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Posted: 5/5/2024 9:49:52 PM EDT
[#1]
My wife gets mammograms yearly. She is always told she has dence breasts and sent on her way. Well.last time she had a mammogram she was told she should get a breast ultrasound. It was never suggested she get an ultrasound prior to this yet she's had dence breast on all her mammograms. It pathetic that no one mentioned this before.
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Posted: 5/5/2024 9:51:54 PM EDT
[#2]
Doctors should make house calls in nice sports cars.
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Posted: 5/5/2024 9:55:54 PM EDT
[#3]
This is all Obama's and anyone who voted for him's fault.
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Posted: 5/5/2024 9:56:24 PM EDT
[#4]
Quote HistoryQuoted: Point of order: if you include liabilities it is over 100 trillion. Quote HistoryQuoted: Quoted: Pardon me, but you do realize we’re 34 Trillion dollars in debt, don’t you? We, as a country, aren’t affording Jack Shit. Point of order: if you include liabilities it is over 100 trillion. I stand corrected but supported  |
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Posted: 5/5/2024 9:57:41 PM EDT
[#5]
It's guaranteed to fail at some point in the near future . An ounce of prevention ...pound of cure .
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Posted: 5/5/2024 9:59:03 PM EDT
[#6]
All "doctors" want to do now is treat the symptoms, not address the cause.
Gotta keep pushing those pills for big Pharma. |
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Posted: 5/5/2024 10:29:14 PM EDT
[#7]
Quote HistoryQuoted: Doctors should make house calls in nice sports cars. There's a pediatrician here that is 100% house calls for $200/mo. |
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Posted: 5/6/2024 1:11:40 AM EDT
[#8]
A lot of medicines are MADE IN INDIA !!!
So QC is out the window, the shit dont work. |
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Posted: 5/6/2024 1:56:15 AM EDT
[#9]
Quote HistoryQuoted: Clearly you pay no attention to the progress of technology. AI is improving at an exponential pace. It will know all scenarios and all information and given the right information be more accurate in diagnosis than any human. It won't be perfect because nothing can be perfect with human biology most likely but it will be excellent. They will have to actively stop AI to keep this reality at bay and I don't think they will be able to do that. At some point the average PC will have the power to run a medical ai most likely and they won't be able to stop it. They'd have to stop you from getting blood work or scans and I think people might revolt over how obvious that tyranny is. Quote HistoryQuoted: Quoted: Quoted: The good news is pretty soon AI will be able to diagnose and come of with more personal treatment plans. You'll only need to get MRI, X-ray, blood work ect. AI will likely eventually be better at diagnosing and treating people than most doctors as well. Clearly you know next to nothing about AI or the health care industry. Machine learning and data mining have been around for decades and could have been used to measurably improve health care outcomes but it hasn't happened because that isn't the business model of the health care industry. The model is to extract as much money as possible from people before they die, period. They will have to actively stop AI to keep this reality at bay and I don't think they will be able to do that. At some point the average PC will have the power to run a medical ai most likely and they won't be able to stop it. They'd have to stop you from getting blood work or scans and I think people might revolt over how obvious that tyranny is. Lol, you really have no idea what you're talking about. You've never designed a neural network and built training sets and evaluated the results and limitations, but like a lot of retards you believe the hype and have adopted it as your new god. Good luck with that. That aside, you missed the point entirely about the business model of the health care industry. None of them give a damn about improving outcomes, it's all about the gravy train. No different than the defense industry or education. |
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Posted: 5/6/2024 2:00:40 AM EDT
[#10]
Quote HistoryQuoted: The good news is pretty soon AI will be able to diagnose and come of with more personal treatment plans. You'll only need to get MRI, X-ray, blood work ect. AI will likely eventually be better at diagnosing and treating people than most doctors as well. You are in the waiting room and a robot walks up to you… The AI doctors have determined your quality of life is below the threshold and there is nothing we can do, please examine your will and take these three pills. Thank you for giving us the opportunity to help you…… Damn, late to thread and beat… 
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Posted: 5/6/2024 4:29:28 AM EDT
