{"id":40311,"date":"2024-01-11T18:06:49","date_gmt":"2024-01-11T22:06:49","guid":{"rendered":"https:\/\/www.chmafm.com\/welcome\/?p=40311"},"modified":"2024-01-11T18:21:46","modified_gmt":"2024-01-11T22:21:46","slug":"sackville-has-a-new-collaborative-care-clinic-now-it-just-needs-doctors","status":"publish","type":"post","link":"https:\/\/www.chmafm.com\/welcome\/sackville-has-a-new-collaborative-care-clinic-now-it-just-needs-doctors\/","title":{"rendered":"Sackville has a new collaborative care clinic. Now it just needs doctors."},"content":{"rendered":"\n
\"An
The Tantramar Primary Health Care Clinic is located in the former offices of Dr. Catherine Johnston, who also happens to be one of only two part-time doctors currently working at the clinic. Photo: Erica Butler<\/figcaption><\/figure>\n\n\n\n

Patients on the waiting list for Horizon\u2019s new primary care clinic based in Sackville are stressed out.<\/p>\n\n\n\n

The new clinic began operating in September on a \u201cdon\u2019t call us, we\u2019ll call you\u201d basis, with triaged lists coming from two local doctors who recently closed their practices. Then a local nurse practitioner who took another position was not replaced, and her patients were added to the prioritized list. Most recently, Horizon says it will also start adding orphaned patients from the recently closed practice of Dr. Adrian Kelly. <\/p>\n\n\n\n

That means despite the impressive fact that the two part-time doctors at the clinic (working a combined total of three days per week) have seen more than 700 patients since September, the waiting list for Tantramar\u2019s new primary care clinic is growing, not shrinking.<\/p>\n\n\n\n

‘Not knowing is the worst part’<\/h2>\n\n\n\n

Tracy Lapointe is one of those waiting. The 41-year-old had a cerebellar stroke in November of 2022, and since then has been recovering with the help of her former doctor, Andrea Wall. When Dr. Wall closed her practice this summer, Lapointe was put on the list for Horizon\u2019s new primary care clinic. \u201cI was told that because of my needs with medication and follow up for stroke recovery, that I would be on this list of patients to be seen,\u201d says Lapointe. Though she was told to expect a call in September or October, she has yet to hear from the clinic.<\/p>\n\n\n\n

Lapointe had been off work after her stroke, and had just started a return to work plan when Dr. Wall closed her practice. \u201cI had nobody to follow me,\u201d says Lapointe, \u201cand it did not go well.\u201d She\u2019s now off work again, waiting to heal more before she makes another attempt to return.<\/p>\n\n\n\n

\u201cIt\u2019s very scary wondering what’s going to happen,\u201d says Lapointe. \u201cMy return to work is scary as well, knowing that it didn’t go so well the first time, and that I don’t have anybody to support the return to work process.\u201d<\/p>\n\n\n\n

Due to the clinic\u2019s \u201cdon\u2019t call us, we\u2019ll call you\u201d policy, patients like Lapointe have no way to get in touch to report a change in their situation, or even confirm that they are indeed on the list. Only recently has the clinic started to accept incoming calls, and those currently go to a voicemail, with a warning that only messages from current patients will be returned.<\/p>\n\n\n\n

It\u2019s a stressful situation for Lapointe. \u201cIt’s like, you need to let me know where I stand,\u201d she says. \u201cThe not knowing is the worst part\u2026 They at least need to let people know when can we expect to be seen, because if not, we’ve got to find other ways.\u201d<\/p>\n\n\n\n

Spokesperson Kris McDavid says Horizon is \u201casking Tantramar residents to be patient, as there may be delays due to the clinic\u2019s current capacity.\u201d He also says that \u201crecruitment efforts are ongoing\u201d in an effort to expand that capacity.<\/p>\n\n\n\n

With just two part-time physicians so far, and a growing list of orphaned patients (Horizon won\u2019t say how many), the situation in local primary care is desperate. Basically, Sackville needs doctors. And after the recent exodus of primary care providers, that appears to be proving challenging.<\/p>\n\n\n\n

Living without medications<\/h2>\n\n\n\n

Another former patient of Dr Wall is facing a similar plight to Lapointe. CHMA agreed not to use this person\u2019s name due to an unresolved medical claim with Worksafe NB, but we\u2019ll call her Angela Smith.<\/p>\n\n\n\n

