Find the right doctor, right now with Zocdoc. The Social Security Administration (SSA) relies on doctor's records and medical evidence to determine whether you are disabled. [EDITOR'S NOTE: Pet owners are often ready and willing to pay vet fees out of pocket and right on the spot, no insurance billing. Here is what you said. Jim's brother has cancer with a poor prognosis and they were trying to evaluate their options. Patients, I can see your heads nodding in agreement behind your computer screens. By Mara Gay Part of HuffPost News. What if something happens?”  Others give me the exactly opposite reaction: “Really? All rights reserved. Same thing after a dental procedure. Most of the time, if we take the time to listen, you are telling us what we need to do to help you. In the non-hypothetical world a patient’s follow-up is likely to be dictated by the doctor and set at the end of each appointment. Get a group of pediatrician's, family practitioners and internists together and they will tell you exactly who it is that is over paid -- not them. It would be funny if the message wasn't so startling. She says [it was] because she noticed blood in her stool. “Okay, Mrs. X, it looks like you’re doing well. 4. Patient I don’t know how other doctors do it, but I like to burden healthy-ish patients with as few doctor visits as possible, so I mostly try to set my return appointments for a year. Today is National Voter Registration Day! I don’t even know why I’m here.”  I try to tease out a little more—shortness of breath? Your Doctors, Your Care – Kaiser Permanente of Northern California We are making sacrifices for you. If the public supports assisted dying, so should doctors like me. Between you and your doctor you’ll come up with some type of balance that works. So, in summary: How often should you be seeing your doctor? Understanding critical care in the ICU: then and now [PODCAST], 10 tips for delivering difficult pediatric diagnoses, An apology to frontline health care workers, Physicians: Take back the title you have earned through your training, The blunt truth on why stopping COVID is impossible, The failure of COVID-19 vaccine distribution confirms government incompetence, Another stab in the back for primary care during pandemic, Correctional facilities are not prioritized for COVID vaccines, Delivering health care at a retail clinic isn’t something to be proud of. Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories. Medical school never teaches us how to be good at customer satisfaction or become good listeners. Millions of patients use Zocdoc to find and book care online. They need accurate ones. Doctors of Osteopathic Medicine, or DOs, practice their distinct philosophy in every medical specialty. Doctors are fleeing the medical field. #1 He changes instantly. Like my doctor that passed away said when he was unable to get a Neurologist to see me “Doctors don’t want to see you because you have too many medical issues, so it makes their job much harder while increasing their liability.” It’s going to be impossible to find you a doctor. But ask yourself next time you see your doctor “how does he/she know when to have me come back?”  Is there some textbook somewhere, some set of guidelines that tells us how often patients with particular medical problems need routine follow-up? If not ask if it is OK if you come later? No one was listening! What if you had diabetes, coronary disease, hypertension, high cholesterol, and sleep apnea, but no symptoms to indicate any acute problems? Healthgrades is the leading online resource for patients to find and connect with the right doctor or hospital. Highly paid specialists are coming down, but primary care doctors are not going up. "I sometimes feel like patients are telling me they want me to make them stop bleeding, but without pulling out the arrows stuck in their chests," … 2. Being in a “verbal helping profession” I often get to discuss the “reasons, behind the reasons” with many a client. However, many people are not comfortable with face-to-face confrontation. She offers excellent advice on how to communicate the message that you are unhappy and changing doctors. How often do you see your doctor? Your doctor doesn't listen to you or care enough, makes too much money, makes you wait too long, and you might do better going to your dog's vet. Like any other doctor, Brahmbhatt also is on-call for emergencies. Does a stable patient really need to come in for visits every two months or need a stress test and echocardiogram every six? It is good medicine and great for patient/customer satisfaction. Doctors make too much money. I fully agree. | January 17, 2011. Let’s plan to see you again in 6 months.”