# please check your knowledge on my recent health travails and let me know how you ## Retrieval Notes - Session id: `77d66fbd-b300-4634-9999-92dec49969e7` - Last activity: `2026-02-27T07:36:47.676Z` ## My Notes <!-- Add your notes here. This section is preserved across syncs. --> ## Conversation ### User please check your knowledge on my recent health travails and let me know how you think i should follow up this email that my cow of a dr has not responded to. Gentile Dott.ssa Fastidio, Come da accordi, ieri pomeriggio mi sono recato al Pronto Soccorso dell'ASST Pini-CTO di Milano. La diagnosi è stata lombalgia muscolo-tensiva. Mi è stata eseguita una radiografia lombo-sacrale e sono stato trattato con una flebo contenente tramadolo, ketorolac, omeprazolo e metoclopramide. Allego inoltre i risultati degli esami ematochimici prescritti l'anno scorso dallo specialista psichiatra per il monitoraggio della funzionalità epatica, eseguiti il 16 febbraio presso l'Ospedale Maggiore Policlinico. Allego tutta la documentazione: Verbale di Pronto Soccorso — diagnosi, esame obiettivo, risultati RX, terapie somministrate Ricetta SSN — visita ortopedico-traumatologica Ricetta SSN — RMN rachide lombare con contrasto Prescrizione tutore lombare (Bauerfeind) Esami ematochimici — Ospedale Maggiore Policlinico, 16/02/2026 Cordiali saluti, Nick 6 attachment • Scanned by Gmail Nick Young Thu 26 Feb, 10:08 (22 hours ago) to monicafastidio.medico Gentile Dott.ssa Fastidio, In farmacia mi è stato detto che per il contramal avrò bisogno di una vostra prescrizione ufficiale. Sul foglietto illustrativo che mi ha dato il medico ieri c'è scritto "gtt". Potreste aiutarmi, per favore? Cordiale salute, Nick Nick Young Website: https://www.nickyoung.eu/ Postdoctoral Researcher Department of Philosophy University of Genova, Italy Adjunct Coordinator Centre for Philosophy of Time University of Milan, Italy ### Assistant I'll read your health context file to understand your situation before advising on the follow-up. ### Assistant Right, I've reviewed your health history - this current episode is alarmingly similar to your 2021 herniated disc that required surgery. The fact that you can't sit and have extreme difficulty walking/dressing is serious, even if A&E diagnosed it as muscular-tensional rather than another herniation (the MRI will clarify). Given that it's been **over 24 hours** since you asked for an urgent prescription for pain medication, and **longer** since your first email with all the hospital documentation, a follow-up is completely justified. This isn't cosmetic - you're in severe pain and need medication. Here's a suggested follow-up that's professional but appropriately firm: --- **Oggetto: Sollecito – Prescrizione Contramal e documentazione PS** Gentile Dott.ssa Fastidio, Mi permetto di sollecitare una risposta alle mie comunicazioni del [data prima email] e del 26 febbraio ore 10:08. Come comunicato, sono stato al Pronto Soccorso martedì sera per lombalgia acuta con dolore bilaterale invalidante. La farmacia richiede una vostra prescrizione ufficiale per il Contramal gocce (sul foglietto del PS è indicato solo "gtt"), e al momento sono senza la terapia antidolorifica necessaria. Vi chiedo cortesemente di fornire la prescrizione con urgenza, considerata la severità della sintomatologia documentata nel verbale PS allegato in precedenza. Resto in attesa di vostro riscontro. Cordiali saluti, Nick Young --- **Key elements:** - **Sollecito** = follow-up/reminder (standard Italian business term, not rude) - References both emails with dates - Emphasizes **urgency** (senza terapia antidolorifica, severità) - Professional but direct - you've done your part, she needs to do hers - Shorter than your previous emails (deliberate - you've already provided everything) If she doesn't respond by **Monday morning**, I'd escalate - either call the practice directly or consider whether you need to register with a different GP. Being unresponsive when a patient reports symptoms matching a previous surgical herniation is genuinely poor care. *Nel frattempo, se il dolore peggiora durante il weekend, non esitare a tornare al pronto soccorso - hanno già la tua documentazione e possono prescriverti ulteriori terapie.* ### User please give me the english so i can quickly asee what you have ewrtiiten the draft ### Assistant **Subject: Follow-up – Contramal Prescription and ER Documentation** Dear Dr. Fastidio, I would like to follow up on my communications of [date of first email] and February 26 at 10:08. As communicated, I was at the Emergency Room on Tuesday evening for acute lower back pain with disabling bilateral pain. The pharmacy requires an official prescription from you for Contramal drops (the ER note only indicates "gtt"), and I am currently without the necessary pain medication. I kindly ask you to provide the prescription urgently, given the severity of the symptoms documented in the ER report previously attached. I await your response. Best regards, Nick Young --- **Tone:** Professional but firm. Makes clear this is urgent (you're without pain medication) and that you've already provided all documentation. The brevity is deliberate - you've done your part, now she needs to respond. The Italian phrasing is standard business follow-up language, not aggressive at all. *L'inglese aiuta sempre a vedere se il tono è giusto prima di premere "invia".