Below is a photo of a self explanatory handwritten letter which is stored here for the record.
The photograph is stored on 559 as 20211007_1517 PEARTREE
The photograph is stored on 559 as 20211007_1517 PEARTREE
Thu 7th Oct. 2021 Digital text of above ...
About six weeks ago (perhaps 24th Aug) my wife requested a repeat of a prescription which I have used successfully for over thirty years to control my [chronic] medical condition. The record will show that the prescription contains three elements all of which must be taken as a synergic mix to be effective. Upon my calling to pick up the prescription a few days later, one of the items was missing and I attempted to discover why by contacting the practice. A phone-in consultation ensued where I was spoken at by a person describing himself as a pharmaceutical clinician who claimed to understand the principle of "synergic response" and who said that the third element had been dropped off the record and I would have to have an appointment set up with a 'pain clinic' to have the matter resolved. He said he would make the necessary arrangements but I have heard no no further development so I wrote directly to Dr. Davies who is not only the principal partner at this practice but has been my doctor since I was accepted at the practice in 2001. My letter specifically and reasonably asked for a prescription to be issued by her for 28/10mg Diazapam and was dispatched by normal post on 22nd Sept to "Dr.Davies,129 Station Road,West Horndon CM13 3NB. Wed. 6th Oct., I checked at South Road Pharmacy and found nothing for collection or scheduled in their computer system and must take it that Dr. Davies has not activated my request. I now request in writing a reason why this matter cannot be resolved. Yours Sincerely. Shaun Wall
About six weeks ago (perhaps 24th Aug) my wife requested a repeat of a prescription which I have used successfully for over thirty years to control my [chronic] medical condition. The record will show that the prescription contains three elements all of which must be taken as a synergic mix to be effective. Upon my calling to pick up the prescription a few days later, one of the items was missing and I attempted to discover why by contacting the practice. A phone-in consultation ensued where I was spoken at by a person describing himself as a pharmaceutical clinician who claimed to understand the principle of "synergic response" and who said that the third element had been dropped off the record and I would have to have an appointment set up with a 'pain clinic' to have the matter resolved. He said he would make the necessary arrangements but I have heard no no further development so I wrote directly to Dr. Davies who is not only the principal partner at this practice but has been my doctor since I was accepted at the practice in 2001. My letter specifically and reasonably asked for a prescription to be issued by her for 28/10mg Diazapam and was dispatched by normal post on 22nd Sept to "Dr.Davies,129 Station Road,West Horndon CM13 3NB. Wed. 6th Oct., I checked at South Road Pharmacy and found nothing for collection or scheduled in their computer system and must take it that Dr. Davies has not activated my request. I now request in writing a reason why this matter cannot be resolved. Yours Sincerely. Shaun Wall
5 Pancras Square London N1C 4AG 2nd May 2022
Over the past ten days I have tried repeatedly to get an adverse review about Peartree published on the NHS site. The 'moderators' have done everything possible to baulk my attempts but, eventually, I managed to get one passed. The review lasted less than a day. They came back by e-mail to tell me the were taking it down. https://www.england.nhs.uk/contact-us/complaint/complaining-to-nhse/
Over the past ten days I have tried repeatedly to get an adverse review about Peartree published on the NHS site. The 'moderators' have done everything possible to baulk my attempts but, eventually, I managed to get one passed. The review lasted less than a day. They came back by e-mail to tell me the were taking it down. https://www.england.nhs.uk/contact-us/complaint/complaining-to-nhse/
ongoing and growing list of symptoms
[email protected]
Dr. David Strain
CONSTANT LOW LEVEL PHLEGM
OCCASIONAL HIGH LEVEL PHLEGM BUILD UP
INABILITY TO WALK DISTANCES OR UP INCLINES
INABILITY TO CLIMB STAIRS
COLD SORE FLARE-UPS
BREATHLESSNESS
INABILITY TO DEEP BREATHE
LIGHTHEADEDNESS
VERTIGO -NAUSEA
DIFFICULTY CONCENTRATING
SHORT-TERM MEMORY IMPAIRMENT
ALMOST CONSTANT FATIGUE
UNEXPLAINED BRUISING AND BLEEDING
ISOLATED MUSCLE PAINS
SOMETIMES JOINT PAIN EG CARPEL TUNNEL?
