
I had the misfortune to talk to Dr. Declan Morgan, co-founder of Duality via Teleconference, or rather be spoken down to. Arriving late and in an evidently bad mood to the call, complaining about previous patients issues being 'complex', Dr. Morgan dismissed my 25yr medical history including diagnoses, seizures, medication and family history. With regards to family history, he regarded their diagnoses for pernicious anemia as a "quasi-diagnosis", sowing doubt on the ongoing medical care recieved by my family - without any evidence to do so. He initially refused to read any of the medical history supplied to him, and spent the entire call telling me how much of a disaster it is to self-medicate an ongoing potential autoimune disease without once asking me about my symptoms, or why I had begun to self inejct with B12, instead telling me to stop despite this self-medicating having massive improvement of life (depression, fatigue, tremors, numb/tingling in digits). The entire call felt like a patronising session in telling me not to self medicate, despite that being the entire purpose of the call, I was seeking medical help to get a diagnosis so that I dont have to manage the symptoms alone. His demenor was dismissive, patronising, and dangerous - he outright refused to look at the provided genetic results that show I have multiple genetic markers for b12 and folate deficiency which is why I was self medicating. But instead of looking at the history, he sowed doubt into the diagnosis of my relatives (Sister, Mother, Great-Grandmother) and completely ignored the requests for more tests such as Intrinsic Factor, homocysteine, Active B12, MMA or a variety of other diagnostic tools which could help confirm or disprove the possible diagnosis of b12 deficiciency. Given the medical history which left me feeling completey inhuman without b12 supplementation, it felt very callous and dismissive to instruct me to cease all supplementation and medication for 3+ months before seeking further diagnostic testing. I was so furious after this call for days that I seriously considered cancelling my Duality membership. I have rarely experienced such a terrible bedside manner and I was left with such a terrible impression I really am no longer sure whether Duality Healthcare is a service I want to support. I have monthly calls with another doctor and her bedside manner and feedback has been instrumental in my weightloss on mounjaro and treating gout and other issues, if the experience with other doctors (both in Omagh and Newry) weren't as positive and reassuring then I would most certainly have cancelled. As it stands, I'm still in two minds.