How to get prescribed ADHD medication in the Netherlands, a guide based on real world success:
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@0xabad1dea In the United States this process is much simpler, shorter, and quicker.
1. Doctor prescribes the medication, and 2. Insurance company denies it because it's not medically necessary.
@snow @0xabad1dea Damn, I guess I had it easy here in Poland. First of all, psychiatric care here doesn't even require that you have health insurance, even the universal healthcare one. I walked into the center on June 6th last year, got my first evaluation/classification appointment on July 10th (first of maybe three, with psychologists). Then a series of appointments with the assigned psychiatrist. We did autism spectrum and ADHD diagnostic evaluation.
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@snow @0xabad1dea Damn, I guess I had it easy here in Poland. First of all, psychiatric care here doesn't even require that you have health insurance, even the universal healthcare one. I walked into the center on June 6th last year, got my first evaluation/classification appointment on July 10th (first of maybe three, with psychologists). Then a series of appointments with the assigned psychiatrist. We did autism spectrum and ADHD diagnostic evaluation.
@snow @0xabad1dea Got spectrum diagnosis first. For ADHD we did DIVA test, where I scored just below the threshold, but the psychiatrist said that he's gonna test ADHD meds anyway. I got my first Concerta and Medikinet prescription May 5th this year. My visits are free of charge. I paid for a bottle of 30 Concerta 18mg pills about 10 Euros. My next visit is on June 30th.
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How to get prescribed ADHD medication in the Netherlands, a guide based on real world success:
1) spend over a year repeatedly trying to tell the GP that it’s not going well and you need help. This will not cost you money, only your precious finite time on this earth. It helps if you have a husband to drag you to the doctor when you’re at your lowest and argue with them
2) finally get escalated to a psychologist who takes a few months to be sure there’s definitely something wrong. She will recommend the GP to prescribe ADHD medication
3) Your prescription mysteriously disappears into the system. After several attempts to follow up that take months, and several confused phone calls from your psychologist to the GP, it turns out the GP refuses to authorize it because *shrug* reasons. Maybe if a psychiatrist also signs off on it?
4) You attempt to get an appointment with a psychiatrist. Every psychiatrist in the Netherlands is booked until 2034.
5) Finally, after a dozen rounds of pleading and nagging, you get a mysterious phone call from an unknown number. They give you an address and tell you to be there at 7 in the evening.
6) You find yourself at the door of a historic art deco mansion in the most exclusive district of Amsterdam. There is absolutely no indication that this is a medical practice. You ring the doorbell. Nothing happens. You wait nervously, and try again.
7) The door creaks open. An elderly man wearing crocs stands before you. He silently bids you follow him up a winding staircase to a parlor filled with a thousand thick and aging books in every tongue of the earth and perhaps a few also of the angels. They concern prophecy, and music, and poetry, and the apocalypse.
In a thin whisper of a voice barely to be heard, he asks your name, and where you were born. He slowly, very slowly, so slowly that you think you have died and this is purgatory, types this into a computer. It is in his lap because his desk is covered with strange devices beyond identification. 9) He tells you the prescription will be ready for pickup tomorrow.
@0xabad1dea we have this problem in the UK too where GPs serve no purpose except to deny medical care. It's a mystery to me what society thinks we need them for.
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How to get prescribed ADHD medication in the Netherlands, a guide based on real world success:
1) spend over a year repeatedly trying to tell the GP that it’s not going well and you need help. This will not cost you money, only your precious finite time on this earth. It helps if you have a husband to drag you to the doctor when you’re at your lowest and argue with them
2) finally get escalated to a psychologist who takes a few months to be sure there’s definitely something wrong. She will recommend the GP to prescribe ADHD medication
3) Your prescription mysteriously disappears into the system. After several attempts to follow up that take months, and several confused phone calls from your psychologist to the GP, it turns out the GP refuses to authorize it because *shrug* reasons. Maybe if a psychiatrist also signs off on it?
4) You attempt to get an appointment with a psychiatrist. Every psychiatrist in the Netherlands is booked until 2034.
