This message was self-deleted by its author

[grasswire]

This message was self-deleted by its author (grasswire) on Fri Sep 20, 2013, 04:25 PM. When the original post in a discussion thread is self-deleted, the entire discussion thread is automatically locked so new replies cannot be posted.

[enlightenment]

1. Common sense says

no, providers will not have more time to spend with patients. If they don't have time now, how will adding millions of potential patients make it easier for them?

No, they won't have less burn out. See above.

No, patients will most likely not be able to access "more and better care" - one, because of demand on the system and two, because health insurance does not equal health care. Whether or not the costs are "reasonable" remains to be seen.

[LiberalLoner]

2. I join you in thanking Aristus. It was a discussion that needed to be had.

[Benton D Struckcheon]

3. Missed that one,

but my wife's a doc, and she spends hours now entering data into the computer, whereas before she did everything on paper charts and that she could do while seeing the patient. We all understand why the electronic records are needed, and it will make things better for the patient, but the whole system is going to get a lot bigger now, just because of the volume of work that will be - and is being - created by this kind of thing.
My wife is all for Obamacare, but most doctors aren't. No doctor I know of likes the new electronic records.
Which means doctors even now have less time to spend with patients, by the way, just because of the electronic records systems. A new influx of patients, should that result from Obamacare, obviously isn't going to improve that situation.

[grasswire]

13. thanks for the input

My NP types on the computer all the time while talking to me. And my cardiologist's assistant types on the computer while the doctor is talking to me.

So maybe your wife's place of work will facilitate that for her.

[NMDemDist2]

15. my doc has his office set up for patients

he does the exam, we walk down to his office and chat while he types up his notes and any prescriptions he's giving me (which he sends to the pharmacy electronically while we're sitting)

then he goes into the next patient. he's always on time, never makes me wait and it gives us that extra few minutes for me to ask questions etc.

i love his system!

[Benton D Struckcheon]

21. For simple stuff she does that too,

but some cases are more complicated, so she winds up having to do them afterwards. A typical morning in our house finds me on my computer doing my thing, and her on hers entering charts from the previous day.

[tkmorris]

4. That was one of the most callous things I've read in a while

I'm sorry that I cannot join you in thanking him for it. Yes, the discussion needed to be had but it still does. A thread on DU changed nothing; the same issues still exist.

[kcr]

6. I agree.

I'm hoping no one came away with that fearful of bringing up things with their doctor. And the OP isn't even a doctor. DU needs to bring back the no medical advice rule.

[grasswire]

12. who was giving medical advice there?

I didn't see any.

[kcr]

14. Um, the DUer posing as a doctor telling people

to keep their complaints at their doctors offices to one. That could have serious medical consequences.

[anneboleyn]

22. The OP of that thread, who is a PA not an MD, suggested to patients that they should limit

discussions of symptoms when visiting the doctor. This was "advice" in the sense that the OP's post read: "I am a medical professional, and I think that you should do "x" when visiting your physician." This is obviously not the same as say diagnosing a disease over the Internet or advising on medications, etc., but it was still "advice" in the sense that the OP, citing personal expertise as a medical professional, proposed that a particular course of action was the best course when visiting the doctor.

As many posters noted, the proposal is a potentially dangerous one, as a person taking this to heart may indeed limit what he or she discusses with the doctor -- and a crucial issue might be missed or a cluster of symptoms ignored because only a "primary" symptom is being discussed.

[leftstreet]

5. Moral: blame the system, not the patients and providers n/t

[grasswire]

10. good plan nt

[Bluenorthwest]

7. You mean the thread in which a medical assistant posed as a physician and lectured patients

to be good Insurance Consumers? Self important, surly and utterly unconscionable screed.

[REP]

8. Now now. He's a Physician's assistant and his patients love him!

Of course, most people - especially poor, desperate ones - are polite to authority figures who can choose to help them or not, so I'm sure it seems as though they like him very much.

[LanternWaste]

20. I imagine perceiving medical staff as "authority figures" may be a condition too.

I imagine perceiving medical staff as "authority figures" may be a condition too (or rationalizing it by restating that one meant merely the poor and desperate see them as authority figures-- digging that hole even deeper...).

Good luck with that!

[grasswire]

9. looks like I'll have to close this thread too

Did you eat gravel for breakfast? Stuck in your craw, did it?

You said your piece yesterday. It was mean then, and it's mean now.

[grasswire]

11. I knew he was a P.A. Why didn't you? nt

[anneboleyn]

23. MTE. Frankly it was a dangerous post: "you should not bother your doc"

"I don't care if you have a cluster of symptoms -- don't trouble your doc with this -- just decide which symptom is the most important and only discuss that symptom!" (many problems with that OP as many posters pointed out).

[madinmaryland]

25. You're still alive???

I thought you had been beheaded?

[mucifer]

16. I get confused. This is a discussion board. I thought it was an interesting discussion.

I realize it's a touchy subject. But, if we can't discuss difficult issues why have DU at all? Why was it closed?

[REP]

17. The OP self-deleted, which locked the thread

The Hosts of GD did not lock the thread; the Original Poster deleted his post himself.

[mucifer]

19. Oh that's good. I know the thread got a bit ugly. But, I felt it is a very important discussion.

I'm a hospice nurse and I'm lucky that I work for a non profit hospice and have lots of time with my patients.

[Jesus Malverde]

18. context

http://www.democraticunderground.com/?com=view_post&forum=1002&pid=3695359

[madinmaryland]

24. Unfortunately his tone came across as very callous towards the people who need his

help the most. He realizes that mistake now.

There was some discussion about the state of medical care, but it was sort of a by-product and not what his attitude came across as.

Just my 2-cents.