[#11]
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Posted: 5/6/2024 5:44:12 AM EDT
[#12]
Quote HistoryQuoted: Technically concierge is a higher service model that uses insurance. Direct Primary Care is much cheaper and never bills insurance. I don't understand why someone would pay for concierge. DPC on the other hand, I don't understand why they wouldn't. My concierge doc gives me wine before my prostate exam. |
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Posted: 5/6/2024 6:14:26 AM EDT
[#13]
Quote HistoryQuoted: I f-ed around with these jokers for far to long. I had to take the initiative and dictate the treatment options that I thought best. Once I did that things started progressing. I am a fairly well educated individual. I don't have any clue how the rest of society like the elderly get half the care that they need. That cuts both ways. You sound like the lady I had Friday night. She refused to have sutures taken out of her recent BKA stump because she thought it was too soon. Now she's up in the SICU with an AKA and severely septic. Adult decisions, adult consequences amirite?? |
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Posted: 5/6/2024 6:25:56 AM EDT
[#14]
Quoted: Back in the Old Days we had doctors, and when something was wrong with you that doctor either treated it, or if it was beyond his skill level he would help you find a specialist and work with that specialist. Nowadays, we have Primary Care Physicians (PCPs), who are mainly gatekeepers and do little more than send you to specialists. If you're unfortunate enough to have more than one condition, you end up with multiple specialists. Those specialists almost never coordinate with each other (or your PCP), so it's up to you (with no medical training) to somehow bridge that gap and manage your own medical care. YOU have to figure out which specialist should deal with specific issues that come up, and go see that specialist (after waiting 3 weeks or more for an app't). Often that specialist will not be able to deal with your issue and will send you somewhere else. The frustration begins to run deep. Then there are the Physician Assistants (PAs) that more and more doctors are using nowadays to allow their office to churn more patients through and make more profits. Most don't know shit from a good grade of apple butter, and end up aggravating the situation. Finally, your problem gets so bad you go to the ER. There you start all over and often get admitted and spend a week (and lots of $$) in a room with tubes and wires hooked up to you. And your odds of getting well ... ? Are we Canada now? England? India? There's GOT to be a better way.  If you educate yourself and do your part in maintaining your health our system of health care is excellent. The vast majority of health related problems are self induced due to obesity, sedentary lifestyle and smoking/excessive alcohol consumption. Eat well, exercise, don't smoke, minimize alcohol and you'll generally do well. |
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Posted: 5/6/2024 6:31:55 AM EDT
[#15]
I gave up on modern medicine when while I was studying at a medical school I encountered a burn unit attending who didn't know burn victims lost body fluids through their lack of skin and could dehydrate faster, and an endocrinologist who couldn't explain how the thyroid worked with other glands (or that there was another form of thyroid hormone let alone that it could be tested).
Burn unit victim died as I predicted - kidney failure in 2 weeks because doc was following some new protocol that lacked enough fluids Thyroid patient ended up getting their thyroid cut out because of thyroid cancer because doc refused to order a test for T3 and TPO (which an old MD eventually tested for and caught the cancer diagnosis) After 4 years, I gave up hope in the medical system when the curriculum added sociology to medical school class requirements. |
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Posted: 5/6/2024 6:40:27 AM EDT
[#16]
Dr's are now terrified to treat pain do to politicians. A shotgun blast to the knee cap will and you will be told to take one ibuprofen every 6 hours and use hot and cold packs.
A broken vertebra with 12 broken ribs and they will tell you to bite on a piece of leather and scream into a pillow and take yoga classes to cope with pain. When the politicians told doctors to stop treating pain we went from 60K opioid deaths per year to 100K. It was never the low grade vicodin killing people. It was fentanyl all along. Meanwhile politicians keep the border wide open for more fentanyl to come it. |
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Posted: 5/6/2024 6:47:54 AM EDT
[#17]
I just hate having to navigate some ridiculous phone tree to make an appointment or get anything done. Instead of some massive conglomerate of doctors, it used to be some little old lady would answer the phone as “Doctor XYZ’s office.”
