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Message
re: True Story: From Mother's Hospital at UAB, The Dark Side of Medicine
Posted on 2/22/25 at 10:33 am to BamaCoaster
Posted on 2/22/25 at 10:33 am to BamaCoaster
quote:Because that is legitimately the only “weapon” that specialty has.
why prescribe something based on “an unknown future”?
I will be honest, I agree that psychiatry is the “quackiest” of specialties, but people have this view of what they do that comes from TV shows and movies.
1
Posted on 2/22/25 at 10:33 am to BamaCoaster
The only defense of his decision I could suggest is that maybe he felt that since he was called in, that maybe he assumed you wanted him to prescribe something. Not saying it was the right assumption or the right path for him to take. I gotta think so often doctors are just trying to juggle all their patients and keep everything on an even keel until they are released.
That delirium is some sad/upsetting stuff to see in person. Hope she is getting better.
That delirium is some sad/upsetting stuff to see in person. Hope she is getting better.
Posted on 2/22/25 at 10:38 am to BamaCoaster
quote:
where she caught "ICU Delirium",
quote:
a visit with a psychiatric doctor, not that she has any symptoms,
This doesn't track
Posted on 2/22/25 at 10:39 am to BamaCoaster
Posted on 2/22/25 at 10:52 am to BamaCoaster
There are good docs and bad docs. Just like every other profession there are doctors who will take time to do what is right and those that want to do the minimum and go home. There are young idealistic ones who are hampered by lack of experience and there are seasoned doctors who may have become jaded and cynical with time having seen the nearly perpetual disappointment of human nature, their recommendations about diet and exercise going ignored, and the predatory encroachment of profit-driven administrations.
Sounds like you both went into the encounter with pre-conceived and inflexible notions of what is best.
The truth is that a lot of modern medicine is an attempt to fix a lifetime’s worth of bad personal decisions by patients. What do you think contributes to hypertension, type 2 diabetes, AFib, coronary disease, obesity, sleep apnea?
Good doctors have been telling people to eat right and get exercise for decades. We live in a leisured & affluent society where people are indifferent to the long-term consequences of an unhealthy lifestyle. Their first instinct is to blame someone else (including doctors and big pharma) for their own shortcomings before recognizing their own contribution to the situation. People want an immediate solution with instant gratification - not a prescription for hard work (diet and exercise).
Yes, we are overdue for a fundamental transformation in the philosophy of healthcare in this country. One that involves responsibilities to both providers and patients but also accountability and more guardrails to big pharma.
Sounds like you both went into the encounter with pre-conceived and inflexible notions of what is best.
The truth is that a lot of modern medicine is an attempt to fix a lifetime’s worth of bad personal decisions by patients. What do you think contributes to hypertension, type 2 diabetes, AFib, coronary disease, obesity, sleep apnea?
Good doctors have been telling people to eat right and get exercise for decades. We live in a leisured & affluent society where people are indifferent to the long-term consequences of an unhealthy lifestyle. Their first instinct is to blame someone else (including doctors and big pharma) for their own shortcomings before recognizing their own contribution to the situation. People want an immediate solution with instant gratification - not a prescription for hard work (diet and exercise).
Yes, we are overdue for a fundamental transformation in the philosophy of healthcare in this country. One that involves responsibilities to both providers and patients but also accountability and more guardrails to big pharma.
Posted on 2/22/25 at 11:05 am to Scruffy
quote:
Because that is legitimately the only “weapon” that specialty has. I will be honest, I agree that psychiatry is the “quackiest” of specialties, but people have this view of what they do that comes from TV shows and movies.
IMO they are needed for those with schizophrenia or other disorders that involve psychosis but not for “normal” people who just need a little help.
Posted on 2/22/25 at 11:10 am to BamaCoaster
quote:
our pool house
Whole point of this thread.
Posted on 2/22/25 at 11:11 am to BamaCoaster
I mean, your wife asked for a psychiatrist and I seriously doubt it was "because she's been through a lot". Your wife apparently had behavioral concerns...perhaps the delirium symptoms spooked her a bit?
Here's the thing about prescriptions...you don't have to take them if you don't want to. If your mother feels fine and her family doesn't notice any stark change in her personality or energy, then why would she take the meds?
Would your wife had been satisfied if they sent in the psychiatrist (who costs money!) and he was just like "yep, she's fine. i don't know why you called me in here but I'm going to tack $5k on your hospital bill"? Probably not. The dude came in and did exactly what your wife should have expected a psychiatrist to do.
Not saying overprescribing isn't an issue in the US, but your story is like getting pissed when you run up to the Jiffy Lube and get offered an air filter change.
Here's the thing about prescriptions...you don't have to take them if you don't want to. If your mother feels fine and her family doesn't notice any stark change in her personality or energy, then why would she take the meds?
Would your wife had been satisfied if they sent in the psychiatrist (who costs money!) and he was just like "yep, she's fine. i don't know why you called me in here but I'm going to tack $5k on your hospital bill"? Probably not. The dude came in and did exactly what your wife should have expected a psychiatrist to do.
Not saying overprescribing isn't an issue in the US, but your story is like getting pissed when you run up to the Jiffy Lube and get offered an air filter change.
