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The patient reported that she delayed consulting a physician because she thought the mass was a manifestation of NF1.
(Male interviewee 2 age 43) As a result, this participant reported that he then delayed consulting his GP further because he was upset at the GP's response.
(Female interviewee 24 age 51) A 22 year old participant reported that she had not received any advice about work from her GP, and had delayed consulting him previously as a result of advice from family and friends.
A longitudinal community-based study on mothers' health-care seeking in South West Ethiopia found that mothers adopted a wait-and see attitude, hoping symptoms would resolve on their own which delayed consulting [ 28].
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If the diagnosis is unclear, or the expected therapeutic response delayed, consult with a colleague with expertise.
We found instances when patients would delay consulting and others when they used various strategies to obtain appointments.
Our finding suggest, for example, that current changes in out-of-hours services (with increasingly centralised services and reliance on nurse triage) may cause more urban patients to divert themselves to emergency departments and more rural patients to delay consulting.
Second, the urban resident's options included either delaying consulting or booking an appointment, despite believing symptoms to be self-limiting, with a view to cancelling later if symptoms improved.
Absent or delayed MET consults may be due to suboptimal adherence of the ward staff to the system.
In our study mothers cited not recognising the seriousness of illness and closed clinics as reasons for delays in consulting.
The purpose of such examinations would be to ascertain events which caused a delay in consulting a health care practitioner.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com