tag:blogger.com,1999:blog-8041463137176176234.comments2022-10-23T13:06:38.728-04:00Family Practice 2.0Anonymoushttp://www.blogger.com/profile/01941316338397643339noreply@blogger.comBlogger102125tag:blogger.com,1999:blog-8041463137176176234.post-32670500310252307082016-06-28T14:54:37.652-04:002016-06-28T14:54:37.652-04:00My husband and I also fell victim to the Nurse Pra...My husband and I also fell victim to the Nurse Practitioner staffed clinic. My husband was misdiagnosed with SCABIES, and was given a VERY expensive cream to use by the NP at The Little Clinic. Well, when the rash began spreading all over his body, even after using the 150 dollar medicine, he was able to find a dermatologist that did not have a 3-month wait for new patients. It was not scabies but a very acute case of eczema! Another few-to-several hundred dollars was spent but he is finally on the mend.<br /><br />I went to The Little Clinic for pain and swelling of my throat and ear. The pain was almost unbearable when I swallowed anything! The NP told me I had allergies. What?? I don't even suffer from allergies. They did a rapid strep test that cam back negative. I went home with the diagnosis she gave and directions to keep taking up to 800 mg of IB, drink liquids, etc. Three days later, I wake up, throat almost closed completely and difficulty breathing with even more swelling! I took myself to a PHYSICIAN today. Found out that I have acute pharyngitis. My tonsils were touching and throat so inflamed the doctor was angry I had gone to a NP. He said, "Your throat very well may have closed up to the point where breathing would be impossible!" <br /><br />We will not be going back to any clinic for diagnosis or even the very basic care needs!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-8041463137176176234.post-42977874947706994862015-12-30T15:56:48.561-05:002015-12-30T15:56:48.561-05:00I know this post is a few years old, but perhaps s...I know this post is a few years old, but perhaps someone else will come across it in the future. My husband just went to one of these clinics at Kroger here in Louisville as he needed a doctor's note for work. He has the flu, and his PCP can't see him until Jan 1st when his new insurance starts. The NP sees him and because he said he may have had a small amount of blood in his vomit the day before, she refused to dx him and referred him to another clinic. A small amount of blood is not abnormal when you're vomiting so much. It was gone, and there was no giant hemorrhage or danger. Because she couldn't dx him, she refused to write him a note for work. But they certainly took our $85! She did however try to get him to take a flu test, which is completely unnecessary, increasing our cost to $125 out of pocket. Not to mention the flu test can give a false negative. He ended up going to another clinic, having to pay there, and getting the treatment he needed. All in all, a horrible day. We were outraged. I didn't expect much from The Little Clinic, but we didn't need much either. I didn't expect NOTHING and to lose money for NOTHING.Anonhttps://www.blogger.com/profile/06917670686861196988noreply@blogger.comtag:blogger.com,1999:blog-8041463137176176234.post-50268187607953036292015-01-14T10:04:02.775-05:002015-01-14T10:04:02.775-05:00That seems like a really good idea to make that so...That seems like a really good idea to make that sort of system change. Medical care should really be about the care of the patient and not how many of them you can pump through in a day. Of course emergencies will come up, but most of the time it would be nice to have undivided attention from a doctor. I hope the change in the system is made gradually, but in a efficient manner.<br /> <a href="http://www.entirafamilyclinics.com/MedicalServices.aspx" rel="nofollow">http://www.entirafamilyclinics.com/MedicalServices.aspx</a>Anonymoushttps://www.blogger.com/profile/13394813411211311477noreply@blogger.comtag:blogger.com,1999:blog-8041463137176176234.post-36980415886626859932014-09-23T21:12:24.736-04:002014-09-23T21:12:24.736-04:00Check this out? I was told by my friend ( in the m...Check this out? I was told by my friend ( in the medical profession) that all states will pull a kasper on you except for one state, Missouri. Their is a governor who has a pair of balls. We need a good candidate for Governor to run with this issue on his/her platform. It's all political. I have been a Democrat all my life. Lets all vote Rep. and send a message. I am 65 and live in chronic pain. Hope you son can get the help he needs. