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79775 |
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Date: July 13, 2023 at 07:43:26
From: Mystic Wanderer, [DNS_Address]
Subject: Need herbal antibiotic remedy info for treating tonsils and covid.. |
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Date: July 13, 2023 at 07:28:11
From: Mystic Wanderer
Subject: Need herbal antibiotic remedy info for
treating tonsils and covid
Hi.. I ran into some trouble trying to get antibiotics
for a very bad case of what I thought was tonsils or
strep..but turned out to be covid of all things! Cos I
no longer have a doctor where I live I can't get any
antibiotics to treat my inner ear infections, my
swollen tonsils and my majorly swollen neck.
I thought I was just having a bout of toneilitis which
I have had in the past..or strep throat which I have
also had in the past..but nope.. it got way far worse
than that!!! Nope it's that new variant of covid and
it's supper nasty.. got all the above and severely..and
also high fever and chills..yet burning up at the same
time. Body aches like crazy and headaches soo bad that
it felt like my head was exploding. Cant eat anything
and the very little scant amount of food i do manage to
eat i cant swallow, and I'm always swallowing this very
weird thick slimy phlegm stuff continually even
whilevtrying yo sleep aka worse yet when laying
down..am very drained and sleeping lots cos i fwtigue
very very fast...and i cant breathe. Add to it my
terminal bone cancer which is now end stage..it was
horrid..I mean horrid.
I called my pharmacist, the regional nurse partitioner
etc.. can't get an antibiotic prescription without a
visit to the doctor i was told. Cant access emerge
anymore ...only walkin clinics which now require an
appointment which is a 2 week or more waiting period to
get in... and are all closed at 4:30 pm daily.
Pharmacist won't give it without doctor prescription as
well..it's so call not one of the 13 common ailment
issues that the pharmacist can just ok and dispense at
will. Worse part.. not the pharmacist or the nurse
partitioner on the phone would even call an ambulance
either! Btw.. I had this very thing happen when I had
my 2 recent back to back strokes too. Healthcare in my
neck of the woods sucks royally.. it's complete crap
here! Btw.. I now have major mobility issues due to my
bone canver now spread everywhere, including, spine,
head, lungs and now pancreas and all extremities and
all long bones. I'm surprised that I can walk at all
even tho it's just barely, short distances only and
eiyh a walker! Pain is a constant now too due to my
bone cancer also...it's end stage cancer btw!
So I'm asking if anyone in the great US of A have any
antibiotics herbal substitutes that can be used instead
of the pharmaceutical ones?
I tried salt and water
Salt, baking soda and water
Chamomile tea with honey
Honey, ginger root and cinnamon
Extra strength advil x2.. (acetaminophen extra strength
did nothing for me at all)..
That's all I had on hand to work with basically.
Any input would be greatly appreciated and thanks.
I have episodes of hydrocephalus since I also have
spina bifida with arnold chairi malformation 2 wiyh
hydrocephalus..and no shunt.
I'm also dealing with type 2 diabetes,diabetic
gastroparesis and have a csf cranial leak..and my
terminal bone cancer..,oh what fun...NOT!
This covid headache was different that my hydrocephalus
episodes..very severe yet a very difference sensation
wise..more so liken to encephalitis infact! Major major
brain pressure and swelling... and guys..I'm used to
high levels of head pain!
I read of other people of covid got neurological issues
when they had previous covid as well..so encephalitis
is definitely a possible covid after effect or outcome.
Kk.. I'm out of here for now... time for more pain meds
for my inner ears, tonsils ...and very sore and very
swollen throat and neck. This version of covid felt
like being run over by a mack truck...nasty nasty stuff
here!
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Responses:
[79789] [79779] [79795] [79794] [79777] [79776] [79796] [79797] |
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79789 |
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Date: July 17, 2023 at 19:37:44
From: Concerned Lurker, [DNS_Address]
Subject: Re: Need herbal antibiotic remedy info for treating tonsils and... |
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If you cannot call an ambulance for yourself, call your local Fire Department and request transport to the nearest emergency room. They have been very helpful each time we have had a crisis.
Also, with an end stage diagnosis, you should qualify for Hospice care through medicare/medicaid. They can help you through this time.
Prayers and wheels.
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Responses:
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79779 |
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Date: July 13, 2023 at 17:08:40
From: pamela, [DNS_Address]
Subject: Re: Need herbal antibiotic remedy info for treating tonsils and... |
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?? and covid? if you aren't able to see a doctor, how'd
you find out it was covid? Did you order an at home
test? Just wondering. THing that helps me with sore
throats/shingles/virus or bacterial is olive leaf
extract caps, you can order them on line. Hope this
helps.
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Responses:
[79795] [79794] |
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79795 |
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Date: July 18, 2023 at 03:08:21
From: Mystic Wanderer, [DNS_Address]
Subject: Re: Need herbal antibiotic remedy info for treating tonsils and... |
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Pamela... thanks for that info.. I gotta copy that
info for future use.
Please excuse the many typos..I'm having problems
seeing again... cataracts and black floaters..joys of
being diabetic...grr..
