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

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Doctors have reasons they are late, and so do patients. You should not assume yours are valid and the patient’s are not.

At least have your office call people in advance when you know you are running way late. And for God’s sake apologize to those who came on time and have been waiting for a half hour or more . And if you are going to charge those who are delayed, you need to pay your waiting patients when you are delayed. You are really not the only busy, important person in this equation, whose time has value.

Do you want an apology, or do you want an explanation?

Doctor's reasons for being late are usually other patients, not their own reason. Are the other patients not as valid as you?

You could factor such delays into your schedule, especially since you claim they are common and to be expected. Instead you book us back to back, because you don’t want to lose a dime of time. So we lose time (and often money).

Do you know any places where you can get in to see your primary doctor without an inordinately long wait? Just curious. Please share the name, if so.

Sure. One Medical.

I can call today with an acute concern and guarantee to be seen today by my MD, not another MD, or an NP or PA?

But what’s the acute concern? If it’s something like a possible infection, they’re not going to waste the MD’s time when an NP or PA can handle it.

They're not going to waste the doctor's time on something that might give you sepsis. What is the doctor focusing on?

Do you know what the chances are that an ingrown toenail infection is going to cause you to become septic? It is infinitesimally small.

Again, here is the problem. People who have no scientific/medical knowledge demanding that they see an Md and no one else because they may become septic from a small localized infection. It’s just not a realistic expectation.

Jim Henson's death from strep still haunts me.

Given you have great scientific knowledge explain to me what cases the doctor is handling. Anything complex is handled by specialists. From my last experience they were ticking off that I'd had all my cancer screenings and looking at the blood pressure reading that the assistant had taken in a way that broke the guidelines.

We've been warned above that we're in danger from PAs and NPs, yet they're at the front line dealing with acute complaints of patients potentially suffering from meningitis, strep, staph, stroke etc.

[Anonymous]

Anonymous wrote:

Anonymous wrote:
It seems like

"This system isn't working for anyone, and patients are beyond pissed while doctors are burning out under it right and left and can't seem to fix it from within, no matter how much patients yell at them."

looks exactly like

"This is the way it is. Doctors have it hard. So suck it up, be quiet, and be grateful for what we give you."

to some people.

Look, I’m a teacher. I get it. We’re crashing and burning in a failing system, too. Last time I commented on DCUM about the challenges we face, I received very little sympathy.

Teachers’ tones don’t translate well on DCUM, and parents can perceive our frustrations as insulting. I absolutely see why that is the case. In a similar manner, the tone of this thread is rather condescending toward patients. Things may be bleak in your profession, and so you have to accept that has an impact on patients’ perceptions.

You make good points. I understand that doctors aren't happy with changes to health sector management, but the title of this thread transfers that dissatisfaction with executives to the patient. Is that the second stage of burnout - depersonalization?

The patient in turn is paying more than ever for healthcare, yet gets less attention than in past decades.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Doctors have reasons they are late, and so do patients. You should not assume yours are valid and the patient’s are not.

At least have your office call people in advance when you know you are running way late. And for God’s sake apologize to those who came on time and have been waiting for a half hour or more . And if you are going to charge those who are delayed, you need to pay your waiting patients when you are delayed. You are really not the only busy, important person in this equation, whose time has value.

Do you want an apology, or do you want an explanation?

Doctor's reasons for being late are usually other patients, not their own reason. Are the other patients not as valid as you?

You could factor such delays into your schedule, especially since you claim they are common and to be expected. Instead you book us back to back, because you don’t want to lose a dime of time. So we lose time (and often money).

Do you know any places where you can get in to see your primary doctor without an inordinately long wait? Just curious. Please share the name, if so.

Sure. One Medical.

I can call today with an acute concern and guarantee to be seen today by my MD, not another MD, or an NP or PA?

But what’s the acute concern? If it’s something like a possible infection, they’re not going to waste the MD’s time when an NP or PA can handle it.

They're not going to waste the doctor's time on something that might give you sepsis. What is the doctor focusing on?

Do you know what the chances are that an ingrown toenail infection is going to cause you to become septic? It is infinitesimally small.

Again, here is the problem. People who have no scientific/medical knowledge demanding that they see an Md and no one else because they may become septic from a small localized infection. It’s just not a realistic expectation.

Jim Henson's death from strep still haunts me.

Given you have great scientific knowledge explain to me what cases the doctor is handling. Anything complex is handled by specialists. From my last experience they were ticking off that I'd had all my cancer screenings and looking at the blood pressure reading that the assistant had taken in a way that broke the guidelines.

