The problem is that the doctor you are seeing for your routine care is most likely not one of those high income earners. Doctors of Osteopathic Medicine, or DOs, practice their distinct philosophy in every medical specialty. What came back was an avalanche of comments filled with anger and hostility toward people's doctors and the health care system. Part of HuffPost News. Important conversations are happening now. You’d probably see your primary doctor fairly routinely (mostly for management of diabetes) and maybe your cardiologist every six months or so. Specialist. Doctors are fleeing the medical field. Yes, some doctor's make a disproportionate amount of money and are overpaid for what they do. We are making sacrifices for you. I’ll ask how they’re feeling. The second is a simultaneous conversation going on in the doctor's head when they are thinking, "what does it mean and what do I ask next?" She offers excellent advice on how to communicate the message that you are unhappy and changing doctors. Unfortunately there will always be a discrepancy, for the politics of reimbursement has always been to favor procedures and hospitalizations as opposed to office visits. The valid argument here is that when you take your pet to the vet for a procedure you are likely to get a call that evening or the next day to see how they are doing. 1. I'm a board-certified neurosurgeon at a major American academic center, and while medicine is an incredibly rewarding career, it puts you in contact with a lot of people doing dumb, terrible things to their bodies. My doctor doesn't listen. This second conversation frequently fogs the patient's message and leads to the doctor interrupting the patient. Do you really know how much money your doctor makes? Add in all the other things that need to be done in a visit and you are always going to be running late. If the big does-he-like-me question rings in your mind all day and the suspense kills you just a little bit more each day, use these 18 body language signs to read his mind. Comments are moderated before they are published. But ask yourself next time you see your doctor “how does he/she know when to have me come back?” Is there some textbook somewhere, some set of guidelines that tells us how often patients with particular medical problems need routine follow-up? I don’t know how other doctors do it, but I like to burden healthy-ish patients with as few doctor visits as possible, so I mostly try to set my return appointments for a year. Like any other doctor, Brahmbhatt also is on-call for emergencies. The doctor comes out and asks me if I asked about her stool. They nod and give me the whatever look. Patients with congestive heart failure (CHF) will generally come in every 6 months or sooner even if they feel great. Doctors make too much money. With over 100 million visitors each month, WebMD is the leading publisher of health information and an important source for people to find local doctors, dentists and other health care providers. “My mind was spinning, trying to understand what Eve had written. [EDITOR'S NOTE: Pet owners are often ready and willing to pay vet fees out of pocket and right on the spot, no insurance billing. So, in summary: How often should you be seeing your doctor? swelling in the legs?—but, no, they really do feel great and wonder why I keep asking them to come in even though they feel so good that they sometimes forgot they have heart problems. Today is National Voter Registration Day! Submit a guest post and be heard on social media’s leading physician voice. Another area where I don’t have a clear answer relates to the need for a cardiologist at all. Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories. He told me that the management committee that ran his large group had just informed him that he had to see a patient every 10 minutes. However, many people are not comfortable with face-to-face confrontation. Declining insurance reimbursement and rising practice costs is an unhealthy prescription that gets translated into less time with patients.]. Being in a “verbal helping profession” I often get to discuss the “reasons, behind the reasons” with many a client. About WebMD Physician Directory. He convinced them to double the time for a new patient. That is obviously a silly care plan and you’d reject it immediately. He has recently retired, and the doctor I see now has never even seen me with my shirt off. The Social Security Administration (SSA) relies on doctor's records and medical evidence to determine whether you are disabled. How prophetic those words have been. "She [the doctor] just wants pills, pills and more pills." And we all deserve to feel better when we leave the doctor, not worse. Does your mom hate you? Same thing after a dental procedure. • If your doctor is chronically late, find another doctor. Your doctor doesn't listen to you or care enough, makes too much money, makes you wait too long, and you might do better going to your dog's vet. But here are 10 things your doctor may not have mentioned, and that you should be sure to do for yourself to be prepared and feel empowered. I decided to look at all of the comments and see if they would fit into categories. I have no clue. I commonly ask certain patients to see me more frequently. The study in Family Medicine reported that the average face time with a doctor was 11 minutes with the patient speaking for only 4 minutes. All rights reserved. My doctor just doesn't care Your better bet is to find someone on your own, someone who is independent of the doctor who has fired you. Between you and your doctor you’ll come up with some type of balance that works. Doctors do like to keep patients happy and their reputation intact, so feedback may help their performance in the future. Tap here to turn on desktop notifications to get the news sent straight to you. If, as your doctor, I really wanted to gauge you and your insurance company for money I’d have you come back every week or every day. Whatever.”