Quote:
Originally Posted by Unregistered
Im in public. But my patients number are restricted due to specialty clinic.
I feel lucky to able to spend good 20-25min per patient.
I can really optimize my arb/statin/sglt2i dose
Even glp1 is available to me
I start my long acting insulin in quite a number of patients
I have good nursing support.
I even can counsel patients on diet, teach them saturated fat and read food product label
I asked them open their handphone app to show me the steps they taking teach day
And keep on drilling them the three pronged approach
Diet
Exercise
Medicine
I worked in polyclinic before as a baby MO.
And locum quite extensively in my early days
Impossible to do above.
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The fp clinic in polyclinic can.
15 minutes per patient and I keep seeing the same patients
Fine tune until swee swee. Many issues this visit cannot sort out next visit I work on it
Till some brilliant guy came up with teamlet model.
Work well on paper la. Useless in real life. The teamlet keep changing doctor, this visit I start something the next doctor go do stupid things . Other times I don't even know what the hell was going thru the previous rp mind. It's easy for the useless pinoy , Malaysian and Indian rp to just cont med , patient decline titration and see 3 months. Sometimes see liao very disgusted. Anaemia keep repeating fbc and throw to next doctor to settle.
U endocrinologist really just see diabetes? U sound very fam med lei
Or u work at the diabetes clinic in admiralty ?