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Changes
When we first moved to Australia in 1994, I was halfway through my first pregnancy and started seeing a gp in the practice the Scientist’s family had been attending. I must admit it was a very odd experience seeing a doctor here. It was all much more relaxed and patients even would call the doctors by their first names sometimes. There were none of those paper gowns I’d grown up experiencing. When a gown was needed, it was cloth. And for the most part, there were none of those exceedingly long waits for the doctor to finally grace us with his or her presence. Initially we went to the same practice the Scientist’s family had been using. I went to the female gp, who was the wife of the one the Scientist had seen for years.
Eventually we switched to a practice closer to home and we were happy enough there for years. It went from a small practice with one or two doctors to a medium one a few years later with six or seven. We were still pretty satisfied there even though it was a lot busier. I’d had the mistake of going to the registrars a lot back then. I had several really good doctors but then they would shift to other practices or finish their training and I’d have to find someone else there. I did finally have a gp I saw regularly for ten or more years. I liked her a lot although I would never say I loved her. At some point I needed to see a doctor more urgently and found myself with a different gp and I really loved her. On top of that it was easier to get appointments with her and I could use online appointment apps to get them. It was all going quite well and then that doctor disappeared and I was back to square one. By this time the practice had moved into a purpose built structure and had become really large and sterile. It was all very modern but truly a sterile place. I moved around from one doctor to another the past couple of years but haven’t found anyone I was really comfortable with. My previous gp had gone on maternity leave and come back to a lower patient load. I had discovered by accident that the doctor I’d really liked had started at another practice a bit further away. I had almost made an appointment there and done the extra travel but then I found she wasn’t taking new patients. And then more recently I found she was no longer at that practice but now at another one and I pondered what reasons for another change could be. I decided it was for the best I hadn’t tried to follow her in the end since this could be a regular problem. Anyway…
The Scientist and I talked from time to time about changing to a new practice for various reasons. The problem is finding one we would like. Also, it’s hard to leave a place we’d been using for over twenty years. The Scientist had been really ready to jump ship well before me but last year some major medical issues came up and that was put on hold. Meanwhile I had been trying out different doctors to see if I could find a good fit. It just wasn’t happening with anyone I was seeing.
In the past year or two, my diabetes management hasn’t been all that great. I ended up on medication for the first time when diet and exercise weren’t enough. I won’t say I was doing everything perfectly but even at best I still was struggling to keep my blood sugar in range. I had seen one gp who was supposed to be good with weight issues and diabetes. In some ways I liked her but I wasn’t totally comfortable. The last time I saw her she told me we’d have to look at insulin should things not improve after a few months.
So what happened is I was up and down on doing things right and I procrastinated a lot. And then recently I decided to seriously look at other doctors and see where I could go. Finding sources of ratings wasn’t easy but I did find a few and looked at one place that’s a bit of a drive (compared to a local one) and then stumbled on a practice that’s in the next suburb. Turns out all the doctors seem to be female, whether by design or not, I’m not sure. One of them listed herself as having a wife and there’s another doctor there with the same surname so I suspect that is the wife. It’s always nerve-wracking trying to decide on which doctor to try just by reading what’s listed online. In words the doctor sounds great but you really can’t be sure if you will find a good connection. Anyway, I need a new prescription for my diabetes meds so made a choice and went in yesterday.
At first I was a bit put off when the receptionist made a point of reminding me it was a private billing practice so there would be out-of-pocket expenses. It wasn’t that this was the case but the way it was said that bothered me. I was fine with it and said so then filled out the paperwork and waited. I didn’t get called back right on time but it wasn’t long after. The doctor I’d chosen is originally from Germany but has been in Australia over twenty years. I was expecting a European accent but instead she sounded more like someone from the UK, maybe Scottish or Irish…weird.
Anyway, she started off by apologising that she’d need to go out at some point as there was some sort of urgent situation she needed to attend. But she said she didn’t want to keep me waiting so had brought me in to get started. She was really good and went over my medical history and covered heaps of information. In the middle she did have to go out but she again apologised when she returned and again at the end.