We've been warned above that we're in danger from PAs and NPs, yet they're at the front line dealing with acute complaints of patients potentially suffering from meningitis, strep, staph, stroke etc.

This is probably a lot of what they’re doing. Also dealing with medically complex patients that are on multiple meds, checking to see if they need their meds changes/adjusted because of side effects and interactions. Stuff like that. Regularly scheduled patients.

My point was they’re not going to bump one of these patients to deal with an ingrown toenail. The PA can deal with that. The MD is needed for the other patients that take more time.

Are you saying that you’d rather the MD bump that patient for your toe? Or run even later because of it?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Doctors have reasons they are late, and so do patients. You should not assume yours are valid and the patient’s are not.

At least have your office call people in advance when you know you are running way late. And for God’s sake apologize to those who came on time and have been waiting for a half hour or more . And if you are going to charge those who are delayed, you need to pay your waiting patients when you are delayed. You are really not the only busy, important person in this equation, whose time has value.

Do you want an apology, or do you want an explanation?

Doctor's reasons for being late are usually other patients, not their own reason. Are the other patients not as valid as you?

You could factor such delays into your schedule, especially since you claim they are common and to be expected. Instead you book us back to back, because you don’t want to lose a dime of time. So we lose time (and often money).

Do you know any places where you can get in to see your primary doctor without an inordinately long wait? Just curious. Please share the name, if so.

Sure. One Medical.

I can call today with an acute concern and guarantee to be seen today by my MD, not another MD, or an NP or PA?

But what’s the acute concern? If it’s something like a possible infection, they’re not going to waste the MD’s time when an NP or PA can handle it.

They're not going to waste the doctor's time on something that might give you sepsis. What is the doctor focusing on?

Do you know what the chances are that an ingrown toenail infection is going to cause you to become septic? It is infinitesimally small.

Again, here is the problem. People who have no scientific/medical knowledge demanding that they see an Md and no one else because they may become septic from a small localized infection. It’s just not a realistic expectation.

Jim Henson's death from strep still haunts me.

Given you have great scientific knowledge explain to me what cases the doctor is handling. Anything complex is handled by specialists. From my last experience they were ticking off that I'd had all my cancer screenings and looking at the blood pressure reading that the assistant had taken in a way that broke the guidelines.

We've been warned above that we're in danger from PAs and NPs, yet they're at the front line dealing with acute complaints of patients potentially suffering from meningitis, strep, staph, stroke etc.

This is probably a lot of what they’re doing. Also dealing with medically complex patients that are on multiple meds, checking to see if they need their meds changes/adjusted because of side effects and interactions. Stuff like that. Regularly scheduled patients.

My point was they’re not going to bump one of these patients to deal with an ingrown toenail. The PA can deal with that. The MD is needed for the other patients that take more time.

Are you saying that you’d rather the MD bump that patient for your toe? Or run even later because of it?

I grew up seeing doctors who helped patients when they felt ill or were injured.

I haven't adjusted to a system where they are prescription managers and don't help you when you get have an urgent need.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Doctors have reasons they are late, and so do patients. You should not assume yours are valid and the patient’s are not.

At least have your office call people in advance when you know you are running way late. And for God’s sake apologize to those who came on time and have been waiting for a half hour or more . And if you are going to charge those who are delayed, you need to pay your waiting patients when you are delayed. You are really not the only busy, important person in this equation, whose time has value.

Do you want an apology, or do you want an explanation?

Doctor's reasons for being late are usually other patients, not their own reason. Are the other patients not as valid as you?

You could factor such delays into your schedule, especially since you claim they are common and to be expected. Instead you book us back to back, because you don’t want to lose a dime of time. So we lose time (and often money).

Do you know any places where you can get in to see your primary doctor without an inordinately long wait? Just curious. Please share the name, if so.

Sure. One Medical.

I can call today with an acute concern and guarantee to be seen today by my MD, not another MD, or an NP or PA?

But what’s the acute concern? If it’s something like a possible infection, they’re not going to waste the MD’s time when an NP or PA can handle it.

They're not going to waste the doctor's time on something that might give you sepsis. What is the doctor focusing on?

Do you know what the chances are that an ingrown toenail infection is going to cause you to become septic? It is infinitesimally small.

Again, here is the problem. People who have no scientific/medical knowledge demanding that they see an Md and no one else because they may become septic from a small localized infection. It’s just not a realistic expectation.

Jim Henson's death from strep still haunts me.

