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The Forum > General Discussion > Medical Centres and The Five Minutes Consultation

Medical Centres and The Five Minutes Consultation

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My story relates to a Medical Centre in Hong Kong, yet I suggest the same events could have happened in Oz:

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?
Posted by Oliver, Tuesday, 22 January 2008 3:18:05 PM
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Dear Oliver,

I had a similiar experience. I had rectal bleeding and went to my GP
who diagnosed me as simply being - "constipated," and told me not to worry about it. However when the bleeding increased - I went back -and again was told it was simply - a digestive problem.

It was on my third attempt that I finally managed to get a referral to a specialist for a colonoscopy. It was during the colonoscopy that they discovered a tumour...

The rest as they say is history...

I hesitated about sharing this "personal stuff" on this Forum and the only reason that I am doing it now is that it may help some one else not to delay - in getting the right help as soon as possible. Don't believe your GP. Go with your gut feeling
concerning your health. Doctors don't know everything. They can make mistakes - same as the rest of us. And not all doctors deserve their
title...
Posted by Foxy, Tuesday, 22 January 2008 8:48:17 PM
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This is all the result of socialised medicine.Doctors who don't really care or just too busy churning out sausages.

18 mths ago I went to a medical centre with a persistent rash.The reponse from one of our imported Drs,"What is it?Don't come near me."With this statement she cringes in her chair.Is this the sort of unprofessional behaviour we can continue to expect in the future?

I have lost a lot of respect for the medical profession,but the blame must lie with us ,who expect free medicine on tap.The result is that the system gets abused by many.We all should pay something to see a Dr,then the standards will rise.As a result of this and the symbiotic relationships between big drug companies and DRs,people now seek out alternate health practioners and there are a lot of charlatans in that industry.
Study your own body,do some research yourself.Common sense is often both a solution to preventing health problems and solving minor illnesses,since most of the time ,we don't need to see DRs.
Posted by Arjay, Tuesday, 22 January 2008 11:36:18 PM
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My medicines are not free nore are my trips to the doctor 12% of my monthly income is spent on both.
Doctors mind seems focused on other things and I doubt I am alone.
Truly a bit stoic I felt near death for a few weeks and went many times to the doctor who offered nothing .
After x rays found I had pneumonia for 3 weeks doc offered to change my medication! I had to inform him I was on none!
A older Doctor much older filled in a gentle nice bloke, took his time the waiting room filled but we all got better, health is it more important than money?
Gladly pay more so every one gets a few more minutes in that small often silent room.
Posted by Belly, Wednesday, 23 January 2008 3:47:33 AM
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get used to it, guys. this is the natural state of capitalism. people are atomised, into individual cash aphids. you are nothing but a money-source to service providers, labor-source to employers.

this is the end result of a 'commercial' society. in a 'political' society, people are members of a group where decisions are made through discussion and voting. the personal interaction makes you a human, not a walking atm machine, or keyboard actuator.

but you're satisfied with the structure of society, aren't you.
Posted by DEMOS, Wednesday, 23 January 2008 6:52:29 AM
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I know a number of doctors (GP's and specialists) and nurses and they've also pointed out the system under which they work is by no means adequate. Although a fictional show, House epitomises the sorts of situations many of these centres face ... after all, as Demos points out - it's a business. Look on the bright side though ... at least in the city their are services (much of rural Australia are struggling even to lure an incompetant doctor).

Something I'd love to see forced into the qualification process for GP's is forced work as nurses during their training. Appreciate what it is like to provide the patient care in hospitals and the like - change beds, shower the elderly, etc etc - before running off into a private practice and diagnosing based on a google search.

Might I add there are similar issues in the teaching profession - which may not be as acute in diagnosis but have as wide ramifications longer term.
Posted by Corri, Wednesday, 23 January 2008 9:37:56 AM
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