FFS
Member
As usual, in front of my laptop when I'm here
Posts: 2,797
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Post by FFS on Jan 13, 2022 13:18:38 GMT 1
Having suffered from back and side pain for over a week, this morning I could hardly get out of bed and decided to not go to work, in order to get a rendezvous for an arrêt de travail (something my wife has been urging me to do for days, but hey, I'm tough - and stubborn). A colleague had told me about a local cabinet médical where no rendezvous was required, you simply turn up and wait your turn, so I thought I'd try that.
Eight or nine people waiting when I arrived, three separate doctors it seemed, I was out within an hour. You need to keep an eye out for who was there before you so you don't jump the queue, but a fairly well organised situation. I was seen by the doctor who set up the practice, he said they (there are 7 of them in all, but not all at the same time) share their dossiers, they lunch together, so if you don't always see the same doctor, you at least know that s/he can see what you've been seen for previously.
I'm not a regular visitor to a doctor, but I'll certainly use that practice again, a damn sight better than where my wife goes to see one doctor but with sometimes three hours of waiting.
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Post by houpla on Jan 13, 2022 14:19:56 GMT 1
Don't you have a nominated MT, FFS? As I understand it, you're not reimbursed fully unless you've got an 'official' one. Hope you feel better soon!
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Post by hal on Jan 13, 2022 14:32:16 GMT 1
no rendezvous was required, you simply turn up and wait your turn, . Am I worong, but I thought that was how the French system works with all GPs - a Dr has to see anyone who arrives at his/her surgery up to 11.00am regardless how many people arrive..? My Dr operates like that, you quickly get the pattern - try not to visit Monday or Tuesday, Thursday is always good for me, arrive at 10.45 and generally I am out by 11.30.
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exile
Member
Massif Central
Posts: 2,680
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Post by exile on Jan 13, 2022 16:23:35 GMT 1
Almost all here (could even be all) require a rdv and my MT currently requires that you phone even for an emergency rdv. Covid and the need to maintain social distancing in waiting rooms is the prime reason.
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Post by Sizewell on Jan 13, 2022 16:44:42 GMT 1
Don't you have a nominated MT, FFS? As I understand it, you're not reimbursed fully unless you've got an 'official' one. Hope you feel better soon! You had me worried for a moment as our MT left in July 21 and we have been waiting for a replacement for her. The cabinet is only about 2 minute walk from where I live, it is also newly built but now without any MT. I checked on Ameli and it still shows her as our MT, so should still continue to get reimbursed. For me its a bit iffy as I am T1 diabetic so should be seeing an MT regularly but fortunately I saw my diabetilogue a few months ago and she gave me a prescription for all my needs and told me to just contact her secretary to renew it.
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FFS
Member
As usual, in front of my laptop when I'm here
Posts: 2,797
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Post by FFS on Jan 13, 2022 17:29:01 GMT 1
no rendezvous was required, you simply turn up and wait your turn, . Am I wrong, but I thought that was how the French system works with all GPs - a Dr has to see anyone who arrives at his/her surgery up to 11.00am regardless how many people arrive..? As exile, almost all round here work by rdv only.
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FFS
Member
As usual, in front of my laptop when I'm here
Posts: 2,797
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Post by FFS on Jan 13, 2022 17:31:11 GMT 1
Don't you have a nominated MT, FFS? As I understand it, you're not reimbursed fully unless you've got an 'official' one. Hope you feel better soon! My nominated MT is the same one as my wife, but getting a rendezvous means waiting at least 2 or 3 days. I only paid 7.50€, so will see what is repaid, if anything.
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Post by houpla on Jan 13, 2022 18:38:13 GMT 1
If I live to be a 100, I'll never get my head around the vagaries of the French health system @ffs, perhaps as a working person you're not subject to the caprices of a CPAM? A mutuelle would also play a part? Sizewell ...you can only hope that the CPAMs have been instructed to take into account medical desertification in rural France and to allow for the fact that people are losing their designated MTs due to retirement, left, right and centre. I changed a few months ago, having had a flash of clairvoyance re. MT's retirement It was amazingly easy to re-register the new MT. In fact he did it himself, online, instantly. A huge contrast to the shambolic system 15 years ago when it took no less than 5 attempts to get the CPAM to register the form.