OCCASIONAL BLURRED VISION
DIFFICULTY FOCUSSING EYES
DIFFICULTY WITH BALANCING
postural orthostatic tachycardia Ta Fran
[email protected]
Dr. David Strain
CONSTANT LOW LEVEL PHLEGM
OCCASIONAL HIGH LEVEL PHLEGM BUILD UP
INABILITY TO WALK DISTANCES OR UP INCLINES
INABILITY TO CLIMB STAIRS
COLD SORE FLARE-UPS
BREATHLESSNESS
INABILITY TO DEEP BREATHE
LIGHTHEADEDNESS
VERTIGO -NAUSEA
DIFFICULTY CONCENTRATING
SHORT-TERM MEMORY IMPAIRMENT
ALMOST CONSTANT FATIGUE
UNEXPLAINED BRUISING AND BLEEDING
ISOLATED MUSCLE PAINS
SOMETIMES JOINT PAIN EG CARPEL TUNNEL?
OCCASIONAL BLURRED VISION
DIFFICULTY FOCUSSING EYES
DIFFICULTY WITH BALANCING
postural orthostatic tachycardia Ta Fran
ORIGINAL ON "LOGISTICS" 7th Sept
Below is the gist of a letter handwritten to the principal partner at my allocated NHS 'surgery' on a "Repeat Prescription Request Form" and dispatched on 22nd Sept. 2021
Dear Dr. Davies,
My medication consists of a synergic mix of three elements and has been on record at Peartree for almost twenty years. I need Diazepam to make up for the fact that the last prescription failed to supply it. I have more than sufficient Co-Codamol & Diclofenac which I cannot use without the Diazepam.
THE MAIN ARGUMENT
All I wanted, and still want, is a repeat of a prescription I've used for over 30yrs to counteract the debilitating effects of a condition which flares up unpredictably when it feels like it. I know it as .. Myalgic Encephalomyelitis (ME). Others label it CFS (chronic fatigue syndrome). It is now found to present many symptoms identified in Long Covid
Here I wish to explain in detail the regimen followed for some 30yrs of using this three-part prescription as there is no evidence that my UK medical practice understands the facts or the detail or has specifically and accurately flagged my record.
Background.
I was retired out of the Irish Civil Service in 1988 at the age of 44 on 'medical grounds' when, with increasing frequency and for no logical reason, I could not be trusted to turn up for work. At the time of being retired I had been on continuous sick leave for a year preceded by an abysmal sick leave record going back to 1980 which could not be satisfactorily explained by me or my doctors or by the Civil Service Process. The retirement set a precedent in the Irish Civil Service and had been preceded by exhaustive probing by State medics. into my physical and mental condition including depression and even my mental stability.
I was an Air Traffic Controller. Lives could be at risk if I could not be known to be sane
My quality of life had been reduced to
long periods prone in bed
with my brain like cold porridge
and my body incapable at times
of allowing me to sit up in bed.
Pain presented as a symptom
ONLY when I took or overdid
exercise of any kind.
Walking was always an issue
and stairs were a particular bother.
The initial medical advice was to take progressive exercise to keep the muscles toned but I got even more fatigued and then suffered considerable pain (fibromyalgia) in muscles and joints all over my body. I could not maintain body weight as I had no appetite or desire to eat.
Concentrating on mental considerations, my then practitioner prescribed all sorts of anti-depressants and mind-altering drugs. None worked and some almost blew my head off. I suffered just about every adverse reaction in the book and eventually changed doctors. The new doctor, an enlightened associate of the Royal College of Surgeons in Ireland concentrated on a whole-body approach. He was familiar with ME/CFS as a condition and advised on a course of treatment which he described as state-of-the-art thinking within Royal College warning that I would be a guinea pig and the process could either work or fail depending on my body's tolerance of the constituents. Research suggested there could be adverse side effects but, IF THERE WERE NOT, and if I adhered to a strict regimen, it could 'stabilize me for life'.
It transpired that I was a classic guinea-pig. He prescribed and continued the treatment which went on successfully in Ireland for ten years (1989-1999) at which point I went to live in England. I had long ago adopted and adhered to a very strict regimen of diet, sleep, limited exercise, massage therapy, heat treatment and lifestyle choices and medication was resorted to only when I went through periods where other regimens failed to keep me active and well.