Given you have great scientific knowledge explain to me what cases the doctor is handling. Anything complex is handled by specialists. From my last experience they were ticking off that I'd had all my cancer screenings and looking at the blood pressure reading that the assistant had taken in a way that broke the guidelines.

We've been warned above that we're in danger from PAs and NPs, yet they're at the front line dealing with acute complaints of patients potentially suffering from meningitis, strep, staph, stroke etc.

This is probably a lot of what they’re doing. Also dealing with medically complex patients that are on multiple meds, checking to see if they need their meds changes/adjusted because of side effects and interactions. Stuff like that. Regularly scheduled patients.

My point was they’re not going to bump one of these patients to deal with an ingrown toenail. The PA can deal with that. The MD is needed for the other patients that take more time.

Are you saying that you’d rather the MD bump that patient for your toe? Or run even later because of it?

Ideally it would be good to have a percentage of appointments for routine health monitoring and a percentage for urgent issues. This seemed to be the system at the pediatricians when my kids were younger.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Doctors have reasons they are late, and so do patients. You should not assume yours are valid and the patient’s are not.

At least have your office call people in advance when you know you are running way late. And for God’s sake apologize to those who came on time and have been waiting for a half hour or more . And if you are going to charge those who are delayed, you need to pay your waiting patients when you are delayed. You are really not the only busy, important person in this equation, whose time has value.

Do you want an apology, or do you want an explanation?

Doctor's reasons for being late are usually other patients, not their own reason. Are the other patients not as valid as you?

You could factor such delays into your schedule, especially since you claim they are common and to be expected. Instead you book us back to back, because you don’t want to lose a dime of time. So we lose time (and often money).

Do you know any places where you can get in to see your primary doctor without an inordinately long wait? Just curious. Please share the name, if so.

Sure. One Medical.

I can call today with an acute concern and guarantee to be seen today by my MD, not another MD, or an NP or PA?

But what’s the acute concern? If it’s something like a possible infection, they’re not going to waste the MD’s time when an NP or PA can handle it.

They're not going to waste the doctor's time on something that might give you sepsis. What is the doctor focusing on?

Do you know what the chances are that an ingrown toenail infection is going to cause you to become septic? It is infinitesimally small.

Again, here is the problem. People who have no scientific/medical knowledge demanding that they see an Md and no one else because they may become septic from a small localized infection. It’s just not a realistic expectation.

Jim Henson's death from strep still haunts me.

Given you have great scientific knowledge explain to me what cases the doctor is handling. Anything complex is handled by specialists. From my last experience they were ticking off that I'd had all my cancer screenings and looking at the blood pressure reading that the assistant had taken in a way that broke the guidelines.

We've been warned above that we're in danger from PAs and NPs, yet they're at the front line dealing with acute complaints of patients potentially suffering from meningitis, strep, staph, stroke etc.

This is probably a lot of what they’re doing. Also dealing with medically complex patients that are on multiple meds, checking to see if they need their meds changes/adjusted because of side effects and interactions. Stuff like that. Regularly scheduled patients.

My point was they’re not going to bump one of these patients to deal with an ingrown toenail. The PA can deal with that. The MD is needed for the other patients that take more time.

Are you saying that you’d rather the MD bump that patient for your toe? Or run even later because of it?

Ideally it would be good to have a percentage of appointments for routine health monitoring and a percentage for urgent issues. This seemed to be the system at the pediatricians when my kids were younger.

Can we think of any reasons why they wouldn't do that, since it seems like the obvious solution?

If your average primary care doctor has about 3000 patients, are there just not physically enough slots available? Or is it that they try, but they get filled up too fast so there aren't enough left over? How does this work?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Doctors have reasons they are late, and so do patients. You should not assume yours are valid and the patient’s are not.

At least have your office call people in advance when you know you are running way late. And for God’s sake apologize to those who came on time and have been waiting for a half hour or more . And if you are going to charge those who are delayed, you need to pay your waiting patients when you are delayed. You are really not the only busy, important person in this equation, whose time has value.

Do you want an apology, or do you want an explanation?

Doctor's reasons for being late are usually other patients, not their own reason. Are the other patients not as valid as you?

You could factor such delays into your schedule, especially since you claim they are common and to be expected. Instead you book us back to back, because you don’t want to lose a dime of time. So we lose time (and often money).

Do you know any places where you can get in to see your primary doctor without an inordinately long wait? Just curious. Please share the name, if so.

Sure. One Medical.

