S/o What the f do you all want from doctors?

[Anonymous]

Anonymous wrote:

Anonymous wrote:Everyone is mad at doctors. We should be mad at insurance companies and health systems. We should be mad at the broken free market system and republicans in general.

EMRs, while good in theory and intention, were a disaster to roll out. I’m curious how much time and money is spent implementing, maintaining and using these systems instead of focusing on the patient - a recurring complaint on this thread.

Medicine has become like everything else. Ruined by private equity and other bored, rich AHs who are looking for a new “tech disruption”

EMRs were a disaster to roll out because doctors and practices first did a horrible job picking systems, and then did a horrible job training their staff to use them. They made a self-fulfilling prophecy: they decided EMRs were going to be horrible, so they bought the cheapest EMRs they could find, which were obviously going to be horrible.

You really, really don't want to go back to paper charts.

What I hate is having different doctors on different electronic records portals. I've started picking doctors and specialists who use the same portal so they can all see my medical history and I'm not repeating tests or carrying records between practices. Nationalized health systems tend to do this automatically.

There again I saw someone in her complaining that she didn't want doctors seeing her past ER records.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Everyone is mad at doctors. We should be mad at insurance companies and health systems. We should be mad at the broken free market system and republicans in general.

EMRs, while good in theory and intention, were a disaster to roll out. I’m curious how much time and money is spent implementing, maintaining and using these systems instead of focusing on the patient - a recurring complaint on this thread.

Medicine has become like everything else. Ruined by private equity and other bored, rich AHs who are looking for a new “tech disruption”

EMRs were a disaster to roll out because doctors and practices first did a horrible job picking systems, and then did a horrible job training their staff to use them. They made a self-fulfilling prophecy: they decided EMRs were going to be horrible, so they bought the cheapest EMRs they could find, which were obviously going to be horrible.

You really, really don't want to go back to paper charts.

What I hate is having different doctors on different electronic records portals. I've started picking doctors and specialists who use the same portal so they can all see my medical history and I'm not repeating tests or carrying records between practices. Nationalized health systems tend to do this automatically.

There again I saw someone in her complaining that she didn't want doctors seeing her past ER records.

That's not a red flag at all...

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I want my doctor to be a problem-solver and figure out what’s going on instead of writing a script for a medicine that treats the symptoms and doing nothing more.

What if what’s going on is just you’re getting older? I can’t problem solve my way out of you being 75.

Ok, but what about all the times this happens with kids or problems that aren’t related to aging? I can think of numerous examples in my family where it took visiting numerous doctors to find one willing to dig a little deeper to discover the real issue. Most doctors don’t do this because they’re arrogant or lazy. There are some talented doctors who won’t rest until they find an answer. These doctors are worth their weight in gold!

No, most doctors don’t do this because if they spend more than 10 min with you, they get in trouble.

What a stupid system. Everything becomes more expensive because not enough time is spent understanding the problem.

It is NOT a stupid system. We have a specifically designed healthcare system that makes a lot of people extremely wealthy. It's called capitalism and the doctor you see is the front line worker.

Two of the features of capitalism are that the front line worker is NEVER the person designing the system and is NEVER the person making the big bucks.
Your best hope is to find the doctor/nurse who internally motivated to provide great care in spite of the system.

Doctors aren't just front-line workers. Historically they owned the businesses that established the health care industry as it exists today. Even now, many still do.

Not anymore- the vast majority of doctors are employed now. The older doctors sold us out.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I want my doctor to be a problem-solver and figure out what’s going on instead of writing a script for a medicine that treats the symptoms and doing nothing more.

What if what’s going on is just you’re getting older? I can’t problem solve my way out of you being 75.

Ok, but what about all the times this happens with kids or problems that aren’t related to aging? I can think of numerous examples in my family where it took visiting numerous doctors to find one willing to dig a little deeper to discover the real issue. Most doctors don’t do this because they’re arrogant or lazy. There are some talented doctors who won’t rest until they find an answer. These doctors are worth their weight in gold!

