Bedford Ramblings
Steve Mills

MY disappointment with physicians is growing

Posted Friday, November 7, 2008, at 6:30 AM
View 14 comments
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  • I'm not that sure who all is out there and how they practice their medical craft.

    It makes sense to give people the option of "no frills",express-style treatment and rely on support staff in appropriate situations.

    That said,one would expect that the more experience and expertise the members of the medical team have,the more they would be able to detect and the more treatment options they would be able to offer.

    The main physicians should be able to offer more in the way of diagnosis and cure due to advanced training and the fact that they might see the customers after the patients have seen the other members of the team,after preliminary procedures have been completed and after the patient histories have been thoroughly studied.

    Whenever possible,see that the medical office has a copy of your medical records and your current concerns on hand before your visit.

    That way,they can study your past,order tests and such and be prepared to discuss your concerns (and theirs) before you arrive.

    (They might have sample meds,information booklets,etc. ready before your appointment.)

    Today's doctors may be trying to perform a minimal 45 minute visit in fifteen minutes so streamlining the visit with advanced preparation helps.

    Patients should be complaining more about seeing the doctors too much rather than too little.

    Folks should not have to relate the same information upon every visit.

    (Patients might have had something new happen since the last visit but if they'd had measles and had an appendectomy a year earlier,that probably hasn't changed in the meantime.)

    If an office visit feels cursory or uncaring,a patient may not give credence to what the healers have done correctly.

    If the patient is given "a lick and a promise",he may deliberately or inadvertantly slip a significant problem past the doctors' notice.

    The patient has to be able to trust the doctor even when all that's performed is routine maintenance.

    The staff can show its dedication and thoroughness by asking hard questions and including the patient in the process.

    The patient demonstrates his seriousness by providing information,taking note of pertinent data (even if they have to bring a friend or family member along to help record things) and complying with the reccommended regimen.

    If the patients give the office notes before the visit,the doctor sends home notes afterwards.

    That way,the patients see what was done for them "offstage" and they have a record of things they might have missed (especially if they were confused,exhausted,upset or in pain.)

    This mutual exchange of hardcopies lets each side clarify points if necessary and have something to copy for anyone else who might need the information.

    An infected finger may require no more than hot packs and topical antibiotics.

    It's unlikely that it would be linked to diabetes,a staph infection,malignancy or other dire malady.

    But,it could involve a splinter or fungal infection or point to the beginings of arthritis.

    I suspect that you'd feel better about your heart if your concern about your finger had been noted and you'd been told "Try ______ and if it hasn't cleared up by the end of the week (or you have more trouble),call us. We'd like to see you for your follow-up visit on the ______. Do you prefer morning or afternoon?"

    Several doctors nowadays are dissatisfied with modern patient care and want to return to more exact and personal healing.

    They want to be in partnership with their clients whether the patient's headache results from concussion,migraine,tension,brain tumor,sinus infection,carbon monoxide poisoning or too tight a hat-band.

    Good luck with your health and your care providers.

    Remember,neither the healers or the patients should mind a suggestion that restoring and maintaining health be taken seriously.

    (No matter how busy we all are these days.)

    -- Posted by quantumcat on Fri, Nov 7, 2008, at 9:08 AM
  • I feel your pain in dealing with the medical field today. NP's and PA's are common practice in many office settings today and yes you pay the same price to see them as you do to see a doctor but you can always request when you call to see only the doctor, if your request is not honored I would change physicians.But there are some wonderful NP's and PA's out there and they are usually easier to get in to than the drs. Your second problem is also common and it is due to the fact that a drs schedule is usually pretty tight and there is a problem with patients coming in with one problem and wanting other things done that are very time consuming. I believe it is appropriate for a dr to request that you make another appt to come back and deal with those issues but there are exceptions. I have heard stories where physicians will only treat one problem regardless of the complexity. That stems from pure greed. If I went to my dr to be treated for example a sinus infection and while I was there asked about some medicine for another mild problem and I was told to make another appt I would change drs.

    -- Posted by breezy on Fri, Nov 7, 2008, at 10:55 AM
  • I live about 20 miles away from the Dr. that would not suggest a cure for my finger. It also costs me a copay of $50 to re-visit him in addition to time and mileage.

    Instead, he wants me to see a specialist (which is $70 copay) for something I believe he could have resolved quickly.

    I wrote a bunch more, but it was so negative I decided to edit myself.

    -- Posted by stevemills on Fri, Nov 7, 2008, at 2:27 PM
  • Steve,

    It almost sounds like it's time to switch MD's. I'm not opposed to the NP's or PA's, most are wonderful and can handle the typical office stuff. My MD's office is slow, but at least they listen to my concerns, could be the reason they are slow. I would suggest calling around to a few other offices, with some recommendation from friends and relatives of their experiences. I am inquisative, but what type of specialist did he want you to see for your finger, general surgeon or and orthopedists, or do we now have finger specialist?

    -- Posted by Sharon22 on Sat, Nov 8, 2008, at 12:56 PM
  • Time to find a MD that will listen to you and care for you whole body.

    I used a PA for years and trusted her far better than a certified Doc...

    she listened, found a tumor on my thyroid, found a diseased gall bladder and several other things..

    yep.. if i am not happy they do not get my pay.

    It is my money..

    I went to a ENT here in town, he told me i had to get rid of my cats.... i told him i hired him to fix my nose, not to rearrange my household becasue of his fetish with cats.

    We have a great understanding now. I pay him to fix my nose. He understands the cats stay.. and say hello to him.. We even send him a christmas cards..:) Just to rub it in.. Meow..

