Public Health services vs Private

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cuckalite
Posts: 14
Joined: Fri Jul 31, 2015 1:37 pm

Public Health services vs Private

Post by cuckalite » Tue Dec 01, 2015 7:01 am

I would like to know if there is a option between these two, i have social number, and i need to see an specialist, and dermatologist, being more specific, i have some kind of dermatitis and my hair is falling fast among other symptoms as itchy face and scalp, and no matter how much i beg for the general doctor that i need a dermatologist she wont send me to one, she keep saying you should use lotions and shampoos at the pharmacy... i'm slave of these products and this does not solve the problem, i have tried every thing i could find on internet also, so i definitely need an specialist for my case, i'm very upset with the behavior of these doctors of public health here, seems the general doctor(who is very young and keep searching answers online when i go there) wants to solve all, very different from my country where the doctors redirect to the proper area specialist, i'm thinking about leave my life here which still in beggining, because of my health because i cant get help with my health problems which is not just this dermati issue i got other problems

I would like to know if there is another options not so expensive as the Aava thing, but something between, affordable but where we can get to the specialist, if i have a visible problem in my skin i know i need see a skin doctor not a ortopedist and so on, and the general doctor wont send me because she cant dont feel the itchy or she dont see the hair falling so she says i dont see it... but you can "try" solve with this or that, this is the maximum answer i get from her, when i think a good doctor would try solve the problem. I thought about to record a video to show her... so she finally will redirect me to the area doctor. Or to move to another area to get help from another hospital since we have no options but only get help from the doctor from our area and if the doctor is bad we have no option, or im wrong about this? Can we choose or visit other hospitals? I tried but they always send me back to my area, very sad.

Seems the public general doctor will redirect you if you are about to die only, so i'm not about to die because of my health problem but they disturb my life alot and i want to fix them, everybody i ask or talk about this say they have the same problem when they need a doctor, i don't know if it depends on the doctor, for ex, if the doctor is nice will send you to someone else, or whatever, this talking about not getting help with my health problems in finland upset me alot, even to think about it i feel sad to talk about it. I hope somebody come with a solution or something i don't know yet.



Public Health services vs Private

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Rip
Posts: 5582
Joined: Tue Dec 30, 2008 12:08 pm

Re: Public Health services vs Private

Post by Rip » Tue Dec 01, 2015 9:54 am

I doubt it will really solve your problem, but you can choose to change your health care center. You have to do it at least three weeks in advance and you have to stick with your new choice for at least a year.

biscayne
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Joined: Sat Nov 08, 2008 11:43 pm

Re: Public Health services vs Private

Post by biscayne » Tue Dec 01, 2015 9:57 am

Hello, I happened to notice this post. I am a nurse, not a doctor, and dermatology is not my area of specialty. However, the symptoms you describe sound like they could be very much stress related. Skin problems and hair loss are very typical physical symptoms of stress. Particularly the itch you describe.

I am not saying that you don't have an underlying physical illness which is not related to stress and so if you can afford it I would spend the money on a consultation with a good dermatologist. I also believe that a good GP (general physician) should at least take blood for a CBC (Complete blood count or panel) to see if there is something wrong with your red or white cells, your hemoglobin and hematocrit. Something could be wrong indeed. Are you on any other medication which could cause these symptoms as a side effect?

If everything is ruled out, otherwise, are you under stress? Has your diet changed? Do you get enough iron (fe), if you are from a sunny place perhaps vitamin D could help. Perhaps moving here, relationship issues, financial issues - all these things could contribute to your symptoms. If you think it could be stress, things like Pilates, yoga or other forms of excersise can help. Omega 3 supplements are good for hair and skin, B complex tablets are excellent too. For your skin itch, normal oatmeal is a very old European remedy. Try boiling oatmeal in water and use the liquid in a bath if you have one, or apply it to your skin, it is soothing.

