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However, even for a few weeks they have to work without patients who are late, delay a visit, or simply afraid to go to a consultation. This situation is difficult for cardiologists to understand, which is why they urge general practitioners and patients to take urgent care of their health, since untreated heart diseases pose a threat not only to health but also to life, according to the press release.
The situation becomes critical.
Cardiologists in particular are waiting for patients whose health has deteriorated during quarantine.
Head of the Cardiovascular Center dr. Nora Kupstytė-Krištaponė urges everyone not to wait, call the reception and check in, because there is even a ticket for the next day for inquiries.
Cardiologists are concerned about hospitalized patients, who often arrive in particularly severe conditions. The main concern is patients with heart failure, since they generally arrive in critical conditions and have a poor prognosis.
According to dr. The N. Kupstytė-Krištapon La situation is strange also due to the fact that in the Šiauliai region there was a constant lack of consultations of cardiologists, there was always a queue of at least three months, specialists constantly complained that they did not provide consultations enough, although they managed to consult more than a thousand new patients per month. . As a result, you now see empty brokers and so-called “empty coupons” on the computer screen, both unpleasant and anxious.
The goal is for the patient to be consulted on arrival, which can be done immediately and on the same day. Efforts are being made to counsel patients the same day and thus reduce the number of repeat visits. If the study requires daily monitoring, it is not an obstacle either, it is possible to repeat the consultation remotely.
Patients are admitted for consultation with electronic and paper shipments if the consultation was not conducted during quarantine.
For a medical consultant to be consulted during a single visit, patients must undergo laboratory tests in the primary care setting.
Not only those who already have heart problems are invited to attend consultations, but also those who can participate in the cardiovascular disease prevention program in the country, which is also irretrievably stopped.
After Lithuania lifted its quarantine and controlled the first wave of coronavirus (COVID-19), hospitals still meet the requirements for protection against possible infection. Patient visiting hours are organized so that only one patient can wait in the office. All patients are examined for COVID-19 before entering the clinic office: temperature is measured, they are interviewed for symptoms of upper respiratory tract infections, for possible contact with patients or people from abroad, all They have access to disinfect their hands and masks must be worn.
Medical consultants undergo prophylactic testing for COVID-19, also use all necessary personal protective equipment, strictly adhere to hygiene requirements, clean offices and disinfect.
Before the consultation – “homework”
Mutual trust and respect between the patient and the doctor’s consultant is very important. The “task” performed by the patient also serves this purpose. Dr. Nora Kupstytė-Krištaponė advises to start preparing for the cardiologist’s consultation as soon as you receive a referral from a family doctor.
It is advisable to write down all the medications (and their doses) and dietary supplements you are taking first. It is important for the doctor not only to treat drugs for heart disease, but also for other ailments, because it is necessary to evaluate drug interactions. Often doctors from other specialties have compiled notes for the use of medications, so it is simply advisable to take them.
According to the doctor, it also happens that the patient can only determine the color of the drug or the size of the tablets. Such descriptions force you to search for information in medical records and open up opportunities for inaccuracies and misunderstandings. Medications that have caused allergies should also be considered.
Patients with blood pressure problems should prepare for a particularly responsible visit to a cardiologist. Cardiologists advise at least a few days (ideally a week), morning and afternoon, sitting in silence for 20 minutes, to measure blood pressure, record the data and show it to the doctor during the consultation.
Copies of past medical records (various extracts and tests) should also be available upon arrival at the cardiologist’s office, which can be helpful in diagnosing the disease or prescribing treatment, as older data is not always found in the electronic health record.
It is important to have the results of tests performed: a general blood test, blood potassium, sodium and creatinine levels, a lipidogram. Tests should be done no earlier than 2 weeks in advance. These tests are key for consulting cardiologists when evaluating a patient’s condition, adjusting treatment, and prescribing new medications. These tests can be performed by a family doctor before the consultation.
Patients taking orpharin should have a clotting test brochure / memo with them.
If during a prior consultation the patient has difficulty understanding the instructions of the doctors, it is advisable to go to more than one person. If, due to old age or illness, a loved one who goes to the doctor is not always fully oriented, has memory problems, they can be accompanied if they agree.
When you have important questions for your cardiologist and are afraid to forget, it is recommended that you write them down and ask everyone to ask the doctor and listen to the answers that interest them.
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