Medical advice had always centred on the knowledge that the individual constituents had dangerous side-effects and could induce dependency and other possible side-effects.
VALIUM, VOLTAROL and CO-CODAMOL were to be used TOGETHER as a "synergic mix" and NEVER MORE THAN:-
... TWO consecutive days in a row.
... FOUR times in any seven days.
... SEVEN times in any month.
This advice was carried to England in 2000 and [I believed] had been entered in my NHS record by Peartree Surgery, from where the prescription has been administered (with many reviews) since 2001. Acquisition of my FULL medical record on 16th May 2022 has allowed me to do the maths but I am neither qualified nor competent to analyse this record even though I am perfectly competent and able to read and understand it. As of even date I am in need of a qualified and competent advocate.
Never more than SEVEN times in a month by definition limits YEARLY use to 84 diazepam pills.
I would be considered AN exemplary patient by any doctor. I rarely visit surgery and then only if there is something I feel should be followed up early to avoid more serious subsequent events. I am careful about diet and weight and body condition. I eat only good and organic 'whole' food and sparingly. I have paid for private massage therapy since the mid80s having previously tried other 'alternative' approaches alongside conventional treatments mentioned earlier. I currently budget £180 a month for deep-tissue massage and heat treatments at accredited clinics and know and believe they have beneficial effect.
On occasions over the years I have had face-to-face reviews with a practice partner but, apart from lectures on drug abuse or the deleterious effect of opiates or diclofenac when taken in vast quantities or the constipative effects of co-codamol, it was not at any time between 2002 and 2021 deemed inappropriate to question the efficacy of the prescription itself. The fact that I confine to a maximum of about 80 'doses' in a year did not seem to occur to anybody at any time. But since I was in effect managing my own therapy, it did not matter so long as I had ongoing supply of the constituents.
From 2010, the prescriptions were delivered by the NHS automated system in "double doses" at lesser intervals. I simply adjusted my stockpiling and maintained my regime. Early on, the proprietary brands prescribed in Ireland were substituted for lookalikes and while I was not happy with this there was nothing I could do about it. However, on one occasion they administered dihydrocodeine. I reacted adversely and advised the practice at once.
On another occasion 30/500mg co-codamol was administered. I recognised the 'bullet' SHAPE and went back to the surgery where they 'poo-pooed' my concerns saying there was no mistake. The first time I took two of these 30/500mg capsules with the diazepam & diclofenac there was an immediate and dangerous reaction. That strength was never again prescribed or dispensed.
On another occasion, a partner decided diclofenac would have 'adverse effects' and should be stopped which I found odd having used the administered prescription according to the previously detailed regimen for some 10yrs at that time. (And let us not even consider the PREVIOUS ten years in Ireland when genuine Volterol had been administered). He substituted Naproxen which caused an immediate adverse reaction on first taking it (nausea and indigestion as I recall). I made a 'scene' and insisted the diclofenac be reinstated, which it was.
I have 30yrs experience of treating my own condition and I believe I know what works for me and that this should be respected when considered the medical record. I have always succeeded in maintaining a 'stockpile' of meds without departing from the regimen. (OED. regimen: 1.a therapeutic course of medical treatment, often including recommendations as to diet and exercise) I adamantly maintain that the prescription must contain all three elements taken together and at night to be effective. During 2021 I had enough meds to last for many weeks or months and was confident the matter would be resolved quickly and efficiently going forward.
In mid-August of 2021 my wife requested a repeat prescription online but when she went to collect, diazapem was missing.
My wife rang the surgery to be told I must make a phone appointment with the "doctor" to receive an explanation.
(Note that I don't get to phone him. He gets to phone me. )
The only advice provided was for me to monitor the house phone 'during the afternoon' of Tues 7th Sept. 2021.
They were unable to be more specific.
I sat in from 12oc til 5.30pm but no call came through.
On Wed. 8th Sept, I walked up to the surgery and asked reception to explain what was going on.
It transpired the 'doctor' had moved the appointment forward two days but had failed to enter the change in the system.
