments

Initially, a GP may suggest some simple measures to see if they help improve your symptoms. (like I said my GP is worse than useless)

These may include:

  • lifestyle changes such as losing weight and cutting down on caffeine and alcohol (I do not drink alcohol and sure when the universe gives me a £1,000,000. and I am stressed free I will not have to take my medication for my stress, anxiety, and depression. My mental health will improve so I won’t be dependent on prescribed medication to make me fall asleep and caffeine to wake me up again -problem solved).
  • pelvic floor exercises, where you strengthen your pelvic floor muscles by squeezing them. (I do this just to hold it in)
  • bladder training, where you learn ways to wait longer between needing to urinate and passing urine (my bladder has a mind of its own).
  • Medicine may be recommended if you’re still unable to manage your symptoms (that’s what I wanted a year ago).
  • Surgical treatment for stress incontinence, such as a sling procedure.

Useful Links:

https://www.nhs.uk/conditions/social-care-and-support-guide/

#weakbladder #pelvicfloor #incontinence #overactivebladder

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Anxiety Phoning Your GP

Anxiety Phoning your GP!

Anxiety Phoning Your GP.

Many of us worry about speaking to our GP at the best of times and it is more difficult especially if we have mental health and anxiety issues.

However, doing nothing about your ailments and bottling things up can make things worse. It’s better to seek help early rather than let it fester into something worse. That way you can start receiving the treatment you need to set you on the road to recovery.

“GPs are normally the first port of call for physical and mental health concerns. However, for someone like myself who suffers from anxiety, it can be overwhelming physically having a conversation about what you are thinking or feeling with your GP or practice nurse, someone you may hardly know.

Whatever way you decide about communicating with your GP they will want to speak with you even if you appoint a friend or family member to speak on your behalf (data protection), they will still want to speak with you.

Mind Charity has put together a guide with some tips on how to prepare for your appointment and make the most of the short time you get with them. Find out more at www.mind.org.uk/findthewords.”

Speaking to your GP or practice nurse should be your first step to getting help. However, if you are anxious it might be an idea to contact your GP via email or snail mail. However, this can be passed to the practice manager, for everyone to see and read. In fact, I wrote such an email to my GP last May 2021 and the practice manager and cluster pharmacist both confirmed they read my letter which was not addressed to them yet my GP has not bothered to respond to my letter at all.

The only time I will be speaking to my GP once I muster the courage to phone them to raise my complaint will be through court and suing them for negligence.

What is concerning is I do need medical attention as some of my symptoms have escalated, but I cannot bring myself to phone the GP Surgery as I feel I will lose my rag with them. Furthermore, I have social disconnection issues and cannot interact with anyone other than my family and online.

https://www.mind.org.uk/about-us/our-policy-work/you-and-your-gp/for-gp-patients/

https://www.nhs.uk/using-the-nhs/about-the-nhs/how-to-complain-to-the-nhs/

https://www.nhs.uk/service-search/other-services/Patient-advice-and-liaison-services-(PALS)/LocationSearch/363

https://www.nhs.uk/service-search/other-services/Clinical-Commissioning-Group/LocationSearch/1

https://www.cqc.org.uk/contact-us/how-complain/complain-about-use-mental-health-act

https://www.ombudsman.org.uk/

https://www.ombudsman.org.uk/publications/my-expectations-raising-concerns-and-complaints

#gpdutyofcare #gp #doctorsurgery #gpnegligence #anxiety #anxietyphoning #anxietyphoningyourgp #dutyofcare #nhscomplaints

Doctor-Patient Confidentiality

DOCTOR-PATIENT CONFIDENTIALITY.

Confidentiality:

Good practice in handling patient information

I am starting off on a rant.

It used to be whatever you said to your GP would not be repeated to anyone else, unless it warranted it, such as if the person was in some way in danger of harming themselves or if they needed medical care and support.

However as times have changed with information being passed around on the internet and emails being hacked, there was no secure way of sending an email to this particular surgery which is concerning in itself.

Apparently and this in particular aimed at my own GP, so cannot vouch for any other surgeries, that whatever you told your doctor, could also be accessed by other staff at the surgery. But in my case, my data was accessed by the adjoining pharmacy inside the building of the surgery.

I am all for data security and privacy and what I choose to share online about my illnesses may not be necessarily be everything I want to divulge publicly, hence may keep some information private, but obviously, as I have found out two people have now gained access to my letter and I have not had a response back from the doctor, which is very alarming.

So my question is does the Doctor actually know the letter exists or do I just have the word from the practice manager? What if my letter was printed off and passed around I have no guarantee that it wasn’t?

However, I was due a medication follow-up review today and although I had emailed the Doctor directly on the 25th of May 2021 I later found out this particular doctor is no longer at the practice and I had to forward my email to the practice manager on the 27th.

The practice manager acknowledged the email and said that I needed to make an appointment with my GP over certain things I had written in the letter. The practice manager also told me over the phone that my medical data can be accessed by all the staff in the surgery but to not worry as they had all signed non-disclosure agreements. 🤢

What a 🐊 of💩 so you are telling me that someone could read this information and then go home and repeat it to their friends/partner or spouse? A nondisclosure agreement is not worth the paper it is written on as there are no guarantees that your information will not be shared. A person could simply say I read this about a certain individual and there would be absolutely no proof that the said person did or did not share the information. There are absolutely no guarantees whats so ever that what is written would not be repeated or talked about during the lunch breaks or pillow talk.

To think that the surgery thinks people are stupid or gullible is beyond belief that they would be sucked into their garbage of an excuse that all staff at the surgery can gain access to your medical records, but cannot disclose any information because of non-disclosure agreement they had signed.🤬😡 Talk to the hand ✋.

