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Old 09-25-2010, 02:19 PM
 
Location: AL for now
335 posts, read 1,382,283 times
Reputation: 343

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I am hopefully wrapping up a 7+ month ordeal that started with pain in a wisdom tooth and led me to 3 dentists, a family practice MD, a chiropractor, oral surgeon, MRI, neurologist, and an acupuncturist. Plus multiple x-rays, several shoulder-shrug "diagnoses" which seemed more like guesses and ingestion of more (mostly ineffective) pain med's over that time than I'd taken in the last 10 years combined. And the medical bills...

I very much agree with previous posters that doctors need to improve their bedside manner, communication skills (1. Please LISTEN to what the patient is telling you, and 2. explain why you are recommending (or not) a particular treatment or test), and critical thinking. More than once, I felt that a dr. was too rushed or distracted to really be of any help to me, and I left the appointment more depressed and frustrated than when I arrived.

I will definitely be WAY more assertive and cautious in any future encounters with medical personnel. I think it is prudent for all of us to do so, given the current state of the medical profession.

 
Old 09-26-2010, 02:51 PM
 
Location: Los Angeles area
14,017 posts, read 18,375,330 times
Reputation: 32398
Default The philosophy behind HMO's

I have not had the negative experiences with doctors which have been so chillingly described in this thread, but I don't think that's an accident or just blind luck; I think it's because I get care from an HMO. The HMO has to take care of you, come what may, for a certain monthly amount (or yearly amount), whether you receive any care during that month (or that year) or not. There is no insurance reimbursement for each visit and/or each test. So they have an enormous financial incentive to see that problems do not grow, do not spin out of control, do not persist on and on. They have the same financial incentive to keep you well - to keep you from having problems in the first place. So they emphasize good diet, exercise, weight control, stopping smoking, getting your vaccinations, etc.

The insurance companies that you posters have referred to would like to accomplish the same thing, but the doctors whom they reimburse do not work for them on a salary and cannot be controlled by them; the doctors come out better the more often they see you and thus have no incentive or motivation to get it right the first time, or to spend enough time to get to the bottom of things right away.

My HMO sends out random evaluation forms to patients after visits to a doctor, i.e., not to every patient after every visit. They want to know, from the patient's point of view, how satisfactory their care has been. They want to see who the problem doctors are so they can either educate them to do better or get rid of them.
 
Old 09-26-2010, 02:58 PM
 
10,452 posts, read 10,971,679 times
Reputation: 12543
Quote:
Originally Posted by MaryleeII View Post
Just got an idea---take a video of me when I'm having those symptoms and show that to the doc, perhaps that will get his attention! why didn't I think of that sooner? Great idea---even if it is mine!
You should definitely go for it! My eye doctors weren't 100% sure of the cause of my sudden decrease in vision either. In the summer of 2009 I decided to get a buzzcut and it turns out I have major scars on the back of my head, that line up directly with the visual cortex. Head trauma to that part of the head can lead to blindness. I have no conscious recollection of trauma to my head. While I have had flashbacks of it, they were unclear and hard to decipher. The pictures of the scars on the back of my head served as the last piece to the puzzle.

If you need to take photos or make a video to get your point across, it's totally worth it. Anything that could help point to a diagnosis is worth doing.
 
Old 09-26-2010, 03:06 PM
 
10,452 posts, read 10,971,679 times
Reputation: 12543
Quote:
Originally Posted by MaryleeII View Post
Yep, that sounds about right! I never saw a nurse yet that knew what she was doing! The ones who do know anything are in administration, not on the floor with the patients. Those idiots that brought your sister the game were probably aides strutting around in white coats.
Did I tell you about the nurse who had me written down for the wrong eye surgery? Luckily I had done my research because the only person who caught the error was me--five minutes before being wheeled into the OR!

(I know, not all nurses are bad, and I don't mean to bash them as a whole. I'm just constantly amazed at the errors that go unchecked and unnoticed in hospitals.)
 
