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

[Anonymous]

Oddly, when you give a clear answer, it's almost like some people can willfully not understand it for their own purposes. It can be a long and detailed or short and direct answer. Doesn't matter. If people have a vested interest in rejecting it, they will.

Happens all the time with some patients, too.

[Anonymous]

Anonymous wrote:PS: If you are a restaurant owner, or run a bookstore, or are a mechanic shop, there is no licensing board to take that kind of complaint. Sure, someone can contact the BBB, but that's a poot in the wind and we all know it.

Medical licensure is taken differently. When I applied for a license in my current state, I had to attest to listing all complaints ever lodged against me, any time my license was put on probation (even if there was no substantiation found), if I'd ever been diagnosed with depression or other mental illness, etc. These things follow you.

I don't have a record of complaints or other issues like that, but I was denied licensure in one state because I did not fit their requirements (I had too long between completing my USMLE Step I and Step III, because I did a combined MD/PhD). That was a problem for this one state, but not others.

Now I have to disclose that I was denied that application for license and authorize this to be checked out for the rest of my career -- just for that. It can mean missing a job opportunity, if it takes too long. And that is merely because my exams were too far apart. It's a stupid problem, but I still get to deal with it.

Yeah, right, business owner deal with grumpy people all the time. That's not even on the same planet as medical providers trying to protect a license. Which is fine -- it's just not as trivial as you are trying to make it out to be.

There's the health department that can close a restaurant for violations and that is published online . For construction, plumbing and electrical businesses there are licensing requirements and in the state of Virginia for example, a customer can submit a complaint against a licensed business that shows up online.

[Anonymous]

Does that construction business owner have to disclose every complaint ever lodged (even if found to be untrue) to anyone who ever hires them in the future, or if he wants to open up a lumber supply on the opposite coast 30 years later, and then wait for it to be investigated before he gets the new license in Portland?

I can't tell if you don't understand or just don't want to understand.

[Anonymous]

Anonymous wrote:Oddly, when you give a clear answer, it's almost like some people can willfully not understand it for their own purposes. It can be a long and detailed or short and direct answer. Doesn't matter. If people have a vested interest in rejecting it, they will.

Happens all the time with some patients, too.

So for example I said

“Hello,

Your labs show that your Vitamin D is high. Please stop taking your supplement and we will recheck in a couple weeks. Nothing concerning and should correct.

I’ll see you in two weeks to discuss further.”

She’s calling the office asking about the high vitamin d in a panic.

[Anonymous]

And further, you WANT medicine to be more closely regulated than any other business. If it's taken as lightly as everything else, then bad things happen. There is no relying on someone to google archives online in medicine.

It's the job we signed up for, but it does give leverage to anyone with a beef. You are dismissive of PP's frustration with a patient's demands, and you expect it's always easy to blow it off.

It's not, and that is because doctors are not construction workers. Why is that hard to understand?

[Anonymous]

If people have a vested interest in not getting it, they won't. Holds true everywhere, PP.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Hit reply too fast. Do you see how this makes zero sense? You want them to know better than you but you don’t want to do what they tell you to do.

Also if they take all those phone calls they’ll never have time to actually see patients in person and also they won’t get paid. Sucks but true. Your quick phone call, multiplied by 15, plus the documentation required for it, would take up hours.

There's A LOT of real estate between "makes $50k a year" and "makes $600k a year". Doctors could stop over-scheduling, spend more time with patients, take phone calls, work on bedside manner and still make what any American would consider a lavish sum. Nobody is asking them to impoverish themselves, just maybe make a couple thou less a day.

You really have no idea what you are talking about, or what a full time Family Med doc owned by a larger system is paid. Primary care docs do not make their own schedules and do not decide how many patients to see in a day. If you want someone who does, you need a concierge physician. Pay your annual membership fee and you can get all of the things you’re asking for.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Hit reply too fast. Do you see how this makes zero sense? You want them to know better than you but you don’t want to do what they tell you to do.

Also if they take all those phone calls they’ll never have time to actually see patients in person and also they won’t get paid. Sucks but true. Your quick phone call, multiplied by 15, plus the documentation required for it, would take up hours.

There's A LOT of real estate between "makes $50k a year" and "makes $600k a year". Doctors could stop over-scheduling, spend more time with patients, take phone calls, work on bedside manner and still make what any American would consider a lavish sum. Nobody is asking them to impoverish themselves, just maybe make a couple thou less a day.

You really have no idea what you are talking about, or what a full time Family Med doc owned by a larger system is paid. Primary care docs do not make their own schedules and do not decide how many patients to see in a day. If you want someone who does, you need a concierge physician. Pay your annual membership fee and you can get all of the things you’re asking for.

Owned?

[Anonymous]

DP. Yes?

[Anonymous]

Anonymous wrote:

Anonymous wrote:I didn't read the whole thread, but personally I wish more PCP offices offered "concierge light" models. I don't want to spend $250 per month to retain the services of a doctor I see once or twice a year but I would spend $250 per year or an extra $50 per visit over two visits per year if it meant I could see the same 1-2 providers on a regular visit and didn't get rushed out of there. Same thing goes for our pediatric practice.

I feel like Teledoc fills that role in my life now. For little sick visits, we just use that: it's immediate care at home. And the doctors we have had were always great.

I'm the PP. This is good info, thank you! Will they call in prescriptions without seeing you in office? I ask because I have a home strep kit which is the exact same one the doctor's office uses. If I get a positive, I still have to go to the doctor and be seen in person and have them re-run the test. Same thing for a UTI. Last year those were the only two doctors visits I had and I couldn't be seen until the following day which meant a bunch of uncomfortable, wasted hours. I could literally do the test while on a video call so they'd be able to tell I wasn't faking it to get antibiotics but that's apparently not allowed at my current practice. If Teledoc allows something like that, sign me up.

[Anonymous]

I want them to not complain to me. To get a therapist to help them with their job stress/personal problems, the same way they'd advise me to do.

I'm aware that their job has downsides and frustrations. Like every other job. But I'm there because I'm already unwell, in pain, and struggling. I don't want to hear about your hard day, how overscheduled you are, how hard it is to be in the privileged position you enjoy as someone well enough to practice medicine and get paid for it.

I want them to respect basic boundaries, and I want them to care for themselves first so I don't have to fluff them while paying for the privilege.

[Anonymous]

Anonymous wrote:Doctors need to get the AMA to stop lobbying for very limited residency seats. Many of these problems could be solved if we stop artificially restricting the number of doctors.

Right. And doctors are the ones who know this problem, having lived it, so they should be the first ones fighting to change it.

[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?

Are you a doctor's kid?

Sadly, I think OP is just a(nother) whiny whitecoat.

[Anonymous]

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”

Why not both? Your take is kinda like saying "everyone is mad at cops. We should be mad at legislators."

Yes. Yes, we should. Doctors get paid to perpetuate a crap system, and are part of the problem. Just like cops (and they enjoy a sort of power-over social privilege like cops, too).

[Anonymous]

Anonymous wrote:I want them to not complain to me. To get a therapist to help them with their job stress/personal problems, the same way they'd advise me to do.

I'm aware that their job has downsides and frustrations. Like every other job. But I'm there because I'm already unwell, in pain, and struggling. I don't want to hear about your hard day, how overscheduled you are, how hard it is to be in the privileged position you enjoy as someone well enough to practice medicine and get paid for it.

I want them to respect basic boundaries, and I want them to care for themselves first so I don't have to fluff them while paying for the privilege.

No, you do not. Witness the thread.