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Posted: 5/6/2024 6:50:55 AM EDT
[#18]
Quote HistoryQuoted: You got it figured out. Plus there are not enough nurses. Now. And 20 years from now when I need one, I will be lucky to have one that speaks a single word in English. @xciapup +1 Oops, yeah, no nurses or other support staff. And it’s easy for support staff to leave and work outside of health care since pay and benefits are better than working for a hospital corporation. During COVID-19, half the people were laid off. Then when the hospitals told them to come back to work, many had already gotten jobs working in other sections of the economy. |
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Posted: 5/6/2024 6:52:37 AM EDT
[#19]
Don't forget the LPNs who think they are God and know everything.
Or they are scared to misdiagnose and they order a ton of expensive tests so they do not miss anything, because they've never been hazed during rounds by their attending for wasting money and resources. Kharn |
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Posted: 5/6/2024 6:56:00 AM EDT
[#20]
Quote HistoryQuoted: Lol, you really have no idea what you're talking about. You've never designed a neural network and built training sets and evaluated the results and limitations, but like a lot of retards you believe the hype and have adopted it as your new god. Good luck with that. That aside, you missed the point entirely about the business model of the health care industry. None of them give a damn about improving outcomes, it's all about the gravy train. No different than the defense industry or education. Quote HistoryQuoted: Quoted: Quoted: Quoted: The good news is pretty soon AI will be able to diagnose and come of with more personal treatment plans. You'll only need to get MRI, X-ray, blood work ect. AI will likely eventually be better at diagnosing and treating people than most doctors as well. Clearly you know next to nothing about AI or the health care industry. Machine learning and data mining have been around for decades and could have been used to measurably improve health care outcomes but it hasn't happened because that isn't the business model of the health care industry. The model is to extract as much money as possible from people before they die, period. They will have to actively stop AI to keep this reality at bay and I don't think they will be able to do that. At some point the average PC will have the power to run a medical ai most likely and they won't be able to stop it. They'd have to stop you from getting blood work or scans and I think people might revolt over how obvious that tyranny is. Lol, you really have no idea what you're talking about. You've never designed a neural network and built training sets and evaluated the results and limitations, but like a lot of retards you believe the hype and have adopted it as your new god. Good luck with that. That aside, you missed the point entirely about the business model of the health care industry. None of them give a damn about improving outcomes, it's all about the gravy train. No different than the defense industry or education. That’s a very interesting topic, enough for a whole thread. |
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Posted: 5/6/2024 7:02:13 AM EDT
[#21]
Quote HistoryQuoted: All "doctors" want to do now is treat the symptoms, not address the cause. Gotta keep pushing those pills for big Pharma. It was plug-and-chug back in 2006 when I started in the field. Even some of the old medschool profs said the only professionals who understand physiology and biochemistry nowadays are the PhDs and the veterinarians. I've had a modicum more luck with D.Os. They're the only ones who didn't go straight to pushing pills, surgery, giving up without some legwork in getting at least the factors that could get them to a solution. Hell, even the pediatrician was cool with not vaccinating immediately and spacing out the important ones. |
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Posted: 5/6/2024 7:57:36 AM EDT
[#22]
Quote HistoryQuoted: The good news is pretty soon AI will be able to diagnose and come of with more personal treatment plans. You'll only need to get MRI, X-ray, blood work ect. AI will likely eventually be better at diagnosing and treating people than most doctors as well. Don’t know if joking or not, but that's pretty close to the truth. |
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Posted: 5/6/2024 8:06:38 AM EDT
[#23]
AI lol lol
Quote HistoryQuoted: Don’t know if joking or not, but that's pretty close to the truth. |
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Posted: 5/6/2024 8:14:07 AM EDT
[#24]
All the hospitals here have consolidated into two major statewide companies. My wife works for one of them. They are essentially just giant billing machines run by lawyers now.
