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Minnie80

Just a bizarre situation

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Minnie80
13 minutes ago, ~Jolly_F~ said:

Medical things seem to work very differently in the country you live (Africa somewhere if I remember correctly) to what most people are used to here in Australia, where most of us are from.

Here most people would maybe call the health line then go to the emergency room at their hospital or just go straight to emergency or they would wait it out and try to get an emergency appointment with their GP! 

We don’t generally call our specialists and we would be lucky to get to chat to them in a timely manner! 

I know :) I actually prefer the Aussie the system. Just go to the GP, instead of trying to guess which specialist you should go to! It's easier. We are not doctors, we shouldn't have to figure it out ourselves. 

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Minnie80
22 minutes ago, Meepy said:

Thanks.  That helps enormously without going into further detail.  

It's an autoimmune disease that causes mouth ulcers, genital ulcers, skin leisons, bone/joint pain and quiet a bit of eye problems. It sucks :)

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~Jolly_F~
Just now, Minnie80 said:

I know :) I actually prefer the Aussie the system. Just go to the GP, instead of trying to guess which specialist you should go to! It's easier. We are not doctors, we shouldn't have to figure it out ourselves. 

What? You don’t go to a GP and get referred? You just decide off your own back what specialist to see? 

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Minnie80
3 minutes ago, ~Jolly_F~ said:

What? You don’t go to a GP and get referred? You just decide off your own back what specialist to see? 

Exactly, if you have a genealogical problem, you go to a gyno. If your ears hurt, you go to an ENT. IIf you have a skin issue, you go to a dermatologist. And so on.

It's fine, if it's a clear cut issue. But often, you don't know what is wrong with you and you just have to guess. For example, I've been having fatigue for the past two months and I had no idea what the problem was, since fatigue can be caused by a million things. I went to a cardiologist and I was right. It turned out to be a minor heart issue. But it's a crappy system, because you constantly have to guess what is wrong with you. 

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MumsyToBigOnes
6 minutes ago, ~Jolly_F~ said:

What? You don’t go to a GP and get referred? You just decide off your own back what specialist to see? 

Yes, I’m also curious. I’m still reeling from the comment that an ophthalmologist would be called if your eye was uncomfortable. I don’t know any specialists who would be okay with this let alone facilitate it so must be a very different system to any I have ever worked in. Seems very odd and prone to ‘abuse by hysteria’ for want of a better term. 

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Minnie80
1 minute ago, MumsyToBigOnes said:

Yes, I’m also curious. I’m still reeling from the comment that an ophthalmologist would be called if your eye was uncomfortable. I don’t know any specialists who would be okay with this let alone facilitate it so must be a very different system to any I have ever worked in. Seems very odd and prone to ‘abuse by hysteria’ for want of a better term. 

To be quite fair though, the only doctors who give their numbers to patients are gyros and pediatricians. I think most other specialists don't. It makes sense with gyros though, because pregnant women can have constant problems and you can't pop to the clinic every time. 

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MumsyToBigOnes

So for example, if you had a sore eye and wanted to call an ophthalmologist as you claim would be sensible, how would you go about doing this?

How do you get the direct number of a paed or gynae? Is this given out by them at the hospital upon giving birth or getting pregnant (respectively)?

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Minnie80
7 minutes ago, MumsyToBigOnes said:

So for example, if you had a sore eye and wanted to call an ophthalmologist as you claim would be sensible, how would you go about doing this?

How do you get the direct number of a paed or gynae? Is this given out by them at the hospital upon giving birth or getting pregnant (respectively)?

I didn't say it was sensible. I said very clearly that this system sucks and I prefer the Aussie system. 

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MumsyToBigOnes

That’s not what I asked. How would you contact the  specialties in the specified scenarios? 

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CallMeFeral
42 minutes ago, Minnie80 said:

But I thought cystitis was more about bacteria accidentally going up the urethra during sex?

I think so, but I presumed the mechanism is because of something from outside bringing contamination to the mouth of the urethra? So a hand might suffice?

I don't know if that's how it works, that was my guess. 

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Minnie80
4 minutes ago, MumsyToBigOnes said:

That’s not what I asked. How would you contact the  specialties in the specified scenarios? 

You need to be a patient of theirs. So, our pediatrician knows us. We go there all the time. The first time we went, his secretary gave me his number. The same with the gyno. You are allowed to contact them, especially if you are pregnant, because they worry there is a problem. If you are not pregnant, they would probably prefer if you don't contact them via phone. The cardiologist I saw recently, gave me his number, because my heart rate was very fast and he asked me to contact him to let him know how I'm doing. 