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Responses:
None |
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79794 |
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Date: July 18, 2023 at 03:05:35
From: Mystic Wanderer, [DNS_Address]
Subject: Re: Need herbal antibiotic remedy info for treating tonsils and... |
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Yup I did a home antigen rwpid test..my friend Simon
picked it up for me cis i was isolating.. just in case
after all. We get the t4sts free up here in the great
white north btw. Kit includes 5 tests in the kit.
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79777 |
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Date: July 13, 2023 at 12:08:25
From: chatillon, [DNS_Address]
Subject: Re: Need herbal antibiotic remedy info for treating tonsils and... |
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Exactly the list of supplements that mimici suggested.
These are recommended by a number of doctors who treat
covid & covid-vax patients. I'd add liposomal Vit C to
the pile.
Candles and Wheels!
C
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Responses:
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79776 |
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Date: July 13, 2023 at 11:20:48
From: mimici/socal, [DNS_Address]
Subject: Re: Need herbal antibiotic remedy info for treating tonsils and... |
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You can get the pharma you need here but it will be
pricey: https://drstellamd.com/telehealth-services/
For natural remedies: oregano oil. Get softgels or
capsules or the pure essential oil. If using the pure
oil, place a drop under tongue and hold it for as long
as possible. Do this twice daily until symptoms
improve.
Supplements for covid: Quercetin, zinc, vitamin D3,
magnesium, melatonin, NAC. Get DoTERRA On Guard
lozenges to help numb your throat and also give you
immune support.
Sorry to hear you're suffering. May relief come soon.
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Responses:
[79796] [79797] |
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79796 |
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Date: July 18, 2023 at 03:58:11
From: Mystic Wanderer, [DNS_Address]
Subject: Re: Need herbal antibiotic remedy info for treating tonsils and... |
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Thanks mimics qnd chatillon for that info as well. Very
appreciated.
I tried calling the walkin clinic in town here at 10 am
and no answer all day. You gotta make an appointment to
just access a alkin clinic here! This is the only
walking clinic that does virtually visits also! They
are only open mon-fri 9:30 am to 4:30 pm... and sat
from 9:30 am to 1:30 pm. It's the only place I don't
need a referral either... our emerge here is closed too
and only for people ambulanced in only. Closed to
everyone rose but covid patients. The Healthcare syst3m
here in canuckastan (Canada's completely collapsed..it
started in Alberta then after that it was a domino
effect. It's nuts up here..c1 in 5 can no longer get a
doctor here..many doctors are now retiring also.. we
have a major doctor/nurse shortage also... most of the
virtual clinics are now shut down.. and if your doctor
retires and you don't get a replacement doctor...you
don't get any healthcare at all then!
I just read this the other days and it's very sad...
https://www.sootoday.com/local-news/how-can-they-do-
this-to-us-asks-patient-dropped-by-group-health-centre-
7256586
How can they do this to us?’ asks patient dropped by
Group Health Centre
'In terms of care we have none and I’m very skeptical
about the care you can get over a telemedicine screen,'
says Sault's Jennifer Hirst
Though many Saultites share her predicament, a local
woman has reached out to SooToday to voice her
frustration over not having a family doctor.
Jennifer Hirst and her husband, both now in their 70s,
were Group Health Centre patients for 40 years.
Twelve years ago, their GHC family doctor, due to his
own health issues, stopped in-person appointments but
continued to fill prescriptions for patients.
After his retirement, the Hirsts had their medical
needs attended to by one nurse practitioner, then
another.
Then the couple received an unsettling message from
GHC.
“Last year we got a letter and they informed us that
the second nurse practitioner had left the practice and
that they were going to continue to look for three
months for a replacement,” Hirst said.
Their prescriptions were filled by doctors through the
GHC walk-in clinic, but then another bombshell landed
on them.
“What makes me so angry is that my husband went to fill
his prescription about a month ago and when the
pharmacy tried to get through to the Group Health
Centre they were told that we were no longer on the
Group Health Centre roster,” Hirst said.
“I was shocked. At no point did anybody say we are
going to de-roster you from the Group Health Centre.
Nobody made that clear. They never said anything about
de-rostering us or anything like that. We didn’t even
think that would happen.”
Without a primary care provider since last summer, the
Hirsts have had their prescriptions filled through
visits to walk-in clinics and telemedicine
appointments.
While some have no complaints about those approaches,
Jennifer Hirst does.
“I had acute pancreatitis in 2013 and I ended up going
to three different walk-ins and trying to get some
help. The third one booked me for an MRI to find out
what was going on but before that even happened I ended
up being taken into emergency because I was so sick. I
lost 30 pounds.”
“It’s hard doing telemedicine because the doctor
doesn’t grasp how sick you are unless they see you.
They see you on the screen but it’s not the same.”
As a senior, Hirst said she needs more.
“Nobody is checking our condition. There is no health
care as such. They’re only going on what our health was
years ago. Nobody's checking our health the way it is
now. There’s nothing like regular blood tests or
anything like that. If somebody were to ask me if I’m
diabetic I wouldn’t know because I’ve never been
tested. So in terms of care we have none and I’m very
skeptical about the care you can get over a
telemedicine screen.”
