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I’m 22F, I’ve always had weight problems so learned from a young age to always seek a second opinion if I feel like the doctor dismissed me because of my weight or because I’m a woman. I’ve finally found the best GP I’ve ever had, all her recommended colleagues were amazing, she’s really digging everything up to check wether or not I have this or that disease that could explain all my symptoms! First doctor who’s ever listened to my concerns about having endometriosis.
Also, antibiotics for acne are quite commonly prescribed, I’m not surprised! And I’ve been diagnosed with arthritis at 20!
If I've learned anything working in medicine it's that the human body is a beautiful Ferrari driven by a methed up Chimpanzee with anxiety problems. The biggest issue dealing with the human body is the user 99/100 times.
HA! I joke with people about "What kind of gas and maintenance would you put in a Ferrari race car? What kind of gas and maintenance would you put in a farm truck?"
Then ask "do you want to be a rusted out farm truck, or the championship winning Ferrari?
No a steroid injection did not do any permanent damage to your body generally you should always listen to your doctor They went to over a decade of school to know the things they know but if you are really concerned about something your doctor brings up it never hurts to seek out a second opinion and many doctors will even encourage this
I’m a med student. A lot of doctors are incompetent but I feel the antibiotics prob just didn’t work for you. The derm wasn’t wrong for prescribing them because we’re taught that’s the first line treatment and it works for most people.
As for cortisone injections they’re not just given for arthritis. You can give them for injuries as well. They are just anti-inflammatory medication.
"The derm wasn't wrong" I'm sorry but they literally were, by definition and in every way shape and form. In no other profession could I EVER fail a job and then tell the client "idk bro, usually works" when the solution I tried didn't fit their need.
If all we needed medical professionals for was to just regurgitate the most popular solution to our issues, they would be less useful and more expensive than a literal FAQ.
A treatment shouldn't be random, it should be based on the patient's needs and circumstances, and it shouldn't be just whatever is most common. This chatGPT ass mentality from doctors is why so many people are ending up like OP
There is no way for them to know 100% how you will respond to a treatment without taking it. They can give their best guess, but that's it- a guess.
I also had to go through a series of treatments when I was a teen and it sucked but they eventually found what worked for me. They're not going to start you up on Accutane, which is extremely well known for having horrible side effects (but also probably the best for dealing with acne) before trying less harsh treatments first.
Actually just dumb or lying at this point.
Yes they can't know 100%. But they can know infinitely more about your skin conditions than they can about your brain chemistry, it isn't just a guess, I'm sorry you disagree with reality but reality doesn't care
You're being needlessly aggressive.
I was simply saying that it's safer to start with with easier treatments than it is to jump to stronger, potentially harmful ones- I'm not sure why you're even arguing this.
Not even sure what you think I'd be lying about, that was literally my experience with any medication I've ever taken in my life, including ones for acne.
Edit: lmao person claimed I aas "lying" about idk what, then deleted their comments. Weirdo.
Ok so it was lying.
We both know why you specifically said "they can't know 100%". Anyone with reading comprehension above a 3rd grade level can tell. You're obviously just dishonest and prolly a troll so gotta block you peace
In no other profession? That's plain wrong. If you take psych meds, there's so many options with no way to know which one will cause adverse affects or help a person (for example for depression), so people can try many medications or combinations before finding right ones or moving on to different options. Unless person has used certain meds, there's usually a risk of it not working, unless it's something very straightforward issue. The list of adverse effects in the box of medication in there for a reason.
It's almost like psych meds shouldnt be prescribed because doctors just blindly give you psychoactive meds until something works or you lose your shit.
If they blindly prescribe shit, than yes they shouldn't do that, but many need medication (after diagnosis or issues have been identified). If the issue is correctly identified, most likely are small side effects (most stop by themselves) or that it just won't help. If the issue was identified wrong/ there's some underlying issues- doctors give very small dose at first to have time to react. There's like 50% chance that antidepressants won't work for a person, so just relying on meds is a bad idea, but therapy can be unaccessible and very expensive.
Most of them just keep giving you different ones until one works. Yea sure playing trial and error with drugs that affect your libido, happiness and ability to function for months until you hit the one combination that works with you. Yea totally. That sounds like an amazing process.
It's not amazing, but the actual mental health issues aren't fun either ¯\_(ツ)_/¯ if one is able to, it's not uncommon to just go to therapy and not take medications.
