Primary care who doesn’t see sick pts

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I use telehealth for this bc it’s so much easier.

Do this when sniffling and coughing.

So you would rather sniffle and cough in the doctors face, on the receptionist AND on the others in the waiting room?

MAKE THAT MAKE SENSE!

Imagine getting a job as a primary care physician, nurse or receptionist and expecting to never encouter sick people. True lunacy.

+1

I know health care providers differ, but it sounds like OP is exaggerating. I make an appointment with my primary care physician, and tell them what my health issue is, if it's not an annual exam. It may be that they don't have a same-day sick appointment for me, but it's not like most doctors are telling people to stay home if they're "sick." It just may be that they can't see you right away or have deemed whatever your symptoms being reported as unworthy of an in-office appointment and told you to wait a few days or go to an urgent care if you really want to be seen ASAP.

Eh, we used to have Kaiser and they would not offer any appointments within a few days. They would insist we needed to go to urgent care for everything. The PCPs were booked up for months. Thank goodness we were able to switch insurance.

[Anonymous]

Most aren't now you get a video visit which makes sense because why get everyone else because you can't handle your cold? And need a doctor to tell you to drink more water and get rest.

[Anonymous]

Anonymous wrote:Most aren't now you get a video visit which makes sense because why get everyone else because you can't handle your cold? And need a doctor to tell you to drink more water and get rest.

Because you properly diagnose people, you do actually need to see them. I'm sorry that you've been so beaten down by the American Healthcare System, that you think highly paid physicians don't need to see the patients that they have in their practice, but they actually do. It would be so nice if we could all just self diagnose and didn't need them or the damn insurance, but I didn't go to medical school. They did. If they hate practising medicine so much, they need a different job. For example, they can guess over video that a person has a sinus infection, but the only way to actually diagnose it, is to take a look at the cavity. Lots of different things present with "flu like symptoms," but are not flu.

Why are you so quick to dismiss the patient and give the practice so much grace?

[Anonymous]

Anonymous wrote:

Anonymous wrote:Most aren't now you get a video visit which makes sense because why get everyone else because you can't handle your cold? And need a doctor to tell you to drink more water and get rest.

Because you properly diagnose people, you do actually need to see them. I'm sorry that you've been so beaten down by the American Healthcare System, that you think highly paid physicians don't need to see the patients that they have in their practice, but they actually do. It would be so nice if we could all just self diagnose and didn't need them or the damn insurance, but I didn't go to medical school. They did. If they hate practising medicine so much, they need a different job. For example, they can guess over video that a person has a sinus infection, but the only way to actually diagnose it, is to take a look at the cavity. Lots of different things present with "flu like symptoms," but are not flu.

Why are you so quick to dismiss the patient and give the practice so much grace?

The sheer amount of health anxiety on this website is highly concerning. Most of you don't need a doctor you need a therapist. Seeing doctors for every single cold you get is just clogging up the offices for actually sick people. It causes prices and insurance to rise for all of us. One PP keeps being told she's healthy by many doctors yet continues to clog offices with her "ailments" when they've told her again and again shes fine. You all are a lot of the reasons health care in this country is so screwed up.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Most aren't now you get a video visit which makes sense because why get everyone else because you can't handle your cold? And need a doctor to tell you to drink more water and get rest.

Because you properly diagnose people, you do actually need to see them. I'm sorry that you've been so beaten down by the American Healthcare System, that you think highly paid physicians don't need to see the patients that they have in their practice, but they actually do. It would be so nice if we could all just self diagnose and didn't need them or the damn insurance, but I didn't go to medical school. They did. If they hate practising medicine so much, they need a different job. For example, they can guess over video that a person has a sinus infection, but the only way to actually diagnose it, is to take a look at the cavity. Lots of different things present with "flu like symptoms," but are not flu.

Why are you so quick to dismiss the patient and give the practice so much grace?

The sheer amount of health anxiety on this website is highly concerning. Most of you don't need a doctor you need a therapist. Seeing doctors for every single cold you get is just clogging up the offices for actually sick people. It causes prices and insurance to rise for all of us. One PP keeps being told she's healthy by many doctors yet continues to clog offices with her "ailments" when they've told her again and again shes fine. You all are a lot of the reasons health care in this country is so screwed up.

Kindly eff off. Like you give a shit about sick people at all.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Most aren't now you get a video visit which makes sense because why get everyone else because you can't handle your cold? And need a doctor to tell you to drink more water and get rest.

Because you properly diagnose people, you do actually need to see them. I'm sorry that you've been so beaten down by the American Healthcare System, that you think highly paid physicians don't need to see the patients that they have in their practice, but they actually do. It would be so nice if we could all just self diagnose and didn't need them or the damn insurance, but I didn't go to medical school. They did. If they hate practising medicine so much, they need a different job. For example, they can guess over video that a person has a sinus infection, but the only way to actually diagnose it, is to take a look at the cavity. Lots of different things present with "flu like symptoms," but are not flu.

Why are you so quick to dismiss the patient and give the practice so much grace?

PCPs ARE practicing medicine, OP. Because of your insurance company paying them pennies to manage your conditions, read your labs, and fight for hours for the tests you need and want, they can’t make ends meet leaving half their clinic schedule open for sick visits. They have to cram a patient in every 8 minutes, and the only way to do that is to book ahead.

Most practices will keep NPs on staff to help manage the critical care load. Some even have an urgent care right within the practice. Find one of those.

[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?

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

— RN who does rapid strep tests

I got strep in my 20's.

RN is correct. Most people do not have a tendency to catch strep after early adolescence. But if you have it after you are 18 or so, you are likely in the unlucky 3%. My mother had strep almost every year of her life.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Most aren't now you get a video visit which makes sense because why get everyone else because you can't handle your cold? And need a doctor to tell you to drink more water and get rest.

