Spyke
slrpnk.net

This happened to my wife and I recently.

We came for a visit and her usual doctor wasn't available. This new doctor flat out said, "I didn't get a chance to read your medical history so tell me what's going on." My wife was confused, because this was her third visit to check her hormone levels. it wasn't a checkup, but a followup.

And this doctor proceeds to not understand any of this, as she keeps asking her questions about why she might be there, instead of spending two minutes reading the medical history.

My wife ends up crying while Im sitting in the corner begging my wife we should just leave because shes not getting anything from this doctor.

126
lemmy.world

Like George Carlin said, somewhere there is the worst doctor and someone has an appointment with them tomorrow!

59
lemmy.world

What do you call the person who was last in class at medical school?
...
...
Doctor

44
Schmooreply
slrpnk.net

I would think that those types are better suited to research or other medical professions that don't interact with patients like imaging or something.

4
rh4c6freply
lemmy.world

This is the third time I've read this comment today. I hope Joe Pesci or the sun aren't trying to tell me something.

12

It's a valid strategy to ask the patient to recap what brings them to the clinic. It's very common to hear a different story from the one in the booking system or in the medical history. I'm not sure about the system were you live but medical history often takes waaaaaaaaaay more than 2 min to read up on. Maybe the last visit was recorded and had yet to been transcribed? Those can be a pain to listen to. It feels very reasonable that the doctor didn't have time to read up on your history if they were covering for a sick/unavailable colleague.

I would 100% prefer a doctor that is upfront about not knowing my medical history over a (more commonly occurring) dumbass pretenting to know it.

It's regrettable that your doctor made you feel neglected. Fault them for that, not the questions.

Edit: *recorded as in dictated!

24
zephorahreply
lemm.ee

Medical clinics are often overbooked, like airports. This is why they give you an appointment time that is generally thirty minutes early. ONE late person fucks the entire day’s schedule after their appointment time, that’s how tightly management insists on arranging it. Even the extra time slots of the past are being booked or even double booked in advance of the day. Docs are often given 10-15min per patient. Those other rooms you see in the hall? There are patients inside waiting for doc to go down the line, as staff keeps refilling those rooms down the line as the doc finishes. You think there’s time to read between? Oh you sweet summer child. That’s not on docs, that’s on corporate. Whatever company logo is stamped on the clinic and also on the nearby hospital, they’re the ones making it happen that way. Why? More patients crammed into each day means more $$$. Quantity over quality. Clinic docs are also paid by patient encounter. So this works together to arrange what we in healthcare commonly call a clusterfuck.

.

This is the part that’s probably messing with you most. And it likely won’t change. In medical, the assessment is sacrosanct. And your own. You MUST do it yourself. You don’t just go with the assessment of the first person to do one and never check again, you always check again. Always. Every visit. A lot can change in half a day. A day. A week. A month. And the quality of assessment changes with each person. Each person. Medical isn’t robots, it’s people, and most data collection happens through people. Each medical staff, doc or NP or RN or PA, gets their own assessments before they begin, unless they’re utter garbage at their jobs. This doctor never assessed you before, which means, they MUST assess you now, per their licensing. Also, a good chunk of what’s in the chart is old news. What’s right in front of you contains the best data about the patients present state. And the speed at which a clinic is to move from patient to patient, 2 min to read a chart isn’t part of the schedule. Even logging in these days can take half that 10min time slot due to old crappy computers. Sure stuff like moms medical history, what tests you’ve had already, and meds (pharmacies e-record talks to your medical e-record these days) is current, but your present state changes day to day and asking YOU what’s happening today is usually best practice and the most accurate. There’s no day prep time to a clinic day and no one takes “homework” home after work. It’s hit the ground running and just start diving into appointments. When the doc knows the patient already ofc this goes more smoothly because the doc knows the bigger picture. That’s why there’s an assigned doc for each patient.

.

All the NPs being trained makes the process more difficult. Heavy revolving door there as they do their version of residency and then poof they’re gone to find their actual job.

.

Wait until you’re admitted to a hospital from an emergency room, you’ll be in for a real treat. /s.

7
lemm.ee

For-profit medicine is a cruelty unlike any other. The United States government's embrace of this system is truly abhorrent.

14

Somewhere, dunno where, there is a country where doctors in state medical institutions make less than me, get bullied by superiors daily, deal with all kind of bureaucratic paper fuckery, and yet show the heroism of not leaving that work for greener pastures in private medical institutions which pay normal. And they are conscious of that. Cause sometimes lonely old people, or clueless\lost\just poor people, or someone unprepared, need help.