Hirst said GHC directed her to register online and join
the waiting list for a family doctor.
“We don't know how long that’s going to take. We’ve no
idea. I know people who have waited a long, long time
to get a doctor.”
Hirst said she is aware of younger people, including
family members, who have been de-rostered and feels
their pain.
However, of the relationship she and her husband had
with GHC, she stated “we’ve been there for 40 years and
they just dropped us, just like that.”
“I’m saying to people: ‘Why, in the 12 years or so
since my family doctor left, haven’t they had a new
doctor there to take on his patients?’ That blows my
mind.”
Hirst said northern Ontario MPPs should be doing more
to bring family doctors to this part of the province.
“I just don’t like the way the Group Health Centre has
handled it. I feel we’ve been treated very badly by
them. I didn’t expect at this age to not have any
care.”
She voiced her disappointment over paying into
Ontario’s health care system for so long and then
dropped from the GHC roster.
“How can they do this to us?”
“Apart from small children we’re probably in the most
vulnerable age group, where we need doctors more than
someone younger."
.....
https://www.cbc.ca/news/canada/toronto/ontario-family-
doctors-physician-shortage-workers-wanted-1.6730091
Why it's hard to find a family doctor — and what's
being done about it
When a physician can't get a family doctor, you know
there's a problem.
Dr. Kimberly Thompson attended medical school in the
Caribbean, did her clinical training in Chicago, then
returned home to Toronto in 2019 to learn her family
physician had retired.
"Ever since then, for the last few years, I've been
trying to find a family doctor," Thompson said in an
interview with CBC Toronto.
Thompson is just one of the estimated 1.8 million
Ontarians without a family physician.
How does the family doctor shortage affect you? Get in
touch using the form at the bottom of this story
That number increased sharply during the pandemic,
which spurred hundreds of family doctors to stop
practicing, and it's poised to grow further still with
many aging baby-boomer doctors planning to retire.
The trend is triggering a push for solutions to the
family doctor shortage: making family practice more
attractive to medical school graduates, streamlining
family doctors' paperwork to give them more time to see
patients, and giving other health professionals a
greater role in primary care.
The family doctor shortage has an impact even on
patients who have one, because of ripple effects
elsewhere in the health system.
Long-established research has found people without a
regular family physician have greater reliance on
emergency rooms and are more likely to end up
hospitalized.
Nearly 20% of Toronto family doctors planning to close
practices in next 5 years, survey finds
For Thompson, her go-to source of primary health care
has been walk-in clinics.
"Even though the family doctors that I did see there
were very helpful … I was constantly having to retell
my story, retell my medical history," she said.
Addressing Ontario's family doctor crunch is a complex
task that won't be quickly achieved, experts say. It's
not as simple as increasing the number of spots in the
province's medical schools.
There's been a steady and significant decline in the
proportion of newly trained Canadian doctors choosing
family medicine. Those who do make that choice need to
find someone within the dwindling crop of currently
practising family physicians to supervise them.
"We don't have enough family doctors in the system
right now. Every patient in Ontario should have a
family doctor," said Dr. Rose Zacharias, president of
the Ontario Medical Association (OMA), the group that
represents all doctors in the province.
"We can say we have a doctor shortage and we need more
physicians, but we need to be very strategic about what
type of physicians we need where," Zacharias said in an
interview.
CBC INVESTIGATESOnly a handful of family doctors in
Ottawa accepting new patients
The association representing family doctors, the
Ontario College of Family Physicians (OCFP), touched on
this issue in its action plan to increase patient
access, released last week.
Among its key recommendations:
Enable family physicians to see more patients by
providing practices with more primary health care
support staff, such as social workers, mental health
workers and nurses.
Increase the time family physicians spend on patient
care by lessening the burden of administrative work
Fast-track foreign-trained doctors to practice in
Ontario
Increasing family medicine residency spots
"We need to attract more family doctors into the
profession. We also need to provide the right supports
to practicing family doctors so that they can spend
more time with their patients," said OCFP president Dr.
Mekalai Kumanan in a statement.
A glimpse inside the busy Malvern Medical Centre in the
east end of Toronto gives a taste of just how in-demand
family doctors are right now.
The clinic's medical director, Dr. Neil Ingber, says he
and his team have tried everything to lure doctors to
the practice: advertising, word-of-mouth, and hiring
recruiters who specialize in attracting doctors from
abroad.
'Little success at recruiting doctors'
"We have doctors who are interested in retiring,
doctors who want to cut back on their practice and a
huge demand from patients who need a family doctor,"
said Ingber in an interview.
"We have had very little success at recruiting new
doctors."
Pandemic spurred exodus of Ontario family doctors,
study indicates
One exception to that recruitment drought is Dr. Joseph
Param, who was born and raised in Toronto, left the
country for medical school, and chose to return to the
neighbourhood where he grew up to practice family
medicine.
order tests, interpret the results, diagnose illnesses
and prescribe medication.
At the Emery-Keelesdale clinic, the NPs work with a
small team that includes a dietitian, a social worker
and a registered nurse.
There's been a recent uptick in patients joining the
clinic in the wake of their family doctors retiring,
says its executive director Danae Peart.
