Anonymous wrote:I had an orthopedic give me his personal phone number and take my phone call midday, and let me text X-rays to him to get a 2nd opinion within 1 hour.

I don’t even really expect that but dang that was amazing.

Yes, it's great, and it sounds great, too. Unfortunately some docs can do this and get different level of respect for their time than others. I can almost guarantee that orthopedic dude is not getting texts at 10pm asking if some clearly abnormal thing is abnormal, or fielding a call at 6am asking for him to contact the school with an excuse for a sick kid because the parent is going to sleep. A female pediatrician will, though.

It's not bad. It's just not necessarily feasible in other contexts, and that's not really because of the docs.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Hit reply too fast. Do you see how this makes zero sense? You want them to know better than you but you don’t want to do what they tell you to do.

Also if they take all those phone calls they’ll never have time to actually see patients in person and also they won’t get paid. Sucks but true. Your quick phone call, multiplied by 15, plus the documentation required for it, would take up hours.

There's A LOT of real estate between "makes $50k a year" and "makes $600k a year". Doctors could stop over-scheduling, spend more time with patients, take phone calls, work on bedside manner and still make what any American would consider a lavish sum. Nobody is asking them to impoverish themselves, just maybe make a couple thou less a day.

Doctors have zero control over their own schedules. Unless they own their own practice, in which case they are struggling to make ends meet thanks to the insurance industry paying Pennies on the dollar.

It looks a lot more than pennies on the dollar when I get my statements. They get hundreds for a few minutes of face time.

The hospital system pays the doctors a fraction of what is billed

Anonymous wrote:^^oh and don’t forget all the supplies he has to buy - strep tests, flu tests, urine cups, needles, gauze, 826 other things

They don't give these to patients for free. They turn around and charge us for vaccine administration, lab fees, test fees ...

Take the time to listen, do testing and help fix the problems and not ignore it and let me suffer.

Not assume I am drug seeking or want drugs.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Hit reply too fast. Do you see how this makes zero sense? You want them to know better than you but you don’t want to do what they tell you to do.

Also if they take all those phone calls they’ll never have time to actually see patients in person and also they won’t get paid. Sucks but true. Your quick phone call, multiplied by 15, plus the documentation required for it, would take up hours.

There's A LOT of real estate between "makes $50k a year" and "makes $600k a year". Doctors could stop over-scheduling, spend more time with patients, take phone calls, work on bedside manner and still make what any American would consider a lavish sum. Nobody is asking them to impoverish themselves, just maybe make a couple thou less a day.

Doctors have zero control over their own schedules. Unless they own their own practice, in which case they are struggling to make ends meet thanks to the insurance industry paying Pennies on the dollar.

It looks a lot more than pennies on the dollar when I get my statements. They get hundreds for a few minutes of face time.

Anonymous wrote:So many of these issues are the result of health systems controlling doctors and not doctors themselves! Most doctors now are employers and have zero say over their schedule. The average primary care doctor have 2000-3000 patients!

And it’s really frustrating because the health systems force us to bill higher. They literally have documentation specialists that make us change our notes to bill more. And yes they make us. They bring it all the way up to our bosses if we don’t.

We all need to stop blaming doctors and work hard to reclaim the system.

- doctor, who wanted to do good but it seems impossible these days

The socialization of the medical system and Obamacare has made everything worse

It was far better in the 80s

So many of these issues are the result of health systems controlling doctors and not doctors themselves! Most doctors now are employers and have zero say over their schedule. The average primary care doctor have 2000-3000 patients!

And it’s really frustrating because the health systems force us to bill higher. They literally have documentation specialists that make us change our notes to bill more. And yes they make us. They bring it all the way up to our bosses if we don’t.

We all need to stop blaming doctors and work hard to reclaim the system.

- doctor, who wanted to do good but it seems impossible these days

^^oh and don’t forget all the supplies he has to buy - strep tests, flu tests, urine cups, needles, gauze, 826 other things

I’m happy with most of my doctors, and I have many. Those whose bedside manner could be better are still professional and competent.

Anonymous wrote:

Anonymous wrote:Hit reply too fast. Do you see how this makes zero sense? You want them to know better than you but you don’t want to do what they tell you to do.

Also if they take all those phone calls they’ll never have time to actually see patients in person and also they won’t get paid. Sucks but true. Your quick phone call, multiplied by 15, plus the documentation required for it, would take up hours.

There's A LOT of real estate between "makes $50k a year" and "makes $600k a year". Doctors could stop over-scheduling, spend more time with patients, take phone calls, work on bedside manner and still make what any American would consider a lavish sum. Nobody is asking them to impoverish themselves, just maybe make a couple thou less a day.

If a doctor actually can control his own patient schedule- and let’s say he sees 3 patients per hour at 20min per patient and then has an hour at the end of the day to answer calls. And a lunch 30min. That’s 21 patients a day. Billed at primary care sick visit rates to insurance. Now he has to pay his receptionist and his two medical assistants. He has to pay his billing lady and his office manager (unless he manages his own office in which case give him an additional patient free hour per day to do administrative work , so, that’s down to 18 patients a day). Now he doesn’t double book patients either. So imagine 3 patients a day no show. You’re down to 15 a day. Now he also has to pay rent , and malpractice insurance. Can you guess how much he’d take home at the end of the day? I’ll clue you in. Not enough to stay in business.

Anonymous wrote:

Anonymous wrote:Hit reply too fast. Do you see how this makes zero sense? You want them to know better than you but you don’t want to do what they tell you to do.

Also if they take all those phone calls they’ll never have time to actually see patients in person and also they won’t get paid. Sucks but true. Your quick phone call, multiplied by 15, plus the documentation required for it, would take up hours.

There's A LOT of real estate between "makes $50k a year" and "makes $600k a year". Doctors could stop over-scheduling, spend more time with patients, take phone calls, work on bedside manner and still make what any American would consider a lavish sum. Nobody is asking them to impoverish themselves, just maybe make a couple thou less a day.

Doctors have zero control over their own schedules. Unless they own their own practice, in which case they are struggling to make ends meet thanks to the insurance industry paying Pennies on the dollar.

Anonymous wrote:Hit reply too fast. Do you see how this makes zero sense? You want them to know better than you but you don’t want to do what they tell you to do.

Also if they take all those phone calls they’ll never have time to actually see patients in person and also they won’t get paid. Sucks but true. Your quick phone call, multiplied by 15, plus the documentation required for it, would take up hours.

There's A LOT of real estate between "makes $50k a year" and "makes $600k a year". Doctors could stop over-scheduling, spend more time with patients, take phone calls, work on bedside manner and still make what any American would consider a lavish sum. Nobody is asking them to impoverish themselves, just maybe make a couple thou less a day.

Anonymous wrote:I want my doctor to be a problem-solver and figure out what’s going on instead of writing a script for a medicine that treats the symptoms and doing nothing more.

What if what’s going on is just you’re getting older? I can’t problem solve my way out of you being 75.

Hit reply too fast. Do you see how this makes zero sense? You want them to know better than you but you don’t want to do what they tell you to do.

Also if they take all those phone calls they’ll never have time to actually see patients in person and also they won’t get paid. Sucks but true. Your quick phone call, multiplied by 15, plus the documentation required for it, would take up hours.

I want my doctor to be a problem-solver and figure out what’s going on instead of writing a script for a medicine that treats the symptoms and doing nothing more.