Hello all!

I have a patient recently intervened  gastric bypass and needs iv iron as oral iron wont do. I have been searching around how to manage this as we don’t do these procedures in our practice for several reasons: no space , inadequate facility, short staffing etc. It does not seem appropriate to me involve a consultant for this as per my point of view is pretty much straight forward procedure , but the location and logistic is an issue right now

Any idea where could I send this patient ? She is private, Hgb is 12, abs serum iron is 10.

Thanks for the advise
Sent from my iPhone

Hi Jose
I dont think any of our practices do this although it has come up here before. I think there could be indemnity issues for us to provide in GP. It might be possible that if she has insurance a local private GI consultant might get her in to have it done. Alternately examining if she definitely needs it- would she absorb oral iron (Hb looks ok)?
Just my thoughts!
Best regards
Jean

From: Jose jo.lu.ri.al@hotmail.com
Sent: Wednesday 26 April 2023 08:31
To: gpdiscussion@centricgpforum.com gpdiscussion@centricgpforum.com
Subject: Centric GP Forum Iron IV

Hello all!

I have a patient recently intervened  gastric bypass and needs iv iron as oral iron wont do. I have been searching around how to manage this as we don’t do these procedures in our practice for several reasons: no space , inadequate facility, short staffing etc. It does not seem appropriate to me involve a consultant for this as per my point of view is pretty much straight forward procedure , but the location and logistic is an issue right now

Any idea where could I send this patient ? She is private, Hgb is 12, abs serum iron is 10.

Thanks for the advise
Sent from my iPhone

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Sujita

We don’t that Hilltop. We need to be careful about what we can do and what people want us to do( as we are nice people

On 26 Apr 2023, at 10:49, Sunita Sukumaran <brownesukumaran@gmail.com> wrote:

Hi all,In the past when we have had patients who can not tolerate oral iron replacement, gastroenterology in TUH have brought them into the day ward following OPD assessment for iron infusions.

If she has private cover, it should in theory be easier to get an appointment with gastro.

A long time ago, I used to give im iron but this has gone out of favour for various reasons so don't offer this option. Are people still given im iron?

Sunita

On Wed, Apr 26, 2023 at 8:32 AM Jose <jo.lu.ri.al@hotmail.com> wrote:

Hello all!

I have a patient recently intervened gastric bypass and needs iv iron as oral iron wont do. I have been searching around how to manage this as we don’t do these procedures in our practice for several reasons: no space , inadequate facility, short staffing etc. It does not seem appropriate to me involve a consultant for this as per my point of view is pretty much straight forward procedure , but the location and logistic is an issue right now

Any idea where could I send this patient ? She is private, Hgb is 12, abs serum iron is 10.

Thanks for the advise
Sent from my iPhone
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