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donoreo
Premium
join:2002-05-30
North York, ON
reply to Gone

Re: Ontario to outsource some procedures to specialised clinics

said by Gone:

Moving things like colonoscopies and other day procedures that would otherwise be performed in a hospital to a specialized clinic sort of makes sense. They're so routine that it doesn't make sense to tie up hospital resources with them.

My first camera up the bum was at a clinic, that was 8 years ago.

peterboro
Avatars are for posers
Premium
join:2006-11-03
Peterborough, ON
said by donoreo:

My first camera up the bum was at a clinic, that was 8 years ago.

A private clinic and a few hot nurses for the anal adventures of donereo as a lucrative venture and a business model is formed. As a bonus think of all the lives it would save.


koira
Keep Fighting Michael
Premium
join:2004-02-16
Reviews:
·Start Communicat..
said by peterboro:

said by donoreo:

My first camera up the bum was at a clinic, that was 8 years ago.

A private clinic and a few hot nurses for the anal adventures of donereo as a lucrative venture and a business model is formed. As a bonus think of all the lives it would save.

sounds very similar to a movie that was on late last Saturday night

MaynardKrebs
Heave Steve, for the good of the country
Premium
join:2009-06-17
kudos:4
reply to peterboro
said by peterboro:

said by donoreo:

My first camera up the bum was at a clinic, that was 8 years ago.

A private clinic and a few hot nurses for the anal adventures of donereo as a lucrative venture and a business model is formed. As a bonus think of all the lives it would save.

There have been an number of clinics like this in Toronto for years for colonoscopy procedures.

Kensington Clinic has been open for 5+ years going cataract/glaucoma procedures - and it is basically staffed by eye surgeons who also are @ Toronto Western, Mt. Sinai, and Toronto General hospitals.

There's at least one totally private eye surgery clinic in Toronto - in continuous operation (no pun intended) since the 1930's.

---------------

Part of the issue has to do with the cost of building and running OR's in hospitals - it's a huge capital expense, and they are subject to a wide variety of constraints.

However one of the biggest constraints on getting more patients through 'elective' or non-urgent surgery is simply that many OR's just don't run 24/7 because of staffing models - from numbers of doctors who don't want to be stuck on night shifts once they are no longer residents, to nurse & lab staff not wanting the graveyard shifts either.

Maybe what should be done is getting at least a couple of Level 1 hospitals in the Toronto and other large urban areas to be staffed at their weekday 8am-4pm levels 24/7x365 and push people through the surgical/radiation/etc... backlog that way. The capital cost component of their procedures drops dramatically that way.

However, I can see doing some things like *simple* arthroscopic knee meniscus repairs in a clinic setting, where procedures run under an hour. More complex and longer procedures like knee ligament reconstructions or transplants are really only hospital procedures due to the greater chances of things going wrong.


DKS
Damn Kidney Stones
Premium,ExMod 2002
join:2001-03-22
Owen Sound, ON
kudos:2
said by MaynardKrebs:

However one of the biggest constraints on getting more patients through 'elective' or non-urgent surgery is simply that many OR's just don't run 24/7 because of staffing models - from numbers of doctors who don't want to be stuck on night shifts once they are no longer residents, to nurse & lab staff not wanting the graveyard shifts either.

Not true. I had this discussion with one of our local surgeons. He said that they could run our ORs 24/7 but that the government would not fund it. They had staff and willing surgeons, but not the funding. We do run our MRI 24/7, however, with funding.
--
Need-based health care not greed-based health care.


FFH5
Premium
join:2002-03-03
Tavistock NJ
kudos:5
said by DKS:

said by MaynardKrebs:

However one of the biggest constraints on getting more patients through 'elective' or non-urgent surgery is simply that many OR's just don't run 24/7 because of staffing models - from numbers of doctors who don't want to be stuck on night shifts once they are no longer residents, to nurse & lab staff not wanting the graveyard shifts either.