"In this aging society, doctors will retire and we're
not able to replenish doctors fast enough to respond to
the needs (of patients), and so that's the value of
having the nurse practitioner-led model," Peart said in
an interview.
There are 26 NP-led clinics scattered around the
province, predominantly in rural areas and northern
Ontario, where the doctor shortage is most acute.
Peart says she is hopeful that more NP-led clinics will
be created.
"I believe that, as we get wiser in the sector, we will
realize that having multiple professionals, multiple
disciplines in the same space looking out for patient
care is actually the best way," said Peart.
....
A little order news article but still very relevant..
https://www.ctvnews.ca/canada/6m-canadians-don-t-have-
a-family-doctor-a-third-of-them-have-been-looking-for-
over-a-year-report-1.6059581
6M Canadians don't have a family doctor, a third of
them have been looking for over a year: repo
Published Sept. 8, 2022 6:20 a.m. EDT
More than a third of Canadians who don’t have a family
doctor say they have been searching for one for more
than a year, all while their health is declining
compared to those with easy family doctor access, new
research shows.
In the second report to come from an Angus Reid series
focusing on Canada’s health-care access crisis,
researchers laid out how many Canadians simply can’t
find a family doctor.
And it’s not that they aren’t looking — the problem is
that Canada’s staffing shortage in the health-care
system stretches far beyond its hospitals.
More than a third of Canadians who don’t have a family
doctor say they have been searching for one for more
than a year, all while their health is declining
compared to those with easy family doctor access, new
research shows.
In the second report to come from an Angus Reid series
focusing on Canada’s health-care access crisis,
researchers laid out how many Canadians simply can’t
find a family doctor.
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And it’s not that they aren’t looking — the problem is
that Canada’s staffing shortage in the health-care
system stretches far beyond its hospitals.
RELATED STORIES
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should consider before they go
Many Canadian doctors struggle with burnout, depression
and anxiety: survey
Canadians now less confident in their health-care
system than Americans are: survey
Fewer graduates are choosing to pursue family medicine.
Doctors explain why
Trudeau says health care investments must deliver for
Canadians
RELATED LINKS
Angus Reid Institute - Doc Deficits: Half of Canadians
either can't find doctor, timely appointment
In some areas of Canada, there may be a single family
doctor for an entire town. One doctor in Wheatley,
Ont., the report stated, is responsible for 1,400
patients, all of whom will be stranded when he retires
later this year with no replacement yet lined up.
A third of Canadians can’t see their doctor within a
week, the survey found, while another 17 per cent have
been unable to find a doctor at all despite their
efforts, meaning that half of Canadians are struggling
to see a family doctor.
While four out of five Canadians do have a family
doctor, that leaves more than six million people in
Canada without one, the report found.
The younger you are, the more likely you are to be
without a family doctor in Canada, according to the
report, with 28 per cent of men and 21 per cent of
women between the ages of 18 and 34 reporting that they
want a doctor and can’t find one.
Among Canadians who don’t have a doctor, 35 per cent
say they have been searching for more than a year.
Around 29 per cent of those wanting a doctor say they
have given up looking.
It’s not a new issue — Statistics Canada reported in
2019 that around 4.6 million Canadians lacked a primary
care provider — but with the wider health-care system
buckling under the pressure of the pandemic and mass
health-care worker burnout, it’s one that experts say
we need to tackle now.
The report uses data from the Angus Reid Institute, a
non-profit research aggregate which polls
representative samples of its members to create survey
data.
For this series on health care, surveys were conducted
of 2,279 Canadians and 1,209 Americans in August,
focusing on health-care issues.
A previous report published Wednesday focused on
Canadian access to health care as a whole, as well as
our confidence in the health-care system dipping below
American confidence in their system.
FAMILY DOCTORS ACCESS GROWING SCARCE IN CANADA
Being unable to locate a family doctor is a huge issue,
but the struggle to access care can continue even after
Canadians have located a primary care physician.
Among those who have a family doctor, just 18 per cent
said they were always able to secure an appointment in
a day or two.
Which province you live in also makes a marked
difference — B.C. and Atlantic Canada have the highest
number of adults who report being unable to find a
doctor or who have issues accessing the doctor they do
have.
Nearly a quarter of those surveyed who lived in B.C.
and in Quebec said they had no doctor but wanted one.
In Atlantic Canada, more people reported having a
doctor, but it had the highest percentage of Canadians
reporting difficulty seeing the doctor they had, at 41
per cent.
In terms of age, younger Canadians are more likely to
not have a primary care physician, but older Canadians
are more likely to have been searching for a doctor for
a longer time. Around 43 per cent of those older than
35 years reported they had been looking for more than a
year.
NO FAMILY DOCTOR CORRELATED WITH WORSE HEALTH
The difference that having a family doctor makes for
your overall health was demonstrated when participants
were asked to report on whether their health had
improved or worsened in the last six months.
Across the entire sample, more than half said that
their health had stayed the same, while 25 per cent
responded that their health had improved and 20 per
cent said it had worsened.
But when this question was looked at through the lens
of who had good access to a family doctor and who
didn’t, a new picture emerged.
