Dr ARUN GHOSH: Why it’s crucial we save this life-saving human touch 

There is a case from the pandemic that will always stay with me of a man given appointments remotely. He was 24 and suffering from lower-back pain after exercising.

He was given a telephone assessment, and a colleague gave him ibuprofen and told him to rest. When the pain continued, again he booked in for a telephone call, and this time he was referred to a physiotherapist.

This young man had myeloma – a type of bone marrow cancer – which was eventually picked up late because he hadn’t actually been physically examined for almost six months.

I often think if he had been examined in person sooner, the doctor might have seen this was more than a simple back injury. Technology can work well for younger patients who need something straightforward, such as emergency contraception.

On remote appointments, you can only really take someone's history, and they may not think to tell you the most important symptoms, writes Dr Arun Ghosh

On remote appointments, you can only really take someone's history, and they may not think to tell you the most important symptoms, writes Dr Arun Ghosh

On remote appointments, you can only really take someone’s history, and they may not think to tell you the most important symptoms, writes Dr Arun Ghosh

But my concern is that it really isn’t a replacement for a hand on the tummy or listening to someone’s breathing. As a junior doctor, you are taught to take a history of the patient’s symptoms, do a good examination, and then come up with a diagnosis.

On the phone, you can only really take someone’s history, and they may not think to tell you the most important symptoms – plus they only have a few minutes to tell you about it, as these appointments are generally shorter than face-to-face ones.

Even with video consultations, I often think afterwards, could I really be confident I had seen an infected insect bite, or was it a blood clot? Many GPs, especially locum doctors, now prefer remote appointments. They get paid to sit in their own home, which makes it easier to deal with family commitments.

But there are good reasons for face-to-face appointments. In a surgery a doctor can see from a patient’s medical records that someone hasn’t had their flu jab, or their child hasn’t had their vaccinations.

I also worry about the domestic abuse cases, where anxious women would repeatedly come in with children who had minor illnesses. We would ask questions about how they were coping, and then discover what was happening at home. But that is much harder to do on the phone or online, when they are speaking from home.

With phone appointments, there is also a risk that calls won’t be answered. And there is the importance of trust, now that most patients aren’t able to see the one family doctor they have had for years.

If a patient doesn’t feel the GP is really paying attention – often they can hear you typing as they talk – they may not provide all the information on their symptoms.

I want to embrace technology, but as a doctor who has been doing this for 20 years, I think face-to-face appointments are very important, particularly when it comes to mental health. Just seeing a patient in person, and reassuring them with a physical examination, can remove a burden they have been carrying for weeks. 

Link hienalouca.com


Tips to Find Low Priced Luxury Holiday Package Deals Fast

For most families, it has already been a common practice to spend the Holiday season in a foreign location. This is caused by the aviation market changes which have given a lot of benefits for people who travel a lot. Airfares going to different tourist destinations are becoming more inexpensive. What does this mean? If there is a perfect time to purchase luxury holiday package deals, now it the right time! Based on the market trend nowadays, you can save both money and time when you go for a luxury holiday. There are countless offers that combine travel and accommodation in one package which is a lot cheaper than getting separate deals. Aside from that, it is also risky to individually book the services that you need for the vacation. You might end up missing out on some important details of the trip. Unlike when you take advantage of luxury holiday package deals, you can be sure that everything is organized meticulously and according to what you really need. Nonetheless, you would still need to carefully select the package that would fit your needs. Review the following tips in getting packages that are reasonably priced. · Normally, luxury tour packages include accommodation, flight travel and transportation to individual tourist destinations. It would be best to choose the complete package so you won’t have to worry about other vacation elements. In addition to that, these are the packages that have the biggest discounts. · You can get big mark down prices, if you will purchase more packages. It is not a bad idea to share the wonderful moment with your loved ones. By doing so, you would not only enjoy, you will also save more money. You can even use your savings for other activities on your vacation. · It would be best to know how much you are willing to pay for the luxury tour packages. You can already work around your budget. You have to stick to your budget. If not, you might end up spending a lot and you will be left with less money for your vacation. · Prices may vary depending on the destination of the tour. You can do a research about places that are attractive yet inexpensive. There are thousands of destinations and you just have to choose wisely. · There are packages that include recreational activities. This means that you are paying for all the activities when you purchase these packages. The right thing to do is to make sure that the activities that are included would be the ones that you really enjoy. There is no sense in paying for activities that will not really make your vacation memorable. If you are going with friends, you should also consider their preferences so that you can be sure that everyone will enjoy the trip. There are other ways on how you can be sure that you are getting the best deal for your luxury holiday vacation. No matter how you choose to do it, you have to get adequate information about the packages. This will help you determine whether it is worth the price.

(Total views: 41 Time, 1 visits per day)

Leave a Reply