A doctor with a family practice in a small community might have a relatively laid-back operation with a small staff. "She [the doctor] just wants pills, pills and more pills." I think it is the way we are trained. Either way it is not enough time. 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. Patients with congestive heart failure (CHF) will generally come in every 6 months or sooner even if they feel great. Find a DO in your community. Doctors of Osteopathic Medicine, or DOs, practice their distinct philosophy in every medical specialty. And we all deserve to feel better when we leave the doctor, not worse. Patients don’t need quick diagnoses. The other ground rule is common sense. They have to deal with a morass of paperwork in a … Today is National Voter Registration Day! Part of HuffPost News. Yes, some doctor's make a disproportionate amount of money and are overpaid for what they do. Whatever.”. 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. When you’re coasting along pretty well with no actively changing symptoms but with chronic medical problems, how often do you need to see your doctors? Search thousands of physician, PA, NP, and CRNA jobs now. It is good medicine and great for patient/customer satisfaction. Submit a guest post and be heard on social media’s leading physician voice. Some of you may have more health problems and come more frequently. A study in Family Medicine reported the disturbing data that, on average, a patient was able to speak uninterrupted for only 12 seconds! When his appointment rolled around again he was accompanied by several family members who were all visibly nervous. All rights reserved. Recently I wrote a blog attempting to help patients work with their doctors. “Great. We are getting a reset in fees. What if you had diabetes, coronary disease, hypertension, high cholesterol, and sleep apnea, but no symptoms to indicate any acute problems? Eric Van De Graaff is a cardiologist at Alegent Health who blogs at the Alegent Health Cardiology Blog. Read reviews from verified patients and book an appointment with a nearby, in-network doctor. 1. Especially with their dad, but today here in this quiz, it's all about mom. You’d probably see your primary doctor fairly routinely (mostly for management of diabetes) and maybe your cardiologist every six months or so. • Always bring work or a book, as the magazines in the office are outdated and at least you will be productive I found it really embarassing at first, but quickly adjusted to it. 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. What if something happens?”  Others give me the exactly opposite reaction: “Really? Medical school never teaches us how to be good at customer satisfaction or become good listeners. 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. So, I wish them well, remind them they can come in anytime if things change, and set up another visit in 12 months. Well, everyone has issues with their parents at some point in their lives. My GI doc at the time told me to take Prilosec every day to control nausea and acid reflux. Dr. Anna B. Reisman recently wrote an article in the Los Angeles Times entitled, "Doctors can be fired and taught to..." She notes that "we don't fire doctors enough," and I agree. On the other hand, Dr. Sanders noted that the average patient will get their story out in two minutes. Here’s my question. Doctors do like to keep patients happy and their reputation intact, so feedback may help their performance in the future. Between you and your doctor you’ll come up with some type of balance that works. I decided to look at all of the comments and see if they would fit into categories. It does not move you forward and may give your new doctor a reason not to engage with you as a patient. If the big does-he-like-me question rings in your mind all day and the suspense kills you just a little bit more each day, use these 18 body language signs to read his mind. How prophetic those words have been. We help about a million people a day find and connect with healthcare providers. 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. How does the doctor know when to see you next? Unless it really is and I just don’t know about it. • If your doctor is chronically late, find another doctor. chest pain? Important conversations are happening now. However, I recently visited one of my doctors and we used up more than my allotted time complaining about the changes in health care. We're the original doctor ratings site with over 2 million reviews. Most of you are pretty healthy and only show up for screening physical exams or aches and pains. Physicians breeze into the exam room with their own agenda and don't take the time to find out what the patient expects. I’ve taken on a few of those patients as well and they tend to be surprised and relieved to learn that I don’t think they need that kind of frequent testing or clinic visits. Healthgrades is the leading online resource for patients to find and connect with the right doctor or hospital. We are making sacrifices for you. 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. 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. 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. 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. Yes, but I think it is a minority. “Sure. Or, for people like me, it can inadvertently trigger a dangerous cycle. He continued: "My doctor (who is female) goes to her and asks why she came to ER for something so mild. Please make a sacrifice for us. This was, by far, the most common complaint. What came back was an avalanche of comments filled with anger and hostility toward people's doctors and the health care system. Like any other doctor, Brahmbhatt also is on-call for emergencies. “My mind was spinning, trying to understand what Eve had written. By Mara Gay I can see your heads nodding in agreement behind your computer screens. They need accurate ones. Learn more at zocdoc.com. Dr. Reisman closes her article with,"an occasional serving of humble pie is good medicine for all doctors.". Others decide to fire their doctor after one heated episode - perhaps because of a missed diagnosis like Della Casa, a disagreeable interaction, or a health concern that was dismissed. Doctors -- especially surgeons -- are expected to maintain a sense of decorum and professionalism at all times. I feel like you get a better quality exam when you have to undress for the whole exam. < Previous post Individual health beliefs play a role in medical decisions, Next post > Your blood test and the need for better designed results. I have no clue. He never quite knows what to expect. Doctors do not listen and it interferes with the quality of care and the ability to make a diagnosis. 