I enjoyed working yesterday. Virtual doctoring. Serving to complete and sigh forms for patients to obtain insurance and credits they are entitled to as a result of their disabilities. It’s often just ‘smart’ ‘clever’ business delaying tactic. Patients are injured and legal settlements dccide what they deserve but often they need doctors like me to regularly confirm their disability which rarely changes. Yet the shortages of doctors results in major delays to people who are usually poor getting the much needed funding. I’m glad to help. I just hear so often how thankful people are that they have found me, I’m still working, that their insurance company demands a specialist and yet seeing a specialist may take a year or more. So many of my patients haven’t a family physician who is often the one who is supposed to complete the forms. Walk in doctors rarely will do it. So I’m glad to help and have a purpose. A cog in the wheel.
I hear the same with controlled substances. Dozens of my patients require controlled substances and thanks to years of advanced training since I was a family physician I am the one who monitors and provides the prescriptions for these meds which have major risks, though life saving they can be dangerous, have potential for abuse and also divergence. Then there’s the very complicated patintns are are most of my seriously ill patient who depend on polypharmacy to manage a day. Yet any change in medication can affect the dosage of the other medications which are commonly at maximum therapeutic dosage already. These chronic patients also are sensitive to any change in medication and resist change. In the past we would admit them overnight to hospital but today there are no beds.
I object to the incompetence of management which brought in a million people last year many of who had health care needs in their families. There were not even sufficient housing for them but as important y no needed expansion in infrastructure like hospitals , labs, doctors nurses. I’m irritated that we are waiting 6 months for a test that normally I’d get in a couple of weeks and my patients is facing another 6 months of anxiety concerned that these investigations will be concerning. I’m wisely and reasonably doing the correct investigation in stages but it’s truly a nightmare to wait so long because the last PM was a selfish party boy insensitive to the needs of the mentally ill and elderly. Increasingly I feel the community grow callous but I just know it’s my fear talking.
There is hope. The tyrant is gone and while the election rewarded his cronies there’s hope that the new leader experienced intelligent isn’t a party boy but a serious adult. I would have liked the conservatives to have won because western Canada is treated like a colony by Montreal and Toronto but I really am hopeful and must resist what the young call ‘doom zooming’.
I think I have flower DNA in addition to the homo sapien and Neanderthal DNA. It’s rainy and gloomy now and my mood is lower while when the sun is out I’m uplifted. It’s telling to be so reactive to weather.
This is my last day here. Tomorrow morning I head out taking the direct fought to Kenora. I’ve 23 hours or 2100 KM to go and with Gods’ blessing may get to an RV camp in or near Ottawa Monday which Belinda at the Royal Columbia Clinci told me is a holiday.
Thank you God for family and friends. Thank you God for Madigan. Thank you God for the mild weather, green trees and grass. Thank you for the wonderful smells of the prairies. Thank you for air. Thank you for rain. Thank you for sky and earth. Thank you for patients and my ability to help them. Thank you for pharmaceuticals and science. Thank you for my teachers. Thank you for research. Thank you for University of Manitoba and UBC. Thank you for Canada. Thank you for Laura. Thank you for Adell, the nephews their wives and the great nephews. Thank you for this camper and truck and this adventure. Thank you Jesus.