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Started By
Message
re: Family’s had really bad luck with Dr.s recently, job too hard now?
Posted on 10/1/19 at 8:26 pm to LSUERDOC
Posted on 10/1/19 at 8:26 pm to LSUERDOC
I never once implied Dr.s aren’t the absolute best people to treat us, my OP was just an ‘is there an explanation why my luck seems poor’ post. Are there underlying issues, or is the expectation, or judgement on lack thereof. of quality based on hindsight?
I got the x-rays from the ortho today, ahead of my 2nd tomorrow, and sent it to a friend. His verbal explanation of the findings are humbling. Off of screen captures. I could understand a super-collider physicist before a radiologist.
I got the x-rays from the ortho today, ahead of my 2nd tomorrow, and sent it to a friend. His verbal explanation of the findings are humbling. Off of screen captures. I could understand a super-collider physicist before a radiologist.
1
Posted on 10/1/19 at 11:48 pm to Gaston
It really is a scary situation,I don’t know what the answer is.I find it depressing considering U.S. is supposed to have the best medical care in the world.I am constantly hearing stories from friends and acquaintances of wrong diagnosis or missed diagnosis.
It’s happening in my family also.In January this year my grandson injured his shoulder,orthopedist who is very well respected diagnosed him with shoulder “strain” and prescribed physical therapy.My wife( the NP) wasn’t satisfied due to the severity of his pain and other symptoms.She got him into see a neurologist,he did nerve conduction study and MRI and he had brachial plexus nerve injury.It was stretched,not torn thank goodness.He absolutely didn’t want him to do the physical therapy as it was prescribed.
Neurologist said he expects him to make full recovery but could be 1-2 years.He seems to be recovering slowly but surely,
Then my nephew having severe ankle pain,orthopedist recommended surgery.He asked me my opinion of the orthopedist,I assured him he was good.He has surgery,but several months later his ankle still hurting.So he sees orthopedist in Shreveport who tells him dr, only fixed part of his problem,so now he is going to have another surgery.Ankles are pretty complicated but I feel like a fool for vouching for the surgeon.
As far as Gaston’s fathers issue with the EKG,I think I know what happened.I was having surgery and had pre-op EKG late afternoon.Girl drops EKG in basket for the dr.to read,so I asked her to let me look at it.Computer printout at bottom says abnormal EKG,it looked crazy to me.I called my wife (the NP) to come look at it.She says the limb leads are reversed and tells the girl to repeat it.This time if it was normal.Thing is,cardiologist probably wouldn’t have read it until next day after my surgery.So if indeed my EKG had been abnormal because of cardiac issue I might have been in trouble.
The tech obviously hadn’ t been trained properly.A cardiologist doesn’t rely on computer interpretation on bottom of EKG but if it says abnormal she should have brought it to someone’s attention,As far as the concern she showed,she might as well have been doing EKG’s on a potato.
All this being said ,I don’t think making NP’s and PA’s independent practitioners is the answer.They only get a fraction of the training MD’s get,the good one’s I know had years of experience before starting NP program.Many of them now spend 1 year in hospital,then go to graduate school.
I think insurance companies are much to blame,Many Dr.’s are now employees and are under pressure to see as many patients as possible in a day.
I hope things get better.
It’s happening in my family also.In January this year my grandson injured his shoulder,orthopedist who is very well respected diagnosed him with shoulder “strain” and prescribed physical therapy.My wife( the NP) wasn’t satisfied due to the severity of his pain and other symptoms.She got him into see a neurologist,he did nerve conduction study and MRI and he had brachial plexus nerve injury.It was stretched,not torn thank goodness.He absolutely didn’t want him to do the physical therapy as it was prescribed.
Neurologist said he expects him to make full recovery but could be 1-2 years.He seems to be recovering slowly but surely,
Then my nephew having severe ankle pain,orthopedist recommended surgery.He asked me my opinion of the orthopedist,I assured him he was good.He has surgery,but several months later his ankle still hurting.So he sees orthopedist in Shreveport who tells him dr, only fixed part of his problem,so now he is going to have another surgery.Ankles are pretty complicated but I feel like a fool for vouching for the surgeon.