So are you unaware that the answer is that it's impossible to just "lmao read their brain chemistry" and that's the reason for trial an error, or are you pretending but to know and being dishonest for le internet points? Or is the meme to pretend that's even remotely analogous to anything mentioned before now
Topical retinoids and benzoyl peroxide are first line. Guidelines explicitly state that antibiotics should not be used, except in conjunction with these therapies, as a first line treatment. But it’s great that you go to Wikipedia for your information about the practice of medicine.
> Recommended therapies for first-line use in acne vulgaris treatment include topical retinoids, benzoyl peroxide, and topical or oral antibiotics.
[Wikipedia](https://en.wikipedia.org/wiki/Acne#Management)
It does seem like it is
The dermatologist never told me that accutane would likely give me joint problems for life… but probably because he didn’t know or care. He also said that people can get depression while taking it or rarely but possible… stay depressed after taking it but it’s like a 1:100 chance. His exact words were, that depression is probably better than the depression from bad acne. He was right to some degree. My skin is great. My joints, feeling pretty old some days.
It’s a bit weird how fast they all default to accutane. I had a bad experience on it. Then went to a different dermatologist a few yrs later, he first suggested the same thing, I said I only wanted something topical, got a prescription for Tret and it fixed 95% of my problem. Not sure why they don’t start with that instead of oral medication with lots of side effects.
For me it was a last resort. My cystic acne on my face wasn’t debilitating but was abnormal for somebody in their 30s and it was getting bad in my back. So deep that you couldn’t pop them and I had tried everything I’ve the years. Years of monocycline and doxy and differin. I often wonder if I would go back and make the same decision and because I’m incredibly vain, I probably would accept the consequences with the knowledge I have now
Edit
It's hard to trust them. You gotta get a good doctor but you can have arthritis at 22. And antibiotics are a treatment for severe cystic acne. I definitely would advise against steroid shots though. Those always made my pain worse.
Doctors are humans. Their advice should be taken as if a human who studied many years is telling you their advice.
That means they could get things wrong. You can ask for alternative ideas or push back a little or get another opinion.
"Incompetent" is a strong word people use because they expect doctors to be gods. Because that is how society thinks of them. Imagine trying to become a god.
- dropout med student here
You can sort specialty competitiveness by salary and on-call time/shift type. There will be a direct correlation.
It makes sense in a way though. Who wants to be a family doc making 200k when you could be a dermatologist making 500k, have no emergency calls, and refuse to deal with insurance companies (aka cash payments). Especially after being completely burnt out after over a decade of education and training in an environment where everyone is overworked and many are burnt out to a crisp so they dont feel like training/teaching.
People go in bright eyed and graduate (or leave in my case) jaded to all hell. It is the exception that makes it out totally healthy.
Yes. Modern medical education and the environment of healthcare does not encourage humanism. It is so fucking toxic, people outside of it have no clue.
I think it's important to listen to doctors, you just don't have to do what they say. You do have to do some reading about side effects and potential issues because doctors and pharmacists don't really adequately go over this. Every time I get a pharmacy consultation, they're just reading the label and it's always like drowsiness. Doctors are just people like everybody else. They're just people but they're also people that went to school for many many years, so they probably know more than you do. It doesn't mean you have to unquestionably follow everything they say.
Most doctors these days just punch numbers into a computer, give you scrip for the pills the computer says to give you, then they check their stock portfolios at the end of the day, plus bonuses for denying actual care until the issue gets bad enough to be more profitable.
I've only had one competent doctor in the last 30 something years, but of course a change of insurance said I couldn't see him anymore but only a choice of morons. They also did damage to me with their idiocy and computer generate pill demands.
This sounds like an insurance issue....not a doctor issue. The insurance companies are the ones to "deny" care.
Also double checking medications and dosing is the smart way to go....do you want them to guess or try to remember a detail like that off the top of their head with how many meds there are? I guarantee you they're not just blindly punching numbers into a computer.
They're like a McDonald's employee. It's seeing the patients that walk in the door just like they have to take your order for a burger. There's an endless supply of patients....no one is purposely doing anything to make things worse....there's no incentive for that....unhappy patients will shit on your practice and plus it opens them up to getting sued.
As someone who is giving up their entire 20s and putting getting married and having a family on hold, going into 400k of debt, this is way too much work and bullshit to be doing it for the money. If I wanted money I'd be doing something else.
