Talked to my AME at length today

Boots2Wings said:
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
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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.
 
Richman said:
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.
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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 said:
Dare I ask what a concierge in this context is? Sounds bougie and expensive
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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.
 
Richman said:
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.
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Hey, @MikeD, I think this gentle is bad-mouthing Panchos! How do you want to handle this? :)

We used to frequent Panchos back in college! RAISE THE FLAG! :)
 
derg said:
Hey, @MikeD, I think this gentle is bad-mouthing Panchos! How do you want to handle this? :)

We used to frequent Panchos back in college! RAISE THE FLAG! :)
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I see we have a heretic here Doug. We must allow him one, and only one, chance to repent. Otherwise, to the dungeon he shall be sent.

Pancho’s at Meteocenter was our haunt!
 
Richman said:
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.
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curious how you even find such doctors? I don’t exactly run in social circles with people that would have access to this sort of thing, but it’s piqued my interest
 
bp said:
curious how you even find such doctors? I don’t exactly run in social circles with people that would have access to this sort of thing, but it’s piqued my interest
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Not to be a grumpy jerk, but only if we lived in a different timeline, where everyone on the planet was connected to some kind of network that had a database in which you could enter search terms, and have it produce pages and pages of results right to you, in seconds! If you really want to be on the fringe, that earth would also have the ability of every single person on the planet to carry such information on a tiny terminal in their back pocket.

MikeD said:
I see we have a heretic here Doug. We must allow him one, and only one, chance to repent. Otherwise, to the dungeon he shall be sent.

Pancho’s at Meteocenter was our haunt!
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Believe me, the one in Metairie taught me all I needed to know about raising the flag.
 
Soul Brotha' said:
I went to the dentist last week and my reading was like 137/88. I said something is wrong with your machine. After my cleaning they did it again and was 110/70. Can’t win.
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the-what.jpg





Why is the dentist taking your BP??
 
There is absolutely zero point zero reasons for a dentist to take your BP.

My new dentist uses film x-rays and manual cleaning (no cavitron). I was like WTF, but I have come to appreciate his low drag way of doing things. Hello, goodbye, you're in, you're out. 45 minutes max.
 
Soul Brotha' said:
No clue.
I thought it was the new thing. Second time it’s happened at this particular place.
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My dentist is too weird to let him to anything other than my teeth AND he’s on perma-probation even for that.

Likeable guy, does good work but “Oh, how kind of you, but no thanks” if he offered me home baked banana bread.
 
MikeD said:
I’ve no clue why they do it either. But in 24 years of going to yearly military dental exams, it was always commonly done,
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IMG_1748.jpeg

Dude! For your information, the Supreme Court has roundly rejected prior restraint…
 
bp said:
curious how you even find such doctors? I don’t exactly run in social circles with people that would have access to this sort of thing, but it’s piqued my interest
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Many AME’s offer expanded services on a cash or subscription basis. Just ask.

Some market actively, some by word of mouth.
 
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