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Name
Stephen Bagg

Thu, 01/02/2020 - 14:06

I enjoyed reading your blog, which brought back many memories. Growing up on a farm in Woodbridge Ontario, I recall many times when our family Doctor (Robert Grainger) dropped by our home to see myself, or one of my 4 brothers, often more than one of us at the same visit, on his way home from his office in Maple and his home in Kleinberg. I was impressed with Dr. Grainger's calm demeanor, and also could sense the confidence that my parents had in his skills, and also their great appreciation for his reassurance and care.

Although I am not a Family physician, I have also had many opportunities to make house calls, and enjoyed the same experiences that you have described. I recall one particular visit to a neighbor's kitchen where the father had experienced a vasovagal episode at the supper table. In fact, he was found sitting in his chair, with his head resting gently on his plate of spaghetti. The 3 children did not seem to be worried, and were still enjoying their supper while I carefully moved their dad onto the floor, and raised his legs. Of course we were all delighted when he promptly regained consciousness. A brief history revealed that this episode was triggered by both pain and loss of blood, after undergoing a vasectomy earlier that day. To say that there was severe swelling would be an understatement. I clearly recall advising that he apply an icepack, and call his urologist in the morning. I also recall my own anxiety level on the rise, as I returned to my home that evening, given that I was scheduled for the same procedure the following week!

On a much more serious note, I would like to share that some of my most rewarding house calls occur, every 3 months, when I visit about a dozen unfortunate patients who are too disabled to make it to my clinic in Providence Care Hospital. Most of these patients have severe spasticity due to stroke. They live in one of several long term care facilitates in the Greater Kingston region. I am confident that these patients do benefit from my main intervention, which includes botulinum toxin injections. However, I also believe that these folks also enjoy a visit from a somewhat familiar face, and an opportunity to discuss whatever concerns they might have at that time.

At a time when we are being encouraged to use more telehealth technology (which I certainly do, from time to time) I would encourage all physicians to be open to the notion that, if your patient can't come to see you in your office or clinic, consider a home visit, especially when your patient lives close to where you live and work,

Thanks again, and Happy New Year!

Name

Stephen Bagg

Name
Stephen Bagg
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