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Posted: 5/6/2024 9:12:22 AM EDT
[#25]
Quote HistoryQuoted: Technically concierge is a higher service model that uses insurance. Direct Primary Care is much cheaper and never bills insurance. I don't understand why someone would pay for concierge. DPC on the other hand, I don't understand why they wouldn't. Quote HistoryQuoted: Quoted: Concierge is becoming a thing around here..... Technically concierge is a higher service model that uses insurance. Direct Primary Care is much cheaper and never bills insurance. I don't understand why someone would pay for concierge. DPC on the other hand, I don't understand why they wouldn't. Maybe because you don't have to sit a waiting room with a bunch of deadbeats and illegal aliens waiting to see a doctor that barely speaks English. That could be part of it. |
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Posted: 5/6/2024 9:24:18 AM EDT
[#26]
Quote HistoryQuoted: Don't blame the doctors. Most of them probably wish they could spend more time with their patients, and take care of ALL their patients' problems. Blame government and insurance companies who have (as the guy from Caunkistan that just joined three weeks ago said) turned patients from people into product. I've told this story before: I needed an MRI. The imaging center worked through my insurance company, so I wasn't out of network or anything like that. My cost for the MRI was going to be more than my annual out-of-pocket, which was $2,500. So I was going to be stuck with a bill for $2.5k. My surgeon's office called a different MRI center, one that worked on a cash-only basis. My cost from them was $365. Tell me why a procedure that cost $365 when paid with cash, cost $2.5k when "covered" by my insurance company? Fucking this. I had an MRI a year ago, they told me I couldn't pay cash for a better price, because I had insurance, they had to bill that. Whatever. |
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Posted: 5/6/2024 9:27:05 AM EDT
[#27]
The good ol' days of universal Healthcare is coming.
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Posted: 5/6/2024 9:41:46 AM EDT
[#28]
Quote HistoryQuoted: The good news is pretty soon AI will be able to diagnose and come of with more personal treatment plans. You'll only need to get MRI, X-ray, blood work ect. AI will likely eventually be better at diagnosing and treating people than most doctors as well. Dont believe the bullshit hype. AI is nothing more than what is common knowledge and there is no accuracy feedback. Might as well get your medical advice from SIRI |
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Posted: 5/6/2024 9:44:06 AM EDT
[#29]
OP is right
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Posted: 5/6/2024 10:14:26 AM EDT
[#30]
Quote HistoryQuoted: As a former PCP, you're only half wrong. There's plenty I can handle. But there's plenty who demand a specialist, or who need to go once or twice a year and need a referral from me due to insurance. Patients are half the problem too. Don't do anything to help themselves (lose weight, exercise, stop smoking, etc) and expect a pill to fix things...which of course doesn't happen. Then gripe about the treatment, and often aren't that compliant anyway. Or they come in for literally everything. Runny nose for a day. Rash after playing in poison ivy. Sunburns. Back pain after shoveling the driveway on the first day of snow. "I'm going on vacation and want to make sure I won't get sick." So, yeah, we send some packing to someone else- because when we have 15 minute appointments, and you have 4 medical conditions that each deserve 15 minutes, it just doesn't work. To top if off, billing you an level 3 might get us $50 compensation, despite you taking 30 minutes of our time. Kind of hard to run a business on $100/hr, ya know? We have to make that up with quick visits, like an ear infection, or a UTI- but they usually go to the urgent care, cuz the office is clogged with the chronically unwell. Believe me, there's 2 sides to every story. If you don't like the game, don't play. Darwin will take care of things. Take my wife, please (joke) - she has had a long-running and serious digestive infection (google C-diff for fun) that has put her in the hospital 3 times for a total of 3 weeks since Christmas. On top of that, her loss of strength contributed to a fall in April that resulted in a fractured hip, and that put her back in the hospital for a week, and now in Rehab. And her Cardiologist wants her to take a stress test (which we're of course postponing). She has a PCP, the PCP's PA, an Orthopedic surgeon, an Infectious Diseases specialist, a Neurologist, a home healthcare Nurse and a home Physical Therapist (after a 3-day stay at a Skilled Nursing facility). NONE of those doctors or nurses has coordinated with the others to properly direct her treatment(s). I wish there were some way to get all her docs in one room to agree on treatment, manage her medications, and help get her well. But the system is so fragmented. |
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Posted: 5/6/2024 11:02:45 AM EDT
[#31]
Quote HistoryQuoted: All of ARFCOM has THE one and only solution for health care problems. If I was in the position to fix this mess, I could do it in a day! No more co-pays! Free RX! Your Dr will solve all your problems, or they get canned! You pay what you want to! I'm a big wig in whatever industry you're in, I can fix the health care system! I can solve anything! This place kills me sometimes |
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Posted: 5/6/2024 11:09:40 AM EDT
[#32]
Quote HistoryQuoted: All "doctors" want to do now is treat the symptoms, not address the cause. Gotta keep pushing those pills for big Pharma. The causes… like people being fat and old? |
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Posted: 5/6/2024 11:12:37 AM EDT
[#33]
Quote HistoryQuoted: Exactly. 100 years is about right. More: https://meridianhealthclinic.com/how-rockefeller-created-the-business-of-western-medicine/ |
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Posted: 5/6/2024 11:20:26 AM EDT
[#34]
It's about having the right Dr that you can trust.
