Letters to doctors

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audide

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I thought I'd just put my comments here to pull it away from the "advice needed" post.

I would really urge any therapist who is worried about a patient/client to bite the bullet and write to the GP with your concerns, even if you fear a 'knock back'. Its the only time I do write to a GP. I am sure many of you do already.

I had a lady of 82, who had had a stroke and her friend recommended her to me for treatment for a very weak neck and mobility.

This poor lady, who incidentally had a daughter, was rapidly losing her swallow reflex and was becomming progressively weaker as eating was so difficult. She had been promised physio, but nothing had happened and she had seen her GP the previous week and been patted on the hand and sent home!!

Having personal experiences with relatives post stroke, I was very worried.

I wrote, with the ladies permission, to the GP pointing out her current condition and my concerns, requesting an urgent review. I also suggested the GP might prescribe the lady liquid meals (in cartons).

Anyway the GP actually visited her the next day and immediately arranged therapy and day hospital for her and the food. The GP also wrote to me thanking me for my letter, but was unable to discuss the case due to patient confidentiality!! (or was she embarrassed as well).

It did help that I had worked for a prominent Physio for 5 years and she always wrote to GP's, (as a keeping a high profile thing too), and knew the format.

So dont be shy, the patients/clients best interests are our main concern, but get the clients permission first.

Jan x

BTW the lady was later diagnosed as having motor neuron disease. So poor thing even worse than suspected.
Has anyone treated someone with MND?
 
You did right and it shows that you should always do what feels right for you.
 
In reply to Paul's thought on the Treatment Advice Thread.



No they're not. If someone were to be pedantic about it, then they could say that GP's aren't even Doctors, as they don't hold a Doctorate Degree.

The other way of looking at it is that the word doctor comes from a Latin word for teacher and explains why they use the term more loosely in the US. There you'll find Herbalists, Psychologists, Naturopaths, Homeopaths, etc., are all called doctor.

Over here Doctors and Dentists are what's known as Primary Health Care Professionals. Since '93 & 94, so are osteopaths and chiropractors, respectively, which puts all on the same level. Although it is taking a long time the latter two to sink in with both the medics and the general public. [sm=banghead.gif]

On the letter front, I think it's also a good idea to write to GP's after a course of treatment with someone, briefly explaining the client's 'reported improvement'. The more of these they get, then they may think twice about the value of complementary therapies. I suggest that you do keep it short though and ideally on A5, so it fits in the Record Envelopes.

Another issue is:

Permission to Approach GP Consent Forms, that the client signs, giving permission for you and GP to share information about the client. Send them the original with the letter and keep a copy in your own notes. I know this probably sounds overkill, but this is supposed to be how it's done from a Medico-Legal stand point and covers you for all eventualities. It's also something that I don't always remeber to, but I do always get verbal permision, but that's not as bullet proof as the above. [sm=speechless-smiley-040.gif]

Andrew.
 
Hi Andrew you say.....
Interested to know where you get your info from?
 
hi andrew and jan (for starting the thread)

andrew, as you so rightly say on the other thread, yes, its something that we as professionals need to tharsh out to receive respect and awareness from gps.

i actually was quite surprsied with paul when he said that he assumed tGP *permission* had been saught (see other thread), as the client was most probably on meds and receiving treatment. well, as said before, arent most of our clients on meds or receiving treatment for ongoing issues, hence them coming to us in the first place? so does that mean, we should write to the GP for every client that presents on meds or ongoing treatment? doesnt that mean we would be spending a lot of time with this exercise, even thought it shows us being responsible, caring and raising awareness?

i also agree and in fact a doctor did say to me, why are we asking permission? dont we know what we are doing and therefore asking for their clearance/ putting onus on them etc? and as we know, most dont know what we do/ dont want to now what we do... so how can they give an informed/ educated permission?

i said it before and someone (tigerbee i think) said it recently, IF they say no, GP's are acknowledging we have an effect... BUT most think its mumbojumbo... so what a predicament for them! again, it gets me annoyed when very ill people are denied our services until doctors feel they cant do anymore for them, so let the complementary therapist have a go.

i usually ask my clients to mention me to their doctor at their next visit, especially if they have noticed an improvement. and i guess i have never had anyone yet that made me think twice about treating without asking GP.
 
Like Rosie, I often suggest to new clients that they mention to their GP/hospital consultant/midwife that they are seeing a reflexologist IF I think it is relevant. I document my request in their notes too. I do it as a courtesy thing, and I also think it sows a seed in the minds of the medical profession about complementary therapies (or am I being optimistic? ).
 
lol yeah... optimistic!

yes relevant in as much its someone that is having say, BP meds and has readings done every few months. then i think its relevant... its not only telling the GP that this person is haiving reflex but that it makes them feel better!
 