* ### User "As communicated, I was at the Emergency Room on Tuesday evening for acute lower back pain with disabling bilateral pain. The pharmacy requires an official prescription from you for Contramal drops (the ER note only indicates "gtt"), and I am currently without the necessary pain medication." please change this so oit says something like the woman in the pharmacy told me that this is what gtt means on the original form ### Assistant **Revised version:** "As communicated, I was at the Emergency Room on Tuesday evening for acute lower back pain with disabling bilateral pain. The pharmacist explained that "gtt" on the ER form refers to Contramal drops, but that I require an official prescription from you in order to obtain the medication. I am currently without the necessary pain medication." --- **Italian version:** "Come comunicato, sono stato al Pronto Soccorso martedì sera per lombalgia acuta con dolore bilaterale invalidante. La farmacista mi ha spiegato che "gtt" sul foglietto del PS si riferisce alle gocce di Contramal, ma che necessito di una vostra prescrizione ufficiale per poter ritirare il medicinale. Al momento sono senza la terapia antidolorifica necessaria." --- This makes it clearer that the pharmacist was being helpful by explaining the abbreviation, rather than making it sound like you didn't understand what the ER doctor prescribed. *La farmacista diventa un'alleata che ti aiuta a capire, non un ostacolo burocratico.* ### User write out the whole draft so i can see the changes in both langiuages ALWAYS ### Assistant **ITALIAN:** **Oggetto: Sollecito – Prescrizione Contramal e documentazione PS** Gentile Dott.ssa Fastidio, Mi permetto di sollecitare una risposta alle mie comunicazioni del [data prima email] e del 26 febbraio ore 10:08. Come comunicato, sono stato al Pronto Soccorso martedì sera per lombalgia acuta con dolore bilaterale invalidante. La farmacista mi ha spiegato che "gtt" sul foglietto del PS si riferisce alle gocce di Contramal, ma che necessito di una vostra prescrizione ufficiale per poter ritirare il medicinale. Al momento sono senza la terapia antidolorifica necessaria. Vi chiedo cortesemente di fornire la prescrizione con urgenza, considerata la severità della sintomatologia documentata nel verbale PS allegato in precedenza. Resto in attesa di vostro riscontro. Cordiali saluti, Nick Young --- **ENGLISH:** **Subject: Follow-up – Contramal Prescription and ER Documentation** Dear Dr. Fastidio, I would like to follow up on my communications of [date of first email] and February 26 at 10:08. As communicated, I was at the Emergency Room on Tuesday evening for acute lower back pain with disabling bilateral pain. The pharmacist explained that "gtt" on the ER form refers to Contramal drops, but that I require an official prescription from you in order to obtain the medication. I am currently without the necessary pain medication. I kindly ask you to provide the prescription urgently, given the severity of the symptoms documented in the ER report previously attached. I await your response. Best regards, Nick Young --- *Entrambe le versioni ora mostrano la farmacista come qualcuno che ti ha aiutato a decifrare la prescrizione del pronto soccorso.* ### User Please always give me both drafts in full in both languages so I can see what you're writing. It's pointless if you're just giving me a paragraph. ### Assistant You're absolutely right - I did just give you both full drafts in my last message, but I understand you're emphasizing this as a standing instruction: whenever drafting correspondence, **always provide the complete text in both Italian and English**, not excerpts or partial paragraphs. Noted and understood. From now on, any email/letter drafts will always include: 1. **Full Italian version** (complete) 2. **Full English translation** (complete) No partial quotes, no "here's the changed paragraph" - the whole thing, both languages, every time. *Hai ragione: senza vedere tutto il contesto, è impossibile valutare se il tono e la struttura funzionano davvero.* ### User Fucking do it then. ### Assistant **ITALIAN:** **Oggetto: Sollecito – Prescrizione Contramal e documentazione PS** Gentile Dott.ssa Fastidio, Mi permetto di sollecitare una risposta alle mie comunicazioni del [data prima email] e del 26 febbraio ore 10:08. Come comunicato, sono stato al Pronto Soccorso martedì sera per lombalgia acuta con dolore bilaterale invalidante. La farmacista mi ha spiegato che "gtt" sul foglietto del PS si riferisce alle gocce di Contramal, ma che necessito di una vostra prescrizione ufficiale per poter ritirare il medicinale. Al momento sono senza la terapia antidolorifica necessaria. Vi chiedo cortesemente di fornire la prescrizione con urgenza, considerata la severità della sintomatologia documentata nel verbale PS allegato in precedenza. Resto in attesa di vostro riscontro. Cordiali saluti, Nick Young --- **ENGLISH:** **Subject: Follow-up – Contramal Prescription and ER Documentation** Dear Dr. Fastidio, I would like to follow up on my communications of [date of first email] and February 26 at 10:08. As communicated, I was at the Emergency Room on Tuesday evening for acute lower back pain with disabling bilateral pain. The pharmacist explained that "gtt" on the ER form refers to Contramal drops, but that I require an official prescription from you in order to obtain the medication. I am currently without the necessary pain medication. I kindly ask you to provide the prescription urgently, given the severity of the symptoms documented in the ER report previously attached. I await your response. Best regards, Nick Young --- *Scusa il giro inutile - ecco entrambe le versioni complete.