Your system might not be good, but if you are thinking of building some other one, please think how it's going to make doctor's pay proportional to their value for the society, without tanking the rest of said society.

1

I would probably also end up crying if I were in that situation. A panic attack is also not outside the realm of possibility.

1

I quit my job yesterday cause it fucking sucked.
I'm sad because no money but that place was a hellhole and it was making me miserable.
I need this encouragement bro

4
lemmy.world

The doctor’s appointment is not a great example for the US because the system is so fucked. If the doctor is terrible, sit it out, and then request to never see them again. You don’t even have to say why (if/when the scheduler pressures you, just blame the free market: “my care will be better managed by someone else”). Because if you don’t like your healthcare in the US, you certainly can leave, but you will be stuck with the bill, and if it’s considered leaving “against medical advice,” you will be denied insurance coverage if you return for the same issue.

74
toynbeereply
lemmy.world

But also, make sure you have good reason to not like the doctor, regardless of financial implications. A doctor giving you bad news or making an honest but unflattering comment is an easy situation to want to leave, but bailing on that situation is not a good solution.

I'm not trying to say one should never take a stand, just that they should make sure of their reasoning before doing so.

18

Yeah, walking out would be more reserved for "why are you wearing that mask, don't you know the pandemic is over?" or "don't get (that vasectomy/your tubes tied, I know that you'll change your mind later".

Just basic science denial shit, or shoving somebody else's culture down your throat while trying to pretend it's compassion. Stuff that no competent doctor would do in the first place.

4

Oh of course, 100%. I wouldn’t suggest changing from providers for reasons other than really botched/mismanaged/negligent care. I don’t think everyone wants to give a reason to a scheduler for the switch because honestly they don’t need to know, and I would assume the patient is having conversations way above a scheduler’s level about any issues with a provider.

3
lemmy.world

Idk “I’d rather you exercise and focus on a more nutritious diet than focus on a number on a scale or your pants. Let’s focus on getting you healthy so we aren’t just trading one eating disorder for another” is both the original meaning of that concept and probably the best approach for a doctor to take

9
psudreply
aussie.zone

Fat doctors telling you to exercise to lose weight 🫤

-5
lemmy.world

No they’re telling you to exercise because it’s necessary to maintain cardiovascular and muscular health as well as playing a role in endocrine regulation. Because it’s critical to a healthy lifestyle and it’s difficult to do.

The point of my comment was that there are elements of heath that are vital and associated with weight loss that are better separated from it because if you think of exercise as a “weight loss thing” instead of a “important element of a healthy lifestyle no matter your weight” you will be less healthy

The plus side is exercise does help regulate the endocrine system which can help you lose weight

6

Yet the doctor is fat, they explicitly say the exercise is for weight loss, the knowledge hasn't helped them.

-1
Okokimupreply
lemmy.world

I've been told at one office that they didn't allow patients to switch doctors within the same practice. Currently, I live in a very small town, and am on Medicaid. I've been trying to switch to the only other practice in town (my current doctor has made 5+ screw-ups with medication, and has declined to write down my information and make requested referrals), but they're dragging their heels. So I'm not holding my breath that it will be any better. Anyway, I guess my point, apart from the rant, is that the system is even more fucked than you say.

5

Hey, I’ve heard that one before, and big surprise, it was told to another Medicaid patient. It’s a lie that means “we don’t want our practice potentially making less money.” The provider probably doesn’t even know you were told that. I wish the gnarliest of 8th-dimensional waking nightmares on every admin who enables that bullshit.

10
lemm.ee

Some areas are lucky enough to have Kaiser. It's just a quick click and you have a new doctor of your choice. Though the rest of Kaiser is falling to shit

4
infosec.pub

I was lucky enough to have Kaiser

And now I have a permanently fucked up knee because of them

5

Because if you don’t like your healthcare in the US, you certainly can leave, but you will be stuck with the bill, and if it’s considered leaving “against medical advice,” you will be denied insurance coverage if you return for the same issue.

Insurance is just a pain in general in the U.S. For instance some people might struggle to find a new doctor in their area if they're dealing with a specialist and have specific insurance coverages which means cutting off their toxic doctor might be more difficult.

Burning bridges to escape toxicity is fine, just don't strand yourself.