Reception made adjustments so that I got the call on Thursday 9th September, once again after sitting in for hours.
The caller, describing himself as a "clinical pharmacist" seemed unable to accept or understand or even comprehend my condition nor did he seem interested in being enlightened. Nor could he offer any plausible reason why the diazepam was missing but I contend he had arbitrarily removed it from the record without conferring with me or perusing my medical record. He insisted that all he could do was make an appointment for me to be seen by a 'pain clinic' but was unable to explain to my satisfaction WHY should action was called for or when an appointment would actually happen.
would be "informed".
Below is the gist of a letter handwritten to the principal partner at my allocated NHS 'surgery' on a "Repeat Prescription Request Form" and dispatched on 22nd Sept. 2021
Dear Dr. Davies,
My medication consists of a synergic mix of three elements and has been on record at Peartree for almost twenty years. I need Diazepam to make up for the fact that the last prescription failed to supply it. I have more than sufficient Co-Codamol & Diclofenac which I cannot use without the Diazepam.
THE MAIN ARGUMENT
All I wanted, and still want, is a repeat of a prescription I've used for over 30yrs to counteract the debilitating effects of a condition which flares up unpredictably when it feels like it. I know it as .. Myalgic Encephalomyelitis (ME). Others label it CFS (chronic fatigue syndrome). It is now found to present many symptoms identified in Long Covid
Here I wish to explain in detail the regimen followed for some 30yrs of using this three-part prescription as there is no evidence that my UK medical practice understands the facts or the detail or has specifically and accurately flagged my record.
Background.
I was retired out of the Irish Civil Service in 1988 at the age of 44 on 'medical grounds' when, with increasing frequency and for no logical reason, I could not be trusted to turn up for work. At the time of being retired I had been on continuous sick leave for a year preceded by an abysmal sick leave record going back to 1980 which could not be satisfactorily explained by me or my doctors or by the Civil Service Process. The retirement set a precedent in the Irish Civil Service and had been preceded by exhaustive probing by State medics. into my physical and mental condition including depression and even my mental stability.
I was an Air Traffic Controller. Lives could be at risk if I could not be known to be sane
My quality of life had been reduced to
long periods prone in bed
with my brain like cold porridge
and my body incapable at times
of allowing me to sit up in bed.
Pain presented as a symptom
ONLY when I took or overdid
exercise of any kind.
Walking was always an issue
and stairs were a particular bother.
The initial medical advice was to take progressive exercise to keep the muscles toned but I got even more fatigued and then suffered considerable pain (fibromyalgia) in muscles and joints all over my body. I could not maintain body weight as I had no appetite or desire to eat.
Concentrating on mental considerations, my then practitioner prescribed all sorts of anti-depressants and mind-altering drugs. None worked and some almost blew my head off. I suffered just about every adverse reaction in the book and eventually changed doctors. The new doctor, an enlightened associate of the Royal College of Surgeons in Ireland concentrated on a whole-body approach. He was familiar with ME/CFS as a condition and advised on a course of treatment which he described as state-of-the-art thinking within Royal College warning that I would be a guinea pig and the process could either work or fail depending on my body's tolerance of the constituents. Research suggested there could be adverse side effects but, IF THERE WERE NOT, and if I adhered to a strict regimen, it could 'stabilize me for life'.
It transpired that I was a classic guinea-pig. He prescribed and continued the treatment which went on successfully in Ireland for ten years (1989-1999) at which point I went to live in England. I had long ago adopted and adhered to a very strict regimen of diet, sleep, limited exercise, massage therapy, heat treatment and lifestyle choices and medication was resorted to only when I went through periods where other regimens failed to keep me active and well.
Medical advice had always centred on the knowledge that the individual constituents had dangerous side-effects and could induce dependency and other possible side-effects.
VALIUM, VOLTAROL and CO-CODAMOL were to be used TOGETHER as a "synergic mix" and NEVER MORE THAN:-
... TWO consecutive days in a row.
... FOUR times in any seven days.
... SEVEN times in any month.
This advice was carried to England in 2000 and [I believed] had been entered in my NHS record by Peartree Surgery, from where the prescription has been administered (with many reviews) since 2001. Acquisition of my FULL medical record on 16th May 2022 has allowed me to do the maths but I am neither qualified nor competent to analyse this record even though I am perfectly competent and able to read and understand it. As of even date I am in need of a qualified and competent advocate.
