Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I do a lot of research when I pick doctors, and my policy is to wait for the doctor I want rather than go to first available doctor. For me, it’s always been worth the wait, and going to the first available doc generally has led to wrong diagnoses or more unnecessary testing. You can get lucky (say there was a cancellation), but often you just get the practitioner who nobody else wants b/c they have cruddy bedside manner or are new.

Obv you can’t do this for emergency situations, but having a good PCP who can assist you in those times helps a lot. Your PCP should be just as trusted as your therapist, IMO. They are the conduit to good specialists.

I also favor women doctors. Some of the rudest doctors I’ve been to have been women, but at the same time my favorite doctors have all been women. Men tend to be dismissive of women… talking. I’m fine with men for surgeries and things where they’re just doing the thing (eg removing the polyp), but not for anything that involves listening or explaining.

I’m sure there are wonderful, caring male doctors who are patient and can listen and explain; I just haven’t been to any. It could be me—I’m generally anxious when I go to the doctor, and maybe that anxiousness has led to them dismissing me.

Yeah, ok. But have you tried to find a good PCP in the DMV lately? One you can actually get in to see? My PCP, whom I'd been seeing for years, was running a 6 mo wait for appointments, and her NP was a mess. I finally chose to go concierge, which has worked out really well, but it took me months to find one who is a good fit because most of the good concierge PCPs have long wait lists at this point.

I am a woman and have had serious issues with male doctors being dismissive as well (it almost killed me once), so I look for female physicians as well.

This is reflective of the fact that good doctors cannot give the kind of care they want, for the most part, in non-concierge settings. They need fewer patients, and to make that model work, it's concierge.

I am a doctor who works as a federal employee with an underserved population, and I chose this job for two reasons: 1) security of my own health insurance (have congenital issues that make me a liability in that area), and 2) there isn't the constant pressure from an equity firm to get patients in and out in less than 10 minutes per visit, or the requirement to see over 30 patients a day.

I make less money, and that is fine. I do just fine. But more importantly, the explicit mission is to give good care, and one way or another, I am supported in that.

Your patients are lucky to have a provider who cares. Thank you for that service.

Thank you for noticing.

I love the work. It's a job, and I've never thought I was a god, but it's a job that takes a long stretch of training and a lot of experience to do well. It's worth doing well, though. That means more than the money.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I do a lot of research when I pick doctors, and my policy is to wait for the doctor I want rather than go to first available doctor. For me, it’s always been worth the wait, and going to the first available doc generally has led to wrong diagnoses or more unnecessary testing. You can get lucky (say there was a cancellation), but often you just get the practitioner who nobody else wants b/c they have cruddy bedside manner or are new.

Obv you can’t do this for emergency situations, but having a good PCP who can assist you in those times helps a lot. Your PCP should be just as trusted as your therapist, IMO. They are the conduit to good specialists.

I also favor women doctors. Some of the rudest doctors I’ve been to have been women, but at the same time my favorite doctors have all been women. Men tend to be dismissive of women… talking. I’m fine with men for surgeries and things where they’re just doing the thing (eg removing the polyp), but not for anything that involves listening or explaining.

I’m sure there are wonderful, caring male doctors who are patient and can listen and explain; I just haven’t been to any. It could be me—I’m generally anxious when I go to the doctor, and maybe that anxiousness has led to them dismissing me.

Yeah, ok. But have you tried to find a good PCP in the DMV lately? One you can actually get in to see? My PCP, whom I'd been seeing for years, was running a 6 mo wait for appointments, and her NP was a mess. I finally chose to go concierge, which has worked out really well, but it took me months to find one who is a good fit because most of the good concierge PCPs have long wait lists at this point.

I am a woman and have had serious issues with male doctors being dismissive as well (it almost killed me once), so I look for female physicians as well.

This is reflective of the fact that good doctors cannot give the kind of care they want, for the most part, in non-concierge settings. They need fewer patients, and to make that model work, it's concierge.

I am a doctor who works as a federal employee with an underserved population, and I chose this job for two reasons: 1) security of my own health insurance (have congenital issues that make me a liability in that area), and 2) there isn't the constant pressure from an equity firm to get patients in and out in less than 10 minutes per visit, or the requirement to see over 30 patients a day.