Just reading threw these threads.

I decided when I first set up business tha for myself the easiest way to get round the whole GP issue was to add in a question to my first consultation sheet.

Permission to contact GP if required? followed by a check box for yes and a check box for no.

Lets face it most people coming the first time are happy to come and fill in this simple form- it has become my standard.. That way if I need to contact the GP say in an emergency , if I needed to hand over if a problem was out off my league or if something arose it is already signed, dated and filed. Each to their own I think.-Happy Soles.
 
my consultation also includes this as a statement to sign by the client. just never used it, i guess.
 
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    Thursday at ๐ŸŽญ๐—›๐—ข๐—Ÿ๐—Ÿ๐—ฌ๐—ช๐—ข๐—ข๐—— ๐—ฆ๐—ฃ๐—”๐ŸŽญ, 4578 Yonge St, Unit 100, North York, ON: CINDY, JENNY & SISI. โ˜Ž416-222-5554โ˜Ž CINDY is a slim & pretty lady with long dark hair and a pleasing personality. JENNY is slim, attractive, with a tight frame and service with a smile. When you visit ๐ŸŽญHollywood Spa๐ŸŽญ, you will be treated with tender care and your visit will be a fulfilling one.
  38. ForeverWarden:
    Thursday at ๐Ÿซฆโค๏ธ๐Ÿ”ด๐ŸŸฅโ™พ๏ธ๐“•๐“ž๐“ก๐“”๐“ฅ๐“”๐“ก ๐“ข๐“Ÿ๐“โ™พ๏ธ๐ŸŸฅ๐Ÿ”ดโค๏ธ๐Ÿซฆ๐Ÿซฆ2190 Warden Ave, Unit 201, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿด๐Ÿฌ๐Ÿฌ-๐Ÿณ๐Ÿด๐Ÿด๐Ÿณ: Cindy, Sophia & Tracy. Cindy is a slim beauty, 5โ€™4โ€, natural C Cups. Her massage is nice, her services will drive you wild & her finish is a dream come true. Sophia is a sweet & pretty Chinese lady with natural B Cups and an awe-inspiring smooth rounded ass. Sophia can provide top notch services
  39. wilson holistic centre:
    new girl Tina works at ๐Ÿ’‹535 Evans Ave today ๐Ÿ’•๐Ÿ’•๐Ÿ’•โ˜Ž๏ธโ˜Ž๏ธ416-531-6969โ˜Ž๏ธโ˜Ž๏ธ
  40. HolidaySpa:
    Thursday at ๐ŸŒด๐Ÿ˜Ž๐ŸŒ…๐“—๐“ธ๐“ต๐“ฒ๐“ญ๐“ช๐”‚ ๐“ข๐“น๐“ช๐ŸŒ…๐Ÿ˜Ž๐ŸŒด3517 Kennedy Rd, Unit 4, Scarborough โ˜Ž๏ธ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฎ๐Ÿฐ๐Ÿณ-๐Ÿญ๐Ÿญ๐Ÿต๐Ÿตโ˜Ž๏ธ: ANGELA, LUCY & CINDY. Angela is versatile and responsive. LUCY is a beautiful and slim Asian lady with a happy disposition and great services. CINDY is a slim & incredibly sexy lady with a smile that will melt your heart, & an ass that will fire up your spirit.
  41. AliceSpa:
    THURSDAY at ๐—”๐—Ÿ๐—œ๐—–๐—˜ ๐—ฆ๐—ฃ๐—”.4915 Steeles Ave. E, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿฎ๐Ÿต๐Ÿด-๐Ÿฌ๐Ÿด๐Ÿต๐Ÿด. 3 girls here today at ALICE SPA. Open 10am to 9pm: ASHLEY is a beautiful slim Korean student, snow white skin, 5'2, 100 Lbs, natural C Cup, pink nipples, baby face & voice, can accomodate bbbj cim cof rim dfk, excellent services. KITTY (12pm-9pm) is a new Korean girl, super busty, small body, new to the business.
  42. Lilyspa1:
    Lily Spa :๐Ÿ’•๐Ÿ’•Thursday Schedule ๐Ÿ‡ฎ๐Ÿ‡ณ๐Ÿ‡ฎ๐Ÿ‡ณSana 23, , Punjabi girl , very pretty 36 DDD ๐Ÿ˜ˆGFE โค๏ธElena ( Latino ) Big Nature Boobs & SuSu ( Asian )Slim , ๐Ÿ˜๐Ÿ˜Porn Service ๐Ÿ”ฅDuo ๐Ÿ”ฅ,โ˜Ž๏ธ 6475318288
  43. Moneylee:
