My throat hurts, said the friend in a worried tone.
I have hoarseness and cough, he continued.
He added to whom I should see
I said you can see the family doctor.
Trust is important!
I know very well from my experience.
I didn’t insist when I felt that it didn’t make sense to me.
Wait for me if you want, I’ll be back in a day!
When ours still insists that I help him make a choice between Internal Medicine, Chest Diseases and Ear Nose and Throat outpatient clinic;
I said go to the Ear Nose and Throat polyclinic without losing my kindness.
Two days later, we met with a friend on an occasion.
When I asked what he was doing; He said that he followed my last advice and used the prescribed medications regularly.
He stated that his complaints started to improve, but he had headaches.
Although my friend does not have hypertension, I knew that his blood pressure values were at the upper limits of normal at the candidate level for hypertension. That’s why I felt the need to question the drugs given due to his illness.
When I saw that physicians were using the anti-flu drug, which is frequently preferred by physicians in upper respiratory tract infections such as flu and cold, I said that this drug could be the cause of the headache and that he should discontinue the drug in question.
He said, “If I shouldn’t use it, why did the doctor give me this medicine?”
If we act from the result, the friend would not be considered wrong at all. Regardless of the branch, how can a physician prescribe a drug that may harm the patient?
If the Physician; If he does not consider the general medicine approach for reasons such as performance, or the approaches that should be questioned in rational drug use, relying on the privilege of the branch medicine, it may expose the patients to the current situations.
However, the friend is not right in this story. In the beginning, the family doctor, who adopted the motto of approaching the diseases from the point of view of general medicine, and the other, the doctor who knew himself very well, rejected these two suggestions and became a part of the chain of mistakes.
In fact, we cannot correctly analyze the errors here by attributing existing errors to people.
Unfortunately, the current Health System, Physician; It cannot provide the opportunity to organize patients with the necessary referral chain. Branch Physicians continue to have difficulties in accessing patients’ previous health data.
And most importantly, educational problems for rational drug use in medical education; It continues to be postponed due to both the inadequacy of the trainers and the lack of the curriculum.
Raising awareness on Rational Drug Use; In a sector that has reached 80 billion liras, it does not seem possible as an understanding in which competition wars are heating up gradually dominates
