July 22nd, 2011 by StevenWilkinsMPH in Opinion
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“I don’t have the time…I don’t get reimbursed for that.” This is an all too common refrain from primary care physicians and practice managers when ever the subject of improving physician-patient communications comes up.
I get it. Primary care physicians in particular are under tremendous pressure to produce. Just imagine…physicians in small primary care practices spend about 3.5 hours/week just on dealing with insurance-related paperwork. Then there’s keeping up with recommended treatment guidelines, journals, and IT issues and routine staffing issues…not to mention routine patient care, much of which they in fact do not get paid for. Physicians do have it rough right now.
But Doctors Can Sometimes Be Their Own Worst Enemies
Currently, in just about every State, Read more »
*This blog post was originally published at Mind The Gap*
July 20th, 2011 by Lucy Hornstein, M.D. in Opinion
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62-year-old black man with a two inch (that’s inch; not centimeter) lump under his left arm. It is determined that he needs to have it biopsied in order to tell for sure what it is. The differential diagnosis includes a simple reactive lymph node, lymphoma, leukemia, granuloma, sarcoidosis, and several other more esoteric entities, all of which require tissue for definitive pathologic diagnosis.
The dialogue:
Patient Who Will Not be Reassured: What is it, Doctor Dino?
Me: We won’t know for sure until we get the report from the biopsy.
PWWNBR: But what do you think it is?
Me: I have no idea. We have to see what the pathologist says.
PWWNBR: Could it be cancer?
Me: It could be any one of several different things. Yes, cancer could be one of them, but there’s no way of knowing without the biopsy.
PWWNBR: Dr. Dino, do I have cancer? Read more »
*This blog post was originally published at Musings of a Dinosaur*
July 16th, 2011 by StevenWilkinsMPH in Opinion
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Come on people… you know what I am talking about. Sure you are comfortable with your current doctor… after all you are still alive and kicking. Besides it has taken you years to figure out what you can safely tell your doctor and when it’s ok to speak up. Yes the fact that your doctor is often late and never seems to listen to you bothers you just a little. But you aren’t displeased enough to stop giving your doctor high satisfaction scores. After all who wants to upset their doctor? But admit it; you have wondered if there isn’t a doctor out there that would be a better fit with you. I know I have.
Doctors probably feel the same way about many of their patients. It can’t be easy everyday trying to help patients that don’t seem to want to help themselves… or who want a quick fix from a bottle of pills. Not to mention patients who habitually miss their appointments and are generally non-compliant.
How Would Changing Doctor’s Help? Read more »
*This blog post was originally published at Mind The Gap*
June 21st, 2011 by StevenWilkinsMPH in Opinion
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While by no means a representative sample of how we think about physicians, there is a clear pattern to the comments. A lot of people feel disrespected by their doctors…and they are pretty angry.
Here’s what patients (including a lot of former patients) had to say. I attempted to summarize the comments by category and included the top five categories of comments below.
#1 – “Being on time is a two way street.” – patients are expected to be on time for their appointments – why aren’t physicians expected to be on time. Doctors think and act as if their time is more valuable than the patient’s time.
#2 – “Listen to what I have to say.” “Doctors should realize that many patients have more life experience and have done more research about a condition and drug and may possibly know more than them. God forbid!” “If you do not like listening to your patients and getting proper information from them, you are in the wrong business.”
#3 – “Don’t just hear one or two of my complaints.” You try telling the doctor all the problems you have and the doctor stops you mid-way, telling you that he or she will take care of two and to come back again for other issues!” “What about someone like me who is on disability for a multitude of health problems? What then?”
#4 Read more »
*This blog post was originally published at Mind The Gap*
June 13th, 2011 by admin in Health Tips
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In today’s fast-paced world, waiting — whether it’s at the doctor’s office, in line at the grocery store or for an Internet connection — is rarely considered a good thing.
But when it comes to certain medical conditions, delaying treatment while regularly monitoring the progress of disease — a strategy doctors refer to as “watchful waiting,” active surveillance or expectant management — may benefit some patients more than a rush to pharmaceutical or surgical options.
Patients want to know what they’re waiting for, says urologic oncologist E. David Crawford, MD, chairman of the Prostate Conditions Education Council and associate director of the University of Colorado Comprehensive Cancer Center.
The purpose is to watch in order to see whether a condition progresses. That way, patients and physicians know what kind of threat a disorder poses and they can make a better decision about how urgently treatment is needed. Some people might never need treatment, for instance with a slow-growing cancer. Other people can delay treatment for months or years.
Precancerous conditions may also be monitored with active surveillance. One example is Read more »
*This blog post was originally published at Prepared Patient Forum: What It Takes Blog*
I get it. Primary care physicians in particular are under tremendous pressure to produce. Just imagine…physicians in small primary care practices spend about 3.5 hours/week just on dealing with insurance-related paperwork. Then there’s keeping up with recommended treatment guidelines, journals, and IT issues and routine staffing issues…not to mention routine patient care, much of which they in fact do not get paid for. Physicians do have it rough right now.