I know it's a very different system than what you guys have in Australia :)

Edited by Minnie80
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CallMeFeral
14 minutes ago, MumsyToBigOnes said:

So for example, if you had a sore eye and wanted to call an ophthalmologist as you claim would be sensible, how would you go about doing this?

Call their office, just like you do when you have a referral?

22 minutes ago, MumsyToBigOnes said:

Yes, I’m also curious. I’m still reeling from the comment that an ophthalmologist would be called if your eye was uncomfortable. I don’t know any specialists who would be okay with this let alone facilitate it so must be a very different system to any I have ever worked in. Seems very odd and prone to ‘abuse by hysteria’ for want of a better term. 

I'm from a country where a similar system applies, and I'm surprised it is so incomprehensible as to leave someone 'reeling'.  Of course specialists are ok with it if it's the system they work in. I think it can be prone to abuse by hysteria, but in the end the lack of gatekeeping to specialist access also tends to mean more business for specialists, so it has it's compensations I imagine. 

 

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~Jolly_F~

The stupid long waiting lists to get into specialists here probably means the gatekeeping isn’t really harming their business!! 

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MumsyToBigOnes
10 minutes ago, CallMeFeral said:

Call their office, just like you do when you have a referral?

I'm from a country where a similar system applies, and I'm surprised it is so incomprehensible as to leave someone 'reeling'.  Of course specialists are ok with it if it's the system they work in. I think it can be prone to abuse by hysteria, but in the end the lack of gatekeeping to specialist access also tends to mean more business for specialists, so it has it's compensations I imagine. 

 

Okay - so just calling their office from the phone book supposedly? How do you pick who to call? How do you distinguish between what may be ENT versus neuro for instance in certain situations?

How many specialists are there? If they are fine to see people who have no real cause to be there apart from hypochondria or health hysteria that’s fine based on the above if you have capacity (I guess), but are there that many that they can accomodate this? Excited to hear there are health systems like this but also baffled. 

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Minnie80
12 minutes ago, ~Jolly_F~ said:

The stupid long waiting lists to get into specialists here probably means the gatekeeping isn’t really harming their business!! 

But here you pay. It's not for free. My husband is European and he complains that clinics here are like businesses. And he's right.  They are. There is no medicare. So, you have access, but you pay for it. 

But the good thing about this system is that you can talk to a specialist directly, which is nice. II remember when we my son was 1 year old and got a fever while we were in my husband's country  and there were no pediatricians available. We had to go to ER. It drove me crazy. 

On the other hand, when I lived in Australia, I was told that I may have cancer and referred to a specialist. When I called the clinic, they told me I have to wait six weeks for an appointment. It's crazy. When I called my mom back home to tell her, she almost had a heart attack. Thankfully, it was nothing serious in the end. 

But yeah, there are advantages and disadvantages to both systems. I still prefer the Aussie one though. 

 

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Redchick2

I’ve lived in countries with a similar system for specialists. Exactly like Minnie said it can be good and bad - and expensive! I now live somewhere that is like the Australian system but doesn’t seem to have the long waits to see specialists so that works well. 
 

and back on topic, hope everything calms down soon @Minnie80 ❄️❄️❄️

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Amica

Chilli on any part of your body can be soothed by fat so cream, yoghurt, swish your mouth with milk etc if it's burning. Water will make it worse, as well as spread!  

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maryanneK
8 hours ago, MumsyToBigOnes said:

That’s not what I asked. How would you contact the  specialties in the specified scenarios? 

I'm not sure why you're having such a hard time understanding it? When I was pregnant I saw my OB all the time and she always said to just call her any time with questions or problems. So if I had a bizarrely painful incident with chilli where it shouldn't be and I was in pain and worried about damage, I would have called her direct too.  Not sure why you are giving the OP such a hard time.

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CallMeFeral
8 hours ago, ~Jolly_F~ said:

The stupid long waiting lists to get into specialists here probably means the gatekeeping isn’t really harming their business!! 

True! In the country I'm thinking of it's much easier to see a specialist than it is here. Not sure if there is less gatekeeping at the registration end, or whether because there is no Medicare, having to pay to costs entirely out of pocket provides the gate. 

