The doctors we criticize


#61

For what it’s worth, hospitals and medical professionals/doctors do do that—they have mortality and morbidity reviews to pick apart adverse events and figure out what went wrong. Things like that are why certain precautions are now in place, like if you’re getting surgery on your right knee for example, while awake, most hospitals will mark the correct knee and confirm with you as a precaution put into place after surgeons have operated on incorrect parts. It’s certainly likely they could do it better and perhaps more broadly across institutions.


#62

Sure. It’s one of those things that doesn’t get fixed once, but continually. It’s a process, not a finite goal.


#63

@David_dns, I feel really bad when people become Docs to help and find themselves in such a rigid work environment. I try to warn youngsters considering medicine that it can be intellectually stifling. But, there are ways to work outside the system. Non-traditional paths, for those who want them, do exist.

Choosing between doing the right thing or making a high salary is difficult. Unfortunately, most jobs don’t provide both prestige AND high salary. Advocating for pts could be considered advocating for Docs. I don’t think that the two are so separate.


#64

It is so nice that this topic was introduced. I have been a silent doctor hater. Maybe it is because I have had a lot of sickness in the past year and I have seen many specialist one time. The next appointment a new one comes in the door. I felt like a number. I feel like I have to say over and over again what is going on and they don’t understand but… I have changed. I have been working on this with my therapist because I don’t want to feel this way… Doctors have saved me too. They have given me medication that makes my life better. Positive is always better. I agree with you Gary. I have had surgery too that probably saved my life as well.


#65

I’m about to go and see the only doctor I actually like and trust, despite some very special mistakes he has verbalised in my presence (I didn’t realise adults could get type 1 DM). He got a long education session from me after that one!!
He is a rheumatologist, and has sort of kept me moving over the past 10 years.
Every other HCP I see I get anxious, worked up and ready to bolt, but I actually look forward to seeing this man. My first ever visit he ran outside, hopped on my electric bicycle and rode around the garden giggling. My sort of person!
I’ve experienced so much stupidity from GPs and endos over the years I find it hard to have the tolerance that I really should.
The thing is, I am actually a doctor myself, and I know how little most generally educated HCPs have been taught. Of course endos know much more, in theory, but all tend to be type A personalities. I have very few type A friends, and am very very far from type A myself. I have a haphazard approach to life, and D, which most endos can’t understand (and a pretty good HbA1c, which also puzzles them). At least two have asked if I actually want any advice (nope), or just want paperwork done for a new pump or CGMS (yep).
It is so great that some people have found endos, NEs and GPS they are happy with.
I hope most of my patients are vaguely satisfied with me.


#66

If your general approach to things is as tolerant and relaxed as it sounds, I suspect they probably are—very.

But I am impelled to ask a non-medical question. Why did you name yourself after a car? :laughing: :laughing:


#67

David_dns Type 2
September 19
Morrisminor72:
I hope most of my patients are vaguely satisfied with me.

If your general approach to things is as tolerant and relaxed as it sounds, I suspect they probably are—very.

But I am impelled to ask a non-medical question. Why did you name yourself after a car?

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#68

A 1954 4 door Morrisminor was my very first car. It was called Victor, because it went about as fast as a lawnmower. My dad found it in a friend’s grandmother’s barn, dragged it out and renovated it for me. It survived uni and medical school before getting embarrassingly unreliable. I go for cars that are a tad more modern these days (Suzuki, Mazda, Toyota).

Thankyou for your kind words. I mostly work with the most marginalised and undereducated of society, so can’t afford to be up myself in the slightest. Many of my patients would be classed as homeless, or at best, itinerant. Makes my issues look totally like first world problems…


#69

Yes, I do see. Kudos for what you do; there aren’t enough good people doing it.

In the meantime, you might be diverted by a conversation I recently had with my cousin. She lives in the UK (married a Brit after college and has lived there ever since; they’re both retired solicitors now). Somewhere in Oxfordshire; I can never remember the name of the village, sorry.

Anyway, we recently had a conversation (by email) about health issues. She mentioned that she has a form of leukemia that flares up for a while, then goes dormant only to flare up again in 6 months or 2 years. She ended with the comment, “The goal is to die of something else.” To which I responded, " ‘Yes’, he said, looking at his shelf of syringes.’ " :laughing:


#70

In my experience, Most GPs are fairly ignorant about diabetes.


#73

I really admire your statements @Stemwinder_Gary. Despite complaints about some doctors, I’ve also had wonderful ones.

Before my last general practitioner accused me of faking Bronchitis (I’m still trying to figure out how I do that after previously being diagnosed) and lying in her final appointment notes, she served me well for seven years. I have tried to balance our one horrible experience with all the good she did for me. Thank you.

The doctor who caught my diabetic misdiagnosis in the ER. Thank you.

The ER doctor that assuaged my fears and told me I was in the right place. Thank you.

My endo who has worked her butt off for me and renewed my hope in being able to get pregnant. The same endo that has never made me feel bad for anything. Thank you.

The fertility and high risk doctors who have been so kind. Thank you.

For the nurses at my last clinic that knew me so well and knew how to make me feel better. The nurses that celebrated my victories and shared my sorrows. Thank you.

For the pharmacist who decided she would make it her personal mission to get my insulin approved by insurance before I ran out. Thank you.

Thank you for this post to help me appreciate all the people who HAVE done me so much good over the years.