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Consultant not replying

(17 Posts)
Drama Fri 03-Jan-25 20:56:16

I am struggling to get a reply from a consultant who prescribed medication for Glaucoma that I really do not want to use. It contains a beta blocker which may cause problems with another health issue that I have.
He didn't discuss it with me before prescribing so I only knew when I read the patient leaflet that there could be a problem.
He only asked if I had a heart problem, no other queries. My health history is on record.
I have phoned his secretary and she has emailed him twice but had no reply. She doesn't seem a willing or able to contact him any other way.
He only has a clinic at my hospital once a week, so Xmas and New Year haven't helped.
I have refused to start the drops until I get a reply but will run out of my current ones soon, so will have no choice but to start them.
I have contacted my other consultants secretary who was excellent and got back to me within an hour to say that I could use the drops but with caution! That didn't give me confidence!
Obviously, only the eye consultant can change my prescription back and he obviously won't.
My GP won't be able to change them, even if I could get an appointment.
I am going to ring again on his clinic day in the hope that his secretary will actually speak to him. I can't understand why she can't simply phone him.
Has anyone else experienced this kind of problem? If so, how did you resolve it?
Thanks

NotSpaghetti Fri 03-Jan-25 21:09:35

My pharmacist phoned my GP "out of telephone hours" when I was anxious about a medication.

Maybe your pharmacist would check with your consultant directly if you aren't sure about trusting his secretary...
Surely she has spoken to him?

NotSpaghetti Fri 03-Jan-25 21:11:51

He only has a clinic at my hospital once a week - do where is he based?
Call him at his main workplace?

FriedGreenTomatoes2 Fri 03-Jan-25 21:17:43

I was going to suggest try the PALS (Patient Advice & Liaison Service) department but maybe the consultant is away on holiday over the festive season anyway and won’t be back until next week. Consultants often hold out patient clinics at one or two other hospitals in the same Trust. You could ring a secretary at another hospital and ask her to get the consultant to ring you? It’s weekend now so it’ll have to be Monday. Unless of course he sees patients privately on a Saturday morning (some do). You could then ring their rooms. My only other suggestion is the hospital switchboard to ask whether the consultant is on call over the weekend. If they are you could leave a message with a nurse on the ward.

Good luck!

theworriedwell Fri 03-Jan-25 21:44:22

Maybe he's taken some holiday. I had a baby at Christmas, years ago, and when things got complicated I found my consultant was on a 2 week holiday.

Drama Sat 04-Jan-25 21:43:12

I know he has been working except for the public holidays.
His secretary was on leave but is back on Monday so maybe she will ring me if anything has been answered.
I will ring her on his clinic day so hopefully, she will go and speak to him while he is there.
I can't understand why she couldn't have just phoned him after the first email went unanswered!

Drama Mon 06-Jan-25 15:10:32

I finally got a call from his secretary today.
Didn't do me any good. He is still saying that i can use the eye drops. I could refuse but then i might not get any drops at all before i run out of my present ones.
I've decided to try them and see what happens. At least then, i will have a valid reason to rdfuse if i have problems.
He has brought my review forward to 2/3 months so i can speak to him then about changing back to original drops.
I could continue to resist but i have no confidence that anything would change before my review.

M0nica Mon 06-Jan-25 17:09:21

Speak to your GP

Allira Mon 06-Jan-25 17:27:41

Well, if he suggests you carry on using them then I suppose you should but, if you have any problem, get straight back to him.

The other alternative is to phone the hospital pharmacy and ask to speak to one of the pharmacists. They are very knowledgable about drugs, the interactions between them and any contraa-indications, probably more so than most doctors.

loopyloo Mon 06-Jan-25 17:46:33

So true Allura.
And the eye drops would just act locally. So probably not a problem

AuntieE Tue 07-Jan-25 15:20:30

Have you considered asking the opinion of your heart specialist as to whether you safely can use these drops?

Like you, I would be hesitant to use anything containing beta blockers, but there may not be any danger here. Neither you nor I know that, but if you cannot get an answer from the consultant who prescribed the glaucoma drops, you need one pronto from another consultant.

ReadyMeals Tue 07-Jan-25 16:10:21

They're not supposed to prescribe that as first line med anyway, unless the newer types of eye drops don't work on you. So if this was the first one you were prescribed I'd ask to go to a different consultant

NonGrannyMoll Tue 07-Jan-25 16:25:03

Did you see an NHS consultant or did you pay privately? Either way, I suspect that your GP could get the prescription changed if necessary or, at the very least, contact the consultant in person. Are you absolutely certain that beta blockers WILL cause YOU certain side effects, or does it just state on the leaflet that they MAY cause problems for SOME people? If you have questions, the person to ask is your GP. Pain in the neck waiting for an appointment but please call the surgery asap for an appointment.

Mirren Tue 07-Jan-25 17:01:26

If this is any help , I am a GP .
The betablocker in the eye drops you describe ( are they Timoptol ?) Is a tiny ,weeny dose.
It can, however, get absorbed through the eye and enter the body.
It is possible ( but certainly not definitely the case ) that the amount absorbed could, theoretically cause possible problems.
The main concern is that there's a potential for beta blockers to trigger asthma attacks in those with asthma.
All beta blockers have this potential as they're the opposite drug to the contents of salbutamol inhalers.
You don't say what you're worried about so all I can say is ; the risk is possible but very small.
Your eye sight is very precious. It might be worth trying the drops to see if you get side effects..
You may not .
Most people don't.
Remember the leaflets with medications lists potential side effects and interactions to the tiniest degree.
The purpose of these leaflets is more sp the pharmaceutical companies cqn say," we told you so " should anyone try to sue .... they're not carved in stone or absolute.
They cause a lot of worry sometimes.

Drama Sat 11-Jan-25 18:58:27

Thank you for your reply. The eye drops are Taptiqom.
My main concern is that I have an overactive Thyroid which the leaflet mentions as possibly being affected by the drops.
However, I simply don't see the necessity for a beta blocker drop as I have used Monopost for several years and my eye pressure had reduced to 19 at my appointment in December.
I also don't know who to believe as my original consultant said I do have Glaucoma but I changed hospitals and the new consultant is saying it isn't Glaucoma and there is no nerve damage but that my eye pressure is too high. Hence the change to Taptiqom.
I have looked at finding a private consultant but as I don't drive, it's difficult to find one near enough. Also, if they give yet another opinion, I will be even more confused.
I have started the Taptiqom and am finding that my eyes are feeling tired and a bit sore.
I am going to give it a few more days to see if this improves.
I feel really anxious about using them.

Drama Thu 16-Jan-25 16:32:40

Update: I am now having stomach problems in addition to sore eyes. Taptiqom can cause gastro problems, although not common. I have health issues which makes it a likely cause.
I have phoned the consultants secretary who is getting in touch with him. She did say that there is a supply issue with it, so he may change it anyway. I have made my feelings clear in that I don't want to continue with it. I'll continue until I get an answer and take it from there.
I don't like confrontation, especially with Dr's but I really feel they are not right for me.

keepingquiet Thu 16-Jan-25 16:43:30

You are under no obligation to take any medicine prescribed- the choice is yours.

However, as Mirren said above, your eyesight is precious and so think carefully before refusing them.

I think a degree of scepticism can be very healthy but these are eye drops and the active ingredient is very small, you are not injesting them directly into your system.

I do think you should speak to whoever you see regarding your other health issues.

You do come across as being very anxious so maybe discuss this with your GP in addition?

Anxiety can be the most crippling illness there is.

I hope you get it sorted for your own peace of mind.