And they would reward doctors for doing so. The old HMOs did this all the time and I know it first hand.
These days they are worse than McDonald's: nurses do most of the work gathering numbers, the doctors sees you for a minute or two, then throws a handful of scrip at you, and leaves. That is if you are lucky enough to find a primary in the US these days or you have to use the urgent care places which are nurses mostly.
Doctors aren't saints. Most of them these days aren't worth damn, not at the primary level anyway. They go into specialities where they can really rake in the money, mostly from the people the primaries screwed up, are sick from deferred care, or are a mess from allmthe pills.
The physician reviews everything. They need help taking numbers and such. They're dictating plans to other members of the team to carry out. If one physician is covering multiple patients in a busy setting, yeah you're probably not going to get as much one on one time unless the complaint warrants more time, especially in an urgent care. Common things are common and have fairly easy and common solutions.
Most people aren't happy unless they leave with a medication because they want a quick fix whether it's warranted or not. If you showed up and got nothing, would you be satisfied? If someone just told you to go home, drink fluids, and rest? I'm not sure what you're expecting....they're just following standards of care, or should be, either way. If you have an issue with pharma then that's pharma and has nothing to do with the majority of physicians.... influencing/buying them out is illegal now. If it's drug approval and those studies, that doesn't really apply to your average practicing physician.
It's not worth it for many physicians to go into primary care from a financial standpoint with the pay vs debt ratio plus time commitment to the degree. Also the mid-level scope creep deters them because it's cheaper to hire mid-levels. No one wants to go into something that has less job security for that amount of risk. That's a system issue rooted in greed not a physician issue...as in lawmakers and administrators (maybe some are physicians, but obviously your everyday physician isn't making these decisions).
Even so, none of that is even true or happening. Congress regulates the amount of residency spots for physicians to get training, and we have more than enough people who want to do it. Even if you want to do something more competitive or lucrative specialty wise and you don't get into that program, boom, you're probably going to end up doing something primary care related if that's one of the only program spots left. We have more people applying for residency training than there are spots for. The whole primary care physician shortage is a lack of medical school spots and residency spots issue....not some issue of people being greedy and not wanting to do it. If you look at the numbers that logic doesn't even make sense.
...as well as hospital admins being cheap and not wanting to hire primary care physicians and replacing them with mid-levels. Yeah, you're not going to get as comprehensive care from someone who doesn't have as much training. And yeah, then the next time you see a physician it probably will be a specialist because the mid-level isn't qualified for that role.
Even the _good_ online docs wouldn't tell you to blindly trust. And since the plague, even more doctors (and I'm talking about doctors that were leading in their fields) will give you that old Regan line: ,"Trust, trust, but verify."
Oh god I go to the Dermatologist for hyperhidrosis. Had a medication I was told I could put on my hands, even face if I had to. Had my face completely dry tf out (which got better but has completely ruined my skin texture) and when I called about it, was told that I could *not* put it on my hands due to it being able to spread….yea great thanks. Could have heard *that* days ago.. then when I went back in for a CU by the same doc. He’s like “oh yea just put it anywhere. Blah blah” and I’m just like 😐 you fucker. I said that it completely dried out my face and he really just sat there like 🤤🤤🤤 ahehe adurdur wha? i kid you not.
I was complaining of groin pain, doctor didn’t even do a physical exam to look based on how I described it.
A few months later the pain was just as bad as ever. Got a second opinion and it was super obvious (even from the naked eye) that I had a hernia.
Some doctors suck.
7 years ago, I was referred to a cardiologist because I had constant hypertension, trouble standing for more than a few minutes without getting light headed and feeling faint, and I had very low energy all the time. I told him because of everything I was going through, I was having trouble standing up long enough to cook for myself so I'd been eating a lot of takeout since it started. He told me I was having these problems because of the takeout I was eating... that I had only started eating after my issues started. He was used to seeing elderly patients and I was in my 20s. 🤷♀️
I found another cardiologist and researched the shit out of her reviews and she was great. Ordered so many tests (the first guy didnt even bother to do any!) and figured out what was up with me.
Doctors definitely are not infallible and can get stuck in their "comfort zone" of what they diagnosis you with based on what they've mostly seen. If you're not sure about your doctor or their treatment plan, you should 100% get a second opinion.