I can call today with an acute concern and guarantee to be seen today by my MD, not another MD, or an NP or PA?

But what’s the acute concern? If it’s something like a possible infection, they’re not going to waste the MD’s time when an NP or PA can handle it.

They're not going to waste the doctor's time on something that might give you sepsis. What is the doctor focusing on?

Do you know what the chances are that an ingrown toenail infection is going to cause you to become septic? It is infinitesimally small.

Again, here is the problem. People who have no scientific/medical knowledge demanding that they see an Md and no one else because they may become septic from a small localized infection. It’s just not a realistic expectation.

Jim Henson's death from strep still haunts me.

Given you have great scientific knowledge explain to me what cases the doctor is handling. Anything complex is handled by specialists. From my last experience they were ticking off that I'd had all my cancer screenings and looking at the blood pressure reading that the assistant had taken in a way that broke the guidelines.

We've been warned above that we're in danger from PAs and NPs, yet they're at the front line dealing with acute complaints of patients potentially suffering from meningitis, strep, staph, stroke etc.

This is probably a lot of what they’re doing. Also dealing with medically complex patients that are on multiple meds, checking to see if they need their meds changes/adjusted because of side effects and interactions. Stuff like that. Regularly scheduled patients.

My point was they’re not going to bump one of these patients to deal with an ingrown toenail. The PA can deal with that. The MD is needed for the other patients that take more time.

Are you saying that you’d rather the MD bump that patient for your toe? Or run even later because of it?

Ideally it would be good to have a percentage of appointments for routine health monitoring and a percentage for urgent issues. This seemed to be the system at the pediatricians when my kids were younger.

Can we think of any reasons why they wouldn't do that, since it seems like the obvious solution?

If your average primary care doctor has about 3000 patients, are there just not physically enough slots available? Or is it that they try, but they get filled up too fast so there aren't enough left over? How does this work?

There is a good post about this but it’s nearly impossible to fit in 3000 patients. Many patients need to be seen every few months when dealing with chronic issues. And then you need to build in some spots to go over complex labs with patients. Urgent visit are now going to urgent care while chronic visits to primary care. Leads are more fragmented care though

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Doctors have reasons they are late, and so do patients. You should not assume yours are valid and the patient’s are not.

At least have your office call people in advance when you know you are running way late. And for God’s sake apologize to those who came on time and have been waiting for a half hour or more . And if you are going to charge those who are delayed, you need to pay your waiting patients when you are delayed. You are really not the only busy, important person in this equation, whose time has value.

Do you want an apology, or do you want an explanation?

Doctor's reasons for being late are usually other patients, not their own reason. Are the other patients not as valid as you?

You could factor such delays into your schedule, especially since you claim they are common and to be expected. Instead you book us back to back, because you don’t want to lose a dime of time. So we lose time (and often money).

Do you know any places where you can get in to see your primary doctor without an inordinately long wait? Just curious. Please share the name, if so.

Sure. One Medical.

I can call today with an acute concern and guarantee to be seen today by my MD, not another MD, or an NP or PA?

But what’s the acute concern? If it’s something like a possible infection, they’re not going to waste the MD’s time when an NP or PA can handle it.

They're not going to waste the doctor's time on something that might give you sepsis. What is the doctor focusing on?

Do you know what the chances are that an ingrown toenail infection is going to cause you to become septic? It is infinitesimally small.

Again, here is the problem. People who have no scientific/medical knowledge demanding that they see an Md and no one else because they may become septic from a small localized infection. It’s just not a realistic expectation.

Jim Henson's death from strep still haunts me.

Given you have great scientific knowledge explain to me what cases the doctor is handling. Anything complex is handled by specialists. From my last experience they were ticking off that I'd had all my cancer screenings and looking at the blood pressure reading that the assistant had taken in a way that broke the guidelines.

We've been warned above that we're in danger from PAs and NPs, yet they're at the front line dealing with acute complaints of patients potentially suffering from meningitis, strep, staph, stroke etc.

This is probably a lot of what they’re doing. Also dealing with medically complex patients that are on multiple meds, checking to see if they need their meds changes/adjusted because of side effects and interactions. Stuff like that. Regularly scheduled patients.

My point was they’re not going to bump one of these patients to deal with an ingrown toenail. The PA can deal with that. The MD is needed for the other patients that take more time.

Are you saying that you’d rather the MD bump that patient for your toe? Or run even later because of it?

Ideally it would be good to have a percentage of appointments for routine health monitoring and a percentage for urgent issues. This seemed to be the system at the pediatricians when my kids were younger.

