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Why Doctors Are Sick of Their Profession
Wall Street Journal ^ | 08/31/2014 | By SANDEEP JAUHAR

Posted on 09/01/2014 7:15:17 PM PDT by SeekAndFind

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To: arkfreepdom

Thanks. I think the other doc took my gripe too personally. I know most physicians do the best they can. I have no general animus against the profession, lol, as a matter of fact I could have sued because of these errors, I was approached by several lawyers, but since she recovered fully I let it go.


61 posted on 09/01/2014 9:18:13 PM PDT by LongWayHome
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To: LongWayHome

“I’ve noticed the growing incompetence. Idiots almost killed a family member 3 different times due to lazy, stupid mistakes. Instead of winning do your damn jobs.”

Gee why would I go on the defense of my profession with that as your opening statement? I’m supposed to approach that with what, a gentle nod and delicate concern?

“So take your childish conceit and do you know what with it.”

And then you get all outraged at me for responding to your implied “stick it?”

I’ve seen too many posts outlining completely uninformed critiques of medical care to even bother trying to figure out what went wrong with your relative. I won’t get an accurate or fair assessment from you.


62 posted on 09/01/2014 9:21:52 PM PDT by Kozak ("It may be dangerous to be America's enemy, but to be America's friend is fatal" Henry Kissinger e)
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To: dragnet2

One of my friend’s dad was a respected physician in general practice. 4th year medical students would do a rotation with him. He said that up until the mid 1970s, the students’ questions were focused on diagnoses and treatment. In the 1970s the questions changed, generally, to: “How much do you charge for this?”

He drew his own conclusions on where the practice of medicine was headed.


63 posted on 09/01/2014 9:23:11 PM PDT by henkster (Do I really need a sarcasm tag?)
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To: Kozak

We both could have done a better job with our postings this evening....too much testosterone methinks:) I can see this is still a sore point with me. need to let it go.....


64 posted on 09/01/2014 9:26:59 PM PDT by LongWayHome
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To: LongWayHome

Okay. I’m sorry I responded so harshly. I’ve been working a lot of 14 hour days. Yeah , I’m whining ... (;-)


65 posted on 09/01/2014 9:36:54 PM PDT by Kozak ("It may be dangerous to be America's enemy, but to be America's friend is fatal" Henry Kissinger e)
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To: knarf

>We never questioned ourselves before the 60’s ... never.<

.
Wow, you’re going back a long time, don’t you?

The big difference between now and then is DEMOGRAPHICS.

The word ‘balkanization’ is a derogatory expression. We are thoroughly balkanized through and through.


66 posted on 09/01/2014 9:39:26 PM PDT by 353FMG
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To: Kozak

God, I hate saying I’m sorry, but you made good points. Say...you docs really are smart:)


67 posted on 09/01/2014 9:43:03 PM PDT by LongWayHome
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To: terycarl

Amen. Dr. do your duty. Heal. Buck the system on behalf of your patients. Quit looking at them as paytients rather than the subject of your calling.


68 posted on 09/01/2014 9:43:14 PM PDT by amihow
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To: John S Mosby

Despite the author’s protestations, the doctors brought it upon themselves by charging astronomical amounts for simple medical procedures as the did hospitals. Let’s be honest despite all the fluff stuff egalitarian, they did it primarily for money and social status- celebrity. Indian doctors who butcher the Queen’s English and paid pennies on the dollar in their home country flocked to the US to receive guaranteed large incomes.

The waste, fraud, and abuse of Medicaid and Medicare systems are rampant. Doctors work hand in glove with hospitals to bilk patients. We’ve seen doctors engage in criminal conspiracies to defraud the system. No, not a single tear from this individual.. Finally, the last straw was when the AMA whole heartedly supported Obamacare on the promise of more patients and more government income.


69 posted on 09/01/2014 10:01:48 PM PDT by Steelfish (ui)
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To: SeekAndFind

First of all, there is no way this can be true because there is no way the government would pass a giant healthcare bill without taking into consideration the supply of labor to carry out that plan ............ /s


When the social justice warriors start saying, “We have a right to healthcare”, doctors are the first ones to see themselves as cattle on the government farm ...


70 posted on 09/01/2014 10:10:41 PM PDT by spodefly (This is my tag line. There are many like it, but this one is mine.)
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To: LongWayHome
We had one case where we could have stuck it to a doctor actually about six but chose otherwise. I took my wife to the ER because she was becoming highly agitated, seeing things, and her BP and pulse was climbing through the roof. She was being treated for Depression ans PTSD no history of Psychosis. Two of her meds were Zoloft and Trazodone. We had been to the shrinks office two hours earlier and he didn't pay attention.

Anyway to complicate matters she's also a quadriplegic. I got her signed in and through triage and she was taken to an exam room. After about an hour the attending doc calls me back and says he's calling the state she needs to be transferred to a mental facility. I asked about blood work. He did none. I asked about CT Scan due to her history. He didn't order one. I asked about bloodwork he didn't order any.

