You and your doctor don’t have a good relationship, so what has gone wrong? It may be that your doctor is not good at treating acne, or simply doesn’t know the best acne treatments or doesn’t realise the effect it is having on you. You, yourself, might also be part of the problem. Are you using the treatment in the right way and for long enough to give it a chance to work? It can be very frustrating for doctors if patients don’t seem to have made sure that they have understood the instructions and carried them out fully. This may be because the instructions are not easy enough to understand or you have been given too much information to take in. Next time you see him, try to talk about your expectations from treatment – and his. If they are different, you both need to sort this out.

I want to see a dermatologist but my GP has said that it would be a waste of time as I would only be given a strong treatment that has terrible side-effects … and in any case the waiting list is so long that I would probably have got over my acne by the time I got an appointment. Is this right?

Sadly, there are long waiting lists to see a dermatologist, and this may be being made worse by the need to see anyone with possible skin cancer within two weeks of being referred by the GP.

We probably need another 400 dermatologists around the country to tackle this problem. Although it is true that the only treatment dermatologists can prescribe that your GP cannot is a very strong one that has side-effects, they are not terrible. And it is not true that this is the only treatment you would get. Dermatologists have much more experience in using the common treatments in different doses or combinations, and often do not need to use the strongest treatment.

It is not a good idea to assume that you will get over your acne in any given time frame. You should be able to find out for yourself what the waiting time would be by ringing the hospital and asking to speak to the dermatologist’s secretary.

It’s easy to find IT strategy consulting. In your research, you’ll come across various IT firms but some will be better suited to provide your specific technical needs. A firm that specializes on your kind of business would be a good choice. Some companies will specialize in the provision of IT network support to small enterprises, while some companies who offer IT solutions will want to cover, say, just the finance niche. Companies dedicated to small businesses are good alternatives because they would be most suited to know the technical needs of those establishments.

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