Never more than SEVEN times in a month by definition limits YEARLY use to 84 diazepam pills.
I would be considered AN exemplary patient by any doctor. I rarely visit surgery and then only if there is something I feel should be followed up early to avoid more serious subsequent events. I am careful about diet and weight and body condition. I eat only good and organic 'whole' food and sparingly. I have paid for private massage therapy since the mid80s having previously tried other 'alternative' approaches alongside conventional treatments mentioned earlier. I currently budget £180 a month for deep-tissue massage and heat treatments at accredited clinics and know and believe they have beneficial effect.
On occasions over the years I have had face-to-face reviews with a practice partner but, apart from lectures on drug abuse or the deleterious effect of opiates or diclofenac when taken in vast quantities or the constipative effects of co-codamol, it was not at any time between 2002 and 2021 deemed inappropriate to question the efficacy of the prescription itself. The fact that I confine to a maximum of about 80 'doses' in a year did not seem to occur to anybody at any time. But since I was in effect managing my own therapy, it did not matter so long as I had ongoing supply of the constituents.
From 2010, the prescriptions were delivered by the NHS automated system in "double doses" at lesser intervals. I simply adjusted my stockpiling and maintained my regime. Early on, the proprietary brands prescribed in Ireland were substituted for lookalikes and while I was not happy with this there was nothing I could do about it. However, on one occasion they administered dihydrocodeine. I reacted adversely and advised the practice at once.
On another occasion 30/500mg co-codamol was administered. I recognised the 'bullet' SHAPE and went back to the surgery where they 'poo-pooed' my concerns saying there was no mistake. The first time I took two of these 30/500mg capsules with the diazepam & diclofenac there was an immediate and dangerous reaction. That strength was never again prescribed or dispensed.
On another occasion, a partner decided diclofenac would have 'adverse effects' and should be stopped which I found odd having used the administered prescription according to the previously detailed regimen for some 10yrs at that time. (And let us not even consider the PREVIOUS ten years in Ireland when genuine Volterol had been administered). He substituted Naproxen which caused an immediate adverse reaction on first taking it (nausea and indigestion as I recall). I made a 'scene' and insisted the diclofenac be reinstated, which it was.
I have 30yrs experience of treating my own condition and I believe I know what works for me and that this should be respected when considered the medical record. I have always succeeded in maintaining a 'stockpile' of meds without departing from the regimen. (OED. regimen: 1.a therapeutic course of medical treatment, often including recommendations as to diet and exercise) I adamantly maintain that the prescription must contain all three elements taken together and at night to be effective. During 2021 I had enough meds to last for many weeks or months and was confident the matter would be resolved quickly and efficiently going forward.
In mid-August of 2021 my wife requested a repeat prescription online but when she went to collect, diazapem was missing.
My wife rang the surgery to be told I must make a phone appointment with the "doctor" to receive an explanation.
(Note that I don't get to phone him. He gets to phone me. )
The only advice provided was for me to monitor the house phone 'during the afternoon' of Tues 7th Sept. 2021.
They were unable to be more specific.
I sat in from 12oc til 5.30pm but no call came through.
On Wed. 8th Sept, I walked up to the surgery and asked reception to explain what was going on.
It transpired the 'doctor' had moved the appointment forward two days but had failed to enter the change in the system.
Reception made adjustments so that I got the call on Thursday 9th September, once again after sitting in for hours.
The caller, describing himself as a "clinical pharmacist" seemed unable to accept or understand or even comprehend my condition nor did he seem interested in being enlightened. Nor could he offer any plausible reason why the diazepam was missing but I contend he had arbitrarily removed it from the record without conferring with me or perusing my medical record. He insisted that all he could do was make an appointment for me to be seen by a 'pain clinic' but was unable to explain to my satisfaction WHY should action was called for or when an appointment would actually happen.
would be "informed".
here goes such evidence as I can raise about the 'pain clinic' debacle. My first contact on the phone was with a Mandy de'Ath who described herself as a physiotherapist and admitted under my questioning to holding THREE degrees, one a Master's in her discipline. She 'interviewed me, took notes, said my situation would be passed to a 'doctor' to adjudicate and she would report back. A report was forwarded I believe to Peartree which contained multiple inaccuracies which were subsequently queried by me
Subsequent or previous activity.
listed chronologically
listed chronologically
2021 Feb 24 Wed. "prescription start date"
HISTORY.
