doctors

All posts tagged doctors

The doctor will see you now…NOT!

Published February 10, 2017 by lynn k scott

No one in today’s world can question the reality that the face of your medical care has changed.  With new laws, requirements, insurance requirements and medical office billing, trying to see “your” doctor isn’t always your choice.

Whether you have a chronic medical condition or just need to be seen for newly developed symptoms, making an appointment isn’t as easy as it used to be.  In today’s world, the emergence of Nurse Practitioners (NP) and Physician’s Assistants (PA) are the new “in” thing.

“Hi, I’d like to make a doctor’s appointment”.

Seem’s like a simple enough request.  After all, most of us are pay enormous premiums and/or copays for the privilege of a doctor to spend 10 minutes with us.  That’s in addition to two or three patients being scheduled for the same time slot so the doctor doesn’t lose any money, should there be a cancellation.

“Sure, you there is an appointment with Jean Smith at 3:30.”

There you go…your appointment…WAIT!  Where was the word “doctor” to go with that name?  Ahh…did you catch that too?  That’s because in this case, you won’t be seeing a doctor; but a PA instead.

Awesome.  No, not really.  I already have issues with doctors “practicing” medicine.  If I’m going to drop $45 on an appointment that a General Practitioner wasn’t able to resolve, why in God’s name would I entrust an on-going, chronic issue, to someone who isn’t even a board-certified doctor?

I don’t have the flu and I don’t need a throat culture performed.  I need a real diagnosis, made by a doctor, that will resolve my issue; the first time around.  “Oh, sorry, there are no doctor appointments available then”.  Don’t you just love the system?

Truth be told, PAs and NAs are half the price of a real doctor.  They are in even in the specialist’s office…the specialist!  Someone who may, or may not, have done any clinical work, who is now entrusted to see, diagnose and treat you, independent of a doctor reviewing their work.

Does that leave you with the same lack of confidence it does for me?  So, what are the other options?  Urgent care…yea..seeing a doctor, at double the cost of your primary’s copay only to refer you to your primary doctor.  The emergency room.  You’re in pain.  You have severe symptoms; chronic symptoms…just go to the emergency room.  Sure all the testing will be done right then.  You’ll be lucky if you only walk out owing about $2,000 as your portion of this wonderful care provided by your insurance.

All this, because carriers and medical offices prefer using under-qualified medical personnel instead of having you treated by a physician of your choosing.  After all, it’s only your hard-earned dollar that is footing this medical nightmare, right?

If you’re vegan than you are neglectful

Published April 6, 2015 by lynn k scott

If you’re vegan than your neglectful?  Did I just say that?  Did I just infuriate an entire dietary population?  No, because I don’t believe that.  I am doing exactly what a headline did because a pediatrician in Florida seemed to have a communication breakdown with a new mom regarding her newborn baby.

The article and video in this link illustrates to me just how judgmental and abusive those in power, such as doctors, can be. When a 12-day old baby was brought in for a checkup, the doctor wanted the baby to have a formula supplement because of a latching issue caused by a tongue defect.  When the mother raised concerns she was a strict vegan and a needed non-animal supplement for the baby, the emergency room was the option the doctor insisted on.

It begs the question why the doctor didn’t give the mother a soy-based formula, which is vegan safe, and let the infant have a bottle in the office?  Did the doctor get uppity because the mother of the newborn dared to question something that went against her dietary belief?  Did the mother not have the right to choose to spend $30 (give or take) at the grocery store on soy-based formula instead of getting raped in the emergency room with their ridiculous fees to provide the same treatment the mother was planning to do at home?

Was it necessary to arrest the mother for doing exactly the same treatment at home?  Oh wait, she disobeyed a doctor’s suggestion.  While failure to thrive and dehydration are serious issues for an infant, it was suspected, according to the article. The doctor didn’t give the mother a chance to give the baby a soy-formula bottle to see if that would help the situation.  Had the mother been able to see another pediatrician, perhaps a less judgmental one, this entire situation could have been avoided.

The fact that the mother was keeping check-up appointments, seeking another opinion and doing what the doctor suggested, just not in the manner the doctor would have preferred, shows she was not neglectful.  I am in the minority, according the comments on the article, that side with the mother.

