In the old days when you were unwell or sick you rang the doctor, and he came to your home. He was called the family doctor and everyone in the family used the same doctor. There was close bond between the family and this single doctor. He might prescribe medication or recommend specialist examination or a trip to the hospital. Medication required a prescription that he wrote out on the spot in handwriting. A trip to the chemist was required to get the medicine or pills.
Today that has all changed. If you feel unwell you must make
a journey to the doctor’s surgery unless it is an emergency and then an
ambulance will come and take charge.
A doctor’s surgery today is more like a small treatment
centre with nurses, laboratories, and a host of specialist doctors. You have
your own personal doctor that you choose and who remains your doctor over time.
To see the doctor you must first book online through the
national health service. This requires passwords and security checks before you
come your doctor’s calendar where you choose a free fifteen-minute slot. Yes, a
fifteen-minute slot is the initial planned contact time that can change on
circumstances. This is important as the schedule slips throughout the day. It
is therefore wise to book a slot early in the day unless you are prepared to
wait up until one hour after the planned time and pay extra parking fees for
your car. So today, the responsibility is yours to get into the doctor’s
surgery at your own costs. After that your national health plan should cover
your requirements.
You enter the reception area where a notice informs you that
if you already have an appointment, you can go directly and sit outside your
doctor’s office. The problem is with reduced seating because of covid this is
not as easy as it seems.
Once seated and your mobile is in vibration mode it is time
t look around. After all a doctor’s waiting room is a window on humanity.
There is an anxious elderly couple opposite holding hands.
Hope they get some good news. Next to me is a young mother with a sick baby who
cries and cries and cries. We all smile and make gurgling sounds in an attempt
to be friendly and perhaps a little helpful.
Down the waiting room is a worker with his hand covered in a
bandage talking to a colleague in a foreign language, possibly Polish.
There is a quite different atmosphere here, it is palpable,
people are anxious over concern for their wellbeing.
Suddenly a door opens a nurse shouts a name and waits for a
response. No response so the door closes, and we subside into a state of
anticipation, what next. The same door opens again, and another name is shouted
down the corridor. Here, shouts a young women dressed in very fashionable clothes
with a Gucci bag over her shoulder, and she disappears into the room and the
door marked “laboratory” closes. What happens in the laboratory, I wonder? Five
minutes later I have an answer. A man comes out in shirtsleeves clutching a
plaster in his elbow crook. Blood tests is what happens in the laboratory.
It constantly amazes me what is learnt from an analysis of
our blood. A few days after a blood test an email arrives with a cryptic
comment from the doctor. ”All OK for your age”! This accompanied with a
technical sheet with values for undecipherable symbols and the normal expected
range for that condition. After a search on the Internet you learn what the
symbols mean!
Technology is at the heart of our health system. You can
login and check the status of medication and even renew it online. Messages
from the doctor are there and expiry dates of current medication.
A trip to the chemists to pick up what the doctor has prescribed
only needs you to show you ID foe the chemist to check what is available for
you.
So much has changed but the doctor’s surgery remains that
place you might fear most, perhaps after the dentist!
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