    My money! Talks loud..

    Yeah get a new Doctor...

    -- Posted by 4fabfelines on Sat, Nov 8, 2008, at 7:17 PM
  • 4fabfelines,

    Most if not all ENT's will tell you to get rid of your cats. I was basically told the same thing, though very gently. I had just put a kitten to sleep a couple hours before my appointment, so I was in no mood to be told to get rid of my other cats, including his siblings.

    Money does talk, even with MD's, afterall that's what we are paying them for, medical advise.

    -- Posted by Sharon22 on Sun, Nov 9, 2008, at 12:39 AM
  • Money is sure talking LOUD to me. $180 to see my general practitioner to let HIM know of my heart attack (it is now officially 5) and I still have my sore finger.

    When his nurse started the word specialist, I said NO, so I am not sure "witch" doctor was going to be recommended.

    -- Posted by stevemills on Sun, Nov 9, 2008, at 7:50 AM
  • I am in my sixties and I remember the doctors (Deeryberry,Rich,Feldhouse,Johnson)who could treat any problem you had.They wouldnt treat just one of your problems then send you to all kinds of other doctors. The doctors we have here now send you to different ones because they get a kick back from them.The ones that are in with Vanderbilt get $200 for every patient they send their. Thats why so many ones are sent there when they could be treated here.Doctors dont care about their patients anymore just how much money they can make off of them.This is really sad that

    they care more about money than they do their patients.It makes it hard for older people to have to go to so many other doctors but their doctor dont care because they are only thinking about how much money they are going to make. This is really a bad situation but what can be done. One place you dont want to go is Vanderbilt unless you want to die. They nearly killed my husband and treated our family with rudeness and were very non caring. It was a horrible experience but no one seemed to care even his doctor here that sent him down there. what a shame

    But they will answer for it one day.

    -- Posted by pts109 on Sun, Nov 9, 2008, at 10:11 AM
  • sharon22,

    the ENT i went to has a vendetta against cats, so i just don't put up with it.

    Smoking is far worse than the cat hair, but he does not ride the smokers that way.. oh well.

    My money talks loud that is what counts..

    Steve, i went to a doctor on the mountain in monteagle where we used to live.

    He was a seventh day adventist missionary doc.

    He would treat anything. CHEAP..

    He was really good too, granted his equipement was from WWII and you had to wait all day, but i could see him, have a mole removed, get antibiotics and such for under 20.00 cash.

    He filled the medications there too, in a little paper sleeve.

    That was a blessing for me at that time, because we only made 5,000.00 a year income.

    so, saving money was of the utmost importance.

    Now i have good insurance, i still Shop Around..

    You get a new doc.. Pronto!

    -- Posted by 4fabfelines on Sun, Nov 9, 2008, at 4:06 PM
  • I have to agree with the consensus. Your money, your way. Medicine really should be more like Burger King, or paypal with a buyer protection policy.

    On Friday morning, while I was lifting some packages to take to the post office, I hurt my neck/shoulder. From what I can tell from research, it is likely a pinched nerve. I do not look forward to anything coming this week, but it is now apparent to me that I must seek medical care. I couldn't even move a mouse until tonight. If everyone, even people with excellent insurance, would demand quality customer service, we may see some improvements in the field in general.

    -- Posted by memyselfi on Mon, Nov 10, 2008, at 1:53 AM
  • I have wondered why more physicians tell people to get rid of their pets to cure allergies than tell folks to get rid of their offspring or spouses when they have ulcers.

    There might be times when a change in the household roster would be merited but that shouldn't be the first thing they think of.

    Desensitization might work better since it would offer protection against other people's plants,animals,fabrics,food products or other allergens as well as one's own.

    -- Posted by quantumcat on Mon, Nov 10, 2008, at 7:16 AM
  • Who knew eBay could be harmful to your health!

    Sorry to hear about the back injury. I am beginning to accept those as part of being over 20. LOL!

    memyselfi, do you do take on any consignment business? I am having to pass some up. Just have WAY too much to handle and hate to leave anyone hanging without options. If so, send me your e-mail to Steve@bedfordtradingpost and I will pass it along to the potential customer. I hope you understand why I can not do it the other way around.

    -- Posted by stevemills on Mon, Nov 10, 2008, at 8:19 AM
  • I hope I do not have more of this to look forward to. It is awful, and I do not want to move at all. Is this what I can expect for the rest of my life? As far as consignments, no I do not. I hate selling what I already do. Ebay is like a job that I should have left a few years ago. My heart is just not in it anymore, but there is nothing else that I could do that would offer me the same flexibility or potential income. I would not like having extra people that I would have to please, but I will e-mail you a name and number of a person that I know from the post office and he seems to do massive business. As far as I know, more than anyone else in town and he takes items on consignment. I do not know his terms, but you could give him a call and decide if you trust him to offer a recommendation for him. From what I understand, he has excellent feedback. I have considered selling through him for the rest of the year myself, if my shoulder does not improve soon. I will send his number tomorrow.

    -- Posted by memyselfi on Mon, Nov 10, 2008, at 11:47 PM
  • Ouch!


    I hurt my neck and shoulder a while back.

    I DID recover nicely but it took a while.

    (I think the fibers regenerate about a quarter inch a month.)

    Thanks to a GOOD doctor and a helpful family,I got through the pinched nerve,torn rotator cuff and the damage I did to myself trying to be a martyr.

    Feel better soon!

    -- Posted by quantumcat on Thu, Nov 13, 2008, at 1:15 AM
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