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Minimising time/effort dealing with health

(55 Posts)
CariadAgain Tue 22-Oct-24 13:39:43

I watched with increasing horror as more and more of my parents time got taken by dealing with healthcare appointments as they got older. I'm seeing it now with a couple that are both friends of mine and they've recently gone into "Health appointments as social life" territory as I put it. That being having health appointments instead of "having a life - doing what they want themselves".

I'm early 70's now and, if I let it, I could see the same sort of thing happening to me!!!! All the more so in some ways - because I live in a remote area and am reliant on public transport.

So - early New Years resolution is to find ways to keep that under control and stop it interfering with what I've actually decided to do myself.

Any tips and hints welcome at keeping Healthcare Time to a minimum.

I've had to spend hours yesterday going to a town about 2 hours away by bus for a foot appointment and I decided I couldn't stand wasting 2 hours coming back again on the bus and so thought "Blow it! I'll take a taxi - a direct journey is about 1 hour and that'll save one wasted hour".

Today I had another medical appointment. Teeth this time - another town (this time 30 minutes away and thankfully the bus is direct between the two towns). So I've decided to save future time by getting the dentist receptionist to fix future appointments in accordance with the bus times (so at least I don't have to waste time hanging around for the infrequent bus service).

Made another resolution - to effect of using the house diary (A4 page a day) that I've had to get since moving here (for the notoriously unreliable workmen) for allocating a page or two next year for "My body" and I'll write down a list as we go of "health appointments" and how long they take (including 1 hour for walking to and from them) and add a column for the extra time it takes in this area. Plus another column for how much of my money is going out on what I call "NHS bills" (horrified realisation it'll probably be around £2,000 for this year by the end of it - private dentist, private footcare, earwax removal, skin blemish removal and that doesn't include goods I buy myself for DIY health purposes).

I need to keep the amount of my time and my money that goes on all this to as little as possible and am on a mission not to have healthcare time & spending taking any more of my resources than I can help and make sure I've got time and money available for me personally - ie to "have a life".

Any further "keep the health side of things under control" ideas anyone has welcome. They may not all apply on the one hand - but they may give useful tips on the other hand.

eg I was only thinking "Now if I was someone that did knitting - then I could do that whilst travelling on these buses. Not a tip for me - as I'm not a creative person - but would be a 'save wasted time' tip for someone else maybe".

Caleo Tue 29-Oct-24 11:46:26

I guess easier access to health care, and other facilities is why housing is generally more expensive in towns and cities.

The exception to the above rule is rural villages that are given over to tourism and second homes.

Older people are discovering the beauties of suburbs.

pascal30 Tue 29-Oct-24 11:08:42

Having just had a run in with a receptionist at my GP surgery (first ever) and feeling put out that she felt she could question me in detail, over the phone, about why I wanted to see a GP..

I have now joined the Patient Revue Group at the Surgery.. I'm hoping to get an insight into how my GP practice is working and why this receptionist behaved as she did.. be proactive is my motto..

Barmeyoldbat Tue 29-Oct-24 08:37:39

I would love to move BUT living here I have it all for my health so this is where I will stay. I am afraid if you don’t like how things are with the travelling then move.

M0nica Sat 26-Oct-24 08:46:00

Most of the people in a unversity city will not have any connection, through work or social and living circle with 'university' people.

I have lived in university cities and in the 'university area' and was surrounded by people whose whole lives are completely unaffected by the adjacent university apart from complaining about parking and the noise students make. Their jobs, their social circle, totally unacademic and some were questioners and some weren't.

Anyway, what is student dress and what is academic dress? As far as I can see they all dress the same and span the same age group from 25 year old lecturers to 75 year old students.

RosiesMaw2 Fri 25-Oct-24 19:50:21

WHAT? @CariadAgain ?
What on Earth is all that (word salad) about?

Dressing like a student? Dressing like an academic? Pretending to be something you are not?
Questioning?
And the “cues” ?confusedconfused
You sound in awe of professionals- whether doctors, dentists or academics, and determined to assert yourself with them is this perhaps an inferiority complex?

srn63 Fri 25-Oct-24 19:49:42

CariadAgain,
I thank you for taking time to reply, but, with all due respect, I can't make head nor tail of it. I have lived in many places on this planet and have found that some people question everything and some people blindly accept and there are all the variations in between these two states. This true whichever country I have been in and doesn't matter whether there is a university in the city or not. I find the whole belief that a population of a university city is more able to make their own decisions than a population from a non university city extremely strange. It seems to that the OP considers people from a university city to be superior to people from a non university city.