Can we think of any reasons why they wouldn't do that, since it seems like the obvious solution?

If your average primary care doctor has about 3000 patients, are there just not physically enough slots available? Or is it that they try, but they get filled up too fast so there aren't enough left over? How does this work?

Maybe they could ask dentists and vets how they do it.

Would you sign up with a vet clinic who sees your dog once a year to test their blood and prescribe heart worm tablets, and won't see them when they're vomiting everywhere or cut their paw? If primary care doesn't provide primary services for acute needs, then change the name to pill management doctor.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Doctors have reasons they are late, and so do patients. You should not assume yours are valid and the patient’s are not.

At least have your office call people in advance when you know you are running way late. And for God’s sake apologize to those who came on time and have been waiting for a half hour or more . And if you are going to charge those who are delayed, you need to pay your waiting patients when you are delayed. You are really not the only busy, important person in this equation, whose time has value.

Do you want an apology, or do you want an explanation?

Doctor's reasons for being late are usually other patients, not their own reason. Are the other patients not as valid as you?

You could factor such delays into your schedule, especially since you claim they are common and to be expected. Instead you book us back to back, because you don’t want to lose a dime of time. So we lose time (and often money).

Do you know any places where you can get in to see your primary doctor without an inordinately long wait? Just curious. Please share the name, if so.

Sure. One Medical.

I can call today with an acute concern and guarantee to be seen today by my MD, not another MD, or an NP or PA?

But what’s the acute concern? If it’s something like a possible infection, they’re not going to waste the MD’s time when an NP or PA can handle it.

They're not going to waste the doctor's time on something that might give you sepsis. What is the doctor focusing on?

Do you know what the chances are that an ingrown toenail infection is going to cause you to become septic? It is infinitesimally small.

Again, here is the problem. People who have no scientific/medical knowledge demanding that they see an Md and no one else because they may become septic from a small localized infection. It’s just not a realistic expectation.

Jim Henson's death from strep still haunts me.

Given you have great scientific knowledge explain to me what cases the doctor is handling. Anything complex is handled by specialists. From my last experience they were ticking off that I'd had all my cancer screenings and looking at the blood pressure reading that the assistant had taken in a way that broke the guidelines.

We've been warned above that we're in danger from PAs and NPs, yet they're at the front line dealing with acute complaints of patients potentially suffering from meningitis, strep, staph, stroke etc.

This is probably a lot of what they’re doing. Also dealing with medically complex patients that are on multiple meds, checking to see if they need their meds changes/adjusted because of side effects and interactions. Stuff like that. Regularly scheduled patients.

My point was they’re not going to bump one of these patients to deal with an ingrown toenail. The PA can deal with that. The MD is needed for the other patients that take more time.

Are you saying that you’d rather the MD bump that patient for your toe? Or run even later because of it?

Ideally it would be good to have a percentage of appointments for routine health monitoring and a percentage for urgent issues. This seemed to be the system at the pediatricians when my kids were younger.

Can we think of any reasons why they wouldn't do that, since it seems like the obvious solution?

If your average primary care doctor has about 3000 patients, are there just not physically enough slots available? Or is it that they try, but they get filled up too fast so there aren't enough left over? How does this work?

Maybe they could ask dentists and vets how they do it.

Would you sign up with a vet clinic who sees your dog once a year to test their blood and prescribe heart worm tablets, and won't see them when they're vomiting everywhere or cut their paw? If primary care doesn't provide primary services for acute needs, then change the name to pill management doctor.

What veterinarian can you get in with on the same day, locally? Could you post the name?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Doctors have reasons they are late, and so do patients. You should not assume yours are valid and the patient’s are not.

At least have your office call people in advance when you know you are running way late. And for God’s sake apologize to those who came on time and have been waiting for a half hour or more . And if you are going to charge those who are delayed, you need to pay your waiting patients when you are delayed. You are really not the only busy, important person in this equation, whose time has value.

Do you want an apology, or do you want an explanation?

Doctor's reasons for being late are usually other patients, not their own reason. Are the other patients not as valid as you?

You could factor such delays into your schedule, especially since you claim they are common and to be expected. Instead you book us back to back, because you don’t want to lose a dime of time. So we lose time (and often money).

Do you know any places where you can get in to see your primary doctor without an inordinately long wait? Just curious. Please share the name, if so.

Sure. One Medical.

I can call today with an acute concern and guarantee to be seen today by my MD, not another MD, or an NP or PA?

