to think my doctor's really shit?

[hmmcake]

One month old baby was diagnosed with eczema by paediatrician for which he prescribed diprobase, which worked great. On 2 further visits to the dr for repeat prescriptions, doublebase and dermol have been prescribed instead, the first of which caused a severe allergic reaction. Why, when something works, do drs try to prescribe something different when we ask for a repeat prescription? Is it just us or is the dr nuts???

oh dear god, no that is incorrect, do any of you have any source for all this rubbish you regurgitate other than the Daily Mail

Lush Dream Cream and porridge oats worked wonders for us as well

Agree that GPs don't get to keep any money not spent on their practices drug budget, and the difference between doublebase and diprobase is peanuts so the reason for a different product would not be a financial one.
I would expect a GP to have as much dermatology experience as a paediatrician, if not more, and am surprised the kid didn't see a dermatologist if a second opinion was needed, although most paediatric dermatology is dealt with by GPs, especially basic stuff like eczema.

macdoodle - I have a friend who is a pharmacist who presumably is pretty clued up on such matters, who has told me that doctors are offered financial incentives to prescribe certain drugs. They are also given financial rewards for prescribing drugs that are not fully tested, as part of a trial, and they do not even have to tell the patient that the drug is not fully tested.

Admittedly I am no expert on such matters but my friend is a professional in the medical field and I can't see why she would make this up.

Igetmorelove I'm not a GP but work in a GP practice and your friend is wrong.

GPs get penalised for overspending on their prescribing, but are not allowed to receive any financial incentives to prescribe certain drugs (well not in the UK anyway).

Igetmorelovefromthecat - If your friends isnt making it up then she is misinformed.
There are strict rules that govern clinical trials, and what you describe wouldnt be permitted.

I stand corrected then! Like I say, only going on what I have been told.

However I still think doctors are shit. Or at least the system of medicine that they practice is. I say this from bitter personal experience.

getmorelovefromthecat your friend is talking crap

Just popping back to say that changes in the weather and central heating all make it flare up as well, doesn't seem to matter what the change is whether colder or hotter it just seems to be the change!

Also when she starts crawling it can be the reaction to the carpets, or washing powder/fabric conditioner. I use half the recommended amount of powder always in the drum otherwise your machine pipes get clogged up and rinse your clothes in powdery water. I use soap nuts and regularly strip my machine by doing a 90 degree wash to clear out sediments.

She may be sensitive to perfumes you wear and handcream you use etc etc

My DD was prescribed Movicol peadiatric plain by the consultants. First time I needed a repeat prescription the GP's surgery just put Movicol half on it. The active ingredient is the same but that's the adult version. DD wouldn't take it 'cos it tastes nasty. So I emailed the GP's and asked for a script for plain version. They did it within 24 hours. It was a mistake. They apologised. Why does it always have to be some big conspiracy to defraud people or the doctor being shit?

'Why does it always have to be some big conspiracy to defraud people or the doctor being shit?'

Because the first time she prescribed something different, it stripped the skin off my kids head, that's why. So to do it a second time IS.......SHIT :o Or at the very least, out and out careless.

2rebecca, thankyou so much, I would have thought it was basic stuff too.

We're going to go back in the New Year and ask to see a dermatologist and in the meantime we're going to patch test the suggestions on here.

Thanks for all the lovely, friendly help. Have a Happy New Year folks

In Scotland (not sure re English system) there isn't a practice drugs budget - GPs' prescribing is not limited by cost. They are not paid to prescribe certain drugs - except when there are incentives to prescribe the generic version of a drug rather than a branded version. Pharmaceutical companies are NOT allowed to pay GPs to prescribe (a GP would be struck off if they were found to be accepting drug co. money) and clinical trials are strictly controlled.
hmmcake - when what the GP prescribed stripped the skin off your kid's head I assume you went straight back to him/her and told them you wanted a different prescription????

For those of you who think Doctors are shit - sorry but you are wrong. SOME doctors might well be shit, but the vast majority aren't

I used to get eczema for years, still get occasional flareups.
Once it's under control try to keep your baby's skin moisturised more than you would for another DC or yourself. Watch out for the effect of cold weather/central heating/air conditioning. Stress is also a factor.
Salt water is brilliant for it as well as oatmeal.

I don't think your doctor's really shit, but I wanted to add my sympathy for you watching your DD suffering. It's an absolutely horrible condition, and I'm not at all surprised that you're so angry and upset with the GP. I hope that things get somewhat better soon.

As CarGirl and Quiddity have said, do keep an eye out on all the other related factors - central heating, bath water, air conditioning, what you have on your hands, etc. We find that Filetti is the only suitable washing powder, but that soap nuts are also fine.

You can buy diprobase over the counter, I'm not sure how much it would cost but would it not be worth it just until you can get another prescription?

I've had to buy cream for OH's eczema OTC last Christmas Eve as he couldn't get to the drs - it cost £10 but it was worth it - and there is still half a tub left now.

I know it's not the point, but if your little one is desperate, I'd be going and buying it from the chemist just for now.

Macdoodle, I hope your bedside manner is more diplomatic and gentle than your tone on here. Glad you are not my G.P. Mine is a lot less aggressive.

I'm glad I'm not your GP either ! But you never know, aggresive in your book = straight talking in mine!

'They are also given financial rewards for prescribing drugs that are not fully tested, as part of a trial, and they do not even have to tell the patient that the drug is not fully tested.'

That has got to be the most incredible piece of second hand bullshit I have ever heard spouted on MN.

Doctors are shit indeed.
The problem is as we become more educated regarding what our ailments are, we are in a stronger position to challenge their half arsed diagnosis. They cannot fathom how we are so nutted off about their trial and error approach to diagnosis, they prescribe some shit and say come back if it doesn't work. Yeah right, so how would they like to try and make an appointment in this day and age! we need a radical overhaul of the NHS, we need a special GP disciplinary committee who will act as an ombudsman type of organisation to hear patient complaints of rudeness, surliness, sarcasm and all other general shit we as patients have to put up with from these jumped up prescription writing monkeys. We all have our specialisms and if I treated my customers the way in which they treat us I would soon be out of business.
I hope one day, they get a serious dose of their own medicine for sure.
Bastards.

This is a really old thread PP but a good remedy is to chop up about two inches of fresh turmeric root (wear latex gloves) and add it to half cup fresh whole milk and half cup cream. Slowly heat up on stove, stirring, until it almost reaches boiling point. Take off heat and let cool. Strain and then dab on the cream with a cotton wool ball. It will stain so make sure child or recipient is wearing old clothes.

In defence of Gp's they have a very hard job and are not given enough time to see patients and read notes thoroughly as they are targeted heavily on getting the biggest number of patients seen in a day.

I have a life threatening reaction to a certain drug and numerous doctors have tried to prescribe it because they haven't read my Notes. And to the poster who asked about the consultant, yes the gp can and regulaRly do override them because it from different budgets. My pain meds are incredibly strong and not something that they like prescribing as it is addictive, expensive and a controlled drug so they have to account heavily for its use. My pain consultant gave it to me after trying a variety of other drugs. My gp didn't believe it was necessary and suggested a change to a different but equally as strong drug. I refused strongly and continue on my normal meds

Diprobase didn't work on my dd for her eczema and neither did doublebase as both made it worse! She is now on a strong hydrocortisone cream and something that looks and feels like lard (sorry no idea on name)

Ime if you want something specific then you need to be more forceful in your request.

I use epaderm. It's the one with the least ingredients. And is faaaaab. I use as a moisturiser and a soap substitute. Doctor needs to be challenged and porridge in tights tied onto the hot tap does work!