Old 09-26-2010, 03:12 PM
 
Location: Bradenton, Florida
27,236 posts, read 42,315,583 times
Reputation: 10968
I've never thought much of doctors, and won't see one. Last time was in '92 when I got out of the Navy. I think of them all as quacks that really have no idea what they're doing.
 
Old 09-26-2010, 03:28 PM
 
4,379 posts, read 4,636,476 times
Reputation: 1612
I'm convinced people only become doctors since the prestige and money is worth it. There is no other reason.
 
Old 09-26-2010, 03:41 PM
 
Location: Los Angeles area
14,017 posts, read 18,375,330 times
Reputation: 32398
Quote:
Originally Posted by samston View Post
I'm convinced people only become doctors since the prestige and money is worth it. There is no other reason.
Baloney! I can think of two other powerful reasons:
1. The fascination of learning how the human body is put together and how it works. Difficult to think of anything more interesting.
2. The deep satisfaction involved in alleviating human suffering and saving human life. I recognize that doctors are not always successful in this, but they often are.
 
Old 09-26-2010, 04:11 PM
 
Location: Greater Greenville, SC
5,893 posts, read 11,636,027 times
Reputation: 10603
I'm just now coming out of a self-imposed one-month moratorium on all medical personnel after being in pain for months and going through various tests, doctors and physical therapy. I am going to my internist on Tuesday armed with a bunch of questions and research I've done on the Internet, and I am not leaving her office until she listens to everything I have to say and suggests a next step that makes sense. I'm fairly new to the area, and she's a new doctor for me, which makes it harder as we don't know each other that well. I thought a female doctor could relate better to another female, but maybe I was wrong.
 
Old 09-26-2010, 05:28 PM
 
4,379 posts, read 4,636,476 times
Reputation: 1612
Quote:
Originally Posted by Escort Rider View Post
Baloney! I can think of two other powerful reasons:
1. The fascination of learning how the human body is put together and how it works. Difficult to think of anything more interesting.
2. The deep satisfaction involved in alleviating human suffering and saving human life. I recognize that doctors are not always successful in this, but they often are.
I think differently, but such is life.
 
Old 09-26-2010, 07:39 PM
 
9,967 posts, read 16,583,019 times
Reputation: 16907
Quote:
Originally Posted by Escort Rider View Post
I have not had the negative experiences with doctors which have been so chillingly described in this thread, but I don't think that's an accident or just blind luck; I think it's because I get care from an HMO. The HMO has to take care of you, come what may, for a certain monthly amount (or yearly amount), whether you receive any care during that month (or that year) or not. There is no insurance reimbursement for each visit and/or each test. So they have an enormous financial incentive to see that problems do not grow, do not spin out of control, do not persist on and on. They have the same financial incentive to keep you well - to keep you from having problems in the first place. So they emphasize good diet, exercise, weight control, stopping smoking, getting your vaccinations, etc.

The insurance companies that you posters have referred to would like to accomplish the same thing, but the doctors whom they reimburse do not work for them on a salary and cannot be controlled by them; the doctors come out better the more often they see you and thus have no incentive or motivation to get it right the first time, or to spend enough time to get to the bottom of things right away.

My HMO sends out random evaluation forms to patients after visits to a doctor, i.e., not to every patient after every visit. They want to know, from the patient's point of view, how satisfactory their care has been. They want to see who the problem doctors are so they can either educate them to do better or get rid of them.

sorry, I don't mean to bash you, but your view of HMO's sound like you lifted it right from their broucheres. Or are you an HMO "salesperson"?

HMO's are the absolute worst type of insurance one could have. They get paid a set amount per month regardless of whether they do one test or twenty, so, how much do you think they will do? and if you think anyone in the mediclal profession is there because they "care" you have really been duped!

The only reason I go to doctors is because I have a medical problem, they're a necessary evil, you have to know how to manage them!
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