But what’s the acute concern? If it’s something like a possible infection, they’re not going to waste the MD’s time when an NP or PA can handle it.

They're not going to waste the doctor's time on something that might give you sepsis. What is the doctor focusing on?

Do you know what the chances are that an ingrown toenail infection is going to cause you to become septic? It is infinitesimally small.

Again, here is the problem. People who have no scientific/medical knowledge demanding that they see an Md and no one else because they may become septic from a small localized infection. It’s just not a realistic expectation.

Jim Henson's death from strep still haunts me.

Given you have great scientific knowledge explain to me what cases the doctor is handling. Anything complex is handled by specialists. From my last experience they were ticking off that I'd had all my cancer screenings and looking at the blood pressure reading that the assistant had taken in a way that broke the guidelines.

We've been warned above that we're in danger from PAs and NPs, yet they're at the front line dealing with acute complaints of patients potentially suffering from meningitis, strep, staph, stroke etc.

This is probably a lot of what they’re doing. Also dealing with medically complex patients that are on multiple meds, checking to see if they need their meds changes/adjusted because of side effects and interactions. Stuff like that. Regularly scheduled patients.

My point was they’re not going to bump one of these patients to deal with an ingrown toenail. The PA can deal with that. The MD is needed for the other patients that take more time.

Are you saying that you’d rather the MD bump that patient for your toe? Or run even later because of it?

Ideally it would be good to have a percentage of appointments for routine health monitoring and a percentage for urgent issues. This seemed to be the system at the pediatricians when my kids were younger.

Can we think of any reasons why they wouldn't do that, since it seems like the obvious solution?

If your average primary care doctor has about 3000 patients, are there just not physically enough slots available? Or is it that they try, but they get filled up too fast so there aren't enough left over? How does this work?

Maybe they could ask dentists and vets how they do it.

Would you sign up with a vet clinic who sees your dog once a year to test their blood and prescribe heart worm tablets, and won't see them when they're vomiting everywhere or cut their paw? If primary care doesn't provide primary services for acute needs, then change the name to pill management doctor.

Dentists cover about half the number of patients as doctors. https://www.clouddentistry.com/faq/how-many-patients-dentist
But you can't get in with a primary care doctor. https://www.dcurbanmom.com/jforum/posts/list/1195492.page

Do dentists make more money because almost all they do is procedures? Can't you bill a lot more for that?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Doctors have reasons they are late, and so do patients. You should not assume yours are valid and the patient’s are not.

At least have your office call people in advance when you know you are running way late. And for God’s sake apologize to those who came on time and have been waiting for a half hour or more . And if you are going to charge those who are delayed, you need to pay your waiting patients when you are delayed. You are really not the only busy, important person in this equation, whose time has value.

Do you want an apology, or do you want an explanation?

Doctor's reasons for being late are usually other patients, not their own reason. Are the other patients not as valid as you?

You could factor such delays into your schedule, especially since you claim they are common and to be expected. Instead you book us back to back, because you don’t want to lose a dime of time. So we lose time (and often money).

Do you know any places where you can get in to see your primary doctor without an inordinately long wait? Just curious. Please share the name, if so.

Sure. One Medical.

I can call today with an acute concern and guarantee to be seen today by my MD, not another MD, or an NP or PA?

But what’s the acute concern? If it’s something like a possible infection, they’re not going to waste the MD’s time when an NP or PA can handle it.

They're not going to waste the doctor's time on something that might give you sepsis. What is the doctor focusing on?

Do you know what the chances are that an ingrown toenail infection is going to cause you to become septic? It is infinitesimally small.

Again, here is the problem. People who have no scientific/medical knowledge demanding that they see an Md and no one else because they may become septic from a small localized infection. It’s just not a realistic expectation.

Jim Henson's death from strep still haunts me.

Given you have great scientific knowledge explain to me what cases the doctor is handling. Anything complex is handled by specialists. From my last experience they were ticking off that I'd had all my cancer screenings and looking at the blood pressure reading that the assistant had taken in a way that broke the guidelines.

We've been warned above that we're in danger from PAs and NPs, yet they're at the front line dealing with acute complaints of patients potentially suffering from meningitis, strep, staph, stroke etc.

This is probably a lot of what they’re doing. Also dealing with medically complex patients that are on multiple meds, checking to see if they need their meds changes/adjusted because of side effects and interactions. Stuff like that. Regularly scheduled patients.

My point was they’re not going to bump one of these patients to deal with an ingrown toenail. The PA can deal with that. The MD is needed for the other patients that take more time.