8 hours ago, MumsyToBigOnes said:

Okay - so just calling their office from the phone book supposedly? How do you pick who to call? How do you distinguish between what may be ENT versus neuro for instance in certain situations?

How many specialists are there? If they are fine to see people who have no real cause to be there apart from hypochondria or health hysteria that’s fine based on the above if you have capacity (I guess), but are there that many that they can accomodate this? Excited to hear there are health systems like this but also baffled. 

How do you find specialist details now? Do you only choose a specialist from your doctor giving you details? I've always found specialists by website/recommendation before asking the doctor for a referral. It's never struck me as particularly complicated or unusual. 

As PP mentioned, distinguishing between what specialist you need probably is an issue. Where I'm thinking of there ARE still general practitioners, and also general physicians for more holistic/specialised stuff, so I guess you'd go there if unsure. 

Yes there seems to be lots of capacity, waitlists don't seem to be anything like as long as here. I'm guessing they let more into the profession so demand doesn't outstrip supply so much. 

Edited by CallMeFeral
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Froyo

I get it OP. 

I went to the chemist for advise on grazing after being a bit too enthusiastic last weekend. He was a complete jerk about it. 

It's a sensitive area, and when you're in pain you just want to know how to fix it. 

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Soontobegran
11 hours ago, rosie28 said:

That made me cross my legs

Me too after a cool bath.

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Soontobegran
9 hours ago, MumsyToBigOnes said:

Yes, I’m also curious. I’m still reeling from the comment that an ophthalmologist would be called if your eye was uncomfortable. I don’t know any specialists who would be okay with this let alone facilitate it so must be a very different system to any I have ever worked in. Seems very odd and prone to ‘abuse by hysteria’ for want of a better term. 

Well that would be because you are not accustomed to this type of health system. Australia's system is definitely not stock standard.

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MumsyToBigOnes
40 minutes ago, maryanneK said:

I'm not sure why you're having such a hard time understanding it? When I was pregnant I saw my OB all the time and she always said to just call her any time with questions or problems. So if I had a bizarrely painful incident with chilli where it shouldn't be and I was in pain and worried about damage, I would have called her direct too.  Not sure why you are giving the OP such a hard time.

I’m not giving them a hard time, I genuinely want to understand how it works. I’m very familiar with health systems from many different countries but what is described seems different again so I would like to understand. If there are positive aspects to a system we don’t have here we need to look at feasibility of incorporating these, yes a long hard slog with everything bound tightly in red tape but eventually possible. 
 

With what has been added I now understand that there is no partial reimbursement so the issue of time wasters is not applicable. It also seems there is an oversupply of specialists. Our system has a definite deficit, wait times are too long in general so definitely no capacity for self-referral. Many European systems are better in that they have a greater number that facilitates a better balance with expedient processing (somewhat based on self-referral but not to the extent OP details) and more acceptable treatment times. That should be our aim, we just have layers of self-protection with colleges and other issues we need to bust through. What the OP describes seems to be much further down the spectrum again with a likely genuine oversupply. This is interesting as to how it works with quality training etc as this is one of the main barriers to increasing numbers in many health systems globally (and particularly so in ours locally). 

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MumsyToBigOnes
9 minutes ago, Soontobegran said:

Well that would be because you are not accustomed to this type of health system. Australia's system is definitely not stock standard.

Yes, I understand there are different health systems. I am well versed in many of them from a professional point of view. This seems different again, hence me delvingvto try and better understand!

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CallMeFeral
5 hours ago, MumsyToBigOnes said:

I’m not giving them a hard time, I genuinely want to understand how it works.

....

This is interesting as to how it works with quality training etc as this is one of the main barriers to increasing numbers in many health systems globally (and particularly so in ours locally). 

FYI (just in case this is helpful to you) the degree of incredulity expressed added to the interrogative style (every sentence short questions) of yoru posts created an attacking tone in what appears to just have been curiosity. I read it that way also - that you were sort of attacking/interrogating the OP about how such an implausible could even exist. That is why a few people (including me) read it as giving the OP a hard time.  I'm glad to know you weren't. 

Re the other piece, it seems to leverage overseas training. All the doctors I know well enough there (a handful) all trained overseas - often England or Ireland. I presume the barriers to practice with overseas training must be lower. Most of the doctors I know here have trained here, and the ones that haven't have had to go through lengthy, arduous, and difficult to access (in terms of getting positions that meet the criteria they are supposed to meet) measures to be allowed to practice here. I imagine that creates a bottleneck. 

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