Just back from dermatologist...

[Fred]

My biggest problem was the language barrier. The doctor was (I'm guessing) Eastern European and struggled a little to communicate. I emphasised as strongly as I could I wanted Fumaderm and I understood clearly that his hands were tied but it was impossible to figure out why. I assume from what I could understand that he had been told not to prescribe it but I'm far from sure xxx

Funny thing is in the UK you have loads of different leaflets in every hospital department or government building in all the different languages from around the world, yet hardly any of the professionals speak English.  Your doctor has probably just left his job working for my British bank I phoned the other day

Here you get leaflets in French that's it, though most of the doctors will speak English with you if you prefer and they are easy to understand.

In his defence away from the language thing, Fumaderm is still new to the NHS so that is why his hands are tied he has to follow protocol and can not prescribe it till you fail on something else first.

Remember though you can always change to another dermatologist if you're not happy for whatever reason.