Talked to my AME at length today

[Richman]

Also, not a theorist nor fan of politics….so hope this doesnt cause drift

But might have to do with the fact medical professionals witnessed the public/government turn on them, their recommendations, and then vilify them in recent years. This surely causes the objective competency we once expected as normal to have gone by the wayside?

Can only espouse the efficacy of vaccines and clinical trials so long, then be screamed at for prescribing tylenol to a child before the good physicians go by the wayside. Anecdotal for sure, but the sentiment seems very real and clear

My various PCPs, IM and specialists said exactly 0.0 about anything like that, and, ironically, were very much into "the county makes us do this" when it came the the mask situation. My dermo, especially, was like "it interferes with my patient interaction and is otherwise a huge PITA.... Strip. Yes, all the way." Of course, my doctors weren't ones to rush to the Rx drawer, but instead would shame me into eating better, and getting more exercise for my problems, which invariably worked.

Rather, their collective, giant irritation was insurance-supported government intervention in their practices.

I went the concierge route for my PCP. Low drag, nothing is discussed or transmitted outside the doctor's office without my explicit approval, and conversations in private are exactly that. He even did the work ups a nurse would do elsewhere.

Sad to lose him when I moved, but the new guy seems to be on the same program, which is fine.

 

[derg]

My various PCPs, IM and specialists said exactly 0.0 about anything like that, and, ironically, were very much into "the county makes us do this" when it came the the mask situation. My dermo, especially, was like "it interferes with my patient interaction and is otherwise a huge PITA.... Strip. Yes, all the way." Of course, my doctors weren't ones to rush to the Rx drawer, but instead would shame me into eating better, and getting more exercise for my problems, which invariably worked.

Rather, their collective, giant irritation was insurance-supported government intervention in their practices.

I went the concierge route for my PCP. Low drag, nothing is discussed or transmitted outside the doctor's office without my explicit approval, and conversations in private are exactly that. He even did the work ups a nurse would do elsewhere.

Sad to lose him when I moved, but the new guy seems to be on the same program, which is fine.

I assumed you would be ‘locally sourcing’ medical advice!

I’m shopping for concierge, as we speak. I wouldn’t even tell my doctor….er… nurse practitioner if I have a headache else it’d be “Sweet! That’s a profitable diagnosis code! DEBILITATING MIGRAINE HEADACHES! Just in time for the holiday gift season, thanks! Get some cold cuts… get some cold cuts. WAAAAOOO!!”

 

[Boots2Wings]

Dare I ask what a concierge in this context is? Sounds bougie and expensive

 

[Richman]

Dare I ask what a concierge in this context is? Sounds bougie and expensive

Doctor that does not hold out to the public as an open practice. Pay to join. The practice is usually quite limited to the number of patients, same day appointments and 24/7 contactability via phone or text. Usually is dialed in with the local specialists and/or imaging, so wait time is significantly minimized.

Expensive? That's a fungible term. Compared to the $4.99 lunch at Pancho's All You Can Eat Mexican Buffet? Yes (although Pancho's made you pay in other ways).

Compared to a weekend bender in Vegas with some buds? Not at all.

 

[ASpilot2be]

Cant have medical diagnosis in error, if you never go to the doctor….

Im convinced I will 100% die of something preventable/caught early…but getting grounded over some bs is worse to me…so, bring on the undiagnosed disease

That's what good Long Term Disability is for. I fear the doctor less now.