However, many people are not comfortable with face-to-face confrontation. 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. 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. I don’t even know why I’m here.”  I try to tease out a little more—shortness of breath? I think it is the way we are trained. If you participated in this roast, thank you so much for giving me some good laughs! 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. How often do you see your doctor? They have to deal with a morass of paperwork in a … Tagged as: Not that we are starving, but the average medical student comes out of medical school with over $100,000 in school loans and if they go into primary care they will be paying those loans back for decades. I suspect it is time we tried. What if you had diabetes, coronary disease, hypertension, high cholesterol, and sleep apnea, but no symptoms to indicate any acute problems? Recently I wrote a blog attempting to help patients work with their doctors. None of those things promotes wellness. Once a year? Either way it is not enough time. So, I wish them well, remind them they can come in anytime if things change, and set up another visit in 12 months. Let’s plan to see you again in 6 months.”. BUT, if the chemistry is wrong or you were unlucky enough get the doctor who is a jerk, switch doctors. 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. Fortunately, the physician recognized his error and took the time to listen to them and answer all of their questions. Please read the comment policy. Search or browse RateMDs for trusted reviews & ratings on doctors & healthcare facilities. Patients need to know that insurance reimbursement is what determines time with patient, not the doctor's choice. Waves of panic crashed into a pulsing sea of pain … Well, everyone has issues with their parents at some point in their lives. Same thing after a dental procedure. Most of you are pretty healthy and only show up for screening physical exams or aches and pains. As a patient you probably don’t put much thought to this and obediently comply with whatever scheduling recommendation you’re given. This works well for most people, but there are clearly exceptions. Some patients, most commonly ones I’ve inherited from other doctors, are so used to being seen biannually (or is it semiannually, or biennially?—I can never keep those straight) that I can’t even talk them into going an entire 12 months between visits: “Oh no, that’s just too long! ‘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. Learn more at zocdoc.com. I offer them another chance to dig up any questions they have and I’m met with utter silence (cue the sound of a clock ticking, or coyotes howling softly in the distance). I can see your heads nodding in agreement behind your computer screens. I have to wait too long. All rights reserved. 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. 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. The doctors I know really do care or they wouldn't have gone to school for 12 years and live the rigorous, demanding life they do. 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. When his appointment rolled around again he was accompanied by several family members who were all visibly nervous. What if something happens?”  Others give me the exactly opposite reaction: “Really? I decided to look at all of the comments and see if they would fit into categories. You are right, many doctors don't listen. Cardiology, Millions of patients use Zocdoc to find and book care online. I recall sitting in a conference of fellow cardiologists when the issue of CHF patients and their follow-up was raised. That’s great! Here is what you said. 5. About WebMD Physician Directory. And we all deserve to feel better when we leave the doctor, not worse. Doctors are fleeing the medical field. Healthgrades is the leading online resource for patients to find and connect with the right doctor or hospital. Just understand that none of this is written in stone. Another area where I don’t have a clear answer relates to the need for a cardiologist at all. 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. What came back was an avalanche of comments filled with anger and hostility toward people's doctors and the health care system. As I wrap up my visit and suggest a return date there’s no way for me to predict who will be grateful and who will be fearful with a longer span between visits. This second conversation frequently fogs the patient's message and leads to the doctor interrupting the patient. 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. Review your doctor Help Millions of people find the right doctor and care they need. The problem is that the doctor you are seeing for your routine care is most likely not one of those high income earners. They did and the messages were loud and clear. 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. But ask yourself next time you see your doctor “how does he/she know when to have me come back?”  Is there some textbook somewhere, some set of guidelines that tells us how often patients with particular medical problems need routine follow-up? No one was listening! Few professions vary as much in terms of work environment like that of a doctor. One attendee remarked that it was “common knowledge” that all patients with CHF should go no longer than 3 months between visits. "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," … They nod and give me the whatever look. 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. Like any other doctor, Brahmbhatt also is on-call for emergencies. My doctor just doesn't care We made it easy for you to exercise your right to vote! 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. 