Not true. I had this discussion with one of our local surgeons. He said that they could run our ORs 24/7 but that the government would not fund it. They had staff and willing surgeons, but not the funding. We do run our MRI 24/7, however, with funding.

The socialist medicine model is just too costly without limiting care due to costs.
--
A democracy cannot exist as a permanent form of government. It can only exist until the voters discover that they can vote themselves money from the public treasury.


DKS
Damn Kidney Stones
Premium,ExMod 2002
join:2001-03-22
Owen Sound, ON
kudos:2

1 recommendation

said by FFH5:

said by DKS:

said by MaynardKrebs:

However one of the biggest constraints on getting more patients through 'elective' or non-urgent surgery is simply that many OR's just don't run 24/7 because of staffing models - from numbers of doctors who don't want to be stuck on night shifts once they are no longer residents, to nurse & lab staff not wanting the graveyard shifts either.

Not true. I had this discussion with one of our local surgeons. He said that they could run our ORs 24/7 but that the government would not fund it. They had staff and willing surgeons, but not the funding. We do run our MRI 24/7, however, with funding.

The socialist medicine model is just too costly without limiting care due to costs.

Who has a socialist medicine model? Not Canada.
--
Need-based health care not greed-based health care.


koira
Keep Fighting Michael
Premium
join:2004-02-16
reply to DKS
So friends romans countrymen, when i have the need for an ass cam where should i go, what should i ask for ? Hospital , clinic, ? I havent seen a doc for ages but maybe given my age i should get one done.


Gone
Premium
join:2011-01-24
Fort Erie, ON
kudos:4
said by koira:

So friends romans countrymen, when i have the need for an ass cam where should i go, what should i ask for ? Hospital , clinic, ? I havent seen a doc for ages but maybe given my age i should get one done.

You'll go wherever your gastroenterologist tells you to go.
Expand your moderator at work


koira
Keep Fighting Michael
Premium
join:2004-02-16
Reviews:
·Start Communicat..
reply to Gone

Re: Ontario to outsource some procedures to specialised clinics

said by Gone:

said by koira:

So friends romans countrymen, when i have the need for an ass cam where should i go, what should i ask for ? Hospital , clinic, ? I havent seen a doc for ages but maybe given my age i should get one done.

You'll go wherever your gastroenterologist tells you to go.

and then there is always a right for refusal if you feel things aint right. Say for example it seems obviously poor housekeeping and then the instrumentation isnt right, like not out of some sealed container. Then walk away. I would if the place stinks. Should be obvious.


Gone
Premium
join:2011-01-24
Fort Erie, ON
kudos:4
Considering it'll be your gastroenterologist who is performing the procedure, you'll be looking for another doctor, too.


elwoodblues
Elwood Blues
Premium
join:2006-08-30
Somewhere in
kudos:2
reply to FFH5
If if it was socialist, your healthcare costs dwarf ours. The ACA is a good start to fixing that.


DKS
Damn Kidney Stones
Premium,ExMod 2002
join:2001-03-22
Owen Sound, ON
kudos:2
reply to Gone
said by Gone:

Considering it'll be your gastroenterologist who is performing the procedure, you'll be looking for another doctor, too.

Not always. A general surgeon does mine.
--
Need-based health care not greed-based health care.


Gone
Premium
join:2011-01-24
Fort Erie, ON
kudos:4
said by DKS:

Not always. A general surgeon does mine.

Really? My same gastroenterologist has always done mine (and I've had a few) over the last 15 years. He doesn't do any surgery, though.


DKS
Damn Kidney Stones
Premium,ExMod 2002
join:2001-03-22
Owen Sound, ON
kudos:2
said by Gone:

said by DKS:

Not always. A general surgeon does mine.

Really? My same gastroenterologist has always done mine (and I've had a few) over the last 15 years. He doesn't do any surgery, though.

Yup. A very good surgeon.
--
Need-based health care not greed-based health care.


Gone
Premium
join:2011-01-24
Fort Erie, ON
kudos:4
I have a very good gastroenterologist.