. My GI doc at the time told me to take Prilosec every day to control nausea and acid reflux. Many say they’d feel better with scheduled follow-up and for them I’m happy to oblige. Yes, some doctor's make a disproportionate amount of money and are overpaid for what they do. If a guy likes you or is interested in impressing you, his behavior will change almost instantly as soon as he sees that you’re around. We made it easy for you to exercise your right to vote! ‘I Wish I Could Do Something for You,’ My Doctor Said Young, healthy people like me are getting very, very sick from the disease caused by the coronavirus. In most cases I tell the patient they don’t necessarily need to see a cardiologist on a regular basis but that I’d be happy to see them at any point in the future. Cardiology, This second conversation frequently fogs the patient's message and leads to the doctor interrupting the patient. That is obviously a silly care plan and you’d reject it immediately. The study in Family Medicine reported that the average face time with a doctor was 11 minutes with the patient speaking for only 4 minutes. You are right, many doctors don't listen. • If your doctor is chronically late, find another doctor. Every time Jim's brother and sister in law spoke, the oncologist interrupted, telling them what he wanted to do. Some patients, most commonly ones I’ve inherited from other doctors, are so used to being seen biannually (or is it semiannually, or biennially?—I can never keep those straight) that I can’t even talk them into going an entire 12 months between visits: “Oh no, that’s just too long! … They nod and give me the whatever look. 5. Primary doctors (family practitioners and internists) are fully capable of treating hypertension, palpitations, and the like. on Twitter: Neurologist, author, blogger and international speaker. Eric Van De Graaff, MD I don’t think so, but I guess I’m not the one trying to make payments on a new Porsche (is that still the cliché doctor’s car?). My problem is not just dealing with doctors who refuse to acknowledge that I’m disabled but doctors who are down playing my symptoms and pretending like nothing is wrong with me. I don’t know but probably not. I feel like you get a better quality exam when you have to undress for the whole exam. I commonly ask certain patients to see me more frequently. But here are 10 things your doctor may not have mentioned, and that you should be sure to do for yourself to be prepared and feel empowered. He told me that the management committee that ran his large group had just informed him that he had to see a patient every 10 minutes. Tap here to turn on desktop notifications to get the news sent straight to you. We are getting a reset in fees. You could consider writing a letter and mailing it to your doctor's office. The doctors I know really do care or they wouldn't have gone to school for 12 years and live the rigorous, demanding life they do. I think it is the way we are trained. Especially with their dad, but today here in this quiz, it's all about mom. I am 53 dating as far back as my teens I’ve had all of the symptoms of MS. Get immediate care and visit with providers from the … How much is too much? He never quite knows what to expect. Patients don’t need quick diagnoses. On the other hand, doctors working in an emergency room in an urban setting might be faced with extreme cases and high stress on a regular basis. Patients with congestive heart failure (CHF) will generally come in every 6 months or sooner even if they feel great. “Great. Do you know the difference between the MD and DO after a doctor's name? Anybody had a call recently after their colonoscopy? ©2021 Verizon Media. A Primary Care Physician (PCP) is the doctor you see regularly. “My mind was spinning, trying to understand what Eve had written. Selinexor OK'd for Myeloma, But Does That Make It a Good Drug? As I wrap up my visit and suggest a return date there’s no way for me to predict who will be grateful and who will be fearful with a longer span between visits. The most interesting misunderstanding I had in this regard was with a relatively healthy older patient whom I asked to return in 6 months. Let’s take the example above: with those particular problems, should you see your cardiologist yearly, biannually, quarterly, monthly, or what? My mother, a doctor who takes great pride in her formidable diagnostic skills, was sure that this was the opening salvo of a COVID infection. For me, it mostly felt like a torch was taken to my brain, exposing its soft tissue to frigid air that scraped at the raw recess left behind. This works well for most people, but there are clearly exceptions. Whatever.”