I personally hope this doctor is sued, loses his practice and learns he is not god.  He doesn’t get to enforce his suggestions as law.  This doctor obviously did not agree with the vegan mother.  The article tried to tie the two situations together, which really had nothing to do with each other.  Vegan breast milk is the same as any other breast milk.  A tongue defect preventing latching while breast feeding will still be an issue regardless of the mother’s diet.

While I personally could never follow a vegan lifestyle, I did follow a vegetarian one for almost a decade.  It’s not for the medical profession to decide how you should eat.  After all, if that were the case, McDonald’s and the like would be out of business by now.  They should advise all legitimate avenues and then allow sound-minded individuals to follow what they feel is best.  This doctor’s overstepping stripped a mother and child of 5 months of bonding time.  That is inexcusable simply because she just didn’t wouldn’t do exactly what he said, in the time frame he said it.

Establishing Appointment: I call BS!

Published March 16, 2015 by lynn k scott

No secret I don’t play nice with those in the medical field.  Ironically, I have several close friends who hold medical positions. I just never utilize their facilities.  So if you’re offended by those that bash the medical community, you might want to skip this particular post.

Dear Doctors:

I FINALLY managed to make a damn appointment after 30 minutes on the phone because of your office procedures which are in direct conflict with the carrier’s policy. I’m tired of this “establishing appointment” shit. You are not the doctors of yesterday. Your clinic mentality does more harm than good. You barely know your patients because you are rarely in the office. You allow your cohorts to pick up your slack.  The increase in scripts, potentially dangerous combinations, not treating the root of on-going symptoms and most of all, not even knowing the patient’s name before entering the room.  Where is the trust bond?  It never existed because you flip patients faster than houses are flipped in Vegas.

Patients rarely end up with the doctor you “establish” with anyway. You up and change practices like us little people change shoes or are constantly unavailable and we get stuck with whomever is available.

Yet, a meet and greet appointment isn’t going to change the fact I’m not telling you shit. It’s need to know and you only need to know what I am there for. My medical history is my business til I deem it necessary that you need to know. This appointment is strictly to have a test ordered and then I will see an Internal Medical doctor, which costs more to see. Why should I pay you $25 to order a stupid test. Why should I go in at all when the same information I will give you in person can be given over the phone?

Family medical doctors are strictly a means to an end. When I need something that any doctor can do, then you’re worth the $5 copay. When I need a real doctor, who can’t relay on Nurse Practioners to do their job, I see someone in Internal Medicine. Another benefit of that is there are less kids at their facilities.

I’m sorry, I have enough anxiety just making and attending appointments, I cannot deal with other people’s kids during this time. My patience starts at nil when I need to go to the doctor. I also stand less of a chance of catching whatever the kid has because most of the issues that internal medicine deals with aren’t contagious.  You love your open floor plans, yet don’t have the foresight to separate those sick with those who are well.

Health “care” – biggest damn scam on the planet.

Go ahead…say it…I already know I”m a bitch. I’m ok with it. I will always despise doctors until one gets off his/her ass and proves they give a shit about what they do for a living.

Lucy…you got some ‘splainin to do

Published March 5, 2015 by lynn k scott

Without anyone else to walk me through the hellacious insurance nightmare, I figure Lucy could provide a better explanation than what’s been offered so far.  This is today’s exercise in futility.

  • My plan hardly has any providers – still getting those set up (4 months later…sigh)
  • We’re going to be borrowing providers from an established plan – week late on that being done….(sigh)
  • Given a name to a specialist – as my plan is able to authorize referrals without a PCP. Yet, the provider refuses to set appointment without PCP referral (catch 22 much?)
  • I don’t have a PCP because there aren’t any providers setup in my area yet (see the first two line items)
  • PCP (if available) doesn’t handle my issue – so I’m supposed to waste $25 plus lose time from work ($$$) to see someone to write a damn referral for something they don’t address, to someone who won’t see me without referral from someone not qualified to assess my issues?

So Lucy, I say again….you’ve got some ‘splainin to do.

NOTE:  If anyone would like to take on the roll of Lucy, please feel free to entertain me.  It’s really almost laughable at this point.

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