As far as Gaston’s fathers issue with the EKG,I think I know what happened.I was having surgery and had pre-op EKG late afternoon.Girl drops EKG in basket for the dr.to read,so I asked her to let me look at it.Computer printout at bottom says abnormal EKG,it looked crazy to me.I called my wife (the NP) to come look at it.She says the limb leads are reversed and tells the girl to repeat it.This time if it was normal.Thing is,cardiologist probably wouldn’t have read it until next day after my surgery.So if indeed my EKG had been abnormal because of cardiac issue I might have been in trouble.
The tech obviously hadn’ t been trained properly.A cardiologist doesn’t rely on computer interpretation on bottom of EKG but if it says abnormal she should have brought it to someone’s attention,As far as the concern she showed,she might as well have been doing EKG’s on a potato.
All this being said ,I don’t think making NP’s and PA’s independent practitioners is the answer.They only get a fraction of the training MD’s get,the good one’s I know had years of experience before starting NP program.Many of them now spend 1 year in hospital,then go to graduate school.
I think insurance companies are much to blame,Many Dr.’s are now employees and are under pressure to see as many patients as possible in a day.
I hope things get better.
Posted on 10/2/19 at 2:48 am to cwil177
quote:
IMO they have no place in acute care medicine. Especially not unsupervised. Coughs and colds only. Or specialized clinics such as ortho, derm, etc. When providers don’t know what they don’t know that’s when people get hurt, or worse. CMGs push mid levels because they are cheaper but if you are content with your family member going to an emergency room and seeing a PA or NP instead of a doctor you are sorely mistaken.
NP's have a place and can definitely handle acute care medicine. But the training should be more rigorous and a high level experience should be required before an RN becomes an NP. Right now standards are definitely too lax and you have schools pumping out grads that aren't ready.
Posted on 10/2/19 at 2:58 am to Gaston
Half of them were in the bottom half of their class.
Posted on 10/2/19 at 4:35 am to Gaston
Had a GP who was flat out dangerous......and people love him. While he has a good personality, his understanding of pharmacology is horrendous.
Wife’s pharmacist friend saved my arse from guidance he gave me.
After that, done.
Wife’s pharmacist friend saved my arse from guidance he gave me.
After that, done.
Posted on 10/2/19 at 5:17 am to Gaston
Government paper work. Obama really did a number.
The older ones can't staff enough people to handle that shite, so they just retire or go work for a bigger company that can handle it. Quality of work goes down because they only care about the quantity of patients coming in and out.
The older ones can't staff enough people to handle that shite, so they just retire or go work for a bigger company that can handle it. Quality of work goes down because they only care about the quantity of patients coming in and out.
This post was edited on 10/2/19 at 5:22 am
Posted on 10/2/19 at 5:23 am to Gaston
The biggest problem in our healthcare system is not the physicians.
It’s the attitude of our general population. It is near impossible to hire quality front office staff, clinical support staff, and clinicians as well (MD, NP, PA)
Mistakes happen in medicine. They happen everywhere. But they should never happen more than once. If they occur, you should put a system into place that ensures they never recur.
I have to remind staff everyday that we (a medical clinic) do not work at Taco Bell. We are responsible for people’s lives.
Accidents are unacceptable. Complaining about how hard you work is unacceptable.
Putting something off until tomorrow is unacceptable.
You do things immediately, you double check it, and you do it with joy in your heart and a smile on your face. Because you get the opportunity to make a huge difference in someone’s life. (The patient)
Many people can’t work with me because they think my demands are too extreme and I care more about our patients than I do about the staff. I tell them they are correct and that if they are ever suffering as much as one of the patients, I would care for them just as much.
It’s the attitude of our general population. It is near impossible to hire quality front office staff, clinical support staff, and clinicians as well (MD, NP, PA)
Mistakes happen in medicine. They happen everywhere. But they should never happen more than once. If they occur, you should put a system into place that ensures they never recur.
I have to remind staff everyday that we (a medical clinic) do not work at Taco Bell. We are responsible for people’s lives.
Accidents are unacceptable. Complaining about how hard you work is unacceptable.
Putting something off until tomorrow is unacceptable.
You do things immediately, you double check it, and you do it with joy in your heart and a smile on your face. Because you get the opportunity to make a huge difference in someone’s life. (The patient)
Many people can’t work with me because they think my demands are too extreme and I care more about our patients than I do about the staff. I tell them they are correct and that if they are ever suffering as much as one of the patients, I would care for them just as much.