Because you properly diagnose people, you do actually need to see them. I'm sorry that you've been so beaten down by the American Healthcare System, that you think highly paid physicians don't need to see the patients that they have in their practice, but they actually do. It would be so nice if we could all just self diagnose and didn't need them or the damn insurance, but I didn't go to medical school. They did. If they hate practising medicine so much, they need a different job. For example, they can guess over video that a person has a sinus infection, but the only way to actually diagnose it, is to take a look at the cavity. Lots of different things present with "flu like symptoms," but are not flu.

Why are you so quick to dismiss the patient and give the practice so much grace?

With respect, no. This is exactly wrong. Sinus infection is not diagnosed by nasal exam. Not at all. In fact, the diagnosis is mostly based on symptoms and history, so it's ideal for telehealth.

The American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) has specific guidelines for this. Acute bacterial sinusitis is diagnosed when symptoms (specifically purulent nasal drainage, nasal obstruction, and/or facial pain/pressure) persist for 10+ days without improvement, or when they improve then worsen again within 10 days after initial improvement.

HOW CAN I TELL IF I HAVE ACUTE SINUSITIS?
You have acute sinusitis when there has been up to 4 weeks of cloudy or colored (not clear) drainage from the nose plus one or both
of the following:
a. A stuffy, congested, or blocked nose or
b. Pain, pressure or fullness in the face, head, or around the eyes.

HOW CAN I TELL IF MY SINUSITIS IS CAUSED BY VIRUSES OR BACTERIA?
- Acute viral sinusitis is likely if you have been sick less than 10 days and are not getting worse.
- Acute bacterial sinusitis is likely when you do not improve at all within 10 days of getting sick or when you get worse within 10 days
after beginning to get better

https://www.entnet.org/wp-content/uploads/2025/07/CPG-AdultSinusitisUpdate_Diagnosis_V5.pdf

[Anonymous]

We just go to the CVS minute clinic. So fast, they take insurance and meds get filled automatically

[Anonymous]

There is an incredible shortage in the US between the amount of in-person care people think they need and the provider hours available to provide it. Clinics and providers are struggling about how to do this with the scant resources they have, and there is no guidebook.

It's always okay to leave and find another place for your health care. Always. It is not okay to verbally abuse staff for any reason, even if you are unhappy -- just walk away and go elsewhere.

When you can't find an "elsewhere" that isn't suffering the same faults, that's for a reason. At that point, once again, it's never okay to verbally abuse staff, but do the best you can with what is here, same as everyone else. Also, advocate for change on a systems level.

[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.

It is unreasonable. The healthcare system is going downhill. Is there a shortage of doctors? Not sure what is happening. Lots of NP and physician assistants but the actual medical doctors are only accpeting concierge patients. Its ludacris.

[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.

It is unreasonable. The healthcare system is going downhill. Is there a shortage of doctors? Not sure what is happening. Lots of NP and physician assistants but the actual medical doctors are only accpeting concierge patients. Its ludacris.

To clarify my post above - it is NOT unreasonable for you to expect proper care - I meant it is unreasonable for the doctors

[Anonymous]

Take vitamins and stop clogging up our medical facilities when you have a sniffle. If you’re too sick to handle it at home then the doctor is right that it’s a case for the hospital.

[Anonymous]

Anonymous wrote:Take vitamins and stop clogging up our medical facilities when you have a sniffle. If you’re too sick to handle it at home then the doctor is right that it’s a case for the hospital.

Please never ever go to the doctor for anything. There will always be someone more sick than you. Stop getting in their way. And if it's too late one day, oh well.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Most aren't now you get a video visit which makes sense because why get everyone else because you can't handle your cold? And need a doctor to tell you to drink more water and get rest.

Because you properly diagnose people, you do actually need to see them. I'm sorry that you've been so beaten down by the American Healthcare System, that you think highly paid physicians don't need to see the patients that they have in their practice, but they actually do. It would be so nice if we could all just self diagnose and didn't need them or the damn insurance, but I didn't go to medical school. They did. If they hate practising medicine so much, they need a different job. For example, they can guess over video that a person has a sinus infection, but the only way to actually diagnose it, is to take a look at the cavity. Lots of different things present with "flu like symptoms," but are not flu.

Why are you so quick to dismiss the patient and give the practice so much grace?

With respect, no. This is exactly wrong. Sinus infection is not diagnosed by nasal exam. Not at all. In fact, the diagnosis is mostly based on symptoms and history, so it's ideal for telehealth.

The American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) has specific guidelines for this. Acute bacterial sinusitis is diagnosed when symptoms (specifically purulent nasal drainage, nasal obstruction, and/or facial pain/pressure) persist for 10+ days without improvement, or when they improve then worsen again within 10 days after initial improvement.

HOW CAN I TELL IF I HAVE ACUTE SINUSITIS?
You have acute sinusitis when there has been up to 4 weeks of cloudy or colored (not clear) drainage from the nose plus one or both
of the following:
a. A stuffy, congested, or blocked nose or
b. Pain, pressure or fullness in the face, head, or around the eyes.

HOW CAN I TELL IF MY SINUSITIS IS CAUSED BY VIRUSES OR BACTERIA?
- Acute viral sinusitis is likely if you have been sick less than 10 days and are not getting worse.
- Acute bacterial sinusitis is likely when you do not improve at all within 10 days of getting sick or when you get worse within 10 days
after beginning to get better

https://www.entnet.org/wp-content/uploads/2025/07/CPG-AdultSinusitisUpdate_Diagnosis_V5.pdf

Where in your rant does it state that they do not observe the sinus cavity? Because OF COURSE THEY DO. Stop spreading lies.