Now what happened next should have set off bells and whistles in a doctors WTH is going on portion of their brain. I went to the exam room and she was unconscious. I could not get her to respond. I yelled get some help in here STAT out the door. In walks the doctor and I said what's going on no mental issue does this that I know of. He shrugged his shoulder and started to walk out. I said listen you stupid &&&& and he said I called the state and walked off. I got my dad and said pull the van around I'm taking her out of here.

We went to a Level One ER. It supposedly had the best of the best there. She arrived unconscious. They managed to get her conscious but she could not answer appropriately. I made the mistake of being honest and that doctor said well I'm calling the state.

Me and state had a chat when they arrived and state agreed this was not mental illness related but a neurological issue and she was admitted and a contracted doctor assigned. At no point was our primary care doctor notified even at my request.

The first thing they did was right sorta anyway. They put her on Ativan and discontinued the other medications. Lo and behold about 36 hours later she was alert, oriented for the most part just a little foggy as to what had happened, and in her normal mind. In walks contracted Shrink who also never saw her a day in his life. He says yes the other Shrink was correct we need to up the Zoloft. Next day at noon Nurse walks in and gives her Zoloft. One hour later she was hallucinating again, BP and Pulse through the roof and thrashing so hard she had to be restrained. I was at my wits end. During this time the third day into it still not one diagnostic test done even blood work.

Ever hear that prayer helps?I said some and I went home because I was wore out. I got home and something said go on line and look up her meds. I typed in Zoloft +Trazodone to a search engine and Yeap there it was. Something a PDR Book is also for BTW. Serotonin Syndrome.

Whew that was a fast answer. I called dad who was staying with my wife and I told him I think I have the answer don't let them give her any meds till I get there I'm on my way now. I got there and figured we can get a protocol started and get her out of danger and yes her life was in danger at that point. I talked to the floor supervisor nurse. I showed her the papers. She said the doctor comes in tomorrow morning and is not to be disturbed before then. I said OK then as her husband you will follow my orders. You are to give her only Ativan and nothing else. No Zoloft no Trazodone or anything without my expressed permission as of this minute.

Next morning contrator doc walks in madder than hell and says why did you rescind my orders for. I said Doc please read this I think this is the problem. He saw the title and said that is pure rubbish his exact words. I said well Doc who wrote it do you know him by chance? He looked against was the hospitals Pharmacology Professors work. He backed down then. But he had the gall to say OK now lets transfer her. I said you best not say that in front of me ever again.

Next morning she was back to normal as normal was going to be for a while. She had partial Amnesia. They took her down for a MRI of her brain on Day 5. Two Bleeders one recent one old. Two Attending ER docs at two hospitals, two Shrinks, and two Contracted doctors did not have the curiosity required to do their job. A PDR look up should have been among the first things to happen. This was about 14 years ago BTW. Today doctors know about it or should if they are writing scrips for antidepressants.

We didn't sue. But the first ER's Chief of Staff got a letter and that doctor knew my wife as he had treated her before himself. That doctor was relieved of employment. We simply stated if this happened to any one else we would testify on their behalf. BTW her PTSD? It mainly was triggered by an adverse reaction to medication. A dentist {General Dentist} gave her Mepraghan for a simple non complicate extraction. It put her in Hypothermia. A couple years later he killed a girl in his exam room doing unauthorized {for his license level and training} anesthesia on her.

Yeap we've seen bad doctors but we've seen far many more who went the extra mile for the best care they could give her. Many mistakes happen because patients primary care doctors have been taken out of the hospital treatment decision process because due to pressures of time constrains they can no longer do rounds that and people often go to hospitals where the doctor doesn't have privileges. No privileges? Then as far as the hospital is concerned no notification is done unless the family does it by going over their heads.

71 posted on 09/01/2014 10:12:01 PM PDT by cva66snipe ((Two Choices left for U.S. One Nation Under GOD or One Nation Under Judgment? Which one say ye?))
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To: Kozak

Ping to post 71 strictly for educational purposes in case you ever see it. This happened just about the time AD’s started being passed out like candy by Shrinks.


72 posted on 09/01/2014 10:14:44 PM PDT by cva66snipe ((Two Choices left for U.S. One Nation Under GOD or One Nation Under Judgment? Which one say ye?))
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To: cva66snipe

Wow....sorry to hear this. Without getting into my case in depth I will mention one incident of the three that happened. I too finally figured out what happened on my own. The hospital was giving my family member insulin cause they thought she was diabetic, which she was not. They overdosed her on insulin one evening & she was rushed to the ER from a rehab facility she was in.

They told the ER they thought she was having a heart attack. They covered up the insulin overdose. so the doctors in the ER had no idea what was really happening. I got there in time to inform them of what I thought was going on.

Very frustrating.


