u/tolkywolky

Had a little funny one today, not sure if this is a common thing in other parts of the country.

We have a few specialties locally now that are ‘econsult’ first, prior to a referral being accepted.

I referred a patient to endocrine through econsult for primary hyperparathyroidism. They replied stating they’d see the patient but asked if we could do a 24 hr urinary calcium.

Sure, sounds fair, will make the outpatient clinic go a little more smoothly.

I ask a colleague about where we get the bottles - apparently we have to request for a bottle to be delivered on ICE. This involves checking a chart to see exactly which type of bottle we need, then entering delivery instructions onto ICE to get them delivered to the practice.

Sounds like an administrative job that’s been pushed onto a clinicians lap to save on wastage of bottles. I get the premise, but surely this is poor use of clinician time?

I’m sure I could get a process in place where admin can do this task, but why should primary care have to make significant shifts in processes here?

Am I overreacting thinking this is a bit bonkers?

Any watch collectors have recommendations for a watch for me? Might be better off asking on a watch sub but I assume there’s watch nerds around here.

I’ve been falling down YouTube rabbit holes of watches but haven’t yet found one that really stands out.

I’m looking for something somewhat dressy, I tend to wear suits, but one that’s functional enough to be useful for pulse checks. A strange seconds complication wouldn’t be a bad thing!

I’m not at a point where I’m snobby about brands.