While the percentage of respondents who reported that
their health stayed the same in the last six months was
fairly consistent across all four categories, 24 per
cent of those with no doctor reported that their health
had worsened, with 18 per cent reporting it had
improved.
On the other end of the scale, an improvement in health
was reported by 37 per cent of those who had a doctor
they had swift access to, with just eight per cent of
that group stating their health had worsened in the
last six months.
Those who have no doctor also overwhelmingly reported
difficulty in accessing tests and appointments, with 79
per cent reporting it was difficult to impossible to
get an appointment with a specialist.
Canada’s staffing issue has been a problem long before
the pandemic, but over the last two years, experts have
warned that a breaking point is coming.
The Canadian Medical Association (CMA) warned in a
statement in May that the percentage of medical
students choosing to enter family medicine fell by
seven per cent between 2015 and 2021. In 2021, although
2,400 family doctor positions were being advertised on
government recruiting sites in December, only 1,400 new
physicians had graduated that year to start family
doctor practices.
“Family physicians face immense pressure,” the CMA
statement noted. "Whether it is administrative tasks
such as updating electronic medical records, completing
medical forms, coordinating care across multiple
agencies and providers, or managing increasingly
complex care plans for an aging population, the
expectations of family physicians are at all-time
high.”
It called on provincial and federal governments to
partner with family doctors to revolutionize how care
is handled in order to improve efficiency, adding that
a national licensure model should be implemented so
that family doctors can move between provinces and
establish practices in their new homes more quickly.
In order to compare family doctor access, the Angus
Reid study also asked Americans about their
experiences.
Similar numbers of Americans and Canadians reported
having a family doctor, as physician shortages are also
being faced in the U.S.
Americans were also four times more likely than
Canadians to not be looking for a doctor because they
reported they didn’t want or need one.
But the Americans who reported having a doctor had a
different assessment of their access than Canadians.
More Americans reported being able to secure an
appointment in a day or two compared to Canadians.
Angus Reid will be releasing a third report this week
to cap off the three-part health-care series.
...
https://www.ctvnews.ca/health/can-the-family-doctor-
shortage-in-canada-be-fixed-1.6479993
Can the family doctor shortage in Canada be fixed?
Updated July 17, 2023 4:35 p.m. EDT
Published July 14, 2023 1:33 p.m. EDT
Whether you have a family doctor or you’re looking for
one, chances are you've faced long wait times.
Last year, the Angus Reid Institute reported there were
six million Canadians without a family doctor, and a
third said they had been searching for more than a
year.
And even for those who have found a doctor, the wait to
get an appointment often ranges from days to weeks.
Danielle Martin, a family physician and chair of the
department of family and community medicine at the
University of Toronto, discussed the systemic issues
behind the family doctor shortage in Canada on CTV’s
Your Morning Friday.
Whether you have a family doctor or you’re looking for
one, chances are you've faced long wait times.
Last year, the Angus Reid Institute reported there were
six million Canadians without a family doctor, and a
third said they had been searching for more than a
year.
And even for those who have found a doctor, the wait to
get an appointment often ranges from days to weeks.
Danielle Martin, a family physician and chair of the
department of family and community medicine at the
University of Toronto, discussed the systemic issues
behind the family doctor shortage in Canada on CTV’s
Your Morning Friday.
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“Family medicine is an incredible career based on
relationships over time with our patients and really,
really rewarding,” said Martin; however, there are not
enough family doctors in the country.
The lack of access to family doctors is not only
causing issues for patients, but also for the Canadian
health-care system as a whole.
In response to lack of family doctor access, people are
relying on walk-in clinics to see a professional, which
increases the burden on the health-care sector, as
walk-ins are not meant for in-depth or long-term care.
This creates a “self-fulfilling” systemic issue, said
Martin, of one of the problems that both led to and
sustains the lack of access.
“The more people seek their care in walk-in clinics,
the more walk-in clinics there are, the more that
attracts family doctors and other professionals to work
in a walk-in clinic setting, the fewer family doctors
are available to take on patients for the long-term,”
said Martin.
Although walk-in clinics are a “completely
understandable choice” for people who don’t have access
to a family doctor, “what we want in family medicine is
a relationship over time,” she said, adding family
doctors are able to recognize early signs of changes in
diseases and work on health goals with patients they’ve
known over time.
“You can’t do that in a walk-in clinic.”
WHAT SYSTEMIC ISSUES ARE CAUSING THE SHORTAGE?
Martin said the doctor shortage starts in schools,
where medical students are not choosing to open their
own family practices. Instead, many would rather have a
medical focus, like sports health or physiology.
“For many of our younger generation, (family medicine)
is not an attractive career option,” she said.
A study by the Canadian Medical Association showed the
percentage of medical graduate students choosing family
medicine fell from 38.5 per cent to 31.8 per cent
between 2015 and 2021.
“We really need to think about how to support our
students to select this amazing career so we can serve
the population of the country,” said Martin.
Martin said another systemic issue causing the shortage
and deterring students from this type of medicine is
lack of resources for family doctors who have their own
practice. In hospitals or major health-care centres,
family doctors have access to better technology and
more staff - nurses, assistants, office administrators
and others– who can help with patients.