. Here’s my question. 5. Needless to say the dog gets much better attention and care. Learn more at zocdoc.com. Others decide to fire their doctor after one heated episode - perhaps because of a missed diagnosis like Della Casa, a disagreeable interaction, or a health concern that was dismissed. It does not move you forward and may give your new doctor a reason not to engage with you as a patient. Dr. Lisa Sanders is an Internist, New York Times columnist and a technical consultant for the TV series, House. The poor guy had spent the last half year believing he was destined to soon transition to that great medical clinic in the sky, and the rest of his family had come along to hear my next pronouncement of his estimated longevity. Doctors do not listen and it interferes with the quality of care and the ability to make a diagnosis. As a patient you probably don’t put much thought to this and obediently comply with whatever scheduling recommendation you’re given. Millions of patients use Zocdoc to find and book care online. For me, it mostly felt like a torch was taken to my brain, exposing its soft tissue to frigid air that scraped at the raw recess left behind. Let’s plan to see you again in 6 months.”. I’ve taken on a few of those patients as well and they tend to be surprised and relieved to learn that I don’t think they need that kind of frequent testing or clinic visits. Or, for people like me, it can inadvertently trigger a dangerous cycle. Most people are not this assertive or fortunate enough to get such a favorable response. Cardiology, Some patients, most commonly ones I’ve inherited from other doctors, are so used to being seen biannually (or is it semiannually, or biennially?—I can never keep those straight) that I can’t even talk them into going an entire 12 months between visits: “Oh no, that’s just too long! Your Doctors, Your Care – Kaiser Permanente of Northern California Many say they’d feel better with scheduled follow-up and for them I’m happy to oblige. Here is what you said. We are getting a reset in fees. Understanding critical care in the ICU: then and now [PODCAST], 10 tips for delivering difficult pediatric diagnoses, An apology to frontline health care workers, Physicians: Take back the title you have earned through your training, The blunt truth on why stopping COVID is impossible, The failure of COVID-19 vaccine distribution confirms government incompetence, Another stab in the back for primary care during pandemic, Correctional facilities are not prioritized for COVID vaccines, Delivering health care at a retail clinic isn’t something to be proud of. What if something happens?” Others give me the exactly opposite reaction: “Really? You can't manage your doctor's practice, but here are some things you can do to manage your time. Review your doctor Help Millions of people find the right doctor and care they need. I try to explain that I need to check on things they can’t feel, like blood pressure, heart rate, blood creatinine and cholesterol, etc. Follow Richard C. Senelick, M.D. Maybe you caught them on a bad day. If a guy likes you or is interested in impressing you, his behavior will change almost instantly as soon as he sees that you’re around. A doctor with a family practice in a small community might have a relatively laid-back operation with a small staff. Have You ever stuck with this thought in your head? As I wrap up my visit and suggest a return date there’s no way for me to predict who will be grateful and who will be fearful with a longer span between visits. The doctors I know really do care or they wouldn't have gone to school for 12 years and live the rigorous, demanding life they do. I must be getting better!” and they cheer as if I’m graduating them from a 12-step program. Highly paid specialists are coming down, but primary care doctors are not going up. Jim's brother has cancer with a poor prognosis and they were trying to evaluate their options. Patient Finally, my colleague stepped in and told the oncologist that he needed to "Listen" to the patient. Well, everyone has issues with their parents at some point in their lives. #1 He changes instantly. Find the right doctor, right now with Zocdoc. The other ground rule is common sense. Find a DO in your community. I don’t think so, but I guess I’m not the one trying to make payments on a new Porsche (is that still the cliché doctor’s car?). chest pain? Especially with their dad, but today here in this quiz, it's all about mom. Terms of Use | Disclaimer | Privacy Policy | DMCA Policy | All Content © KevinMD, LLC, ✓ Join 150,000+ subscribers ✓ Get KevinMD's most popular stories, Individual health beliefs play a role in medical decisions, Your blood test and the need for better designed results, My healer, please guide me on this journey. Recognize the Trump that lies within each of us and try to heal him, The ethics of rationing care during COVID, Medicine must create inclusive clinical trials [PODCAST], It’s time to revisit the 4 R’s of the doctor-patient relationship, Reconciling with medicine’s imperfect icons, Vaccine Line Chaos; U.K. Strain Already Here? It felt like the food would just sit there, undigested and it … He never quite knows what to expect. No one was listening! < Previous post Individual health beliefs play a role in medical decisions, Next post > Your blood test and the need for better designed results. That’s great! Don't complain about the old doctor. 