'mortal'? huh?
Anyhow, yeah, its great to find a GP, or any other doctor for that matter, who is like that.
The sad thing, is that it is so remarkable, and as the reason for it being so is that such an individual is about as easy to find as a Velociraptor driving a flying toilet down the bloody buggering M1 chain smoking a clay pipe and muttering things about finding the son of god almighty.
This guy knew, realized I had been on a path that was going to skullfuck me, and he also knew that I knew, and knew that I also knew my stuff when it comes to medicine and medicines, I can't prove it, but I am pretty damn sure he did what he did on purpose. Even using a rather dangerous drug like chlormethiazole (its a great drug alright, very effective, but it does act like a barbiturate, and is similarly dangerous in overdose.), but he certainly set me straight. Albeit with the chance of killing his patient if things went arse over tit. Or rather, having his patient kill his patient with the meds he wrote up for said patient.
He was definitely one of those old-school doctors, not the fresh out of medical school zealous little hitlers. The ones I really hate, are the type that think its their holy inquisitorial duty to do the (non-)jobs of the pigs for them, and volunteer for the opportunity, etc. Thats a recipe for a fucking bastard if ever I saw a recipe for fucking bastards. The types that aren't, too, but are absolute recreational hating judgemental zealots, especially if they drink or smoke or drink coffee or tea themselves. Because then they are a hypocrite as well as a thundering great razorblade in the candy-floss of life. The preachy bastards, who'll allow a patient taking anything other than 'the approved three' (I.e alcohol, only ethanol mind you, god help anyone who might say change the length of the carbon chain or dehydrate it to an ether, or have a sidechain somewhere, etc.), nicotine (and fags are poison so they can't talk jack or his friend, Mr.Shit about it being about benevolence, or the patient's health. ), and caffeine; to alter their course of action in a detrimental way to the patient, and just as bad, put such things in their damn permanent records, that could, without context being available from anyone but the patient, once some locum say, effs off, after doing their damage, make other doctors behave in a way influenced by them.
Oh and locums who think they have any business whatsoever taking or trying to take a patient off a med they are on without a bloody well good reason, or who know that there is one sought by the patient intermittently as an as-required basis, such as my additional quantity of chlormethiazole I get at times, as a seizure rescue pack. Locums are a bit of a pain in the arse a lot of the time I find, and I'm always just a bit nervous, twitchy about not knowing what the hell they might get upto. And especially, knowing full well in my medical history about the rescue packs, refuse to allow me one despite it being months since I had one. I need a new one, I've had several seizures, a couple of days ago, one of them bad enough my old man had to stick a couple of chlormethiazole caps in my mouth, because I couldn't move my arms or body. Well not enough, during the oncome of a myoclonic seizure about to go atonic.
Last time I went to get it, I saw a locum, only doctor there, so no choice. Refused. I approached it logically, politely, and told them it was established practice, and the bugger fucked me off, saying 'oh its too often its too often', the packs contain 12 capsules, made up for me at the pharmacy, its basically so I have a quantity available to TREAT seizures which actually break through and happen, rather than only having prophylactic treatment (I use the same med for both. It works well, and quickly but nothing is perfect. so shit happens,) and if I don't have the small amount of extras it means if; and WHEN I have another one happen, I have no choice but to dip into the prescription for daily dosing to prevent them. He actually had a go at me for doing so, when I planned, as I did, to come in and see a doc for a new rescue pack, saying 'those are for your daily use, you should be coping' and 'it isn't epilepsy' (I didn't claim and have never claimed that it is epilepsy, I told them that I sometimes have seizures, and irrespective of the cause, the effect, the end result, is still me, either paralyzed, unable to move and collapse to the ground if I were standing at the time, or else myoclonic, and flopping around like a fish out of water with a banger up its backside; or, alternatively, both of the above, one turning into the other.'
