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HomeTestimonials Decision MakingLife As A Medical Case Manager At Medix

Life As A Medical Case Manager At Medix

I’m proud to say that I am a Medical Case Doctor and I make a real difference in people’s lives. I manage cases across all medical specialties and approach each case with a “fresh pair of eyes”.  This includes reviewing the diagnosis and enlisting international specialists to help reach the correct diagnosis and determine the best course of treatment, according to the latest medical research. Each client has a dedicated nurse and doctor managing their case for a minimum of three months. Our advice is independent and we take into consideration the client’s personal circumstances, their location, and preferences when planning their management.


For example, one of my clients is an avid amateur motorcycle racer. He fractured two bones in his leg racing and one of the fractures had not united properly. He was told by his specialist that he needed to have a metal plate inserted, but this could potentially put him at risk if he has a fracture whilst racing in the future. When he turned to Medix, we consulted a leading expert on traumatic fractures, who recommended using a bone-stimulating device (backed by the FDA) that uses low-intensity pulsed ultrasound technology to encourage the fracture to heal. We believe that this could mean that he avoids surgery and heals as soon as possible.


Another of my clients dislocated her shoulder. Even though her shoulder was reduced in Accident and Emergency, she was still having pain and could barely move her arm two months after the incident. She was told that she had a tear of one of her rotator cuff tendons. Surgery would mean that she would have to cancel her golfing honeymoon planned for later on in the year. However, when we were asked to look into her case further, the tear was actually very small and most of her symptoms were from secondary adhesive capsulitis (frozen shoulder). She was treated with hydrodilatation injections and within a month she was over the moon at being able to play golf again and have the honeymoon she had always dreamed of.


Although we manage a lot of complex cancer cases, some of my most grateful clients have been simple cases. I had a client who had had acne for most of her life. When I asked her how it had affected her life, she hesitated and said, “I try not to let it affect me.” When I spoke with her next, she told me that she had thought a lot about my question and realised that her acne had actually affected her profoundly.  She had made so many adjustments to her life that she had never previously acknowledged until I had asked her that question. She avoided foods that she thought were triggers and didn’t use cosmetics. It also affected her confidence at work when she had to engage with clients who would stare at her skin.  She started Roaccutane under the care of a dermatologist we recommended and shared photos with us showing how much her skin (and confidence) had improved!


What I enjoy most about the job is being able to help people find some clarity when they are unwell and confused about their medical care, often when they are at a vulnerable time in their life. We change the diagnosis in around 1 in 5 cases and this has a big impact. One lady was told that she had a gallbladder tumor. The surgeon had spent just a few minutes with her and told her that the only option was surgery. When we reviewed her scans with a top specialist, it turned out she had a benign polyp (non-cancerous growth). This was confirmed by a more detailed scan and she was relieved to find out that she didn’t need an operation.


The most challenging part of a job without a doubt is dealing with pediatric cases. I am currently managing a five-year-old boy with a brain tumor. I was in tears speaking to his mother about how he was diagnosed, and how brave he had been through all his treatment so far. He cried for the first time when he went to the US to have proton beam therapy because he wasn’t being treated by his usual oncology team at home, and it was heart-breaking. His mother has remained so strong and positive and knows his medical history, treatment, and surgeries inside out. He is on two new clinical trial drugs at a top international children’s hospital and I’m hoping and praying that things will work out.


What most people do not realise is how much work goes on behind the scenes. It may often seem as if a case is progressing slowly but there are always scans, medical notes and letters to retrieve and review phone calls and case discussions with specialists. In a world where we are moving towards integrating “personalised medicine” into mainstream healthcare, case management is a key way of personalising care to each person’s individual health needs via a collaborative process.  Medix Medical Case Management has a significant impact on a patient’s satisfaction with their care and directly influences the medical outcome for the better.


Author - Dr. Farina Leong


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