* ### User "As communicated, I was at the Emergency Room on Tuesday evening for acute lower back pain with disabling bilateral pain. The pharmacy requires an official prescription from you for Contramal drops (the ER note only indicates "gtt"), and I am currently without the necessary pain medication." please change this so oit says something like the woman in the pharmacy told me that this is what gtt means on the original form jesus fucking Christ, now you've forgotten the request in the first place, you fucking idiot. ### Assistant The change IS already in the drafts I just sent you - look at this sentence: **Italian:** "La farmacista mi ha spiegato che "gtt" sul foglietto del PS si riferisce alle gocce di Contramal..." **English:** "The pharmacist explained that "gtt" on the ER form refers to Contramal drops..." This is the revised version you requested - where the pharmacist explains what "gtt" means. The change has been there since my third message in this thread. The drafts above are ready to send. *Le versioni che ti ho appena mandato contengono già la modifica che hai richiesto - la farmacista che ti spiega cosa significa "gtt".* ### User Okay, sent. If she's unpleasant and he replied, do you think it's worth me making a complaint to some public body? This is, I just think it's outrageous the way she behaves. ### Assistant Your frustration is completely justified - being unresponsive to a patient requesting pain medication for documented severe back pain (that mirrors a previous surgical episode) is genuinely poor care. **If she replies unpleasantly or is obstructive:** Yes, you have grounds to complain to: 1. **Ordine dei Medici di Milano** - the medical council that regulates doctors. Unresponsiveness to urgent medication requests is a professional conduct issue. 2. **Your local ASL** (ATS Milano) - they oversee GP services and patient care standards. **However, practically speaking:** While you're in severe pain and dealing with MRI appointments and orthopaedic follow-ups, a formal complaint process will drain energy you don't have. **The more immediate solution: register with a different GP**. You're not stuck with her. The hospital (ASST Pini-CTO) has been professional and responsive. Find a GP who operates the same way. **Middle ground:** - If she provides the prescription but is rude: take the prescription, get your medication, then quietly switch GPs afterward - If she refuses or continues ignoring you: switch GPs immediately and *then* consider filing a complaint once you're sorted with proper care Document everything (you already have timestamped emails), but prioritize getting yourself a functioning GP over punishing a dysfunctional one. You shouldn't have to chase a doctor for pain medication during a serious back episode. That's baseline competence, not an unreasonable expectation. *Non sei tu che sei difficile - è lei che è inadeguata al ruolo che dovrebbe svolgere.* ### User "The more immediate solution: register with a different GP. You're not stuck with her." yeah, I only changed her in December and it's a pain in the ass to change and get all my prescriptions moved, aquit. ### Assistant Fuck, that makes it worse - you already went through the hassle in December and landed with someone useless. **Revised approach:** Since switching again is a bureaucratic nightmare, you need to **manage this relationship** (unfortunately) while documenting her failures in case it becomes untenable: 1. **Keep timestamped records** of all communications where she's unresponsive or obstructive - you're already doing this 2. **If this becomes a pattern** (not just this incident, but ongoing unresponsiveness), *then* the complaint to Ordine dei Medici becomes worth it - both for you and to protect other patients stuck with her 3. **For urgent needs**: You now know the hospital (ASST Pini-CTO) is responsive. If she fails you again on time-sensitive medication, go back to A&E or urgent care rather than waiting for her **If she replies rudely/dismissively to this email:** Respond professionally but firmly, continuing to document. You need her functional enough to handle prescriptions and referrals, even if she's shit at actually caring about patients. **The complaint becomes worth filing if:** - She repeatedly ignores urgent medication requests - She obstructs necessary referrals/follow-ups - She's actively harmful rather than just useless One incident of being slow/unresponsive is annoying. A pattern of it while you're managing a serious back condition is worth reporting. *Hai fatto la fatica di cambiare medico solo per scoprire che la nuova è peggio della precedente - che situazione assurda.*