Rant warning! I take Digoxin, Bisoprolol, Rivaroxaban and Levothyroxine - the latter because Amiodarone messed my thyroid up. I have annual liver, kidney and thyroid tests plus Digoxin level test.
Last week I had the first three tests but the phlebotomist at the surgery had no instruction to do the Digoxin test. I asked her to check with the doctor, she said she would when one was free.
A few days ago, I ordered a repeat prescription via EMIS, noting that the dosage has not changed. However, I posted a comment about the Digoxin level test, querying whether it had been done and if not, should I have one. I collected the prescription this morning.
The surgery has just rung. Please can I make an appointment for the Digoxin level test. I wasn't abusive but I let the receptionist have both barrels regarding their systems. She agreed with me that, had I not made the comment on the form, drawing it to the doctor's attention, it would probably have been overlooked. She also said that phlebotomist has no discretion in ordering tests, whereas the practice nurse who sometimes carries them out, does.
So, always assume that you are the best expert in your own situation and never assume that the left hand knows what the right is doing. How do people less mentally alert get on? What a waste of NHS time and money. I have a feeling that nurse may be recommending blood pressure medication....