I found my current doctor during Covid because the lockdowns prevented me from getting to one of my specialists. this guy was a white house Dr, conservative and talks like a normal guy.. I'd be surprised if he's not a member here. I have extremely good insurance but choose to pay out of pocket and drive an hour away to see this guy. it's a shame good drs aren't easier to find.. they are out there and it sounds like we have some in this thread |
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Posted: 5/6/2024 11:21:29 AM EDT
[#35]
Quote HistoryQuoted: The causes… like people being fat and old? While a large percentage of cases are due to that, your leaving out many that are not due to that cause, you are forgetting a large amount of things that are not related to “being old and fat”, one example is young kids |
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Posted: 5/6/2024 11:25:47 AM EDT
[#36]
Quote HistoryQuoted: While a large percentage of cases are due to that, your leaving out many that are not due to that cause, you are forgetting a large amount of things that are not related to “being old and fat”, one example is young kids Sure, sometimes otherwise healthy people do get sick. But that’s not the accusation made by the poster I was responding to. Regardless, there is no place I’d rather be treated than the United States of America in 2024. |
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Posted: 5/6/2024 11:28:59 AM EDT
[#37]
Quote HistoryQuoted: Sure, sometimes otherwise healthy people do get sick. But that’s not the accusation made by the poster I was responding to. Regardless, there is no place I’d rather be treated than the United States of America in 2024. I’d say it’s a lot more than sometimes, physical injury, genetic problems etc, they are included in the people sometimes dissatisfied with the state of medical care |
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Posted: 5/6/2024 11:34:32 AM EDT
[#38]
Quote HistoryQuoted: I just hate having to navigate some ridiculous phone tree to make an appointment or get anything done. Instead of some massive conglomerate of doctors, it used to be some little old lady would answer the phone as "Doctor XYZ's office." |
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Posted: 5/6/2024 12:39:36 PM EDT
[#39]
Quoted: Back in the Old Days we had doctors, and when something was wrong with you that doctor either treated it, or if it was beyond his skill level he would help you find a specialist and work with that specialist. Nowadays, we have Primary Care Physicians (PCPs), who are mainly gatekeepers and do little more than send you to specialists. If you're unfortunate enough to have more than one condition, you end up with multiple specialists. Those specialists almost never coordinate with each other (or your PCP), so it's up to you (with no medical training) to somehow bridge that gap and manage your own medical care. YOU have to figure out which specialist should deal with specific issues that come up, and go see that specialist (after waiting 3 weeks or more for an app't). Often that specialist will not be able to deal with your issue and will send you somewhere else. The frustration begins to run deep. Then there are the Physician Assistants (PAs) that more and more doctors are using nowadays to allow their office to churn more patients through and make more profits. Most don't know shit from a good grade of apple butter, and end up aggravating the situation. Finally, your problem gets so bad you go to the ER. There you start all over and often get admitted and spend a week (and lots of $$) in a room with tubes and wires hooked up to you. And your odds of getting well ... ? Are we Canada now? England? India? There's GOT to be a better way. Y u no like pharma companies and insurance companies getting in bed with DC to make this arrangement? Y u no like the totally 100% necessary ambulance chaser class of lawyers?  Y u no want an additional 20 administrators per hospital? Listen, that tiktok nurse making $100,000 a year and traveling 5x a year is a special victim with a very difficult life. Despite that very pedestrian IQ, she is muh best and brightest - I know people go broke paying for the 30 checks they went through to arrive to an expensive medication with side effects that helps them sort of manage something with a big scary name - but PLEASE try to think of the upperclass incomes (largely amongst people who had nothing to do with treating you) who need this broken system the way it is Low competition, tons of bloat and .gov special interest TAPCO fuckery, and yet brainlets will pretend that Milton Freidman would call the arrangement perfect.