With regard to my diabetes I did admit to procrastinating about following up on blood work from before. I mentioned I’d been put under threat of insulin but had been up and down in my efforts at improving my diet and exercise. Anyway, she told me that it wasn’t about whether I was doing well or not, I needed to follow up and get treatment. She also pointed out that there was lots more we could try before insulin. I do feel the previous doctor was using scare tactics…but I guess that didn’t work. She asked if my meds were time release or not and I didn’t know but assumed not since I was taking it multiple times a day. She went on to say that most patients do better with the time release. I wondered why this was never mentioned before. The other thing about time release is that it’s easier on the stomach which also means it possibly would help decrease irritable bowel issues. I again wondered why this wasn’t mentioned before. She also made a point of showing me how the fact I don’t smoke makes a huge different on my cardiovascular risk and how I shouldn’t focus on what I’m doing wrong all the time. She made a lot of good points which made me feel better about my efforts or lack of efforts…which just made me feel better in general.
I left that appointment feeling like I surely made the right decision to start anew. And I kind of wish I’d done this years ago.
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Possible new doctor?
Last week I discovered I was out of the thyroxine I take for my low thyroid so I stopped in to my doctor’s office to make an appointment. My regular gp is away until later this month but the receptionist offered to book me in with another doctor who just happened to have an appointment available about an hour later.
Usually I am underwhelmed or totally uncomfortable with seeing a different doctor but this time I felt quite at ease early on. She actually looked at my notes and checked on a number of things, including the fact I hadn’t gotten around to having my blood tests since I last saw my usual doctor. So she wrote out a new request and then she attended to a query I had about some new foot pain in the past few weeks. She sent me off for an x-ray and I saw her again today for a follow up. The x-ray doesn’t show any issues with the area of the foot in pain so I will be seeing a podiatrist next month to follow up.
It seems my iron stores haven’t actually recovered from the problems I had last year. So I get to go back on iron tablets for a while. I still have some from last year so I might try taking them on alternate days and see if that helps.
It seems my good cholesterol levels are also too low so I also need to find ways of getting that sorted in my diet. She suggested fish oil capsules but I don’t really like them so will look at alternatives, especially getting more of the right stuff in my diet.
This new doctor is close to my age and she seems to be able to identify a lot more with the sorts of issues I am going through in these perimenopausal years. This isn’t to say I don’t like my regular doctor but maybe it’s time to mix it up a bit and try someone new. A bonus would be that I can make appointments online for this one where I can’t for my regular gp. The online system doesn’t seem to have a way to identify patients with doctors who are no longer taking new patients so I still have to phone up for appointments instead of making them in the middle of the night when I am thinking about it. D
Oh and she is also going to have me do an ECG tomorrow just because of family history of heart issues and my cholesterol being less than ideal right now.
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New and improved
Our local doctors group moved into a new surgery a few months ago. It’s all quite modern, but a bit sterile in the overall look. In addition, they recently added themselves to a service that allows patients to make appointments online. In theory this is a good thing since it frees us the surgery staff to do other things instead of constantly answering the telephone. It also allows me to see what’s available and choose rather than depend on the staff to tell me. My first experiences using it were a bit mixed. We’ve been going to this surgery for probably sixteen years so our family is well-known there. We’ve seen the practice grow from a fairly small office with one regular doctor to a bigger one with six or seven doctors and now to a rather large practice with about ten to fifteen. Â We haven’t always seen the same doctors but have settled in with regular doctors in the past few years. I’ve been seeing Dr. S for at least five or six years now. I’ve been mostly happy with her and she knows me well. I needed to see a doctor recently and decided to try out the new system. Dr S didn’t have any appointments showing as available. I scheduled with Dr T, who I saw on my last visit when I hurt my shoulder. A few days later I went back and discovered there were a few appointments now available with Dr. S. But when I went to try and schedule with her, I got a message trying to tell me she wasn’t my doctor and she wasn’t taking on new patients. A bit frustrating but as it was the weekend, I went back and rescheduled with Dr T as it wasn’t essential I see my usual doctor for this visit.
I went to my appointment and Dr T was fine for the main issue I needed to see someone about. I also discussed another issue and ran into some difficulty because this new doctor doesn’t know me or my history. Much of the time was spent with her referring back to previous notes on my record and clarifying issues. In the end I didn’t feel she quite understood the situation that well and will need to revisit the subject when I next see my usual doctor.