He just kept on and on and ON and ON repeating 'it isn't epilepsy, it isn't epilepsy', ignoring the fact that I had said to him 'I did not say, that I am epileptic. I SAID, That. Seizures. Happen, and that quite frankly, they don't drop by for a cup of tea, a biscuit and a friendly chat about their root cause and ultimate origin. They come, they fuck the place up and they paralyze me or leave me jerking and spasming. Whether its epilepsy or not, they are still just as problematic, you could call them shellfish with tits if you liked they aren't going to give a good god damn what I refer to them as, they just happen and wreck the joint, and it'd still leave me spasming and immobilized, or just outright paralyzed from a fully atonic attack. Likely although not always mute, unable to speak to ask for help, and potentially unable to sign for help either, my old man gets a few words, as I speak ASL as a second language (american sign language), and I can make him understand. But if I cannot move, and he isn't looking, I cannot make him do so if I can neither speak nor move to respond and take such meds as I do have available.
And its especially a shit, because I am on pain meds too. Enough said there. Hassle from everybody and their damn dog, cat or sodding budgerigar. Longterm chronic pain patient, taking opioids (morphine; oxy. that they rx'd and are aware of), so that just means I get a label somewhere saying 'criminal junkie scumbag wanker'. Makes it more difficult still to get the seizure rescue dosage units. I've even had to resort before to preparing it from thiamine (vitamin B1, a two step reaction, bisulfite cleavage, and filtering off the insoluble portion in aqueous ice cold solution, cleaning very carefully with ice cold water, the precipitate is an intermediate methylthiazole-2-ethanol, which is harvested, dried, and in anhydrous solvent, in a flask equipped with stirbar and drying tube, a solution is made, ice cold, and an ice cold solution of thionyl chloride in anhydrous acetone is introduced from a pressure equalized addition funnel, then the solvent is removed under reduced pressure, and the chlormethiazole freebase vacuum distilled.)
Its easy, but at the same time, the other half, a pyrimidine compound, is left behind in the water that you do the bisulfite (or metabisulfite) cleavage of the vitamin B1 in, its known as 'toxopyrimidine', and, like the name suggests, is of a highly poisonous nature, although good water solubility, unlike the desired methylthiazole-2-ethanol intermediate, which is thus exploited to weed out the toxopyrimidine. Stuff acts as a vitamin B6 antagonist, interfering with (and blocking) GABA biosynthesis, which causes it to act as a potent convulsant poison.
I just...well it kinda gets on my fucking wick to be honest, because I don't feel like I should HAVE to do such a thing in the first place just to have sufficient material to not only take my prescribed daily doses, but have the capability to treat a seizure and stop it in its tracks, which the stuff does admirably. Why should I use my financial and chemical resources (thionyl chloride mainly, SOCl2 doesn't exactly grow on trees, if you know what I mean...) to have to hack vitamins to make antiseizure medication, not being used recreationally (although I have made it for that, sure, but usually no, its to treat an incapacitating medical problem that seems to be determined not to fuck off and never come back. A patient shouldn't be backed into that sort of corner in which such a course of action is the only means available of procuring safety. And besides, how many other patients are they going to have that even know that such a thing could even be DONE with vitamin B1, or if they did, how many that might know it, would have the SOCl2, the glassware and the wherewithall to go ahead and do the damn job themselves at their own cost (don't get me wrong, I'm grateful for the NHS, I just don't think this type of context is fair on patients, myself included), such as they actualy have to synthesize their own emergency rescue medication because some locum, or some regular GP just won't give them the rescue packs that are an established 'on as needed basis', never mind it being months since I've last had a pack.
It is grossly unfair to patients that such a situation could even arise, I just don't think it is equitable, and I don't think it is right either. I can practically hear myself, in my mind's ear, speaking to one of those doctors and forgetting I had to hide it, too, and saying on 'Bones' McCoy's voice 'dammit jim, I'm a doctor, not an engineer' (I'm not a doctor. Its just the mental image of McCoy's voice and that line always comes to mind when I contemplate that problem. Star trek, TOS reference if you don't watch it), usually when he's frustrated with kirk or especially, spock.
I just want service from the medical community intended to provide such services that is both professional, equitable and not negligent. Not asking the world, is it? Well that and not to have to deal with the sort of doctor that is illogical and about as much use as putting tits on a fish.