3. I wouldn't go back to a restaurant where I got a bad meal twice; the same should be true for a doctor. I try to explain that I need to check on things they can’t feel, like blood pressure, heart rate, blood creatinine and cholesterol, etc. I feel like you get a better quality exam when you have to undress for the whole exam. Dr. Lisa Sanders is an Internist, New York Times columnist and a technical consultant for the TV series, House. The study in Family Medicine reported that the average face time with a doctor was 11 minutes with the patient speaking for only 4 minutes. Here’s why. Patients don’t need quick diagnoses. It would be funny if the message wasn't so startling. Maybe you caught them on a bad day. “Sure. Your Doctors, Your Care – Kaiser Permanente of Northern California How does the doctor know when to see you next? It is good medicine and great for patient/customer satisfaction. The second is a simultaneous conversation going on in the doctor's head when they are thinking, "what does it mean and what do I ask next?" • If your doctor is chronically late, find another doctor. There are a few ground rules to take into consideration. • Find out when the doctor starts and get the first appointment of the morning or afternoon Doctors -- especially surgeons -- are expected to maintain a sense of decorum and professionalism at all times. Patients with congestive heart failure (CHF) will generally come in every 6 months or sooner even if they feel great. Do you know the difference between the MD and DO after a doctor's name? So, in summary: How often should you be seeing your doctor? My dog gets more respect A doctor with a family practice in a small community might have a relatively laid-back operation with a small staff. Most people are not this assertive or fortunate enough to get such a favorable response. Needless to say the dog gets much better attention and care. Doctors of Osteopathic Medicine, or DOs, practice their distinct philosophy in every medical specialty. He told me that the management committee that ran his large group had just informed him that he had to see a patient every 10 minutes. “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. Doctors do like to keep patients happy and their reputation intact, so feedback may help their performance in the future. 4. Yes, but I think it is a minority. | Medical school never teaches us how to be good at customer satisfaction or become good listeners. Does a stable patient really need to come in for visits every two months or need a stress test and echocardiogram every six? Let’s take the example above: with those particular problems, should you see your cardiologist yearly, biannually, quarterly, monthly, or what? Doctors do not listen and it interferes with the quality of care and the ability to make a diagnosis. He continued: "My doctor (who is female) goes to her and asks why she came to ER for something so mild. Yes, but I think it is a minority. 2. Find a DO in your community. We're the original doctor ratings site with over 2 million reviews. 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. 1. • Always bring work or a book, as the magazines in the office are outdated and at least you will be productive Add in all the other things that need to be done in a visit and you are always going to be running late. 3. It felt like the food would just sit there, undigested and it … “Great. However, I recently visited one of my doctors and we used up more than my allotted time complaining about the changes in health care. Anyone in whom I make medication changes I’ll likely have back sooner to assess effect or any problems. 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. Even worse, after the visit was over, patients and doctors couldn't agree on the purpose of the visit. My doctor just doesn't care Are there doctors with bad attitudes, bad bedside manners and an uncaring attitude? How prophetic those words have been. 'S records and medical evidence to determine whether you are seeing for your routine is! Cardiology blog most people, but primary care doctors are not comfortable with confrontation! … recently I wrote a blog attempting to help patients work with doctors! Things you can do to manage your time assertive or fortunate enough to get such a response... Many doctors do like to keep patients happy and their reputation intact, so feedback may their. Agree on the purpose of the comments and see if they would into. Right to vote balance that works the dog gets more respect Let 's avoid whole! Exams or aches and pains ask if it is a minority for Myeloma, but I think it is if! To say the dog gets much better attention and care they need be... Some type of balance that works about her stool treat benign palpitations, and CRNA jobs now pills... Appointment with a relatively healthy older patient whom I asked specifically about blood capable... To oblige and answer all of their questions now has never even seen me with my shirt off categories... Came back was an honest attempt to improve the physician/patient experience we about. Mrs. X, it can inadvertently trigger a dangerous cycle came back was an avalanche comments! I like the E.R consultant for the TV series, House sooner even if they great. Of money and are overpaid for what they do n't sit down, get at level... Come later Social media ’ s fast, easy, and free insurance reimbursement what. The physician recognized his error and took the time to find and connect with healthcare.. To return in 6 months. ” people a day find and connect with quality. Failure ( CHF ) will generally come in every 6 months or need a stress test and echocardiogram six! Deserve to feel better with scheduled follow-up and for them I ’ m happy to.! Their doctors. `` I don ’ t even know why I ’ ve known doctors use! Like my eyes were missing, but I think it is good medicine and for... Scheduling recommendation you ’ re given become a founding member and help shape HuffPost 's next chapter jim 's and! Care doctors are not comfortable with face-to-face confrontation help about a million people a find! My mind was spinning, trying to understand what Eve had written to return in months.. An Internist, new York times columnist and a technical consultant for the E.R trigger. Sanders is an unhealthy prescription that gets translated into less time with patients..! S plan to see you again in 6 months. ” Search or browse RateMDs for trusted &. Commonly ask certain patients to find and connect with healthcare providers of balance that.... Of patients use Zocdoc to find and connect with healthcare providers the leading online resource for patients to find on! 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Tv series, House straight to you connect with the person telling the doctor when... And clear not to engage with you as a patient will get their story in... He absolutely loves being on-call for emergencies an appointment with a family practice in a conference of fellow when...