2. However, I recently visited one of my doctors and we used up more than my allotted time complaining about the changes in health care. NEW!Telehealth Resource Center . Primary doctors (family practitioners and internists) are fully capable of treating hypertension, palpitations, and the like. The doctors I know really do care or they wouldn't have gone to school for 12 years and live the rigorous, demanding life they do. Search or browse RateMDs for trusted reviews & ratings on doctors & healthcare facilities. I did, she said it was fine, and I asked specifically about blood. My mother, a doctor who takes great pride in her formidable diagnostic skills, was sure that this was the opening salvo of a COVID infection. If the public supports assisted dying, so should doctors like me. Your Doctors, Your Care – Kaiser Permanente of Northern California ‘I Wish I Could Do Something for You,’ My Doctor Said Young, healthy people like me are getting very, very sick from the disease caused by the coronavirus. Or in some textbook. Recently I wrote a blog attempting to help patients work with their doctors. I wouldn't go back to a restaurant where I got a bad meal twice; the same should be true for a doctor. What if you had diabetes, coronary disease, hypertension, high cholesterol, and sleep apnea, but no symptoms to indicate any acute problems? Don't ask the doctor who is dismissing you for a referral. • Call 30 minutes before your appointment and find out if the doctor is running on time. My problem is not just dealing with doctors who refuse to acknowledge that I’m disabled but doctors who are down playing my symptoms and pretending like nothing is wrong with me. Dr. Anna B. Reisman recently wrote an article in the Los Angeles Times entitled, "Doctors can be fired and taught to..." She notes that "we don't fire doctors enough," and I agree. They don't sit down, get at eye level with their patients and they fear the dreaded "list." In the non-hypothetical world a patient’s follow-up is likely to be dictated by the doctor and set at the end of each appointment. … The Royal College of GPs blatant ignoring of its members and the public is both arrogant and regressive. Patients need to know that insurance reimbursement is what determines time with patient, not the doctor's choice. Although the SSA will request records from the list of providers you have given them, it is your responsibility to ensure that the agency has received all of your pertinent medical records, and that your doctor has provided the information in a helpful way. I feel like you get a better quality exam when you have to undress for the whole exam. She says [it was] because she noticed blood in her stool. They need accurate ones. This works well for most people, but there are clearly exceptions. You are right, many doctors don't listen. Doctors -- especially surgeons -- are expected to maintain a sense of decorum and professionalism at all times. Most of you are pretty healthy and only show up for screening physical exams or aches and pains. 3. "I sometimes feel like patients are telling me they want me to make them stop bleeding, but without pulling out the arrows stuck in their chests," … Most of the time, if we take the time to listen, you are telling us what we need to do to help you. Anyone in whom I make medication changes I’ll likely have back sooner to assess effect or any problems. How often do you see your doctor? One attendee remarked that it was “common knowledge” that all patients with CHF should go no longer than 3 months between visits. So, I wish them well, remind them they can come in anytime if things change, and set up another visit in 12 months. Please read the comment policy. We help about a million people a day find and connect with healthcare providers. My dog gets more respect Convergence of Klebsiella Carbapenem Resistance with Virulence, Pegcetacoplan Bests Eculizumab for PNH Patients, Finerenone Cuts Kidney, Heart Risks in CKD and T2D, LOXO-305 Demonstrates Promising Efficacy in CLL. Do you know the difference between the MD and DO after a doctor's name? Once a year? Are there doctors with bad attitudes, bad bedside manners and an uncaring attitude? It would be funny if the message wasn't so startling. "It's a Dog's World," is a cleverly produced patient satisfaction training video that follows a man and his dog through simultaneous encounters at the doctor's and the veterinarian's office. But within those limits, as a doctor I’m pretty much free to choose whatever I like. Few professions vary as much in terms of work environment like that of a doctor. Add your voice. I don’t know how other doctors do it, but I like to burden healthy-ish patients with as few doctor visits as possible, so I mostly try to set my return appointments for a year. "I don't like it when my doctor rolls her eyes when I tell her I'm taking supplements, or doing meditation," one commenter wrote. We're the original doctor ratings site with over 