I make less money, and that is fine. I do just fine. But more importantly, the explicit mission is to give good care, and one way or another, I am supported in that.

Your patients are lucky to have a provider who cares. Thank you for that service.

Anonymous wrote:

Anonymous wrote:AI needs to compleley upend PCP.

It is absolutely despicable we have a concierge system. It just means the rich get healthcare while everyone else dies. Do you want a French Revolution? Because this is how you get one.

AI cannot come fast enough to complete replace PCPs altogether. You input your vitals, blood work, and panels of tests and AI can mine the data to determine health issues during a routing checkup. Cannot come fast enough.

Poe's law strikes again!

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I do a lot of research when I pick doctors, and my policy is to wait for the doctor I want rather than go to first available doctor. For me, it’s always been worth the wait, and going to the first available doc generally has led to wrong diagnoses or more unnecessary testing. You can get lucky (say there was a cancellation), but often you just get the practitioner who nobody else wants b/c they have cruddy bedside manner or are new.

Obv you can’t do this for emergency situations, but having a good PCP who can assist you in those times helps a lot. Your PCP should be just as trusted as your therapist, IMO. They are the conduit to good specialists.

I also favor women doctors. Some of the rudest doctors I’ve been to have been women, but at the same time my favorite doctors have all been women. Men tend to be dismissive of women… talking. I’m fine with men for surgeries and things where they’re just doing the thing (eg removing the polyp), but not for anything that involves listening or explaining.

I’m sure there are wonderful, caring male doctors who are patient and can listen and explain; I just haven’t been to any. It could be me—I’m generally anxious when I go to the doctor, and maybe that anxiousness has led to them dismissing me.

Yeah, ok. But have you tried to find a good PCP in the DMV lately? One you can actually get in to see? My PCP, whom I'd been seeing for years, was running a 6 mo wait for appointments, and her NP was a mess. I finally chose to go concierge, which has worked out really well, but it took me months to find one who is a good fit because most of the good concierge PCPs have long wait lists at this point.

I am a woman and have had serious issues with male doctors being dismissive as well (it almost killed me once), so I look for female physicians as well.

This is reflective of the fact that good doctors cannot give the kind of care they want, for the most part, in non-concierge settings. They need fewer patients, and to make that model work, it's concierge.

I am a doctor who works as a federal employee with an underserved population, and I chose this job for two reasons: 1) security of my own health insurance (have congenital issues that make me a liability in that area), and 2) there isn't the constant pressure from an equity firm to get patients in and out in less than 10 minutes per visit, or the requirement to see over 30 patients a day.

I make less money, and that is fine. I do just fine. But more importantly, the explicit mission is to give good care, and one way or another, I am supported in that.

Anonymous wrote:

Anonymous wrote:AI needs to compleley upend PCP.

It is absolutely despicable we have a concierge system. It just means the rich get healthcare while everyone else dies. Do you want a French Revolution? Because this is how you get one.

AI cannot come fast enough to complete replace PCPs altogether. You input your vitals, blood work, and panels of tests and AI can mine the data to determine health issues during a routing checkup. Cannot come fast enough.

Ah yes, viva la revolution. Never again will a Karen perish because a PCP did not spend the time to read the pubmed articles she brought to her appointment about her “condition.”

Anonymous wrote:AI needs to compleley upend PCP.

It is absolutely despicable we have a concierge system. It just means the rich get healthcare while everyone else dies. Do you want a French Revolution? Because this is how you get one.

AI cannot come fast enough to complete replace PCPs altogether. You input your vitals, blood work, and panels of tests and AI can mine the data to determine health issues during a routing checkup. Cannot come fast enough.

Anonymous wrote:AI needs to compleley upend PCP.

It is absolutely despicable we have a concierge system. It just means the rich get healthcare while everyone else dies. Do you want a French Revolution? Because this is how you get one.

AI cannot come fast enough to complete replace PCPs altogether. You input your vitals, blood work, and panels of tests and AI can mine the data to determine health issues during a routing checkup. Cannot come fast enough.

