• anon6789@lemmy.world
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    18 days ago

    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.

    • Tollana1234567@lemmy.today
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      18 days ago

      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.

      • anon6789@lemmy.world
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        18 days ago

        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!