What can you do to keep yourself as healthy as possible if you don't have a family doctor?
A🧵of (unofficial) ideas for "the unattached" 1/11
2/ ❤️🩹🩺
First, let's get this important caveat out of the way...
If you are VERY SICK
e.g. issues breathing
or chest pain
or you're bleeding excessively
or another urgent/emergency condition
GO TO THE CLOSEST EMERGENCY ROOM or CALL 911
3/ 🩺❤️🩹
2nd crucial caveat
If over the last 3-6 mon you
-had unintended weight loss >10lbs
-have drenching night sweats (& aren't experiencing menopause)
-blood in your stool/urine
-have a breast lump
Get seen by an MD < ~2 weeks, & tell them these things (in person>>virtual)
4/ ❤️🩹🩺
Ok.
You don't have a family doctor & you want to stay healthy...
VACCINATIONS 💉
SAVE LIVES &
REDUCE ILLNESS SEVERITY &
ARE SAFE
get them, all of them.
Great resource to get yourself & your kids sorted for which ones you need, etc👇 immunize.ca
5/ ❤️🩹🩺
Ok.
You don't have a family doctor & you want to stay healthy...
WASH YOUR HANDS
&
WEAR A MASK AROUND SICK PEOPLE
(this usually means most public places... the bus, the mall, at work, etc)
*effective masking reduces transmission of airborne viruses
6/ ❤️🩹🩺
Don't have a family doctor &
you have a cervix &
are between 25 - 69 yo
GET A PAP TEST EVERY 3 YEARS
In BC, there is a clinic locator for pap tests for people with no family doctor: bccancer.bc.ca/screening/cerv…
(please add other provincial resources as a reply to this tweet)
7/ ❤️🩹🩺
Don't have a family doctor &
you need a refill of your regular medications
1) check and see if the pharmacists in your region can renew them 2) try a walk in clinic (in person >> virtual)
the emergency department should be your last resort for this kind of thing.
8/ ❤️🩹🩺
Don't have a family doctor &
you want to stay healthy
EXERCISE
movement is medicine
if you are able, walk, a lot
10-15,000 steps a day will do wonders for your mind & your body
go with a dog, a friend, an audiobook, or listen to the birds
9/ ❤️🩹🩺
Don't have a family doctor &
you want to stay healthy
Do the things you know you should:
-stay hydrated
-wear your seat belt
-floss
-minimize alcohol/other substances
-quit smoking
-get enough sleep
-make more friends
-get a hobby!
10/ ❤️🩹🩺
Don't have a family doctor &
you have a cold
colds are normal &
as long as you can breathe well
are eating & drinking relatively normally...
a sore throat + fever + cough + runny nose is usually viral & takes 5-21 days to clear in healthy people wellness.uoguelph.ca/services/healt…
11/ ❤️🩹🩺
Don't have a family doctor &
you really want that to change?
3/5 200 participants (FPs, NPs, Nurses, and community members) attended an educational webinar focused on opioid sparing practices and the (lack of) evidence for opioid analgesics to treat noncancer pain.
You can read more here: doi.org/10.1093/fampra… (3/5)
The REDONNA study doi.org/10.1016/j.cct.…
began from the motivation for improved & safer opioid prescribing in primary care
We aimed to educate MDs about their OWN prescribing practices using audit & feedback letters developed by the @Drug_Evidence@JanKlimas@ShawnaNarayan 1/4
They received information about the number of new opioid initiations & how they compared to the average physician. They were provided information on the (lack) of effectiveness on pain for opioid naïve patients through an educational webinar: doi.org/10.1093/fampra… (2/3)
From this study, we hope to support the uptake of quality prescribing practices that are equity-oriented and evidence-based to help patients experience less pain. (3/4)
2/ 💯Primary care is in a terrible state in BC (has been worsening for 20 years), and this money might "stem the bleeding" but it won't remedy the sharp objects causing the bleeding🩸🩸🩸
3/ Imagine public education in the same state, a million kids don't have a school to go to and teachers quitting everywhere because they are burnt out, and the cost of running their own school is unsustainable