Posted on 10/2/19 at 5:26 am to Gaston
You could have worded this better
Posted on 10/2/19 at 5:35 am to jeffsdad
quote:
From someone in healthcare
I don't believe you are directly involved in "healthcare"
quote:
Unless u know the doc is great it’s better to get a NP. Much more careful and don’t have a god complex. PS anytime my life needed saving it was the nurses, not the doc that did it.
Hope your NP is on call next time you need life saving surgery.
Posted on 10/2/19 at 7:50 am to dgnx6
quote:
Government paper work. Obama really did a number.
Clueless.
Posted on 10/2/19 at 8:17 am to Gaston
finding a good herbalist would help
Posted on 10/2/19 at 8:25 am to dukee7
quote:
But in no way shape or form am I as intelligent in the medical field as you are
Intelligence and education/training are different, but I get your condescension. Would be no different than the numerous overly confident yet ignorant NPs I have worked with in the past.
Posted on 10/2/19 at 8:28 am to cwil177
quote:
When providers don’t know what they don’t know that’s when people get hurt, or worse.
"You only find what you are looking for and you only recognize what you know."
Posted on 10/2/19 at 8:38 am to LSUA 75
quote:
orthopedist in Shreveport who tells him dr, only fixed part of his problem,so now he is going to have another surgery.
Of course a new surgeon is going to recommend another surgery...it's literally how he gets paid. Doesn't matter if he actually needed it. The previous surgeon probably decided to allow the "missed injury" to heal without surgery.
There are other explanations rather than the doctor is an idiot.
quote:
if it says abnormal she should have brought it to someone’s attention
I look at many EKGs every day. Out of every 100 I see, there are maybe 5-7 that the computer reads as NORMAL. An abnormal EKG is basically meaningless. It is the computer's result based on input algorithms/values.
Posted on 10/2/19 at 8:39 am to fargobison
quote:
NP's have a place and can definitely handle acute care medicine.
They should not be practicing in acute care without direct supervision. If they wanted to function as an MD then they should have went to med school/residency. Period.
Posted on 10/2/19 at 8:42 am to SECdragonmaster
quote:
The biggest problem in our healthcare system is not the physicians.
It’s the attitude of our general population. It is near impossible to hire quality front office staff, clinical support staff, and clinicians as well (MD, NP, PA)
Mistakes happen in medicine. They happen everywhere. But they should never happen more than once. If they occur, you should put a system into place that ensures they never recur.
I have to remind staff everyday that we (a medical clinic) do not work at Taco Bell. We are responsible for people’s lives.
Accidents are unacceptable. Complaining about how hard you work is unacceptable.
Putting something off until tomorrow is unacceptable.
You do things immediately, you double check it, and you do it with joy in your heart and a smile on your face. Because you get the opportunity to make a huge difference in someone’s life. (The patient)
Many people can’t work with me because they think my demands are too extreme and I care more about our patients than I do about the staff. I tell them they are correct and that if they are ever suffering as much as one of the patients, I would care for them just as much.
Agreed.
Posted on 10/2/19 at 8:56 am to LSUERDOC
I was damn glad to see the ER doc earlier this week when I had my kidney stone issue.
Posted on 10/2/19 at 8:58 am to chinhoyang
quote:
kidney stone issue
Not life threatening...but pretty painful, so I hear.
Posted on 10/2/19 at 9:06 am to nvcowboyfan
quote:
As a 50 year old physician who has been practicing for 22 years now I will tell you the truth - the overall quality of my profession has gone down. Why, you ask? It's not paperwork (with an EMR I actually do less than I did 20 years ago). It is because of affirmative action.
When I was in medical school, 10 out of 160 students were AA. None of them were from the caliber of of undergraduate schools as the rest of them class (they were mainly from HBUs) and none of the 10 finished medical school compared to only 1 out of the other 150. Several years ago I was asked to be on the admissions board of the medical school that I am affiliated with and I declined after I saw that both minorities and women had lower admissions standards.
The overall impact of this has been a lowering of the standards and quality of our profession, unfortunately
Has anyone had issues with a non white female doctor. My situation involved a white male.
Posted on 10/2/19 at 9:18 am to LSUtwolves
I just googled gallbladder pancreatitis. I had some problems after surgery, for several months after (I got sick, there were several foods I couldn't eat but the problems eventually went away), but I was in pain for a long time before it had to be removed. Not going to go I to details, but if I know about GP at the time I would have thought it was highly likely..
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