Coroner alerts GPs after death of patient on long-term diclofenac

+News

Coroner alerts GPs after death of patient on long-term diclofenac

diclofenac
Gastro-protective medication substantially reduces the risk of an ulcer in long-term diclofenac users
The GP said patients had the right to make their own choices but, in hindsight, he could have been more assertive

Comments

A complex issue and I feel sorry for the GP.. We now have opinion based medicine defined by a Coroners court

The fact that  a coroner takes the advice of a partialist on a case where those key features of general practice ..complexity, uncertainty and patient centreredness .feature strongly reflects on the court's grasp of medicine.,  or maybe the partialist was an experienced GP? 

Now we have a standard of care set by the court:.persons on NSAIDs need a PPI which seems fair enough and we know  PPIs can adversely impact on renal function in the elderly, already fragile because of the PPI.

Might be time for the coroners to sit down and talk with general practice, or perhaps follow the H&DC. approach to medical opinion