No, most doctors don’t do this because if they spend more than 10 min with you, they get in trouble.

What a stupid system. Everything becomes more expensive because not enough time is spent understanding the problem.

It is NOT a stupid system. We have a specifically designed healthcare system that makes a lot of people extremely wealthy. It's called capitalism and the doctor you see is the front line worker.

Two of the features of capitalism are that the front line worker is NEVER the person designing the system and is NEVER the person making the big bucks.
Your best hope is to find the doctor/nurse who internally motivated to provide great care in spite of the system.

Doctors aren't just front-line workers. Historically they owned the businesses that established the health care industry as it exists today. Even now, many still do.

Not anymore- the vast majority of doctors are employed now. The older doctors sold us out.

Almost half of doctors are still in private practice. By my point was that doctors have been in leadership positions where they made the decisions that led to the current ecosystem.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I want my doctor to be a problem-solver and figure out what’s going on instead of writing a script for a medicine that treats the symptoms and doing nothing more.

What if what’s going on is just you’re getting older? I can’t problem solve my way out of you being 75.

Ok, but what about all the times this happens with kids or problems that aren’t related to aging? I can think of numerous examples in my family where it took visiting numerous doctors to find one willing to dig a little deeper to discover the real issue. Most doctors don’t do this because they’re arrogant or lazy. There are some talented doctors who won’t rest until they find an answer. These doctors are worth their weight in gold!

No, most doctors don’t do this because if they spend more than 10 min with you, they get in trouble.

What a stupid system. Everything becomes more expensive because not enough time is spent understanding the problem.

It is NOT a stupid system. We have a specifically designed healthcare system that makes a lot of people extremely wealthy. It's called capitalism and the doctor you see is the front line worker.

Two of the features of capitalism are that the front line worker is NEVER the person designing the system and is NEVER the person making the big bucks.
Your best hope is to find the doctor/nurse who internally motivated to provide great care in spite of the system.

Doctors aren't just front-line workers. Historically they owned the businesses that established the health care industry as it exists today. Even now, many still do.

Not anymore- the vast majority of doctors are employed now. The older doctors sold us out.

Almost half of doctors are still in private practice. By my point was that doctors have been in leadership positions where they made the decisions that led to the current ecosystem.

Nope 80%

https://www.beckershospitalreview.com/hospital-physician-relationships/nearly-80-physicians-now-employed-by-hospitals-corporations-report-finds.html

[Anonymous]

Anonymous wrote:On dcurbanmoms it seems that:

People want doctors to make pennies and do work for free….

But they get mad when primary care doctors who make little money are quitting and leaving them without care.

People want doctors who pass and excel on their training exams and have tons of knowledge but then get mad at doctors who “think they know more than them” or the think NP/ PAs are better even though they don’t have to take these exams or do any training.

So seriously what do you want from doctors? Should they even exist anymore?

thanks for writing this-never saw more vitriol for MDs than on dcum

[Anonymous]

Anonymous wrote:On dcurbanmoms it seems that:

People want doctors to make pennies and do work for free….

But they get mad when primary care doctors who make little money are quitting and leaving them without care.

People want doctors who pass and excel on their training exams and have tons of knowledge but then get mad at doctors who “think they know more than them” or the think NP/ PAs are better even though they don’t have to take these exams or do any training.

So seriously what do you want from doctors? Should they even exist anymore?

How about not being rude and condescending to women? Take our pain seriously? Stop telling us it is in our heads ( unless it is) How about when you cancel than you find another appointment sooner than 6 months!

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I don’t care what they make. Raise it, lower it, whatever.

I want them to prioritize me as the patient over interacting with the EMR, not to be supercilious AHs, and to answer calls/emails with correct information—not patronizing gatekeeping—in fewer than 72 hours.

I would appreciate it if fewer PCPs punted every single illness involving an identifiable body system to a specialist, but this is lower-level.

If they are going to do this, however, I would like them to actually coordinate care.