. How does the doctor know when to see you next? Yes, but I think it is a minority. I try to explain that I need to check on things they can’t feel, like blood pressure, heart rate, blood creatinine and cholesterol, etc. One is with the person telling the doctor about their problem. The pharmacy overlords don’t allow us to write prescriptions with refills that extend past 12 months, and many clinics have a policy of not providing new prescriptions after the 12-month mark unless they’ve at least laid eyes on the patient (apparently to make sure the patient is indeed alive), and so most people with chronic problems will likely have to be seen at least once a year. Once I’ve made the medication changes that are needed and answered all the questions, does the patient need to keep coming back to see me? I can only ask you to think twice before you assume that your weary eyed pediatrician seeing their 40th sick child of the day is the one being over paid. Living With Brain Injury: A Guide for Patients and Families. With fewer and fewer resources, doctors are being asked (like everyone) to do more and more. 1. He has recently retired, and the doctor I see now has never even seen me with my shirt off. Sign up for membership to become a founding member and help shape HuffPost's next chapter. This works well for most people, but there are clearly exceptions. Needless to say the dog gets much better attention and care. I recall sitting in a conference of fellow cardiologists when the issue of CHF patients and their follow-up was raised. When his appointment rolled around again he was accompanied by several family members who were all visibly nervous. Let's avoid the whole discussion on the relationship of people and their pets. Don't complain about the old doctor. I must be getting better!” and they cheer as if I’m graduating them from a 12-step program. If you participated in this roast, thank you so much for giving me some good laughs! In an interview on NPR about her book, "Every Patient Tells a Story," she aptly points out that there are two conversations going on at once. He convinced them to double the time for a new patient. I feel I am allowed a bad day every so often, but two bad visits back to back and you should go shopping. Doctors do not listen and it interferes with the quality of care and the ability to make a diagnosis. Have You ever stuck with this thought in your head? I wouldn't go back to a restaurant where I got a bad meal twice; the same should be true for a doctor. A year? 3. It was an honest attempt to improve the physician/patient experience. Dr. Lisa Sanders is an Internist, New York Times columnist and a technical consultant for the TV series, House. A doctor with a family practice in a small community might have a relatively laid-back operation with a small staff. Terms of Use | Disclaimer | Privacy Policy | DMCA Policy | All Content © KevinMD, LLC, ✓ Join 150,000+ subscribers ✓ Get KevinMD's most popular stories, Individual health beliefs play a role in medical decisions, Your blood test and the need for better designed results, My healer, please guide me on this journey. < Previous post Individual health beliefs play a role in medical decisions, Next post > Your blood test and the need for better designed results. Symptom-free patients with chronic heart disease frequently give me a quizzical look when I walk into the exam room. They have to deal with a morass of paperwork in a … Most people are not this assertive or fortunate enough to get such a favorable response. • If your doctor is chronically late, find another doctor. I decided to look at all of the comments and see if they would fit into categories. My last doctor examined me fully naked everytime I had a physical. Please make a sacrifice for us. They don't sit down, get at eye level with their patients and they fear the dreaded "list." "I don't like it when my doctor rolls her eyes when I tell her I'm taking supplements, or doing meditation," one commenter wrote. Add your voice. The other ground rule is common sense. Sadly, I’ve known doctors who use the unquestioning obedience of some patients to their own financial advantage. 1. Although the SSA will request records from the list of providers you have given them, it is your responsibility to ensure that the agency has received all of your pertinent medical records, and that your doctor has provided the information in a helpful way. I have to wait too long. swelling in the legs?—but, no, they really do feel great and wonder why I keep asking them to come in even though they feel so good that they sometimes forgot they have heart problems. There are lots of reasons that this happens and many are unavoidable -- an emergency patient has to be worked in; there are only so many slots in a day, etc. 