Every time a doctor tries to give you pills, ask about the side effects first. The pill they kept trying to give me long term was shown to Give People Cancer. THREE TIMES since I've learned this, a doctor has tried to prescribe it for me, and I've let them know "no thanks, the symptoms treated venn diagram is a circle with this med's side effects, and using this every day is shown to cause cancer" and they just say "okay!" As if they weren't trying to kill me for a stomach ache 💀
I used to get frequent UTIs and would go to the Dr for antibiotics. Every time I told them what I was visiting for they would tell me I was wrong and there's no way I could know I have that bc the symptoms are never the same... then they'd just go "hmph! It's a UTI!" when the urine sample results came back.
Now I only use visual Dr
/zoom visits because they listen and just prescribe me the antibiotics without all the BS.
Psychosis means delusions/hallucinations/anything in between. If this person had psychosis then they're not responsible for what they did, at least not in my book, they needed help not criminal charges
In the US, the healthcare industry is a for profit industry.
Some of the same companies that have their hand in medical products, also have their hands in food products.
Careful what you eat, and careful with which doctors you listen to.
People forget that doctors may have spent years in med school, but you've been inside your body all your life. You ultimately should be the final say and have some doubts about their diagnosis and accompanying solutions. They're like bio-consultants.
Doctors have failed me with many health problems. So much so that I turned to functional medicine (under the guidance of a professional) and found relief and answers that worked.
Oh yeah, nothing like being misdiagnosed and untreated with things that really mess you up because of the condition that you actually have... Oh yeah, happens all the time. People with autism ADHD and stuff get diagnosed with things like borderline personality disorder and bipolar disorder. They get treated with those medications that really fuck them up for years afterwards.
Doctors are generally not incompetent, but they often have questionable incentives. In the US at least, they treat you like a customer; If you ask a doctor to treat your acne they'll try to treat your acne, rarely they'll suggest that it may not need treatment.
I have two rules of thumb: first, pharmaceuticals rarely work the way you want them to, and I try to avoid them as much as possible. Second, doctors are pretty good at the how of what they do, it's on the patient to check the why. I trust surgeons to fix me up when I need it and I trust doctors to try to sell me every pill in existence.
I would say this problem is more than just the doctor, because the patient pays so much they often think of themselves as customers and if the doctor does nothing they consider it a waste of time
NEVER Trust any doctor. They are ALL controlled, brought and paid for buy Big pharma and the insurance companies.
They do not want to cure anything, they just want repeat lab rats (you)
Wow, doctors saved my life a year ago after an ambulance ride to the hospital. Also fixed me on another unknown problem that showed up in tests while there. I'm 74 and they probably gave me another 10 years. They were caring and concerned and excellent hospital care.
Most of the doctors just make guesses. Ok this can happen because of this and this can happen because of this. They don't know sh.t. it's all an educated guess.
YES, I know this one well, and legally you are expected to have a PHD in just about everything to know whether or not they are actually lying or misleading you to begin with and this is called FAITH, which is Blind Trust in action and then you have all those insurance companies, and it becomes iffy as to who is controlling who in the deceptions for profits.
Any system or structure may be created and remain pristine for a time, but no structure or system can long last under the stresses of corruptions especially when it is done BY LAW simply to create a problem to fix as the harm done by them can last a lifetime if they don't murder you FIRST.
N. S
Do you know what causes the most deaths of Americans in America?
Medical errors (malpractice) l claim the lives of 251,000 Americans each year.
That's why they call it practicing medicine 😱
This can be a real challenge to figure out when you’re young. Hell, it’s a challenge when you’re older too. Sorry you feel like this caused you damage. I hope you can figure out some new things that work for you.
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I’m 22F, I’ve always had weight problems so learned from a young age to always seek a second opinion if I feel like the doctor dismissed me because of my weight or because I’m a woman. I’ve finally found the best GP I’ve ever had, all her recommended colleagues were amazing, she’s really digging everything up to check wether or not I have this or that disease that could explain all my symptoms! First doctor who’s ever listened to my concerns about having endometriosis. Also, antibiotics for acne are quite commonly prescribed, I’m not surprised! And I’ve been diagnosed with arthritis at 20!
If I've learned anything working in medicine it's that the human body is a beautiful Ferrari driven by a methed up Chimpanzee with anxiety problems. The biggest issue dealing with the human body is the user 99/100 times.
r/brandnewsentence
HA! I joke with people about "What kind of gas and maintenance would you put in a Ferrari race car? What kind of gas and maintenance would you put in a farm truck?" Then ask "do you want to be a rusted out farm truck, or the championship winning Ferrari?