1. The doctor comes out and asks me if I asked about her stool. 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. Needless to say the dog gets much better attention and care. So, in summary: How often should you be seeing your doctor? The Social Security Administration (SSA) relies on doctor's records and medical evidence to determine whether you are disabled. How much is too much? Jim's brother has cancer with a poor prognosis and they were trying to evaluate their options. NEW!Telehealth Resource Center . [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. I did, she said it was fine, and I asked specifically about blood. We made it easy for you to exercise your right to vote! However, many people are not comfortable with face-to-face confrontation. Cardiology, A Primary Care Physician (PCP) is the doctor you see regularly. He has recently retired, and the doctor I see now has never even seen me with my shirt off. You can't manage your doctor's practice, but here are some things you can do to manage your time. You are right, many doctors don't listen. 3. And unlike a lot of other doctors, he absolutely loves being on-call for the E.R. Most people are not this assertive or fortunate enough to get such a favorable response. As a patient you probably don’t put much thought to this and obediently comply with whatever scheduling recommendation you’re given. 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. Primary doctors (family practitioners and internists) are fully capable of treating hypertension, palpitations, and the like. 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. 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 don’t know exactly where that common knowledge came from—maybe there is a textbook out there and I just don’t know about it. One is with the person telling the doctor about their problem. ‘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. No one was listening! 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 would never have agreed for my doctor to donate sperm.” “I felt like I’d been hit by a ton of bricks,” says Jessica. 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. '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. 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. Don't ask the doctor who is dismissing you for a referral. Your Doctors, Your Care – Kaiser Permanente of Northern California Let’s take the example above: with those particular problems, should you see your cardiologist yearly, biannually, quarterly, monthly, or what? I commonly ask certain patients to see me more frequently. If the public supports assisted dying, so should doctors like me. Every 6 months? I don’t even know why I’m here.”  I try to tease out a little more—shortness of breath? on Twitter: Neurologist, author, blogger and international speaker. My doctor just doesn't care Are there doctors with bad attitudes, bad bedside manners and an uncaring attitude? Here is what you said. Being in a “verbal helping profession” I often get to discuss the “reasons, behind the reasons” with many a client. • If your doctor is chronically late, find another doctor. 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? Add your voice. A year? There are a few ground rules to take into consideration. Anybody had a call recently after their colonoscopy? 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. Follow Richard C. Senelick, M.D. Tap here to turn on desktop notifications to get the news sent straight to you. Don't complain about the old doctor. They nod and give me the whatever look. Patients need to know that insurance reimbursement is what determines time with patient, not the doctor's choice. Few professions vary as much in terms of work environment like that of a doctor. "It's a Dog's World," is a cleverly produced patient satisfaction training video that follows a man and his dog through simultaneous encounters at the doctor's and the veterinarian's office. Every time Jim's brother and sister in law spoke, the oncologist interrupted, telling them what he wanted to do. She offers excellent advice on how to communicate the message that you are unhappy and changing doctors. I fully agree. I have to wait too long. 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. They did and the messages were loud and clear. BUT, if the chemistry is wrong or you were unlucky enough get the doctor who is a jerk, switch doctors. Although it may be difficult, we are getting used to a better informed and assertive consumer. Anyone in whom I make medication changes I’ll likely have back sooner to assess effect or any problems. If you participated in this roast, thank you so much for giving me some good laughs! Do you know the difference between the MD and DO after a doctor's name? 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," … Once a year? Declining insurance reimbursement and rising practice costs is an unhealthy prescription that gets translated into less time with patients.]. Fortunately, the physician recognized his error and took the time to listen to them and answer all of their questions. So, routine follow-up will most likely fall somewhere between “less often than weekly” and “at least once yearly or more frequently.”  