Aveline Fri 25-Oct-24 19:42:03

I can only assume you have a very limited range of acquaintances CariadAgain

loopyloo Fri 25-Oct-24 19:40:20

Ah now dentists!
There are dentists and there are dentists.
I have 3 levels of dentists up my sleeve.
An nhs one for basic stuff . A private one who is an artiste and I can't afford him now and one in between for when I need him.
Yes and how people manage out in the country I really don't know.

CariadAgain Fri 25-Oct-24 19:27:55

What it means re "university city" is that it's one small city with a very well-regarded university there. We've all been used to the university basically running the city for years now. There is a very distinct mindset of a lot of the businesses there knowing it is a university city/also becoming a professional "businessperson" city and either way = the customer is pretty likely to be someone who questions things/makes their own decisions for themselves.

Cue for I'm not anything to do with the university myself - other than I knew a lot of people that were but I soon learnt to dress like a student at times and, as I got older, to dress like an academic - and the assumption would often be made that I was a "questioner" too and would be making up my own mind about things. There were never any difficulties anywhere when I said what I'd decided for my own personal decisions - that's just how that city is and a big plus point about it.

So I expect a new dentist might mention fluoride in passing (eg a comment about using fluoride toothpaste) and I would just say "No - not for me" and I guess they assumed I'd read about it (I have....) and that would be the end of that. They would have followed what their training had told them to say and I would have decided for myself based on my own reading and then we would just carry on and it would be a mutual agreement as to what happened re my teeth.

Reason why the first dentist here didn't work out is they made "that fluoride comment" (so far...so expected) and I made my standard response of "I don't do that" - but they then started acting very wierdly and standing feet away from me inspecting me as a whole and the upshot of the "initial inspection visit" was they sent me my money back and said they wouldnt take me on!!!!!!! I was gobsmacked - as I'd never even heard of a dentist arguing with the patients decisions before - and hence working my way through a practice that didn't clean teeth the normal modern way and another practice that was only going to fix a broken tooth enough to function, but not enough to look right (even though the dentist concerned was female and attractive herself - so I wouldnt have thought she'd want to do a job that was not aesthetically acceptable).

So there does seem to be a "way of functioning" that differs from place to place and I've come from a questioning place (where that is what is expected and what often happens) to a place where I've been gobsmacked at the number of times people seem to "get told what to do" and they accept it!!! Not stupid - but not as independently minded as I'm used to.
I'm used to people making their own individual decisions for themselves and I've been surprised to see people consulting with families and with local groups they're in and then making their decisions - as that's not what I'm used to seeing.

srn63 Fri 25-Oct-24 18:26:53

"My first try at getting a dentist in this little town involved the surgery clearly not being used to patients from a university city (ie questioning....making our own decisions for ourselves etc)"

I can't quite understand the above from one of OP's posts. Does it mean that if someone does not come from a 'university city' they are stupid or unable to make their own decisions? If so I find it rather insulting.

CariadAgain Thu 24-Oct-24 13:18:49

Yep Marydoll - YouTube certainly has its uses I feel. In my case I tend to watch the news that gets censored from mainstream channels - and there are some doctors I rate on there and it's useful for finding out about "alternative" medicine. Also recipe channels for the way of eating I'm veering toward. It's one positive thing that I've figured out I can now get any food (or goods) that I require now from my garden and/or Amazon - so it's possible to manage temporarily if need be if one's body is playing up particularly badly.

Anyways I take the view of "onwards and upwards" personally and I try and think positive re getting my body back to normal. Gotta be done when now that I've managed to find a decent-quality foot person my feet are back to normal = Score 1 and I was off dancing again this morning. Thinking "...and the next thing to get shot of is...the chest problem". Whilst thinking "Thank goodness the feet are sorted now - they've been a nuisance for about 3 months" and it defo struck me that if my body was any other sort of possession of mine (eg a dress) I'd be thinking about getting rid of it and buying a replacement that worked better for me and wouldn't consider it suitable to pass onto a charity shop....

