Quote:
Originally Posted by Unregistered
Does that mean that it is better or easier to go gp land then? Can do the simple brainless stuff for good financial reward and taichi to polyclinic?
Good excuse is we don't have these medicine here, you can only get subsidized referral in ops etc.
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Really true that ops gets all the crap from gps. To be fair, sometimes it's also because gp lack the resources that ops have, and that ops is ultimately the only source of referral for subsidized care. Hence if pt wants to investigate/see specialist for something (can be a particular complaint or am abnormal screening result) but don't want to pay, then gp no choice but to refer to ops. But during my time in ops I have seen a few really extreme examples of taichi.
For example, I saw a 62 year old man, smoker, got chest pain since yesterday. Tell me last night went to see gp, who happened to be locum. The gp gave some painkillers, tell him not better go polyclinic tomorrow for ecg. (???)
- I did ecg, showed twi in anterior leads, sent to Ed, cath lad lesion, pt had pci.
In ops, we give pt Ed advice, meaning, if they are not better, to go Ed for evaluation to rule out xxx.
But in gp, it seems that the return advice is if not better go polyclinic for further advice. Lol