I am old enough to remember having a doctor who made jokes like this. Nowadays doctors are expected to maintain a hectic schedule of nonstop appointments and they barely have even enough time to maintain a high quality of care.
Not to say that doctors like this don’t exist anymore, but they seem less common to me.
If we focused less on corporate profits and more on care, we would have more pleasant experiences.
My doctors are nice for the most part, but do seem much more rushed than years ago. All our medical facilities have been consolidated under 2 huge regional hospitals, so we have a duopoly at this point, so we get what we get.
My wife started working at one a year before they got bought out (they were our last independent provider) and there were many immediate changes to do more with less.
It’s somewhat efficient, as my visits now seem to go, “how are you feeling and what do you want from me?”, which if I know is ok, but if I just know I’m sick, I feel I either get a blanket of tests to do a shotgun approach on diagnosis, or I get given a medicine with not always as much time to go over pros, cons, or basic questions as I’d like. It feels much less personal and closer and closer to just doing telehealth, which again is fine for when I know what is wrong and what I need, but losing that difference is disappointing to me.
Many of my docs seem disappointed as well, since the turnover is huge, especially back a few decades. I used to have the same doctors my whole life until maybe the last decade, and now I’m lucky to see the same person for a second year.
kaiser does this now, just rushing through the appointments more than before. i noticed alot more people in the waiting room than before, like 12years ago, where it was chill with elss people, now with dozens of people at once in the same waiting room almost all of them older too. my old PCP barely had time until i mentioned things to her, otherwise she would just do half-assed inspection than leave. although i see kaiser hold onto thier MDs much more than private ones. the only place i saw high turnover was at a network geared towards asian, that place went through PAs, NP, MD every 6months, i suspect its meant as a place to jumpstart your career in medicine. just like how some dental practices are merely a place for dentist to rotate and get more experience in dental pratices and jump ship within months.
i think patients have to advocate for themselves, otherwise they will leave in under 5minutes if you dont say anything.
i think patients have to advocate for themselves, otherwise they will leave in under 5minutes if you dont say anything.
This feels like the best advice moving forward. As long as I keep talking, the docs seem to listen, but as soon as I run out of questions, session is over!
i noticed that too from insurance, which is hmo. eventhough it wasnt that good, but decent enough. from 12years with the same network they were more investigative into your issues, but now they are forced to push through 20min max per, and more likely to balk at your suggestions concerns, and try to quickly hurry you out of the room as fast possible. i had appt on thurs that was like this, although this wasnt like that one private doctor that had me in and out in 5-10minutes. and you have to advocate your concerns and what medications you are taking otherwise they would just ignore you. apparently some insurance/doctors might make up some things they did not do during the appointment/half assed, i would suggest to look at thier notes. one thing i caught that also people;s experience in the reviews online is they dint do “any check for organ enlargement in the abdomen”. my previous PA from a state susdized network took alot more time with me , although she couldnt do much due to being a PA and not MD. she did offer more testing which did pick up some unusual results like high IGE. this is kaiser right now, super hetic 20min/appt schedules they have, according to other reviews online, since i experienced the same thing.
I think I remember a scandal when the UK’s NHS was paying for homeopathic medicine, but when they looked at the statistics, they found the patients had good outcomes going there. (I believe they went to these homeopathic practitioners in addition to the normal doctor.)
And that looking at it deeper, what the homeopathic medicine actually offered was somebody who the patient could chat with for a while, in addition to the placebo effect. Because that time sitting and chatting about your medical problems and things related to your medical problems was actually very important in improving outcomes.
Still one of the main reasons why France still pays for that shit IIRC. Also because Boiron has pretty good lobbyists and employs a bunch of people I guess.
I am old enough to remember having a doctor who made jokes like this. Nowadays doctors are expected to maintain a hectic schedule of nonstop appointments and they barely have even enough time to maintain a high quality of care.
Not to say that doctors like this don’t exist anymore, but they seem less common to me.
If we focused less on corporate profits and more on care, we would have more pleasant experiences.
My doctors are nice for the most part, but do seem much more rushed than years ago. All our medical facilities have been consolidated under 2 huge regional hospitals, so we have a duopoly at this point, so we get what we get.
My wife started working at one a year before they got bought out (they were our last independent provider) and there were many immediate changes to do more with less.
It’s somewhat efficient, as my visits now seem to go, “how are you feeling and what do you want from me?”, which if I know is ok, but if I just know I’m sick, I feel I either get a blanket of tests to do a shotgun approach on diagnosis, or I get given a medicine with not always as much time to go over pros, cons, or basic questions as I’d like. It feels much less personal and closer and closer to just doing telehealth, which again is fine for when I know what is wrong and what I need, but losing that difference is disappointing to me.
Many of my docs seem disappointed as well, since the turnover is huge, especially back a few decades. I used to have the same doctors my whole life until maybe the last decade, and now I’m lucky to see the same person for a second year.
kaiser does this now, just rushing through the appointments more than before. i noticed alot more people in the waiting room than before, like 12years ago, where it was chill with elss people, now with dozens of people at once in the same waiting room almost all of them older too. my old PCP barely had time until i mentioned things to her, otherwise she would just do half-assed inspection than leave. although i see kaiser hold onto thier MDs much more than private ones. the only place i saw high turnover was at a network geared towards asian, that place went through PAs, NP, MD every 6months, i suspect its meant as a place to jumpstart your career in medicine. just like how some dental practices are merely a place for dentist to rotate and get more experience in dental pratices and jump ship within months.
i think patients have to advocate for themselves, otherwise they will leave in under 5minutes if you dont say anything.
This feels like the best advice moving forward. As long as I keep talking, the docs seem to listen, but as soon as I run out of questions, session is over!
i noticed that too from insurance, which is hmo. eventhough it wasnt that good, but decent enough. from 12years with the same network they were more investigative into your issues, but now they are forced to push through 20min max per, and more likely to balk at your suggestions concerns, and try to quickly hurry you out of the room as fast possible. i had appt on thurs that was like this, although this wasnt like that one private doctor that had me in and out in 5-10minutes. and you have to advocate your concerns and what medications you are taking otherwise they would just ignore you. apparently some insurance/doctors might make up some things they did not do during the appointment/half assed, i would suggest to look at thier notes. one thing i caught that also people;s experience in the reviews online is they dint do “any check for organ enlargement in the abdomen”. my previous PA from a state susdized network took alot more time with me , although she couldnt do much due to being a PA and not MD. she did offer more testing which did pick up some unusual results like high IGE. this is kaiser right now, super hetic 20min/appt schedules they have, according to other reviews online, since i experienced the same thing.
My pediatrician would talk and chatter with my mother.
My doctor has 15 minutes and 10 of those was trying to find in their computer what I had done recently medical wise.
I think I remember a scandal when the UK’s NHS was paying for homeopathic medicine, but when they looked at the statistics, they found the patients had good outcomes going there. (I believe they went to these homeopathic practitioners in addition to the normal doctor.)
And that looking at it deeper, what the homeopathic medicine actually offered was somebody who the patient could chat with for a while, in addition to the placebo effect. Because that time sitting and chatting about your medical problems and things related to your medical problems was actually very important in improving outcomes.
Turns out listening to patients lowers their stress and that helps people!
Still one of the main reasons why France still pays for that shit IIRC. Also because Boiron has pretty good lobbyists and employs a bunch of people I guess.
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