this post was submitted on 10 Aug 2023
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So, during the pandemic my family doctor, who is American, went back to her country, leaving me without a medical professional.

When the pandemic ended, I went in search of a new family doctor in my city in British Columbia. However I couldn't find one. I did find a nurse practitioner who can do most of what a doctor can do, including prescriptions.

In October, 2022, she asked me to do a standard physical at Life Labs so I did. She called me on the phone later to say everything was fine.

However, 8 months later, in June, I was called by an outpatient medical clinic asking me to come in for an EKG. Confused, I asked why. And they said it was triggered by my visit to LifeLabs and requested by my primary care provider.

I went for the EKG, which ended up being an ultrasound. That was June 27.

Then I waited. And waited. And waited. Nothing.

I finally called my NP and asked why I haven't heard back on what the results were and the receptionist said it's standard practice to only contact patients if follow-up is necessary. But I felt like something must have triggered the follow-up EKG/ultrasound so I wish I'd been told what that was and why I visited the hospital for it.

However, the tone of the receptionist made me think it's the normal way and I'm just being entitled.

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[โ€“] [email protected] 18 points 1 year ago

Generally yes they will only call you if there is something wrong. Family docs / NPs have too many patients and tests to call everyone with normal results in most cases. A few things are weird about your case though.

  1. 8 months for a follow up test
  2. not telling you why you needed it
  3. not scheduling a follow up

While I'm sure stuff like this happens often, ideally it isn't supposed to. You should call your NP and schedule a follow up yourself.

[โ€“] [email protected] 10 points 1 year ago* (last edited 1 year ago) (2 children)

Yes, Iโ€™ve wondered this in the past and that is my experience: theyโ€™ll only contact you if a test indicates a problem or they need you to come back. I suppose they figure itโ€™s needless time and expense to call and say โ€œoh, everything is fineโ€.

Iโ€™ve had doctors miss important results though (a positive celiac blood test!), so itโ€™s always good to check with them if you donโ€™t hear anything. You can get most everything from their websites and apps these days though.

[โ€“] [email protected] 7 points 1 year ago

Yeah, you always think of the negative stories you've heard. For example, my accountant's husband had an operation and the surgeon didn't do a follow-up with him and he passed away from a blood clot. The widow feels that if the surgeon had done better follow-up care he could have sought help and lived. I guess I just want that reassurance that I'm being looked after and not just another number in a health care system.

I also recognize it could be a time sink to call and say "hey everything's fine" but it sure would make me feel better/appreciated as a human being.

[โ€“] [email protected] 3 points 1 year ago

In island health, test results with comments are often available right from the app. X-ray images right there, too. A friend of mine had her shoulder images with comments within 24 hours when she was checking (for a prescription, but noticed the new images).

They're killing that as they harmonize everyone's experience down to Frasier levels, I hear, which is almost the stone age.

[โ€“] [email protected] 9 points 1 year ago

When I had a family doctor he was making sure to tell the results over a follow-up appointment, good or bad, I really liked his empathy. I wish this was the standard..

[โ€“] [email protected] 9 points 1 year ago

I'd say that's the case in my experience anyways. No news is good news.

[โ€“] [email protected] 6 points 1 year ago

@NathanielThomas

This is what every doctor I've seen (in multiple provinces) has done for decades.

They used to tell me they'd only call if there were issues, but most don't say anything anymore because it's common practice.

[โ€“] [email protected] 4 points 1 year ago (1 children)

Yup, Canadian healthcare is a disaster, only second to the US system.

[โ€“] [email protected] 11 points 1 year ago (1 children)

Facts put Canada as 5th best in the world, behind Sweden, Denmark and some of those neighbors.

5th. I know! Bizarre! I had occasion to look it up when my swedish friends were complaining about their healthcare (3rd best globally).

We're not second only to America, but there's a massive difference. We're not awesome and we need to get better, but our system could be so, so much worse. We lost a lot of doctors during COVID, and I don't blame them because we couldn't do the bare minimum as a society, but it's going to be a long while before staffing levels are back up.

[โ€“] [email protected] 1 points 1 year ago

You say that like politicians are doing anything to bring staffing levels back up.

[โ€“] [email protected] 3 points 1 year ago

That has definitely been the case for any STI testing I've had

[โ€“] [email protected] 2 points 1 year ago (1 children)

Sounds pretty Canadian to me. We have private healthcare in everything but name. I'm on the hook for a $2500 dental bill for my kid right now. It's medically necessary. My insurance won't cover it. We can't pay it.

Meanwhile, the NDP are jacking themselves off over how they, "got dental and pharmacare for everyone^1^!!!

^1^ Does not apply if you have a job or a home. Until after the next election, when the program will be cancelled.

[โ€“] [email protected] 17 points 1 year ago (3 children)

Your disappointment over dental surgery costs not being covered has made you really hate on the least-worse hope we have for costs like those being covered in the future and painted an untrue picture of healthcare in Canada.

Are you Albertan, or just shitting on things that could help you out of sheer anger and a desire to self-harm?

[โ€“] [email protected] 6 points 1 year ago* (last edited 1 year ago) (1 children)

Are you Albertan

Yes. I live in Hell, thank you for asking. Knocking on doors for the NDP is a nightmare here, but I do it, because it's the least bad possible outcome.

or just shitting on things that could help you out of sheer anger and a desire to self-harm?

No. I'm being realistic. Why assume I'm angry about the government in bad faith? I have real material grievances: The current dental program doesn't help us pay for one cent of my kid's surgery. We're going to need to resort to payday loans and pawning stuff to pay for it. That's real anger about real stuff.

The Liberals will never follow through on rolling dental and pharmacare out without multiple layers of means testing. The NDP are going to force an early election they have no serious platform for, and will royally bungle their campaign. As is tradition.

Once the Conservatives are back in power in a year or two, the program will be cancelled. As is also tradition.

[โ€“] [email protected] 8 points 1 year ago

While I completely empathise with your frustration, I still don't understand why this leads you to attack the people doing the most to address the problem, rather than the people doing nothing, or actively making it worse. That's just self-destructive behaviour, and worse, it hurts everyone else at the same time.

[โ€“] [email protected] 1 points 1 year ago

very liberal comment here

[โ€“] [email protected] -4 points 1 year ago

Are you Albertan, or just shitting on things that could help you out of sheer anger and a desire to self-harm?

Are you a prick? or just shitting on people that you generalize?

[โ€“] [email protected] 1 points 1 year ago

Yes, looks like a standard practice in QC too. You can pass all kind of tests and... hear nothing...