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#1
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in australia you're allowed to get up to 12 sessions under medicare with a therapist subsidised. the process is that you get a referral for 6 sessions, go back for a review, and get your next 6 sessions.
austin-t suggested a GP to go to but when i rang for the review appointment that doc had left the practice. the medical centre is only 2 streets away, and austin-t has his private practice located there, so i asked him if there was a different GP he would recommend (i'm scared of health professionals at the best of times, so i don't go unless i can have someone swearing black & blue about how good they are). austin-t told me there was a new guy who was so good that austin-t had decided to make him his family GP. he did say he was the same cultural background as me, which made me feel pretty reluctant to see the GP, but i don't like that i have stereotypes regarding race like that so i decided to go to this GP. ![]() the GP couldn't give me the referral based on some minimum period requirement, which is ok and i understand that. but then he sat with me for 15mins telling me how i should get married and have kids, and that if i didnt have a boyfriend now i should go back to where my parents came from to find someone and etc. he then told me i should start watching tv shows in that language because otherwise when i have children my children won't be able to connect with their grandparents (my parents). i was a bit like ![]() ![]() ![]() it was gross ![]() and i know this is something i should talk about with austin-t (race is a big issue for me) but i dont want to say anything bad about this GP to him, especially because they work together as colleagues and austin-t uses him as his GP too. and the other problem is that i still dont have my referral, and i dont have the $ to pay full fee either. so im feeling kind of upset and anxious and desperate and screwed. |
#2
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(Deli))))))
![]() I'm so sorry you had to go through this today. ![]() ![]() |
![]() deliquesce
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#3
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(((((((Deli))))))))
I'm so sorry that happened. That is awful. I know when I moved after college I was scared that people were going to tell me that I should return to live with my parents. (was not going to happen.) I'm so sorry this GP did not support your independence and all you have done to take care of yourself. He does not know your complete history (no one could give their complete history in 15 minutes) and so has no right (and still would not even if he did) to tell you what you should be doing with your life. You have made so many hard decisions recently and deserve to be supported in those. If you have any other choice of people to go to (get another referral from Austin-T or one from Pdoc) I would not go back to this guy. I know you said that you would feel uncomfortable talking with Austin-T about this GP, but I think you should. I think you should also tell him that it is hard for you to bring it up because you know he has a personal connection to the GP. I believe that in telling you that, while trying to ease your worries, overstepped his professional boundaries. I think it would be good for him to know your experience with this doctor. I remember once that you got a bad referral from Pdoc and went back and told him. After that I'm sure he limited who he referred to that T after your bad experience. I would hope that Austin-T would not take it personally that you did not like the referral. I think he would take it as a learning experience. Now, If I could jump on a plane and fly down, I would totally yell at this GP for you. (Well I'd give you a chance, and then I would do some yelling too.) This experience made me so angry for you. ![]() ![]() Please take care of yourself. You deserve to have yourself stood up for! ![]() ![]() ![]() ![]() |
![]() deliquesce
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#4
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That appointment sounds awful, deli, and the doc sounds horrid.
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![]() ![]() ![]() Maybe pdoc can give you a referral to a GP he knows is good.
__________________
"Therapists are experts at developing therapeutic relationships." |
![]() deliquesce
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#5
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Whats the minimum period for?
I've been to a lot of different doctors to get my care plans written out - my T has to write back to a different GP nearly every time. I just go in to a Dr wherever I happen to be that day. For what its worth - Im an Australian and I dont judge people in any way based on the colour of their skin. The gp was inappropriate and it would be good if you told your T that - so maybe he wont send anyone else there. |
![]() deliquesce
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#6
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Deli - That was a very bad appointment. The GP is a jerk and I agree with Googley that you should report it back to your T. Maybe he will think twice about referring other clients to him.
The GP's comments were racist, stereotypical and totally useless. The fact that he said you should bring your mother is also insulting and breaches the doctor/patient confidentiality agreement. GRRR. He sounds useless. Please find another GP. One that doesn't put you in a box and can do what you ask. You are the GP's employer. Hope you can find a GP that can give you the care you deserve. ahc82 - I'm not sure how long the waiting period is for but it would be beneficial for you to stick with the same GP. If you can explain that to your GP they may tell you the hours that they are available. It will also help to get to know a GP so that your standard of care can be consistent. |
![]() deliquesce
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#7
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i know race relations in the States aren't good, but certainly they are better than they have previously been. i think in australia it's very much a case of hush-hush at times - unlike in the States where the world knows, in Australia it's almost a case of don't look, don't tell. i shouildn't moan too much - my family migrated here - and therefore we were afforded better opportunities than the Indigenous population. i think Aboriginal Australians have to face a more systemic prejudice than the sort of by-the-by stuff i do. Quote:
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your 6 sessions have to be spread over a minimum of 3 months before you can get the new lot. i see austin-t more often than fortnightly, so i needed the referral quicker, but i understand why that rule is in place. edit: thanks possum for your reply. i've been GP hunting for a long time now; it makes me think there is something wrong with me that i cant find one who will take me seriously. |
#8
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![]() He sounds like an incompetent jerk. I don't understand - isn't GP = General Practitioner? Like a medical doctor? Maybe I'm completly wrong, but why was he commenting at all on your life situation and living arrangements, and grandchildren? ![]() ![]() ![]() It is truly sad and frustrating when we go to see 'professionals' and they end up being totally ignorant, clueless and just plain stupid. (((((((Deli))))))) Trust me, it does not reflect on you, OR Austin-T that this person was a first-class jerk. I'm with Googley - I'll join in the demonstration. ![]() We can picket his office until he resigns and admits what a moron he is. How DARE he pick on our friend Deli. ![]() ![]() ![]() Try not to let this get you down, ok? ![]() |
![]() deliquesce, googley
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#9
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((((((((((((deli)))))))))))))))
(((((((((((sw628))))))))))))))) ![]() ![]() ![]() ![]() ![]() |
![]() deliquesce
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#10
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YIKES DELI ( and SW) this is incredible!!!!