5) Finally, after a dozen rounds of pleading and nagging, you get a mysterious phone call from an unknown number. They give you an address and tell you to be there at 7 in the evening.
6) You find yourself at the door of a historic art deco mansion in the most exclusive district of Amsterdam. There is absolutely no indication that this is a medical practice. You ring the doorbell. Nothing happens. You wait nervously, and try again.
7) The door creaks open. An elderly man wearing crocs stands before you. He silently bids you follow him up a winding staircase to a parlor filled with a thousand thick and aging books in every tongue of the earth and perhaps a few also of the angels. They concern prophecy, and music, and poetry, and the apocalypse.
In a thin whisper of a voice barely to be heard, he asks your name, and where you were born. He slowly, very slowly, so slowly that you think you have died and this is purgatory, types this into a computer. It is in his lap because his desk is covered with strange devices beyond identification. 9) He tells you the prescription will be ready for pickup tomorrow.
@0xabad1dea Psychologist at step 2? The profession that _does not diagnose nor prescribes medicine_?
Go to Poland to get diagnosed. Ask for the diagnosis in English. Use it to skip to the end of the process in the Netherlands.
Will probably end up saving money that way.
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How to get prescribed ADHD medication in the Netherlands, a guide based on real world success:
1) spend over a year repeatedly trying to tell the GP that it’s not going well and you need help. This will not cost you money, only your precious finite time on this earth. It helps if you have a husband to drag you to the doctor when you’re at your lowest and argue with them
2) finally get escalated to a psychologist who takes a few months to be sure there’s definitely something wrong. She will recommend the GP to prescribe ADHD medication
3) Your prescription mysteriously disappears into the system. After several attempts to follow up that take months, and several confused phone calls from your psychologist to the GP, it turns out the GP refuses to authorize it because *shrug* reasons. Maybe if a psychiatrist also signs off on it?
4) You attempt to get an appointment with a psychiatrist. Every psychiatrist in the Netherlands is booked until 2034.
5) Finally, after a dozen rounds of pleading and nagging, you get a mysterious phone call from an unknown number. They give you an address and tell you to be there at 7 in the evening.
6) You find yourself at the door of a historic art deco mansion in the most exclusive district of Amsterdam. There is absolutely no indication that this is a medical practice. You ring the doorbell. Nothing happens. You wait nervously, and try again.
7) The door creaks open. An elderly man wearing crocs stands before you. He silently bids you follow him up a winding staircase to a parlor filled with a thousand thick and aging books in every tongue of the earth and perhaps a few also of the angels. They concern prophecy, and music, and poetry, and the apocalypse.
In a thin whisper of a voice barely to be heard, he asks your name, and where you were born. He slowly, very slowly, so slowly that you think you have died and this is purgatory, types this into a computer. It is in his lap because his desk is covered with strange devices beyond identification. 9) He tells you the prescription will be ready for pickup tomorrow.
Reads like a story from Borges
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@Monsieur_Lepetit it’s not limited to psychiatrists — the system as a whole is perpetually understaffed just enough that it clogs but doesn’t collapse entirely. If you have an urgent, life threatening problem, you will receive urgent care; otherwise waiting times stretch into months
@0xabad1dea @Monsieur_Lepetit I worked for a small company that, among other things, is automating dealing with insurance for physiotherapy practices in Netherlands.
I wouldn’t fault anyone dealing with that for changing their profession.
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How to get prescribed ADHD medication in the Netherlands, a guide based on real world success:
1) spend over a year repeatedly trying to tell the GP that it’s not going well and you need help. This will not cost you money, only your precious finite time on this earth. It helps if you have a husband to drag you to the doctor when you’re at your lowest and argue with them
2) finally get escalated to a psychologist who takes a few months to be sure there’s definitely something wrong. She will recommend the GP to prescribe ADHD medication
3) Your prescription mysteriously disappears into the system. After several attempts to follow up that take months, and several confused phone calls from your psychologist to the GP, it turns out the GP refuses to authorize it because *shrug* reasons. Maybe if a psychiatrist also signs off on it?
