April 1 2014
***
Dear Dr. Xxxxx,
Source: NICE:-
What is the prognosis?
If untreated, Addison’s disease is always fatal.
Doubtless this risk remains if Addison’s is not treated in accordance with its various guidelines, too. There are valid reasons for their existence – they should not simply be disregarded.
So I have to ask you, Dr. Xxxx, if you feel you cannot or will not comply with the guidelines as outlined below, and for the reasons given, regarding prescribing in quantity, to please refer me to an endocrinologist as a matter of extreme urgency. And, please, not the idiot who fouled up at APH. Given what he’s responsible for putting me through I cannot be responsible for the consequences were we to meet.
Thank you.
I am, I confess, staggered to learn that your “larger number” of hydrocortisone tablets amounts to a mere 30. This leaves very little scope for, well, anything really, and I have to ask you, especially in the light of what follows, to please reconsider.
For example, the NICE Guidelines: Intercurrent illness – adjustment of steroid dose section state that:-
“If the person is on antibiotics for infection or sepsis, the normal glucocorticoid (hydrocortisone, dexamethasone, or prednisolone) medication should be doubled until recovered.” See footnote on this subject.
There is a sputum sample on its way to APH; it will, I believe, require
Continue reading →