What if a patient had some embarrassing ailment (I am not talking about myself btw) 😂🤣 (seriously though it is not a laughing matter) and was riddled with STD’s and everyone in the surgery including the pharmacist got to read their medical notes?

The principle of the matter is unprofessional and unethical. The patient should not have to be forced to tell the receptionist what is wrong with them as in the case of this particular surgery.

According to best practices but this is for England and not Wales only the bare minimum should be accessed but the pharmacist today confirmed she had read my letter which I quote her saying “it was very thorough and detailed and that is what they prefer”.

She asked about my medication and told me to take it at regular intervals. One of the prescription drugs is a sleeping tablet and within 30 minutes I am zonked out, so if I took it at regular times it would interfere with my life because I cannot go to sleep every night at an exact time.

This was going over her head and she was not interested in anything I had to say. She was trying to teach me to how to suck eggs as if I needed a 30-year-old to tell me what to do and in the ideal world where I did not have such an unpredictable job, I would possibly be a good girl and go to sleep the same time every night, but my lifestyle does not permit me. I even told her my job is not a 9 to 5 and sometimes I could be working at 3 am in the morning.

Now wait for this, I said, considering she had read my letter what did she suggest about this one problem I had and this is laughable by her response, she only told me to phone the GP. 😡

Although my time could be better spent than phoning and then waiting on someone to get back to me, I will be phoning the GP just so that I can speak to them for comment and get to the bottom of how my medical records have been shared.

So tell me if I had written a letter nearly a month ago to the GP you would think the Doctor(s) would have the decency to reply. Their lame excuse will be they are too busy to respond to emails.

I get a thousand plus emails a day and still find time to respond.

I think it is downright rude and unprofessional to ignore a letter that every tom dick and harry has read but does not get a response from the doctor to which the letter was addressed in the first place.

So what the hell was the reason for the pharmacist to access my medical records to ask if me if I smoke or take alcohol and then not give me any advice at all, what a waste of time and resources and my time (which not relevant in the eyes of the NHS, they can waste your time but you cannot waste theirs).

She then said she would book me in for another annual review, why though? If they get email updates from me why speak to me?

I responded unless there was anything I needed I would be perfectly capable to email or phone the GP myself and did not need an annual review (omitting the part that her phone call was a waste of my precious time).

I am fuming how my medical file has no privacy protection. 🤬😡

https://www.guidelinesinpractice.co.uk/your-practice/all-healthcare-staff-have-a-duty-of-confidentiality/352639.article

https://www.gmc-uk.org/ethical-guidance/ethical-guidance-for-doctors/confidentiality/disclosures-for-the-protection-of-patients-and-others

I have mentioned this surgery before on a marketing blog I also run and have been told if I make waves I could be struck off their register yet I depend on my medication.

They also have said to me that they (the NHS) quote “do not have an obligation to help me if they do not want to”.

So if you are savvy to know about my other blog just search for GP Surgery Cardiff. Sorry, no links given.

Confidentiality is not absolute

Confidentiality is an important ethical and legal duty for doctors, however, it is not guaranteed and is not absolute. Your doctor may be able to disclose personal information without breaching his/her duties of confidentiality under certain circumstances, such as when the disclosure is of overall benefit to a patient who lacks the capacity to consent.

https://www.bmj.com/content/356/bmj.j636

https://www.medicalprotection.org/uk/articles/junior-doctor-confidentiality

Breaking Confidentiality.

Patient confidentiality can be defined as: ‘The law whereby a doctor or medical practitioner cannot reveal anything said to them by their patients during consultation or treatment.”

Confidentiality is something that is protected, by law, by a myriad of legislation including the Data Protection Act 1998, The Computer Misuse Act 1990and The NHS Confidentiality Code of Practice.

Protecting Your Information Your Choice

(This is applicable for England NOT Wales).

https://www.nhs.uk/your-nhs-data-matters/manage-your-choice/

https://www.nhs.uk/using-the-nhs/about-the-nhs/sharing-your-health-records/

Further Reading.

https://www.gmc-uk.org/ethical-guidance/ethical-guidance-for-doctors/confidentiality/using-and-disclosing-patient-information-for-direct-care

https://www.bma.org.uk/advice-and-support/ethics/confidentiality-and-health-records/sharing-local-electronic-patient-records-for-direct-patient-care

https://patient.info/news-and-features/how-the-nhs-handles-your-data

https://www.patients-association.org.uk/

https://www.gov.uk/government/organisations/national-data-guardian

https://www.dailymail.co.uk/health/article-9661639/So-access-medical-records.html

How to Complain

Your first port of call should be to complain to the GP practice, you should send them a recorded signed for formal letter or email, failing that you have three options as in the links below, but in my experience of other things I have complained about in the past you run the risk of being removed from the surgery and their response is very biased as they will protect themselves, so do take this into consideration and always have another surgery lined up just in case of the worst-case scenario, remember also if you get kicked out of your surgery another surgery may not accept you based on how much trouble you make, as surgery (a) may put notes for surgery (b) to read, hence it is good practice to also request all your data from surgery (a) before approaching surgery (b).

https://www.nhs.uk/using-the-nhs/about-the-nhs/how-to-complain-to-the-nhs/

https://www.nhs.uk/service-search/other-services/Patient-advice-and-liaison-services-(PALS)/LocationSearch/363 (Recommended)

https://www.ombudsman.org.uk/

#patient #patientdoctorconfidentiality #medicalrecords #gdpr #ico #medicalrecordsbreach