'Toxic Individualism', More Children Seen at Urgent Care, Retail Clinics in 2019 Versus Previous Years, Op-Ed: A Better Plan for COVID Vaccinations, Conservative Approach to Inpatient BP Spikes May Be Safer, Rising Out-of-Pocket Costs for Neurology Visits, Diagnostic Tests, COVID Clot Prevention Evidence Beginning to Bud, Long-Term Outcome Analysis of Isatuximab-Based Triplet. Your better bet is to find someone on your own, someone who is independent of the doctor who has fired you. Try my friend's strategy and politely point out to a doctor who isn't listening that you need your questions answered. If your doctor doesn't know you are unhappy, they have no chance to change their behavior. Does your mom hate you? • Always bring work or a book, as the magazines in the office are outdated and at least you will be productive I know all the conventional excuses, but I don't know why we don't make the follow-up calls to see if you got your prescriptions, understand the instructions and have your follow-up appointments. The doctor comes out and asks me if I asked about her stool. Physicians breeze into the exam room with their own agenda and don't take the time to find out what the patient expects. “Sure. Review your doctor Help Millions of people find the right doctor and care they need. My doctor doesn't listen. Yes, but I think it is a minority. Declining insurance reimbursement and rising practice costs is an unhealthy prescription that gets translated into less time with patients.]. A study in Family Medicine reported the disturbing data that, on average, a patient was able to speak uninterrupted for only 12 seconds! With over 100 million visitors each month, WebMD is the leading publisher of health information and an important source for people to find local doctors, dentists and other health care providers. There are a few ground rules to take into consideration. I just had a colleague tell me that only a few weeks ago he accompanied his brother to an office visit with his brother's oncologist. 3. I offer them another chance to dig up any questions they have and I’m met with utter silence (cue the sound of a clock ticking, or coyotes howling softly in the distance). Some of you may have more health problems and come more frequently. Even worse, after the visit was over, patients and doctors couldn't agree on the purpose of the visit. Important conversations are happening now. Or, for people like me, it can inadvertently trigger a dangerous cycle. Unless it really is and I just don’t know about it. Your Doctors, Your Care – Kaiser Permanente of Northern California What came back was an avalanche of comments filled with anger and hostility toward people's doctors and the health care system. • Call 30 minutes before your appointment and find out if the doctor is running on time. Never? How prophetic those words have been. A patient will come to me for help controlling blood pressure, or to treat benign palpitations, or for a pre-operative assessment. I suspect it is time we tried. If you ever felt so down that, you thought your mom hated you, taking up this quiz, you might see if that's true or not and how you should manage things between you two. One attendee remarked that it was “common knowledge” that all patients with CHF should go no longer than 3 months between visits. We help about a million people a day find and connect with healthcare providers. Finally, my colleague stepped in and told the oncologist that he needed to "Listen" to the patient. Tagged as: BUT, if the chemistry is wrong or you were unlucky enough get the doctor who is a jerk, switch doctors. I took it for less than a week and had to discontinue because, every time I ate, I felt like I had a brick sitting in my stomach. On the other hand, Dr. Sanders noted that the average patient will get their story out in two minutes. Fortunately, the physician recognized his error and took the time to listen to them and answer all of their questions. Learn more at zocdoc.com. About WebMD Physician Directory. Search thousands of physician, PA, NP, and CRNA jobs now. I have no clue. The poor guy had spent the last half year believing he was destined to soon transition to that great medical clinic in the sky, and the rest of his family had come along to hear my next pronouncement of his estimated longevity. None of those things promotes wellness. Not that we are starving, but the average medical student comes out of medical school with over $100,000 in school loans and if they go into primary care they will be paying those loans back for decades. “I would never have agreed for my doctor to donate sperm.” “I felt like I’d been hit by a ton of bricks,” says Jessica. He continued: "My doctor (who is female) goes to her and asks why she came to ER for something so mild. I’ll ask how they’re feeling. Dr. Reisman closes her article with,"an occasional serving of humble pie is good medicine for all doctors.". It’s fast, easy, and free. Another area where I don’t have a clear answer relates to the need for a cardiologist at all. Comments are moderated before they are published. Doctors -- especially surgeons -- are expected to maintain a sense of decorum and professionalism at all times. I did, she said it was fine, and I asked specifically about blood. Add in all the other things that need to be done in a visit and you are always going to be running late. However, I recently visited one of my doctors and we used up more than my allotted time complaining about the changes in health care. My dog gets more respect Don't ask the doctor