I graduated from family medicine residency in Ontario three years ago. I`ve spent the last two years building up a family practice serving an underserviced population of non-English speaking new immigrants, as well as patients from about three to four local family physicians who quit prematurely due to burnout.
At least weekly I work one night until 12 a.m. to review labs and update my patients' records, filling out disability forms and advocating for my patients by arranging home care. I make house calls after my clinic days for elderly patients, I do skin biopsies, freeze actinic keratoses and perform incision and drainages in clinic to save my patients the wait to see a dermatologist or a trip to the ER. Our clinic has worked hard to recruit GP psychotherapists, dieticians, ear-nose-throat surgeons, audiologists and even addictions services to help serve our patients better.
Up until now, I have really enjoyed working as a family doctor, getting to know my patients and I take their trust and confidence in me very seriously.
Up until now, I have not complained about my work keeping me away from my two young children or taking mountains of unpaid paperwork home to do late into the night after they have gone to bed, but I am getting weary.
The Ontario government is cutting doctors. It`s been happening since 2012 and it`s getting worse. Now there will be an unknown amount of government "clawbacks" next year where I may not be paid for up to two and half months.
In my weariness I see now why the other community physicians have quit out of fatigue, frustration or anger. I see all of these sacrifices I'm doing to help my patients at the expense of my personal and family life being devalued.
I'm driving an econo-box car and live in a 65-year-old semi-detached bungalow, paying my mortgage and saving up for my children's education just like most of the population. Much of my income goes to the College of Physicians and Surgeons of Ontario, insurance, the College of Family Physicians of Canada, continuing medical education courses and books, my accountant, my office overhead, disability insurance, saving for a few weeks of unpaid vacation, and saving for my retirement because I have no pension to depend on.
Still, I'm being portrayed as some sort of greedy, wealthy money-driven elitist who can absorb a string of cuts over the past two years and also be responsible for paying back extra money spent to care for our provinces' growing and aging population -- none of which are under my control.
Ask yourself this: Do you have to pay back part of your salary because your employer is poorly run and losing money? Do you have to start saving six months in advance for potentially not being paid two and half months and not being told exactly how much until only months before you're getting the cuts?
I hope you all have great family doctors, but be wary. The quality of care you have come to expect is going to be a distant memory in the near future if things don`t change. I'm seriously thinking about quitting -- and I know I'm not the only one.
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Sorry, cupcake, it doesn't look good. Too much of the sweet stuff can wreak havoc on your entire body. Added sugars have been associated with inflammation, a condition linked to obesity, type 2 diabetes, and heart disease. In fact, a 2014 study found that people who consumed 17 to 21 percent of their daily calories from added sugar had a 38 percent higher risk of dying from heart disease than those who got only 8 percent. For most women, the American Heart Association recommends no more than 100 calories from added sugar daily.
You can ignore the old eight-glasses rule: Six is typically plenty to hydrate you and keep everything in working order, according to a review in the European Journal of Clinical Nutrition.
You may have small intestine bacterial overgrowth (SIBO), a condition common among those suffering from chronic bloating. SIBO can occur when bacteria in the colon migrate up into the small intestine and ferment the carbs passing through, creating gas. Consider switching to a diet low in fermentable foods (which include dairy, wheat, and high-fructose fruits) so the bacteria will have less to feast on, says Johns Hopkins gastroenterologist Gerard E. Mullin, MD, author of The Gut Balance Revolution. Research has shown that the plan works: A study in the journal Gastroenterology found that the majority of subjects with irritable bowel syndrome reported significantly less bloating when they followed a diet low in bacteria-loving foods.
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