I did ask about the online system when I went to settle my account at the end. Seems the system was set up in a way that it’s necessary to manually add the doctor to the patient. At least this is the case for the more established doctors who already have quite a number of patients on their books. I’ve now been set up with Dr S listed as my regular doctor so it should work properly in the future. I’m relieved this worked out as I would much rather do online appointments than have to call each time.
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Brain scattered far and wide
I decided to cycle up to the video shop to return some dvds this evening. I arrived there, five kilometres later and was locking up my bike when I realised I hadn’t worn my helmet. This is the second time this has happened but the previous time I hadn’t gotten nearly so far away before I realised my mistake. I also discovered upon entering the shop that I had left the second disk in one dvd set in our player, thinking I would watch a short film that was included. To fix this I was planned on telephoning the Scientist, however my phone was lacking any battery power. I am really not so great at keeping that thing charged. I went to the closest pay phone and popped my fifty cents into the machine, then dialled. When the Scientist answered, he couldn’t hear me and he eventually hung up. A second fifty cent piece was used with the same result. I ended up going across to the markets where another phone existed and had the same thing happen the first time. I was feeling a bit paranoid by this time because I think I do know how to use a pay phone. Fortunately my fourth try succeeded and the Scientist was dragged away from the depressing cricket match to return the second disk and my helmet. So much for saving fuel but the return trip was uneventful.
I think my brain became rather muddled earlier in the day when I took Game Fanatic to the gp in order to get referrals to a doctor and a psychologist for this year. Normally the referrals are done just for him but the new doctor he’s been referred to requires that I also be on the referral for reasons unknown to me. I also had to get a referral to the psychologist in order to get support for working with both the boys. It all has to do with getting partial funding from the government health care program. For one of these, it was necessary to to do a mental health plan for me. This is where things got murky because I was being asked many questions about my mental health. I wasn’t feeling particularly anxious going in, having experienced a number of similar appointments for my kids before. But I must admit to feeling highly anxious by the time we left. Because of the way everything has to be done, it felt like my mental health was being questioned and while it’s probably not optimal, I think I am doing pretty well overall. The really weird part, though, was when the gp started talking to me about my general medical history and that felt uncomfortable for me. I see another doctor in the practice for my own medical issues and it kind of felt like he was invading that territory. Eventually it was worked out to leave the medical part to my regular doctor when I am due to see her in a few weeks for a regular visit. My brain was feeling overwhelmed by this time and it was a great relief to be finished with the appointment.
It would seem that the anxiety and brain fog that struck me during the appointment stayed with me through the afternoon and into the evening. I must have been very distracted to be so scatterbrained when I went out. Hopefully a good night’s sleep will put me back in good form and spare me any more errors in my thinking processes.
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Cold hands and feet
This morning I took a bus to an appointment at the teaching hospital near Perth. I had to be there at 9:45 so the Scientist dropped me off at the bus station where I caught a direct bus. Although the temperature wasn’t really all that low, it sure felt cold this morning. The bus trip was mostly uneventful and I arrived about twenty five minutes early. I went ahead and signed in at the clinic since there was little else to do. I’d barely sat down when I was called back to sit in the corridor outside the office. It was pretty quiet when I arrived but that was soon to change.
Some patients had been there long before I arrived and were still waiting. One man nearly walked out and another woman wasn’t able to be seen because something was missing from her file and they had to wait for the medical records department to send it through. She was very upset by the time she went in, just before me. Both had been there for appointments scheduled for 8:30 am. Having experienced a lengthy delay in the past (due to an admin. error), I came prepared for a long wait. I used my pda to continue reading Great Expectations. My only concern was that the battery would conk out early and I didn’t have a spare. Fortunately I was called in before this occurred.
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Another appointment
Seems we’ve been on the run most of the week and possibly will be out on another long journey tomorrow. Part of me hopes we can stay home until Saturday since we’re leaving on our short holiday early Monday morning.
Today’s outing involved Lego Lover’s latest appointment with his pediatrician to review medication issues. The previous medication didn’t have any visible effect so we stopped that one and started on the one he is currently taking. At the time, we had to stop another medication that he takes to help him sleep because the current one is supposed to make him very sleepy. That hasn’t been the case at all and he is often awake well into the morning hours. The good news is that he hasn’t had the typical appetite increase and weight gain that is common with this medication.