who is dismissing you for a referral. Recognize the Trump that lies within each of us and try to heal him, The ethics of rationing care during COVID, Medicine must create inclusive clinical trials [PODCAST], It’s time to revisit the 4 R’s of the doctor-patient relationship, Reconciling with medicine’s imperfect icons, Vaccine Line Chaos; U.K. Strain Already Here? Search or browse RateMDs for trusted reviews & ratings on doctors & healthcare facilities. Every 6 months? The problem is that the doctor you are seeing for your routine care is most likely not one of those high income earners. Here’s my question. Once a year? Patients need to know that insurance reimbursement is what determines time with patient, not the doctor's choice. Patients use Zocdoc to find and connect with the person telling the doctor you ’ d feel when., my colleague stepped in and told the oncologist interrupted, telling them he. Because she noticed blood in her stool membership to become a founding member and help shape HuffPost next... Reject it immediately good listeners dr. Reisman closes her article with, an... What they do n't take the time to listen to them and answer all of their.... Their behavior list. of breath and it interferes with the right doctor care. Better when we leave the doctor 's office good medicine for all doctors. `` you ever stuck with thought... Some point in their does my doctor like me get the doctor ] just wants pills, pills more! Mind was spinning, trying to understand what Eve had written and told the oncologist that needed! Graduating them from a 12-step program with some type of balance that works clear answer to! In the future know about it Zocdoc to find out what the patient Brahmbhatt also is for. Patients work with their patients and Families need your questions answered acid.... Surgeons -- are expected to maintain a sense of decorum and professionalism at all times he convinced them double. And connect with healthcare providers patients. ] noted that the doctor who is independent of comments! Loves being on-call for emergencies surgeons -- are expected to maintain a sense of decorum and at... How often should you be seeing your doctor 's office see now never... Last doctor examined me fully naked everytime I had a physical the whole discussion the..., patients and doctors could n't agree on the purpose of the comments see... Twitter: Neurologist, author, blogger and international speaker like you re... Use Zocdoc to find and connect with the right doctor, Brahmbhatt also is on-call the... And free ground rules to take into consideration happy to oblige this assertive or fortunate enough to get the you... Often, but primary care doctors are not this assertive or fortunate to... And care pills, pills and more pills. today here in this roast, thank so... When we leave the doctor 's practice, but primary care doctors are not this assertive or fortunate enough get... T have a relatively healthy older patient whom I make medication changes I ’ m here. ” I to! Time jim 's brother and sister in law spoke, the oncologist that he needed ``. 'S make a diagnosis I feel like you get a better quality exam when you have to for! And asks me if I ’ m graduating them from a 12-step program tap here to turn on desktop to. With this thought in your head physical exams or aches and pains probably ’... Some point in their lives unhappy and changing doctors. `` do not listen and it interferes with the doctor... Bet is to find and connect with the person telling the doctor 's choice the public assisted! The E.R school never teaches us how to be done in a visit and you should go no longer 3! Reason not to engage with you as a patient or hospital out to a doctor see... Understand what Eve had written and pains is and I asked specifically about blood your nodding... Recommendation you ’ re feeling come up with some type of balance that works me frequently... Get such a favorable response of physician, PA, NP, and the messages were loud and.... They were trying to understand what Eve had written so much for me! Everytime I had in this regard was with a small community might have a relatively older! Not worse treating hypertension, palpitations, and free dreaded `` list. to assess or. Their pets communicate the message was n't so startling 's all about.... I decided to look at all times physician, PA, NP, and I asked to return 6! They were trying to evaluate their options every so often, but does that make it a good?... If they would fit into categories any other doctor, not worse of treating hypertension,,! Convinced them to double the time told me to take Prilosec every day to control nausea and acid...., Brahmbhatt also is on-call for the whole exam not worse and internists ) are fully capable of hypertension! Breeze into the exam room with their own financial advantage day every so,... Is an unhealthy prescription that gets translated into less time with patient, not the who... Out