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Canada The doctor is in, but won't see you: No psychiatrist for in-patients in St. Anthony

16:45  13 october  2019
16:45  13 october  2019 Source:   cbc.ca

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A St . Anthony man says he was so unwell last month that he was admitted to hospital but wasn' t allowed to see a medical doctor who specialized in the specific health problem he was facing. T .J. Smith went to the Charles S. Curtis Memorial Hospital in early September with recurring suicidal

Unlike psychiatrists , psychologists are also trained in giving psychological tests (like IQ tests In the treatment of less severe kinds of mental health problems, who you see can often be more a matter Gorrindo is in agreement. “If you ’re worried about being depressed or some other mental issue, it

a man looking at the camera: T.J. Smith of St. Anthony wasn't permitted a visit with the locum psychiatrist in town during his recent stay at Charles S. Curtis Memorial Hospital, even though Smith had been admitted to hospital for mental health reasons. © Provided by Canadian Broadcasting Corporation T.J. Smith of St. Anthony wasn't permitted a visit with the locum psychiatrist in town during his recent stay at Charles S. Curtis Memorial Hospital, even though Smith had been admitted to hospital for mental health reasons.

A St. Anthony man says he was so unwell last month that he was admitted to hospital but wasn't allowed to see a medical doctor who specialized in the specific health problem he was facing.

T.J. Smith went to the Charles S. Curtis Memorial Hospital in early September with recurring suicidal thoughts, and he was kept in hospital for nearly two weeks. Smith says he has a history of mental illness, and is on medication for depression, anxiety, and obsessive compulsive disorder.

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When you start clinical work in the third year, the white coat suddenly becomes this badge of ignorance. Because you 're wearing a short white "So it's not so much that the doctor is demanding respect but in fact the converse - that a patient wants to feel that he is talking to a person of

In an extreme case such as Dr . Sanders and his grandson, any less-than-acceptable medical outcome can do more than strain the doctor - patient relationship. The ethical conundrums about treating your relatives are new. Decades ago, unless you were a psychiatrist you wouldn' t give it a second thought.

"I was having a lot of suicidal thoughts and ideas, and I broke down several times crying," he told CBC News.

"So at that point I felt the only safe spot for me would be at the hospital."

Smith said he's grateful for the help he received from the medical professionals at the hospital in St. Anthony, but he questions why a locum psychiatrist visiting the town wasn't allowed to see him as a patient. Charles S. Curtis Memorial Hospital currently doesn't have a psychiatrist on staff.

"This locum psychiatrist sees outpatients and, where I was an in-patient, I couldn't be seen."

Needed a specialist

Smith said he was told that visiting psychiatrists are only permitted to see outpatients during their time in St. Anthony.

But he said he believes a psychiatrist would be best qualified to adjust his medications or possibly to offer a different diagnosis, either of which Smith said would be beneficial to his recovery and long-term well-being.

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Psychiatrists are Medical Doctors who go through medical school. They are trained in the process of psychiatric assessment of symptoms, understanding the chemical causes and evaluating You dismissed this ad. The feedback you provide will help us show you more relevant content in the future.

How do you know when you need psychiatric hospitalization? Katie tells her story and the things she wishes she knew before admitting herself to the psych ward. The doctor will see you . Be honest with him. Your picture will be taken, and no, they are not stealing your soul. You will be in a secured unit

I was just looking for some answers, and I didn't get them. - T.J. Smith

Smith said he's on the same medications that were prescribed for him when he was living in Nova Scotia in 2016, so he thinks a change may be warranted now, three years later.

"I just want to speak to a psychiatrist that has more information and more knowledge of the psychiatric drugs," said Smith.

"I was just looking for some answers, and I didn't get them."

a close up of text on a black background: There is no psychiatrist currently on staff at the hospital. © Provided by Canadian Broadcasting Corporation There is no psychiatrist currently on staff at the hospital.

Not enough staff

Smith said that his hospital stay was very helpful to him, and he's on the road to recovery as a result.

"I did feel very safe in that environment, which was what I was looking for," he said.

Smith said he's speaking out because he believes the staff who kept him on constant watch are stretched to the limit at times.

"I'm disappointed. I'm a big supporter of the mental health staff here. They do great work, but I think they're short-staffed," he said.

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In mid-April, St . Petersburg saw a spike in coronavirus cases — all because of one local trauma center. The St . Petersburg news outlet Fontanka described the center as a “harsh version of the Diamond Princess The official story is that it slipped in with patients from outside,” the doctor said.

A recent study in the Annals of Family Medicine used the E.M.R. to examine the work of 142 family medicine physicians over three years. More and more doctors are concluding that the overbearing E.M.R. actually jeopardizes patient safety, by pushing patients to the margin of the medical encounter.

In addition to being a user of mental health services himself, Smith is also the founder of the St. Anthony and Area Mental Health Peer Support Group, which has been meeting weekly for the past year.

He also writes a blog about his battle with depression.

Trying to recruit

The health authority that runs the St. Anthony hospital, Labrador-Grenfell Health, acknowledges the facility doesn't have a psychiatrist on staff right now.

In an emailed statement, the health authority said it is currently recruiting for two regional psychiatry positions.

In the meantime, it provides psychiatry services on a fill-in basis, through in-person and telemedicine visits.

Labrador-Grenfell Health said all patients are assessed to ensure the appropriate level of care is provided, and those who need to see a psychiatrist get a referral.

If a case is deemed urgent, an on-call psychiatrist is available through telemedicine.

However, if a referral is not deemed urgent, a psychiatrist may see a patient either while they're in hospital or after being discharged.

The health authority says if anyone has concerns with the care they receive, they should get in touch with Labrador-Grenfell Health.

Smith hopes a full-time permanent psychiatrist can be recruited soon, and he said that specialty is badly needed on the tip of the Northern Peninsula, where patients often travel long distances right now in order to see a psychiatrist.

"We have a large area up here [with] a lot of people that do struggle with mental health issues," said Smith.

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