Smith suffered a debilitating injury in 2016, and is on a series of medications, including controlled substances. Due to her complex injury, Smith had a very close relationship with her doctor, whom she saw on a monthly basis for the past seven years. \u201cAt one point in time, we were seeing each other on a weekly basis because of where I was with my injuries and surgeries,\u201d says Smith. \u201cShe was very key to my\u2026 everything, I guess.\u201d<\/p>\n\n\n\n

While Dr. Wall arranged for prescriptions to cover her orphaned patients, an error with Smith\u2019s prescriptions has left her short. Smith has been trying to make use of other resources like 811, evisitNB, and NB Health Link, but she hits a wall when it comes to her pain medication, because those care providers don\u2019t have access to her medical history, which is now housed at the new clinic, where she\u2019s on the waiting list. She has also visited the ER for help, but prescription renewal is low priority in an ER, and so her waits have been fruitless.<\/p>\n\n\n\n

Recently Smith visited the clinic in person and was able to find out she will be waiting until at least spring to get the call. She\u2019s now staring down the prospect of the next few months without all her medication, something which impacts her quality of life \u201cevery day.\u201d<\/p>\n\n\n\n

\"\"
The clinic is inside the Tantramar Community Health Centre, a privately owned building across the parking lot from the Sackville Memorial Hospital. Photo: Erica Butler<\/figcaption><\/figure>\n\n\n\n

The lucky 700<\/h2>\n\n\n\n

There are also good news stories coming out of the new clinic, specifically from some of the 700 patients who have received their call, and had their first appointment with a new medical practitioner.<\/p>\n\n\n\n

Local patient Eileen Beal was surprised to see her former doctor Catherine Johnston on her first appointment. Johnston retired from her practice and is now one of the two part-time doctors holding down the fort at the Tantramar Community Health Centre primary care clinic. The other is Dr. Sara Thomas, who works virtually at the clinic, in addition to duties at Mount Allison and a community gender affirming care clinic she offers.<\/p>\n\n\n\n

Beal says her experience with the new clinic has been positive so far, and she already has a follow up appointment to go over prescription refills. She says Dr. Johnston informed her that she might not always be seeing the same doctor at the clinic, which is fine with Beal as long as she can get the medication she needs, from a reliable practitioner. Horizon says the goal is for patients to see the same provider, unless they are not available due to vacation or illness, in which case other providers can step in.<\/p>\n\n\n\n

Another new clinic patient, Janet Hammock, says her first experience with Dr. Sara Thomas was positive, though she found it frustrating to not be able to call the clinic throughout the fall, and also has had difficulty getting an appointment for a recent medical issue. Hammock says the clinic needs someone to answer the phone, and a clear protocol for requesting appointments. And of course, it also needs more practitioners.<\/p>\n\n\n\n

\u201cI\u2019d like to see the clinic expanded,\u201d says Hammock, \u201cso that all of the people without doctors around here have access to make appointments.\u201d Hammock says she feels lucky to be on the roster at the new primary care clinic, and is concerned that so many are still without a provider.<\/p>\n\n\n\n

\u201cI\u2019m one who thinks that a lot is to be said for having a really good, fully-functioning clinic here,\u201d says Hammock, \u201cbut we don’t have that yet. And we have lots and lots of people who have nobody.\u201d<\/p>\n\n\n\n

Horizon says it is actively recruiting staff. The website sackvillehealthcarejobs.ca<\/a> has postings for family physicians, registered nurses, and licensed practical nurses. There\u2019s also a posting for an anesthesiologist to work in the day surgery program at the Sackville memorial Hospital. There\u2019s still no posting for any nurse practitioners, though Kris McDavid says there is an \u201cinternal posting process\u201d currently in-progress, and any positions that remain unfilled once that process concludes will be posted externally.<\/p>\n\n\n\n

With orphaned patients from four now-closed practices, and many more who were already without a primary care provider, it could be a long road before Horizon’s new Tantramar clinic lives up to its potential.<\/p>\n","protected":false},"excerpt":{"rendered":"

Patients on the waiting list for Horizon\u2019s new primary care clinic based in Sackville are stressed out. 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