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

[Anonymous]

Nobody has defended actual bad care.

If you are upset that doctors are expressing frustration that they cannot provide good care and satisfy patients within the current system, that's another issue entirely.

[Anonymous]

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Anonymous wrote:Doctors are the only highly paid professional that can get away with regularly being late to meetings with their clients. Bankers and lawyers certainly don't make their clients wait well past their appointment times.

We have said over and over on this forum that doctors do not control their schedules these days. They have back to back appointments and sometimes double booked appointments made by administrators. This is why doctors are going concierge and why you all need to go find a practice like this. It should solve all the issues here.

This is like screaming over and over again: "Just be rich and stop complaining!" Especially silly since that is indeed what rich people are already doing.

But it's just a business. Right?

If you can't pay for something, that isn't a business's problem.

I don't believe it is just a business.

You must be new to this thread. That's a new position, at least as being expressed by a non-doctor. Welcome!

Can you please elaborate on what the additional responsibilities or other factors are that make it not just a business? That will help in figuring out how to solve the problem.

I am not new to it. I think many doctors do view it as a business. Part of it is needing to make a living and a profit. I think as a result some patients view it as a business as well, hence the concierge model. I don't think I seriously need to explain to a doctor that literally being able to save/kill someone through proper or improper care makes the job more than a business...

Would you say that this sort of responsibility isn't shared by lawyers or bankers?

It is shared by lawyers depending on their field. Not bankers. I am assuming you are bringing this up because of the scheduling/lateness issue. I am the one who posted the ENT/Derm post. I don't believe that timeliness is necessarily a reflection of the doctor's quality of care at all. A derm who spends 1 min with someone with so many moles is a bad derm. I think what baffles me most in this entire thread is seeing doctors defending bad care.

I don't think doctors here are defending bad care. The derm you referred to is unlikely to be hanging out on DCUM, right? Nobody commented on that, and that doctor isn't here. Where is the defense?

You do see doctors here saying that for them to deliver the care people on this thread are criticizing them for not doing, they have to leave the old system and do it on another model.

Did you want a doctor here to agree with you that the derm you saw should spend more than a literal minute doing a skin check on someone with 100s of moles! Sure! I can absolutely say that a derm shouldn't spend a literal minute doing that. I'm also happy to say that a teacher shouldn't take more than three months to enter grades (not you, obviously, PP -- but we aren't just talking about the people on this thread), and that a lawyer shouldn't be billing for time they didn't actually spend (also not you, PP).

What bad care is being defended by a doctor in this thread? Can you quote one of those posts?

The original question is clearly posed by someone who resents patients for being patients. How is that indicative of good care? Then the whole thread devolved into doctors being defensive. It doesn't make any sense to me. If you are a good doctor, I am sure you know you are and patients tell you so or show you so by wanting to remain in your practice, writing good reviews...And then there are always some unhappy, rude people, but the big picture remains. So why be defensive? What are you even defending yourself from? No patient on earth has any issue with people providing great care.

You think the OP was delivering medical care in that post?

Obviously not. I think they are a disgruntled doctor.

[Anonymous]

Anonymous wrote:PS: Nobody is going to check with on your actual relationship with the doctor whose name you write on the form.

Specialists send visit reports to the PCP. When I go to a specialist, they have a pull down menu with the contact info of local PCPs and the click on the right one.

[Anonymous]

Then you are criticizing OP for being a frustrated human being on this anonymous, not for delivering actually bad care. And no doctor here is defending bad care.

Maybe part of the problem is that patients themselves can sometimes be unclear on what they want and how the system constrains the individuals they are angry with.

[Anonymous]

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Anonymous wrote:PS: Nobody is going to check with on your actual relationship with the doctor whose name you write on the form.

Specialists send visit reports to the PCP. When I go to a specialist, they have a pull down menu with the contact info of local PCPs and the click on the right one.

So from your description, you literally could just see an NP as your primary, right?

Do you need help finding one? Just post a location. A lot of posters express great satisfaction, and it sounds like it would solve your problem. We can fix this now.

