Home LATEST NEWS HEALTH One problem per medical consultation, no more!

One problem per medical consultation, no more!

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This is what Louise experienced during a consultation in a clinic in the east end of Montreal.

When I arrived in the doctor’s office, I said to him: “I have three things”. He said, “No! We’ll just take one!” »

A quote from Louise, a patient

: \”No! No! No! It’s not true that I’m going to come back here three times!\” So, in the same sentence, I told him all about my problems: I have pain in the clitoris, in the vulva and I have lesions on one buttock”,”text”:”I said to myself: \”No! No! No! It’s not true that I’m going come back here three times!\” So, in the same sentence, I told him all my problems: I have pain in the clitoris, in the vulva and I have lesions on one buttock”}}”>I said to myself: “No! No! No! It’s not true that I’m going to come back here three times!” So, in the same sentence, I told him all my problems: I have pain in the clitoris, in the vulva and I have lesions on one buttockshe says.

Louise is also happy to have insisted, because her three health problems were all related and led to the final diagnosis: shingles. Imagine! I could have left the doctor’s office with shingles without treatment! Shingles is nothing! the patient is indignant.

Danny got an appointment at a walk-in clinic in Sainte-Julie, about 20 kilometers from his home. He had respiratory problems. He says that after the examination of his lungs, which lasted about five minutes, the doctor did not detect any major problem. Reassured, he tried to talk to her about his second health problem.

I wanted to tell him about my psoriasis, because I had new patches on my arm. She said, “No! We have to make another appointment.” I was surprised it came from a doctor! »

A quote from Danny, a patient

However, according to him, it was only a renewal of a prescription for a cortisone cream.

On social networks, similar testimonies abound.

A doctor refused to give me a prescription without making a new scheduled appointment weeks later, so I had to go without treatment while waiting for the new appointment.says a user.

A family doctor has already refused my mother to process her three consultation requests. He told her that “when you make an emergency appointment, you choose only one reason for consultation”. She therefore had to reschedule an appointment for her other medical issues.according to another testimony collected on Facebook.

It’s been twice with two different doctors that I’ve been told that I’m only allowed to talk about a problem.deplores another person on the social network.

According to reports, in some clinics it is the receptionist who warns the patient that only one subject can be discussed with the doctor, sometimes it is the nurse, but often it is the doctor who tells him- even the patient to restrict himself to one problem. Some clinics have even printed a form where the patient must write the sole purpose of his presence.

Fast food medicine! »

fast food! This is not the table d’hôte! We take an item and it’s over!”,”text”:”It’s fast food medicine! This is not the table d’hôte! We take an item and it’s over!”}}”>It’s medicine fast food! This is not the table d’hôte! We take an item and it’s over! says the professor in the Department of Management, Evaluation and Health Policy of the School of Public Health at the University of Montreal, Régis Blais.

Does it allow more patients to be seen by a doctor? Maybe, but that’s not the right way to do it. A patient who comes to the appointment and does not have a family doctor may need a check-up, he may have an acute problem. If we are talking about a family doctor, he should take care of the whole personhe adds.

Regis Blais.

A patient should not have to prioritize their own health problems, according to Régis Blais, full professor in the Department of Management, Evaluation and Health Policy at the School of Public Health at the University of Montreal.

Photo: TurnedNews.com

Moreover, the patient should not have to prioritize his own health problems, believes the professor. The patient is not always in the best position to say what the most pressing problem is. Perhaps the patient has high blood pressure, but is coming for an ingrown toenail or an ear infection, a minor problem that seems to him the most urgent, but is not the most important. And if he has to come back in a few weeks or months for treatment, the problem may have gotten worse.he explains.

Ethical obligations

Health lawyer Patrick Martin-Ménard considers this practice unacceptable. It is totally unprofessional to limit a patient’s condition to a problem. In doing so, the doctor is depriving himself of information that could be of great value in properly diagnosing the patient and referring him to the right authorities. So this way of doing things is incompatible with the ethical obligations of the doctor.he said.

According to him, this expeditious medicine is not without danger. In the end, we end up in a walk-in where we try to ration the patients’ time. It’s clear that it opens the door to all kinds of situations that can endanger the life, safety or integrity of patients.says the lawyer.

Patrick Martin-Menard.

Health lawyer Patrick Martin-Ménard considers this practice of certain doctors unacceptable.

Photo: TurnedNews.com / Ivanoh Demers

Me Ménard reminds that dissatisfied patients can file a complaint with the College of Physicians. In some cases, there may also be civil liability lawsuits if a doctor has committed a fault that has caused harm to the patient.

Overload and Shortage

The president of the Federation of General Practitioners of Quebec, Dr. Marc-André Amyot, assures us that this practice is not the norm and recalls that in a context of “walk-in”, time is limited.family doctors in Quebec”,”text”:”If doctors could spend more time with patients, they would, but there are still 1000 family doctors in Quebec missing”}}’>If doctors could spend more time with patients, they would, but there are still 1000 family doctors in Quebeche said.

He adds that he still wants every patient to have a family doctor, but that goal is not realistic at this time.fewer graduates this year in Quebec and 65training positions have not been filled”,”text”:”To achieve this, we must work on promoting family medicine, because there are 40 fewer graduates this year in Quebec and 65 training positions have not been fulfilled”}}”>To achieve this, we must work on promoting family medicine, because there are 40 fewer graduates this year in Quebec and 65 training positions have not been filled.he laments,fewer doctors in two years.”,”text”:”There will be 65 fewer doctors in two years.”}}’>It will be 65 doctors less in two years.

According to him, Quebecers should also get into the habit of using the front-line access window (GAP) set up by the government, which allows patients to be directed to the professional or medical service that best meets their needs. their need.

Doctors can no longer provide all the needs of the population. Please, we need help and other professionals, a therapist, a nurse, a dentist, can meet certain needs. We must change the population’s reflex and keep only what requires the expertise of the family doctor. »

A quote from Dr. Marc-André Amyot, President of the Federation of General Practitioners of Quebec

For its part, the College of Physicians ensures that this issue is being examined by the College, which sees it as an access issue as more and more patients suffer from multiple conditions.

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