4) You attempt to get an appointment with a psychiatrist. Every psychiatrist in the Netherlands is booked until 2034.
5) Finally, after a dozen rounds of pleading and nagging, you get a mysterious phone call from an unknown number. They give you an address and tell you to be there at 7 in the evening.
6) You find yourself at the door of a historic art deco mansion in the most exclusive district of Amsterdam. There is absolutely no indication that this is a medical practice. You ring the doorbell. Nothing happens. You wait nervously, and try again.
7) The door creaks open. An elderly man wearing crocs stands before you. He silently bids you follow him up a winding staircase to a parlor filled with a thousand thick and aging books in every tongue of the earth and perhaps a few also of the angels. They concern prophecy, and music, and poetry, and the apocalypse.
In a thin whisper of a voice barely to be heard, he asks your name, and where you were born. He slowly, very slowly, so slowly that you think you have died and this is purgatory, types this into a computer. It is in his lap because his desk is covered with strange devices beyond identification. 9) He tells you the prescription will be ready for pickup tomorrow.
@0xabad1dea does a Grue appear at any point?
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R relay@relay.infosec.exchange shared this topic
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How to get prescribed ADHD medication in the Netherlands, a guide based on real world success:
1) spend over a year repeatedly trying to tell the GP that it’s not going well and you need help. This will not cost you money, only your precious finite time on this earth. It helps if you have a husband to drag you to the doctor when you’re at your lowest and argue with them
2) finally get escalated to a psychologist who takes a few months to be sure there’s definitely something wrong. She will recommend the GP to prescribe ADHD medication
3) Your prescription mysteriously disappears into the system. After several attempts to follow up that take months, and several confused phone calls from your psychologist to the GP, it turns out the GP refuses to authorize it because *shrug* reasons. Maybe if a psychiatrist also signs off on it?
4) You attempt to get an appointment with a psychiatrist. Every psychiatrist in the Netherlands is booked until 2034.
5) Finally, after a dozen rounds of pleading and nagging, you get a mysterious phone call from an unknown number. They give you an address and tell you to be there at 7 in the evening.
6) You find yourself at the door of a historic art deco mansion in the most exclusive district of Amsterdam. There is absolutely no indication that this is a medical practice. You ring the doorbell. Nothing happens. You wait nervously, and try again.
7) The door creaks open. An elderly man wearing crocs stands before you. He silently bids you follow him up a winding staircase to a parlor filled with a thousand thick and aging books in every tongue of the earth and perhaps a few also of the angels. They concern prophecy, and music, and poetry, and the apocalypse.
In a thin whisper of a voice barely to be heard, he asks your name, and where you were born. He slowly, very slowly, so slowly that you think you have died and this is purgatory, types this into a computer. It is in his lap because his desk is covered with strange devices beyond identification. 9) He tells you the prescription will be ready for pickup tomorrow.
@0xabad1dea epic. And you got meds at the end. Bravo for persistence.
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How to get prescribed ADHD medication in the Netherlands, a guide based on real world success:
1) spend over a year repeatedly trying to tell the GP that it’s not going well and you need help. This will not cost you money, only your precious finite time on this earth. It helps if you have a husband to drag you to the doctor when you’re at your lowest and argue with them
2) finally get escalated to a psychologist who takes a few months to be sure there’s definitely something wrong. She will recommend the GP to prescribe ADHD medication
3) Your prescription mysteriously disappears into the system. After several attempts to follow up that take months, and several confused phone calls from your psychologist to the GP, it turns out the GP refuses to authorize it because *shrug* reasons. Maybe if a psychiatrist also signs off on it?
4) You attempt to get an appointment with a psychiatrist. Every psychiatrist in the Netherlands is booked until 2034.
5) Finally, after a dozen rounds of pleading and nagging, you get a mysterious phone call from an unknown number. They give you an address and tell you to be there at 7 in the evening.
