OVER PERIOD OF 4 MONTHS SIGNS WERE PIGMENTATION OF SKIN, VOMITING , AND WEAKNESS. BOY WAS PRESCRIBED ANALGESICS. NO REFERRAL TO SPECIALIST.
COMMENT; PREVALENCE 40 PER MILLION. AVERAGE NHS GP VISIT 4-5 MINUTES. GOOD RULE OF THUMB ; IF CONDITION NOT IMPROVED IN TWO WEEKS SEE AN INTERNIST EITHER ON NHS OR PRIVATELY. BEFORE SOCIALIST NHS THE MAIN ROLE OF GP WAS TO TREAT THOSE WHO COULD NOT AFFORD A SPECIALIST AND TO FOLLOW-UP SPECIALIST ORDERS.. NOW IN INTEREST OF ECONOMY NON-PHYSICIANS ARE ALLOWED TO DIAGNOSE AND TREAT SIMILAR TO THE OLD CZARIST FELDSHERS. PRIVATE SPECIALIST CAN GIVE MORE TIME; USUALLY 50 MIN FOR FIRST VISIT. MANY UK PEOPLE HAVE PRIVATE SUPPLEMENTARY INSURANCE ; SUCH AS BUPA.