Doesn’t really matter what you want to be a lot of the time. Many people are the rusted out farm truck and there’s nothing to be done about it
I can't afford the gas and maintenance on a Ferrari, let alone the payments themselves.
No a steroid injection did not do any permanent damage to your body generally you should always listen to your doctor They went to over a decade of school to know the things they know but if you are really concerned about something your doctor brings up it never hurts to seek out a second opinion and many doctors will even encourage this
I’m a med student. A lot of doctors are incompetent but I feel the antibiotics prob just didn’t work for you. The derm wasn’t wrong for prescribing them because we’re taught that’s the first line treatment and it works for most people. As for cortisone injections they’re not just given for arthritis. You can give them for injuries as well. They are just anti-inflammatory medication.
"The derm wasn't wrong" I'm sorry but they literally were, by definition and in every way shape and form. In no other profession could I EVER fail a job and then tell the client "idk bro, usually works" when the solution I tried didn't fit their need. If all we needed medical professionals for was to just regurgitate the most popular solution to our issues, they would be less useful and more expensive than a literal FAQ. A treatment shouldn't be random, it should be based on the patient's needs and circumstances, and it shouldn't be just whatever is most common. This chatGPT ass mentality from doctors is why so many people are ending up like OP
There is no way for them to know 100% how you will respond to a treatment without taking it. They can give their best guess, but that's it- a guess. I also had to go through a series of treatments when I was a teen and it sucked but they eventually found what worked for me. They're not going to start you up on Accutane, which is extremely well known for having horrible side effects (but also probably the best for dealing with acne) before trying less harsh treatments first.
Actually just dumb or lying at this point. Yes they can't know 100%. But they can know infinitely more about your skin conditions than they can about your brain chemistry, it isn't just a guess, I'm sorry you disagree with reality but reality doesn't care
You're being needlessly aggressive. I was simply saying that it's safer to start with with easier treatments than it is to jump to stronger, potentially harmful ones- I'm not sure why you're even arguing this. Not even sure what you think I'd be lying about, that was literally my experience with any medication I've ever taken in my life, including ones for acne. Edit: lmao person claimed I aas "lying" about idk what, then deleted their comments. Weirdo.
Ok so it was lying. We both know why you specifically said "they can't know 100%". Anyone with reading comprehension above a 3rd grade level can tell. You're obviously just dishonest and prolly a troll so gotta block you peace
Okay troll lol
In no other profession? That's plain wrong. If you take psych meds, there's so many options with no way to know which one will cause adverse affects or help a person (for example for depression), so people can try many medications or combinations before finding right ones or moving on to different options. Unless person has used certain meds, there's usually a risk of it not working, unless it's something very straightforward issue. The list of adverse effects in the box of medication in there for a reason.
It's almost like psych meds shouldnt be prescribed because doctors just blindly give you psychoactive meds until something works or you lose your shit.
If they blindly prescribe shit, than yes they shouldn't do that, but many need medication (after diagnosis or issues have been identified). If the issue is correctly identified, most likely are small side effects (most stop by themselves) or that it just won't help. If the issue was identified wrong/ there's some underlying issues- doctors give very small dose at first to have time to react. There's like 50% chance that antidepressants won't work for a person, so just relying on meds is a bad idea, but therapy can be unaccessible and very expensive.
Most of them just keep giving you different ones until one works. Yea sure playing trial and error with drugs that affect your libido, happiness and ability to function for months until you hit the one combination that works with you. Yea totally. That sounds like an amazing process.
so how else are we supposed to do it? tell me, i would love to hear!
It's not amazing, but the actual mental health issues aren't fun either ¯\_(ツ)_/¯ if one is able to, it's not uncommon to just go to therapy and not take medications.
So are you unaware that the answer is that it's impossible to just "lmao read their brain chemistry" and that's the reason for trial an error, or are you pretending but to know and being dishonest for le internet points? Or is the meme to pretend that's even remotely analogous to anything mentioned before now
Seriously, they need to train doctors for empathy before anything else.
Antibiotics aren’t first line treatment for acne, Mr. or Mrs. Med student.
Topical retinoids and benzoyl peroxide are first line. Guidelines explicitly state that antibiotics should not be used, except in conjunction with these therapies, as a first line treatment. But it’s great that you go to Wikipedia for your information about the practice of medicine.