[Anonymous]

Anonymous wrote:Then you are criticizing OP for being a frustrated human being on this anonymous, not for delivering actually bad care. And no doctor here is defending bad care.

Maybe part of the problem is that patients themselves can sometimes be unclear on what they want and how the system constrains the individuals they are angry with.

I would agree if the tone were different. I'd have a lot of empathy for a doctor who is struggling and frustrated actually, because the system IS awful for all. The overwhelming defensive and mean-spirited tone of this thread says otherwise.

[Anonymous]

Well, I do hope you find what you seek.

[Anonymous]

I want human doctors to be replaced by AI so we are not subjected to biases and lack of knowledge/training. It will also cure the shortage of good doctors. AI will think for them, so less medical mistakes, less patients dismissed, less bias against minorities, women, olds, poors and chubs.

[Anonymous]

Nothing could go wrong with that. Hopefully it happens more quickly than we expect!

[Anonymous]

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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.

they need to prioritize illness, not patients. sounds entitled

Patients are people, not their condition.

wut?!?!

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:PS: Nobody is going to check with on your actual relationship with the doctor whose name you write on the form.

Specialists send visit reports to the PCP. When I go to a specialist, they have a pull down menu with the contact info of local PCPs and the click on the right one.

So from your description, you literally could just see an NP as your primary, right?

Do you need help finding one? Just post a location. A lot of posters express great satisfaction, and it sounds like it would solve your problem. We can fix this now.

I have one already. Instead of paying concierge fees, I make the first appointment of the day months in advance, which solves any waiting issues. If I need to see a NP for strep or similar, that's fine.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:PS: Nobody is going to check with on your actual relationship with the doctor whose name you write on the form.

Specialists send visit reports to the PCP. When I go to a specialist, they have a pull down menu with the contact info of local PCPs and the click on the right one.

So from your description, you literally could just see an NP as your primary, right?

Do you need help finding one? Just post a location. A lot of posters express great satisfaction, and it sounds like it would solve your problem. We can fix this now.

I have one already. Instead of paying concierge fees, I make the first appointment of the day months in advance, which solves any waiting issues. If I need to see a NP for strep or similar, that's fine.

So, no problems for you and nothing to complain about. That's fabulous! You get what you want without problems.

[Anonymous]

I don't know many lawyers that have to drop everything to take care of a legal emergency for people multiple times every week (and which wasn't disclosed to the lawyer until the end of the visit), as well as take on more clients than they can take care of because people need lawyers, and if they get it wrong, people will die.

The lawyers around here are a lot more hard-core and dedicated than I realized. I thought that if I brought up something at the end of the visit, I'd have to book another appointment.

[Anonymous]

I wonder what a lawyer would do if I booked a 20 minute visit with them to just fill out a form, but then at minute 19 I broke down crying as I disclosed that the teenager the form was still bedwetting and just told us recently that a family member had molested her from toddler age through entering middle school, and that the bedwetting started then?

How does the lawyer deal with this while staying on time for the next appointment? And how many times a week are things like this happening? A DCUM mystery.

Maybe the lawyer is supposed to book even more open time every day than they do, and turn away other people who need legal appointments just because they need to stay on time, and then stop practicing because the law firm won't let them do that, so instead open up their own small independent practice and charge enough money to keep it afloat.

Sounds like a concierge practice.

[Anonymous]

Anonymous wrote:

Anonymous wrote:They need to stop over scheduling and understand that everyone’s time is valuable, not just theirs. Stop telling me you’ll cancel my appointment if I’m 15 minutes late and then make me wait for 30 minutes minimum when I’m on time.

Sounds like your time is so valuable you have the resources to go out into the marketplace to pay for a higher level of service. You should probably do that.

I’m the meantime, sit down with a piece of paper and game out the cascading effect of a few people being “15 minutes.”

Of course you're right - it's only people who pay for a higher level of service who should expect to be seen at the time of their appointment. Punctuality isn't the baseline, it's a extra.

Give me a break.

The point the PP was making, what seems to have been lost on you, is that it is hypocritical to insist that patients be on time while simultaneously routinely being late yourself. And then shrugging your shoulders and saying, "Well, geez, it happens! What was I to do?"