For those of you who have seen my posts over the past 48 hours, you will know I was due to see my GP to get support for withdrawing from pramipexole, due to augmentation. A telephone consultation between the in-house pharmacist at the mental health centre where I am (very occasionally) seen to monitor my severe depression and anxiety disorder and this GP was arranged, for the pharmacist to discuss options for medication. I was told to arrange an appointment following this, for the GP to tell me the conclusions, and I thought, prescribe something to minimise the pain I might go through.
The GP invited me in, told me to sit, and looked at me and asked what I wanted. I referred to the phone conversation, and her response was, 'Who was that, anyway?' When told it was the mental health pharmacist, she grimaced and said 'Oh , a pharmacist. That makes sense', as though obviously a pharmacist was not qualified to advise on pharmacology to a GP. I asked if she had read the printout on augmentation I had sent yesterday, and she replied she didn't have time to read things brought in by patients and anyway, who was this so-called (her words) expert in RLS, just because he considered himself an expert didn't mean he was.... I was speechless. She then told me in her opinion, I probably don't even have RLS, she resisted making the diagnosis as the guidelines for doing so were too vague, and my problems are quite probably something else entirely. She declined to say what. She then told me, quite erroneously I believe, that there are no problems with pramipexole withdrawal, just take it slowly, reducing one tablet every two weeks, and that she would not under any circumstances consider offering me any pain relief. And that was that.
I am hoping there will be an opportunity to see a doctor at the mental health unit on Monday, as the pharmacist has recommended, in her opinion, the introduction of gabapentin alongside the slow reduction of pramipexole. However, there currently is no doctor there, and they are hoping a locum will be joining on Monday....or perhaps not.
At least I have the CBD oil, so perhaps I am worrying for nothing, but my care-co-ordinator has been informed by the pharmacist of certain things around withdrawal that need to be discussed with me, due to my history of psychosis. The GP was supposed to tell me all this. She didn't. My husband suggests maybe by this point in the week the doctor is suffering from compassion overload. This may be true...but not much help to me. In a ghastly way, I almost hope I do start to develop a psychosis, just so I can go back and shout 'I told you so' and break a few things.
Many apologies for this ranting essay, but I need to express all this to someone, and i know there are loads of you who will have experienced similar or worse with their GP.