3

The doctor’s appointment is not a great example for the US

It's a terrible idea for the first world too, as our system was overwhelmed by Mah Raghts hillbillies begging the doctor for a miracle and physically threatening them for trying to treat the problem. Many medical staff left from all branches and levels of care because Fuck This. Now we're stuck with very little service availability, and the very politicians who supported the aggressive halfwits are now convincing them it was the incumbent politician's fault. and they're believing it. We're gonna be led by little Trumps next year.

2
sh.itjust.works

But remember most of all young adults: If you find yourself leaving often then the problem might be with you…

58
voldagereply
lemmy.world

While true and valid, also remember that your community can be a problem, or you might be suffering from systemic issues. Not all issues stem from individuals, and some are impossible to solve on the personal level. If you find yourself in the cult, for example, walking away is probably the best you could do, despite the scorn of the community.

33

That is true and equally worth pointing out too. I sometimes find it hard to distinguish between a heartfelt life lesson versus a platitude dressed in its Sunday best.

24
lemmy.world

If you're seeing your 5th counselor and 7th psych because you don't want to make lifestyle changes and simultaneously want every stimulant to keep you up and downer so you can sleep... well... You're not fun to be their doctor for.

4

Dark Helmet: What the hell am I looking at? When does this happen in the movie?

Colonel Sandurz: Now. You're looking at now, sir. Everything that happens now, is happening now.

Dark Helmet: What happened to then?

Colonel Sandurz: We passed then.

Dark Helmet: When?

Colonel Sandurz: Just now. We're at now now.

Dark Helmet: Go back to then.

Colonel Sandurz: When?

Dark Helmet: Now.

Colonel Sandurz: Now?

Dark Helmet: Now.

Colonel Sandurz: I can't.

Dark Helmet: Why?

Colonel Sandurz: We missed it.

Dark Helmet: When?

Colonel Sandurz: Just now.

Dark Helmet: When will then be now?

Colonel Sandurz: Soon.

https://www.youtube.com/watch?v=5drjr9PmTMA

5
lemmy.world

The One Trick That Jail Guards and Prison Wardens Don’t Want You to Know!

43

This place is horrible. I'm leaving a 1 star review (the toilet wine is pretty good) and going to check in somewhere else.
*stabs inmate to get transferred*

3
lemmy.world

Learning to deal with unpleasant people and situations is part of growing up. It's often better to grin and bear it, learn something for future you, then never go back.

OTHO, it's a valuable message. You don't always have to put up with the bullshit and should just bail.

So which is it? Well, figuring that out is an aspect of growing older and wiser.

39
IninewCrowreply
lemmy.ca

But why maintain bridges to places where you don't want to go?

32

An objectionable acquaintanceship may be reconcilable.

The person leaving might not be objective in a situation and might realize that they miss the metaphorical bridge.

A person you dislike might be a valuable resource in other ways beyond social (especially in the referenced example of a medical professional).

13

Things change. For example:

  • burn a bridge at a company w/ a terrible boss - boss leaves and is replaced by a much better manager, but you have no shot because HR is still pissed at you
  • burn a bridge w/ a date - you end up working with that date and they remember how rude you were and end up making things suck for you
  • burn a bridge w/ a doctor - doctors tend to be friends w/ other doctors, so other doctors may choose to not bring you on

That doesn't mean you should let people walk all over you, it just means a little professionalism goes a long way. If you can't stand your boss, give them a reasonable notice that you're leaving. If your date is late, send them a text saying something came up and can no longer wait for them. If your doctor sucks, thank them for their time and ask for a referral for a second opinion, or if they take too long to see you, tell the front staff to cancel your appointment on your way out.

You don't have to put up with nonsense, but you should handle it as gracefully as you can, because it doesn't cost you much and you never know if it'll end up mattering.

5

Because it's a small world. You could very well have to interact with former colleagues again or have your behavior shared with others.

2
grrgylereply
slrpnk.net

There are ways to extricate yourself without causing offense.

13
lemmy.dbzer0.com

I quit a toxic job a few months ago. Scariest thing I've ever done. Best decision I ever made :)

30
lemmy.world

It's easy to quit something toxic, but how do you quit something where all people are well-meaning and friendly and trying to help you, but you are autistic and they simply don't understand what that is? (And you also don't know you are autistic yourself yet)

That was my first uni where I dropped out at winter.

13
Glitchreply
lemmy.dbzer0.com

I feel you, I dropped out of community college twice before I learned enough about how my brain works to finally find a program I could complete. First quarter: 4.0, second quarter: 0.0. Both times :(

Wester Governors University, an online program, was perfect for me and my ADHD. I didn't finish quickly, or as cheaply as I had hoped, but I was able to finish.