6) You find yourself at the door of a historic art deco mansion in the most exclusive district of Amsterdam. There is absolutely no indication that this is a medical practice. You ring the doorbell. Nothing happens. You wait nervously, and try again.
7) The door creaks open. An elderly man wearing crocs stands before you. He silently bids you follow him up a winding staircase to a parlor filled with a thousand thick and aging books in every tongue of the earth and perhaps a few also of the angels. They concern prophecy, and music, and poetry, and the apocalypse.
In a thin whisper of a voice barely to be heard, he asks your name, and where you were born. He slowly, very slowly, so slowly that you think you have died and this is purgatory, types this into a computer. It is in his lap because his desk is covered with strange devices beyond identification. 9) He tells you the prescription will be ready for pickup tomorrow.
@0xabad1dea That's very similar to how it works in Australia. Except instead of the prescription apparently getting lost in the system because the doctor refuses to prescribe, the doctor can't find you in the database because you've never been prescribed anything that requires government approval, so they prescribe you two valium for which you don't need approval, but gets your name in the system because it's dangerous, so then they can prescribe what you're actually approved for.
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How to get prescribed ADHD medication in the Netherlands, a guide based on real world success:
1) spend over a year repeatedly trying to tell the GP that it’s not going well and you need help. This will not cost you money, only your precious finite time on this earth. It helps if you have a husband to drag you to the doctor when you’re at your lowest and argue with them
2) finally get escalated to a psychologist who takes a few months to be sure there’s definitely something wrong. She will recommend the GP to prescribe ADHD medication
3) Your prescription mysteriously disappears into the system. After several attempts to follow up that take months, and several confused phone calls from your psychologist to the GP, it turns out the GP refuses to authorize it because *shrug* reasons. Maybe if a psychiatrist also signs off on it?
4) You attempt to get an appointment with a psychiatrist. Every psychiatrist in the Netherlands is booked until 2034.
5) Finally, after a dozen rounds of pleading and nagging, you get a mysterious phone call from an unknown number. They give you an address and tell you to be there at 7 in the evening.
6) You find yourself at the door of a historic art deco mansion in the most exclusive district of Amsterdam. There is absolutely no indication that this is a medical practice. You ring the doorbell. Nothing happens. You wait nervously, and try again.
7) The door creaks open. An elderly man wearing crocs stands before you. He silently bids you follow him up a winding staircase to a parlor filled with a thousand thick and aging books in every tongue of the earth and perhaps a few also of the angels. They concern prophecy, and music, and poetry, and the apocalypse.
In a thin whisper of a voice barely to be heard, he asks your name, and where you were born. He slowly, very slowly, so slowly that you think you have died and this is purgatory, types this into a computer. It is in his lap because his desk is covered with strange devices beyond identification. 9) He tells you the prescription will be ready for pickup tomorrow.
@0xabad1dea Same in Norway.
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and then the final, crucial step is to come home to Odin
@0xabad1dea You win! Odin is wonderful.
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How to get prescribed ADHD medication in the Netherlands, a guide based on real world success:
1) spend over a year repeatedly trying to tell the GP that it’s not going well and you need help. This will not cost you money, only your precious finite time on this earth. It helps if you have a husband to drag you to the doctor when you’re at your lowest and argue with them
2) finally get escalated to a psychologist who takes a few months to be sure there’s definitely something wrong. She will recommend the GP to prescribe ADHD medication
3) Your prescription mysteriously disappears into the system. After several attempts to follow up that take months, and several confused phone calls from your psychologist to the GP, it turns out the GP refuses to authorize it because *shrug* reasons. Maybe if a psychiatrist also signs off on it?
4) You attempt to get an appointment with a psychiatrist. Every psychiatrist in the Netherlands is booked until 2034.
5) Finally, after a dozen rounds of pleading and nagging, you get a mysterious phone call from an unknown number. They give you an address and tell you to be there at 7 in the evening.
6) You find yourself at the door of a historic art deco mansion in the most exclusive district of Amsterdam. There is absolutely no indication that this is a medical practice. You ring the doorbell. Nothing happens. You wait nervously, and try again.
