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

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Everyone is mad at doctors. We should be mad at insurance companies and health systems.  We should be mad at the broken free market system and republicans in general.

EMRs, while good in theory and intention, were a disaster to roll out.  I’m curious how much time and money is spent implementing, maintaining and using these systems instead of focusing on the patient - a recurring complaint on this thread.

Medicine has become like everything else.  Ruined by private equity and other bored, rich AHs who are looking for a new “tech disruption” [/quote]

EMRs were a disaster to roll out because doctors and practices first did a horrible job picking systems, and then did a horrible job training their staff to use them. They made a self-fulfilling prophecy: they decided EMRs were going to be horrible, so they bought the cheapest EMRs they could find, which were obviously going to be horrible.

You really, really don't want to go back to paper charts.[/quote]

What I hate is having different doctors on different electronic records portals. I've started picking doctors and specialists who use the same portal so they can all see my medical history and I'm not repeating tests or carrying records between practices. Nationalized health systems tend to do this automatically.

[b]There again I saw someone in her complaining that she didn't want doctors seeing her past ER records[/b].[/quote]

That's not a red flag at all...

[/quote]

The ableism of this post suggests you've never had a whitecoat misdiagnose you in your <10 minute visit. ER docs are not exactly known for their deep compassion. And if you were in the ER for a mental health crisis, the odds of you getting misdiagnosed in a way that might permanently alter how you're seen by future clinicians is significant.

Universal recordkeeping with patient review and ability to redact and/or dispute input is the solution. Doctors shouldn't be allowed to pass notes about their patients w/o patient consent, and patients should be able to flag and comment on their own charts to dispute accuracy.

I've had several doctors write that they did things they didn't ("counseled re: nutrition" is the usual culprit) and a few leave out things they did say and probably shouldn't have. [/quote]

Well ER attendings get to deal with all kinds of things. Like people dying on them from a heart attack and triaging some guy with half his brain coming out after a motorcycle wreck.

Anyhow, [b]WTF are you going to the ER for a mental health crisis?[/b] You can’t write this stuff if you tried. [/quote]

Since you’re obviously experienced, I am sure we’d all benefit from your obviously well-informed recommendations about how to correctly be a person, or caregiver of a person, with suicidality in a completely broken health care system.

Do tell. [/quote]

Not clog up the ER. That’s what. This thread really delivers on the ridiculous expectations. Now we’ve moved on to burdening the [b]ER with mental health crisis[/b]. That makes a ton of sense. [/quote]

It absolutely does if you're not an ableist idiot. Health crisis = ER. [/quote]

And ER = medically stabilization. Same for any medical issue. The mandate of an ER isn't to fix the problem, but make sure the person is stable for the immediate moment and can pursue treatment outside of the ER. That is true for mental health as well as physical.[/quote]

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