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re: Medical practice layoffs projected to reach 36 percent in May

Posted on 4/20/20 at 8:21 am to
Posted by baldona
Florida
Member since Feb 2016
24485 posts
Posted on 4/20/20 at 8:21 am to
Look from the beginning my argument was that we shouldn’t shut anything down, but we should invest and increase our healthcare ability. Personally I think we should have spent time training clinic nurses to support the hospital nurses, and some of the doctors to support the ER and other frontline doctors here.

Basically instead of shutting them down, we should have shifted their roles.
Posted by Sidicous
NELA
Member since Aug 2015
19296 posts
Posted on 4/20/20 at 8:22 am to
quote:

Medical practices have taken a financial hit because the government told them they couldn’t work. FIFY

As with many other jobs, they should have remained functioning.

They could have done far more good that way.

Shutting down clinics was such an asinine thing to do.
Mom's new Dr. since we moved is driving her nuts. Insists on short term prescriptions for common long term meds like Synthroid and a couple others that Mom's been taking for 30 years. No changes in Mom, no need to adjust dosages. No tolerance issues. Just new Dr. doesn't write long term 'scripts period. She's that way with my Aunts who referred Mom.

So this shutdown already has screwed up Mom getting her meds refilled on time TWICE now. Just last week the Dr. demanded a telemed appointment with Mom and the Dr.'s NP. All of about 5 minutes on the phone with the most basic, generic "how ya doing" questions.

If the Wu Flu hadn't shut down the office we'd have had office visit 1x.
Posted by baldona
Florida
Member since Feb 2016
24485 posts
Posted on 4/20/20 at 8:23 am to
quote:

Thats not really true.

People stopped going to the doctor UNLESS it was Covid or an emergency.



Great point also. Hard to stay open with no business. The people keeping the clinics open were the sick people that didn’t need to go out.

Magically they are mostly able to put off seeing their docs for awhile.
Posted by Scruffy
Kansas City
Member since Jul 2011
78048 posts
Posted on 4/20/20 at 8:24 am to
quote:

People stopped going to the doctor UNLESS it was Covid or an emergency.
So, clinics aren’t closed, they are just under-volume?

No more preventative care or wellness visits?
Posted by Privateer 2007
Member since Jan 2020
7951 posts
Posted on 4/20/20 at 8:24 am to
Have friend in optometry.
He's doing telemedicine. Making out ok. But, definitely less.

He's been like me since day 1 saying this is bullshite.

However, many in medicine have made snarky comments about Oil and Gas etc during past hard times. I feel zero sympathy for those ppl.
Posted by Big Block Stingray
Top down on open road
Member since Feb 2009
2096 posts
Posted on 4/20/20 at 8:24 am to
quote:

Nobody in healthcare is doing well except those directly working with corona patients. Hospitals and clinics are getting shite on.




Not exactly...

My trauma volume has been steady and in many capacities, increased. While my MVC, and agg assaults declined, my ground level falls , falls from height, running, biking injuries have substantially increased.

With everyone staying home it's easy to see, and not surprisingly many involve alcohol and/or drugs (falls).
This post was edited on 4/20/20 at 8:39 am
Posted by OllaTiger
Baton Rouge
Member since Jun 2006
278 posts
Posted on 4/20/20 at 8:24 am to
#learntocode
Posted by Darth_Vader
A galaxy far, far away
Member since Dec 2011
74667 posts
Posted on 4/20/20 at 8:25 am to
quote:

People stopped going to the doctor UNLESS it was Covid or an emergency.


I went to the lab at my cardiologist office two weeks ago for my monthly Coumadin check. The lobby was completely empty which was surreal in itself. It’s a massive cardiology clinic. I’ve been going there since 2016 and have never seen it empty until now. It made me wonder how many people are going to die of things like heart conditions and cancer in the coming months all because they waited to see a doctor?
Posted by Scruffy
Kansas City
Member since Jul 2011
78048 posts
Posted on 4/20/20 at 8:26 am to
quote:

It made me wonder how many people are going to die of things like heart conditions and cancer in the coming months all because they waited to see a doctor?
It will be high.

People are doing cardiology telemedicine visits, which is completely useless.