7) The door creaks open. An elderly man wearing crocs stands before you. He silently bids you follow him up a winding staircase to a parlor filled with a thousand thick and aging books in every tongue of the earth and perhaps a few also of the angels. They concern prophecy, and music, and poetry, and the apocalypse.
In a thin whisper of a voice barely to be heard, he asks your name, and where you were born. He slowly, very slowly, so slowly that you think you have died and this is purgatory, types this into a computer. It is in his lap because his desk is covered with strange devices beyond identification. 9) He tells you the prescription will be ready for pickup tomorrow.
@0xabad1dea I thought 7.5) was going to be "you have to roll two 20-sided dice and pray for primes"
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How to get prescribed ADHD medication in the Netherlands, a guide based on real world success:
1) spend over a year repeatedly trying to tell the GP that it’s not going well and you need help. This will not cost you money, only your precious finite time on this earth. It helps if you have a husband to drag you to the doctor when you’re at your lowest and argue with them
2) finally get escalated to a psychologist who takes a few months to be sure there’s definitely something wrong. She will recommend the GP to prescribe ADHD medication
3) Your prescription mysteriously disappears into the system. After several attempts to follow up that take months, and several confused phone calls from your psychologist to the GP, it turns out the GP refuses to authorize it because *shrug* reasons. Maybe if a psychiatrist also signs off on it?
4) You attempt to get an appointment with a psychiatrist. Every psychiatrist in the Netherlands is booked until 2034.
5) Finally, after a dozen rounds of pleading and nagging, you get a mysterious phone call from an unknown number. They give you an address and tell you to be there at 7 in the evening.
6) You find yourself at the door of a historic art deco mansion in the most exclusive district of Amsterdam. There is absolutely no indication that this is a medical practice. You ring the doorbell. Nothing happens. You wait nervously, and try again.
7) The door creaks open. An elderly man wearing crocs stands before you. He silently bids you follow him up a winding staircase to a parlor filled with a thousand thick and aging books in every tongue of the earth and perhaps a few also of the angels. They concern prophecy, and music, and poetry, and the apocalypse.
In a thin whisper of a voice barely to be heard, he asks your name, and where you were born. He slowly, very slowly, so slowly that you think you have died and this is purgatory, types this into a computer. It is in his lap because his desk is covered with strange devices beyond identification. 9) He tells you the prescription will be ready for pickup tomorrow.
@0xabad1dea I am so sorry this is what you have to go through.
It's a similar tale over here in the U.S., but to varying degrees in some pain points than others.
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@0xabad1dea Same in Norway.
@tuvix @0xabad1dea i had the same type of experience as @ThePolishDispatch in Norway
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@0xabad1dea In the United States this process is much simpler, shorter, and quicker.
1. Doctor prescribes the medication, and 2. Insurance company denies it because it's not medically necessary.
@snow @0xabad1dea Also, every visit with a real person requires a randomly generated co-pay, every phone call ends up with four transfers each requiring you to repeat your name, birthday, home address, phone number, the 20 digit number on the front of your insurance card, the 36 digit number on the back of the card, your favorite pharmacy, your favorite member of the Three Stooges (Shemp, no really!) and THEN the insurance company denies it.
Shoulda went with Curly. -
@0xabad1dea we have this problem in the UK too where GPs serve no purpose except to deny medical care. It's a mystery to me what society thinks we need them for.
@whimsy I finally got a fantastic one. Except he's a GP, so he can't change my ADHD med doses or prescribe any of the 'hard' psych meds I probably actually need.
He is exceedingly kind and proactive about it tho!
@0xabad1dea -
@Monsieur_Lepetit it’s not limited to psychiatrists — the system as a whole is perpetually understaffed just enough that it clogs but doesn’t collapse entirely. If you have an urgent, life threatening problem, you will receive urgent care; otherwise waiting times stretch into months
@0xabad1dea this feels like it applies to more than just -video games- one country.