Are you saying that you’d rather the MD bump that patient for your toe? Or run even later because of it?

Ideally it would be good to have a percentage of appointments for routine health monitoring and a percentage for urgent issues. This seemed to be the system at the pediatricians when my kids were younger.

Can we think of any reasons why they wouldn't do that, since it seems like the obvious solution?

If your average primary care doctor has about 3000 patients, are there just not physically enough slots available? Or is it that they try, but they get filled up too fast so there aren't enough left over? How does this work?

Maybe they could ask dentists and vets how they do it.

Would you sign up with a vet clinic who sees your dog once a year to test their blood and prescribe heart worm tablets, and won't see them when they're vomiting everywhere or cut their paw? If primary care doesn't provide primary services for acute needs, then change the name to pill management doctor.

Dentists cover about half the number of patients as doctors. https://www.clouddentistry.com/faq/how-many-patients-dentist
But you can't get in with a primary care doctor. https://www.dcurbanmom.com/jforum/posts/list/1195492.page

Do dentists make more money because almost all they do is procedures? Can't you bill a lot more for that?

Most of my dentist visits are preventative care.

[Anonymous]

Anonymous wrote:

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Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Doctors have reasons they are late, and so do patients. You should not assume yours are valid and the patient’s are not.

At least have your office call people in advance when you know you are running way late. And for God’s sake apologize to those who came on time and have been waiting for a half hour or more . And if you are going to charge those who are delayed, you need to pay your waiting patients when you are delayed. You are really not the only busy, important person in this equation, whose time has value.

Do you want an apology, or do you want an explanation?

Doctor's reasons for being late are usually other patients, not their own reason. Are the other patients not as valid as you?

You could factor such delays into your schedule, especially since you claim they are common and to be expected. Instead you book us back to back, because you don’t want to lose a dime of time. So we lose time (and often money).

Do you know any places where you can get in to see your primary doctor without an inordinately long wait? Just curious. Please share the name, if so.

Sure. One Medical.

I can call today with an acute concern and guarantee to be seen today by my MD, not another MD, or an NP or PA?

But what’s the acute concern? If it’s something like a possible infection, they’re not going to waste the MD’s time when an NP or PA can handle it.

They're not going to waste the doctor's time on something that might give you sepsis. What is the doctor focusing on?

Do you know what the chances are that an ingrown toenail infection is going to cause you to become septic? It is infinitesimally small.

Again, here is the problem. People who have no scientific/medical knowledge demanding that they see an Md and no one else because they may become septic from a small localized infection. It’s just not a realistic expectation.

Jim Henson's death from strep still haunts me.

Given you have great scientific knowledge explain to me what cases the doctor is handling. Anything complex is handled by specialists. From my last experience they were ticking off that I'd had all my cancer screenings and looking at the blood pressure reading that the assistant had taken in a way that broke the guidelines.

We've been warned above that we're in danger from PAs and NPs, yet they're at the front line dealing with acute complaints of patients potentially suffering from meningitis, strep, staph, stroke etc.

This is probably a lot of what they’re doing. Also dealing with medically complex patients that are on multiple meds, checking to see if they need their meds changes/adjusted because of side effects and interactions. Stuff like that. Regularly scheduled patients.

My point was they’re not going to bump one of these patients to deal with an ingrown toenail. The PA can deal with that. The MD is needed for the other patients that take more time.

Are you saying that you’d rather the MD bump that patient for your toe? Or run even later because of it?

Ideally it would be good to have a percentage of appointments for routine health monitoring and a percentage for urgent issues. This seemed to be the system at the pediatricians when my kids were younger.

Can we think of any reasons why they wouldn't do that, since it seems like the obvious solution?

If your average primary care doctor has about 3000 patients, are there just not physically enough slots available? Or is it that they try, but they get filled up too fast so there aren't enough left over? How does this work?

Maybe they could ask dentists and vets how they do it.

Would you sign up with a vet clinic who sees your dog once a year to test their blood and prescribe heart worm tablets, and won't see them when they're vomiting everywhere or cut their paw? If primary care doesn't provide primary services for acute needs, then change the name to pill management doctor.

Dentists cover about half the number of patients as doctors. https://www.clouddentistry.com/faq/how-many-patients-dentist
But you can't get in with a primary care doctor. https://www.dcurbanmom.com/jforum/posts/list/1195492.page

Do dentists make more money because almost all they do is procedures? Can't you bill a lot more for that?

