Tell me again why it is so wonderful to have “free” healthcare here. In Canada we have free health care. You do not have to shell out $20 every visit like you do in Sweden. You call and get seen by a real doctor in a reasonable amount of time. If you can’t be seen for a week, there are walk in clinics where you can go, 24 hours a day in larger centres. If you need medication, there are pharmacies open till midnight and even 24 hours in larger centres, as opposed to pharmacies open from 10 - 18 weekdays and not open on weekends here.
I have had severe abdominal pain and related problems since the stomach flu a few weeks back. I tried going to clear fluids, but it didn’t help. I cut all dairy products from my diet, it didn’t help. I took immodium for a week, it didn’t help much. I have been useless at home, sleeping long and curling up from pain when I should be doing housework or studying. At last I broke down and tried calling for an appointment with a doctor. That is “a doctor”, not my doctor, since we don’t get to see the same one again, ever. They change so quickly here, it reminds me of Dorothy in the Wizard of Oz saying, “people come and go so quickly around here!”. *grin*
I called Vardcentralen on Friday and got busy signals, later in the day it rang and rang and rang and finally when it got picked up, the call had for some unknown reason been routed to the Läkarhus, who can’t book for vardcentralen and I can’t be seen by anyone there because that is outside of my “area”. Telephone times (yes, they actually have specific times you are allowed to phone and you are not allowed to go in person to book an appointment) are from 0800 - 1200 and 1300 - 1700. So I called shortly after 0800 (I was up at 0430 to see my fellow off to Göteborg for 3 days). The line was busy. It rang finally a bit after 0900 and I got a message saying if I wanted to book a time, punch in my phone number followed by the # sign. I did that and got a message saying someone would phone me back at 1310. I called the school and said I was ill and would not be there today. I hurried LL to preschool and hurried home, arriving back at 1300. I missed her call. A nurse finally called about 1400. I said I wanted to see a doctor, she asked why. I said I had abdominal pain, she asked for more info. Then she suggested I try Immodium. I explained I had and said again I wanted to make an appointment. She asked if I had tried a “magkatarr”. I had no clue what she was talking about so I asked, she said go to apoteket and tell them I needed a magkatarr. Then she said that I should be seen by a doctor, but she couldn’t book an appointment and to call in the morning at 0800. I was ready to scream. *laugh*
After I picked up LL I went to the pharmacy. There I discovered it was medication *for* magkatarr (stomach irritation) she was suggesting. I explained my symptoms again to the girl there and she thought I should see a doctor but she went and got the pharmacist to talk to me. The pharmacist explained it was something for heartburn or acid in the stomach that the nurse had suggested. She also felt I should have been seen by a doctor instead of being sent to them. She suggested an antacid that I already use, then she suggested Pepcid Duo. She said to take one today and then call first thing in the morning and get a time with a doctor, since nothing I have tried helped. I told her I was a nurse and only go to a doctor when all else is ineffective so I was quite willing to try the Pepcid. I took it an hour ago and still have pain. *laugh*
I just find it so frustrating here because I am used to the system where I came from. I had the same family doctor from the day I was born, until I was 20 years old. Then I married and moved away from home, got a new doctor and he was my doctor for the next 20 years. In four years here I have seen 4 different doctors, one of them I saw twice in a row, only because she didn’t listen to my medical history the first visit and I showed back up to her office 24 hours later in severe respiratory distress. Every time I see a doctor I have to recount my full medical history again and they all want to try treatment conservatively, meaning they don’t give me the dosage of medication I need and then I have to go back. After the first experience here, I just don’t bother, I increase to the dosages I know I need. It isn’t like I don’t know what I need, my respirologist in Canada was one of the top respiroligists in the country. He believed that asthmatics understood better than anyone what their bodies required and worked to teach his patients to understand the signals their bodies were giving them. Here they prescribe a minimal dose of steroids and minimal amounts of inhaled medications, because they feel that people should use as little as possible and come back if necessary. I guess when doctors get ill, they don’t have to do this telephone time and appointment begging. *laugh*
If I was sick and called for an appointment in Canada, it was usually a next day thing and if that wasn’t soon enough, I could go in and they would fit me in between other patients if necessary. Here it is a nightmare to get an appointment. There is an acute care clinic in the next town, but you can’t just go there, you have to phone and they will give you a time to come in. So if you need a doctor after lunch, you will likely not see one until the next day. I have never been to an ER here and I hate the thought of ever having to. I have however gone for bloodwork and xrays here, a long drawn out, take a number thing. One wait for bloodwork was over 2 hours. Of course that is preferrable to the day the doctor told me that she thought I had strep throat but that all the lab staff were ill so there was no one to take the test if I went there. She sent me home with no medication and said if it didn’t get better call for another appointment.
I do know there are problems with the system in Canada. I know about the cutbacks and the long waiting lists. But I don’t hear people there bragging about the great free medical system they have, like I hear here. There are ludicrous waits for medical procedures here. 3 months for a CT scan when the person had suffered a traumatic injury. There is a minimum wait of 3 months to see any specialist and that is likely to turn in to a year. I know someone who waited for 2 years for surgery for a non life threatening (but severe enough to keep the person off from work) condition, and then was told that there was no money left in the budget for non emergency surgeries for that year, so it would have to rebooked in the next year. I never want to require surgery here, I think if I was really really ill, I would move back to Canada.
So tomorrow morning I will call again to book a time. I have to be there in person at 0830 with LL, since he has an appointment for his polio vaccination. I cannot however book an appointment while I am there, instead I will have to call on my cell from the waiting room, hoping to get through before I have to turn it off and go in to the children’s clinic. *laugh*