I suspect we will see a spike in deaths due to other causes because of ER avoidance and clinic shutdown.
Posted by baldona
Florida
Member since Feb 2016
24485 posts
Posted on 4/20/20 at 8:27 am to
quote:

It made me wonder how many people are going to die of things like heart conditions and cancer in the coming months all because they waited to see a doctor?


0. Everyone is dying of Corona, duh.
Posted by Tiguar
Montana
Member since Mar 2012
33131 posts
Posted on 4/20/20 at 8:29 am to
They still wouldn’t have a job. The current c19 case load is entirely manageable except in a few spots around the country
This post was edited on 4/20/20 at 8:30 am
Posted by Cdawg
TigerFred's Living Room
Member since Sep 2003
62222 posts
Posted on 4/20/20 at 8:30 am to
quote:

Texas opens up their hospital's this Wednesday to all surgeries and the hospitals will fill up again.

Certain hospitals have shortages of gowns, mask, gloves, etc. to perform elective surgeries. That's the problem now.
Posted by Darth_Vader
A galaxy far, far away
Member since Dec 2011
74667 posts
Posted on 4/20/20 at 8:31 am to
quote:

People are doing cardiology telemedicine visits, which is completely useless.


You can’t do a EKG or echocardiogram over the phone, that’s for sure. Thankfully I had my regular checkup in December and don’t have to go back until this coming December.
Posted by Scruffy
Kansas City
Member since Jul 2011
78048 posts
Posted on 4/20/20 at 8:31 am to
quote:

They still wouldn’t have a job. The current c19 case load is entirely manageable except in a few spots around the country

Another good point.

Also, the hospitals that are largely fricked are the small town and underprivileged area ones.

Those hospitals are in trouble, and then the population itself loses out.

Our society is built on immediate gratification and it clearly affects everything.
Posted by Hester Carries
Member since Sep 2012
25949 posts
Posted on 4/20/20 at 8:31 am to
quote:

So, clinics aren’t closed, they are just under-volume?

No more preventative care or wellness visits?



Some are. But its a % of what it would be. Im not going to give actual numbers but no, the majority of people arent going in for severe allergies or annual check ups.

Also E-visits are being used and the way those are tracked as volume is completely different in terms of practice revenue and physician compensation.

These arent practices that had people banging on the door to come in but they just were "overly-cautious" and now are laying people off.

Its a demand thing, not a supply thing.
Posted by Centinel
Idaho
Member since Sep 2016
46754 posts
Posted on 4/20/20 at 8:32 am to
quote:

People stopped going to the doctor UNLESS it was Covid or an emergency.


Because the government told them to.


Posted by Big Block Stingray
Top down on open road
Member since Feb 2009
2096 posts
Posted on 4/20/20 at 8:33 am to
quote:

Certain hospitals have shortages of gowns, mask, gloves, etc. to perform elective surgeries. That's the problem now.


Cannot speak for all cities, but the major players in DFW have the supplies they need.
Posted by lsunurse
Member since Dec 2005
129146 posts
Posted on 4/20/20 at 8:36 am to
quote:

People are doing cardiology telemedicine visits, which is completely useless.


I usually have to take my dad to his PCP every 3 months for a routine check up to monitor his type 2 diabetes and his health. His A1C the last several visits has been completely fine so I called last month to cancel his appointment. Told them I would reschedule later once things settle down a little and have him come in sooner if he needed to. I had facetimed with my sister and mom and had them show me every bottle of med he is on so I could see that he isn't due for new scripts for any of them.

They said I could do a telemedicine appointment if I wanted to. But he still has to go get labs done. I mean....if he still has to go out to get labs done for a telemed appointment...doesn't that defeat the whole purpose of telemed??
Posted by baldona
Florida
Member since Feb 2016
24485 posts
Posted on 4/20/20 at 8:37 am to
quote:

Because the government told them to.


Let’s not act like the Media and social media hasn’t done anything either.
Posted by Scruffy
Kansas City
Member since Jul 2011
78048 posts
Posted on 4/20/20 at 8:38 am to
quote:

Let’s not act like the Media and social media hasn’t done anything either.
They are all at fault.
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