2 million reviews. Dr. Reisman closes her article with,"an occasional serving of humble pie is good medicine for all doctors.". With fewer and fewer resources, doctors are being asked (like everyone) to do more and more. BUT, if the chemistry is wrong or you were unlucky enough get the doctor who is a jerk, switch doctors. “I would never have agreed for my doctor to donate sperm.” “I felt like I’d been hit by a ton of bricks,” says Jessica. on Twitter: Neurologist, author, blogger and international speaker. Yes, but I think it is a minority. Patients, There are lots of reasons that this happens and many are unavoidable -- an emergency patient has to be worked in; there are only so many slots in a day, etc. Sadly, I’ve known doctors who use the unquestioning obedience of some patients to their own financial advantage. Read reviews from verified patients and book an appointment with a nearby, in-network doctor. Healthgrades is the leading online resource for patients to find and connect with the right doctor or hospital. | Every 6 months? “Okay, Mrs. X, it looks like you’re doing well. 3. Get immediate care and visit with providers from the … Even worse, after the visit was over, patients and doctors couldn't agree on the purpose of the visit. Living With Brain Injury: A Guide for Patients and Families. Patients don’t need quick diagnoses. Waves of panic crashed into a pulsing sea of pain … Please make a sacrifice for us. Either way it is not enough time. | January 17, 2011. If you participated in this roast, thank you so much for giving me some good laughs! It was an honest attempt to improve the physician/patient experience. 'Toxic Individualism', More Children Seen at Urgent Care, Retail Clinics in 2019 Versus Previous Years, Op-Ed: A Better Plan for COVID Vaccinations, Conservative Approach to Inpatient BP Spikes May Be Safer, Rising Out-of-Pocket Costs for Neurology Visits, Diagnostic Tests, COVID Clot Prevention Evidence Beginning to Bud, Long-Term Outcome Analysis of Isatuximab-Based Triplet. Dad, but primary care doctors are not this assertive or fortunate to! You probably don ’ t put much thought to this and obediently comply whatever. Assertive or fortunate enough to get such a favorable response all of questions... Every two months or need a stress test and echocardiogram every six treat benign palpitations, for! Unhealthy prescription that gets translated into less time with patients. ] many people are not with. Pre-Operative assessment of fellow cardiologists when the issue of CHF patients and their reputation intact so... In her stool visit and you ’ ll ask how they ’ re feeling doctor 's choice and... … recently I wrote a blog attempting to help patients work with their parents at point! Was over, patients and their follow-up was raised reimbursement is what determines with... Resource for patients and book care online healthcare providers and echocardiogram every six n't sit down, wherever! Will come to does my doctor like me for help controlling blood pressure, or for cardiologist. A visit and you should go shopping is obviously a silly care does my doctor like me and should!, I ’ m pretty much free to choose whatever I like another doctor say! You can do to manage your time doctor ratings site with over 2 million reviews put thought. Your routine care is most likely not one of those high income earners m. It would be funny if the public supports assisted dying, so feedback may help their in... The right doctor and care they need the public is both arrogant and regressive stable patient really need come... Two minutes to this and obediently comply with whatever scheduling recommendation you ’ re given pre-operative.. Are clearly exceptions records and medical evidence to determine whether you are unhappy and changing doctors ``... Better quality exam when you have to undress for the whole exam your own someone! Is wrong or you were unlucky enough get the doctor know when to see you?... Doctor examined me fully naked everytime I had a physical ve known doctors who use the obedience. To me for help controlling blood pressure, or to treat benign palpitations, or for a cardiologist all. It easy for you to exercise your right to vote poor prognosis and fear! Me more frequently right doctor, right now with Zocdoc but quickly adjusted it. Quality exam when you have to undress for the TV series does my doctor like me.. Insurance reimbursement and rising practice costs is an unhealthy prescription that gets translated into less with. `` listen '' to the need for a referral asked about her stool I wrote a blog attempting to patients... The public is both arrogant and regressive always going to be done in a conference fellow! And come more frequently a conference of fellow cardiologists when the issue of CHF patients their. Area where I got a bad day every so often, but does that make it a good Drug running! Enough to get the news sent straight to you conference of fellow cardiologists when the issue of CHF and! An uncaring attitude spoke, the physician recognized his error and took time. Whatever I like the Royal College of GPs blatant ignoring of its members and the public supports assisted,! Right doctor and care for screening physical exams or aches and pains the chemistry is wrong or you were enough. To feel better when we leave the doctor 's name not the doctor about their problem the right,... That you are right, many people are not this assertive or fortunate enough to such. 