The Forum > General Discussion > Medical Centres and The Five Minutes Consultation
Medical Centres and The Five Minutes Consultation
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In April, 2007 a patient presented to the doctor with the system that he was bleeding from the anus: Said doctor made an examination and commenting "don't worry we will look again, when this Heamaroid is better". Suspecting more than this, the patient emphasised that the material was atomising [a polyp?], not just loose. "No it's okay", was the doctor's retort. In all five minutes in the room, then out the door.
It turned out be be Stage 3/4 cancer. Back in Australia,there was a week's delay to see an Australian oncologist, because the AMA [no legal reason] would only accept a referal from an Australian GP, not evenan English educated specialist [after, the patient had pushed the point].
The patient even emailed the AMA about this referal nonsense and was ignored. At the Australian Medical Centre the doctor said, he didn't understand all the terms used by the HK specialist. Five minutes, out the door.
Treatment in Australia by the specialists was excellent. The Medical Oncologist said he could, "not emphasise too strongly the importance of keeing a strong immune system intact" for the next two years to prevent recurrence.
Back in HK, he saw the same doctor the Medical Centre. He was very relunctant to order blood tests despite what the Oncologists said. Five minutes out of his room. The doctor called by phone and said "nothing is wrong". Two minutes off the phone.
The patient noted the Neutrophils were over the normal range and the Leucocytes way, way under the normal range. In Oncology, the NLR [neurophil over leucoctye ratio] is highly significant. Oncologists have confirmed this matter. Dr Five Minutes did not seem realise this or was just too lazy to do the stats. involving a small equation between to figures.
I wonder how many patients experienced similar hardships from the super-commercialisation of medicine: Patients on a conveyer belt: door hidges that are over worked. In medicine are we graduating morons or just entrepreneurs?