In February 2021, I had enough Co-codamol and Diclofenec to last for the rest of the year but was low on diazepam.
On the basis of my past history for years I had about 60 doses to complete 2022, but only 30 of diazepam
This prescription for diazepam in isolation was requested in Feb21 but not actually dispensed as I was away.
I turned up to collect it in [late] March to be told it was no longer 'available' as the prescription had not been "collected within a prescribed time".
I was not concerned as I had sufficient medication stockpiled to last for many months.
2021 Aug. 24 ... prescription expiry date
Co-Codamol 8mg/500 tablets, 60 tablet, take 1 or 2 4 times/day Last Issued Wed. 24th Feb 2021 Next Issue Due: Fri 26 Mar 2021 Issues Remaining: 2
Diazapam 10mg tabs, 28tab, as directed, Last Issued: Wed 24 Feb 2021 Next Issue Due Wed 25 Mar 2021 Issues Remaining 1
Diclofenec sodium 50mg gastro-resistant tablets (Teva UK Ltd.) 84 tablet, as directed, Last Issued: Wednesday 24 Feb 2021,
Next Issue Due: Wed. 24th Mar 2021, Issues remaining: 2
14? August 2021, driven by the knowledge that the prescription would lapse on 24th, I decided to top up all three elements so as to be stocked across the winter and into the following year. My wife processed it using the online booking system and went to collect it some days later (I believe 31st August).
When she brought it home, diazepam was missing. I immediately went to the pharmacy to enquire why. They referred me to the practice, claiming to be unable to enlighten me as to why the prescription was not complete. Peartree reception advised I would need a phone consultation with "the doctor" to resolve my concerns and they would set it up there and then. The earliest available slot was 7th Sept. 'in the afternoon' but they could not be more specific as to a time. I would have to monitor the phone between 12oc and 5.30pm and at home by the landline as mobile is unreliable.
07/09/2021 The phone consultation with the 'pharmaceutical clinician' did not happen.
08/09/2021. I walked to Peartree to enquire why I had not received a call as promised. They established that the 'doctor' had arbitrarily changed the appointment in his diary to 9th Sept but had not advised admin or put the change on the system. Reception set up an urgent call for next day " after 3pm". 9/09/2021 phone appointment shown in house diary for 3pm
22/09/2021 handwritten letter to Dr. Davies using "Repeat Prescription Request Form"
2/11/2021 House diary. "Doctor Appt. 5pm +/-30 minutes (mobile log 17.00)
The 'doctor' was in fact a physiotherapist named Mandy D'Ath employed by "Connect Health"
15/11/2021 House diary "Phone appt. 8am tomorrow with Mandy D'Ath of Connect Health
16/11/2021 House diary "8am. PHONE See 23rd Dec" (mobile log 8.01)
30/11/2021 House diary "phone appt.at 3.45" (mobile log same date 15.30)
23/12/2021 House Diary "prov. app. Dr. Saluza 1.45
29/12/2021 recollection of contact with Connect Health (mobile log 9.32)
30/12/2021 mobile log activity 16.56
Symptoms which have appeared irregularly and unpredictably during 2021 and are 'worsening' during 2022.
BREATHLESSNESS
LIGHTHEADEDNESS
VERTIGO -NAUSEA
LACK OF CONCENTRATION
SHOTY TERM MEMORY LOSS
FATIGUE ALMOST CONSTANT
UNEXPLAINED BRUISING
ISOLATED MUSCLE PAIN
BLURRED VISION
UNABLE TO FOCUS EYES
DIFFICULTY WITH BALANCING
BROKEN SLEEP PATTERN
NON REFRESHING SLEEP
There would seldom be a day when one or more of these symptoms would not be noticed. I have noticed that any attempt at any activity which might activate or raise adrenalin will bring on breathlessness and nausea immediately. At [most] times I cannot climb more that about ten stair steps without profound nausea and muscle fatigue in my adductors, hamstrings, pectineus, quadriceps and sartorius. I also have recorded a number of instances of 'strobe-light' syndrome which seems associated with the vertigo.
