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Thread: Your Doctor - an opinion I think worth considering

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    NavyDiver's Avatar
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    Your Doctor - an opinion I think worth considering

    "At the end of every workday as a busy GP, I feel like I have run a marathon. No - like I have sprinted from case to case. From my current vantage point (I’m on maternity leave) I’ve had time to wipe the sweat from my brow and take a long drink. And what I can see is a health sector that is imploding around us.
    Reports of ambulances ramped for hours, bloated elective surgery waitlists, and the decline in care standards across the board fill our newsfeeds daily, no matter which state or territory we are in. And at the epicentre of the issue is the missing GP. Where have they all gone?

    "
    I will be gone from managing General Practice in a year or two. I hope some of the Doctors stay of course.

    "We do not have enough GPs managing this chronic care – which is what we do best as GPs. Without a competent GP, these patients get sicker and sicker, very slowly, eventually getting to a crisis point where they have no choice but to be admitted for high-level care in our hospitals....

    President of the Royal Australian College of General Practitioners Karen Price recently pointed out, general practice provides 177 million services a year to 24 million people, but receives only 7.4 per cent of the entire health budget.
    You see, money makes the world go around - and this includes healthcare."


    With insulting red tape, rulz, incompetent bureaucratic types I think Dr Samantha Saling nails it! A surgeon I know tossing a $400+ bill for a 15 minute chat or a GP paid $30ish. Easy to see why walking away will be very easy!
    A complaint I took yesterday about a very busy doctor not able to see a person for an appointment. That person:
    1. had called after 2pm demanding the appointment
    2. Told me they know how rich GPs are
    3. Was shocked they could not find another GP to complain too


    Putting my accounts up $10 tomorrow. Its still well under the Indexation for the Medicare rate when first introduced. I will have tin foil hats for my staff! It will not be many but it will happen.


    Doctors: Why ‘invisible’ GPs are quitting in droves

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    It makes me sad and angry when I read this type of post. Real world experience explains how it really is yet every political party will try and spin it otherwise .

    I'm very lucky that before I left Darwin I had a very good GP and since relocating to Perth it's only early days but I seem to have also found a good GP.

    Our eldest daughter is a kidney dialysis educator having worked her way up from a RN. She has been abused , threatened , and generally been poorly treated by those who she is trying to help as due to staff shortages she still spends most days on the ward or in the day clinic. I will be surprised if she stays in the medical field much longer as she also says the system is very broken .

    Hopefully sooner rather than later eyes are opened and things start to improve before it's too late, even tho it seems we have passed that point .

    Cheers Bulletman

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    It is not helped by the evolving trend of younger professionals refusing point blank to do on-call or after hours work. They state for their work-life balance and mental health. This puts a larger burden on the older professionals and leads to their earlier exit from the system. I've heard of Opthal registrars walking out the door at 5pm saying they're finished, when there are still patients in the waiting room.....

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    austastar is offline YarnMaster Silver Subscriber
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    Hi,
    The armed services seem to have a good working model.
    Regular checkups help keep the troops healthy as well.
    Cheers

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    Can't get an appointment with our usual GP for around a fortnight at the earliest. Half the doctors in his practice have gone supposedly for training in whatever they fancy becoming specialists in. One reason so much money has to be poured into the health services is the huge amount of seat polishers in hospitals. I did what they term a DAMA (Discharge Against Medical Advice) after having a knee replacement as I didn't trust the RN on duty after a couple of incidents which I won't go into.
    Struggling around the hospital using a frame and carrying a bag with only one working leg looking for an exit, I wandered through miles of dark corridors which are alive with people all dashing around from office to office during the day.
    A nurse coming on duty reported me to whoever she could but no one showed interest as to why I was going and I just kept going until I eventually got out as other people pressed the button to open doors and enter the hospital.
    Into a cab where I received a call from a doctor asking me to report to my local hospital and they would look after me which I did but left the next day full of pain killers.
    A top heavy system where the people at the coal face are definitely in a minority, they try hard and most do well in looking after us who need it. I know I should have reported the nurse but I really couldn't be bloody bothered in the end and let it go.
    I don't blame GPs for trying to get out and specialise.
    AlanH.

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    I had a good GP here as well.
    Then he went to a bigger clinic just around the corner.
    No appointments so it has become pot luck.
    Go there and i usually have to wait a couple of hours to see him,at least,time i dont have.
    Even to to see any doctor takes at least an hour or two, waiting around.

    So on the days he starts at 7,i have to get there at 6.30 and stand in line,there is usually around 6 people already there.
    Its becoming a PITA,maybe, unfortunately, i will move on.

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    NavyDiver is offline Very Very Lucky! Gold Subscriber
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    Quote Originally Posted by austastar View Post
    Hi,
    The armed services seem to have a good working model.
    Regular checkups help keep the troops healthy as well.
    Cheers
    Interesting tour of the hospital on HMAS Adelaide. Doctors. Surgeons, nurses to fill it are called in from reserve . They are your Doctors. Surgeons, nurses who are taken when needed.

    Army and airforce is a bit above my knowledge base, Navy has medics and the Doctors tend to be borrowed. I am sure a few are full time of course. Only regular check up I had was Diving Medical Clearance every year.

    A lot easier than to see my GP now I could jack the line but that's not like me. Lucky to be on zero medicines myself.

    I think twenty plus Sorry we are full this week so far. The mess is not being helped by other assumed "priorities" for some people who are smarter than you or I (Not)

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    I was speaking to a girl who was a radiologist, at a private practice in Ipswich. Turns out she was a full time Raafy posted to Amberley, working in the private sector because A: the RAAF didn't have enough work for her and B: didn't have the equipment needed to keep her skills current.
    If you don't like trucks, stop buying stuff.
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    I rang my GP the other day for a ph appt just to get a new script.
    First available is 29th this month.
    Its usually a 2 week wait,but now it seems 3 weeks will be the new normal.


    DG

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    If the GPs are finding a bit hard and the job is not meeting their pay or lifestyle expectations, maybe it's time to expand the role of nurses to take on some of the duties a GP provides.

    I'm sure an extra career path for nurses would solve a lot of problems in the General Practice space while going some distance to address the pay problem for experienced nurses.

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