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Pre Operation Assessment Via Phone

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I am due a pre op assessment next week prior to a hip replacement

It's not face to face but via a tele call

I can't get my head round this, no X Ray, no visual contact, no examination

Anyone had this experience ?

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17 minutes ago, Runningman said:

I am due a pre op assessment next week prior to a hip replacement

It's not face to face but via a tele call

I can't get my head round this, no X Ray, no visual contact, no examination

Anyone had this experience ?

Yes but not for a hip.

Previously they had you in the hospital all day going through historical, personal and medical questionnaires, loads of tests and a consultation with pre and post op care staff and surgeon. 

 

A pre op phone assessment greatly reduces the time you are in a hospital for. Covid and other infections.

My scans and bloods testing was done at my request at the nearby RHH and the surgery was at NGH. 

Assessments had been online and on the phone for months.

X Rays and visual examination will already have been done an it will be decided if further tests are needed.

A hip-op is major invasive surgery. The paperwork will contain contact details for your concerns. 

Remember to voice your concerns.

 

 

 

 

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11 hours ago, Runningman said:

I am due a pre op assessment next week prior to a hip replacement

It's not face to face but via a tele call

I can't get my head round this, no X Ray, no visual contact, no examination

Anyone had this experience ?

Is the assessment by the hospital or your GP ? I know that surgeons are at their wits end at the moment because of the waiting lists caused by the pandemic, but I have never heard of this. I would insist on an X-ray or scan.! 

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Hi pattricia and Annie Bynnol and thanks.

 

Going to be an interesting phone call for me  !!

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The clinician performing the assessment must be quite satisfied they don't need to see you face to face. If they did, they would. 

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On 11/09/2021 at 22:29, Runningman said:

I am due a pre op assessment next week prior to a hip replacement

It's not face to face but via a tele call

I can't get my head round this, no X Ray, no visual contact, no examination

Anyone had this experience ?

I understand you concerns.  It's an absolute disgrace Doctor Surgeries are  still not giving all their patients face to face consultations and seem to be putting more pressure on the NHS hospitals by referring them there without actually seeing the patient face to face.  A family member who wanted an Asthma inhaler which he had been prescribed over ten years ago was booked in for a chest xray at hospital rather than the doctor examining him personally.  I believe Doctors surgeries haven't been pulling their weight over the last eighteen months and are using the pandemic as an excuse for not doing their well paid jobs properly.

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On 12/09/2021 at 09:38, pattricia said:

Is the assessment by the hospital or your GP ? I know that surgeons are at their wits end at the moment because of the waiting lists caused by the pandemic, but I have never heard of this. I would insist on an X-ray or scan.! 

Err, why? Its a pre-op assessment, surely they have already concluded he is having the operation?

Edited by HeHasRisen

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56 minutes ago, West 77 said:

I understand you concerns.  It's an absolute disgrace Doctor Surgeries are  still not giving all their patients face to face consultations and seem to be putting more pressure on the NHS hospitals by referring them there without actually seeing the patient face to face.  A family member who wanted an Asthma inhaler which he had been prescribed over ten years ago was booked in for a chest xray at hospital rather than the doctor examining him personally.  I believe Doctors surgeries haven't been pulling their weight over the last eighteen months and are using the pandemic as an excuse for not doing their well paid jobs properly.

They don't do chest X rays because you ask for an inhaler, they do them because they are worried there's an underlying problem. The GP can provide a better assessment including the exclusion of several extremely serious illnesses by having X ray results available prior to the next consultation. They don't do chest X-rays in GP surgeries.

 

Although the majority of GP consultations during lockdown were by phone or video, the balance has now shifted towards a much more even split between face to face and remote consultation, it's now almost 50/50.  Instead of collecting unwell patients together in a waiting room the ever dwindling number of GPs can now often keep patients distanced whilst delivering a record number of consultations. 

 

Your beliefs on this topic, like many others, are quite distanced from reality. 

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3 minutes ago, dan_999uk said:

They don't do chest X rays because you ask for an inhaler, they do them because they are worried there's an underlying problem. The GP can provide a better assessment including the exclusion of several extremely serious illnesses by having X ray results available prior to the next consultation. They don't do chest X-rays in GP surgeries.

 

Although the majority of GP consultations during lockdown were by phone or video, the balance has now shifted towards a much more even split between face to face and remote consultation, it's now almost 50/50.  Instead of collecting unwell patients together in a waiting room the ever dwindling number of GPs can now often keep patients distanced whilst delivering a record number of consultations. 

 

Your beliefs on this topic, like many others, are quite distanced from reality. 

The relative hasn't a major problem with asthma and hasn't visited the doctor's surgery for over six years and has been sourcing his inhaler from the internet. However his internet supplier asked to see evidence he had been prescribed an inhaler due to new regulations apparently.  The Doctor did prescribe a prescription and the relative emailed the online company the document and cancelled the hospital appointment on the day the letter arrived.  Now the online company has evidence the relative has been prescribed the inhaler he has no intention of having contact with the lazy doctor anytime soon.  

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Hopefully the doctor's concerns are unfounded and your relative doesn't have an underlying condition rather than the condition he's self-diagnosed and self-medicated. With any luck he won't need the help of lots of lazy doctors if he's misdiagnosed himself. 

Edited by dan_999uk

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2 hours ago, dan_999uk said:

Hopefully the doctor's concerns are unfounded and your relative doesn't have an underlying condition rather than the condition he's self-diagnosed and self-medicated. With any luck he won't need the help of lots of lazy doctors if he's misdiagnosed himself. 

I should have mentioned the said relative has never previously been told he needed to have a chest xray when being examined face to face regarding his asthma problem many years ago.  Don't you think it's strange that at a time when Doctors surgeries are not doing many face to face consultations a doctor decided he needed a chest xray?  Have a little think about the situation and the penny might drop and you will realise the real reason why the lazy doctor booked my relative in for a chest xray at a hospital.

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12 hours ago, West 77 said:

I should have mentioned the said relative has never previously been told he needed to have a chest xray when being examined face to face regarding his asthma problem many years ago.  Don't you think it's strange that at a time when Doctors surgeries are not doing many face to face consultations a doctor decided he needed a chest xray?  Have a little think about the situation and the penny might drop and you will realise the real reason why the lazy doctor booked my relative in for a chest xray at a hospital.

The reason being that the doctor wishes to exclude other serious conditions. Chest xrays aren't undertaken as a way of avoiding seeing a patient. They are used as part of the process of diagnosing or excluding a large number of conditions like lung cancer or COPD. Once the xray has been taken and reported the GP will then have to review it. It's much easier to just see a patient. I think you're projecting your personal bias onto the situation. 

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