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difficult child likes to keep me busy and confused....
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<blockquote data-quote="Marguerite" data-source="post: 41168" data-attributes="member: 1991"><p>That's a description, not a diagnosis, surely? But I guess it's better than the wrong label which would need to be undone later.</p><p></p><p>I'm glad he can express his love for his grandmother, though - so he does have some deep emotions in there, for his grandma and sister, at least. Somewhere in there is a lovely, bright little boy, who is not coping very well with the world, and life.</p><p></p><p>I'm glad the shrink agrees about GP. I'm currently checking out a new GP - he seems great in so many ways, then a weird thing will come up (such as he won't prescribe strong painkillers for a terminal cancer patient released from hospital on palliative care) and I wonder if the guy's got all his marbles. In this GP's case, I think he's scared of HIC coming down on him like a ton of bricks for over-prescribing opiates. I wonder if your GP is worried about HIC accusing him of over-testing. If the computer 'flag's' him, he has to justify EVERY test he's ordered for every patient, in the last two years. Failure to be able to justify any one thing means he has to pay Medicare back for all the pathology tests, even the ones that were clearly justified.</p><p></p><p>Plus there's the paperwork it causes. Some tests are tricky, and there's always an order in which tests should be done. A patient turning up to a doctor saying they feel run down and feverish - the doctor may suspect glandular fever (EBV) but he can't wade straight in and order the test - he has to begin with a standard blood test (FBC, Fe, Hb, ESR). Then when you go back in a few days if you still feel crook, he can THEN order LFTs and EBV titre. It's a stupid system.</p><p>The doctor can't order an MRI first off, either. he has to order X-rays first, then CT, then MRI if he still hasn't got any answers and if he STILL thinks an MRI can show detail not yet seen. He has to be able to back up suspicions with a provisional diagnosis, at least to HIC.</p><p></p><p>So, to summarise - it's likely your GP is a chicken, like my new bloke. Scared off by our bullying bureaucracy.</p><p></p><p>Did the shrink go ahead and order the tests? I hope so.</p><p></p><p>Marg</p></blockquote><p></p>
[QUOTE="Marguerite, post: 41168, member: 1991"] That's a description, not a diagnosis, surely? But I guess it's better than the wrong label which would need to be undone later. I'm glad he can express his love for his grandmother, though - so he does have some deep emotions in there, for his grandma and sister, at least. Somewhere in there is a lovely, bright little boy, who is not coping very well with the world, and life. I'm glad the shrink agrees about GP. I'm currently checking out a new GP - he seems great in so many ways, then a weird thing will come up (such as he won't prescribe strong painkillers for a terminal cancer patient released from hospital on palliative care) and I wonder if the guy's got all his marbles. In this GP's case, I think he's scared of HIC coming down on him like a ton of bricks for over-prescribing opiates. I wonder if your GP is worried about HIC accusing him of over-testing. If the computer 'flag's' him, he has to justify EVERY test he's ordered for every patient, in the last two years. Failure to be able to justify any one thing means he has to pay Medicare back for all the pathology tests, even the ones that were clearly justified. Plus there's the paperwork it causes. Some tests are tricky, and there's always an order in which tests should be done. A patient turning up to a doctor saying they feel run down and feverish - the doctor may suspect glandular fever (EBV) but he can't wade straight in and order the test - he has to begin with a standard blood test (FBC, Fe, Hb, ESR). Then when you go back in a few days if you still feel crook, he can THEN order LFTs and EBV titre. It's a stupid system. The doctor can't order an MRI first off, either. he has to order X-rays first, then CT, then MRI if he still hasn't got any answers and if he STILL thinks an MRI can show detail not yet seen. He has to be able to back up suspicions with a provisional diagnosis, at least to HIC. So, to summarise - it's likely your GP is a chicken, like my new bloke. Scared off by our bullying bureaucracy. Did the shrink go ahead and order the tests? I hope so. Marg [/QUOTE]
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