Anonymous wrote:AI needs to compleley upend PCP.

It is absolutely despicable we have a concierge system. It just means the rich get healthcare while everyone else dies. Do you want a French Revolution? Because this is how you get one.

AI cannot come fast enough to complete replace PCPs altogether. You input your vitals, blood work, and panels of tests and AI can mine the data to determine health issues during a routing checkup. Cannot come fast enough.

Anonymous wrote:AI needs to compleley upend PCP.

It is absolutely despicable we have a concierge system. It just means the rich get healthcare while everyone else dies. Do you want a French Revolution? Because this is how you get one.

AI cannot come fast enough to complete replace PCPs altogether. You input your vitals, blood work, and panels of tests and AI can mine the data to determine health issues during a routing checkup. Cannot come fast enough.

Anonymous wrote:

Anonymous wrote:I do a lot of research when I pick doctors, and my policy is to wait for the doctor I want rather than go to first available doctor. For me, it’s always been worth the wait, and going to the first available doc generally has led to wrong diagnoses or more unnecessary testing. You can get lucky (say there was a cancellation), but often you just get the practitioner who nobody else wants b/c they have cruddy bedside manner or are new.

Obv you can’t do this for emergency situations, but having a good PCP who can assist you in those times helps a lot. Your PCP should be just as trusted as your therapist, IMO. They are the conduit to good specialists.

I also favor women doctors. Some of the rudest doctors I’ve been to have been women, but at the same time my favorite doctors have all been women. Men tend to be dismissive of women… talking. I’m fine with men for surgeries and things where they’re just doing the thing (eg removing the polyp), but not for anything that involves listening or explaining.

I’m sure there are wonderful, caring male doctors who are patient and can listen and explain; I just haven’t been to any. It could be me—I’m generally anxious when I go to the doctor, and maybe that anxiousness has led to them dismissing me.

Yeah, ok. But have you tried to find a good PCP in the DMV lately? One you can actually get in to see? My PCP, whom I'd been seeing for years, was running a 6 mo wait for appointments, and her NP was a mess. I finally chose to go concierge, which has worked out really well, but it took me months to find one who is a good fit because most of the good concierge PCPs have long wait lists at this point.

I am a woman and have had serious issues with male doctors being dismissive as well (it almost killed me once), so I look for female physicians as well.

Anonymous wrote:

Anonymous wrote:I do a lot of research when I pick doctors, and my policy is to wait for the doctor I want rather than go to first available doctor. For me, it’s always been worth the wait, and going to the first available doc generally has led to wrong diagnoses or more unnecessary testing. You can get lucky (say there was a cancellation), but often you just get the practitioner who nobody else wants b/c they have cruddy bedside manner or are new.

Obv you can’t do this for emergency situations, but having a good PCP who can assist you in those times helps a lot. Your PCP should be just as trusted as your therapist, IMO. They are the conduit to good specialists.

I also favor women doctors. Some of the rudest doctors I’ve been to have been women, but at the same time my favorite doctors have all been women. Men tend to be dismissive of women… talking. I’m fine with men for surgeries and things where they’re just doing the thing (eg removing the polyp), but not for anything that involves listening or explaining.

I’m sure there are wonderful, caring male doctors who are patient and can listen and explain; I just haven’t been to any. It could be me—I’m generally anxious when I go to the doctor, and maybe that anxiousness has led to them dismissing me.

Yeah, ok. But have you tried to find a good PCP in the DMV lately? One you can actually get in to see? My PCP, whom I'd been seeing for years, was running a 6 mo wait for appointments, and her NP was a mess. I finally chose to go concierge, which has worked out really well, but it took me months to find one who is a good fit because most of the good concierge PCPs have long wait lists at this point.

I am a woman and have had serious issues with male doctors being dismissive as well (it almost killed me once), so I look for female physicians as well.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I do a lot of research when I pick doctors, and my policy is to wait for the doctor I want rather than go to first available doctor. For me, it’s always been worth the wait, and going to the first available doc generally has led to wrong diagnoses or more unnecessary testing. You can get lucky (say there was a cancellation), but often you just get the practitioner who nobody else wants b/c they have cruddy bedside manner or are new.