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-8041463137176176234.post-1323822941365794772014-04-11T22:43:21.068-04:002014-04-11T22:43:21.068-04:00I'm a new rn and got offered these exact hours...I'm a new rn and got offered these exact hours. I refused as I am often asleep by 10. To ask a human to function efficiently and safely at this level of work and this many hours is incomprehensible. Nurses are people too. We can make errors. Unfortunately, if we make an error a life can hang in the balance. And, sadly for your husband's friend it did. All for that extra shift differential of 3 an hour. Our patients deserve better. I refused the position and took one at a facility that does not staff like this. Was a pay cut but worth my license that's for sure. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-8041463137176176234.post-52457722284371962492013-11-26T20:27:02.423-05:002013-11-26T20:27:02.423-05:00I remember when i went to a family practice in Jac...I remember when i went to a <a href="http://thinkmedfirst.com/services.html" rel="nofollow">family practice in Jacksonville, NC</a> for the first time. I loved it, i will take a family practice over anything. Anonymoushttps://www.blogger.com/profile/16520760229526084621noreply@blogger.comtag:blogger.com,1999:blog-8041463137176176234.post-972867647678144972013-11-26T19:19:35.544-05:002013-11-26T19:19:35.544-05:00Great question. A Family Practice doctor is a phys...Great question. A Family Practice doctor is a physician who is Board Certified by the American Board of Family Medicine. This involves a three-year training residency after medical school and specified continuing medical education during the ten years between each Board Certification exam. A general practitioner does not necessarily have residency training and is not board-certified. Anonymoushttps://www.blogger.com/profile/01941316338397643339noreply@blogger.comtag:blogger.com,1999:blog-8041463137176176234.post-33206569190862875612013-11-26T15:54:01.245-05:002013-11-26T15:54:01.245-05:00I am confused. What is the difference between a ge...I am confused. What is the difference between a general practitioner and a <a href="http://thinkmedfirst.com/services.html" rel="nofollow">family practice doctor</a>? I was researching a family practice doctor and came across the other. Are they the same thing?Anonymoushttps://www.blogger.com/profile/03876717259488633073noreply@blogger.comtag:blogger.com,1999:blog-8041463137176176234.post-85408600831633600032013-10-24T11:11:24.461-04:002013-10-24T11:11:24.461-04:00That sense of community inspires a lot of confiden...That sense of community inspires a lot of confidence in your practice. That's what we like about our <a href="http://www.southerncoloradoclinic.com/familypractice.html" rel="nofollow">family medicine in Pueblo CO</a>, they always seem so unified.Anonymoushttps://www.blogger.com/profile/08946511135762531638noreply@blogger.comtag:blogger.com,1999:blog-8041463137176176234.post-49697606325502675532013-10-18T22:05:08.252-04:002013-10-18T22:05:08.252-04:00everyone needs to write their State Senator and Re...everyone needs to write their State Senator and Representative to have this law repealed or revised further. http://www.lrc.ky.govSean Cooperhttps://www.blogger.com/profile/15720059333332597721noreply@blogger.comtag:blogger.com,1999:blog-8041463137176176234.post-82511745720491196622013-10-02T15:58:56.097-04:002013-10-02T15:58:56.097-04:00Well, that was a happy side effect. After attendin...Well, that was a happy side effect. After attending Doctors 2.0 in June I'd already decided to go to its sister conference at Stanford. Seeing Kelly made for a fabulous combination. :)Anonymoushttps://www.blogger.com/profile/01941316338397643339noreply@blogger.comtag:blogger.com,1999:blog-8041463137176176234.post-34635299272134547692013-10-02T15:32:26.388-04:002013-10-02T15:32:26.388-04:00I know why you went top Stanford- to visit your da...I know why you went top Stanford- to visit your daughter in God's Country...PGnoreply@blogger.comtag:blogger.com,1999:blog-8041463137176176234.post-9440807471154182462013-09-30T23:05:13.133-04:002013-09-30T23:05:13.133-04:00I want a semi-burned out doctor before I want a gu...I want a semi-burned out doctor before I want a guy who feels like he has surrenderd "love and empathy: to the government and tort law. I'll take the strong but overwhelmed before the weak and cowering. Take all yr social media but like our bookstore customers, somehow they want human connection, touch if you will, before anonymous digital connection. We are hostage to our primate brain, after all, and there is no greater joy than picking the nits out of our beloved's fur.Michael Boggsnoreply@blogger.comtag:blogger.com,1999:blog-8041463137176176234.post-34127974112835077772013-09-29T16:38:17.795-04:002013-09-29T16:38:17.795-04:00I completely agree. And I love blaming Barry, he&#...I completely agree. And I love blaming Barry, he's got that Jewish "victim" thing going. But seriously, I agree that I have more resources, my only question is: Do you want a burned out doctor taking care of you?Anonymoushttps://www.blogger.com/profile/01941316338397643339noreply@blogger.comtag:blogger.com,1999:blog-8041463137176176234.post-61173832045312166442013-09-28T18:19:35.834-04:002013-09-28T18:19:35.834-04:00If I hadn't run into Barry at the hardware sto...If I hadn't run into Barry at the hardware store, I would leave this alone (and I'm not sure why this entry always comes up as my default.) But you guys should realize that as our implementation of capitalism becomes more and more Darwinian, more and more people are going to be in a state of "burnout." You must see it in your practice because it's bound to affect people's health when they work 2 jobs with 2 kids and no father. If you are envied, it's because you have the same burnout but a lot more resources behind you (not that you don't deserve them.) If the woman who cleans our house gets sick or has car trouble, she's basically f*cked. That's not the case for you or I. So few people, and probably less than 5% of our elected officials understand anything about living close to the edge, where a health problem, a car problem, a legal problem, any problem, puts them in an untenable situation, no matter how hard they work or how much they want to work hard. Dr's don't get the love because most people think "whoa, you don't know burnout girlfriend." Blame Barry for this shade.<br />Anonymoushttps://www.blogger.com/profile/10273704276563500734noreply@blogger.comtag:blogger.com,1999:blog-8041463137176176234.post-61770022758615973352013-09-26T11:49:10.206-04:002013-09-26T11:49:10.206-04:00To understand why, here's another good link. h...To understand why, here's another good link. http://well.blogs.nytimes.com/2013/09/26/easing-doctor-burnout-with-mindfulness/?smid=tw-nytimeshealth&seid=auto&_r=0 Anonymoushttps://www.blogger.com/profile/01941316338397643339noreply@blogger.comtag:blogger.com,1999:blog-8041463137176176234.post-57601961926554039822013-09-26T09:52:02.642-04:002013-09-26T09:52:02.642-04:00He was waxing poetic and using hyperbole to make h...He was waxing poetic and using hyperbole to make his point but in a healthcare system close to 50% of physicians are showing significant signs of burnout. I see that in my colleagues at that percentage. I assure you, the "better angel traits" are beaten down on a regular basis. Anonymoushttps://www.blogger.com/profile/01941316338397643339noreply@blogger.comtag:blogger.com,1999:blog-8041463137176176234.post-3941838528375751702013-09-25T11:10:21.065-04:002013-09-25T11:10:21.065-04:00Not to order more tests on a dead horse, but the b...Not to order more tests on a dead horse, but the blog post you sent me to made my blood run cold. This guy either was having a bad day, or hates his job. To make a statement like: "And true love and empathy have been replaced by fear of a tort system that accuses and a government." Is truly chilling. Our better angel traits--love, empathy,kindness,humility--can never be stolen, only surrendered. And if this guy has given them all up, I would certainly never want him touching me.<br />Michael Boggsnoreply@blogger.comtag:blogger.com,1999:blog-8041463137176176234.post-8973306820268480192013-09-10T07:28:15.722-04:002013-09-10T07:28:15.722-04:00A better response to your remarks lies here: http:...A better response to your remarks lies here: http://jordan-inmyhumbleopinion.blogspot.com/2013/09/blood-on-our-hands.htmlAnonymoushttps://www.blogger.com/profile/01941316338397643339noreply@blogger.comtag:blogger.com,1999:blog-8041463137176176234.post-17232967828727937872013-09-06T23:07:13.726-04:002013-09-06T23:07:13.726-04:00I couldn't agree more in that touching someone...I couldn't agree more in that touching someone is NEVER a trick. I touch my patients to diagnose or to empathize. I haven't read Lisa Sanders book but good doctors use technology as a tool, among many, to help patients. I don't believe that trust is irrelevant, but call me a romantic.Anonymoushttps://www.blogger.com/profile/01941316338397643339noreply@blogger.comtag:blogger.com,1999:blog-8041463137176176234.post-15717128941726756682013-09-06T11:07:40.557-04:002013-09-06T11:07:40.557-04:00Nice piece. My only quibble is there is perhaps a...Nice piece. My only quibble is there is perhaps an unintended dismissive tone in the statement "Early on I learned that even when I don't need to, patients expect to have a "laying on of hands" in some fashion. They may trust you less if you haven't at least looked in an ear or listened to a heart." It seems to me that laying on of hands should be about diagnosis not some 'trick' to gain a patient's trust. In Lisa Sanders great book "Every Patient Tells a Story," about medicine's current unwavering faith in technology, she quotes Hippocrates: “It is the business of the physician to know in the first place, things which are<br />to be perceived by the sight, touch, hearing, the nose, the tongue, and the understanding.” He seems to imply that trust comes later, or maybe is even irrelevant. Michael Boggsnoreply@blogger.comtag:blogger.com,1999:blog-8041463137176176234.post-52226861037853762462013-08-31T15:04:52.978-04:002013-08-31T15:04:52.978-04:00This is so true. Thanks for this post. By the way,...This is so true. Thanks for this post. By the way, your blog looks good and reads great. I'm a fan.<br /><br />- Pat<br /><br />James Patrick Murphy, MDAnonymoushttps://www.blogger.com/profile/04071536001381968971noreply@blogger.comtag:blogger.com,1999:blog-8041463137176176234.post-1875137508026786302013-08-21T11:15:10.100-04:002013-08-21T11:15:10.100-04:00I think it would be great if notes were more reada...I think it would be great if notes were more readable, and if more doctors could be better at explaining to a patient what's actually going on in understandable terms. A friend of mine had to find some place that does <a href="http://www.ipmsak.com" rel="nofollow">family medicine in Anchorage, AK</a>, and she said they were great with stuff like that. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-8041463137176176234.post-60715384736697069832013-08-11T21:27:15.682-04:002013-08-11T21:27:15.682-04:00I am having these same issues as others on here. I...I am having these same issues as others on here. I have taken klonipin for 3 years for an extreme panic disorder PTSD and agoraphobia. I had two drug tests done that were fine. Then I had a third done where I didn't have enough in my system. Just was havin a better month than usual and didn't have to use all 3 pills every day. Because of this my doc dropped me from the medicine and won't even talk to me about. Just sent me a letter stating he will no longer be treating me for anxiety. Now if that's not the government tying the doctors hands then I don't know what is. <br />Very frustrated and saddened My panic disorder is completely out of control. Insomnia is every night. And it seems as though other docs are afraid of me now as well because of this one drug test. I don't know what to do but my quality of life is non existent :(Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-8041463137176176234.post-24098351513993955792013-06-04T03:00:20.240-04:002013-06-04T03:00:20.240-04:00Same here--in the meantime, enjoying my favorite c...Same here--in the meantime, enjoying my favorite city.Anonymoushttps://www.blogger.com/profile/01941316338397643339noreply@blogger.com