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Boozy Glasgow; Alcohol Abuse
Topic Started: Thursday, 17. September 2009, 09:36 (444 Views)
Rose of York
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KatyA
Saturday, 19. September 2009, 13:32
My friend's experience would seem to confirm your observations OsB. Alcohol related diseases are recognised and treated, but there is little available for those who acknowledge that they have a problem and turn to their GP for help. They are told to stop drinking, but offered no practical help or treatment
KatyA
That is not the situation everywhere. Despite living in a rural area I am fortunate in that our local medical practice is very big, the more patients the more doctors, and the wider the variety of facilities available. in addition to ante-natal, post-natal, podiatry, minor injuries unit and dementia support they employ an addiction counselor who offers group or individual therapy for all addictions. I know a charming lady who has long term manic depression and was addicted to drugs and alcohol. Initially she chose individual counselling, then went to the group therapy where she was fixed up with a buddy. She and her buddy took responsibility for supporting each other, by telephone. For about two years the lady has been free of all dangerous substances. She looks younger, fitter and happier, and is now available to help others who are addicted. All thanks to a good NHS practice!
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KatyA
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karenjane
Saturday, 19. September 2009, 18:58
OsullivanB
Saturday, 19. September 2009, 18:48
karenjane
 
To suggest ignorance on the medical staff in relation to alcohol consumption and the effects on health I'm lost for words.
I certainly did not suggest this. Of course doctors and nurses know well the effects of alcohol abuse and diligently treat them. It is the diagnosis and treatment of the disease itself that is ill-addressed in training and very poor in practice (as KatyA tends to confirm).
Please elaborate.

karenjane
Karenjane, is it possible that we are talking at cross purposes here? Like OsB, I do not doubt that treatment is available for alcohol related diseases, my concern is for those who are alcohol dependent and are unable to get the help they need to fight the addiction before they are hospitalised with liver disease or any other alcohol related disease.
My young friend is an extraordinarily attractive girl and seemed to want for nothing. She was prone to depression and started to drink - all day long - from early morning. She was treated for depression and of course the alcohol negated that treatment. When she admitted to herself and her doctor that she had a drinking problem she was told she had to stop, but was not offered any help. As time went on, she became desperate for help, but it wasn't there. Her mother accompanied her on several visits to the doctor and even spent a night in A & E trying to get some help. I spoke to a friend who was an experienced nurse and even she said that most GP's are the same. Her suggestion was to bypass the GP and ring the practice psychiatric nurse. When i passed that information on, she asked her GP to refer her to the Psychiatric nurse and he refused, saying she must help herself. She cut her wrists on more than one occasion. I know all this to be true because, for some reason, both she and her mother turned to me, and I spent many an hour on the phone in the early hours talking her through. She is now getting some help from AA (and I thank OsB for his (probably life-saving) advice in that matter) but still has many slips. So Karenjane, I would have to say that, in my experience, help is not there. Perhaps things are different in Scotland.
Katy
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Rose of York
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KatyA my posting demonstrates that help is available from some medical practices. Is your friend able to search around for a doctor who would give help?
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KatyA
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Hardly - given the state she is in. In any event my friend, the District Nursing Sister, said that this was not an unusual situation and that seems to be confirmed by the fact that she has seen 3 doctors, 2 at her previous GP and at least 1 at her current practice, in addition to the staff at A&E
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karenjane

KatyA
Saturday, 19. September 2009, 21:52
karenjane
Saturday, 19. September 2009, 18:58
OsullivanB
Saturday, 19. September 2009, 18:48
karenjane
 
To suggest ignorance on the medical staff in relation to alcohol consumption and the effects on health I'm lost for words.
I certainly did not suggest this. Of course doctors and nurses know well the effects of alcohol abuse and diligently treat them. It is the diagnosis and treatment of the disease itself that is ill-addressed in training and very poor in practice (as KatyA tends to confirm).
Please elaborate.

karenjane
Karenjane, is it possible that we are talking at cross purposes here? Like OsB, I do not doubt that treatment is available for alcohol related diseases, my concern is for those who are alcohol dependent and are unable to get the help they need to fight the addiction before they are hospitalised with liver disease or any other alcohol related disease.
My young friend is an extraordinarily attractive girl and seemed to want for nothing. She was prone to depression and started to drink - all day long - from early morning. She was treated for depression and of course the alcohol negated that treatment. When she admitted to herself and her doctor that she had a drinking problem she was told she had to stop, but was not offered any help. As time went on, she became desperate for help, but it wasn't there. Her mother accompanied her on several visits to the doctor and even spent a night in A & E trying to get some help. I spoke to a friend who was an experienced nurse and even she said that most GP's are the same. Her suggestion was to bypass the GP and ring the practice psychiatric nurse. When i passed that information on, she asked her GP to refer her to the Psychiatric nurse and he refused, saying she must help herself. She cut her wrists on more than one occasion. I know all this to be true because, for some reason, both she and her mother turned to me, and I spent many an hour on the phone in the early hours talking her through. She is now getting some help from AA (and I thank OsB for his (probably life-saving) advice in that matter) but still has many slips. So Karenjane, I would have to say that, in my experience, help is not there. Perhaps things are different in Scotland.
Katy
Yes I would say here in Glasgow help and assistance here at GP level is different. Considering the deaths of all people here the money in the health system is targeted to help reduce deaths and improve services. Health budgets in each area are designed to target the groups at high risk and reduce deaths.
Health promotion in reducing cancer risks is active as is alcohol. Smoking is another big one as is coronary heart disease and stroke.

I can't speak for England as I only studied the whole alcohol abuse on Scotland due to its high morbidity and mortality rates.
Your friend I see has not had the support she needs. The GP in question- I would report him for neglect and lack of knowledge on the treatment and support in treating alcohol addiction. He took an oath when he became a Doctor. Maybe this has slipped his mind.

karenjane
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KatyA
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karenjane
Sunday, 20. September 2009, 08:10
Your friend I see has not had the support she needs. The GP in question- I would report him for neglect and lack of knowledge on the treatment and support in treating alcohol addiction. He took an oath when he became a Doctor. Maybe this has slipped his mind.

karenjane
As I replied to Rose, she has seen several doctors, not just one. The only point I am trying to make is that, while there is treatment for alcohol related disease, there is little help available before that stage is reached - i.e. preventative measures. If one wants to stop smoking, there are many and varied schemes available and plenty of encouragement. Alcohol dependency is another story.
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