@Monsieur_Lepetit
https://www.youtube.com/watch?v=92hcaBJ2a0Q is depressing but yeah -
How to get prescribed ADHD medication in the Netherlands, a guide based on real world success:
1) spend over a year repeatedly trying to tell the GP that it’s not going well and you need help. This will not cost you money, only your precious finite time on this earth. It helps if you have a husband to drag you to the doctor when you’re at your lowest and argue with them
2) finally get escalated to a psychologist who takes a few months to be sure there’s definitely something wrong. She will recommend the GP to prescribe ADHD medication
3) Your prescription mysteriously disappears into the system. After several attempts to follow up that take months, and several confused phone calls from your psychologist to the GP, it turns out the GP refuses to authorize it because *shrug* reasons. Maybe if a psychiatrist also signs off on it?
4) You attempt to get an appointment with a psychiatrist. Every psychiatrist in the Netherlands is booked until 2034.
5) Finally, after a dozen rounds of pleading and nagging, you get a mysterious phone call from an unknown number. They give you an address and tell you to be there at 7 in the evening.
6) You find yourself at the door of a historic art deco mansion in the most exclusive district of Amsterdam. There is absolutely no indication that this is a medical practice. You ring the doorbell. Nothing happens. You wait nervously, and try again.
7) The door creaks open. An elderly man wearing crocs stands before you. He silently bids you follow him up a winding staircase to a parlor filled with a thousand thick and aging books in every tongue of the earth and perhaps a few also of the angels. They concern prophecy, and music, and poetry, and the apocalypse.
In a thin whisper of a voice barely to be heard, he asks your name, and where you were born. He slowly, very slowly, so slowly that you think you have died and this is purgatory, types this into a computer. It is in his lap because his desk is covered with strange devices beyond identification. 9) He tells you the prescription will be ready for pickup tomorrow.
@0xabad1dea meanwhile my doctor in California offered me some ADHD meds to see if it will help with fatigue
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@0xabad1dea we have this problem in the UK too where GPs serve no purpose except to deny medical care. It's a mystery to me what society thinks we need them for.
@whimsy@chitter.xyz @0xabad1dea@infosec.exchange in the US we have the problem where medical providers just dont respond or tell you to wait months and then it costs way too much money
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How to get prescribed ADHD medication in the Netherlands, a guide based on real world success:
1) spend over a year repeatedly trying to tell the GP that it’s not going well and you need help. This will not cost you money, only your precious finite time on this earth. It helps if you have a husband to drag you to the doctor when you’re at your lowest and argue with them
2) finally get escalated to a psychologist who takes a few months to be sure there’s definitely something wrong. She will recommend the GP to prescribe ADHD medication
3) Your prescription mysteriously disappears into the system. After several attempts to follow up that take months, and several confused phone calls from your psychologist to the GP, it turns out the GP refuses to authorize it because *shrug* reasons. Maybe if a psychiatrist also signs off on it?
4) You attempt to get an appointment with a psychiatrist. Every psychiatrist in the Netherlands is booked until 2034.
5) Finally, after a dozen rounds of pleading and nagging, you get a mysterious phone call from an unknown number. They give you an address and tell you to be there at 7 in the evening.
6) You find yourself at the door of a historic art deco mansion in the most exclusive district of Amsterdam. There is absolutely no indication that this is a medical practice. You ring the doorbell. Nothing happens. You wait nervously, and try again.
7) The door creaks open. An elderly man wearing crocs stands before you. He silently bids you follow him up a winding staircase to a parlor filled with a thousand thick and aging books in every tongue of the earth and perhaps a few also of the angels. They concern prophecy, and music, and poetry, and the apocalypse.
In a thin whisper of a voice barely to be heard, he asks your name, and where you were born. He slowly, very slowly, so slowly that you think you have died and this is purgatory, types this into a computer. It is in his lap because his desk is covered with strange devices beyond identification. 9) He tells you the prescription will be ready for pickup tomorrow.
@0xabad1dea As beautifully portrayed as it is, this seems somehow unrealistic.
An encounter with the Dutch medical system that doesn't feature being fobbed off with paracetomol?
