Menopause Matters Forum
Menopause Discussion => All things menopause => Topic started by: Mini1 on October 21, 2017, 08:41:15 AM
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Hi
Update - saw doc yesterday after blood tests and ECG were all fine. He said I needed a low dose continuous HRT. When I opened the prescription he had given me a sequential one. So I had to go back and question it. I was then prescribed a high dose continuous one so I questioned it again. Another GP apologised to me and said that they had given me the wrong medication. So he gave me a prescription for Kliovance. Fingers crossed x
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Yet another example of how GPs don't know what they are doing - I find this quite frightening!!! :-X.
If a patient isn't 'on the ball', well, who knows what will happen - we all have to be really clued up about health and treatments these days and question everything. Let us know how you get on. DG x
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I had the same experience - took 3 goes for my GP to get the prescription right. Doesn't exactly fill you with confidence does it?
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Oh Mini1 - it's scary stuff isn't it. Well done for standing your ground. Perhaps you should report your experience to the practise manager or the Local Health Authority - probably to both - as all the staff at this practise need some training about how to treat menopausal problems. I'm afraid if we don't hold them to account, things will not improve. Good luck. DG x
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Hello. I've had loads of problems with my surgery ...last time I went just to get a repeat prescription ...I'm on sequi patches as I'm 48 and haven't gone a year without a little spotting (I've had an ablation so don't have much if any bleeding). The GP said she was putting me on conti patches as I don't have periods. I had to explain the difference between an ablation resulting in no periods (a surgical procedure) and no periods due to natural meno and ovarian failure! Explaining I was only 48 and hadn't gone a year plus I don't want continuous prog. I said I'm sorry but you are wrong...when she eventually printed my prescription I said thank you and are you happy with this😂 (she said yes I think so)surely it should be her asking me! I'm so close to giving up and going private x
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My auntie was given conti hrt for years despite the fact she'd had a hysterectomy. When she queried it it was changed but she picked up on it herself, not the professionals!
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It really is dreadful. Send a message to Dr Currie by snail mail! she really should be keeping a list of GPs prescribing/not for menopausal women.
Is there a Patient Group at your Practice that you could join ?
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Mini1, sorry to hear about this. This is why so many of us have been forced to seek help privately. My GP admitted to knowing nothing about HRT so why on earth would I trust her to prescribe it? It is not our job to educate GPs, they are very well paid and should be well versed on this fairly straightforward form of medication. What else don't they know?
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Sorry to hear about your poor experience Mini1 and it is quite worrying. I hope the treatment you ended up with works for you – but I'm sure you do not need to go privately! We can help steer you to a different product/regime if this one doesn't suit you.
I agree (CLKD, Dancinggirl) that it is really important to keep up the pressure on NHS and specifically some doctors who are not providing menopause treatment according to guidelines and protocols, as well as scarily inaccurate prescriptions, but I don't think we should be writing to Dr Currie about this (unless she has asked for this information - and why would she?), nor need we be forced to turn to the private sector. Surely she would have asked us to do so on this forum if she wanted such information, and compiling a database of doctors that patients have complained about is not the best way to achieve the desired outcome I would suggest. I'm sure if someone on here wants to do this (compile a database) then fine but not sure what you would do with it? There are potential issues around libel I'm sure.
I've said this before – but the top gynaes and specifically the British Menopause Society (probably RCOG too) are working hard to address the problem since the NICE Guidelines were produced, through education and training – I mean look at all the media and social media coverage for World Menopause Day! Many of them such as Louise Newson have also produced informative websites and for example constantly tweet the main messages about menopause and treatments – as does Menopause Matters (most women of the relevant age will use some form of social media). This is from the top down. I agree Mary G that ideally “It is not our job to educate GPs†but what is the alternative? I believe that those who have educated themselves have an important role to play and it is also up to each and every one of us individually as educated and informed women to also try to change things from the bottom up – through the medium of forums like this one and through pressure on our GPs, if we can, and not just stick two fingers up at the system and say “I'm going privateâ€. (Not talking about treatments not yet available on NHS like MLT btw – but treatments such as everyday HRT listed here....).
There are established routes for patient complaints about treatments at a local/regional level as CLKD and Dancinggirl suggest, and far better for women/forum members each to pursue any such issues at a local/regional level, to effect change little bit by little bit, and leave the BMS to focus on their national (and sometimes regional) activities.
Off my hobby-horse now ::)
Hurdity x
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For what-ever reasons, Dr Currie decided that women need assistance with menopausal problems. Hence this Forum. In order to understand the WHOLE problem that ladies have at the various Surgeries across the UK: as seen here and this is surely a small % of ladies being given wrong information: then she needs to be aware which GPs need educating further regarding The Change. Unless ladies who have had problems tell Dr Currie she won't know, or who would you suggest Hurdity that they contact? 'we' .......... speak for yourself perhaps.
I saw NO media coverage of Menopause Day. Not on the TV, none on local radio ....... not in our local papers, this month however is World Breast Cancer Awareness - probably depends on how much money is involved.