Marydoll Thu 24-Oct-24 11:45:41

The worst thing about visiting older relatives as a kid was listening to endless details about medication, symptoms, appointment.

For some people, that is their world. It is up to the individual to expand their horizons, even if on small scale.
I don't look unwell, so you would never guess that I have serious problems. It is only when I disappear, that people realise I must be having a bad spell.
Recently I asked someone at church to cover for me, her unchristian response: Why? You look alright to me!. I don't bore people with my ailments apart from on GN. 😉

YouTube has become my best friend, when I have spells of incarceration. I revisit holidays in Rome, by watching walking tours, watch foreign drams, visit flea markets, etc.etc. My horizons expand, without leaving my arm chair.

Astitchintime Thu 24-Oct-24 07:04:28

Marydoll

As someone with multiple comorbidities, I have accepted that to stay alive, I have to accept the cards life has dealt me. There is no point in stressing over things I can't change.
After so many appointments and procedures nothing surprises, nor phases me any more.
It cannot be avoided, as we age.

I attend a number of hospitals in Glasgow, and if I am well enough to do so, we combine other activities, like lunch or shopping. I try to make it a positive experience.

As for health appointments, as social territory, I don't agree. They are necessary, but there is still time left for social events.
It is depends on your attitude and how you deal with theses health challenges.
There are days, when I am unable to do anything, but I certainly make up for it, when I am having a good spell..

flowers for you Marydoll.

I used to enjoy quite good health and GP appointments were few and far between - then I had an accident and things took a very dramatic turn.

I will never be discharged from my current outpatient clinic apparently, such is the severity of things.

My point is, we never know what is around the corner but by adopting a positive attitude we can make the best of it regardless of what life throws at us. If that means incorporating lunch out following an appointment or simply visiting a place of interest close to a hospital/dentist/clinic or even visiting friends then so be it.

Franski Thu 24-Oct-24 06:40:45

Talking about it all takes so many words...health issues are so front and centre for the person suffering but so incredibly dull for the person listening. I think in any conversation with friends or family there has to be a self imposed time limit on 'ailment hour'. The worst thing about visiting older relatives as a kid was listening to endless details about medication, symptoms, appointments...so tempting to seek sympathy when these things become your life.. .. I hope to reign it in as I age.....

M0nica Thu 24-Oct-24 02:03:01

Gin

In the last month I have had appointments in four hospitals and three G P surgeries. In our county they have allocated each hospital to certain conditions and also farmed out muscular/ skelatal services. I live on the county border with a big teaching hospital eight miles away but in another health authority area which treats all conditions but my doctor will not refer there. Crazy,

My GP’ surgery backs onto my garden but recently they have joined two other village surgeries and I end up going miles to them instead of next door. No bus service available of course and I no longer drive

I recognise this scenario, although not quite as bad locally. Over the last 2 months I have had to attend medical facilities in 5 different locations. Including one which had no parking at all. It was necessary to use a park & ride or go by train and face a half mile walk. Fine for me. I am fit and a regular walker, thankfully my DH has never had to use this location. He can walk only very short distances and attending this location would be impossible.

CariadAgain Wed 23-Oct-24 18:43:36

Certainly a valid idea to have all health bods in the same area if possible. Unfortunately that's not been possible for me - I think it was 4 dentists I tried before I found "mine" and they're about 30 minutes bus ride away. There are opticians in the town I'm in now and I've alternated between two chain opticians (tried the one-off local one once - never again). I've now found an optician in a different town that I shall probably swop to (more travelling!) - as they look more modern/efficient/etc than the two "chains" I've been alternating - and they are a mini-chain (though their other branches are all back in England) and I'm hopeful about them - as they do look more suitable for me. So yep - dentist in one town, optician in another, higher level foot person in another and doctor in another is the way it's worked out unfortunately and I have to use a total of 4 other towns in total to get all my necessary facilities! Thank goodness my hairdresser (who was also in another town) has now moved to the town I'm in (ie as he'd worked out his last worktown was dying - but mine is actually on the up......thank goodness I calculate some things aright LOL, as I'd figured out that is what would happen to this town a few years after I moved here...whew.......).

CariadAgain Wed 23-Oct-24 18:33:09

Spec1alk

I don’t know what you pay for your chiropodist and the bus journeys but would it cost much more if they came to your house? My hubby has one every 8 weeks and pays £42 per session

I do do what I can in my home - to save the travel.