All of these are issues with modern health care and doctors aren’t the drivers behind it. Hence, the rise in concierge medicine, which everyone hates on here as well.

Exactly. PP can have all of these things but they would have to pay for it. They say they "don't care what doctors make" but I bet they care what they pay.

Answering calls and emails and coordinating care take time. Pay a concierge physician and you will have that.

Most people don’t even know what a concierge doctor is.

Well a lot of DCUM do. My in-laws had them

[Anonymous]

Anonymous wrote:

Anonymous wrote:21:55, I forgot two more:

I do to want to have pay to park for the privilege of seeing you

I do not want to wait 30 minutes (or more) in your waiting room and another 30 minutes (or more) in the exam room before I am graced with your presence for less than 10 minutes, and then I have to pay even more for parking, for the time I spent waiting for you

You’re going to have to pay for concierge service to get all of this. It’s readily available to you. But…I’m guessing you don’t want to pay.

Dp Or can't?

[Anonymous]

I like doctors and have no issues with their pay. I have Kaiser and am happy with the care I get, how much it costs and how easy it is to see someone.

I think insurance companies and pharmacies are the issue. They're middle men and are skimming too much off the top.

[Anonymous]

Anonymous wrote:

Anonymous wrote:On dcurbanmoms it seems that:

People want doctors to make pennies and do work for free….

But they get mad when primary care doctors who make little money are quitting and leaving them without care.

People want doctors who pass and excel on their training exams and have tons of knowledge but then get mad at doctors who “think they know more than them” or the think NP/ PAs are better even though they don’t have to take these exams or do any training.

So seriously what do you want from doctors? Should they even exist anymore?

How about not being rude and condescending to women? Take our pain seriously? Stop telling us it is in our heads ( unless it is) How about when you cancel than you find another appointment sooner than 6 months!

Whose appointment do we cancel to get you in sooner, though?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:On dcurbanmoms it seems that:

People want doctors to make pennies and do work for free….

But they get mad when primary care doctors who make little money are quitting and leaving them without care.

People want doctors who pass and excel on their training exams and have tons of knowledge but then get mad at doctors who “think they know more than them” or the think NP/ PAs are better even though they don’t have to take these exams or do any training.

So seriously what do you want from doctors? Should they even exist anymore?

How about not being rude and condescending to women? Take our pain seriously? Stop telling us it is in our heads ( unless it is) How about when you cancel than you find another appointment sooner than 6 months!

Whose appointment do we cancel to get you in sooner, though?

When my doctor changed her weekly schedule and had to change my longstanding appointment, I'm think they gave me one of her emergency appointment slots. I had to get rescheduled by the office manager though not the scheduling agent. I was treated as a priority, so I guess it's a good practice. For the person above, they should at least put her at the head of the cancellation list.

[Anonymous]

No one is going to care about your issues more than you. With the internet, everyone has information and the ability to research at their fingertips. A PCP knows a lot about the run of the mill issues. Once you start getting into details, they don't have the knowledge. You need to find a specialist. And even then, the specialist isn't going to spend hours researching the nuances of every possible system.

Drs used to be smarter than the general public because they had access to information that we didn't.

[Anonymous]

I’ve only gotten through the first page. I’m nurse and a patient. I get the frustrations but I think the grievances should be with our for profit system not physicians. Esp. when it comes to PCPs. They have to see X amount of patients. They have to write/click certain things on their charting in order to be able to bill. I know of a physician whose practice was bought by a well known health system (“non profit”) in NoVa and he lamented that he could no longer spend time with patients bc everything is so timed/analyzed. Even though hospitals can’t bill for my services, I still need to chart so much or face being reprimanded.

[Anonymous]

Anonymous wrote:Maybe medical schools should recommend applicants take some business courses in their undergrad degrees.

I get that many med school applicants have always been at the top of their classes, particularly the sciences, but given the way the health sector works, knowledge of the business world is also important.

You think MBAs would help in OPs situation?