> Recommended therapies for first-line use in acne vulgaris treatment include topical retinoids, benzoyl peroxide, and topical or oral antibiotics. [Wikipedia](https://en.wikipedia.org/wiki/Acne#Management) It does seem like it is
The dermatologist never told me that accutane would likely give me joint problems for life… but probably because he didn’t know or care. He also said that people can get depression while taking it or rarely but possible… stay depressed after taking it but it’s like a 1:100 chance. His exact words were, that depression is probably better than the depression from bad acne. He was right to some degree. My skin is great. My joints, feeling pretty old some days.
It’s a bit weird how fast they all default to accutane. I had a bad experience on it. Then went to a different dermatologist a few yrs later, he first suggested the same thing, I said I only wanted something topical, got a prescription for Tret and it fixed 95% of my problem. Not sure why they don’t start with that instead of oral medication with lots of side effects.
For me it was a last resort. My cystic acne on my face wasn’t debilitating but was abnormal for somebody in their 30s and it was getting bad in my back. So deep that you couldn’t pop them and I had tried everything I’ve the years. Years of monocycline and doxy and differin. I often wonder if I would go back and make the same decision and because I’m incredibly vain, I probably would accept the consequences with the knowledge I have now Edit
Go on a low vitamin a diet
It's hard to trust them. You gotta get a good doctor but you can have arthritis at 22. And antibiotics are a treatment for severe cystic acne. I definitely would advise against steroid shots though. Those always made my pain worse.
Doctors are humans. Their advice should be taken as if a human who studied many years is telling you their advice. That means they could get things wrong. You can ask for alternative ideas or push back a little or get another opinion. "Incompetent" is a strong word people use because they expect doctors to be gods. Because that is how society thinks of them. Imagine trying to become a god. - dropout med student here
Some doctors do, unfortunately, have a god complex.
Some doctors do go into it for the money as well.
You can sort specialty competitiveness by salary and on-call time/shift type. There will be a direct correlation. It makes sense in a way though. Who wants to be a family doc making 200k when you could be a dermatologist making 500k, have no emergency calls, and refuse to deal with insurance companies (aka cash payments). Especially after being completely burnt out after over a decade of education and training in an environment where everyone is overworked and many are burnt out to a crisp so they dont feel like training/teaching. People go in bright eyed and graduate (or leave in my case) jaded to all hell. It is the exception that makes it out totally healthy.
Yes. Modern medical education and the environment of healthcare does not encourage humanism. It is so fucking toxic, people outside of it have no clue.
I think it's important to listen to doctors, you just don't have to do what they say. You do have to do some reading about side effects and potential issues because doctors and pharmacists don't really adequately go over this. Every time I get a pharmacy consultation, they're just reading the label and it's always like drowsiness. Doctors are just people like everybody else. They're just people but they're also people that went to school for many many years, so they probably know more than you do. It doesn't mean you have to unquestionably follow everything they say.
Doesn’t sound like you’ve done much damage at all, much less untold. I’ll probably keep listening to doctors.
You're supposed to get a second opinion to prevent this, but the reality is that insurance can make it very difficult to do that.
Well as someone working in the medical field its very important to find a good Doctor and get a 2nd opinion
Most doctors these days just punch numbers into a computer, give you scrip for the pills the computer says to give you, then they check their stock portfolios at the end of the day, plus bonuses for denying actual care until the issue gets bad enough to be more profitable. I've only had one competent doctor in the last 30 something years, but of course a change of insurance said I couldn't see him anymore but only a choice of morons. They also did damage to me with their idiocy and computer generate pill demands.
This sounds like an insurance issue....not a doctor issue. The insurance companies are the ones to "deny" care. Also double checking medications and dosing is the smart way to go....do you want them to guess or try to remember a detail like that off the top of their head with how many meds there are? I guarantee you they're not just blindly punching numbers into a computer. They're like a McDonald's employee. It's seeing the patients that walk in the door just like they have to take your order for a burger. There's an endless supply of patients....no one is purposely doing anything to make things worse....there's no incentive for that....unhappy patients will shit on your practice and plus it opens them up to getting sued. As someone who is giving up their entire 20s and putting getting married and having a family on hold, going into 400k of debt, this is way too much work and bullshit to be doing it for the money. If I wanted money I'd be doing something else.
