Nigel I phone the consultant in charge asking informing him that nowhere on discharge summary does it make diagnses of Schizophrenia. If he / she tells me patient has it, I ask for an appended summary to be faxed - which happens. If patient does not have Schizophrenia I ask Consultant to write a hospital script and nursing home picks it up from hospital Pharmacy. If he declines I ask him what must I do. They quickly help sort it out.
I find this solves the problem. I actually once told a RMO that the famly paid $100.00 for script privately and they are now coming to see him to get the money back. I had a phonecall from Consultant to please explain - which I did. Since then compliance from that Consultant much better. The big problem is the waste of time getting hold of thec guilty consultant / RMO Cedric -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Dr Nigel Farrier Sent: Thursday, 15 February 2007 10:28 AM To: General Practice Computing Group Talk Subject: Re: [GPCG_TALK] In quest of OS Medical Records for AU Around here we have the local hospitals sending these type of patients out on Seroquel. I presume they are using this because of its sedating properties. The find the patient is more manageable and so send them back or out to the ACF. Then I am supposed to continue it! N Cedric Meyerowitz wrote: > Horst > > Risperdal has been approved for these cases. And is on PBS. If > Risperdal doesn't work, I then tell family Zyprexa not on PBS unless > patient has Schizophrenia or Bipolar disorder and it costs over a > $100.00 per month. I'll supply samples (that is one reason I see Reps. > They then don't mind if I phone asking for samples of Zyprexa) and get urgent review buy > Psycogeriatricians or Geriatrician. > > Now, if all these Dr's who prescribed incorrectly on the PBS rectify > matters and don't, then with the saving maybe Zyprexa may also be > approved in Dementia. > > I know it's a catch 22, but patients won't come to your defence when > the shit hits the fan. > > Cedric > > -----Original Message----- > From: [EMAIL PROTECTED] > [mailto:[EMAIL PROTECTED] > On Behalf Of Horst Herb > Sent: Thursday, 15 February 2007 8:44 AM > To: General Practice Computing Group Talk > Subject: Re: [GPCG_TALK] In quest of OS Medical Records for AU > > > On Wednesday 14 February 2007 10:05, Cedric Meyerowitz wrote: > >> If Dr's can't be educated on PBS prescribing, how are we going to >> have >> success with school children. Remember the Dr sees the PBS rules >> every day on his desktop, yet .... >> > > Most doctors comply with most PBS rules most of the time. Most of the > PBS > rules make sense too, and compliance comes natural. > > Some, however, don't. If you have a psychotic nursing home resident > who > requires the highest level of care and if said nursing home resident calms > down with 2.5 mg of Olanzapine, starts participating in social events, > starts > being visited again by relatives because he doesn't spit and scream any more > > at anybody coming in through the door, and saves a bundle of taxpayers > money > > by being downgraded in level of care need - then anybody with a few > brain > cells would think that this medication is both working to the patient's > benefit, to the patient's social environment's benefit, and to the > taxpayer's > benefit. Yet PBS rules don't allow prescribing this medication subsidized, > and the patient can't afford it privately. Just oversedating him with > Benzodiazepines or exposing him to rather serious (and mostly guaranteed) > adverse effects as with long term treatment with "typical" antipsychotics as > > many still do is not an ethically acceptable alternative. > > The only human solution is then for the doctor to find out that his > psychiatric knowledge is that poor that he misdiagnoses said patient with > schizophrenia instead of dementia with psychosis, or paranoia with > aggression and delusion. > > I see rules and laws as guidance. Most make sense and are obeyed by > default > - > usually even by people who don't even know about them, just because it is > common sense. But some must be broken if and when humanity and common sense > require it, and when this breaking stands the test of "no undue benefit to > self" (that is, the rule or law breaker does not benefit more than others > from doing so) > > >> If Dr's can't be educated on basic Computer rules, how are we going >> to >> be succesful educating kids (what I mean about basic PC skills: Do at >> least one back up a day, make sure virus definitions are updated at >> least daily, etc). >> > > Doctors never have been educated on basic computer rules. Schools dumb > children deliberately down on computers nowadays > > Horst > _______________________________________________ > Gpcg_talk mailing list > [email protected] > http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk > > > _______________________________________________ > Gpcg_talk mailing list > [email protected] > http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk > > > _______________________________________________ Gpcg_talk mailing list [email protected] http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk _______________________________________________ Gpcg_talk mailing list [email protected] http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk
