buried_lede t1_ja3ufbc wrote on February 26, 2023 at 5:23 PM

Reply to comment by jay1982k in Any doctors here by jay1982k

I don’t even know what to say about that because it’s a depressing state of affairs. The profession is very very cya here, more than other places I know just speaking as a patient. It’s the northeast so people move quickly and are less trusting. And they are advised not to resolve things with their patients, but to shut up and let their lawyers escalate the crap out of everything, thus harming the patient more. There are lawsuit shopping patients everywhere I am sure so why trust any patients? But there are so many patients who just want an honest conversation and a fair resolution , such as corrected reports that are riddled with cya fabrications. For more minor care questions, escalating conflicts because of paranoia is common and is so unfortunate.

For more serious errors, it is understandable that fear would be much higher.

Here doctors will come down like a ton of bricks on minor requests for correction. It’s pathetic and really dishonest. I should say many will, not all.

PS: we definitely need more PCPs though, so I hope you come. People wait months to get in as new patients and so many PCPs aren’t taking new patients at all. It’s crazy, so I hope you do come

jay1982k OP t1_ja42bco wrote on February 26, 2023 at 6:14 PM

Id love to.l come to ct. i also need to afford it. If the pay works out i lrobably will. My efforts are generally to dictate in front lf pt. Outside of the bullshit template we all use the hpi, important parts of physical, assessment, plan is all thru dictation so pt can corrext me in office.

Separarely, to cya i sometimes tell ppl what i think, my plan and order it and then also refer or do the escalated next step (advanced imaging) in case im wrong/or meeds more urgency and let them know of it so theyre on board. If they dont wnat to do it up to them. Most patients seem pleased.

I still haven figured iut the patient who comes to me for care accepts the next minor step and then doesnt come to me dor a year even tho i asked them to follow up within a month etc and then blames em for not being urgent. Ugh.

buried_lede t1_ja47bez wrote on February 26, 2023 at 6:46 PM

Huh, interesting last paragraph

As for the cya of documenting facts and communicating well with patients, that’s great but I meant the other kind of cya where people just plain lie to cover up their miserable treatment. Every nurse and doctor having a bad day pawns it off on the patient who took the brunt of it. Lot of high stress

jay1982k OP t1_ja4g8v8 wrote on February 26, 2023 at 7:45 PM

Well thats unfortunate. I dont find primary care stressful. Unless they turn the practice into urgent care. Having an emergency train wreck walk in is. Never fun. Hopefully people like me can give a positive impression but it may take time.