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Posted: 5/6/2024 12:41:30 PM EDT
[#40]
Quote HistoryQuoted: Dont believe the bullshit hype. AI is nothing more than what is common knowledge and there is no accuracy feedback. Might as well get your medical advice from SIRI Quote HistoryQuoted: Quoted: The good news is pretty soon AI will be able to diagnose and come of with more personal treatment plans. You'll only need to get MRI, X-ray, blood work ect. AI will likely eventually be better at diagnosing and treating people than most doctors as well. Dont believe the bullshit hype. AI is nothing more than what is common knowledge and there is no accuracy feedback. Might as well get your medical advice from SIRI Hey, don't laugh, there's people who were getting their medical advice from latenight comedians and software company execs And they kept lecturing people no matter HOW fucking bad the data scoreboard got (in the countries that were willing to report it, understated or not)
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Posted: 5/6/2024 12:44:15 PM EDT
[#41]
Quote HistoryQuoted: I’d say it’s a lot more than sometimes, physical injury, genetic problems etc, they are included in the people sometimes dissatisfied with the state of medical care I was responding to a poster who was complaining that doctors only treat symptoms, not causes. I'm not sure how doctors are supposed to prevent injury or genetic problems. |
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Posted: 5/6/2024 12:52:56 PM EDT
[#42]
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Posted: 5/6/2024 1:17:14 PM EDT
[#43]
My Doctor's office called me to have my annual checkup, it took two months to see a PA, if I wanted to see my doctor it would be longer.
Took BP, pulse, listened to my lungs and took a blood sample. Called me back with my test results, my cholesterol is high but no info on how high (I am usually a point or two above the limit) and the old standard "Avoid processed foods, exercise, blah blah blah." Probably my last annual as there is really no point in listening to the people that pressured us to get the COVID shot. |
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Posted: 5/6/2024 1:27:42 PM EDT
[#44]
Quote HistoryQuoted: The good news is pretty soon AI will be able to diagnose and come of with more personal treatment plans. You'll only need to get MRI, X-ray, blood work ect. AI will likely eventually be better at diagnosing and treating people than most doctors as well. AI already makes up the algorithm suggesting what diagnostics should be ordered based on the patient’s symptoms and presentation. |
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Posted: 5/6/2024 1:39:37 PM EDT
[#45]
Quote HistoryQuoted: The ER didn't help when I showed up unable to walk. Shot me up with painkillers and some other shit and said go see my PBP instead of doing some of that diagnostics a competent professional would have done. The ER was supposed to fix sciatica? No, the ER is there to deal with emergencies. They're supposed to make sure that you don't die and to stabilize immediately life -threatening conditions, and transfer out the life-threatening conditions they can't manage on-site. They're not a primary care provider. Half of the problem with ER wait times is people who don't understand that or don't care and think 11pm is the right time to refill their psych meds, or think they can avoid jail by pretending to have a seizure. Chronic pain and chronic conditions suck, but complaining about the ER not solving them is like complaining about going to Chili's and being unable to buy new socks and a 10mm socket there. |
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Posted: 5/6/2024 1:41:48 PM EDT
[#46]
Quote HistoryQuoted: As a former PCP, you're only half wrong. There's plenty I can handle. But there's plenty who demand a specialist, or who need to go once or twice a year and need a referral from me due to insurance. Patients are half the problem too. Don't do anything to help themselves (lose weight, exercise, stop smoking, etc) and expect a pill to fix things...which of course doesn't happen. Then gripe about the treatment, and often aren't that compliant anyway. Or they come in for literally everything. Runny nose for a day. Rash after playing in poison ivy. Sunburns. Back pain after shoveling the driveway on the first day of snow. "I'm going on vacation and want to make sure I won't get sick." So, yeah, we send some packing to someone else- because when we have 15 minute appointments, and you have 4 medical conditions that each deserve 15 minutes, it just doesn't work. To top if off, billing you an level 3 might get us $50 compensation, despite you taking 30 minutes of our time. Kind of hard to run a business on $100/hr, ya know? We have to make that up with quick visits, like an ear infection, or a UTI- but they usually go to the urgent care, cuz the office is clogged with the chronically unwell. Believe me, there's 2 sides to every story. If you don't like the game, don't play. Darwin will take care of things. Try to find a direct primary care physician - they do not accept Medicare/Medicaid and are not bound to have 15-minute appointment slots. There is a lot of bloat in any system where government gets involved, but you're right. Much of the problem falls on the patients. It is too comfortable and easy to become.sedentary and eat trash food. People expect a problem they have spent a lifetime creating to be resolved by some magic solution that does not require eating mess garbage and becoming physically active. It's easier to just be a victim. |