HISTORY.
In February 2021, I had enough Co-codamol and Diclofenec to last for the rest of the year but was low on diazepam.
On the basis of my past history for years I had about 60 doses to complete 2022, but only 30 of diazepam
This prescription for diazepam in isolation was requested in Feb21 but not actually dispensed as I was away.
I turned up to collect it in [late] March to be told it was no longer 'available' as the prescription had not been "collected within a prescribed time".
I was not concerned as I had sufficient medication stockpiled to last for many months.
2021 Aug. 24 ... prescription expiry date
Co-Codamol 8mg/500 tablets, 60 tablet, take 1 or 2 4 times/day Last Issued Wed. 24th Feb 2021 Next Issue Due: Fri 26 Mar 2021 Issues Remaining: 2
Diazapam 10mg tabs, 28tab, as directed, Last Issued: Wed 24 Feb 2021 Next Issue Due Wed 25 Mar 2021 Issues Remaining 1
Diclofenec sodium 50mg gastro-resistant tablets (Teva UK Ltd.) 84 tablet, as directed, Last Issued: Wednesday 24 Feb 2021,
Next Issue Due: Wed. 24th Mar 2021, Issues remaining: 2
14? August 2021, driven by the knowledge that the prescription would lapse on 24th, I decided to top up all three elements so as to be stocked across the winter and into the following year. My wife processed it using the online booking system and went to collect it some days later (I believe 31st August).
When she brought it home, diazepam was missing. I immediately went to the pharmacy to enquire why. They referred me to the practice, claiming to be unable to enlighten me as to why the prescription was not complete. Peartree reception advised I would need a phone consultation with "the doctor" to resolve my concerns and they would set it up there and then. The earliest available slot was 7th Sept. 'in the afternoon' but they could not be more specific as to a time. I would have to monitor the phone between 12oc and 5.30pm and at home by the landline as mobile is unreliable.
07/09/2021 The phone consultation with the 'pharmaceutical clinician' did not happen.
08/09/2021. I walked to Peartree to enquire why I had not received a call as promised. They established that the 'doctor' had arbitrarily changed the appointment in his diary to 9th Sept but had not advised admin or put the change on the system. Reception set up an urgent call for next day " after 3pm". 9/09/2021 phone appointment shown in house diary for 3pm
22/09/2021 handwritten letter to Dr. Davies using "Repeat Prescription Request Form"
2/11/2021 House diary. "Doctor Appt. 5pm +/-30 minutes (mobile log 17.00)
The 'doctor' was in fact a physiotherapist named Mandy D'Ath employed by "Connect Health"
15/11/2021 House diary "Phone appt. 8am tomorrow with Mandy D'Ath of Connect Health
16/11/2021 House diary "8am. PHONE See 23rd Dec" (mobile log 8.01)
30/11/2021 House diary "phone appt.at 3.45" (mobile log same date 15.30)
23/12/2021 House Diary "prov. app. Dr. Saluza 1.45
29/12/2021 recollection of contact with Connect Health (mobile log 9.32)
30/12/2021 mobile log activity 16.56
Symptoms which have appeared irregularly and unpredictably during 2021 and are 'worsening' during 2022.
BREATHLESSNESS
LIGHTHEADEDNESS
VERTIGO -NAUSEA
LACK OF CONCENTRATION
SHOTY TERM MEMORY LOSS
FATIGUE ALMOST CONSTANT
UNEXPLAINED BRUISING
ISOLATED MUSCLE PAIN
BLURRED VISION
UNABLE TO FOCUS EYES
DIFFICULTY WITH BALANCING
BROKEN SLEEP PATTERN
NON REFRESHING SLEEP
There would seldom be a day when one or more of these symptoms would not be noticed. I have noticed that any attempt at any activity which might activate or raise adrenalin will bring on breathlessness and nausea immediately. At [most] times I cannot climb more that about ten stair steps without profound nausea and muscle fatigue in my adductors, hamstrings, pectineus, quadriceps and sartorius. I also have recorded a number of instances of 'strobe-light' syndrome which seems associated with the vertigo.