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tuttu
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Re: Public Health services vs Private

Post by tuttu » Tue Dec 01, 2015 10:07 am

the public health care system in finland may suck or not, but in any case it is not "Public versus Private":
you always have public health care, whether you choose to go to a private doctor or get some additional private insurance or not.

i don't know about prices for private practicioners; we might be able to do some searches for you, but you'd have to tell us where you live (area, not address).
KELA usually pays back 40% of what you spend on a private doctor, but i don't know if that is true for specialists, too. it is true for dentists.

go to a private doctor by all means.

but i think you have reason to complain to KELA/Terveyskeskus, the way you describe it this can't be right.

cuckalite
Posts: 14
Joined: Fri Jul 31, 2015 1:37 pm

Re: Public Health services vs Private

Post by cuckalite » Tue Dec 01, 2015 11:40 am

Rip thanks for this precious information, i will try doing this.
Biscayne i'm not under stress, i have taken many vitamins bottles to try solve this (in case it could be lack of vitamin or supplements) then this should have stopped, i eat healthy, and tried other usual things, i have tried apply vinegar also using those pharmacy shampoos and home medicines and everything they teach on internet.
It did not start right now when i moved to finland, so even if i was under stress and im not i believe, lets say, im not sure if it happens like this but, lets say if it started falling because of stress during lets say 3-6 months then lets say the stressfull time gone away, and i would have been recovered and it should stop falling right, but it never stops falling for more than two years, and i think im not wrong to try to fix this problem, i'm tired of waking up and having to pick all the hair over the bed and it is alot to throw on trash bin, the doctors says its normal to fall about 100 hair follicles every day, but in my case every time i comb or touch my hair fall, it grows back fortunately, well the main point is that i want have my health problems fixed not only this one but other, yes i take one medicine regularly, i have asked the doctor if it could be the cause she said can't be the cause. I take this medicine which is controlled in my country the specialist would accompanied me in this but here he general doctor take place and i don't know what will happen if i need to change my treatment or want to see the doctor, she not studied this field it's very strange, well last time i said her i been doing treatment in my country for gastritis and i was feeling some stomach pain because i dont have the medicine here, then she gave me the form to buy about only 14 pills and said after that i should go to the specialist, but my question is, what is she talking about? How i go to specialist, she does not send me to one, either she said cant prescribe me more than that 14 pills so there is a big ? in my mind, how im suppose to get access to the specialist i need, is paying private or what? Since she can't redirect me to the specialist and i have no idea why, i keep wondering if could be because shes young and want solve it all or if there is any rule to not send patients to specilists unless they are really really sick or about to die, or is because i'm not finnish and i dont deserve the same consideration, well all these questions being around my mind, maybe i'm unlucky and all others have their problems solved or here people really face these problems with doctors?

I'm very afraid to get sick(real sick) in Finland and go to hospital and they do think i'm not sick enough and send me back home, as they did with a daughter of someone i know and after that her father decided to pay health insurance for the whole family, something im not able to do now, must be really expensive.

Tuttu, "but i think you have reason to complain to KELA/Terveyskeskus, the way you describe it this can't be right." Didn't understand, thanks for answering me.

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tuttu
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Re: Public Health services vs Private

Post by tuttu » Fri Dec 04, 2015 7:43 am

i meant: the way you describe your skin problems, that young doctor was wrong to not take it more seriously. you should file a complaint or insist on re-evaluation, a different doctor, maybe an interpreter. i'm not sure what the proper cause of action is, but they will tell you when you ask.

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Piet
Posts: 567
Joined: Thu Aug 13, 2015 3:45 pm
Location: Finland

Re: Public Health services vs Private

Post by Piet » Sun Dec 06, 2015 4:38 pm

tuttu wrote:i meant: the way you describe your skin problems, that young doctor was wrong to not take it more seriously. you should file a complaint or insist on re-evaluation, a different doctor, maybe an interpreter. i'm not sure what the proper cause of action is, but they will tell you when you ask.
You should definitely file a complaint, as for the symptoms, it almost sounds like a very common medical problem for what there is no real solution just symptom relieving help : atopic eczema.