2
lemmy.world

Yeah, I'm still almost there, literally have only the final thesis left.

It's Russia and online programs here are generally not very good, and this attempt is night school. But maybe I'll do that before turning 29, ha-ha.

2
THCDentonreply
lemmy.world

Right?! That shit IS scary. Crossing the fucking rubicon.

5
THCDentonreply
lemmy.world

I quit without a plan. I just knew I was done and that was that.

7

A couple years ago I rage quit a gaming session (during a break) with “Whelp, I’m gonna go do something I enjoy.”

My teammates understood. They were all very good at the game and I was not. I kept getting absolutely trounced, and was bringing them down with me.
It’s now sort of an in-joke/phrase we use unironically when the vibe is off but we still like our friends.

28

Nope. In medical, you educate and advise, the patient decides. Then it’s documented and you move on to the next patient.

In diabetes this is often seen as a foot that is now getting amputated after years of noncompliance with medical advice, but again, all you can do is educate. People decide their own actions for themselves.

10

My wife hates that I do this because it absolutely burns bridges, but fuuuuck these people

Doctor makes me wait 30-45 minutes 3 visits in a row? I'll walk that third time the second it hits 30m (you got charged for being that late so why couldn't I charge them after all?)

Job interviewer more than 5 minutes late? I'll get up and walk out of your building without escort, I remember the way. If you can't be on time to your own building, go fuck yourself

19

I was at the dentist today. Second time they made me wait more than 30 minutes. Aside from that they asked for a much higher payment than I agreed to just one week earlier.

I got up and told them I'm leaving and they can keep the money. The apologized profusely and convinced me to stay. They did get me in and out very quickly after that.

I doubt I will go back for the second half of the work.

Also happened when I took my 5 year old son to the dentist. The doctor's policy was that no parents are allowed on the treatment room. I told my son to get out of the chair and left. Turned out that dentist was trying to put fillings in teeth that would fall out before fillings were even needed.

11

I think the younger generations are much less likely to need this "advice" than previous generations, on balance.

16
lemmy.world

These posts always have some sort of hot girl in the corner who, despite being in such a small thumbnail, find a way to showcase their cleavage.

Is there a term for this?

14
lemmy.world

Only ever left a doctor's appointment mid-appointment once. The doctor said he doesn't believe some of my medical conditions don't exist and I wasn't dealing with that shit

13

Idk, running from unpleasant truths isn't great either, so be careful that you're not just shopping for a convenient diagnosis and instead looking for the truth. A second or third opinion is absolutely a good idea if you think your doctor is missing something (esp. if they refuse to run a test you think is necessary). Just remember that this goes both ways, so that doctor that tells you what you want to hear could be missing what the others have seen.

In other words, don't mistake hubris for confidence.

12
lemmy.world

I too would be confused by the amount of negations and not know what the fuck he actually said, so not understandabln't that you didn't leaven't

4

There's literally one extra word they put in there. Remove the "don't" and it'll be fine.

3

I wish I’d been able to do that. But she was still writing the script for my stimulants (continuation of care) so I just let her rant about adhd not being real because if I left I would’ve lost my job

2

This is a weird post. You might get charged anyhow and there might be other negative consequences of just walking out. I mean yeah I agree with the sentiment that you shouldn't have to put up with bullshit from doctors but in America at least you have to be a little more careful about it than just ghosting anytime you like. They have us by the balls and you don't change that by just ignoring the fact.

12
lemmy.ml

I just realized this recently. When you turn 18, nobody tells you that nothing is physically stopping you from walking out of whatever situation you happen to be in.

10

The schools have conditioned you not to for the past 12 years, why would they want to undo that?

7

The bailiff is the guy whose job it is to physically stop you from walking out. The judge is there to be judgmental.

5

Phone calls too.

I have a friend who just won’t let you hang up. I’ve started just hanging up as soon as I say bye and not waiting for the other person on all my calls.

4

I was amazed when we figured this out about movies. Movies is awful? You don’t have to stay and suffer. Just leave.

2

Is this the same chick that's dating Ben Affleck now? Anyway it's good advice.

2

Walking out? I thought it was from trying to see her chart... ehhhh you are probably right. It's been awhile. Uncle Leo with the eyebrows and Kramer as a Dr. were hilarious tho.

1
4amreply
lemm.ee

AWHOL

Absent With Hella Owl Lips

6