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I've had my life literally saved on at least two occasions and I know how important it is to establish good relationships with nurses while in the hospital. Seems to me doctors today rarely touch a person's body, especially if their illness is mainly internal organs. Maybe a palpitation for a brief minute but mostly they seem to listen and prescribe drugs. I take that back. 9 years ago my wonderful doctor felt a mass in my abdomen during a routine physical. I had no symptoms at all but the gyn he sent me to found a huge mess and I needed an immediate complete hysterectomy.
I agree completely. Whenever I have a serious illness or problem which has been healed, I am sure to thank my doctors, nurses, AND technicians who have helped me. The entire medical staff works together to help the patient, or should at least. I believe in some cases nurses know more than doctors because they see a lot more of what's going on with patients day to day, especially with hospitalized patients.
The thing I dislike most about our medical system now is how often medical practices try to pawn me off on physician's assistants. Whether they know are as knowledgeable as a doctor or not, I don't want to see a physician's assistant, and I shouldn't have to feel forced to see one instead of a doctor. Last year I was on an HMO (the last time I make that mistake) and I made an appointment to see my assigned doctor for a well woman exam. I had never been to the clinic before, and was very specific about wanting to see Dr. PCP. They put me in to see the physician's assistant instead! I was furious.
I was a brand new patient with a very complex medical history (4 chronic conditions on 8 maintenance meds) and they didn't even put me in to see the doctor. And I still have to pay the same copay. I refused and they put me in for the doctor. Afterwards, my doctor told me he agreed with me; my medical situation was too complicated for a P.A. to feel comfortable with and it would be best to see him for my visits
I agree completely. Whenever I have a serious illness or problem which has been healed, I am sure to thank my doctors, nurses, AND technicians who have helped me. The entire medical staff works together to help the patient, or should at least. I believe in some cases nurses know more than doctors because they see a lot more of what's going on with patients day to day, especially with hospitalized patients.
The thing I dislike most about our medical system now is how often medical practices try to pawn me off on physician's assistants. Whether they know are as knowledgeable as a doctor or not, I don't want to see a physician's assistant, and I shouldn't have to feel forced to see one instead of a doctor. Last year I was on an HMO (the last time I make that mistake) and I made an appointment to see my assigned doctor for a well woman exam. I had never been to the clinic before, and was very specific about wanting to see Dr. PCP. They put me in to see the physician's assistant instead! I was furious.
I was a brand new patient with a very complex medical history (4 chronic conditions on 8 maintenance meds) and they didn't even put me in to see the doctor. And I still have to pay the same copay. I refused and they put me in for the doctor. Afterwards, my doctor told me he agreed with me; my medical situation was too complicated for a P.A. to feel comfortable with and it would be best to see him for my visits
I understand completely. I have a very complex medical situation as well. A PA doesn't cut it. My primary has me see his PA, which is OK , to a point. As things stand now, no, I want the MD. My primary exames need forwarded to my surgeons . The condition is actually over a family doctors head, yet, the surgeon still wants me to see the primary while he schedules the surgery and other treatment I need. It seems to be taking a bit long for a hard decision from the surgeon, and my primary freely admits he really has nothing to contribute besides drugs right now. The PA took one look, and just went and got the doctor. Who was just as flumoxed as the PA. Lol
As to patient, caregiver relations, I always have my best side forward. More so with the nurses I think, because, let's face it, most nurses just rock. They are some of the best people I've met and have the pleasure of knowing. I try very hard to show the CNAs how much I appreciate them, because they do the heavy lifting, and are far to often underappreciated. My lady is a CNA, and so I have some extra inside insight, as well. I truly appreciate the nurses, all of them, and with only one notable exception, have always had a good rapport with them. Some have become good friends outside of the professional arena.
PAs and especially NPs are working hard to convince you that they're just as good as an M.D.
Its not working. For simple stuff, they are fine. Stitching a laceration, treating a sprain or strain, common illnesses and such. More serious, chronic conditions, that may require a thorough review of history, and requires consult and communication with a specialist, one needs the actual MD on board.
I agree completely. Whenever I have a serious illness or problem which has been healed, I am sure to thank my doctors, nurses, AND technicians who have helped me. The entire medical staff works together to help the patient, or should at least.
And this is really what it comes down to- patient care works best when there is a team approach. Different members of the team have different roles, skill sets and training and their duties should reflect these differences. The team is only as strong as its weakest link, and when things break down, ideally, the issues can be identified and corrected.
In this field, there is plenty of hard work and challenges to go around- and everyone on the clinical team (and even some who are non clinical) has seen their fair share.
Its not working. For simple stuff, they are fine. Stitching a laceration, treating a sprain or strain, common illnesses and such. More serious, chronic conditions, that may require a thorough review of history, and requires consult and communication with a specialist, one needs the actual MD on board.
Talk to the government, insurance companies, and the army of NPs who are going to demand to be called, "Doctor," because they think they have an equivalent amount of training and a PhD.
I've actually been treated in the emergency room by some dude who introduced himself as Doctor Smith but his name badge said PA. I wanted to ask him if he was an M. D. but my life was in his hands and I didn't want to p*** him off.
Talk to the government, insurance companies, and the army of NPs who are going to demand to be called, "Doctor," because they think they have an equivalent amount of training and a PhD.
It's mind-boggling.
Truly. I had an experience last year with an NP, that ticked me off so bad I changed doctors. That the doctor handed me off to this rusty battleaxe just left me plumb cold. She was Russian, and just all full of herself. She was clueless, argued with me about the medications I've been on for hears, prescribed by a specialist, and checked with a second opinion, yea, peachy.
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