Co-existing with your Doctor? - Page 2

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Co-existing with your Doctor? - Page 2


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Old 01-24-2012, 00:10   #11
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GPs and internists know a little about a lot of things (or should), but not a lot about any one thing, unless they have patients with that thing. It's more the attitude than the knowledge. As an intelligent and curious, and determined diabetic, I should know more than the doctor because I live with this.
My Dad used to say a GP was a "Jack of all trades and Master of none". He might have been right.

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Old 01-24-2012, 00:29   #12
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Strawberry, after all GP stands for General Practice which means they must know something about all sorts of conditions. I personally use one and am fast to ask for a referral if I have any doubt about something and generally ask for the specialist i've already picked out. Frequently they only know a few, so I do my homework before asking for a certain one.




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Old 01-24-2012, 00:30   #13
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When I met with the doc, I'd tell her I asked for this appointment because I'm trying to find a doctor who shares my belief that I'm ultimately responsible for my own health and the role of the doctor is consultant:
  • If she seems to agree with that, I'd ask her how she sees it working in practice. How will she feel about taking appointment time to discuss things I've read so I can become more educated? How easy or hard is it to reach her by phone? What does she want from a patient-partner?
  • If she balks at being a consultant, rather than God and guru, I'd ask why. I'd want to make sure she understood what I was saying so I'd know we really do have a fundamental disagreement. If so, I'd thank her for her time and get the heck out of there.

I might also go over some of the answers to the questions I asked of the office staff, especially the ones about whom I see if she is out and using a hospitalist, which is something I'm wary about.

Now I think I'll call my daughter and ask her if anyone has ever done this to her, and what she'd think if they did. I did it without thinking much about it; it just seemed reasonable to me.
This is a great strategy; organized and to the point. I have an appointment with an internist this Thursday as I need a new doc. The concept of needing someone to help you take care of yourself; someone to discuss things will is essential for me. I would add that she will have to be willing to communicate by email too, because I want direct and quick answers without appointments and without phone tag. The first one I'm seeing is a relatively new hire and so doesn't have ton's of experience, so I'm hoping that she too will be of the mindset that we will learn about this together.

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Old 01-24-2012, 00:32   #14
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Okay, just got off the phone with my doctor daughter. She said this hasn't happened to her yet (this is her first year as an attending) but she's open to the idea of being interviewed. She would charge for a consult. She wants a relationship with her patient, which means to her that patient education and discussing options are good, but if you're not going to follow her advice, you "better have a darned good reason why."

For the record, she's an OB/Gyn doing a fellowship in maternal-fetal medicine, so she works with high-risk pregnancies, where her expertise and medical intervention and are necessary for a good outcome. For regular deliveries, she says that she's "not even needed 90% of the time."

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Old 01-24-2012, 00:39   #15
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but if you're not going to follow her advice, you "better have a darned good reason why."
Sounds like your young 'un might be a chip off the ol' block . . . is she?




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Old 01-24-2012, 00:42   #16
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GPs and internists know a little about a lot of things (or should), but not a lot about any one thing, unless they have patients with that thing. It's more the attitude than the knowledge. As an intelligent and curious, and determined diabetic, I should know more than the doctor because I live with this.
The day my doctor gave me the diabetes diagnosis, she said to me 'You'll soon know more about this (diet) than I do, because I'm not diabetic.' And she listened to me when I told her what I was doing about diet. And was impressed with my BG log. She does only bulk-billing (Australian Medicare) and when you walk in, you get as much of her time as you need. So you will only ever get an approximate time for your appointment, which you can only make on the day. If you want to see her without much of a wait, you have to be there when the receptionist opens up. I've noticed when I've done this, that she shuffles the cards a bit and has called me in earlier than some others who were ahead of me in the queue, and has also called me in later than others who got there later. In that case, I knew the patient she called in earlier and she is very ill. So while she's not perfect, she's pretty good and approachable. Her regular patients adore her.

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Old 01-24-2012, 00:49   #17
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I think good doctors are few and far between. I feel you have to be comfortable with your doctor. My parents doctor just turned his practice into a VIP practice. He went from over 2500 patients to under 500. So my parents have to pay an addition $1500 for access to him. He vows to spend longer with each patient and will even do home visits. I fear this is where our health care system is going. Since Medicare doesn't pay enough reimbursement these docs are forced to do things like this. I took my mom to visit this doctor last month and he did spend almost an hour with her and her appointment this month will be a home visit at her Assisted Living facility.

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Old 01-24-2012, 01:48   #18
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Sounds like your young 'un might be a chip off the ol' block . . . is she?
Busted. I'd claim she takes after her daddy, but no one who knows the two of us would believe me.

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My parents doctor just turned his practice into a VIP practice. He went from over 2500 patients to under 500. So my parents have to pay an addition $1500 for access to him. He vows to spend longer with each patient and will even do home visits. I fear this is where our health care system is going.
My daughter is considering something like this; she calls it "concierge medicine." She would have a small number of patients (~100, all in different stages of pregnancy), charge a flat but hefty fee, and be available 24/7. I'm not sure I like the sounds of it, but she doesn't listen much to her old mama anymore.

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Old 01-24-2012, 22:03   #19
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I realized after reading the various posts that one of the reasons I have trouble co-existing with my doctor is that I am afraid. Some of us carry a fear of visiting the dentist. Not only am I afraid of the dentist, but for some reason I am very much afraid of doctors as well.

I wasn't always like this. I can remember as a young adult having a Family Doctor who actually knew my name and spoke kindly to me. What happened through the years I'm not actually sure. All I know is now when I have an upcoming Dr. appointment, I get a migraine headache and the anxiety level climbs considerably. I don't know how to get past this fear.

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Old 01-25-2012, 04:01   #20
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I realized after reading the various posts that one of the reasons I have trouble co-existing with my doctor is that I am afraid. Some of us carry a fear of visiting the dentist. Not only am I afraid of the dentist, but for some reason I am very much afraid of doctors as well.

I wasn't always like this. I can remember as a young adult having a Family Doctor who actually knew my name and spoke kindly to me. What happened through the years I'm not actually sure. All I know is now when I have an upcoming Dr. appointment, I get a migraine headache and the anxiety level climbs considerably. I don't know how to get past this fear.
You are not the only one. I too get extremely anxious about upcoming doctor appointments. Just last night I had a nightmare about it going sour, ending with me near dead and admitted to a hospital... Freaked me out!

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