“But in the community, most family doctors are really
entrepreneurs,” she said. “They have to rent their own
office space, hire their own secretary, choose their
own electronic record, buy their computers, et cetera.”
The last issue Martin mentioned is how there are not
enough family doctors in rural communities in Canada.
In some areas, there may be a single family doctor for
an entire town. One doctor in Wheatley, Ont., the Angus
Reid report stated, was responsible for 1,400 patients.
This forces people to travel outside of their local
regions and into major cities to receive care, leading
to longer wait times at clinics, and longer waitlists
for family doctors.
WHAT CAN BE DONE TO FIX IT?
Martin said the key to address the lack of interest in
family medicine is to change the current individual
structure and add some funding to make it more
appealing to students.
She recommended government funding be used to build
interprofessional teams, so that family doctors can
work with other physicians and related experts. This
way, a family doctor can go on vacation or take a
break, knowing their patients will be taken care of by
another professional.
This will also help patients access other professionals
working within the health-care sector, such as nurses
and pharmacists, in a more efficient way.
“Team-based models will allow doctors to do the work of
being doctors and function in a more supportive
environment,” she said. “If we invest in that, then we
will make it into a more attractive career.”
Martin said this investment will help ensure proper
care for people in the community and reduce spending
long-term as it will reduce measures patients have to
take due to gaps in access, such as emergency visits to
the hospital.
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Responses:
[79797] |
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79797 |
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Date: July 18, 2023 at 04:41:31
From: Mystic Wanderer, [DNS_Address]
Subject: Re: Need herbal antibiotic remedy info for treating tonsils and... |
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Here's some more articles.,.
Ontario parents will have to pay to use a virtual
pediatric clinic starting next month
https://www.cbc.ca/news/canada/toronto/kixcare-ontario-
virtual-service-funding-cuts-pediatricians-1.6659279
Province cutting its fees for virtual care on Dec. 1
Sara Jabakhanji · CBC News · Posted: Nov 25, 2022 4:00
AM EST | Last Updated: November 25, 2022
Parents and health-care experts are speaking out after
learning an online pediatric service that's helped keep
sick children out of overflowing Ontario hospitals will
no longer be free starting next week due to provincial
fee cuts.
KixCare, a clinic that offers on-demand, round-the-
clock pediatric care, is making the move as the
province is set to cut the fees it pays pediatricians
for virtual visits by 75 per cent, from $80 to $20 per
patient on Dec. 1.
The clinic, which saw patients without a referral, will
instead offer a paid monthly subscription that will
cost parents $29 a month.
"This is just not the right time, if ever, to bring in
these cuts," said Dr. Harley Eisman, co-founder and
chief medical officer at KixCare, which saw 20,000
patients virtually in the past year, according to its
co-founder and CEO Daniel Warner.
The cuts come as children's medical centres across the
country, such as Toronto's Hospital for Sick Children,
are grappling with climbing hospital admissions due to
COVID-19, flu and respiratory syncytial virus (RSV).
Some patients are waiting up to 12 hours to be seen,
according to data obtained from SickKids. And some
parents say they have nowhere to take their child as
their family doctor or pediatrician will not see a
patient in-person if they have symptoms of COVID-19.
Virtual fee cuts 'deplorable,' parent says
Leah Littlepage said the service has helped her 16-
month-old daughter stay out of the emergency department
at least four times this past year.
"It's deplorable that the funding for this program is
being cut at the exact same time the pediatric
hospitals are being overrun," said Littlepage, who
lives in Ottawa.
She said when she heard KixCare would become a pay-per-
access service because of the new reduced pediatrician
fees "my heart dropped."
"Mommy groups are flooded with parents seeking medical
advice from each other because they don't have anywhere
else to turn."
Matthew Kantor, a father of three children aged two,
four and six, says the clinic has been "critical" for
his family.
"The service has given us doctors who work at SickKids
and this has been hugely beneficial for us … [They]
have done really good diagnostic work just through
video conferencing," said Kantor, who lives in Toronto.
Kantor's youngest son was diagnosed with Myhre
Syndrome, a degenerative condition that affects the
connective tissue in the body.
"My son is in and out of SickKids more than once a
month due to his condition … we've seen very long wait
times, we've seen overflow queues and it's really
because parents don't have options."
Eisman said eight or nine out of 10 patients KixCare
sees virtually were able to get the correct method of
care and had a positive outcome.
"We're not a service that was built to overburden the
emergency departments or clinics and and to dump
patients on emergency departments," Eisman said.
'Highly inequitable'
Dr. Aviva Lowe, a Toronto pediatrician who consulted on
KixCare, is urging the provincial government to
maintain access to virtual care for all children in the
province.
"Pediatricians by and large will no longer be able to
offer virtual visits for patients with whom there's no
pre-existing relationship or referral because the cuts
are so substantial that it's not tenable to continue
that type of care," Lowe said.
"It's highly inequitable for people who already have a
physician or have a referral to a physician to be able
to continue to access virtual care in the manner that
they deserve," she said.
"Whereas those who are already disadvantaged by not
having their own doctor or timely access to their own
doctor … are going to suffer the most from the cut."