At a time when ladies feel ill it shouldn't be up to them to have to investigate what is actually required in order to ease symptoms. Our Surgery produces a monthly newsheet but menopause is never mentioned.
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Thanks to everyone who has taken the time to reply. I really do appreciate it. I just want other ladies to make sure that they know the options before visiting their GPs so they get the correct treatment. Hopefully I can start to feel better on the HRT I have got.
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Sorry that your thread was kind of hi-jacked :-\ - let us know how you get on!
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I'm a teacher and even after 20 years of teaching I still keep up with what's new in education and adjust my teaching accordingly.
Surely GPs should be doing this. Do they not go on training courses to learn about new practice, drugs etc
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I find that pharmacists are much better informed about the latest medications and much more willing to explain things than doctors usually are. They have to do constant training to keep themselves up to date.
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GPs can't be possibly keep up all the while ......... even when expected to do so. They are given 10 mins per patient by the Government although I never feel rushed in our Surgery.
Drug Companies used to arrange evenings with buffets to explain their newest products and ideas, then that became frowned upon, as did the holidays to a European Resort for the same reasons. Personally I don't have a problem with that: getting any professional body together is important to exchange ideas and any new protocols. Also it would give the GPs a chance to relax in the spa/pools/beach etc.. But humans being what we are, some muttered that it was a form of bribery :sigh:
You can please some of the people some of the time? I think being informed is important, lots of GPs however still don't like being 'told' by patients ::) - which is why I take a list and "I've read about X, Y, Z, do you have any up-2-date advice about this?"
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For what-ever reasons, Dr Currie decided that women need assistance with menopausal problems. Hence this Forum. In order to understand the WHOLE problem that ladies have at the various Surgeries across the UK: as seen here and this is surely a small % of ladies being given wrong information: then she needs to be aware which GPs need educating further regarding The Change. Unless ladies who have had problems tell Dr Currie she won't know, or who would you suggest Hurdity that they contact? 'we' .......... speak for yourself perhaps.
I saw NO media coverage of Menopause Day. Not on the TV, none on local radio ....... not in our local papers, this month however is World Breast Cancer Awareness - probably depends on how much money is involved.
At a time when ladies feel ill it shouldn't be up to them to have to investigate what is actually required in order to ease symptoms. Our Surgery produces a monthly newsheet but menopause is never mentioned.
I missed this but I still don't see the purpose in writing to Dr Currie specifically about individual doctors for the reasons stated? What purpose would this serve and what is she going to do with the information? As far as I know she has not asked for this. She and all the other gynaes and the BMS are fully aware and are dealing with this issue from the top through education and this will filter down to individual areas and practices. I absolutely agree that we shouldn't have to research ourselves but in the meantime by doing so we can help to bridge the gap until this happens. In any case surely it is always a good thing to know about your body and what you are being treated with - I think nowadays most of us will research everything to do with our illnesses and treatments?! I'm not au fait with the correct procedures but CLKD you yourself and also Dancinggirl commented about who to contact eg patient groups or writing to practice manager etc. Yes this website is brilliant for providing information - and the forum a great add-on for us to contribute by advising each other. If she has said she wants this info (about individual doctors) then I take it all back ::)
Yes I agree louby48 they really should keep up to date and in fact should be a requirement for all disciplines!
Mini1 - you raised an important issue - and I hope you are feeling better now on the right regime!
Hurdity x
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Hi Hurdity
Well I suppose it's early days for me. I only started the Kliovance on Friday , so have taken 4 so far. I was hoping for a miraculous recovery ! I think I feel slightly less sick.
I was reading one of your earlier answers about timing of HRT. Am I right in thinking that the oestrogen has to build up in your system and that's why it takes a while to see any effect? X
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Yes, Mini1 - it may take time if your oestrogen levels were low to start with. Give it 2-3 weeks and hopefully things will improve. Do expect some strange things e.g. sore breasts, tingling ‘lady bits', some spotting or even bleeding - things settle over 3-4 months as your body adjusts and welcomes the hormones. Dg x
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I think Hurdity that you are missing the point, hijacking this particular thread and it might be more appropriate to make a separate topic so your thoughts don't get lost? We've been here B4 >:(
Mini1 - the body doesn't usually get where it is suddenly so the treatment will take a while to be absorbed. Do you keep a mood/food/symptom diary? Some ladies find it useful.
Nausea may be eased by ginger: drinks, added to food (we eat a lot) or eating small pieces but it can be hot ;)
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Dancing Girl - thanks for your reply. I will have to be patient :) x
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The patience gene missed me out :D
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Me too. I hate feeling like this.
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It really is dreadful. Send a message to Dr Currie by snail mail! she really should be keeping a list of GPs prescribing/not for menopausal women.
Is there a Patient Group at your Practice that you could join ?
I'm not sure that it is Dr Currie's responsibility to keep a list of doctors who mis-prescribe? Surely it is up to us as patients to do the reporting https://www.england.nhs.uk/wp-content/uploads/2014/03/psa-sup-info-med-error.pdf Not sure if there are more up to date guidelines but I'm away at the moment and struggling to post!
Taz x
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It's not medical error.