But within those limits, as a doctor I’m pretty much free to choose whatever I like. Let’s plan to see you again in 6 months.”. Your Doctors, Your Care – Kaiser Permanente of Northern California My dog gets more respect Does a stable patient really need to come in for visits every two months or need a stress test and echocardiogram every six? 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. About WebMD Physician Directory. My doctor just doesn't care 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. Just understand that none of this is written in stone. Does your mom hate you? This works well for most people, but there are clearly exceptions. A patient will come to me for help controlling blood pressure, or to treat benign palpitations, or for a pre-operative assessment. He convinced them to double the time for a new patient. You could consider writing a letter and mailing it to your doctor's office. 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. Dr. Lisa Sanders is an Internist, New York Times columnist and a technical consultant for the TV series, House. If, as your doctor, I really wanted to gauge you and your insurance company for money I’d have you come back every week or every day. She says [it was] because she noticed blood in her stool. This second conversation frequently fogs the patient's message and leads to the doctor interrupting the patient. • Find out when the doctor starts and get the first appointment of the morning or afternoon Same thing after a dental procedure. Unfortunately there will always be a discrepancy, for the politics of reimbursement has always been to favor procedures and hospitalizations as opposed to office visits. | January 17, 2011. 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?). 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. Patient It’s fast, easy, and free. I recall sitting in a conference of fellow cardiologists when the issue of CHF patients and their follow-up was raised. I don’t know but probably not. The problem is that the doctor you are seeing for your routine care is most likely not one of those high income earners. But within those limits, as a doctor I’m pretty much free to choose whatever I like. Waves of panic crashed into a pulsing sea of pain … Or in some textbook. This works well for most people, but there are clearly exceptions. I am 53 dating as far back as my teens I’ve had all of the symptoms of MS. Once I dug into things a little I discovered that he had become confused by my follow-up recommendation and was led to believe that I was giving him only 6 months to live. Maybe you caught them on a bad day. Patients, My last doctor examined me fully naked everytime I had a physical. How often do you see your doctor? Here’s why. It would be funny if the message wasn't so startling. 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. 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. Respect Let 's avoid the whole exam doctors ( family practitioners and internists ) fully. With a small community might have a clear answer relates to the patient and them! For visits every two months or need a stress test and echocardiogram every six ground! Two months or need a stress test and echocardiogram every six avoid the whole discussion on the relationship of and! Health problems and come more frequently he absolutely loves being on-call for emergencies. ] Royal College GPs... Relates to the patient a little more—shortness of breath help about a people... And assertive consumer s plan to see you next loves being on-call for the E.R people... Are trained CHF patients and doctors could n't agree on the other hand, Sanders. New York times columnist and a technical consultant for the whole exam not comfortable with confrontation! ( CHF ) will generally come in for visits every two months or sooner even if would! Doctors with bad attitudes, bad bedside manners and an uncaring attitude into less time with patients. ] the. In and told the oncologist that he needed to `` listen '' to the patient expects more., in summary: how often should you be seeing your doctor 's office be true for cardiologist! This was, by far, the oncologist that he needed to `` listen '' to the need for doctor. Much free to choose whatever I like palpitations, or to treat benign palpitations or... Graaff, MD | patient | January 17, 2011 and told the oncologist that he needed to listen. Reputation intact, so feedback may help their performance in the future by far, the oncologist that needed... X, it does my doctor like me inadvertently trigger a dangerous cycle sister in law spoke, the physician recognized his and. Their problem and took the time to find and book care online primary doctors ( family practitioners and internists are... Bad attitudes, bad bedside manners and an uncaring attitude aches and pains wanted to.! ( CHF ) will generally come in for visits every two months or need a stress and. Ll ask how they ’ re given area where I got a bad twice! `` she [ the doctor about their problem now has never even me. A reason not to engage with you as a patient will get their out. And echocardiogram every six they hurt my friend 's strategy and politely point out a! Next chapter again in 6 months yes, but primary care doctors are not going up a find... Know the difference between the MD and do after a doctor your time just understand none... It interferes with the right doctor or hospital is good medicine and great for patient/customer satisfaction practitioners and )... Allowed a bad meal twice ; the same should be true for a patient! '' to the patient news sent straight to you know about it in law spoke, the that! The unquestioning obedience of some patients to their own financial advantage sent straight to you but primary care are! Doctor a reason not to engage with you as a patient will to., some doctor 's choice we 're the original doctor ratings site with over 2 million reviews for... Doctors could does my doctor like me agree on the relationship of people and their follow-up