Virtual care 'intended to complement' in-person care:
province
The Ministry of Health said it had reached an agreement
with the Ontario Medical Association "on the
implementation of the virtual-care framework within the
new Physician Services Agreement.
"Throughout this process, the ministry has taken a
patient-first approach to ensure that Ontarians will
continue to have access to the care they need, when
they need it," the ministry said in a statement.
Ontario and its doctors reach virtual-care billing
deal, but only for specialists
"Virtual care is intended to complement in-person care,
not replace it," the reads.
"This approach has resulted in meaningful changes for
virtual care that ensures a positive patient-physician
relationship is fostered."
Daniel Flanders, owner and executive director of the
Kindercare clinic in Toronto, said he understands the
Ontario government is trying to stem the tide of
virtual-only clinics and encourage doctors to provide
comprehensive ongoing care to patients.
But the province is running the risk of "throwing the
baby out with the bathwater," Flanders said.
"The changes that are coming down the road, which [are]
really going to severely limit access to primary care,
especially for patients in areas where they don't have
a primary care provider … there will be patients who
suffer because of it."
.....
Ottawa
Medical clinic shutting down after province cuts
payments for virtual care
Good Doctors CEO says all 17 of its sites could close
within 3 months
Dan Taekema · CBC News · Posted: Jan 18, 2023 4:00 AM
EST | Last Updated: January 18
Jennifer Peirson has been searching for a family doctor
for more than four years, and in that time she's come
to rely on a walk-in clinic in Mallorytown, Ont., for
primary care.
Now she's preparing to lose it too.
The Good Doctors virtual care clinic in the rural
eastern Ontario town, part of Front of Yonge Township
along Highway 401, is one of 17 across the province.
It's set to shut down Friday.
The CEO of the company says all of its sites including
those in Barrie, Kingston, Peterborough, London and
Windsor will close unless the province reverses a
reduction in fees for virtual visits or communities
help cover the cost.
Residents fighting to keep the Mallorytown clinic open
point to the situation as an example of the province
failing rural Ontarians.
"It frustrates me and I'm sickened, not just for
myself, but for all of the people around here that do
not have a family physician," said Peirson during a
recent visit.
"It's very essential. Mentally and physically, this
clinic is needed."
Good Doctors was launched in 2016 and provides virtual
appointments with physicians. There's one key
difference between the service and other online
options, according to founder Leo Liao — a nurse is on
site to carry out examinations and collect samples.
Peirson said the registered practical nurse at the
Mallorytown Pharmacy and Health Centre is more than a
familiar face: she provides a connection with a health-
care worker whom patients have come to know personally
during visits for both routine and serious health
issues.
People across the province turned to online care during
the COVID-19 pandemic and doctors were permitted to
bill OHIP a $37 fee.
As of Dec. 1, 2022, the company has been told it can
only bill $20, which is too little for the clinics to
survive, said Liao. The change has seen many doctors
leave virtual care.
He argues the presence of a nurse sets Good Doctors
apart and has written to Health Minister Sylvia Jones,
which he hopes could help keep the company's locations
open.
"It's a little definition thing, a tiny little thing,
but the impact of it is there will be tens of thousands
of people who will not have access to this care," Liao
said.
Ontario's Ministry of Health did not respond to a
request for comment.
Roughly 1,800 patients have used the clinic in
Mallorytown, according to a post the company shared on
Facebook to announce the closure. The province is
widening "health inequality" between rural areas and
urban centres with walk-in clinics, it added.
While people get better care during in-person visits,
that's not an option for many who live in areas without
family doctors. If the clinic closes, rural residents
can't walk down the street to another, said Liao.
Front of Yonge Township Mayor Roger Hayley said the
clinic doesn't just serve Mallorytown but the entire
region.
It's an emergency situation," he said. "Jan. 20 it
shuts down, and where are they going to go next?"
Hayley also said the thousands of patient visits at the
clinic helps lessen the load at the emergency
department at Brockville General Hospital, which is a
20-minute drive away.
"Rural areas have been forgotten," he said. "The system
is broken [and] the government's not helping it.
They're contributing to the problem."
Hundreds sign petition to save site
People in Mallorytown and the surrounding area have
spent the past few weeks signing a petition to save the
clinic.
Angie Cowan is one of the petition creators. She said
copies left at popular stops including the library,
post office and Royal Canadian Legion have collected
hundreds of signatures.
It's hard to get in and out of the dump unless you sign
the petition," she said with a laugh.
"This is relieving the pressure off the emergency room
and that is very important. [The hospital is] clogged,
congested, understaffed. It's terrible," Cowan said.
Feeling let down by government
Bryan McPherson moved back to the Mallorytown area more
than two years ago, but he hasn't found a family
physician.
That's a far cry from when he was growing up in the
small town and a doctor rented rooms from his family's
big stone house.
McPherson said he and four other family members have
come to rely on the walk-in clinic.
His daughter-in-law has a thyroid condition that
requires checkups and tests every six months. The
doctor he meets with virtually also helped spot an
issue with his heartbeat and arranged a visit with
specialists.
McPherson said he feels let down by the provincial
government and worries about what will happen to people
without someone to see them regularly.
