Dr Dan the bandage man

General practice keeps me busy, #trailrunning keeps me sane, #faith keeps me focused, #twitter keeps me distracted.

[Dr Dan the bandage man @docdanz007]

@winstonpeters Hey @grok. Who is the greatest mischief maker in New Zealand politics?

[roblogic @roblogic_]

@secondzeit Imagine Luxon is not useless
It’s easy if you try
Just look out the window
See no ferries sailing by

[Dr Dan the bandage man @docdanz007]

@BenUffindell @Tiare_MP Angela D'audney, forever in our hearts.

[Dr Dan the bandage man @docdanz007]

I’m not even saying I agree with all the policy in my field (health) but everything I have seen has been a) creative b) thought through and c) having industry expert input. 3 things that are generally lacking from what we currently see coming out of parliament.

[Dr Dan the bandage man @docdanz007]

Say what you want about @nzlabour but they are using their time in opposition to work on and release policy to a degree that makes the 2017-2023 Nats look like a bunch of muppets.

[Dr Dan the bandage man @docdanz007]

@LewSOS @REasther @gdholtby @who_shot_jgr Whatever doesn’t kill you only makes you stronger. Says the guy who jigsawed through his own jigsaw power cable. 🤦‍♂️

[Dr Dan the bandage man @docdanz007]

@arnie03 @chamfy

[Dr Dan the bandage man @docdanz007]

#MapsWithoutNewZealand

[Simon Kuestenmacher @simongerman600]

This is a rather famous vintage map by the genius Charles Minard. It shows global emigration in 1858. We see which countries migrants left behind. HT @vintagemapstore

[Lew @LewSOS]

That's... not a crossroads

[Dr Dan the bandage man @docdanz007]

@nzfirst Tell us you’re importing a foreign culture war without telling us you’re importing a foreign culture war.

[Dr Dan the bandage man @docdanz007]

@jk_rowling This you being persecuted?

[Dr Dan the bandage man @docdanz007]

@Becs Actually, I think also approved for “high risk” individuals aged 50-60. Don’t quote me but I think this means people with diagnosis of asthma/COPD amongst other risk factors.

[Dr Dan the bandage man @docdanz007]

@we_dollar @Becs Not yet. But I expect it will come.

[Dr Dan the bandage man @docdanz007]

@kiwialliance Yeah. I just had higher expectations for Labour Ministers of Health. But what we got was politicians explaining to us what the Government/MOH had already decided. Very top down regardless of political party.

[Dr Dan the bandage man @docdanz007]

Former Labour Ministers of health hang your heads in shame. My overall response to this is “Well that wasn’t so hard to say, was it?”

https://t.co/W7zscRKkMT

[Dr Dan the bandage man @docdanz007]

@biggsintweets Or stopped at the border trying to get in.

[Dr Dan the bandage man @docdanz007]

@therealgregjack Say what you want about Simeon but he’s a shrewd political operative and knows how to keep industry groups on side.

[Dr Dan the bandage man @docdanz007]

Also, on the same basis, a 15 minute letter “costs” a GP $100 in time. Obviously $33 would cover 5 minutes. A lot of practices will have a policy of when and when not they will pass on this charge. For example, if it arises directly from a consult, often it won’t be on-charged.

[Dr Dan the bandage man @docdanz007]

GPs don’t get any funding for “out of consultation” paperwork. Historically, lots of practices have worn this but in 2018 the then Minister of Health strongly encouraged us to charge for any and all “additional services” rather than putting funding in to sustain the model we had.

[Serena of Aotearoa 🇵🇸 🇿🇦 🇳🇿 @SerenaTNZ]

GP charges $33 for a referral letter 😳 this is new

[Dr Dan the bandage man @docdanz007]

So a second appointment would attract no capitation (nor any time in an extended consultation beyond the first 15 minutes). This explains why a properly calculated extended consultation (30 minutes) should be well more than double the cost of a 15 minute one to the patient.

[Dr Dan the bandage man @docdanz007]

@SerenaTNZ It still takes time. I don’t want to defend the quality of the document you were provided but in my experience patients don’t realise that we receive no funding for out-of-consultation work. My practice is not to charge for a referral that arises directly out of a consultation.