Obv you can’t do this for emergency situations, but having a good PCP who can assist you in those times helps a lot. Your PCP should be just as trusted as your therapist, IMO. They are the conduit to good specialists.

I also favor women doctors. Some of the rudest doctors I’ve been to have been women, but at the same time my favorite doctors have all been women. Men tend to be dismissive of women… talking. I’m fine with men for surgeries and things where they’re just doing the thing (eg removing the polyp), but not for anything that involves listening or explaining.

I’m sure there are wonderful, caring male doctors who are patient and can listen and explain; I just haven’t been to any. It could be me—I’m generally anxious when I go to the doctor, and maybe that anxiousness has led to them dismissing me.

Yeah, ok. But have you tried to find a good PCP in the DMV lately? One you can actually get in to see? My PCP, whom I'd been seeing for years, was running a 6 mo wait for appointments, and her NP was a mess. I finally chose to go concierge, which has worked out really well, but it took me months to find one who is a good fit because most of the good concierge PCPs have long wait lists at this point.

I am a woman and have had serious issues with male doctors being dismissive as well (it almost killed me once), so I look for female physicians as well.

I go to a small group practice. For a sick visit, I can always get in with a day or two. Sure, annual physicals can be a 3-4 month wait, but that isn't a big problem for me. And he's not concierge-- I'd never do that.

I think it's odd people are complaining about male doctors. With one exception-- a specialist that was called in during an emergency that wasn't qualified for the procedure he was asked to to-- every doctor I've had a problem with has been a female. Though, I think that had more to do with the demographics of the subspecialty area being highly skewed to women.

Anonymous wrote:

Anonymous wrote:I do a lot of research when I pick doctors, and my policy is to wait for the doctor I want rather than go to first available doctor. For me, it’s always been worth the wait, and going to the first available doc generally has led to wrong diagnoses or more unnecessary testing. You can get lucky (say there was a cancellation), but often you just get the practitioner who nobody else wants b/c they have cruddy bedside manner or are new.

Obv you can’t do this for emergency situations, but having a good PCP who can assist you in those times helps a lot. Your PCP should be just as trusted as your therapist, IMO. They are the conduit to good specialists.

I also favor women doctors. Some of the rudest doctors I’ve been to have been women, but at the same time my favorite doctors have all been women. Men tend to be dismissive of women… talking. I’m fine with men for surgeries and things where they’re just doing the thing (eg removing the polyp), but not for anything that involves listening or explaining.

I’m sure there are wonderful, caring male doctors who are patient and can listen and explain; I just haven’t been to any. It could be me—I’m generally anxious when I go to the doctor, and maybe that anxiousness has led to them dismissing me.

Yeah, ok. But have you tried to find a good PCP in the DMV lately? One you can actually get in to see? My PCP, whom I'd been seeing for years, was running a 6 mo wait for appointments, and her NP was a mess. I finally chose to go concierge, which has worked out really well, but it took me months to find one who is a good fit because most of the good concierge PCPs have long wait lists at this point.

I am a woman and have had serious issues with male doctors being dismissive as well (it almost killed me once), so I look for female physicians as well.

Anonymous wrote:I do a lot of research when I pick doctors, and my policy is to wait for the doctor I want rather than go to first available doctor. For me, it’s always been worth the wait, and going to the first available doc generally has led to wrong diagnoses or more unnecessary testing. You can get lucky (say there was a cancellation), but often you just get the practitioner who nobody else wants b/c they have cruddy bedside manner or are new.

Obv you can’t do this for emergency situations, but having a good PCP who can assist you in those times helps a lot. Your PCP should be just as trusted as your therapist, IMO. They are the conduit to good specialists.

I also favor women doctors. Some of the rudest doctors I’ve been to have been women, but at the same time my favorite doctors have all been women. Men tend to be dismissive of women… talking. I’m fine with men for surgeries and things where they’re just doing the thing (eg removing the polyp), but not for anything that involves listening or explaining.

I’m sure there are wonderful, caring male doctors who are patient and can listen and explain; I just haven’t been to any. It could be me—I’m generally anxious when I go to the doctor, and maybe that anxiousness has led to them dismissing me.