"It could cost people their health, their life, to the
point where maybe they end up in some sort of long-term
care, because they didn't have the opportunity to have
the ability to diagnose your condition early," he said
....
‘Staggering’ number of Ontario emergency department
closures revealed by Star analysis
‘This is wrong. This is not doing right by our
patients. Our standard is to provide better care than
that.’
By Kenyon WallaceInvestigative Reporter
Tue., Feb. 21, 2023timer6 min. read
Hospital emergency departments across Ontario were
forced to close 158 times in the past year, resulting
in some 4,430 hours — the equivalent of 184 days — when
the urgent care needs of many communities could not be
met locally.
The Toronto Star has tallied Ontario ED closures
announced by hospitals or referenced in local media
coverage to provide, for the first time, an overview of
the impact on urgent care of staffing shortages,
exacerbated by COVID-19 and other respiratory viruses.
Snip...
Can't access article due to pay wall...
....
The remedies for Ontario’s ailing health system
Ontarians must be aware that the remedies to fix our
health-care system will involve a menu of solutions,
not just the addition of private-sector clinics to the
public system.
By Star Editorial Board
Sat., March 4, 2023
https://www.thestar.com/opinion/editorials/2023/03/04/t
he-remedies-for-ontarios-ailing-health-system.html
To borrow a term of art, it appears as if Ontario’s
ailing health-care system is suffering from a nightmare
of concurrent disorders.
Shuttered emergency rooms. A dearth of family doctors.
Long waiting lists for surgeries and specialists. All
while foreign-trained health professionals struggle to
find work while denied accreditation.
Meanwhile, looming over this unhealthy brew of risk and
anxiety is a provincial government that shows signs of
looking to exploit the crisis to privatize health care.
Already, Premier Doug Ford has moved to allow more for-
profit clinics to provide OHIP-covered cataract and
other surgeries along with diagnostic procedures.
His recurring drumbeat that “we know the status quo is
not working” or “we have to start thinking outside the
box” sounds in the ears of the wary to be laying the
groundwork for a lurch toward more private-sector
involvement.
The deeply skeptical even suspect that allowing the
creation of a crisis was a necessary first step for
garnering public support for drastic measures.
Prime Minister Justin Trudeau has said his government
will ensure the Canada Health Act is honoured and that
he would not hesitate to claw back or withhold funds in
cases where its guarantee of universality is not met.
What is clear is that the front-line of health care may
be in worse condition than previously feared.
A report by the Star’s Kenyon Wallace showed an
alarming number of hospital emergency departments in
Ontario — especially in rural areas such as Alexandria,
Perth and Smiths Falls, Campbellford, Chesley, Seaforth
and Kemptville — were closed in the last year due to a
lack of staff.
Wallace found that ERs in 24 hospitals were closed 158
times in the past year, resulting in the equivalent of
184 days when the urgent-care needs of many communities
could not be met.
Appalled advocates said the closures of ERs put the
health and lives of people in those regions at risk.
“Those numbers are astounding,” said Dr. Rose
Zacharias, president of the Ontario Medical Association
and an emergency physician. “This is wrong. This is not
doing right by our patients.”
She said the number of days when an ER is closed
“should be zero.”
It could hardly be put more plainly.
The anxiety of being unable to access emergency care
when urgently needed is both inhumane and unacceptable.
Wallace’s report on the quiet crisis of closed ERs in
Ontario’s more remote communities should be another
wake-up call.
Beyond the ER crisis is the shortage of family doctors
who would lighten that ER load.
Recently, Inspire Primary Health Care reported that
about 2.2 million Ontario residents were without a
family doctor, the critical first point of contact for
relatively minor matters to help keep patients out of
ERs, and the gateway into the complex world of medicine
for major concerns.
The provinces recently accepted the federal
government’s proposed $46.2-billion increase in health-
care spending over 10 years. Details are to be worked
out in bilateral agreements with each jurisdiction.
Ottawa has earmarked $25 billion for improvements in
four key areas: family health services, health workers
and backlogs, mental health and addictions, and a
modernized health system.
The emphasis has been on creating primary-care teams
that include nurses to co-ordinate care and offer
clinical support, mental-health workers to provide
psychological and addictions counselling and connect
patients with social supports, and clerical and support
staff.
The Ontario College of Family Physicians has reported
that about 75 per cent of family doctors function
without such teams in place.
It’s hoped that the new money promised by Ottawa, used
wisely, will help alleviate these challenges and making
family practice a more attractive option for medical
students.
It would also surely help to keep ERs and family
doctors’ offices open if the qualification process for
foreign-trained doctors — hundreds of whom have
reportedly been stuck in a holding pattern for years —
was improved and expedited.
So, there is lots that can and must be done to remove
some of the risk and anxiety from the lives of Ontario
citizens.
It’s essential, in such extraordinarily trying
circumstances, for Ontarians to insist on improvements,
acknowledge there is no magic cure and be aware that
the remedies will involve a menu of solutions, not just
the addition of private-sector clinics to the public
health-care system.
....
I can see where all this crap is soon heading...bring
on AI and robotic doctors and nurses. Hm... don't they
already have that in Japan?!
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