S/o What the f do you all want from doctors?
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Anonymous
As predicted, we clearly have all benefitted from your well-informed recommendations, in the sense that we now know that you are talking out of your butthole. Go right on doing that. |
Anonymous
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None of us US citizens seem to be able to fix America, but we can do our best with the part of it under our control.
When doctors get pushed past the point of being able to cope with the constraints of their worklife, they are increasingly marking off the small space where they can control it. Concierge. It works great. The extra fees pay for all the things small practice docs didn't have to cover decades ago: EMR, maintenance, cell phones increasing the expectation of availability, tracking literally hundreds to thousands of lab tests and interventions that didn't even exist 30 minutes ago, navigating and negotiating through the websearch information any given person can bring through the door to discuss, all of it. Medicine isn't what it used to be. Old docs were sounding that bell for a long time, but it really ramped up in the 90s and early 2000s. Boy, were they right. |
Anonymous
| ^^30 years ago |
Anonymous
Well, the joke is on you I guess. I’m the person you quoted. I’m not a doctor. Let me guess. You are a lawyer. Maybe one in a big law firm environment. Guess what? So am I! Hilarious. The difference here is I know I’m not all that important in the grand scheme of things and I am aware of the limitations of the system. I also have some semblance of work life balance such that I don’t equate all time not working as lost money. If you don’t like it, and you are as fancy and valuable as you suggest, pay for concierge. It isn’t worth it to me, so I don’t. |
Anonymous
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Don’t have time to read the whole thread, but I am a doctor… and I can’t stand going to the doctor!
They talk down to me, spend 3 minutes with me, chastise me for diagnosing myself, and then in the same breath ask me why I am bothering them with a silly problem and ask why I can’t just take care of it myself. I have an MD, PhD, am a professor at a med school, and have 20 years of experience in my specialty (albeit in a specialty that is not patient-facing - radiology). So yeah, I hate it, too. That said, I understand why my colleagues treat me like crud - it’s just the way things are. They have no time and are being squeezed by the admins. I think that things will have to hit rock bottom and then the whole system re-organized. Sorry everyone! |
Anonymous
Doctors’ professional organizations have stood shoulder to shoulder against most innovations that would improve the system for patients. (The AMA even opposed Medicare!) Maybe start by getting your own orgs, which you do control, acting for the greater good and not just for docs. It is for sure what I am doing in the parallel circumstances in my own life to which you point. |
Anonymous
How? I was a member of the AMA, but stopped giving them membership money because my voting didn't matter. I'm still a member of the AAP, which was formed in opposition to the AMA opposing Medicare and still supports universal health care for our patients. But you don't care about that, do you? AAP champions universal health coverage for all children in all settings https://publications.aap.org/aapnews/news/6554/AAP-champions-universal-health-coverage-for-all https://www.aap.org/en/advocacy/health-care-access-coverage/ AAP Advocacy: Health Care Access & Coverage So are you, what, running for political office? Are you actually changing anything, or are you just trumpeting around on the internet what you think other people should be doing? Why aren't you fixing America? A heckuva lot of your reps aren't doing what they should. Fix it. |
Anonymous
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PS: You're pretty free with the insults, but do you know why it's the American Academy of Pediatrics, not the American Academy of Pediatricians? That was a deliberate choice. MY medical organizations stand shoulder to shoulder with patients. MY medical organizations put patients first, not docs. But you don't care about my medical organizations, because they aren't a good talking point for you. You can do better. |
Anonymous
They are voting with their feet and trying to unionize or just going concierge. The acceleration of concierge practices has been astounding. I bet in the future most MDs will be concierge and a rotation of NP/PAs will do primary care. This may be a win- win since most people like NP/PA (the main downside is who will train them?) |
Anonymous
Anonymous
You are awesome! |
Anonymous
Yes! And can you listen to the awesome doc!
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Anonymous
Yes! |
Anonymous
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I want them to listen to what I'm telling them and not dismiss my concerns without any consideration. Example: never ever ever had high blood pressure outside of pre-eclampsia during pregnancy. In my 50's, after COVID (which I had not had but had the vaccine), blood pressure significantly higher than typical for me at GI doctor office visit. Dr's first response: it's not that high. (It is for me!) Second response: some people have white coat high blood pressure due to anxiety at doctor appointments (in my 50+ years of life, this has never ever been the case for me!) Third response: you can get a monitor at CVS and check it at home if you're concerned.
I want them to try to figure out what the cause of something is instead of going "hmm" and moving on with the exam never to return. I want them to take the information from other doctors and specialists as a whole and consider relationships between medical findings. The rare doctors we've had that actually did this were old, experienced, and since retired. Young doctors coming out just don't do these things and apparently aren't trained to. Our most current PCP even told my spouse that they would take the practice's PA over all of the new MDs there. |
Anonymous
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I want them to look for zebras sometimes.
I also want them to admit when something is beyond their scope of practice. I had severe bleeding from fibroids. An OB/GYN in the practice I go to just causally told me to take Vitron C. I had the good sense to make appointments with both a hematologist and a highly regarded surgical GYN. By the time I saw the hematologist, I was so anemic he was surprised that I was able to drive myself to his office. The surgical gyn I saw was amazing. He did a procedure to understand why I was bleeding so badly. Based on that, he fully explained my options, from least invasive to most invasive. And told me how much time I’d have before I would likely need to come back. Six years later, I saw him again, and the choice I made was outside of his scope of practice. He arranged for me to meet a new doctor to be treated with a procedure he couldn’t perform. And then scheduled a follow up after that procedure by the other doctor. I adore him as much as you can adore a person you have only spent a couple hours with across a decade. |