![]() ![]() Say, the fact that this GP has taken the (odd) stance he has doesn't mean that the reason you went to see him is sunk now, does it? Can you not go to a different doc & get the ppwk done? Sheesh what next. ![]() |
![]() deliquesce, googley
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#11
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(((((((( Deli )))))))))))) O M G !!!!!!! W T F ?
![]() That idiot has some nerve to have said that!!!!!! That is just cruel and beyond understanding! You are YOU. You are not what that idiot thinks you need to become. Having a spouse and family is not the answer! In fact, a person is much better off first working on who they are and learning to be healthy. After that, they will be ready to have a healthy relationship and such - if they want that. But there is no law that says everyone HAS to be coupled off that way. UUUURRRRRR !!!!!!!!!!!! Very big hugs to you!!!! |
![]() deliquesce
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#12
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What great support guys.
![]() ![]() Deli.... I think I would have gone with your first gut feeling,"made me feel reluctant" after the comment of "the same cultural background." And left the place And think about the gut feeling. Why was this "new kid" doc on the block so good? And WHY did Austin-T make the "same cultural" comment to you? A-T must have known you well enough to REALLY NOT TO HAVE MADE THAT CULTURAL ATTACHMENT for you? Maybe A-T had made that cultural connection for the "new kid" doc on the block to "connect" with you. ![]() You did not want a "cultural connection" YOU NEEDED A GOOD, COMPASSIONATE AND UNDERSTANDING LISTENER. Sounds like the "new kid" doc on the block loves his own voice too much. Possibly he had too much nerves and was trying too too hard. I agree make a complaint. The "new kid" doc needs to learn proper patient and doc protocol, professional conduct and LEARN TO LISTEN. |
![]() deliquesce
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#13
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![]() i've reach that point now where i feel silly about this? am i making a big deal over nothing? and then it hits me again that this guy was a medical practitioner, who i had never met before, and that i (stupidly?) expected a level of professionalism from him befitting the title of GP. gosh, it just makes me sad though - for him and me. i dont know if i just triggered some weird transference thing in him though - he kept telling me about other people my age who he knew who looked like me and asking whether i knew them. at one point he stopped and laughed and said it was hard to believe he wasn't talking to this other girl because we looked so similar/had the same mannerisms. so i am kind of telling myself that maybe i got him on some weird sentimental day, or that i triggered something for him. unfortunately i guess his stuff fed into my stuff and triggered me also. it's taken so much to forge my own path away from what's expected of me, and it did feel like all of that was crashing around me when i was sitting in his room - here was a complete stranger expecting the same things of me as my parents/uncles/aunties/concerned elders. it feels like no matter what i do people will still want to box me in a way they think is right. it was demoralising. Quote:
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you're right that the new doc might've been nervous & trying too hard. it really did seem like he wanted to establish a connection straight away, to get to really know me as an individual instead of just another patient. but maybe he got carried away. i dont know about making a complaint, but i might talk it over with austin-t so austin-t knows not to refer other people to him. but at the same time i feel bad because when we were leaving he kept saying "god bless you" and said he really hoped i would come back ![]() ![]() |
![]() WePow
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#14
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![]() deliquesce
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#15
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If you don't make a complaint, I will. I'm fuming about what he put you through. Life is hard enough than to have some arrogant MD decide it's his place to tell you so many negative things about your life situation, share his great wisdom. Really, he was sooooooooo out of line. To clarify, I gathered that he's from your cultural background/ethnicity/religion/race or some combo of? So he was trying to relate to you as "being one of us/(his kind)" and not as an "other"---true? Not racist in the traditional sense of bias against the "other", etc.? And he's like very hardcore into the old-fashioned customs of the shared community background re: the role of family, things like how long you live with your parents, when you get married, to whom, gender roles, etc. ? (Like your parents and family are?) Is this true? Not that it matters; I just can't gauge how much he was insulting you for not being "like your kind" (you as "other") as opposed to for not being "enough like our (us) kind" in his eyes. Read any Fanon? Anyway, the things he said are very, very unprofessional and unethical here in the US. He crossed so many boundaries. At that younger age, being provoked about stuff like that (esp. family given my situation at that age) and being lectured like that, at some point I'm sure I woulda let loose with a two word response where the first word starts with an f and the second with a y. If not then and there, all the way on the drive home and wrote a letter of complaint utilizing the colloquialism. (Then deleting it from the real letter I'd send). He should get in major trouble for what he did. Maybe you were someone going through all sorts of difficulties like the kind you actually are going through? He didn't know? And you're there for a psych referral, so he should be particualrly sensitive to your state of mind. The "g" word is lost on me as