I found the pituitary patients group a very enjoyable experience, the members were all very welcoming and eager to talk to us about their conditions.
Firstly, it was useful from a clinical point of view. Now I have seen some cardinal signs of endocrine disturbance and pituitary masses in real life, such as opthalmoplegia and macroglossia, not just reading about them in a text book, I will always remember them. It was also useful to discuss the kind of symptoms the patients experience.
From a more general point of view, an important thing I learned is that though doctors are pressured to follow guidelines etc, this should not get in the way of treating patients as individuals. For example, in order to be eligible for growth hormone treatment, the patients GH must be below a certain level and they must have a certain score on the GH Qol questionnaire. However, it is possible that an individual patient has a GH level just above the cut off, but they could really benefit from the treatment, because for them that level is too low, despite not fitting into the official definitions of low.
It was obvious that many of the patients feel dissatisfied with the care they receive from the NHS. Several patients I spoke to talked about delays in diagnosis, and doctors not knowing much about their conditions. I think this is understandable because many of these diseases are very rare and most GPs will never have any such cases in their lifetime - eg only a couple of people per million have acromegaly. However, it highlights the importance of keeping an open mind when diagnosing patients, and maintaining a broad knowledge base. It also explains one reason why the support group is valuable to the patients - it is an outlet where they can share information which they might not necessarily get from the health service. Eg. About new drugs, and they encourage each other to be knowledgeable and confident when talking about their conditions with health care professionals, in order to get the best possible care.
I found the support group very helpful in giving on insight into the story of the patient from when symptoms first began, to how they live with their diagnosis. It was also good to hear what the patients had to say about what attributes they thought made a good doctor. It also gave me an insight" into diseases that as yet I have not come across and so this has given me cues to further reading.
I thought that the support group was very helpful for the patients that attended, and the literature was also very good.
I think that medical students should be able to have better access to support groups like this as I think that demand would be high and seeing support groups for different diseases would also be beneficial.