Changing Doctor - Combined Care

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pinkframe Posts: 628
Can you do this?  I didn't think this through…doctor I go to is great, but combined care is looked after by the midwife only + the latest appointment she will take is 3.30pm, I work in Dublin City Centre so to be out to her clinic by 3.30pm, I'd want to be leaving work @ 2.30pm + I'd never make it back in.  And later in the pregnancy when I'm due at the doctor every second week….this is a bit excessive. I've already registered with Combined Care, have my card etc….so I'm wondering - can I change now to another doctor??  It'd be handier to go to one City Centre I think, I could nip over on my lunch break or after work. Anyone ever done this + how would I go about doing it??  Does it affect the free visits etc? Thanks in Advance...
Toblerone Posts: 2698
No idea about changing. I imagine that your GP is set up now to get payment from the HSE for the care so you would have to contact them or GP to change. Why is it abit excessive? [b:1k622pz9]You are entitled to your visits to both GP and hospital[/b:1k622pz9]. There aren't that many of them initially (think about two/three if memory serves me correct) and by the time you get to every two weeks at about wk 32 they should be alternated with the hospital visits anyway. There should be no issue with you taking half day on those few days to make your appointment with the GP midwife. Are you planning on going back to work after all your appointments? If you are comfortable with that practice I'd stay with them. It is brilliant you have a midwife to see you in the practice. I find they are way more informative about maternity issues than GPs as they are specialists whereas GP is v general. I wouldn't change just so it was easier for me to get back to work especially if it meant I was seeing a completely different doctor who didn't have my history.
pinkframe Posts: 628
Thanks for the reply Toblerone…I've phoned both my own GP + the "usual" one I go to in city centre.  I know I'm entitled to the time off…but I just think looking for half days every second week is ripping it a bit, maybe I'm being an eejit over it.  It's just it puts me under pressure too on a workload front.  If the apt were @ 3.30 in city centre, yes, I would intend on going back to work if I were finished with the doctor @ 4pm.  I went with the local doctor as I was under the impression I would be able attend their evening / Sat morning clinics but the midwife doesn't work those.  For the first appointment to confirm the pregnancy, I took a half days annual leave so its only now I'm realising the schedule the midwife works. The GP in city centre said she would take me but she did advise against changing as whilst I maybe flying it now, she said I could get high BP later in the pregnancy + then I'd have to traipse into city centre for appointments if I were to be signed off work etc…which I totally understand, she also said the 6 week check after baby comes would be best handled locally. Hmmm…I'll have another think about it.  I do hear you on the level of care with the midwife, she is lovely + spent ages with me when I was in with her with a kidney infection + general blues around week 15.
Toblerone Posts: 2698
[quote="Angel_Dust":eoh3d6df] I know I'm entitled to the time off…but I just think looking for half days every second week is ripping it a bit, maybe I'm being an eejit over it.  It's just it puts me under pressure too on a workload front.  Hmmm…I'll have another think about it. [/quote:eoh3d6df] I'd have another think about it. You are completely entitled to the time off. The apts after 32 weeks are every two weeks and alternate hospital with GP and believe me you will want the bit of time. Plus it possibly will only be for wk 32, 34 and 36 that you need time off as you will then be on ML. It really isn't that many days. I do understand about work pressure but you have to be selfish and think of you and your baby. Rushing around to get to appointments isn't good for either of you. Take the time and don't be worrying about it.
Daff Posts: 11644
I think the combined care is a great opportunity to build a relationship with your GP that iwll continue afer the birth. Don't forget your 2 and 6 week check up afterwards with LO, would you want to have to go into town then? Also babies get sick a lot! So it was nice that I'd seen so much of my GP beforehand and gotten to know him so much better that he knew me properly when LO was in or when I got snowed in and DD was sick and I'd to call for advice etc.
Momof2 Posts: 3884
To answer you question yes you can change you doctor under combined care I did when we moved later in the pregnancy. But as a few of the others have pointed out your entitiled to time off for all these visits. I always finished at lunchtime when I had ante natal as I worked in Dublin but lived and hour away I never said I would be back either and it wasn't expected. Don't feel under pressure to get back to work this is time your entitled to so its not like your skiving. Could you get you apponintments for first thing in the morning so you could go into work after id that would work better,
pinkframe Posts: 628
[quote="NearlyMumof2":2mhuj5nq]Could you get you apponintments for first thing in the morning so you could go into work after id that would work better,[/quote:2mhuj5nq] Have been thinking about this all afternoon...that's exactly what I'll do, I'll stay where i am & go first thing in the morning, her first apt is at 9.30am so I can log in from home prior & then be in work by 10.30/11. Thanks girls! :thnk
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