Quote:
Originally Posted by Unregistered
Even 5 patients an hr is tiring as they r mostly elderly with many chronic medical problems and sometimes acute problems too.
In GP land, the patients are mostly with simple problems, uncomplicated compared to polyclinics.
I see 40-60 patients in a typical 8 hr day as a GP in a big group chain and generally not too tired when I go back home. Can still go shopping and do other things. But I remember last time in polyclinic, it was really shag. Maybe thimgs are better now.
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End of the day
It's the training.
1st time see complex elderly sure sian.
So many issues, complain this complain that
MO or gdfm don't train u for this.
They do sure overwhelmed and hence feel stress plus plus
Got someone guide u how to dissect the issue and prioritise and work down ok one
Anyway not every case complex.
I say generally 50 percent well chronic.
V fast one.
30 percent 1 or 2 poorly controlled
Counsel a bit. Got energy counsel more. End of the week like today, aiyah u want die earlier go die earlier la.
Of the remaing 20 percent maybe only 5 to 10 percent truly complex.
Different cluster handle different.
Some clinic got complex care clinic
Some got FP clinic
Some got pple doing fellowship peddle the case to them
Acute is anything goes
I hate those multiple issues one.
I can be enthu for 2 or even 3 problems.
The moment u start to bring up tummy pain from 5 years ago...my tone be become very hostile liao
I wish one fine day we means test everyone who come polyclinic
The rich and educated ones are the worse.
Come and abuse the system wanting referral for everything.
Friend did threadmill privately. He come say he want .
I chk no symptoms and he ran 8km everyother day no symptoms cannot send.
Suddenly oh..I got chest pain before.
Bloody faker.
One retired banker living in a 8 million landed ask me for vitamin c because cheaper.
Their subsidy level should be based on means testing.