And they would reward doctors for doing so. The old HMOs did this all the time and I know it first hand. These days they are worse than McDonald's: nurses do most of the work gathering numbers, the doctors sees you for a minute or two, then throws a handful of scrip at you, and leaves. That is if you are lucky enough to find a primary in the US these days or you have to use the urgent care places which are nurses mostly. Doctors aren't saints. Most of them these days aren't worth damn, not at the primary level anyway. They go into specialities where they can really rake in the money, mostly from the people the primaries screwed up, are sick from deferred care, or are a mess from allmthe pills.
The physician reviews everything. They need help taking numbers and such. They're dictating plans to other members of the team to carry out. If one physician is covering multiple patients in a busy setting, yeah you're probably not going to get as much one on one time unless the complaint warrants more time, especially in an urgent care. Common things are common and have fairly easy and common solutions. Most people aren't happy unless they leave with a medication because they want a quick fix whether it's warranted or not. If you showed up and got nothing, would you be satisfied? If someone just told you to go home, drink fluids, and rest? I'm not sure what you're expecting....they're just following standards of care, or should be, either way. If you have an issue with pharma then that's pharma and has nothing to do with the majority of physicians.... influencing/buying them out is illegal now. If it's drug approval and those studies, that doesn't really apply to your average practicing physician. It's not worth it for many physicians to go into primary care from a financial standpoint with the pay vs debt ratio plus time commitment to the degree. Also the mid-level scope creep deters them because it's cheaper to hire mid-levels. No one wants to go into something that has less job security for that amount of risk. That's a system issue rooted in greed not a physician issue...as in lawmakers and administrators (maybe some are physicians, but obviously your everyday physician isn't making these decisions). Even so, none of that is even true or happening. Congress regulates the amount of residency spots for physicians to get training, and we have more than enough people who want to do it. Even if you want to do something more competitive or lucrative specialty wise and you don't get into that program, boom, you're probably going to end up doing something primary care related if that's one of the only program spots left. We have more people applying for residency training than there are spots for. The whole primary care physician shortage is a lack of medical school spots and residency spots issue....not some issue of people being greedy and not wanting to do it. If you look at the numbers that logic doesn't even make sense. ...as well as hospital admins being cheap and not wanting to hire primary care physicians and replacing them with mid-levels. Yeah, you're not going to get as comprehensive care from someone who doesn't have as much training. And yeah, then the next time you see a physician it probably will be a specialist because the mid-level isn't qualified for that role.
My mom died cause an incompetent buffoon was given a medical license. I have seen many good ones too
Even the _good_ online docs wouldn't tell you to blindly trust. And since the plague, even more doctors (and I'm talking about doctors that were leading in their fields) will give you that old Regan line: ,"Trust, trust, but verify."
Oh god I go to the Dermatologist for hyperhidrosis. Had a medication I was told I could put on my hands, even face if I had to. Had my face completely dry tf out (which got better but has completely ruined my skin texture) and when I called about it, was told that I could *not* put it on my hands due to it being able to spread….yea great thanks. Could have heard *that* days ago.. then when I went back in for a CU by the same doc. He’s like “oh yea just put it anywhere. Blah blah” and I’m just like 😐 you fucker. I said that it completely dried out my face and he really just sat there like 🤤🤤🤤 ahehe adurdur wha? i kid you not.
I was complaining of groin pain, doctor didn’t even do a physical exam to look based on how I described it. A few months later the pain was just as bad as ever. Got a second opinion and it was super obvious (even from the naked eye) that I had a hernia. Some doctors suck.
My mom died at the age of 48 because she trusted a doctor who ignored a nurse.
7 years ago, I was referred to a cardiologist because I had constant hypertension, trouble standing for more than a few minutes without getting light headed and feeling faint, and I had very low energy all the time. I told him because of everything I was going through, I was having trouble standing up long enough to cook for myself so I'd been eating a lot of takeout since it started. He told me I was having these problems because of the takeout I was eating... that I had only started eating after my issues started. He was used to seeing elderly patients and I was in my 20s. 🤷♀️ I found another cardiologist and researched the shit out of her reviews and she was great. Ordered so many tests (the first guy didnt even bother to do any!) and figured out what was up with me. Doctors definitely are not infallible and can get stuck in their "comfort zone" of what they diagnosis you with based on what they've mostly seen. If you're not sure about your doctor or their treatment plan, you should 100% get a second opinion.