an agnostic, but while he might be a decent, moral person, he needs to learn that the workplace is not the proper place to sell/proselytize about a lifestyle. And that being in a position of particularly crucial authority, he needs to take special care because of the power he wields. Sometimes good people do bad/stupid/wrong/inept/harmful things. He needs to be set straight by his superiors. You're not the only one he has or will victimize. You can do a public service by making a simple written, unemotional, fact-based recitation of what he did and said and giving it to clinic mgmt. I'm sure he had good intentions, which is irrelevant to whether or not his behavior was appropriate. Who are these people who think it's their place to lecture others? I really wish you didn't go through this. With all else going on you don't need a dolt like him sticking his nose in your business and condescending to you. Still, you are handling it remarkably well. There's a certain sense of equanimity in many of your postings lately that smells like progress. ![]() ![]() ![]() ![]() ![]() ![]() ![]()
__________________
out of my mind, left behind |
![]() deliquesce
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#16
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Deli - dont quote me on it but I think your psychiatrist can refer you to Austin T without a care plan - but it still counts towards the 12 sessions.
I got a referal from my psychiatrist at one stage and it went through medicare without any problems, even though I had a current care plan in place for another T. Also - in some cases the 12 sessions can be extended to 18, and again dont quote me on this but I THINK I read somewhere about a loophole where if you have a good enough reason you dont have to wait 3 months between referrals. And lastly - I think beyondblue or depressionet (or maybe black dog institute?) has a list of "depression friendly professionals" including GP's. Maybe you can find on there? Just some ideas! Hope it works out. |
![]() deliquesce
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#17
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Just found this:
"Both categories of psychology Medicare items can only be provided to people with 'an assessed mental disorder' that is being managed by a GP under a GP Mental Health Treatment Plan or a psychiatrist assessment and management plan, or on direct referral from a psychiatrist or a paediatrician (for treatment of a child)." So you can definitely get one from your psychiatrist. http://www.psychology.org.au/medicar...edicare_items/ |
![]() deliquesce
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#18
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![]() and then he got distracted and told me how he saw austin-t last friday and austin-t was in a football jersey and pdoc felt like a social outcast at work because he hadn't realised it was "wear your team's jersey" day. but that he thought austin-t was going to take him out because austin-t looked like a footy player and pdoc felt very scared for his white shirt getting torn. lololol i like it when they're in love. Quote:
![]() yeah - the GP was from the same (similar) regional background as me. or rather, as my parents - i was born in australia. they are probably the same generation. so it wasn't racist as in "go back to your own country" it was more "you're one of 'us' and this is how 'we' do things". in a sense though the race (culture) issue is similar for me regardless of where it comes from - it's a pressure to conform to a nominated cultural worldview, typically that i don't fit into. even though i was born in australia, i grew up with migrant parents, with a migrant extended family, in a migrant community etc. so there are many aspects of the dominant "australian" culture which i don't fit in with either. and the race thing comes in because people see the colour of my skin and make assumptions about me because of it, both positive and negative, but rarely anything accurate. like sw628 said, i often wish i was transparent. re: making a complaint. gosh, yknow, i just cant be bothered. i've seen enough bad GPs, this is just another one in a long long line of them. i talked to pdoc about this today - the monday GP in particular, and then it turned into a bit of a mope about all GPs and i think i even chucked in a bit about old-T ![]() ![]() he told me he'd find me a good GP though. he said the first person he would swear on was probably too far away for me to travel to, but then he got all excited because he knows a few GPs personally at a centre just a bus ride away from me, so he said he'd get their address and pass the details on properly next time. and he said that because they work as a group, that if one of them isnt available on the day i needed that person that he'd just as happily recommend the other one, and that all my records could stay in the same place. so i feel a bit better about that. the more i think about it the more i realise im just so lucky to have fallen in with pdoc - i could have just as easily have got the pdoc who works in the room right next to him, and that pdoc has a reputation for being a bit of an a**hole. and because i was 20 and it was my first time with a pdoc, i wouldnt have known any better and just accepted poor treatment as par for the course. Quote:
![]() i think it's beyondblue who have the depression friendly professionals listing - unfortunately nothing came up in my area that would bulk bill, and i really can't afford to pay even more to maintain my health. but if the GPs that pdoc suggests dont work out i might look back at beyondblue again and just do a wider area search. thank you SO MUCH for looking all of that up for me ![]() |
![]() darkrunner
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#19
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(((((((((((((Deli)))))))))))))))))
I'm glad you got to see pdoc and it helped to talk about it. I hope his referral works out better! ![]() |
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