Primary care who doesn’t see sick pts

[Anonymous]

Most of the time I can't get me or my kids in within 24-48 hours, so we usually use urgent care. Every now and then they have a same-day opening, but 99% of the time, it is with a different provider than our PCP, often with a resident or PA. It is a large university group and really frustrating. I know it is frustrating for our PCP as well.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Why do you want to get others sick op? Use telahealth.

a) it's telehealth, not telahealth
b) how can you test for strep or flu with a telehealth visit?

Are you an adult? Then it’s not strep (97% likelihood)

— RN who does rapid strep tests

[Anonymous]

Anonymous wrote:

Anonymous wrote:Is it unreasonable to expect your primary care physician see you when you’re sick? I’m referring to sore throat, severe coughing, low grade fever, cold that lingers kind of symptoms. Mine says to test at home or go to urgent care. I’m considering firing her but don’t want to go to concierge or find myself in the same position again.

That's hilariously ridiculous.

You don't need to see a doctor when you are well, and they won't see you when you are sick?

I wouldn't give a charlatan like that a single penny of business, just ridicule.

Almost all docs are moving to this model. They do annual visits/preventative care and help diagnose & coordinate medical problems. If you’re sick - they tell you to go to Urgent Care.

[Anonymous]

Anonymous wrote:There is no need to be seen in person unless your oxygen level is very low (buy a meter online) or you can't keep anything in and zofran isn't working although there is a major shortage of IV's and they might not be given you one anyway. Why would you need to get everyone else ill?

Disagree. I had pneumonia recently and needed treatment. I didn't know it was pneumonia and I certainly didn't know what my oxygen level was nor was I going to "buy a meter online" to find out.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:There is no need to be seen in person unless your oxygen level is very low (buy a meter online) or you can't keep anything in and zofran isn't working although there is a major shortage of IV's and they might not be given you one anyway. Why would you need to get everyone else ill?

clearly you don't have asthma or a tendency to get pneumonia or bronchitis. sometimes people need antibiotics or steroids.

Virtual tells me to go to the er.

.

ER will tell you to go to primary care.

Yep. It's a cascade ...

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Why do you want to get others sick op? Use telahealth.

a) it's telehealth, not telahealth
b) how can you test for strep or flu with a telehealth visit?

Are you an adult? Then it’s not strep (97% likelihood)

— RN who does rapid strep tests

I got strep in my 20's.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Is it unreasonable to expect your primary care physician see you when you’re sick? I’m referring to sore throat, severe coughing, low grade fever, cold that lingers kind of symptoms. Mine says to test at home or go to urgent care. I’m considering firing her but don’t want to go to concierge or find myself in the same position again.

That's hilariously ridiculous.

You don't need to see a doctor when you are well, and they won't see you when you are sick?

I wouldn't give a charlatan like that a single penny of business, just ridicule.

Almost all docs are moving to this model. They do annual visits/preventative care and help diagnose & coordinate medical problems. If you’re sick - they tell you to go to Urgent Care.

Humm, no, mine does a referral and says they cannot help. They don't diagnose or coordinate anything. No preventative care... just talk to the specialist. The annual is a joke.

[Anonymous]

There is just no need to go in and expose your Dr and everyone else in the office to illness. Use telehealth. If there's any actual reason to come in they will ask you to

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Why do you want to get others sick op? Use telahealth.

a) it's telehealth, not telahealth
b) how can you test for strep or flu with a telehealth visit?

DP but you can buy home strep kits on Amazon very cheap. You can also buy Covid/Flu combo tests for cheaper than a co-pay. Some telehealth providers will let you test while on camera during the visit and call in a prescription for antibiotics or Tamiflu.

And do they sell tests on Amazon for meningitis or instructions to tell you how to self diagnose sepsis?

You do realize there's a difference between life threatening illnesses and strep or flu, right? If you're well enough to post on DCUM, you probably don't have a life threatening illness. Feel free to run off to the doctor for every little thing if you want. I'd rather save myself time and money and not expose everyone if it's something that can be treated with a virtual visit.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Sometimes doctor practices prefer to save slots for other issues that need to be diagnosed - because they have an burdensome schedule or that they have gotten burnt with insurance not reimbursing enough

Also, if you could be contagious that is another reason a doctor may not want sick patients in the office.

It is kind of amazing how doctors offices and urgent care clinics are generally so cavalier about contagious illness. Shouldn't they have quarantine booths for sick patients?

Newsflash: the entire waiting room of Patient First is a “quarantine booth”. You’re all sick. Wear a mask if you don’t want to catch the illness of the person next to you.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Why do you want to get others sick op? Use telahealth.

a) it's telehealth, not telahealth
b) how can you test for strep or flu with a telehealth visit?

DP but you can buy home strep kits on Amazon very cheap. You can also buy Covid/Flu combo tests for cheaper than a co-pay. Some telehealth providers will let you test while on camera during the visit and call in a prescription for antibiotics or Tamiflu.

And do they sell tests on Amazon for meningitis or instructions to tell you how to self diagnose sepsis?

If you have meningitis or sepsis your family medicine doctor isn’t going to be able to help you either. Do you think they do lumbar punctures in the exam room?

[Anonymous]

This is the reason I switched to One Medical years ago. It was absurd how difficult it was to get an appointment with a regular primary care doc, and completely impossible to get an appointment for an illness or urgent issue. At One Medical I often cannot see my regular doctor on short notice but it’s super easy to see an NP or doctor via telehealth immediately or an appointment in person that day. the if it turns out to be anything complicated I can follow up with my regular doctor.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Why do you want to get others sick op? Use telahealth.

a) it's telehealth, not telahealth
b) how can you test for strep or flu with a telehealth visit?

DP but you can buy home strep kits on Amazon very cheap. You can also buy Covid/Flu combo tests for cheaper than a co-pay. Some telehealth providers will let you test while on camera during the visit and call in a prescription for antibiotics or Tamiflu.

And do they sell tests on Amazon for meningitis or instructions to tell you how to self diagnose sepsis?

If you have meningitis or sepsis your family medicine doctor isn’t going to be able to help you either. Do you think they do lumbar punctures in the exam room?

Ideally the primary care doctor is the one who monitors the course of an illness and can see when it’s serious. if the primary care doctor won’t see patients to tell them when a headache is just a migraine and when it could be meningitis, then what’s the point of the primary care system?

[Anonymous]

Anonymous wrote:Is it unreasonable to expect your primary care physician see you when you’re sick? I’m referring to sore throat, severe coughing, low grade fever, cold that lingers kind of symptoms. Mine says to test at home or go to urgent care. I’m considering firing her but don’t want to go to concierge or find myself in the same position again.

Sounds like she does not think you need to see a doctor.

If she suspects COVID , I don’t blame her for wanting you to test at home first.

Why should she risk losing a week of pay because you won’t take a ten minute self-test?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Why do you want to get others sick op? Use telahealth.

a) it's telehealth, not telahealth
b) how can you test for strep or flu with a telehealth visit?

Are you an adult? Then it’s not strep (97% likelihood)

— RN who does rapid strep tests

Well that's a bit scary from a nurse. Almost every parent of a child with strep has gotten strep.