73 posted on 09/01/2014 10:31:26 PM PDT by LongWayHome
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To: cva66snipe

I’ve seen Serotonin Syndrome. Yeah it can be sneaky. Sometimes just stiffness. Delirium should be pretty obvious. One of the reasons we fear dealing with alcoholics, drug users and psych patients in the ER. They are all ticking time bombs and you can never let your guard down.


74 posted on 09/01/2014 10:39:22 PM PDT by Kozak ("It may be dangerous to be America's enemy, but to be America's friend is fatal" Henry Kissinger e)
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To: SeekAndFind

Very few American doctors entered medical school in order to have their life’s work become a perk of the socialist state.


75 posted on 09/01/2014 10:48:26 PM PDT by TChad (The Obamacare motto: Dulce et decorum est pro patria mori.)
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To: SeekAndFind

Just wait until they become Indentured Servants to the State. Talk about fun.


76 posted on 09/01/2014 10:51:41 PM PDT by Kickass Conservative (THEY LIVE, and we're the only ones wearing the Sunglasses.)
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To: LongWayHome
Weird things get on charts too that set in preconceived notions a person is Diabetic. My sibling has a stroke history and near life long mental issues that's been treated for. Anything going on in the body in the way of say a TIA can produce false of short term high blood sugar levels. That happened to her as a family member was driving her. She went into kinda a stupor {most likely TIA} and family member pulled into nearby ER. The Diabetic label stuck and I like to never got it corrected. That's the modern age of computers nothing ever gets truly deleted.

We put her in Memory Care assisted living and they got the hospital records. They kept wanting to put her on a Diabetic diet.

I used to work in nursing homes {maintenance} and my wife before going quad was a CNA she saw a lot including the place we worked at covering up an incident where her grandmother a patient there was injured and passed the next day. The House Supervisor RN was the one who hid it. The worker that was involved another CNA told my wife what had happened. A door had stuck shut and while she was trying to get out swung open into her grandmother in the hallway. Something my wife understood as just one of those things it could have been her.

77 posted on 09/01/2014 10:53:55 PM PDT by cva66snipe ((Two Choices left for U.S. One Nation Under GOD or One Nation Under Judgment? Which one say ye?))
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To: cva66snipe

So true about the diabetic label. We have had a heck of a time getting rid it. Mistakes happen, I understand that medicine is an “art & science” with a little more art than I realized before my experience, but the lying & covering up, well that’s just beyond the pale.


78 posted on 09/01/2014 11:05:58 PM PDT by LongWayHome
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To: Kozak
I’ve seen Serotonin Syndrome. Yeah it can be sneaky. Sometimes just stiffness. Delirium should be pretty obvious. One of the reasons we fear dealing with alcoholics, drug users and psych patients in the ER. They are all ticking time bombs and you can never let your guard down.

I understand about the abusers. Hospital had her full records even from onset of quad. What I think they've finally figured out also is persons with neurological damage are more prone to the adverse reaction for some reason.

I can't take AD'S and I have damage also involving sensory processing. The darn protocols they tried about sent me over the edge. The one thing that helped doctors are scared of which is Xanax. Everyday user since 1993. .5mg 4 x day :>} sometimes 3. If I'm out and it hits one goes under my tongue ASAP. If I'm home I just pick up an acoustic guitar.

I have Atypical General Anxiety Disorder sensory triggered that causes severe Myoclonic seizures in my upper torso from certain auditory and optical stimulation. My sensory uptake definitely doesn't need any more darn inhibiting LOL.

My wife is a 29 year Xanax user. Five doctors decided a valve in her heart would try to close when she was stressed simulating a heart attack but not one. Enzymes were always negative and she could pass drug induced treadmill. Thankfully she was on it also when the Serotonin Syndrome hit. It may have well saved her life.

We both know the Xanax risk, dangers, etc but neither have developed a tolerance to where it won't work. A lot of the real issues stem from improper initial dosages as to how much how often. I was started out 2mg twice a day. For about 14 hours a day it worked the rest of the time? Spasms. One doctor after I fired a few shrinks read my history involving Inner Ear issues and said no more AD's just Xanax and he cut the daily total dose in half but made it consistent by spreading it out.

First bad AD experience was Dysreflexia from blocked bladder. I realized from my experiences caring for my wife what was happening. Med was Paxil. I had a Foley two weeks. LOL.

79 posted on 09/01/2014 11:15:13 PM PDT by cva66snipe ((Two Choices left for U.S. One Nation Under GOD or One Nation Under Judgment? Which one say ye?))
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To: cva66snipe
Here's a weird one but true story. My Great Grandfather was a doctor from about 1900 - early 1930's. One of his biggest fears was being buried alive. Which I suppose for the day was realistic enough. He told his wife that if he passed to leave him in the house for a day for her to leave and come back the next day and see if he was stiff or not. He had something go wrong from an operation he had to have and it was disabling for about the last decade of his life I'm told.
80 posted on 09/01/2014 11:37:23 PM PDT by cva66snipe ((Two Choices left for U.S. One Nation Under GOD or One Nation Under Judgment? Which one say ye?))
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