Chelsea girl
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During the current consultation, Mrs Watson Jones is seeking medical attention from the physician for the first time and will be a new addition to the general practice’s patient base. We learned that she had recently relocated from another area after moving from the town where she had previously lived, Chelsea.
First, Mrs Watson Jones presents a letter from her former private doctor to the National Health Physician, who is responsible for overseeing her ongoing care and treatment. We see the doctor starting to open the letter, “Let’s have a look,” as the doctor opens up the letter.
As a result, it comes to our attention that the previous physician had administered B12 injections as a tonic and thyroid extract as a weight-loss solution. When we first learn about these injections, the doctor says, “He was giving you these injections of B12… and some thyroid extract.” Mrs. Watson Jones confirms this. The doctor also mentions that the B12 injections are ‘Cylocabalmine injections’ and are, therefore, less harmful. At this point, it is essential to consider how the new doctor can establish a positive relationship with the patient while respecting her confidence in her previous physician and treatment plan. The final treatment plan may have been influenced more by financial motives rather than adhering to sound medical practices.
What are the injections for?
The doctor asks first what the injections are for, and Mrs Watson Jones tells him, “Oh, they make me feel very much better than I have been.” She feels invigorated and has more energy, which is what she needs as she has a rather busy job, and the ‘Thyroid extract’ helps to keep her slim. Having heard this, he returns to the notes on the letter and tells Mrs Watson Jones, “The B12, They hadn’t done any blood tests on you. This was a sort of tonic, was it?” He mentions this to understand why and how she came to be taking the tonic. Mrs Watson Jones says that was correct and, “They really did do me a lot of good.” Before, the doctor asked how often she took them once a month.
It turned out that the patient could get the injections done each month without worry. Surprised by this, the doctor says, “And they seem to help, did they?” Mrs Watson Jones repeatedly says yes, they did. Questioning the whole scenario, the doctor tells her, “There was no question of if you may have an underlying disease, was there? It was just a straightforward tonic, was it?” Mrs Jones says nothing was wrong and ‘It kept me bouncing along.’ In light of this, we discovered that Mrs Watson Jones had been consulting a private doctor during this time. This information became known when the doctor asked, “Your NHS doctor?” and Mrs Jones replied, “No, I saw him privately.” With this realisation, the doctor now understands more about how she managed to get the injections for such minor problems.
What was the thyroid for?
The doctor proceeded to discuss Mrs Watson Jones’ thyroid injection. “I have a slight weight problem,” Mrs Watson Jones informed her doctor. She mentioned that she does a lot of entertaining, which helps her manage that problem. The doctor asked, “So, you just take some thyroid tablets from time to time and lose weight, is that it?” His patient confirmed that this was the case and that she felt fine when taking those tablets.
After processing all this information, the doctor still tries to figure out what his new patient, Mrs Watson Jones, wants. He asks, “What can I do for you?” Mrs Jones replies, “I’d like a repeat prescription if that’s convenient.” At this point, it becomes clear that she wants a repeat prescription for both her injections and tablets. Surprisingly, we discover that this is only some of what Mrs Watson Jones wants. She also asks, “Could I have it on the National Health?” indicating that she wants her prescription covered by the National Health Service.
Furthermore, she expresses her desire to become a patient under National Health at the practice and to see the doctor again. The doctor acknowledges her requests and understands that she wants to be a National Health patient and requires more medications and injections. Suddenly, the scene ends there.
To Summarise, Mrs Watson Jones, a new patient at the General practice, requests a refill of her medications from her new National Health physician. Additionally, she would like to be included in the National Health System database to schedule future appointments at the practice. This inclusion will allow her to access the benefits of the National Health System, such as subsidised medications and treatments. The doctor must approach this request by considering Mrs Jones’s feelings from the beginning, establishing a positive and trustful relationship with her, and respecting her confidence in her previous physician’s treatment plan and care.