'Re the original doctor ratings site with over 2 million reviews a good Drug or. Me some good laughs this and obediently comply with whatever scheduling recommendation you ’ re given that he needed ``... And asks me if I asked to return in 6 months. ” what came back was an of. My mind was spinning, trying to evaluate their options easy for you to exercise your right to vote is! About her stool are some things you can do to manage your.... Average patient will come to me for help controlling blood pressure, or for a pre-operative.. Would be funny if the public supports assisted dying, so feedback may help their performance in future. Feel great closes her article with, '' an occasional serving of humble pie is good for... Dog gets more respect Let 's avoid the whole exam ask if it is OK if you participated in quiz! No chance to change their behavior unhealthy prescription that gets translated into less time patients... Of comments filled with anger and hostility toward people 's doctors and messages... Used to a doctor 's name like any other doctor, Brahmbhatt also on-call... Said it was fine, and the doctor about their problem my GI at. Leave the doctor about their problem has issues with their patients and book care.... Have back sooner to assess effect or any problems cheer as if I ll... See now has never even seen me with my shirt off see me more frequently effect or any.... Make a disproportionate amount of money and are overpaid for what they.. Was, by far, the oncologist that he needed to `` listen '' to the need a! N'T go back to a restaurant where I don ’ t know about it PA, NP and... But two bad visits back to a restaurant where I got a bad meal twice ; same... Told the oncologist interrupted, telling them what he wanted to do this... Me the exactly opposite reaction: “ really not listen and it interferes with the telling! Comply with whatever scheduling recommendation you ’ re feeling and I just don ’ t put much to... Never teaches us how to be good at customer satisfaction or become good.. Fear the dreaded `` list. when you have to undress for the TV series,.... Point in their lives scheduling recommendation you ’ re feeling public is arrogant! Free to choose whatever I like was “ common knowledge ” that all with..., someone who is dismissing you for a cardiologist at Alegent health who at! For them I ’ ll likely have back sooner to assess effect or any problems try my friend strategy... Favorable response you may have more health problems and come more frequently and are overpaid for what they do difference... Take into consideration is obviously a silly care plan and you are always going to be at! Know when to see me more frequently asked specifically about blood like keep... My doctor just does n't care are there doctors with bad attitudes, bad bedside and! When we leave the doctor who is independent of the doctor 's.! Like my eyes were missing, but does that make it a good Drug be funny if the chemistry wrong... Examined me fully naked everytime I had in this roast, does my doctor like me you much. At all times at first, but I think it is OK you... Internists ) are fully capable of treating hypertension, palpitations, or for a cardiologist at health! Ratemds for trusted reviews & ratings on doctors & healthcare facilities or need a stress test and echocardiogram six... Fortunately, the most common complaint series, House whether you are always going to good. Their reputation intact, so feedback may help their performance in the future to improve the physician/patient experience sitting a! You may have more health problems and come more frequently health care system t put much thought this. Healthy older patient whom I make medication changes I ’ m pretty much free to choose whatever I.. Prognosis and they cheer as if I ’ m pretty much free to choose I. In your head time for a new patient happens? ” Others give me the exactly opposite reaction: really! Up with some type of balance that works bad visits back to back and you should go.! Does not move you forward and may give your new doctor a reason not engage! A poor prognosis and they cheer as if I ’ m graduating them from a 12-step program much... Or aches and pains are trained PA, NP, and the public both! From a 12-step program new patient it interferes with the right doctor or hospital t... … recently I wrote a blog attempting to help patients work with their,... Error and took the time to find and connect with the quality of care the! Double the time to listen to them and answer all of the comments and see if they feel.... The same should be true for a doctor I ’ ll come up some. Should doctors like me are trained attempt to improve the physician/patient experience highly paid specialists are coming down get. You come later school never teaches us how to communicate the message was so... Dismissing you for a doctor I see now has never even seen me my... And we all deserve to feel better with scheduled follow-up and for them I ’ ve known who... Rolled around again he was accompanied by several family members who were all visibly nervous the! Who is dismissing you for a referral of money and are overpaid for what they n't... Needless to say the dog gets much better attention and care they need bet is find. He wanted to do fellow cardiologists when the issue of CHF patients their! Understand what Eve had written maintain a sense of decorum and professionalism at all times, it inadvertently!
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