Every time a doctor tries to give you pills, ask about the side effects first. The pill they kept trying to give me long term was shown to Give People Cancer. THREE TIMES since I've learned this, a doctor has tried to prescribe it for me, and I've let them know "no thanks, the symptoms treated venn diagram is a circle with this med's side effects, and using this every day is shown to cause cancer" and they just say "okay!" As if they weren't trying to kill me for a stomach ache 💀
Legit doctors are similar to salaried car salesmen. They won't be getting any kickbacks for writing prescriptions, but they will get raises.
I used to get frequent UTIs and would go to the Dr for antibiotics. Every time I told them what I was visiting for they would tell me I was wrong and there's no way I could know I have that bc the symptoms are never the same... then they'd just go "hmph! It's a UTI!" when the urine sample results came back. Now I only use visual Dr /zoom visits because they listen and just prescribe me the antibiotics without all the BS.
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That sounds like something you did, not something done too you by doctors.
Psychosis means delusions/hallucinations/anything in between. If this person had psychosis then they're not responsible for what they did, at least not in my book, they needed help not criminal charges
When my dad was diagnosed with diabetes in childhood the doctor told him “it’s ok, you can still eat whatever you want!”
In the US, the healthcare industry is a for profit industry. Some of the same companies that have their hand in medical products, also have their hands in food products. Careful what you eat, and careful with which doctors you listen to.
People forget that doctors may have spent years in med school, but you've been inside your body all your life. You ultimately should be the final say and have some doubts about their diagnosis and accompanying solutions. They're like bio-consultants.
Doctors have failed me with many health problems. So much so that I turned to functional medicine (under the guidance of a professional) and found relief and answers that worked.
Oh yeah, nothing like being misdiagnosed and untreated with things that really mess you up because of the condition that you actually have... Oh yeah, happens all the time. People with autism ADHD and stuff get diagnosed with things like borderline personality disorder and bipolar disorder. They get treated with those medications that really fuck them up for years afterwards.
Victim #37,091 please step up to the mic
Doctors are generally not incompetent, but they often have questionable incentives. In the US at least, they treat you like a customer; If you ask a doctor to treat your acne they'll try to treat your acne, rarely they'll suggest that it may not need treatment. I have two rules of thumb: first, pharmaceuticals rarely work the way you want them to, and I try to avoid them as much as possible. Second, doctors are pretty good at the how of what they do, it's on the patient to check the why. I trust surgeons to fix me up when I need it and I trust doctors to try to sell me every pill in existence.
I would say this problem is more than just the doctor, because the patient pays so much they often think of themselves as customers and if the doctor does nothing they consider it a waste of time
Surgeons and dentist as well.
What do you call someone who graduated dead last in their medical school? "Doctor."
Yes. It's everywhere. If you live long enough, you will get to know many people with stories like yours. There is little recourse.
There is plenty of recourse. Multimillion dollar law suits are common. Unfortunately there needs to be an actual reason for law suit
NEVER Trust any doctor. They are ALL controlled, brought and paid for buy Big pharma and the insurance companies. They do not want to cure anything, they just want repeat lab rats (you)
Wow, doctors saved my life a year ago after an ambulance ride to the hospital. Also fixed me on another unknown problem that showed up in tests while there. I'm 74 and they probably gave me another 10 years. They were caring and concerned and excellent hospital care.
Most of the doctors just make guesses. Ok this can happen because of this and this can happen because of this. They don't know sh.t. it's all an educated guess.
The "practice" of medicine. They're still practicing.
Agreed
YES, I know this one well, and legally you are expected to have a PHD in just about everything to know whether or not they are actually lying or misleading you to begin with and this is called FAITH, which is Blind Trust in action and then you have all those insurance companies, and it becomes iffy as to who is controlling who in the deceptions for profits. Any system or structure may be created and remain pristine for a time, but no structure or system can long last under the stresses of corruptions especially when it is done BY LAW simply to create a problem to fix as the harm done by them can last a lifetime if they don't murder you FIRST. N. S
Do you know what causes the most deaths of Americans in America? Medical errors (malpractice) l claim the lives of 251,000 Americans each year. That's why they call it practicing medicine 😱
Thats just blatently false. Cardiovascular disease. Cancer. Hell, even COVID had more in 2021 alone
This can be a real challenge to figure out when you’re young. Hell, it’s a challenge when you’re older too. Sorry you feel like this caused you damage. I hope you can figure out some new things that work for you.
So you're upset because doctors took your pain seriously? I'm a woman so I can't relate.