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A question for medical doctors.

A question for medical doctors.

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Old Nov 25th 2017, 1:30 pm
  #31  
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Default Re: A question for medical doctors.

Originally Posted by Tirytory
I think that's only true of certain drs surgery. More forward thinking or larger practices have the means and ability to restructure appt system. I know my friends practice in the UK have one doctor who only does triage by phone for a session. Both doctor and patient satisfaction has gone up.
The practice we use (7-8 docs) do a limited phone triage, but I think full phone triage is the way to go. We also get call backs, so it's going in the right direction.
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Old Nov 25th 2017, 1:36 pm
  #32  
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Default Re: A question for medical doctors.

Originally Posted by Shard
The practice we use (7-8 docs) do a limited phone triage, but I think full phone triage is the way to go. We also get call backs, so it's going in the right direction.
Can't you just google?

A bit of DIY Tracheotomy never did anyone any harm.
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Old Nov 25th 2017, 2:32 pm
  #33  
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Default Re: A question for medical doctors.

Originally Posted by BristolUK
Can't you just google?

A bit of DIY Tracheotomy never did anyone any harm.
See Post #2.
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Old Nov 25th 2017, 2:51 pm
  #34  
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Default Re: A question for medical doctors.

Originally Posted by Tirytory
You should change your doctor then! I will freely admit that my husband isn't the fastest, but he's thorough and has a great reputation in town. I do think the fee for service system is flawed for the reasons you're describing though. My husband is moving clinics, on Friday actually, to work with more ethically minded doctors. He works with one dr who's work. We've had a lot of his patients asking to roster with my husband now he's leaving.
One on three people don't have a GP here. Finding another doctor isn't a practical option: https://www.google.ca/amp/www.cbc.ca/amp/1.4069677
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Old Nov 25th 2017, 2:59 pm
  #35  
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Default Re: A question for medical doctors.

Originally Posted by Shard
The practice we use (7-8 docs) do a limited phone triage, but I think full phone triage is the way to go.
We've used NHS 111 on two occasions since we came back. Seems to work just fine.
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Old Nov 25th 2017, 4:11 pm
  #36  
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Default Re: A question for medical doctors.

Originally Posted by Shard
See Post #2.
I saw it but mine was funnier and more imaginative.

Not to mention relevant in the context of phone triage
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Old Nov 25th 2017, 4:13 pm
  #37  
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Default Re: A question for medical doctors.

Originally Posted by Shard
...full phone triage....
Originally Posted by Novocastrian
We've used NHS 111 on two occasions since we came back. Seems to work just fine.
Aren't they two separate things?
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Old Nov 25th 2017, 5:49 pm
  #38  
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Default Re: A question for medical doctors.

Originally Posted by BristolUK
Aren't they two separate things?
My experience of 111 is a call centre operative that can read the NHS website.

Practice triage seems to be done by the head nurse and/or doctor and is far more reliable.
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Old Nov 25th 2017, 6:47 pm
  #39  
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Default Re: A question for medical doctors.

Originally Posted by Shard
My experience of 111 is a call centre operative that can read the NHS website.

Practice triage seems to be done by the head nurse and/or doctor and is far more reliable.
I think I misunderstood Novo's comment.
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Old Nov 25th 2017, 8:05 pm
  #40  
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Default Re: A question for medical doctors.

Originally Posted by Shard
The practice we use (7-8 docs) do a limited phone triage, but I think full phone triage is the way to go. We also get call backs, so it's going in the right direction.
I had doctors in the US doing email and phone consults as far back as the late 90's (phone) and early 00's (email) and now of course video type services are available.

Along with those above services Nurse Practitioners are common in the US for anything not serious enough to need a doctor, which allows the doctor to spend more time with those patients who need a doctor.

I find it strange still I have to see a doctor for such things as a refill and other ailments that a nurse practitioner could easily do.

Obviously the system of payment is different in the US vs Canada, but BC anyhow seems behind the times in many areas of healthcare, seems patients would benefit if we had more nurse practitioners working alongside doctors and not rely totally on doctors.
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Old Nov 25th 2017, 9:12 pm
  #41  
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Default Re: A question for medical doctors.

Originally Posted by Jsmth321
I had doctors in the US doing email and phone consults as far back as the late 90's (phone) and early 00's (email) and now of course video type services are available.

Along with those above services Nurse Practitioners are common in the US for anything not serious enough to need a doctor, which allows the doctor to spend more time with those patients who need a doctor.

I find it strange still I have to see a doctor for such things as a refill and other ailments that a nurse practitioner could easily do.

Obviously the system of payment is different in the US vs Canada, but BC anyhow seems behind the times in many areas of healthcare, seems patients would benefit if we had more nurse practitioners working alongside doctors and not rely totally on doctors.
Ontario seems to be in favour of Nurse Practitioners anyway.

Ontario Providing New Prescribing Authority for Nurse Practitioners

My ex sister in law was a NP, she worked up in Nunavut 20+ years ago and often had to perform surgery as there were no doctors for hundreds of miles.
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Old Nov 25th 2017, 10:51 pm
  #42  
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Default Re: A question for medical doctors.

Originally Posted by Siouxie
Ontario seems to be in favour of Nurse Practitioners anyway.

Ontario Providing New Prescribing Authority for Nurse Practitioners

My ex sister in law was a NP, she worked up in Nunavut 20+ years ago and often had to perform surgery as there were no doctors for hundreds of miles.
When my daughter (NP in Canada, some sort of anesthetic giver in the US) first went to Africa she worked in triage. When a hospital bed came free, because someone was patched up or died, she went amongst the refugees looking for people who were seriously injured but repairable, ideally ones who were photogenic. Resources are finite, there's no point in using a bed for someone who's going to die anyway and fund raising is always a concern.

When I've been injured I've considered getting her opinion via WhatsApp but I fear I'd get something like "you have bones sticking out of your leg? Then borrow an automatic car to drive to the hospital". My problems are always first world ones.
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Old Nov 26th 2017, 1:14 am
  #43  
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Default Re: A question for medical doctors.

Originally Posted by Tirytory
......
Also the 7,000 is off by quite a bit too.
The $7,000 is the figure quoted in the original poster, so you would think it is accurate.
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Old Nov 27th 2017, 5:54 pm
  #44  
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Default Re: A question for medical doctors.

Best of luck Rich and all best wishes for your next stage.
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Old Nov 27th 2017, 6:46 pm
  #45  
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Default Re: A question for medical doctors.

Best wishes on your next stage back in the UK, Rich. Not so great about the circumstances but that's something most of us have to face. Just be grateful you/we have the resources to be able to make a decision, there are many people who don't have the luxury of choice.

Do you think you'll go back to Canada in time?

By the way, the sign is a shocker. Hard to feel sorry for a medical doctor in North America. I well remember my dentist in Calgary bemoaning the cost of keeping his daughter at Oxford University... my heart bleeds, I wonder what my bill is going to be??!!
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