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Pro-drugs and VP treatment & Medical Aids

Discussion in 'Introductions' started by starfish3211, Jan 27, 2011.

  1. starfish3211

    starfish3211 Member


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    I have read that pro -drugs like VALAICICLOVER (DNA viral polymerase inhibitors)
    have successful results in immune-compromised patients. Does anybody have experience with this?

    Of course it is a prescribed drug but an interesting alternative to traditional measures. Geography seem to have a big influence on the attitude toward treatments.

    In Germany for instance, the minimum medical insurance (compulsory) is round €130 per month. Private can be anything from €200 up to the thousands. Treatments like Verruce or Ung. Incarnatus are not covered here, private or otherwise. The only patients that get coverage are Diabetics . Private medical insurance companies mean you pay first and claim it back and the govt-supported allowes your Dr. to bill it direct to them and you only pay in if the clinicians' fee is higher than what is covered by the govt.

    This makes patients very focussed on quick or definite results. I can understand that a patient is not intrested in visiting a practise 2 x a week and not see results very quick.
    Since a VP is a very difficult nut to crack and can reccur without the fault of the Clinician or Podiatrist.
    I try too find the quickest solution taking into account the patients's history treatment , lifestyle etc into account. Very often an immune-compromised predisposition does play a part and you end up chasing your tail.

    Even though the Podologists Society here is trying to forge good working relations between GP's & Podiatrists etc, it is still a difficult issue.This, I am sure, is not just a "German"-issue!
    Dr's end up suggesting unecessary treatments because that is the only way the medical aid will pay! When we as Podologists are asked for our input and it is to the contrary, you end up with a rather patronising Dr. on the other side of the phone. So backing up a referral to a GP about this proposed pro-drug treatment is very necessary to get the best treatment for the patient.

    Any input will be appreciated.

    Thanks :drinks
     
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