    All season wellness center: Young girl big boobs beautiful face deep massage Helen ,Young girl big boobs beautiful face deep massage Tina ,Young girl big breasted beautiful buttocks charming temperament big boobs Cindy ,Student big boobs buttocks Vicky, Enchanting sexy petite deep massage Sherry ,๐Ÿ address: #5-30 Rambler dr Brampton ,Ontario L6W 1E2โ˜Ž๏ธ4376655510 ๐Ÿ‘…๐Ÿ‘…๐Ÿ‘„๐Ÿ‘„๐Ÿฆต๐Ÿฆต๐Ÿˆต๏ธ๐Ÿˆต๏ธ
  44. Moneylee:
    Full season wellness center: young girl pretty face nice figure Thai deep massage Vivian , pretty face nice figure Thai deep massage Yuki ,Young girl big breasted beautiful buttocks charming temperament big boobs Anjoo ,Young girl Big breasted saucy naughty Ella,Enchanting sexy petite deep massage Mary. 2560 Shepard ave Mississauga unit 1 .โ˜Ž๏ธ4379857899๐Ÿ‘…๐Ÿ‘…๐Ÿฆต๐Ÿฆต๐Ÿˆต๏ธ๐Ÿˆต๏ธ๐Ÿ‘„๐Ÿ‘„
  45. Funlooker:
    Introducing Funlooker - We are a high-class escort agency representing extremely beautiful, passionate, intelligent and sexual girls in Bangkok, Barcelona, Berlin, China, Kuala Lumpur, London, New York, Paris and Tokyo - funlooker.co
  46. SugarLoveSpa:
    Thursday at โค๏ธ๐Ÿ’™ ๐Ÿ’œโŽ๐—ฆ๐—จ๐—š๐—”๐—ฅ ๐—Ÿ๐—ข๐—ฉ๐—˜ ๐—ฆ๐—ฃ๐—”โŽ ๐Ÿ’–๐Ÿ’—๐Ÿ’˜: LUNA, MIA, SARA & TIFFANY. 1270 Finch Ave W (at Keele St), Unit 18. North York, ON โ˜Ž ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฏ๐Ÿฒ๐Ÿฑ-๐Ÿฎ๐Ÿฒ๐Ÿด๐Ÿด โ˜Ž LUNA is a slim, VERY PETITE and capable Vietnamese beauty, nice natural 34C Cups. Luna can do everything. MIA is a young & slim ๐™Ž๐™‹๐™„๐™‰๐™‰๐™€๐™, very PRETTY & PETITE Vietnamese beauty with perfect natural A Cups, 5โ€™1โ€ & 90 Lbs, very versatile. Come and enjoy.
  47. Golden Sunshine Spa:
    โœจClick on our Username and FOLLOW US for updates and special services ! โœ… Click Here Today๐ŸŒธCindy๐ŸŒธAletta๐ŸŒธJessica๐ŸŒธSelina๐ŸŒธNina Call us โ˜Ž 905 - 265 - 2158โ˜Ž๏ธ Your ultimate service awaits! โœจ
  48. Annie Spa:
    ๐ŸŽ‰๐Ÿ’ANNIE SPA๐ŸŽ‰๐Ÿ’ โœ…7-1001 SANDHURST CIRCLEโœ… ๐Ÿ‘ŒSCARBOROUGH ON M1V 1Z6๐Ÿ‘Œ โ˜Ž๏ธ (647) 891-9688โ˜Ž๏ธ โ˜Ž๏ธ (416) 291-8879โ˜Ž๏ธ (FINCH & MCCOWAN) OPEN 9:30am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…NEW MANAGEMENT๐Ÿ’ฏNEW GIRLS๐Ÿ”ฅ๐Ÿ”ฅ ๐Ÿ”ฅGORGEOUS NEW YOUNG ASIAN GIRLS - TODAYโ€™s ROSTER INCLUDES: ๐Ÿ”ฅ Bobo๐Ÿ˜˜โค๏ธAn alluring and skilled new massage girl with an elegant presence and a warm, inviting aura. Her striking figure, accentuated by her graceful posture and her massive 36DD breasts, immediately puts clients at ease.
  49. bnwellness_wilson:
    We have 4 young girls are working today, young Fun Ivy 30โ€™s with big buttocks 36DD open mind and young student Taiwanese 25โ€™s slime open mind, young cute Tina 30โ€™s with sexy body open mind and sweet GFE Ella are providing deep tissue massage, pls call 4163985777 book appointment and walk in always welcome,back entrance and parking available, 350 Wilson Ave North York
  50. Lulu_Villa_Spa:
    Barbie Petite Korea Part time School girl Sami Gorgeous Model Type Vietnamese Girl Judy is a gorgeous model type Vietnamese Girl Natalie filipina mixed Petite girl โ˜Ž๏ธ647- 446-0886
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