I got told back in my home city by the foot guy that I was with for years latterly that "There are 3 levels of foot practitioners - and I'm the top one" (ie a podiatrist). So I have only been able to find levels 1 and 2 in the town I'm in now. So I've found a level 1 person (ie nail trimming and corn removal only level basically) and she does home visits and so I've had her out here for lower-level foot stuff and find she is good for the level she's at (ie a bit "beyond her Pay Grade") and can't complain at a charge of £35 for first time she comes round and then £30 for any subsequent visits. But I knew I needed the top level person I'm used to for anything more than corns - and hence looking outside this town and it means a lengthy journey to find someone at that level.

Thankfully I have now found a top-level person - though he's about 2 hours (!!!!) away by bus (as that bus winds all round the place, rather than being direct). But I know now that I'd rather spend £70 for a direct journey by taxi and take an hour than nothing on the bus fare, but take two hours (not including time waiting round for the - infrequent - bus). So taxi it is if I need anything more than a corn removal again and try not to think I've been used to just going to a place within 10 minutes walk from my last house.

Gin Wed 23-Oct-24 17:37:09

In the last month I have had appointments in four hospitals and three G P surgeries. In our county they have allocated each hospital to certain conditions and also farmed out muscular/ skelatal services. I live on the county border with a big teaching hospital eight miles away but in another health authority area which treats all conditions but my doctor will not refer there. Crazy,

My GP’ surgery backs onto my garden but recently they have joined two other village surgeries and I end up going miles to them instead of next door. No bus service available of course and I no longer drive

Judy54 Wed 23-Oct-24 17:16:46

Marydoll is right we have to accept what life throws at us, no amount of moaning will change what we have to deal with. Life can be hard sometimes and we all get health problems as we age, some are minor and some more major. Do what you can when you can and if having a bad day take some rest. We all deserve that!

Cabbie21 Wed 23-Oct-24 16:27:14

I had a conversation about this thread with my daughter when she said she would never live in a built-area. (She lives in a former farmhouse in a small village) I explained the definite advantages of living on a bus route and within easy reach of amenities especially medical ones when you are older.

Marydoll Wed 23-Oct-24 16:03:41

As someone with multiple comorbidities, I have accepted that to stay alive, I have to accept the cards life has dealt me. There is no point in stressing over things I can't change.
After so many appointments and procedures nothing surprises, nor phases me any more.
It cannot be avoided, as we age.

I attend a number of hospitals in Glasgow, and if I am well enough to do so, we combine other activities, like lunch or shopping. I try to make it a positive experience.

As for health appointments, as social territory, I don't agree. They are necessary, but there is still time left for social events.
It is depends on your attitude and how you deal with theses health challenges.
There are days, when I am unable to do anything, but I certainly make up for it, when I am having a good spell..

grandtanteJE65 Wed 23-Oct-24 15:33:27

I am lucky, in that I live within walking distance of a good health centre, where I can consult my GP, have blood tests done and so on. I have also chosen a dentist within a reasonable distance by bus, and can usually fit shopping in with waiting time for a bus home.

Referrals to hospital, as and when necessary, or even getting to a vaccination centre are a problem, as the nearest hospitals are 35 and 45 kms away, and I do not drive. So, one has to remember to ask for an appointment that fits with the bus timetables. This basically means asking for an appointment mid-morning, as the buses do not run before 7.25 in the morning, and one gets home late afternoon.

All we can do is decide, what is actually necessary - can you still cut your toe-nails yourself, or find a chiropodist who will come to your house?

I am healthy for my age, and know I am lucky and I do what I can to stay healthy and I think that is all one can do.

A possiblity could be to find dentist, choropodist, optician etc. in the same town and schedule appointments on the same day as far as possible.

Grannmarie Wed 23-Oct-24 14:44:55

Oops, that was for eddiecat, not sure what happened to the quote?

Grannmarie Wed 23-Oct-24 14:43:19

Perfect coordination! 👍

Spec1alk Wed 23-Oct-24 14:28:43

I don’t know what you pay for your chiropodist and the bus journeys but would it cost much more if they came to your house? My hubby has one every 8 weeks and pays £42 per session