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Post by pcpa on Jan 13, 2022 22:27:24 GMT 1
Most towns in my (current) area have a Maison Medicale where several GP's and practitioners share the building and reception services although many of the MT's have their own secretarys so the main reception sends you to them.
They have no problem getting remplaçants for their holiday absences as one can be based their several months covering each MT's holiday in the summer, all the other one man bands have waits for consultations as long as you are quoting.
I can normally see my MT within a day, or their remplaçant if they are away, if it is urgent they will offer me a same day appointment with another Médecin.
One day I felt really ill, I knew it was something bad so drove in, my MT was on holiday, could I come back tomorrow? - Not really this feels really bad, by which time I was shaking uncontrollably, I was seen immediately by his young remplaçant, I jumped the queue, she checked every inch of my body for cuts saying at that stage it was just a suspicion and I should go immediately for a blood test.
She called me that afternoon after chasing the lab, she was correct, I had Sepsis, it would take another 24 hours for the culture to reveal what type it was (staphylocoque dorée) , she said to pack my bags as she had ordered an ambulance and it was on its way, absolutely superb service from someone covering for 2 MT's during a very busy period.
I am very very pleased that it was a Maison Medicale and I shall be seeking a similar one when I move.
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Post by houpla on Jan 14, 2022 5:20:19 GMT 1
Quite a few of these Maisons Médicales have been built in towns round here, too, but with mixed results. They've installed peripheral services like physios, podologues and infirmières, but still failed to attract MTs. This despite all the government incentives like generous tax breaks. I wonder if it's something to do with being just a bit too close to Bordeaux? Successive Maires in my village have been trying for 12 years and have finally given up, after failed attempts to install Portugese and Romanian practitioners. The solution now being mooted is 'télémédicine'. No substitute for an experienced, qualified human being face to face!
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Post by Polarengineer on Jan 14, 2022 7:55:14 GMT 1
Quite a few of these Maisons Médicales have been built in towns round here, too, but with mixed results. They've installed peripheral services like physios, podologues and infirmières, but still failed to attract MTs. This despite all the government incentives like generous tax breaks. I wonder if it's something to do with being just a bit too close to Bordeaux? Successive Maires in my village have been trying for 12 years and have finally given up, after failed attempts to install Portugese and Romanian practitioners. The solution now being mooted is 'télémédicine'. No substitute for an experienced, qualified human being face to face! Bit different for fellas needing prostate checks, but still need the personal " touch"
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Post by houpla on Jan 14, 2022 10:52:01 GMT 1
Any number of problems, PE, it's the same principle for us fifilles as well I wonder how that's supposed to work for those who require a home visit and have no PC? There's a big drive to keep elderly people in their own homes for as long as possible, but for that, you need the back-up, which has already been proved to be sadly lacking.
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Post by lindalovely on Jan 14, 2022 15:08:36 GMT 1
Quite a few of these Maisons Médicales have been built in towns round here, too, but with mixed results. They've installed peripheral services like physios, podologues and infirmières, but still failed to attract MTs. This despite all the government incentives like generous tax breaks. I wonder if it's something to do with being just a bit too close to Bordeaux? Successive Maires in my village have been trying for 12 years and have finally given up, after failed attempts to install Portugese and Romanian practitioners. The solution now being mooted is 'télémédicine'. No substitute for an experienced, qualified human being face to face! Here they can only staff them with part time staff. It's the profession liberale structure that puts off younger doctors. Many might be happy to do a couple of years, but they don't want to invest full time and indefinitely, especially when many have spouses that also need to work, and these are usually professional people as well who may not find many opportunities in the back end of beyond. Also with kids to get through school and university it is not so easy to make a decent living in the countryside.
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Post by Sizewell on Jan 14, 2022 15:31:13 GMT 1
Our MT who left last July, was quite young. She was the only MT in our town which has a population of around 2000. Her books was always full and never hardly took on any newcomers. They had been looking for another MT to work with her for the last couple of years. Also in the last couple of years she had been training interns and I saw her only once in 2 years even though I had appointments every 3 months, but it was always with an intern. Her husband had got a new job up in Paris, so she left to be with him.
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