Most of my dentist visits are preventative care.

I don't get what you are doing in a preventive visit with your dentist without a dental cleaning or dentist doing an oral evaluation (both are billed as procedures https://www.patientconnect365.com/dentalhealthtopics/article/Periodic_Oral_Evaluation__Dental_Procedure_Code_Description ).

What are you doing in your preventive care visits, if there isn't a cleaning, and the dentist isn't poking around? Are you just coming in, talking, and leaving?

[Anonymous]

Most of dental care is procedures. The oral exam is a procedure, and the cleaning is another procedure.

[Anonymous]

Anonymous wrote:

Anonymous wrote:
It seems like

"This system isn't working for anyone, and patients are beyond pissed while doctors are burning out under it right and left and can't seem to fix it from within, no matter how much patients yell at them."

looks exactly like

"This is the way it is. Doctors have it hard. So suck it up, be quiet, and be grateful for what we give you."

to some people.

You say the system isn’t working for anyone. It’s working just fine for me. I don’t mind waiting. I don’t mind seeing an NP or a PA. And I don’t need a doctor to spend time with me holding my hand. I’m there for their expertise - not emotional support.

Where do you go that gives you good care like this? Can you share the name?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Doctors have reasons they are late, and so do patients. You should not assume yours are valid and the patient’s are not.

At least have your office call people in advance when you know you are running way late. And for God’s sake apologize to those who came on time and have been waiting for a half hour or more . And if you are going to charge those who are delayed, you need to pay your waiting patients when you are delayed. You are really not the only busy, important person in this equation, whose time has value.

Do you want an apology, or do you want an explanation?

Doctor's reasons for being late are usually other patients, not their own reason. Are the other patients not as valid as you?

You could factor such delays into your schedule, especially since you claim they are common and to be expected. Instead you book us back to back, because you don’t want to lose a dime of time. So we lose time (and often money).

Do you know any places where you can get in to see your primary doctor without an inordinately long wait? Just curious. Please share the name, if so.

Sure. One Medical.

I can call today with an acute concern and guarantee to be seen today by my MD, not another MD, or an NP or PA?

But what’s the acute concern? If it’s something like a possible infection, they’re not going to waste the MD’s time when an NP or PA can handle it.

They're not going to waste the doctor's time on something that might give you sepsis. What is the doctor focusing on?

Do you know what the chances are that an ingrown toenail infection is going to cause you to become septic? It is infinitesimally small.

Again, here is the problem. People who have no scientific/medical knowledge demanding that they see an Md and no one else because they may become septic from a small localized infection. It’s just not a realistic expectation.

Jim Henson's death from strep still haunts me.

Given you have great scientific knowledge explain to me what cases the doctor is handling. Anything complex is handled by specialists. From my last experience they were ticking off that I'd had all my cancer screenings and looking at the blood pressure reading that the assistant had taken in a way that broke the guidelines.

We've been warned above that we're in danger from PAs and NPs, yet they're at the front line dealing with acute complaints of patients potentially suffering from meningitis, strep, staph, stroke etc.

This is probably a lot of what they’re doing. Also dealing with medically complex patients that are on multiple meds, checking to see if they need their meds changes/adjusted because of side effects and interactions. Stuff like that. Regularly scheduled patients.

My point was they’re not going to bump one of these patients to deal with an ingrown toenail. The PA can deal with that. The MD is needed for the other patients that take more time.

Are you saying that you’d rather the MD bump that patient for your toe? Or run even later because of it?

Ideally it would be good to have a percentage of appointments for routine health monitoring and a percentage for urgent issues. This seemed to be the system at the pediatricians when my kids were younger.

Can we think of any reasons why they wouldn't do that, since it seems like the obvious solution?

If your average primary care doctor has about 3000 patients, are there just not physically enough slots available? Or is it that they try, but they get filled up too fast so there aren't enough left over? How does this work?

Maybe they could ask dentists and vets how they do it.

Would you sign up with a vet clinic who sees your dog once a year to test their blood and prescribe heart worm tablets, and won't see them when they're vomiting everywhere or cut their paw? If primary care doesn't provide primary services for acute needs, then change the name to pill management doctor.

Lots of dentist still own their on practices. I’m not aware of whether there is a shortage of dentists or not.

The fact is that there is a shortage of primary care doctors. It is not something most med students want to do. Out of my entire residency class, I’m the only one who did not specialize.

Personally, I think a good solution would be to force everyone to do primary care for 3 years before specializing. But it is what it is. I think it will just keep getting worse.