A friend of mine almost lost her life as a teenager when she came down with Guillain-Barré Syndrome. It has left her with long-term problems, which saw her admitted to hospital a few days ago. She was due to have an MRI so the doctors could gain an understanding as to what was happening neurologically, but at the last moment, it was cancelled, much to the frustration of both my friend and her specialist. It was a Friday afternoon and radiology had a backlog. She ended up being discharged, and asked to make her own arrangements for the MRI and a nerve conduction test. Now this lady is a single mother with no family support, and lives quite a way out-of-town.
This scenario seems to be common in the Australian health care system, and one can feel overwhelmed, attempting to deal with it all alone. Ideally, these tests would be done in hospital, and once the specialists know what is going on, the patient would be sent home with that knowledge, and hopefully ongoing support.
It is incredibly confusing, navigating our system! On the one hand, pathology may be free when requested by a GP rather than a specialist and on the other, scans may be charged when requested by a GP rather than a specialist. If attending appointments alone, you are likely to forget to ask pertinent questions, and incredibly likely to not retain important information. Having an advocate with you is important! I would like to see a system where the person is asked before discharge what support systems are in place when they get home. How far from town do they live? Do they have transportation? If the answers are in the negative, keep them in hospital to have the tests done in-house. My friend works incredibly hard, and I have been worried about her health for some time. Instead of having answers last Friday, she has been left to organize the tests herself, with a lengthy wait in the interim. We need a better system than the one we have.