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Posted: 5/6/2024 1:49:06 PM EDT
[#47]
Quote HistoryQuoted: Absolutely. You don't use car insurance to pay your gas and oil changes, why use it for office visits? Quote HistoryQuoted: Quoted: Which is why we don't take insurance of any kind, or do coding of any kind. The problem we have is that people feel that insurance is a kind of prepaid health care card, when it's simply not. Absolutely. You don't use car insurance to pay your gas and oil changes, why use it for office visits? This also, exactly, and I remember losing this argument a lot in 2010. Insurance is for infrequent and unpredictable and catastrophic events. That's probably not your cold, your annual wellness exam, or your routine immunizations. That's the EEG and brain MRI after you did the first kicking chicken of your life, or your chest pain when the EKG looks like a giant molar and the troponin looks like a phone number. |
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Posted: 5/6/2024 2:26:48 PM EDT
[#48]
Quoted: Back in the Old Days we had doctors, and when something was wrong with you that doctor either treated it, or if it was beyond his skill level he would help you find a specialist and work with that specialist. Nowadays, we have Primary Care Physicians (PCPs), who are mainly gatekeepers and do little more than send you to specialists. If you're unfortunate enough to have more than one condition, you end up with multiple specialists. Those specialists almost never coordinate with each other (or your PCP), so it's up to you (with no medical training) to somehow bridge that gap and manage your own medical care. YOU have to figure out which specialist should deal with specific issues that come up, and go see that specialist (after waiting 3 weeks or more for an app't). Often that specialist will not be able to deal with your issue and will send you somewhere else. The frustration begins to run deep. Then there are the Physician Assistants (PAs) that more and more doctors are using nowadays to allow their office to churn more patients through and make more profits. Most don't know shit from a good grade of apple butter, and end up aggravating the situation. Finally, your problem gets so bad you go to the ER. There you start all over and often get admitted and spend a week (and lots of $$) in a room with tubes and wires hooked up to you. And your odds of getting well ... ? Are we Canada now? England? India? There's GOT to be a better way. Recently had an appointment with primary care doc. We reviewed my chart and history. Made sure everything was correct and up to date. Discussed my concerns. I ended up with appointments for two screening procedures and appointments with two "specialists" who deal with my concerns. I much prefer seeing a specialist. OP has inflated opinion/view of old time GP's. A few years ago I was treated in an ER in another state. My whole history and record was available to them and I was treated accordingly. The idea that there is no coordination is ridiculous BS. |
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Posted: 5/6/2024 3:07:54 PM EDT
[#49]
Quote HistoryQuoted: My Doctor's office called me to have my annual checkup, it took two months to see a PA, if I wanted to see my doctor it would be longer. Took BP, pulse, listened to my lungs and took a blood sample. Called me back with my test results, my cholesterol is high but no info on how high (I am usually a point or two above the limit) and the old standard "Avoid processed foods, exercise, blah blah blah." Probably my last annual as there is really no point in listening to the people that pressured us to get the COVID shot. I bet if you log into their portal, you can see all the results for yourself. Kharn |
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Posted: 5/6/2024 6:21:26 PM EDT
[#50]
Quote HistoryQuoted: Much of the problem falls on the patients. It is too comfortable and easy to become.sedentary and eat trash food. People expect a problem they have spent a lifetime creating to be resolved by some magic solution that does not require eating mess garbage and becoming physically active. It's easier to just be a victim. This is a large part of most people's problems - POOR DIET. |
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