Broken hearts, or why telephone consultations are less than 35% effective (homage to Heathcote)

Although doctors are being battered over the head for not enough F2F appointments, in reality, telephone reviews are much harder than seeing a person in the surgery.

Take away, facial expression, eye contact and body-language and it is far more difficult to know or understand what is going-on.

Manor Field Surgery Blog 10 Dizziness (three-part series) 

The most significant, particularly for older people (the definition of older is anyone who is older than you) when the effects of ageing can impair balance, coordination, and reflexes. 

Tell me what has been happening.

This is how I often start, begin the conversation, listen to the story from the perspective of the husband or wife, son or daughter.   They tell me about my patient, the deterioration, the frequent acknowledgment that things are getting worse, that they see the future.   And, the system, the trying to do itsContinue reading “Tell me what has been happening.”