This seems to be a disease (not contagious) that happens more in western countries and might have something to do with allergies too. Taking antihistamine for the itch might help a little!. but more important:

Stop using soap and use hydrocortison 1% for your face (max 2 weeks) and you could use 2.5% for the rest of your body, or use 0.1% bemetson for that, also max 2 weeks and than 2 weeks nothing but normal hydrating cream and body lotions (or stuff like canoderm), but make sure the skin does not dry out, so really try to avoid soap and deodorants (yes you will become smelly ... life sucks). Shower every day with only water, again NO SOAP.

There might be a shower gel that helps: brand: SANEX (from colgate palmolive firm.... they should sell it in Finland) line: ATOPICARE shower gel, ATOPICARE bodylotion.

Good luck!!
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cuckalite
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Re: Public Health services vs Private

Post by cuckalite » Mon Dec 07, 2015 9:51 am

Hi people i'm stuck, could you tell me where i can file this complaint, for whom? Right now i'm sick again i have my body itching and it is hurt scratched from itchs, but i i don't know what to do, i don't have conditions to pay private, and if i call to appointment the same hospital will send me to same young doctor who nothing solves, i'm having other problems which in my opinon are serious but i don't want expose here them & i don't know what to do because a have been there a couple of times complained for this doctor, nothing happened. I feel just like crying! These people does not take me serious.

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Piet
Posts: 567
Joined: Thu Aug 13, 2015 3:45 pm
Location: Finland

Re: Public Health services vs Private

Post by Piet » Mon Dec 07, 2015 6:51 pm

cuckalite wrote:Hi people i'm stuck, could you tell me where i can file this complaint, for whom? Right now i'm sick again i have my body itching and it is hurt scratched from itchs, but i i don't know what to do, i don't have conditions to pay private, and if i call to appointment the same hospital will send me to same young doctor who nothing solves, i'm having other problems which in my opinon are serious but i don't want expose here them & i don't know what to do because a have been there a couple of times complained for this doctor, nothing happened. I feel just like crying! These people does not take me serious.
Just visit your doctor at open visit hours (in morning) make an appointment for later that day, explain to the patient intake buro that you need your doctor to give you a referral to the allergia clinic in helsinki (if you live close enough) and have them check for the basic allergies, then if no real allergy is found, ask for a referral for dermatology and explain you suspect some sort of eczema, they will investigate and probably take a biopsy from the skin of your arm. Most likely the result will be inconclusive and they will file it under Atopic eczema and prescribe you all earlier mentioned medicine which will not solve the problem but will relieve a little.

If I can make an educated guess about why you have this... the other environment you are here in compared to your home country, you are not the first and certainly not the last that has exactly the same problem (which normally only occurs at age from 2 till 5). google atopic eczema

If your doctor refuses to listen (be polite) tell them that they leave you no choice of filing an official complaint about this refusal. Mentioning writing to IltaSanomat too if they keep refusing. It might help to record the conversations you have for later proof.

Copy of info from Infopankki.fi:
Discrimination and unfair treatment in health services

If you feel that you have been treated unfairly within health services, please contact the patient ombudsman (potilasasiamies). The help of the patient ombudsman is offered in all the places where health services are provided, for example at health centres, in hospitals, at private clinics, in homes for the elderly and institutions for the disabled. The services of a patient ombudsman are free. Ask for the contact information of the patient ombudsman responsible in the unit where you have been treated.

A patient ombudsman helps to resolve disputes and advises and assists if you want to make a complaint or apply for compensation for injury received during treatment. The ombudsman also informs patients about their rights and promotes their implementation.
another source that explain your rights:
http://stm.fi/en/client-and-patient-rights
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