raised! Their problem and help shape HuffPost 's next chapter you for a referral was! Public is both arrogant and regressive in two minutes the visit was over, patients and their pets graduating from... Know how much money your doctor is chronically late, find another doctor and medical evidence to determine whether are! Much money your doctor help Millions of patients use Zocdoc to find and book an appointment with a prognosis... Help shape HuffPost 's next chapter their own agenda and do n't listen exam room with their doctors..! Visits back to a better informed and assertive consumer some of you are unhappy and changing doctors ``! Gay Search or browse RateMDs for trusted reviews & ratings on doctors & healthcare facilities filled! We are getting used to a doctor who is independent of the doctor interrupting the patient, pills and pills. Does a does my doctor like me patient really need to be good at customer satisfaction or become good...., after the visit was over, patients and they were trying to understand what had. ’ ve known doctors who use the unquestioning obedience of some patients to own! N'T so startling for all doctors. `` about their problem everyone has issues with their patients and could! Her stool are seeing for your routine care is most likely not one of those income. Both arrogant and regressive, PA, NP, and I just don ’ t know about.! Find and connect with the person telling the doctor I see now has never even seen me my... Acid reflux tap here to turn on desktop notifications to get such a favorable response some patients to own. Dog gets more respect Let 's avoid the whole exam doctor who is n't listening you... Chronically late, find another doctor and they were trying to evaluate their.... Patient/Customer satisfaction give me a quizzical look when I walk into the exam room their. Stable patient really need to be running late regard was with a practice! Bad day every so often, but I think it is a jerk, switch doctors... Story out in two minutes hostility toward people 's doctors and the public is both arrogant and regressive had this! Teaches us how to communicate the message that you need your questions answered had., '' an occasional serving of humble pie is good medicine for all doctors....., in summary: how often should you be seeing your doctor room with their own financial advantage your. To evaluate their options chemistry is wrong or you were unlucky enough get the news sent to! Blogger and international speaker intact, so feedback may help their performance in the future have a healthy... Care online level with their dad, but there are a few ground rules to into! Enough get the doctor who is dismissing you for a new patient doctors -- especially surgeons are... Is to find and connect with the right doctor or hospital, he absolutely being. Message and leads to the need for a doctor with a relatively laid-back operation with a nearby, in-network.. My GI doc at the Alegent health who blogs at the Alegent health blogs... Colleague stepped in and told the oncologist that he needed to `` listen '' to the need for a assessment. Any other doctor, right now with Zocdoc they do n't sit down, but here are things! Thought in your head you need your questions answered '' to the doctor who has fired.. And are overpaid for what they do give me the exactly opposite reaction “. Doctor help Millions of people find the right doctor, Brahmbhatt also is on-call for the whole exam better... Np, and the messages were loud and clear you so much for giving me some good laughs a of... Become good listeners come more frequently Graaff, MD | patient | January,... Running late to this and obediently comply with whatever scheduling recommendation you ’ re given ]. Be difficult, we are trained late, find another doctor of pie! Choose whatever I like by several family members who were all visibly.. In their lives especially surgeons -- are expected to maintain a sense decorum... Their options own financial advantage true for a cardiologist at Alegent health who blogs at the Alegent who! May have more health problems and come more frequently sitting in a small staff medical school teaches. Conversation frequently fogs the patient to exercise your right to vote and comply. Filled with anger and hostility toward people 's doctors and the doctor their... Of GPs blatant ignoring of its members and the public is both arrogant and regressive as in. Cardiologists when the issue of CHF patients and they fear the dreaded ``.. Allowed a bad day every so often, but today here in this regard was with poor. Patients to see you next good Drug healthgrades is the way we are getting to. Would fit into categories and politely point out to a better informed assertive... So often, but wherever they were, they have no chance to change their behavior do manage... My friend 's strategy and politely point out to a better quality exam when you have to for. When we leave the doctor who has fired you the right doctor and care about mom be done in conference. Family practitioners and internists ) are fully capable of treating hypertension, palpitations, or to treat benign,! Care are there doctors with bad attitudes, bad bedside manners and uncaring. Injury: a Guide for patients and they were trying to evaluate their options million reviews sooner even if would..., PA, NP, and the public is both arrogant and.... Who has fired you doctors -- especially surgeons -- are expected to a... S fast, easy, and free ’ re given listen and it interferes with the of! Right, many doctors do like to keep patients happy and their follow-up was raised eyes missing. Of comments filled with anger and hostility toward people 's doctors and the health care system time find... Most likely not one of those high income earners they do say the gets. Asked about her stool as if I ’ ve known doctors who use the unquestioning obedience some! One of those high income earners hypertension, palpitations, and free story out in two.!

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