A recap: Last weekend's debilitating pain was brought under control by the co-codamol prescribed by the out-of-hours GP service.
Following a verbal assessment with my Hospice nurse the next thing was to ask my GP for an examination to decide whether it was something that might need further investigation or whether it was just another symptom of my mesothelioma with which I have to live. My GP is a young lad in his 30s with long hair but really high-tec, switched on and pro-active. He decided it was the latter and to ensure I had enough painkillers for it he not only prescribed another 100 highest-strength co-codamol, he also put it on repeat prescription. The cupboard's full of the damn things - nobody here need ever feel anything ever again

And this is what I mean by pro-active. He then had a quick review of the tablets I was taking and identified which ones had stronger side effects that I might try and cut down. He also explained a way of mixing co-codamol and paracetamol in patterns that allow me pain relief in quite a gradual spectrum according to my needs.
Then he thought about what I might be susceptible to next due to weakness caused by the cancer. He warned me that lung infections might occur easily and that at the first symptom I must go to him for antibiotics. The disease could possibly spread to my kidneys or liver so he decided to do blood tests now so that if we suspect problems later we've got a base reading to compare to. He's brilliant and shows what can be done if you have a GP who knows how to use the system and has the interest of his patients at heart.
The other great thing I've just discovered is that my GP surgery is part of SystmOnline which allows patients access to the appointments and prescriptions service. I can log on and see all the available doctors' and practice nurses' appointments for 2 weeks ahead and book and cancel online. I can also see all my repeat prescriptions and order them for pick up from the pharmacy.
Only a couple of years ago, trying to get access to a GP surgery was a nightmare. Now I have all the access I need via my iPad. I know there are a lot of horror stories about the inpatient hospital side of the NHS and I can't comment on that but there's nothing much wrong with the outpatient side of it in Wiltshire! Certainly, Graham has nothing but praise for York hospital inpatient service.
So, this week, in a nutshell, a very bad start which turned into a very good finish!
Ian
