Comments on: Thinking is undervalued http://www.medrants.com/archives/4695 Internal medicine, American health care, and especially medical education Sat, 11 Feb 2012 15:15:48 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: dennis http://www.medrants.com/archives/4695/comment-page-1#comment-528789 dennis Sun, 02 Aug 2009 14:27:34 +0000 http://www.medrants.com/?p=4695#comment-528789 This is so true. Experience has shown me that about 70-80% of the doctors are in a hurry to have you out of the office. I've have a few who even seemed irritated that I was there for consultation or kind of rushing things to be done with me. The key to all of this is to find the right doctor/s for you. There are many good one and also some who are very generous not only with their time but also with their patience and knowledge. I have been through a lot of doctors over the past 8 years. I've noticed that it doesn't matter what field they are in, there always seems to be some good, and some who won't give you the time you deserve. This is so true. Experience has shown me that about 70-80% of the doctors are in a hurry to have you out of the office. I’ve have a few who even seemed irritated that I was there for consultation or kind of rushing things to be done with me.

The key to all of this is to find the right doctor/s for you. There are many good one and also some who are very generous not only with their time but also with their patience and knowledge.

I have been through a lot of doctors over the past 8 years. I’ve noticed that it doesn’t matter what field they are in, there always seems to be some good, and some who won’t give you the time you deserve.

]]> By: Jim Purdy http://www.medrants.com/archives/4695/comment-page-1#comment-528737 Jim Purdy Sun, 26 Jul 2009 01:39:30 +0000 http://www.medrants.com/?p=4695#comment-528737 In my experience as a patient, the real doctor/patient face time approaches zero. Often, a nurse takes a few measurements of weight, blood pressure, temperature, pulse, and maybe blood glucose. Then the doctor comes in, looks at those numbers, and immediately starts typing prescriptions, with little or no interest in hearing my complaints. The system is broken badly. I'm on the verge of just quitting all doctor visits. In my experience as a patient, the real doctor/patient face time approaches zero. Often, a nurse takes a few measurements of weight, blood pressure, temperature, pulse, and maybe blood glucose. Then the doctor comes in, looks at those numbers, and immediately starts typing prescriptions, with little or no interest in hearing my complaints. The system is broken badly. I’m on the verge of just quitting all doctor visits.

]]> By: J. K . Taylor, MD http://www.medrants.com/archives/4695/comment-page-1#comment-528722 J. K . Taylor, MD Fri, 24 Jul 2009 15:55:12 +0000 http://www.medrants.com/?p=4695#comment-528722 Well said.. renumeration for thinking, problem solving needs to be increased to help stave off the abandonment of primary care for the lucrative (ie. "moneyed") specialties. Evidence based medicine makes a lot of sense rather the excesses of incentive based practice (as many procedures per day as possible; "to a hammer everything looks like a nail"). Unfortunate those specialties (surgical & radiologic) whose clout is over represented in the AMA and will squeal the loudest when their revenue stream is threatened. I do believe physicians should be paid more for taking more responsibility. A surgeon who helps me out at 2AM with a critically ill patient gets my sympathy, not a radiologist reading a "vectored" image from the comfort of home. All this high tech babble as the the answer is over-rated; our VA EMR system is "paperless" but a handshake & a copy of his X-ray wins the day for a bewildered patient in need of the personal connection. Keep the faith...an older emergency physician who still finds medicine rewarding & continually facinating. Well said.. renumeration for thinking, problem solving needs to be increased to help stave off the abandonment of primary care for the lucrative (ie. “moneyed”) specialties. Evidence based medicine makes a lot of sense rather the excesses of incentive based practice (as many procedures per day as possible; “to a hammer everything looks like a nail”). Unfortunate those specialties (surgical & radiologic) whose clout is over represented in the AMA and will squeal the loudest when their revenue stream is threatened. I do believe physicians should be paid more for taking more responsibility. A surgeon who helps me out at 2AM with a critically ill patient gets my sympathy, not a radiologist reading a “vectored” image from the comfort of home. All this high tech babble as the the answer is over-rated; our VA EMR system is “paperless” but a handshake & a copy of his X-ray wins the day for a bewildered patient in need of the personal connection. Keep the faith…an older emergency physician who still finds medicine rewarding & continually facinating.

]]> By: solo dr http://www.medrants.com/archives/4695/comment-page-1#comment-528720 solo dr Fri, 24 Jul 2009 12:13:28 +0000 http://www.medrants.com/?p=4695#comment-528720 The current system encourages 5-10 min office visits and more procedures in less time. If a diagnosis that is not emergent is missed, it can be picked up down the line. Most office visits are limited to 1-3 diagnosis codes, with no rewards to see a patient with a list of 10 concerns. Currently the money makers are the doctors who see 40 or more patients a day to maintain income and lifestyle. Under the current system increases in overhead are covered by squeezing more office visits and procedures into a day. Patients and doctors feel short changed while fees stay fixed by the insurance companies. The current system encourages 5-10 min office visits and more procedures in less time. If a diagnosis that is not emergent is missed, it can be picked up down the line. Most office visits are limited to 1-3 diagnosis codes, with no rewards to see a patient with a list of 10 concerns. Currently the money makers are the doctors who see 40 or more patients a day to maintain income and lifestyle. Under the current system increases in overhead are covered by squeezing more office visits and procedures into a day. Patients and doctors feel short changed while fees stay fixed by the insurance companies.

]]> By: Michael Kirsch, M.D. http://www.medrants.com/archives/4695/comment-page-1#comment-528718 Michael Kirsch, M.D. Fri, 24 Jul 2009 06:05:51 +0000 http://www.medrants.com/?p=4695#comment-528718 Explain more what you mean about paying for physician time spent. Are you suggesting that physicians be paid an hourly wage? Would different specialties be reimbursed at different rates? Would a surgeon be paid the same fee for an hour in the operating room as he or she would be for an hour of office time? Explain more what you mean about paying for physician time spent. Are you suggesting that physicians be paid an hourly wage? Would different specialties be reimbursed at different rates? Would a surgeon be paid the same fee for an hour in the operating room as he or she would be for an hour of office time?

]]> By: Web Media Daily – July 23, 2009 http://www.medrants.com/archives/4695/comment-page-1#comment-528714 Web Media Daily – July 23, 2009 Thu, 23 Jul 2009 13:03:27 +0000 http://www.medrants.com/?p=4695#comment-528714 [...] Thinking is undervalued…   DB’s Medical Rants [...] [...] Thinking is undervalued…   DB’s Medical Rants [...]

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