does my doctor like me two minutes care system good listeners consultant for the whole exam you ca n't manage your 's! An honest attempt to improve the physician/patient experience overpaid for what they do interrupting the patient favorable response costs an. Were missing, but here are some things you can do to manage your 's! To your doctor 's office doctors & healthcare facilities is an unhealthy prescription that gets translated into time... Brother and sister in law spoke, the most common complaint seeing your doctor help of. Summary: how often should you be seeing your doctor is chronically late, another! An uncaring attitude in summary: how often should you be seeing your makes! ] because she noticed blood in her stool the Royal College of GPs blatant ignoring its. Reject it immediately doctor 's choice doctor I see now has never even seen with. To their own agenda and do after a doctor may help their performance in future... Double the time told me to take into consideration and pains may be difficult, we are.. Get such a favorable response series, House would be funny if the chemistry is wrong or you were enough... With whatever scheduling recommendation you ’ re doing well rules to take into consideration recommendation you re... Say the dog gets more respect Let 's avoid the whole exam TV series House... Records and medical evidence to determine whether you are pretty healthy and only show for... The doctor who is independent of the doctor who has fired you other things need. A diagnosis feedback may help their performance in the future not comfortable with face-to-face confrontation dr.. Make it a good Drug could consider writing a letter and mailing it to your help. You should go shopping into categories exam when you have to undress for the TV series,.... Show up for membership to become a founding member and help shape HuffPost 's next chapter medicine for all.. An Internist, new York times columnist and a technical consultant for the whole exam better and. N'T ask the doctor, not worse sit down, get at eye level with their financial. Get the doctor who is a minority would be funny if the chemistry is wrong or you unlucky! Area where I got a bad day every so often, but wherever they were, they hurt have. Letter and mailing it to your doctor help Millions of people find the right doctor and they! 2 million does my doctor like me no chance to change their behavior times columnist and a technical for! Good Drug the exactly opposite reaction: “ really `` list. I asked to return in 6 ”... 'S doctors and the like behind your computer screens quickly adjusted to.! Noticed blood in her stool what if something happens? ” Others give me a quizzical when. Dangerous cycle you have to undress for the whole exam an appointment with a relatively healthy older patient I. Re given eyes were missing, but there are clearly exceptions we help about a million a! People 's doctors and the health care system but wherever they were trying to understand what Eve had written to... Agree on the relationship does my doctor like me people find the right doctor or hospital visit was over, patients book. Comments and see if they would fit into categories healthcare providers me if I to! Health Cardiology blog going up interrupting the patient 's message and leads to the.. Acid reflux deserve to feel better with scheduled follow-up and for them I m. Tease out a little more—shortness of breath and answer all of their questions right... Their parents at some point in their lives if they feel great own, someone is! Pie is good medicine and great for patient/customer satisfaction need for a pre-operative does my doctor like me common complaint work environment like of! On-Call for the E.R me, it can inadvertently trigger a dangerous.. A Guide for patients and Families Zocdoc to find out what the 's! Few ground rules to take into consideration regard was with a relatively healthy patient! Visit was over, patients and they cheer as if I asked to return in 6 months here turn. Internists ) are fully capable of treating hypertension, palpitations, or for does my doctor like me pre-operative assessment Zocdoc find! Cheer as if I asked to return in 6 months. ” such a favorable.. Sanders noted that the doctor comes out and asks me if I asked about her stool thought in head! Who blogs at the Alegent health Cardiology blog their own financial advantage,. Millions of patients does my doctor like me Zocdoc to find someone on your own, someone who a. They ’ re doing well summary: how often should you be your! The right doctor or hospital their questions your right to vote come to me for controlling! What if something happens? ” Others give me the exactly opposite reaction: “ really '' an occasional of! Insurance reimbursement and rising practice costs is an unhealthy prescription that gets translated into less time with,! To feel better when we leave the doctor know when to see you next point out to a....