Posted on 2/22/25 at 11:11 am to redstick13
I agree with the pharma statement.
Profit margins are higher in "non-for-profit" institutions btw (in general).
Profit margins are higher in "non-for-profit" institutions btw (in general).
Posted on 2/22/25 at 11:14 am to BamaCoaster
This post was edited on 2/23/25 at 5:07 pm
Posted on 2/22/25 at 11:20 am to BamaCoaster
There are many, many people in this county who are hooked on benzodiazepines and narcotics because of lazy, uncaring doctors.
Posted on 2/22/25 at 11:28 am to RAB
quote:
because of lazy, uncaring doctors
Other side of the coin - doctors get called “uncaring” and “lazy” for not prescribing these medications. Just look at the “pain is the 5th vital sign” initiative that drove the opiate surge.
I’m speaking as someone who got my mom off of these medications. I agree with you. I get it.
But… doctors that don’t treat pain or anxiety immediately are labeled uncaring and lacking compassion by a certain subset of our population. Not treating pain can land you with an investigation by the state medical board.
Modern healthcare is an extremely complex ethical situation.
This post was edited on 2/22/25 at 11:30 am
Posted on 2/22/25 at 11:33 am to BamaCoaster
You absolutely have to be on top of things, these hospitals suck. When my mom was hospitalized, they had her on double dose of sedative med plus a steroid. Her record states she can’t take steroids. She was kinda nuts and fighting so they moved her to ICU where she got delerium. Family members caught onto the extra med and steroid and once removed, she was fine. They will have killed her. Medicine isn’t what it used to be.
Posted on 2/22/25 at 11:41 am to Crimson
quote:Happens ALL the time in the ER.
Other side of the coin - doctors get called “uncaring” and “lazy” for not prescribing these medications. Just look at the “pain is the 5th vital sign” initiative that drove the opiate surge.
Kid comes in with a virus or cough and parents leave pissed off because they weren’t prescribed a medicine to fix it.
Also, “satisfaction scores” have caused a huge problem as well.
Administration uses that score to determine the success of departments.
It is a retarded system.
On top of that, the vast majority of medical conditions wouldn’t even be a problem if people would simply TAKE CARE OF THEMSELVES.
People view the medical field like a fricking mechanic’s shop.
Roll in, get a part changed (receive a medicine), and roll out as good as new.
The vast majority of medical conditions and problems can be placed at the feet of the patient.
I didn’t force you to smoke for years. I didn’t force you to eat horribly and not exercise.
We, as a society, need to start taking responsibility for our own actions.
Posted on 2/22/25 at 11:44 am to redstick13
quote:
I would absolutely love to go on a rage filled post about my experiences with the US healthcare system but it would absolutely get me banned from this site and certainly put me on a few watch lists. Let me summarize. Healthcare should never be about profit margins because people with the best healthcare training in the world are now given powers to manipulate your treatment based on how much money they can make off of you. Pharmaceutical companies should not be allowed to advertise, manipulate or otherwise have any say so in a person living a healthy life.
I would up vote you a million times if I could.
Doctors are like mechanics now days.
They can tell you, you need this or that.
And you have no idea if they are just trying to make more money and lying or if you really need it.
In other words they got you by the balls.
Posted on 2/22/25 at 11:50 am to rphtx
Misspoke, ironically.
This post was edited on 2/27/25 at 6:52 pm
Posted on 2/22/25 at 12:03 pm to BamaCoaster
I ask because prn is easier to access than waiting.
Further, just because something is ordered it does not negate the right to refuse nor does it mandate its use. It is available in the event....
One other notion...always, always have a top to bottom physiological check up before turning toward psychiatric pharmacological intervention. Given the age; I would ask for a specialist in gerontology
Further, just because something is ordered it does not negate the right to refuse nor does it mandate its use. It is available in the event....
One other notion...always, always have a top to bottom physiological check up before turning toward psychiatric pharmacological intervention. Given the age; I would ask for a specialist in gerontology
This post was edited on 2/22/25 at 12:09 pm
Posted on 2/22/25 at 12:06 pm to BamaCoaster
Sorry about that. Hope she gets better soon.
Posted on 2/22/25 at 12:07 pm to Hateradedrink
quote:
Dang I wonder why the stammered and exited the room asap instead of engaging a lunatic
If a doctor's first reaction is to write scripts "just in case", then they deserve to be questioned, and if they cannot give reasonable answers, then they deserve to be told to GTFO.
I cannot understand why some people want to act as if someone with M.D. after their name can do no wrong and should never be questioned.
The covid bullshite should have opened everyone's eyes.
Posted on 2/22/25 at 12:09 pm to BamaCoaster
UAB has some amazing doctors. I was recently lucky enough to have a specialist there that could perform the surgery I needed. Very rare surgery and he was right there at UAB.
During the process though I was referred to an infectious disease doctor, when looking through the available doctors in that specialty there were quite a few docs that specialized in trans stuff.
Even great places will have some brain washed folks get in.
During the process though I was referred to an infectious disease doctor, when looking through the available doctors in that specialty there were quite a few docs that specialized in trans stuff.
Even great places will have some brain washed folks get in.
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